|
MP 1.012
|
Surgery
|
Abdominoplasty and Panniculectomy
|
Active
|
|
MP 2.376
|
Medicine
|
Ablation of Peripheral Nerves to Treat Pain
|
Active
|
|
MP 2.087
|
Medicine
|
Actigraphy
|
Active
|
|
MP 2.390
|
Medicine
|
Adjunctive Techniques for Screening, Surveillance and Risk Classification of Barrett Esophagus and Esophageal Dysplasia (Retired 7/1/2026)
|
Retired
|
|
MP 6.056
|
Durable Medical Equipment
|
Adjustable Cranial Orthoses for Positional Plagiocephaly and Craniosynstoses
|
Active
|
|
MP 3.017
|
Ancillary Services
|
Air and Water Ambulance Services
|
Active
|
|
MP 6.015
|
Ancillary Services
|
Airway Clearance Devices
|
Active
|
|
MP 2.001
|
Medicine
|
Allergy Testing and Immunotherapy
|
Active
|
|
MP 9.056
|
Transplant
|
Allogeneic Hematopoietic Cell Transplantation for Myelodysplastic Syndromes and Myeloproliferative Neoplasms
|
Active
|
|
MP 9.055
|
Transplant
|
Allogeneic Hematopoietic Cell Transplantation for Genetic Diseases and Acquired Anemias
|
Active
|
|
MP 1.159
|
Surgery
|
Amniotic Membrane and Amniotic Fluid |
Active
|
|
MP 6.062
|
Durable Medical Equipment
|
Ankle-Foot and Knee-Ankle-Foot Orthoses
|
Active
|
|
MP 8.014
|
Therapy
|
APOS Therapy System
|
Active
|
|
MP 2.149
|
Medicine
|
Aqueous Shunts and Stents for Glaucoma
|
Active
|
|
MP 2.317
|
Medicine
|
BCR-ABL1 Testing in Chronic Myelogenous Leukemia (CML) and Acute Lymphoblastic Leukemia (Retired 7/1/2026)
|
Retired
|
|
MP 1.157
|
Surgery
|
Balloon Dilation for the Eustachian Tube |
Active
|
|
MP 1.119
|
Surgery
|
Balloon Ostial Dilation for the Treatment of Chronic Rhinosinusitis and Recurrent Acute Rhinosinusitis
|
Active
|
|
MP 1.015
|
Surgery
|
Bariatric Surgery
|
Active
|
|
MP 1.142
|
Surgery
|
Baroreflex Stimulation Device
|
Active
|
|
MP 1.158
|
Surgery
|
Bio-Engineered Skin and Soft Tissue Substitutes |
Active
|
|
MP 2.064
|
Medicine
|
Biofeedback and Neurofeedback Therapy
|
Active
|
|
MP 2.190
|
Medicine
|
Bioimpedance Devices for Detection and Management of Lymphedema
|
Active
|
|
MP 1.003
|
Surgery
|
Blepharoplasty, Repair of Brow Ptosis and Reconstructive Eyelid Surgery
|
Active
|
|
MP 2.081
|
Medicine
|
Bronchial Thermoplasty (Retired 3/1/2026)
|
Retired
|
|
MP 2.051
|
Medicine
|
Cardiac Hemodynamic Monitoring for the Management of Heart Failure in the Outpatient Setting
|
Active
|
|
MP 2.258
|
Medicine
|
Carrier Screening for Genetic Diseases (Retired 7/1/2026)
|
Retired
|
|
MP 7.028
|
OBGYN/Reproduction
|
Chromosomal Microarray Testing for the Evaluation of Pregnancy Loss (Retired 7/1/2026)
|
Retired
|
|
MP 2.267
|
Medicine
|
Circulating Tumor DNA and Circulating Tumor Cells for Cancer Management (Liquid Biopsy) (Retired 7/1/2026)
|
Retired
|
|
MP 1.039
|
Surgery
|
Closure Devices for Patent Foramen Ovale and Atrial Septal Defects (ASD) (Retired 7/1/2026)
|
Retired
|
|
MP 1.023
|
Surgery
|
Cochlear Implant
|
Active
|
|
MP 6.013
|
Durable Medical Equipment
|
Compression Devices for Treatment of Lymphedema and Peripheral Vascular Disease |
Active
|
|
MP 5.062
|
Radiology/Imaging
|
Computer-Assisted Corneal Topography
|
Active
|
|
MP 2.093
|
Medicine
|
Confocal Laser Endomicroscopy
|
Active
|
|
MP 6.004
|
Durable Medical Equipment
|
Continuous Glucose Monitoring
|
Active
|
|
MP 6.039
|
Durable Medical Equipment
|
Continuous Passive Motion in the Home Setting
|
Active
|
|
MP 6.040
|
Durable Medical Equipment
|
Cooling Devices Used in the Outpatient Setting
|
Active
|
|
MP 2.028
|
Medicine
|
Corneal Collagen Cross-Linking
|
Active
|
|
MP 9.011
|
Transplant
|
Corneal Surgery (Formerly Corneal Transplant, Endothelial Keratoplasty, and Keratoprostheses)
|
Active
|
|
MP 1.004
|
Surgery
|
Cosmetic and Reconstructive Surgery
|
Active
|
|
MP 2.092
|
Medicine
|
Cranial Electrotherapy Stimulation and Auricular Electrostimulation
|
Active
|
|
MP 1.088
|
Surgery
|
Cryoablation of Tumors Located in the Kidney, Lung, Breast, Pancreas, or Bone
|
Active
|
|
MP 1.121
|
Surgery
|
Cryosurgical Ablation of Primary or Metastatic Liver Tumors
|
Active
|
|
MP 2.234
|
Medicine
|
Cytochrome P450 Genotype Guided Treatment Strategy (Retired 7/1/2026)
|
Retired
|
|
MP 1.042
|
Surgery
|
Deep Brain Stimulation
|
Active
|
|
MP 2.381
|
Medicine
|
Dengvaxia
|
Active
|
|
MP 1.092
|
Surgery
|
Dental and Oral Surgery Procedures Performed in a Facility
|
Active
|
|
MP 4.018
|
Other Treatments
|
Dermatologic Applications of Photodynamic Therapy
|
Active
|
|
MP 4.033
|
Other Treatments
|
Diagnosis and Treatment of Dry Eye Syndrome
|
Active
|
|
MP 5.048
|
Radiology/Imaging
|
Diagnosis and Treatment of Sacroiliac Joint Pain
|
Active
|
|
MP 2.045
|
Medicine
|
Diagnosis of Obstructive Sleep Apnea
|
Active
|
|
MP 2.004
|
Medicine
|
Donor Lymphocyte Infusion for Hematologic Malignancies Treated with an Allogeneic HCT
|
Active
|
|
MP 4.041
|
Other Treatments
|
Dry Needling of Trigger Points for Myofascial Pain
|
Active
|
|
MP 6.026
|
Durable Medical Equipment
|
Durable Medical Equipment and Supplies (DME)
|
Active
|
|
MP 2.011
|
Medicine
|
Dynamic Posturography
|
Active
|
|
MP 5.051
|
Radiology/Imaging
|
Dynamic Spinal Visualization and Vertebral Motion Analysis
|
Active
|
|
MP 1.024
|
Surgery
|
Electrical Bone Growth Stimulation of the Appendicular Skeleton
|
Active
|
|
MP 1.150
|
Surgery
|
Electrical Stimulation of the Spine as an Adjunct to Spinal Fusion Procedures
|
Active
|
|
MP 2.096
|
Medicine
|
