List of new codes and changes to the 2026 HCPCS code set along with their effective date. Includes discontinued codes that are no longer used.
Legend:
A Codes↑ Top | |||
| Effective | Code | Description | |
| 01/01/2026 |
|
Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Restrata, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Symphony, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Apis, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Supra sdrm, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Suprathel, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Innovamatrix fs, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 04/01/2026 |
|
Omeza collagen matrix or omeza complete matrix, per 100 mg
Change in long description of procedure or modifier code |
|
| 01/01/2026 |
|
Phoenix wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Permeaderm b, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Permeaderm c, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Kerecis omega3 marigen shield, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Neomatrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Innovaburn or innovamatrix xl, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Resolve matrix or xenopatch, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Miro3d, per cubic centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Matriderm, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Mirotract wound matrix sheet, per cubic centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Mirodry wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Myriad matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Foundation drs solo, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Cohealyx collagen dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 04/01/2026 |
|
G4derm plus/suprello, per milliliter
Change in long description of procedure or modifier code |
|
| 01/01/2026 |
|
Marigen pacto, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Innovamatrix fd, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 04/01/2026 |
|
Microlyte painguard, per square centimeter | |
| 04/01/2026 |
|
Foundation drs+ duo, per square centimeter | |
| 04/01/2026 |
|
Foundation drs+ solo, per square centimeter | |
| 04/01/2026 |
|
Biobrane, per square centimeter | |
| 04/01/2026 |
|
Biobrane glove, each | |
| 04/01/2026 |
|
Novashield or novogen wound matrix, per square centimeter | |
| 01/01/2026 |
|
Non-sheet form skin substitute, fda cleared as a device, not otherwise specified (list in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Intermittent urinary catheter; straight tip, hydrophilic coating, each
No maintenance for this code |
|
| 01/01/2026 |
|
Intermittent urinary catheter; coude (curved) tip, hydrophilic coating, each
No maintenance for this code |
|
| 01/01/2026 |
|
Intermittent urinary catheter; hydrophilic coating, with insertion supplies
No maintenance for this code |
|
| 04/01/2026 |
|
Female external urinary collection cup, with or without ring attachment, per day | |
| 01/01/2026 |
|
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each
No maintenance for this code |
|
| 01/01/2026 |
|
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, or silicone elastomeric, etc.), each
No maintenance for this code |
|
| 04/01/2026 |
|
Electronic transanal irrigation system, includes electronic pump, water reservoir, tubing, and accessories, without catheter, any type | |
| 04/01/2026 |
|
Gradient compression stocking, garter belt
Change in administrative data field of procedure or modifier code |
|
| 04/01/2026 |
|
Accessory to custom gradient compression garment, silicone band, any size | |
| 04/01/2026 |
|
Powered, cable driven grip assist glove, hand, finger, includes microprocessor, pressure sensors, all components and accessories, custom fitted | |
| 04/01/2026 |
|
Powered, cable driven grip assist glove, hand, finger, includes pressure sensors, glove replacement only | |
| 04/01/2026 |
|
Prescription digital cognitive and/or behavioral therapy, biofeedback, fda cleared, per course of treatment | |
| 01/01/2026 |
|
Indium in-111 capromab pendetide, diagnostic, per study dose, up to 10 millicuries
No maintenance for this code |
|
| 01/01/2026 |
|
Iodine i-131 iobenguane sulfate, diagnostic, per 0.5 millicurie
No maintenance for this code |
|
| 01/01/2026 |
|
Iodine i-125 serum albumin, diagnostic, per 5 microcuries
No maintenance for this code |
|
| 01/01/2026 |
|
Chromium cr-51 sodium chromate, diagnostic, per study dose, up to 250 microcuries
No maintenance for this code |
|
| 01/01/2026 |
|
Iodine i-125 sodium iothalamate, diagnostic, per study dose, up to 10 microcuries
No maintenance for this code |
|
C Codes↑ Top | |||
| Effective | Code | Description | |
| 01/01/2026 |
|
Neurostimulator, integrated (implantable), rechargeable with all implantable and external components including charging system
No maintenance for this code |
|
| 01/01/2026 |
|
Prosthesis, total, dual mobility, first carpometacarpal joint (implantable)
No maintenance for this code |
|
| 01/01/2026 |
|
Anchor/screw for bone fixation, absorbable, metallic (implantable)
No maintenance for this code |
|
| 04/01/2026 |
|
Scaffold, endovascular non-coronary, resorbable drug eluting, with delivery system (implantable) | |
| 01/01/2026 |
|
Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
No maintenance for this code |
|
| 01/01/2026 |
|
Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children
No maintenance for this code |
|
| 01/01/2026 |
|
Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area
No maintenance for this code |
|
| 01/01/2026 |
|
Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children
No maintenance for this code |
|
| 01/01/2026 |
|
Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Arthrodesis, interphalangeal joints, with or without internal fixation, with autografts (includes obtaining grafts)
No maintenance for this code |
|
| 01/01/2026 |
|
Bronchoscopy, rigid or flexible, including fluoroscopic guidance when performed, with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i), with computer-assisted image-guided navigation
No maintenance for this code |
|
| 01/01/2026 |
|
Catheter placement in coronary artery(ies) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation, with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress
No maintenance for this code |
|
| 01/01/2026 |
|
Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report
No maintenance for this code |
|
| 01/01/2026 |
|
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation with intraprocedural coronary fractional flow reserve (ffr) with 3d functional mapping of color-coded ffr values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention (list separately in addition to code for primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Percutaneous transluminal coronary angioplasty, single major coronary artery or branch with percutaneous transluminal coronary lithotripsy
No maintenance for this code |
|
| 01/01/2026 |
|
Open implantation of hypoglossal nerve neurostimulator array and pulse generator, not requiring insertion of a separate distal respiratory sensor electrode or electrode array | |
| 01/01/2026 |
|
Revision or replacement of hypoglossal nerve neurostimulator array including connection to existing pulse generator | |
| 01/01/2026 |
|
Removal of hypoglossal nerve neurostimulator array and pulse generator | |
| 04/01/2026 |
|
Percutaneous placement of permanent common carotid embolic protection device, including all system components and imaging guidance; bilateral | |
| 01/01/2026 |
|
Open implantation of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver, including external power source and all system components | |
| 01/01/2026 |
|
Revision or replacement of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver | |
| 01/01/2026 |
|
Removal of hypoglossal nerve(s) neurostimulator electrode array(s) and receiver | |
| 01/01/2026 |
|
Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, real time with image documentation (2d) (with or without m-mode recording); including probe placement, image acquisition, interpretation and report
No maintenance for this code |
|
| 01/01/2026 |
|
Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and report
No maintenance for this code |
|
| 01/01/2026 |
|
Transesophageal echocardiography (tee) with contrast, or without contrast followed by with contrast, for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis
No maintenance for this code |
|
| 01/01/2026 |
|
Bupivacaine, collagen-matrix implant, 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, bupivacaine (posimir), 1 mg
No maintenance for this code |
|
| 04/01/2026 |
|
Injection, aprepitant, (aponvie), 1 mg
Code Discontinued |
|
| 01/01/2026 |
|
Tc-99m from domestically produced non-heu mo-99, [minimum 50 percent], full cost recovery add-on, per study dose
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, nipocalimab-aahu, 3 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, telisotuzumab vedotin-tllv, 1 mg
