Appendix E -EAPG Consolidation · 3/15/2020 · 3 level i skin incision and drainage, debridement, destruction, other related px 5 nail procedures 16 simple wound repair and treatment

Appendi E - EAPG Consolidation

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E PG 2 SUPERFICI L NEEDLE BIOPSY ND SPIR TION

3 LEVEL I SKIN INCISION AND DRAINAGE, DEBRIDEMENT, DESTRUCTION, OTHER RELATED PX

5 NAIL PROCEDURES

16 SIMPLE WOUND REPAIR AND TREATMENT

17 INTERMEDIATE WOUND REPAIR AND TREATMENT

E PG 3 LEVEL I SKIN INCISION ND DR IN GE, DEBRIDEMENT, DESTRUCTION, OTHER REL TED PX

5 NAIL PROCEDURES

E PG 4 LEVEL II SKIN INCISION ND DR IN GE, DEBRIDEMENT, DESTRUCTION, OTHER REL TED PX

2 SUPERFICIAL NEEDLE BIOPSY AND ASPIRATION


5 NAIL PROCEDURES

9 LEVEL I SKIN EXCISIONS, BIOPSIES, AND REPAIRS

10 LEVEL II SKIN EXCISIONS, BIOPSIES, AND REPAIRS



19 MOHS MICROGRAPHIC SURGERY

90 LEVEL I VARICOSE VEIN AND RELATED PROCEDURES

E PG 9 LEVEL I SKIN EXCISIONS, BIOPSIES, ND REP IRS


5 NAIL PROCEDURES



E PG 10 LEVEL II SKIN EXCISIONS, BIOPSIES, ND REP IRS



5 NAIL PROCEDURES






E PG 11 LEVEL III SKIN EXCISIONS, BIOPSIES, ND REP IRS



4 LEVEL II SKIN INCISION AND DRAINAGE, DEBRIDEMENT, DESTRUCTION, OTHER RELATED PX

5 NAIL PROCEDURES





18 COMPLEX WOUND REPAIR AND TREATMENT


51 MUSCULOSKELETAL EXCISIONS, BIOPSIES, AND DRAINAGE PROCEDURES


E PG 16 SIMPLE WOUND REP IR ND TRE TMENT


5 NAIL PROCEDURES

E PG 17 INTERMEDI TE WOUND REP IR ND TRE TMENT


5 NAIL PROCEDURES


E PG 18 COMPLEX WOUND REP IR ND TRE TMENT




5 NAIL PROCEDURES







E PG 19 MOHS MICROGR PHIC SURGERY



5 NAIL PROCEDURES



E PG 20 LEVEL I BRE ST PROCEDURES




5 NAIL PROCEDURES







334 LEVEL I DEVICE PLACEMENT FOR RADIATION THERAPY

E PG 21 LEVEL II BRE ST PROCEDURES




5 NAIL PROCEDURES



11 LEVEL III SKIN EXCISIONS, BIOPSIES, AND REPAIRS





20 LEVEL I BREAST PROCEDURES


56 SKIN AND CONNECTIVE TISSUE GRAFTING AND FLAP PROCEDURES


338 LEVEL II DEVICE PLACEMENT FOR RADIATION THERAPY

E PG 22 LEVEL III BRE ST PROCEDURES




5 NAIL PROCEDURES








20 LEVEL I BREAST PROCEDURES

21 LEVEL II BREAST PROCEDURES





E PG 23 LEVEL I FORE RM NDWRIST PROCEDURES




5 NAIL PROCEDURES







33 LEVEL I HAND PROCEDURES

41 CLOSED TREATMENT FX AND DISLOCATION

44 BONE OR JOINT MANIPULATION UNDER ANESTHESIA

49 LEVEL I JOINT, TENDON, OR LIGAMENT INJECTION PROCEDURES

50 LEVEL II JOINT, TENDON, OR LIGAMENT INJECTION PROCEDURES


214 LEVEL I NERVOUS SYSTEM INJECTIONS INCLUDING CRANIAL TAP

220 LEVEL II NERVOUS SYSTEM INJECTIONS INCLUDING CRANIAL TAP


E PG 24 LEVEL II FORE RM NDWRIST PROCEDURES