Electromyography (EMG) (Needle and Non-Needle) of the Anal or Urethral Sphincter
|
Active
|
|
MP 2.063
|
Medicine
|
Electromyography and Nerve Conduction Studies
|
Active
|
|
MP 7.013
|
OBGYN/Reproduction
|
Endometrial Ablation
|
Active
|
|
MP 1.118
|
Surgery
|
Endoscopic Radiofrequency Ablation or Cryoablation for Barrett's Esophagus |
Active
|
|
MP 1.090
|
Surgery
|
Endovascular Grafts for Abdominal Aortic Aneurysm
|
Active
|
|
MP 1.132
|
Surgery
|
Endovascular Stent Grafts for Disorders of the Thoracic Aorta
|
Active
|
|
MP 2.015
|
Medicine
|
Enteral Nutrition
|
Active
|
|
MP 4.014
|
Other Treatments
|
Epidural Steroid Injections for Back Pain
|
Active
|
|
MP 2.367
|
Medicine
|
Esketamine (Spravato™)
|
Active
|
|
MP 2.017
|
Medicine
|
Esophageal pH Monitoring
|
Active
|
|
MP 2.402
|
Medicine
|
Esophagogastroduodenoscopy (EGD)
|
Active
|
|
MP 2.391
|
Medicine
|
Evaluation of Biomarkers for Alzheimer's Disease (Retired 7/1/2026)
|
Retired
|
|
MP 4.029
|
Other Treatments
|
Evoked Potential Studies
|
Active
|
|
MP 2.386
|
Medicine
|
Expanded Access
|
Active
|
|
MP 4.002
|
Other Treatments
|
Experimental and Investigational Procedures
|
Active
|
|
MP 6.007
|
Medicine
|
External Infusion Pumps for Insulin Delivery and Automated Insulin Delivery Systems
|
Active
|
|
MP 2.068
|
Medicine
|
Extracorporeal Photopheresis
|
Active
|
|
MP 2.034
|
Medicine
|
Extracorporeal Shock Wave Treatment for Plantar Fasciitis and Other Musculoskeletal Conditions
|
Active
|
|
MP 5.049
|
Radiology/Imaging
|
Facet Joint Denervation
|
Active
|
|
MP 4.050
|
Other Treatments
|
Facet Joint Injections and Medal Branch Blocks
|
Active
|
|
MP 2.018
|
Medicine
|
Foot Care Services
|
Active
|
|
MP 6.028
|
Durable Medical Equipment
|
Foot Orthotics and Other Podiatric Appliances
|
Active
|
|
MP 2.378
|
Medicine
|
Ganglion Impar Block
|
Active
|
|
MP 6.031
|
Durable Medical Equipment
|
Gas Permeable Scleral Contact Lens and Therapeutic Soft Contact Lens
|
Active
|
|
MP 2.069
|
Medicine
|
Gastric Electrical Stimulation
|
Active
|
|
MP 1.144
|
Surgery
|
Gender Affirming Surgery
|
Active
|
|
MP 2.245
|
Medicine
|
Gene Expression Based Assays for Cancers of Unknown Primary (Retired 7/1/2026)
|
Retired
|
|
MP 2.315
|
Medicine
|
Gene Expression Profile Testing and Circulating Tumor DNA testing for Predicting Recurrence in Colon Cancer (Retired 7/1/2026)
|
Retired
|
|
MP 2.263
|
Medicine
|
Gene Expression Profiling, Protein Biomarkers, and Multimodal Artificial Intelligence for Prostate Cancer Management (Retired 7/1/2026)
|
Retired
|
|
MP 2.396
|
Medicine
|
Gene Expression Profiling for Cutaneous Melanoma (Retired 7/1/2026)
|
Retired
|
|
MP 2.360
|
Medicine
|
Gene Expression Profiling for Uveal Melanoma (Retired 7/1/2026)
|
Retired
|
|
MP 2.323
|
Medicine
|
General Approach to Evaluating the Utility of Genetic Panels (Retired 7/1/2026)
|
Retired
|
|
MP 2.326
|
Medicine
|
General Approach to Genetic Testing (Retired 7/1/2026)
|
Retired
|
|
MP 2.280
|
Medicine
|
Genetic and Protein Biomarkers for the Diagnosis and Cancer Risk Assessment of Prostate Cancer (Retired 7/1/2026)
|
Retired
|
|
MP 2.325
|
Medicine
|
Genetic Cancer Susceptibility Panels Using Next Generational Sequencing (Retired 7/1/2026)
|
Retired
|
|
MP 2.320
|
Medicine
|
Genetic Testing for Alpha Thalassemia (Retired 7/1/2026)
|
Retired
|
|
MP 2.251
|
Medicine
|
Genetic Testing for Alpha-1 Antitrypsin Deficiency (Retired 7/1/2026)
|
Retired
|
|
MP 2.050
|
Medicine
|
Genetic Testing for Alzheimer Disease (Formerly Diagnostic Testing and Risk Assessment for Alzheimer Disease) (Retired 7/1/2026)
|
Retired
|
|
MP 2.322
|
Medicine
|
Genetic Testing for CHARGE Syndrome (Retired 7/1/2026)
|
Retired
|
|
MP 2.233
|
Medicine
|
Genetic Testing for Cardiac Ion Channelopathies (Retired 7/1/2026)
|
Retired
|
|
MP 2.242
|
Medicine
|
Genetic Testing for DD, ID, Autism Spectrum Disorder and CA (Retired 7/1/2026)
|
Retired
|
|
MP 2.264
|
Medicine
|
Genetic Testing for Diagnosis and Management of Mental Health Conditions (Retired 7/1/2026)
|
Retired
|
|
MP 2.257
|
Medicine
|
Genetic Testing for Duchenne and Becker Muscular Dystrophy (Retired 7/1/2026)
|
Retired
|
|
MP 2.262
|
Medicine
|
Genetic Testing for Epilepsy (Retired 7/1/2026)
|
Retired
|
|
MP 2.357
|
Medicine
|
Genetic Testing for FLT3, NPM1 and CEBPA Variants in Cytogenetically Normal Acute Myeloid Leukemia (Retired 7/1/2026)
|
Retired
|
|
MP 2.321
|
Medicine
|
Genetic Testing for Facioscpulohumeral Muscular Dystrophy (Retired 7/1/2026)
|
Retired
|
|
MP 2.246
|
Medicine
|
Genetic Testing for Familial Cutaneous Malignant Melanoma (Retired 7/1/2026)
|
Retired
|
|
MP 2.362
|
Medicine
|
Genetic Testing for Fanconi Anemia (Retired 7/1/2026)
|
Retired
|
|
MP 2.308
|
Medicine
|
Genetic Testing for Helicobacter Pylori Treatment (Retired 7/1/2026)
|
Retired
|
|
MP 2.319
|
Medicine
|
Genetic Testing for Hereditary Hearing Loss (Retired 7/1/2026)
|
Retired
|
|
MP 2.312
|
Medicine
|
Genetic Testing for Hereditary Hemochromatosis (Retired 7/1/2026)
|
Retired
|
|
MP 2.318
|
Medicine
|
Genetic Testing for Hereditary Pancreatitis (Retired 7/1/2026)
|
Retired
|
|
MP 2.363
|
Medicine
|
Genetic Testing for Heterozygous Familial Hypercholesterolemia (Retired 7/1/2026)
|
Retired
|
|
MP 2.328
|
Medicine
|
Genetic Testing for Idiopathic Dilated Cardiomyopathy (Retired 7/1/2026)
|
Retired
|
|
MP 2.253
|
Medicine
|
Genetic Testing for Inherited Thrombophilia (Retired 7/1/2026)