No maintenance for this code |
|
| 04/01/2026 |
|
Injection, linvoseltamab-gcpt, 1 mg
Code Discontinued |
|
| 04/01/2026 |
|
Injection, carboplatin (avyxa), 1 mg
Code Discontinued |
|
| 04/01/2026 |
|
Injection, onasemnogene abeparvovec-brve, per treatment | |
| 01/01/2026 |
|
Skin substitute, integra meshed bilayer wound matrix, per square centimeter
No maintenance for this code |
|
| 01/01/2026 |
|
Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch
No maintenance for this code |
|
| 01/01/2026 |
|
Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel
No maintenance for this code |
|
| 01/01/2026 |
|
Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel
No maintenance for this code |
|
| 01/01/2026 |
|
Bronchoscopy, rigid or flexible, transbronchial ablation of lesion(s) by microwave energy, including fluoroscopic guidance, when performed, with computed tomography acquisition(s) and 3-d rendering, computer-assisted, image-guided navigation, and endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling (e.g., aspiration[s]/biopsy[ies]) and all mediastinal and/or hilar lymph node stations or structures and therapeutic intervention(s)
No maintenance for this code |
|
| 01/01/2026 |
|
Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study
No maintenance for this code |
|
| 01/01/2026 |
|
Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed
No maintenance for this code |
|
| 01/01/2026 |
|
Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance
No maintenance for this code |
|
| 01/01/2026 |
|
Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial transplantation of autologous bone marrow cells (e.g., mononuclear) or placebo control, autologous bone marrow harvesting and preparation for transplantation, left heart catheterization including ventriculography, all laboratory services, and all imaging with or without guidance (e.g., transthoracic echocardiography, ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study
No maintenance for this code |
|
| 01/01/2026 |
|
Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus angiography, imaging guidance and supervision and interpretation when performed in an approved investigational device exemption (ide) study
No maintenance for this code |
|
| 01/01/2026 |
|
Gastric restrictive procedure, endoscopic sleeve gastroplasty, with esophagogastroduodenoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components
No maintenance for this code |
|
| 01/01/2026 |
|
Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components
No maintenance for this code |
|
| 01/01/2026 |
|
Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein access, including all imaging necessary to intra procedurally map the coronary sinus for optimal shunt placement (e.g., tee or ice ultrasound, fluoroscopy), performed under general anesthesia in an approved investigational device exemption (ide) study)
No maintenance for this code |
|
| 01/01/2026 |
|
Water circulating motorized cold therapy device (e.g., iceman) including all system components (e.g. pads, console, disposable parts), non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
No maintenance for this code |
|
| 01/01/2026 |
|
Electronic ambulatory infusion pump (e.g. sapphire pump), including all pump components, including disposable components , non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
No maintenance for this code |
|
| 01/01/2026 |
|
Echogenic nerve block needles (e.g. sonoplex, sonoblock, sonotap), non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
No maintenance for this code |
|
| 01/01/2026 |
|
Perforated continuous infusion catheter set (e.g. infiltralong), including all components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
No maintenance for this code |
|
| 02/01/2026 |
|
Continuous anesthesia echogenic conduction catheter set (e.g. sonolong, e-cath), including all components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
Change in long description of procedure or modifier code |
|
| 01/01/2026 |
|
Linear peristaltic pain management infusion pump (e.g. cadd-solis ambulatory infusion pump), and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
No maintenance for this code |
|
| 01/01/2026 |
|
Rotary peristaltic infusion pump (e.g., reusable ambit pump) including all disposable system components, reusable non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
No maintenance for this code |
|
| 01/01/2026 |
|
Electronic cryo-pneumatic compression, pain management system (e.g. game ready grpro 2.1 system), including control unit, anatomically correct wrap(s), and other system component(s), non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
No maintenance for this code |
|
| 01/23/2026 |
|
Suzetrigine, oral, 1 mg | |
| 01/01/2026 |
|
Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system and tissue anchoring components
No maintenance for this code |
|
G Codes↑ Top | |||
| Effective | Code | Description | |
| 01/01/2026 |
|
Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient, or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner, occurring in lieu of an office visit; rhc or fqhc only
No maintenance for this code |
|
| 01/01/2026 |
|
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months
No maintenance for this code |
|
| 01/01/2026 |
|
Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixation, when performed
No maintenance for this code |
|
| 01/01/2026 |
|
Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum)
No maintenance for this code |
|
| 01/01/2026 |
|
Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami)
No maintenance for this code |
|
| 01/01/2026 |
|
Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum)
No maintenance for this code |
|
| 01/01/2026 |
|
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
No maintenance for this code |
|
| 01/01/2026 |
|
Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month
No maintenance for this code |
|
| 01/01/2026 |
|
Rural health clinic or federally qualified health center (rhc/fqhc) only, psychiatric collaborative care model (psychiatric cocm), 60 minutes or more of clinical staff time for psychiatric cocm services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm) and including services furnished by a behavioral health care manager and consultation with a psychiatric consultant, per calendar month
No maintenance for this code |
|
| 01/01/2026 |
|
Initial psychiatric collaborative care management, in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: outreach to and engagement in treatment of a patient directed by the treating physician or other qualified health care professional, initial assessment of the patient, including administration of validated rating scales, with the development of an individualized treatment plan, review by the psychiatric consultant with modifications of the plan if recommended, entering patient in a registry and tracking patient follow-up and progress using the registry, with appropriate documentation, and participation in weekly caseload consultation with the psychiatric consultant, and provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies (list separately in addition to the advanced primary care management code)
No maintenance for this code |
|
| 01/01/2026 |
|
Subsequent psychiatric collaborative care management, in a subsequent month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional, with the following required elements: tracking patient follow-up and progress using the registry, with appropriate documentation, participation in weekly caseload consultation with the psychiatric consultant, ongoing collaboration with and coordination of the patient's mental health care with the treating physician or other qualified health care professional and any other treating mental health providers, additional review of progress and recommendations for changes in treatment, as indicated, including medications, based on recommendations provided by the psychiatric consultant, provision of brief interventions using evidence-based techniques such as behavioral activation, motivational interviewing, and other focused treatment strategies, monitoring of patient outcomes using validated rating scales, and relapse prevention planning with patients as they achieve remission of symptoms and/or other treatment goals and are prepared for discharge from active treatment (list separately in addition to advanced primary care management code)
No maintenance for this code |
|
| 01/01/2026 |
|
Care management services for behavioral health conditions, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or follow-up monitoring, including the use of applicable validated rating scales, behavioral health care planning in relation to behavioral/psychiatric health problems, including revision for patients who are not progressing or whose status changes, facilitating and coordinating treatment such as psychotherapy, pharmacotherapy, counseling and/or psychiatric consultation, and continuity of care with a designated member of the care team (list separately in addition to advanced primary care management code)