5 NAIL PROCEDURES








23 LEVEL I FOREARM AND WRIST PROCEDURES


34 LEVEL II HAND PROCEDURES

36 LEVEL II FOOT PROCEDURES

37 LEVEL I ARTHROSCOPY






54 FIXATION DEVICE INSERTION OR REPLACEMENT PROCEDURES


124 BONE MARROW BIOPSIES

213 NERVE AND MUSCLE TESTS


217 LEVEL I NERVE PROCEDURE W OR W/O NEUROLOGICAL DEVICE




E PG 25 SHOULDER ND UPPER RM PROCEDURES




5 NAIL PROCEDURES









24 LEVEL II FOREARM AND WRIST PROCEDURES






46 LEVEL I ARTHROPLASTY













E PG 26 LEVEL I KNEE ND LOWER LEG PROCEDURES



5 NAIL PROCEDURES








35 LEVEL I FOOT PROCEDURES

















E PG 27 PELVIS, FEMUR ND UPPER LEG PROCEDURES



5 NAIL PROCEDURES








26 LEVEL I KNEE AND LOWER LEG PROCEDURES



















E PG 28 LEVEL I SPINE PROCEDURES



5 NAIL PROCEDURES


















53 SPINE INJECTIONS AND OTHER RELATED PROCEDURES










E PG 29 LEVEL II SPINE PROCEDURES



5 NAIL PROCEDURES









28 LEVEL I SPINE PROCEDURES




38 LEVEL II ARTHROSCOPY














218 LEVEL II NERVE PROCEDURE W OR W/O NEUROLOGICAL DEVICE


297 MAGNETOCEPHALOGRAPHY



339 LEVEL III DEVICE PLACEMENT FOR RADIATION THERAPY

E PG 33 LEVEL I H ND PROCEDURES



5 NAIL PROCEDURES












E PG 34 LEVEL II H ND PROCEDURES



5 NAIL PROCEDURES


LEVEL II SKIN EXCISIONS, BIOPSIES, AND REPAIRS 10















E PG 35 LEVEL I FOOT PROCEDURES



5 NAIL PROCEDURES


















E PG 36 LEVEL II FOOT PROCEDURES



5 NAIL PROCEDURES





















E PG 37 LEVEL I RTHROSCOPY



5 NAIL PROCEDURES













E PG 38 LEVEL II RTHROSCOPY



5 NAIL PROCEDURES








25 SHOULDER AND UPPER ARM PROCEDURES



43 OPEN OR PERCUTANEOUS TREATMENT OF FRACTURES







E PG 43 OPEN OR PERCUT NEOUS TRE TMENT OF FR CTURES



5 NAIL PROCEDURES





















210 EXTENDED EEG STUDIES

211 ELECTROENCEPHALOGRAM

212 ELECTROCONVULSIVE THERAPY





E PG 44 BONE OR JOINT M NIPUL TION UNDER NESTHESI






E PG 46 LEVEL I RTHROPL STY




5 NAIL PROCEDURES

























E PG 47 LEVEL II RTHROPL STY



5 NAIL PROCEDURES
































E PG 50 LEVEL II JOINT, TENDON, OR LIG MENT INJECTION PROCEDURES


E PG 51 MUSCULOSKELET L EXCISIONS, BIOPSIES, ND DR IN GE PROCEDURES














E PG 52 LEVEL II KNEE ND LOWER LEG PROCEDURES



5 NAIL PROCEDURES

























E PG 54 FIX TION DEVICE INSERTION OR REPL CEMENT PROCEDURES










E PG 56 SKIN ND CONNECTIVE TISSUE GR FTING ND FL P PROCEDURES



LEVEL I SKIN EXCISIONS, BIOPSIES, AND REPAIRS 9










E PG 59 RTERIOVENOUS FISTUL CRE TION OR REVISION FOR HEMODI LYSIS












75 LEVEL I CENTRAL VENOUS ACCESS PROCEDURES

