Office/Outpatient Services

100 codes.

Annual Wellness Visits 6

Annual Wellness Visits codes
Code	Name	Status	Hospitals with prices
HCPCS G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	Current code	32 hospitals
HCPCS G0402	Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	Current code	35 hospitals
HCPCS G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	Current code	29 hospitals
HCPCS G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	Current code	31 hospitals
HCPCS G0442	Annual alcohol misuse screening, 5 to 15 minutes	Current code	29 hospitals
HCPCS G0444	Annual depression screening, 5 to 15 minutes	Current code	31 hospitals

FQHC E&M - Facility Fee 4

FQHC E&M - Facility Fee codes
Code	Name	Status	Hospitals with prices
HCPCS G0466	Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	Current code	none yet
HCPCS G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	Current code	none yet
HCPCS G0468	Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv	Current code	none yet
HCPCS G2025	Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only	Current code	24 hospitals

Hospital Outpatient E&M - Facility Fee 1

Hospital Outpatient E&M - Facility Fee codes
Code	Name	Status	Hospitals with prices
HCPCS G0463	Hospital outpatient clinic visit for assessment and management of a patient	Current code	40 hospitals

Office E&M - Established 12

Office E&M - Established codes
Code	Name	Status	Hospitals with prices
CPT 99072	Office E&M - Established	Current code	8 hospitals
CPT 99211	Office E&M - Established	Current code	43 hospitals
CPT 99212	Office E&M - Established	Current code	40 hospitals
CPT 99213	Office E&M - Established	Current code	41 hospitals
CPT 99214	Office E&M - Established	Current code	41 hospitals
CPT 99215	Office E&M - Established	Current code	39 hospitals
HCPCS G2082	Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of up to 56 mg of esketamine nasal self-administration, includes 2 hours post-administration observation	Current code	28 hospitals
HCPCS G2083	Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration, includes 2 hours post-administration observation	Current code	28 hospitals
HCPCS G2086	Office-based treatment for opioid use disorder, including development of the treatment plan, care coordination, individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month	Current code	28 hospitals
HCPCS G2087	Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month	Current code	28 hospitals
HCPCS G2088	Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; each additional 30 minutes beyond the first 120 minutes (list separately in addition to code for primary procedure)	Current code	4 hospitals
HCPCS G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes)	Current code	7 hospitals

Office E&M - New 5

Office E&M - New codes
Code	Name	Status	Hospitals with prices
CPT 99201	Office E&M - New	Retired code	5 hospitals
CPT 99202	Office E&M - New	Current code	29 hospitals
CPT 99203	Office E&M - New	Current code	29 hospitals
CPT 99204	Office E&M - New	Current code	30 hospitals
CPT 99205	Office E&M - New	Current code	29 hospitals

Telephone Services 6

Telephone Services codes
Code	Name	Status	Hospitals with prices
CPT 98966	Telephone Services	Current code	29 hospitals
CPT 98967	Telephone Services	Current code	29 hospitals
CPT 98968	Telephone Services	Current code	28 hospitals
CPT 99441	Telephone Services	Retired code	4 hospitals
CPT 99442	Telephone Services	Retired code	5 hospitals
CPT 99443	Telephone Services	Retired code	4 hospitals

