Insertion of intracranial pressure [ICP] monitoring device, with monitoring

Decompression of intracranial tumour via osteoplastic craniotomy

Endovascular occlusion of cerebral aneurysm or arteriovenous malformation

Removal of lesion involving anterior cranial fossa with clearance of paranasal sinus extension

Removal of lesion involving anterior cranial fossa with radical clearance of paranasal sinus and orbital fossa extensions

Removal of lesion involving middle cranial and infratemporal fossae

Extracranial to intracranial bypass with superficial temporal artery graft

Open reduction and internal fixation of depressed frontal sinus fracture

Elevation of compound skull fracture with repair of dura and brain

Reduction of compound skull fracture with repair of dura and brain

Other diagnostic procedures on skull, brain or cerebral meninges

Epidural injection of other or combined therapeutic substance(s)

Decompression of cervical spinal cord with anterior fusion, 1 level

Decompression of cervical spinal cord with anterior fusion, 2 or more levels

Other excision procedures on spinal canal or spinal cord structures

Drainage of lesion in craniocervical junction, transoral approach

Other diagnostic procedures on spinal canal or spinal cord structures

Administration of anaesthetic agent around primary branch of trigeminal nerve, unilateral

Administration of anaesthetic agent around primary branch of trigeminal nerve, bilateral

Administration of anaesthetic agent around peripheral branch of trigeminal nerve, unilateral

Administration of anaesthetic agent around peripheral branch of trigeminal nerve, bilateral

Administration of anaesthetic agent around facial nerve, unilateral

Administration of anaesthetic agent around facial nerve, bilateral

Retrobulbar or peribulbar administration of anaesthetic agent, unilateral

Retrobulbar or peribulbar administration of anaesthetic agent, bilateral

Administration of anaesthetic agent around vagus nerve, unilateral

Administration of anaesthetic agent around vagus nerve, bilateral

Administration of anaesthetic agent around glossopharyngeal nerve, unilateral

Administration of anaesthetic agent around glossopharyngeal nerve, bilateral

Administration of anaesthetic agent around spinal accessory nerve, unilateral

Administration of anaesthetic agent around spinal accessory nerve, bilateral

Administration of neurolytic agent into cranial nerve, unilateral

Administration of neurolytic agent into cranial nerve, bilateral

Administration of neurolytic agent into primary branch of trigeminal nerve

Administration of anaesthetic agent around posterior primary rami of spinal nerve

Administration of neurolytic agent into posterior primary rami of spinal nerve

Administration of anaesthetic agent around occipital nerve, unilateral

Administration of anaesthetic agent around occipital nerve, bilateral

Administration of anaesthetic agent around phrenic nerve, unilateral

Administration of anaesthetic agent around phrenic nerve, bilateral

Administration of anaesthetic agent around cervical plexus, unilateral

Administration of anaesthetic agent around cervical plexus, bilateral

Administration of anaesthetic agent around brachial plexus, unilateral

Administration of anaesthetic agent around brachial plexus, bilateral

Administration of anaesthetic agent around suprascapular nerve, unilateral

Administration of anaesthetic agent around suprascapular nerve, bilateral

Administration of anaesthetic agent around single intercostal nerve, unilateral

Administration of anaesthetic agent around single intercostal nerve, bilateral

Administration of anaesthetic agent around multiple intercostal nerves, unilateral

Administration of anaesthetic agent around multiple intercostal nerves, bilateral

Administration of anaesthetic agent around iliohypogastric nerve, unilateral

Administration of anaesthetic agent around iliohypogastric nerve, bilateral

Administration of anaesthetic agent around ilio-inguinal nerve, unilateral

Administration of anaesthetic agent around ilio-inguinal nerve, bilateral

Administration of anaesthetic agent around genitofemoral nerve, unilateral

Administration of anaesthetic agent around genitofemoral nerve, bilateral

Administration of anaesthetic agent around pudendal nerve, unilateral

Administration of anaesthetic agent around pudendal nerve, bilateral

Administration of anaesthetic agent around ulnar nerve, unilateral

Administration of anaesthetic agent around ulnar nerve, bilateral

Administration of anaesthetic agent around radial nerve, unilateral

Administration of anaesthetic agent around radial nerve, bilateral

Administration of anaesthetic agent around median nerve, unilateral

Administration of anaesthetic agent around median nerve, bilateral

Administration of anaesthetic agent around obturator nerve, unilateral

Administration of anaesthetic agent around obturator nerve, bilateral

Administration of anaesthetic agent around femoral nerve, unilateral

Administration of anaesthetic agent around femoral nerve, bilateral

Administration of anaesthetic agent around saphenous nerve, unilateral

Administration of anaesthetic agent around saphenous nerve, bilateral

Administration of anaesthetic agent around posterior tibial nerve, unilateral

Administration of anaesthetic agent around posterior tibial nerve, bilateral

Administration of anaesthetic agent around popliteal nerve, unilateral

Administration of anaesthetic agent around popliteal nerve, bilateral

Administration of anaesthetic agent around sural nerve, unilateral

Administration of anaesthetic agent around sural nerve, bilateral

Administration of anaesthetic agent around paravertebral cervical nerve, unilateral

Administration of anaesthetic agent around paravertebral cervical nerve, bilateral

Administration of anaesthetic agent around paravertebral thoracic nerve, unilateral

Administration of anaesthetic agent around paravertebral thoracic nerve, bilateral

Administration of anaesthetic agent around paravertebral lumbar nerve, unilateral

Administration of anaesthetic agent around paravertebral lumbar nerve, bilateral

Administration of anaesthetic agent around paravertebral sacral nerve, unilateral

Administration of anaesthetic agent around paravertebral sacral nerve, bilateral

Administration of anaesthetic agent around paravertebral coccygeal nerve, unilateral

Administration of anaesthetic agent around paravertebral coccygeal nerve, bilateral

Administration of anaesthetic agent around paravertebral nerves, multiple levels, unilateral

Administration of anaesthetic agent around paravertebral nerves, multiple levels, bilateral

Administration of anaesthetic agent around sciatic nerve, unilateral

Administration of anaesthetic agent around sciatic nerve, bilateral

Administration of anaesthetic agent around other peripheral nerve

Administration of neurolytic agent into other peripheral nerve, unilateral

Administration of neurolytic agent into other peripheral nerve, bilateral

Administration of anaesthetic agent around sphenopalatine ganglion, unilateral

Administration of anaesthetic agent around sphenopalatine ganglion, bilateral

Administration of anaesthetic agent around carotid sinus nerve, unilateral

Administration of anaesthetic agent around carotid sinus nerve, bilateral

Administration of anaesthetic agent around cervical portion of sympathetic nervous system, unilateral

Administration of anaesthetic agent around cervical portion of sympathetic nervous system, bilateral

Administration of anaesthetic agent around thoracic portion of sympathetic nervous system, unilateral

Administration of anaesthetic agent around thoracic portion of sympathetic nervous system, bilateral

Administration of anaesthetic agent around lumbar portion of sympathetic nervous system, unilateral

Administration of anaesthetic agent around lumbar portion of sympathetic nervous system, bilateral

Administration of anaesthetic agent around other sympathetic nerve, unilateral

Administration of anaesthetic agent around other sympathetic nerve, bilateral

Administration of neurolytic agent into sphenopalatine ganglion, unilateral

Administration of neurolytic agent into sphenopalatine ganglion, bilateral

Administration of neurolytic agent into other sympathetic nerve, unilateral

Administration of neurolytic agent into other sympathetic nerve, bilateral

Administration of neurolytic agent into lumbar portion of sympathetic nervous system

Administration of neurolytic agent into cervical portion of sympathetic nervous system

Administration of neurolytic agent into thoracic portion of sympathetic nervous system

Percutaneous neurotomy of primary posterior rami of spinal nerve

Percutaneous neurotomy for facet joint denervation by radiofrequency

Repair of perforating wound of eyeball with suture of corneal laceration

Repair of perforating wound of eyeball with suture of scleral laceration

Repair of perforating wound of eyeball with suture of corneal and scleral lacerations

Repair of perforating wound of eyeball involving lens or vitreous

Resuture of operative wound following previous intraocular procedure, unilateral

Resuture of operative wound following previous intraocular procedure, bilateral

Resuture of operative wound following previous intraocular procedure with excision of prolapsed iris, unilateral

Resuture of operative wound following previous intraocular procedure with excision of prolapsed iris, bilateral

Excision of lesion of limbus with keratectomy or sclerectomy, unilateral

Excision of lesion of limbus with keratectomy or sclerectomy, bilateral

Re-operation of keratoplasty, third or subsequent procedure, unilateral

Re-operation of keratoplasty, third or subsequent procedure, bilateral

Administration of therapeutic agent into anterior chamber, unilateral

Administration of therapeutic agent into anterior chamber, bilateral

Removal of intraocular foreign body from anterior segment, unilateral

Removal of intraocular foreign body from anterior segment, bilateral

Excision of other lesion of iris, ciliary body or anterior chamber, unilateral

Excision of other lesion of iris, ciliary body or anterior chamber, bilateral

Other filtering (fistulisation) procedures for glaucoma, not elsewhere classified, unilateral

Other filtering (fistulisation) procedures for glaucoma, not elsewhere classified, bilateral

Insertion of intraocular lens into posterior chamber and suture to iris or sclera, unilateral

Insertion of intraocular lens into posterior chamber and suture to iris or sclera, bilateral

Replacement of intraocular lens into posterior chamber and suture to iris or sclera, unilateral

Replacement of intraocular lens into posterior chamber and suture to iris or sclera, bilateral

Extraction of crystalline lens with removal of vitreous, unilateral

Extraction of crystalline lens with removal of vitreous, bilateral

Administration of therapeutic agent into posterior chamber, unilateral

Administration of therapeutic agent into posterior chamber, bilateral

Removal of surgically implanted material from posterior segment of eye, unilateral

Removal of surgically implanted material from posterior segment of eye, bilateral

Removal of intraocular foreign body from posterior segment, unilateral

Removal of intraocular foreign body from posterior segment, bilateral

Destruction procedures on retina, choroid or posterior chamber, unilateral

Destruction procedures on retina, choroid or posterior chamber, bilateral

Administration of agent into extraocular muscles for strabismus, unilateral

Administration of agent into extraocular muscles for strabismus, bilateral

 Adjust  of sutures, 1 eye following previous surgery for correction of strabismus, unilateral

 Adjust  of sutures, both eyes following previous surgery for correction of strabismus, unilateral

Reoperation of strabismus procedure involving muscles of eye, second procedure, unilateral

Reoperation of strabismus procedure involving muscles of eye, second procedure, bilateral

Reoperation of strabismus procedure involving muscles of eye, third or subsequent procedure, unilateral

Reoperation of strabismus procedure involving muscles of eye, third or subsequent procedure, bilateral

Reoperation of muscle transplant procedure for strabismus, unilateral

Reoperation of muscle transplant procedure for strabismus, bilateral

Exploratory orbitotomy, anterior aspect, with excision of lesion, unilateral

Exploratory orbitotomy, anterior aspect, with excision of lesion, bilateral

Exploratory orbitotomy, anterior aspect, with removal of foreign body, unilateral

Exploratory orbitotomy, anterior aspect, with removal of foreign body, bilateral

Exploratory orbitotomy, retrobulbar aspect, with excision of lesion, unilateral

Exploratory orbitotomy, retrobulbar aspect, with excision of lesion, bilateral

Exploratory orbitotomy, retrobulbar aspect, with removal of foreign body, unilateral

Exploratory orbitotomy, retrobulbar aspect, with removal of foreign body, bilateral

Orbitotomy for decompression of orbit by removal of intraorbital (peribulbar) (retrobulbar) fat, unilateral

Orbitotomy for decompression of orbit by removal of intraorbital (peribulbar) (retrobulbar) fat, bilateral

Exenteration of orbit with temporalis muscle transplant, unilateral

Exenteration of orbit with temporalis muscle transplant, bilateral

Exenteration of orbit with skin graft and temporalis muscle transplant, unilateral

Exenteration of orbit with skin graft and temporalis muscle transplant, bilateral

Exenteration of orbit with removal of adjacent structures, unilateral

Exenteration of orbit with removal of adjacent structures, bilateral

Exenteration of orbit with therapeutic removal of orbital bone, unilateral

Exenteration of orbit with therapeutic removal of orbital bone, bilateral

Excision of periorbital dermoid, anterior to orbital septum, unilateral

Excision of periorbital dermoid, anterior to orbital septum, bilateral

Excision of orbital dermoid, posterior to orbital septum, unilateral

Excision of orbital dermoid, posterior to orbital septum, bilateral

Exploratory orbitotomy requiring removal and replacement of bone

Exploratory orbitotomy with biopsy, requiring removal and replacement of bone

Exploratory orbitotomy with excision of lesion, requiring removal and replacement of bone

Exploratory orbitotomy with removal of foreign body, requiring removal and replacement of bone

Orbitotomy for decompression of orbit by fenestration of >= 2 walls

Graft to upper eyelid, with recession of lid retractors, both eyes, bilateral

Graft to lower eyelid, with recession of lid retractors, both eyes, bilateral

Graft to upper eyelid, with recession of lid retractors, 1 eye, unilateral

Graft to lower eyelid, with recession of lid retractors, 1 eye, unilateral

Repair of ectropion or entropion by tightening or shortening of inferior retractors, unilateral

Repair of ectropion or entropion by tightening or shortening of inferior retractors, bilateral

Repair of ectropion or entropion by other repair of inferior retractors, unilateral

Repair of ectropion or entropion by other repair of inferior retractors, bilateral

Correction of ectropion or entropion by suture technique, unilateral

Correction of ectropion or entropion by suture technique, bilateral

Correction of ectropion or entropion with wedge resection, unilateral

Correction of ectropion or entropion with wedge resection, bilateral

Insertion of other nasolacrimal tube/stent into lacrimal/conjunctival sac for drainage, unilateral

Insertion of other nasolacrimal tube/stent into lacrimal/conjunctival sac for drainage, bilateral

Insertion of glass (pyrex) nasolacrimal tube/stent into lacrimal/conjunctival sac for drainage, unilateral

Insertion of glass (pyrex) nasolacrimal tube/stent into lacrimal/conjunctival sac for drainage, bilateral

Repair of lacrimal punctum, not elsewhere classified, unilateral

Re-operation of dacryocystorhinostomy, second or subsequent procedure, unilateral

Re-operation of dacryocystorhinostomy, second or subsequent procedure, bilateral

Closed procedure for establishment of patency lacrimal canalicular system, 1 eye

Closed procedure for establishment of patency lacrimal canalicular system, both eyes

Open procedure for establishment of patency lacrimal canalicular system, 1 eye

Open procedure for establishment of patency lacrimal canalicular system, both eyes

Removal of superficial foreign body from conjunctiva, unilateral

Removal of foreign body from auditory canal without incision, unilateral

Removal of foreign body from auditory canal without incision, bilateral

Removal of foreign body from auditory canal by incision, unilateral

Removal of foreign body from auditory canal by incision, bilateral

Removal of keratosis obturans from external auditory meatus, unilateral

Removal of keratosis obturans from external auditory meatus, bilateral

Correction of auditory canal stenosis with skin graft, unilateral

Correction of auditory canal stenosis with skin graft, bilateral

Reconstruction of external auditory canal for congenital atresia, unilateral

Reconstruction of external auditory canal for congenital atresia, bilateral

Other procedures on external ear, not elsewhere classified, unilateral

Other procedures on external ear, not elsewhere classified, bilateral

Exploration of internal auditory meatus with decompression of cranial nerve, unilateral

Exploration of internal auditory meatus with decompression of cranial nerve, bilateral

Removal of lesion of glomus, transmastoid approach, with mastoidectomy, unilateral

Removal of lesion of glomus, transmastoid approach, with mastoidectomy, bilateral

Atticotomy with reconstruction of bony defect and myringoplasty, unilateral

Atticotomy with reconstruction of bony defect and myringoplasty, bilateral

Excision of lesion of middle ear with ossicular chain reconstruction, unilateral

Excision of lesion of middle ear with ossicular chain reconstruction, bilateral

Excision of lesion of middle ear with myringoplasty and ossicular chain reconstruction, unilateral

Excision of lesion of middle ear with myringoplasty and ossicular chain reconstruction, bilateral

Modified radical mastoidectomy with obliteration of mastoid cavity and eustachian tube and closure of external auditory canal, unilateral

Modified radical mastoidectomy with obliteration of mastoid cavity and eustachian tube and closure of external auditory canal, bilateral

Radical mastoidectomy with obliteration of mastoid cavity and eustachian tube and closure of external auditory canal, unilateral

Radical mastoidectomy with obliteration of mastoid cavity and eustachian tube and closure of external auditory canal, bilateral

Partial resection of temporal bone with mastoidectomy, unilateral

Partial resection of temporal bone with mastoidectomy, bilateral

Partial resection of temporal bone with mastoidectomy and decompression of facial nerve, unilateral

Partial resection of temporal bone with mastoidectomy and decompression of facial nerve, bilateral

Mastoidectomy by intact canal wall technique with myringoplasty, unilateral

Mastoidectomy by intact canal wall technique with myringoplasty, bilateral

Mastoidectomy by intact canal wall technique with myringoplasty and ossicular chain reconstruction, unilateral

Mastoidectomy by intact canal wall technique with myringoplasty and ossicular chain reconstruction, bilateral

Modified radical mastoidectomy with myringoplasty and ossicular chain reconstruction, unilateral

Modified radical mastoidectomy with myringoplasty and ossicular chain reconstruction, bilateral

Radical mastoidectomy with myringoplasty and ossicular chain reconstruction, unilateral

Radical mastoidectomy with myringoplasty and ossicular chain reconstruction, bilateral

Revision of intact canal wall technique mastoidectomy, unilateral

Revision of intact canal wall technique mastoidectomy, bilateral

Vestibular nerve section, translabyrinthine approach, unilateral

Vestibular nerve section, retrolabyrinthine approach, unilateral

Vestibular and cochlear nerve section, retrolabyrinthine approach, unilateral

Vestibular and cochlear nerve section, retrolabyrinthine approach, bilateral

Arrest of posterior nasal haemorrhage by packing and/or cauterisation

Arrest of anterior nasal haemorrhage by packing and/or cauterisation

Total excision of parotid gland with preservation of facial nerve

Repair of fistula of salivary gland or duct (salivary fistulectomy)

Insertion of intraoral osseointegrated dental implant; first stage

Insertion of intraoral osseointegrated dental implant; second stage

Incision and drainage of intraoral abscess or spaces, complicated or multiple

Excision of benign or malignant soft tissue lesion, cyst or scar up to 2 cm, cutaneous, subcutaneous or in mucous membrane

Excision of benign or malignant soft tissue lesion, cyst or scar greater than 2 cm, cutaneous, subcutaneous or in mucous membrane

Excision of benign or malignant soft tissue lesion, cyst or scar, complicated (involving muscle, bone or other deep tissue)

Excision of recurrent or persistent parapharyngeal lesion by cervical approach

Re-evaluation - limited, problem focused (established patient; not post-operative visit)

Oral evaluation for a patient under three years of age and counselling with primary caregiver

Consultation, including preparation of slides from biopsy material (supplied by referring physician)

Comprehensive cancer examination and risk assessment of head and neck by a dental surgeon

Cone beam computerised tomography of jaw, limited view (less than a jaw) ; each jaw

Cone beam computerised tomography of single jaw (maxilla or mandible); with or without cranium

Cone beam computerised tomography of both jaws (maxilla and mandible); with or without cranium

3D (three-dimensional) simulation dental treatment planning for orthodontic procedures

Cone beam volumetric tomography analysis and/or interpretation (single arch)

Cone beam volumetric tomography analysis and/or interpretation; both maxillary and mandibular dentition (both arches)

Cone beam volumetric tomography analysis and/or interpretation; temporomandibular joint only

Cone beam volumetric tomography analysis and/or interpretation; maxillofacial structures

Dental non-invasive specimen (blood, pus, liquid, saliva) collection for pathology examination

Removal of calculus from surfaces of teeth – subsequent appointment

Application of concentrated remineralisation or cariostatic agent, per tooth

Peri-implant bone graft for repair of defect without flap entry and closure

Generalized scaling and root planning; severe plaque and calculus deposition, first appointment

Scaling and debridement in the presence of inflammation or mucositis of an implant, including cleaning of the implant surfaces, without flap entry and closure; per implant

Peri-implant debridement and osseous contouring procedure of defects surrounding a single implant, including flap entry and closure

Auto connective tissue graft, implant or edentulous tooth area in graft site - donor site

Auto connective tissue graft, implant or edentulous tooth area in graft site - recipient site

Non-autogenous connective tissue graft each tooth, implant or edentulous tooth area in graft site; donor site

Non-autogenous connective tissue graft each tooth, implant or edentulous tooth area in graft site; recipient site

Free soft tissue graft each tooth, implant or edentulous tooth area in graft site; donor site

Free soft tissue graft each tooth, implant or edentulous tooth area in graft site; recipient site

Administration of biologic materials to aid in soft and osseous tissue regeneration with periradicular surgery, per tooth

Surgical removal of impacted tooth; partial bony impaction; per tooth

Surgical removal of impacted tooth; complete bony impaction; per tooth

Surgical removal of one tooth; soft tissue (not requiring removal of bone or tooth division)

Surgical removal of one tooth requiring both removal of bone and tooth division (includes elevation of mucoperiosteal flap)

Dental treatment involving removal or repair of soft tissue, not elsewhere classified

Surgical exposure of impacted (unerupted) tooth with stimulation and packing

Surgical exposure of impacted (unerupted) tooth and placement of an orthodontic appliance

Suture of nerve trunk in conjunction with dental procedure; per nerve trunk

Control of postoperative haemorrhage following dental procedure; per visit

Complete chemomechanical preparation of root canal; any additional canal (beyond the usual number of roots per tooth) (add on code)

Root canal obturation; any additional canal (beyond the usual number of roots per tooth) (add on code)

Extirpation of pulp or debridement of root canal(s), emergency or palliative procedure

Extirpation of pulp or debridement of root canal(s), emergency or palliative procedure for any additional root canal (beyond the usual number of roots per tooth), add on code

Root canal treatment, anterior (includes extirpation of pulp, chemomechanical preparation, obturation)

Root canal treatment, premolar (includes extirpation of pulp, chemomechanical preparation, obturation)

Root canal treatment, molar (includes extirpation of pulp, chemomechanical preparation, obturation)

Surgical treatment and repair of external root resorption; per tooth

Irrigation and dressing (intracanal medication/medicament) of root canal system

Repair or recementation of fabricated/ prefabricated post and core; per post and core

Metallic restoration of tooth, each additional surface, indirect

Adhesive restoration (e.g. compomer, composite, glass ionomer, polymer glass, resin composite), one surface, direct

Adhesive restoration (e.g. compomer, composite, glass ionomer, polymer glass, resin composite), each additional surface, direct

Onlay porcelain/ ceramic restoration, each additional surface, indirect

Onlay resin based composite restoration, each additional surface, indirect

Restoration using preventive resin; moderate/high caries risk; permanent tooth

Resin infiltration restoration of incipient smooth surface lesions; per surface

Attachment of veneer to tooth surface , resin laminate, indirect

Attachment of veneer to tooth surface, porcelain laminate, indirect

All metal crown (steel, palladium, nickel or chromium), indirect; per crown

Prefabricated stainless steel crown for permanent tooth; per crown

Prefabricated stainless steel crown for primary tooth; per crown

Surgical removal of dental implant and/or retention device; per implant

Replacement of semi-precision attachment (male or female component) of implant/abutment supported prosthesis; per attachment

Prosthesis with removable resin base attached to implants, per arch

Prosthesis with removable metal frame attached to implants; per arch

Removal and replacement of prosthesis fixed to implant; per implant

Full crown attached to osseointegrated implant, nonmetallic; indirect

Full crown attached to osseointegrated implant, veneered; indirect

Full crown attached to osseointegrated implant, metallic; indirect

Implant supported complete denture, provisional (temporary); maxillary

Porcelain/ ceramic abutment for resin bonded fixed prosthesis, per abutment

Implant supported complete denture, provisional (temporary);mandibular

Insertion of metal palate or plate or any other shape with reinforced metal (casted or prefabricated) to base of resin denture

Occlusal rest to removable partial denture in the framework, per rest

Direct relining of removable complete denture, per jaw (in clinic)

Direct relining of removable partial denture, per jaw (in clinic)

Indirect relining of removable complete denture, per jaw (in laboratory)

Indirect relining of removable partial denture, per jaw (in laboratory)

Addition of tooth to partial denture to replace extracted or decoronated tooth, per tooth

Re-cementing or re-bonding implant/abutment supported fixed partial denture

Insertion of functional orthopaedic appliance; excluding prefabricated

Surgical placement, temporary anchorage device without surgical flap

Fabrication of mandibular or maxillary tray for self application of medicament

Intravenous cannulation and establishment of infusion for dental procedure

Adjunctive dental physical therapy for temporomandibular joint and associated structures

Relaxation therapy for facial muscles including TMJ (temporomandibular joint)

Interim therapeutic restoration for primary dentition, for children less than 12 years

Primary restoration of alimentary continuity following laryngopharyngectomy

Percutaneous [needle] biopsy of chest wall, mediastinum or diaphragm

Repair of pectus excavatum with implantation of subcutaneous prosthesis

Other endoscopic procedures on chest wall, mediastinum or diaphragm

Management of continuous ventilatory support, more than 24 hours and less than 96 hours

Management of noninvasive ventilatory support, > 24 and < 96 hours

Catheter ablation of arrhythmia circuit or focus, not elsewhere classified

Catheter ablation of arrhythmia circuit or focus involving left atrial chamber

Open ablation of arrhythmia circuit or focus, not elsewhere classified

Open ablation of arrhythmia circuit or focus involving left atrial chamber

Catheter ablation of arrhythmia circuit or focus involving both atrial chambers

Open ablation of arrhythmia circuit or focus involving both atrial chambers

Creation of extracardiac conduit between atrium and pulmonary artery

Replacement of extracardiac conduit between atrium and pulmonary artery

Excision of lesion of atrial wall or interatrial septum with reconstruction by patch graft

Excision of lesion of atrial wall or interatrial septum with reconstruction by conduit

Full thickness excision of lesion of ventricular myocardium with repair or reconstruction

Creation of extracardiac conduit between right ventricle and pulmonary artery

Creation of extracardiac conduit between left ventricle and aorta

Replacement of extracardiac conduit between right ventricle and pulmonary artery

Replacement of extracardiac conduit between left ventricle and aorta

Other intrathoracic procedures on ventricle of heart without cardiopulmonary bypass

Other intrathoracic procedures on ventricle of heart with cardiopulmonary bypass

Other intrathoracic procedures on septum without cardiopulmonary bypass

Other intrathoracic procedures on septum with cardiopulmonary bypass

Other intrathoracic procedures on aortic valve without cardiopulmonary bypass

Other intrathoracic procedures on aortic valve with cardiopulmonary bypass

Other intrathoracic procedures on mitral valve without cardiopulmonary bypass

Other intrathoracic procedures on mitral valve with cardiopulmonary bypass

Other intrathoracic procedures on tricuspid valve without cardiopulmonary bypass

Other intrathoracic procedures on tricuspid valve with cardiopulmonary bypass

Other intrathoracic procedures on pulmonary valve without cardiopulmonary bypass

Other intrathoracic procedures on pulmonary valve with cardiopulmonary bypass

Insertion of permanent transvenous electrode into other heart chamber(s) for cardiac pacemaker

Insertion of permanent transvenous electrode into left ventricle for cardiac pacemaker

Insertion of permanent transvenous electrode into left ventricle for cardiac defibrillator

Insertion of permanent transvenous electrode into other heart chamber(s) for cardiac defibrillator

Insertion of permanent epicardial electrode for cardiac pacemaker via thoracotomy or sternotomy

Insertion of permanent epicardial electrode for cardiac defibrillator via thoracotomy or sternotomy

Insertion of permanent epicardial electrode for cardiac pacemaker via subxyphoid approach

Insertion of permanent epicardial electrode for cardiac defibrillator via subxyphoid approach

Insertion of permanent left ventricular electrode for cardiac pacemaker via thoracotomy or sternotomy

Insertion of permanent left ventricular electrode for cardiac defibrillator via thoracotomy or sternotomy

Insertion of temporary epicardial electrode for cardiac pacemaker

Placement of temporary transcutaneous electrode for cardiac pacemaker

Insertion of temporary epicardial electrode for cardiac defibrillator

Replacement of permanent transvenous electrode of other heart chamber(s) for cardiac pacemaker

Removal of permanent transvenous electrode of other heart chamber(s) for cardiac pacemaker

Replacement of permanent transvenous electrode of other heart chamber(s) for cardiac defibrillator

Removal of permanent transvenous electrode of other heart chamber(s) for cardiac defibrillator

Removal of permanent transvenous electrode of other heart chamber(s) for cardiac pacemaker using extraction device

Removal of permanent transvenous electrode of left ventricle for cardiac pacemaker using extraction device

Removal of permanent transvenous electrode of left ventricle for cardiac defibrillator using extraction device

Removal of permanent transvenous electrode of other heart chamber(s) for cardiac defibrillator using extraction device

Replacement of permanent transvenous electrode of left ventricle for cardiac pacemaker

Removal of permanent transvenous electrode of left ventricle for cardiac pacemaker

Replacement of permanent transvenous electrode of left ventricle for cardiac defibrillator

Removal of permanent transvenous electrode of left ventricle for cardiac defibrillator

Replacement of temporary epicardial electrode for cardiac pacemaker

Replacement of permanent epicardial electrode for cardiac pacemaker via subxyphoid approach

Replacement of permanent epicardial electrode for cardiac pacemaker via thoracotomy or sternotomy

Removal of permanent epicardial electrode for cardiac pacemaker via subxyphoid approach

Removal of permanent epicardial electrode for cardiac pacemaker via thoracotomy or sternotomy

Replacement of temporary epicardial electrode for cardiac defibrillator

Replacement of permanent epicardial electrode for cardiac defibrillator via subxyphoid approach

Replacement of permanent epicardial electrode for cardiac defibrillator via thoracotomy or sternotomy

Removal of temporary epicardial electrode for cardiac defibrillator

Removal of permanent epicardial electrode for cardiac defibrillator via subxyphoid approach

Removal of permanent epicardial electrode for cardiac defibrillator via thoracotomy or sternotomy

Replacement of permanent left ventricular electrode for cardiac pacemaker via thoracotomy or sternotomy

Removal of permanent left ventricular electrode for cardiac pacemaker via thoracotomy or sternotomy

Replacement of permanent left ventricular electrode for cardiac defibrillator via thoracotomy or sternotomy

Removal of permanent left ventricular electrode for cardiac defibrillator via thoracotomy or sternotomy

