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# Jitendra M.Sc CPC: Learn How to Code

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## Posts
- [ICD-10-CM 2027 Updates: A Complete Guide for Medical Coders](https://americanmedicalcoding.com/icd10-cm-2027-updates/): Every fall, medical coders brace for the same ritual: a fresh batch of ICD-10-CM codes rolls out, and suddenly the charts you coded in September need a second look come October. This year is no different. CMS has released the fiscal year (FY) 2027 ICD-10-CM code set, and it goes live on October 1, 2026.
- [ICD-10-CM Coding for Transplant Patients: A Coder’s Guide to Bone Marrow and Lung Transplants](https://americanmedicalcoding.com/icd10-cm-coding-transplant-patients-coders-guide/): Transplant patients show up in the inpatient setting constantly — sometimes for the transplant itself, sometimes for routine follow-up, and sometimes because something's gone wrong with the transplanted organ. Coding these encounters accurately isn't just about knowing a handful of codes; it's about reading the chart carefully enough to answer three questions: What's the patient's transplant status? Why are they actually here today? And is there a documented complication involving the transplant?
- [RSV vs. COVID-19 in Infants and Children: How to Tell Them Apart](https://americanmedicalcoding.com/rsv-vs-covid-19-in-infants-children/): If you've ever stood over a coughing, feverish toddler and wondered "is this RSV or is this COVID?" — you're not alone. Respiratory syncytial virus (RSV) and COVID-19 are two of the most common respiratory illnesses in infants and young children, and their symptoms overlap so much that even experienced clinicians sometimes need a lab test to be sure which one they're dealing with.
- [Recreational Drug Use vs. Poisoning: How to Tell the Difference in ICD-10-CM Coding](https://americanmedicalcoding.com/recreational-drug-use-vs-poisoning-icd-10-cm-coding/): One of the more common points of confusion in ICD-10-CM coding involves distinguishing between recreational drug use and poisoning. While these two scenarios can look similar on the surface — both often involve a substance that wasn't medically prescribed or properly used — they represent fundamentally different clinical situations, and coding them correctly depends entirely on what the documentation tells you.
- [HIV ICD-10-CM Coding: A Complete Guide to Accurate Code Assignment](https://americanmedicalcoding.com/hiv-icd10-cm-coding-complete-guide/): Coding HIV-related diagnoses correctly is one of the more nuanced areas of ICD-10-CM coding — and getting it wrong can affect everything from reimbursement to quality reporting. Accurate coding requires more than just knowing the codes; it requires understanding the disease process itself, recognizing how HIV-related conditions are documented, and knowing when each code applies.
- [2026 Medicare CTP Rule Changes: What Providers Need to Know About Skin Substitute Reimbursement](https://americanmedicalcoding.com/2026-medicare-ctp-rule-changes-skin-substitute-reimbursement/): If you work in wound care billing or manage a practice that uses cellular tissue-based products (CTPs), January 1, 2026 brought some of the most significant Medicare reimbursement changes in recent memory. These updates have reshaped how skin substitutes are coded, billed, and paid — and the financial impact on providers and outpatient hospitals is substantial.
- [Arthroscopic Knee Surgery CPT Codes: A Complete Coding Guide](https://americanmedicalcoding.com/arthroscopic-knee-surgery-cpt-codes/): Arthroscopic knee surgery has become one of the most common orthopedic procedures performed today. Unlike traditional open surgery, it allows surgeons to examine and repair the inside of the knee joint through small incisions — resulting in less post-operative pain, faster recovery, and same-day discharge for most patients.
- [FY 2027 ICD-10-CM Code Updates: New, Deleted, and Revised Codes Effective October 1, 2026](https://americanmedicalcoding.com/fy-2027-icd-10-cm-code-updates-new-deleted-revised-codes/): The Centers for Medicare & Medicaid Services (CMS) has officially released the fiscal year (FY) 2027 ICD-10-CM code set, introducing significant updates that every medical coder, clinical documentation specialist, and revenue cycle professional must understand before the October 1, 2026 implementation date.
- [ICD-10-CM Coding for Personality Disorders: A Complete Guide for Medical Coders](https://americanmedicalcoding.com/icd-10-cm-coding-for-personality-disorders/): Before diving into the coding specifics, a foundational understanding of these conditions goes a long way in helping coders recognize relevant documentation.
- [FY 2027 ICD-10-PCS Code Updates: New Codes, Deletions, and What Medical Coders Need to Know](https://americanmedicalcoding.com/fy-2027-icd-10-pcs-code-updates-new-codes-deletions/): The Centers for Medicare & Medicaid Services (CMS) recently published the FY 2027 ICD-10-PCS code set, bringing a fresh round of additions, deletions, and structural updates to the inpatient procedure coding system.
- [ICD-10-PCS, CPT Codes, and MS-DRGs Explained: A Complete Inpatient Medical Coding Guide](https://americanmedicalcoding.com/icd10-pcs-cpt-codes-ms-drgs-inpatient-medical-coding-guide/): When a patient receives care in a hospital inpatient setting, two separate coding systems are used to report procedures — and knowing the difference is critical for every medical coder.
- [Angiography CPT Coding Guide: A Simple Guide for Medical Coders](https://americanmedicalcoding.com/angiography-cpt-coding-guide-medical-coders/): Angiography coding can be challenging because it involves understanding vascular anatomy, catheter placement techniques, and imaging services. For medical coders, knowing the difference between non-selective and selective catheterization, vessel families, and imaging component coding is essential for accurate CPT® code assignment and reimbursement.
- [Understanding CCs, MCCs, Clinical Validation, and the Importance of Provider Queries](https://americanmedicalcoding.com/understanding-ccs-mccs-clinical-validation-and-importance-provider-queries/): In inpatient coding, accurate identification and reporting of diagnoses directly affect reimbursement, quality reporting, and hospital performance metrics. One of the most important concepts for coders to understand is the role of Complications or Comorbidities (CCs) and Major Complications or Comorbidities (MCCs) within the Medicare Severity Diagnosis-Related Group (MS-DRG) system.
- [ICD-10-PCS Imaging Services Coding Guide for Medical Coders](https://americanmedicalcoding.com/icd-10-pcs-imaging-services-coding-medical-coders/): Imaging services play a major role in modern healthcare by helping physicians diagnose conditions, monitor treatment progress, and guide procedures without invasive surgery. For medical coders, assigning accurate ICD-10-PCS codes for imaging procedures requires a strong understanding of the Imaging section structure and its character definitions.
- [Opportunistic Infection Coding Guidelines for Medical Coders in ICD-10-CM](https://americanmedicalcoding.com/infection-coding-guidelines-medical-coders-icd10-cm/): Opportunistic infections are serious infections that usually occur in patients with weakened immune systems. These infections are common in individuals with conditions such as HIV/AIDS, cancer, autoimmune diseases, organ transplants, or patients receiving chemotherapy or immunosuppressive therapy.
- [Wound Care Coding and Documentation Tips for Accurate Reimbursement](https://americanmedicalcoding.com/wound-care-coding-documentation-tips-accurate-reimbursement/): Wound care coding is one of the most challenging areas in medical coding and revenue cycle management. These claims often involve complex medical histories, multiple diagnoses, debridement procedures, skin substitutes, and detailed documentation requirements. Even a small documentation gap can lead to claim denials, payer audits, or reimbursement delays.
- [2027 CPT Maternity Care Coding Changes: What Medical Coders Need to Know](https://americanmedicalcoding.com/2027-cpt-maternity-care-coding/): The American Medical Association (AMA) has announced major updates to maternity care CPT codes for the 2027 CPT code set. These changes are designed to improve coding accuracy and allow maternity services to be reported more specifically across every stage of pregnancy.
- [2027 ICD-10-CM Proposed Code Updates: What Medical Coders Need to Know](https://americanmedicalcoding.com/2027-icd10-cm-proposed-code-updates/): The Centers for Medicare & Medicaid Services (CMS) released the 2027 Hospital Inpatient Prospective Payment System (IPPS) Proposed Rule on April 14, 2026, introducing several important ICD-10-CM and ICD-10-PCS coding updates.
- [ICD-10-CM Coding for Artificial Openings (Stomas): Status, Attention & Complication Coding Guide](https://americanmedicalcoding.com/icd10-cm-coding-artificial-openings-stomas-status-attention-complication/): Artificial openings, also known as stomas, are surgically created openings that connect an internal organ to the outside of the body. These openings may be temporary or permanent and are commonly created to:
- [New HCPCS Codes for Hypoglossal Nerve Stimulators : Complete Coding Guide](https://americanmedicalcoding.com/new-hcpcs-codes-hypoglossal-nerve-stimulators-coding/): The Centers for Medicare & Medicaid Services (CMS) introduced six new HCPCS Level II codes in the April 2026 Integrated Outpatient Code Editor (I/OCE) Version 27.1. These updates are effective January 1, 2026 and focus on procedures involving hypoglossal nerve neurostimulators used to treat obstructive sleep apnea (OSA).
- [ICD-10-CM Code E11.A: Type 2 Diabetes in Remission – Complete Coding Guide](https://americanmedicalcoding.com/icd-10-cm-code-e11-a-type-2-diabetes-remission/): As of October 1, 2025, ICD-10-CM introduced a new code—E11.A (Type 2 diabetes mellitus in remission)—bringing a major shift in how coders capture improved patient outcomes.
- [ICD-10-CM Coding for Alcohol & Drug Use Disorders: Complete Guide for Medical Coders](https://americanmedicalcoding.com/icd-10-cm-coding-alcohol-drug-use-disorders-medical-coders/): Accurate coding of alcohol- and drug-related disorders in ICD-10-CM requires more than just identifying the substance involved. Coders must carefully interpret provider documentation, clinical terminology, and coding hierarchy to assign the most appropriate code.