|
Retired
|
|
MP 2.274
|
Medicine
|
Genetic Testing for Li-Fraumeni Syndrome (Retired 7/1/2026)
|
Retired
|
|
MP 2.332
|
Medicine
|
Genetic Testing for Limb Girdle Muscular Dystrophies (Retired 7/1/2026)
|
Retired
|
|
MP 2.310
|
Medicine
|
Genetic Testing for Lipoprotein(a) Variant(s) as a Decision Aid for Aspirin Treatment (Retired 7/1/2026)
|
Retired
|
|
MP 5.013
|
Radiology/Imaging
|
Genetic Testing for Lynch Syndrome and Inherited Colon Cancer Syndromes (Retired 7/1/2026)
|
Retired
|
|
MP 2.260
|
Medicine
|
Genetic Testing for Macular Degeneration (Retired 7/1/2026)
|
Retired
|
|
MP 2.331
|
Medicine
|
Genetic Testing for Marfan Syndrome, Thoracic Aortic Aneurysms and Dissections, and Related Disorders (Retired 7/1/2026)
|
Retired
|
|
MP 2.273
|
Medicine
|
Genetic Testing for Mitochondrial Disorders (Retired 7/1/2026)
|
Retired
|
|
MP 2.358
|
Medicine
|
Genetic Testing for Neurofibromatosis (Retired 7/1/2026)
|
Retired
|
|
MP 2.255
|
Medicine
|
Genetic Testing for PTEN Hamartoma Tumor Syndrome (Retired 7/1/2026)
|
Retired
|
|
MP 2.276
|
Medicine
|
Genetic Testing for Pathogenic FMR1 Variants (Including Fragile X Syndrome) (Retired 7/1/2026)
|
Retired
|
|
MP 2.248
|
Medicine
|
Genetic Testing for Predisposition to Inherited Hypertrophic Cardiomyopathy (Retired 7/1/2026)
|
Retired
|
|
MP 2.355
|
Medicine
|
Genetic Testing for the Diagnosis of Inherited Peripheral Neuropathies (Retired 7/1/2026)
|
Retired
|
|
MP 2.247
|
Medicine
|
Genetic Testing of CADASIL Syndrome (Retired 7/1/2026)
|
Retired
|
|
MP 2.307
|
Medicine
|
Genotype-Guided Tamoxifen Treatment (Retired 7/1/2026)
|
Retired
|
|
MP 2.306
|
Medicine
|
Genotype-Guided Warfarin Dosing (Retired 7/1/2026)
|
Retired
|
|
MP 2.311
|
Medicine
|
Genotyping for 9p21 Single Nucleotide Polymorphism to Predict Risk of Cardiovascular Disease and Aneurysm (Retired 7/1/2026)
|
Retired
|
|
MP 2.393
|
Medicine
|
Germline And Somatic Biomarker Testing (Including Liquid Biopsy) For Targeted Treatment In Breast Cancer (Brca1, Brca2, Pik3ca, Ki-67, Ret, Braf, Esr1, Ntrk) (Retired 7/1/2026)
|
Retired
|
|
MP 2.395
|
Medicine
|
Germline And Somatic Biomarker Testing (Including Liquid Biopsy) For Targeted Treatment In Ovarian Cancer (Brca1, Brca2, Homologous Recombination Deficiency, Ntrk) (Retired 7/1/2026)
|
Retired
|
|
MP 2.394
|
Medicine
|
Germline And Somatic Biomarker Testing (Including Liquid Biopsy) For Targeted Treatment In Prostate Cancer (Brca1/2, Homologous Recombination Repair Gene Alterations, Ntrk Gene Fusion) (Retired 7/1/2026)
|
Retired
|
|
MP 2.211
|
Medicine
|
Germline Genetic Testing for Hereditary Breast/Ovarian Cancer Syndrome and Other High-Risk Cancers (BRCA1, BRCA2, PALB2) (Retired 7/1/2026)
|
Retired
|
|
MP 2.384
|
Medicine
|
Germline Genetic Testing for Hereditary Diffuse Gastric Cancer (CDH1,CTNNA1) (Retired 7/1/2026)
|
Retired
|
|
MP 2.392
|
Medicine
|
Germline Genetic Testing for Pancreatic Cancer Susceptibility Genes (Retired 7/1/2026)
|
Retired
|
|
MP 6.049
|
Durable Medical Equipment
|
H-Wave Electrical Stimulation
|
Active
|
|
MP 5.055
|
Radiology/Imaging
|
Handheld Radiofrequency Spectroscopy for Intraoperative Assessment of Surgical Margins During Breast Conserving Surgery
|
Active
|
|
MP 9.007
|
Transplant
|
Heart Transplant
|
Active
|
|
MP 9.014
|
Transplant
|
Heart/Lung Transplant
|
Active
|
|
MP 9.041
|
Transplant
|
Hematopoietic Cell Transplantation for Acute Lymphoblastic Leukemia
|
Active
|
|
MP 9.040
|
Transplant
|
Hematopoietic Cell Transplantation for Acute Myeloid Leukemia
|
Active
|
|
MP 9.053
|
Transplant
|
Hematopoietic Cell Transplantation for Autoimmune Diseases
|
Active
|
|
MP 9.050
|
Transplant
|
Hematopoietic Cell Transplantation for CNS Embryonal Tumors and Ependymoma
|
Active
|
|
MP 9.038
|
Transplant
|
Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma
|
Active
|
|
MP 9.039
|
Transplant
|
Hematopoietic Cell Transplantation for Chronic Myeloid Leukemia
|
Active
|
|
MP 9.047
|
Transplant
|
Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer
|
Active
|
|
MP 9.043
|
Transplant
|
Hematopoietic Cell Transplantation for Hodgkin Lymphoma
|
Active
|
|
MP 9.048
|
Transplant
|
Hematopoietic Cell Transplantation for Miscellaneous Solid Tumors in Adults
|
Active
|
|
MP 9.042
|
Transplant
|
Hematopoietic Cell Transplantation for Non-Hodgkin Lymphomas
|
Active
|
|
MP 9.044
|
Transplant
|
Hematopoietic Cell Transplantation for Plasma Cell Dyscrasias, Including Multiple Myeloma and POEMS Syndrome
|
Active
|
|
MP 9.045
|
Transplant
|
Hematopoietic Cell Transplantation for Primary Amyloidosis
|
Active
|
|
MP 9.054
|
Transplant
|
Hematopoietic Cell Transplantation for Solid Tumors of Childhood
|
Active
|
|
MP 9.046
|
Transplant
|
Hematopoietic Cell Transplantation for Waldenstrom Macroglobulinemia
|
Active
|
|
MP 9.052
|
Transplant
|
Hematopoietic Cell Transplantation in the Treatment of Germ-Cell Tumors
|
Active
|
|
MP 6.001
|
Durable Medical Equipment
|
Hospital Beds and Accessories
|
Active
|
|
MP 2.070
|
Medicine
|
Hyperbaric Oxygen Therapy (HBO) (Formerly Hyperbaric Oxygen Pressurization)
|
Active
|
|
MP 2.021
|
Medicine
|
Hyperthermic Intraperitoneal Chemotherapy for Select Intra-Abdominal and Pelvic Malignancies
|
Active
|
|
MP 1.019
|
Surgery
|
Implantable Bone-Conduction and Bone-Anchored Hearing Prosthetic Devices
|
Active
|
|
MP 1.044
|
Surgery
|
