CPT & HCPCS Code Directory

The 579 CPT and HCPCS codes small practices bill most often, each with its 2026 Medicare payment rate and a free, detailed reference page. Rates are the national non-facility (office) allowable before geographic adjustment — open any code for facility rates, the full RVU breakdown, and locality-specific amounts.

579 codes4 categories2026 Medicare PFS

Procedures & Services430 codes

Surgical, injection, therapy, vaccine-administration, and in-office procedure codes at the 2026 global Medicare rate.

97161$97.86

Physical therapy evaluation, low complexity, typically 20 minutes

17110$111.22

Destruction of benign skin lesions such as warts, up to 14 lesions

93000$15.36

Electrocardiogram (ECG) with tracing, interpretation, and report

45380$479.97

Colonoscopy with tissue biopsy of the colon lining

45378$378.10

Diagnostic colonoscopy examining the entire colon

96372$15.36

Injection under the skin or into muscle for therapy, prevention, or diagnosis

93010$8.35

Electrocardiogram (ECG) interpretation and report only

11042$132.60

Surgery to remove unhealthy tissue down to subcutaneous level, first 20 sq cm or less

90471$22.04

Vaccine administration by injection, single or first dose

20610$68.81

Drainage or injection of a large joint or bursa without ultrasound guidance

62323$273.22

Injection into the lumbar or sacral epidural space with imaging

93306$196.73

Transthoracic echocardiogram with Doppler and color flow, complete

97530$35.07

Therapeutic activities to improve functional performance

97112$32.73

Neuromuscular reeducation for movement, balance, or coordination

97140$27.72

Manual therapy techniques to one or more body regions

97110$29.06

Therapeutic exercises to build strength, flexibility, or endurance

43235$322.65

Upper GI scope exam with brushing or washing for diagnosis

17111$129.93

Destruction of benign skin lesions such as warts, 15 or more lesions

43239$418.85

Upper GI scope exam with one or more tissue samples

45385$500.01

Colonoscopy with removal of a polyp or lesion by snare

66984$462.60

Standard cataract removal with intraocular lens placement

92014$127.26

Comprehensive eye exam for an established patient, one or more visits

92134$32.73

Computerized imaging of the retina at back of eye

98941$38.41

Chiropractic spinal manipulation of 3-4 regions

64483$264.87

Injection into lumbar or sacral epidural space, first level

10060$128.59

Incision and drainage of a simple or single skin abscess

90460$23.38

Vaccine administration with counseling, first or only component, by physician

29826$147.63

Shoulder arthroscopy with subacromial decompression of impinged tissue

20611$104.21

Drainage or injection of a large joint or bursa with ultrasound guidance

11043$239.48

Surgery to remove unhealthy tissue down to muscle or fascia, first 20 sq cm or less

11044$320.65

Surgery to remove unhealthy tissue down to bone, first 20 sq cm or less

96374$37.74

IV push injection for therapy, prevention, or diagnosis

96375$15.70

IV push injection of a new additional drug or substance (add-on)

10061$220.11

Incision and drainage of a complicated or multiple skin abscesses

11055$70.14

Trimming or paring of a single benign thickened skin lesion such as a callus or corn

11721$45.09

Debridement of thickened or damaged nails, 6 or more nails

12001$113.90

Simple wound repair of scalp, neck, axillae, genitalia, or trunk, 2.5 cm or less

12002$139.28

Simple wound repair of scalp, neck, axillae, genitalia, or trunk, 2.6-7.5 cm

20552$51.77

Injection into one or two trigger points in muscle

20553$59.79

Injection into three or more trigger points in muscle

29881$515.71

Surgery using arthroscope in knee to remove medial or lateral meniscus

62321$276.56

Injection into the cervical or thoracic epidural space with imaging

64484$117.57

Injection into lumbar or sacral epidural space, each additional

67028$114.23

Injection of medication into the inner eye (intravitreal)

90472$16.03

Vaccine administration by injection, each additional dose

92012$90.52

Eye exam for an established patient, intermediate level

98940$26.72

Chiropractic spinal manipulation of 1-2 regions

98942$49.77

Chiropractic spinal manipulation of 5 regions

97012$14.36

Physical therapy using mechanical traction

92507$76.15

Individual speech, language, and communication therapy

97124$29.73

Massage therapy for therapeutic purposes

93922$83.17

Arterial blood flow study of arms or legs at 2 levels

20550$60.46

Injection into a single tendon sheath or ligament

20680$631.95

Surgery to remove deeply placed hardware (plates, screws, rods) from bone

27130$1162.02

Total hip replacement surgery with artificial socket and femoral components

27447$1159.35

Surgery to replace the entire knee joint with artificial components

52000$215.77

Endoscopic examination of the bladder and urethra

58661$586.19

Laparoscopic removal of the tube and ovary

59400$2214.48

Routine obstetric care including prenatal, vaginal delivery, and postpartum

64493$190.39

Injection into lumbar or sacral facet joint nerve, first level

92004$149.64

Comprehensive eye exam for a new patient, one or more visits

92015$19.04

Eye test to determine eyeglass or contact lens prescription

92250$37.07

Photography of the back of the eye with interpretation

93015$73.48

Cardiovascular stress test with supervision, interpretation, and report

93458$1010.04

Left heart catheterization with coronary artery and left ventricular angiography

93925$237.48

Duplex ultrasound of leg arteries, complete bilateral study

93971$116.24

Duplex ultrasound of arm or leg veins, one side or limited study

95800$141.29

Unattended sleep study with automated analysis

96365$67.14

IV infusion for therapy, prevention, or diagnosis, initial up to 1 hour

96413$133.27

Chemotherapy IV infusion, initial up to 1 hour

97010$6.68

Physical therapy using hot or cold packs

97535$32.40

Self-care and home management training (e.g., bathing, dressing, cooking)

