User talk:Mhdmuhsinkt

procedure
Description	CPT	Documentation Requirements Arterial line (catheterization)	36620	Modifier -51 exempt Arterial puncture (ABG)	36600	Personally performed by MD/included in CCT Arthrocentesis; fingers/toes	20600	Can be used for injection OR withdrawal Arthrocentesis; shoulder, hip or knee	20610	Can be used for injection OR withdrawal Arthrocentesis; TMJ, wrist, elbow, acromioclavicular or ankle	20605	Can be used for injection OR withdrawal Burn debridement 	16020 Burn dressing	16020	Personally performed by MD Central line (age 5 and over)	36556 Central line (under age 5)	36555	Includes conscious sedation Cerumen Removal	69210	Performed with instrument Chest tube	32020	Modifier -51 exempt/includes conscious sedation Moderate sedation	99143.. See specific documentation guidelines CPR	92950	Includes defibrillation Debridement, skin	11040	Do not bill separately from suturing unless extensive debridement is documented Dental block	64400	See specific documentation guidelines Digital block	64450	See specific documentation guidelines EKG interpretation	93010	See specific documentation guidelines ET tube	31500	Modifier -51 exempt FB conjunctiva	65205	Performed with instrument FB cornea w/out slit lamp	65220	Performed with instrument (See Exam section for slit lamp usage) FB cornea with slit lamp	65222	Performed with instrument(See Exam section for slit lamp usage) FB ear	69200	Performed with instrument FB foot; subcutaneous	28190	Incision not necessary FB nose	30300	Performed with instrument FB pelvis/hip; subcutaneous	27086	Incision not necessary FB shoulder; subcutaneous	23330	Incision not necessary FB skin	10120	Must have incision AND removal FB upper arm/elbow; subcutaneous	24200	Incision not necessary Gastrostomy tube change	43760	Personally performed by MD I&D abscess	10060	Must have incision AND drainage I&D abscess, complicated	10061	Must have incision AND draninage of mulitple sites or packing or drain I&D Bartholin's gland abscess	56420	Must have incision AND drainage I&D blister	10140	Must have incision AND drainage I&D cyst (except pilonidal)	10060	Must have incision AND drainage I&D cyst (except pilonidal), comp	10061	Must have incision AND drainage of multiple sites or packing or drain I&D dental abscess	41800	Must have incision AND drainage I&D eyelid abscess	67700	Must have incision AND drainage I&D external ear abscess	69000	Must have incision AND drainage I&D finger abscess	26010	Must have incision AND drainage I&D finger abscess, complicated	26011	Must have incision AND drainage with debridement I&D furuncle	10060	Must have incision AND drainage I&D furuncle, complicated	10061	Must have incision AND drainage of multiple sites or packing or drain I&D hematoma	10140	Must have incision AND drainage I&D paronychia	10060	Must have incision AND drainage I&D paronychia, complicated	10061	Must have incision AND drainage of multiple sites or packing or drain I&D perirectal abscess	46040	Must have incision AND drainage I&D pilonidal cyst	10080	Must have incision AND drainage I&D pilonidal cyst, complicated	10081	Must have incision AND drainage of multiple sites or packing or drain I&D postop infection, complicated	10180	Must have incision AND drainage of multiple sites or packing or drain I&D seroma	10140	Must have incision AND drainage Impacted cerumen removal	69210	Personally performed by MD with instrument Incision of external hemorrhoid	46083	For thrombosed hemorrhoids Lumbar puncture	62270	Fluid must be obtained (not blood only) Nail bed repair	11760	Includes nail removal Nail removal	11730	Do not bill separately from nail bed repair/Can be billed for partial removals Nasal packing/cautery, anterior	30901	Packing or cautery (1 time) Nasal packing/cautery, anterior, extensive	30903	Must have more than one packing/cautery done Nasal packing/cautery, posterior, initial	30905	Must cleary state posterior bleed Nasal packing/cautery, posterior, subsequent	30906	Must cleary state posterior bleed NG tube	91105	Personally performed by MD/included in CCT Percardiocentesis	33010	See specific documentation guidelines PICC line (age 5 and over)	36569 PICC line (under 5)	36568	Includes conscious sedation Placenta delivery only	59414	Included in vaginal delivery (59409) Pulse oximetry	94760	Only bill if medically necessary/included in CCT and Conscious sedation codes Pulse oximetry, multiple	94761	Only bill if medically necessary/included in CCT and Conscious sedation codes Puncture aspiration of abscess	10160	Must document PUNCTURE ASPIRATION Rhythm strip interpretation	93042	See specific documentation guidelines Rust ring removal	65435	Can bill for partial rust ring removal        Modifer -52 not required Subungual hematoma evacuation	11740 Temporary transcutaneous pacing	92953	Included in CCT/Must indicate result of procedure/includes conscious sedation. TPA	92977	See specific documentation guidelines Trach tube change	31502	Personally performed by MD Trigger Point Injection	20552	See specific documentation guidelines Urethral catheter (Non-indwelling foley or straight cath)	51701	Personally performed by MD,now billable to MCR Urethral catheter (Temporary indwelling foley, simple)	51702	Personally performed by MD, now billable to MCR Urethral catheter (Temporary indwelling foley, complicated)	51703	Personally performed by MD, now billable to MCR Vaginal delivery only	59409	Episiotomy/placenta delivery included Vermilion border repair	40650	Vermilion border must be realigned Wedge excision (ingrown nails)	11765	Must state wedge excision was performed

fracture
Body Area	Anatomical Site	Procedure Code Ankle	Ankle	27840-54 Elbow	Nursemaid's Elbow (6 and under)	24640 Radial Head (over 6)	24600-54 Finger	Interphalangeal Joint	26770-54 Foot	Metatarsophalangeal	28630 Talotarsal Joint	28570-54 Tarsal Bone Alone	28540-54 Tarsometatarsal Joint	28600-54 Hand	Metacarpophalangeal	26700-54 Hip	Hip Prosthesis	27265-54 Hip - Traumatic	27250-54 Jaw	TMJ - Temporomandibular Joint	21480 Knee	Knee (Anterior, Posterior)	27550-54 Patella	27560-54 Proximal Tibiofibular Joint	27830-54 Shoulder	Acromioclavicular (AC) *** See Below	23545-54 Shoulder                                   (Anterior, Inferior, Posterior)	23650-54 Sternoclavicular Joint	23525-54 Toe	Interphalangeal Joint	28660 Wrist	Carpometacarpal Joint at Thumb	26641-54 Carpometacarpal Joint not at Thumb	26670-54 Lunate	25690-54 Radiocarpal or Intercarpal	25660-54 Distal radioulnar	25675-54 ***AC separation without manipulation can be billed with 23540 if the physician personally places the patient in a sling.

dislocation
Body Area	Anatomical Site	Procedure Code Ankle	Ankle	27840-54 Elbow	Nursemaid's Elbow (6 and under)	24640 Radial Head (over 6)	24600-54 Finger	Interphalangeal Joint	26770-54 Foot	Metatarsophalangeal	28630 Talotarsal Joint	28570-54 Tarsal Bone Alone	28540-54 Tarsometatarsal Joint	28600-54 Hand	Metacarpophalangeal	26700-54 Hip	Hip Prosthesis	27265-54 Hip - Traumatic	27250-54 Jaw	TMJ - Temporomandibular Joint	21480 Knee	Knee (Anterior, Posterior)	27550-54 Patella	27560-54 Proximal Tibiofibular Joint	27830-54 Shoulder	Acromioclavicular (AC) *** See Below	23545-54 Shoulder                                   (Anterior, Inferior, Posterior)	23650-54 Sternoclavicular Joint	23525-54 Toe	Interphalangeal Joint	28660 Wrist	Carpometacarpal Joint at Thumb	26641-54 Carpometacarpal Joint not at Thumb	26670-54 Lunate	25690-54 Radiocarpal or Intercarpal	25660-54 Distal radioulnar	25675-54 ***AC separation without manipulation can be billed with 23540 if the physician personally places the patient in a sling.