Implantation of Intrastromal Corneal Ring Segments
|
Active
|
|
MP 4.012
|
Other Treatments
|
Injectable Bulking Agents for the Treatment of Urinary and Fecal Incontinence
|
Active
|
|
MP 3.019
|
Ancillary Services
|
Inpatient Interfacility Transfers
|
Active
|
|
MP 2.079
|
Medicine
|
Intensive Pediatric Feeding Programs
|
Active
|
|
MP 6.047
|
Durable Medical Equipment
|
Interferential Current Stimulation
|
Active
|
|
MP 6.058
|
Durable Medical Equipment
|
Intraocular Lenses, Spectacle Correction,and Iris Prosthesis
|
Active
|
|
MP 2.389
|
Medicine
|
Intraocular Radiotherapy for Age-Related Macular Degeneration
|
Active
|
|
MP 2.030
|
Medicine
|
Intraoperative Neurophysiologic Monitoring (Sensory Evoked Potentials, Motor Evoked Potentials, EEG Monitoring)
|
Active
|
|
MP 1.124
|
Surgery
|
Intraosseous Basivertebral Nerve Ablation
|
Active
|
|
MP 2.167
|
Medicine
|
Intravenous Anesthetics for the Treatment of Chronic Pain and Psychiatric Disorders
|
Active
|
|
MP 4.005
|
Other Treatments
|
Intravenous Chelation Therapy
|
Active
|
|
MP 2.159
|
Medicine
|
Intravitreal and Punctum Corticosteroid Implants
|
Active
|
|
MP 2.278
|
Medicine
|
Invasive Prenatal (Fetal) Diagnostic Testing (Retired 7/1/2026)
|
Retired
|
|
MP 2.277
|
Medicine
|
Investigational Miscellaneous Genetic and Molecular Tests (Retired 7/1/2026)
|
Retired
|
|
MP 8.001
|
Therapy
|
Investigational Physical Medicine And Specialized Physical Medicine Interventions (Outpatient)
|
Active
|
|
MP 1.162
|
Surgery
|
Irreversible Electroporation of Tumors Located in the Liver, Pancreas, Kidney or Lung
|
Active
|
|
MP 9.012
|
Transplant
|
Islet Transplantation
|
Active
|
|
MP 9.013
|
Transplant
|
Isolated Small Bowel Transplant and Small Bowel/Liver and Multivisceral Transplant
|
Active
|
|
MP 2.281
|
Medicine
|
JAK2, MPL, and CLR Mutation Analysis in Myeloproliferative Neoplasms (Retired 7/1/2026)
|
Retired
|
|
MP 2.309
|
Medicine
|
KIF6 Genotyping for Predicting Cardiovascular Risk and/or Effectiveness of Statin Therapy (Retired 7/1/2026)
|
Retired
|
|
MP 9.005
|
Transplant
|
Kidney Transplants, Pancreas Transplants, and Simultaneous Kidney/Pancreas Transplant
|
Active
|
|
MP 6.012
|
Durable Medical Equipment
|
Knee Braces
|
Active
|
|
MP 2.354
|
Medicine
|
Laboratory and Genetic Testing for Use of 5-Flourouracil in Patients with Cancer (Retired 7/1/2026)
|
Retired
|
|
MP 7.027
|
OBGYN/Reproduction
|
Laparoscopic and Percutaneous Techniques for the Myolysis of Uterine Fibroids
|
Active
|
|
MP 4.047
|
Other Treatments
|
Laser Treatment for Vulvovaginal Atrophy and Vaginal Rejuvenation
|
Active
|
|
MP 1.008
|
Surgery
|
Laser Treatment of Port Wine Stains
|
Active
|
|
MP 2.046
|
Medicine
|
Light Therapies
|
Active
|
|
MP 9.006
|
Transplant
|
Liver Transplant and Combined Liver-Kidney Transplant
|
Active
|
|
MP 6.021
|
Durable Medical Equipment
|
Low Intensity Pulsed Ultrasound Fracture Healing Device
|
Active
|
|
MP 1.097
|
Surgery
|
Low Level Laser Therapy
|
Active
|
|
MP 6.042
|
Durable Medical Equipment
|
Lower Limb Prostheses
|
Active
|
|
MP 9.015
|
Transplant
|
Lung and Lobar Lung Transplant
|
Active
|
|
MP 6.027
|
Durable Medical Equipment
|
Lysis of Epidural Adhesions
|
Active
|
|
MP 1.145
|
Surgery
|
Magnetic Esophageal Sphincter Augmentation to Treat Gastroesophageal Reflux Disease
|
Active
|
|
MP 5.053
|
Radiology/Imaging
|
Magnetic Resonance-Guided Focused Ultrasound
|
Active
|
|
MP 6.059
|
Durable Medical Equipment
|
Manual Wheelchairs and Accessories
|
Active
|
|
MP 4.038
|
Other Treatments
|
Measurement of Exhaled Nitric Oxide and Exhaled Breath Condensate in the Diagnosis and Management of Asthma and other Respiratory Disorders
|
Active
|
|
MP 6.022
|
Durable Medical Equipment
|
Mechanical Insufflation Exsufflation Device
|
Active
|
|
MP 6.064
|
Durable Medical Equipment
|
Medical Management of Obstructive Sleep Apnea Syndrome
|
Active
|
|
MP 4.003
|
Other Treatments
|
Medical Necessity
|
Active
|
|
MP 2.304
|
Medicine
|
Medical Treatments of Autism Spectrum Disorders
|
Active
|
|
MP 2.090
|
Medicine
|
Microwave Tumor Ablation
|
Active
|
|
MP 2.084
|
Medicine
|
Minimally Invasive Ablation Procedures for Morton and Other Peripheral Neuromas
|
Active
|
|
MP 2.275
|
Medicine
|
Molecular Markers in Fine Needle Aspirates of the Thyroid (Retired 7/1/2026)
|
Retired
|
|
MP 2.259
|
Medicine
|
Molecular Panel Testing of Cancers to Identify Targeted Therapies (Retired 7/1/2026)
|
Retired
|
|
MP 2.266
|
Medicine
|
Molecular Testing for The Management of Pancreatic Cysts and Solid Pancreaticobiliary Lesions (Retired 7/1/2026)
|
Retired
|
|
MP 2.375
|
Medicine
|
Molecular Testing in the Management of Pulmonary Nodules (Retired 7/1/2026)
|
Retired
|
|
MP 2.387
|
Medicine
|
Multicancer Early Detection Testing (Retired 7/1/2026)
|
Retired
|
|
MP 2.270
|
Medicine
|
Multimarker Serum Testing Related to Ovarian Cancer (Retired 7/1/2026)
|
Retired
|
|
MP 2.094
|
Medicine
|
Navigated Transcranial Stimulation (nTMS)
|
Active
|
|
MP 4.004
|
Other Treatments
|
Negative Pressure Wound Therapy in the Outpatient Setting
|
Active
|
|
MP 8.012
|
Therapy
|
Neural Therapy
|
Active
|
|
MP 6.051
|
Durable Medical Equipment
|
Neuromuscular and Functional Neuromuscular Electrical Stimulation
|
Active
|
|
MP 2.379
|
Medicine
|
Next-Generation Sequencing For The Assessment of Measurable Residual Disease (Retired 7/1/2026)
|
Retired
|
|
MP 3.009