No maintenance for this code |
|
| 01/01/2026 |
|
Intraoperative nerve(s) cryoablation for post-surgical pain relief (list separately in addition to code for primary service)
No maintenance for this code |
|
| 01/01/2026 |
|
Team remote e/m new pt 10mins
No maintenance for this code |
|
| 01/01/2026 |
|
Team remote e/m new pt 20mins
No maintenance for this code |
|
| 01/01/2026 |
|
Team remote e/m new pt 30 mins
No maintenance for this code |
|
| 01/01/2026 |
|
Team remote e/m new pt 45mins
No maintenance for this code |
|
| 01/01/2026 |
|
Team remote e/m new pt 60mins
No maintenance for this code |
|
| 01/01/2026 |
|
Team remote e/m est. pt 10mins
No maintenance for this code |
|
| 01/01/2026 |
|
Team remote e/m est. pt 15mins
No maintenance for this code |
|
| 01/01/2026 |
|
Team remote e/m est. pt 25mins
No maintenance for this code |
|
| 01/01/2026 |
|
Team remote e/m est. pt 40mins
No maintenance for this code |
|
| 04/01/2026 |
|
Detection and quantification of coronary artery calcium and/or aortic valve calcification from algorithmic analysis of computed tomography of the chest with report | |
| 04/01/2026 |
|
Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; first 25 sq cm or less of wound surface area | |
| 04/01/2026 |
|
Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute for a wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure) | |
| 04/01/2026 |
|
Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children | |
| 04/01/2026 |
|
Application of a premarket approval (pma), 510(k), 361 human cells, tissues or cellular and tissue-based products (hct/p) non-sheet form skin substitute graft for a wound surface greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure) | |
| 01/01/2026 |
|
Intake activities, including initial medical examination that is conducted by an appropriately licensed practitioner and preparation of a care plan, which may be informed by administration of a standardized, evidence-based assessment, and that includes the patient's goals and mutually agreed-upon actions for the patient to meet those goals, including harm reduction interventions; the patient's needs and goals in the areas of education, vocational training, and employment; and the medical and psychiatric, psychosocial, economic, legal, housing, physical activity and/or nutrition needs and other recovery support services that a patient needs and wishes to pursue, conducted by an appropriately licensed/credentialed personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code
No maintenance for this code |
|
| 01/01/2026 |
|
Periodic assessment; assessing periodically by an otp practitioner and includes a review of moud dosing, treatment response, other substance use disorder treatment needs, responses and patient-identified goals, and other relevant physical, nutrition and psychiatric treatment needs and goals; may be informed by administration of a standardized, evidence-based assessment, or the need and interest for harm reduction interventions and recovery support services (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to each primary code
No maintenance for this code |
|
| 01/01/2026 |
|
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to home or residence or office/outpatient evaluation and management service, new or established)
Change in long description of procedure or modifier code |
|
| 01/01/2026 |
|
Ultrasonic guidance for placement of radiation therapy fields
No maintenance for this code |
|
| 01/01/2026 |
|
Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy
No maintenance for this code |
|
| 01/01/2026 |
|
Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: up to 5 mev
No maintenance for this code |
|
| 01/01/2026 |
|
Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 6-10 mev
No maintenance for this code |
|
| 01/01/2026 |
|
Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 11-19 mev
No maintenance for this code |
|
| 01/01/2026 |
|
Radiation treatment delivery, single treatment area, single port or parallel opposed ports, simple blocks or no blocks: 20 mev or greater
No maintenance for this code |
|
| 01/01/2026 |
|
Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: up to 5 mev
No maintenance for this code |
|
| 01/01/2026 |
|
Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 6-10 mev
No maintenance for this code |
|
| 01/01/2026 |
|
Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 11-19 mev
No maintenance for this code |
|
| 01/01/2026 |
|
Radiation treatment delivery, 2 separate treatment areas, 3 or more ports on a single treatment area, use of multiple blocks: 20 mev or greater
No maintenance for this code |
|
| 01/01/2026 |
|
Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; up to 5 mev
No maintenance for this code |
|
| 01/01/2026 |
|
Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev
No maintenance for this code |
|
| 01/01/2026 |
|
Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev
No maintenance for this code |
|
| 01/01/2026 |
|
Radiation treatment delivery, 3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 20 mev or greater
No maintenance for this code |
|
| 01/01/2026 |
|
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session
No maintenance for this code |
|
| 01/01/2026 |
|
Compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator, convergent beam modulated fields, per treatment session
No maintenance for this code |
|
| 01/01/2026 |
|
Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment
No maintenance for this code |
|
| 01/01/2026 |
|
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status)
No maintenance for this code |
|
| 01/01/2026 |
|
Patient had one dose of meningococcal vaccine (serogroups a, c, w, y or a, c, w, y, b) on or between the patient's 10th and 13th birthdays
No maintenance for this code |
|
| 01/01/2026 |
|
Patient did not have one dose of meningococcal vaccine (serogroups a, c, w, y or a, c, w, y, b), on or between the patient's 10th and 13th birthdays
No maintenance for this code |
|
| 01/01/2026 |
|
Patient survey results not available
No maintenance for this code |
|
| 01/01/2026 |
|
Most recent bp is less than or equal to 130/80 mm hg
No maintenance for this code |
|
| 01/01/2026 |
|
Most recent bp is greater than 130/80 mm hg, or blood pressure not documented
No maintenance for this code |
|
| 01/01/2026 |
|
Patient is currently on a high intensity statin therapy
No maintenance for this code |
|
| 01/01/2026 |
|
Patient is not on a high intensity statin therapy
No maintenance for this code |
|
| 01/01/2026 |
|
Ajcc stage at breast cancer diagnosis = i (ia or ib) and t-stage at breast cancer diagnosis = t1c
No maintenance for this code |
|
| 01/01/2026 |
|
Behavioral counseling for diabetes prevention, online, 60 minutes
No maintenance for this code |
|
J Codes↑ Top | |||
| Effective | Code | Description | |
| 01/01/2026 |
|
Esketamine, nasal spray, 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, epinephrine (fresenius), not therapeutically equivalent to j0165, 0.1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, aducanumab-avwa, 2 mg
No maintenance for this code |
|
| 04/01/2026 |
|
Lecanemab-irmb, for intravenous injection, 1 mg
Change in long description of procedure or modifier code |
|
| 01/01/2026 |
|
Injection, biperiden lactate, per 5 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, alatrofloxacin mesylate, 100 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, alglucerase, per 10 units
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, sodium thiosulfate (hope), 100 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, alefacept, 0.5 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, remdesivir, 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, amphotericin b cholesteryl sulfate complex, 10 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, anistreplase, per 30 units
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, aprotonin, 10,000 kiu
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, metaraminol bitartrate, per 10 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, arbutamine hcl, 1 mg
No maintenance for this code |
|
| 04/01/2026 |
|
Injection, atropine sulfate, 0.01 mg
Miscellaneous change (BETOS, type of service) |
|
| 04/01/2026 |
|
Injection, atropine sulfate, not therapeutically equivalent to j0461, 0.01 mg
Miscellaneous change (BETOS, type of service) |
|
| 04/01/2026 |
|
Injection, atropine sulfate (fresenius and therapeutically equivalent), 0.01 mg | |
| 01/01/2026 |
|
Injection, liothyronine, 1 mcg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, cephapirin sodium, up to 1 gm
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, ceftizoxime sodium, per 500 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, chloramphenicol sodium succinate, up to 1 gm
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, clevidipine butyrate, 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, corticorelin ovine triflutate, 1 microgram
No maintenance for this code |
|
| 01/01/2026 |