splint
Cast/splint/strapping	Documentation requirements	Code Ace wrap ankle	Applied by MD	29540 Ace wrap elbow or wrist	Applied by MD	29260 Ace wrap hand or finger	Applied by MD	29280 Ace wrap knee	Applied by MD	29530 Ace wrap ribs	Applied by MD	29200 Active ankle splint	Applied by MD	29540 Air cast/splint	Applied by MD	29540 Bivalve short arm/short leg	Personally performed by MD	29700 Bivalve long arm/long leg	Personally performed by MD	29705 Bivalve shoulder/hip cast	Personally performed by MD	29710 Bivalve turnbuckle jacket	Personally performed by MD	29715 Bledsoe Short Term Boot	Applied by MD	29540 Boot orthosis	Applied by MD	29580 Buddy tape fingers	Applied by MD	29280 Buddy tape toes	Applied by MD	29550 Cock-up splint	Applied or checked by MD	29125 Equalizer Boot	Applied by MD	29540 EZ wrap ankle	Applied by MD	29540 EZ wrap wrist	Applied by MD	29260 Finger splint	Applied or checked by MD	29130 Jones wrap - arm	Applied or checked by MD	29125 Knee immobilizer	Applied or checked by MD	29515 Long arm splint	Applied or checked by MD	29105 Long leg splint	Applied or checked by MD	29505 Neoprene sleeve	Applied by MD	29530 OCL - arm	Applied or checked by MD	29125 OCL - leg	Applied or checked by MD	29515 Ortho-glass long arm	Applied or checked by MD	29105 Ortho-glass long leg	Applied or checked by MD	29505 Ortho-glass short arm	Applied or checked by MD	29125 Ortho-glass short leg	Applied or checked by MD	29515 Plaster figure of eight	Applied or checked by MD	29049 Plaster Velpeau	Applied or checked by MD	29058 Posterior long-arm splint	Applied or checked by MD	29105 Posterior long-leg splint	Applied or checked by MD	29505 Posterior short-leg splint	Applied or checked by MD	29515 Post-op shoe	Applied by MD	29540 Removal short arm/short leg cast 	Personally performed by MD	29700 Removal long arm/long leg cast	Personally performed by MD	29705 Removal shoulder/hip cast	Personally performed by MD	29710 Removal turnbuckle jacket	Personally performed by MD	29715 Robert Jones (bulky) dressing	Applied or checked by MD	29515 Short arm splint	Applied or checked by MD	29125 Short leg splint	Applied or checked by MD	29515 Shoulder immobilizer	Applied or checked by MD	29105 Stirrup ankle splint	Applied or checked by MD	29515 Sugar tong - arm	Applied or checked by MD	29125 Sugar tong - leg 	Applied or checked by MD	29515 Thumb spica splint	Applied or checked by MD	29125 Ulna gutter splint	Applied or checked by MD	29125 Unna boot	Applied by MD	29580 Velcro - arm	Applied or checked by MD	29125 Velcro - leg	Applied or checked by MD	29515 Velpeau	Applied by MD	29240 Volar arm splint	Applied or checked by MD	29125 ALUMA FOAM SPLINT	Applied or checked by MD	29130

x ray
Anatomical Site	Number of Views	CPT 	Findings 	Needed	Notes Medicare	Other Head and Neck Facial Bones	Less than 3 Views	70140-26	2	1 Facial Bones	At least 3 views	70150-26	2	1 Nasal Bones	3 views	70160-26	2	1 Orbits	4 views	70200-26	2	1 Sinuses	Less than 3 Views	70210-26	2	1 Sinuses	At least 3 views	70220-26	2	1 Skull	Less than 4 Views	70250-26	2	1 Skull	At least 4 views	70260-26	2	1 Neck (soft tissue)	 	70360-26	2	1 Chest Chest	1 view (frontal or PA)	71010-26	3	3	Do not bill with critical care Chest	2 views (PA & Lateral)	71020-26	3	3	Do not bill with critical care Ribs unilateral	2 views 	71100-26	2	1 Ribs unilateral	3 views	71101-26	2	1	includes PA chest x-ray Ribs bilateral	3 views	71110-26	2	1 Ribs bilateral	4 views	71111-26	2	1	includes PA chest x-ray Sternum	2 views	71120-26	2	1 Sternum	3 views	71130-26	2	1 Spine and Pelvis C-spine	2 views	72040-26	2	1 Thoracic Spine	2 views	72070-26	2	1 Lumbosacral Spine	2 views	72100-26	2	1 Pelvis	1 or 2 views	72170-26	2	1 Pelvis	Complete (at least 3 views)	72190-26	2	1 Sacrum and Coccyx	2 views	72220-26	2	1 Upper Extremities Clavicle		73000-26	2	1 Scapula		73010-26	2	1 Shoulder	1 view	73020-26	2	1 Humerus	2 views	73060-26	2	1 Elbow	2 views	73070-26	2	1 Forearm	2 views	73090-26	2	1 Wrist	2 views	73100-26	2	1 Hand	2 views	73120-26	2	1 Fingers	2 views	73140-26	2	1 Lower Extremities Hip, unilateral	1 view	73500-26	2	1 Hip, bilateral	2 views each hip	73520-26	2	1	Includes AP of pelvis Femur	2 views	73550-26	2	1 Knee	1 or 2 views	73560-26	2	1 Tibia/Fibula	2 views 	73590-26	2	1 Ankle	2 views	73600-26	2	1 Foot	2 views	73620-26	2	1 Toes	2 views	73660-26	2	1 Abdomen Abdomen	1 view/KUB	74000-26	3	3 Abdomen	Flat and upright 	74020-26	3	3 Abdomen	Complete acute series (AAS)	74022-26	3	3	includes PA of chest

mvc
Motor Vehicle Accident Type	*PUBLIC HIGHWAY	  Motor Vehicle Accident Type	*PUBLIC               HIGHWAY	*PRIVATE Collision Car vs. animal (unridden)	E815.X	E822.X Car vs. animal being ridden	E813.X	E821.X Car vs. animal-drawn vehicle	E813.X	E822.X Car vs. bicycle	E813.X	E822.X Car vs. bridge/overpass	E815.X	N/A Car vs. car	E812.X	E822.X Car vs. guard rail	E815.X	N/A Car vs. median/safety island	E815.X	N/A Car vs. object in road	E815.X	N/A Car vs. pedestrian	E814.X	E822.X Car vs. telephone pole	E815.X	N/A Car vs. traffic sign	E815.X	N/A Car vs. utility pole	E815.X	N/A T-boned	E812.X	E822.X Non-Collision Blowout/Burst tire	E816.X	E825.X Fall/Pushed from moving motor vehicle	E818.X	E825.X Finger/hand caught in car door	E817.X	E824.X Fire in car	E818.X	E825.X Inhalation of exhaust fumes	E818.X	E825.X Loss of control (overturned/ran off road)	E816.X	N/A Striking against part of car	E818.X	E825.X Struck by object while in car	E818.X	E825.X Tripping/Falling from car while boarding	E817.X	E824.X Unspecified MVA	E819.X	E825.X Off Road Motor Vehicle Any type	N/A	E821.X Forth digit classifications: Driver of motor vehicle (except motorcycle)	0 Passenger in motor vehicle other than motorcycle	1 Motorcyclist	2 Passenger on motorcycle	3 Rider of animal/occupant of animal-drawn vehicle	5 Pedal cyclist	6 Pedistrian	7 Other specified person	8 Unspecified person	9 Collision Car vs. animal (unridden)	E815.X	E822.X Car vs. animal being ridden	E813.X	E821.X Car vs. animal-drawn vehicle	E813.X	E822.X Car vs. bicycle	E813.X	E822.X Car vs. bridge/overpass	E815.X	N/A Car vs. car	E812.X	E822.X Car vs. guard rail	E815.X	N/A Car vs. median/safety island	E815.X	N/A Car vs. object in road	E815.X	N/A Car vs. pedestrian	E814.X	E822.X Car vs. telephone pole	E815.X	N/A Car vs. traffic sign	E815.X	N/A Car vs. utility pole	E815.X	N/A T-boned	E812.X	E822.X Non-Collision Blowout/Burst tire	E816.X	E825.X Fall/Pushed from moving motor vehicle	E818.X	E825.X Finger/hand caught in car door	E817.X	E824.X Fire in car	E818.X	E825.X Inhalation of exhaust fumes	E818.X	E825.X Loss of control (overturned/ran off road)	E816.X	N/A Striking against part of car	E818.X	E825.X Struck by object while in car	E818.X	E825.X Tripping/Falling from car while boarding	E817.X	E824.X Unspecified MVA	E819.X	E825.X Off Road Motor Vehicle Any type	N/A	E821.X Forth digit classifications: Driver of motor vehicle (except motorcycle)	0 Passenger in motor vehicle other than motorcycle	1 Motorcyclist	2 Passenger on motorcycle	3 Rider of animal/occupant of animal-drawn vehicle	5 Pedal cyclist	6 Pedistrian	7 Other specified person	8 Unspecified person	9
 * Refer to ICD-9 page 251 for complete descriptions of public vs. private
 * Off road vehicle accidents are assumed to occur on private property. All other MVA's are assumed to have occurred on the highway unless another place is specified.
 * PRIVATE
 * Refer to ICD-9 page 251 for complete descriptions of public vs. private
 * Off road vehicle accidents are assumed to occur on private property. All other MVA's are assumed to have occurred on the highway unless another place is specified.

modifier
MODIFIERS	DESCRIPTION	E/M	SURG	RAD	MED	NOTES 25	Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service	Yes	No	No	No	Service must be above and beyond the usual level of care required for a procedure that is performed. 26	Professional Component	No	No	Yes	No	Used to denote the physician component of a two-component service (technical and professional). Procedures that are 100% professional (e.g. 93010 Interpretation and report only) wound not require this modifier. 50	Bilateral Procedure	No	Yes	No	No	Identifies an identical procedure performed bilaterally (e.g. chest tubes inserted into both lungs). If a procedure states that it is already classified as bilateral, do not apply this modifier. When entering charges, list code twice with modifier on the second code (e.g. 32020 and 32020-50). 51	Multiple Procedures	No	Yes	No	No	This modifier is not used on -51 modifier exempt codes or add-on codes. List the procedure code with the highest value first and apply the -51 modifier to all subsequent procedures. 52	Reduced Services	Yes	Yes	No	No	Indicates that a service or procedure was reduced in some manner (e.g. client wants to bill a reduced service on suture removals). 54	Surgical Care Only	No	Yes	No	No	Used when the physician is providing the surgical care only. This modifier is mainly used for fracture/dislocation care. 76	Repeat procedure by same physician	Yes	Yes	Yes	Yes	Used when a physician must repeat a procedure or service subsequent to the original procedure. 77	Repeat procedure by another physician	Yes	Yes	Yes	Yes	Used when a physician must repeat a procedure or service performed by another physician.

drug
Substances	Risk Level	Poisoning	Accident	Therapeutic Use	Suicide Attempt	Assault	Undetermined