97597$101.54

Removal of dead tissue from open wound, first 20 sq cm or less

97802$36.74

Medical nutrition therapy, individual, initial assessment, each 15 minutes

58558$1269.90

Hysteroscopy with biopsy of the uterine lining

58571$828.68

Total laparoscopic hysterectomy with tubes/ovaries, 250g or less

64615$156.98

Injection of botulinum toxin for chronic migraine treatment

64635$464.94

Radiofrequency ablation of lumbar or sacral facet joint nerve

93880$189.05

Ultrasound study of neck arteries to the brain, both sides

93970$184.04

Duplex ultrasound of arm or leg veins, complete bilateral study

31231$193.39

Diagnostic nasal endoscopy using a rigid or flexible scope to examine nasal passages

64415$154.98

Nerve block injection of the brachial plexus with imaging guidance

67840$277.90

Removal of a lesion from the eyelid without reconstruction

69210$47.76

Removal of impacted earwax from one ear with irrigation or suction

92310$100.87

Contact lens fitting and prescription for both eyes

94640$8.68

Inhalation treatment for airway obstruction or inflammation

97016$12.02

Physical therapy using vasopneumatic compression device

97026$6.68

Physical therapy using infrared heat

97760$46.09

Orthotic device management and training, initial encounter

11900$56.78

Injection of medication into skin lesions, up to 7 lesions

29581$83.50

Application of multilayer compression bandage system to the leg

36556$237.81

Insertion of non-tunneled central venous catheter in a patient 5 years or older

95816$413.50

EEG brain wave recording during awake and drowsy states

10160$131.60

Needle puncture to drain an abscess, blood collection, or blister

11104$121.25

Punch biopsy of skin for a single lesion using a circular blade tool

11981$107.55

Insertion of a non-biodegradable drug delivery implant beneath the skin

15271$157.99

Surgery to apply skin substitute graft to trunk, arms, or legs, first 25 sq cm in adults

15777$224.12

Surgery to implant acellular dermal matrix for wound or tissue repair

15830$1067.16

Surgery to remove excess hanging skin and fat from the abdomen

16020$92.85

Dressing change or wound cleaning of partial-thickness burns, small area

17003$6.35

Destruction of each additional precancerous skin lesion, 2nd through 14th

17250$90.18

Chemical cauterization of overgrown wound healing tissue (granulation tissue)

17311$667.02

Mohs surgery for skin cancer, first stage, head/neck/hands/feet/genitals

19120$573.16

Surgery to remove a breast lesion without image-guided localization

19303$915.85

Surgery to remove the entire breast (simple complete mastectomy)

20551$60.46

Injection into a single tendon at its origin or insertion point

20560$24.72

Dry needling insertion without injection into one or two muscles

20561$38.08

Dry needling insertion without injection into three or more muscles

20600$56.11

Drainage or injection of a small joint or bursa without ultrasound guidance

20605$57.12

Drainage or injection of a medium joint or bursa without ultrasound guidance

20985$123.92

Computer-assisted navigation for musculoskeletal surgical procedure

22551$1604.91

Surgery to fuse cervical spine vertebrae from the front between the vertebral bodies

22612$1467.64

Surgery to fuse a single lumbar spine level from the back with bone graft

22845$647.64

Surgery to place anterior spinal fixation hardware, 2 to 3 segments

22853$228.80

Surgery to insert an interbody biomechanical device during posterior spinal fusion

26055$629.61

Surgery to cut open the tendon sheath of a finger to relieve constriction

27096$175.69

Injection into the sacroiliac joint for diagnosis or pain treatment

27279$758.53

Surgery to fuse sacroiliac joint using a device placed across the joint

28122$599.21

Surgery to partially remove a bone in the midfoot region

28296$883.45

Surgery to correct a bunion by cutting and realigning the far end of the metatarsal

29888$889.47

Surgery using arthroscope to assist anterior cruciate ligament repair

30520$613.24

Surgical repair of a deviated nasal septum (septoplasty)

33340$618.58

Percutaneous catheter-based closure of the left atrial appendage

36247$1356.08

Placement of catheter into a third-order abdominal or leg artery

36430$47.43

Transfusion of blood or blood components through an intravenous line

36471$205.08

Injection of sclerosing solution into multiple incompetent varicose veins

36475$1056.14

Endovenous radiofrequency ablation of an incompetent vein, first vein treated

36561$962.61

Insertion of tunneled central venous catheter with subcutaneous port, 5 yrs+

36591$30.39

Drawing blood from a surgically implanted venous access device

43644$1618.27

Laparoscopic gastric bypass surgery (Roux-en-Y) for weight loss

43775$1000.02

Laparoscopic sleeve gastrectomy for weight loss

44204$1413.19

Laparoscopic surgery to remove part of the colon with reconnection

46221$325.66

Procedure to tie off hemorrhoids with a rubber band or suture

49000$728.81

Surgery to explore the abdominal cavity

49320$316.31

Diagnostic laparoscopy as a separate procedure

50590$760.20

Shock wave treatment to break up a kidney stone

51798$12.69

Ultrasound measurement of urine remaining after bladder emptying

55866$1081.86

Laparoscopic radical prostatectomy with robotic assistance

58300$105.55

Insertion of an intrauterine device (IUD)

