AUTHORIZATION REQUIREMENTS For dates of service on or after January 1, 2019 The following list contains services, items and medications that require authorization prior to being provided or administered for Cigna-HealthSpring plan participating care providers. Authorization requirements outlined in this document apply to all Cigna-HealthSpring markets except Arizona and Leon in Florida. Any code marked with an * are designated by the Centers for Medicare & Medicaid Services (CMS) for inpatient use only. Authorization requirements for Part B medications are listed separately at the end of this document. Authorization is not required for emergency or urgent care. All out of network physicians, facilities and other health care providers must request authorization for all procedures and services, excluding emergent or urgent care. Services must be provided according to Medicare coverage guidelines established by CMS. According to the guidelines, all medical care, services, supplies and equipment must be medically necessary. You may review Medicare coverage guidelines at https://www.cms.gov/medicare-coverage-database/. All final decisions concerning coverage and payment are based upon plan customer eligibility, the customer s benefits, the care provider s contract and applicable State law at the time of service delivery. Authorization and/or referral number(s) is/are not a guarantee of payment. Please always verify benefits. Authorization request can be submitted by phone, fax or via Cigna-HealthSpring s web-based HealthSpring Connect (HSC). Please see the HSC section of the Provider Manual for an overview of capabilities and instructions for obtaining access. Cigna-HealthSpring referral policy Cigna-HealthSpring values the relationship between the patient, the Primary Care Physician and other providers involved in the patient s medical care. Cigna-HealthSpring s network of specialty physicians are contracted to work closely with our referring PCPs to coordinate and improve the quality of care provided to Cigna-HealthSpring customers. In 2019, a referral may or may not be required for a patient to see a specialist. Please refer to the 2019 Provider Manual below to determine if a referral is required for your patient. Cigna-HealthSpring authorization requirements When required, it is the participating provider s responsibility to obtain authorization prior to services being rendered. Facilities are encouraged to verify that a prior authorization has been approved before providing a service or item, unless the service is urgent or emergent care. Payment may be denied for services rendered without authorization. Refer to the online directory at www.cigna.com/medicare/health-care-providers/ provider-manual/2019-provider-manual. Or contact Provider Customer Service, toll-free 1.800.230.6138 to locate an in-network health care professional or facility. All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. INT_19_72040_C Approved 12142018
