list of cpt and hcpcs codes that require … of cpt and hcpcs codes that require ndc code current...

Click here to load reader

Post on 17-Mar-2018

221 views

Category:

Documents

2 download

Embed Size (px)

TRANSCRIPT

  • LIST OF CPT AND HCPCS CODES THAT REQUIRE NDC CODE Current Dental

    Terminology (including procedure codes, nomenclature, descriptors and other data

    contained therein) is copyright 2015 American Dental Association. All rights

    reserved. Applicable FARS/DFARS apply. Current Procedural Terminology (including

    procedure codes, nomenclature, descriptors and other data contained therein) is

    copyright 2015 American Medical Association. The federal Deficit Reduction Act

    of 2005 (signed in 2006) requires Medicaid providers to report the 11-digit National

    Drug Code (NDC) on the CMS1500 and UB04 claim forms as well as on the 837

    electronic transactions when billing for injections and other drug items administered

    in outpatient offices, hospitals, and other clinical settings. The first column on this list

    has the HCPCS codes that require an NDC for providers submitting outpatient

    prospective payment system (OPPS) claims. The second column has the HCPCS codes

    that require an NDC for all other providers, not the OPPS providers. While every

    attempt has been made to assure this listing is accurate, in the event of error or

    subsequent change, the pricing polices of the Medicaid Program will prevail rather

    than this listing. Please note the end date of discontinued Procedure Codes during

    the past 2 years.

    CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999S0148

    12/31/9999S0155

    12/31/9999S0156

    12/31/9999S0157

    12/31/9999S0160

    12/31/9999S0164

    12/31/9999S0166

    12/31/9999S0169

    12/31/9999S0170

    12/31/9999S0171

    12/31/9999S0172

    Wednesday, March 09, 2016 Page 1 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999S0174

    12/31/9999S0175

    12/31/9999S0176

    12/31/9999S0177

    12/31/9999S0178

    12/31/9999S0179

    12/31/9999S0182

    12/31/9999S0183

    12/31/9999S0187

    12/31/9999S0189

    12/31/9999S0190

    12/31/9999S0191

    12/31/9999S0194

    12/31/9999S0197

    12/31/9999S4989

    12/31/9999S4990

    12/31/9999S4991

    12/31/9999S4993

    12/31/9999S4995

    12/31/9999S5010

    12/31/2015S5011

    Wednesday, March 09, 2016 Page 2 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999S5012

    12/31/9999S5013

    12/31/9999S5014

    12/31/9999S5550

    12/31/999990281

    12/31/999990283

    12/31/999990284

    12/31/999990287

    12/31/999990288

    12/31/999990291

    12/31/999990296

    12/31/99999037190371

    12/31/99999037590375

    12/31/99999037690376

    12/31/99999037890378

    12/31/999990384

    12/31/999990386

    12/31/999990389

    12/31/999990393

    12/31/99999039690396

    12/31/999990399

    Wednesday, March 09, 2016 Page 3 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999A4216A4216

    12/31/9999A4218

    12/31/9999A9150

    12/31/9999A9152

    12/31/9999A9153

    12/31/2015C9025

    12/31/2015C9026

    12/31/2015C9027

    3/31/2015C9136

    12/31/9999C9399C9399

    12/31/2015C9442

    12/31/2015C9443

    12/31/2015C9444

    12/31/2015C9446

    12/31/2015C9456

    12/31/9999J0135J0135

    12/31/2014J0150

    12/31/2014J0151

    12/31/9999J0153

    12/31/9999J0171

    12/31/9999J0178J0178

    Wednesday, March 09, 2016 Page 4 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J0180J0180

    12/31/9999J0190

    12/31/9999J0200J0200

    12/31/9999J0202J0202

    12/31/9999J0205

    12/31/9999J0207J0207

    12/31/9999J0210J0210

    12/31/9999J0220J0220

    12/31/9999J0221J0221

    12/31/9999J0256J0256

    12/31/9999J0257J0257

    12/31/9999J0270

    12/31/9999J0275

    12/31/9999J0278

    12/31/9999J0280

    12/31/9999J0282

    12/31/9999J0285

    12/31/9999J0287J0287

    12/31/9999J0288J0288

    12/31/9999J0289J0289

    12/31/9999J0290

    Wednesday, March 09, 2016 Page 5 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J0295

    12/31/9999J0300J0300

    12/31/9999J0330

    12/31/9999J0348J0348

    12/31/9999J0350

    12/31/9999J0360

    12/31/9999J0364

    12/31/9999J0365J0365

    12/31/9999J0380

    12/31/9999J0390

    12/31/9999J0395

    12/31/9999J0400

    12/31/9999J0401J0401

    12/31/9999J0456

    12/31/9999J0461

    12/31/9999J0470

    12/31/9999J0475J0475

    12/31/9999J0476J0476

    12/31/9999J0480J0480

    12/31/9999J0485J0485

    12/31/9999J0490J0490

    Wednesday, March 09, 2016 Page 6 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J0500

    12/31/9999J0515

    12/31/9999J0520

    12/31/9999J0558

    12/31/9999J0561J0561

    12/31/9999J0571

    12/31/9999J0572

    12/31/9999J0573

    12/31/9999J0574

    12/31/9999J0575

    12/31/9999J0583J0583

    12/31/9999J0585J0585

    12/31/9999J0587J0587

    12/31/9999J0588J0588

    12/31/9999J0592

    12/31/9999J0594J0594

    12/31/9999J0595

    12/31/9999J0596J0596

    12/31/9999J0597J0597

    12/31/9999J0598J0598

    12/31/9999J0600J0600

    Wednesday, March 09, 2016 Page 7 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J0610

    12/31/9999J0620

    12/31/9999J0630J0630

    12/31/9999J0636

    12/31/9999J0637J0637

    12/31/9999J0638J0638

    12/31/9999J0640

    12/31/9999J0641J0641

    12/31/9999J0670

    12/31/9999J0690

    12/31/9999J0692

    12/31/9999J0694

    12/31/9999J0695J0695

    12/31/9999J0696

    12/31/9999J0698

    12/31/9999J0702

    12/31/9999J0706

    12/31/9999J0710

    12/31/9999J0712J0712

    12/31/9999J0713

    12/31/9999J0714J0714

    Wednesday, March 09, 2016 Page 8 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J0716J0716

    12/31/9999J0717J0717

    12/31/9999J0720J0720

    12/31/9999J0725J0725

    12/31/9999J0735

    12/31/9999J0740J0740

    12/31/9999J0743

    12/31/9999J0744

    12/31/9999J0745

    12/31/9999J0760

    12/31/9999J0770

    12/31/9999J0775J0775

    12/31/9999J0780

    12/31/9999J0795J0795

    12/31/9999J0800J0800

    12/31/9999J0834

    12/31/9999J0840J0840

    12/31/9999J0850J0850

    12/31/9999J0875J0875

    12/31/9999J0878J0878

    12/31/9999J0881J0881

    Wednesday, March 09, 2016 Page 9 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J0882J0882

    12/31/9999J0885J0885

    12/31/2015J0886J0886

    12/31/9999J0887J0887

    12/31/9999J0888

    12/31/9999J0890

    12/31/9999J0897J0897

    12/31/2014J0900

    12/31/9999J0945

    12/31/9999J1000

    12/31/9999J1020

    12/31/9999J1030

    12/31/9999J1040

    12/31/9999J1050

    12/31/2014J1060

    12/31/2014J1070

    12/31/9999J1071

    12/31/2014J1080

    12/31/9999J1094

    12/31/9999J1100

    12/31/9999J1120

    Wednesday, March 09, 2016 Page 10 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J1160J1160

    12/31/9999J1162J1162

    12/31/9999J1165

    12/31/9999J1170

    12/31/9999J1180

    12/31/9999J1190J1190

    12/31/9999J1200

    12/31/9999J1205J1205

    12/31/9999J1212J1212

    12/31/9999J1230

    12/31/9999J1240

    12/31/9999J1245

    12/31/9999J1250

    12/31/9999J1260

    12/31/9999J1265

    12/31/9999J1267

    12/31/9999J1270

    12/31/9999J1290J1290

    12/31/9999J1300J1300

    12/31/9999J1320

    12/31/9999J1322J1322

    Wednesday, March 09, 2016 Page 11 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J1324J1324

    12/31/9999J1325

    12/31/9999J1327J1327

    12/31/9999J1330J1330

    12/31/9999J1335

    12/31/9999J1364J1364

    12/31/9999J1380

    12/31/9999J1410J1410

    12/31/9999J1430J1430

    12/31/9999J1435

    12/31/9999J1436

    12/31/9999J1438J1438

    12/31/9999J1439J1439

    12/31/9999J1442J1442

    12/31/9999J1443

    12/31/2015J1446

    12/31/9999J1447J1447

    12/31/9999J1450

    12/31/9999J1451J1451

    12/31/9999J1452J1452

    12/31/9999J1453J1453

    Wednesday, March 09, 2016 Page 12 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J1455J1455

    12/31/9999J1457

    12/31/9999J1458J1458

    12/31/9999J1459J1459

    12/31/9999J1460J1460

    12/31/9999J1556J1556

    12/31/9999J1557J1557

    12/31/9999J1559J1559

    12/31/9999J1560J1560

    12/31/9999J1561J1561

    12/31/9999J1562

    12/31/9999J1566J1566

    12/31/9999J1568J1568

    12/31/9999J1569J1569

    12/31/9999J1570J1570

    12/31/9999J1572J1572

    12/31/9999J1573J1573

    12/31/9999J1575J1575

    12/31/9999J1580

    12/31/9999J1590J1590

    12/31/9999J1595J1595

    Wednesday, March 09, 2016 Page 13 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J1599

    12/31/9999J1600J1600

    12/31/9999J1602J1602

    12/31/9999J1610J1610

    12/31/9999J1620

    12/31/9999J1626

    12/31/9999J1630

    12/31/9999J1631

    12/31/9999J1640J1640

    12/31/9999J1642

    12/31/9999J1644

    12/31/9999J1645

    12/31/9999J1650

    12/31/9999J1652

    12/31/9999J1655

    12/31/9999J1670J1670

    12/31/9999J1675

    12/31/9999J1700

    12/31/9999J1710

    12/31/9999J1720

    12/31/9999J1725J1725

    Wednesday, March 09, 2016 Page 14 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J1740J1740

    12/31/9999J1741

    12/31/9999J1742J1742

    12/31/9999J1743J1743

    12/31/9999J1744J1744

    12/31/9999J1745J1745

    12/31/9999J1750J1750

    12/31/9999J1756

    12/31/9999J1786J1786

    12/31/9999J1790

    12/31/9999J1800

    12/31/9999J1810

    12/31/9999J1815

    12/31/9999J1817

    12/31/9999J1826

    12/31/9999J1830J1830

    12/31/9999J1833J1833

    12/31/9999J1835

    12/31/9999J1840

    12/31/9999J1850

    12/31/9999J1885

    Wednesday, March 09, 2016 Page 15 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J1890

    12/31/9999J1930J1930

    12/31/9999J1931J1931

    12/31/9999J1940

    12/31/9999J1945J1945

    12/31/9999J1950J1950

    12/31/9999J1953

    12/31/9999J1955

    12/31/9999J1956

    12/31/9999J1960

    12/31/9999J1980

    12/31/9999J1990

    12/31/9999J2001

    12/31/9999J2010

    12/31/9999J2020J2020

    12/31/9999J2060

    12/31/9999J2150

    12/31/9999J2170

    12/31/9999J2175

    12/31/9999J2180

    12/31/9999J2185

    Wednesday, March 09, 2016 Page 16 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J2210

    12/31/9999J2212J2212

    12/31/9999J2248J2248

    12/31/9999J2250

    12/31/9999J2260

    12/31/9999J2265J2265

    12/31/9999J2270

    12/31/2014J2271

    12/31/9999J2274

    12/31/2014J2275

    12/31/9999J2278J2278

    12/31/9999J2280

    12/31/9999J2300

    12/31/9999J2310

    12/31/9999J2315J2315

    12/31/9999J2320J2320

    12/31/9999J2323J2323

    12/31/9999J2325J2325

    12/31/9999J2353J2353

    12/31/9999J2354

    12/31/9999J2355J2355

    Wednesday, March 09, 2016 Page 17 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J2357J2357

    12/31/9999J2358J2358

    12/31/9999J2360

    12/31/9999J2370

    12/31/9999J2400

    12/31/9999J2405

    12/31/9999J2407J2407

    12/31/9999J2410

    12/31/9999J2425J2425

    12/31/9999J2426J2426

    12/31/9999J2430

    12/31/9999J2440

    12/31/9999J2460

    12/31/9999J2469J2469

    12/31/9999J2501

    12/31/9999J2502J2502

    12/31/9999J2503J2503

    12/31/9999J2504J2504

    12/31/9999J2505J2505

    12/31/9999J2507J2507

    12/31/9999J2510J2510

    Wednesday, March 09, 2016 Page 18 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J2513

    12/31/9999J2515J2515

    12/31/9999J2540

    12/31/9999J2543

    12/31/9999J2545

    12/31/9999J2547J2547

    12/31/9999J2550

    12/31/9999J2560

    12/31/9999J2562J2562

    12/31/9999J2590

    12/31/9999J2597J2597

    12/31/9999J2650

    12/31/9999J2670J2670

    12/31/9999J2675

    12/31/9999J2680

    12/31/9999J2690

    12/31/9999J2700J2700

    12/31/9999J2704

    12/31/9999J2710

    12/31/9999J2720

    12/31/9999J2724J2724

    Wednesday, March 09, 2016 Page 19 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J2725

    12/31/9999J2730J2730

    12/31/9999J2765

    12/31/9999J2770J2770

    12/31/9999J2778J2778

    12/31/9999J2780

    12/31/9999J2783J2783

    12/31/9999J2785J2785

    12/31/9999J2788J2788

    12/31/9999J2790J2790

    12/31/9999J2791J2791

    12/31/9999J2792J2792

    12/31/9999J2793J2793

    12/31/9999J2794J2794

    12/31/9999J2795

    12/31/9999J2796J2796

    12/31/9999J2800J2800

    12/31/9999J2805

    12/31/9999J2810

    12/31/9999J2820J2820

    12/31/9999J2850J2850

    Wednesday, March 09, 2016 Page 20 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J2860J2860

    12/31/9999J2910

    12/31/9999J2916

    12/31/9999J2920

    12/31/9999J2930

    12/31/9999J2940

    12/31/9999J2941J2941

    12/31/9999J2950

    12/31/9999J2993J2993

    12/31/9999J2995

    12/31/9999J2997J2997

    12/31/9999J3000

    12/31/9999J3010

    12/31/9999J3030

    12/31/9999J3060J3060

    12/31/9999J3070J3070

    12/31/9999J3090J3090

    12/31/9999J3095J3095

    12/31/9999J3101J3101

    12/31/9999J3105

    12/31/9999J3110

    Wednesday, March 09, 2016 Page 21 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/2014J3120

    12/31/9999J3121

    12/31/2014J3130

    12/31/2014J3140

    12/31/9999J3145J3145

    12/31/2014J3150

    12/31/9999J3230

    12/31/9999J3240J3240

    12/31/9999J3243J3243

    12/31/9999J3246J3246

    12/31/9999J3250

    12/31/9999J3260

    12/31/9999J3262J3262

    12/31/9999J3265

    12/31/9999J3280

    12/31/9999J3285J3285

    12/31/9999J3300J3300

    12/31/9999J3301

    12/31/9999J3302

    12/31/9999J3303

    12/31/9999J3305

    Wednesday, March 09, 2016 Page 22 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J3310

    12/31/9999J3315J3315

    12/31/9999J3320

    12/31/9999J3350J3350

    12/31/9999J3355J3355

    12/31/9999J3357J3357

    12/31/9999J3360

    12/31/9999J3364

    12/31/9999J3365J3365

    12/31/9999J3370

    12/31/9999J3380J3380

    12/31/9999J3385J3385

    12/31/9999J3396J3396

    12/31/9999J3400

    12/31/9999J3410

    12/31/9999J3411

    12/31/9999J3415

    12/31/9999J3420

    12/31/9999J3430

    12/31/9999J3465J3465

    12/31/9999J3470

    Wednesday, March 09, 2016 Page 23 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J3471

    12/31/9999J3472

    12/31/9999J3473

    12/31/9999J3475

    12/31/9999J3480

    12/31/9999J3485J3485

    12/31/9999J3486

    12/31/9999J3489J3489

    12/31/9999J3490

    12/31/9999J3520

    12/31/9999J3530

    12/31/9999J3535

    12/31/9999J3590

    12/31/9999J7030

    12/31/9999J7040

    12/31/9999J7042

    12/31/9999J7050

    12/31/9999J7060

    12/31/9999J7070

    12/31/9999J7100

    12/31/9999J7110

    Wednesday, March 09, 2016 Page 24 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J7120

    12/31/9999J7121

    12/31/9999J7131

    12/31/9999J7178J7178

    12/31/9999J7180J7180

    12/31/9999J7181J7181

    12/31/9999J7182

    12/31/9999J7183J7183

    12/31/9999J7185J7185

    12/31/9999J7186J7186

    12/31/9999J7187J7187

    12/31/9999J7188J7188

    12/31/9999J7189J7189

    12/31/9999J7190J7190

    12/31/9999J7191J7191

    12/31/9999J7192J7192

    12/31/9999J7193J7193

    12/31/9999J7194J7194

    12/31/9999J7195J7195

    12/31/9999J7196J7196

    12/31/9999J7197J7197

    Wednesday, March 09, 2016 Page 25 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J7198J7198

    12/31/9999J7199

    12/31/9999J7200J7200

    12/31/9999J7201J7201

    12/31/9999J7205J7205

    12/31/9999J7297J7297

    12/31/9999J7298J7298

    12/31/9999J7300J7300

    12/31/9999J7301J7301

    12/31/2015J7302J7302

    12/31/9999J7303J7303

    12/31/9999J7304J7304

    12/31/9999J7306J7306

    12/31/9999J7307J7307

    12/31/9999J7308J7308

    12/31/9999J7309J7309

    12/31/9999J7310J7310

    12/31/9999J7311J7311

    12/31/9999J7312J7312

    12/31/9999J7313J7313

    12/31/9999J7315J7315

    Wednesday, March 09, 2016 Page 26 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J7316J7316

    12/31/9999J7321J7321

    12/31/9999J7323J7323

    12/31/9999J7324J7324

    12/31/9999J7325J7325

    12/31/9999J7326J7326

    12/31/9999J7327J7327

    12/31/9999J7330

    12/31/2014J7335

    12/31/9999J7336J7336

    12/31/9999J7340J7340

    12/31/9999J7500

    12/31/9999J7501J7501

    12/31/9999J7502

    12/31/9999J7503

    12/31/9999J7504J7504

    12/31/9999J7505J7505

    12/31/2015J7506

    12/31/9999J7507

    12/31/9999J7508J7508

    12/31/9999J7509

    Wednesday, March 09, 2016 Page 27 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J7510

    12/31/9999J7511J7511

    12/31/9999J7512

    12/31/9999J7513J7513

    12/31/9999J7515

    12/31/9999J7516

    12/31/9999J7517

    12/31/9999J7518

    12/31/9999J7520

    12/31/9999J7525J7525

    12/31/9999J7527J7527

    12/31/9999J7599

    12/31/9999J7604

    12/31/9999J7605

    12/31/9999J7606

    12/31/9999J7607

    12/31/9999J7608

    12/31/9999J7609

    12/31/9999J7610

    12/31/9999J7611

    12/31/9999J7612

    Wednesday, March 09, 2016 Page 28 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J7613

    12/31/9999J7614

    12/31/9999J7615

    12/31/9999J7620

    12/31/9999J7622

    12/31/9999J7624

    12/31/9999J7626

    12/31/9999J7627

    12/31/9999J7628

    12/31/9999J7629

    12/31/9999J7631

    12/31/9999J7632

    12/31/9999J7633

    12/31/9999J7634

    12/31/9999J7635

    12/31/9999J7636

    12/31/9999J7637

    12/31/9999J7638

    12/31/9999J7640

    12/31/9999J7641

    12/31/9999J7642

    Wednesday, March 09, 2016 Page 29 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J7643

    12/31/9999J7644

    12/31/9999J7645

    12/31/9999J7647

    12/31/9999J7648

    12/31/9999J7649

    12/31/9999J7650

    12/31/9999J7657

    12/31/9999J7658

    12/31/9999J7659

    12/31/9999J7660

    12/31/9999J7665

    12/31/9999J7667

    12/31/9999J7668

    12/31/9999J7669

    12/31/9999J7670

    12/31/9999J7674

    12/31/9999J7676

    12/31/9999J7680

    12/31/9999J7681

    12/31/9999J7682

    Wednesday, March 09, 2016 Page 30 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J7683

    12/31/9999J7684

    12/31/9999J7685

    12/31/9999J7686

    12/31/9999J7699

    12/31/9999J7799

    12/31/9999J7999

    12/31/9999J8498

    12/31/9999J8499

    12/31/9999J8501J8501

    12/31/9999J8510J8510

    12/31/9999J8515

    12/31/9999J8520J8520

    12/31/9999J8530

    12/31/9999J8540

    12/31/9999J8560J8560

    12/31/9999J8562J8562

    12/31/9999J8565

    12/31/9999J8597

    12/31/9999J8600

    12/31/9999J8610

    Wednesday, March 09, 2016 Page 31 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J8650J8650

    12/31/9999J8655J8655

    12/31/9999J8700J8700

    12/31/9999J8705J8705

    12/31/9999J8999

    12/31/9999J9000

    12/31/2015J9010

    12/31/9999J9015J9015

    12/31/9999J9017J9017

    12/31/9999J9019J9019

    12/31/9999J9020J9020

    12/31/9999J9025J9025

    12/31/9999J9027J9027

    12/31/9999J9031J9031

    12/31/9999J9032J9032

    12/31/9999J9033J9033

    12/31/9999J9035J9035

    12/31/9999J9039J9039

    12/31/9999J9040

    12/31/9999J9041J9041

    12/31/9999J9042J9042

    Wednesday, March 09, 2016 Page 32 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J9043J9043

    12/31/9999J9045

    12/31/9999J9047J9047

    12/31/9999J9050J9050

    12/31/9999J9055J9055

    12/31/9999J9060

    12/31/9999J9065J9065

    12/31/9999J9070J9070

    12/31/9999J9098J9098

    12/31/9999J9100

    12/31/9999J9120J9120

    12/31/9999J9130

    12/31/9999J9150J9150

    12/31/9999J9151J9151

    12/31/9999J9155J9155

    12/31/9999J9160

    12/31/9999J9165

    12/31/9999J9171J9171

    12/31/9999J9175

    12/31/9999J9178J9178

    12/31/9999J9179J9179

    Wednesday, March 09, 2016 Page 33 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J9181

    12/31/9999J9185J9185

    12/31/9999J9190

    12/31/9999J9200J9200

    12/31/9999J9201J9201

    12/31/9999J9202J9202

    12/31/9999J9206

    12/31/9999J9207J9207

    12/31/9999J9208J9208

    12/31/9999J9209

    12/31/9999J9211J9211

    12/31/9999J9212J9212

    12/31/9999J9213J9213

    12/31/9999J9214J9214

    12/31/9999J9215J9215

    12/31/9999J9216J9216

    12/31/9999J9217J9217

    12/31/9999J9218J9218

    12/31/9999J9219J9219

    12/31/2014J9220

    12/31/9999J9225J9225

    Wednesday, March 09, 2016 Page 34 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J9226J9226

    12/31/9999J9228J9228

    12/31/9999J9230J9230

    12/31/9999J9245J9245

    12/31/9999J9250

    12/31/9999J9260

    12/31/9999J9261J9261

    12/31/9999J9262J9262

    12/31/9999J9263J9263

    12/31/9999J9264J9264

    12/31/2014J9265

    12/31/9999J9266J9266

    12/31/9999J9267

    12/31/9999J9268J9268

    12/31/9999J9270

    12/31/9999J9271J9271

    12/31/9999J9280J9280

    12/31/9999J9293J9293

    12/31/9999J9299J9299

    12/31/9999J9300

    12/31/9999J9301J9301

    Wednesday, March 09, 2016 Page 35 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J9302J9302

    12/31/9999J9303J9303

    12/31/9999J9305J9305

    12/31/9999J9306J9306

    12/31/9999J9307J9307

    12/31/9999J9308J9308

    12/31/9999J9310J9310

    12/31/9999J9315J9315

    12/31/9999J9320J9320

    12/31/9999J9328J9328

    12/31/9999J9330J9330

    12/31/9999J9340J9340

    12/31/9999J9351J9351

    12/31/9999J9354J9354

    12/31/9999J9355J9355

    12/31/9999J9357J9357

    12/31/9999J9360

    12/31/9999J9370

    12/31/9999J9371J9371

    12/31/9999J9390

    12/31/9999J9395J9395

    Wednesday, March 09, 2016 Page 36 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999J9400J9400

    12/31/9999J9600J9600

    12/31/9999J9999

    12/31/9999P9023P9023

    12/31/9999P9041P9041

    12/31/9999Q0138Q0138

    12/31/9999Q0139Q0139

    12/31/9999Q0144

    12/31/9999Q0162

    12/31/9999Q0163

    12/31/9999Q0164

    12/31/9999Q0166

    12/31/9999Q0167

    12/31/9999Q0169

    12/31/9999Q0173

    12/31/9999Q0174

    12/31/9999Q0175

    12/31/9999Q0177

    12/31/9999Q0180

    12/31/9999Q0181

    12/31/9999Q0515

    Wednesday, March 09, 2016 Page 37 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999Q2004

    12/31/9999Q2009

    12/31/9999Q2017Q2017

    12/31/9999Q2043Q2043

    12/31/9999Q2050Q2050

    12/31/9999Q3027Q3027

    12/31/9999Q3028

    12/31/9999Q5101Q5101

    12/31/2014Q9970

    12/31/2014Q9974

    12/31/2015Q9977

    12/31/2015Q9978

    12/31/2015Q9979

    12/31/9999S0012

    12/31/9999S0014

    12/31/9999S0017

    12/31/9999S0020

    12/31/9999S0021

    12/31/9999S0023

    12/31/9999S0028

    12/31/9999S0030

    Wednesday, March 09, 2016 Page 38 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999S0032

    12/31/9999S0034

    12/31/9999S0039

    12/31/9999S0040

    12/31/9999S0073

    12/31/9999S0074

    12/31/9999S0077

    12/31/9999S0078

    12/31/9999S0080

    12/31/9999S0081

    12/31/9999S0088

    12/31/9999S0090

    12/31/9999S0091

    12/31/9999S0092

    12/31/9999S0093

    12/31/9999S0104

    12/31/9999S0106

    12/31/9999S0108

    12/31/9999S0109

    12/31/9999S0117

    12/31/9999S0119

    Wednesday, March 09, 2016 Page 39 of 40

  • CPT AND HCPCS FOR OUTPATIENT HOSPITAL THAT REQUIRE NDC CODE

    Proc Code End DateCPT AND HCPCS THAT REQUIRE NDC CODE Except Outpatient Hospital

    12/31/9999S0122

    12/31/9999S0126

    12/31/9999S0128

    12/31/9999S0132

    12/31/9999S0136

    12/31/9999S0137

    12/31/9999S0138

    12/31/9999S0139

    12/31/9999S0140

    12/31/9999S0142

    12/31/2014S0144

    12/31/9999S0145

    Wednesday, March 09, 2016 Page 40 of 40