Office Visits -- Adult Preventative Care Office Visit (or Wellness Office Visit) 99385 New patient preventive care visit for adult, ages 18 to 39 99386 New patient preventive care visit for adult, ages 40 to 64 99395 Preventive care visit for adult, ages 18 to 39 99396 Preventive care visit for adult, ages 40 to 64 Office Visits -- Pediatric or Adolescent Preventative Care Office Visit (or Wellness Office Visit) 99381 New patient preventative care visit for child under age 1 99382 New patient preventative care visit for child, ages 1 to 4 99383 New patient preventative care visit for child ages 5 to 11 99384 New patient preventative care visit for adolescent ages 12 to 17 99391 Preventive care visit for child under age 1 99392 Preventive care visit for child, ages 1 to 4 99393 Preventive care visit for child, ages 5 to 11 99394 Preventive care visit for adolescent, ages 12 to 17 Office Visits -- Office or Outpatient Visit 99201 New patient office visit (10 minutes) 99202 New patient office visit (20 minutes) 99203 New patient office visit (30 minutes) 99204 New patient office visit (45 minutes) 99205 New patient office visit (60 minutes) 99211 Office visit for an established patient (5 minutes) 99212 Office visit for an established patient (10 minutes) 99213 Office visit for an established patient (15 minutes) 99214 Office visit for an established patient (25 minutes) 99215 Office visit for an established patient (40 minutes) Office Visits -- Specialist Consultation 99241 Patient office consultation (15 minutes) 99242 Patient office consultation (30 minutes) 99243 Patient office consultation (45 minutes) 99244 Patient office consultation (60 minutes) 99245 Patient office consultation (80 minutes) Office Visits -- Wound Management 97597 Remove tissue from wounds (debridement, open wound 20 square centimeters or less) 97605 Negative or vacuum pressure wound therapy (total wound(s) surface area less than or equal to 50 square centimeters) Physical and Occupational Therapy -- Physical Therapy 97001 Physical therapy evaluation 97002 Physical therapy re-evaluation 97010 Application of hot or cold packs to 1 or more areas 97012 Application of mechanical traction to 1 or more areas 97014 Application of electrical stimulation to 1 or more areas, when physical therapist is not there 97018 Application of hot wax bath to 1 or more areas 97022 Application of whirlpool therapy to 1 or more areas 97032 Application of electrical stimulation to 1 or more areas 97033 Application of medication through skin using electrical current 97035 Application of ultrasound to 1 or more areas 97110 Therapeutic exercise to develop strength, endurance, range of motion, and flexibility 97112 Therapeutic procedure to re-educate brain-to-nerve-to-muscle function 97113 Water pool therapy for 1 or more areas 97116 Walking training to 1 or more areas 97124 Therapeutic massage to 1 or more areas 97140 Manual (physical) therapy techniques to 1 or more regions 97150 Therapeutic procedures in a group setting 97530 Therapeutic activities to improve function, with one-on-one contact between patient and provider Physical and Occupational Therapy -- Occupational Therapy 97003 Occupational therapy evaluation 97535 Self-care or home management training 97760 Orthotic management of arm or leg and/or trunk 97762 Evaluation of orthotic or prosthetic use Integrative Medicine -- Osteopathic Manipulative Treatment
