|
HCPCS Code
|
May be submitted with HCPCS Modifier
|
Supervision Level
|
Physician Qualification
|
Technician Qualification
|
Revised Date
|
|
G0030
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0031
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0032
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0033
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0034
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0035
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0036
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0037
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0038
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0039
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0040
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0041
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0042
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0043
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0044
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0045
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0046
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0047
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0125
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0130
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0202
|
TC
|
9
|
Diagnostic Radiology (30)
|
RT (R) (M) ARRT
|
10/4/04
|
|
G0204
|
TC
|
9
|
Diagnostic Radiology (30)
|
RT (R) (M) ARRT
|
10/4/04
|
|
G0206
|
TC
|
9
|
Diagnostic Radiology 30)
|
RT (R) (M) ARRT
|
10/4/04
|
|
G0210
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0211
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0212
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0213
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0214
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0215
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0216
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0217
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0218
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0220
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0221
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0222
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0223
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0224
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0225
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0226
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0227
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0228
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0229
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0230
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0231
|
TC
|
9
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
10/4/04
|
|
G0232
|
TC
|
9
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
10/4/04
|
|
G0233
|
TC
|
9
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
10/4/04
|
|
G0234
|
TC
|
9
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
10/4/04
|
|
G0235
|
|
|
code will be denied by the system 04/05/05
|
RT (N) ARRT or CNMT
|
|
|
G0253
|
TC
|
9
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
10/4/04
|
|
G0254
|
|
3
|
Diagnostic Radiology (30)
|
RT (R) ARRT
|
|
|
G0254
|
TC
|
9
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
10/4/04
|
|
G0275
|
|
3
|
Diagnostic Radiology (30)
|
RT (R) ARRT
|
|
|
G0278
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
|
|
G0296
|
TC
|
1
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
8/5/04
|
|
G0336
|
TC
|
9
|
Nuclear Medicine (36) or Diagnostic Radiology (30)
|
RT (N) ARRT or CNMT
|
11/5/04
|
|
G0365
|
|
1
|
Diag Rad (30) or Vasc Surg (77) or Peripheral Vasc Disease
|
RVT or RVS
|
|