76 REVISION, REPAIR OR REMOVAL OF CENTRAL VENOUS ACCESS DEVICE

78 LEVEL I PERIPHERAL VASCULAR REPAIR, LIGATION OR RECONSTRUCTION

83 LEVEL II CENTRAL VENOUS ACCESS PROCEDURES

168 DIALYSIS PROCEDURES

277 LEVEL I VASCULAR RADIOLOGICAL PROCEDURES

279 LEVEL II VASCULAR RADIOLOGICAL PROCEDURES

280 LEVEL III VASCULAR RADIOLOGICAL PROCEDURES

E PG 63 LEVEL II ENDOSCOPY OF THE UPPER IRW Y


62 LEVEL I ENDOSCOPY OF THE UPPER AIRWAY

64 LEVEL I LOWER AIRWAY ENDOSCOPY

E PG 64 LEVEL I LOWER IRW Y ENDOSCOPY


65 RESPIRATORY THERAPY

E PG 69 LEVEL I THOR CIC ND CHEST PROCEDURES












68 THORACENTESIS, RELATED BIOPSY AND PLEURAL DRAINAGE PROCEDURES

E PG 70 LEVEL II THOR CIC ND CHEST PROCEDURES













69 LEVEL I THORACIC AND CHEST PROCEDURES

71

72

LEVEL II LOWER AIRWAY ENDOSCOPY

TRACHEOSTOMY AND RELATED TRACHEAL PROCEDURES

E PG 71 LEVEL II LOWER IRW Y ENDOSCOPY




65 RESPIRATORY THERAPY


69 LEVEL I THORACIC AND CHEST PROCEDURES

72 TRACHEOSTOMY AND RELATED TRACHEAL PROCEDURES

E PG 72 TR CHEOSTOMY ND REL TED TR CHE L PROCEDURES











E PG 74 REVISION, REPL CEMENT OR REMOV L OF C RDI C DEVICE COMPONENT











E PG 75 LEVEL I CENTR L VENOUS CCESS PROCEDURES


E PG 77 LEVEL I PERIPHER L ENDOV SCUL R ND TR NSC THETER PROCEDURES


59 ARTERIOVENOUS FISTULA CREATION OR REVISION FOR HEMODIALYSIS



81 ECHOCARDIOGRAPHY





E PG 78 LEVEL I PERIPHER L V SCUL R REP IR, LIG TION OR RECONSTRUCTION








E PG 79 LEVEL II PERIPHER L ENDOV SCUL R ND TR NSC THETER PROCEDURES





77 LEVEL I PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES

81 ECHOCARDIOGRAPHY


84 DIAGNOSTIC CARDIAC CATHETERIZATION


279

280

LEVEL II VASCULAR RADIOLOGICAL PROCEDURES

LEVEL III VASCULAR RADIOLOGICAL PROCEDURES

E PG 82 C RDI C ELECTROPHYSIOLOGIC TESTS NDMONITORING




81 ECHOCARDIOGRAPHY



93 CARDIOVERSION

96 ATRIAL AND VENTRICULAR RECORDING AND PACING

E PG 83 LEVEL II CENTR L VENOUS CCESS PROCEDURES




E PG 84 DI GNOSTIC C RDI C C THETERIZ TION


74 REVISION, REPLACEMENT OR REMOVAL OF CARDIAC DEVICE COMPONENT



81 ECHOCARDIOGRAPHY


E PG 85 LEVEL III PERIPHER L ENDOV SCUL R ND TR NSC THETER PROCEDURES






79 LEVEL II PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES

81 ECHOCARDIOGRAPHY






E PG 86 P CEM KER ND OTHER C RDIOV SCUL R DEVICE INSERTION ND REPL CEMENT












81 ECHOCARDIOGRAPHY


87 REMOVAL OR REVISION OF PACEMAKERS AND OTHER CARDIOVASCULAR DEVICES


E PG 87 REMOV L OR REVISION OF P CEM KERS ND OTHER C RDIOV SCUL R DEVICES











REVISION, REPAIR OR REMOVAL OF CENTRAL VENOUS ACCESS DEVICE 76

81 ECHOCARDIOGRAPHY