Other codes in this group 66

Other codes in this group codes
Code	Name	Status	Hospitals with prices
CPT 0488T	Office/Outpatient Services	Current code	13 hospitals
CPT 97802	Office/Outpatient Services	Current code	52 hospitals
CPT 99241	Office/Outpatient Services	Retired code	2 hospitals
CPT 99242	Office/Outpatient Services	Current code	17 hospitals
CPT 99243	Office/Outpatient Services	Current code	19 hospitals
CPT 99244	Office/Outpatient Services	Current code	16 hospitals
CPT 99245	Office/Outpatient Services	Current code	16 hospitals
CPT 99354	Office/Outpatient Services	Retired code	2 hospitals
CPT 99355	Office/Outpatient Services	Retired code	1 hospital
CPT 99363	Office/Outpatient Services	Retired code	1 hospital
CPT 99364	Office/Outpatient Services	Retired code	1 hospital
CPT 99381	Office/Outpatient Services	Current code	24 hospitals
CPT 99382	Office/Outpatient Services	Current code	23 hospitals
CPT 99383	Office/Outpatient Services	Current code	25 hospitals
CPT 99384	Office/Outpatient Services	Current code	23 hospitals
CPT 99385	Office/Outpatient Services	Current code	25 hospitals
CPT 99386	Office/Outpatient Services	Current code	26 hospitals
CPT 99387	Office/Outpatient Services	Current code	25 hospitals
CPT 99391	Office/Outpatient Services	Current code	23 hospitals
CPT 99392	Office/Outpatient Services	Current code	24 hospitals
CPT 99393	Office/Outpatient Services	Current code	25 hospitals
CPT 99394	Office/Outpatient Services	Current code	25 hospitals
CPT 99395	Office/Outpatient Services	Current code	25 hospitals
CPT 99396	Office/Outpatient Services	Current code	26 hospitals
CPT 99397	Office/Outpatient Services	Current code	26 hospitals
CPT 99401	Office/Outpatient Services	Current code	19 hospitals
CPT 99402	Office/Outpatient Services	Current code	19 hospitals
CPT 99403	Office/Outpatient Services	Current code	19 hospitals
CPT 99404	Office/Outpatient Services	Current code	19 hospitals
CPT 99412	Office/Outpatient Services	Current code	13 hospitals
CPT 99415	Office/Outpatient Services	Current code	5 hospitals
CPT 99416	Office/Outpatient Services	Current code	4 hospitals
CPT 99417	Office/Outpatient Services	Current code	18 hospitals
CPT 99421	Office/Outpatient Services	Current code	5 hospitals
CPT 99422	Office/Outpatient Services	Current code	5 hospitals
CPT 99429	Office/Outpatient Services	Current code	3 hospitals
CPT 99450	Office/Outpatient Services	Current code	5 hospitals
CPT 99455	Office/Outpatient Services	Current code	5 hospitals
CPT 99456	Office/Outpatient Services	Current code	4 hospitals
CPT 99459	Office/Outpatient Services	Current code	2 hospitals
CPT 99483	Office/Outpatient Services	Current code	30 hospitals
HCPCS G0011	Individual counseling for pre-exposure prophylaxis (prep) by physician or qualified health care professional (qhp) to prevent human immunodeficiency virus (hiv), includes hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence, 15-30 minutes	Current code	13 hospitals
HCPCS G0013	Individual counseling for pre-exposure prophylaxis (prep) by clinical staff to prevent human immunodeficiency virus (hiv), includes: hiv risk assessment (initial or continued assessment of risk), hiv risk reduction and medication adherence	Current code	28 hospitals
HCPCS G0102	Prostate cancer screening; digital rectal examination	Current code	10 hospitals
HCPCS G0245	Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education	Current code	29 hospitals
HCPCS G0246	Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education	Current code	29 hospitals
HCPCS G0247	Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails	Current code	29 hospitals
HCPCS G0248	Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results	Current code	29 hospitals
HCPCS G0250	Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests	Current code	11 hospitals
HCPCS G0270	Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes	Current code	39 hospitals
HCPCS G0271	Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes	Current code	37 hospitals
HCPCS G0372	Physician service required to establish and document the need for a power mobility device	Current code	14 hospitals
HCPCS G0454	Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist	Current code	12 hospitals
HCPCS G0513	Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service)	Current code	4 hospitals
HCPCS G0514	Prolonged preventive service(s) (beyond the typical service time of the primary procedure), in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code g0513 for additional 30 minutes of preventive service)	Current code	4 hospitals
HCPCS G9156	Evaluation for wheelchair requiring face to face visit with physician	Current code	none yet
HCPCS G9482	Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 20 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology	Current code	11 hospitals
HCPCS G9483	Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a detailed history; a detailed examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate severity. typically, 30 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology	Current code	11 hospitals
HCPCS G9484	Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 45 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology	Current code	11 hospitals
HCPCS G9485	Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project, which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 60 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology	Current code	11 hospitals
HCPCS G9486	Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a problem focused history; a problem focused examination; straightforward medical decision making, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are self limited or minor. typically, 10 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology	Current code	11 hospitals
HCPCS G9487	Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of low to moderate severity. typically, 15 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology	Current code	11 hospitals
HCPCS G9488	Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project, which requires at least 2 of the following 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 25 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology	Current code	11 hospitals
HCPCS G9489	Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved coms innovation center demonstration project, which requires at least 2 of the following 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity, furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians, other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually, the presenting problem(s) are of moderate to high severity. typically, 40 minutes are spent with the patient or family or both via real time, audio and video intercommunications technology	Current code	11 hospitals
HCPCS M0064	Brief office visit for the sole purpose of monitoring or changing drug prescriptions used in the treatment of mental psychoneurotic and personality disorders	Retired code	1 hospital
HCPCS Q0091	Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	Current code	32 hospitals