Admissions All inpatient admissions including: Inpatient Medical and Behavioral Health Inpatient Rehabilitation LTAC Inpatient Observation Skilled Nursing Facility Ambulance A0430 A0431 A0435 A0999 Cardiology Echo 93303 93308 93315 93325 EKG 93229 93304 93312 93318 C8926 93306 93313 93320 C8927 93307 93314 93321 C8929 Stress 93350 93351 93642 0272T Other 93260 93619 93644 0273T 93261 93620 93653 0337T 93582 93621 93654 0417T *93583 93622 93656 0418T 93590 93624 93799 0462T 93591 93640 0206T 0463T 93592 93641 93612 Diagnostic Services 91111 95803 95887 0382T Durable Medical Equipment (DME) **All non-preferred DME items require authorization in addition to the codes listed in this document. 91112 95810 95923 0383T 91132 95811 95970 0384T 91133 95812 95999 0385T 91200 95813 96101 0386T 91299 95816 96102 0400T 92133 95819 96103 0401T 92145 95827 0071T 0422T 92242 95860 0072T 0434T 92540 95861 0198T 0435T 92548 95863 0317T 0436T 93702 95864 0330T 0506T 93998 95885 0358T 0507T 94799 95886 0381T 0508T 95250 E0156 E0760 K0005 K0837 E0184 E0766 K0009 K0841 E0188 E0770 K0011 K0848 E0194 E0784 K0554 K0849 E0303 E0986 K0800 K0850 E0466 E1002 K0801 K0851 E0483 E1006 K0802 K0852 E0627 E1007 K0806 K0856 E0628 E1008 K0807 K0858 E0629 E1010 K0808 K0861 E0635 E1220 K0812 K0862 E0651 E1230 K0813 K0898 E0652 E1399 K0814 L2005
DME continued E0657 E1810 K0816 L5781 E0667 E2300 K0820 L5782 E0670 E2301 K0821 L5848 E0676 E2363 K0822 L5856 E0692 E2387 K0823 L5858 E0694 E2510 K0824 L6638 E0730 E2512 K0825 95249 E0745 E2599 K0826 95250 E0747 E2603 K0827 95251 E0748 E2620 K0835 Home Health G0151 G0156 S9122 S9341 G0152 G0248 S9123 S9342 G0153 G0249 S9128 S9343 G0154 G0299 S9338 T1030 G0155 G0300 Invasive Diagnostic Services *35400 93456 0052T *0076T *36660 93461 0053T 0355T 46601 0051T *0075T C9741 *48400 Laboratory Including Genetic Testing 83987 0038U 0050U 0106T 84145 0039U 0053U 0107T 84431 0040U 0054U 0108T 84999 0041U 0055U 0109T 86305 0042U 0056U 0110T 86849 0043U 0057U 0111T 95251 0044U 0058U 0423T 0012M 0045U 0059U G9143 0013M 0047U 0060U S3854 0035U 0048U 0061U S3890 0036U 0049U Mental Health 90867 90868 90869 90870 OB / GYN *59120 *59140 *59830 *59856 *59121 *59325 *59850 *59857 *59130 *59350 *59851 *99478 *59135 *59514 *59852 *99479 *59136 *59620 *59855 *99480 Orthotics and Prosthetics L0457 L5321 L5981 L8040 L0650 L5701 L5987 L8041 L1832 L5814 L5999 L8042 L1833 L5828 L6611 L8045 L1844 L5840 L6624 L8400 L1846 L5845 L6880 L8499 L2397 L5850 L6935 L8605 L3000 L5925 L6955 L8614 L3908 L5930 L7007 L8619
Orthotics & and Prosthetics continued L3960 L5968 L7009 L8641 L5050 L5973 L7259 L8690 L5220 L5980 L7499 L8691 Pain Management 27096 64479 64493 0232T 62263 64480 64494 0278T 62360 64483 64495 0440T 62361 64484 64633 0441T 62362 64490 64634 0442T 63650 64491 64635 63685 64492 64636 Part B Drugs and Biologics J0606 Q2040 Q4118 Q4152 J1439 Q2050 Q4121 Q4159 J7312 Q4102 Q4124 J7325 J7330 Q4106 Q4128 J7326 J7336 Q4110 J3385 J7327 Q0138 J1458 J3490 J7328 C9030 J1459 J3590 J7682 C9032 J1460 J7175 J9017 C9399 J1556 J7179 J9035 J0129 J1557 J7180 J9047 J0135 J1559 J7181 J9055 J0178 J1560 J7182 J9214 J0180 J1561 J7183 J9226 J0202 J1566 J7185 J9228 J0220 J1568 J7186 J9271 J0221 J1569 J7187 J9299 J0256 J1572 J7188 J9301 J0257 J1575 J7189 J9303 J0490 J1595 J7190 J9305 J0585 J1599 J7192 J9306 J0586 J1602 J7193 J9308 J0587 J1743 J7194 J9310 J0588 J1745 J7195 J9354 J0597 J1786 J7197 J9355 J0598 J1931 J7198 J9400 J0717 J2278 J7199 J9999 J0725 J2323 J7200 Q2040 J0775 J2354 J7201 Q2041 J0800 J2357 J7202 Q2043 J0881 J2425 J7205 Q2050 J0882 J2503 J7210 J0885 J2504 Q4131 J0886 J2505 Q4132 Q0139 Q4117 Q4133