|
Daprodustat, oral, 1 mg, (for esrd on dialysis)
No maintenance for this code |
|
| 01/01/2026 |
|
Testosterone pellet, implant, 75 mg
No maintenance for this code |
|
| 04/01/2026 |
|
Articaine ophthalmic, 8% solution, 0.4 ml | |
| 04/01/2026 |
|
Injection, diltiazem hydrochloride in 0.72% sodium chloride, 0.5 mg | |
| 01/01/2026 |
|
Injection, doripenem, 10 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, ergonovine maleate, up to 0.2 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, ferric pyrophosphate citrate solution (triferic), 0.1 mg of iron
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, ferric pyrophosphate citrate powder, 0.1 mg of iron
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, ferric pyrophosphate citrate solution (triferic avnu), 0.1 mg of iron
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, fomivirsen sodium, intraocular, 1.65 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, gallium nitrate, 1 mg
No maintenance for this code |
|
| 04/01/2026 |
|
Injection, immune globulin (yimmugo), 100 mg | |
| 01/01/2026 |
|
Injection, immune globulin (vivaglobin), 100 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, gonadorelin hydrochloride, per 100 mcg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, tinzaparin sodium, 1000 iu
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, hydrocortisone sodium phosphate, up to 50 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, meloxicam (delova), 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, meloxicam (azurity), 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, posaconazole, 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, lepirudin, 50 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, pegademase bovine, 25 iu
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, pentastarch, 10% solution, 100 ml
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, pentobarbital sodium, per 50 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, pentamidine isethionate, 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, vasopressin (long grove), not therapeutically equivalent to j2598, 1 unit
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, neostigmine methylsulfate 0.1 mg and glycopyrrolate 0.02 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, aurothioglucose, up to 50 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, somatrem, 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, streptokinase, per 250,000 iu
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, thiethylperazine maleate, up to 10 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, tranexamic acid in sodium chloride, 5 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, trimetrexate glucuronate, per 25 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, perphenazine, up to 5 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, spectinomycin dihydrochloride, up to 2 gm
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, urofollitropin, 75 iu
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, urokinase, 5000 iu vial
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, iv, urokinase, 250,000 i.u. vial
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, vancomycin hcl (hikma), not therapeutically equivalent to j3373, 10 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, valproate sodium, 5 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, elivaldogene autotemcel, per treatment
No maintenance for this code |
|
| 01/01/2026 |
|
Topical administration, prademagene zamikeracel, per treatment
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, triflupromazine hcl, up to 20 mg
No maintenance for this code |
|
| 04/01/2026 |
|
Injection, zopapogene imadenovec-drba suspension, per therapeutic dose | |
| 01/01/2026 |
|
Injection, zidovudine, 10 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Factor viii (antihemophilic factor (porcine)), per i.u.
No maintenance for this code |
|
| 01/01/2026 |
|
Intrauterine copper contraceptive (miudella)
No maintenance for this code |
|
| 01/01/2026 |
|
Methyl aminolevulinate (mal) for topical administration, 16.8%, 1 gram
No maintenance for this code |
|
| 01/01/2026 |
|
Ganciclovir, 4.5 mg, long-acting implant
No maintenance for this code |
|
| 01/01/2026 |
|
Hyaluronan or derivative, hymovis or hymovis one, for intra-articular injection, 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Muromonab-cd3, parenteral, 5 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Daclizumab, parenteral, 25 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Mycophenolate mofetil, for suspension, oral, 100 mg
No maintenance for this code |
|
| 04/01/2026 |
|
Injection, aprepitant (aponvie), 1 mg | |
| 01/01/2026 |
|
Fludarabine phosphate, oral, 10 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Nabilone, oral, 1 mg
No maintenance for this code |
|
| 04/01/2026 |
|
Leuprolide injectable (camcevi etm), 1 mg | |
| 01/01/2026 |
|
Injection, asparaginase (erwinaze), 1,000 iu
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, asparaginase, not otherwise specified, 10,000 units
No maintenance for this code |
|
| 01/01/2026 |
|
Bcg live intravesical instillation, 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, cytarabine liposome, 10 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, daunorubicin citrate, liposomal formulation, 10 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, diethylstilbestrol diphosphate, 250 mg
No maintenance for this code |
|
| 04/01/2026 |
|
Gemcitabine intravesical system, 225 mg | |
| 01/01/2026 |
|
Injection, gemcitabine hydrochloride (avyxa), 200 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, interferon alfacon-1, recombinant, 1 microgram
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, nipocalimab-aahu, 3 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, plicamycin, 2.5 mg
No maintenance for this code |
|
| 04/01/2026 |
|
Injection, pembrolizumab, 1 mg and berahyaluronidase alfa-pmph | |
| 04/01/2026 |
|
Injection, carboplatin (avyxa), 1 mg | |
| 01/01/2026 |
|
Mitomycin, intravesical instillation, 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, telisotuzumab vedotin-tllv, 1 mg
No maintenance for this code |
|
| 04/01/2026 |
|
Injection, linvoseltamab-gcpt, 1 mg | |
L Codes↑ Top | |||
| Effective | Code | Description | |
| 04/01/2026 |
|
Addition to lower extremity orthosis, ankle system, microprocessor-controlled feature plantarflexion and/or dorsiflexion, includes power source | |
| 04/01/2026 |
|
Addition to lower extremity prosthesis, manual/automated adjustable air, fluid, gel or equal socket insert for limb volume management, any materials
Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers) |
|
| 04/01/2026 |
|
All lower extremity prosthesis, foot shell for modular foot/non-solid ankle cushion heel (sach) replacement only | |
| 04/01/2026 |
|
Partial hand, thumb remaining
Code Discontinued |
|
| 04/01/2026 |
|
Partial hand, little and/or ring finger remaining
Code Discontinued |
|
| 04/01/2026 |
|
Partial hand, no finger remaining
Code Discontinued |
|
| 04/01/2026 |
|
Partial hand, finger, and thumb prosthesis without prosthetic digit(s) /thumb, amputation at metacarpal level, including flexible or non-flexible interface, molded to patient model, for use without external power and/or passive prosthetic digit/thumb, not including inserts described by l6692
Change in both administrative data field and long description of procedure or modifier code |
|
| 04/01/2026 |
|
Upper extremity addition, test socket/interface, partial hand including fingers
Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers) |
|
| 04/01/2026 |
|
Upper extremity addition, external frame, partial hand including fingers
Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers) |
|
| 04/01/2026 |
|
Replacement socket/interface, partial hand including fingers, molded to patient model, for use with or without external power
Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers) |
|
| 04/01/2026 |
|
Addition to upper extremity prosthesis, partial hand including fingers, ultralight material (titanium, carbon fiber or equal)
Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers) |
|
| 04/01/2026 |
|
Addition to upper extremity prosthesis, partial hand including fingers, acrylic material
Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers) |
|
| 04/01/2026 |
|
Immediate post-surgical or early fitting, application of initial rigid dressing, including fitting alignment and suspension of components, and one cast change, partial hand including fingers
Payment change (MOG, pricing indicator codes, anesthesia base units,Ambulatory Surgical Centers) |
|
M Codes↑ Top | |||
| Effective | Code | Description | |
| 01/01/2026 |
|
Enhancing oncology model (eom) monthly enhanced oncology services (meos) payment for eom enhanced services
No maintenance for this code |
|
| 04/01/2026 |
|
Intravenous infusion, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose | |
| 04/01/2026 |
|
Intravenous infusion, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose | |
| 01/01/2026 |
|
Patient received at least two doses of the herpes zoster recombinant vaccine (at least 28 days apart) on october 20, 2017, through the end of the measurement period
No maintenance for this code |
|
| 01/01/2026 |
|
Patient did not receive two doses of the herpes zoster recombinant vaccine (at least 28 days apart) on october 20, 2017, through the end of the measurement period
No maintenance for this code |
|
| 01/01/2026 |
|
Encounters conducted via telehealth
No maintenance for this code |
|
| 01/01/2026 |
|
Documentation of medical reason(s) for performing a bone scan (including documented pain related to prostate cancer, salvage therapy, other medical reasons)
No maintenance for this code |
|
| 01/01/2026 |
|
Patients who have bilateral absence of eyes any time during the patient's history through the end of the measurement period
No maintenance for this code |
|
| 01/01/2026 |
|
Retinal exam finding with evidence of retinopathy in left, right or both eyes with severity level documented
No maintenance for this code |
|
| 01/01/2026 |
|
Retinal exam finding without evidence of retinopathy in both eyes with severity level documented (in measurement year or in the prior year)
No maintenance for this code |
|
| 01/01/2026 |
|
Encounters conducted via telehealth
No maintenance for this code |
|
| 01/01/2026 |
|
Encounters conducted via telehealth
No maintenance for this code |
|
| 01/01/2026 |
|
Patient on oral chemotherapy on or within 30 days before denominator eligible encounter
No maintenance for this code |
|
| 01/01/2026 |
|
Patient on oral chemotherapy on or within 30 days after denominator eligible encounter
No maintenance for this code |
|
| 01/01/2026 |
|
Patient on oral chemotherapy during the performance period
No maintenance for this code |
|
| 01/01/2026 |
|
Encounters conducted via telehealth
No maintenance for this code |
|
| 01/01/2026 |
|
Encounters conducted via telehealth
No maintenance for this code |
|
| 01/01/2026 |
|
Time last known well to hospital arrival less than or equal to 3.5 hours (<= 210 minutes)
No maintenance for this code |
|
| 01/01/2026 |
|
Significant ocular conditions that impact the visual outcome of surgery
No maintenance for this code |
|
| 01/01/2026 |
|
Encounters conducted via telehealth
No maintenance for this code |
|
| 01/01/2026 |
|
Encounter corresponds to initial diagnosis of sleep apnea or first contact with sleep apnea diagnosed patient
No maintenance for this code |
|
| 01/01/2026 |
|
Encounters conducted via telehealth
No maintenance for this code |
|
| 01/01/2026 |
|
Encounters conducted via telehealth
No maintenance for this code |
|
| 01/01/2026 |
|
Delivery at < 39 weeks of gestation
No maintenance for this code |
|
| 01/01/2026 |
|
Postpartum care visit before or at 12 weeks of giving birth
No maintenance for this code |
|
| 01/01/2026 |
|
Patients who died any time prior to the end of the measure assessment period
No maintenance for this code |
|
| 01/01/2026 |
|
Patients with an active diagnosis of bipolar disorder any time prior to the end of the measure assessment period
No maintenance for this code |
|
| 01/01/2026 |
|
Patients with an active diagnosis of personality disorder any time prior to the end of the measure assessment period
No maintenance for this code |
|
| 01/01/2026 |
|
Patients with an active diagnosis of schizophrenia or psychotic disorder any time prior to the end of the measure assessment period
No maintenance for this code |
|
| 01/01/2026 |
|
Patients who received hospice or palliative care service any time during denominator identification period or the measure assessment period
No maintenance for this code |
|
| 01/01/2026 |
|
Patients with an active diagnosis of pervasive developmental disorder any time prior to the end of the measure assessment period
No maintenance for this code |
|
| 01/01/2026 |
|
Patient ever had a diagnosis of dementia
No maintenance for this code |
|
| 01/01/2026 |
|
Patients with a pre-operative visual acuity better than 20/40
No maintenance for this code |
|
| 01/01/2026 |
|
New cied
No maintenance for this code |
|
| 01/01/2026 |
|
Replaced or revised cied
No maintenance for this code |
|
| 01/01/2026 |
|
Patient had a heart transplant
No maintenance for this code |
|
| 01/01/2026 |
|
Patient had a diagnosis of asthma with any contact during the current or prior performance period or had asthma present on an active problem list any time during the performance period
No maintenance for this code |
|
| 01/01/2026 |
|
Patient died prior to the end of the performance period
No maintenance for this code |
|
| 01/01/2026 |
|
Patient was in hospice or receiving palliative care services at any time during the performance period
No maintenance for this code |
|
| 01/01/2026 |
|
Diagnosis for chronic obstructive pulmonary disease, emphysema, cystic fibrosis, or acute respiratory failure
No maintenance for this code |
|
| 01/01/2026 |
|
Patient diagnosis for chronic hepatitis c
No maintenance for this code |
|
| 01/01/2026 |
|
Patients with clinical indications for imaging of the head
No maintenance for this code |
|
| 01/01/2026 |
|
Documentation of at least two attempts to follow up with patient within 180 days of treatment
No maintenance for this code |
|
| 01/01/2026 |
|
No documentation of at least two attempts to follow up with patient within 180 days of treatment
No maintenance for this code |
|
| 01/01/2026 |
|
Patient follow up more than 180 days after treatment
No maintenance for this code |
|
| 01/01/2026 |
|
Patient had a lumbar fusion on the same date as the discectomy/laminectomy procedure
No maintenance for this code |
|
| 01/01/2026 |
|
Patients with an existing diagnosis of lynch syndrome
No maintenance for this code |
|
| 01/01/2026 |
|
Patient received recommended doses of hepatitis b vaccination based on age
No maintenance for this code |
|
| 01/01/2026 |
|
Patient has a history of hepatitis b illness or received a hepatitis b surface antigen, hepatitis b surface antibody, or total antibody to hepatitis b core antigen test with a positive result any time before or during the measurement period
No maintenance for this code |
|
| 01/01/2026 |
|
Documentation of medical reason(s) for not administering hepatitis b vaccine (e.g., prior anaphylaxis due to the hepatitis b vaccine)
No maintenance for this code |
|
| 01/01/2026 |
|
Documentation that patient is a medicare fee-for-service beneficiary and without additional supplementary insurance coverage for whom hep b vaccination is not reimbursable under current medicare part b coverage rules
No maintenance for this code |
|
| 01/01/2026 |
|
Patient did not receive recommended doses of hepatitis b vaccination based on age
No maintenance for this code |
|
| 01/01/2026 |
|
Patient situations, at any point during the denominator identification period, where the patient's functional capacity or motivation (or lack thereof) to improve may impact the accuracy of results of validated tools, such as delirium, dementia, intellectual disabilities, and pervasive and specific development disorders
No maintenance for this code |
|
| 01/01/2026 |
|
Patients with diagnosis of dementia
No maintenance for this code |
|
| 01/01/2026 |
|
Patients with diagnosis of huntington's disease
No maintenance for this code |
|
| 01/01/2026 |
|
Patients with diagnosis of cognitive impairment or alzheimer's disease
No maintenance for this code |
|
| 01/01/2026 |
|
Diagnosis of delirium
No maintenance for this code |
|
| 01/01/2026 |
|
Psychoactive substance abuse
No maintenance for this code |
|
| 01/01/2026 |
|
Patients whose functional capacity or motivation (or lack thereof) to improve may impact the accuracy of results of validated tools such as delirium, dementia, intellectual disabilities, and pervasive and specific development disorders
No maintenance for this code |
|
| 01/01/2026 |
|
Patients whose functional capacity or motivation (or lack thereof) to improve may impact the accuracy of results of validated tools such as delirium, dementia, intellectual disabilities, and pervasive and specific development disorders
No maintenance for this code |
|
| 01/01/2026 |
|
Patients receiving hospice or palliative care or who died during the measurement period
No maintenance for this code |
|
| 01/01/2026 |
|
Positive/detectable hepatitis c virus quantitative or qualitative rna test result during the denominator identification period
No maintenance for this code |
|
| 01/01/2026 |
|
Patients who achieve sustained virological response as identified by an hcv rna test (cpt 87522) or (cpt 87521) with a negative/undetectable hcv rna result that occurred 20 weeks to 12 months after the first positive/detectable hcv rna test result within the denominator identification period
No maintenance for this code |
|
| 01/01/2026 |
|
Patients who did not have a repeat hcv rna labs performed for medical reasons documented by clinician (e.g., patient with limited life expectancy, delay in treatment of hcv related to treatment of hiv, hbv, hepatocellular carcinoma, decompensated cirrhosis)