58301$111.56

Removal of an intrauterine device (IUD)

58561$313.97

Hysteroscopy with removal of a uterine fibroid

58563$2009.06

Hysteroscopy with ablation of the uterine lining

58662$646.64

Laparoscopic removal of ovarian or tubal lesions

59409$721.79

Vaginal delivery only, without prenatal or postpartum care

59410$976.31

Vaginal delivery with postpartum care only

59510$2473.34

Cesarean delivery with prenatal and postpartum care

59820$431.54

Treatment of missed miscarriage in the first trimester

63047$1065.49

Surgery to remove lumbar bone and widen the nerve opening

63048$187.38

Surgery to widen a nerve opening, each additional spinal level

63052$229.80

Surgery to widen lumbar nerve opening with spinal fusion, single

63650$2388.50

Surgery to implant spinal neurostimulator electrodes percutaneously

63685$318.64

Surgery to insert or replace a spinal neurostimulator pulse generator

64400$121.91

Nerve block injection of the trigeminal nerve (face sensation)

64450$80.83

Nerve block injection of another peripheral nerve or branch

64490$205.08

Injection into cervical or thoracic facet joint nerve, first level

64590$428.20

Surgery to insert or replace a peripheral nerve pulse generator

64612$141.62

Injection of botulinum toxin into facial muscles for spasm

64624$411.17

Destruction of genicular nerve branches at the knee

64625$495.67

Radiofrequency ablation of nerves supplying the sacroiliac joint

64640$267.54

Injection to destroy another peripheral nerve or branch

64721$482.64

Surgery to release the median nerve in the carpal tunnel (wrist)

64912$818.99

Nerve repair using nerve allograft, first strand up to 5 cm

65222$66.80

Removal of a foreign body from inside the front of the eye with magnet

65778$1274.24

Placement of amniotic membrane graft on the eye surface

65820$723.46

Glaucoma surgery to open the drainage angle from inside the eye

66761$299.27

Laser surgery to reshape the iris to improve drainage angle

66821$335.35

Laser treatment to remove a secondary cataract membrane

66982$630.61

Complex cataract removal requiring special techniques, no scope

66991$582.18

Standard cataract removal with insertion of multiple lens devices

69990$198.07

Microsurgery add-on using operating microscope (any qualifying surgery)

90461$8.68

Vaccine administration with counseling, each additional component, by physician

90901$41.08

Biofeedback training using any method

90935$61.46

Hemodialysis procedure with single physician evaluation

90960$372.75

End-stage renal disease monthly care, 4+ visits, patient age 20+

91200$33.73

Imaging test measuring liver stiffness to assess fibrosis

92002$84.84

Eye exam for a new patient, intermediate level

92060$64.13

Eye exam evaluating eye movement and alignment

92071$35.74

Contact lens fitting for treatment of eye disease

92083$63.80

Extended visual field test to check peripheral vision

92133$30.73

Computerized imaging of the optic nerve at back of eye

92136$48.10

Measurement of eye dimensions for intraocular lens calculation

92285$23.71

Photography of the external eye structures

92313$95.53

Contact lens fitting for corneoscleral lens

92508$24.05

Group speech, language, and communication therapy

92523$226.46

Evaluation of speech sound production and language comprehension

92526$84.17

Treatment of oral muscle function for swallowing or feeding

92550$21.71

Eardrum mobility test and acoustic reflex threshold measurement

92551$13.36

Hearing screening test using pure tones, air conduction only

92557$35.74

Comprehensive hearing test including pure tone and speech

92567$16.03

Eardrum mobility and middle ear pressure test

92610$84.84

Evaluation of swallowing function without imaging

92611$91.52

X-ray motion study of swallowing function

92950$379.10

Cardiopulmonary resuscitation (CPR)

93228$25.05

Remote 30-day ECG monitoring with physician review and report

93303$220.45

Transthoracic echocardiogram for congenital heart disease, complete

93325$23.71

Doppler color flow mapping of the heart

93460$1205.77

Right and left heart catheterization with coronary artery and ventricular angiography

93923$133.60

Arterial blood flow study of arms or legs at 3 or more levels

93926$139.95

Duplex ultrasound of leg arteries, one side or limited study

93975$259.19

Ultrasound study of abdominal arteries and veins, both sides

94010$29.73

Breathing capacity test measuring airflow and lung volume

94060$43.42

Lung function test before and after bronchodilator medication

94660$69.14

Setup and management of CPAP or BiPAP breathing device

94664$20.04

Demonstration and evaluation of patient inhaler or nebulizer use

94760$4.01

Noninvasive pulse oximetry to measure blood oxygen, single reading

95004$3.67

Allergy skin prick tests with allergenic extracts

95115$10.35

Allergy immunotherapy with one injection

95165$17.37

Preparation of allergen extracts for immunotherapy, 11-50 antigens

95250$152.64

Continuous glucose monitoring with physician-provided equipment

95251$35.07

Continuous glucose monitoring data analysis and interpretation

95806$103.21

Unattended sleep study measuring respiratory effort

95811$707.77

Sleep study for age 6 or older with CPAP or BiPAP titration

95913$299.94

Nerve conduction study, 13 or more nerve tests

95992$40.75

Canalith repositioning procedure to treat vertigo (e.g., Epley maneuver)