Adjustment  of left ventricular electrode for cardiac pacemaker via thoracotomy, sternotomy or subxyphoid approach

Replacement of temporary transvenous electrode for cardiac pacemaker

Removal of temporary transvenous electrode for cardiac pacemaker

Adjustment of left ventricular electrode for cardiac defibrillator via thoracotomy, sternotomy or subxyphoid approach

Replacement of temporary transvenous electrode for cardiac defibrillator

Removal of temporary transvenous electrode for cardiac defibrillator

Revision or relocation of skin pocket for cardiac pacemaker or defibrillator

Re-operation for other cardiac procedure, not elsewhere classified

Cardiac electrophysiological study for follow up testing of cardiac defibrillator

Other intrathoracic procedures on heart without cardiopulmonary bypass

Operative management of acute infective endocarditis during heart valve procedure

Other intrathoracic procedures on heart with cardiopulmonary bypass

Percutaneous transluminal coronary rotational atherectomy [ptcra], 1 artery

Percutaneous transluminal coronary rotational atherectomy [ptcra], 1 artery with insertion of 1 stent

Percutaneous transluminal coronary rotational atherectomy [ptcra], 1 artery with insertion of >= 2 stents

Percutaneous transluminal coronary rotational atherectomy [ptcra], multiple arteries

Percutaneous transluminal coronary rotational atherectomy [ptcra], multiple arteries with insertion of 1 stent

Percutaneous transluminal coronary rotational atherectomy [ptcra], multiple arteries with insertion of >= 2 stents

Percutaneous transluminal coronary angioplasty with aspiration thrombectomy, 1 artery

Percutaneous transluminal coronary angioplasty with aspiration thrombectomy, multiple arteries

Percutaneous transluminal coronary angioplasty with embolic protection device, 1 artery

Percutaneous transluminal coronary angioplasty with embolic protection device, multiple arteries

Percutaneous transluminal balloon angioplasty of 1 coronary artery

Percutaneous transluminal balloon angioplasty of >= 2 coronary arteries

Percutaneous insertion of 1 transluminal stent into single coronary artery

Percutaneous insertion of >= 2 transluminal stents into single coronary artery

Percutaneous insertion of >= 2 transluminal stents into multiple coronary arteries

Open insertion of 1 transluminal stent into single coronary artery

Open insertion of >= 2 transluminal stents into single coronary artery

Open insertion of >= 2 transluminal stents into multiple coronary arteries

Coronary artery bypass, using 1 other graft, not elsewhere classified

Coronary artery bypass, using 2 other grafts, not elsewhere classified

Coronary artery bypass, using 3 other grafts, not elsewhere classified

Coronary artery bypass, using >= 4 other grafts, not elsewhere classified

Other intrathoracic procedures on arteries of heart without cardiopulmonary bypass

Other intrathoracic procedures on arteries of heart with cardiopulmonary bypass

Repair of ascending thoracic aorta with aortic valve replacement

Repair of ascending thoracic aorta with aortic valve repair and implantation of coronary arteries

Repair of ascending thoracic aorta with aortic valve replacement and implantation of coronary arteries

Repair of aortic arch and ascending thoracic aorta with aortic valve repair

Repair of aortic arch and ascending thoracic aorta with aortic valve replacement

Repair of aortic arch and ascending thoracic aorta with aortic valve repair and implantation of coronary arteries

Repair of aortic arch and ascending thoracic aorta with aortic valve replacement and implantation of coronary arteries

Replacement of ascending thoracic aorta with aortic valve repair

Replacement of ascending thoracic aorta with aortic valve replacement

Replacement of ascending thoracic aorta with aortic valve repair and implantation of coronary arteries

Replacement of ascending thoracic aorta with aortic valve replacement and implantation of coronary arteries

Replacement of aortic arch and ascending thoracic aorta with aortic valve repair

Replacement of aortic arch and ascending thoracic aorta with aortic valve replacement

Replacement of aortic arch and ascending thoracic aorta with aortic valve repair and implantation of coronary arteries

Replacement of aortic arch and ascending thoracic aorta with aortic valve replacement and implantation of coronary arteries

Operative management of acute rupture or dissection of thoracic aorta

Removal of intra-aortic balloon pump with closure of artery by patch graft

Interruption of visceral artery aneurysm without restoration of continuity

Interruption of ruptured visceral artery aneurysm without restoration of continuity

Control of postoperative bleeding or thrombosis after carotid or vertebral artery surgery

Endarterectomy in conjunction with arterial bypass to prepare site for anastomosis

Embolectomy or thrombectomy of bypass graft of artery of extremities

Aorto-carotid-brachial bypass using synthetic material, unilateral

Aorto-carotid-brachial bypass using synthetic material, bilateral

Aorto-subclavian-carotid bypass using synthetic material, unilateral

Aorto-subclavian-carotid bypass using synthetic material, bilateral

Femoro-popliteal bypass using synthetic material, above knee anastomosis, unilateral

Femoro-popliteal bypass using synthetic material, above knee anastomosis, bilateral

Femoro-popliteal bypass using synthetic material, below knee anastomosis, unilateral

Femoro-popliteal bypass using synthetic material, below knee anastomosis, bilateral

Femoral to proximal tibial or peroneal artery bypass using synthetic material, unilateral

Femoral to proximal tibial or peroneal artery bypass using synthetic material, bilateral

Femoral to distal tibial or peroneal artery bypass using synthetic material, unilateral

Femoral to distal tibial or peroneal artery bypass using synthetic material, bilateral

Femoro-popliteal bypass using composite graft, above knee anastomosis, unilateral

Femoro-popliteal bypass using composite graft, above knee anastomosis, bilateral

Femoro-popliteal bypass using composite graft, below knee anastomosis, unilateral

Femoro-popliteal bypass using composite graft, below knee anastomosis, bilateral

Femoral to tibial or peroneal artery bypass using composite graft, unilateral

Femoral to tibial or peroneal artery bypass using composite graft, bilateral

Femoral artery sequential bypass using synthetic material, unilateral

Femoral artery sequential bypass using synthetic material, bilateral

Excision and repair of visceral artery aneurysm with direct anastomosis

Repair of false aneurysm at aortic anastomosis following previous aortic surgery

Excision and repair of ruptured visceral artery aneurysm with direct anastomosis

Replacement of infrarenal abdominal aortic aneurysm with tube graft

Replacement of infrarenal abdominal aortic aneurysm with bifurcation graft to iliac arteries

Replacement of infrarenal abdominal aortic aneurysm with bifurcation graft to femoral arteries

Replacement of ruptured suprarenal abdominal aortic aneurysm with graft

Replacement of ruptured infrarenal abdominal aortic aneurysm with tube graft

Replacement of ruptured infrarenal aortic aneurysm with bifurcation graft to iliac arteries

Replacement of ruptured infrarenal abdominal aortic aneurysm with bifurcation graft to femoral arteries

Repair of aorto-enteric fistula with oversewing of abdominal aorta and axillo-femoral bypass graft

Interruption of varicose veins of multiple tributaries, unilateral

Interruption of varicose veins of multiple tributaries, bilateral

Interruption of varicose veins of great (long) and/or small (short) saphenous veins, unilateral

Interruption of varicose veins of great (long) and/or small (short) saphenous veins, bilateral

Procurement of vein from limb for bypass or replacement graft, unilateral

Procurement of vein from limb for bypass or replacement graft, bilateral

Peripheral arterial or venous catheterisation with administration of thrombolytic agent

Peripheral arterial or venous catheterisation with administration of other therapeutic agent

Laser photocoagulation of cutaneous vascular lesions, continuous laser, individual blood vessels

Laser photocoagulation of cutaneous vascular lesions, pulsed laser, extensive area

Interruption of feeding vessels of arteriovenous fistula of limb

Interruption of feeding vessels of arteriovenous fistula of neck

Interruption of feeding vessels of arteriovenous fistula of abdomen

Control of postoperative bleeding or thrombosis after intra-abdominal vascular procedure

Control of postoperative bleeding or thrombosis of an extremity after vascular procedure

Excision of vascular anomaly of skin and subcutaneous tissue or mucous surface, small

Excision of vascular anomaly of skin and subcutaneous tissue or mucous surface, large

Excision or ligation of a complex arteriovenous fistula of abdomen

Percutaneous transluminal angioplasty of single carotid artery, single stent

Percutaneous transluminal angioplasty of single carotid artery, multiple stents

Percutaneous transluminal balloon angioplasty with stenting, single stent

Percutaneous transluminal balloon angioplasty with stenting, multiple stents

Open transluminal balloon angioplasty with stenting, single stent

Open transluminal balloon angioplasty with stenting, multiple stents

Repair of simple arteriovenous fistula of neck with restoration of continuity

Repair of a complex arteriovenous fistula of neck with restoration of continuity

Repair of simple arteriovenous fistula of extremity with restoration of continuity

Repair of complex arteriovenous fistula of extremity with restoration of continuity

Repair of simple arteriovenous fistula of abdomen with restoration of continuity

Repair of complex arteriovenous fistula of abdomen with restoration of continuity

Transcatheter embolisation of blood vessels of limbs, unilateral

Transcatheter embolisation of intracranial arteries, not elsewhere classified

Transcatheter embolisation of intracranial veins, not elsewhere classified

Allogeneic bone marrow or stem cell transplantation, matched related donor, without in vitro processing

Allogeneic bone marrow or stem cell transplantation, matched related donor, with in vitro processing

Autologous bone marrow or stem cell transplantation, without in vitro processing

Autologous bone marrow or stem cell transplantation, with in vitro processing

Allogeneic bone marrow or stem cell transplantation, other donor, without in vitro processing

Allogeneic bone marrow or stem cell transplantation, other donor, with in vitro processing

Radical excision of pelvic lymph nodes via laparoscopy for gynaecological malignancy

Radical excision of pelvic lymph nodes for gynaecological malignancy

Laparoscopic pelvic or abdominal lymph node sampling for staging of gynaecological malignancy

Pelvic or abdominal lymph node sampling for staging of gynaecological malignancy

Laparoscopic para-aortic lymph node sampling for staging of gynaecological malignancy

Para-aortic lymph node sampling for staging of gynaecological malignancy

Endoscopic administration of agent into lesion or tissue of oesophagus

Oesophagectomy by abdominal and thoracic mobilisation with thoracic anastomosis, large intestine interposition and anastomosis

Oesophagectomy by abdominal and thoracic mobilisation with thoracic anastomosis using roux-en-y reconstruction

Oesophagectomy by abdominal and thoracic mobilisation with cervical anastomosis, large intestine interposition and anastomosis

Oesophagectomy by abdominal and thoracic mobilisation with cervical anastomosis using roux-en-y reconstruction

Trans-hiatal oesophagectomy by abdominal and cervical mobilisation, with oesophagogastric anastomosis

Trans-hiatal oesophagectomy by abdominal and cervical mobilisation, with oesophagojejunal anastomosis

Oesophagectomy by abdominal and transthoracic mobilisation, with thoracic oesophagogastric anastomosis

Oesophagectomy by abdominal and transthoracic mobilisation, with cervical oesophagogastric anastomosis

Oesophagectomy by abdominal and transthoracic mobilisation, with cervical oesophagostomy

Oesophagogastric myotomy, laparoscopic approach, with closure of diaphragmatic hiatus

Oesophagogastric myotomy, laparoscopic approach, with fundoplasty

Oesophagogastric myotomy, laparoscopic approach, with fundoplasty and closure of diaphragmatic hiatus

Oesophagogastric myotomy, abdominal approach, with closure of diaphragmatic hiatus

Oesophagogastric myotomy, abdominal approach, with fundoplasty and closure of diaphragmatic hiatus

Oesophagogastric myotomy, thoracic approach, with closure of diaphragmatic hiatus

Oesophagogastric myotomy, thoracic approach, with fundoplasty and closure of diaphragmatic hiatus

Repair of oesophageal atresia with repair of distal tracheo-oesophageal fistula

Repair of oesophageal atresia with repair of proximal or multiple tracheo-oesophageal fistula

Endoscopic administration of agent into lesion of stomach or duodenum

Initial insertion of percutaneous endoscopic gastrostomy [peg] tube

Repeat insertion of percutaneous endoscopic gastrostomy [peg] tube

Partial gastrectomy with gastroduodenal anastomosis following previous procedure for peptic ulcer disease

Partial gastrectomy with gastrojejunal anastomosis following previous procedure for peptic ulcer disease

Partial gastrectomy with roux-en-y reconstruction following previous procedure for peptic ulcer disease

Selective vagotomy with partial gastrectomy and gastroduodenal anastomosis

Selective vagotomy with partial gastrectomy and gastrojejunal anastomosis

Selective vagotomy with partial gastrectomy and roux-en-y reconstruction

Selective vagotomy with partial gastrectomy and gastroduodenal anastomosis following previous procedure for peptic ulcer disease

Selective vagotomy with partial gastrectomy and gastrojejunal anastomosis following previous procedure for peptic ulcer disease

Selective vagotomy with partial gastrectomy and roux-en-y reconstruction following previous procedure for peptic ulcer disease

Fundoplasty, laparoscopic approach, with closure of diaphragmatic hiatus

Fundoplasty, abdominal approach, with closure of diaphragmatic hiatus

Fundoplasty, transthoracic approach, with closure of diaphragmatic hiatus

Endoscopic examination of small intestine via intraoperative enterotomy

Percutaneous repair of enterocutaneous fistula of small intestine

Fibreoptic colonoscopy to hepatic flexure with administration of tattooing agent

Fibreoptic colonoscopy to caecum with administration of tattooing agent

Rigid sigmoidoscopy with polypectomy involving removal <= 9 polyps

Rigid sigmoidoscopy with polypectomy involving removal of >= 10 polyps

Laparoscopic limited excision of large intestine with formation of stoma

Laparoscopic limited excision of large intestine with anastomosis

Laparoscopic extended right hemicolectomy with formation of stoma

Percutaneous repair of enterocutaneous fistula of large intestine

Delayed primary closure of exomphalos following creation of prosthetic pouch

Administration of agent into lesion or tissue of anorectal region

Ultra low anterior resection of rectum with hand sutured coloanal anastomosis

Total proctocolectomy with ileo-anal anastomosis and formation of temporary ileostomy

Excision of anal fistula involving lower half of anal sphincter mechanism

Insertion of seton for anal fistula involving lower half of anal sphincter mechanism

Insertion of seton and excision of anal fistula involving lower half of anal sphincter mechanism

Excision of anal fistula involving upper half of anal sphincter mechanism

Insertion of seton for anal fistula involving upper half of anal sphincter mechanism

Insertion of seton and excision of anal fistula involving upper half of anal sphincter mechanism

Evacuation of hydatid cyst of liver with omentoplasty or myeloplasty

Excision of hydatid cyst of liver with drainage and excision of liver tissue

Intrahepatic choledochotomy with removal of intrahepatic bile duct calculus

Endoscopic sphincterotomy with extraction of calculus from common bile duct

Laparoscopic cholecystectomy with exploration of common bile duct via cystic duct

Laparoscopic cholecystectomy with exploration of common bile duct via laparoscopic choledochotomy

Cholecystectomy with choledochotomy and biliary intestinal anastomosis

Radical resection of hepatic ducts with resection of segment of liver

Resection of choledochal cyst with anastomosis of common bile duct

Resection of choledochal cyst with anastomosis at or above junction of hepatic ducts

Endoscopic excision of lesion of bile ducts or sphincter of oddi

Bypass of left hepatic ductal system by roux-en-y loop to peripheral ductal system

Bypass of right hepatic ductal system by roux-en-y loop to peripheral ductal system

Percutaneous drainage of intra-abdominal abscess, haematoma or cyst

Percutaneous drainage of retroperitoneal abscess, haematoma or cyst

Laparoscopic drainage of intra-abdominal abscess, haematoma or cyst

Other closed drainage of intra-abdominal abscess, haematoma or cyst

Excision of retroperitoneal neuro-endocrine lesion with retroperitoneal dissection

Excision of lesion of peritoneal tissue with intestinal resection

Repair of incisional hernia with resection of strangulated intestine

Repair of other abdominal wall hernia with resection of strangulated intestine

Repair of diaphragmatic hernia with use of body wall flap or insertion of prosthetic patch

Closure of secondary defect of abdomen with umbilicus reconstruction

Repair of abdominal wall following procurement of myocutaneous flap

Evacuation of hydatid cyst of peritoneum with omentoplasty or myeloplasty

Evacuation of hydatid cyst of abdominal organ with omentoplasty or myeloplasty

Primary repair of gastroschisis involving skin, muscle, and fascia

Second stage procedure for gastroschisis with removal of prosthesis and closure

Percutaneous fragmentation and extraction of calculus of kidney, unilateral

Percutaneous fragmentation and extraction of calculus of kidney, bilateral

Endoscopic fragmentation and extraction of calculus of kidney, unilateral

Endoscopic fragmentation and extraction of calculus of kidney, bilateral

Passage of ureteric stent via percutaneous nephrostomy tube using interventional techniques, unilateral

Passage of ureteric stent via percutaneous nephrostomy tube using interventional techniques, bilateral

Insertion of ureteric stent with removal of calculus via nephrostomy tube, unilateral

Insertion of ureteric stent with removal of calculus via nephrostomy tube, bilateral

Insertion of ureteric stent with balloon dilation via nephrostomy tube, unilateral

Insertion of ureteric stent with balloon dilation via nephrostomy tube, bilateral

Percutaneous nephroscopy with incision of renal pelvis, unilateral

Percutaneous nephroscopy with incision of renal pelvis, bilateral

Percutaneous nephroscopy with incision of renal calyx, unilateral

Percutaneous nephroscopy with incision of renal calyx, bilateral

Laparoscopic partial nephrectomy complicated by previous surgery on same kidney

Partial nephrectomy complicated by previous surgery on same kidney

Other closed partial nephrectomy complicated by previous surgery on same kidney

Laparoscopic complete nephrectomy for transplantation, living donor

Laparoscopic complete nephrectomy for removal of transplanted kidney

Laparoscopy complete nephrectomy complicated by previous surgery on same kidney

Complete nephrectomy complicated by previous surgery on same kidney

Radical nephrectomy complicated by previous surgery on same kidney

Nephroureterectomy complicated by previous surgery on same kidney

Laparoscopic pyeloplasty complicated by previous surgery on renal pelvis of same kidney

Pyeloplasty complicated by previous surgery on renal pelvis of same kidney

Haemodialysis in admitted care other than non admited care setting

Insertion and fixation of indwelling peritoneal catheter for long term peritoneal dialysis

Replacement of indwelling peritoneal catheter for peritoneal dialysis

Removal of indwelling peritoneal catheter for peritoneal dialysis

Establishment of peritoneal dialysis by abdominal puncture and insertion of temporary catheter

Endoscopic ureteric catheterisation with fluoroscopic imaging of upper urinary tract, unilateral

Endoscopic ureteric catheterisation with fluoroscopic imaging of upper urinary tract, bilateral

Endoscopic manipulation or extraction of ureteric calculus without ureteroscopy

Laparoscopic ureterolithotomy, complicated by previous surgery of same ureter

Endoscopic incision of pelviureteric junction or ureteric stricture

Laparoscopic transplantation of ureter into intestine, unilateral

Laparoscopic transplantation of ureter into intestine, bilateral

Laparoscopic reimplantation of ureter into bladder with bladder flap, unilateral

Reimplantation of ureter into bladder with bladder flap, unilateral

Laparoscopic reimplantation of ureter into bladder with bladder flap, bilateral

Reimplantation of ureter into bladder with bladder flap, bilateral

Reimplantation of ureter into bladder with psoas hitch, unilateral

Reimplantation of ureter into bladder with psoas hitch, bilateral

Endoscopic destruction of a single lesion of bladder <= 2 cm or tissue of bladder

Endoscopic destruction of a single lesion of bladder > 2 cm in diameter

Endoscopic resection of a single lesion of bladder <= 2 cm or tissue of bladder

Endoscopic resection of a single lesion of bladder > 2 cm in diameter

Secondary repair of exstrophy of bladder with ureteric reimplantation

Revision of retropubic procedure for stress incontinence, female

Division of urethral sling following previous stress incontinence procedure

Insertion of cuff of artificial urinary sphincter, perineal approach

Insertion of cuff of artificial urinary sphincter, abdominal approach

Endoscopic fragmentation or extraction of urethral calculus using laser

Repair of laceration or rupture of prostatic or membranous segment of urethra

Balloon dilation of urethral stricture using interventional imaging techniques

Formation of continent intestinal urinary reservoir with attachment of reservoir to urethra

Laparoscopic radical prostatectomy with bladder neck reconstruction

Laparoscopic radical prostatectomy with bladder neck reconstruction and pelvic lymphadenectomy

Radical prostatectomy with bladder neck reconstruction and pelvic lymphadenectomy

Percutaneous aspiration or drainage of scrotum or tunica vaginalis

Biopsy of spermatic cord, epididymis, or vas deferens, unilateral

Biopsy of spermatic cord, epididymis, or vas deferens, bilateral

Other  procedures on spermatic cord, epididymis or vas deferens, unilateral

Other procedures on spermatic cord, epididymis or vas deferens, bilateral

Insertion of pump and pressure regulating reservoir of artificial erection device

Removal of components of artificial erection device without replacement

Decompression of priapism by glanular stab cavernosospongiosum shunt

Male circumcision, surgical excision, newborn and neonate up to 3 month of age

Male circumcision, surgical excision, 3 months up to 12 years of age

Male circumcision, surgical excision, older than 12 years of age

Correction of chordee of penis with graft and mobilisation of urethra

Fetotoxic injection of ectopic pregnancy using ultrasound guidance

Abdominal hysterectomy with extensive retroperitoneal dissection

Radical abdominal hysterectomy with radical excision of pelvic lymph nodes

Abdominal hysterectomy with radical excision of pelvic lymph nodes

Total laparoscopic abdominal hysterectomy with removal of adnexa

Radical vaginal hysterectomy with radical excision of pelvic lymph nodes

Laparoscopically assisted vaginal hysterectomy with removal of adnexa

Total excision of cervix, laparoscopically assisted vaginal approach

Radical excision of cervix, laparoscopically assisted vaginal approach

Repair of anterior and posterior vaginal compartment, vaginal approach

Assisted reproductive technologies to induce oocyte growth and development

Reduction clitoroplasty for ambiguous genitalia with urogenital sinus

Reduction clitoroplasty and vaginoplasty for ambiguous genitalia with urogenital sinus

Vaginoplasty for congenital adrenal hyperplasia, mixed gonadal dysgenesis or similar condition

Control of postoperative haemorrhage, following gynaecological surgery NEC

Intrauterine fetal intraperitoneal and intravascular blood transfusion

Insertion of prostaglandin suppository for induction of abortion

Surgical induction of labour by artificial rupture of membranes [ARM]

Suture of current obstetric laceration of bladder and/or urethra without perineal involvement

Suture of current obstetric laceration of rectum and/or sphincter ani without perineal involvement

Other suture of current obstetric laceration or rupture without perineal involvement

Insertion of pin or wire into maxilla, mandible or zygoma, unilateral

Insertion of pin or wire into maxilla, mandible or zygoma, bilateral

Temporary anchorage screw retained plate placement and removal, requiring flap

Temporary anchorage device placement and removal, requiring flap

Removal of pin, screw or wire from maxilla, mandible or zygoma, unilateral

Removal of pin, screw or wire from maxilla, mandible or zygoma, bilateral

External fixation of mandible by intermaxillary wiring following reconstruction

Exploration of temporomandibular joint with condylectomy or condylotomy

Exploration of the temporomandibular joint with meniscus or capsular surgery

Exploration of the temporomandibular joint with meniscus, capsular and condylar surgery

Exploration of the temporomandibular joint with meniscus, capsular and condylar surgery using tissue flaps, cartilage graft or allograft implants

Arthroscopic repositioning and stabilization of temporomandibular joint disc

Arthroscopy of temporomandibular joint with removal of loose body

Closed reduction of fracture of maxilla with fixation, unilateral

Closed reduction of fracture of maxilla with fixation, bilateral

Closed reduction of fracture of mandible with fixation, unilateral

Closed reduction of fracture of mandible with fixation, bilateral

Open reduction of mandibular fracture with teeth immobilization, unilateral

Open reduction of mandibular fracture with teeth immobilization, bilateral

Open reduction of maxillary fracture with teeth immobilization, unilateral

Open reduction of maxillary fracture with teeth immobilization, bilateral

Open reduction of fracture of maxilla with internal fixation, unilateral

Open reduction of fracture of maxilla with internal fixation, bilateral

Open reduction of fracture of mandible with internal fixation, unilateral

Open reduction of fracture of mandible with internal fixation, bilateral

Open reduction of complicated fracture of maxilla with internal fixation, unilateral

Open reduction of complicated fracture of maxilla with internal fixation, bilateral

Open reduction of complicated fracture of mandible with internal fixation, unilateral

Open reduction of complicated fracture of mandible with internal fixation, bilateral

Closed reduction of alveolar bone fracture with or without teeth splinting

Open reduction of fracture of mandibular or maxillary alveolar ridge

Closed reduction of fracture of zygomatic bone with fixation, unilateral

Closed reduction of fracture of zygomatic bone with fixation, bilateral

Open reduction of fracture of zygomatic bone with external fixation, 2 sites, unilateral

Open reduction of fracture of zygomatic bone with external fixation, 2 sites, bilateral

Open reduction of fracture of zygomatic bone with internal fixation, 2 sites, unilateral

Open reduction of fracture of zygomatic bone with internal fixation, 2 sites, bilateral

Open reduction of fracture of zygomatic bone with external fixation, 3 sites, unilateral

Open reduction of fracture of zygomatic bone with external fixation, 3 sites, bilateral

Open reduction of fracture of zygomatic bone with internal fixation, 3 sites, unilateral

Open reduction of fracture of zygomatic bone with internal fixation, 3 sites, bilateral

Open reduction of fracture of zygomatic bone with external fixation, 1 site, unilateral

Open reduction of fracture of zygomatic bone with external fixation, each additional site, unilateral

Open reduction of fracture of zygomatic bone with external fixation, each additional site, bilateral

Open reduction of fracture of zygomatic bone with internal fixation, 1 site, unilateral

Open reduction of fracture of zygomatic bone with internal fixation, each additional site, unilateral

Open reduction of fracture of zygomatic bone with internal fixation, each additional site, bilateral

Closed reduction of dislocation of temporomandibular joint, unilateral

Closed reduction of dislocation of temporomandibular joint, bilateral

Open reduction of dislocation of temporomandibular joint, unilateral

Open reduction of dislocation of temporomandibular joint, bilateral

Open reduction of fracture of facial bone, not elsewhere classified

Closed reduction of fracture of facial bone, not elsewhere classified

Partial ostectomy of first rib for decompression of thoracic outlet, unilateral

Partial ostectomy of first rib for decompression of thoracic outlet, bilateral

Total ostectomy of cervical rib for decompression of thoracic outlet, unilateral

Total ostectomy of cervical rib for decompression of thoracic outlet, bilateral

Immobilisation of fracture/dislocation of spine with spinal cord involvement

En bloc resection of lesion of soft tissue involving sacrum with reconstruction using prosthesis

En bloc resection of lesion of soft tissue involving sacrum with reconstruction using allograft

En bloc resection of lesion of soft tissue involving sacrum with reconstruction using autograft

En bloc resection of lesion of soft tissue involving spine with reconstruction using prosthesis

En bloc resection of lesion of soft tissue involving spine with reconstruction using allograft

En bloc resection of lesion of soft tissue involving spine with reconstruction using autograft

Excision of sacrococcygeal teratoma, posterior and abdominal approach

Closed reduction of fracture or dislocation of spine with immobilisation

Closed reduction of fracture/dislocation of spine with spinal cord involvement, with immobilisation

Open reduction of fracture or dislocation of spine with simple internal fixation

Open reduction of fracture or dislocation of spine with segmental internal fixation

Open reduction of fracture or dislocation of spine with spinal cord involvement

Open reduction of fracture or dislocation of spine with spinal cord involvement, with simple internal fixation

Open reduction of fracture or dislocation of spine with spinal cord involvement, with segmental internal fixation

Arthroscopic release of adhesions or contracture of shoulder, unilateral

Arthroscopic release of adhesions or contracture of shoulder, bilateral

En bloc resection of lesion of soft tissue involving scapula, unilateral

En bloc resection of lesion of soft tissue involving scapula, bilateral

Closed reduction of fracture of clavicle with internal fixation, unilateral

Closed reduction of fracture of clavicle with internal fixation, bilateral

Open reduction of fracture of clavicle with internal fixation, unilateral

Open reduction of fracture of clavicle with internal fixation, bilateral

Open reduction of fracture of scapula with internal fixation, unilateral

Open reduction of fracture of scapula with internal fixation, bilateral

Closed reduction of dislocation of shoulder with internal fixation, unilateral

Closed reduction of dislocation of shoulder with internal fixation, bilateral

Open reduction of dislocation of shoulder with internal fixation, unilateral

Open reduction of dislocation of shoulder with internal fixation, bilateral

Repair of rotator cuff with decompression of subacromial space, unilateral

Repair of rotator cuff with decompression of subacromial space, bilateral

En bloc resection of lesion of soft tissue involving scapula with reconstruction using prosthesis, unilateral

En bloc resection of lesion of soft tissue involving scapula with reconstruction using prosthesis, bilateral

En bloc resection of lesion of soft tissue involving scapula with reconstruction using allograft, unilateral

En bloc resection of lesion of soft tissue involving scapula with reconstruction using allograft, bilateral

En bloc resection of lesion of soft tissue involving scapula with reconstruction using autograft, unilateral

En bloc resection of lesion of soft tissue involving scapula with reconstruction using autograft, bilateral

Revision of total arthroplasty of shoulder with bone graft to scapula or humerus, unilateral

Revision of total arthroplasty of shoulder with bone graft to scapula or humerus, bilateral

Closed reduction of fracture of proximal humerus with internal fixation, unilateral

Closed reduction of fracture of proximal humerus with internal fixation, bilateral

Closed reduction of fracture of shaft of humerus with internal fixation, unilateral

Closed reduction of fracture of shaft of humerus with internal fixation, bilateral

Closed reduction of fracture of distal humerus with internal fixation, unilateral

Closed reduction of fracture of distal humerus with internal fixation, bilateral

Open reduction of fracture of proximal humerus with internal fixation, unilateral

Open reduction of fracture of proximal humerus with internal fixation, bilateral

Open reduction of intra-articular fracture of proximal humerus, unilateral

Open reduction of intra-articular fracture of proximal humerus, bilateral

Open reduction of intra-articular fracture of proximal humerus with internal fixation, unilateral

Open reduction of intra-articular fracture of proximal humerus with internal fixation, bilateral