No maintenance for this code |
|
| 01/01/2026 |
|
Patients who did not achieve sustained virological response as identified by an hcv rna test (cpt 87522) or (cpt 87521) with a negative/undetectable hcv rna result that occurred 20 weeks to 12 months after the first positive/detectable hcv rna test result within the denominator identification period
No maintenance for this code |
|
| 01/01/2026 |
|
Patients admitted to a skilled nursing facility (snf) during the period of evaluation
No maintenance for this code |
|
| 01/01/2026 |
|
Patients in hospice in the year before or during the period of evaluation
No maintenance for this code |
|
| 01/01/2026 |
|
Patients with a diagnosis for dementia in the year before or during the period of evaluation
No maintenance for this code |
|
| 01/01/2026 |
|
Patient status documented
No maintenance for this code |
|
| 01/01/2026 |
|
Patient status not documented
No maintenance for this code |
|
| 01/01/2026 |
|
Receiving esrd mcp dialysis services by the provider during the performance period
No maintenance for this code |
|
| 01/01/2026 |
|
Patients who did not report a fall
No maintenance for this code |
|
| 01/01/2026 |
|
Documentation of falls not performed due to medical reasons (e.g., syncope, vertigo and related disorders, restless leg syndrome, tourette syndrome/tic disorder, back pain, concussion/mild traumatic brain injury (mtbi), cervical dystonia, or epilepsy)
No maintenance for this code |
|
| 01/01/2026 |
|
Patients that reported a fall since the last visit
No maintenance for this code |
|
| 01/01/2026 |
|
Patients that reported a fall occurred who had a plan of care for falls documented or patients that did not report a fall
No maintenance for this code |
|
| 01/01/2026 |
|
Patients that had a fall who did not have a plan of care for falls documented or do not have documentation of being assessed for falls
No maintenance for this code |
|
| 01/01/2026 |
|
Documentation of falls not performed due to medical reasons (e.g., syncope, vertigo and related disorders, restless leg syndrome, tourette syndrome/tic disorder, back pain, concussion/mild traumatic brain injury (mtbi), cervical dystonia, or epilepsy)
No maintenance for this code |
|
| 01/01/2026 |
|
Diagnostic radiology mips value pathway
No maintenance for this code |
|
| 01/01/2026 |
|
Interventional radiology mips value pathway
No maintenance for this code |
|
| 01/01/2026 |
|
Neuropsychology mips value pathway
No maintenance for this code |
|
| 01/01/2026 |
|
Pathology mips value pathway
No maintenance for this code |
|
| 01/01/2026 |
|
Podiatry mips value pathway
No maintenance for this code |
|
| 01/01/2026 |
|
Vascular surgery mips value pathway
No maintenance for this code |
|
Q Codes↑ Top | |||
| Effective | Code | Description | |
| 01/01/2026 |
|
Thiethylperazine maleate, 10 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen
No maintenance for this code |
|
| 04/01/2026 |
|
Injection, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg | |
| 01/01/2026 |
|
Injection, teniposide, 50 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Afamitresgene autoleucel, including leukapheresis and dose preparation procedures, per therapeutic dose
No maintenance for this code |
|
| 01/01/2026 |
|
Obecabtagene autoleucel, 10 up to 400 million cd19 car-positive viable t cells, including leukapheresis and dose preparation procedures, per infusion
No maintenance for this code |
|
| 01/01/2026 |
|
Skin substitute, not otherwise specified
No maintenance for this code |
|
| 01/01/2026 |
|
Apligraf, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Oasis wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Oasis burn matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Integra bilayer matrix wound dressing (bmwd), per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Dermagraft, per square centimeter
No maintenance for this code |
|
| 01/01/2026 |
|
Graftjacket, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Integra matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Primatrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Gammagraft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Cymetra, injectable, 1 cc
No maintenance for this code |
|
| 01/01/2026 |
|
Graftjacket xpress, injectable, 1 cc
No maintenance for this code |
|
| 01/01/2026 |
|
Integra flowable wound matrix, injectable, 1 cc
No maintenance for this code |
|
| 01/01/2026 |
|
Alloskin, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Alloderm, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Hyalomatrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Matristem micromatrix, 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Theraskin, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Dermacell, dermacell awm or dermacell awm porous, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Alloskin rt, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Oasis ultra tri-layer wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Arthroflex, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Memoderm, dermaspan, tranzgraft or integuply, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Talymed, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Flex hd, or allopatch hd, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Strattice tm, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Grafix core and grafixpl core, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Hmatrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Mediskin, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Ez-derm, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amnioexcel, amnioexcel plus or biodexcel, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Biodfence dryflex, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amniomatrix or biodmatrix, injectable, 1 cc
No maintenance for this code |
|
| 01/01/2026 |
|
Biodfence, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Alloskin ac, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Xcm biologic tissue matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Repriza, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Epifix, injectable, 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Tensix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Architect, architect px, or architect fx, extracellular matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Neox cord 1k, neox cord rt, or clarix cord 1k, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Excellagen, 0.1 cc
No maintenance for this code |
|
| 01/01/2026 |
|
Allowrap ds or dry, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amnioband or guardian, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Dermapure, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Dermavest and plurivest, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Biovance, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Neoxflo or clarixflo, 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Neox 100 or clarix 100, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Revitalon, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Kerecis omega3, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Affinity, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Nushield, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Bio-connekt wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Woundex flow, bioskin flow, 0.5 cc
No maintenance for this code |
|
| 01/01/2026 |
|
Woundex, bioskin, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Helicoll, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Keramatrix or kerasorb, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Cytal, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Truskin, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amnioband, 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Artacent wound, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Cygnus, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Interfyl, 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Palingen or palingen xplus, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Palingen or promatrx, 0.36 mg per 0.25 cc
No maintenance for this code |
|
| 01/01/2026 |
|
Miroderm, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Neopatch or therion, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Floweramnioflo, 0.1 cc
No maintenance for this code |
|
| 01/01/2026 |
|
Floweramniopatch, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Flowerderm, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Revita, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amnio wound, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Transcyte, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Surgigraft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Cellesta or cellesta duo, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Cellesta flowable amnion (25 mg per cc); per 0.5 cc
No maintenance for this code |
|
| 01/01/2026 |
|