98925 Manipulation of bones and muscles (osteopathic manipulative treatment), 1 to 2 areas of the body 98926 Manipulation of bones and muscles (osteopathic manipulative treatment), 3 to 4 areas of the body 98927 Manipulation of bones and muscles (osteopathic manipulative treatment), 5 to 6 areas of the body 98928 Manipulation of bones and muscles (osteopathic manipulative treatment), 7 to 8 areas of the body 98929 Manipulation of bones and muscles (osteopathic manipulative treatment), 9 to 10 areas of the body Integrative Medicine -- Nutrition Services 97802 Medical nutrition therapy, first appointment (15 minutes) 97803 Medical nutrition therapy, all individual visits after the first visit (15 minutes) 97804 Medical nutrition therapy in a group (30 minutes) Mental and Behavioral Health Services -- Diagnostic Evaluation 90791 Psychiatric diagnostic evaluation 90792 Psychiatric diagnostic evaluation with medical services Mental and Behavioral Health Services -- Therapy 90832 Psychotherapy, 30 minutes with patient and/or family member 90833 Psychotherapy with patient, or with patient and family member, with 99201-99255 evaluation and case management 90834 Psychotherapy with patient, or with patient and family member, lasting 45 minutes 90836 Psychotherapy with patient, or with patient and family member, with 99201-99255 evaluation and case management, lasting 45 minutes 90837 Psychotherapy with patient, or with patient and family member, lasting 60 minutes 90838 Psychotherapy with patient, or with patient and family member, with 99201-99255 evaluation and case management, lasting 60 minutes 90846 Family psychotherapy without patient 90847 Family psychotherapy with patient 90853 Group psychotherapy Mental and Behavioral Health Services -- Procedures 90870 Shock treatment and monitoring Mental and Behavioral Health Services -- Health and behavior assessment 96150 Health and behavior assessment for 15 minute session Obstetric/Gynecological Procedures -- Delivery 59400 Vaginal delivery# 59400, 59409, 59410, 59610, 59612, 59614 59510 C-section (Cesarean delivery)# 59510, 59514, 59515, 59618, 59620, 59622 Obstetric/Gynecological Procedures -- Laboratory Services 81025 Pregnancy test, urine 99000 82746 Blood test for folic acid level 36415, 36416, 99000 Obstetric/Gynecological Procedures -- Ultrasounds 76816 Ultrasound re-evaluation of pregnant uterus, per fetus 76830 Transvaginal ultrasound Radiology and Imaging -- CT (Computed Tomography) Scans 70450 CT scan of head or brain 70486 CT scan of face 71250 CT scan of chest 71260 CT scan of chest, with contrast A9500-9699,Q9958-Q9967 or 99070 72192 CT scan of pelvis 72193 CT scan of pelvis, with contrast A9500-9699,Q9958-Q9967 or 99070 74150 CT scan of abdomen 74160 CT scan of abdomen, with contrast A9500-9699,Q9958-Q9967 or 99070 74170 CT scan of abdomen, with and without contrast A9500-9699,Q9958-Q9967 or 99070 74176 CT scan of abdomen and pelvis, without contrast 74177 CT scan of abdomen and pelvis, with contrast A9500-9699,Q9958-Q9967 or 99070 74178 CT scan of abdomen and pelvis, with and without contrast A9500-9699,Q9958-Q9967 or 99070 Radiology and Imaging -- Mammograms 77051 Analog diagnostic mammogram (computer analysis of image data for lesion detection, with further review for interpretation) 77055, 77056
77052 Analog screening mammogram, imaging of breast done for routine check?up (computer analysis of image data for lesion detection, with further review for 77057 interpretation) 77055 Analog diagnostic mammogram of one breast Radiology and Imaging -- MRI (Magnetic Resonance Imaging) Scans 70551 MRI scan of brain 70553 MRI scan of brain, with and without contrast A9500-9699,Q9958-Q9967 or 99070 72141 MRI scan of upper spinal canal 72148 MRI scan of lower spinal canal 73221 MRI scan of arm joint 73721 MRI scan of leg joint 77059 MRI scan of both breasts, with contrast A9500-9699,Q9958-Q9967 or 99070 Radiology and Imaging -- Ultrasounds 76645 Ultrasound of breast 76700 Ultrasound of abdomen (complete) 76705 Ultrasound of abdomen (limited area) 76856 Ultrasound of pelvis Radiology and Imaging -- X-Rays 71020 X-ray of chest, 2 views, front and side 72100 X-ray of lower and sacral spine, 2 or 3 views 73030 X-ray of shoulder, minimum of 2 views 73110 X-ray of wrist, minimum of 3 views 73120 X-ray of hand, 2 views 73562 X-ray of knee, 3 views 73610 X-ray of ankle, minimum