Open reduction of fracture of shaft of humerus with internal fixation, unilateral

Open reduction of fracture of shaft of humerus with internal fixation, bilateral

Open reduction of fracture of distal humerus with internal fixation, unilateral

Open reduction of fracture of distal humerus with internal fixation, bilateral

Closed reduction of dislocation of elbow with internal fixation, unilateral

Closed reduction of dislocation of elbow with internal fixation, bilateral

Closed reduction of dislocation of proximal radio-ulnar joint, unilateral

Closed reduction of dislocation of proximal radio-ulnar joint, bilateral

Closed reduction of dislocation of proximal radio-ulnar joint with internal fixation, unilateral

Closed reduction of dislocation of proximal radio-ulnar joint with internal fixation, bilateral

Open reduction of dislocation of elbow with internal fixation, unilateral

Open reduction of dislocation of elbow with internal fixation, bilateral

Open reduction of dislocation of proximal radio-ulnar joint, unilateral

Open reduction of dislocation of proximal radio-ulnar joint, bilateral

Open reduction of dislocation of proximal radio-ulnar joint with internal fixation, unilateral

Open reduction of dislocation of proximal radio-ulnar joint with internal fixation, bilateral

Immobilisation of fracture of shaft of radius and ulna, unilateral

Immobilisation of fracture of shaft of radius and ulna, bilateral

Decompression fasciotomy of forearm for acute compartment syndrome, unilateral

Decompression fasciotomy of forearm for acute compartment syndrome, bilateral

Decompression fasciotomy of forearm for chronic compartment syndrome, unilateral

Decompression fasciotomy of forearm for chronic compartment syndrome, bilateral

Tenolysis of flexor or extensor tendon of forearm or wrist, unilateral

Tenolysis of flexor or extensor tendon of forearm or wrist, bilateral

Closed reduction of fracture of distal radius with internal fixation, unilateral

Closed reduction of fracture of distal radius with internal fixation, bilateral

Closed reduction of fracture of shaft of radius with internal fixation, unilateral

Closed reduction of fracture of shaft of radius with internal fixation, bilateral

Closed reduction of fracture of shaft of radius with dislocation, unilateral

Closed reduction of fracture of shaft of radius with dislocation, bilateral

Closed reduction of fracture of shaft of radius with dislocation and internal fixation, unilateral

Closed reduction of fracture of shaft of radius with dislocation and internal fixation, bilateral

Closed reduction of fracture of radial head or neck with internal fixation, unilateral

Closed reduction of fracture of radial head or neck with internal fixation, bilateral

Closed reduction of fracture of distal ulna with internal fixation, unilateral

Closed reduction of fracture of distal ulna with internal fixation, bilateral

Closed reduction of fracture of shaft of ulna with internal fixation, unilateral

Closed reduction of fracture of shaft of ulna with internal fixation, bilateral

Closed reduction of fracture of shaft of ulna with dislocation, unilateral

Closed reduction of fracture of shaft of ulna with dislocation, bilateral

Closed reduction of fracture of shaft of ulna with dislocation and internal fixation, unilateral

Closed reduction of fracture of shaft of ulna with dislocation and internal fixation, bilateral

Closed reduction of fracture of olecranon with internal fixation, unilateral

Closed reduction of fracture of olecranon with internal fixation, bilateral

Open reduction of fracture of distal radius with internal fixation, unilateral

Open reduction of fracture of distal radius with internal fixation, bilateral

Open reduction of fracture of shaft of radius with internal fixation, unilateral

Open reduction of fracture of shaft of radius with internal fixation, bilateral

Open reduction of fracture of radial head or neck with internal fixation, unilateral

Open reduction of fracture of radial head or neck with internal fixation, bilateral

Open reduction of fracture of distal ulna with internal fixation, unilateral

Open reduction of fracture of distal ulna with internal fixation, bilateral

Open reduction of fracture of shaft of ulna with internal fixation, unilateral

Open reduction of fracture of shaft of ulna with internal fixation, bilateral

Open reduction of fracture of olecranon with internal fixation, unilateral

Open reduction of fracture of olecranon with internal fixation, bilateral

Open reduction of fracture of olecranon with partial ostectomy of olecranon fragment, unilateral

Open reduction of fracture of olecranon with partial ostectomy of olecranon fragment, bilateral

Open reduction of fracture of olecranon with partial ostectomy of olecranon fragment and internal fixation, unilateral

Open reduction of fracture of olecranon with partial ostectomy of olecranon fragment and internal fixation, bilateral

Closed reduction of fracture of shaft of radius and ulna, unilateral

Closed reduction of fracture of shaft of radius and ulna, bilateral

Closed reduction of fracture of shaft of radius and ulna with internal fixation, unilateral

Closed reduction of fracture of shaft of radius and ulna with internal fixation, bilateral

Open reduction of fracture of shaft of radius and ulna, unilateral

Open reduction of fracture of shaft of radius and ulna, bilateral

Open reduction of fracture of shaft of radius and ulna with internal fixation, unilateral

Open reduction of fracture of shaft of radius and ulna with internal fixation, bilateral

Open reduction of fracture of shaft of radius with dislocation, unilateral

Open reduction of fracture of shaft of radius with dislocation, bilateral

Open reduction of fracture of shaft of radius with dislocation and internal fixation, unilateral

Open reduction of fracture of shaft of radius with dislocation and internal fixation, bilateral

Open reduction of fracture of shaft of ulna with dislocation, unilateral

Open reduction of fracture of shaft of ulna with dislocation, bilateral

Open reduction of fracture of shaft of ulna with dislocation and internal fixation, unilateral

Open reduction of fracture of shaft of ulna with dislocation and internal fixation, bilateral

Closed reduction of dislocation of distal radio-ulnar joint, unilateral

Closed reduction of dislocation of distal radio-ulnar joint, bilateral

Closed reduction of dislocation of distal radio-ulnar joint with internal fixation, unilateral

Closed reduction of dislocation of distal radio-ulnar joint with internal fixation, bilateral

Open reduction of dislocation of distal radio-ulnar joint, unilateral

Open reduction of dislocation of distal radio-ulnar joint, bilateral

Open reduction of dislocation of distal radio-ulnar joint with internal fixation, unilateral

Open reduction of dislocation of distal radio-ulnar joint with internal fixation, bilateral

Closed reduction of separated epiphysis of radius or ulna, unilateral

Closed reduction of separated epiphysis of radius or ulna, bilateral

Open reduction of separated epiphysis of radius or ulna, unilateral

Open reduction of separated epiphysis of radius or ulna, bilateral

Bone graft to radius and ulna with internal fixation, unilateral

Centralisation of forearm for radial aplasia or dysplasia, unilateral

Centralisation of forearm for radial aplasia or dysplasia, bilateral

Release of interphalangeal joint capsule for dupuytren's contracture, unilateral

Release of interphalangeal joint capsule for dupuytren's contracture, bilateral

Incision and drainage of middle palmar, thenar or hypothenar spaces of hand, unilateral

Incision and drainage of middle palmar, thenar or hypothenar spaces of hand, bilateral

Incision and drainage of flexor tendon sheath of finger, unilateral

Incision and drainage of flexor tendon sheath of finger, bilateral

Palmar fasciectomy for dupuytren's contracture involving 1 digit (ray), unilateral

Palmar fasciectomy for dupuytren's contracture involving 1 digit (ray), bilateral

Palmar fasciectomy for dupuytren's contracture involving 2 digits (rays), unilateral

Palmar fasciectomy for dupuytren's contracture involving 2 digits (rays), bilateral

Palmar fasciectomy for dupuytren's contracture involving >= 3 digits (rays), unilateral

Palmar fasciectomy for dupuytren's contracture involving >= 3 digits (rays), bilateral

Closed reduction of fracture of carpus with internal fixation, unilateral

Closed reduction of fracture of carpus with internal fixation, bilateral

Closed reduction of fracture of carpal scaphoid with internal fixation, unilateral

Closed reduction of fracture of carpal scaphoid with internal fixation, bilateral

Closed reduction of fracture of metacarpus with internal fixation, unilateral

Closed reduction of fracture of metacarpus with internal fixation, bilateral

Closed reduction of intra-articular fracture of metacarpus, unilateral

Closed reduction of intra-articular fracture of metacarpus, bilateral

Closed reduction of intra-articular fracture of metacarpus with internal fixation, unilateral

Closed reduction of intra-articular fracture of metacarpus with internal fixation, bilateral

Closed reduction of fracture of distal phalanx of hand, unilateral

Closed reduction of fracture of distal phalanx of hand, bilateral

Closed reduction of fracture of distal phalanx of hand with internal fixation, unilateral

Closed reduction of fracture of distal phalanx of hand with internal fixation, bilateral

Closed reduction of intra-articular fracture of distal phalanx of hand, unilateral

Closed reduction of intra-articular fracture of distal phalanx of hand, bilateral

Closed reduction of intra-articular fracture of distal phalanx of hand with internal fixation, unilateral

Closed reduction of intra-articular fracture of distal phalanx of hand with internal fixation, bilateral

Closed reduction of fracture of middle phalanx of hand, unilateral

Closed reduction of fracture of middle phalanx of hand, bilateral

Closed reduction of fracture of middle phalanx of hand with internal fixation, unilateral

Closed reduction of fracture of middle phalanx of hand with internal fixation, bilateral

Closed reduction of intra-articular fracture of middle phalanx of hand, unilateral

Closed reduction of intra-articular fracture of middle phalanx of hand, bilateral

Closed reduction of intra-articular fracture of middle phalanx of hand with internal fixation, unilateral

Closed reduction of intra-articular fracture of middle phalanx of hand with internal fixation, bilateral

Closed reduction of fracture of proximal phalanx of hand, unilateral

Closed reduction of fracture of proximal phalanx of hand, bilateral

Closed reduction of fracture of proximal phalanx of hand with internal fixation, unilateral

Closed reduction of fracture of proximal phalanx of hand with internal fixation, bilateral

Closed reduction of intra-articular fracture of proximal phalanx of hand, unilateral

Closed reduction of intra-articular fracture of proximal phalanx of hand, bilateral

Closed reduction of intra-articular fracture of proximal phalanx of hand with internal fixation, unilateral

Closed reduction of intra-articular fracture of proximal phalanx of hand with internal fixation, bilateral

Open reduction of fracture of carpus with internal fixation, unilateral

Open reduction of fracture of carpus with internal fixation, bilateral

Open reduction of fracture of carpal scaphoid with internal fixation, unilateral

Open reduction of fracture of carpal scaphoid with internal fixation, bilateral

Open reduction of fracture of metacarpus with internal fixation, unilateral

Open reduction of fracture of metacarpus with internal fixation, bilateral

Open reduction of intra-articular fracture of metacarpus, unilateral

Open reduction of intra-articular fracture of metacarpus, bilateral

Open reduction of intra-articular fracture of metacarpus with internal fixation, unilateral

Open reduction of intra-articular fracture of metacarpus with internal fixation, bilateral

Open reduction of fracture of distal phalanx of hand, unilateral

Open reduction of fracture of distal phalanx of hand with internal fixation, unilateral

Open reduction of fracture of distal phalanx of hand with internal fixation, bilateral

Open reduction of intra-articular fracture of distal phalanx of hand, unilateral

Open reduction of intra-articular fracture of distal phalanx of hand, bilateral

Open reduction of intra-articular fracture of distal phalanx of hand with internal fixation, unilateral

Open reduction of intra-articular fracture of distal phalanx of hand with internal fixation, bilateral

Open reduction of fracture of middle phalanx of hand, unilateral

Open reduction of fracture of middle phalanx of hand with internal fixation, unilateral

Open reduction of fracture of middle phalanx of hand with internal fixation, bilateral

Open reduction of intra-articular fracture of middle phalanx of hand, unilateral

Open reduction of intra-articular fracture of middle phalanx of hand, bilateral

Open reduction of intra-articular fracture of middle phalanx of hand with internal fixation, unilateral

Open reduction of intra-articular fracture of middle phalanx of hand with internal fixation, bilateral

Open reduction of fracture of proximal phalanx of hand, unilateral

Open reduction of fracture of proximal phalanx of hand, bilateral

Open reduction of fracture of proximal phalanx of hand with internal fixation, unilateral

Open reduction of fracture of proximal phalanx of hand with internal fixation, bilateral

Open reduction of intra-articular fracture of proximal phalanx of hand, unilateral

Open reduction of intra-articular fracture of proximal phalanx of hand, bilateral

Open reduction of intra-articular fracture of proximal phalanx of hand with internal fixation, unilateral

Open reduction of intra-articular fracture of proximal phalanx of hand with internal fixation, bilateral

Closed reduction of dislocation of carpometacarpal joint, unilateral

Closed reduction of dislocation of carpometacarpal joint, bilateral

Closed reduction of dislocation of interphalangeal joint of hand, unilateral

Closed reduction of dislocation of interphalangeal joint of hand, bilateral

Closed reduction of dislocation of metacarpophalangeal joint, unilateral

Closed reduction of dislocation of metacarpophalangeal joint, bilateral

Open reduction of dislocation of carpometacarpal joint, unilateral

Open reduction of dislocation of carpometacarpal joint, bilateral

Open reduction of dislocation of interphalangeal joint of hand, unilateral

Open reduction of dislocation of interphalangeal joint of hand, bilateral

Open reduction of dislocation of metacarpophalangeal joint, unilateral

Open reduction of dislocation of metacarpophalangeal joint, bilateral

Bone graft of metacarpal bone with internal fixation, unilateral

Bone graft of phalanx of hand with internal fixation, unilateral

Bone graft to scaphoid with internal fixation and osteotomy, unilateral

Bone graft to scaphoid with internal fixation and osteotomy, bilateral

Arthroplasty of interphalangeal joint of hand, 1 joint, unilateral

Arthroplasty of interphalangeal joint of hand, 1 joint, bilateral

Arthroplasty of interphalangeal joint of hand, 2 joints, unilateral

Arthroplasty of interphalangeal joint of hand, 2 joints, bilateral

Arthroplasty of interphalangeal joint of hand, 3 joints, unilateral

Arthroplasty of interphalangeal joint of hand, 3 joints, bilateral

Arthroplasty of interphalangeal joint of hand, 4 joints, unilateral

Arthroplasty of interphalangeal joint of hand, 4 joints, bilateral

Arthroplasty of interphalangeal joint of hand, 5 or more joints, unilateral

Arthroplasty of interphalangeal joint of hand, 5 or more joints, bilateral

Arthroplasty of metacarpophalangeal joint, 5 or more joints, unilateral

Arthroplasty of metacarpophalangeal joint, 5 or more joints, bilateral

Interposition arthroplasty of interphalangeal joint of hand, unilateral

Interposition arthroplasty of interphalangeal joint of hand, bilateral

Interposition arthroplasty of metacarpophalangeal joint, unilateral

Interposition arthroplasty of metacarpophalangeal joint, bilateral

Volar plate arthroplasty of interphalangeal joint of hand, unilateral

Volar plate arthroplasty of interphalangeal joint of hand, bilateral

Volar plate arthroplasty of metacarpophalangeal joint, unilateral

Volar plate arthroplasty of metacarpophalangeal joint, bilateral

Repair of ligament or capsule of interphalangeal joint of hand, unilateral

Repair of ligament or capsule of interphalangeal joint of hand, bilateral

Repair of ligament or capsule of metacarpophalangeal joint, unilateral

Repair of ligament or capsule of metacarpophalangeal joint, bilateral

Repair of ligament or capsule of interphalangeal joint of hand with free tissue graft or implant, unilateral

Repair of ligament or capsule of interphalangeal joint of hand with free tissue graft or implant, bilateral

Repair of ligament or capsule of metacarpophalangeal joint with free tissue graft or implant, unilateral

Repair of ligament or capsule of metacarpophalangeal joint with free tissue graft or implant, bilateral

Primary repair of flexor tendon of hand, proximal to A1 pulley, unilateral

Primary repair of flexor tendon of hand, proximal to A1 pulley, bilateral

Secondary repair of flexor tendon of hand, proximal to A1 pulley, unilateral

Secondary repair of flexor tendon of hand, proximal to A1 pulley, bilateral

Primary repair of flexor tendon of hand, distal to A1 pulley, unilateral

Primary repair of flexor tendon of hand, distal to A1 pulley, bilateral

Secondary repair of flexor tendon of hand, distal to A1 pulley, unilateral

Secondary repair of flexor tendon of hand, distal to A1 pulley, bilateral

Neurovascular island flap to hand for pulp innervation, unilateral

Neurovascular island flap to hand for pulp innervation, bilateral

Transposition of digit (ray) of hand on vascular pedicle, unilateral

Transposition of digit (ray) of hand on vascular pedicle, bilateral

Repair of muscle or fascia of hand, not elsewhere classified, unilateral

Repair of muscle or fascia of hand, not elsewhere classified, bilateral

Arthroscopic pinning of osteochondral fragment of wrist, unilateral

Arthroscopic pinning of osteochondral fragment of wrist, bilateral

Reconstruction of flexor tendon pulley of hand by tendon graft, unilateral

Reconstruction of flexor tendon pulley of hand by tendon graft, bilateral

Reconstruction of boutonniere deformity with release of joint contracture, unilateral

Reconstruction of boutonniere deformity with release of joint contracture, bilateral

Amputation of phalanx of hand with ligament or joint reconstruction, unilateral

Amputation of phalanx of hand with ligament or joint reconstruction, bilateral

Revision of palmar fasciectomy for dupuytren's contracture involving 1 digit (ray), unilateral

Revision of palmar fasciectomy for dupuytren's contracture involving 1 digit (ray), bilateral

Revision of palmar fasciectomy for dupuytren's contracture involving 2 digits (rays), unilateral

Revision of palmar fasciectomy for dupuytren's contracture involving 2 digits (rays), bilateral

Revision of palmar fasciectomy for dupuytren's contracture involving 3 or more digits (rays), unilateral

Revision of palmar fasciectomy for dupuytren's contracture involving 3 or more digits (rays), bilateral

Excision of ganglion of flexor tendon sheath of hand, unilateral

Internal fixation of disruption of sacro-iliac joint, unilateral

Internal fixation of fracture of trochanteric or subcapital femur, unilateral

Internal fixation of fracture of trochanteric or subcapital femur, bilateral

En bloc resection of lesion of soft tissue involving pelvis, unilateral

En bloc resection of lesion of soft tissue involving pelvis, bilateral

Open reduction of fracture of pelvis with internal fixation of anterior segment, unilateral

Open reduction of fracture of pelvis with internal fixation of anterior segment, bilateral

Open reduction of fracture of pelvis with internal fixation of posterior segment, unilateral

Open reduction of fracture of pelvis with internal fixation of posterior segment, bilateral

Open reduction of pelvic fracture with internal fixation of anterior and posterior segments, unilateral

Open reduction of pelvic fracture with internal fixation of anterior and posterior segments, bilateral

Open reduction of fracture of acetabulum with internal fixation, unilateral

Open reduction of fracture of acetabulum with internal fixation, bilateral

Open reduction of fracture of femur with internal fixation, unilateral

Open reduction of fracture of femur with internal fixation, bilateral

Closed reduction of fracture of femur with internal fixation, unilateral

Closed reduction of fracture of femur with internal fixation, bilateral

En bloc resection of lesion of soft tissue involving pelvis with reconstruction using prosthesis

En bloc resection of lesion of soft tissue involving pelvis with reconstruction using allograft

En bloc resection of lesion of soft tissue involving pelvis with reconstruction using autograft

Revision of total arthroplasty of hip with bone graft to acetabulum

Revision of total arthroplasty of hip with bone graft to acetabulum and femur

Revision of total arthroplasty of hip with anatomic specific allograft to acetabulum

Revision of total arthroplasty of hip with anatomic specific allograft to femur

Revision of total arthroplasty of hip with anatomic specific allograft to acetabulum and femur

Closed reduction of slipped capital femoral epiphysis, unilateral

Closed reduction of slipped capital femoral epiphysis, bilateral

Immobilisation of fracture of medial or lateral tibial plateau, unilateral

Immobilisation of fracture of medial or lateral tibial plateau, bilateral

Immobilisation of fracture of medial and lateral tibial plateau, unilateral

Immobilisation of fracture of medial and lateral tibial plateau, bilateral

Immobilisation by application of cast of fracture of shaft of tibia, unilateral

Immobilisation by application of cast of fracture of shaft of tibia, bilateral

Decompression fasciotomy of calf for acute compartment syndrome, unilateral

Decompression fasciotomy of calf for acute compartment syndrome, bilateral

Decompression fasciotomy of calf for chronic compartment syndrome, unilateral

Decompression fasciotomy of calf for chronic compartment syndrome, bilateral

Posterior release of knee contracture with release of joint capsule, unilateral

Posterior release of knee contracture with release of joint capsule, bilateral

Internal fixation of intra-articular fracture of femoral condyle, unilateral

Internal fixation of intra-articular fracture of femoral condyle, bilateral

Arthroscopic excision of meniscal margin or plica of knee, unilateral

Arthroscopic excision of meniscal margin or plica of knee, bilateral

Resection and internal fixation of tibia for congenital pseudoarthrosis

Closed reduction of fracture of medial or lateral tibial plateau, unilateral

Closed reduction of fracture of medial or lateral tibial plateau, bilateral

Closed reduction of fracture of medial or lateral tibial plateau with internal fixation, unilateral

Closed reduction of fracture of medial or lateral tibial plateau with internal fixation, bilateral

Closed reduction of fracture of medial and lateral tibial plateau, unilateral

Closed reduction of fracture of medial and lateral tibial plateau, bilateral

Closed reduction of fracture of medial and lateral tibial plateau with internal fixation, unilateral

Closed reduction of fracture of medial and lateral tibial plateau with internal fixation, bilateral

Open reduction of fracture of medial or lateral tibial plateau, unilateral

Open reduction of fracture of medial or lateral tibial plateau, bilateral

Open reduction of fracture of medial or lateral tibial plateau with internal fixation, unilateral

Open reduction of fracture of medial or lateral tibial plateau with internal fixation, bilateral

Open reduction of fracture of medial and lateral tibial plateau, unilateral

Open reduction of fracture of medial and lateral tibial plateau, bilateral

Open reduction of fracture of medial and lateral tibial plateau with internal fixation, unilateral

Open reduction of fracture of medial and lateral tibial plateau with internal fixation, bilateral

Closed reduction of fracture of shaft of tibia with internal fixation, unilateral

Closed reduction of fracture of shaft of tibia with internal fixation, bilateral

Closed reduction of intra-articular fracture of shaft of tibia with internal fixation, unilateral

Closed reduction of intra-articular fracture of shaft of tibia with internal fixation, bilateral

Closed reduction of fracture of fibula with internal fixation, unilateral

Closed reduction of fracture of fibula with internal fixation, bilateral

Closed reduction of intra-articular fracture of shaft of tibia, unilateral

Closed reduction of intra-articular fracture of shaft of tibia, bilateral

Open reduction of fracture of shaft of tibia with internal fixation, unilateral

Open reduction of fracture of shaft of tibia with internal fixation, bilateral

Open reduction of intra-articular fracture of shaft of tibia with internal fixation, unilateral

Open reduction of intra-articular fracture of shaft of tibia with internal fixation, bilateral

Open reduction of fracture of fibula with internal fixation, unilateral

Open reduction of fracture of fibula with internal fixation, bilateral

Open reduction of intra-articular fracture of shaft of tibia, unilateral

Open reduction of intra-articular fracture of shaft of tibia, bilateral

Arthroscopic removal of loose body of knee with debridement, osteoplasty or chondroplasty

Arthroscopic removal of loose body of knee with chondroplasty and multiple drilling or implant

Arthroscopic lateral release of knee with debridement, osteoplasty or chondroplasty

Arthroscopic lateral release of knee with chondroplasty and multiple drilling or implant

Resection of distal femur and proximal tibia with knee fusion and rotationplasty

Transfer of tendon or ligament of knee, not elsewhere classified

Arthroscopic meniscectomy of knee with debridement, osteoplasty or chondroplasty, unilateral

Arthroscopic meniscectomy of knee with debridement, osteoplasty or chondroplasty, bilateral

Arthroscopic meniscectomy of knee with chondroplasty and multiple drilling or implant, unilateral

Arthroscopic meniscectomy of knee with chondroplasty and multiple drilling or implant, bilateral

Total replacement arthroplasty of patellofemoral joint of knee, unilateral

Total replacement arthroplasty of patellofemoral joint of knee, bilateral

Total arthroplasty of knee with bone graft to femur and tibia, unilateral

Total arthroplasty of knee with bone graft to femur and tibia, bilateral

Internal fixation of intra-articular fracture of femoral condyle with repair or reconstruction of ligaments, unilateral

Internal fixation of intra-articular fracture of femoral condyle with repair or reconstruction of ligaments, bilateral

Internal fixation of intra-articular fracture of tibial articular surface of knee with repair or reconstruction of ligaments, unilateral

Internal fixation of intra-articular fracture of tibial articular surface of knee with repair or reconstruction of ligaments, bilateral

Internal fixation of intra-articular fracture of femoral condyle and tibial articular surface of knee with repair or reconstruction of ligaments, unilateral

Internal fixation of intra-articular fracture of femoral condyle and tibial articular surface of knee with repair or reconstruction of ligaments, bilateral

Arthroscopic reconstruction of cruciate ligament of knee with repair of meniscus, unilateral

Arthroscopic reconstruction of cruciate ligament of knee with repair of meniscus, bilateral

Reconstruction of cruciate ligament of knee with repair of meniscus, unilateral

Reconstruction of cruciate ligament of knee with repair of meniscus, bilateral

Reconstruction of knee involving transfer of fibula or tibia and repair of quadriceps mechanism, unilateral

Reconstruction of knee involving transfer of fibula or tibia and repair of quadriceps mechanism, bilateral

Revision of total arthroplasty of knee with bone graft to femur, unilateral

Revision of total arthroplasty of knee with bone graft to femur, bilateral

Revision of total arthroplasty of knee with bone graft to tibia, unilateral

Revision of total arthroplasty of knee with bone graft to tibia, bilateral

Revision of total arthroplasty of knee with bone graft to femur and tibia, unilateral

Revision of total arthroplasty of knee with bone graft to femur and tibia, bilateral

Revision of total arthroplasty of knee with anatomic specific allograft, unilateral

Revision of total arthroplasty of knee with anatomic specific allograft, bilateral

Immobilisation of fracture of ankle, not elsewhere classified, unilateral

Immobilisation of fracture of ankle, not elsewhere classified, bilateral

Tenolysis of achilles' flexor or extensor tendon of foot, unilateral

Tenolysis of achilles' flexor or extensor tendon of foot, bilateral

Amputation of ankle through malleoli of tibia and fibula, unilateral

Amputation of ankle through malleoli of tibia and fibula, bilateral

Closed reduction of fracture of calcaneum with internal fixation, unilateral

Closed reduction of fracture of calcaneum with internal fixation, bilateral

Closed reduction of fracture of talus with internal fixation, unilateral

Closed reduction of fracture of talus with internal fixation, bilateral

Closed reduction of intra-articular fracture of calcaneum, unilateral

Closed reduction of intra-articular fracture of calcaneum, bilateral

Closed reduction of intra-articular fracture of calcaneum with internal fixation, unilateral

Closed reduction of intra-articular fracture of calcaneum with internal fixation, bilateral

Closed reduction of intra-articular fracture of talus, unilateral

Closed reduction of intra-articular fracture of talus, bilateral

Closed reduction of intra-articular fracture of talus with internal fixation, unilateral

Closed reduction of intra-articular fracture of talus with internal fixation, bilateral

Closed reduction of fracture of tarsometatarsal joint, unilateral

Closed reduction of fracture of tarsometatarsal joint, bilateral

Closed reduction of fracture of tarsometatarsal joint with internal fixation, unilateral

Closed reduction of fracture of tarsometatarsal joint with internal fixation, bilateral

Closed reduction of fracture of metatarsus with internal fixation, unilateral

Closed reduction of fracture of metatarsus with internal fixation, bilateral

Closed reduction of fracture of ankle with internal fixation of diastasis, fibula or malleolus, unilateral

Closed reduction of fracture of ankle with internal fixation of diastasis, fibula or malleolus, bilateral

Closed reduction of fracture of ankle with internal fixation, >=2 of diastasis, fibula or malleolus, unilateral

Closed reduction of fracture of ankle with internal fixation, >=2 of diastasis, fibula or malleolus, bilateral

Closed reduction of fracture of phalanx of great toe, unilateral

Closed reduction of fracture of phalanx of great toe with internal fixation, unilateral

Closed reduction of fracture of phalanx of great toe with internal fixation, bilateral

Closed reduction of fracture of phalanx of toe, other than great toe, unilateral

Closed reduction of fracture of phalanx of toe, other than great toe, bilateral

Closed reduction of fracture of phalanx of toe, other than great toe, with internal fixation, unilateral

Closed reduction of fracture of phalanx of toe, other than great toe, with internal fixation, bilateral

Open reduction of fracture of calcaneum with internal fixation, unilateral

Open reduction of fracture of calcaneum with internal fixation, bilateral

Open reduction of fracture of talus with internal fixation, unilateral

Open reduction of fracture of talus with internal fixation, bilateral

Open reduction of intra-articular fracture of calcaneum, unilateral

Open reduction of intra-articular fracture of calcaneum, bilateral

Open reduction of intra-articular fracture of calcaneum with internal fixation, unilateral

Open reduction of intra-articular fracture of calcaneum with internal fixation, bilateral

Open reduction of intra-articular fracture of talus with internal fixation, unilateral

Open reduction of intra-articular fracture of talus with internal fixation, bilateral

Open reduction of fracture of tarsometatarsal joint with internal fixation, unilateral

Open reduction of fracture of tarsometatarsal joint with internal fixation, bilateral

Open reduction of fracture of tarsus with internal fixation, unilateral

Open reduction of fracture of tarsus with internal fixation, bilateral

Open reduction of fracture of metatarsus with internal fixation, unilateral

Open reduction of fracture of metatarsus with internal fixation, bilateral

Open reduction of fracture of ankle with internal fixation of diastasis, fibula or malleolus, unilateral

Open reduction of fracture of ankle with internal fixation of diastasis, fibula or malleolus, bilateral

Open reduction of fracture of ankle with internal fixation, >=2 of diastasis, fibula or malleolus, unilateral

Open reduction of fracture of ankle with internal fixation, >=2 of diastasis, fibula or malleolus, bilateral

Open reduction of fracture of phalanx of great toe with internal fixation, unilateral

Open reduction of fracture of phalanx of great toe with internal fixation, bilateral

Open reduction of fracture of phalanx of toe, other than great toe, unilateral

Open reduction of fracture of phalanx of toe, other than great toe, bilateral

Open reduction of fracture of phalanx of toe, other than great toe, with internal fixation, unilateral