Epifix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Epicord, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amnioarmor, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Artacent ac, 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Artacent ac, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Restorigin, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Restorigin, 1 cc
No maintenance for this code |
|
| 01/01/2026 |
|
Coll-e-derm, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Novachor, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Puraply, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Puraply am, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Puraply xt, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Genesis amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Cygnus matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Skin te, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Matrion, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Keroxx (2.5g/cc), 1cc
No maintenance for this code |
|
| 01/01/2026 |
|
Derma-gide, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Xwrap, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Membrane graft or membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Fluid flow or fluid gf, 1 cc
No maintenance for this code |
|
| 01/01/2026 |
|
Novafix, per square cenitmeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Surgraft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amnion bio or axobiomembrane, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Allogen, per cc
No maintenance for this code |
|
| 01/01/2026 |
|
Ascent, 0.5 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Cellesta cord, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Axolotl ambient or axolotl cryo, 0.1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Artacent cord, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Surgicord, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Surgigraft-dual, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Bellacell hd or surederm, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amniowrap2, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Progenamatrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Human health factor 10 amniotic patch (hhf10-p), per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amniobind or dermabind tl, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amniocore, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Cogenex amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Cogenex flowable amnion, per 0.5 cc
No maintenance for this code |
|
| 01/01/2026 |
|
Corplex, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Surfactor or nudyn, per 0.5 cc
No maintenance for this code |
|
| 01/01/2026 |
|
Xcellerate, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amniorepair or altiply, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Carepatch, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Cryo-cord, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Derm-maxx, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amnio-maxx or amnio-maxx lite, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Corecyte, for topical use only, per 0.5 cc
No maintenance for this code |
|
| 01/01/2026 |
|
Polycyte, for topical use only, per 0.5 cc
No maintenance for this code |
|
| 01/01/2026 |
|
Amniocyte plus, per 0.5 cc
No maintenance for this code |
|
| 01/01/2026 |
|
Amniotext, per cc
No maintenance for this code |
|
| 01/01/2026 |
|
Coretext or protext, per cc
No maintenance for this code |
|
| 01/01/2026 |
|
Amniotext patch, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Dermacyte amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amniply, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amnioamp-mp, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Vim, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Vendaje, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Zenith amniotic membrane, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Novafix dl, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Reguard, for topical use only, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Mlg-complete, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Relese, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Enverse, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Celera dual layer or celera dual membrane, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Signature apatch, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Tag, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Dual layer impax membrane, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Surgraft tl, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Cocoon membrane, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Neostim tl, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Neostim membrane, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Neostim dl, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Surgraft ft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Surgraft xt, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Complete sl, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Complete ft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Esano a, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Esano aaa, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Esano ac, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Esano aca, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Orion, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Epieffect, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Vendaje ac, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Xcell amnio matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Barrera sl or barrera dl, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Cygnus dual, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Biovance tri-layer or biovance 3l, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Dermabind sl, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Nudyn dl or nudyn dl mesh, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Nudyn sl or nudyn slw, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Dermabind dl, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Dermabind ch, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Revoshield + amniotic barrier, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Membrane wrap-hydro, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Lamellas xt, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Lamellas, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Acesso dl, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amnio quad-core, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amnio tri-core amniotic, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Rebound matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Emerge matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amniocore pro, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amniocore pro+, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Acesso tl, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Activate matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Complete aca, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Complete aa, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Grafix plus, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
American amnion ac tri-layer, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
American amnion ac, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
American amnion, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Sanopellis, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Via matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Procenta, per 100 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Acesso, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Acesso ac, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Dermabind fm, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Reeva ft, per square cenitmeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Regenelink amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amchoplast, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Vitograft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