ACE Inhibitors	Rx	972.6	E858.3	E942.6	E950.4	E962.0	E980.4 Accolate	Rx	975.7	E858.6	E945.7	E950.4	E962.0	E980.4 Acetaminophen	OTC	965.4	E850.4	E935.4	E950.0	E962.0	E980.0 Actifed	OTC	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Activase IV	TPA	964.4	E858.2	E934.4	E950.4	E962.0	E980.4 Acular	Rx	963.3	E858.1	E933.3	E950.4	E962.0	E980.4 Acyclovir	Rx	961.7	E857	E931.7	E950.4	E962.0	E980.4 Adderall	Rx	969.7	E854.2	E939.7	E950.3	E962.0	E980.3 Adenocard (Cardioversion)	Rx	977.8	E858.8	E947.8	E950.4	E962.0	E980.4 Advicor	Rx	972.2	E858.3	E942.2	E950.4	E962.0	E980.4 Advil adult <400mg	OTC	965.61	E850.6	E935.6	E950.0	E962.0	E980.0 Advil adult 400+mg	Rx	965.61	E850.6	E935.6	E950.0	E962.0	E980.0 Advil child <100mg	OTC	965.61	E850.6	E935.6	E950.0	E962.0	E980.0 Advil child 100+mg	Rx	965.61	E850.6	E935.6	E950.0	E962.0	E980.0 Afrin	OTC	976.6	E858.7	E946.6	E950.4	E962.0	E980.4 Aggrenox	Rx	972.4	E858.3	E942.4	E950.4	E962.0	E980.4 Albuterol	Rx	975.7	E858.6	E945.7	E950.4	E962.0	E980.4 Allegra	Rx	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Alocaine	Rx	968.5	E855.2	E938.5	E950.4	E962.0	E980.4 Alteplase IV	TPA	964.4	E858.2	E934.4	E950.4	E962.0	E980.4 Amantadine	Rx	966.4	E855.0	E936.4	E950.4	E962.0	E980.4 Ambien	Rx	967.9	E852.9	E937.9	E950.2	E962.0	E980.2 Amoxicillin	Rx	960.0	E856	E930.0	E950.4	E962.0	E980.4 Amoxil	Rx	960.0	E856	E930.0	E950.4	E962.0	E980.4 Ampicillin	Rx	960.0	E856	E930.0	E950.4	E962.0	E980.4 Amytal IM or IV	C	967.0	E851	E937.0	E950.1	E962.0	E980.1 Amytal po	Rx	967.0	E851	E937.0	E950.1	E962.0	E980.1 Analgesics (Unspecified)	OTC	965.9	E850.9	E935.9	E950.0	E962.0	E980.0 Analpram	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Anaprox	Rx	965.61	E850.6	E935.6	E950.0	E962.0	E980.0 Ancef	Rx	960.5	E856	E930.5	E950.4	E962.0	E980.4 Anusol HC 2.5%	Rx	976.3	E858.7	E946.0	E950.4	E962.0	E980.4 Anusol supp. OTC	976.3	E858.7	E946.3	E950.4	E962.0	E980.4 Anusol supp. 25mg	Rx	976.3	E858.7	E946.0	E950.4	E962.0	E980.4 ASA	OTC	965.1	E850.3	E935.3	E950.0	E962.0	E980.0 Aspirin	OTC	965.1	E850.3	E935.3	E950.0	E962.0	E980.0 Atarax	Rx	969.5	E853.8	E939.5	E950.3	E962.0	E980.3 Atenolol	Rx	972.6	E858.3	E942.6	E950.4	E962.0	E980.4 Ativan IM or IV	C	969.4	E853.2	E939.4	E950.3	E962.0	E980.3 Ativan PO	Rx	969.4	E853.2	E939.4	E950.3	E962.0	E980.3 Atropine	Rx	971.1	E855.4	E941.1	E950.4	E962.0	E980.4 Atrovent	Rx	975.7	E858.6	E945.7	E950.4	E962.0	E980.4 Atuss DM	OTC	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Atuss EX	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Atuss G	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Augmentin	Rx	960.0	E856	E930.0	E950.4	E962.0	E980.4 Auralgan	Rx	965.5	E850.5	E935.5	E950.0	E962.0	E980.0 Avelox	Rx	961.3	E857	E931.3	E950.4	E962.0	E980.4 Axid	OTC	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Azithromycin	Rx	960.3	E856	E930.0	E950.4	E962.0	E980.4 Bacitracin 	OTC	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Bacitracin Opthalmic	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 Baclofen	Rx	975.2	E858.6	E945.2	E950.4	E962.0	E980.4 Bactrim	Rx	960.8	E856	E930.8	E950.4	E962.0	E980.4 Bactroban	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Barbiturates	Rx	967.0	E851	E937.0	E950.1	E962.0	E980.1 Benadryl adult <50mg	OTC	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Benadryl adult 50+mg	Rx	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Benadryl child <25mg	OTC	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Benadryl child 25+mg	Rx	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Benadryl IM or IV	Rx	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Bentyl	Rx	971.1	E855.4	E941.1	E950.4	E962.0	E980.4 Benzamycin gel	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Benzodiazepines	Rx	969.4	E853.2	E939.4	E950.3	E962.0	E980.4 Benzoin	OTC	976.3	E858.7	E946.3	E950.4	E962.0	E980.4 Benztropine	Rx	966.4	E855.0	E936.4	E950.4	E962.0	E980.4 Beta Blockers	Rx	972.6	E858.3	E942.6	E950.4	E962.0	E980.4 Betadine	OTC	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Biaxin	Rx	960.3	E856	E930.3	E950.4	E962.0	E980.4 Bicillin 	Rx	960.0	E856	E930.0	E950.4	E962.0	E980.4 Birth Control Pills	Rx	962.2	E858.0	E932.2	E950.4	E962.0	E980.4 Bleph 10	Rx	975.5	E858.7	E946.5	E950.4	E962.0	E980.4 Breathine	Rx	971.2	E855.5	E941.2	E950.4	E962.0	E980.4 Bronkosol	Rx	975.7	E858.6	E945.7	E950.4	E962.0	E980.4 Bumex	Rx	974.4	E858.5	E944.4	E950.4	E962.0	E980.4 Buprenex	C	965.8	E850.8	E935.8	E950.0	E962.0	E980.4 Buspar	Rx	969.5	E853.8	E939.5	E950.3	E962.0	E980.3 Calcium Channel Blockers	Rx	972.6	E858.3	E942.6	E950.4	E962.0	E980.4 Calcium Gluconate	Rx	974.5	E858.5	E944.5	E950.4	E962.0	E980.4 Capoten	Rx	972.6	E858.3	E942.6	E950.4	E962.0	E980.4 Carafate	Rx	973.8	E858.4	E943.8	E950.4	E962.0	E980.4 Carbamazepine	Rx	966.3	E855.0	E936.3	E950.4	E962.0	E980.4 Cardec DM	Rx	975.4	E858.6	E945.5	E950.4	E962.0	E980.4 Cardizem (Cardioversion)	Rx	972.6	E858.3	E942.6	E950.4	E962.0	E980.4 Cataflam	Rx	965.69	E850.6	E935.6	E950.0	E962.0	E980.0 Catapres	Rx	972.6	E858.3	E942.6	E950.4	E962.0	E980.4 Ceclor	Rx	960.5	E856	E930.5	E950.4	E962.0	E980.4 Cefaclor	Rx	960.5	E856	E930.5	E950.4	E962.0	E980.4 Ceftin	Rx	960.5	E856	E930.5	E950.4	E962.0	E980.4 Cefzil	Rx	960.5	E856	E930.5	E950.4	E962.0	E980.4 Celebrex	Rx	965.8	E850.8	E935.8	E950.0	E962.0	E980.0 Celestone	Rx	962.0	E858.0	E932.0	E950.4	E962.0	E980.4 Celexa	Rx	969.0	E854.0	E939.0	E950.3	E962.0	E980.3 Cepacol cold sore cream	OTC	968.5	E855.2	E938.5	E950.4	E962.0	E980.4 Cepacol Lozenges/Spray	OTC	976.6	E858.7	E946.6	E950.4	E962.0	E980.4 Cephalexin	Rx	960.5	E856	E930.5	E950.4	E962.0	E980.4 Cerumenex	Rx	976.6	E858.7	E946.6	E950.4	E962.0	E980.4 Cetacaine	Rx	968.5	E855.2	E938.5	E950.4	E962.0	E980.4 Chemdal	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Chloral Hydrate	Rx	967.1	E852.0	E937.1	E950.2	E962.0	E980.2 Ciloxan Ophthalmic	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 Cimetadine	Rx	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Cipro	Rx	960.8	E856	E930.8	E950.4	E962.0	E980.4 Claforan	Rx	960.5	E856	E930.5	E950.4	E962.0	E980.4 Claritin (Eff.12-10-02)	OTC	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Clindamycin	Rx	960.8	E856	E930.8	E950.4	E962.0	E980.4 Clonazepam	Rx	969.4	E853.2	E939.4	E950.3	E962.0	E980.3 Clonidine	Rx	972.6	E858.3	E942.6	E950.4	E962.0	E980.4 Clotrimazole	Rx	976.0	E858.7	E946.0	E950.4	E962.0	e980.4 Codeine	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Codiclear	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Cogentin	Rx	971.1	E855.4	E941.1	E950.4	E962.0	E980.4 Cogesic	Rx	965.8	E850.8	E935.8	E950.0	E962.0	E980.0 Colace	OTC	973.2	E858.4	E943.2	E950.4	E962.0	E962.0 Colchicine	Rx	974.7	E858.5	E944.7	E950.4	E962.0	E980.4 Compazine	Rx	969.1	E853.0	E939.1	E950.3	E962.0	E980.3 Copaxone	Rx	963.1	E858.1	E933.1	E950.4	E962.0	E980.4 Coricidin	OTC	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Cortane B	Rx	976.6	E858.7	E946.6	E950.4	E962.0	E980.4 Cortisporin (eye)	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 Cortisporin otic (ear)	Rx	976.6	E858.7	E946.6	E950.4	E962.0	E980.4 Cotazym-S	Rx	973.4	E858.4	E943.4	E950.4	E962.0	E980.4 Cotuss-V	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Coumadin	Rx	964.2	E858.2	E934.2	E950.4	E962.0	E980.4 Creon	Rx	973.4	E858.4	E943.4	E950.4	E962.0	E980.4 D50 (IV Additive)	OTC	974.4	E858.5	E944.5	E950.4	E962.0	E980.4 D5W (Not an IV Additive)	OTC	974.5	E858.5	E944.5	E950.4	E962.0	E980.4 Darvocet	Rx	965.8	E850.8	E935.8	E950.0	E962.0	E980.0 Darvon	Rx	965.8	E850.8	E935.8	E950.0	E962.0	E980.0 V	Rx	965.8	E850.8	E935.8	E950.0	E962.0	E980.0 Debrox	OTC	976.6	E858.7	E946.6	E950.4	E962.0	E980.4 Decadron	Rx	962.0	E858.0	E932.0	E950.4	E962.0	E980.4 Deconamine CX	Rx	975.5	E858.6	E945.5	E950.4	E962.0	E980.4 Demadex	Rx	974.4	E858.5	E944.4	E950.4	E962.0	E980.4 Demerol IM or IV	C	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Demerol po	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Denavir	Rx	961.7	E857	E931.7	E950.4	E962.0	E980.4 Depakote	Rx	966.3	E855.0	E936.3	E950.4	E962.0	E980.4 Depo-medrol	Rx	962.0	E858.0	E932.0	E950.4	E962.0	E980.4 Dexamethasone	Rx	962.0	E858.0	E932.0	E950.4	E962.0	E980.4 Dexamethasone (eyes)	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 DHE	Rx	972.9	E858.3	E942.9	E950.4	E962.0	E980.4 Diazepam IM or IV	C	969.4	E853.2	E939.4	E950.3	E962.0	E980.3 Diazepam po	Rx	969.4	E853.2	E939.4	E950.3	E962.0	E980.3 Diclofenac Sodium	Rx	965.69	E850.6	E935.6	E950.0	E962.0	E980.0 Diclofenac Potassium	Rx	965.69	E850.6	E935.6	E950.0	E962.0	E980.0 Diflucan	Rx	960.1	E856	E930.1	E950.4	E962.0	E980.4 Digoxin	Rx	972.1	E858.3	E942.1	E950.4	E962.0	E980.4 Dihydroergotamine	Rx	972.9	E858.3	E942.9	E950.4	E962.0	E980.4 Dilantin	Rx	966.1	E855.0	E936.1	E950.4	E962.0	E980.4 Dilaudid IM or IV	C	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Dilaudid po	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Diltiazem	Rx	972.6	E858.3	E942.6	E950.4	E962.0	E980.4 Dimetane DX	Rx	975.4	E858.6	E945.4	E950.4	E962.0	E980.4 Dimetapp (all)	OTC	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Diphenhydramine                        see Benedryl	N/A	N/A	N/A	N/A	N/A	N/A	N/A Dolobid	Rx	965.7	E850.7	E935.7	E950.0	E962.0	E980.0 Dolophine	Rx	965.02	E850.1	E935.1	E950.0	E962.0	E980.0 Donnagel	OTC	973.5	E858.4	E943.5	E950.4	E962.0	E980.4 Donnatal	Rx	967.0	E851	E937.0	E950.1	E962.0	E980.1 Dover's Powder	Rx	965.00	E850.2	E935.2	E950.0	E962.0	E980.0 Doxycycline	Rx	960.4	E856	E930.4	E950.4	E962.0	E980.4 Droperidol	Rx	969.2	E853.1	E939.2	E950.3	E962.0	