No Capital Add-On Procedures List
(If these are the only payable Pxs on the DOS)
- Also available in Excel Format (XLSX) and Portable Document Format (PDF)
Revised for October 1, 2024 Updates:
Note: Information revised during the quarterly update period stated above is highlighted
| Px Code | Px Descp | Date code added to no capital procedure list |
Date code removed no capital procedure list |
|---|---|---|---|
| 83655 | Assay of lead | 7/1/2017 | |
| 90882 | Environmental manipulation | 4/1/2010 | |
| 96040 | Genetic counseling, 30 min | 1/1/2011 | |
| 97804 | Medical nutrition, group, each 30 min | 4/1/2010 | |
| 98970 | Qnhp ol dig assmt&mgmt 5-10 | 1/1/2024 | |
| 98971 | Qnhp ol dig assmt&mgmt 11-20 | 1/1/2024 | |
| 98972 | Qnhp ol dig assmt&mgmt 21+ | 1/1/2024 | |
| 99421 | Ol dig e/m svc 5-10 min | 1/1/2024 | |
| 99422 | Ol dig e/m svc 11-20 min | 1/1/2024 | |
| 99423 | Ol dig e/m svc 21+ min | 1/1/2024 | |
| D1320 | Tobacco counseling | 4/1/2012 | |
| G0271 | Group MNT 2 or more 30 mins | 4/1/2010 | |
| G2067 | Med assist tx meth wk | 10/1/2024 | |
| G2068 | Med assist tx bupre oral | 10/1/2024 | |
| G2078 | Take-home meth | 10/1/2024 | |
| G2079 | Take-home buprenorphine | 10/1/2024 | |
| H0020 | Alcohol and/or Drug Services, Meth Admin/Svc | 10/1/2024 | |
| H0023 | Alcohol and/or drug outreach | 4/1/2010 | |
| H0038 | Self-help/peer services per 15 min | 4/1/2010 | |
| H2010 | Comprehensive med svc 15 min | 4/1/2010 | |
| J0572 | Bupren/Naloxone, Oral, up to 3mg Bupren | 10/1/2024 | |
| J0573 | Bupren/Naloxone, Oral, 3.1mg to 6mg Bupren | 10/1/2024 | |
| J0574 | Bupren/Naloxone, Oral, 6.1mg to 10mg Bupren | 10/1/2024 | |
| Q3014 | Telehealth facility fee | 1/1/2012 | |
| S9445 | PT education noc individ | 7/1/2012 | |
| S9446 | PT education noc group | 7/1/2012 | |
| T1013 | Sign Lang/Oral Interpreter | 4/1/2010 | |
| V5010 | Assessment for hearing aid | 4/1/2010 | 1/1/2012 |
| V5020 | Conformity evaluation | 4/1/2010 | 1/1/2012 |