E PG 90 LEVEL I V RICOSE VEIN ND REL TED PROCEDURES





E PG 91 LEVEL II PERIPHER L V SCUL R REP IR, LIG TION OR RECONSTRUCTION








103 LEVEL II VARICOSE VEIN AND RELATED PROCEDURES




E PG 92 RESUSCIT TION



93 CARDIOVERSION

E PG 96 TRI L ND VENTRICUL R RECORDING ND P CING


E PG 97 ICD ND REL TED C RDI C DEVICE INSERTION OR REPL CEMENT









81 ECHOCARDIOGRAPHY

82 CARDIAC ELECTROPHYSIOLOGIC TESTS AND MONITORING



86 PACEMAKER AND OTHER CARDIOVASCULAR DEVICE INSERTION AND REPLACEMENT

87 REMOVAL OR REVISION OF PACEMAKERS AND OTHER CARDIOVASCULAR DEVICES


E PG 99 LEVEL I PERCUT NEOUS CORON RY ND INTR C RDI C INTERVENTION L PROCEDURES




81 ECHOCARDIOGRAPHY







E PG 103 LEVEL II V RICOSE VEIN ND REL TED PROCEDURES










E PG 110 PH RM COTHER PY BY EXTENDED INFUSION

111 PHARMACOTHERAPY EXCEPT BY EXTENDED INFUSION

E PG 114 LEVEL II BLOOD ND BLOOD PRODUCT EXCH NGE


113 LEVEL I BLOOD AND BLOOD PRODUCT EXCHANGE

E PG 115 DEEP LYMPH STRUCTURE PROCEDURES










E PG 121 LEVEL II PERCUT NEOUS CORON RY ND INTR C RDI C INTERVENTION L PROCEDURES







99 LEVEL I PERCUTANEOUS CORONARY AND INTRACARDIAC INTERVENTIONAL PROCEDURES




E PG 122 PERCUT NEOUS INTR - BDOMIN L OR INTR THOR CIC V SCUL R PROCEDURES






79 LEVEL II PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES


85 LEVEL III PERIPHERAL ENDOVASCULAR AND TRANSCATHETER PROCEDURES

91 LEVEL II PERIPHERAL VASCULAR REPAIR, LIGATION OR RECONSTRUCTION


123 PERIPHERAL VASCULAR BYPASS PROCEDURES




E PG 123 PERIPHER L V SCUL R BYP SS PROCEDURES














91 LEVEL II PERIPHERAL VASCULAR REPAIR, LIGATION OR RECONSTRUCTION





E PG 134 LEVEL I UPPER GI ENDOSCOPY

130 ALIMENTARY TESTS AND TUBE INSERTION OR PLACEMENT

E PG 135 LEVEL II UPPER GI ENDOSCOPY



134 LEVEL I UPPER GI ENDOSCOPY

138 LEVEL I ERCP AND RELATED ENDOSCOPIC PROCEDURES

E PG 136 LEVEL I LOWER GI ENDOSCOPY


E PG 137 LEVEL II LOWER GI ENDOSCOPY

136 LEVEL I LOWER GI ENDOSCOPY

E PG 138 LEVEL I ERCP ND REL TED ENDOSCOPIC PROCEDURES




E PG 139 HERNI REP IRS











E PG 141 LEVEL I N L ND RECT L PROCEDURES










E PG 142 LEVEL II N L ND RECT L PROCEDURES






141 LEVEL I ANAL AND RECTAL PROCEDURES

E PG 143 LEVEL I G STROINTESTIN L PROCEDURES












150 ABDOMINAL PARACENTESIS AND RELATED PERITONEAL DRAINAGE PROCEDURES


E PG 144 LEVEL II G STROINTESTIN L PROCEDURES













143 LEVEL I GASTROINTESTINAL PROCEDURES




E PG 145 LEVEL I L P ROSCOPY



5 NAIL PROCEDURES













E PG 146 LEVEL II L P ROSCOPY



5 NAIL PROCEDURES



LEVEL III SKIN EXCISIONS, BIOPSIES, AND REPAIRS 11







145 LEVEL I LAPAROSCOPY




