EPIC Procedure Code (EAP)

Transcription

1 $3.00 Routine Venipuncture $3.00 Routine Venipuncture $90.00 Incision Procedure of Liver $1, Incision Procedure of Liver Professional $14.00 X-ray orbits complete Technical $ X-ray orbits complete Professional $42.00 CT Head/Brain W/O Contrast Technical $ CT Head/Brain W/O Contrast Professional $74.00 MRI Brain W/O Contrast Technical $ MRI Brain W/O Contrast Professional $74.00 MRI Cervical W/O Contrast Technical $ MRI Cervical W/O Contrast Professional $8.00 Digital X-Ray Lower Extremities, Tibia/Fibula; 2 Views Technical $63.00 Digital X-Ray Lower Extremities, Tibia/Fibula; 2 Views Professional $40.00 Abdominal Ultrasound, Complete Technical $ Abdominal Ultrasound, Complete Professional $29.00 Abdominal Ultrasound, Limited Technical $ Abdominal Ultrasound, Limited Professional $32.00 Ultrasonic Guidance for Needle Placement Imaging, Supervision/Int) Technical Ultrasonic Guidance for Needle Placement Imaging, Supervision/Int) Professional $10.00 Density/DEXA Axial Skeleton, Scan Hips/Spine Technical $ Density/DEXA Axial Skeleton, Scan Hips/Spine Professional $10.00 Density/DEXA Peripheral, Scan Wristy, Heel Technical $63.00 Density/DEXA Peripheral, Scan Wristy, Heel Professional $15.00 Dual-Energy X-Ray Absorptiometry, Bone Density, 1 or more sites Technical $ Dual-Energy X-Ray Absorptiometry, Bone Density, 1 or more sites $11.00 Metabolic Panel Total Calcium $9.00 Electrolyte Panel $14.00 Comprehensive Metabolic Panel $18.00 Lipid Panel

2 $11.00 Renal Function Panel $11.00 Hepatic Function Panel $87.00 Drug Screen Multiple Drug Class $87.00 Drug Screen Multiple Drug Class $87.00 Drug Screen Multiple Drug Class $87.00 Drug Screen Multiple Drug Class $87.00 Drug Screen Multiple Drug Class $87.00 Drug Screen Multiple Drug Class $87.00 Drug Screen Multiple Drug Class $87.00 Drug Screen Multiple Drug Class $87.00 Drug Screen Multiple Drug Class $87.00 Drug Screen Multiple Drug Class $18.00 Trazodone/Nefazodone $4.00 Urinalysis Auto w/scope $8.00 Urine Pregnancy Test $11.00 Ketones Panel, Serum/Plasma $7.00 Microalbumin Quantitative $13.00 Assay of Aldolase $6.00 Bilirubin Total $40.00 Vitamin D 25 Hydroxy $18.00 Assay of Calcium $34.00 Assay Trhee Catecholamines $5.00 Assay BLD/Serum Cholesterol $8.00 Assay of CK (cpk) $7.00 Assay of Creatinine $7.00 Assay of Urine Creatinine $18.00 Assay of Ferritin $26.00 Blood Gases any Combination $5.00 Assay Glucose Blood Quant $9.00 Assay of GGT

3 $24.00 Hemoglobin Chromotgraphy $13.00 Glycosylated Hemoglobin Test $8.00 Assay of Iron $13.00 Assay of Lactic Acid $8.00 Lactate (ld) (ldh) enzyme $13.00 Assay of Blood Lipoprotein $9.00 Assay of Magnesium $46.00 Assay of Natiuretic Peptide $7.00 Assay Alkaline Phosphatase $6.00 Assay of Serum Potassium $6.00 Assay of Serum Sodium $23.00 Assay Thyroid Stim Hormone $7.00 Transferase (ast) (sgpt) $7.00 Alanine Amino (alt) (sgpt) $17.00 Assay of Transferrin $13.00 Assay of Troponin Quant $5.00 Assay of Urea Nitrogen $15.00 Chroionic Gonadotropin Test $3.00 Hematocrit $3.00 Hemoglobin $10.00 Complete CBC w/auto Diff WBC $8.00 Complete CBC Automated $5.00 Manual Cell Count each $16.00 Antithrombin iii Activity $18.00 Clot Inhibit Prot C Activity $21.00 Clot Inhibit Prot S Free $13.00 Fibrin Degradation Quant $11.00 Fibrinogen Activity $5.00 Prothrombin Tme $8.00 Thromboplastin Time Partial