96156$107.55

Health behavior assessment or reassessment to identify factors affecting health

96158$73.82

Health behavior intervention for individual patient, first 30 minutes

96160$3.01

Patient-focused health risk assessment with scoring and documentation

96161$3.34

Caregiver-focused health risk assessment with scoring and documentation

96360$33.40

IV hydration infusion, initial 31 minutes to 1 hour

96366$21.38

IV infusion for therapy, prevention, or diagnosis, each additional hour (add-on)

96401$71.81

Chemotherapy injection under the skin or into muscle, non-hormonal

97032$14.70

Electrical stimulation therapy (attended), each 15 minutes

97035$14.36

Ultrasound therapy, each 15 minutes

97113$37.07

Aquatic therapy with therapeutic exercises in a pool

97116$29.06

Gait training therapy to improve walking ability

97129$22.38

Therapeutic intervention using cognitive skills, first 15 minutes

97150$18.04

Group therapeutic procedures (2 or more patients)

97166$100.54

Occupational therapy evaluation, moderate complexity, typically 45 minutes

97167$100.54

Occupational therapy evaluation, high complexity, typically 60 minutes

97533$60.79

Sensory integration therapy techniques

97605$42.09

Negative pressure wound therapy using durable (non-disposable) device, 50 sq cm or less

97750$33.73

Physical performance testing with written report, each 15 minutes

97763$50.10

Orthotic or prosthetic management and training, follow-up encounter

97803$31.73

Medical nutrition therapy, individual, follow-up visit, each 15 minutes

97810$48.10

Acupuncture without electrical stimulation, initial 15 minutes

97811$28.39

Acupuncture without electrical stimulation, each additional 15 minutes

97813$56.45

Acupuncture with electrical stimulation, initial 15 minutes

98943$26.39

Chiropractic manipulation of extraspinal region, 1 or more areas

98960$33.40

Self-management education and training by non-physician, 1 patient

10005$132.27

Fine needle aspiration biopsy using ultrasound guidance, first lesion

10040$113.23

Surgical opening and drainage of acne cysts or similar skin lesions

10120$157.32

Surgery to cut open skin and remove a foreign body, simple

10140$174.35

Incision and drainage of a blood collection, seroma, or fluid buildup

10180$288.25

Incision and drainage of a complex infected wound after surgery

11056$81.16

Trimming or paring of 2 to 4 benign thickened skin lesions such as calluses or corns

11102$95.53

Tangential skin biopsy by shaving a single lesion for lab analysis

11422$179.70

Remove benign skin lesion of scalp, neck, hands, feet, or genitalia, 1.1-2.0 cm

11442$194.06

Remove benign lesion of face, ears, eyelids, nose, lips, or mucous membranes, 1.1-2.0 cm

11980$96.53

Implantation of hormone pellet(s) beneath the skin

12011$139.62

Simple wound repair of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less

12032$299.94

Intermediate wound repair of scalp, axillae, trunk, or extremities, 2.6-7.5 cm

12051$282.91

Layered wound repair of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less

13160$740.83

Surgery to close a surgical wound that has reopened, extensive procedure

14301$1120.27

Surgery using adjacent tissue transfer or flap on any area, 30.1-60 sq cm

15004$404.48

Surgical wound preparation for skin graft on face/neck/hands/feet/genitalia, first 100 sq cm

15734$1386.81

Surgery to create a muscle and skin flap graft on the trunk

15769$454.59

Surgery to graft autologous soft tissue obtained by direct surgical excision

15771$662.67

Surgery to graft autologous fat harvested by liposuction, first 50 cc or less

15823$632.95

Surgery to remove excessive skin weighing down the upper eyelid

15839$958.94

Surgery to remove excess skin from a body area not listed elsewhere

17000$66.47

Destruction of first precancerous skin lesion by any method

19081$478.30

Needle biopsy of first breast lesion using stereotactic imaging guidance

19083$475.63

Needle biopsy of first breast lesion using ultrasound imaging guidance

19125$634.95

Surgery to remove a breast lesion identified by preoperative localization

19281$234.81

Placement of localization device in breast, first lesion, with imaging

19318$980.32

Surgery to reduce breast size by removing excess tissue and skin

19340$701.08

Insertion of breast implant at the same time as mastectomy

19357$1072.84

Placement of a tissue expander beneath breast skin for reconstruction

19371$649.31

Surgery to completely remove the scar capsule surrounding a breast implant

19380$735.82

Surgery to revise a previously reconstructed breast

20526$88.18

Therapeutic injection into the carpal tunnel

22552$353.05

Surgery to fuse each additional cervical vertebral level from the front, add-on

22558$1423.88

Surgery to fuse lumbar spine from the front with removal of disc material

22614$349.37

Surgery to fuse each additional spinal level from the back, add-on

22630$1510.72

Surgery to fuse a single lumbar spine level from the back between the vertebral bodies

22633$1700.11

Surgery to fuse a single lumbar level using combined front and back approach

22856$1522.08

Surgery to replace a cervical disc with an artificial disc at a single level

23430$696.41

Surgery to repair the biceps tendon at the shoulder

23472$1300.30

Surgery to replace the shoulder joint with a total prosthesis (total arthroplasty)