E980.3 DT	Rx	978.9	E858.8	E948.9	E950.4	E962.0	E980.4 Dulcolax	OTC	973.1	E858.4	E943.1	E950.4	E962.0	E980.4 Duragesic	C	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Duratuss HD	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Duricef	Rx	960.5	E856	E930.5	E950.4	E962.0	E980.4 Econopred	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 EES	Rx	960.3	E856	E930.3	E950.4	E962.0	E980.4 Effexor	Rx	969.0	E854.0	E939.0	E950.3	E962.0	E980.3 Elavil	Rx	969.0	E854.0	E939.0	E950.3	E962.0	E980.3 Elimite	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Eminase IV	TPA	964.4	E858.2	E934.4	E950.4	E962.0	E980.4 EMLA Cream or Disc	Rx	968.5	E855.2	E938.5	E950.4	E962.0	E980.4 Empirin w/ codeine	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 E-mycin	Rx	960.3	E856	E930.3	E950.4	E962.0	E980.4 Endal HD	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Entex 	Rx	971.2	E855.5	E941.2	E950.4	E962.0	E980.4 Entuss 	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Ephedrine	Rx	971.2	E855.5	E941.2	E950.4	E962.0	E980.4 Epi	Rx	971.2	E855.5	E941.2	E950.4	E962.0	E980.4 Epinephrine	Rx	971.2	E855.5	E941.2	E950.4	E962.0	E980.4 Equanil	Rx	969.5	E853.8	E939.5	E950.3	E962.0	E980.3 Erythromycin	Rx	960.3	E856	E930.3	E950.4	E962.0	E980.4 Erythromycin (eyes)	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 Erythromycin (topical)	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Famciclovir	Rx	961.7	E857	E931.7	E950.4	E962.0	E980.4 Famvir	Rx	961.7	E857	E931.7	E950.4	E962.0	E980.4 Feldene	Rx	965.8	E850.8	E935.8	E950.0	E962.0	E980.0 Fentanyl	C	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Fioricet	Rx	967.0	E851	E937.0	E950.1	E962.0	E980.1 Fiorinal w/ codeine	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Flagyl	Rx	961.5	E857	E931.5	E950.4	E962.0	E980.4 Flexeril	Rx	975.2	E858.6	E945.2	E950.4	E962.0	E980.4 Flonase	Rx	976.6	E858.7	E946.6	E950.4	E962.0	E980.4 Flovent	Rx	975.7	E858.6	E945.7	E950.4	E962.0	E980.4 Floxin	Rx	961.3	E857	E931.3	E950.4	E962.0	E980.4 Flumadine	Rx	961.7	E857	E931.7	E950.4	E962.0	E980.4 Focalin	Rx	969.7	E854.2	E939.7	E950.3	E962.0	E980.3 Fulvicin	Rx	960.1	E856	E930.1	E950.4	E962.0	E980.4 Furosemide	Rx	974.4	E858.5	E944.4	E950.4	E962.0	E980.4 Furosemide IV	C	974.4	E858.5	E944.4	E950.4	E962.0	E980.4 Gaviscon	OTC	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Gentamicin ophthalmic	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 Geodon	Rx	969.3	E853.8	E939.3	E950.3	E962.0	E980.3 GI cocktail	Rx	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Golytely	Rx	974.5	E858.5	E944.5	E950.4	E962.0	E980.4 Grasshopper	Rx	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Grifulvin V	Rx	960.1	E856	E930.1	E950.4	E962.0	E980.4 Grisactin	Rx	960.1	E856	E930.1	E950.4	E962.0	E980.4 Griseofulvin	Rx	960.1	E856	E930.1	E950.4	E962.0	E980.4 Gris-Peg	Rx	960.1	E856	E930.1	E950.4	E962.0	E980.4 Halcion	Rx	969.4	E853.2	E939.4	E950.3	E962.0	E980.3 Haldol	Rx	969.2	E853.1	E939.2	E950.3	E962.0	E980.3 Heparin	Rx	964.2	E858.2	E934.2	E950.4	E962.0	E980.4 Hibiclens	OTC	976.2	E858.7	E946.2	E950.4	E962.0	E980.4 Histex	Rx	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Histussin Syrup	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 HMS Liquifilm	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 Humabid 	Rx	975.4	E858.6	E945.4	E950.4	E962.0	E980.4 Humulin	Rx	962.3	E858.0	E932.3	E950.4	E962.0	E980.4 Hurricane Spray	OTC	968.5	E855.2	E938.5	E950.4	E962.0	E980.4 Hycodan	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Hycotuss	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Hydrocodone	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Hydrocortisone cream >1%	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Hydrocortisone cream 1%	OTC	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Hydromorphone IM or IV	C	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Hydromorphone po	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Hydroxyzine	Rx	969.5	E853.8	E939.5	E950.3	E962.0	E980.3 Ibuprofen adult <400mg	OTC	965.61	E850.6	E935.6	E950.0	E962.0	E980.0 Ibuprofen adult 400+mg	Rx	965.61	E850.6	E935.6	E950.0	E962.0	E980.0 Ibuprofen child <100mg	OTC	965.61	E850.6	E935.6	E950.0	E962.0	E980.0 Ibuprofen child 100+mg	Rx	965.61	E850.6	E935.6	E950.0	E962.0	E980.0 Iletin	Rx	962.3	E858.0	E932.3	E950.4	E962.0	E980.4 Imipramine	Rx	969.0	E854.0	E939.0	E950.3	E962.0	E980.3 Imitrex	Rx	972.9	E858.3	E942.9	E950.4	E962.0	E980.4 Imodium	OTC	973.5	E858.4	E943.5	E950.4	E962.0	E980.4 Inderal	Rx	972.0	E858.3	E942.0	E950.4	E962.0	E980.4 Indocin	Rx	965.69	E850.6	E935.6	E950.0	E962.0	E980.0 Insulin	Rx	962.3	E858.0	E932.3	E950.4	E962.0	E980.4 Interferon	Rx	961.7	E857	E931.7	E950.4	E962.0	E980.4 Ipecac	OTC	973.6	E858.4	E943.6	E950.4	E962.0	E980.4 Kaopectate	OTC	973.5	E858.4	E943.5	E950.4	E962.0	E980.4 KCL	Rx	974.5	E858.5	E944.5	E950.4	E962.0	E980.4 K-dur	Rx	974.5	E858.5	E944.5	E950.4	E962.0	E980.4 Keflex	Rx	960.5	E856	E930.5	E950.4	E962.0	E980.4 Kenalog	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Klonopin	Rx	969.4	E853.2	E939.4	E950.3	E962.0	E980.3 Kwell	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Lamisil Cream	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Lamisil Tablets	Rx	960.1	E856	E930.1	E950.4	E962.0	E980.4 Lanoxin	Rx	972.1	E858.3	E942.1	E950.4	E962.0	E980.4 Lasix	Rx	974.4	E858.5	E944.4	E950.4	E962.0	E980.4 Lasix IV	C	974.4	E858.5	E944.4	E950.4	E962.0	E980.4 LAT	OTC	968.5	E855.2	E938.5	E950.4	E962.0	E980.4 Levaquin	Rx	960.8	E856	E930.8	E950.4	E962.0	E980.4 Levsin	Rx	971.1	E855.4	E941.1	E950.4	E962.0	E980.4 Librium	Rx	969.4	E853.2	E939.4	E950.3	E962.0	E980.3 Lidex	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Lidocaine/Viscous Lid. Rx	968.5	E855.2	E938.5	E950.4	E962.0	E980.4 Lindane	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Lipitor	Rx	972.2	E858.3	E942.2	E950.4	E962.0	E980.4 Lisinopril	Rx	971.3	E855.6	E941.3	E950.4	E962.0	E980.4 Lithium	Rx	969.8	E855.8	E939.8	E950.3	E962.0	E980.3 Lodine	Rx	965.7	E850.7	E935.7	E950.0	E962.0	E980.0 Lomatil	Rx	973.5	E858.4	E943.5	E950.4	E962.0	E980.4 Lopressor	Rx	972.6	E858.3	E942.6	E950.4	E962.0	E980.4 Loprox Cream	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Lorabid	Rx	960.3	E856	E930.3	E950.4	E962.0	E980.4 Lorazepam IM or IV	C	969.4	E853.2	E939.4	E950.3	E962.0	E980.3 Lorazepam po	Rx	969.4	E853.2	E939.4	E950.3	E962.0	E980.3 Lorcet	Rx	965.8	E850.8	E935.8	E950.0	E962.0	E980.0 Lortab	Rx	965.8	E850.8	E935.8	E950.0	E962.0	E980.0 Lotrel	Rx	972.6	E858.3	E942.6	E950.4	E962.0	E980.4 Lotrimin 	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Lotrisone	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Lovastatin	Rx	972.2	E858.3	E942.2	E950.4	E962.0	E980.4 Lovenox	Rx	964.2	E858.2	E934.2	E950.4	E962.0	E980.4 Maalox 	OTC	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Macrobid	Rx	961.9	E857	E931.9	E950.4	E962.0	E980.4 Macrodantin	Rx	961.9	E857	E931.9	E950.4	E962.0	E980.4 Mag-carb	Rx	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Magic Mouthwash	Rx	968.5	E855.2	E938.5	E950.4	E962.0	E980.4 Magnesium Citrate	OTC	973.3	E858.4	E943.3	E950.4	E962.0	E980.4 Maxidex	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 Maxitrol Ophthalmic	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 Meclizine	Rx	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Medrol	Rx	962.0	E858.0	E932.0	E950.4	E962.0	E980.4 Mepergan IM or IV	C	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Mepergan po	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Meperidine IM or IV	C	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 S	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Methadone	Rx	965.02	E850.1	E935.1	E950.0	E962.0	E980.0 Methadose	Rx	965.02	E850.1	E935.1	E950.0	E962.0	E980.0 Methamphetamines	Rx	969.7	E854.2	E939.7	E950.3	E962.0	E980.3 Methyl prednisolone	Rx	962.0	E858.0	E932.0	E950.4	E962.0	E980.4 Metoprolol	Rx	972.6	E858.3	E942.6	E950.4	E962.0	E980.4 Metrogel	Rx	961.5	E857	E931.5	E950.4	E962.0	E980.4 Midrin	Rx	967.1	E852.0	E937.1	E950.2	E962.0	E980.2 Miltown 	Rx	969.5	E853.8	E939.5	E950.3	E962.0	E980.3 MiraLax	Rx	976.3	E858.7	E946.3	E950.4	E962.0	E980.4 Morphine IM or IV	C	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Morphine po	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Motrin adult <400mg	OTC	965.61	E850.6	E935.6	E950.0	E962.0	E980.0 Motrin adult 400+mg	Rx	965.61	E850.6	E935.6	E950.0	E962.0	E980.0 Motrin child <100mg	OTC	965.61	E850.6	E935.6	E950.0	E962.0	E980.0 Motrin child 100+mg	Rx	965.61	E850.6	E935.6	E950.0	E962.0	E980.0 MS-Contin	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 MS/MSO4 IM or IV	C	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 MS/MSO4 po	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Muco-fen Tablets	Rx	975.5	E858.6	E945.5	E950.4	E962.0	E980.4 Mycelex	OTC	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Mycolog cream	Rx	960.1	E856	E930.1	E950.4	E962.0	E980.4 Mycostatin	Rx	960.1	E856	E930.1	E950.4	E962.0	E980.4 Mylicon	OTC	973.8	E858.4	E943.8	E950.4	E962.0	E980.4 Mysolog	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Naldecon CX	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Naprelan	Rx	965.61	E850.6	E935.6	E950.0	E962.0	E980.4 Naprosyn	Rx	965.61	E850.6	E935.6	E950.0	E962.0	E980.4 Naproxen	Rx	965.61	E850.6	E935.6	E950.0	E962.0	E980.0 Narcan	Rx	970.1	E854.3	E940.1	E950.4	E962.0	E980.4 Nasocort 	Rx	976.6	E858.7	E946.6	E950.4	E962.0	E980.4 Nasonex	Rx	976.6	E858.7	