| ICD-9 codes: | 87.5X, 87.6X, 87.7X, 87.8X, 87.91, 87.92, 87.94, 87.99, 88.0 – 88.03, 88.09, 88.1X, 88.7, 88.74 – 88.76, 88.79, 88.9X, 92.0X |
| CPT codes: | 72170, 72190, 72192 – 72194, 73540, 74000 – 74170, 74181 – 74183, 74190, 74220, 74240, 74241, 74245 – 74330, 74363, 74400 – 74471, 74720 – 74741, 74760, 75980 –75983, 76010, 76081, 76380, 76700 – 76705, 76770, 76775, 76778, 76830, 76831, 76855 – 76873, 76925, 76948, 78185, 78186, 78201 – 78232, 78240, 78258 – 78264, 78270 – 78272, 78276, 78278, 78280, 78283, 78290, 78291, 78298, 78299, 78700 –78799, |
| HCPCS codes: | Q9954, S8037, G0163 – G0165, G0213 – G0215, G0226 – G0228, G0231 |
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