25000$340.36

Surgery to release a wrist tendon sheath to relieve compression or inflammation

25447$743.84

Surgery for intercarpal or carpometacarpal joint arthroplasty with implant

26160$657.66

Surgery to remove a ganglion cyst or lesion from a finger tendon sheath

27132$1504.04

Conversion of previous hip surgery to total hip replacement

27427$662.67

Surgery to reconstruct knee ligaments, extra-articular procedure

27486$1274.91

Surgery to revise or replace a total knee joint prosthesis, one component

27487$1574.52

Surgery to revise or replace a total knee joint prosthesis, all components

27570$149.97

Manipulation of the knee joint under general anesthesia with application of fixation device

27792$607.90

Open treatment of distal fibula fracture with internal fixation

27814$714.45

Open treatment of bimalleolar ankle fracture with internal fixation

28285$548.44

Surgery to correct a hammertoe by removing bone from the toe joint

28297$1030.75

Surgery to correct a bunion by fusing the big toe metatarsal joint

28308$585.52

Surgery to cut a metatarsal bone for lesser toe deformity correction

28820$297.27

Surgery to amputate a toe at the metatarsophalangeal joint

29125$79.16

Application of a static short arm splint from forearm to hand

29515$82.50

Application of a short leg splint from below the knee to the foot

29580$63.13

Application of an Unna boot paste bandage for lower leg wound care

29806$972.97

Shoulder arthroscopy with surgical repair of the joint capsule

29823$558.80

Shoulder arthroscopy with extensive debridement of damaged tissue

29827$976.31

Shoulder arthroscopy with surgical repair of a rotator cuff tear

29870$602.89

Diagnostic arthroscopy of knee with or without synovial membrane biopsy

29874$506.02

Surgery using arthroscope in knee to remove loose or foreign bodies

29875$474.29

Surgery using arthroscope in knee for limited synovectomy of joint lining

29877$586.85

Surgery using arthroscope in knee to debride and shave cartilage or tissue

29879$623.26

Surgery using arthroscope in knee to perform abrasion arthroplasty

30117$951.59

Removal of an intranasal lesion using an internal nasal approach

30420$1312.32

Reconstructive rhinoplasty for a primary deformity, major revision with grafts

30901$165.67

Treatment to stop a nosebleed using simple packing or cauterization

31237$266.54

Nasal/sinus endoscopy with biopsy or removal of polyp or tissue sample

31500$132.94

Insertion of an emergency breathing tube through the windpipe (intubation)

31575$127.26

Diagnostic exam of the larynx using a flexible fiberoptic scope through the nose

31622$282.24

Diagnostic bronchoscopy with washing to collect airway samples

32408$804.29

Percutaneous core needle biopsy of lung or mediastinal tissue

33208$455.92

Surgery to insert a permanent pacemaker with leads in both upper and lower chambers

33249$797.95

Surgery to insert or replace a defibrillator generator with one or more leads

33285$4012.12

Insertion of a small implantable heart rhythm monitor under the skin

33361$1079.18

Catheter-based replacement of the aortic valve via femoral artery

36000$31.40

Insertion of a needle or catheter into a peripheral vein

36410$19.04

Blood draw from a vein in a patient age 3 years or older for diagnosis or treatment

36465$1286.60

Injection of non-compounded sclerosing agent into a single incompetent vein

36478$980.32

Endovenous laser ablation of an incompetent vein, first vein treated

36482$1657.35

Endovenous ablation using chemical adhesive for first incompetent vein

36558$787.59

Insertion of tunneled central venous catheter without port, 5 years or older

36620$40.75

Insertion of a catheter into an artery for ongoing pressure monitoring or sampling

37242$6675.17

Catheter-based blocking of blood flow in an artery

37243$7995.17

Catheter-based blocking of blood flow to an organ or tissue

38222$177.02

Bone marrow biopsy and aspiration combined for diagnosis

38505$170.34

Needle biopsy of a lymph node using imaging guidance

38525$430.54

Biopsy or removal of a deep groin (inguinal) lymph node

38900$144.96

Intraoperative mapping to identify sentinel lymph node(s)

42975$83.50

Evaluation of sleep-disordered breathing with flexible endoscopy

45390$290.25

Colonoscopy with removal of a tumor or large lesion

45990$99.53

Surgical diagnostic examination of the anus and rectum under anesthesia

46600$128.93

Diagnostic visual examination of the anal canal using an anoscope

47000$287.92

Needle biopsy of the liver through the skin (percutaneous)

47563$684.38

Laparoscopic gallbladder removal with bile duct imaging

49505$508.03

Initial inguinal hernia repair, patient age 5 or older, reducible

49650$424.19

Laparoscopic initial inguinal hernia repair

52356$365.07

Endoscopic laser fragmentation of ureter or kidney stone

54150$151.97

Circumcision using a clamp or device with regional nerve block

54235$94.86

Injection of medication into penile chambers for erectile treatment

55250$346.70

Vasectomy, surgical removal of a segment of the vas deferens

55874$3704.49

Transperineal placement of biodegradable spacer near the prostate

55876$151.31

Placement of a tracking device or marker into the prostate

57288$663.68

Sling procedure to repair stress urinary incontinence

57410$96.53

Pelvic exam under anesthesia

57454$166.00

Biopsy and scraping of the cervix using a magnifying scope

57522$300.61

Cone-shaped removal of cervical tissue using electrical loop

58120$298.27

Dilation and curettage of the uterus (D&C)

58552$877.44

Laparoscopic-assisted vaginal hysterectomy with tubes/ovaries

59025$50.44

Fetal non-stress test to monitor baby's heart rate and movement

59425$574.83

Prenatal care only, 4 to 6 visits

59430$261.20

Postpartum care only after delivery

59812$359.39

Treatment of incomplete miscarriage with uterine evacuation

61782$144.29

Computer-assisted navigation during brain surgery, outside brain

61783$207.42

Computer-assisted navigation during spinal surgery

62322$145.63

Injection into the lumbar or sacral epidural space, no imaging

63030$898.15

Surgery to relieve a pinched lumbar nerve root, single level

63042$1219.80

Surgery to reopen a previous lumbar spine operation site

64405$78.83

Nerve block injection of the greater occipital nerve (back of head)

64454$234.81

Nerve block injection of the genicular nerve branches (knee)

64479$285.24

Injection into cervical or thoracic epidural space, first level

64494$95.86

Injection into lumbar or sacral facet joint nerve, second level

64495$98.87

Injection into lumbar or sacral facet joint nerve, third level

64520$242.16

Nerve block injection of lumbar or thoracic sympathetic nerves

64555$2223.50

Percutaneous implant of neurostimulator electrode for peripheral nerve

64561$742.84

Percutaneous implant of neurostimulator electrode for sacral nerve

64582$722.80

Open implant of a hypoglossal nerve stimulator electrode and generator

64616$143.62

Injection of botulinum toxin into neck muscles for dystonia

64628$364.74

Thermal destruction of intraosseous nerve in first two lumbar/sacral levels

64636$251.51

Radiofrequency ablation of additional lumbar/sacral facet nerve (add-on)

64708$464.27

Surgery to repair a damaged nerve in the arm or leg

64772$516.38

Surgery to cut a spinal accessory nerve outside the skull

66174$540.43

Catheter-based dilation of the eye drainage canal without stent

67904$744.84

Repair of upper eyelid droop using a sling or graft

69200$81.83

Cleaning and removal of debris from the ear canal

90945$77.16

Non-hemodialysis dialysis procedure with single physician evaluation

91035$502.35

Gastroesophageal reflux test using a mucosal electrode probe

92025$37.07

Computerized mapping of the cornea surface shape

92504$28.72

Ear examination using a binocular microscope

92960$154.65

External electrical cardioversion to restore heart rhythm

93005$7.01

Electrocardiogram (ECG) tracing only, without interpretation

93016$20.71

Cardiovascular stress test with physician supervision only

93017$39.08

Cardiovascular stress test with tracing only, no interpretation

93224$70.48

External ECG monitoring up to 48 hours with recording, analysis, and report

93225$18.04

External ECG monitoring up to 48 hours, recording only

93229$758.53

Remote 30-day ECG monitoring with technical support and recording

93242$11.69

External ECG monitoring 48 hours to 7 days, recording only

93246$11.69

External ECG monitoring 7 to 15 days, recording only

93248$24.72

External ECG monitoring 7 to 15 days, review and interpretation only

93272$23.71

External ECG event recording, review and interpretation only

93280$78.49

Programming evaluation of dual-lead pacemaker

93294$29.39

Remote interrogation evaluation of single-lead or leadless pacemaker

93296$31.73

Remote interrogation evaluation of pacemaker or defibrillator system

93298$103.21

Remote interrogation evaluation of subcutaneous cardiac rhythm monitor

93307$137.95

Transthoracic echocardiogram without Doppler, complete

93350$185.37

Stress echocardiogram, imaging only

93351$233.47

Stress echocardiogram, complete with interpretation and report

93356$36.74

Myocardial strain imaging using speckle tracking echocardiography

93451$851.39

Right heart catheterization with pressure and output measurements

93454$877.78

Coronary artery angiography without left heart catheterization

93656$806.63

Comprehensive electrophysiology evaluation and ablation of atrial fibrillation

93793$11.69

Anticoagulation management for patient on warfarin blood thinner

93798$26.05

Outpatient cardiac rehabilitation session with ECG monitoring

93976$155.98

Ultrasound study of abdominal arteries and veins, one side

93978$180.36

Ultrasound study of aorta, vena cava, or iliac blood vessels

94618$37.07

Pulmonary stress test with exercise to evaluate lung function

94726$63.80

Lung volume measurement using body plethysmography

94729$63.46

Lung diffusing capacity test measuring gas exchange ability

95117$12.36

Allergy immunotherapy with two or more injections

95249$69.81

Continuous glucose monitoring with patient-provided equipment

95720$212.10

Physician review of video EEG, each 12-26 hour increment

95810$673.70

Sleep study for age 6 or older with 4 or more measurements

95972$59.79

Programming of complex spinal cord or pain neurostimulator

96361$13.03

IV hydration infusion, each additional hour (add-on)

96367$29.73

IV infusion of additional new drug or substance (add-on)

96402$38.75

Chemotherapy hormonal injection under the skin or into muscle

96523$26.05

Irrigation of an implanted drug delivery device

12031$259.86

Intermediate wound repair of scalp, axillae, trunk, or extremities, 2.5 cm or less

14040$767.22

Tissue transfer flap of forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, or feet

15275$160.32

Surgery to apply skin substitute graft to face, neck, hands, feet, or genitalia, first 25 sq cm

22840$668.35

Surgery to place posterior non-segmental spinal fixation hardware, add-on

22842$680.04

Surgery to place posterior segmental spinal fixation hardware, 3 to 6 segments

29822$516.04

Shoulder arthroscopy with limited debridement of damaged tissue

29848$485.65

Endoscopic surgery to release the carpal tunnel in the wrist

42820$260.86

Surgery to remove the tonsils and adenoids, under age 12

44970$578.17

Laparoscopic surgery to remove the appendix

47562$631.95

Laparoscopic removal of the gallbladder

58670$333.01

Laparoscopic fallopian tube sterilization by cautery

93320$51.44

Doppler echocardiography, complete study

93653$711.44

Comprehensive electrophysiology evaluation with treatment of supraventricular tachycardia

Radiology & Imaging112 codes

CT, MRI, X-ray, and ultrasound codes. Rates shown are the global amount (professional and technical components combined).

70450$106.55

CT scan of the head or brain without contrast dye

72148$191.72

MRI of the lumbar spine (lower back) without contrast

73721$204.41

MRI of a joint in the lower extremity without contrast

74177$300.27

CT scan of the abdomen and pelvis with contrast

73221$205.08

MRI of a joint in the upper extremity without contrast

70486$128.26

CT scan of the midface and jaw area without contrast

71046$33.07

Chest X-ray, 2 views (front and side)

72100$40.42

X-ray of the lower back and sacrum, 2 or 3 views

74176$183.04

CT scan of the abdomen and pelvis without contrast

76700$114.23

Ultrasound exam of the abdomen, complete study of all organs

76641$100.20

Ultrasound exam of one breast, complete evaluation

76942$64.13

Ultrasound guidance for needle biopsy procedure

70551$195.40

MRI of the brain without contrast dye

70553$316.97

MRI of the brain without and then with contrast dye

71250$132.60

CT scan of the chest without contrast dye

71260$166.67

CT scan of the chest with contrast dye

71275$280.57

CT angiography of the chest blood vessels with contrast

72141$190.72

MRI of the cervical spine (neck) without contrast

72197$334.34

MRI of the pelvis without and then with contrast dye

74178$338.02

CT scan of the abdomen and pelvis without then with contrast

74183$336.01

MRI of the abdomen without contrast followed by contrast

75571$99.53

CT of the heart without contrast for calcium scoring

75574$325.66

CT angiography of the heart with contrast and 3D imaging

76536$108.55

Ultrasound exam of the head and neck soft tissues

76705$86.17

Ultrasound exam of the abdomen, limited or focused study

76770$106.21

Ultrasound exam of the retroperitoneum, complete study

76830$117.57

Transvaginal ultrasound of the pelvis, non-obstetric

76882$64.13

Ultrasound exam of a joint or soft tissue, limited evaluation

77002$121.25

Fluoroscopic guidance for needle localization procedure

77063$51.10

3D breast tomosynthesis screening, both breasts

77065$123.92

Diagnostic mammogram of one breast with computer-aided detection

77066$156.98

Diagnostic mammogram of both breasts with computer-aided detection

77067$126.26

Screening mammogram of both breasts with computer-aided detection

77080$39.41

DXA bone density scan of the spine and/or hip

78452$427.87

Heart muscle SPECT imaging, multiple studies such as rest and stress

71271$136.28

Low-dose CT scan of the chest for lung cancer screening

76856$105.21

Ultrasound exam of the pelvis, complete study

72040$39.75

X-ray of the cervical spine (neck), 2 or 3 views

73562$42.42

X-ray of the knee, three views

76000$44.09

Fluoroscopy (live x-ray) guidance, up to one hour

70480$158.32

CT scan of the eye socket, ear, or skull base without contrast

70544$214.77

MR angiography of the head blood vessels without contrast

71270$195.73

CT scan of the chest without and then with contrast dye

72131$129.93

CT scan of the lumbar spine (lower back) without contrast

72156$317.98

MRI of the cervical spine (neck) without and with contrast

72195$227.46

MRI of the pelvis without contrast dye

73218$303.28

MRI of the upper arm, forearm, or hand without contrast

73718$222.45

MRI of the lower leg, ankle, or foot without contrast

73720$335.01

MRI of the lower leg, ankle, or foot without then with contrast

74174$378.43

CT angiography of the abdomen and pelvis with contrast

74181$193.73

MRI of the abdomen without contrast

74230$120.24

X-ray swallowing function study with contrast

76376$25.38

3D image reconstruction from CT or MRI, not requiring workstation

76377$78.83

3D image reconstruction from CT or MRI on a dedicated workstation

76642$83.50

Ultrasound exam of one breast, limited or focused evaluation

76775$60.79

Ultrasound exam of the retroperitoneum, limited study

76801$116.90

Obstetric ultrasound before 14 weeks, single fetus

76811$182.03

Detailed obstetric ultrasound of single fetus with anatomy survey

76815$81.50

Limited obstetric ultrasound for quick fetal evaluation

76817$92.85

Transvaginal obstetric ultrasound exam

76881$53.78

Ultrasound exam of a joint, complete evaluation with imaging

76937$40.42

Ultrasound guidance for placing a needle into a blood vessel

77012$122.92

CT scan guidance for needle biopsy procedure

77301$1960.30

Intensity-modulated radiation therapy (IMRT) dose planning

77427$195.40

Radiation treatment management for 5 treatment sessions

77470$144.96

Special radiation treatment procedure requiring extra planning

78306$259.19

Nuclear medicine bone scan of the whole body

78803$335.68

Nuclear medicine tumor SPECT imaging of a single area

70491$183.37

CT scan of the soft tissues of the neck with contrast

70496$273.89

CT angiography of the blood vessels in the head

70498$273.89

CT angiography of the blood vessels in the neck

70543$337.02

MRI of the eye socket, face, or neck without and with contrast

71045$25.38

Chest X-ray, single view

72110$53.44

X-ray of the lower back and sacrum, 4 or more views

72146$190.39

MRI of the thoracic spine (upper back) without contrast

72158$318.31

MRI of the lumbar spine (lower back) without and with contrast

73080$33.07

X-ray of the elbow, three or more views

73130$38.08

X-ray of the hand, three or more views