- [COPD with Acute Exacerbation & Respiratory Failure: ICD-10-CM Coding Guide (2026)](https://americanmedicalcoding.com/copd-with-acute-exacerbation-respiratory-failure-icd-10-cm-coding-guide/): Chronic Obstructive Pulmonary Disease (COPD) is a leading cause of morbidity and mortality worldwide, affecting nearly 10% of adults over age 40. For medical coders, one of the most challenging scenarios is accurately coding COPD with acute exacerbation (AECOPD)—especially when it progresses to respiratory failure.
- [ICD-10-CM Heart Failure Coding Guide: Types, Ejection Fraction & Accurate Code Selection](https://americanmedicalcoding.com/icd-10-cm-heart-failure-coding-guide-types-ejection-fraction-accurate-code-selection/): Heart failure coding in ICD-10-CM can be complex—especially when documentation includes terms like reduced ejection fraction, preserved EF, or mid-range EF. For medical coders, understanding how clinical classification aligns with coding guidelines is essential for accurate reporting and reimbursement.
- [Biopsy vs Excision Coding: A Complete CPT Guide for Medical Coders (2026 Update)](https://americanmedicalcoding.com/biopsy-vs-excision-coding-a-complete-cpt-guide-medical-coders/): Understanding when to code a procedure as a biopsy versus an excision or other treatment is essential for accurate CPT coding, compliance, and reimbursement. Misinterpreting the intent of the procedure is one of the most common coding errors.
- [ICD-10-CM Fracture Coding: Complete Guide to 7th Character Selection for Medical Coders](https://americanmedicalcoding.com/icd-10-cm-fracture-coding-complete-guide-7th-character/): Accurate fracture coding in ICD-10-CM is critical for proper reimbursement, compliance, and clinical documentation. One of the most important—and often misunderstood—components is the 7th character, which communicates both the type of fracture and the stage of care or healing.
- [Understanding the Device Character in ICD-10-PCS Coding](https://americanmedicalcoding.com/device-character-icd-10-pcs-coding/): Over the past decade, the ICD-10-PCS code set has consistently required seven characters to accurately report inpatient procedures. Each character represents a distinct component of the procedure performed. Within the Medical and Surgical section, the sixth character identifies the device used during the procedure.
- [Mid-Year CPT® Code Updates 2026: New Codes, Revisions & Deletions (Effective July 1)](https://americanmedicalcoding.com/cpt-code-updates-2026-effective-july-1/): Staying updated with CPT® code changes is critical for every medical coder, biller, and healthcare organization. The American Medical Association (AMA) has released mid-year CPT® updates for 2026, impacting Category I, Category III, and Proprietary Laboratory Analyses (PLA) codes.
- [Assistant-at-Surgery Modifiers (80,81,82,AS): Comprehensive Coding Guidance](https://americanmedicalcoding.com/assistant-at-surgery-modifiers-coding-guidance/): Accurate reporting of assistant-at-surgery services requires a structured approach to ensure compliance, appropriate reimbursement, and audit readiness. Coders should consistently follow three essential steps when an assistant participates in a surgical procedure:
- [Tympanoplasty & Tympanostomy CPT Codes: Complete Medical Coding Guide (2026)](https://americanmedicalcoding.com/tympanoplasty-tympanostomy-cpt-codes/): Accurate CPT coding for middle ear surgical procedures is one of the most nuanced areas in otolaryngology (ENT) medical coding. Whether you are coding for a tympanoplasty or a tympanostomy, selecting the correct CPT code requires a thorough understanding of the surgical approach, the extent of repair, and whether ossicular reconstruction or prosthesis implantation was performed.
- [FNA CPT code 10004–10012, 10021 Complete coding guide](https://americanmedicalcoding.com/fna-cpt-code-10004-10012-10021-coding-guide/): Fine Needle Aspiration (FNA) biopsy coding is one of the most commonly tested and confusing topics in medical coding. Many coders struggle when multiple lesions, different imaging modalities, or combination procedures (FNA + core biopsy) are involved.
- [Radiation Oncology Coding Guide (2026): CPT Codes, Modifiers & Billing Made Simple](https://americanmedicalcoding.com/radiation-oncology-coding-guide-2026-cpt-codes/): Radiation oncology coding can feel complex—but once you understand the structure, it becomes highly logical. In this guide, you’ll learn how to accurately code radiation oncology services, including CPT codes, modifiers (-26, -TC), treatment planning, simulation, delivery, and brachytherapy.
- [Beginners Fracture Coding tips for Medical coders](https://americanmedicalcoding.com/beginners-fracture-coding-tips-for-medical-coders/): When coding fracture cases (CPT + ICD-10-CM), your job is simple:
- [Modifier -50 vs -RT/-LT — Made Simple for Medical Coders](https://americanmedicalcoding.com/modifiers-50-rt-lt-laterality-modifier/): As a medical coder, understanding laterality modifiers is critical to avoid denials and ensure correct reimbursement. Let’s break this down in a practical, real-world way.
- [Modifier -59 Made Easy: Stop Denials & Code with Confidence](https://americanmedicalcoding.com/modifier-59-stop-denials/): Modifier -59 (Distinct Procedural Service) is used when two procedures done on the same day should be paid separately, even though they are usually bundled together.
- [CMS Releases April 2026 ICD-10-CM Update: What Medical Coders Must Know](https://americanmedicalcoding.com/cms-releases-april-2026-icd-10-cm-update/): Good news for medical coders—there are no new, deleted, or revised diagnosis codes in the April 2026 update to the ICD-10-CM for fiscal year 2026.
- [HCPCS Level II Code Changes Effective April 1, 2026 – What Medical Coders Must Know](https://americanmedicalcoding.com/hcpcs-level-ii-code-changes-effective-april-1-2026/): Medical coders and billers must stay updated with coding changes to ensure accurate claims submission and proper reimbursement. The April 2026 quarterly update to the HCPCS Level II code set introduces several important changes that affect coding, billing, and payment policies.
- [Diagnostic Angiography Coding – Simplified Guide for Beginners](https://americanmedicalcoding.com/diagnostic-angiography-coding/): When coding angiography procedures, you must clearly understand three important things from the medical documentation.
- [Vascular Families & Catheter Selection CPT Coding Guide](https://americanmedicalcoding.com/vascular-families-catheter-selection-cpt-coding-guide/): Understanding vascular angiography coding is essential for medical coders working in interventional radiology (IR). The coding process often depends on identifying vascular families, catheter placement levels, and imaging components. Because CPT guidelines change frequently, coders must stay updated to ensure accurate billing and compliance.
- [Vascular Angiography Basics for Medical Coding Beginners (Complete Guide)](https://americanmedicalcoding.com/vascular-angiography-basics-for-medical-coding/): Vascular angiography coding is one of the most complex areas in Current Procedural Terminology (CPT). Many beginners in Medical Coding struggle with understanding the terminology used in Vascular Angiography and Interventional Radiology reports.
- [Toxic Effects in ICD-10-CM (T51–T65): Complete Coding Guidelines](https://americanmedicalcoding.com/toxic-effects-in-icd-10-cm-t51-t65-coding-guidelines/): Understanding toxic effects coding in ICD-10-CM is essential for accurate medical documentation, proper reimbursement, and compliance with healthcare coding standards. Toxic exposure cases—such as exposure to chemicals, metals, gases, alcohol, or environmental toxins—are frequently encountered in hospitals and emergency departments.
- [ICD-10-CM Coding for Poisoning, Adverse Effects, Toxic Effects, and Underdosing](https://americanmedicalcoding.com/icd-10-cm-coding-poisoning-adverse-effects-toxic-effects-underdosing/): Accurate coding of poisoning, adverse effects, toxic effects, and underdosing is one of the most important and frequently tested topics in ICD-10-CM medical coding. Many medical coders struggle to correctly identify when a condition should be coded as poisoning vs adverse effect, and how to apply T36–T65 codes with the correct intent and sequencing rules.
- [Extent of Burn in ICD-10 Coding: Complete Guide to T31 & T32 Codes](https://americanmedicalcoding.com/extent-of-burn-in-icd-10-coding-complete-guide/): Burn injuries are among the most complex conditions to code accurately in ICD-10-CM medical coding. One critical concept every medical coder must understand is the extent of burn, which determines how much of the body surface is affected and how severe the injury is.
- [ICD-10 Burn Coding: Seventh Character Values (A, D, S) Explained for Medical Coders](https://americanmedicalcoding.com/icd-10-burn-coding-seventh-character-values-a-d-s/): Understanding ICD-10 seventh character values is essential for accurate burn and corrosion coding. Many medical coders struggle with when to use A (Initial Encounter), D (Subsequent Encounter), and S (Sequela). Applying the wrong seventh character can lead to claim denials, coding errors, and compliance issues.
- [ICD-10 Correct Sequencing of Codes for Burns, Corrosions & Related Conditions](https://americanmedicalcoding.com/icd-10-correct-sequencing-codes-burns-corrosions/): Accurate ICD-10 burn coding is essential for medical coders, healthcare providers, and billing professionals. Proper sequencing of burn and corrosion codes ensures correct claim submission, proper reimbursement, and compliance with ICD-10-CM guidelines.
- [Burn Depth Coding in ICD-10-CM: Complete Guide](https://americanmedicalcoding.com/burn-depth-coding-in-icd-10-cm-complete-guide/): Accurate burn depth coding in ICD-10-CM is critical for proper reimbursement, audit compliance, and clinical accuracy. When coding burns from categories T20–T25, the fourth character plays a vital role — it identifies the depth (degree) of the burn.
- [Anatomical Site of Burn in ICD-10-CM: A Complete Guide](https://americanmedicalcoding.com/anatomical-site-of-burn-in-icd-10-cm-a-complete-guide/): Accurate burn coding in ICD-10-CM starts with one critical principle: the anatomical site is the first axis of classification. If you misunderstand or overlook the site of injury, the entire coding structure can collapse — leading to claim denials, audit risks, and compliance issues.
