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Documentation of new diagnosis of initial or recurrent episode of major depressive disorder (MDD).
2025 HCPCS code M1221
Dilated retinal eye exam with interpretation (ophthalmologist, optometrist, or AI), documenting absence of retinopathy.
2025 CPT code 3266F
Documents Hepatitis C genotype testing performed before starting antiviral treatment for Hepatitis C.
2025 CPT code 3354F
Clinically significant depressive symptoms as categorized by using a standardized depression screening/assessment tool.
2025 CPT code 3017F
Documentation and review of colorectal cancer screening results, including fecal occult blood testing annually, flexible sigmoidoscopy every 5 years, double-contrast barium enema every 5 years, or colonoscopy every 10 years.
2025 CPT code 3215F
Patient has documented immunity to Hepatitis A.
2025 CPT code 3066F
Documentation of treatment for nephropathy (e.g., patient receiving dialysis, being treated for ESRD, CRF, ARF, or renal insufficiency, any visit to a nephrologist).
2025 CPT code 3052F
Most recent hemoglobin A1c (HbA1c) level greater than or equal to 8.0% and less than or equal to 9.0%.
2025 CPT code 3120F
12-Lead ECG Performed. This code tracks whether a 12-lead electrocardiogram (ECG) was performed.
2025 CPT code 3386F
Documents stage II colon cancer in patients 18 years and older, covering stages IIA, IIB, and IIC, characterized by tumor invasion into deeper colon layers.
2025 CPT code 3378F
AJCC Breast Cancer Stage III documented (ONC).
2025 CPT code 3455F
Tuberculosis (TB) screening performed and results interpreted within six months prior to initiation of first-time biologic disease modifying anti-rheumatic drug (DMARD) therapy for rheumatoid arthritis (RA).
2025 CPT code 3330F
Imaging study ordered.
2025 CPT code 3077F
Documents a patient's most recent systolic blood pressure as greater than or equal to 140 mm Hg.
2025 CPT code 3075F
Most recent systolic blood pressure 130-139 mm Hg.
2025 CPT code 3216F
Patient has documented immunity to Hepatitis B.
2025 CPT code 3269F
Bonescan performed prior to initiation of treatment or at any time since diagnosis of prostate cancer.
2025 CPT code 3270F
Bone scan not performed prior to initiation of treatment nor at any time since diagnosis of prostate cancer.
2025 CPT code 3301F
Documents the review and classification of cancer as metastatic in a patient 18 years or older, using the AJCC system.
2025 CPT code 3023F
Spirometry results documented and reviewed for a patient with COPD.
2025 HCPCS code A9554
Iodine I-125 sodium iothalamate for diagnostic assessment of kidney function.
2025 HCPCS code G9101
Provides information on the disease status of gastric adenocarcinoma, used in a 2006 Medicare demonstration project.
2025 HCPCS code S8055
Ultrasound guidance for multifetal pregnancy reduction, technical component; used only when the physician performing the reduction doesn't perform the ultrasound.
2025 CPT code 93971
Duplex scan of extremity veins, unilateral or limited bilateral study, including responses to compression and other maneuvers.
2025 HCPCS code Q0035
Cardiokymography (CKG) is a non-invasive test monitoring heart's electrical activity to detect abnormalities.
2025 CPT code 92587
Distortion product or transient evoked otoacoustic emissions; limited evaluation (3-6 frequencies) with interpretation and report.
2025 CPT code 95808
Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist.
2025 CPT code 3758F
Patient referred for pulmonary function testing or peak cough expiratory flow (ALS).
2025 CPT code 78804
Radiopharmaceutical localization of tumor, inflammatory process, or radiopharmaceutical agent distribution; whole body, requiring 2 or more days of imaging.
2025 HCPCS code S0601
Screening proctoscopy; examination of the anus and rectum using a proctoscope to screen for polyps, inflammation, bleeding, and cancer.
2025 CPT code 92274
Multifocal electroretinography (mfERG) to assess localized retinal abnormalities or cone-rod dysfunction.
2025 CPT code 92145
Corneal hysteresis determination using air impulse stimulation, unilateral or bilateral, with interpretation and report.
2025 CPT code 95805
Multiple sleep latency test (MSLT) or maintenance of wakefulness test (MWT); recording, analysis, and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness.
2025 CPT code 91132
Transcutaneous electrogastrography (EGG) to measure stomach muscle electrical activity for motility disorder evaluation.
2025 CPT code 93505
Endomyocardial biopsy (EMB) is a procedure to remove a tissue sample from the heart's inner muscle layer, primarily to assess damage from heart transplant rejection or diagnose other heart diseases.
2025 CPT code 92229
Point-of-care retinal imaging with autonomous analysis and report, unilateral or bilateral.
2025 HCPCS code A9551
Technetium Tc-99m succimer, diagnostic, per study dose, up to 10 millicuries.
2025 CPT code 96113
Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health care professional, with interpretation and report; each additional 30 minutes.
2025 CPT code 92270
Electro-oculography with interpretation and report; measures the electrical potential of the eye to assess eye movement.
2025 CPT code +93588
Venography of venovenous collaterals originating below the heart, performed during a cardiac catheterization for congenital heart defects.
2025 HCPCS code G9100
Provides information about the disease status of gastric adenocarcinoma, used in a 2006 Medicare demonstration project.
2025 HCPCS code G0102
Prostate cancer screening using a digital rectal examination (DRE).
2025 HCPCS code A9515
Supply of choline C-11 (up to 20 millicuries) for PET scan, bone scintigraphy, CT, or MRI in suspected prostate cancer.
2025 HCPCS code G8875
Diagnosis of breast cancer preoperatively using a minimally invasive biopsy method.
2025 HCPCS code G8399
Documentation of a patient's history of undergoing a central dual-energy X-ray absorptiometry (DXA) bone density scan.
2025 CPT code 3038F
Pulmonary function test performed within 12 months prior to surgery (Lung/Esop Cx).
2025 CPT code 0729T
Diagnostic analysis of a vestibular implant, unilateral, with subsequent programming.
2025 HCPCS code C7523
Coronary angiography with left heart catheterization and intravascular ultrasound or optical coherence tomography imaging of a coronary vessel or graft.
2025 HCPCS code Q9961
Supply of high osmolar contrast material (250-299 mg/ml iodine concentration), per ml.
2025 CPT code 3132F
Documentation of referral for upper gastrointestinal endoscopy (GERD).
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