4 $17.00 C-Reactive Protein HS $7.00 Heterophile Antibody Screen $51.00 B Cells Total Count $51.00 Nk Cells Total Count $51.00 T Cells Total Count $55.00 T Cell Absolute Count/Ratio $ Tb Ag Response T-Cell Susp $12.00 Hiv-1antibody $18.00 Hiv-2 antibody $16.00 Hep b Core Antibody Total $14.00 Hep b Surface Antibody $15.00 Hepatitis be Antibody $15.00 Hepatitis a igm Antibody $17.00 Mumps Antibody $19.00 Rubella Antibody $17.00 Rubeola Antibody $17.00 Varicella-zoster Antibody $17.00 Virus Antibody nos $19.00 Hepatitis c ab Test $10.00 Culture Aerobic Identify $10.00 Culture Aerobic Identify $8.00 Culture Screen Only $15.00 Mycobacteric Identification $11.00 Microbe Susceptible mic $14.00 Hepatitis b Surface ag eia $14.00 Hepatitis b Surface ag eia $15.00 Hepatitis be ag eia $33.00 HIV-1 ag w/hiv-1 & HIV-2 ab $16.00 Strep a ag eia $58.00 Hepatitis c Revrs Trnscrpj

5 $ Hiv-1 Quant & Revrse Trnscrpj $ Respiratory Viral Panel PCR $16.00 Influenza Assay w/optic $16.00 Influenza Assay w/optic $ Genotype DNA HIV Reverse t $ Genotype DNa/RNA Hep C $29.00 Tissue Exam by Pathologist $29.00 Tissue Exam by Pathologist $41.00 Tissue Exam by Pathologist $41.00 Tissue Exam by Pathologist $ Electron Microscopy $48.00 Ophthalmological Services, Medical Exam, New Patient $ Ophthalmological Services, Medical Exam, Comprehensive $53.00 Ophthalmological Services, Medical Exam, Intermediate Established $80.00 Ophthalmological Services, Medical Exam, Comprehensive Established Professional $28.00 Visual Field Examination (Extended Examination) Technical $ Visual Field Examination (Extended Examination) $57.00 Electrocardiogram Tracing $37.00 Prgrmg Eval Implantable dfb Professional $58.00 Prgrmg Eval Implantable dfb Technical $37.00 Prgrmg Eval Implantable dfb Professional $64.00 Tte w/doppler Complete Technical $ Tte w/doppler Complete Professional $45.00 Tte w/o Doppler Complete Technical $ Tte w/o Doppler Complete $56.00 Ther/proph/diag inj sc/im Professional $26.00 New Patient Office Visit; 10 Minute G0463 Technical $ New Patient Office Visit; 10 Minute Professional $49.00 New Patient Office Visit; 20 Minute

6 G0463 Technical $ New Patient Office Visit; 20 Minute Professional $74.00 New Patient Office Visit; 30 Minute G0463 Technical $ New Patient Office Visit; 30 Minute Professional $ New Patient Office Visit; 45 Minute G0463 Technical $ New Patient Office Visit; 45 Minute Professional $ New Patient Office Visit; 60 Minute G0463 Technical $ New Patient Office Visit; 60 Minute Professional $9.00 Established Patient Office Visit; 10 Min G0463 Technical $ Established Patient Office Visit; 10 Min Professional $25.00 Established Patient Office Visit; 20 Min G0463 Technical $ Established Patient Office Visit; 20 Min Professional $50.00 Established Patient Office Visit; 30 Min G0463 Technical $ Established Patient Office Visit; 30 Min Professional $77.00 Established Patient Office Visit; 45 Min G0463 Technical $ Established Patient Office Visit; 45 Min Professional $ Established Patient Office Visit; 60 Min G0463 Technical $ Established Patient Office Visit; 60 Min $20.00 ED Patient Visit; Problem Focused, Straightforward $40.00 ED Patient Visit; Expanded Problem, Low Complexity $60.00 ED Patient Visit; Expanded Problem, Moderate Complexity $ ED Patient Visit; Detailed History, Moderate Complexity; Councel/Coord $ ED Patient Visit; Detailed History, Moderate Complexity; Councel/Coord $ ED Patient Visit; Comprehensive History, High Complexity councel/coord $0.00 Other Evaluation and Management Services 600C8930 C8930 $ Transthoracic Echocardiography, W or W/O Contrast