Open reduction of fracture of phalanx of toe, other than great toe, with internal fixation, bilateral

Closed reduction of dislocation of ankle with internal fixation, unilateral

Closed reduction of dislocation of ankle with internal fixation, bilateral

Closed reduction of dislocation of toe with internal fixation, unilateral

Closed reduction of dislocation of toe with internal fixation, bilateral

Closed reduction of dislocation of talus with internal fixation, unilateral

Closed reduction of dislocation of talus with internal fixation, bilateral

Closed reduction of dislocation of calcaneum with internal fixation, unilateral

Closed reduction of dislocation of calcaneum with internal fixation, bilateral

Closed reduction of fracture of calcaneum with dislocation, unilateral

Closed reduction of fracture of calcaneum with dislocation, bilateral

Closed reduction of fracture of calcaneum with dislocation and internal fixation, unilateral

Closed reduction of fracture of calcaneum with dislocation and internal fixation, bilateral

Closed reduction of fracture of talus with dislocation, unilateral

Closed reduction of fracture of talus with dislocation, bilateral

Closed reduction of fracture of talus with dislocation and internal fixation, unilateral

Closed reduction of fracture of talus with dislocation and internal fixation, bilateral

Open reduction of dislocation of ankle with internal fixation, unilateral

Open reduction of dislocation of ankle with internal fixation, bilateral

Open reduction of dislocation of toe with internal fixation, unilateral

Open reduction of dislocation of toe with internal fixation, bilateral

Open reduction of dislocation of calcaneum with internal fixation, unilateral

Open reduction of dislocation of calcaneum with internal fixation, bilateral

Open reduction of dislocation of talus with internal fixation, unilateral

Open reduction of dislocation of talus with internal fixation, bilateral

Open reduction of fracture of calcaneum with dislocation, unilateral

Open reduction of fracture of calcaneum with dislocation, bilateral

Open reduction of fracture of calcaneum with dislocation and internal fixation, unilateral

Open reduction of fracture of calcaneum with dislocation and internal fixation, bilateral

Open reduction of fracture of talus with dislocation, unilateral

Open reduction of fracture of talus with dislocation and internal fixation, unilateral

Open reduction of fracture of talus with dislocation and internal fixation, bilateral

Transfer of posterior tibialis tendon through interosseous membrane to anterior or posterior aspect of foot

Arthroscopic repair of osteochondral fracture of ankle, unilateral

Arthroscopic repair of osteochondral fracture of ankle, bilateral

Secondary repair of flexor or extensor tendon of foot, unilateral

Secondary repair of flexor or extensor tendon of foot, bilateral

Correction of hallux valgus or rigidus by arthroplasty, unilateral

Correction of hallux valgus or rigidus by arthroplasty, bilateral

Correction of hallux valgus by transfer of adductor hallucis tendon, unilateral

Correction of hallux valgus by transfer of adductor hallucis tendon, bilateral

Correction of hallux valgus by osteotomy of first metatarsal, unilateral

Correction of hallux valgus by osteotomy of first metatarsal, bilateral

Correction of hallux valgus by osteotomy of first metatarsal and transfer of adductor hallucis tendon, unilateral

Correction of hallux valgus by osteotomy of first metatarsal and transfer of adductor hallucis tendon, bilateral

Correction of hallux valgus or rigidus by arthroplasty with insertion of prosthesis, unilateral

Correction of hallux valgus or rigidus by arthroplasty with insertion of prosthesis, bilateral

Application of external fixation device not elsewhere classified, unilateral

Application of external fixation device not elsewhere classified, bilateral

Intraoral placement of a fixation device not in conjunction with a fracture

Administration of agent into soft tissue, not elsewhere classified, unilateral

Administration of agent into soft tissue, not elsewhere classified, bilateral

Chemodenervation of limb muscle, up to and including 4 muscles, unilateral

Chemodenervation of limb muscle, up to and including 4 muscles, bilateral

Administration of agent into intermediate joint or synovial cavity, unilateral

Administration of agent into intermediate joint or synovial cavity, bilateral

Administration of agent into major joint or synovial cavity, unilateral

Administration of agent into major joint or synovial cavity, bilateral

Aspiration of joint or other synovial cavity, not elsewhere classified, unilateral

Aspiration of joint or other synovial cavity, not elsewhere classified, bilateral

Reinsertion of drainage tube into soft tissue abscess, unilateral

Reinsertion of drainage tube into soft tissue abscess, bilateral

Insertion of internal fixation device, not elsewhere classified, unilateral

Insertion of internal fixation device, not elsewhere classified, bilateral

Removal of pin, screw or wire, not elsewhere classified, unilateral

Removal of pin, screw or wire, not elsewhere classified, bilateral

Removal of plate, rod or nail, not elsewhere classified, unilateral

Removal of plate, rod or nail, not elsewhere classified, bilateral

Insertion or replacement of skeletal muscle stimulator, unilateral

Insertion or replacement of skeletal muscle stimulator, bilateral

Division of joint contracture, not elsewhere classified, unilateral

Division of joint contracture, not elsewhere classified, bilateral

Division of joint capsule, ligament or cartilage, not elsewhere classified, unilateral

Division of joint capsule, ligament or cartilage, not elsewhere classified, bilateral

Removal of foreign body in soft tissue, not elsewhere classified, unilateral

Removal of foreign body in soft tissue, not elsewhere classified, bilateral

Division of adhesions of soft tissue, not elsewhere classified, unilateral

Division of adhesions of soft tissue, not elsewhere classified, bilateral

Arthroscopic biopsy of joint, not elsewhere classified, unilateral

Arthroscopic biopsy of joint, not elsewhere classified, bilateral

Biopsy of hard tissue (alveolar bone) of oral cavity, not elsewhere classified

Excision of lesion of joint, not elsewhere classified, unilateral

Excision of lesion of joint, not elsewhere classified, bilateral

En bloc resection of lesion of soft tissue affecting the long bones of upper limb, unilateral

En bloc resection of lesion of soft tissue affecting the long bones of upper limb, bilateral

En bloc resection of lesion of soft tissue affecting the long bones of lower limb, unilateral

En bloc resection of lesion of soft tissue affecting the long bones of lower limb, bilateral

Excision of lesion of bone, not elsewhere classified, unilateral

Excision of benign intraosseous or odontogenic lesion up to 2 cm

Excision of benign intraosseous or odontogenic lesion greater than 2 cm

Procurement of bone for graft via separate incision for dental or oral maxillofacial procedures

Procurement of vascularised pedicle of bone for graft, unilateral

Procurement of vascularised pedicle of bone for graft, bilateral

Excision of exostosis of small bone, not elsewhere classified, unilateral

Excision of exostosis of small bone, not elsewhere classified, bilateral

Marginal excision of lesion of bone with cryotherapy to defect, unilateral

Marginal excision of lesion of bone with cryotherapy to defect, bilateral

Resection of lesion of bone with anatomic specific allograft, unilateral

Resection of lesion of bone with anatomic specific allograft, bilateral

Excision of sinus involving soft tissue, not elsewhere classified, unilateral

Excision of sinus involving soft tissue, not elsewhere classified, bilateral

Excisional debridement of soft tissue involving bone or cartilage, unilateral

Excisional debridement of soft tissue involving bone or cartilage, bilateral

Excision of muscle, bone or cartilage involved with lesion of skin, unilateral

Excision of muscle, bone or cartilage involved with lesion of skin, bilateral

Excision of lesion of soft tissue, not elsewhere classified, unilateral

Excision of lesion of soft tissue, not elsewhere classified, bilateral

Reduction of separated epiphysis, not elsewhere classified, unilateral

Reduction of separated epiphysis, not elsewhere classified, bilateral

Suture of muscle or fascia, not elsewhere classified, unilateral

En bloc resection of lesion of long bone upper limb with arthrodesis of adjacent joint

En bloc resection of lesion of long bone of upper limb with replacement of adjacent joint

En bloc resection of lesion of long bone of lower limb with arthrodesis of adjacent joint

En bloc resection of lesion of long bone of lower limb with replacement of adjacent joint

En bloc resection of lesion of bone with anatomic specific allograft

En bloc resection of lesion of bone with anatomic specific autograft

Transfer of tendon or ligament, not elsewhere classified, unilateral

Transfer of tendon or ligament, not elsewhere classified, bilateral

Open procedure on tendon sheath, not elsewhere classified, unilateral

Open procedure on tendon sheath, not elsewhere classified, bilateral

En bloc resection of lesion of soft tissue affecting long bones of upper limb, with intercalary reconstruction using prosthesis

En bloc resection of lesion of soft tissue affecting long bones of upper limb, with intercalary reconstruction using allograft

En bloc resection of lesion of soft tissue affecting long bones of upper limb, with intercalary reconstruction using autograft

En bloc resection of lesion of soft tissue affecting the long bones of lower limb, with intercalary reconstruction using prosthesis

En bloc resection of lesion of soft tissue affecting the long bones of lower limb, with intercalary reconstruction using allograft

En bloc resection of lesion of soft tissue affecting the long bones of lower limb, with intercalary reconstruction using autograft

Other diagnostic procedures on muscle, tendon, fascia or bursa, not elsewhere classified

Other procedures on muscle, tendon, fascia or bursa, not elsewhere classified

Other diagnostic procedures on bone or joint, not elsewhere classified

Other procedures on musculoskeletal system, not elsewhere classified

Single event multilevel surgery, involving multiple soft tissue surgery of the lower limb, unilateral

Single event multilevel surgery, involving multiple soft tissue surgery and osteotomies of the lower limb, unilateral

Single event multilevel surgery, involving multiple soft tissue surgery, lower limb osteotomies and foot stabilisation, unilateral

Single event multilevel surgery, involving multiple soft tissue surgery of the lower limb, bilateral

Single event multilevel surgery, involving multiple soft tissue surgery and osteotomies of the lower limb, bilateral

Single event multilevel surgery, involving multiple soft tissue surgery, lower limb osteotomies and foot stabilisation, bilateral

Dressing of burn, medium (5 to 10% of body surface area dressed)

Removal of foreign body from skin and subcutaneous tissue without incision

Removal of foreign body from skin and subcutaneous tissue with incision

Other incision and drainage of skin and subcutaneous tissue, simple or single

Other incision and drainage of skin and subcutaneous tissue, complicated or multiple

Incision and drainage of haematoma of skin and subcutaneous tissue

Incision and drainage of abscess of skin and subcutaneous tissue

Incision and drainage of abscess of skin and subcutaneous tissue, simple or single

Incision and drainage of abscess of skin and subcutaneous tissue, complicated or multiple

Psoralens and ultraviolet A therapy of hand and foot, unilateral

Cryotherapy to lesion involving skin and cartilage, single lesion

Cryotherapy to lesion involving skin and cartilage, 2 to 14 lesions

Cryotherapy to lesion involving skin and cartilage, 15 or more lesions

Hair removal using laser any one part of the body (face, thighs, lower legs, arms , underarms, genitalia), per session

Hair removal using laser full body (2 or more of areas of body: face, thighs, lower legs, arms , underarms, genitalia), per session

Biopsy of soft tissue (skin and subcutaneous tissue) of oral cavity

Excision of lesion of skin and subcutaneous tissue of other site, small

Excision of lesion of skin and subcutaneous tissue of other site, medium

Excision of lesion of skin and subcutaneous tissue of other site, large

Excision of lesion of skin and subcutaneous tissue of eyelid, unilateral

Excision of lesion of skin and subcutaneous tissue of eyelid, bilateral

Excision of lesion of skin and subcutaneous tissue of ear, unilateral

Excision of lesion of skin and subcutaneous tissue of ear, bilateral

Excision of lesion of skin and subcutaneous tissue of finger, unilateral

Excision of lesion of skin and subcutaneous tissue of finger, bilateral

Excision of lesion of skin and subcutaneous tissue of other site of head

Excision of lesion of skin and subcutaneous tissue of other site of head, small

Excision of lesion of skin and subcutaneous tissue of other site of head, medium

Excision of lesion of skin and subcutaneous tissue of other site of head, large

Excision of lesion of skin and subcutaneous tissue of neck, small

Excision of lesion of skin and subcutaneous tissue of neck, medium

Excision of lesion of skin and subcutaneous tissue of neck, large

Excision of lesion of skin and subcutaneous tissue of hand, small, unilateral

Excision of lesion of skin and subcutaneous tissue of hand, small, bilateral

Excision of lesion of skin and subcutaneous tissue of hand, medium, unilateral

Excision of lesion of skin and subcutaneous tissue of hand, medium, bilateral

Excision of lesion of skin and subcutaneous tissue of hand, large, unilateral

Excision of lesion of skin and subcutaneous tissue of hand, large, bilateral

Excision of lesion of skin and subcutaneous tissue of leg, small, unilateral

Excision of lesion of skin and subcutaneous tissue of leg, small, bilateral

Excision of lesion of skin and subcutaneous tissue of leg, medium, unilateral

Excision of lesion of skin and subcutaneous tissue of leg, medium, bilateral

Excision of lesion of skin and subcutaneous tissue of leg, large, unilateral

Excision of lesion of skin and subcutaneous tissue of leg, large, bilateral

Excision of lesion of skin and subcutaneous tissue of foot, small, unilateral

Excision of lesion of skin and subcutaneous tissue of foot, small, bilateral

Excision of lesion of skin and subcutaneous tissue of foot, medium, unilateral

Excision of lesion of skin and subcutaneous tissue of foot, medium, bilateral

Excision of lesion of skin and subcutaneous tissue of foot, large, unilateral

Excision of lesion of skin and subcutaneous tissue of foot, large, bilateral

Excisional debridement of burn, small (< 5% of body surface area excised or debrided)

Excisional debridement of burn, medium (5 to 10% of body surface area excised or debrided)

Excisional debridement of burn, < 10% of body surface area excised or debrided

Excisional debridement of burn, large (>= 10% of body surface area excised or debrided)

Excision of skin for graft for dental or oral maxillofacial procedures other than liposuction 2.5 cm or less

Excision of skin for graft for dental or oral maxillofacial procedures other than liposuction; each additional 5 cm or lesser

Extensive excision of skin and subcutaneous tissue for sycosis, from face or neck

Repair of wound of skin and subcutaneous tissue of other site, superficial, small

Repair of wound of skin and subcutaneous tissue of other site, superficial, medium

Repair of wound of skin and subcutaneous tissue of other site, superficial, large

Repair of wound of skin and subcutaneous tissue of other site, involving soft tissue, small

Repair of wound of skin and subcutaneous tissue of other site, involving soft tissue, medium

Repair of wound of skin and subcutaneous tissue of other site, involving soft tissue, large

Repair of wound of skin and subcutaneous tissue of face or neck, superficial, small

Repair of wound of skin and subcutaneous tissue of face or neck, superficial, medium

Repair of wound of skin and subcutaneous tissue of face or neck, superficial, large

Repair of wound of skin and subcutaneous tissue of face or neck, involving soft tissue, small

Repair of wound of skin and subcutaneous tissue of face or neck, involving soft tissue, medium

Repair of wound of skin and subcutaneous tissue of face or neck, involving soft tissue, large

Split skin graft of small granulating burn site, less than 3% of body surface area grafted

Split skin graft of extensive granulating burn site, >= 3% of body surface area grafted

Split skin graft to burn of other sites involving less than 3% body surface area grafted

Split skin graft to burn of other sites involving >= 3% and < 6% body surface area grafted

Split skin graft to burn of other sites involving >= 6% and < 9% body surface area grafted

Split skin graft to burn of other sites involving >= 9% and < 12% body surface area grafted

Split skin graft to burn of other sites involving >= 12% and < 15% body surface area grafted

Split skin graft to burn of other sites involving >= 15% and < 20% body surface area grafted

Split skin graft to burn of other sites involving >= 20% and < 30% body surface area grafted

Split skin graft to burn of other sites involving >= 30% and < 40% body surface area grafted

Split skin graft to burn of other sites involving >= 40% and < 50% body surface area grafted

Split skin graft to burn of other sites involving >= 50% and < 60% body surface area grafted

Split skin graft to burn of other sites involving >= 60% and < 70% body surface area grafted

Split skin graft to burn of other sites involving >= 70% and < 80% body surface area grafted

Split skin graft to burn of other sites involving >= 80% body surface area grafted

Indirect distant skin flap, preparation, transfer and attachment to intermediate site

Indirect distant skin flap, preparation, transfer and attachment to final site

Closed procedures for pilonidal sinus, cyst or abscess, not elsewhere classified

Harvesting of skin graft, any site (except excision or liposuction, any method)

Vermilionectomy (lip shave) without or other mucosal advancement

Excision of lymphoedematous tissue of forearm and hand, unilateral

Excision of lymphoedematous tissue of forearm and hand, bilateral

Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, ears; 25 cc or less injectate

Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, ears; each additional 25 cc or lesser

Correction of ptosis of eyelid by frontalis muscle technique with suture, unilateral

Correction of ptosis of eyelid by frontalis muscle technique with suture, bilateral

Correction of ptosis of eyelid by frontalis muscle technique with fascial sling, unilateral

Correction of ptosis of eyelid by frontalis muscle technique with fascial sling, bilateral

Correction of ptosis of eyelid by resection or advancement of levator muscle, unilateral

Correction of ptosis of eyelid by resection or advancement of levator muscle, bilateral

Correction of ptosis of eyelid by other levator muscle techniques, unilateral

Correction of ptosis of eyelid by other levator muscle techniques, bilateral

Rhinoplasty using bone and cartilage graft from distant donor site

Facial contour reconstruction with implant (includes chin augmentation involving soft tissue with implant)

Reconstruction of mouth using direct tongue flap, single or first stage

Revision of levator sutures following previous correction of blepharoptosis, unilateral

Revision of levator sutures following previous correction of blepharoptosis, bilateral

Re-operation to correct previous ptosis repair of eyelid by frontalis muscle technique with suture, unilateral

Re-operation to correct previous ptosis repair of eyelid by frontalis muscle technique with suture, bilateral

Re-operation to correct previous ptosis repair of eyelid by frontalis muscle technique with fascial sling, unilateral

Re-operation to correct previous ptosis repair of eyelid by frontalis muscle technique with fascial sling, bilateral

Re-operation to correct previous ptosis repair of eyelid by resection or advancement of levator muscle, unilateral

Re-operation to correct previous ptosis repair of eyelid by resection or advancement of levator muscle, bilateral

Re-operation to correct previous ptosis repair of eyelid by other levator muscle techniques, unilateral

Re-operation to correct previous ptosis repair of eyelid by other levator muscle techniques, bilateral

Re-operation to correct previous ptosis repair of eyelid by tarsal technique, unilateral

Re-operation to correct previous ptosis repair of eyelid by tarsal technique, bilateral

Re-operation to correct previous ptosis repair of eyelid by other techniques, unilateral

Re-operation to correct previous ptosis repair of eyelid by other techniques, bilateral

Secondary repair of cleft palate, closure of fistula using local flap

Excision of arteriovenous malformation of other site, more than 3 cm

Microsurgical repair of artery and vein of distal extremity or digit

Osseointegration procedure, fixation of transcutaneous abutment for attachment of bone anchored hearing aid [baha], unilateral

Osseointegration procedure, fixation of transcutaneous abutment for attachment of bone anchored hearing aid [baha], bilateral

Osseointegration procedure, fixation of transcutaneous abutment for attachment of prosthetic ear, unilateral

Osseointegration procedure, fixation of transcutaneous abutment for attachment of prosthetic ear, bilateral

Osseointegration procedure, fixation of transcutaneous abutment for attachment of prosthetic limb, unilateral

Osseointegration procedure, fixation of transcutaneous abutment for attachment of prosthetic limb, bilateral

Osseointegration procedure, fixation of transcutaneous abutment for attachment of prosthetic digit, unilateral

Osseointegration procedure, fixation of transcutaneous abutment for attachment of prosthetic digit, bilateral

Osseointegration procedure, fixation of transcutaneous abutment for attachment of prosthetic orbit

Osseointegration procedure, fixation of transcutaneous abutment for attachment of prosthetic nose, partial

Osseointegration procedure, fixation of transcutaneous abutment for attachment of prosthetic nose, total

Osseointegration procedure, implantation of titanium fixture for attachment of bone anchored hearing aid [baha], unilateral

Osseointegration procedure, implantation of titanium fixture for attachment of bone anchored hearing aid [baha], bilateral

Osseointegration procedure, implantation of titanium fixture for attachment of prosthetic ear, unilateral

Osseointegration procedure, implantation of titanium fixture for attachment of prosthetic ear, bilateral

Osseointegration procedure, implantation of titanium fixture for attachment of prosthetic limb, unilateral

Osseointegration procedure, implantation of titanium fixture for attachment of prosthetic limb, bilateral

Osseointegration procedure, implantation of titanium fixture for attachment of prosthetic digit, unilateral

Osseointegration procedure, implantation of titanium fixture for attachment of prosthetic digit, bilateral

Osseointegration procedure, implantation of titanium fixture for replacement of joint of digit, unilateral

Osseointegration procedure, implantation of titanium fixture for replacement of joint of digit, bilateral

Osseointegration procedure, implantation of titanium fixture for attachment of prosthetic orbit

Osseointegration procedure, implantation of titanium fixture for attachment of prosthetic nose, partial

Osseointegration procedure, implantation of titanium fixture for attachment of prosthetic nose, total

Meniscectomy of temporomandibular joint, unilateral (separate procedure)

Meniscectomy of temporomandibular joint, bilateral (separate procedure)

Partial resection of other facial bone, not elsewhere classified

Subtotal resection of other facial bone, not elsewhere classified

Augmentation genioplasty (chin augmentation involving soft tissue and bone)

Osteotomies or ostectomies mandible & maxilla beyond 4 procedures, each additional procedure

Osteotomies or ostectomies of mandible and maxilla, 4 procedures

Osteotomies or ostectomies mandible & maxilla beyond 4 procedures; with internal fixation, each additional procedure

Osteotomies or ostectomies of mandible, <= 3 procedures, with internal fixation

Osteotomies or ostectomies of maxilla, <= 3 procedures, with internal fixation

Osteotomies or ostectomies of mandible and maxilla, 4 procedures, with internal fixation

Frontal advancement with partial orbital advancement, unilateral

Intracranial correction of hypertelorism with le fort iii osteotomy

Open reduction and internal fixation of orbital fracture except blowout, with implant, unilateral

Open reduction and internal fixation of orbital fracture except blowout, with implant, bilateral

Reconstruction of orbital cavity with cartilage graft, unilateral

Reconstruction of orbital cavity with cartilage graft, bilateral

Reconstruction of orbital cavity with implant and cartilage graft, unilateral

Reconstruction of orbital cavity with implant and cartilage graft, bilateral

Reconstruction of orbital cavity with implant and bone graft, unilateral

Reconstruction of orbital cavity with implant and bone graft, bilateral

Open reduction and internal fixation of orbital fracture except blowout, without implant, unilateral

Open reduction and internal fixation of orbital fracture except blowout, without implant, bilateral

Reconstruction of glenoid fossa, zygomatic arch and temporal bone

Intradermal colouration of skin for nipple or areola, unilateral

Reconstruction of breast using breast sharing technique, first stage, unilateral

Reconstruction of breast using breast sharing technique, first stage, bilateral

Reconstruction of breast using breast sharing technique, second stage, unilateral

Reconstruction of breast using breast sharing technique, second stage, bilateral

Reconstruction of breast with insertion of tissue expander, unilateral

Reconstruction of breast with insertion of tissue expander, bilateral

Removal of breast tissue expander and insertion of permanent prosthesis, unilateral

Removal of breast tissue expander and insertion of permanent prosthesis, bilateral

Radiation treatment, megavoltage, 1 field, single modality linear accelerator

Radiation treatment, megavoltage, >= 2 fields, single modality linear accelerator

Radiation treatment, megavoltage, 1 field, dual modality linear accelerator

Radiation treatment, megavoltage, >= 2 fields, dual modality linear accelerator

Brachytherapy, combined intrauterine and intravaginal, low dose rate

Brachytherapy, combined intrauterine and intravaginal, high dose rate

Brachytherapy with implantation of removable single plane, low dose rate

Brachytherapy with implantation of removable single plane, pulsed dose rate

Brachytherapy with implantation of removable multiple planes or volume implant, low dose rate

Brachytherapy with implantation of removable multiple planes or volume implant, pulsed dose rate

Brachytherapy with implantation of permanent implant, < 10 sources

Brachytherapy with implantation of permanent implant, >= 10 sources

Brachytherapy with implantation of removable single plane, high dose rate

Brachytherapy with implantation of removable multiple planes or volume implant, high dose rate

Administration of a therapeutic dose of other unsealed radioisotope

Radiation field setting using dedicated computed tomography scanner

Radiation field setting for intensity modulated radiation therapy [IMRT]

Radiation field setting for three dimensional conformal radiation therapy [3DCRT]

Dosimetry by computed tomography interfacing computer, intermediate

Dosimetry by computed tomography interfacing computer for intensity modulated radiation therapy [IMRT]

Dosimetry by non-computed tomography interfacing computer, simple

Dosimetry by non-computed tomography interfacing computer, intermediate

Dosimetry by non-computed tomography interfacing computer, complex

Dosimetry by computed tomography interfacing computer for three dimensional conformal radiation therapy [3DCRT]

Dosimetry by non-computed tomography interfacing computer for three dimensional conformal radiation therapy [3DCRT]

Prescribed/self-selected medication assessment/management, including prescription and review of medication, when performed with psychotherapy services 

Assessment of need for assistive or adaptive device, aid or equipment

Comprehensive mental health assessment - home visit - new patient

Comprehensive mental health assessment - home visit - established patient

Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an inpatient hospital, partial hospital or residential care setting, approximately 45 to 50 minutes face-to-face with the patient; with medical evaluation and management services

Video and radiotelemetered electroencephalographic [eeg] monitoring

Conduction studies with electromyography of single fibres of nerves and muscles

Repetitive neuromuscular conduction studies with quantitative computerised analysis electromyography

Investigation of central nervous system evoked responses, 1 or 2 studies

Investigation of central nervous system evoked responses, >= 3 studies

Retinal imaging using a portable device, unilateral or bilateral

Retinal imaging for detection and monitoring of disease with point of care analysis and interpretation using AI, unilateral or bilateral.

Measurement of ocular motility and binocular function, unilateral

Measurement of ocular motility and binocular function, bilateral

Measurement of glycerol induced cochlear function changes, unilateral

Measurement of glycerol induced cochlear function changes, bilateral

Measurement of respiratory muscle strength involving transdiaphragmatic or oesophageal pressures

Measurement of respiratory muscle strength at multiple lung volumes

Measurement of respiratory muscle strength before and after intravenous injection of placebo and anticholinesterase drugs

Assessment of arterial carbon dioxide tension or cardiac output, rebreathing method

Measurement of ventilatory and/or occlusion pressure responses to progressive hypercapnia and hypoxia

Measurement of ventilation perfusion ratios using multiple inert gas elimination techniques

Continuous monitoring of pulmonary function for >= 6 hours duration

Continuous measurement of relationship between flow and volume during expiration or inspiration

Examination and recording of wave forms of intracranial arterial circulation using transcranial doppler, unilateral

Examination and recording of wave forms of intracranial arterial circulation using transcranial doppler, bilateral

Examination and recording of wave forms of peripheral veins in 1 or more extremities at rest using cw doppler or pulsed doppler

Examination and recording of wave forms of peripheral veins in 1 or more extremities using plethysmography

Examination and recording of wave forms of peripheral veins in lower extremities during and following exercise, using infrared photoplethysmography

Measurement of systolic arterial pressure indices bilaterally and assessment of arterial wave forms in lower extremities

Measurement of systolic arterial pressure indices bilaterally and assessment of arterial wave forms in upper extremities

Measurement of systolic arterial pressure indices bilaterally at rest and following exercise in lower extremities

Patient activated ambulatory ecg monitoring, recording for at least 20 seconds prior to and 15 seconds after each activation

Patient activated ambulatory ecg monitoring, recording for at least 30 seconds after each activation

Testing of atrioventricular [AV] sequential, rate responsive or antitachycardia cardiac pacemaker

Monitoring of cardiac output or blood flow, not elsewhere classified

Measurement of gastro-oesophageal reflux involving 24 hour ph monitoring

Urethral pressure profilometry [upp] with urethral sphincter electromyography

Epicutaneous patch testing using less than the total number of allergens in a standard patch test battery

Epicutaneous patch testing using all the allergens in standard patch test battery

Noninvasive diagnostic tests, measures or investigations, not elsewhere classified

Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes 

Counselling or education regarding assistive or adaptive device, aid or equipment

Counselling or education on health maintenance or recovery activities

Counselling or education on preparing for parenthood, parenting skills or family planning

Application or revision of immobilisation device or support, patella, unilateral

Application or revision of immobilisation device or support, patella, bilateral

Application or revision of immobilisation device or support, ankle, unilateral

Application or revision of immobilisation device or support, ankle, bilateral

Application or revision of immobilisation device or support, wrist, unilateral

Application or revision of immobilisation device or support, wrist, bilateral

Application or revision of immobilisation device or support, finger or toe only, unilateral

Application or revision of immobilisation device or support, finger or toe only, bilateral

Application or revision of immobilisation device or support, hand only, unilateral

Application or revision of immobilisation device or support, hand only, bilateral

Application or revision of immobilisation device or support, foot only, unilateral

Application or revision of immobilisation device or support, foot only, bilateral

Application or revision of immobilisation device or support, neck only, unilateral

Application or revision of immobilisation device or support, neck only, bilateral

Application or revision of immobilisation device or support, short arm, unilateral

Application or revision of immobilisation device or support, short arm, bilateral

Application or revision of immobilisation device or support, long arm, unilateral

Application or revision of immobilisation device or support, long arm, bilateral

Application or revision of immobilisation device or support, short leg, unilateral

Application or revision of immobilisation device or support, short leg, bilateral

Application or revision of immobilisation device or support, long leg, unilateral

Application or revision of immobilisation device or support, long leg, bilateral

Application or revision of immobilisation device other, unilateral

Application or revision of immobilisation device other, bilateral

Application, fitting, adjustment or replacement of other assistive or adaptive device, aid or equipment

Family/carer-focussed psychotherapy (without the patient present), 50 minutes

Family/carer-focussed psychotherapy (with patient present), 50 minutes

Group psychotherapies or psychosocial therapies (other than family)

Psychotherapy, incorporating other modalities with patient (eg, insight oriented, behavior modifying or supportive psychotherapy); 30 minutes

Psychotherapy, insight oriented, behavior modifying and/or supportive, in an office or outpatient facility, approximately 75 to 80 minutes face-to-face with the patient; with medical evaluation and management services

Skills training in activities related to sensory/sensorimotor/sensorineural function

Skills training in activities related to memory, orientation, perception or attention

Skills training in activities related to body position/mobility/movement

Skills training in activities related to self care or self maintenance

Skills training in use of assistive or adaptive device, aid or equipment

Extracorporeal shockwave lithotripsy [eswl] of sites not elsewhere classified

Administration of measles mumps rubella varicella (mmrv) vaccine

Administration of diphtheria, tetanus, pertussis, hepatitis b, poliomyelitis, haemophilus influenzae combined vaccine

Prophylactic vaccination against arthropod-borne viral encephalitis

In vitro processing of bone marrow or peripheral blood for autologous stem cell transplantation

Electroconvulsive therapy [ect], unspecified laterality, not specified as ultrabrief

Electroconvulsive therapy [ect], unspecified laterality, ultrabrief

Electroconvulsive therapy [ect], unilateral, not specified as ultrabrief

Electroconvulsive therapy [ect], bilateral, not specified as ultrabrief

Removal of foreign body without incision, not elsewhere classified

Therapeutic massage or manipulation of connective/soft tissue, not elsewhere classified

Administration of anesthesia, trigeminal division block, regional block, nerve of head or neck, asa 10

Administration of anesthesia, trigeminal division block, regional block, nerve of head or neck, asa 19

Administration of anesthesia, trigeminal division block, regional block, nerve of head or neck, ASA 20

Administration of anesthesia, trigeminal division block, regional block, nerve of head or neck, asa 29

Administration of anesthesia, trigeminal division block, regional block, nerve of head or neck, asa 30

Administration of anesthesia, trigeminal division block, regional block, nerve of head or neck, asa 39

Administration of anesthesia, trigeminal division block, regional block, nerve of head or neck, asa 40

Administration of anesthesia, trigeminal division block, regional block, nerve of head or neck, asa 49

Administration of anesthesia, trigeminal division block, regional block, nerve of head or neck, asa 50

Administration of anesthesia, trigeminal division block, regional block, nerve of head or neck, asa 59

Administration of anesthesia, trigeminal division block, regional block, nerve of head or neck, asa 69

Administration of anesthesia, trigeminal division block, regional block, nerve of head or neck, asa 90

Administration of anesthesia, trigeminal division block, regional block, nerve of head or neck, asa 99

Intravenous postprocedural infusion, patient controlled analgesia (pca)

Assistance with activities related to self care/self maintenance

Assistance with application of assistive or adaptive device, aid or equipment

Assistance with activities related to body position/mobility/movement

Intra-arterial administration of pharmacological agent, antineoplastic agent

Intra-arterial administration of pharmacological agent, thrombolytic agent

Intra-arterial administration of pharmacological agent, anti-infective agent

Intra-arterial administration of pharmacological agent, antidote

Intra-arterial administration of pharmacological agent, nutritional substance

Intra-arterial administration of pharmacological agent, electrolyte

Intra-arterial administration of pharmacological agent, psychotherapeutic agent

Intra-arterial administration of pharmacological agent, other and unspecified pharmacological agent

Intramuscular administration of pharmacological agent, antineoplastic agent

Intramuscular administration of pharmacological agent, thrombolytic agent

Intramuscular administration of pharmacological agent, anti-infective agent

Intramuscular administration of pharmacological agent, nutritional substance

Intramuscular administration of pharmacological agent, electrolyte

Intramuscular administration of pharmacological agent, psychotherapeutic agent

Intramuscular administration of pharmacological agent, other and unspecified pharmacological agent

Intrathecal administration of pharmacological agent, antineoplastic agent

Intrathecal administration of pharmacological agent, thrombolytic agent

Intrathecal administration of pharmacological agent, anti-infective agent

Intrathecal administration of pharmacological agent, nutritional substance

Intrathecal administration of pharmacological agent, electrolyte

Intrathecal administration of pharmacological agent, psychotherapeutic agent

Intrathecal administration of pharmacological agent, other and unspecified pharmacological agent

Intravenous administration of pharmacological agent, antineoplastic agent

Intravenous administration of pharmacological agent, thrombolytic agent

Intravenous administration of pharmacological agent, anti-infective agent

Intravenous administration of pharmacological agent, nutritional substance

Intravenous administration of pharmacological agent, electrolyte

Intravenous administration of pharmacological agent, psychotherapeutic agent

Intravenous administration of pharmacological agent, other and unspecified pharmacological agent

Subcutaneous administration of pharmacological agent, antineoplastic agent

Subcutaneous administration of pharmacological agent, thrombolytic agent

Subcutaneous administration of pharmacological agent, anti-infective agent

Subcutaneous administration of pharmacological agent, nutritional substance

Subcutaneous administration of pharmacological agent, electrolyte

Subcutaneous administration of pharmacological agent, psychotherapeutic agent

Subcutaneous administration of pharmacological agent, other and unspecified pharmacological agent

Intracavitary administration of pharmacological agent, antineoplastic agent

Intracavitary administration of pharmacological agent, thrombolytic agent

Intracavitary administration of pharmacological agent, anti-infective agent

Intracavitary administration of pharmacological agent, nutritional substance

Intracavitary administration of pharmacological agent, electrolyte

Intracavitary administration of pharmacological agent, psychotherapeutic agent

Intracavitary administration of pharmacological agent, other and unspecified pharmacological agent

Enteral administration of pharmacological agent, antineoplastic agent

Enteral administration of pharmacological agent, thrombolytic agent

Enteral administration of pharmacological agent, anti-infective agent

Enteral administration of pharmacological agent, nutritional substance

Enteral administration of pharmacological agent, psychotherapeutic agent

Enteral administration of pharmacological agent, other and unspecified pharmacological agent

Oral administration of pharmacological agent, antineoplastic agent

Oral administration of pharmacological agent, thrombolytic agent

Oral administration of pharmacological agent, anti-infective agent

Oral administration of pharmacological agent, nutritional substance

Oral administration of pharmacological agent, psychotherapeutic agent

Oral administration of pharmacological agent, other  pharmacological agent

Other administration of pharmacological agent, thrombolytic agent

Other administration of pharmacological agent, anti-infective agent

Other administration of pharmacological agent, nutritional substance

Other administration of pharmacological agent, psychotherapeutic agent

Other  administration of pharmacological agent, Other  pharmacological agent

Other  administration of pharmacological agent, antineoplastic agent

Other  administration of pharmacological agent, thrombolytic agent

Other  administration of pharmacological agent, psychotherapeutic agent

Loading of drug delivery device, other and unspecified pharmacological agent

Maintenance (alone) of other  catheter, implanted for administration of pharmacotherapy

Prescription of psychotherapeutic agent, unspecified or not known whether new or repeat prescription

Ophthalmic biometry by ultrasound echography, with intraocular lens power calculation, unilateral

Ophthalmic biometry by ultrasound echography, with intraocular lens power calculation, bilateral

Ophthalmic ultrasound, diagnostic, quantitative ascan only, unilateral

Ophthalmic ultrasound, diagnostic, quantitative ascan only, bilateral

Ophthalmic ultrasound, diagnostic, bscan and quantitative ascan, unilateral

Ophthalmic ultrasound, diagnostic, bscan and quantitative ascan, bilateral

Ophthalmic ultrasound, diagnostic, bscan (with or without superimposed nonquantitative ascan), unilateral

Ophthalmic ultrasound, diagnostic, bscan (with or without superimposed nonquantitative ascan), bilateral

Ultrasound of abdomen or pelvis for other pregnancy related conditions

Duplex ultrasound of extracranial, carotid and vertebral vessels

Duplex ultrasound of intra-abdominal, aorta and iliac arteries and/or inferior vena cava and iliac veins

Duplex ultrasound of surgically created arteriovenous fistula or access graft of upper limb, unilateral

Duplex ultrasound of surgically created arteriovenous fistula or access graft of upper limb, bilateral

Duplex ultrasound of surgically created arteriovenous fistula or access graft of lower limb, unilateral

Duplex ultrasound of surgically created arteriovenous fistula or access graft of lower limb, bilateral

Duplex ultrasound of arteries or bypass grafts in lower limb, unilateral

Duplex ultrasound of arteries or bypass grafts in lower limb, bilateral

Duplex ultrasound of arteries or bypass grafts in upper limb, unilateral

Duplex ultrasound of arteries or bypass grafts in upper limb, bilateral

Duplex ultrasound of arteries and veins for bypass conduit mapping

Ultrasound guidance for needle injection, aspiration or biopsy, unilateral

Ultrasound guidance for needle injection, aspiration or biopsy, bilateral

Computerised tomography of brain with intravenous contrast medium

Computerised tomography of pituitary fossa with intravenous contrast medium

Computerised tomography of pituitary fossa and brain with intravenous contrast medium

Computerised tomography of orbit with intravenous contrast medium

Computerised tomography of orbit and brain with intravenous contrast medium

Computerised tomography of middle ear and temporal bone, unilateral

Computerised tomography of middle ear and temporal bone with intravenous contrast medium, unilateral

Computerised tomography of middle ear, temporal bone and brain, unilateral

Computerised tomography of middle ear, temporal bone and brain with intravenous contrast medium, unilateral

Computerised tomography of middle ear and temporal bone, bilateral

Computerised tomography of middle ear and temporal bone with intravenous contrast medium, bilateral

Computerised tomography of middle ear, temporal bone and brain, bilateral

Computerised tomography of middle ear, temporal bone and brain with intravenous contrast medium, bilateral

Computerised tomography of facial bone with intravenous contrast medium

Computerised tomography of paranasal sinus with intravenous contrast medium

Computerised tomography of facial bone and paranasal sinus with intravenous contrast medium

Computerised tomography of facial bone, paranasal sinus and brain

Computerised tomography of facial bone, paranasal sinus and brain with intravenous contrast medium

Computerised tomography of chest and abdomen with intravenous contrast medium

Computerised tomography of brain and chest with intravenous contrast medium

Computerised tomography of brain, chest and abdomen with intravenous contrast medium

Computerised tomography of soft tissue of neck with intravenous contrast medium

Computerised tomography of spine with intrathecal contrast medium

Computerised tomography of spine with intravenous contrast medium, cervical region

Computerised tomography of spine with intravenous contrast medium, thoracic region

Computerised tomography of spine with intravenous contrast medium, lumbosacral region

Computerised tomography of spine with intravenous contrast medium, multiple regions

Computerised tomography of spine with intravenous contrast medium, unspecified region

Computerised tomography of chest with intravenous contrast medium

Computerised tomography of chest, abdomen and pelvis with intravenous contrast medium

Computerised tomography of abdomen with intravenous contrast medium

Computerised tomography of abdomen and pelvis with intravenous contrast medium

Computerised tomography of kidney, ureter and bladder, with intravenous contrast medium

Computerised tomography of pelvis with intravenous contrast medium

Computerised tomography of limb with intravenous contrast medium, unilateral

Computerised tomography of limb with intravenous contrast medium, bilateral

Spiral angiography by computerised tomography of upper extremity, with intravenous contrast medium, unilateral

Spiral angiography by computerised tomography of upper extremity, with intravenous contrast medium, bilateral

Spiral angiography by computerised tomography of upper extremity, with intravenous contrast medium

Spiral angiography by computerised tomography of lower extremity, with intravenous contrast medium, unilateral

Spiral angiography by computerised tomography of lower extremity, with intravenous contrast medium, bilateral

Spiral angiography by computerised tomography of head and/or neck, with intravenous contrast medium

Spiral angiography by computerised tomography of chest, with intravenous contrast medium

Spiral angiography by computerised tomography of abdomen, with intravenous contrast medium

Spiral angiography by computerised tomography of abdominal aorta and bilateral iliofemoral lower extremity, with intravenous contrast medium

Spiral angiography by computerised tomography of spine, with intravenous contrast medium

Spiral angiography by computerised tomography of pelvis, with intravenous contrast medium

Spiral angiography by computerised tomography of other site, with intravenous contrast medium

Spiral coronary angiography by computerised tomography, with intravenous contrast medium

Opaque meal of pharynx, oesophagus, stomach or duodenum with screening radiography of chest

Opaque meal of oesophagus, stomach and duodenum and follow through to colon

Opaque meal of oesophagus, stomach and duodenum and follow through to colon with screening radiography of chest

Radiography of abdomen, anteroposterior and additional oblique and cone views

Radiography of abdomen, complete, including decubitus and/or erect views

Radiography of abdomen, complete, including supine, erect, and/or decubitus views, single view chest

Radiography of internal fixation of fracture of femur, unilateral

Radiography of internal fixation of fracture of femur, bilateral

Digital subtraction angiography of head and neck, <= 3 data acquisition runs

Digital subtraction angiography of head and neck with arch aortography, <= 3 data acquisition runs

Digital subtraction angiography of head and neck, 4 to 6 data acquisition runs

Digital subtraction angiography of head and neck with arch aortography, 4 to 6 data acquisition runs

Digital subtraction angiography of head and neck, 7 to 9 data acquisition runs

Digital subtraction angiography of head and neck with arch aortography, 7 to 9 data acquisition runs

Digital subtraction angiography of head and neck, >=10 data acquisition runs

Digital subtraction angiography of head and neck with arch aortography, >= 10 data acquisition runs

Digital subtraction angiography of thorax, <= 3 data acquisition runs

Digital subtraction angiography of thorax, 4 to 6 data acquisition runs

Digital subtraction angiography of thorax, 7 to 9 data acquisition runs

Digital subtraction angiography of thorax, >= 10 data acquisition runs

Digital subtraction angiography of abdomen, <= 3 data acquisition runs

Digital subtraction angiography of abdomen, 4 to 6 data acquisition runs

Digital subtraction angiography of abdomen, 7 to 9 data acquisition runs

Digital subtraction angiography of abdomen, >= 10 data acquisition runs

Digital subtraction angiography of upper limb, <= 3 data acquisition runs, unilateral

Digital subtraction angiography of upper limb, <= 3 or less data acquisition runs, bilateral

Digital subtraction angiography of upper limb, 4 to 6 data acquisition runs, unilateral

Digital subtraction angiography of upper limb, 4 to 6 data acquisition runs, bilateral

Digital subtraction angiography of upper limb, 7 to 9 data acquisition runs, unilateral

Digital subtraction angiography of upper limb, 7 to 9 data acquisition runs, bilateral

Digital subtraction angiography of upper limb, >= 10 data acquisition runs, unilateral

Digital subtraction angiography of upper limb, >= 10 data acquisition runs, bilateral

Digital subtraction angiography of lower limb, <= 3 data acquisition runs, unilateral

Digital subtraction angiography of lower limb, <= 3 data acquisition runs, bilateral

Digital subtraction angiography of lower limb, 4 to 6 data acquisition runs, unilateral

Digital subtraction angiography of lower limb, 4 to 6 data acquisition runs, bilateral

Digital subtraction angiography of lower limb, 7 to 9 data acquisition runs, unilateral

Digital subtraction angiography of lower limb, 7 to 9 data acquisition runs, bilateral

Digital subtraction angiography of lower limb, >= 10 data acquisition runs, unilateral

Digital subtraction angiography of lower limb, >= 10 data acquisition runs, bilateral

Digital subtraction angiography of aorta and lower limb, <= 3 data acquisition runs, unilateral

Digital subtraction angiography of aorta and lower limb, <= 3 data acquisition runs, bilateral

Digital subtraction angiography of aorta and lower limb, 4 to 6 data acquisition runs, unilateral

Digital subtraction angiography of aorta and lower limb, 4 to 6 data acquisition runs, bilateral

Digital subtraction angiography of aorta and lower limb, 7 to 9 data acquisition runs, unilateral

Digital subtraction angiography of aorta and lower limb, 7 to 9 data acquisition runs, bilateral

Digital subtraction angiography of aorta and lower limb, >= 10 data acquisition runs, unilateral

Digital subtraction angiography of aorta and lower limb, >= 10 data acquisition runs, bilateral

Digital subtraction selective arteriography or venography, 1 vessel

Digital subtraction selective arteriography or venography, 2 vessels

Digital subtraction selective arteriography or venography, 3 vessels

Fluoroscopic guidance for needle injection, biopsy or aspiration, unilateral

Fluoroscopic guidance for needle injection, biopsy or aspiration, bilateral

Cerebral perfusion study with single photon emission computerised tomography [SPECT]

Gated cardiac blood pool study with intervention and first pass blood flow study

Gated cardiac blood pool study with intervention and cardiac shunt study

Stress myocardial perfusion study with single photon emission computerised tomography [spect]

Rest myocardial perfusion study with single photon emission computerised tomography [spect]

Combined stress and rest myocardial perfusion study with single photon emission computerised tomography [spect]

Renal cortical study with single photon emission computerised tomography [spect]

Renal study with preprocedural administration of diuretic or angiotensin converting enzyme [ace] inhibitor

Renal study followed by diuretic administration and second renal study

Localised bone study with single photon emission computerised tomography [spect]

Localised joint study with single photon emission computerised tomography [spect]

Whole body bone study with single photon emission computerised tomography [spect]

Whole body study using gallium with single photon emission computerised tomography [spect], 1 body region

Whole body study using cells labelled with technetium and single photon emission computerised tomography [spect]

Whole body study using thallium with single photon emission computerised tomography [SPECT]

Whole body study using gallium with single photon emission computerised tomography [spect], >= 2 body regions

Localised study using gallium with single photon emission computerised tomography [SPECT]

Localised study using cells labelled with technetium and single photon emission computerised tomography [spect]

Localised study using thallium with single photon emission computerised tomography [spect]

Localised study not elsewhere classified, with positron emission tomography [pet]

Colloid liver and spleen study with single photon emission computerised tomography [spect]

Hepatobiliary study with formal quantification following baseline imaging

Adrenal study with single photon emission computerised tomography [SPECT]

Magnetic resonance imaging of head, without followed by with contrast 

Magnetic resonance imaging of cervical spine, without contrast medium

Magnetic resonance imaging of cervical spine, with contrast medium

Magnetic resonance imaging of thoracic spine, without contrast medium

Magnetic resonance imaging of thoracic spine, with contrast medium

Magnetic resonance imaging of lumbar spine, with contrast medium

Magnetic resonance imaging of lumbar spine, without contrast medium

Magnetic resonance imaging of extremity, without contrast medium, unilateral

Magnetic resonance imaging of extremity, without contrast medium, bilateral

Magnetic resonance imaging of extremity, with contrast medium, unilateral

Magnetic resonance imaging of extremity, with contrast medium, bilateral

Magnetic resonance imaging of other site, without contrast medium

Functional magnetic resonance imaging of brain, without contrast medium

Functional magnetic resonance imaging of brain, with contrast medium

Magnetic resonance imaging of breast, without contrast medium, unilateral

Magnetic resonance imaging of breast, without contrast medium, bilateral

Magnetic resonance imaging of breast, with contrast medium, unilateral

Magnetic resonance imaging of breast, with contrast medium, bilateral

Fusion of two or more 3-dimensional image volumes of one or more modalities

Basic life support ambulance response and the team has physically attended and treated the patient without transport.

Patient transport that was carried out by a bls team up to 50 km distance excluding medications.

Basic life support ambulance extra distance charge per 10 km exceeding first 50 km. (add-on code) 

Basic life support team deployed to a dynamic post, on standby; calculated by hour

A patient transport request that was declined by the patient after srca dispatch has deployed a bls team and the team has physically attended to the patient

A patient transport request that was canceled after srca dispatch has deployed a bls team and before the team has physically attended to the patient

Advanced life support ambulance response and the team has physically attended and treated the patient without transport.

Patient transport that was carried out by a als team, up to 50 km distance, in cases of mid to high priority and possibly life threatening situations, excluding medications.

Advance life support ambulance extra distance charge per 10 km exceeding first 50 km up to 300 km (add-on code)

Als team deployed to a dynamic post, on standby; calculated by hour.

A patient transport request that was declined by the patient afteremsdispatch has deployed an als team and the team has physically attended to the patient

ALS team transport request that was canceled after EMS dispatch has deployed the team and before the team has physically attended to the patient

The deployment of a specialized team for highly specialized patient care service that may or may not include transport (add-on code)

Patient transport that was carried out by an aeromedical services team

Basic metabolic panel [ionized calcium, carbon dioxide (bicarbonate), chloride, creatinine, glucose, potassium, sodium, blood urea nitrogen (BUN)]

Basic metabolic panel [total calcium, carbon dioxide (bicarbonate), chloride, creatinine, glucose, potassium, sodium, blood urea nitrogen (BUN)]

General health panel [comprehensive metabolic panel (CMP) and (automated complete blood count (CBC) and automated differential white blood cells (WBC) or automated complete blood count (CBC) and manual differential white blood cells (WBC)) or thyroid stimulating hormone (TSH)]

Serum electrolyte panel [Carbon dioxide (bicarbonate)(CO2), Chloride (Cl), Potassium (K), Sodium (Na)]

Comprehensive metabolic panel [albumin, total bilirubin, total calcium, carbon dioxide (bicarbonate), chloride, creatinine, glucose, phosphatase, alkaline, potassium, total protein, sodium, alanine amino-transferase (ALT), serum glutamic-pyruvic transaminase (SGPT), aspartate amino-transferase (AST), serum glutamic-oxaloacetic transaminase (SGOT), blood urea nitrogen (BUN)]

Obstetric panel [automated complete blood count (CBC) and automated differential white blood cell (WBC) count or automated complete blood count (CBC), and manual differential white blood cell (WBC) count, Hepatitis B surface antigen (HBsAg), rubella antibody , syphilis test (non-treponemal antibody) qualitative (e.g. VDRL, RPR, ART), RBC antibody (each serum technique), blood typing, ABO and Rh (D)]

Lipid profile [total serum Cholesterol, Triglycerides, High Density Lipoprotein (HDL), Low Density Lipoprotein (LDL)]

Renal function profile [albumin, calcium (Ca), carbon dioxide (bicarbonate)(Co2), chloride (Cl), creatinine (Cr), glucose (Glu), phosphorus inorganic (phosphate), potassium (K), sodium (Na), blood urea nitrogen (BUN)]

Acute hepatitis panel [Hepatitis A antibody (HAAb), Immunoglobulin M (IgM) antibody, Hepatitis B core antibody (HBcAb), IgM antibody, Hepatitis B surface antigen (HBsAg), Hepatitis C antibody]

Liver function panel [Albumin, Bilirubin, Alanine Amino-Transferase (ALT), Serum Glutamic-Pyruvic Transaminase (SGPT), Aspartate Amino-Transferase (AST), Serum Glutamic-Oxaloacetic Transaminase (SGOT), Phosphatase)

Obstetric panel [complete blood count (CBC) and automated differential white blood cell (WBC) count or automated complete blood count (CBC) and manual differential WBC count, hepatitis B surface antigen (HBsAg), HIV-1 antigen(s) with HIV-1 and HIV-2 antibodies (single result), rubella antibody, syphilis test (non-treponemal antibody) qualitative (e.g., VDRL, RPR, ART), RBC antibody screen (each serum technique), blood typing, ABO and Rh (D)]

Adrenocorticotropic hormone (ACTH) stimulation panel; (Cortisol x2)

Adrenocorticotropic hormone (ACTH) stimulation panel for 21 hydroxylase deficiency; (Cortisol x2, 17 Hydroxyprogesterone x2)

Adrenocorticotropic hormone (ACTH) stimulation panel for 3-Beta-Hydroxydehydrogenase deficiency; (Cortisol x2, 17 Hydroxypregnenolone x2)

Aldosterone suppression evaluation panel; (Aldosterone x2, Renin x2)

Corticotropic releasing hormone (CRH) stimulation profile; (Cortisol x6, Adrenocorticotropic Hormone x6)

Human chorionic gonadotropin (HCG) stimulation profile; (Testosterone x2) on 3 pooled blood samples

Human chorionic gonadotropin (HCG) stimulation profile; (Estradiol x2) on 3 pooled blood samples

Combined-rapid anterior pituitary evaluation panel; [Adrenocorticotropic hormone (ACTH) x4, Luteinizing hormone (LH) x4, Follicle stimulating hormone (FSH) x4, Prolactin x4, Human growth hormone x4, Cortisol x4, and Thyroid stimulating hormone (TSH) x4]

Dexamethasone suppression panel [free cortisol x2 (urine), cortisol x2, volume measurement for timed collection x2]

Glucagon tolerance panel for insulinoma; (Glucose x3, Insulin x3)

Glucagon tolerance panel for pheochromocytoma; (Catecholamines fractionated x2)

Reproductive hormone profile [follicle stimulating hormone (FSH), luteinizing hormone (LH)]

Growth hormone suppression panel; (Glucose x3, Human Growth Hormone x4)

Insulin Induced C-Peptide Suppression Panel; (Insulin C-peptide x5, Glucose x5)

Adrenocorticotropic hormone (ACTH) insufficiency insulin tolerance panel; (Cortisol x5, Glucose x5)

Growth hormone deficiency insulin tolerance panel; (Glucose x5, Human Growth Hormone x5)

Thyrotropin releasing hormone (TRH) stimulation panel; [Thyroid stimulating hormone (TSH x3)] 1 hour test

Thyrotropin releasing hormone (TRH) stimulation panel; [Thyroid stimulating hormone (TSH x4)] 2 hour test

Panel for detection of Cryptosporidium Parvum, Giardia Lamblia, and Entamoeba Histolytica Antigens In Stool

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of severe acute respiratory syndrome coronavirus Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of severe acute respiratory syndrome coronavirus and Influenza Virus types A and B Antigen (Ag)

Detection of Mycobacteria Genitalium by nucleic acid (DNA or RNA) amplified probe technique 

Detection of Orthopoxvirus by nucleic acid (DNA or RNA) amplified probe technique 

Detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) by nucleic acid (DNA or RNA), influenza virus types A and B multiplex amplified probe technique 

Detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) by nucleic acid (DNA or RNA), influenza virus types A and B, respiratory syncytial virus multiplex amplified probe technique 

Immunoassay detection with direct visual observation of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])

Niox Test (Feno Test For Allergic Asthma) - Nitric Oxide Level Test/Fractional Exhaled Nitric Oxide

Quantitative measurement of cyclic adenosine 5-monophosphate (cAMP)

Quantitative measurement of amniotic fluid alpha-fetoprotein (AFP)

Alpha-fetoProtein-L3 (AFP-L3) fraction isoform and total Alpha-fetoprotein (AFP) with ratio

Measurement of blood occult peroxidase activity (single determination) in feces

Measurement of blood occult peroxidase activity in other sources

Measurement of blood occult peroxidase activity (1-3 simultaneous determinations) in other than colorectal neoplasm screening

Measurement of blood occult; 1-3 simultaneous determinations, fecal hemoglobin determination (Fecal Immunochemical Test)

Quantitative measurement of total calcium after calcium infusion test

Quantitative measurement of carbohydrate deficient transferrin (CDT)

Measurement of unsaturated binding capacity of vitamin B12 (cyanocobalamin) 

Quantitative measurement of enzyme activity with radioactive substrate 

Quantitative measurement of Galactose-1-Phosphate Uridyl Transferase

Qualitative Screening for Galactose-1-Phosphate Uridyl Transferase

Measurement of arterial blood gas (ABG) pH, pCO2, pO2, CO2, HCO3, calculated O2 saturation

Direct measurement of Arterial blood gas (ABG) pH, pCO2, pO2, CO2, HCO3, calculated O2 saturation, O2 saturation

Quantitative measurement of glucose-6-phosphate dehydrogenase (G6PD) in blood

Qualitative measurement of glucose-6-phosphate dehydrogenase (G6PD) in blood

Quantitative measurement of glutathione reductase in red blood cells

Igf binding protein-3, insulin-like growth factor binding protein-3; Igf1Bp-3; Ghbp3; Igfbp3

Measurement of urease activity helicobacter pylori (H. pylori) in blood

Measurement and detection of fetal hemoglobin (Hgb) by chemical test

Substance immuno assay other than antibody or antigen using multiple step method

Substance immuno assay other than antibody or antigen using single step method 

Substance immuno assay other than antibody or antigen using radioimmunoassay (RIA)

Quantitative measurement of fractionation 17- ketosteroids (17-KS)

Measurement of human placental lactogen, also known as human chorionic somatomammotropin 

Quantitative measurement of lipoprotein associated phospholipase A2 (Lp-PLA2 )

Measurement of blood lipoprotein and lipoprotein subclasses when applied by electrophoresis, ultracentrifugation

Measurement of blood particle number and lipoprotein particle subclasses when applied

Quantitative measurement of myelin basic Protein (MBP) in cerebrospinal fluid

Quantitative measurement of oligoclonal immune (oligoclonal bands)

Measurement of red blood cell (RBC) phosphogluconate 6-dehydrogenase (PG6D)

Qualitative detection of amniotic fluid proteins in cervicovaginal fluid 

Measurement of total protein in other source using refractometry

Western blot, interpretation and report of protein, band identification by immunological probe

Analysis of Carbohydrate using thin layer chromatography (TLC) or paper chromatography

Measurement of aspartate amino transferase (AST) (serum glutamic-oxaloacetic transaminase) (SGOT)

Measurement of alanine amino transferase (ALT) (serum glutamic pyruvic transaminase) (SGPT)

Measurement of thyroid hormone binding ratio (THBR) or thyroid hormone (T3, T4) uptake

Quantitative measurement of urobilinogen in urine sample at specified time 

Measurement of vitamin K (e.g. for excessive bruising or bleeding evaluation)

Ovulation tests, by visual color comparison methods for human luteinizing hormone

Culture and sensitivity of salmonella and shigella species in stool

Culture and sensitivity, isolation and identification of aerobic bacteria in stool

Culture and sensitivity, isolation and identification of aerobic bacteria other sources

Quantitative culture, isolation and identification of aerobic bacteria other sources

Quantitative culture, isolation and identification of anaerobic bacteria other sources

Culture, isolation and identification of anaerobic bacteria other sources other than blood

Anaerobic bacteria culture and additional methods for identification

Fungal culture, any source except blood, isolation and identification (Presumptive test) 

Blood fungal culture, isolation and identification (Presumptive test)

Tubercle and other acid-fast bacilli culture, isolation and identification 

Identification (culture & typing) of organism by immunofluorescence (IFA) 

Identification (culture & typing) of organism by Gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method 

Identification of organism by immunologic method other than immunofluorescence 

Identification (culture & typing) of organism by nucleic acid (DNA or RNA) direct probe technique

Identification (culture & typing) of organism by nucleic acid (DNA or RNA) amplified probe technique

Any source sample collection and examination by dark field examination

Concentration and Identification of ova and parasites direct smears

Minimum inhibitory concentration (MIC) antimicrobes susceptibility studyies by microdilution or agar dilution

Minimum lethal concentration (MLC) antimicrobes susceptibility studyies by microdilution or agar dilution

Antimicrobes susceptibility studyies by macrobroth dilution method

Mycobacteria antimicrobes susceptibility studyies by proportion method

Gram or Giemsa stain and interpretation for bacteria, fungi, or cell types on primary smear sample

