HCPCS Level II 1982 code changes

Added effective January 1, 1982 (257)

• A0080 — Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest
• A0090 — Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest
• A0100 — Non-emergency transportation; taxi
• A0120 — Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems
• A0130 — Non-emergency transportation: wheelchair van
• A0170 — Transportation ancillary: parking fees, tolls, other
• A0180 — Non-emergency transportation: ancillary: lodging-recipient
• A0200 — Non-emergency transportation: ancillary: lodging escort
• A4400 — Ostomy irrigation set
• A4550 — Surgical trays
• A4570 — Splint
• A4580 — Cast supplies (e.g., plaster)
• A4649 — Surgical supply; miscellaneous
• E0565 — Compressor, air power source for equipment which is not self-contained or cylinder driven
• E0850 — Traction stand, free standing, cervical traction
• J0190 — Injection, biperiden lactate, per 5 mg
• J0300 — Injection, amobarbital, up to 125 mg
• J0380 — Injection, metaraminol bitartrate, per 10 mg
• J0470 — Injection, dimercaprol, per 100 mg
• J0515 — Injection, benztropine mesylate, per 1 mg
• J0600 — Injection, edetate calcium disodium, up to 1000 mg
• J0610 — Injection, calcium gluconate (fresenius kabi), per 10 ml
• J0620 — Injection, calcium glycerophosphate and calcium lactate, per 10 ml
• J0630 — Injection, calcitonin salmon, up to 400 units
• J0640 — Injection, leucovorin calcium, per 50 mg
• J0690 — Injection, cefazolin sodium, 500 mg
• J0710 — Injection, cephapirin sodium, up to 1 gm
• J0720 — Injection, chloramphenicol sodium succinate, up to 1 gm
• J0760 — Injection, colchicine, per 1 mg
• J0770 — Injection, colistimethate sodium, up to 150 mg
• J0800 — Injection, corticotropin, up to 40 units
• J0850 — Injection, cytomegalovirus immune globulin intravenous (human), per vial
• J0900 — Injection, testosterone enanthate and estradiol valerate, up to 1 cc
• J0945 — Injection, brompheniramine maleate, per 10 mg
• J1000 — Injection, depo-estradiol cypionate, up to 5 mg
• J1020 — Injection, methylprednisolone acetate, 20 mg
• J1030 — Injection, methylprednisolone acetate, 40 mg
• J1040 — Injection, methylprednisolone acetate, 80 mg
• J1060 — Injection, testosterone cypionate and estradiol cypionate, up to 1 ml
• J1070 — Injection, testosterone cypionate, up to 100 mg
• J1080 — Injection, testosterone cypionate, 1 cc, 200 mg
• J1100 — Injection, dexamethasone sodium phosphate, 1 mg
• J1110 — Injection, dihydroergotamine mesylate, per 1 mg
• J1120 — Injection, acetazolamide sodium, up to 500 mg
• J1160 — Injection, digoxin, up to 0.5 mg
• J1165 — Injection, phenytoin sodium, per 50 mg
• J1170 — Injection, hydromorphone, up to 4 mg
• J1180 — Injection, dyphylline, up to 500 mg
• J1200 — Injection, diphenhydramine hcl, up to 50 mg
• J1205 — Injection, chlorothiazide sodium, per 500 mg
• J1230 — Injection, methadone hcl, up to 10 mg
• J1320 — Injection, amitriptyline hcl, up to 20 mg
• J1380 — Injection, estradiol valerate, up to 10 mg
• J1410 — Injection, estrogen conjugated, per 25 mg
• J1435 — Injection, estrone, per 1 mg
• J1600 — Injection, gold sodium thiomalate, up to 50 mg
• J1620 — Injection, gonadorelin hydrochloride, per 100 mcg
• J1700 — Injection, hydrocortisone acetate, up to 25 mg
• J1710 — Injection, hydrocortisone sodium phosphate, up to 50 mg
• J1720 — Injection, hydrocortisone sodium succinate, up to 100 mg
• J1730 — Injection, diazoxide, up to 300 mg
• J1790 — Injection, droperidol, up to 5 mg
• J1800 — Injection, propranolol hcl, up to 1 mg
• J1810 — Injection, droperidol and fentanyl citrate, up to 2 ml ampule
• J1830 — Injection, interferon beta-1b, 0.25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
• J1840 — Injection, kanamycin sulfate, up to 500 mg
• J1850 — Injection, kanamycin sulfate, up to 75 mg
• J1890 — Injection, cephalothin sodium, up to 1 gram
• J1940 — Injection, furosemide, up to 20 mg
• J1960 — Injection, levorphanol tartrate, up to 2 mg
• J1980 — Injection, hyoscyamine sulfate, up to 0.25 mg
• J1990 — Injection, chlordiazepoxide hcl, up to 100 mg
• J2010 — Injection, lincomycin hcl, up to 300 mg
• J2060 — Injection, lorazepam, 2 mg