|
Ancillary Services
|
Non-Emergent Ground Transport Services
|
Active
|
|
MP 7.026
|
OBGYN/Reproduction
|
Noncontraceptive Use of Intrauterine Devices (IUDs)
|
Active
|
|
MP 2.261
|
Medicine
|
Noninvasive Fetal RHD Genotyping Using Cell-Free Fetal DNA (Retired 7/1/2026)
|
Retired
|
|
MP 2.252
|
Medicine
|
Noninvasive Imaging for the Evaluation and Monitoring of Patients with Chronic Liver Disease
|
Active
|
|
MP 2.071
|
Medicine
|
Nonpharmacologic Treatment of Rosacea
|
Active
|
|
MP 2.372
|
Medicine
|
Occipital Nerve Stimulation
|
Active
|
|
MP 2.103
|
Medicine
|
Off-Label Use of Medications and other Interventions
|
Active
|
|
MP 4.019
|
Other Treatments
|
Oncological Applications of Photodynamic Therapy including Barrett's Esophagus
|
Active
|
|
MP 2.083
|
Medicine
|
Open and Thoracoscopic Approaches to Treat Atrial Fibrillation and Atrial Flutter (Maze and Related Procedures) (Retired 7/1/2026)
|
Retired
|
|
MP 2.056
|
Medicine
|
Ophthalmologic Techniques That Evaluate the Posterior Eye Segment
|
Active
|
|
MP 2.085
|
Medicine
|
Optical Coherence Tomography (OCT) of the Anterior Eye Segment
|
Active
|
|
MP 2.383
|
Medicine
|
Orphan Drugs and Humanitarian Use Devices
|
Active
|
|
MP 1.101
|
Surgery
|
Orthognathic Surgery
|
Active
|
|
MP 4.039
|
Other Treatments
|
Orthopedic Applications of Platelet Rich Plasma
|
Active
|
|
MP 2.080
|
Medicine
|
Orthopedic Applications of Stem Cell Therapy (Including Allograft and Bone Substitute Products Used with Autologous Bone Marrow)
|
Active
|
|
MP 2.005
|
Medicine
|
Other Therapies of Hyperhidrosis
|
Active
|
|
MP 2.097
|
Medicine
|
Paraspinal Surface Electromyography to Evaluate and Monitor Back Pain
|
Active
|
|
MP 6.024
|
Durable Medical Equipment
|
Pelvic Floor Stimulation as a Treatment of Urinary and Fecal Incontinence
|
Active
|
|
MP 2.397
|
Medicine
|
Percutaneous Electrical Nerve Field Stimulation for Irritable Bowel Syndrome
|
Active
|
|
MP 6.050
|
Durable Medical Equipment
|
Percutaneous Electrical Nerve Stimulation (PENs) and Percutaneous Neuromodulation Therapy (PNT)
|
Active
|
|
MP 1.141
|
Surgery
|
Peripheral Subcutaneous Field Stimulation (PSFS)
|
Active
|
|
MP 1.109
|
Surgery
|
Periureteral Bulking Agents as Treatment of Vesicoureteral Reflux
|
Active
|
|
MP 2.218
|
Medicine
|
Pharmacogenomic and Metabolite Markers for Patients Treated with Thiopurines (Retired 7/1/2026)
|
Retired
|
|
MP 9.001
|
Transplant
|
Placental/Umbilical Cord Blood as Source of Stem Cells
|
Active
|
|
MP 4.031
|
Other Treatments
|
Plasma Exchange (PE)
|
Active
|
|
MP 2.335
|
Medicine
|
Polysomnography for Non-Respiratory Sleep Disorders
|
Active
|
|
MP 5.008
|
Radiology/Imaging
|
Positron Emission Mammography
|
Active
|
|
MP 6.053
|
Durable Medical Equipment
|
Postsurgical Home Use of Limb Compression Devices for Venous Thromboembolism Prophylaxis
|
Active
|
|
MP 6.037
|
Durable Medical Equipment
|
Power Wheelchairs, Power Operated Vehicles (POV) and Related Options and Accessories
|
Active
|
|
MP 7.009
|
OBGYN/Reproduction
|
Preimplantation Genetic Testing (Retired 7/1/2026)
|
Retired
|
|
MP 2.061
|
Medicine
|
Prolotherapy
|
Active
|
|
MP 4.051
|
Other Treatments
|
Prostate Artery Embolization
|
Active
|
|
MP 1.147
|
Surgery
|
Prostatic Urethral Lift
|
Active
|
|
MP 2.343
|
Medicine
|
Proteogenomic Testing for Patients With Cancer (Retired 7/1/2026)
|
Retired
|
|
MP 2.337
|
Medicine
|
Proteomic Testing for Targeted Therapy in Non-Small-Cell Lung Cancer (Retired 7/1/2026)
|
Retired
|
|
MP 1.084
|
Surgery
|
Radiofrequency Ablation of Miscellaneous Solid Tumors Excluding Liver Tumors
|
Active
|
|
MP 1.055
|
Surgery
|
Radiofrequency Ablation of Primary or Metastatic Liver Tumors
|
Active
|
|
MP 1.165
|
Surgery
|
Radiofrequency Ablation of Thyroid Tumors
|
Active
|
|
MP 2.033
|
Medicine
|
Recombinant and Autologous Platelet Derived Growth Factors as a Treatment of Wound Healing and Other Non-Orthopedic Conditions
|
Active
|
|
MP 1.103
|
Surgery
|
Reconstructive Breast Surgery Including Management of Breast Implants, External Breast Prosthesis and Post Mastectomy Bras
|
Active
|
|
MP 1.013
|
Surgery
|
Reduction Mammoplasty for Breast-Related Symptoms
|
Active
|
|
MP 1.166
|
Surgery
|
Renal Denervation for Uncontrolled Hypertension
|
Active
|
|
MP 1.156
|
Surgery
|
Responsive Neurostimulation for the Treatment of Refractory Focal Epilepsy
|
Active
|
|
MP 2.088
|
Medicine
|
Rhinomanometry and Acoustic/Optical Rhinometry
|
Active
|
|
MP 1.033
|
Surgery
|
Sacral Nerve Neuromodulation-Stimulation
|
Active
|
|
MP 5.021
|
Radiology/Imaging
|
Scintimammography and Gamma Imaging of the Breast and Axilla
|
Active
|
|
MP 2.176
|
Medicine
|
Self Administered Medications
|
Active
|
|
MP 1.130
|
Surgery
|
Semi-Implantable and Fully Implantable Middle Ear Hearing Aid
|
Active
|
|
MP 8.011
|
Therapy
|
Sensory Integration Therapy and Auditory Integration Therapy
|
Active
|
|
MP 2.222
|
Medicine
|
Serum Antibody Markers for Diagnosing Inflammatory Bowel Disease (Retired 7/1/2026)
|
Retired
|
|
MP 2.269
|
Medicine
|
Serum Biomarkers for Human Epididymis Protein 4 (HE4) (Retired 7/1/2026)
|
Retired
|
|
MP 1.094
|
Surgery
|
Skin Contact Monochromatic Infrared Energy for Treatment of Cutaneous Ulcers, Diabetic Neuropathy and Miscellaneous Musculoskeletal Conditions
|
Active
|
|
MP 2.241
|
Medicine
|
Somatic Biomarker Testing (Including Liquid Biopsy) for Targeted Therapy in Non-Small Cell Lung (Retired 7/1/2026)