73140$39.41

X-ray of the finger or fingers, minimum two views

73200$160.66

CT scan of the upper arm, forearm, or hand without contrast

73222$312.63

MRI of a joint in the upper extremity with contrast

73610$37.07

X-ray of the ankle, three or more views

73700$130.26

CT scan of the lower leg, knee, ankle, or foot without contrast

74150$136.28

CT scan of the abdomen without contrast

74160$230.13

CT scan of the abdomen with contrast

74170$258.86

CT scan of the abdomen without contrast followed by contrast

74420$81.16

Imaging of the urinary tract using retrograde contrast injection

75561$365.07

Cardiac MRI to evaluate heart structure with contrast

75572$229.46

CT of the heart with contrast and 3D image reconstruction

75635$411.17

CT angiography of the abdominal aorta and leg arteries

75710$149.30

X-ray of arteries in one arm or leg with contrast

75716$162.66

X-ray of arteries in both arms or both legs with contrast

76805$135.94

Obstetric ultrasound at 14 weeks or later, single fetus

76816$111.22

Obstetric ultrasound follow-up evaluation per fetus

76857$51.10

Ultrasound exam of the pelvis, limited or follow-up

76870$98.53

Ultrasound exam of the scrotum and testicles

76872$120.24

Transrectal ultrasound of the prostate or surrounding area

77001$98.53

Fluoroscopic guidance for placing a central venous catheter

77003$104.54

Fluoroscopic guidance for spinal injection or pain procedure

77049$339.69

MRI of both breasts with and without contrast, with computer-aided

77263$168.34

Radiation therapy treatment planning, complex case

77290$441.56

Radiation therapy simulation of treatment field, complex

77295$485.32

3D conformal radiation therapy treatment planning

77300$67.14

Radiation therapy basic dose calculation

77334$126.26

Radiation treatment device design and construction, complex

77336$92.19

Radiation physics consultation for treatment continuation

77338$474.96

Design of multi-leaf collimator device for IMRT delivery

77387$36.41

Image guidance verification during radiation treatment delivery

77412$443.56

Radiation treatment delivery, complex, multiple areas

78195$311.63

Nuclear medicine imaging of the lymphatic system

78264$289.92

Nuclear medicine imaging study to measure how fast the stomach empties

78830$420.85

Nuclear medicine tumor SPECT imaging with CT of a single area

Lab & Pathology10 codes

Laboratory and pathology codes priced on the Clinical Lab Fee Schedule.

Behavioral Health27 codes

Psychotherapy, psychiatric evaluation, and psychological / neuropsychological testing codes.

90834$113.90

Individual psychotherapy, 38-52 minutes face-to-face with patient

90837$167.00

Individual psychotherapy, 53+ minutes face-to-face with patient

90792$202.08

Psychiatric diagnostic evaluation with medical services

90847$109.55

Family therapy session with the patient present, 50 minutes

90791$173.35

Psychiatric diagnostic evaluation without medical services

90832$85.84

Individual psychotherapy, 16-37 minutes face-to-face with patient

90846$105.88

Family therapy session without the patient present, 50 minutes

96127$5.01

Brief emotional or behavioral assessment with scoring

96136$43.76

Psychological or neuropsychological testing by physician or qualified professional, first 30 min

90853$30.39

Group psychotherapy session

96130$123.92

Psychological test evaluation by physician or qualified professional, first hour

90833$81.50

Psychotherapy add-on with E/M, 16-37 minutes face-to-face with patient

90785$14.70

Psychotherapy add-on for complex interactive communication needs

90836$103.21

Psychotherapy add-on with E/M, 38-52 minutes face-to-face with patient

90838$136.61

Psychotherapy add-on with E/M, 53+ minutes face-to-face with patient

90839$160.32

Crisis psychotherapy session, initial 60 minutes

90840$77.16

Crisis psychotherapy session, each additional 30 minutes

90875$60.46

Biofeedback-assisted psychophysiological therapy, 20-50 minutes face-to-face with patient

90887$88.51

Interpretation and explanation of psychiatric exam results to family

96112$125.25

Developmental testing by physician or qualified professional, first hour

96116$94.19

Neurobehavioral status exam by physician or qualified professional, first hour

96125$102.87

Standardized cognitive performance testing by healthcare professional

96131$86.51

Psychological test evaluation by physician or qualified professional, each additional hour

96132$122.25

Neuropsychological test evaluation by physician or qualified professional, first hour

96137$37.07

Psychological or neuropsychological testing by physician or qualified professional, each addition...

96138$37.74

Psychological or neuropsychological testing administered by technician, first 30 minutes

96133$97.86

Neuropsychological test evaluation by physician or qualified professional, each additional hour

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Medicare Rate Disclaimer

Rates reflect the 2026 Medicare Physician Fee Schedule national non-facility (or global) allowable and are shown for reference. Actual payment varies by locality (GPCI), place of service, modifiers, and payer. Always confirm against your contract and the current CMS fee schedule before billing.