Fluorescent and/or acid fast stain and interpretation for bacteria, fungi, parasites, viruses or cell types on primary smear sample

Special stain and interpretation for inclusion bodies or parasites on primary smear sample

Complex special stain and interpretation for ova and parasites on primary smear sample

Wet mount and interpretation for infectious agents on primary smear sample

KOH slide examination of tissue samples from skin, hair, or nails for fungi or ectoparasite ova or mites

Inoculation of embryonated eggs, isolation of virus, observation and dissection

Cytopathic effect tissue inoculation, observation, identification, and Virus isolation 

Tissue inoculation, observation, identification, and Virus isolation 

Centrifuge enhanced technique analysis of virus isolation and immunofluorescence stain identification

Non-immunologic identification method other than cytopathic of virus isolation

Immunofluorescent (IFA) technique detection of Adenovirus Antigen (Ag)

Immunofluorescent (IFA) technique detection of Bordetella pertussis/parapertussis Antigen (Ag)

Direct fluorescent antibody (DFA) immunofluorescent (IFA) technique detection of Enterovirus Antigen (Ag)

Immunofluorescent technique (IFA) detection of Giardia Antigen (Ag)

Immunofluorescent technique (IFA)detection of Chlamydia trachomatis Antigen (Ag)

Direct fluorescent antibody (DFA) immunofluorescent technique (IFA) detection of Cytomegalovirus Antigen (Ag)

Immunofluorescent technique (IFA) detection of Cryptosporidium Antigen (Ag)

Immunofluorescent technique (IFA) detection of Herpes simplex virus type 2 Antigen (Ag)

Immunofluorescent technique (IFA) detection of Herpes simplex virus type 1 Antigen (Ag)

Immunofluorescent technique (IFA) detection of Influenza B virus Antigen (Ag)

Immunofluorescent technique (IFA) detection of Influenza A virus Antigen (Ag)

Immunofluorescent technique (IFA) detection of Legionella Pneumophila Virus Antigen (Ag)

Immunofluorescent technique (IFA) detection of Parainfluenzavirus Antigen (Ag)

Immunofluorescent technique (IFA) detection of Respiratory Syncytial Virus (RSV) Antigen (Ag)

Immunofluorescent technique (IFA) detection of Pneumocystis Carinii Antigen (Ag)

Immunofluorescent technique (IFA) detection of Rubeola Antigen (Ag)

Immunofluorescent technique (IFA) detection of Treponema Pallidum Antigen (Ag)

Immunofluorescent technique (IFA) detection of Varicella Zoster Virus Antigen (Ag)

Immunofluorescent technique (IFA) detection of not eleswhere specified antigen (Ag)

Immunofluorescent technique (IFA) detection of multiple organisms Polyvalent Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Adenovirus enteric types 40/41 Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Aspergillus Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Chlamydia trachomatis Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Clostridium difficile toxin Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Cryptococcus neoformans Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Cryptosporidium Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Giardia Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Cytomegalovirus Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Escherichia Coli 0157 Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Entamoeba Histolytica dispar group Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Entamoeba Histolytica group Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Helicobacter Pylori Antigen (Ag) on a stool sample

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Helicobacter Pylori Antigen (Ag) on other than stool sample

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Hepatitis B surface Antigen (HBsAg) 

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Hepatitis B surface Antigen (HBsAg) neutralization

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Hepatitis Be Antigen (HBeAg)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Hepatitis D Antigen (HDAg)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Histoplasma capsulatum Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Human Immunodeficiency Virus-1 (HIV-1) Antigen (Ag), with HIV-1 and HIV-2 Antibody (Ab)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Human Immunodeficiency Virus-1 (HIV-1) Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Human Immunodeficiency Virus-2 (HIV-2) Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Influenza A or B Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Respiratory Syncytial Virus Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Rotavirus Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Shiga-like Toxin Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Streptococcus A Antigen (Ag)

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of an Antigen (Ag) for unspecified organism

Qualitative/semiquantitative immunofluorescent single step method technique detection of Dengue Virus NS1 Antigen (Ag) 

Qualitative/semiquantitative immunofluorescent technique (IFA) detection of Multiple Organisms Polyvalent Antigen (Ag)

Detection of Bartonella Henselae and Bartonella Quintana by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Bartonella Henselae and Bartonella Quintana by nucleic acid (DNA or RNA) 

Detection of Borrelia Burgdorferi by nucleic acid (DNA or RNA) direct probe technique 

Detection of Borrelia Burgdorferi by nucleic acid (DNA or RNA) amplified probe technique 

Detection of Candida species by nucleic acid (DNA or RNA) direct probe technique 

Detection of Candida species by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Candida species by nucleic acid (DNA or RNA) 

Detection of 12-25 central nervous system (CNS) pathogen by nucleic acid (DNA or RNA) 

Detection of Chlamydia Pneumoniae by nucleic acid (DNA or RNA) direct probe technique 

Detection of Chlamydia Pneumoniae by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Chlamydia Pneumoniae by nucleic acid (DNA or RNA) 

Detection of Chlamydia Trachomatis by nucleic acid (DNA or RNA) direct probe technique 

Detection of Chlamydia Trachomatis by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Chlamydia Trachomatis by nucleic acid (DNA or RNA) 

Detection of Clostridium Difficile Toxin genes by nucleic acid (DNA or RNA) amplified probe technique 

Detection of Cytomegalovirus by nucleic acid (DNA or RNA) direct probe technique 

Detection of Cytomegalovirus by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Cytomegalovirus by nucleic acid (DNA or RNA) 

Detection of Enterovirus by nucleic acid (DNA or RNA) amplified probe technique 

Detection of Vancomycin resistance by nucleic acid (DNA or RNA) amplified probe technique 

Detection of Influenza virus by nucleic acid (DNA or RNA) amplified probe technique 

Detection of first 2 types/sub-types of Influenza virus by nucleic acid (DNA or RNA) multiplex amplified probe technique 

Detection of multiple types/sub-types of Influenza virus by nucleic acid (DNA or RNA) multiplex amplified probe technique 

Detection of 3-5 targets Gastrointestinal Pathogen by nucleic acid (DNA or RNA) multiplex amplified probe technique 

Detection of 6-11 targets Gastrointestinal Pathogen by nucleic acid (DNA or RNA) multiplex amplified probe technique 

Detection of 12-25 targets Gastrointestinal Pathogen by nucleic acid (DNA or RNA) multiplex amplified probe technique 

Detection of Gardnerella Vaginalis by nucleic acid (DNA or RNA) direct probe technique 

Detection of Gardnerella Vaginalis by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Gardnerella Vaginalis by nucleic acid (DNA or RNA)

Detection of Hepatitis B Virus (HBV) by nucleic acid (DNA or RNA) direct probe technique 

Detection of Hepatitis B Virus (HBV) by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Hepatitis B Virus (HBV) by nucleic acid (DNA or RNA)

Detection of Hepatitis C Virus by nucleic acid (DNA or RNA) direct probe technique 

Detection of Hepatitis C Virus by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Hepatitis C Virus by nucleic acid (DNA or RNA)

Detection of Hepatitis G Virus (HGV) by nucleic acid (DNA or RNA) direct probe technique 

Detection of Hepatitis G Virus (HGV) by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Hepatitis G Virus (HGV) by nucleic acid (DNA or RNA)

Detection of Herpes Simplex Virus (HSV) by nucleic acid (DNA or RNA) direct probe technique 

Detection of Herpes Simplex Virus (HSV) by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Herpes Simplex Virus (HSV) by nucleic acid (DNA or RNA)

Detection of Herpes Virus-6 by nucleic acid (DNA or RNA) direct probe technique 

Detection of Herpes Virus-6 by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Herpes Virus-6 by nucleic acid (DNA or RNA)

Detection of Human Immunodeficiency Virus-1 (HIV-1) by nucleic acid (DNA or RNA) direct probe technique 

Detection of Human Immunodeficiency Virus-1 (HIV-1) by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Human Immunodeficiency Virus-1 (HIV-1) by nucleic acid (DNA or RNA)

Detection of Human Immunodeficiency Virus-2 (HIV-2) by nucleic acid (DNA or RNA) direct probe technique 

Detection of Human Immunodeficiency Virus-2 (HIV-2) by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Human Immunodeficiency Virus-2 (HIV-2) by nucleic acid (DNA or RNA)

Detection of Legionella Pneumophilia by nucleic acid (DNA or RNA) direct probe technique 

Detection of Legionella Pneumophilia by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Legionella Pneumophilia by nucleic acid (DNA or RNA)

Detection of Mycobacteria by nucleic acid (DNA or RNA) direct probe technique 

Detection of Mycobacteria by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Mycobacteria by nucleic acid (DNA or RNA)

Detection of Mycobacteria Tuberculosis by nucleic acid (DNA or RNA) direct probe technique 

Detection of Mycobacteria Tuberculosis by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Mycobacteria Tuberculosis by nucleic acid (DNA or RNA)

Detection of Mycobacteria Avium-intracellulare by nucleic acid (DNA or RNA) direct probe technique 

Detection of Mycobacteria Avium-intracellulare by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Mycobacteria Avium-intracellulare by nucleic acid (DNA or RNA)

Detection of Mycobacteria Pneumoniae by nucleic acid (DNA or RNA) direct probe technique 

Detection of Mycobacteria Pneumoniae by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Mycobacteria Pneumoniae by nucleic acid (DNA or RNA)

Detection of Neisseria Gonorrhoeae by nucleic acid (DNA or RNA) direct probe technique 

Detection of Neisseria Gonorrhoeae by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of Neisseria Gonorrhoeae by nucleic acid (DNA or RNA)

Detection and quantification of low-risk types Human Papilloma Virus (HPV) (eg, 6, 11, 42, 43, 44) by nucleic acid (DNA or RNA)

Detection and quantification of high-risk types Human Papilloma Virus (HPV) (e.g. 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) by nucleic acid (DNA or RNA)

Detection and quantification of 16, 18 and 45 types Human Papilloma Virus (HPV) by nucleic acid (DNA or RNA)

Detection of 3-5 respiratory virus by nucleic acid (DNA or RNA) multiplex amplified probe technique 

Detection of 6-11 respiratory virus by nucleic acid (DNA or RNA) multiplex amplified probe technique 

Detection of 12-25 respiratory virus by nucleic acid (DNA or RNA) multiplex amplified probe technique 

Detection of Respiratory Syncytial Virus by nucleic acid (DNA or RNA) amplified probe technique 

Detection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) by nucleic acid (DNA or RNA) amplified probe technique 

Detection of Methicillin Resistant Staphylococcus Aureus (MRSA) amplified probe technique 

Detection of group A Streptococcus by nucleic acid (DNA or RNA) direct probe technique 

Detection of group A Streptococcus by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of group A Streptococcus by nucleic acid (DNA or RNA)

Detection of group B Streptococcus by nucleic acid (DNA or RNA) amplified probe technique 

Detection of Trichomonas Vaginalis by nucleic acid (DNA or RNA) direct probe technique 

Detection of Trichomonas Vaginalis by nucleic acid (DNA or RNA) amplified probe technique 

Detection of Zika Virus by nucleic acid (DNA or RNA) amplified probe technique 

Detection of other infectious agent by nucleic acid (DNA or RNA) direct probe technique 

Detection of other infectious agent by nucleic acid (DNA or RNA) amplified probe technique 

Detection and quantification of other infectious agent by nucleic acid (DNA or RNA) 

Detection of multiple organisms by nucleic acid (DNA or RNA) direct probe technique 

Detection of multiple organisms by nucleic acid (DNA or RNA) amplified probe technique 

Immunoassay detection with direct visual observation of Streptococcus group B

Immunoassay detection with direct visual observation of Clostridium Difficile Toxin A

Immunoassay detection with direct visual observation of Influenza

Immunoassay detection with direct visual observation of Human Immunodeficiency Virus-1 (HIV-1) antigen, with HIV-1 and HIV-2 antibodies

Immunoassay detection with direct visual observation of Respiratory Syncytial Virus 

Immunoassay detection with direct visual observation of Trichomonas Vaginalis

Immunoassay detection with direct visual observation of Adenovirus

Immunoassay detection with direct visual observation of Chlamydia Trachomatis

Immunoassay detection with direct visual observation of Neisseria Gonorrhoeae

Immunoassay detection with direct visual observation of group A Streptococcus

Analysis of infectious agent for antimicrobial susceptibility test

Reverse transcriptase and protease regions of Human Immunodeficiency Virus-1 (HIV-1) nucleic acid (DNA or RNA) genotyping

Human Immunodeficiency Virus-1 (HIV-1) nucleic acid (DNA or RNA) phenotyping and drug resistance tissue culture (10 drugs)

Human Immunodeficiency Virus-1 (HIV-1) nucleic acid (DNA or RNA) phenotyping and drug resistance tissue culture (beyond 10 drugs)

Other regions of human immunodeficiency virus-1 (HIV-1) nucleic acid (DNA or RNA) genotyping

Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-COV-2) (coronavirus disease [COVID-19]) nucleic acid (DNA or RNA) genotyping

Syphilis chemiluminescent microparticle immunoassay (CMIA method)

Qualitative or semiquantitative measurement of pancreatic elastase

Quantitative measurement of enzyme activity with non-radioactive substrate 

Homeostatic Model Assessment For Insulin Resistance (HOMA-IR ), Insulin; Total

Unspecified substance immuno assay other than antibody or antigen 

Anemia Profile [Ferritin; Iron and total serum iron-binding capacity (TIBC); CBC with diffrential and platelets; Reticulocyte Count]

Measurement of small dense low density lipoprotein (LDL) cholesterol

Non-drug analyte (substance) mass spectrometry and tandem mass spectrometry 

Er/Pr/Her2Neu/Ki67 (Estrogen Receptor, Progesterone Receptor, Her2 Neu, Ki67) Package

Aerobic bacteria culture and additional methods for identification

Antenatal Group B Streptococcus Screening-Genital Culture and Sensitivity (Recto-Vaginal)

Identification of organism by nucleic acid multiplex amplified probe technique

Nucleic Acid Probe, Multiplexed Amplified Probe Technique Identification On Blood Culture

Assay for Antineutrophil cytoplasmic antibodies (ANCA) with titer test

Assay for Aquaporin-4 antibodies by enzyme-linked immunosorbent immunoassay (ELISA) [e.g. neuromyelitis optica (NMO)]

Assay for Aquaporin-4 antibodies by cell-based immunofluorescence assay (CBA) [e.g. neuromyelitis optica (NMO)]

Assay for Aquaporin-4 antibodies by flow cytometry [e.g. neuromyelitis optica (NMO)]

Assay for immunoglobulin (Ig) class of endomysial antibodies (EMA) (e.g. EMA IgG, EMA IgA)

Qualitative assay for non infectious agent antibodies using a fluorescent method

Qualitative assay for non infectious agent antibodies using a fluorescent method in Titer; each antibody 

Assay for Gliadin (deamidated) (DGP) immunoglobulin (ig) antibodies; each immunoglobulin class (DGP IgG; DGP IgA) 

Cell–based immunofluorescence assay (CBA) for Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibodies

Flow Cytometry (FC) assay for Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibodies

Assay for Tissue transglutaminase (TTG) antibodies(e.g. TTG IgG, TTG IgA) 

Assay for Microsomal Antibodies (e.g. liver-kidney (LKM1), thyroid peroxidase (TPO))

Assay for neutralizing Coronavirus Antibodies (Neutralization test)

Assay for titer (concentration) of neutralizing Coronavirus Antibodies (Neutralization test)

Immunoassay for quantification of Corona virus (COVID-19)(SARS-CoV-2)

Qualitative measurement of Nuclear Matrix Protein 22 (NMP22) antigens in urine 

Examination of blood smear under microscope with manual differential white blood cells (WBC) count 

Examination of blood smear under microscope without manual differential white blood cells (WBC) count 

Manual differential white blood cells (WBC) count on buffy coat layer 

Automated complete blood count (CBC) and automated differential white blood cells (WBC) count

Automated Reticulocyte Count plus 1 or more additional cellular parameters. (eg, direct measurement of reticulocyte hemoglobin content [CHr], reticulocyte volume [MRV], immature reticulocyte fraction [IRF], RNA content).

Physician Interpretation of peripheral blood smear with written report

Measurement of clotting factor V [Proaccelerin, labile factor, accelerator globulin (AcG)]

Measurement of clotting factor VII (Proconvertin, stable factor)

Measurement of clotting factor VIII [von willebrand factor (vWF)] activity, ristocetin cofactor test

Measurement of clotting factor VIII [von Willebrand factor (vWF)] antigen 

Measurement of clotting factor VIII [von Willebrand factor (vWF)] with Multimeric analysis

Measurement of clotting factor XI (plasma thromboplastin antecendent (PTA))

Solubility screening for clotting factor XIII (fibrin stabilizing)

Measurement of high molecular weight kininogen (Fitzgerald factor assay)

SemiQuantitative analysis of fibrin degradation/split products (FDP; FSP) using agglutination slide method

Paracoagulation test for fibrin degradation/split products (FDP; FSP)

Quantitative test for fibrin degradation/split products (FDP; FSP)

Qualitative or SemiQuantitative analysis of D-dimer Fibrin degradation products

Ultrasensitive (Qualitative or SemiQuantitative) analysis of D-dimer fibrin degradation products

Coagulation or fibrinolysis (clot break down) function measurement with interpretation and written report

Functional assay for coagulation/fibrinolysis unspecified chemical compound

Measurement of Plasminogen Fibrinolytic factor (excluding antigenic assays) 

Measurement of Plasminogen Fibrinolytic factor (including antigenic assay) 

Induced measurement of Heinz bodies by administration of Acetyl phenylhydrazine

Assessment of fetal-maternal haemorrhage by differential lysis method

Assessment of fetal-maternal haemorrhage using the rosette method

Analysis of blood specimen mixed with acid for hemolysis evaluation 

Measurement of RBC hemolysis susceptibility due to mechanical stress

Measurement of RBC hemolysis susceptibility due to osmotic stress; Unincubated 

Measurement of RBC hemolysis susceptibility due to osmotic stress; Incubated

Measurement of clotting time with addition of platelet phospholipid reagent

Measurement of clotting time with addition of hexagonal phospholipid reagent

Measurement of clotting time using different thrombin reagent concentrations

Measurement of partial thromboplastin time (PTT) from plasma or whole blood

Measurement of partial thromboplastin time (PTT) by plasma fractions

Measurement of antibody to infectious organism. (e.g. Brucella, Francisella, Murine typhus, Q fever, Rocky Mountain spotted fever)

Quantitative/Semiquantitative measurement of antibody (IgG) to allergic substance

Quantitative/Semiquantitative measurement of antibody (IgE) to allergic substance

Qualitative measurement of antibody (IgE) to allergic substance; Multiallergen Screen

Quantitative/Semiquantitative measurement of antibody (IgE) to allergic substance using recombinant/purified components

Assay for white blood cells (Identification) antibodies (Identification)

Assay for platelets associated immunoglobulins antibodies (Identification)

Crossmatch with physician interpretation and report due to difficult cross matching 

Transfusion Reaction investigation with blood bank physician interpretation and report 

Assay for Native or double stranded Deoxyribonucleic acid (DNA) antibodies 

Assay for single stranded Deoxyribonucleic acid (DNA) antibodies 

Assay for extractable nuclear antigen (ENA) antibodies (e.g. Anti-ribonuclear protein (RNP); Anti Sjogren’s Syndrome A/B (SS A/SS B); Anti smith (Sm); Anti scleroderma (Scl 70) 

Quantitative immunoassay for cancer tumor antigen CA 15-3 (or CA 27.29)

Quantitative measurement of tumor marker Human epididymis Protein 4 (HE4)

Assay for heterophile antibodies [e.g. infectious mononucleosis (Mono)]

Assay for Titer heterophile antibodies [e.g. infectious mononucleosis (Mono)]

Assay for Titer heterophile antibodies after absorption of beef cells and guinea pig kidney

Quantitative immunoassay for antibodies of unspecified infectious agent 

Qualitative/semiQuantitative single-step immunoassay for antibodies unspecified infectious agent 

Immunoelectrophoresis assay for analysis of immunoglobulins/antibodies in serum 

Immunoelectrophoresis assay for analysis of immunoglobulins/antibodies in other fluid (eg, urine, cerebrospinal fluid) with concentration

Crossed (2-dimentional) Immunoelectrophoresis for analysis of immunoglobulins/antibodies 

Qualitative or Quantitative immunossay for corona virus (COVID-19)(SARS-CoV-2)

Immunodiffusion assay for analysis of immunoglobulins/antibodies 

Qualitative immunodiffusion assay for analysis of immunoglobulins/antibodies by Ouchterlony method 

Immunofixation electrophoresis assay in other fluids (e.g. urine, cerebrospinal fluid) (Unlisted Immunofixation Electrophoresis)

Measurement of Cellular function with stimulation and biomarker detection 

Measurement of tuberculosis antibodies (cell mediated immunity gamma interferon antigen)

Interferon Gamma Release Assay (IGRA) for quantification of gamma interferon producing T-cells in repones to tuberculosis antibodies 

Qualitative assay for syphilis-related antibodies [e.g. by rapid plasma reagin (RPR);automated reagin test (ART); Venereal Disease Research Laboratory test (VDRL)].

Quantitative assay for syphilis-related antibodies [e.g. by rapid plasma reagin (RPR);automated reagin test (ART); Venereal Disease Research Laboratory test (VDRL)].

Confirmatory ImmunoAssay for Borrelia Burgdorferi Antibodies (lyme disease) 

Assay for Cytomegalovirus (CMV) Antibodies; except immunoglobulin M antibodies 

Assay for EnteroVirus Antibodies (e.g. coxsackievirus, echovirus, poliovirus)

Assay for early antigen (EA) antibodies of the Epstein–Barr virus, called EBV

Assay for nuclear antigens (EBNA), of the Epstein–Barr virus (EBV)

Assay for viral capsid antigen (VCA) of the Epstein–Barr virus (EBV)

Assay for human T cell lymphotropic virus Type I (HTLV-I ) Antibodies 

Assay for human T cell lymphotropic virus Type II (HTLV-II) Antibodies 

Assay for human T cell lymphotropic virus/ human immunodeficiency virus (HTLV/HIV) Antibodies (e.g. western blot) 

Assay for Human Immunodeficiency Virus 1&2 Antibodies; single result test 

Assay for total Hepatitis B core Antibodies (all immunoglobulin types) 

Assay for Hepatitis B core antigen immunoglobulin M (IgM) antibodies 

Assay for severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2] [coronavirus disease (COVID-19)] Antibodies 

Assay for West Nile Virus Antibodies (all except immunoglobulin M (IgM)) 

Measurement of percent reactive antibody (PRA) to human leukocyte antigens (HLA) by standard method

Measurement of percent reactive antibody (PRA) to human leukocyte antigens (HLA) by quick method 

Assay for single, Class I human leukocyte antigen (HLA-I); A, B, or C (eg, A10, B27)

Assay for multiple, Class I human leukocyte antigens (HLA-I); A, B, or C (eg, A10, B27)

Assay for single, Class II human leukocyte antigen (HLA-II); DR/DQ

Assay for multiple, Class II human leukocyte antigens (HLA-II); DR/DQ

human leukocyte antigen (HLA) Typing by Mixed Lymphocyte Culture (MLC) 

Human leukocyte antigen (HLA) non-cytotoxic crossmatch; one serum sample or dilution

Human leukocyte antigen (HLA) non-cytotoxic crossmatch; each additional serum sample or dilution 

Qualitative Assay for Human leukocyte antigen (HLA) Class I and II Antibodies 

Qualitative Assay for Human leukocyte antigen (HLA) Class I or II Antibodies 

Qualitative ImmunoAssay for Human leukocyte antigen (HLA) Class I Antibodies by complete phenotype panel 

Qualitative ImmunoAssay for Human leukocyte antigen (HLA) Class II Antibodies by complete phenotype panel 

Qualitative ImmunoAssay for Human leukocyte antigen (HLA) Class I Antibodies by High Definition Panel 

Qualitative ImmunoAssay for Human leukocyte antigen (HLA) Class II Antibodies by High Definition Panel 

SemiQualitative ImmunoAssay for Human leukocyte antigen (HLA) Class I Antibodies 

SemiQualitative ImmunoAssay for Human leukocyte antigen (HLA) Class II Antibodies 

Highly Complex Clinical Pathology Consultation (e.g. 41-60 Minutes) 

Prolonged Clinical Pathology Consultation (for each additional 15-30 Minutes) 

Moderately Complex Clinical Pathology Consultation (e.g. 21-40 Minutes) 

Non-Automated Urinalysis (dipstick or tablet reagent) with microscope

Automated Urinalysis (dipstick or tablet reagent) with microscope

Automated Urinalysis (dipstick or tablet reagent) without microscope

Non-Automated Urinalysis (dipstick or tablet reagent) without microscope

Test for Bacteriuria in Urine (by methods other than Dipstick or Culture)

Quantitative Urinalysis of Human chorionic gonadotropin (hCG) by visual color comparison 

Quantitative/Semiquantitative In situ hybridization (ISH) by computerized single probe stain on tissue 

Quantitative/Semiquantitative In situ hybridization (ISH) by additional computerized single probe stains on tissue

Quantitative/Semiquantitative In situ hybridization (ISH) by computerized multiplex probe stain on tissue 

Quantitative/Semiquantitative In situ hybridization (ISH) by manual single probe stain on tissue 

Quantitative/Semiquantitative In situ hybridization (ISH) by additional manual single probe stain on tissue (Add on code) 

Interpretation and report of endomicroscopic imaging (optical biopsy) 

Analysis of Cytopathology Body Fluid Smear Specimen by Simple Filter Method

Analysis of Cytopathology Body Fluid Smear Specimen by Concentration technique

Selective Cellular Enhancement (e.g. liquid based slide preparation) with interpretation 

Manual morphometric analysis of urinary tract specimen by in situ hybridization (ISH) 

Computer assisted analysis of urinary tract specimen by in situ hybridization (ISH) 

Analysis of sex chromatin for polymorphonuclear drumsticks identification in peripheral blood smear

Automated thin layer specimen preparation with manual screen of cervical/vaginal specimen using any reporting system (Bethesda or non–Bethesda) (Pap)

Automated thin layer specimen preparation with manual screen and rescreen of cervical/vaginal specimen using any reporting system (Bethesda or non–Bethesda) 

Automated screen of cervical/vaginal specimen with manual rescreen (Pap)

Manual screen of cervical/vaginal specimen with computed assisted rescreen (Pap)

Examination of cytopathology cervical or vaginal specimen slide for hormonal evaluation (Pap)

Analysis of a cytopathology smear for screening and interpretation purposes

Preparation and analysis of a cytopathology smear for screening and interpretation purposes

Manual screen of cervical/vaginal specimen using Bethesda System (Pap)

Manual screen and rescreen of cervical/vaginal specimen using Bethesda System (Pap)

Manual screen of cervical/vaginal specimen with computer assisted rescreen using Bethesda System (Pap)

Manual screen of cervical/vaginal specimen with computer assisted rescreen utilizing additional cell selection and review, using Bethesda System (Pap)

Analysis of fine needle aspirate cytopathology specimen for evaluation of satifactory sample (first evaluation, each site)

Analysis of fine needle aspirate cytopathology specimen with interpertation and report

Analysis of fine needle aspirate cytopathology specimen for evaluation of satifactory sample (Additional evaluation on same site)

Automated thin layer specimen preparation with Automated screen of cervical/vaginal specimen (Pap)

Automated thin layer specimen preparation with Automated screen and manual rescreen of cervical/vaginal specimen (Pap)

Flow cytometry technique for DNA or cell cycle analysis (e.g. sample: body fluid, tumor tissue, blood, bone marrow, urine)

Flow cytometry technique using cell surface, cytoplasmic or nuclear markers (first marker only)

Flow cytometry technique using cell surface, cytoplasmic or nuclear markers (reported for each additional marker)

Skin or solid tissue biopsy culture for non-neoplastic disorders

Amniotic fluid or chorionic villus cells tissue culture for non-neoplastic disorders

Chromosome analysis for Sister Chromatid Exchange (SCE), indicating chromosomal breakage 

Chromosome analysis for breakage syndrome by measurement of baseline breakage (eg, for ataxia telangiectasia, Fanconi anemia, fragile X)

Culture treatment with clastogen for analysis of Breakage syndrome 

Chromosome analysis for genetic abnormality by 5 cell count and 1 karyotype with banding

Chromosome analysis for genetic abnormality by 15-20 cell count and 2 karyotypes with banding

Chromosome analysis for genetic abnormality by 20-25 cell count and karyotypes for each cell with banding

Chromosome analysis for mosaicism by 45 cell count and 2 karyotype with banding

Amniotic Fluid chromosome analysis for genetic abnormality by 15 cell count and 1 karyotypes with banding

In situ Amniotic Fluid culture chromosome analysis for genetic abnormality by 6-12 cell count and 1 karyotypes with banding

Molecular Cytogenetic Test by DNA Probe method [e.g. fluorescence in situ hybridization (FISH)]

Molecular Cytogenetic Test analysis of 3-5 cells by fluorescence in situ hybridization (ISH, FISH) 

Molecular Cytogenetic Test analysis of 10-30 cells by fluorescence in situ hybridization (ISH, FISH) (e.g. microdeletion) 

Molecular Cytogenetic Test analysis of 25-99 cells by interphase fluorescence in situ hybridization (ISH, FISH) 

Molecular Cytogenetic Test analysis of 100-300 cells by interphase fluorescence in situ hybridization (ISH, FISH) 

Additional specialized banding techniques with chromosome analysis procedure [e.g. nucleolar organizer region staining (NOR), C-banding]

Additional high resolution study with chromosomal analysis procedure

Level 2 examination of surgical pathology specimen (e.g. appendix, hernia sac, traumatically amputated toe). 

Level 3 examination of surgical pathology specimen (e.g. ABcess, gallbladder, tendon). 

Level 4 examination of surgical pathology specimen (e.g. biopsy from bone marrow, esophagus, breast, muscle). 

Level 5 examination of surgical pathology specimen (e.g. brain biopsy, meninges, tumor resection, excision of lesion). 

Level 6 examination of surgical pathology specimen (e.g. esophagus, a prostate, or a urinary bladder). 