E946.6	E950.4	E962.0	E980.4 Nembutal IM or IV	C	967.0	E851	E937.0	E950.1	E962.0	E980.1 Nembutal po	Rx	967.0	E851	E937.0	E950.1	E962.0	E980.1 Neomycin Ophthalmic	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 Neosporin Cream/Ointment	OTC	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Neosporin GU Irrigant	Rx	960.8	E856	E930.8	E950.4	E962.0	E980.4 Neosporin Opthalmic	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 Neosynephrine nasal	OTC	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Neosynephrine Opthalmic	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 Neurontin	Rx	966.3	E855.0	E936.3	E950.4	E962.0	E980.4 Nexium	Rx	973.8	E858.4	E943.8	E950.4	E962.0	E980.4 Niacin	Rx	972.2	E858.3	E942.2	E950.4	E962.0	E980.4 Nitro	Rx	972.4	E858.3	E942.4	E950.4	E962.0	E980.4 Nitroglycerin IM or IV	C	972.4	E858.3	E942.4	E950.4	E962.0	E980.4 Nitroglycerin po or paste	Rx	972.4	E858.3	E942.4	E950.4	E962.0	E980.4 Nitrostat	Rx	972.4	E858.3	E942.4	E950.4	E962.0	E980.4 Nix cream	OTC	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Nizoral	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Noctec	Rx	967.1	E852.0	E937.1	E950.2	E962.0	E980.2 Norco 	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Norepinephrine	Rx	971.2	E855.5	E941.2	E950.4	E962.0	E980.4 Norflex	Rx	966.4	E855.0	E936.4	E950.4	E962.0	E980.4 Nortriptyline	Rx	969.0	E854.0	E939.0	E950.3	E962.0	E980.3 Norvasc	Rx	972.6	E858.3	E942.6	E950.4	E962.0	E980.4 Novolin	Rx	962.3	E858.0	E932.3	E950.4	E962.0	E980.4 NSAID	OTC	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 NTG Paste	Rx	972.4	E858.3	E942.4	E950.4	E962.0	E980.4 Nubain	Rx	970.1	E854.3	E940.1	E950.4	E962.0	E980.4 Numorphan IM or IV	C	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Numorphan suppository	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Nutracort	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Nystatin	Rx	960.1	E856	E930.1	E950.4	E962.0	E980.4 Omnicef	Rx	960.5	E856	E930.5	E950.4	E962.0	E980.4 Opium	Rx	965.00	E850.2	E935.2	E950.0	E962.0	E980.0 Orajel	OTC	968.5	E855.2	E938.5	E950.4	E962.0	E980.4 Orapred	Rx	962.0	E858.0	E932.0	E950.4	E962.0	E980.4 Oxycodone	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Oxycontin	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Palgic DS	Rx	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Pancrease	Rx	973.4	E858.4	E943.4	E950.4	E962.0	E980.4 Pancrelipase	Rx	973.4	E858.4	E943.4	E950.4	E962.0	E980.4 Pancron	Rx	973.4	E858.4	E943.4	E950.4	E962.0	E980.4 Panlor	Rx	970.1	E854.3	E940.1	E950.4	E962.0	E980.4 Panmist DM	Rx	975.5	E858.6	E945.5	E950.4	E962.0	E980.4 Parafon Forte DSC	Rx	968.0	E855.1	E938.0	E950.4	E962.0	E980.4 Paregoric	Rx	965.00	E850.2	E935.2	E950.0	E962.0	E980.0 Parepectolin	Rx	965.00	E850.2	E935.2	E950.0	E962.0	E980.0 Paxil	Rx	969.0	E854.0	E939.0	E950.3	E962.0	E980.3 Pediacare	OTC	975.6	E858.6	E945.6	E950.4	E962.0	E980.4 Pediapred	Rx	962.0	E858.0	E932.0	E950.4	E962.0	E980.4 PediaProfen  <100 mg	OTC	965.61	E850.6	E935.6	E950.0	E962.0	E980.0 PediaProfen  100+ mg	Rx	965.61	E850.6	E935.6	E950.0	E962.0	E980.0 Pediazole	Rx	960.3	E856	E930.3	E950.4	E962.0	E980.4 Pen VK	Rx	960.0	E856	E930.0	E950.4	E962.0	E980.4 Penicillin	Rx	960.0	E856	E930.0	E950.4	E962.0	E980.4 Pepcid 20+mg	Rx	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Pepcid AC	OTC	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Pepcid IM or IV	Rx	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Percocet	Rx	965.8	E850.8	E935.8	E950.0	E962.0	E980.0 Percodan	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Pethidine IM or IV	C	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Pethidine po	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Phenergan	Rx	967.8	E852.8	E937.8	E950.2	E962.0	E980.2 Phenobarbital IM or IV	C	967.0	E851	E937.0	E950.1	E962.0	E980.1 Phenobarbital po	Rx	967.0	E851	E937.0	E950.1	E962.0	E980.1 Piroxicam	Rx	965.8	E850.8	E935.8	E950.0	E962.0	E980.0 Plavix	Rx	972.9	E858.3	E942.9	E950.4	E962.0	E980.4 Polymyxin Opthalmic	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 Potassium chloride	Rx	974.5	E858.5	E944.5	E950.4	E962.0	E980.4 Pred Mild	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 Prednisolone	Rx	962.0	E858.0	E932.0	E950.4	E962.0	E980.4 Prednisone	Rx	962.0	E858.0	E932.0	E950.4	E962.0	E980.4 Prelone	Rx	962.0	E858.0	E932.0	E950.4	E962.0	E980.4 Prevacid over 30mg	Rx	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Prevacid 30mg or less	OTC	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Prilosec	Rx	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Primaxin	Rx	960.8	E856	E930.8	E950.4	E962.0	E980.4 Prinivil	Rx	971.3	E855.6	E941.3	E950.4	E962.0	E980.4 Probenecid	Rx	974.7	E858.5	E944.7	E950.4	E962.0	E980.4 Procardia	Rx	972.4	E858.3	E942.4	E950.4	E962.0	E980.4 Promethazine	Rx	967.8	E852.8	E937.8	E950.2	E962.0	E980.2 Propulsid	Rx	971.0	E855.3	E941.0	E950.4	E962.0	E980.4 Protilase	Rx	973.4	E858.4	E943.4	E950.4	E962.0	E980.4 Protonix	Rx	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Proventil	Rx	975.7	E858.6	E945.7	E950.4	E962.0	E980.4 Prozac	Rx	969.0	E854.0	E939.0	E950.3	E962.0	E980.3 Pyridium	Rx	976.1	E858.7	E946.1	E950.4	E962.0	E980.4 Quindol	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Rally Pack	OTC	974.4	E858.5	E944.5	E950.4	E962.0	E980.4 Ranitidine 150 or 300	Rx	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Ranitidine 75	OTC	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Ranitidine IM or IV	Rx	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Reglan	Rx	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Relafen	Rx	965.7	E850.6	E935.6	E950.0	E962.0	E980.0 Remeron	Rx	969.0	E854.0	E939.0	E950.3	E962.0	E980.3 Restoril	Rx	969.4	E853.2	E939.4	E950.3	E962.0	E980.3 Retavase IV	TPA	964.4	E858.2	E934.4	E950.4	E962.0	E980.4 Rhinocort	Rx	962.0	E858.0	E932.0	E950.4	E962.0	E980.4 RhoGAM	Rx	964.6	E858.2	E934.6	E950.4	E962.0	E980.4 Rimantadine	Rx	961.7	E857	E931.7	E950.4	E962.0	E980.4 Risperdal	Rx	969.3	E853.8	E939.3	E950.3	E962.0	E980.4 Ritalin	Rx	969.7	E854.2	E939.7	E950.3	E962.0	E980.3 Robaxin	Rx	968.0	E855.1	E938.0	E950.4	E962.0	E980.4 Robitussin (all others)	OTC	975.4	E858.6	E945.4	E950.4	E962.0	E980.4 Robitussin AC or DAC	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Rocephin	Rx	960.5	E856	E930.5	E950.4	E962.0	E980.4 Rohypnol	N/A	969.4	E853.2	N/A	E950.3	E962.0	E980.4 Rondec DM	Rx	975.4	E858.6	E945.4	E950.4	E962.0	E980.4 Roofies	N/A	969.4	E853.2	N/A	E950.3	E962.0	E980.4 Roxicodone	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Roxanol	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Rynatan	Rx	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Salicylates	Rx	965.1	E850.3	E935.3	E950.0	E962.0	E980.0 Sebex	OTC	976.4	E858.7	E946.4	E950.4	E962.0	E980.4 Sebulex	OTC	976.4	E858.7	E946.4	E950.4	E962.0	E980.4 Septra	Rx	961.0	E857	E931.0	E950.4	E962.0	E980.4 Serevent	Rx	975.7	E858.6	E945.7	E950.4	E962.0	E980.4 Seroquel	Rx	969.3	E853.8	E939.3	E950.3	E962.0	E980.3 Serzone	Rx	969.0	E854.0	E939.0	E950.3	E962.0	E980.3 Silvadene	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Singulair	Rx	975.7	E858.6	E945.7	E950.4	E962.0	E980.4 Skelaxin	Rx	968.0	E855.1	E938.0	E950.4	E962.0	E980.4 Sodium bicarbonate	Rx	963.3	E858.1	E933.3	E950.4	E962.0	E980.4 Solumedrol	Rx	962.0	E858.0	E932.0	E950.4	E962.0	E980.4 Soma	Rx	968.0	E855.1	E938.0	E950.4	E962.0	E980.4 Sonata	Rx	967.9	E852.9	E937.9	E950.2	E962.0	E980.2 Stadol	C	970.1	E854.3	E940.1	E950.4	E962.0	E980.4 Strattera	Rx	971.2	E855.5	E941.2	E950.4	E962.0	E980.4 Streptokinase IV	TPA	964.4	E858.2	E934.4	E950.4	E962.0	E980.4 Sudafed	OTC	971.2	E855.5	E941.2	E950.4	E962.0	E980.4 Sulfacetamide drops	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 Sulf-10	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 Symmetrel	Rx	966.4	E855.0	E936.4	E950.4	E962.0	E980.4 Synthroid	Rx	962.7	E858.0	E932.7	E950.4	E962.0	E980.4 Tagamet	Rx	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Talacen	Rx	965.8	E850.8	E935.8	E950.0	E962.0	E980.0 Talwin	Rx	965.8	E850.8	E935.8	E950.0	E962.0	E980.0 TD	Rx	978.4	E858.8	E948.4	E950.4	E962.0	E980.4 Tegretol	Rx	966.3	E855.0	E936.3	E950.4	E962.0	E980.4 Tenormin	Rx	972.6	E858.3	E942.6	E950.4	E962.0	E980.4 Teq Paq	Rx	960.8	E856	E930.8	E950.4	E962.0	E980.4 Tequin	Rx	960.8	E856	E930.8	E950.4	E962.0	E980.4 Terbutaline	Rx	971.2	E855.5	E941.2	E950.4	E962.0	E980.4 Tessalon Perles	Rx	975.4	E858.6	E945.4	E950.4	E962.0	E980.4 Tetanus Toxoid	Rx	978.4	E858.8	E948.4	E950.4	E962.0	E980.4 Tetracaine	Rx	968.5	E855.2	E938.5	E950.4	E962.0	E980.4 Thiamine	OTC	963.5	E858.1	E933.5	E950.4	E962.0	E980.4 Thorazine	Rx	969.1	E853.0	E939.1	E950.3	E962.0	E980.3 Tigan	Rx	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 TNK IV	TPA	964.4	E858.2	E934.4	E950.4	E962.0	E980.4 TOA	OTC	968.5	E855.2	E938.5	E950.4	E962.0	E980.4 Tobradex	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 Tobramycin Opthalmic	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 Tobrex	Rx	976.5	E858.7	E946.5	E950.4	E962.0	E980.4 Topicort	Rx	976.3	E858.7	E946.3	E950.4	E962.0	E980.4 Toprol XL	Rx	972.6	E858.3	E942.6	E950.4	E962.0	E980.4 Toradol	Rx	965.7	E850.7	E935.7	E950.0	E962.0	E980.0 Tramadol	Rx	965.7	E850.7	E935.7	E950.0	E962.0	E980.0 Trandate	Rx	972.6	E858.3	E942.6	E950.4	E962.0	E980.4 Tranxene	Rx	969.4	E853.2	E939.4	E950.3	E962.0	E980.3 Trazodone	Rx	969.0	E854.0	E939.0	E950.3	E962.0	E980.3 Triaderm	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Triamcinolone	