• J2180 — Injection, meperidine and promethazine hcl, up to 50 mg
• J2210 — Injection, methylergonovine maleate, up to 0.2 mg
• J2270 — Injection, morphine sulfate, up to 10 mg
• J2360 — Injection, orphenadrine citrate, up to 60 mg
• J2370 — Injection, phenylephrine hcl, up to 1 ml
• J2410 — Injection, oxymorphone hcl, up to 1 mg
• J2430 — Injection, pamidronate disodium, per 30 mg
• J2460 — Injection, oxytetracycline hcl, up to 50 mg
• J2510 — Injection, penicillin g procaine, aqueous, up to 600,000 units
• J2515 — Injection, pentobarbital sodium, per 50 mg
• J2540 — Injection, penicillin g potassium, up to 600,000 units
• J2550 — Injection, promethazine hcl, up to 50 mg
• J2560 — Injection, phenobarbital sodium, up to 120 mg
• J2650 — Injection, prednisolone acetate, up to 1 ml
• J2680 — Injection, fluphenazine decanoate, up to 25 mg
• J2690 — Injection, procainamide hcl, up to 1 gm
• J2700 — Injection, oxacillin sodium, up to 250 mg
• J2710 — Injection, neostigmine methylsulfate, up to 0.5 mg
• J2720 — Injection, protamine sulfate, per 10 mg
• J2760 — Injection, phentolamine mesylate, up to 5 mg
• J2765 — Injection, metoclopramide hcl, up to 10 mg
• J2800 — Injection, methocarbamol, up to 10 ml
• J2810 — Injection, theophylline, per 40 mg
• J2820 — Injection, sargramostim (gm-csf), 50 mcg
• J2910 — Injection, aurothioglucose, up to 50 mg
• J2920 — Injection, methylprednisolone sodium succinate, up to 40 mg
• J2950 — Injection, promazine hcl, up to 25 mg
• J3000 — Injection, streptomycin, up to 1 gm
• J3010 — Injection, fentanyl citrate, 0.1 mg
• J3070 — Injection, pentazocine, 30 mg
• J3120 — Injection, testosterone enanthate, up to 100 mg
• J3130 — Injection, testosterone enanthate, up to 200 mg
• J3140 — Injection, testosterone suspension, up to 50 mg
• J3150 — Injection, testosterone propionate, up to 100 mg
• J3230 — Injection, chlorpromazine hcl, up to 50 mg
• J3250 — Injection, trimethobenzamide hcl, up to 200 mg
• J3260 — Injection, tobramycin sulfate, up to 80 mg
• J3280 — Injection, thiethylperazine maleate, up to 10 mg
• J3310 — Injection, perphenazine, up to 5 mg
• J3320 — Injection, spectinomycin dihydrochloride, up to 2 gm
• J3360 — Injection, diazepam, up to 5 mg
• J3400 — Injection, triflupromazine hcl, up to 20 mg
• J3410 — Injection, hydroxyzine hcl, up to 25 mg
• J3430 — Injection, phytonadione (vitamin k), per 1 mg
• J3470 — Injection, hyaluronidase, up to 150 units
• J7030 — Infusion, normal saline solution , 1000 cc
• J7050 — Infusion, normal saline solution, 250 cc
• J7070 — Infusion, d5w, 1000 cc
• J7100 — Infusion, dextran 40, 500 ml
• J7110 — Infusion, dextran 75, 500 ml
• J7120 — Ringers lactate infusion, up to 1000 cc
• L0120 — Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar)
• L0140 — Cervical, semi-rigid, adjustable (plastic collar)
• L0150 — Cervical, semi-rigid, adjustable molded chin cup (plastic collar with mandibular/occipital piece)
• L0160 — Cervical, semi-rigid, wire frame occipital/mandibular support, prefabricated, off-the-shelf
• L0190 — Cervical, multiple post collar, occipital/mandibular supports, adjustable cervical bars (somi, guilford, taylor types)
• L0220 — Thoracic, rib belt, custom fabricated
• L0970 — Tlso, corset front
• L0972 — Lso, corset front
• L0974 — Tlso, full corset
• L0976 — Lso, full corset
• L0978 — Axillary crutch extension
• L0982 — Stocking supporter grips, prefabricated, off-the-shelf, set of four (4)
• L1499 — Spinal orthosis, not otherwise specified
• L1610 — Hip orthosis, abduction control of hip joints, flexible, (frejka cover only), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
• L1620 — Hip orthosis, abduction control of hip joints, flexible, (pavlik harness), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
• L1630 — Hip orthosis, abduction control of hip joints, semi-flexible (von rosen type), custom fabricated
• L1640 — Hip orthosis, abduction control of hip joints, static, pelvic band or spreader bar, thigh cuffs, custom fabricated
• L1650 — Hip orthosis, abduction control of hip joints, static, adjustable, (ilfled type), prefabricated, includes fitting and adjustment
• L1660 — Hip orthosis, abduction control of hip joints, static, plastic, prefabricated, includes fitting and adjustment