Part B Drugs and Biologics continued J0887 J2507 J7316 81411 J0888 J2778 J7320 81413 J0897 J2796 J7321 81414 J1290 J3060 J7322 81420 J1300 J3240 J7323 81422 J1438 J3262 J7324 81439 J1442 J3357 81319 81445 J1447 J3380 81321 81450 81201 81241 81323 81455 81203 81243 81324 81465 81210 81254 81325 81479 81211 81275 81327 81504 81212 81288 81355 81519 81213 81291 81400 81539 81214 81292 81401 0357T 81215 81293 81402 G0277 81216 81294 81403 G0339 81217 81295 81404 G0340 81225 81296 81405 81226 81297 81406 81227 81298 81407 81228 81300 81408 81229 81301 99199 81235 81317 0341T 81240 *99190 0464T 96379 *99191 Q4081 99183 *99192 Q9995 *99184 J7209 81410 Radiology Cat scan (CT) 70450 71270 73200 74178 70460 71275 73201 74261 70470 72125 73202 74262 70480 72126 73206 74263 70481 72127 73700 75571 70482 72128 73701 75572 70486 72129 73702 75573 70487 72130 73706 75574 70488 72131 74150 75635 70490 72132 74160 76380 70491 72133 74170 76497 70492 72191 74174 77011 70496 72192 74175 77012 70498 72193 74176 77079 71250 72194 74177 0042T 71260
Magnetic Resonance Imaging (MRI) 70336 70559 72197 74182 70540 71550 72198 74183 70542 71551 73218 74185 70543 71552 73219 75557 70544 71555 73220 75559 70545 72141 73221 75561 70546 72142 73222 75563 70547 72146 73223 75565 70548 72147 73225 76390 70549 72148 73718 76498 70551 72149 73719 77021 70552 72156 73720 77058 70553 72157 73721 77059 70554 72158 73722 77084 70555 72159 73723 C8908 70557 72195 73725 S8037 70558 72196 74181 77049 77046 77047 77048 76391 Nuclear Medicine 78399 78466 78491 78609 78451 78469 78492 79101 78452 78472 78494 0331T 78453 78473 78496 0332T 78454 78481 78499 A9606 78459 78483 78608 A9513 A9543 C9408 Positron Emission Tomography (PET) 78811 78813 78815 78816 78812 78814 Radiation Therapy 76965 77334 77432 77799 77014 77336 77435 0394T 77261 77338 77469 0395T 77262 77370 77470 G0458 77263 77371 77499 G6001 77280 77372 77520 G6002 77285 77373 77522 G6003 77290 77385 77523 G6004 77293 77386 77525 G6005 77295 77387 77750 G6006 77299 77399 77761 G6007 77300 77401 77762 G6008 77301 77402 77763 G6009 77306 77407 77767 G6010 77307 77412 77768 G6011 77316 77417 77770 G6012 77317 77423 77771 G6013 77318 77424 77772 G6014 77321 77425 77778 G6015 77331 77427 77789 G6016
Radiation Therapy continued 77332 77431 77790 G6017 77333 19294 79403 79005 C9726 C2616 61796 61797 61798 61799 61800 9543 19294 79403 79005 C9726 C2616 61796 61797 61798 61799 61800 A9543 Therapeutic Radiology *75959 77600 77615 *75956 77013 77605 77620 *75957 77022 77610 *75958 Other 72285 0352T G0211 76376 0348T 0353T G0212 76377 0349T 0354T G0214 76499 0350T C9733 G0229 77074 0351T G0210 S8035 Ultrasound 76873 76882 76978 76979 Rehab and Therapy 92507 97024 97164 97607 92700 97026 97165 97610 *92971 97033 97166 97802 *92975 97161 97167 G0157 96446 97162 97168 G0158 97018 97163 97533 G0166 97022 Services and Supplies A6196 C1722 C2616 Q4119 A6197 C1759 C2624 Q4135 A6212 C1764 K0553 Q4166 A6222 C1767 K0606 Q4167 A7031 C1778 L6881 Q4168 A7032 C1783 L6882 Q4169 A7033 C1785 L8679 Q4170 A7036 C1813 Q0479 Q4171 A7046 C1874 Q0481 Q4172 A7507 C1875 Q0495 Q4173 A7520 C1882 Q0508 Q4174 B4150 C1889 Q4100 Q4175 C1721 Surgery Anesthesia 0102T Cardio / Thoracic 31626 *33365 *33910 *35539 31643 *33366 *33915 *35540 31651 *33367 *33916 *35556 31660 *33368 *33917 *35558 31661 *33369 *33920 *35560 *31725 *33390 *33922 *35563 *31760 *33391 *33924 *35565 *31766 *33404 *33925 *35566 *31770 *33405 *33926 *35570 *31775 *33406 *33930 *35571 *31780 *33410 *33933 *35583