of 3 views 73620 X-ray of foot, 2 views 73630 X-ray of foot, minimum of 3 views Radiology and Imaging -- Other Imaging Procedures 77080 Bone density test of spine or hips using dedicated X-ray machine 78306 Bone and joint imaging, whole body A9500-9699,Q9958-Q9967 or 99070 78815 Nuclear medicine study with CT imaging, skull base to mid-thigh A9500-9699,Q9958-Q9967 or 99070 Laboratory Services -- Blood Test 80051 Blood test for electrolyte levels (sodium potassium, chloride, carbon dioxide) 36415, 36416, 99000 80061 Blood test for lipids (cholesterol and triglycerides) 36415, 36416, 99000 80069 Blood test for kidney functioning 36415, 36416, 99000 80074 Blood test for acute hepatitis panel 36415, 36416, 99000 80076 Blood test for liver functioning 36415, 36416, 99000 82040 Blood test for albumin (protein) level 36415, 36416, 99000 82105 Alpha-fetoprotein (AFP) level, serum 36415, 36416, 99000 82150 Blood test for amylase (enzyme) level 36415, 36416, 99000 82310 Blood test for calcium level 36415, 36416, 99000 82378 Blood test to check for a protein associated with certain kinds of cancers 36415, 36416, 99000 (carcinoembryonic antigen protein or CEA level) 82435 Blood test for chloride level 36415, 36416, 99000 82465 Blood test for cholesterol levels 36415, 36416, 99000 82533 Blood test for cortisol hormone level 36415, 36416, 99000 82550 Blood test for cardiac enzyme (creatine kinase) level 36415, 36416, 99000 82607 Blood test for vitamin B-12 (cyanocobalamin) level 36415, 36416, 99000 82627 Blood test for DHEA-S (dehydroepiandrosterone) level 36415, 36416, 99000 82728 Blood test for ferritin level 36415, 36416, 99000 82785 Blood test for IgE (immune system protein) level 36415, 36416, 99000 82947 Blood test for blood glucose (sugar) level 36415, 36416, 99000 82977 Blood test for glutamyltransferase (liver enzyme) level 36415, 36416, 99000 83036 Blood test for blood glucose control (hemoglobin A1C) 36415, 36416, 99000 83525 Blood test for insulin level 36415, 36416, 99000 83540 Blood test for iron level 36415, 36416, 99000 83615 Blood test for lactate dehydrogenase (enzyme) level 36415, 36416, 99000 83690 Blood test for lipase (fat enzyme) level 36415, 36416, 99000 83721 Blood test for LDL cholesterol level 36415, 36416, 99000 83735 Blood test for magnesium level 36415, 36416, 99000 83925 Blood test for opiates (drug) 36415, 36416, 99000 83970 Blood test for parathormone (parathyroid hormone) level 36415, 36416, 99000 84075 Blood test for phosphatase (enzyme) level 36415, 36416, 99000 84100 Blood test for phosphate level 36415, 36416, 99000
84146 Blood test for prolactin (milk producing hormone) level 36415, 36416, 99000 84153 Blood test for PSA (prostate specific antigen) level 36415, 36416, 99000 84155 Blood test for total protein level 36415, 36416, 99000 84165 Blood test for serum (protein) level 36415, 36416, 99000 84295 Blood test for sodium level 36415, 36416, 99000 84402 Blood test for testosterone level, free 36415, 36416, 99000 84403 Blood test for testosterone level, total or assay 36415, 36416, 99000 84436 Blood test for thyroxine (thyroid chemical) level, total or assay 36415, 36416, 99000 84439 Blood test for thyroxine (thyroid chemical) level, free 36415, 36416, 99000 84443 Blood test for TSH (thyroid stimulating hormone) level 36415, 36416, 99000 84450 Blood test for SGOT (liver enzyme) level 36415, 36416, 99000 84460 Blood test for SGPT (liver enzyme) level 36415, 36416, 99000 84478 Blood test for triglycerides level 36415, 36416, 99000 84479 Blood test to evaluate thyroid hormone 36415, 36416, 99000 84480 Blood test for T3 (thyroid hormone) level, total or assay 36415, 36416, 99000 84481 Blood test for T3 (thyroid hormone) level, free 36415, 36416, 99000 84520 Blood test for urea nitrogen level (to assess kidney functioning) 36415, 36416, 99000 84550 Blood test for uric acid level 36415, 36416, 99000 84703 Blood