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Trileptal	Rx	966.3	E855.0	E936.3	E950.4	E962.0	E980.4 Trimox	Rx	960.0	E856	E930.0	E950.4	E962.0	E980.4 Tussend	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Tussionex	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Tylenol	OTC	965.4	E850.4	E935.4	E950.0	E962.0	E980.0 Tylenol #3	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Tylenol w/codeine	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Tylox	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Ultracet	Rx	970.1	E854.3	E940.1	E950.4	E962.0	E980.4 Ultram	Rx	965.7	E850.7	E935.7	E950.0	E962.0	E980.0 Ultrase	Rx	973.4	E858.4	E943.4	E950.4	E962.0	E980.4 Urokinase IV	TPA	964.4	E858.2	E934.4	E950.4	E962.0	E980.4 Valium IM or IV	C	969.4	E853.2	E939.4	E950.3	E962.0	E980.3 Valium po	Rx	969.4	E853.2	E939.4	E950.3	E962.0	E980.3 Valproic acid	Rx	966.3	E855.0	E936.3	E950.4	E962.0	E980.4 Valtrex	Rx	961.7	E857	E931.7	E950.4	E962.0	E980.4 Vancenase	Rx	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Vancomycin	Rx	960.8	E856	E930.8	E950.4	E962.0	E980.4 Velosulin	Rx	962.3	E858.0	E932.3	E950.4	E962.0	E980.4 Ventolin	Rx	975.7	E858.6	E950.4	E950.4	E962.0	E980.4 Verapamil	Rx	972.4	E858.3	E942.4	E950.4	E962.0	E980.4 Versed Injection 	C	969.4	E853.2	E939.4	E950.3	E962.0	E980.3 Versed Syrup	Rx	969.4	E853.2	E939.4	E950.3	E962.0	E980.3 Viagra	Rx	972.5	E858.3	E942.5	E950.4	E962.0	E980.4 Vibra-Tabs	Rx	960.4	E856	E930.4	E950.4	E962.0	E980.4 Vicodin	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Vicoprofen	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Vioxx	Rx	965.7	E850.7	E935.7	E950.0	E962.0	E980.0 Vistaril	Rx	969.5	E853.8	E939.5	E950.3	E962.0	E980.3 Voltaren	Rx	965.69	E850.6	E935.6	E950.0	E962.0	E980.0 Vortex	Rx	965.09	E850.2	E935.2	E950.0	E962.0	E980.0 Wellbutrin	Rx	969.0	E854.0	E939.0	E950.3	E962.0	E980.3 Westcort cream	Rx	976.0	E858.7	E946.0	E950.4	E962.0	E980.4 Wygesic	Rx	968.4	E855.1	E938.4	E950.4	E962.0	E980.4 Xanax (PO)	Rx	969.4	E853.2	E939.4	E950.3	E962.0	E980.3 Xopenx ( Always Nebulizer)	Rx	975.7	E858.6	E945.7	E950.4	E962.0	E980.4 Xylocaine viscus	Rx	968.5	E855.2	E938.5	E950.4	E962.0	E980.4 Zantac 150 or 300	Rx	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Zantac 75	OTC	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Zantac IM or IV	Rx	973.0	E858.4	E943.0	E950.4	E962.0	E980.4 Zithromax	Rx	960.3	E856	E930.3	E950.4	E962.0	E980.4 Zofran	Rx	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Zoloft	Rx	969.0	E854.0	E939.0	E950.3	E962.0	E980.3 Zomig	Rx	977.8	E858.8	E947.8	E950.4	E962.0	E980.4 Zosyn	Rx	960.5	E856	E930.5	E950.4	E962.0	E980.4 Zovirax	Rx	961.7	E857	E931.7	E950.4	E962.0	E980.4 Z-pack	Rx	960.3	E856	E930.3	E950.4	E962.0	E980.4 Ztuss	Rx	975.5	E858.6	E945.5	E950.4	E962.0	E980.4 Zyban	Rx	977.8	E858.8	E947.8	E950.4	E962.0	E980.4 Zymase	Rx	973.4	E858.4	E943.4	E950.4	E962.0	E980.4 Zyprexa	Rx	969.3	E853.8	E939.3	E950.3	E962.0	E980.3 Zyrtec	Rx	963.0	E858.1	E933.0	E950.4	E962.0	E980.4 Risk Level Legend:	OTC = Over The Counter = Low Risk Rx = Prescription = Moderate Risk C = Controlled Substance = High Risk TPA = TPA drug (check billing guidelines for             92977/if not billable = High Risk) Benedryl Conversion 5cc=12.5mg 1 tsp=12.5mg Motrin Conversion 5cc=100mg 1 tsp=100mg

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Page 1 of 7 Last Update 11.11.2011 Facility Service Billing - Quick Reference Chart Limited Distribution Copyright 2008 - 2011 Apollo Information Services, Inc. FACILITY SERVICE BILLING - QUICK REFERENCE CHART 11/11/2011 Apollo Information Services, Inc. INTRODUCTION “CMS has stated that each hospital may utilize its own unique system for assignment of E&M levels. Facility billing guidelines should be designed to reasonably relate the intensity of hospital services to the different levels of effort represented by the codes. Coding guidelines should be based on facility resources, should be clear to facilitate accurate payments, should only require documentation that is clinically necessary for patient care, and should not facilitate upcoding or gaming.” Source: ACEP ED Facility Level Coding Guidelines (http://www.acep.org/practres.aspx?id=30428 ). Last accessed April 23, 2009. INSTRUCTIONS  The determination of the appropriate CPT code (APC level) is based solely on the "Possible Interventions" listed in the middle column. The "Possible Interventions" refer to interventions on the part of the nursing and ancillary staff in the Emergency Department and not to interventions by the emergency physicians.  The CPT code level assigned is always the highest level at which a minimum of one "Possible Intervention" is found.  The far right column labeled "Potential Symptoms/Examples which Support the Interventions" is simply used as an aid to the coder in determining which interventions most likely correspond with a given CPT code/APC level. This far right column of "Potential Symptoms/Examples" is not used to determine the appropriate CPT code/APC level.

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Page 1 of 6 Last Update 02.23.2012 Critical Care Quick Reference Chart Limited Distribution © 2012 Apollo Information Services, Inc.. CRITICAL CARE QUICK REFERENCE CHART 2/23/2012 Apollo Information Services, Inc. DEFINITION OF CRITICAL CARE “A critical illness or injury acutely impairs one or more vital organ systems such that there is a high probability of imminent or life-threatening deterioration in the patient’s condition.” Source: American Medical Association CPT Manual 2012 “The care of such patients involves high complexity decision-making to assess, manipulate, and support vital system functions … or to prevent life-threatening deterioration in patient’s condition.” KEY POINTS • The physician must document in the record the amount of time spent providing critical care services. • The CPT code 99291 is defined by CPT as the first 30-74 minutes of critical care. Additional hospital critical care time beyond 74 minutes may be reported with CPT code 99292. • The physician treating the patient is best capable of determining criticality. The coder is responsible for the challenging task of assisting the physician in being compliant with critical care coding requirements. OTHER PROCEDURES Separately Billable Procedures Procedures Bundled into Critical Care • Endotracheal intubation • Interpretation of cardiac output measurements • Cricothyrotomy • Interpretation of chest x-rays • Transvenous pacemaker insertion • Interpretation of pulse oximetry • Thoracostomy (chest tube) • Interpretation of blood gases and computer data • Lumbar puncture • Blood draw for specimen • Splinting • Gastric intubation • Intraosseous line • Temporary transcutaneous pacing • Laceration repair • Ventilatory management • Central line (e.g., triple lumen) • Venous access procedures (starting an IV) REQUIREMENT FOR BOTH A CLINICAL CRITERION AND A TREATMENT CRITERION “Providing medical care to a critically ill, injured, or post-operative patient qualifies as a critical care service only if both the illness or injury and the treatment being provided meet the above requirements.” Source: • American Medical Association CPT Manual 2012 • Medicare Claims Processing Manual; Chap 12; page 61 • CMS Manual; Transmittal 1530; June 2008 • MLN Matters MM5993; July 2008 Page 2 of 6 Last Update 02.23.2012 Critical Care Quick Reference Chart Limited Distribution © 2012 Apollo Information Services, Inc.. CLINICAL CRITERIA “A critical illness or injury acutely impairs one or more vital organ systems …” “There is a high probability of sudden, clinically significant or life-threatening deterioration in the patient’s condition, which requires the highest level of physician preparedness to intervene urgently.” Source: • Issues Related to Critical Care Policy and Use of the Critical Care CPT codes 99291 and 99292; page 40; a description of CLINICAL and TREATMENT criteria; Chapter 23 Medicare Claims Manual; last revised 11/2008. • 1999 CMS memorandum B-99-43 • Lynx Manual 2009; page 122. Illness or Injury Critical (Unstable) Vital Signs • Abdominal aortic aneurysm Adult or Teen • Abdominal Trauma (i.e., emergency surgery needed) • O2 Saturation (pulse oximetry) < = 90% • Acute Coronary Syndrome (ACS) • Temperature < 95° or > 105 ° F • Altered Mental Status (e.g., coma, confusion, unresponsive) • Pulse 150 • Allergic Reaction (i.e., severe, wheezing, hypotension) • Respirations 30 • Anaphylaxis • Respiratory distress: Cheyne-Stokes Respiration • Arrhythmia (e.g., ventricular tachycardia; IV meds needed in ED) • Systolic BP > 230 or < 90 • Atrial Fibrillation (i.e., IV meds needed in ED) • Diastolic BP > 130 or < 40 • Asthma Attack (i.e., severe SOB or hypoxia) Child Age 1-12 Years • Burns (i.e., severe, requiring transfer or admission ) • O2 Saturation (pulse oximetry) < = 90% • Cardiac Arrest • Pulse 150 • Cervical spine fracture • Respirations 40 • Chest pain (e.g., admitted for acute coronary syndrome) • Respiratory distress: intercostal retractions or nasal flaring • Coma • Systolic BP < 70 • COPD Exacerbation (i.e., severe SOB or hypoxia) Infant 0-12 Months • Congestive Heart Failure (i.e., severe SOB or hypoxia) • O2 Saturation (pulse oximetry) <= 90% • Diabetic Ketoacidosis (DKA) • Pulse 200 • Diabetes Mellitus (DM), new onset • Respirations 60 • Eclampsia • Respiratory distress: intercostal retractions