Cardio / Thoracic continued *31781 *33411 *33935 *35585 *31786 *33412 *33940 *35587 *31800 *33413 *33944 *35600 *31805 *33414 *33945 *35601 31899 *33415 *33946 *35606 *32035 *33416 *33947 *35612 *32036 *33417 *33948 *35616 *32096 *33418 *33949 *35621 *32097 33419 *33951 *35623 *32098 *33420 *33952 *35626 *32100 *33422 *33953 *35631 *32110 *33425 *33954 *35632 *32120 *33426 *33955 *35633 *32124 *33427 *33956 *35634 *32140 *33430 *33957 *35636 *32141 *33460 *33958 *35637 *32150 *33463 *33959 *35638 *32151 *33464 *33962 *35642 *32160 *33465 *33963 *35645 *32200 *33468 *33964 *35646 *32215 *33470 *33965 *35647 *32220 *33471 *33966 *35650 *32225 *33474 *33967 *35654 *32310 *33475 *33968 *35656 *32320 *33476 *33969 *35661 *32440 *33477 *33970 *35663 *32442 *33478 *33971 *35665 *32445 *33496 *33973 *35666 *32480 *33500 *33974 *35671 *32482 *33501 *33975 *35681 *32484 *33502 *33976 *35682 *32486 *33503 *33977 *35683 *32488 *33504 *33978 *35691 *32491 *33505 *33979 *35693 *32501 *33506 *33980 *35694 *32505 *33510 *33981 *35695 *32506 *33511 *33982 *35700 *32507 *33512 *33983 *35701 *32540 *33513 *33984 *35721 32553 *33514 *33985 *35741 *32650 *33516 *33986 *35800 *32651 *33517 *33987 *35820 *32652 *33518 *33988 *35840 *32653 *33519 *33989 *35870 *32654 *33521 *33990 35881
Cardio / Thoracic continued *32655 *33522 *33991 35884 *32656 *33523 *33992 *35901 *32658 *33530 *33993 *35905 *32659 *33533 33999 *35907 *32661 *33534 *34001 36514 *32662 *33535 *34051 36516 *32663 *33536 *34151 36522 *32664 *33542 *34401 *36823 *32665 *33545 *34451 *37140 *32666 *33548 *34502 *37145 *32667 *33572 34803 *37160 *32668 *33600 34806 *37180 *32669 *33602 *34808 *37181 *32670 *33606 *34812 *37182 *32671 *33608 *34813 37183 *32672 *33610 *34820 37205 *32673 *33611 34825 *37215 *32674 *33612 34826 *37217 *32800 *33615 *34830 *37218 *32810 *33617 *34831 37221 *32815 *33619 *34832 37225 *32820 *33620 *34833 37226 *32850 *33621 *34834 37227 *32851 *33622 *34841 37228 *32852 *33641 *34842 37229 *32853 *33645 *34843 37230 *32854 *33647 *34844 37231 *32900 *33660 *34845 37236 *32905 *33665 *34846 37238 *32906 *33670 *34847 37239 *32940 *33675 *34848 37241 *32997 *33676 34900 37242 32998 *33677 *35001 37243 32999 *33681 *35002 37244 *33015 *33684 *35005 37246 *33020 *33688 *35013 37248 *33025 *33690 *35021 *37616 *33030 *33692 *35022 *37617 *33031 *33694 *35081 *37618 *33050 *33697 *35082 *37660 *33120 *33702 *35091 37700 *33130 *33710 *35092 37718 *33140 *33720 *35102 37722 *33141 *33722 *35103 37735 *33202 *33724 *35111 37760
Cardio / Thoracic continued *33203 *33726 *35112 37761 33206 *33730 *35121 37780 33207 *33732 *35122 *37788 33208 *33735 *35131 37799 33211 *33736 *35132 92920 33212 *33737 *35141 92924 33213 *33750 *35142 92937 33214 *33755 *35151 92943 33216 *33762 *35152 *92970 33221 *33764 *35182 92986 33224 *33766 *35189 *92992 33227 *33767 *35211 *92993 33228 *33768 *35216 93580 33229 *33770 *35221 0234T 33230 *33771 *35241 *0235T 33231 *33774 *35246 0236T *33236 *33775 *35251 0237T *33237 *33776 *35271 0238T *33238 *33777 *35276 *0254T 33240 *33778 *35281 *0266T *33243 *33779 *35301 0267T 33249 *33780 *35302 0268T *33250 *33781 *35303 *0345T *33251 *33782 *35304 0387T *33254 *33783 *35305 0408T *33255 *33786 *35306 0409T *33256 *33788 *35311 0410T *33257 *33800 *35331 0411T *33258 *33802 *35341 0412T *33259 *33803 *35351 0413T *33261 *33813 *35355 0414T 33262 *33814 *35361 0415T 33263 *33820 *35363 0416T 33264 *33822 *35371 *0451T *33265 *33824 *35372 *0452T *33266 *33840 *35390 0453T 33270 *33845 *35501 0454T 33271 *33851 *35506 *0455T 33282 *33852 *35508 *0456T *33300 *33853 *35509 0457T *33305 *33860 *35511 0458T *33310 *33863 *35515 *0459T *33315 *33864 *35516 0460T *33320 *33870 *35518 *0461T *33321 *33875 *35521