• L1680 — Hip orthosis, abduction control of hip joints, dynamic, pelvic control, adjustable hip motion control, thigh cuffs (rancho hip action type), custom fabricated
• L1700 — Legg perthes orthosis, (toronto type), custom fabricated
• L1710 — Legg perthes orthosis, (newington type), custom fabricated
• L1730 — Legg perthes orthosis, (scottish rite type), custom fabricated
• L1810 — Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise
• L1850 — Knee orthosis, swedish type, prefabricated, off-the-shelf
• L1860 — Knee orthosis, modification of supracondylar prosthetic socket, custom fabricated (sk)
• L1910 — Ankle foot orthosis, posterior, single bar, clasp attachment to shoe counter, prefabricated, includes fitting and adjustment
• L1920 — Ankle foot orthosis, single upright with static or adjustable stop (phelps or perlstein type), custom fabricated
• L1930 — Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment
• L1940 — Ankle foot orthosis, plastic or other material, custom fabricated
• L1950 — Ankle foot orthosis, spiral, (institute of rehabilitative medicine type), plastic, custom fabricated
• L1960 — Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated
• L1970 — Ankle foot orthosis, plastic with ankle joint, custom fabricated
• L1980 — Ankle foot orthosis, single upright free plantar dorsiflexion, solid stirrup, calf band/cuff (single bar 'bk' orthosis), custom fabricated
• L1990 — Ankle foot orthosis, double upright free plantar dorsiflexion, solid stirrup, calf band/cuff (double bar 'bk' orthosis), custom fabricated
• L2050 — Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, hip joint, pelvic band/belt, custom fabricated
• L2060 — Hip knee ankle foot orthosis, torsion control, bilateral torsion cables, ball bearing hip joint, pelvic band/ belt, custom fabricated
• L2070 — Hip knee ankle foot orthosis, torsion control, unilateral rotation straps, pelvic band/belt, custom fabricated
• L2999 — Lower extremity orthoses, not otherwise specified
• L3000 — Foot, insert, removable, molded to patient model, 'ucb' type, berkeley shell, each
• L3010 — Foot, insert, removable, molded to patient model, longitudinal arch support, each
• L3040 — Foot, arch support, removable, premolded, longitudinal, each
• L3050 — Foot, arch support, removable, premolded, metatarsal, each
• L3060 — Foot, arch support, removable, premolded, longitudinal/ metatarsal, each
• L3140 — Foot, abduction rotation bar, including shoes
• L3340 — Heel wedge, sach
• L3350 — Heel wedge
• L3380 — Clubfoot wedge
• L3390 — Outflare wedge
• L3649 — Orthopedic shoe, modification, addition or transfer, not otherwise specified
• L3660 — Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf
• L3670 — Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf
• L3730 — Elbow orthosis, double upright with forearm/arm cuffs, extension/ flexion assist, custom fabricated
• L3740 — Elbow orthosis, double upright with forearm/arm cuffs, adjustable position lock with active control, custom fabricated
• L3904 — Wrist hand finger orthosis, external powered, electric, custom fabricated
• L3912 — Hand finger orthosis (hfo), flexion glove with elastic finger control, prefabricated, off-the-shelf
• L3962 — Shoulder elbow wrist hand orthosis, abduction positioning, erb's palsey design, prefabricated, includes fitting and adjustment
• L3980 — Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment
• L3984 — Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment
• L3999 — Upper limb orthosis, not otherwise specified
• L5000 — Partial foot, shoe insert with longitudinal arch, toe filler
• L5010 — Partial foot, molded socket, ankle height, with toe filler
• L5020 — Partial foot, molded socket, tibial tubercle height, with toe filler
• L5100 — Below knee, molded socket, shin, sach foot
• L5150 — Knee disarticulation (or through knee), molded socket, external knee joints, shin, sach foot
• L5160 — Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, sach foot
• L5200 — Above knee, molded socket, single axis constant friction knee, shin, sach foot
• L5210 — Above knee, short prosthesis, no knee joint ('stubbies'), with foot blocks, no ankle joints, each