|
Retired
|
|
MP 2.388
|
Medicine
|
Somatic Biomarker Testing For Immune Checkpoint Inhibitor Therapy (MSIMMR, PD-L1, TMB) (Retired 7/1/2026)
|
Retired
|
|
MP 2.316
|
Medicine
|
Somatic Biomarker Testing (Including Liquid Biopsy) for Targeted Treatment of Metastatic Colorectal Cancer (KRAS, NRAS, BRAF, NTRK, and HER2) (Retired 7/1/2026)
|
Retired
|
|
MP 2.364
|
Medicine
|
Somatic Genetic Testing to Select Individuals with Melanoma or Glioma for Targeted Therapy or Immunotherapy (Retired 7/1/2026)
|
Retired
|
|
MP 8.002
|
Therapy
|
Speech Therapy (Outpatient)
|
Active
|
|
MP 4.046
|
Other Treatments
|
Sphenopalatine Ganglion Block
|
Active
|
|
MP 6.063
|
Durable Medical Equipment
|
Spinal Orthoses (other than for Scoliosis)
|
Active
|
|
MP 2.089
|
Medicine
|
Stem Cell Therapy for Peripheral Arterial Disease
|
Active
|
|
MP 2.373
|
Medicine
|
Step Therapy Treatment of Stage Four, Advanced Metastatic Cancer and Severe Related Health Conditions
|
Active
|
|
MP 1.140
|
Surgery
|
Steroid-Eluting Sinus Stents and Implants
|
Active
|
|
MP 2.345
|
Medicine
|
Subcutaneous Hormone Pellet Implants
|
Active
|
|
MP 4.052
|
Other Treatments
|
Substance Use Disorder Site of Service
|
Active
|
|
MP 1.114
|
Surgery
|
Subtalar Arthroereisis
|
Active
|
|
MP 1.163
|
Surgery
|
Surgery for Groin Pain in Athletes
|
Active
|
|
MP 1.129
|
Surgery
|
Surgical Treatment of Gynecomastia
|
Active
|
|
MP 1.128
|
Surgery
|
Surgical Treatment of Sleep Apnea and Snoring
|
Active
|
|
MP 1.161
|
Surgery
|
Surgical Treatments for Breast Cancer Related Lymphedema
|
Active
|
|
MP 1.082
|
Surgery
|
Surgical Ventricular Restoration
|
Active
|
|
MP 6.045
|
Durable Medical Equipment
|
Sympathetic Therapy for the Treatment of Pain (Retired 6/1/2024)
|
Retired
|
|
MP 1.160
|
Surgery
|
Synthetic Cartilage Implants for the First Metatarsophalangeal Joint
|
Active
|
|
MP 2.066
|
Medicine
|
Technologies for the Evaluation of Skin Lesions Suspected of Malignancy
|
Active
|
|
MP 1.164
|
Surgery
|
Temporarily Implanted Nitinol Device (iTind) for Benign Prostatic Hyperplasia
|
Active
|
|
MP 2.062
|
Medicine
|
Temporomandibular Disorder
|
Active
|
|
MP 6.061
|
Durable Medical Equipment
|
Therapeutic Shoes for Persons with Diabetes
|
Active
|
|
MP 1.086
|
Surgery
|
Thermal Capsulorrhaphy as a Treatment of Joint Instability
|
Active
|
|
MP 5.017
|
Radiology/Imaging
|
Thermography
|
Active
|
|
MP 6.046
|
Durable Medical Equipment
|
Threshold Electrical Stimulation as a Treatment of Motor Disorders
|
Active
|
|
MP 1.134
|
Surgery
|
Tibial Nerve Stimulation
|
Active
|
|
MP 1.026
|
Surgery
|
Total Artificial Hearts and Implantable Ventricular Assist Devices (Retired 3/1/2026)
|
Retired
|
|
MP 6.020
|
Durable Medical Equipment
|
Transcutaneous Electrical Nerve Stimulation and Transcutaneous Afferent Patterned Stimulation
|
Active
|
|
MP 2.053
|
Medicine
|
Transesophageal Endoscopic Therapies For Gastroesophageal Reflux Disease (Formerly Procedures For The Treatment Of Gastroesophageal Reflux Disease)
|
Active
|
|
MP 1.057
|
Surgery
|
Transmyocardial Revascularization (Retired 7/1/2026)
|
Retired
|
|
MP 4.034
|
Other Treatments
|
Transvaginal and Transurethral Radiofrequency Tissue Remodeling for Urinary Stress Incontinence
|
Active
|
|
MP 1.061
|
Surgery
|
Treatment of Varicose Veins - Venous Insufficiency
|
Active
|
|
MP 4.043
|
Surgery
|
Treatments of the Prostate
|
Active
|
|
MP 2.072
|
Medicine
|
Trigger Point and Tender Point Injections
|
Active
|
|
MP 6.054
|
Durable Medical Equipment
|
Tumor Treating Fields Therapy
|
Active
|
|
MP 6.052
|
Durable Medical Equipment
|
Upper Limb Prostheses
|
Active
|
|
MP 2.249
|
Medicine
|
Use of Common Genetic Variants (Single Nucleotide Polymorphisms) to Predict Risk of Non-Familial Breast Cancer (Retired 7/1/2026)
|
Retired
|
|
MP 1.034
|
Surgery
|
Vagus Nerve and Implantable Peripheral Nerve Stimulators
|
Active
|
|
MP 2.065
|
Medicine
|
Vertebral Axial Decompression
|
Active
|
|
MP 5.046
|
Radiology/Imaging
|
Vertebral Fracture Assessment and Biochemical Computed Tomography (Formerly Vertebral Fracture Assessment and Trabecular Bone Score)
|
Active
|
|
MP 1.136
|
Surgery
|
Vertical Expandable Prosthetic Titanium Rib
|
Active
|
|
MP 4.007
|
Other Treatments
|
Vision Therapy
|
Active
|
|
MP 5.037
|
Radiology/Imaging
|
Whole Body Dual X-Ray Absorptiometry to Determine Body Composition
|
Active
|
|
MP 2.324
|
Medicine
|
Whole Exome and Whole Genome Sequencing for Diagnosis of Genetic Disorders (Retired 7/1/2026)
|
Retired
|
|
MP 5.033
|
Radiology/Imaging
|
Wireless Capsule Endoscopy for Gastrointestinal (GI) Disorders
|
Active
|
|
MP 4.028
|
Other Treatments
|
Wound and Burn Management and Specialized Treatment Centers
|
Active
|
|
IC-0610NC
|
|
Aduhelm (Retired 11/1/2024)
|
Retired
|
|
MP 2.036
|
Medicine
|
Ambulatory Event Monitors and Mobile Cardiac Outpatient Telemetry (Retired 4/1/2025)
|
Retired
|
|
MP 2.359
|
Medicine
|
Analysis of MGMT Promoter Methylation in Malignant Gliomas (Retired 1/1/2024)
|
Retired
|
|
MP 2.099
|
Medicine
|
Automated Point of Care Nerve Conduction Tests (Retired 1/1/2025)
|
Retired
|
|
MP 2.100
|
Medicine
|
Autonomic Nervous System Testing (Retired 1/1/2026)
|
Retired
|
|
MP 1.017
|
Surgery
|
Bio-Engineered Skin and Soft Tissue Substitutes (Retired 4/1/2024)
|
Retired
|
|
IC-0561
|
|
Blenrep® (Retired 11/1/2024)