Cardio / Thoracic continued *33322 *33877 *35523 *33330 *33880 *35526 *33335 *33881 *35531 *33340 *33883 *35533 *33361 *33884 *35535 *33362 *33886 *35536 *33363 *33889 *35537 *33364 *33891 *35538 Dermatology / Plastic 11970 15820 15836 96921 15273 15821 15837 96922 15275 15822 15839 0419T 15277 15823 15877 0420T 15731 15824 17106 C5271 15732 15828 17107 C5272 *15756 15830 17108 C5273 *15757 15832 17999 C5275 *15758 15834 96920 C5276 15786 15835 Ear Nose Throat 30150 *31291 34805 69637 30160 31292 *35510 69641 30400 31299 *35512 69642 30410 *31360 *35522 69643 30420 *31365 *35525 69644 30450 *31367 *35697 69645 30465 *31368 37765 69646 30520 *31370 37766 69660 30620 *31375 69140 69711 30802 *31380 *69155 69714 30999 *31382 69502 69717 31070 *31390 *69535 69799 *31225 *31395 69550 69930 *31230 31400 69552 69949 31240 31540 *69554 *69950 31254 31580 69632 0406T 31256 31591 69633 0407T *31290 31599 General Surgery *11004 *43116 *44156 *47480 *11005 *43117 *44160 *47550 *11006 *43118 44180 47555 *11008 *43121 *44187 47556 *16036 *43122 *44188 47564 19105 *43123 *44202 *47570 *19271 *43124 *44203 *47600 *19272 43130 *44204 *47605 19300 *43135 *44205 *47610
General Surgery continued 19303 43195 *44206 *47612 19304 *43279 *44207 *47620 *19305 43280 *44208 *47700 *19306 43281 *44210 *47701 19307 43282 *44211 *47711 19316 43284 *44212 *47712 19318 43285 *44213 *47715 19325 43289 *44227 *47720 19328 *43300 44238 *47721 19330 *43305 *44300 *47740 19340 *43310 *44310 *47741 19342 *43312 *44314 *47760 19350 *43313 *44316 *47765 19355 *43314 *44320 *47780 19357 *43320 *44322 *47785 *19361 *43325 *44345 *47800 *19364 *43330 *44346 *47801 19366 *43331 *44602 *47802 *19367 *43340 *44603 *47900 *19368 *43341 *44604 *48000 *19369 *43351 *44605 *48001 19370 *43352 *44615 *48020 19371 *43360 *44620 *48100 19380 *43361 *44625 *48120 19499 *43400 *44626 *48140 21743 *43401 *44640 *48145 28124 *43405 *44650 *48146 36468 *43410 *44660 *48148 36470 *43415 *44661 *48150 36471 *43425 *44680 *48152 36473 *43460 *44700 *48153 36474 *43496 44799 *48154 36475 43499 *44800 *48155 36476 *43500 *44820 *48500 36478 *43501 *44850 *48510 36479 *43502 *44899 *48520 36482 *43520 *44900 *48540 36483 *43605 44950 *48545 36825 *43610 *44960 *48547 37785 *43611 44979 *48554 *38100 *43620 *45110 *48556 *38101 *43621 *45111 48999 *38102 *43622 *45112 *49000 *38115 *43631 *45113 *49002 38120 *43632 *45114 *49010
General Surgery continued 38129 *43633 *45116 *49020 38232 *43634 *45119 *49040 *38380 *43635 *45120 *49060 *38381 *43640 *45121 *49062 *38382 *43641 *45123 *49215 *38562 43659 *45126 *49220 *38564 43770 *45130 *49255 38720 *43771 *45135 49322 *38724 43772 *45136 49329 38745 43773 *45395 *49412 *38746 43774 *45397 *49425 *38747 *43775 *45400 *49428 *38765 *43800 *45402 *49605 *38770 *43810 *45540 *49606 *38780 *43820 *45550 *49610 38999 *43825 *45562 *49611 *39000 *43832 *45563 49651 *39010 *43840 *45800 49652 *39200 *43843 *45805 49653 *39220 *43846 *45820 49654 39401 *43847 *45825 49655 *39499 *43848 45999 49656 *39501 *43850 *46705 49657 *39503 *43855 46707 49659 *39540 *43860 *46710 *49900 *39541 *43865 *46712 *49904 *39545 *43880 *46715 *49905 *39560 43886 *46716 *49906 *39561 43888 *46730 49999 *39599 43999 *46735 *50250 41120 *44005 *46740 50592 *41130 *44010 *46742 60200 *41135 *44015 *46744 60210 *41140 *44020 *46746 60212 *41145 *44021 *46748 60225 *41150 *44025 *46751 60240 *41153 *44050 46999 60252 *41155 *44055 *47010 *60254 41530 *44110 *47015 *60270 41820 *44111 *47100 60271 41874 *44120 *47120 60280 41899 *44121 *47122 *60505 42140 *44125 *47125 60520 42145 *44126 *47130 *60521 42160 *44127 *47133 *60522 42410 *44128 *47135 *60540
General Surgery continued 42420 *44130 47136 *60545 *42426 *44132 *47300 *60600 42699 *44133 *47350 *60605 42842 *44135 *47360 *60650 *42845 *44136 *47361 60699 *42894 *44139 *47362 *61630 42950 *44140 47370 *61635 *42953 *44141 47379 64575 *42961 *44143 *47380 0263T *42971 *44144 *47381 0264T *43045 *44145 47382 0397T *43100 *44146 47399 0446T *43101 *44147 *47400 0447T *43107 *44150 *47420 0448T *43108 *44151 *47425 0505T *43112 *44155 *47460 S8030 *43113 Gynecology 56620 *57307 58270 *58611 *56630 *57308 *58275 58670 *56631 *57311 *58280 58671 *56632 57410 *58285 58674 *56633 57426 *58293 *58700 *56634 *57531 58353 *58720 *56637 *57540 *58400 *58740 *56640 *57545 *58410 *58750 *57110 57700 *58520 *58752 *57111 *58140 *58540 *58760 *57112 *58146 58550 *58822 57156 *58150 58552 *58825 57260 *58152 58554 *58940 *57270 *58180 58570 *58943 *57280 *58200 58571 *58950 57282 *58210 58572 *58951 57283 *58240 58573 *58952 57285 58263 58578 *58956 57288 *58267 *58605 *58960 *57305 Neurosurgery 22867 *61571 *62143 *63270 22868 *61575 *62145 *63271 22869 *61576 *62146 *63272 22870 *61580 *62147 *63273 *61105 *61581 *62148 *63275 *61107 *61582 *62161 *63276 *61108 *61583 *62162 *63277
Neurosurgery continued *61120 *61584 *62163 *63278 *61140 *61585 *62164 *63280 *61150 *61586 *62165 *63281 *61151 *61590 *62180 *63282 *61154 *61591 *62190 *63283 *61156 *61592 *62192 *63285 *61210 *61595 *62200 *63286 *61250 *61596 *62201 *63287 *61253 *61597 *62220 *63290 *61304 *61598 *62223 *63295 *61305 *61600 *62256 *63300 *61312 *61601 *62258 *63301 *61313 *61605 62264 *63302 *61314 *61606 62287 *63303 *61315 *61607 62290 *63304 *61320 *61608 62291 *63305 *61321 *61613 62320 *63306 *61322 *61615 62321 *63307 *61323 *61616 62322 *63308 *61332 *61618 62323 63620 *61333 *61619 62380 63655 *61340 *61624 63005 63663 *61343 *61645 63015 63664 *61345 *61650 63016 *63700 *61450 *61680 63017 *63702 *61458 *61682 63020 *63704 *61460 *61684 63030 *63706 *61480 *61686 63042 *63707 *61500 *61690 63045 *63709 *61501 *61692 63046 *63710 *61510 *61697 *63050 *63740 *61512 *61698 *63051 64555 *61514 *61700 63056 64561 *61516 *61702 *63077 64566 *61518 *61703 *63078 64568 *61519 *61705 *63081 64569 *61520 *61708 *63082 64570 *61521 *61710 *63085 64590 *61522 *61711 *63086 64595 *61524 *61735 *63087 64611 *61526 *61750 *63088 64612 *61530 *61751 *63090 64615 *61531 *61760 *63091 *64755 *61533 61796 *63101 *64760 *61534 61798 *63102 *64809