or nasal flaring • Epidural Hematoma • Systolic BP < 60 • Flail Chest (i.e., 2 ribs broken in 2 or more places) • GI Bleed (i.e., active; vomiting red blood or rectal bleeding) • Gunshot wound to head, neck, chest, or abdomen • Head Trauma (i.e., GCS < 12 or emergent surgery needed) Critical Lab Values • Hypothermia or Hyperthermia Electrolytes • Hypoglycemic Reaction (i.e., with altered mental status or coma) • Sodium (Na) 150 • Increased Intracranial Pressure • Potassium (K) < 2.5 or > 6.5 • Intracerebral bleed (e.g., intracerebral hemorrhage) • Calcium (Ca) 13 mg/dl • Meningitis (i.e., with altered mental status) • Magnesium < 1.5 or > 5 meq/L • Myocardial Infarction (MI) • Bicarbonate (CO2) 40 meq/L • Overdose or Poisoning • Glucose > 600 • Poisonous Snakebite CBC • Post-operative Complications • Hemoglobin (Hb) < 7 or Hematocrit (Hct) < 21 • Pulmonary Contusion • WBC < 2K or > 20K/μl • Pulmonary Edema • Platelet count < 20,000 • Pulmonary Embolism (PE) Cardiac Enzymes • Respiratory Arrest or Respiratory Failure • Troponin > 0.04 or maximum at specific lab • Respiratory Distress (i.e., severe SOB, intercostal retractions, stridor) • CK MB > than or = 5% • Sepsis, Septicemia, Septic Shock (i.e., overwhelming infection) Other • Severe Dehydration (e.g., hypotension, altered mental status) • Lactate level > 4 mmol/L or > 36 mg /L • Shock (e.g., cardiogenic, hypovolemic, septic) • Stab wound (penetrating trauma) to head, neck, chest, or abdomen • Status Epilepticus • Stroke • Subarachnoid Hemorrhage Critical Blood Gas (ABG) Values • Subdural hematoma • pH < 7.25 or > 7.6 • Violent-Combative Psychiatric Patients • pCO2 60 mm Hg • pO2 < 60 mm Hg • O2 Saturation (pulse oximetry) < = 90% Or other clearly critically ill patient meeting the definition at the top of page 1 with physician documentation of critical care management (i.e. critical care). Page 3 of 6 Last Update 02.23.2012 Critical Care Quick Reference Chart Limited Distribution © 2012 Apollo Information Services, Inc.. TREATMENT CRITERIA “Critical care services require direct personal management by the physician. They are life and organ supporting interventions that require frequent, personal assessment and manipulation by the physician. Withdrawal of, or failure to initiate these interventions on an urgent basis would likely result in sudden, clinically significant, or life threatening deterioration in the patient’s condition.” Source: • Issues Related to Critical Care Policy and Use of the Critical Care CPT codes 99291 and 99292; page 40; a description of CLINICAL and TREATMENT criteria; Chapter 23 Medicare Claims Manual; last revised 11/2008. • 1999 CMS memorandum B-99-43 • Lynx Manual 2009; page 122. Critical Care Drugs Medications administered IV unless otherwise specified. - Abciximab - Haldol (Haloperidol) IV or IM (> 1 dose for severe agitation) - Pitocin (Oxytocin) for postpartum vaginal hemorrhage - Activated Charcoal (Actidose) NG or PO - Heparin for pulmonary embolism (PE), R/O MI, acute coronary syndrome (ACS), TIA/CVA - Potassium IV for severe hypokalemia - Acetadote (N-Acetyl Cysteine), IV - Hexan (Mannitol) - Procainamide - Adenocard (Adenosine) (> 1 dose) - Hydralazine (Apresoline) (> 1 dose) - Propafenone (RytmonormR) - Aggrastat (Tirofiban) - Insulin drip or insulin IVP for DKA - Propanolol (> 1 dose) - Albuterol (3 nebulizer or 1 continuous) - Isuprel (Isoproterenol) - Propofol (Diprivan) drip - Amiodarone (Pacerone, Cordarone) - Kayexalate oral combined with IV D50, IV insulin or IV calcium (treatment for hyperkalemia) - Racemic epinephrine nebulizer for stridor with pulse ox < 90. - Antibiotics for severe infection (meningitis, septic shock, septicemia) with critical vital signs - Labetalol (Normodyne, Trandate) (> 1 dose) - ReoPro (Abciximab) - Atropine - Levophed (Norepinephrine) - Romazicon (Flumazenil) - Ativan (Lorazepam) IM or IV (> 1 dose; for actively seizing patient, status epilepticus, or severe agitation) - Lidocaine (Xylocaine) (IV not subcutaneous) - Sodium Bicarbonate - Calcium Chloride or Calcium Gluconate - Lasix (Furosemide) (> 1 dose) - Terbutaline SQ for severe asthma (3 doses) - Cardene (Nicardipine) - Lopressor (Metoprolol) (3 doses) - Thrombolytics (t-PA, Retavase, reteplase, TNKase, tenecteplase, streptokinase ) - Cardizem (Diltiazem) (> 1 dose or drip). - Lorazepam IM or IV (> 1 dose; for actively seizing patient, status epilepticus, or severe agitation) - Tirofiban - Corlopam (Fenoldopam) - Lovenox SQ for PE, R/O MI, or ACS - Tridil (IV Nitroglycerin) - CroFab for rattlesnake bite - Mannitol (Hexan) - Valium (diazepam) (> 1 dose; for actively seizing patient, status epilepticus, or severe) - D50 (> 1 dose) - Metoprolol (3 doses) Rapid Sequence Intubation (RSI) Drugs - Diazepam (> 1 dose; for actively seizing patient, status epilepticus or severe agitation). - Mucomyst (N-Acetyl Cysteine), NG or PO - Etomidate (Amidate) - Diazoxide (Hyperstat) - Narcan (Naloxone) for narcotic overdose - Rocuronium (Zemuron) - Diltiazem (> 1 dose or drip) - Natrecor (Nesiritide) drip - Succinylcholine (Anectine) - Digibind for digoxin overdose - Neosynephrine (Phenylephrine) drip - Vecuronium (Norcuron) - Dobutamine - Neseritide drip - Dopamine - Nicardipine Airway and Breathing Interventions - Epinephrine SQ (Adrenalin) for severe asthma (3 doses) - Nipride (Nitroprusside) - Intubation - Epinehprine SQ for anaphylaxis or severe allergic reaction - Nitroglycerin (not sublingual or paste) - BiPAP, CPAP - Eptifibatide (Integrillin) - Nitroprusside Circulation Interventions - Esmolol (Brevibloc) - Octreotide (Sandostatin) for bleeding esophageal varices Adult or Teen: 2 or more liters IV fluid boluses - Furosemide (>1 dose) - Oxytocin for postpartum vaginal hemorrhage Infant or Child: 40 ml / kg or more IV fluid boluses - Glucagon - Phenobarbitol for status epilepticus Blood transfusion for bleeding Procedures Non-tunneled or triple lumen catheters Pericardiocentesis Cricothyroidotomy Endotracheal intubation (e.g., ET Tube, LMA) Pacemaker insertion Intraosseous IV Thoracostomy tube (i.e., chest tube) Cardioversion CPR Page 4 of 6 Last Update 02.23.2012 Critical Care Quick Reference Chart Limited Distribution © 2012 Apollo Information Services, Inc.. CLINICAL / TREATMENT -- EXAMPLE CRITICAL CARE SCENARIOS • Most patients admitted from the E.D. to the ICU or CCU patients receive critical care services. A patient can receive critical care service in the E.D., become stabilized, and then get admitted to a non-ICU/CCU hospital unit. It is uncommon for a critical care patient to be discharged home from the E.D. • The example clinical scenarios listed below commonly require critical care services from the emergency physician. Example ABCs -- General 1 Respiratory arrest (stopped breathing) AND Intubation. 2 Respiratory failure AND Intubation with mechanical ventilation. 3 Cardiac arrest – Survived AND Successful CPR (if 30 minutes of "full attention" from physician). 4 Cardiac arrest – Died in Emergency Department AND Unsuccessful CPR and ED resuscitation (if 30 minutes of "full attention" from physician). 5 Adult with shock (hypotension; see Critical Vital Signs) AND Received 2,000 ml of saline boluses; admitted. 6 Child with shock (hypotension) AND Received 40 ml/kg of saline boluses; admitted. 7 Shock (hypotension) AND Dopamine or Levophed. 8 Hypertension (see Critical Vital Signs) AND Blood-pressure-lowering drugs (e.g, nipride drip, nitroglycerine drip, > 1 dose of labetolol). 9 Life-threatening surgical illness with shock, e.g.,: • Abdominal trauma with blood in abdomen or ruptured liver or spleen • Chest trauma with torn thoracic aorta • Perforated viscous (“free air”) • Ruptured esophagus AND Need for patient to go immediately to operating room for immediate stabilization or exploration (“emergency surgery”). 10 Stab or gunshot wounds of head, neck, chest or abdomen AND Need for patient to go immediately to operating room for immediate stabilization or exploration (“emergency surgery”). 11 Treatment of severe hypo/hyperkalemia, hypo/hypercalcemia, hypo/hypernatremia (see Critical Lab Values) AND IV medications or electrolyte replacement. Eyes Ears, Nose, Mouth, Throat 12 Severe tongue swelling from angioedema, difficulty swallowing and breathing. AND Epinephrine SQ and admitted to ICU Cardiovascular 13 Congestive heart failure or pulmonary edema AND CPAP or BiPAP. 14 Congestive heart failure or pulmonary edema with severe respiratory distress (or pulse ox <= 90%) AND IV nitroglycerin or more than 1 dose of lasix. 15 Acute STEMI or non-STEMI MI AND Taken to cath lab. 16 Acute STEMI or non-STEMI MI AND Thrombolytic meds given in ED. 17 Acute coronary syndrome (ACS) AND Requiring Heparin or Integrillin™ or ReoPro™. 18 Acute coronary syndrome (ACS) AND 3 doses Lopressor IV. 19 “Unstable angina” (ACS) AND IV nitroglycerin drip. 20 Atrial fibrillation with a fast heart rate (>100; often >140). AND Cardizem (diltizem) drip. 21 Tachy-Arrhythmia (e.g., VTach, Afib, Aflutter) with chest pain, SOB, or diaphoresis AND Chemical cardioversion. 22 Tachy-Arrhythmia (e.g., VTach, Afib, Aflutter) AND Electrical cardioversion. 