|
Retired
|
|
MP 1.122
|
Surgery
|
Bronchial Valves (Retired 1/1/2026)
|
Retired
|
|
MP 2.271
|
Medicine
|
CA-125 (Retired 7/1/2025)
|
Retired
|
|
MP 2.007
|
Medicine
|
Cardiac Intervention Therapy for the Treatment of Heart Failure (Retired 4/1/2025)
|
Retired
|
|
MP 8.005
|
Therapy
|
Cardiac Rehabilitation In The Outpatient Setting (Retired 9/1/2025)
|
Retired
|
|
MP 1.081
|
Surgery
|
Cardioverter Defibrillators (Implantable and External) (Retired 4/1/2025)
|
Retired
|
|
MP 8.007
|
Therapy
|
Cognitive Rehabilitation (Retired 11/1/2025)
|
Retired
|
|
MP 1.106
|
Surgery
|
Computer Assisted Navigation for Orthopedic Procedures (Retired 9/1/2024)
|
Retired
|
|
MP 4.048
|
Other Treatments
|
Coverage with Evidence Development (Retired 6/1/2025)
|
Retired
|
|
MP 2.380
|
Medicine
|
Diagnosis and Treatment of Post Acute COVID (PASC) (Retired 8/1/2025)
|
Retired
|
|
MP 3.016
|
Ancillary Services
|
Drug Infusion Site of Service (Retired 1/1/2026)
|
Retired
|
|
MP 6.048
|
Durable Medical Equipment
|
Electrical Stimulation for the Treatment of Arthritis and Miscellaneous Conditions (Retired 2/1/2025)
|
Retired
|
|
MP 2.032
|
Medicine
|
Endovascular Procedures for Intracranial Arterial Disease (Atherosclerosis and Aneurysms) (Retired 7/1/2025)
|
Retired
|
|
MP 1.149
|
Surgery
|
Endovascular Therapies for Extracranial Vertebral Artery Disease (Retired 4/1/2025)
|
Retired
|
|
MP 2.014
|
Medicine
|
Enhanced External Counterpulsation (Retired 5/1/2025)
|
Retired
|
|
MP 2.016
|
Medicine
|
Erectile Dysfunction (Retired 7/1/2024)
|
Retired
|
|
MP 2.369
|
Medicine
|
Fecal Microbiota Transplant (Retired 6/1/2024)
|
Retired
|
|
MP 1.152
|
Surgery
|
Functional Endoscopic Sinus Surgery for Chronic Rhinosinusitis (Retired 7/1/2025)
|
Retired
|
|
MP 2.361
|
Medicine
|
Genetic Testing for Statin-Induced Myopathy (Retired 5/1/2025)
|
Retired
|
|
MP 2.279
|
Medicine
|
Germline Genetic Testing for Gene Variants Associate with Breast Cancer in Individuals at High Breast Cancer Risk (CHEK2, ATM, and BARD1) (Retired 7/1/2026)
|
Retired
|
|
MP 7.019
|
OBGYN/Reproduction
|
Home Uterine Activity Monitoring (Retired 11/1/2024)
|
Retired
|
|
MP 5.047
|
Radiology/Imaging
|
Ingestible pH and Pressure Capsule (Retired 7/1/2025)
|
Retired
|
|
MP 4.013
|
Other Treatments
|
Iontophoresis Phonophoresis (Retired 12/1/2025)
|
Retired
|
|
MP 1.127
|
Surgery
|
Left-Atrial Appendage Closure Devices for Stroke Prevention in Atrial Fibrillation (Retired 4/1/2025)
|
Retired
|
|
MP 4.024
|
Other Treatments
|
Lipid Apheresis (Effective 2/1/2024)
|
Retired
|
|
MP 8.006
|
Therapy
|
Manipulation Under Anesthesia (Retired 2/1/2025)
|
Retired
|
|
MP 2.303
|
Medicine
|
Medications Used Under Heavy Sedation or General Anesthesia for Opioid Use Disorder (Retired 6/1/2025)
|
Retired
|
|
MP 2.377
|
Medicine
|
Molecular Testing for Germline Variants Associated with Ovarian Cancer (BRIP1, RAD51C, RAD51D, NBN) (Retired 7/1/2026)
|
Retired
|
|
MP 5.054
|
Radiology/Imaging
|
Myocardial Sympathetic Innervation Imaging in Patients with Heart Failure (Retired 6/1/2024)
|
Retired
|
|
MP 4.027
|
Other Treatments
|
Neuropsychological Testing for Medical Purposes (Retired 7/1/2025)
|
Retired
|
|
MP 8.004
|
Therapy
|
Occupational Therapy (Outpatient) (Retired 1/1/2026)
|
Retired
|
|
MP 2.385
|
Medicine
|
Olinvyk (oliceridine) (Retired 7/1/2025)
|
Retired
|
|
MP 8.008
|
Therapy
|
Outpatient Pulmonary Rehabilitation (Retired 10/1/2025)
|
Retired
|
|
MP 1.116
|
Surgery
|
Ovarian and Internal Iliac Vein Embolization as a Treatment of Pelvic Congestion Syndrome (Retired 11/1/2024)
|
Retired
|
|
MP 3.004
|
Ancillary Services
|
Private Duty Nursing Services (Retired 8/1/2024)
|
Retired
|
|
MP 1.154
|
Surgery
|
Procedures Completed in an Ambulatory Surgery Center Using General or Regional Anesthesia (Retired 1/1/2026)
|
Retired
|
|
MP 4.009
|
Other Treatments
|
Procedures of Questionable Current Usefulness (Retired 6/1/2025)
|
Retired
|
|
MP 6.018
|
Durable Medical Equipment
|
Prosthetics and Accessories (Retired 12/1/2024)
|
Retired
|
|
MP 2.095
|
Medicine
|
Quantitative Electroencephalography as a Diagnostic Aid for Attention Deficit-Hyperactivity Disorder (Retired 5/1/2025)
|
Retired
|
|
MP 6.060
|
Durable Medical Equipment
|
Retinal Prosthesis (Retired 1/1/2025)
|
Retired
|
|
MP 2.086
|
Medicine
|
Retinal Telescreening for Diabetic Retinopathy (Retired 1/1/2026)
|
Retired
|
|
MP 6.032
|
Durable Medical Equipment
|
Speech Generating Devices (Retired 11/1/2025)
|
Retired
|
|
MP 4.032
|
Other Treatments
|
Suprachoroidal Delivery of Pharmacologic Agents (Effective 2/1/2024)
|
Retired
|
|
MP 2.057
|
Medicine
|
T-Wave Alternans Testing (Retired 10/1/2025)
|
Retired
|
|
MP 4.044
|
Other Treatments
|
Telestroke (Retired 6/1/2025)
|
Retired
|
|
MP 1.135
|
Surgery
|
Transcatheter Aortic Valve Implantation for Aortic Stenosis (Retired 4/1/2025)
|
Retired
|
|
MP 1.153
|
Surgery
|
Transcatheter Mitral Valve Procedures (Retired 4/1/2025)
|
Retired
|
|
MP 1.139
|
Surgery
|
Transcatheter Pulmonary Valve Implantation (Retired 4/1/2025)
|
Retired
|
|
MP 2.382
|
Medicine
|
Treatment for Duchenne Muscular Dystrophy (Retired 1/1/2025)
|
Retired
|
|
MP 1.095
|
Surgery
|
Treatment of Menieres and Sudden Hearing Loss (Retired 8/1/2025)
|
Retired
|
|
MP 2.038
|
Medicine
|
Treatment of Tinnitus (Retired 10/1/2025)
|
Retired
|
|
MP 2.078
|
Medicine
|