Neurosurgery continued *61535 61799 *63103 *64818 *61536 61800 *63170 *64866 *61537 *61850 *63172 *64868 *61538 *61860 *63173 64895 *61539 *61863 *63180 64999 *61540 *61864 *63182 66711 *61541 *61867 *63185 *0202T *61543 *61868 *63190 0313T *61544 *61870 *63191 0316T *61545 61880 *63194 0398T *61546 61885 *63195 0424T *61548 61886 *63196 0425T *61550 61888 *63197 0426T *61552 *62005 *63198 0427T *61556 *62010 *63199 0428T *61557 *62100 *63200 0429T *61558 *62115 *63250 0430T *61559 *62117 *63251 0431T *61563 *62120 *63252 0432T *61564 *62121 *63265 0433T *61566 *62140 *63266 0466T *61567 *62141 *63267 0467T *61570 *62142 *63268 0468T Ophthalmology 65091 66179 67208 67923 65093 66180 67210 67924 65101 66183 67218 67935 65103 66184 67220 67938 65105 66185 67221 67950 65140 66225 67228 67961 65155 66250 67250 67966 65175 66500 67255 67971 65205 66625 67299 67973 65210 66630 67311 67975 65222 66635 67312 67999 65235 66680 67314 68020 65265 66682 67318 68100 65270 66710 67345 68110 *65273 66720 67400 68115 65280 66761 67412 68130 65285 66762 67414 68135 65400 66820 67415 68200 65420 66821 67420 68320 65426 66825 67445 68325 65430 66830 67500 68326 65435 66840 67505 68328
Ophthalmology continued 65436 66850 67515 68330 65450 66852 67550 68360 65600 66920 67560 68362 65710 66930 67570 68371 65730 66940 67700 68400 65750 66982 67710 68440 65755 66983 67715 68520 65756 66984 67800 68525 65770 66985 67801 68530 65772 66986 67805 68700 65778 66999 67808 68720 65779 67005 67810 68750 65780 67010 67820 68760 65782 67015 67825 68761 65800 67025 67830 68801 65810 67027 67840 68810 65815 67028 67875 68811 65820 67031 67880 68815 65850 67036 67882 68840 65855 67039 67900 0100T 65860 67040 67901 65865 67041 67902 0191T 65870 67042 67903 0207T 65875 67043 67904 0253T 65920 67101 67908 0356T 65930 67105 67909 0376T 66020 67107 67911 0402T 66030 67108 67912 0444T 66130 67110 67914 0445T 66150 67113 67915 0449T 66170 67120 67916 0450T 66172 67121 67917 0465T 66174 67141 67921 S2202 66175 67145 Orthopedics 20527 *22328 25800 *27557 *20661 22510 25805 *27558 *20664 22511 25810 27570 20696 22513 *25900 *27580 *20802 22514 *25905 *27590 *20805 22515 *25915 *27591 *20808 *22532 *25920 *27592 *20816 *22533 *25924 *27596 *20824 *22534 *25927 *27598 *20827 *22548 26123 27599 *20838 22551 26341 *27645
Orthopedics continued 20910 *22556 26418 *27646 20912 *22558 *26551 27650 *20955 *22586 *26553 27652 *20956 *22590 *26554 27654 *20957 *22595 *26556 27665 *20962 *22600 26765 27686 *20969 *22610 26841 27691 *20970 22612 26989 *27702 20975 *22630 *26992 *27703 20983 *22632 *27005 27704 20999 *22633 *27025 27709 21025 *22634 *27030 *27712 21032 *22800 *27036 *27715 21034 *22802 *27054 *27724 *21045 *22804 *27070 *27725 21073 *22808 *27071 27726 21085 *22810 *27075 *27727 21089 *22812 *27076 27756 21110 *22818 *27077 27784 *21141 *22819 *27078 27792 *21142 *22830 *27090 27814 *21143 *22841 *27091 27827 *21145 *22843 *27120 27828 *21146 *22844 *27122 27860 *21147 *22846 *27125 27870 *21151 *22847 *27130 27871 *21154 *22848 *27132 *27880 *21155 *22849 *27134 *27881 *21159 *22850 *27137 *27882 *21160 *22852 *27138 *27886 *21179 *22855 *27140 *27888 *21180 22856 *27146 27899 *21182 *22857 *27147 28062 *21183 22858 *27151 28102 *21184 *22861 *27156 28108 *21188 *22862 *27158 28118 *21194 *22864 *27161 28119 21195 *22865 *27165 28289 *21196 22899 *27170 28291 21199 22999 *27175 28295 21208 23078 *27176 28296 21210 *23200 *27177 28297 21215 *23210 *27178 28298 21230 *23220 *27181 28299 21235 *23335 *27185 28300
