Medical Genetics

What they do most for Medicare patients

Service, sort	Code, sort	Times billed, sort	Patients, sort
New patient office or other outpatient visit, 60-74 minutes	99205	1,369	1,369
Established patient office or other outpatient visit, 40-54 minutes	99215	1,210	967
Interpretation and report of genetic testing	88291	1,001	770
Established patient office or other outpatient visit, 30-39 minutes	99214	844	588
New patient office or other outpatient visit, 45-59 minutes	99204	679	679
New patient office or other outpatient visit, 30-44 minutes	99203	573	573
Established patient office or other outpatient visit, 20-29 minutes	99213	456	396
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	G2212	428	186
Special stained specimen slides to examine tissue including interpretation and report	88313	354	87
Flow cytometry technique for dna or cell analysis, 16 or more markers	88189	237	224
Critical care, first 30-74 minutes	99291	220	86
Pathology examination of tissue using a microscope, intermediate complexity	88305	147	87
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	99211	145	104
Microscopic genetic analysis of tissue, manual, each additional multiplex stain procedure	88377	139	26
Insertion of needle into vein for collection of blood sample	36415	135	135
New patient office or other outpatient visit, 15-29 minutes	99202	125	125
Microscopic genetic analysis of tissue, manual, each additional procedure	88369	104	39
Special stained specimen slides to examine tissue, initial procedure	88342	95	81
Special stained specimen slides to examine tissue, each additional procedure	88341	84	33
Preparation of tissue for examination by removing any calcium present	88311	81	77
Bone marrow, smear interpretation	85097	80	76
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina	76830	66	64
Microscopic genetic analysis of tissue, manual, initial procedure	88368	62	60
Insertion of cage or mesh device to spine bone and disc space during spine fusion	22853	59	37
Tissue culture for tumor disorders of bone marrow and blood cells	88237	54	24
Telephone medical discussion with physician, 21-30 minutes	99443	53	50
Aspiration of bone marrow for spine bone graft	20939	53	52
Complete ultrasound scan of pelvis	76856	45	45
Molecular pathology procedure; physician interpretation and report	G0452	42	38
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment	63048	41	24
Established patient office or other outpatient visit, 10-19 minutes	99212	40	40
Sleep study in sleep lab with continuous airway pressure (6 years or older)	95811	37	37
Flow cytometry technique for dna or cell analysis, 2 to 8 markers	88187	34	33
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	G0439	33	33
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment	63047	32	32
Flow cytometry technique for dna or cell analysis, 9 to 15 markers	88188	32	30
Injection of substance into lower spine canal using imaging guidance	62323	30	14
Telephone medical discussion with physician, 5-10 minutes	99441	29	29
Chromosome analysis for genetic defects, count 15-20 cells	88262	28	25
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	99232	24	16
Fusion of additional segment of spine	22614	21	13
Fusion of spine in lower back with partial removal of spine bone and disc	22633	20	20
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	99223	19	18
Pathology clinical consultation for clinical problem, 5-20 minutes	80503	19	12
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes	99221	19	19
Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	63052	18	18
Fusion of spine in lower back	22612	17	17
Placement of stabilizing device to front, 2-3 spine bone segments	22845	17	17
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	99222	17	17
Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	22551	16	16
Genetic sequencing localization, initial procedure	88365	15	14
Computer-assisted spinal procedure	61783	14	14
Limited ultrasound scan of pelvis	76857	14	12
Administration of pneumococcal vaccine	G0009	14	14
Telephone medical discussion provided by nonphysician professional, 21-30 minutes	98968	14	14
Insertion of spinal neurostimulator generator or receiver	63685	13	12
Placement of stabilizing device to back, 3-6 spine bone segments	22842	13	13
Telephone medical discussion with physician, 11-20 minutes	99442	12	12
Removal of spine bone for insertion of neurostimulator electrode plate in spine	63655	12	12
Sleep study in sleep lab (6 years or older)	95810	12	12
Placement of stabilizing device to back of 1 spine bone in neck	22840	11	11

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Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).