Special stain of Group 1 for microorganisms with interpretation and report 

Special stain of Group 2 for other with interpretation and report (e.g. trichrome stain, iron stain) 

Special stain of Group 3 for Enzyme constituents with interpretation and report

Histochemical stain on frozen tissue with interpretation and report (Additional Code) 

Surgical pathology consultation and report for slide prepared elsewhere 

Surgical pathology consultation and report for referred material with slide preparation 

Comprehensive surgical pathology consultation and report for referred material requiring slide preparation 

Intraoperative surgical pathology consultation for single frozen section of first tissue block

Intraoperative surgical pathology consultation for additional frozen section of first tissue block (Additional code) 

Intraoperative cytologic examination for initial site only (e.g. squash prep)

Intraoperative cytologic examination for additional sites (e.g. squash prep) (Additional code) 

Qualitative, first single-antibody stain to examine tissue or cells (immunocyto-histo-chemistry IHC;ICC)

Additional single-antibody stain to examine tissue or cells (immunocyto-histo-chemistry IHC;ICC) (Additional code) 

Multiplex antibody stain to examine cells or tissue (immunocyto-histo-chemistry IHC;ICC)

Immunofluorescent study using first single-antibody stain to examine tissue or cells

Immunofluorescent study using additional single-antibody stains to examine tissue or cells

Microscopic image analysis of skeletal muscle biopsy (e.g. size, shape, type) 

Microscopic image analysis of nerve biopsy (e.g. size, shape, type) 

Microscopic image analysis of tumor biopsy (e.g. size, shape, chromosome analysis) 

Quantitative/Semiquantitative manual single-antibody stain to examine tumor tissue [immunohistochemistry (IHC) stain] (e.g. Her-2/neu, estrogen/progesterone receptor)

Quantitative/Semiquantitative computer assisted single-antibody stain to examine tumor tissue (immunohistochemistry (IHC) stain)(e.g. Her-2/neu, estrogen/progesterone receptor)

Molecular analysis of archived (stored) tumor tissue (e.g. KRAS gene mutation) 

Qualitative In situ hybridization (ISH) by single probe stain on tissue

Qualitative In situ hybridization (ISH) by additional single probe stains on tissue (Additional Code) 

Qualitative In situ hybridization (ISH) by multiplex probe stain on tissue

Protein tissue analysis (e.g. muscle) by Western Blot with interoperation and report 

Protein tissue analysis (e.g. muscle) by Western Blot using immunological probes for band identification with interpretation and report 

Quantitative/Semiquantitative In situ hybridization (ISH) by multiplex single probe stain on tissue 

Examination, dissection and preparation of tissue for non microscopic analysis (e.g. nucleic Acid-based molecular studyies)

Examination, dissection and preparation of tissue for non microscopic analysis with touch imprint cytology (TIC) analysis, intraoperative (IO), frozen section consultation

Unlisted surgical pathology procedure (histo-diagnostic procedure)

Screening for presence antibodies to red blood cells (RBC) or rhesus D (RhD) 

Identification of specific antibodies to red blood cells (RBC) or rhesus D (RhD) 

Direct antihuman globulin test (DAT) for identification of red blood cells antibodies

Qualitative indirect antihuman globulin test for identification of red blood cells antibodies

Qualitative indirect antihuman globulin test for identification of red blood cells antibodies using serial dilutions 

Collection, processing, and storage of autologous blood for future use

Collection of lost blood during surgery for later intraoperative or postoperative infusion 

Antigen test to screen for potential donor blood using reagent serum 

Blood typing using antigen systems ABO, MN, and Rh for paternity testing 

Blood screening for auto-agglutinins and auto-hemolysins by incubation method 

Incubation of red blood cells (RBCs) with a chemical agent or drug 

Separation of red blood cells (RBCs) by density gradient method 

Diluted sample preparation for identification of Red Blood Celss (RBC) antibodies

Quantitative measurement of drug Carbamazepine (-10,11-epoxide) Levels 

Quantitative measurement of drug Valproic Acid (dipropylacetic acid) Total Levels 

Quantitative measurement of drug Valproic Acid (dipropylacetic acid) Free Levels 

Quantitative measurement of drug Mycophenolate (mycophenolic acid) Levels 

Quantitative measurement of drug Procainamide Levels with presence of metabolites (e.g. N-acetyl procainamide)

Presumptive drug test (any method); result read by direct optical observation 

Presumptive drug test (any method); result read by instrument–assisted direct optical observation

Presumptive drug test (any number of drugs) by instrumented chemistry analyzers 

Quantitative/Qualitative measurement of (1-2) Alcohol Biomarkers 

Quantitative/Qualitative measurement of (3 or more) Alcohol Biomarkers 

Quantitative/Qualitative measurement of 1-2 Amphetamines Analytes

Quantitative/Qualitative measurement of 3-4 Amphetamines Analytes

Quantitative/Qualitative measurement of 5 or more Amphetamines Analytes

Quantitative/Qualitative measurement of 1-2 Anabolic Steroids Analytes

Quantitative/Qualitative measurement of 3 or more Anabolic Steroids Analytes

Quantitative/Qualitative measurement of 1-2 non-opioid Analgesics Analytes

Quantitative/Qualitative measurement of 3-5 non-opioid Analgesics Analytes

Quantitative/Qualitative measurement of 6 or more non-opioid Analgesics Analytes

Quantitative/Qualitative measurement of 1-2 Serotonergic Antidepressants Analytes

Quantitative/Qualitative measurement of 3-5 Serotonergic Antidepressants Analytes

Quantitative/Qualitative measurement of 6 or more Serotonergic Antidepressants Analytes

Quantitative/Qualitative measurement of 1-2 cyclical antidepressants analytes

Quantitative/Qualitative measurement of 3-5 cyclical antidepressants analytes

Quantitative/Qualitative measurement of 6 or more cyclical antidepressants analytes

Quantitative/Qualitative measurement of unspecified antidepressants

Quantitative/Qualitative measurement of 1-3 Antiepileptics Analytes

Quantitative/Qualitative measurement of 4-6 Antiepileptics Analytes

Quantitative/Qualitative measurement of 7 or more Antiepileptics Analytes

Quantitative/Qualitative measurement of 7 or more Antipsychotics

Quantitative/Qualitative measurement of 1-12 Benzodiazepines Analytes

Quantitative/Qualitative measurement of 13 or more Benzodiazepines Analytes

Quantitative/Qualitative measurement of 1-3 Synthetic Cannabinoids Analytes 

Quantitative/Qualitative measurement of 4-6 Synthetic Cannabinoids Analytes 

Quantitative/Qualitative measurement of 7 or more Synthetic Cannabinoids Analytes 

Quantitative/Qualitative measurement of Ketamine and Norketamine

Quantitative/Qualitative measurement of Methylenedioxyamphetamine (MDA, MDEA, MDMA)

Quantitative/Qualitative measurement of 1 or more Opiate Analytes

Quantitative/Qualitative measurement of 1-2 Opioids and Opiate Analogs Analytes 

Quantitative/Qualitative measurement of 3-4 Opioids and Opiate Analogs Analytes 

Quantitative/Qualitative measurement of 5 or more Opioids and Opiate Analogs Analytes 

Quantitative/Qualitative measurement of Sedative Hypnotics (non-benzodiazepines)

Quantitative/Qualitative measurement of 1-2 Skeletal Muscle Relaxants Analytes

Quantitative/Qualitative measurement of 3 or more Skeletal Muscle Relaxants Analytes

Quantitative/Qualitative measurement of Synthetic Stimulants (bath salts)

Quantitative/Qualitative measurement of Stereoisomers (enantiomers) for a single drug

Quantitative/Qualitative measurement of 4-6 Drug or Substance Analytes 

Quantitative/Qualitative measurement of 7 or more Drug or Substance Analytes 

ABL proto-oncogene 1, non-receptor tyrosine kinase (ABL1) gene analysis of Kinase domain variants

AF4/FMR2 family, member 2 [FMR2] characterization of expanded sequence abnormal alleles

Adenomatous polyposis coli (APC) analysis of common familial variant

Adenomatous polyposis coli (APC) duplication and deletion analysis

Androgen receptor (AR) characterization of expanded sequence abnormal alleles

Aspartoacylase (ASPA) common gene variants analysis (e.g. E285A, Y231X) 

Additional sex combs like 1, transcriptional regulator (ASXL1) full sequence analysis

Additional sex combs like 1, transcriptional regulator (ASXL1) targeted sequence analysis (e.g. exon 12) 

Branched-chain keto acid dehydrogenase E1, beta polypeptide (BCKDHB) common gene variants analysis (e.g. R183P, G278S, E422X) 

B-Raf proto-oncogene, serine/threonine kinase (BRAF) common gene variants analysis (e.g. V600)

Breast cancer gene 1 (BRCA1) full duplication and deletion analysis

Breast cancer gene 1 (BRCA1) analysis of common familial variant

Breast cancer gene 2 (BRCA2) full duplication and deletion analysis

Bruton's tyrosine kinase (BTK) common gene variants analysis (e.g. C481S, C481R, C481F) 

Calcium voltage-gated channel subunit alpha1 A (CACNA1A) expanded sequence analysis 

Calcium voltage-gated channel subunit alpha1 A (CACNA1A) full sequence analysis 

Calcium voltage-gated channel subunit alpha1 A (CACNA1A) analysis of specific familial variant

Quantitative/Qualitative major breakpoint translocation analysis of CCND1/IGH (t(11;14)) 

CCAAT/enhancer binding protein, alpha gene (CEBPA) full sequence analysis 

Cystic fibrosis transmembrane conductance regulator (CFTR) analysis of gene common variants (panel of mutations) 

Cystic fibrosis transmembrane conductance regulator (CFTR) analysis of common familial variant

Cystic fibrosis transmembrane conductance regulator (CFTR) duplication and deletion analysis 

Cystic fibrosis transmembrane conductance regulator (CFTR) full sequence analysis 

Cystic fibrosis transmembrane conductance regulator (CFTR) intron 8 poly–T mutation analysis 

Post transplantation chimerism test with cell selection (e.g. CD3, CD33)

CCHC-type zinc finger nucleic acid binding protein (CNBP) expanded sequence analysis 

Evaluation of short tandem repeat (STR) markers (initial specimen) 

Evaluation of Short Tandem Repeat (STR) markers (3 or more comparative specimens) 

Cytochrome P450, family 2, subfamily C, polypeptide 9 (CYP2C9) common gene variants analysis (e.g. *2, *3, *5, *6) 

Cytochrome P450, family 2, subfamily C, polypeptide 19 (CYP2C19) common gene variants analysis (e.g. 2, *3, *4, *8, *17) 

Cytochrome P450, family 2, subfamily D, polypeptide 6 (CYP2D6) common gene variants analysis (e.g. *2, *3, *4, *5, *6, *9, *10, *17, *19, *29, *35, *41, *1XN, *2XN, *4XN) 

Cytochrome P450 family 3 subfamily A member 4 (CYP3A4) common gene variants analysis (e.g. *2, *22) 

Cytochrome P450 family 3 subfamily A member 5 (CYP3A5) common gene variants analysis (e.g. *2, *3, *4, *5, *6, *7) 

Genome analysis by chromosomal microarray (CMA); including copy number variants (CNV)

Genome analysis by chromosomal microarray (CMA); including copy number variants (CNV) and single nucleotide polymorphism (SNP)

Dystrophin or Duchenne/Becker muscular dystrophy (DMD) duplication and deletion analysis 

DM1 protein kinase (DMPK) Characterization of expanded sequence abnormal alleles

Dihydropyrimidine dehydrogenase (DPYD) gene variant analysis (e.g. *2A, *4, *5, *6) 

Enhancer of zeste 2 polycomb repressive complex 2 subunit (EZH2) full sequence analysis 

Enhancer of zeste 2 polycomb repressive complex 2 subunit (EZH2) common gene variants analysis (e.g. codon 646) 

Fms-related tyrosine kinase 3 (FTL3) specific gene variant analysis of tyrosine kinase domain variants (TKD) (e.g. D835, I836) 

Fragile X mental retardation 1 (FMR1) expanded sequence analysis 

Fragile X mental retardation 1 (FMR1) Characterization of expanded sequence abnormal alleles

Frataxin or Friedreich ataxia (FXN) Characterization of expanded sequence abnormal alleles

Frataxin or Friedreich ataxia (FXN) analysis of known familial variant

Glucosidase beta acid (GBA) gene variant analysis (e.g. 84GG, L444P, IVS2+1G>A) 

Gap junction protein, beta 2, 26kDa, connexin 26 (GJB2) full sequence analysis 

Gap junction protein, beta 2, 26kDa, connexin 26 (GJB2) analysis of known familial variant

Gap junction protein, beta 2, 26kDa, connexin 26 (GJB2) gene variant analysis (e.g. 309kb [del(GJB6-D13S1830)], 232kb [del(GJB6-D13S1854)]). 

Alpha globin 1 and alpha globin 2 (HBA1/HBA2) for hemoglobinopathies, gene variant common deletions analysis (e.g. Thai, Southeast Asian, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring).

Alpha globin 1 and alpha globin 2 (HBA1/HBA2) for hemoglobinopathies, analysis of common familial variant

Alpha globin 1 and alpha globin 2 (HBA1/HBA2) for hemoglobinopathies, full gene sequencing 

Alpha globin 1 and alpha globin 2 (HBA1/HBA2) for hemoglobinopathies, duplication and deletion analysis 

Hexosaminidase A, alpha polypeptide (HEXA) common gene variants analysis (e.g. 1278insTATC, 1421+1G>C, G269S)

Quantitative/Qualitative major breakpoint sequence analysis of BCR/ABL1 (t(9;22)) 

Quantitative/Qualitative minor breakpoint sequence analysis of BCR/ABL1 (t(9;22)) 

Quantitative/Qualitative other breakpoint sequence analysis of BCR/ABL1 (t(9;22)) 

Bloom syndrome (BLM) common gene variants analysis (e.g. 2281del6ins7)

Huntingtin (HTT) for Huntington disease, expanded sequence analysis 

Breast cancer gene 1&2 (BRCA1; BRCA2) full sequence with full duplication and deletion analysis 

Breast cancer gene 1&2 (BRCA1; BRCA2) full duplication and deletion analysis

Breast cancer gene 1&2 (BRCA1; BRCA2) specific gene variants analysis (185delAG, 5385insC, 6174delT) 

Huntingtin (HTT) for Huntington disease, characterization of expanded sequence abnormal alleles

Human Platelet Antigen 1 (HPA-1); HPA–1a and HPA–1b; common gene variants analysis (e.g. L33P) 

Human Platelet Antigen 2 (HPA-2); HPA–2a and HPA–2b; common gene variants analysis (e.g. T145M) 

Breast cancer gene 2 (BRCA2) analysis of common familial variant

Human Platelet Antigen 3 (HPA-3); HPA–3a and HPA–3b; common gene variants analysis (e.g. I843S) 

Human Platelet Antigen 4 (HPA-4); HPA–4a and HPA–4b; common gene variants analysis (e.g. R143Q) 

Human Platelet Antigen 5 (HPA-5); HPA–5a and HPA–5b; common gene variants analysis (e.g. K505E) 

Human Platelet Antigen 6 (HPA-6); HPA–6a and HPA–6b;common gene variants analysis (e.g. K505E) 

Human Platelet Antigen 9 (HPA-9); HPA–9a and HPA–9b;common gene variants analysis (e.g. V837M) 

Human Platelet Antigen 15 (HPA-15); HPA–15a and HPA–15b; common gene variants analysis (e.g. S682Y) 

Soluble Isocitrate dehydrogenase 1 [NADP+] (IDHI) common gene variants analysis (e.g. R132H, R132C) 

Mitochondrial Isocitrate dehydrogenase 2 [NADP+] (IDHI) common gene variants analysis (e.g. R140W, R172M) 

Interferon lambda 3 (IFNL3) specific gene variant analysis (rs12979860) 

Immunoglobulin heavy chain locus gene (IGH@) rearrangement analysis (abnormal clonal populations) by polymerase chain reaction (PCR) 

Immunoglobulin heavy chain locus gene (IGH@) rearrangement analysis (abnormal clonal populations) by Southern blot

Immunoglobulin heavy chain locus gene (IGH@) variant translocation analysis of immunoglobulin heavy chain variable region (VH) 

Quantitative/Qualitative translocation analysis (t(14;18)) of major breakpoint region (MBR) and minor cluster region (mcr) breakpoints on the Immunoglobulin heavy chain locus gene AND B-cell lymphoma 2 (IGH@/BCL2) fusion gene 

Immunoglobulin kappa light chain locus (IGK@) gene rearrangement analysis (abnormal clonal populations) by polymerase chain reaction (PCR) 

Inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein (IKBKAP) gene variant analysis (e.g. 2507+6T>C, R696P) 

Janus Kinase 2 (JAK2) target sequence gene analysis (e.g. exons 12, 13) 

v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog (KIT) target sequence gene analysis (e.g. exons 8, 11, 13, 17, 18) 

v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog (KIT) specific gene variant analysis (D816) 

Kirsten rat sarcoma viral oncogene homolog (KRAS) gene variant analysis in exon 2 (e.g. codons 12, 13) 

Kirsten rat sarcoma viral oncogene homolog (KRAS) other gene variant analysis (e.g. codon 61, 146) 

Mucolipin 1 (MCOLN1) gene variant analysis (e.g. IVS3-2A>G, del6.4kb) 

Methyl CpG binding protein 2 (MECP2) full gene sequence analysis

Methyl CpG binding protein 2 (MECP2) analysis of known familial variant

Methyl CpG binding protein 2 (MECP2) duplication and deletion analysis 

O–6–methylguanine–DNA methyltransferase (MGMT) promoter methylation analysis 

mutL homolog 1 (MLH1) or colon cancer/nonpolyposis type 2, full gene sequence analysis

mutL homolog 1 (MLH1) or colon cancer/nonpolyposis type 2, promoter methylation analysis 

mutL homolog 1 (MLH1) or colon cancer/nonpolyposis type 2, analysis of known familial variant

mutL homolog 1 (MLH1) or colon cancer/nonpolyposis type 2, duplication and deletion analysis 

MPL proto–oncogene thrombopoietin receptor common gene variants analysis (e.g. W515A, W515K, W515L, W515R) 

MPL proto–oncogene thrombopoietin receptor, specific sequence analysis on exon 10 (e.g. codons W515, S505)

MutS homolog 2 (MSH2) or colon cancer/nonpolyposis type 1, full gene sequence analysis

Epidermal growth factor receptor (EGFR) gene variant analysis (e.g. exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) 

MutS homolog 2 (MSH2) or colon cancer/nonpolyposis type 1, analysis of known familial variant

MutS homolog 2 (MSH2) or colon cancer/nonpolyposis type 1, duplication and deletion analysis 

Prothrombin, coagulation factor II (F2) common gene variants analysis (e.g. 20210G>A ) 

Fanconi anemia, complementation group C (FANCC) common gene variants analysis (e.g. IVS4+4A>T) 

Fms-related tyrosine kinase 3 (FTL3) gene analysis of internal tandem duplication variants (TTD) (e.g. exons 14, 15) 

MutS homolog 6 [E. coli] (MSH6) analysis of known familial variant

MutS homolog 6 [E. coli] (MSH6) duplication and deletion analysis 

Glucose-6-phosphatase, catalytic subunit (G6PC) common gene variants analysis (e.g. R83C, Q347X) 

Hemochromatosis (HFE) common gene variants analysis (e.g. C282Y, H63D) 

Methylenetetrahydrofolate reductase (MTHFR) common gene variants analysis (e.g. 677T, 1298C)

Myeloid differentiation primary response 88 gene (MYD88) specific gene variant analysis (L265P)

Nucleophosmin (NPM1) specific gene variant analysis (exon 12 mutations)

Neuroblastoma RAS viral, v–ras, oncogene homolog (NRAS) specific gene variant analysis (exon 12; e.g. codons 12, 13) (exon 13; e.g. codon 61)

Neurotrophic receptor tyrosine kinase 1 (NTRK1) variant translocation analysis

Neurotrophic receptor tyrosine kinase 2 (NTRK2) variant translocation analysis

Gglucose-6-phosphate dehydrogenase (G6PD) common gene variants analysis (e.g. A, A-) 

Gglucose-6-phosphate dehydrogenase (G6PD) analysis of known familial variant

Gglucose-6-phosphate dehydrogenase (G6PD) full sequence analysis

Neurotrophic receptor tyrosine kinase 3 (NTRK3) variant translocation analysis

Neurotrophic receptor tyrosine kinase 1/2/3 (NTRK1/2/3) variant translocation analysis

Nudix hydrolase 15 gene (NUDT15) common gene variants analysis (e.g. *2, *3, *4, *5, *6)

Poly[A] binding protein nuclear 1 gene (PABPN1) expanded sequence analysis 

Partner and localizer of BRCA2 (PALB2) full gene sequence analysis

Partner and localizer of BRCA2 (PALB2) analysis of known familial variant

Phosphatidylinositol–4, 5–biphosphate 3–kinase, catalytic subunit alpha (PIK3CA) specific sequence analysis on exons 7, 9, and 2

Phospholipase C gamma 2 (PLCG2) common gene variants analysis (e.g. R665W, S707F, L845F)

Quantitative/Qualitative translocation analysis (t(15;17)) of common breakpoint regions (e.g. introns 3 AND 6) on the promyelocytic leukemia/retinoic acid receptor alpha (PML/RARalpha) fusion gene 

Quantitative/Qualitative translocation analysis (t(15;17)) of common breakpoint regions (e.g. introns 3 OR 6) on the promyelocytic leukemia/retinoic acid receptor alpha (PML/RARalpha) fusion gene 

Peripheral myelin protein 22 (PMP22) duplication and deletion analysis 

Peripheral myelin protein 22 (PMP22) full gene sequence analysis

Peripheral myelin protein 22 (PMP22) analysis of known familial variant

Postmeiotic segregation increased 2 [S. cerevisiae] (PMS2) full gene sequence analysis

Postmeiotic segregation increased 2 [S. cerevisiae] (PMS2) analysis of known familial variant

Postmeiotic segregation increased 2 [S. cerevisiae] (PMS2) duplication and deletion analysis 

Phosphatase 2 regulatory subunit B beta (PPP2R2B) expanded sequence analysis 

Phosphatase and tensin homolog (PTEN) full gene sequence analysis

Phosphatase and tensin homolog (PTEN) analysis of known familial variant

Phosphatase and tensin homolog (PTEN) duplication and deletion analysis 

Runt related transcription factor 1 (RUNX) specific sequence analysis on exons 3–8

Serpin peptidase inhibitor, clade A, alpha–1 antiproteinase, antitrypsin, member 1 (SERPINA1) common gene variants analysis (e.g. *S and *Z)

Splicing factor [3b] subunit B1 (SF3B1) common gene variants analysis (e.g. A672T, E622D, L833F, R625C, R625L)

Solute carrier organic anion transporter family, member 1B1 (SLCO1B1) common gene variants analysis (e.g. *5)

Survival of telomeric motor neuron 1 (SMN1) and survival of centromeric motor neuron 2 (SMN2) deletion analysis 

Survival of telomeric motor neuron 1 (SMN1) full gene sequence analysis

Survival of telomeric motor neuron 1 (SMN1) analysis of known familial variant

Sphingomyelin phosphodiesterase 1, acid lysosomal (SMPD1) common gene variants analysis (e.g. R496L, L302P, fsP330)

Small nuclear ribonucleoprotein polypeptide N (SNRPN) and ubiquitin–protein ligase E3A (UBE3A) methylation analysis

Serine and arginine–rich splicing factor 2 (SRSF2) common gene variants analysis (e.g. P95H, P95L)

Telomerase reverse transcriptase gene (TERT) specific sequence analysis on promotor region 

Transforming growth factor beta–induced gene (TGFBI) common gene variants analysis (e.g. R124H, R124C, R124L, R555W, R555Q)

Tumor protein 53 (TP53) specific sequence analysis (e.g. 4 oncology)

Thiopurine S–methyltransferase (TPMT) common gene variants analysis (e.g. *2, *3)

T–cell populations from T–cell antigen receptor, beta (TCRB; TRB@) gene rearrangements analysis by polymerase chain reaction

T–cell populations from T–cell antigen receptor, beta (TCRB; TRB@) gene rearrangements analysis by Southern blot

T–cell populations from T–cell antigen receptor, beta (TCRB; TRB@) gene rearrangements analysis (abnormal clonal populations)

Thymidylate synthetase (TYMS) common gene variants analysis (e.g. tandem repeats)

U2 small nuclear RNA auxiliary factor 1 (U2AF1) common gene variants analysis (e.g. S34F, S34Y, Q157R, Q157P)

UDP glucuronosyltransferase 1 family, polypeptide A1 (UGT1A1) common gene variants analysis (e.g. *28, *36, *37)

Vitamin K epoxide reductase complex, subunit 1(VKORC1) common gene variants analysis (e.g. -1639G>A, c.173+1000C>T)

Zinc finger CCCH–type, RNA binding motif and serine/arginine–rich 2 (ZRSR2) common gene variants analysis (e.g. E65fs, E122fs, R448fs)

Aortic Dysfunction/Dilation; genomic sequencing analysis panel of minimum 9 genes, containing (FBN1, TGFBR1, TGFBR2, COL3A1, MYH11, ACTA2, SLC2A10, SMAD3, and MYLK) 

Aortic Dysfunction/Dilation; duplication and deletion analysis panel of minimum 9 genes, containing (FBN1, TGFBR1, TGFBR2, COL3A1, MYH11, ACTA2, SLC2A10, SMAD3, and MYLK) 

Ashkenazi Jewish associated disorders (e.g. Bloom syndrome, cystic fibrosis, Fanconi C anemia, Tay-Sachs disease); genomic sequence analysis panel of minimum 9 genes, containing (ASPA, BLM, CFTR, FANCC, GBA, HEXA, IKBKAP, MCOLN1, and SMPD1) 

Cardiac ion channelopathies (e.g. Brugada syndrome, long/short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel of minimum 10 genes, containing (ANK2, CASQ2, CAV3, KCNE1, KCNE2, KCNH2, KCNJ2, KCNQ1, RYR2, and SCN5A) 

Cardiac ion channelopathies (e.g. Brugada syndrome, long/short QT syndrome, catecholaminergic polymorphic ventricular tachycardia); duplication and deletion analysis panel of minimum 2 genes, containing (KCNH2 and KCNQ1) 

Epilepsy; genomic sequence analysis panel of minimum 24 genes, containing (ALDH7A1, CACNA1A, CDKL5, CHD2, GABRG2, GRIN2A, KCNQ2, MECP2, PCDH19, POLG, PRRT2, SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1, SYNGAP1, TCF4, TPP1, TSC1, TSC2, and ZEB2) 

Exome (e.g unexplained disorder); creation of reference exome gene sequence 

Re-evaluation of existing exome gene sequence (previously obtained) 

Severe inherited conditions (e.g. cystic fibrosis, Ashkenazi Jewish-associated disorders like [Bloom syndrome, Canavan disease, Fanconi anemia type C, mucolipidosis type VI, Gaucher disease, Tay-Sachs disease], phenylketonuria, beta hemoglobinopathies, galactosemia; gene sequence analysis panel of minimum 15 genes, including (ACADM, ARSA, ASPA, ATP7B). BCKDHA, BCKDHB, BLM, CFTR, DHCR7, FANCC, G6PC, GAA, GALT, GBA, GBE1, HBB, HEXA, IKBKAP, MCOLN1, PAH

X-linked Intellectual Disability (e.g. syndromic and non-syndromic XLID) genome sequence analysis panel of minimum 60 genes, including (ARX, ATRX, CDKL5, FGD1, FMR1, HUWE1, IL1RAPL, KDM5C, L1CAM, MECP2, MED12, MID1, OCRL, RPS6KA3, and SLC16A2).

X-linked Intellectual Disability (e.g. syndromic and non-syndromic XLID) duplication/deletion analysis panel of minimum 60 genes, including (ARX, ATRX, CDKL5, FGD1, FMR1, HUWE1, IL1RAPL, KDM5C, L1CAM, MECP2, MED12, MID1, OCRL, RPS6KA3, and SLC16A2).

Hereditary retinal disorders (e.g. Usher syndrome, nonsyndromic hearing loss, Pendred syndrome); genome sequence analysis panel of at least 60 genes including (CDH23, CLRN1, GJB2, GPR98, MTRNR1, MYO7A, MYO15A, PCDH15, OTOF, SLC26A4, TMC1, TMPRSS3, USH1C, USH1G, USH2A, and WFS1). 

Hearing loss disorders (e.g. Usher syndrome, nonsyndromic hearing loss, Pendred syndrome);duplication and deletion analysis panel, including (STRC and DFNB1 copy number analysis; and GJB2 and GJB6 gene deletions). 

Hereditary Retinal Disorders (e.g. Leber congenital amaurosis, cone-rod dystrophy. retinitis pigmentosa) genome sequence analysis panel of minimum 15 genes, including (ABCA4, CNGA1, CRB1, EYS, PDE6A, PDE6B, PRPF31, PRPH2, RDH12, RHO, RP1, RP2, RPE65, RPGR, and USH2A)

Hereditary Colon Cancer (e.g. Cowden syndrome, Lynch syndrome, PTEN hamartoma syndrome, familial adenomatosis polyposis) genome sequence analysis panelof minimum 10 genes, including (APC, BMPR1A, CDH1, MLH1, MSH2, MSH6, MUTYH, PTEN, SMAD4, and STK11).

Nonprotein coding prostate cancer antigen 3 (PCA3) and prostate specific antigen kallikrein related peptidase (KLK3) evaluation of gene ratio 

Platelet–derived growth factor receptor, alpha polypeptide (PDGFRA) specific sequence analysis on exon 12 and 18

Hereditary Colon Cancer (e.g. Cowden syndrome, Lynch syndrome, PTEN hamartoma syndrome, familial adenomatosis polyposis) duplication/deletion analysis panel of minimum 5 genes, including (MLH1, MSH2, EPCAM, SMAD4, and STK11).

Hereditary Neuroendocrine Tumor disorders (e.g. parathyroid carcinoma, medullary thyroid carcinoma, malignant pheochromocytoma or paraganglioma) genome sequence analysis panel of minimum 6 genes, including (MAX, SDHB, SDHC, SDHD, TMEM127, and VHL).

Hereditary Neuroendocrine Tumor disorders (e.g. parathyroid carcinoma, medullary thyroid carcinoma, malignant pheochromocytoma or paraganglioma) duplication/deletion analysis panel, including (SDHB, SDHC, SDHD, and VHL).

Hereditary Peripheral Neuropathies (e.g. Spastic paraplegia, Charcot-Marie-Tooth) genome sequence analysis panel of minimum 5 genes, including (BSCL2, GJB1, MFN2, MPZ, REEP1, SPAST, SPG11, SPTLC1).

Hereditary Cardiomyopathy Panel (e.g. dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy, hypertrophic cardiomyopathy) genome sequence analysis panel of minimum 5 genes, including (DSG2, MYBPC3, MYH7, PKP2, TTN).

Mitochondrial genes encoded in the nucleus (e.g. neurologic or myopathic phenotypes) genome sequence analysis panel of minimum 100 genes, including (BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, OPA1, PDSS2, POLG, POLG2, RRM2B, SCO1, SCO2, SLC25A4, SUCLA2, SUCLG1, TAZ, TK2, and TYMP).