E PG 148 LEVEL III L P ROSCOPY



5 NAIL PROCEDURES










145 LEVEL I LAPAROSCOPY

146 LEVEL II LAPAROSCOPY





E PG 151 LEVEL I HEP TOBILI RY ND P NCRE S PROCEDURES


LEVEL I ERCP AND RELATED ENDOSCOPIC PROCEDURES 138



E PG 152 LEVEL II HEP TOBILI RY ND P NCRE S PROCEDURES




144 LEVEL II GASTROINTESTINAL PROCEDURES


151 LEVEL I HEPATOBILIARY AND PANCREAS PROCEDURES

153 LEVEL II ERCP AND RELATED ENDOSCOPIC PROCEDURES

E PG 153 LEVEL II ERCP ND REL TED ENDOSCOPIC PROCEDURES





E PG 154 LEVEL III UPPER GI ENDOSCOPY




135 LEVEL II UPPER GI ENDOSCOPY


E PG 166 LEVEL I URETHR L PROCEDURES












161 URINARY STUDIES AND PROCEDURES

183 LEVEL I PENILE PROCEDURES

E PG 167 LEVEL II URETHR L PROCEDURES













166 LEVEL I URETHRAL PROCEDURES


E PG 170 LEVEL I KIDNEY ND URETER L PROCEDURES











173 LEVEL I BLADDER AND URETERAL PROCEDURES

LEVEL I DEVICE PLACEMENT FOR RADIATION THERAPY 334

E PG 171 LEVEL II KIDNEY ND URETER L PROCEDURES














170 LEVEL I KIDNEY AND URETERAL PROCEDURES


176 LEVEL I PROSTATE PROCEDURES



E PG 172 LEVEL III KIDNEY ND URETER L PROCEDURES












SKIN AND CONNECTIVE TISSUE GRAFTING AND FLAP PROCEDURES 56



171 LEVEL II KIDNEY AND URETERAL PROCEDURES


174 LEVEL II BLADDER AND URETERAL PROCEDURES


184 LEVEL II PROSTATE PROCEDURES



E PG 173 LEVEL I BL DDER ND URETER L PROCEDURES










E PG 174 LEVEL II BL DDER ND URETER L PROCEDURES












SKIN AND CONNECTIVE TISSUE GRAFTING AND FLAP PROCEDURES 56



171 LEVEL II KIDNEY AND URETERAL PROCEDURES





E PG 176 LEVEL I PROST TE PROCEDURES









E PG 178 NTEP RTUM PROCEDURES


E PG 179 ECTOPIC PREGN NCY PROCEDURES











178 ANTEPARTUM PROCEDURES

205 OBSTETRICAL PROCEDURES

209 OTHER GYNECOLOGICAL PROCEDURES

E PG 180 TESTICUL R ND EPIDIDYM L PROCEDURES











E PG 182 INSERTION OF PENILE PROSTHESIS




5 NAIL PROCEDURES










167 LEVEL II URETHRAL PROCEDURES



180 TESTICULAR AND EPIDIDYMAL PROCEDURES


LEVEL II PENILE PROCEDURES 187

E PG 183 LEVEL I PENILE PROCEDURES












E PG 184 LEVEL II PROST TE PROCEDURES
















E PG 187 LEVEL II PENILE PROCEDURES












180 TESTICULAR AND EPIDIDYMAL PROCEDURES


E PG 188 LEVEL I PERINE L ND V GIN L GYNECOLOGIC L PROCEDURES












207 LEVEL I OTHER UTERINE AND ADNEXA GYNECOLOGICAL PROCEDURES


E PG 189 LEVEL II PERINE L ND V GIN L GYNECOLOGIC L PROCEDURES















188 LEVEL I PERINEAL AND VAGINAL GYNECOLOGICAL PROCEDURES




E PG 192 LEVEL II FET L PROCEDURES

191 LEVEL I FETAL PROCEDURES

E PG 194 BORTION NDMISC RRI GE TRE TMENT ND PROCEDURES











E PG 195 V GIN L DELIVERY PROCEDURES










E PG 202 CES RE N DELIVERY PROCEDURES












E PG 204 LEVEL I HYSTERECTOMY ND MYOMECTOMY PROCEDURES













194 ABORTION AND MISCARRIAGE TREATMENT AND PROCEDURES

195 VAGINAL DELIVERY PROCEDURES

CESAREAN DELIVERY PROCEDURES 202





E PG 205 OBSTETRIC L PROCEDURES












E PG 206 LEVEL II HYSTERECTOMY ND MYOMECTOMY PROCEDURES















ECTOPIC PREGNANCY PROCEDURES 179



202 CESAREAN DELIVERY PROCEDURES

204 LEVEL I HYSTERECTOMY AND MYOMECTOMY PROCEDURES





E PG 207 LEVEL I OTHER UTERINE ND DNEX GYNECOLOGIC L PROCEDURES















E PG 208 LEVEL II OTHER UTERINE ND DNEX GYNECOLOGIC L PROCEDURES








INTERMEDIATE WOUND REPAIR AND TREATMENT 17





179 ECTOPIC PREGNANCY PROCEDURES

188 LEVEL I PERINEAL AND VAGINAL GYNECOLOGICAL PROCEDURES


207 LEVEL I OTHER UTERINE AND ADNEXA GYNECOLOGICAL PROCEDURES


E PG 217 LEVEL I NERVE PROCEDURE W OR W/O NEUROLOGIC L DEVICE
















E PG 218 LEVEL II NERVE PROCEDURE W ORW/O NEUROLOGIC L DEVICE


















43 OPEN OR PERCUTANEOUS TREATMENT OF FRACTURES
















E PG 220 LEVEL II NERVOUS SYSTEM INJECTIONS INCLUDING CR NI L T P



E PG 222 SLEEP STUDIES TTENDED


226 SLEEP STUDIES UNATTENDED

E PG 223 LEVEL III NERVE PROCEDURE W ORW/O NEUROLOGIC L DEVICE















27 PELVIS, FEMUR AND UPPER LEG PROCEDURES


29 LEVEL II SPINE PROCEDURES








47 LEVEL II ARTHROPLASTY




52 LEVEL II KNEE AND LOWER LEG PROCEDURES













E PG 224 LEVEL IV NERVE PROCEDURE W ORW/O NEUROLOGIC L DEVICE















27 PELVIS, FEMUR AND UPPER LEG PROCEDURES


29 LEVEL II SPINE PROCEDURES








47 LEVEL II ARTHROPLASTY




52 LEVEL II KNEE AND LOWER LEG PROCEDURES









223 LEVEL III NERVE PROCEDURE W OR W/O NEUROLOGICAL DEVICE





E PG 225 INTR CR NI L ND OTHER NEUROSURGIC L PROCEDURES









E PG 227 LEVEL I CR NIOF CI L BONE PROCEDURES













252 LEVEL I EAR, NOSE, MOUTH AND THROAT PROCEDURES

367 LEVEL I ORAL AND MAXILLOFACIAL PROCEDURES

368 LEVEL II ORAL AND MAXILLOFACIAL PROCEDURES

E PG 228 LEVEL II CR NIOF CI L BONE PROCEDURES













227 LEVEL I CRANIOFACIAL BONE PROCEDURES

252 LEVEL I EAR, NOSE, MOUTH AND THROAT PROCEDURES

367 LEVEL I ORAL AND MAXILLOFACIAL PROCEDURES

368 LEVEL II ORAL AND MAXILLOFACIAL PROCEDURES

E PG 232 L SER EYE PROCEDURES


230 OPHTHALMOLOGICAL TESTS AND PROCEDURES

E PG 233 C T R CT PROCEDURES


230 OPHTHALMOLOGICAL TEST

Documents

Appendix E -EAPG Consolidation · 3/15/2020 · 3 level i skin incision and drainage, debridement, destruction, other related px 5 nail procedures 16 simple wound repair and treatment