Common Procedure Coding System (HCPCS) codes. These charts are periodically revised. Refer to Appendix 6 of this handbook for applicable TOS codes and descriptions.
|
Service |
Type of Service |
Current Procedural Terminology (CPT) Codes |
|
Surgery |
2 |
10060-10061, 10120-10180, 11000-11001, 11040-11043, 11055-11057*, 11100-11101, 11200-11201, 11300-11311, 11400-11426, 11620-11626, 11719*, 11720-11765, 11900-11901, 12001-12005, 12020, 12041-12044, 13160, 15000, 15050-15261, 15350, 15400, 15786-15787, 16000-16010, 17000-17250, 20000-20005, 20103, 20200-20205, 20520-20525, 20550, 20600-20605, 20670-20680 |
|
2, 8 |
20816 |
|
|
2 |
20924, 27603-27630 |
|
|
2, 8 |
27637 |
|
|
2 |
27638, 27647-27703, 27707, 27808-27823, 27830-27871, 28001-28288, 28289-28299*, 28300-28360, 28400*, 28405-28530, 28540-28635, 28645-28665, 28675-28760, 28810-28825, 29305-29445, 29450*, 29505-29515, 29540-29580, 29700-29740, 29750*, 29799 |
|
|
8 |
29891-29892 |
|
|
2, 8 |
29893* |
|
|
2 |
64450 |
|
|
Radiology |
4, Q, U |
73600-73610 |
|
4, Q |
73615 |
|
|
4 Q, U |
73620-73660 |
|
|
Pathology and Laboratory |
5 |
81000-81015, 81025-81099, 82108, 82310-82330, 82728, 83015 |
|
5, U, X |
83715 |
|
|
X |
83912 |
|
|
5 |
84100, 84550, 85007, 85009, 85014-85041, 86316-86318 |
|
|
5, U, X |
86329-86332 |
|
|
5 |
87001-87045, 87070, 87075-87076, 87081-87106, 87109-87147, 87158 |
|
|
5, U, X |
87164-87166 |
|
|
5 |
87176-87184, 87186-87197, 87205-87206 |
|
|
5, U, X |
87207 |
|
|
5 |
87210-87253, 87260-87272, 87274, 87276, 87278, 87280, 87285-87299, 87301-87324, 87328-87335, 87340, 87350-87391, 87420-87425, 87430-87450, 87470-87799 |
|
|
5, U, X |
87999 |
|
|
5 |
88230-88239, 88245-88248, 88263, 88269, 88283, 88289 |
|
|
5, X |
88358-88362 |
|
|
5 |
88365 |
|
|
Medicine |
1 |
90782, 90788, 97010-97139 |
|
5 |
99000-99001 |
|
|
1 |
99070, 99199 |
|
|
Evaluation and Management |
1 |
99201-99203, 99211-99213, 99221-99222, 99231-99232, 99234-99239 |
|
3 |
99241-99242, 99251-99252, 99261-99262 |
|
|
1 |
99281, 99301-99316, 99341-99350, 99499 |
* May be billed as a bilateral procedure with modifier "50" in Element 24D of the CMS 1500 claim form.
|
Service |
TOS |
HCPCS* codes |
|
Medical and Surgical Supplies |
9 |
A4490-A4510, A6244 |
|
Drugs Administered Other Than Oral Method |
1 |
J0120, J0170-J0270, J0280, J0290-J0295, J0350-J0390, J0456-J0470, J0500-J0585, J0600-J0630, J0640, J0690, J0696-J0704, J0710-J0743, J0745-J0850, J0900-J1051, J1060-J1250, J1320-J1438, J1450, J1455-J1560, J1564-J1565, J1580-J1630, J1642-J1750, J1785, J1800, J1815, J1825-J1830, J1840-J1890, J1940-J1955, J1960-J2000, J2150-J2270, J2275-J2352, J2360-J2370, J2405-J2543, J2550-J2765, J2780-J2790, J2800, J2910-J2912, J2920-J2930, J2950-J2995, J3000, J3030-J3070, J3105-J3364, J3370, J3400-J3480, J3490-J3520, J7030-J7050, J7060-J7191, J7194, J7198-J7199, J7310, J7501, J7504-J7505, J7507-J7510, J7516, J7599, J7699-J8499, J8530-J8999 |
|
Chemotherapy Drugs |
1 |
J9000-J9150, J9165-J9170, J9181-J9182, J9190-J9211, J9213-J9218, J9230-J9260, J9266, J9270-J9293, J9320-J9999 |
|
Q Codes (Temporary) |
P |
Q4029-Q4048 |
|
Temporary National Codes (Non-Medicare) |
1 |
S0009, S0016-S0078, S0080-S0081 |
|
5 |
S3645-S3650 |
|
|
4, Q, U |
S8035 |
*HCPCS = Healthcare Common Procedure Coding System.
Wisconsin Medicaid
Podiatry Services Handbook
PHC 1417, May 2003