Noonan spectrum disorders (e.g. Noonan syndrome, Costello syndrome, LEOPARD syndrome, cardio-facio-cutaneous syndrome, Noonan-like syndrome) genome sequence analysis panel of minimum 12 genes, including (BRAF, CBL, HRAS, KRAS, MAP2K1, MAP2K2, NRAS, PTPN11, RAF1, RIT1, SHOC2, and SOS1).

Hematolymphoid neoplasm; targeted genome sequence analysis panel (DNA or RNA) of 5-50 genes (e.g. BRAF, CEBPA, DNMT3A, EZH2, FLT3, IDH1, IDH2, JAK2, KRAS, KIT, MLL, NRAS, NPM1, NOTCH1)

Hematolymphoid neoplasm; targeted genome sequence analysis panel (DNA or RNA) of 51 or more genes (e.g. ALK, BRAF, CDKN2A, CEBPA, DNMT3A, EGFR, ERBB2, EZH2, FLT3, IDH1, IDH2, JAK2, KIT, KRAS, MLL, NPM1, NRAS, MET, NOTCH1, PDGFRA, PDGFRB, PGR, PIK3CA, PTEN, RET)

Whole mitochondrial genome (e.g. mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes [MELAS], Leigh syndrome, neuropathy, ataxia, and retinitis pigmentosa [NARP], myoclonic epilepsy with ragged-red fibers [MERFF], Leber hereditary optic neuropathy [LHON]); sequence analysis with heteroplasmy detection. 

Whole mitochondrial genome (e.g. mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes [MELAS], Leigh syndrome, neuropathy, ataxia, and retinitis pigmentosa [NARP], myoclonic epilepsy with ragged-red fibers [MERFF], Leber hereditary optic neuropathy [LHON]); large deletions analysis with heteroplasmy detection (when conducted). 

Measurement of potential heart transplant patient risk score by mRNA gene expression profiling of 20 genes utilizing quantitative polymerase chain reaction (QPCR) and peripheral blood subfraction

Measurement of coronary artery disease (CAD) risk score by mRNA gene expression profiling of 23 genes utilizing real time polymerase chain reaction (RT-PCR) from whole peripheral blood

Measurement of type 2 diabetes (T2DM) risk score for 7 analytes by biochemical assays from serum or plasma

Measurement of tumor tissue (unknown origin) similarity score to existing tumor database utilizing microarray gene expression profiling of > 2000 genes from formalin-fixed paraffin-embedded tissue

Analysis of tumor tissue (unknown origin) for classification of main cancer type and subtype by gene expression profiling of 92 genes (87 content; 5 housekeeping) utilizing real time reverse transcription polymerase chain reaction (RT–PCR) from formalin-fixed paraffin-embedded tumor tissue. 

Measurement of uveal melanoma metastatic risk score by mRNA gene expression profiling of 15genes (12 content; 3 housekeeping) utilizing real time reverse transcription polymerase chain reaction (RT–PCR) from fine needle aspirate or formalin-fixed paraffin-embedded tissue

Screening for Usual Interstitial Pneumonia (UIP) (positive/negative) by mRNA gene expression profiling of 190 genes from transbronchial biopsies

Measurement of pediatric Liver or Small Bowel allograft-transplant rejection risk-score for (CD154+T-cytotoxic memory cells) from whole peripheral blood

Detection of bacterial vaginosis RNA markers of (Atopobium vaginae, Gardnerella vaginalis, and Lactobacillus species) by quantitative real-time amplification from vaginal-fluid

Detection of bacterial vaginosis & vaginitis DNA markers of (Gardnerella vaginalis, Atopobium vaginae, Lactobacillus species (L. crispatus & L. jensenii), Megasphaera type 1, Bacterial Vaginosis Associated Bacteria-2 (BVAB-2)) with detection of Trichomonas vaginalis and Candida species by quantitative real-time amplification from vaginal-fluid

Measurement of hepatitis C virus (HCV) liver fibrosis and necroinflammation activity score by 6 biochemical assays ((A2-macroglobulin, ALT, total bilirubin, apolipoprotein A-1, GGT, and haptoglobin) from serum 

Quantitative measurement of breast cancer metastatic recurrence risk by mRNA gene expression profiling of 11 genes (7 content; 4 housekeeping) utilizing real time polymerase chain reaction (RT-PCR) from formalin-fixed paraffin-embedded breast tumor tissue

Quantitative measurement of breast cancer metastatic recurrence risk by mRNA gene expression profiling of 12 genes (8 content; 4 housekeeping) utilizing real time polymerase chain reaction (RT-PCR) from formalin-fixed paraffin-embedded tissue

Quantitative measurement of breast cancer metastatic recurrence risk by mRNA gene expression profiling of 21 genes utilizing real time polymerase chain reaction (RT-PCR) from formalin-fixed paraffin-embedded breast tumor tissue

Quantitative measurement of breast cancer metastatic recurrence risk for 58 genes (50 content; 8 housekeeping) by real time polymerase chain reaction (RT-PCR) from formalin-fixed paraffin-embedded breast tumor tissue

Quantitative measurement of breast cancer metastatic recurrence risk by mRNA gene expression profiling of 535 genes (70 content; 465 housekeeping) utilizing real time polymerase chain reaction (RT-PCR) from formalin-fixed paraffin-embedded breast tumor tissue

Quantitative measurement of breast cancer metastatic recurrence risk by mRNA gene expression profiling of 101 genes (70 content; 31 housekeeping) utilizing real time polymerase chain reaction (RT-PCR) from formalin-fixed paraffin-embedded breast tumor tissue

Detection of colorectal cancer 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 & BMP3) and fecal hemoglobin by quantitative real-time target and signal amplification; from stool 

Measurement of colon cancer recurrence risk for 12 genes (7 content; 5 housekeeping) by real time polymerase chain reaction (RT-PCR) from formalin-fixed paraffin-embedded colon tumor tissue

Measurement of cutaneous melanoma recurrence risk by mRNA gene expression profiling of 31 genes (28 content; 3 housekeeping) utilizing real time polymerase chain reaction (RT-PCR) from formalin-fixed paraffin-embedded tissue

Tumor susceptibility to drug or chemotherapeutic agent; analysis of response score (1st single drug or drug combination) from female gynecological specimen, by cell staining with 4’–6–diamidino–2–phenylindole (DAPI) and morphology evaluation 

Tumor susceptibility to drug or chemotherapeutic agent; analysis of response score (Additional single drug or drug combination) from female gynecological specimen, by cell staining with 4’–6–diamidino–2–phenylindole (DAPI) and morphology evaluation (Additional code)

Evaluation of lung cancer survival likelihood (good vs. poor) for eight proteins (including amyloid) by mass spectrometry from serum 

Measurement of prostate cancer mortality risk by mRNA gene expression profiling of 46 genes (31 content; 15 housekeeping) utilizing real time polymerase chain reaction (RT-PCR) from formalin-fixed paraffin-embedded prostate tumor tissue

Measurement of prostate metastatic risk by mRNA microarray gene expression profiling for 22 genes (31 content; 15 housekeeping) utilizing real time polymerase chain reaction (RT-PCR) from formalin-fixed paraffin-embedded prostate tumor tissue

Measurement of prostate metastatic risk by promoter methylation profiling for 3 genes (GSTP1, APC, RASSF1) utilizing real time polymerase chain reaction (RT-PCR) from formalin-fixed paraffin-embedded prostate tumor tissue

Measurement of thyroid cancer risk (benign or suspicious) by mRNA gene expression profiling for 10196 genes from fine needle aspirate specimen

Hemoglobin subunit beta (HBB) gene variant analysis (e.g. HbS, HbC, HbE) 

Hemoglobin subunit beta (HBB) analysis of common familial variant

Hemoglobin subunit beta (HBB) duplication and deletion variant analysis 

Low resolution analysis of human leukocyte antigen genes (HLA) of all Class I loci (HLA-A, HLA-B, HLA-C) and all Class II (HLA–DRB1, HLA–DRB3/4/5, and HLA-DQB1)

Low resolution analysis of certain loci for human leukocyte antigen genes (HLA) specific Class I loci (HLA-A, HLA-B) and Class II (HLA–DRB1)

Low resolution analysis of human leukocyte antigen genes (HLA) of all Class I loci (HLA-A, HLA-B, HLA-C)

Low resolution analysis of human leukocyte antigen genes (HLA) of one Class I locus (HLA-A OR HLA-B OR HLA-C)

Low resolution analysis of human leukocyte antigen genes (HLA) of one Class I antigen equivalent (allele group of interest) based on specific disease (e.g. B*27) 

Low resolution analysis of human leukocyte antigen genes (HLA) all Class II (HLA–DRB1/3/4/5, and HLA-DQB1)

Low resolution analysis of human leukocyte antigen genes (HLA) of one Class II locus (HLA–DRB1, or HLA–DRB3/4/5, or HLA–DQB1, or HLA–DQA, or HLA–DPB1, or HLA–DPA1)

Low resolution analysis of human leukocyte antigen genes (HLA) of one Class II, antigen equivalent (one allele group of interest) associated with specific disease (e.g. DRB1*15) 

High resolution analysis of human leukocyte antigen genes (HLA) of all Class I (HLA-A, HLA-B, HLA-C) and all Class II (HLA–DRB1)

High resolution analysis of human leukocyte antigen genes (HLA) of all Class I loci (HLA-A, HLA-B, HLA-C)

High resolution analysis of human leukocyte antigen genes (HLA) of one Class I locus (HLA-A OR HLA-B OR HLA-C)

High resolution analysis of human leukocyte antigen genes (HLA) of one Class I antigen equivalent (one allele or allele group of interest) based on specific disease (e.g. B*57:01P) 

High resolution analysis of human leukocyte antigen genes (HLA) of one Class II locus (HLA–DRB1, or HLA–DRB3/4/5, or HLA–DQB1, or HLA–DQA, or HLA–DPB1, or HLA–DPA1)

High resolution analysis of human leukocyte antigen genes (HLA) of one Class II, antigen equivalent (one allele or allele group of interest) associated with specific disease (e.g. DQB1*06:02P) 

Level 1 involving single variant analysis (single nucleotide polymorphisms (SNPs)) by restriction enzyme digestion or melt curve techniques 

Level 2 involving identification of 2–10 single nucleotide polymorphisms (SNPs), single methylated or somatic variant by non–sequencing techniques, or a dynamic mutation with trinucleotide repeats

Level 3 involving identification of more than 10 single nucleotide polymorphisms (SNPs), 2-10 somatic variants by non–sequencing techniques, immunoglobulin or T cell receptor rearrangements, one exon duplication/deletions, loss of heterozygosity (LOH) testing, uniparental disomy (UPD). 

Level 4 involving sequencing one specific DNA exon; analysis of more than 10 amplification products by two or more reactions using polymerase chain reaction (PCR); DNA scanning for mutation identification in 2-5 exons; duplication/deletion variant evaluation from 2-5 exons.

Level 5 involving sequencing 2-5 specific DNA exons, DNA scanning for mutation identification in 6-10 exons, duplication/deletion variant evaluation from 6-10 exons, dynamic mutation(with trinucleotide repeats) Southern blot analysis. 


Level 6 involving sequencing 6-10 specific DNA exons, DNA scanning for mutation identification in 11-25 exons, duplication/deletion variant evaluation from 11-25 exons, or use of cytogenomic array analysis for a certain chromosomal region.

Level 7 involving sequencing 11-25 specific DNA exons, DNA scanning for mutation identification in 26-50 exons, duplication/deletion variant evaluation from 26-50 exons

Level 8 involving sequencing 26-50 specific DNA exons, DNA scanning for mutation identification in 50 exons, duplication/deletion variant evaluation from 50 exons, or utilizing multiple gene sequence analyses by a complex testing platform. 

Level 9 involving sequencing more than 50 specific DNA exons in a single gene

Fetal Chromosome Aneuploidy (e.g. monosomy X, Trisomy 21); genomic sequence analysis panel, including (chromosomes 13, 18, and 21) 

Fetal Chromosome Microdeletions; genomic sequence analysis panel 

Genome (e.g unexplained disorder); creation of reference genome (e.g. parent or sibling) gene sequence (Additional code) 

Re-evaluation of existing genome gene sequence (previously obtained) 

Hereditary Breast Cancer disorders (e.g. hereditary breast cancer/ovarian cancer/endometrial cancer); gene sequence analysis panel of minimum 10 genes, including (BRCA1, BRCA2, CDH1, MLH1, MSH2, MSH6, PALB2, PTEN, STK11, and TP53).

Hereditary Breast Cancer disorders (e.g. hereditary breast cancer/ovarian cancer/endometrial cancer); duplication/deletion analysis panel, including (BRCA1, BRCA2, MLH1, MSH2, and STK11).

Measurement of rheumatoid arthritis (RA) disease activity score for 12 serum biomarkers by immunoassays

Measurement of ovarian cancer risk score for two proteins (cancer antigen 125 (CA-125) and human epididymis protein 4 (HE4)) by biochemical assays from serum with menopausal status

Measurement of ovarian cancer risk score for 5 proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, pre-albumin, and transferrin) by biochemical assays from serum with menopausal status

Measurement of fetal aneuploidy (trisomies 13, 18 and 21) risk score by micro assay from pregnant maternal plasma

Measurement of fetal congenital abnormalities risk score by biochemical assay for 2 proteins (Pregnancy–associated plasma protein–A (PAPP-A), and human Chorionic Gonadotropin (hCG) from maternal serum

Measurement of fetal congenital abnormalities risk score by biochemical assay for 3 proteins (Pregnancy–associated plasma protein–A (PAPP-A), and human Chorionic Gonadotropin (hCG), dimeric inhibin A(DIA)) from maternal serum

Measurement of fetal congenital abnormalities risk score by biochemical assay for 3 analytes (alpha–fetoprotein (AFP), unconjugated estriol (uE3), human Chorionic Gonadotropin(hCG)) from maternal serum

Measurement of fetal congenital abnormalities risk score by biochemical assay for 4 analytes (alpha–fetoprotein (AFP), unconjugated estriol (uE3), human Chorionic Gonadotropin(hCG, dimeric inhibin A (DIA)) from maternal serum

Measurement of fetal congenital abnormalities risk score by biochemical assay for 5 analytes (alpha–fetoprotein (AFP), unconjugated estriol (uE3), total and hyperglycosylated human Chorionic Gonadotropin(hCG, dimeric inhibin A (DIA)) from maternal serum

Measurement of high-grade prostate cancer (Gleason 7 or higher) probability risk score for four proteins (Total prostate specific antigen (PSA), Free PSA, Intact PSA, and human kallikrein-2 [hK2]) by biochemical assays from plasma or serum

Test for malignant hyperthermia (MH) susceptibility with interpretation and report (genetic disorder)

Cell counting for miscellaneous body fluids (e.g. cerebrospinal fluid, joint fluid, pleural fluid) excluding blood 

Cell count with differential count for miscellaneous body fluids (e.g. cerebrospinal fluid, joint fluid, pleural fluid) excluding blood 

Quantitative/Qualitative analysis for leukocytes in stool specimen 

Analysis of tissue or body fluid (excluding urine) for presence of crystals utilizing light microscopy

Fat staining for analysis of urine, feces, or respiratory secretions specimens

Collection of sputum specimen (e.g. saliva, mucus, or pus) by aerosol mist induced technique

Collection of sweat specimen (e.g. saliva, mucus, or pus) by iontophoresis technique

Culture of Oocyte (eggs) or embryos for fewer than 4 days with co-culture 

Assisted embryo hatching procedure utilizing microtechniques (e.g. zona dissection) 

Identification of sperm from aspiration (all sources except seminal fluid)

Sperm isolation by simple preparation techniques (e.g. swim up, sperm wash) with semen analysis, for insemination or identification of sperm abnormalities

Sperm isolation by complex preparation techniques (e.g. Albumin gradient, Percoll gradient) with semen analysis, for insemination or identification of sperm abnormalities

Assisted fertilization of oocyte by microtechnique method (e.g. intracytoplasmic sperm injection (ICSI)) for up to 10 oocytes. 

Assisted fertilization of oocyte by microtechnique method (e.g. intracytoplasmic sperm injection (ICSI)) for more than 10 oocytes. 

Oocyte polar body biopsy or blastomere biopsy by microtechnique method of up to 5 oocytes/embryos, for Preimplantation genetic testing (PGD) 

Oocyte polar body biopsy or embryo blastomere biopsy by microtechnique method of more than 5 oocytes/embryos, for Preimplantation genetic testing (PGD) 

Semen analysis of sperm presence & motility with Sims-Huhner test (postcoital test (PCT)) 

Semen analysis of sperm volume, sperm count, differential count, and motility 

Semen analysis of sperm volume, sperm count, differential count, and motility by strict morphologic criteria

Measurement of sperm fertilization capacity by hamster egg penetration test (HEPT) 

Analysis of sperm by the cervical mucus penetration test with or without spinnbarkeit mucus elasticity test 

Analysis of sperm morphology in urine,for retrograde ejaculation,(sperm concentration ,mobility and mophology)

Cryopreservation (freezing) of male testicular reproductive tissue 

Storage of male testicular tissue or female ovarian tissue; per year 

Thawing of frozen (Cryopreserved) sperm or semen, for each sample aliquot

Thawing of frozen (Cryopreserved) male testicular tissue, or female ovarian tissue 

Emergency ambulance service for a patient in need for oxygen life support services (acute or basic)

Emergency ambulance service for the transportation of a patient on acute life support

Emergency ambulance assisstance for a non - acutepatient in need for basicsupport services 

Emergency ambulance service for the removal of a patient from a "situation of need" to a medical facility, providing active life support measures along the way

Emergency ambulance assistance for a neonatal patient in need for life support services 

Ambulance auxiliary attention without supplying transport patient services 

Transportation of a patient with the need for specialist care or specialty equipment

Emergency air lift of the patient in need of aeronautics (Fixed wing air transport)

Emergency air lift of the patient in need of aeronautics (Rotary wing air transport)

Non emergency ambulance service for the transportation of a patient on advanced life support

Non emergency ambulance assistance for a non - acutepatient in need for basicsupport services 

Mileage fee for transportation of the patient from one zone to another ( per km)

Non-covered ambulance mileage, per km (e.g., for miles traveled beyond closest appropriate facility)

Non-emergency transportation for a patient with a wheel chair; Van

Office Assessment  for diagnosis  treatment  and counselling a new or established patient by General Practitioner  

Office Assessment  for diagnosis  treatment and counselling of a new or established patient by Specialist -1

Office Assessment  for diagnosis  treatment and counselling of a new or established patient by Specialist -2

Office assessment for diagnosis and treatment and counselling of a new or established patient by consultant 

Secondary follow up treatment with the same condition within the mandated timelines for general practitioner

Secondary follow up treatment with the same condition within the mandated timelines for specialist-1

Secondary follow up treatment with the same condition within the mandated timelines for specialist -2

Secondary follow up treatment with the same condition within the mandated timelines Consultant 

A repeated visit with in 3 to 4 weeks from initial encounter for the same reported illness under OP seen by licensed GP

A repeated visit with in 3 to 4 weeks from initial encounter for the same reported illness under OPD seen by Licensed Specialist -1

A repeated visit with in 3 to 4 weeks from initial encounter for the same reported illness under OPD seen by Licensed Specialist-2

A repeated visit with in 3 to 4 weeks from initial encounter for the same reported illness under opd seen by licensed consultant

Assessment of regulated healthcare professionals licensed to assess, diagnose, and treat nutritional problems.

Assessment by licensed audiologist to evaluate hearing loss and related disorders, including balance (vestibular) disorders and tinnitus (ringing in the ears) and to rehabilitate individuals with hearing loss and related disorders

Assessment by Licensed Psychiatrist for an adult (age, 18 and above)

Nursing care in Emergency or Critical care setting, per 12 hours

Assessment by Practitioner in Alternative Medicine, examples - Homeopathy, Acupuncture

A procedure conducted by surgeon/physician at a referred facility following an agreement with patient , surgeon/physician fees will be claimed by the physician , hospital charges will be claimed by hospital in which the procedure where rendered 

Inpatient rounding fees performed by intensivist , claimed as 1 consultation per day per patient in icu setting

Assistant surgeon fee for any procedures or surgery requiring secondary support 

Assistant surgeon fee for any procedures or surgery requiring secondary support for GP

Assessment  for diagnosis  treatment and counselling of a new or established Inpatient by Specialist -1

Assessment  for diagnosis  treatment and counselling of a new or established Inpatient by Specialist -2

Assessment for diagnosis treatment and counselling of a new or established inpatient by consultant 

Rounding fees for consultations performed by general practitioner, claimed as 1 consultation per day per patient in ICU/ward setting

Rounding fees  for consultations performed by Specialist-1 , claimed as 1 consultation per day per patient in ICU/WARD setting

Rounding fees  for consultations performed by Specialist-2 , claimed as 1 consultation per day per patient in ICU/WARD setting

Rounding fees for consultations performed by neonatologist , claimed as 1 consultation per day per patient in ICU/ward setting

Rounding fees for consultations performed by consultant, claimed as 1 consultation per day per patient in ICU/ward setting

Rounding fees  for consultations performed by Specialist -1  , claimed as 1 consultation per day per patient in ICU/WARD setting

Rounding fees  for consultations performed by Specialist -2  , claimed as 1 consultation per day per patient in ICU/WARD setting

Rounding fees for consultations performed by physician for COVID 19 patients, claimed as 1 consultation per day per patient 

Telemedicine assessment for diagnosis treatment and counselling of a new or established patient by a general practitioner

Telemedicine Assessment  for diagnosis  treatment  and counselling of a new or established patient by Specialist -1

Telemedicine Assessment  for diagnosis  treatment  and counselling of a new or established patient by Specialist -2 

Telemedicine assessment for diagnosis treatment and counselling of a new or established patient by a Consultant

Telemedicine assessment for diagnosis treatment and counselling of a new or established patient by allied healthcare provider

Telemedicine assessment for diagnosis treatment and counselling of a new or established patient by psychotherapist

Telemedicine assessment for diagnosis treatment and counselling of a new or established patient by emergency care provider (ECP)

Telemedicine assessment for diagnosis treatment and counselling of a new or established patient for prescription refill only

Provisioning of observation in a hospital set up(usually in emergency departments) where the patient is not admitted nor assigned a bed, but all necessary care/observation initiated for medical care.

Daily allowance of bed/room in which patient is admitted for assessment, examination, monitoring, therapy, procedure or surgery (major or minor) for 6-12 hours in day care unit/patient care unit with one or more beds, ,regardless of admission time, whether patient stay past midnight or not

Daily charges for the bed / room assigned to a patient confined for 6 to 12 hours in a day care / day staypart of facility, or a patient care unit equipped with one or more beds ususally for assessment,monitoring, therapy or minor procedure 

Package charges for a stayin day care unit including laboratory and radiology services

Package charges for a stayin day care unit including laboratory and radiology services with medical management

Hourly allowance for bed/room in which patient is admitted for assessment, examination, monitoring purposes or for treatment with special equipment wound packing, suture removal less than 6 hours in a patient care unit with one bed or more

Daily allowance of bed/room in which patient is admitted for assessment, examination, monitoring, therapy, or non‐invasive / minor procedure for 6-12 hour in day care unit/patient care unit with one or more beds, regardless of admission time , whether patient stay past midnight or not

Daily room and board fees for a shared accommodation in a room fit for 2 patients and more with shared bathroom (ward)

Daily room and board fees for a shared accommodation in a room fit for 2 patients only with shared bathroom

Private room or shared room with a select companion fully equipped to prevent the spread of an infectious agent from an infected or colonized patient to susceptible persons inclusive of all of protective barriers and mechanical measurements taken for maintaining isolation charged per day

Daily room and board fees for a single room with aprivate bathroom, providingsufficientstorage area for patient personal belongings, and other accessories of comfort. (first class room)


Difference between ward or shared room and first class room , this code is inclusive of only room & board charges difference for first class room 

Daily room and board fees for a single room with aprivate bathroom, providing sufficient storage area for patient personal belongings, and other accessories of comfort. (first class paediatric room)

Daily room not inclusive cost of care charges day 2 and further, private room deluxe

Daily room not inclusive cost of care charges day 2 and further, private room standard suite

Daily room not inclusive cost of care charges day 2 and further, suite

Difference between ward or shared room ,first class room and suite room this code is inclusive of only room & board charges difference for first class room

Daily room and board charges for a single room plus 1 guest room with addition comforts

One room (for the patient)plus1 or more rooms (forguests), provided with 2 or more separatebathrooms inclusive of all possible items forluxury and all possible measurements taken forprivacy and exclusivity.
Patient room is inclusive of a fully mechanical electric bed, adequate storage area for personal belongings, special table for patient food, medical gases, vacuum, air and suction as well as other features associated with bedside and/or mobile charting ,nurse server amenities and access to a private phone. chargedper day (Royal suite).

Daily room and board charges for a single room with addition comforts (VIP room)

Difference between ward or shared room ,first class room &  suite room this code is inclusive of only room & board charges difference for royal suite(VIP room)

Room and board charges of an adult requiring of special medical attentioninspecial care settings all inclusive except for drugs and consumables above

Room and board charges of an adult requiring of special medical attention in special care settings where consumables need to be reported separately

Room and board charges of an adultrequiring of special medical attentioninspecial care settings daily basis

Room and board charges of a neonatal ( 0-22 days age) requiring of special medical attentioninspecial care settings all inclusive. 

Room and board charges of a neonatal ( 0-22 days age) born in the hospitalrequiring of special medical attention in special care settings.all inclusive except for drugs and consumables above limit(nursery)

Room and board charges of a neonatal ( 0-22 days age) born in the hospital requiring of special medical attention in special care settings where consumables and drugs need to be reported separately (nursery)

Room and board charges of a neonatal ( 0-22 days age) born in the hospital requiring of special medical attention in special care settings charged per day (nursery)

Room and board charges of a neonatal ( 0-22 days age) born in the hospital or admitted. requiring of special medical attention in special care settings all inclusive except for drugs and consumables above limit

Room and board charges of a neonatal ( 0-22 days age)born in the hospital or admitted requiring of special medical attention in special care settings where consumables and drugs need to be reported separately

Room and board charges of a neonatal ( 0-22 days age) born in the hospital requiring of special medical attentioninspecial care settings. charged per day (Special-care baby unit (scbu))

Room and board charges of a paediatric patient ( 1-14 years age) requiring of special medical attention in special care settings.all inclusive. except for drugs and consumables above limit 200 sr

Room and board charges of a paediatric patient ( 1-14 years age) requiring of special medical attention in special care settings. drugs and consumables to be billed separately

Room and board charges of a paediatric patient ( 1- 15 months) requiring of special medical attentioninspecial care settings.all inclusive. 

Room and board charges of a neonatal ( 0-22 days age) requiring of special medical attention in special care settings.all inclusive. except for drugs and consumables above 200 sr

Room and board charges of a neonatal ( 0-22 days age) requiring of special medical attention in special care settings. consumablesand drugs to be billed separately

New born monitoringwithout any special life saving equipment in nicu environment per 24 hr interval


Room and board for patient in an intensive care unit including consumables up to 200 srand excluding drugs

Room and board for patient in an intensive care unit andconsumables anddrugs are charged separately

Room and board for vip ( with an additional service room)icu patient in an intensive care unit and consumables anddrugs are charged separately

Room and board for patient in an intensive care unit related to cardiac care

Hourly rate for the bed / room in emergency department. excluding drugs and including consumables up to 200 sr


Room and board charges for a person who is accompanying the patient excluding meals

Include all medical services and transportation - supportive services, home care : includes physiotherapy, speech therapy, occupational therapy, respiratory therapy. exclude medication, consumables and equipment which will be paid separately. billed on daily basis each day is for 8 hours work (Nurses fixed fee for a day time)

Home assessmentfor diagnosistreatmentand counselling of a new or established patient by general practitioner

Home Assessment  for diagnosis  treatment  and counselling of a new or established patient by Specialist-1 

Home Assessment  for diagnosis  treatment  and counselling of a new or established patient by Specialist-2 

Home assessment for diagnosis, treatment and counselling of a new or established patient by consultant 

Bundled base payment of home care (simple).includes all medical services and transportation - supportive services: includes physiotherapy, speech therapy, occupational therapy, respiratory therapy . exclude medication, consumables and equipment which will be paid separately

Maternity facilities for normaldelivery. all incisive. drugs and consumablesreported separately. 

Maternity facilities for normaldelivery. all incisive. drugs reported separately. consumables are included up to 200 sr per item per day.

The cardiac catheterization room all inclusive . drugs, consumables and anesthesiabilled separately

The cardiac catheterization room all inclusive ( drugs, consumables ) . anesthesia should be billed separately 

For assessment and pre medication services only focused on immense procedure

Procedure room utilized for diagnostic and therapeutic procedures as classified by guidelines for procedures.drugs; consumables, and anesthesia billed separately

Procedure room utilized for diagnostic and therapeutic procedures as classified by guidelines for procedures.drugs andconsumables are included , and anesthesia billed separately

Operating room for complex procedure or surgery, 30 minutes all inclusive. drugs and anesthesiologist fees to be billed separately


Operating room for complex procedure or surgery, every additional 30 minutes all inclusive. drugs and anesthesiologist fees to be billed separately


Hourly charges of recovery room in which surgical patients are assessedduring the immediate postoperative period for care and recovery

Charges per 15 minutes during surgical procedures (including doctor's time, consumables, gases etc.) (Anesthesia services per unit)

Automated peritoneal dialysis (apd) done in a sterilized unit setup per session


Automated peritoneal dialysis (apd) done in a sterilized unite setup hourly fees

Room and board all inclusive . including lab tests (Covid- 19 suspected)

Room and board all inclusive . including lab tests (Covid- 19 asymptomatic)

Room and board all inclusive . including lab tests (Covid- 19 mild)

Room and board all inclusive . including lab tests (Covid- 19 moderate)

Room and board all inclusive . including lab tests (Covid- 19 severe

Room and board all inclusive . including lab tests (Covid- 19 critical)

Mortuary preparation: keeping body at mortuary, isolation per day, person with communicable (infectious) disease

Mortuary transportation, road, using mortuary vehicle or road ambulance, distance of 50km or less.

Mortuary transportation, road, using mortuary vehicle or road ambulance, distance of more than 50km; for each 10 km

Mortuary transportation, road: extra mortuary attendant (accompanying additional mortuary worker or social worker), per hour

Mortuary transportation, air: fixed wing ambulance serving as mortuary transportation, air mileage, per km (within the country)

Mortuary transportation, air: rotary wing ambulance serving as mortuary transportation, air mileage, per km (within the country)

Mortuary transportation, air: dead body storage in airport, (per day)