Orthopedics continued 21240 23410 *27187 28302 21244 23412 27197 28309 *21247 23420 27198 28322 21248 23462 *27222 28406 21249 23470 *27226 28415 *21255 *23472 *27227 28446 *21268 23473 *27228 28465 21280 *23474 *27232 28485 21282 23485 *27236 28705 21299 23491 *27240 28715 21325 23515 *27244 28725 21335 23615 *27245 28730 *21343 23616 *27248 28735 *21344 23670 *27253 28737 *21347 23680 *27254 28740 *21348 23700 *27258 28750 *21366 *23900 *27259 28755 21390 *23920 *27268 *28800 21407 23929 *27269 28899 *21422 24071 27275 29799 *21423 24149 27279 29804 *21431 24300 *27280 29806 *21432 24340 *27282 29807 *21433 24341 *27284 29820 *21435 24342 *27286 29828 *21436 24344 *27290 29837 21462 24363 *27295 29838 21499 24366 27299 29844 *21510 24370 *27303 29847 *21615 24430 27345 29855 *21616 24435 *27365 29856 *21620 24515 27385 29862 *21627 24545 27386 29866 *21630 24546 27420 29873 *21632 24575 27442 29885 21685 24586 *27445 29891 *21705 24666 27446 29892 *21740 24685 27447 29893 *21750 *24900 *27448 29895 *21825 *24920 *27450 29899 21899 *24930 *27454 29915 *22010 *24931 *27455 29916 *22015 *24940 *27457 29999 22102 25020 *27465 *0095T *22110 25215 *27466 *0098T
Orthopedics continued *22112 25259 *27468 *0163T *22114 25263 *27470 *0164T *22116 25320 *27472 *0165T *22206 25332 *27486 *0195T *22207 25337 *27487 *0196T *22208 25350 *27488 0200T *22210 25390 *27495 0201T *22212 25400 *27506 *0219T *22214 25405 *27507 *0220T *22216 25415 27509 0221T *22220 25440 *27511 0265T *22222 25447 *27513 0274T *22224 25526 *27514 0335T *22226 25575 *27519 *0375T *22318 25606 27524 0396T *22319 25607 *27535 *G0412 *22325 25608 *27536 *G0414 *22326 25609 *27540 *G0415 *22327 25628 *27556 Other 19296 *43845 *47146 64910 19297 *43881 *47147 97606 19298 *43882 *48105 0054T 28890 *44137 *48548 0055T *32503 *44157 *48551 0101T *32504 *44158 *49203 0342T *32855 *44715 *49204 0347T *32856 *44720 *49205 C9600 *33507 *44721 55875 C9602 36820 *47140 55876 C9604 41019 *47141 *57296 *G0341 43257 *47142 58542 *G0342 *43644 *47143 *58548 *G0343 *43645 *47144 *58957 S2095 43647 *47145 *58958 S2900 Respiratory 31295 31296 31297 Urology *48552 *50545 *51550 *54135 49411 *50546 *51555 54161 *50010 *50547 *51565 54360 *50040 *50548 *51570 *54390 *50045 50593 *51575 54400 *50060 *50600 *51580 54401 *50065 *50605 *51585 54405 *50070 *50610 *51590 54408 *50075 *50620 *51595 54410 *50100 *50630 *51596 54411
Urology continued *50120 *50650 *51597 54416 *50125 *50660 *51800 *54430 *50130 *50700 *51820 *54438 *50135 *50715 *51840 54520 *50205 *50722 *51841 54550 *50220 *50725 *51865 54660 *50225 50727 *51900 55500 *50230 *50728 *51920 *55605 *50234 *50740 *51925 *55650 *50236 *50750 *51940 *55801 *50240 *50760 *51960 *55810 *50280 *50770 *51980 *55812 *50290 *50780 52441 *55815 *50300 *50782 52442 *55821 *50320 *50783 52500 *55831 *50323 *50785 52601 *55840 *50325 *50800 52648 *55842 *50327 *50810 52649 *55845 *50328 *50815 53270 *55862 *50329 *50820 53400 *55865 *50340 *50825 53405 55866 *50360 *50830 *53415 55873 *50365 *50840 53430 55899 *50370 *50845 53440 55920 *50380 *50860 53445 57155 *50400 *50900 53447 57425 *50405 *50920 *53448 58346 *50500 *50930 53850 *58953 *50520 *50940 53852 *58954 *50525 50947 53860 0338T *50526 50949 53899 0339T *50540 50961 54112 0421T 50542 *51525 *54125 C9739 50543 *51530 *54130 C9740 Vision / Eyewear 92020 92240 V2200 V2628 92071 92250 V2203 V2629 92072 92270 V2207 V2632 92083 92275 V2300 V2744 92120 92285 V2531 V2781 92135 92286 V2623 V2784 92225 92499 V2624 V2785 92226 V2020 V2625 V2790 92230 V2100 V2626 V2799 92235 V2103 V2627