- [Sequencing of COVID-19 (U07.1) in ICD-10-CM: A Complete Guide](https://americanmedicalcoding.com/sequencing-of-covid19-u07-1-icd10-cm/): Accurate sequencing of COVID-19 cases is critical for proper reimbursement, compliance, and certification exam success. Since the introduction of U07.1 (COVID-19) in ICD-10-CM, many coders have faced confusion regarding principal diagnosis rules — especially when manifestations are involved.
- [Obstetric Patients with HIV: ICD-10-CM Coding Guide for Medical Coders](https://americanmedicalcoding.com/obstetric-patients-hiv-icd-10-cm-coding-medical-coders/): Coding HIV in obstetric patients is not just about assigning a diagnosis — it’s about understanding sequencing, symptom status, and documentation requirements. The key concept?
- [HIV ICD-10 Coding Sequencing Guide for Medical Coders](https://americanmedicalcoding.com/hiv-icd-10-coding-sequencing-guide-medical-coders/): Accurate diagnosis sequencing is one of the most critical skills in medical coding. When it comes to HIV-related admissions, small sequencing mistakes can lead to claim denials, compliance issues, or exam failure.

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- [Z Codes/Long-Term Drug Use](https://americanmedicalcoding.com/z-codes-long-term-drug-use/): Z79.01 Long term (current) use of anticoagulants Angiomax Argatroban Arixtra Bevyxxa Coumadin Eliquis Fragmin Heparin Jantoven Lovenox Pradaxa Savaysa Warfarin Xarelto Z79.02 Long term (current) use of antithrombotics/ antiplatelets Aggrastat Aggrenox Brilinta Clopidogrel bisulfate Effient Integrilin Persantine Plavix Prasugrel Z79.1 Long term (current) use of non-steroidal anti-inflammatories (NSAID) Advil Aleve Anaprox DS Arthrotec Caldolor Cambia Celebrex Daypro Duexis Elyxyb Feldene Ibuprofen Indocin Mobic Motrin IB Nabumetone Nalfon Naprelan Naprosyn NeoProfen Ponstel Tivorbex Voltaren Zipsor Zorvolex Z79.2 Long term (current) use of antibiotics Altabax Amikacin Amoxicillin Ampicillin Augmentin Avelox Azactam Azithromycin Bactrim Bactroban Biaxin XL Cefazolin sodium Ceftriaxone Cefzil Centany Cephalexin Cipro Ciprofloxacin Clarithromycin Cleocin Clindamycin Cubicin Daptomycin Dificid Doxycycline Dynacin E.E.S. Ertapenem ERYC Erygel EryPed Ery-Tab Erythrocin Erythromycin Factive Fetroja Flagyl Fortaz Garamycin Gentamicin sulfate Hiprex Invanz Isoniazid Keflex Klaron Lincocin Macrobid Macrodantin Maxipime Mepron Merrem Metronidazole Minocin Monodox Monurol Mycobutin Nebupent Neosporin Nitrofurantoin Oracea Orbactiv Penicillin-VK Pentam Pfizerpen Priftin Primaxin Rifadin Rimactane Septra Seromycin Silvadene Sivextro Solodyn Solosec Streptomycin sulfate Suprax Synercid Talicia Tazicef Teflaro Tetracycline Tobramycin Trimethoprim Tygacil Unasyn Vabomere Vancocin HCl Vancomycin HCl Vibativ Vibramycin Xenleta Xifaxan Zerbaxa Zinacef Zithromax Zosyn Zyvox Z79.3 Long term (current) use of hormonal contraceptives Altavera Alyacen Aranelle Ashlyna Aviane-28 Balziva-28 Bekyree Beyaz Brevicon 28-day Briellyn Camila Cryselle Cyclafem Cyclessa Dasetta Daysee Depo-Provera Depo-SubQ Provera Desogen Elinest Emoquette Enpresse-28 Enskyce Errin Estarylla Estrostep Fe Falmina Femhrt Gildagia Gildess Introvale Jencycla Junel Kariva Kelnor Kimidess Kurvelo Kyleena Larin Lessina-28 Levonest Levora Liletta Lo Loestrin Fe Loestrin Loryna LoSeasonique Low-Ogestrel-28 Marlissa Microgestin Minastrin Mirena Mono-Linyah Myzilra Natazia Nexplanon Nextstellis Norinyl Nortrel NuvaRing Ogestrel Orsythia Ortho-Novum Philith Pimtrea Pirmella Plan B One-Step Portia-28 Previfem Provera Quartette Safyral Seasonale Seasonique Setlakin Skyla Sprintec Syeda Tri-Estarylla Tri-Legest Tri-Linyah Tri-Lo-Estarylla Tri-Lo-Sprintec Tri-Previfem Tri-Sprintec Trivora-28 Velivet Vienva Viorele Wera Yasmin Yaz Zovia Z79.4 Long term (current) use of insulin Admelog Apidra Basaglar Fiasp Humalog Humulin R Lantus Levemir Novolin Novolog Soliqua Toujeo Solostar Tresiba Xultophy Z79.51 Long term (current) use of inhaled steroids Advair AirDuo RespiClick Alvesco Arnuity Ellipta Asmanex Breo Ellipta Dulera Flovent HFA Pulmicort Qvar Redihaler Symbicort Trelegy Ellipta Z79.52 Long term (current) use of systemic steroids Aristospan Celestone Soluspan Colocort Cortef Cortenema Cortifoam Cortisone acetate Depo-Medrol Dexamethasone Intensol Entocort EC Hydrocortisone Kenalog-10 Kenalog-40 Locoid Medrol Methylprednisolone Orapred ODT PediaPred Prednisolone Prednisone Rayos Solu-Cortef Solu-Medrol Z79.61 Long term (current) use of immunomodulator Apremilast Otezla Pomalyst Revlimid Thalidomide Z79.620 Long term (current) use of immunosuppressive biologic Actemra Aimovig Cosentyx Cyltezo Dupixent Enbrel Entyvio Humira Hyrimoz Keytruda Monoclonal antibodies Prolia Remicade Rituxan Simulect Skyrizi Stelara Taltz Tremfya Xgeva Z79.621 Long term (current) use of calcineurin inhibitor Astagraf XL Cyclosporin Envarsus XR Gengraf Lupkynis Neoral Prograf Protopic Sandimmune Tacrolimus Z79.622 Long term (current) use of Janus kinase inhibitor Cibinqo Olumiant Rinvoq Xeljanz XR Z79.623 Long term (current) use of mammalian target of rapamycin (mTOR) inhibitor Rapamune Sirolimus Torisel Zortress Z79.624 Long term (current) use of inhibitors of nucleotide synthesis CellCept Imuran Z79.630 Long term (current) use of alkylating agent Busulfex Carmustine Chlorambucil Cisplatin Cytoxan Leukeran Temozolomide Z79.631 Long term (current) use of antimetabolite agent 5-fluorouracil (5-FU) 6-mercaptopurine (6-MP) Cytarabine Methotrexate Xeloda Z79.632 Long term (current) use of antitumor antibiotic Bleomycin Cerubidine Doxorubicin Mitomycin Z79.633 Long term (current) use of mitotic inhibitor Ixempra Paclitaxel Taxotere Vinblastine Vincristine Z79.634 Long term (current) use of topoisomerase inhibitor Camptosar Etoposide Hycamtin Z79.64 Long term (current) use of myelosuppressive agent Hydroxyurea Z79.69 Long term (current) use of other immunomodulators and immunosuppressants Actimmune Avonex Betaseron Copaxone Intron A Orencia PegIntron Ponvory Rebif Sylatron Tavneos Vumerity Z79.810 Long term (current) use of selective estrogen receptor modulators (SERMs) Evista Fareston Osphena Raloxifene HCI Soltamox Tamoxifen citrate Toremifene citrate Z79.811 Long term (current) use of aromatase inhibitors Anastrozole Arimidex Aromasin Exemestane Femara Letrozole Z79.818 Long term (current) use of other agents affecting estrogen receptors and estrogen levels Eligard Faslodex Lupron Depot Megace ES Supprelin LA Synarel Trelstar Triptodur Vantas Zoladex Z79.82 Long term (current) use of aspirin Bayer Bufferin Durlaza Z79.83 Long term (current) use of bisphosphonates Aclasta Actonel Aredia Atelvia Binosto Boniva Fosamax Reclast Zometa Z79.84 Long term (current) use of oral hypoglycemic drugs Acarbose Actoplus Met Actos Amaryl Avandia DiaBeta Duetact Farxiga Glimepiride Glucotrol Glumetza Glyburide Glynase Glyset Invokamet Invokana Janumet Januvia Jentadueto Kazano Kombiglyze Metformin Onglyza Oseni Qtern Repaglinide Riomet Rybelsus Sitagliptin Synjardy Tradjenta Trijardy XR Xigduo Z79.85 Long-term (current) use of injectable non-insulin antidiabetic drugs Adlyxin Bydureon Byetta Ozempic Symlin Trulicity Victoza Z79.890 Hormone replacement therapy Activella Alora Androderm AndroGel Angeliq Bijuva Climara CombiPatch Delestrogen Depo-Provera Divigel Duavee Elestrin Estrace EstroGel Femhrt Femring Firmagon Menest Menostar Minivelle Orilissa Osphena Prempro Provera Testim Vagifem Z79.891 Long term (current) use of opiate analgesic Acetaminophen with codeine Buprenex Buprenorphine HCl and Naloxone HCl Butrans Codeine Demerol Dilaudid Dolophine HCl Duragesic Duramorph PF Fentanyl citrate Fentora Fioricet with codeine Hydrocodone Hydrocodone bitartrate and acetaminophen Hydromorphone HCl Kadian Lazanda Methadone HCl Methadose Morphine sulfate MS Contin Norco Nucynta Oxycodone HCl OxyContin Percocet Roxicet Roxicodone Tylenol with codeine Ultram Z79.899 Other long term (current) drug therapy Afrezza Antineoplastic/ chemotherapy Atripla Beconase AQ Biktarvy Cimduo Descovy Dovato Dymista Emtriva Epivir Epivir - HBV Erelzi Flonase Harvoni Livtencity Nexletol Prezcobix Prezista Qnasl Rebetol Retrovir Rukobia Sustiva Symtuza Truvada Virazole Viread Xpovio Zovirax
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## CM Tooltip Glossary
- [CPT Modifiers List](https://americanmedicalcoding.com/glossary/cpt-modifiers-list/): 1P Performance Measure Exclusion Modifier due to Medical Reasons:~~Includes:~Not indicated (absence of organ/limb), already received/performed,other)--Contraindicated (patient allergic history, potential adverse drug interaction,other)--Other medical reasons 22 Increased Procedural Services 23 Unusual Anesthesia 24 Unrelated Evaluation and Management Service by the Same Physician During a Postoperative Period 25 Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service 26 Professional Component 27 Multiple Outpatient Hospital E/M Encounters on the Same Date 2P Performance MeasureExclusion Modifier due to Patient Reasons:~Includes:~~Patient declined~Economic, social, or religious reasons~Other patient reasons 32 Mandated Services 33 Preventive Services 3P Performance Measure Exclusion Modifier due to System Reasons:~Includes:~~Resources to perform the services not available~Insurance coverage/payor-related limitations~Other reasons attributable to health care delivery system 47 Anesthesia by Surgeon 50 Bilateral Procedure 51 Multiple Procedures 52 Reduced Services 53 Discontinued Procedure 54 Surgical Care Only 55 Postoperative Management Only 56 Preoperative Management Only 57 Decision for Surgery 58 Staged or Related Procedure or Service by the Same Physician During the Postoperative Period 59 Distinct Procedural Service 62 Two Surgeons 63 Procedure Performed on Infants less than 4 kg 66 Surgical Team 73 Discontinued Outpatient Hospital/Ambulatory Surgery Center (ASC) Procedure Prior to the Administration of Anesthesia 74 Discontinued Outpatient Hospital/Ambulatory Surgery Center (ASC) Procedure After Administration of Anesthesia 76 Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional 77 Repeat Procedure or Service by Another Physician or Other Qualified Health Care Professional 78 Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period 79 Unrelated Procedure or Service by the Same Physician During the Postoperative Period 80 Assistant Surgeon 81 Minimum Assistant Surgeon 82 Assistant Surgeon (when qualified resident surgeon not available) 8P Performance measure reporting modifier - action not performed, reason not otherwise specified 90 Reference (Outside) Laboratory 91 Repeat Clinical Diagnostic Laboratory Test 92 Alternative Laboratory Platform Testing 93 Synchronous Telemedicine Service Rendered Via Telephone or Other Real-Time Interactive Audio-Only Telecommunications System 95 Synchronous Telemedicine Service Rendered Via a Real-Time Interactive Audio and Video Telecommunications System 96 Habilitative Services 97 Rehabilitative Services 99 Multiple Modifiers A1 Dressing for one wound A2 Dressing for two wounds A3 Dressing for three wounds A4 Dressing for four wounds A5 Dressing for five wounds A6 Dressing for six wounds A7 Dressing for seven wounds A8 Dressing for eight wounds A9 Dressing for nine or more wounds AA Anesthesia services performed personally by anesthesiologist AB Audiology service furnished personally by an audiologist without a physician/npp order for non-acute hearing assessment unrelated to disequilibrium, or hearing aids, or examinations for the purpose of prescribing, fitting, or changing hearing aids; service may be performed once every 12 months, per beneficiary AD Medical supervision by a physician: more than four concurrent anesthesia procedures AE Registered dietician AF Specialty physician AG Primary physician AH Clinical psychologist AI Principal physician of record AJ Clinical social worker AK Non participating physician AM Physician, team member service AO Alternate payment method declined by provider of service AP Determination of refractive state was not performed in the course of diagnostic ophthalmological examination AQ Physician providing a service in an unlisted health professional shortage area (hpsa) AR Physician provider services in a physician scarcity area AS Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery AT Acute treatment (this modifier should be used when reporting service 98940, 98941, 98942) AU Item furnished in conjunction with a urological, ostomy, or tracheostomy supply AV Item furnished in conjunction with a prosthetic device, prosthetic or orthotic AW Item furnished in conjunction with a surgical dressing AX Item furnished in conjunction with dialysis services AY Item or service furnished to an esrd patient that is not for the treatment of esrd AZ Physician providing a service in a dental health professional shortage area for the purpose of an electronic health record incentive payment BA Item furnished in conjunction with parenteral enteral nutrition (pen) services BL Special acquisition of blood and blood products BO Orally administered nutrition, not by feeding tube BP The beneficiary has been informed of the purchase and rental options and has elected to purchase the item BR The beneficiary has been informed of the purchase and rental options and has elected to rent the item BU The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decision CA Procedure payable only in the inpatient setting when performed emergently on an outpatient who expires prior to admission CB Service ordered by a renal dialysis facility (rdf) physician as part of the esrd beneficiary's dialysis benefit, is not part of the composite rate, and is separately reimbursable CC Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) CD Amcc test has been ordered by an esrd facility or mcp physician that is part of the composite rate and is not separately billable CE Amcc test has been ordered by an esrd facility or mcp physician that is a composite rate test but is beyond the normal frequency covered under the rate and is separately reimbursable based on medical necessity CF Amcc test has been ordered by an esrd facility or mcp physician that is not part of the composite rate and is separately billable CG Policy criteria applied CH 0 percent impaired, limited or restricted CI At least 1 percent but less than 20 percent impaired, limited or restricted CJ At least 20 percent but less than 40 percent impaired, limited or restricted CK At least 40 percent but less than 60 percent impaired, limited or restricted CL At least 60 percent but less than 80 percent impaired, limited or restricted CM At least 80 percent but less than 100 percent impaired, limited or restricted CN 100 percent impaired, limited or restricted CO Outpatient occupational therapy services furnished in whole or in part by an occupational therapy assistant CQ Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant CR Catastrophe/disaster related CS Cost-sharing waived for specified covid-19 testing-related services that result in and order for or administration of a covid-19 test and/or used for cost-sharing waived preventive services furnished via telehealth in rural health clinics and federally qualified health centers during the covid-19 public health emergency CT Computed tomography services furnished using equipment that does not meet each of the attributes of the national electrical manufacturers association (nema) xr-29-2013 standard DA Oral health assessment by a licensed health professional other than a dentist E1 Upper left, eyelid E2 Lower left, eyelid E3 Upper right, eyelid E4 Lower right, eyelid EA Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer chemotherapy EB Erythropoetic stimulating agent (esa) administered to treat anemia due to anti-cancer radiotherapy EC Erythropoetic stimulating agent (esa) administered to treat anemia not due to anti-cancer radiotherapy or anti-cancer chemotherapy ED Hematocrit level has exceeded 39% (or hemoglobin level has exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle EE Hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle EJ Subsequent claims for a defined course of therapy, e.g., epo, sodium hyaluronate, infliximab EM Emergency reserve supply (for esrd benefit only) EP Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program ER Items and services furnished by a provider-based, off-campus emergency department ET Emergency services EX Expatriate beneficiary EY No physician or other licensed health care provider order for this item or service F1 Left hand, second digit F2 Left hand, third digit F3 Left hand, fourth digit F4 Left hand, fifth digit F5 Right hand, thumb F6 Right hand, second digit F7 Right hand, third digit F8 Right hand, fourth digit F9 Right hand, fifth digit FA Left hand, thumb FB Item provided without cost to provider, supplier or practitioner, or full credit received for replaced device (examples, but not limited to, covered under warranty, replaced due to defect, free samples) FC Partial credit received for replaced device FP Service provided as part of family planning program FQ The service was furnished using audio-only communication technology FR The supervising practitioner was present through two-way, audio/video communication technology FS Split (or shared) evaluation and management visit FT Unrelated evaluation and management (e/m) visit on the same day as another e/m visit or during a global procedure (preoperative, postoperative period, or on the same day as the procedure, as applicable). (report when an e/m visit is furnished within the global period but is unrelated, or when one or more additional e/m visits furnished on the same day are unrelated) FX X-ray taken using film FY X-ray taken using computed radiography technology/cassette-based imaging G0 Telehealth services for diagnosis, evaluation, or treatment, of symptoms of an acute stroke G1 Most recent urr reading of less than 60 G2 Most recent urr reading of 60 to 64.9 G3 Most recent urr reading of 65 to 69.9 G4 Most recent urr reading of 70 to 74.9 G5 Most recent urr reading of 75 or greater G6 Esrd patient for whom less than six dialysis sessions have been provided in a month G7 Pregnancy resulted from rape or incest or pregnancy certified by physician as life threatening G8 Monitored anesthesia care (mac) for deep complex, complicated, or markedly invasive surgical procedure G9 Monitored anesthesia care for patient who has history of severe cardio-pulmonary condition GA Waiver of liability statement issued as required by payer policy, individual case GB Claim being re-submitted for payment because it is no longer covered under a global payment demonstration GC This service has been performed in part by a resident under the direction of a teaching physician GE This service has been performed by a resident without the presence of a teaching physician under the primary care exception GF Non-physician (e.g. nurse practitioner (np), certified registered nurse anesthetist (crna), certified registered nurse (crn), clinical nurse specialist (cns), physician assistant (pa)) services in a critical access hospital GG Performance and payment of a screening mammogram and diagnostic mammogram on the same patient, same day GH Diagnostic mammogram converted from screening mammogram on same day GJ opt out"" physician or practitioner emergency or urgent service GK Reasonable and necessary item/service associated with a ga or gz modifier GL Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn) GM Multiple patients on one ambulance trip GN Services delivered under an outpatient speech language pathology plan of care GO Services delivered under an outpatient occupational therapy plan of care GP Services delivered under an outpatient physical therapy plan of care GQ Via asynchronous telecommunications system GR This service was performed in whole or in part by a resident in a department of veterans affairs medical center or clinic, supervised in accordance with va policy GS Dosage of erythropoietin stimulating agent has been reduced and maintained in response to hematocrit or hemoglobin level GT Via interactive audio and video telecommunication systems GU Waiver of liability statement issued as required by payer policy, routine notice GV Attending physician not employed or paid under arrangement by the patient's hospice provider GW Service not related to the hospice patient's terminal condition GX Notice of liability issued, voluntary under payer policy GY Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit GZ Item or service expected to be denied as not reasonable and necessary H9 Court-ordered HA Child/adolescent program HB Adult program, non geriatric HC Adult program, geriatric HD Pregnant/parenting women's program HE Mental health program HF Substance abuse program HG Opioid addiction treatment program HH Integrated mental health/substance abuse program HI Integrated mental health and intellectual disability/developmental disabilities program HJ Employee assistance program HK Specialized mental health programs for high-risk populations HL Intern HM Less than bachelor degree level HN Bachelors degree level HO Masters degree level HP Doctoral level HQ Group setting HR Family/couple with client present HS Family/couple without client present HT Multi-disciplinary team HU Funded by child welfare agency HV Funded state addictions agency HW Funded by state mental health agency HX Funded by county/local agency HY Funded by juvenile justice agency HZ Funded by criminal justice agency J1 Competitive acquisition program no-pay submission for a prescription number J2 Competitive acquisition program, restocking of emergency drugs after emergency administration J3 Competitive acquisition program (cap), drug not available through cap as written, reimbursed under average sales price methodology J4 Dmepos item subject to dmepos competitive bidding program that is furnished by a hospital upon discharge J5 Off-the-shelf orthotic subject to dmepos competitive bidding program that is furnished as part of a physical therapist or occupational therapist professional service JA Administered intravenously JB Administered subcutaneously JC Skin substitute used as a graft JD Skin substitute not used as a graft JE Administered via dialysate JG Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes JK One month supply or less of drug or biological JL Three month supply of drug or biological JW Drug amount discarded/not administered to any patient JZ Zero drug amount discarded/not administered to any patient K0 Lower extremity prosthesis functional level 0 - does not have the ability or potential to ambulate or transfer safely with or without assistance and a prosthesis does not enhance their quality of life or mobility. K1 Lower extremity prosthesis functional level 1 - has the ability or potential to use a prosthesis for transfers or ambulation on level surfaces at fixed cadence. typical of the limited and unlimited household ambulator. K2 Lower extremity prosthesis functional level 2 - has the ability or potential for ambulation with the ability to traverse low level environmental barriers such as curbs, stairs or uneven surfaces. typical of the limited community ambulator. K3 Lower extremity prosthesis functional level 3 - has the ability or potential for ambulation with variable cadence. typical of the community ambulator who has the ability to transverse most environmental barriers and may have vocational, therapeutic, or exercise activity that demands prosthetic utilization beyond simple locomotion. K4 Lower extremity prosthesis functional level 4 - has the ability or potential for prosthetic ambulation that exceeds the basic ambulation skills, exhibiting high impact, stress, or energy levels, typical of the prosthetic demands of the child, active adult, or athlete. KA Add on option/accessory for wheelchair KB Beneficiary requested upgrade for abn, more than 4 modifiers identified on claim KC Replacement of special power wheelchair interface KD Drug or biological infused through dme KE Bid under round one of the dmepos competitive bidding program for use with non-competitive bid base equipment KF Item designated by fda as class iii device KG Dmepos item subject to dmepos competitive bidding program number 1 KH Dmepos item, initial claim, purchase or first month rental KI Dmepos item, second or third month rental KJ Dmepos item, parenteral enteral nutrition (pen) pump or capped rental, months four to fifteen KK Dmepos item subject to dmepos competitive bidding program number 2 KL Dmepos item delivered via mail KM Replacement of facial prosthesis including new impression/moulage KN Replacement of facial prosthesis using previous master model KO Single drug unit dose formulation KP First drug of a multiple drug unit dose formulation KQ Second or subsequent drug of a multiple drug unit dose formulation KR Rental item, billing for partial month KS Glucose monitor supply for diabetic beneficiary not treated with insulin KT Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item KU Dmepos item subject to dmepos competitive bidding program number 3 KV Dmepos item subject to dmepos competitive bidding program that is furnished as part of a professional service KW Dmepos item subject to dmepos competitive bidding program number 4 KX Requirements specified in the medical policy have been met KY Dmepos item subject to dmepos competitive bidding program number 5 KZ New coverage not implemented by managed care LC Left circumflex coronary artery LD Left anterior descending coronary artery LL Lease/rental (use the 'll' modifier when dme equipment rental is to be applied against the purchase price) LM Left main coronary artery LR Laboratory round trip LS Fda-monitored intraocular lens implant LT Left side (used to identify procedures performed on the left side of the body) LU Fractionated payment of car-t therapy M2 Medicare secondary payer (msp) MA Ordering professional is not required to consult a clinical decision support mechanism due to service being rendered to a patient with a suspected or confirmed emergency medical condition MB Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of insufficient internet access MC Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of electronic health record or clinical decision support mechanism vendor issues MD Ordering professional is not required to consult a clinical decision support mechanism due to the significant hardship exception of extreme and uncontrollable circumstances ME The order for this service adheres to appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional MF The order for this service does not adhere to the appropriate use criteria in the clinical decision support mechanism consulted by the ordering professional MG The order for this service does not have applicable appropriate use criteria in the qualified clinical decision support mechanism consulted by the ordering professional MH Unknown if ordering professional consulted a clinical decision support mechanism for this service, related information was not provided to the furnishing professional or provider MS Six month maintenance and servicing fee for reasonable and necessary parts and labor which are not covered under any manufacturer or supplier warranty NB Nebulizer system, any type, fda-cleared for use with specific drug NR New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased) NU New equipment P1 A normal healthy patient P2 A patient with mild systemic disease P3 A patient with severe systemic disease P4 A patient with severe systemic disease that is a constant threat to life P5 A moribund patient who is not expected to survive without the operation P6 A declared brain-dead patient whose organs are being removed for donor purposes PA Surgical or other invasive procedure on wrong body part PB Surgical or other invasive procedure on wrong patient PC Wrong surgery or other invasive procedure on patient PD Diagnostic or related non diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days PI Positron emission tomography (pet) or pet/computed tomography (ct) to inform the initial treatment strategy of tumors that are biopsy proven or strongly suspected of being cancerous based on other diagnostic testing PL Progressive addition lenses PM Post mortem PN Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital PO Excepted service provided at an off-campus, outpatient, provider-based department of a hospital PS Positron emission tomography (pet) or pet/computed tomography (ct) to inform the subsequent treatment strategy of cancerous tumors when the beneficiary's treating physician determines that the pet study is needed to inform subsequent anti-tumor strategy PT Colorectal cancer screening test; converted to diagnostic test or other procedure Q0 Investigational clinical service provided in a clinical research study that is in an approved clinical research study Q1 Routine clinical service provided in a clinical research study that is in an approved clinical research study Q2 Demonstration procedure/service Q3 Live kidney donor surgery and related services Q4 Service for ordering/referring physician qualifies as a service exemption Q5 Service furnished under a reciprocal billing arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area Q6 Service furnished under a fee-for-time compensation arrangement by a substitute physician or by a substitute physical therapist furnishing outpatient physical therapy services in a health professional shortage area, a medically underserved area, or a rural area Q7 One class a finding Q8 Two class b findings Q9 One class b and two class c findings QA Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts is less than 1 liter per minute (lpm) QB Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts exceeds 4 liters per minute (lpm) and portable oxygen is prescribed QC Single channel monitoring QD Recording and storage in solid state memory by a digital recorder QE Prescribed amount of stationary oxygen while at rest is less than 1 liter per minute (lpm) QF Prescribed amount of stationary oxygen while at rest exceeds 4 liters per minute (lpm) and portable oxygen is prescribed QG Prescribed amount of stationary oxygen while at rest is greater than 4 liters per minute (lpm) QH Oxygen conserving device is being used with an oxygen delivery system QJ Services/items provided to a prisoner or patient in state or local custody, however the state or local government, as applicable, meets the requirements in 42 cfr 411.4 (b) QK Medical direction of two, three, or four concurrent anesthesia procedures involving qualified individuals QL Patient pronounced dead after ambulance called QM Ambulance service provided under arrangement by a provider of services QN Ambulance service furnished directly by a provider of services QP Documentation is on file showing that the laboratory test(s) was ordered individually or ordered as a cpt-recognized panel other than automated profile codes 80002-80019, g0058, g0059, and g0060. QQ Ordering professional consulted a qualified clinical decision support mechanism for this service and the related data was provided to the furnishing professional QR Prescribed amounts of stationary oxygen for daytime use while at rest and nighttime use differ and the average of the two amounts is greater than 4 liters per minute (lpm) QS Monitored anesthesia care service QT Recording and storage on tape by an analog tape recorder QW Clia waived test QX Crna service: with medical direction by a physician QY Medical direction of one certified registered nurse anesthetist (crna) by an anesthesiologist QZ Crna service: without medical direction by a physician RA Replacement of a dme, orthotic or prosthetic item RB Replacement of a part of a dme, orthotic or prosthetic item furnished as part of a repair RC Right coronary artery RD Drug provided to beneficiary, but not administered ""incident-to RE Furnished in full compliance with fda-mandated risk evaluation and mitigation strategy (rems) RI Ramus intermedius coronary artery RR Rental (use the 'rr' modifier when dme is to be rented) RT Right side (used to identify procedures performed on the right side of the body) SA Nurse practitioner rendering service in collaboration with a physician SB Nurse midwife SC Medically necessary service or supply SD Services provided by registered nurse with specialized, highly technical home infusion training SE State and/or federally-funded programs/services SF Second opinion ordered by a professional review organization (pro) per section 9401, p.l. 99-272 (100% reimbursement - no medicare deductible or coinsurance) SG Ambulatory surgical center (asc) facility service SH Second concurrently administered infusion therapy SJ Third or more concurrently administered infusion therapy SK Member of high risk population (use only with codes for immunization) SL State supplied vaccine SM Second surgical opinion SN Third surgical opinion SQ Item ordered by home health SS Home infusion services provided in the infusion suite of the iv therapy provider ST Related to trauma or injury SU Procedure performed in physician's office (to denote use of facility and equipment) SV Pharmaceuticals delivered to patient's home but not utilized SW Services provided by a certified diabetic educator SY Persons who are in close contact with member of high-risk population (use only with codes for immunization) T1 Left foot, second digit T2 Left foot, third digit T3 Left foot, fourth digit T4 Left foot, fifth digit T5 Right foot, great toe T6 Right foot, second digit T7 Right foot, third digit T8 Right foot, fourth digit T9 Right foot, fifth digit TA Left foot, great toe TB Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes for select entities TC Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles TD Rn TE Lpn/lvn TF Intermediate level of care TG Complex/high tech level of care TH Obstetrical treatment/services, prenatal or postpartum TJ Program group, child and/or adolescent TK Extra patient or passenger, non-ambulance TL Early intervention/individualized family service plan (ifsp) TM Individualized education program (iep) TN Rural/outside providers' customary service area TP Medical transport, unloaded vehicle TQ Basic life support transport by a volunteer ambulance provider TR School-based individualized education program (iep) services provided outside the public school district responsible for the student TS Follow-up service TT Individualized service provided to more than one patient in same setting TU Special payment rate, overtime TV Special payment rates, holidays/weekends TW Back-up equipment U1 Medicaid level of care 1, as defined by each state U2 Medicaid level of care 2, as defined by each state U3 Medicaid level of care 3, as defined by each state U4 Medicaid level of care 4, as defined by each state U5 Medicaid level of care 5, as defined by each state U6 Medicaid level of care 6, as defined by each state U7 Medicaid level of care 7, as defined by each state U8 Medicaid level of care 8, as defined by each state U9 Medicaid level of care 9, as defined by each state UA Medicaid level of care 10, as defined by each state UB Medicaid level of care 11, as defined by each state UC Medicaid level of care 12, as defined by each state UD Medicaid level of care 13, as defined by each state UE Used durable medical equipment UF Services provided in the morning UG Services provided in the afternoon UH Services provided in the evening UJ Services provided at night UK Services provided on behalf of the client to someone other than the client (collateral relationship) UN Two patients served UP Three patients served UQ Four patients served UR Five patients served US Six or more patients served V1 Demonstration modifier 1 V2 Demonstration modifier 2 V3 Demonstration modifier 3 V4 Demonstration modifier 4 V5 Vascular catheter (alone or with any other vascular access) V6 Arteriovenous graft (or other vascular access not including a vascular catheter) V7 Arteriovenous fistula only (in use with two needles) VM Medicare diabetes prevention program (mdpp) virtual make-up session VP Aphakic patient X1 Continuous/broad services: for reporting services by clinicians, who provide the principal care for a patient, with no planned endpoint of the relationship; services in this category represent comprehensive care, dealing with the entire scope of patient problems, either directly or in a care coordination role; reporting clinician service examples include, but are not limited to: primary care, and clinicians providing comprehensive care to patients in addition to specialty care X2 Continuous/focused services: for reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed with no planned endpoint to the relationship; reporting clinician service examples include but are not limited to: a rheumatologist taking care of the patient's rheumatoid arthritis longitudinally but not providing general primary care services X3 Episodic/broad servies: for reporting services by clinicians who have broad responsibility for the comprehensive needs of the patient that is limited to a defined period and circumstance such as a hospitalization; reporting clinician service examples include but are not limited to the hospitalist's services rendered providing comprehensive and general care to a patient while admitted to the hospital X4 Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period X5 Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician XE Separate encounter, a service that is distinct because it occurred during a separate encounter XP Separate practitioner, a service that is distinct because it was performed by a different practitioner XS Separate structure, a service that is distinct because it was performed on a separate organ/structure XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service      
- [Anesthesia CPT codes (00100 – 01999)](https://americanmedicalcoding.com/glossary/anesthesia-cpt-codes-00100-01999/): 00100 Anesthesia for procedures on salivary glands, including biopsy 00102 Anesthesia for procedures involving plastic repair of cleft lip 00103 Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery) 00104 Anesthesia for electroconvulsive therapy 00120 Anesthesia for procedures on external, middle, and inner ear including biopsy; not otherwise specified 00124 Anesthesia for procedures on external, middle, and inner ear including biopsy; otoscopy 00126 Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy 00140 Anesthesia for procedures on eye; not otherwise specified 00142 Anesthesia for procedures on eye; lens surgery 00144 Anesthesia for procedures on eye; corneal transplant 00145 Anesthesia for procedures on eye; vitreoretinal surgery 00147 Anesthesia for procedures on eye; iridectomy 00148 Anesthesia for procedures on eye; ophthalmoscopy 00160 Anesthesia for procedures on nose and accessory sinuses; not otherwise specified 00162 Anesthesia for procedures on nose and accessory sinuses; radical surgery 00164 Anesthesia for procedures on nose and accessory sinuses; biopsy, soft tissue 00170 Anesthesia for intraoral procedures, including biopsy; not otherwise specified 00172 Anesthesia for intraoral procedures, including biopsy; repair of cleft palate 00174 Anesthesia for intraoral procedures, including biopsy; excision of retropharyngeal tumor 00176 Anesthesia for intraoral procedures, including biopsy; radical surgery 00190 Anesthesia for procedures on facial bones or skull; not otherwise specified 00192 Anesthesia for procedures on facial bones or skull; radical surgery (including prognathism) 00210 Anesthesia for intracranial procedures; not otherwise specified 00211 Anesthesia for intracranial procedures; craniotomy or craniectomy for evacuation of hematoma 00212 Anesthesia for intracranial procedures; subdural taps 00214 Anesthesia for intracranial procedures; burr holes, including ventriculography 00215 Anesthesia for intracranial procedures; cranioplasty or elevation of depressed skull fracture, extradural (simple or compound) 00216 Anesthesia for intracranial procedures; vascular procedures 00218 Anesthesia for intracranial procedures; procedures in sitting position 00220 Anesthesia for intracranial procedures; cerebrospinal fluid shunting procedures 00222 Anesthesia for intracranial procedures; electrocoagulation of intracranial nerve 00300 Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and posterior trunk, not otherwise specified 00320 Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; not otherwise specified, age 1 year or older 00322 Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; needle biopsy of thyroid 00326 Anesthesia for all procedures on the larynx and trachea in children younger than 1 year of age 00350 Anesthesia for procedures on major vessels of neck; not otherwise specified 00352 Anesthesia for procedures on major vessels of neck; simple ligation 00400 Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; not otherwise specified 00402 Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; reconstructive procedures on breast (eg, reduction or augmentation mammoplasty, muscle flaps) 00404 Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast 00406 Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast with internal mammary node dissection 00410 Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; electrical conversion of arrhythmias 00450 Anesthesia for procedures on clavicle and scapula; not otherwise specified 00454 Anesthesia for procedures on clavicle and scapula; biopsy of clavicle 00470 Anesthesia for partial rib resection; not otherwise specified 00472 Anesthesia for partial rib resection; thoracoplasty (any type) 00474 Anesthesia for partial rib resection; radical procedures (eg, pectus excavatum) 00500 Anesthesia for all procedures on esophagus 00520 Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified 00522 Anesthesia for closed chest procedures; needle biopsy of pleura 00524 Anesthesia for closed chest procedures; pneumocentesis 00528 Anesthesia for closed chest procedures; mediastinoscopy and diagnostic thoracoscopy not utilizing 1 lung ventilation 00529 Anesthesia for closed chest procedures; mediastinoscopy and diagnostic thoracoscopy utilizing 1 lung ventilation 00530 Anesthesia for permanent transvenous pacemaker insertion 00532 Anesthesia for access to central venous circulation 00534 Anesthesia for transvenous insertion or replacement of pacing cardioverter-defibrillator 00537 Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation 00539 Anesthesia for tracheobronchial reconstruction 00540 Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); not otherwise specified 00541 Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); utilizing 1 lung ventilation 00542 Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); decortication 00546 Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); pulmonary resection with thoracoplasty 00548 Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); intrathoracic procedures on the trachea and bronchi 00550 Anesthesia for sternal debridement 00560 Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; without pump oxygenator 00561 Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, younger than 1 year of age 00562 Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, age 1 year or older, for all noncoronary bypass procedures (eg, valve procedures) or for re-operation for coronary bypass more than 1 month after original operation 00563 Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator with hypothermic circulatory arrest 00566 Anesthesia for direct coronary artery bypass grafting; without pump oxygenator 00567 Anesthesia for direct coronary artery bypass grafting; with pump oxygenator 00580 Anesthesia for heart transplant or heart/lung transplant 00600 Anesthesia for procedures on cervical spine and cord; not otherwise specified 00604 Anesthesia for procedures on cervical spine and cord; procedures with patient in the sitting position 00620 Anesthesia for procedures on thoracic spine and cord, not otherwise specified 00625 Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; not utilizing 1 lung ventilation 00626 Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; utilizing 1 lung ventilation 00630 Anesthesia for procedures in lumbar region; not otherwise specified 00632 Anesthesia for procedures in lumbar region; lumbar sympathectomy 00635 Anesthesia for procedures in lumbar region; diagnostic or therapeutic lumbar puncture 00640 Anesthesia for manipulation of the spine or for closed procedures on the cervical, thoracic or lumbar spine 00670 Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular procedures) 00700 Anesthesia for procedures on upper anterior abdominal wall; not otherwise specified 00702 Anesthesia for procedures on upper anterior abdominal wall; percutaneous liver biopsy 00730 Anesthesia for procedures on upper posterior abdominal wall 00731 Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified 00732 Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; endoscopic retrograde cholangiopancreatography (ERCP) 00750 Anesthesia for hernia repairs in upper abdomen; not otherwise specified 00752 Anesthesia for hernia repairs in upper abdomen; lumbar and ventral (incisional) hernias and/or wound dehiscence 00754 Anesthesia for hernia repairs in upper abdomen; omphalocele 00756 Anesthesia for hernia repairs in upper abdomen; transabdominal repair of diaphragmatic hernia 00770 Anesthesia for all procedures on major abdominal blood vessels 00790 Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specified 00792 Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; partial hepatectomy or management of liver hemorrhage (excluding liver biopsy) 00794 Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; pancreatectomy, partial or total (eg, Whipple procedure) 00796 Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; liver transplant (recipient) 00797 Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; gastric restrictive procedure for morbid obesity 00800 Anesthesia for procedures on lower anterior abdominal wall; not otherwise specified 00802 Anesthesia for procedures on lower anterior abdominal wall; panniculectomy 00811 Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified 00812 Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy 00813 Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum 00820 Anesthesia for procedures on lower posterior abdominal wall 00830 Anesthesia for hernia repairs in lower abdomen; not otherwise specified 00832 Anesthesia for hernia repairs in lower abdomen; ventral and incisional hernias 00834 Anesthesia for hernia repairs in the lower abdomen not otherwise specified, younger than 1 year of age 00836 Anesthesia for hernia repairs in the lower abdomen not otherwise specified, infants younger than 37 weeks gestational age at birth and younger than 50 weeks gestational age at time of surgery 00840 Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified 00842 Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; amniocentesis 00844 Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; abdominoperineal resection 00846 Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; radical hysterectomy 00848 Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; pelvic exenteration 00851 Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/transection 00860 Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; not otherwise specified 00862 Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal procedures, including upper one-third of ureter, or donor nephrectomy 00864 Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; total cystectomy 00865 Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; radical prostatectomy (suprapubic, retropubic) 00866 Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; adrenalectomy 00868 Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal transplant (recipient) 00870 Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; cystolithotomy 00872 Anesthesia for lithotripsy, extracorporeal shock wave; with water bath 00873 Anesthesia for lithotripsy, extracorporeal shock wave; without water bath 00880 Anesthesia for procedures on major lower abdominal vessels; not otherwise specified 00882 Anesthesia for procedures on major lower abdominal vessels; inferior vena cava ligation 00902 Anesthesia for; anorectal procedure 00904 Anesthesia for; radical perineal procedure 00906 Anesthesia for; vulvectomy 00908 Anesthesia for; perineal prostatectomy 00910 Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified 00912 Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of bladder tumor(s) 00914 Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of prostate 00916 Anesthesia for transurethral procedures (including urethrocystoscopy); post-transurethral resection bleeding 00918 Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulation and/or removal of ureteral calculus 00920 Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise specified 00921 Anesthesia for procedures on male genitalia (including open urethral procedures); vasectomy, unilateral or bilateral 00922 Anesthesia for procedures on male genitalia (including open urethral procedures); seminal vesicles 00924 Anesthesia for procedures on male genitalia (including open urethral procedures); undescended testis, unilateral or bilateral 00926 Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy, inguinal 00928 Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy, abdominal 00930 Anesthesia for procedures on male genitalia (including open urethral procedures); orchiopexy, unilateral or bilateral 00932 Anesthesia for procedures on male genitalia (including open urethral procedures); complete amputation of penis 00934 Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal lymphadenectomy 00936 Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal and iliac lymphadenectomy 00938 Anesthesia for procedures on male genitalia (including open urethral procedures); insertion of penile prosthesis (perineal approach) 00940 Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not otherwise specified 00942 Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); colpotomy, vaginectomy, colporrhaphy, and open urethral procedures 00944 Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); vaginal hysterectomy 00948 Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); cervical cerclage 00950 Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); culdoscopy 00952 Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hysteroscopy and/or hysterosalpingography 01112 Anesthesia for bone marrow aspiration and/or biopsy, anterior or posterior iliac crest 01120 Anesthesia for procedures on bony pelvis 01130 Anesthesia for body cast application or revision 01140 Anesthesia for interpelviabdominal (hindquarter) amputation 01150 Anesthesia for radical procedures for tumor of pelvis, except hindquarter amputation 01160 Anesthesia for closed procedures involving symphysis pubis or sacroiliac joint 01170 Anesthesia for open procedures involving symphysis pubis or sacroiliac joint 01173 Anesthesia for open repair of fracture disruption of pelvis or column fracture involving acetabulum 01200 Anesthesia for all closed procedures involving hip joint 01202 Anesthesia for arthroscopic procedures of hip joint 01210 Anesthesia for open procedures involving hip joint; not otherwise specified 01212 Anesthesia for open procedures involving hip joint; hip disarticulation 01214 Anesthesia for open procedures involving hip joint; total hip arthroplasty 01215 Anesthesia for open procedures involving hip joint; revision of total hip arthroplasty 01220 Anesthesia for all closed procedures involving upper two-thirds of femur 01230 Anesthesia for open procedures involving upper two-thirds of femur; not otherwise specified 01232 Anesthesia for open procedures involving upper two-thirds of femur; amputation 01234 Anesthesia for open procedures involving upper two-thirds of femur; radical resection 01250 Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of upper leg 01260 Anesthesia for all procedures involving veins of upper leg, including exploration 01270 Anesthesia for procedures involving arteries of upper leg, including bypass graft; not otherwise specified 01272 Anesthesia for procedures involving arteries of upper leg, including bypass graft; femoral artery ligation 01274 Anesthesia for procedures involving arteries of upper leg, including bypass graft; femoral artery embolectomy 01320 Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or popliteal area 01340 Anesthesia for all closed procedures on lower one-third of femur 01360 Anesthesia for all open procedures on lower one-third of femur 01380 Anesthesia for all closed procedures on knee joint 01382 Anesthesia for diagnostic arthroscopic procedures of knee joint 01390 Anesthesia for all closed procedures on upper ends of tibia, fibula, and/or patella 01392 Anesthesia for all open procedures on upper ends of tibia, fibula, and/or patella 01400 Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified 01402 Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty 01404 Anesthesia for open or surgical arthroscopic procedures on knee joint; disarticulation at knee 01420 Anesthesia for all cast applications, removal, or repair involving knee joint 01430 Anesthesia for procedures on veins of knee and popliteal area; not otherwise specified 01432 Anesthesia for procedures on veins of knee and popliteal area; arteriovenous fistula 01440 Anesthesia for procedures on arteries of knee and popliteal area; not otherwise specified 01442 Anesthesia for procedures on arteries of knee and popliteal area; popliteal thromboendarterectomy, with or without patch graft 01444 Anesthesia for procedures on arteries of knee and popliteal area; popliteal excision and graft or repair for occlusion or aneurysm 01462 Anesthesia for all closed procedures on lower leg, ankle, and foot 01464 Anesthesia for arthroscopic procedures of ankle and/or foot 01470 Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not otherwise specified 01472 Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; repair of ruptured Achilles tendon, with or without graft 01474 Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; gastrocnemius recession (eg, Strayer procedure) 01480 Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified 01482 Anesthesia for open procedures on bones of lower leg, ankle, and foot; radical resection (including below knee amputation) 01484 Anesthesia for open procedures on bones of lower leg, ankle, and foot; osteotomy or osteoplasty of tibia and/or fibula 01486 Anesthesia for open procedures on bones of lower leg, ankle, and foot; total ankle replacement 01490 Anesthesia for lower leg cast application, removal, or repair 01500 Anesthesia for procedures on arteries of lower leg, including bypass graft; not otherwise specified 01502 Anesthesia for procedures on arteries of lower leg, including bypass graft; embolectomy, direct or with catheter 01520 Anesthesia for procedures on veins of lower leg; not otherwise specified 01522 Anesthesia for procedures on veins of lower leg; venous thrombectomy, direct or with catheter 01610 Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of shoulder and axilla 01620 Anesthesia for all closed procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint 01622 Anesthesia for diagnostic arthroscopic procedures of shoulder joint 01630 Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; not otherwise specified 01634 Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; shoulder disarticulation 01636 Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; interthoracoscapular (forequarter) amputation 01638 Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; total shoulder replacement 01650 Anesthesia for procedures on arteries of shoulder and axilla; not otherwise specified 01652 Anesthesia for procedures on arteries of shoulder and axilla; axillary-brachial aneurysm 01654 Anesthesia for procedures on arteries of shoulder and axilla; bypass graft 01656 Anesthesia for procedures on arteries of shoulder and axilla; axillary-femoral bypass graft 01670 Anesthesia for all procedures on veins of shoulder and axilla 01680 Anesthesia for shoulder cast application, removal or repair, not otherwise specified 01710 Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; not otherwise specified 01712 Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenotomy, elbow to shoulder, open 01714 Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenoplasty, elbow to shoulder 01716 Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenodesis, rupture of long tendon of biceps 01730 Anesthesia for all closed procedures on humerus and elbow 01732 Anesthesia for diagnostic arthroscopic procedures of elbow joint 01740 Anesthesia for open or surgical arthroscopic procedures of the elbow; not otherwise specified 01742 Anesthesia for open or surgical arthroscopic procedures of the elbow; osteotomy of humerus 01744 Anesthesia for open or surgical arthroscopic procedures of the elbow; repair of nonunion or malunion of humerus 01756 Anesthesia for open or surgical arthroscopic procedures of the elbow; radical procedures 01758 Anesthesia for open or surgical arthroscopic procedures of the elbow; excision of cyst or tumor of humerus 01760 Anesthesia for open or surgical arthroscopic procedures of the elbow; total elbow replacement 01770 Anesthesia for procedures on arteries of upper arm and elbow; not otherwise specified 01772 Anesthesia for procedures on arteries of upper arm and elbow; embolectomy 01780 Anesthesia for procedures on veins of upper arm and elbow; not otherwise specified 01782 Anesthesia for procedures on veins of upper arm and elbow; phleborrhaphy 01810 Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and hand 01820 Anesthesia for all closed procedures on radius, ulna, wrist, or hand bones 01829 Anesthesia for diagnostic arthroscopic procedures on the wrist 01830 Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wrist, or hand joints; not otherwise specified 01832 Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wrist, or hand joints; total wrist replacement 01840 Anesthesia for procedures on arteries of forearm, wrist, and hand; not otherwise specified 01842 Anesthesia for procedures on arteries of forearm, wrist, and hand; embolectomy 01844 Anesthesia for vascular shunt, or shunt revision, any type (eg, dialysis) 01850 Anesthesia for procedures on veins of forearm, wrist, and hand; not otherwise specified 01852 Anesthesia for procedures on veins of forearm, wrist, and hand; phleborrhaphy 01860 Anesthesia for forearm, wrist, or hand cast application, removal, or repair 01916 Anesthesia for diagnostic arteriography/venography 01920 Anesthesia for cardiac catheterization including coronary angiography and ventriculography (not to include Swan-Ganz catheter) 01922 Anesthesia for non-invasive imaging or radiation therapy 01924 Anesthesia for therapeutic interventional radiological procedures involving the arterial system; not otherwise specified 01925 Anesthesia for therapeutic interventional radiological procedures involving the arterial system; carotid or coronary 01926 Anesthesia for therapeutic interventional radiological procedures involving the arterial system; intracranial, intracardiac, or aortic 01930 Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); not otherwise specified 01931 Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); intrahepatic or portal circulation (eg, transvenous intrahepatic portosystemic shunt ) 01932 Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); intrathoracic or jugular 01933 Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); intracranial 01937 Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; cervical or thoracic 01938 Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; lumbar or sacral 01939 Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; cervical or thoracic 01940 Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; lumbar or sacral 01941 Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; cervical or thoracic 01942 Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral 01951 Anesthesia for second- and third-degree burn excision or debridement with or without skin grafting, any site, for total body surface area (TBSA) treated during anesthesia and surgery; less than 4% total body surface area 01952 Anesthesia for second- and third-degree burn excision or debridement with or without skin grafting, any site, for total body surface area (TBSA) treated during anesthesia and surgery; between 4% and 9% of total body surface area 01953 Anesthesia for second- and third-degree burn excision or debridement with or without skin grafting, any site, for total body surface area (TBSA) treated during anesthesia and surgery; each additional 9% total body surface area or part thereof (List separately in addition to code for primary procedure) 01958 Anesthesia for external cephalic version procedure 01960 Anesthesia for vaginal delivery only 01961 Anesthesia for cesarean delivery only 01962 Anesthesia for urgent hysterectomy following delivery 01963 Anesthesia for cesarean hysterectomy without any labor analgesia/anesthesia care 01965 Anesthesia for incomplete or missed abortion procedures 01966 Anesthesia for induced abortion procedures 01967 Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarachnoid needle placement and drug injection and/or any necessary replacement of an epidural catheter during labor) 01968 Anesthesia for cesarean delivery following neuraxial labor analgesia/anesthesia (List separately in addition to code for primary procedure performed) 01969 Anesthesia for cesarean hysterectomy following neuraxial labor analgesia/anesthesia (List separately in addition to code for primary procedure performed) 01990 Physiological support for harvesting of organ(s) from brain-dead patient 01991 Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different physician or other qualified health care professional); other than the prone position 01992 Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different physician or other qualified health care professional); prone position 01996 Daily hospital management of epidural or subarachnoid continuous drug administration 01999 Unlisted anesthesia procedure(s)
- [Z](https://americanmedicalcoding.com/glossary/z/): Zadek’s procedure. Surgical excision of the root of a nail to treat ingrowing toenail.
- [Y](https://americanmedicalcoding.com/glossary/y/): Young’s operation. (1) Creation of mucocutaneous flaps to treat atrophic rhinitis; (2) formation of a neo-urethra to treat epispadias; (3) excision of the prostate using a perineal approach
- [W](https://americanmedicalcoding.com/glossary/w/): Waldius procedure. Total knee replacement using a singleaxis hinged prosthesis that allows no rotation in the longitudinal axis and no abduction
- [V](https://americanmedicalcoding.com/glossary/v/): Vineberg operation. Anastomosis of the internal mammary artery to coronary artery to revascularize an ischemic heart muscle.
- [U](https://americanmedicalcoding.com/glossary/u/): Uchida procedure. Sterilization of the female by excision of a segment of each fallopian tube, with subserosal injection of saline and suture of the amputated ends.
- [T](https://americanmedicalcoding.com/glossary/t/): Tanzer ear reconstruction. Six-stage reconstruction of the external ear for microtia; includes construction of cartilage framework, lobe transposition, elevation, and tragus construction.
- [S](https://americanmedicalcoding.com/glossary/s/): Schanz operation. Palliative femoral valgus osteotomy as a treatment for irreducible hip dislocation, usually in cases of cerebral palsy; results in pain relief and improved range of motion
- [R](https://americanmedicalcoding.com/glossary/r/): Ramstedt operation. Longitudinal incision in the anterior wall of the pylorus to the level of submucosa; for treatment of stenosis; also called Fredet–Ramstedt operation.
- [P](https://americanmedicalcoding.com/glossary/p/): Partsch’s operation. Marsupialization of a dental cyst.
- [O](https://americanmedicalcoding.com/glossary/o/): Ober–Yount procedure. Release of the iliotibial band of fascia that runs from the hip to the knee in patients with contracted fascia who are wheelchair bound; incisions are made in the fascia at the hip and at the knee to release the tension
- [N](https://americanmedicalcoding.com/glossary/n/): Naffziger operation. Orbital decompression with removal of lateral and superior orbital walls for relief of severe exophthalmos.
- [M](https://americanmedicalcoding.com/glossary/m/): Marshall–Marchetti–Krantz procedure. Surgical reinforcement of the bladder by suturing the neck of the bladder to the pubic bone or local fascia to correct female urinary stress incontinence.
- [L](https://americanmedicalcoding.com/glossary/l/): Lapidus procedure. Fusion of the first metatarsal and first cuneiform joint and the first and second metatarsal bases with a tenotomy releasing the metatarsal bone; treatment for hallux valgus (bunion).
- [K](https://americanmedicalcoding.com/glossary/k/): Kausch–Whipple procedure. Radical pancreaticoduodenectomy
- [J](https://americanmedicalcoding.com/glossary/j/): Jaboulay pyloroplasty. Side-to-side gastroduodenostomy; the goal is to increase the diameter of a narrowed or thickened pylorus without incising the pylorus.
- [I](https://americanmedicalcoding.com/glossary/i/): Ilizarov procedure. Attachment of external circular fixation system to underlying bone via multiple wires; for the correction of limb length discrepancies through distraction or treatment of fracture.
- [H](https://americanmedicalcoding.com/glossary/h/): Halsted’s operation. (1) Repair of inguinal hernia; (2) radical mastectomy.
- [G](https://americanmedicalcoding.com/glossary/g/): Gaskin maneuver. Placement of a patient in labor on her hands and knees to reduce shoulder dystocia.
- [F](https://americanmedicalcoding.com/glossary/f/): Fasanella–Servat procedure. Tarsal and conjunctival resection using an internal transconjunctival approach to repair mild to moderate ptosis.
- [E](https://americanmedicalcoding.com/glossary/e/): Elliot’s operation. Use of a corneoscleral trephine to create a subconjunctival fistula for drainage of aqueous humor.
- [D](https://americanmedicalcoding.com/glossary/d/): Dana operation. Incision of a sensory nerve root to relieve intractable pain or spasms; posterior rhizotomy.
- [C](https://americanmedicalcoding.com/glossary/c/): Caldwell–Luc approach. Incision high in the gum line in the anterior maxilla and through the underlying bone to approach the maxillary antrum; access used for sinus surgery or orbital blowout fracture.
- [B](https://americanmedicalcoding.com/glossary/b/): Babcock operation. Ligation of the saphenous vein using a long probe inserted through a small incision; the probe retrieves the vein, which is removed and its proximal end ligated.
- [A](https://americanmedicalcoding.com/glossary/a/): Abbe–Estlander procedure. Creation of a local full-thickness  flap that includes skin, labial artery, and mucosa for  reconstruction of medial defects of the opposite lip, as  seen in cleft lip repairs.

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- [Bone Up on Osteoporosis: The Only Guide You Need to Avoid the Breaks](https://americanmedicalcoding.com/?p=12312): Bone Up on Osteoporosis: The Only Guide You Need to find out and learn about CPT and ICD-10 CM codes. Also learn about treatment and prevention.
- [Know Everything about Echocardiogram, types, techniques  and Risks](https://americanmedicalcoding.com/?p=12261): Checkout Know Everything about Echocardiogram, types, techniques and Risks. Also learn about the CPT codes used for Transthoracic (TTE)
Transesophageal (TEE)
Exercise stress echocardiogram.
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- [What is Peripheral Artery Disease, symptoms and test done for it?](https://americanmedicalcoding.com/?p=12223): what is peripheral artery disease and it symptoms here and also learn about the various test like ABI index, doppler ultrasound and angiography done to diagnosis PAD.
- [What is Hysterectomy and Why it is performed? Risks and complication](https://americanmedicalcoding.com/?p=12199): Checkout what is hysterectomy, why is performed and it types with risks and complications with CPT or Procedure code.
- [What Medicare Part B Covers? Get the list here](https://americanmedicalcoding.com/?p=12008): Medicare Part B covers a variety of services let us checkout all of them.
Medicare Part B cover medical services like doctors' services, outpatient care & medical services that Part A doesn't cover.
- [Three Pillars of Medical coding](https://americanmedicalcoding.com/?p=11995): Learn about CPT, ICD-10 CM code and Modifier used in medical coding by medical coders
- [Medical coding CPC Certification exam tips](https://americanmedicalcoding.com/?p=11972): Checkout the medical coding AAPC CPC certification exam tips for medical coders to clear this exam and become a certified profession coder from AAPC.
- [Medical Coding Guide for Medical coders](https://americanmedicalcoding.com/?p=11965): Checkout the medical coding blog for getting ICD-10 CM, CPT code and AAPC Exam tips for medical coders