23 Bradyarrhythmia (e.g., heart rate < 40). AND Requiring external or internal pacemaker Page 5 of 6 Last Update 02.23.2012 Critical Care Quick Reference Chart Limited Distribution © 2012 Apollo Information Services, Inc.. Respiratory 24 COPD or asthma attack or pneumonia AND BiPAP 25 COPD or asthma attack or pneumonia with severe respiratory distress (or pulse ox <= 90%) AND Requiring admission to ICU. 26 COPD or asthma patient with severe respiratory distress (or pulse ox <= 90%) AND 3 or more albuterol nebulizer treatments or a continuous nebulizer treatment. 27 Pulmonary embolus, positive CT scan or angiogram AND Treated with IV heparin or Lovenox SQ. 28 Tension pneumothorax, large pneumothorax (> 25%) or a hemothorax AND Thoracostomy tube (chest tube) insertion. 29 Severe stridor (e.g., severe croup or epiglottitis) with hypoxia AND Racemic epinephrine nebulizer. 30 Septic shock or septicemia with Critical Vital Signs AND IV antibiotic therapy Gastrointestinal 31 Child with severe diarrhea and vomiting, pale AND Received 40 ml/kg of saline boluses; admitted. 32 Vomiting red blood AND Blood transfusion 33 Rectal bleeding, lower GI bleeding with red blood AND Blood transfusion 34 Coffee ground emesis with pulse > 100 AND Blood transfusion 35 Melena (black stool) with pulse > 100 AND Blood transfusion Genitourinary 36 Urosepsis (or Septicemia with UTI) AND Received 2,000 ml of saline boluses; admitted. Musculoskeletal 37 Trauma-related femur or pelvic fractures with tachycardia > 100 or systolic BP < 100 AND Pelvic binder placed or sheet wrapped around pelvis to stabilize fracture; or traction splint (e.g., HARE) to stabilize femur fracture. Integumentary (Skin or Breast) 38 Severe burn (i.e., typically circumferential) AND Escharotomy in ED. 39 Venomous (e.g., rattlesnake) snake bite AND CroFab. Neurological 40 Post-traumatic quadriplegia or paraplegia or cord hematoma with neurologic complaints such as numbness or paresthesias. AND Admitted or transferred to spinal cord unit. 41 Cervical fracture/subluxation with or w/out neurological deficit. AND Admitted or transferred to spinal cord unit. 42 Altered mental status from septic shock or overwhelming infection AND Admitted to ICU, treated with fluids and antibiotics. 43 Traumatic subdural or epidural hematoma, or depressed skull fracture AND Admitted to ICU. 44 Hemorrhagic CVA AND Blood-pressure-lowering drugs (e.g, nipride drip, nitroglycerine drip, > 1 dose of Labetolol). 45 Hemorrhagic CVA AND ICU admission with neurology or neurosurgery consult 46 Head trauma with GCS < 12 AND Mannitol. 47 Thrombotic CVA AND Thrombolytic therapy (e.g., t-PA). 48 Meningitis with Critical Vital Signs or with altered mental status AND IV antibiotic therapy Page 6 of 6 Last Update 02.23.2012 Critical Care Quick Reference Chart Limited Distribution © 2012 Apollo Information Services, Inc.. Psychiatric 49 Confusion, coma, or apnea from narcotic overdose AND Treated with naloxone (Narcan) in E.D. 50 Overdose / poisoning requiring observation in ED > 4 hours or admission to hospital AND Charcoal (Actidose) PO or NG. 51 Overdose / poisoning requiring observation in ED > 4 hours or admission to hospital AND Gastric lavage (e.g., “stomach pumping” or gastric irrigation; Note: placement of an NG tube is not gastric lavage. Look for word “lavage”.) 52 Acetaminophen (Tylenol) overdose AND IV Acetadote or PO Mucomyst. 53 Combative violent patient, placed in restraints AND 2 or more doses of Haldol. 54 Combative violent patient, placed in restraints AND Haldol IV/IM and additional anti-psychotic IV/IM including Abilify, Geodon, Risperdal, or Zyprexa. 55 Significant trauma secondary to suicide attempt (i.e., gunshot or stab wound, lacerations causing significant bleeding, and attempted strangulation. AND Resuscitation, evaluation, psychiatric assessment 56 Overdose of beta blocker (e.g., metoprolol) or calcium channel blocker (e.g., cardizem) AND Treated with IV glucagon (an antidote for this type of overdose) Endocrine 57 DKA AND IV Insulin drip. 58 Hyperosmolar Syndrome (e.g., glucose > 600 with altered mental status or coma) AND IV Insulin drip. Hematologic - Lymphatic 59 Coagulopathy (elevated INR) with active bleeding AND Fresh frozen plasma (FFP). Allergic – Immunologic 60 Anaphylactic Reaction AND Epinephrine SQ. 61 Severe allergic reaction (e..g., diffuse hives with wheezing) AND Epinephrine SQ, re-examined and observed in ED for 4 hours, improved, discharged home. NOT CRITICAL CARE Typical Correct code if MDM and documentation support…. 1 Dead on Arrival No Charge 2 Died in Emergency Department and less than 30 minutes of critical care time from physician Usually this would be coded a 99285 3. Admitted to ICU because telemetry beds were full. 99284 or 99285 4. Stroke patient admitted to neuro floor or telemetry and treated with aspirin. 99285 5. Critically ill patient is “DO NOT RESUSCITATE” and no critical care interventions are performed. 99284 or 99285 6. Atrial fibrillation treated with a single dose of IV Cardizem (diltiazem). 99285 7 Congestive heart failure treated with a single dose of Lasix (furosemide). 99285 8 Appendicitis, positive CT scan, taken to operating room. 99285 9 Child with vomiting, received IV Zofran and 30 ml/kg saline; discharged home 99284 or 99285 10 Combative violent patient, placed in restraints, single dose of IM Haldol 99284 or 99285
 * 1) Clinical Criterion Treatment Criterion

12/29/2012 Commonly used Facility Coding Procedures: This list is to be used as a guide only and
12/29/2012 Commonly used Facility Coding Procedures: This list is to be used as a guide only and is not all-inclusive 46600	Anoscopy 36600	Arterial Line Placement - included in CC 99464	Baby's chart - Midwife (do not use 59409) 51798	Bladder Scan 36430	Blood Transfusion 92960	Cardioversion 29700	cast removal 51705	Cath-Supra Pubic 36555	Central Line < 5 yrs 36556	Central Line > 5 yrs 36591	Central Line Blood Draw 57510	Cervical Cautery 32551	Chest Tube (incision) 32422	Chest Tube (pneumo) 94761	Continuous Pulse Ox - Site Specific 65222	Cornea FB Removal w/ Slit Lamp 65220	Cornea FB Removal without Slit Lamp 92950	CPR 31605	Cricothyroidotomy 59514	C-Section 51102	Cystostomy 51705	Cystostomy Tube Change 36593	Declotting Vascular Device 69210	Ear Irrigation by Physician 93005	EKG - if multiple add 76 modifier (do not use 93010 for facility) Site Specific 62273	Epidural Blood Patch 65210	Eye Conjunctiva Embedded FB Removal 65205	Eye Conjunctiva Superficial FB Removal 36140	Fem Artery Line-Single Lumen 36430	Fresh Frozen Plasma (FFP) 51703	Foley Complex 51700	Foley w/ bladder irragation 51701	Foley in/out 51702	Foley/Urethral (temporary indwelling bladder catheter; simple eg, Foley) 28190	Foreign Body Removal from Foot 43760	G Tube Replacement 43761	G Tube Reposition 10140	I&D hematoma, seroma, or fluid collection 51701	In/out (I/O) bladder cath 31500	Intubation 29530	Knee Immobilizer - Site Specific 31505	Laryngoscopy 62270	Lumbar Puncture 30901	Nasal Cautery -gauze or cotton balls 30903	Nasal Packing Anterior Complex rhino rocket/tampon- bilateral add modifier 50 30901	Nasal Packing Anterior Simple 30905	Nasal Packing Posterior Initial 30906	Nasal Packing Posterior Subsequent 10160	Needle Aspiration 99440	Newborn Resuscitation 92953	Pacer (external) 33210	Pacer (internal temp) 36569	Pacerport/Mediport 49080	Paracentesis/Lavage 33010	Pericardiocentesis 36568	PICC Line <5 yrs 36569	PICC Line > 5 yrs 54220	Priapsim 94760	Pulse Ox 51701	Straight Cath 51702	Temporary indwelling catheter 32421	Thoracentesis Needle Asp 32422	Thoracentesis Needle Asp w/ tube 32551	Thoracostomy includes water seal 92977	Thrombolytics-Cardiac 37195	Thrombolytics-Stroke (medications included) 31502	Trach Replacement 31603	Tracheostomy 59409	Vaginal Delivery 36415	Venipuncture 36406	Venipuncture < 3 years old by MD 36400	Venipuncture < 3 years old by MD by jug/fem 36410	Venipuncture > 3 years old by MD

PCS
List of Common Controlled Substances '''DRUG NAME (alphabetically) Actiq® Adderall® Alfenta® Alfentanil Alprazolam Alzapam® Ambien® Anexsia® Anodynos-DHC® Astramorph® Ativan® Attenta® Azdone® Benzedrine Beta-phenyl-isopropylamine Buprenex® Buprenorphine Butorphanol Carisoprodol Chlorazepate Chlordiazepoxide Choral Hydrate Clonazepam Cocaine Cocaine® Topical Solution Codeine Codoxyn® Co-Gesic® Concerta® Dalmane® Damason-P® Darvocet-N® Darvon® Darvon-N® Daytrana® Demerol® Desoxyephedrine Dexedrine® Dextroamphetamine Dextrostat® Diazepam Diazepam® Dilaudid® Dilaudid-HP® Dolacet® Dolophine® Dover's Powder® Duadyne DHC® Duocet® Duragesic® Duramorph® E-Lor® Empirin® with Codeine Endocet® Epimorph® Equasym® Estazolam Fentanyl Fentanyl® Ferndex® Fiorinal® with Codeine Flunitrazepam Flurazepam Focalin® Genagesic® Halcion® Hydrocet® Hydrocodone Hydromorphone Hydrostat IR® Hy-Phen® Infumorph® Klonopin® Levo-Dromoran® Levorphanol Librium® Lorax® Lorazepam Lorcet® Lortab® Lunesta® Mepergan® Meperidine Metadate® Methadone Methamphetamine Methylin® Methylphenidate Methylphenidate Morphine Morphine Sulfate® MS Contin® MSIR® Noctec® Norcet® Norco® Novosecobarb® Opium Opium Tincture® Oralet® Oramorph SR® Oxazepam Oxycet® Oxycodone OxyContin® OxyFAST® OxyIR® Percocet® Percodan-Demi® Propacet® Propoxyphene ProSom® Resoxyn® Restoril® Ritalin® Ritalina® Ritaline® RMS® Rohypnol® Roxanol® Roxanol-SR® Roxicet® Roxicodone® Roxilox® Roxiprin® Rubifen® Secobarbital Seconal® Serax® Soma® Stadol® Statex® Sublimaze® Temazepam Tranxene® Triazolam Tylenol® with Codeine Tylox® Uniserts® Valium® Valrelease® Vicodin® Vicoprofen® Wygesic® Xanax® Zetran® Zydone®