test for gonadotropin (reproductive hormone) 36415, 36416, 99000 85025 Blood test for complete blood cell count (red cells, white cells, platelets), 36415, 36416, 99000 automated test (complete blood count) 85027 Blood test for complete blood cell count (red cells, white cells, platelets), 36415, 36416, 99000 automated test (hemoglobin) 85610 Blood test for clotting time 36415, 36416, 99000 85651 Blood test for red blood cell sedimentation rate (to detect inflammation) 36415, 36416, 99000 86003 Blood test for antibody to allergic substance (IgE) 36415, 36416, 99000 86038 Blood test to screen for autoimmune disorder 36415, 36416, 99000 86140 Blood test for C-reactive protein (to detect infection or inflammation) 36415, 36416, 99000 86141 Blood test for C-reactive protein (to detect infection or inflammation), high 36415, 36416, 99000 sensitivity 86430 Blood test for rheumatoid factor 36415, 36416, 99000 86480 Blood test for tuberculosis 36415, 36416, 99000 86695 Blood test for antibody to Herpes simplex virus, type 1 36415, 36416, 99000 86696 Blood test for antibody to Herpes simplex virus, type 2 36415, 36416, 99000 86703 Blood test for antibody to HIV-1 and HIV-2 virus 36415, 36416, 99000 86706 Blood test for Hepatitis B surface antibody level 36415, 36416, 99000 86787 Blood test for antibody to varicella-zoster virus (chicken pox) 36415, 36416, 99000 86800 Blood test for thyroglobulin (thyroid protein) antibody level 36415, 36416, 99000 86803 Blood test for hepatitis C antibody level 36415, 36416, 99000 86900 Blood test to determine blood type (ABO) 36415, 36416, 99000 86901 Blood test for Rh (D) antigen 36415, 36416, 99000 87340 Blood test for Hepatitis B surface antigen 36415, 36416, 99000 Laboratory Services -- Fecal Test 82270 Stool test for blood (to screen for colon tumors) 99000 87045 Stool test for bacterial culture 99000 87177 Stool test for parasites 99000 Laboratory Services -- Swab Test 87070 Bacterial culture swab, other than urine, blood or stool 99000 87081 Test for disease-causing (pathogenic) organisms, not limited to a specific 99000 condition 87400 Influenza test (virus A or B) 99000 87430 Strep test (Streptococcus, group A) 99000 87491 Chlamydia test 99000 87591 Gonorrhoeae test (Neisseria gonorrhoeae bacteria) 99000 87621 HPV test (human papillomavirus) 99000 Laboratory Services -- Urine Test 81003 Urinalysis test (automated) for bilirubin, glucose, hemoglobin, ketones, 99000 leukocytes, nitrite, ph, protein, specific gravity, urobilinogen, any number of these constituents 84156 Urine test for total protein level 99000 87086 Urine test for bacterial culture: quantitative colony count 99000 87088 Urine test for bacterial culture 99000 Inpatient/Outpatient Surgical Procedures -- Common Surgeries and Procedures 17000 Remove skin growth (premalignant/precancerous)# 17000, 17003, 17004 17110 Remove up to 14 skin growths (benign/noncancerous)# 17110, 17111
47562 Gallbladder removal# 47562, 47563, 47564 64721 Carpal tunnel release surgery Inpatient/Outpatient Surgical Procedures -- Joint Surgery 27130 Replacement of thigh bone and hip joint prosthesis# 27130, 27132, 27134, 27137, 27138 27447 Knee joint repair# 27447, 27445, 27486, 27487 29826 Surgical arthroscopy of shoulder# 29805, 29806, 29807, 29819, 29820, 29821, 29822, 29823, 29824, 29825, 29826 29881 Surgical arthroscopy of knee (with lateral meniscectomy and chondroplasty)# 29866, 29867, 29868, 29870, 29871, 29872, 29873, 29874, 29875, 29876, 29877, 29879, 29880, 29881, 29882, 29883, 29884, 29885, 29886, 29887 *Codes billed in conjunction with the primary code, such as the code for drawing blood for lab test or the contrast for an imaging procedure # The MEG Grouper uses multiple related surgical CPT codes are used to create episodes of care for surgical procedures. The code identified as the "Lead" CPT code is an internal reference to the entire group of codes