E-graft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Sanograft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Pellograft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Renograft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Caregraft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Alloply, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amniotx, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Acapatch, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Woundplus, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Duoamnion, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Most, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Singlay, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Total, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Axolotl graft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Axolotl dualgraft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Ardeograft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amnioplast 1, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amnioplast 2, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Artacent c, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Artacent trident, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Artacent velos, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Artacent vericlen, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Simpligraft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Simplimax, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Theramend, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Dermacyte ac matrix amniotic membrane allograft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Tri-membrane wrap, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Matrix hd allograft dermis, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Shelter dm matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Rampart dl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Sentry sl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Mantle dl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Palisade dm matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Enclose tl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Overlay sl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Xceed tl matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Palingen dual-layer membrane and dual-layer palingen x-membrane, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Abiomend xplus membrane and abiomend xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Abiomend membrane and abiomend hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Xwrap plus, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Xwrap dual, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Choriply, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amchoplast fd, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Epixpress, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Cygnus disk, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amnio burgeon membrane and hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amnio burgeon xplus membrane and xplus hydromembrane, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amnio burgeon dual-layer membrane, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Dual layer amnio burgeon x-membrane, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amniocore sl, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amchothick, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amnioplast 3, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Aeroguard, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Neoguard, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amchoplast excel, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Membrane wrap lite, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Duograft ac, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Duograft aa, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Trigraft ft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Renew ft matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amniodefend ft matrix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Advograft one, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Advograft dual, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Axolotl graft ultra, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Axolotl dualgraft ultra, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Apollo ft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Acesso trifaca, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Neothelium ft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Neothelium 4l, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Neothelium 4l+, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Ascendion, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amnioplast double, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Grafix duo, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Surgraft ac, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Surgraft aca, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Acelagraft, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Natalin, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Summit aaa, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Summit ac, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Summit fx, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Polygon3 membrane, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Absolv3 membrane, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Xwrap 2.0, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Xwrap dual plus, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Xwrap hydro plus, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Xwrap fenestra plus, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Xwrap fenestra, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Xwrap tribus, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Xwrap hydro, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amniomatrixf3x, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amchomatrixdl, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Amniomatrixf4x, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Choriofix, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Cygnus solo, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Simplichor, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Alexiguard sl-t, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Alexiguard tl-t, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
Alexiguard dl-t, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 04/01/2026 |
|
Biolab membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) | |
| 04/01/2026 |
|
Biolab membrane wrap lite flow, per square centimeter (add-on, list separately in addition to primary procedure) | |
| 01/01/2026 |
|
Nuform, per square centimeter (add-on, list separately in addition to primary procedure)
No maintenance for this code |
|
| 04/01/2026 |
|
Biolab membrane wrap solo, per square centimeter (add-on, list separately in addition to primary procedure) | |
| 04/01/2026 |
|
A/c wrap, per square centimeter (add-on, list separately in addition to primary procedure) | |
| 04/01/2026 |
|
Biolab tri-membrane wrap flow, per square centimeter (add-on, list separately in addition to primary procedure) | |
| 04/01/2026 |
|
Revive ft, per square centimeter (add-on, list separately in addition to primary procedure) | |
| 04/01/2026 |
|
Revive tl, per square centimeter (add-on, list separately in addition to primary procedure) | |
| 04/01/2026 |
|
Dermabind tl + or dermabind tl x, per square centimeter (add-on, list separately in addition to primary procedure) | |
| 04/01/2026 |
|
Dermabind dl n or dermabind dl + or dermabind dl x, per square centimeter (add-on, list separately in addition to primary procedure) | |
| 04/01/2026 |
|
Dermabind sl n or dermabind sl + or dermabind sl x, per square centimeter (add-on, list separately in addition to primary procedure) | |
| 04/01/2026 |
|
Dermabind ch n or dermabind ch x, per square centimeter (add-on, list separately in addition to primary procedure) | |
| 01/01/2026 |
|
Pma skin substitute product, not otherwise specified (list in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
510(k) skin substitute product, not otherwise specified (list in addition to primary procedure)
No maintenance for this code |
|
| 01/01/2026 |
|
361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure)
No maintenance for this code |
|
| 04/01/2026 |
|
Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure) | |
| 04/01/2026 |
|
Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure) | |
| 04/01/2026 |
|
Revival ac, per square centimeter (add-on, list separately in addition to primary procedure) | |
| 04/01/2026 |
|
Pretect, per square centimeter (add-on, list separately in addition to primary procedure) | |
| 04/01/2026 |
|
Instagraft, per square centimeter (add-on, list separately in addition to primary procedure) | |
| 04/01/2026 |
|
Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure) | |
| 01/01/2026 |
|
Injection, infliximab-qbtx, biosimilar, (ixifi), 10 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, bevacizumab-nwgd (jobevne), biosimilar, 10 mg
No maintenance for this code |
|
| 04/01/2026 |
|
Injection, denosumab-kyqq (aukelso/bosaya), biosimilar, 1 mg | |
| 04/01/2026 |
|
Injection, denosumab-nxxp (bildyos/bilprevda), biosimilar, 1 mg | |
| 01/01/2026 |
|
Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose
No maintenance for this code |
|
S Codes↑ Top | |||
| Effective | Code | Description | |
| 01/01/2026 |
|
Esketamine, nasal spray, 1 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Injection, pentamidine isethionate, 300 mg
No maintenance for this code |
|
| 01/01/2026 |
|
Testosterone pellet, 75 mg
No maintenance for this code |
|
Legend: