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. Author manuscript; available in PMC: 2011 May 27.
Published in final edited form as: J Am Board Fam Med. 2011 Jan-Feb;24(1):57–68. doi: 10.3122/jabfm.2011.01.100080

Appendix.

Medicare Claim Codes for Study Variables

Variables Claim Type Medicare Claim Codes
Mammography HCPCS/CPT 76090, 76091, 76092
Influenza vaccination HCPCS/CPT 90724, G0008, 90657–90660, Q0124
ICD-9-CM V048, V066
ICD-9-P 99.52
HgbA1c HCPCS/CPT 83036
Lipid testing HCPCS/CPT 80061, 80062, 82465, 82470, 83700, 83705, 83715–83721, 84478
Evidence of metastatic disease HCPCS/CPT 36246, 36247, 47120, 47122, 47125, 47130, 47370, 47371, 47380, 47381, 47382, 76362, 76394, 76490, 36260, 47100, C2618
ICD-9-CM 197.0, 197.00, 197.04, 197.08, 197.1, 197.2, 197.3, 197.7, 197.70, 197.8, 198.3, 198.4, 198.41, 198.45, 198.48, 198.5, 198.51
ICD-9-P 50.2, 50.20, 50.21, 50.22, 50.29, 50.3, 50.30, 50.4, 50.40
Recurrence treatment
 Chemotherapy: HCPCS/CPT 96408, 96410, 96412, 96414, 96520, 96530, 96545, 96549, J9190, J0640, J9200, Q0083, Q0084, Q0085
ICD-9-CM V58.1, E933.1, V66.2, V67.2
ICD-9-P 99.25
 Radiation therapy: HCPCS/CPT 77261–63, 77280, 77285, 77290, 77295, 77299, 77300, 77305, 77310, 77315, 77321, 77326–8, 77331–4, 77336, 77370, 77399, 77401–17, 77419–32, 77470, 77490, 77499, 77750, 77761–3, 77776–8, 77781–4, 77789–90, 77797, 77799,
ICD-9-CM V66.1, V67.1, V58.0
ICD-9-P 92.20–92.29
Revenue center 0333

HCPCS, Healthcare Common Procedure Coding System; CPT, Current Procedural Terminology; ICD-9-CM, International Classification of Diseases, 9th Revision, Clinical Modification; ICD-9-P, ICD-9-CM Procedure.