Ultrafiltration in Decompensated Heart Failure (Retired 4/1/2025)
|
Retired
|
|
MP 5.036
|
Radiology/Imaging
|
Ultrasonographic Measurement of Carotid Intimal Medial Thickness as an Assessment of Subclinical Atherosclerosis (Retired 11/1/2025)
|
Retired
|
|
MP 2.143
|
Medicine
|
Zoledronic Acid (Reclast, Zometa) (Retired 11/1/2024)
|
Retired
|
|
MP 2.010
|
Medicine
|
Clinical Trials (Retired 2/1/2026)
|
Retired
|
|
MP 3.008
|
Ancillary Services
|
Parenteral Nutrition (Retired 2/1/2026)
|
Retired
|
|
MP 2.371
|
Medicine
|
Therapeutic Radiopharmaceuticals for Neuroendocrine Tumors (Retired 2/1/2026)
|
Retired
|
|
MP 2.208
|
Medicine
|
Viral Tropism Testing (Retired 2/1/2026)
|
Retired
|
|
MP 1.058
|
Surgery
|
Implantable Infusion Pumps for Pain and Spasticity (Retired 5/1/2026)
|
Retired
|
|
MP 1.120
|
Surgery
|
Interventions for Progressive Scoliosis (Retired 5/1/2026)
|
Retired
|
|
MP 2.026
|
Medicine
|
Intravenous Antibiotic Therapy for Lyme Disease (Retired 5/1/2026)
|
Retired
|
|
MP 1.069
|
Surgery
|
Spinal Cord and Dorsal Root Ganglion Stimulation (Retired 5/1/2026)
|
Retired
|
|
MP 1.146
|
Surgery
|
Vagus Nerve Blocking Therapy for the Treatment of Obesity (Retired 5/1/2026)
|
Retired
|
|
MP 4.008
|
Other Treatments
|
Photocoagulation Therapy for Treatment of AMD (Retired 6/1/2026)
|
Retired
|
|
AHS – G2159
|
|
β-Hemolytic Streptococcus Testing (Retired 7/1/2026)
|
Retired
|
|
AHS – G2150
|
|
Biomarkers for Myocardial Infarction and Chronic Heart Failure (Retired 7/1/2026) |
Retired
|
|
AHS – G2022
|
|
Biomarker Testing for Autoimmune Rheumatic Disease (Retired 7/1/2026) |
Retired
|
|
AHS – G2123
|
|
Biomarker Testing for Multiple Sclerosis and Related Neurologic Diseases (Retired 7/1/2026)
|
Retired
|
|
AHS – G2051
|
|
Bone Turnover Markers Testing (Retired 7/1/2026)
|
Retired
|
|
AHS – G2050
|
|
Cardiovascular Disease Risk Assessment (Retired 7/1/2026)
|
Retired
|
|
AHS – G2043
|
|
Celiac Disease Testing (Retired 7/1/2026)
|
Retired
|
|
AHS – G2174
|
|
Coronavirus Testing in the Outpatient Setting (Retired 7/1/2026)
|
Retired
|
|
AHS – G2006
|
|
Diabetes Mellitus Testing (Retired 7/1/2026)
|
Retired
|
|
AHS – G2056
|
|
Diagnosis of Idiopathic Environmental Intolerance (Retired 7/1/2026)
|
Retired
|
|
AHS – M2057
|
|
Diagnosis of Vaginitis (Retired 7/1/2026)
|
Retired
|
|
AHS – G2119
|
|
Diagnostic Testing of Influenza (Retired 7/1/2026)
|
Retired
|
|
AHS – G2011
|
|
Diagnostic Testing of Iron Homeostasis and Metabolism (Retired 7/1/2026)
|
Retired
|
|
AHS – G2059
|
|
Epithelial Cell Cytology in Breast Cancer Risk Assessment (Retired 7/1/2026)
|
Retired
|
|
AHS – G2138
|
|
Evaluation of Dry Eyes (Retired 7/1/2026)
|
Retired
|
|
AHS – G2060
|
|
Fecal Analysis in the Diagnosis of Intestinal Dysbiosis and Fecal Microbiota Transplant Testing (Retired 7/1/2026)
|
Retired
|
|
AHS – G2061
|
|
Fecal Calprotectin Testing in Adults (Retired 7/1/2026)
|
Retired
|
|
AHS – F2019
|
|
Flow Cytometry (Retired 7/1/2026)
|
Retired
|
|
AHS – G2154
|
|
Folate Testing (Retired 7/1/2026)
|
Retired
|
|
AHS – G2173
|
|
Gamma-glutamyl Transferase Testing in Adults (Retired 7/1/2026)
|
Retired
|
|
AHS – G2155
|
|
General Inflammation Testing (Retired 7/1/2026)
|
Retired
|
|
AHS – G2044
|
|
Helicobacter pylori Testing (Retired 7/1/2026)
|
Retired
|
|
AHS – M2097
|
|
Identification of Microorganisms using Nucleic Acid Probes (Retired 7/1/2026)
|
Retired
|
|
AHS – G2098
|
|
Immune Cell Function Assay (Retired 7/1/2026)
|
Retired
|
|
AHS – G2099
|
|
Intracellular Micronutrient Analysis (Retired 7/1/2026)
|
Retired
|
|
AHS – G2100
|
|
In Vitro Chemoresistance and Chemosensitivity Assays (Retired 7/1/2026)
|
Retired
|
|
AHS – G2143
|
|
Lyme Disease Testing (Retired 7/1/2026)
|
Retired
|
|
AHS – M2112
|
|
Nerve Fiber Density Testing (Retired 7/1/2026)
|
Retired
|
|
AHS – M2172
|
|
Onychomycosis Testing (Retired 7/1/2026)
|
Retired
|
|
AHS – G2113
|
|
Oral Cancer Screening and Testing (Retired 7/1/2026)
|
Retired
|
|
AHS – G2153
|
|
Pancreatic Enzyme Testing for Acute Pancreatitis (Retired 7/1/2026)
|
Retired
|
|
AHS – G2164
|
|
Parathyroid Hormone, Phosphorus, Calcium, and Magnesium Testing (Retired 7/1/2026)
|
Retired
|
|
AHS – G2149
|
|
Pathogen Panel Testing (Retired 7/1/2026)
|
Retired
|
|
AHS – G2055
|
|
Prenatal Testing for Fetal Aneuploidy (Retired 7/1/2026)
|
Retired
|
|
AHS – T2015
|
|
Prescription Medication and Illicit Drug Testing in the Outpatient Setting (Retired 7/1/2026)
|
Retired
|
|
AHS – G2007
|
|
Prostate Biopsy Specimen Analysis (Retired 7/1/2026)
|
Retired
|
|
AHS – G2120
|
|
Salivary Hormone Testing (Retired 7/1/2026)
|
Retired
|
|
AHS – G2151
|
|
Serum Testing for Evidence of Mild Traumatic Brain Injury (Retired 7/1/2026)
|
Retired
|
|
AHS – G2063
|
|
Testing for Diagnosis of Active or Latent Tuberculosis (Retired 7/1/2026)
|
Retired
|
|
AHS – G2158
|
|
Testing for Vector-Borne Infections (Retired 7/1/2026)
|
Retired
|
|
AHS – G2013
|
|
Testosterone (Retired 7/1/2026)
|
Retired
|
|
AHS – G2045
|
|
Thyroid Disease Testing (Retired 7/1/2026)
|
Retired
|
|
AHS – G2125
|
|
Urinary Tumor Markers for Bladder Cancer (Retired 7/1/2026)
|
Retired
|
|
AHS – G2156
|
|
Urine Culture Testing for Bacteria (Retired 7/1/2026)
|
Retired
|
|
AHS – G2014
|
|
Vitamin B12 and Methylmalonic Acid Testing (Retired 7/1/2026)
|
Retired
|
|
AHS – G2005
|
|
Vitamin D Testing (Retired 7/1/2026)
|
Retired
|