• L5220 — Above knee, short prosthesis, no knee joint ('stubbies'), with articulated ankle/foot, dynamically aligned, each
• L5230 — Above knee, for proximal femoral focal deficiency, constant friction knee, shin, sach foot
• L5250 — Hip disarticulation, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot
• L5270 — Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, sach foot
• L5280 — Hemipelvectomy, canadian type; molded socket, hip joint, single axis constant friction knee, shin, sach foot
• L5400 — Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee
• L5420 — Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment and suspension and one cast change 'ak' or knee disarticulation
• L5450 — Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee
• L5460 — Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee
• L5999 — Lower extremity prosthesis, not otherwise specified
• L6000 — Partial hand, thumb remaining
• L6010 — Partial hand, little and/or ring finger remaining
• L6020 — Partial hand, no finger remaining
• L6050 — Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad
• L6100 — Below elbow, molded socket, flexible elbow hinge, triceps pad
• L6110 — Below elbow, molded socket, (muenster or northwestern suspension types)
• L6120 — Below elbow, molded double wall split socket, step-up hinges, half cuff
• L6130 — Below elbow, molded double wall split socket, stump activated locking hinge, half cuff
• L6200 — Elbow disarticulation, molded socket, outside locking hinge, forearm
• L6250 — Above elbow, molded double wall socket, internal locking elbow, forearm
• L6300 — Shoulder disarticulation, molded socket, shoulder bulkhead, humeral section, internal locking elbow, forearm
• L6310 — Shoulder disarticulation, passive restoration (complete prosthesis)
• L6320 — Shoulder disarticulation, passive restoration (shoulder cap only)
• L6400 — Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping
• L6450 — Elbow disarticulation, molded socket, endoskeletal system, including soft prosthetic tissue shaping
• L6500 — Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping
• L6600 — Upper extremity additions, polycentric hinge, pair
• L6605 — Upper extremity additions, single pivot hinge, pair
• L6610 — Upper extremity additions, flexible metal hinge, pair
• L6640 — Upper extremity additions, shoulder abduction joint, pair
• L6900 — Hand restoration (casts, shading and measurements included), partial hand, with glove, thumb or one finger remaining
• L6910 — Hand restoration (casts, shading and measurements included), partial hand, with glove, no fingers remaining
• L6915 — Hand restoration (shading, and measurements included), replacement glove for above
• L8400 — Prosthetic sheath, below knee, each
• L8410 — Prosthetic sheath, above knee, each
• L8420 — Prosthetic sock, multiple ply, below knee, each
• L8430 — Prosthetic sock, multiple ply, above knee, each
• L8440 — Prosthetic shrinker, below knee, each
• L8460 — Prosthetic shrinker, above knee, each
• L8470 — Prosthetic sock, single ply, fitting, below knee, each
• L8480 — Prosthetic sock, single ply, fitting, above knee, each
• L8499 — Unlisted procedure for miscellaneous prosthetic services
• R0070 — Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen
• V5050 — Hearing aid, monaural, in the ear
• V5060 — Hearing aid, monaural, behind the ear
• V5070 — Glasses, air conduction
• V5080 — Glasses, bone conduction
• V5090 — Dispensing fee, unspecified hearing aid
• V5100 — Hearing aid, bilateral, body worn
• V5110 — Dispensing fee, bilateral
• V5120 — Binaural, body
• V5130 — Binaural, in the ear
• V5140 — Binaural, behind the ear
• V5150 — Binaural, glasses
• V5160 — Dispensing fee, binaural
• V5170 — Hearing aid, cros, in the ear
• V5180 — Hearing aid, cros, behind the ear
• V5190 — Hearing aid, contralateral routing, monaural, glasses
• V5200 — Dispensing fee, contralateral, monaural
• V5210 — Hearing aid, bicros, in the ear
• V5220 — Hearing aid, bicros, behind the ear
• V5230 — Hearing aid, contralateral routing system, binaural, glasses
• V5240 — Dispensing fee, contralateral routing system, binaural
• V5299 — Hearing service, miscellaneous