Abdominal Aortic Aneurysm (AAA) Screening Ultrasound
A preventive ultrasound scan specifically checking the abdominal aorta for dangerous bulging.
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Abdominal CT Angiography
A specialized CT scan using dye to examine blood vessels in the abdomen.
Abdominal CT Scan (With and Without Contrast)
Scans the belly both before and after contrast dye for clear, detailed comparisons.
Abdominal CT Scan with Contrast
An abdominal CT scan using contrast dye to clearly highlight organs and blood vessels.
Abdominal CT Scan without Contrast
Detailed X-ray imaging of abdominal organs without using injected contrast dye.
Abdominal Hernia Repair (Small Defect)
First-time surgical repair of a small abdominal hernia measuring less than three centimeters.
Abdominal Hernia Repair Surgery (3 cm to 10 cm)
First-time surgery to repair a reducible abdominal hernia measuring 3 to 10 centimeters.
Abdominal MRI with Contrast
An abdominal MRI using injected dye to clearly highlight organs and blood vessels.
Abdominal MRI Without Contrast
A magnetic scan of abdominal organs performed without injecting contrast dye.
Abdominal Myomectomy (Uterine Fibroid Removal)
Open abdominal surgery to remove uterine fibroids while preserving the uterus.
Abdominal Paracentesis
Draining excess belly fluid using a needle without ultrasound or other imaging guidance.
Abdominal Paracentesis with Imaging Guidance
Draining excess abdominal fluid using real-time imaging guidance for precision.
Abdominal X-Ray (Single View)
Uses a single X-ray image rather than multiple views to evaluate belly pain.
Achilles Tendon Repair Surgery
Surgically stitching torn ends of a ruptured Achilles tendon back together.
Achilles Tendon Repair Surgery with Graft
Surgical repair of a torn Achilles tendon reinforced with a tissue graft.
ACL Reconstruction Surgery
Minimally invasive surgery to replace a torn knee ligament using a tissue graft.
Acromioclavicular (AC) Joint Dislocation Repair
Open surgery to realign a separated collarbone and repair torn shoulder ligaments.
Acromioclavicular (AC) Joint Surgery
Arthroscopic surgery removing the collarbone's outer tip to relieve shoulder joint friction.
Adenoid Removal (Age 12 and Older)
First-time surgical removal of adenoid tissue in patients aged 12 and older.
Adenoid Removal (Under Age 12)
First-time surgical removal of enlarged adenoid tissue in children under age twelve.
Allogeneic Bone Marrow Transplant
Replacing diseased bone marrow with healthy stem cells from a matched donor.
Anal Fissure Surgery
Surgically removes damaged anal tear tissue, sometimes releasing muscle tension to aid healing.
Anal Fissure Surgery (Sphincterotomy)
Surgically cutting the internal anal sphincter muscle to heal chronic, painful tears.
Anal Fistula Repair (Subcutaneous Fistulotomy)
Surgically opening a shallow anal fistula just beneath the skin to allow healing.
Angiogram
Specialized X-ray imaging using contrast dye to clearly visualize blood vessels and flow.
Ankle Fracture Repair Surgery
Open surgery using plates and screws to repair a broken outer ankle bone.
Ankle Fracture Repair Surgery (ORIF)
Surgically repairing a three-part ankle fracture with hardware, excluding the rear bone fragment.
Ankle Ligament Repair and Reconstruction
Rebuilding damaged ankle ligaments using a tendon graft to restore joint stability.
Ankle Ligament Repair Surgery
Surgically stitching or reattaching torn side ligaments to restore ankle joint stability.
Ankle X-Ray (2 Views)
An ankle X-ray taken from two angles to evaluate bones and joint alignment.
Anterior Cervical Discectomy and Fusion (ACDF)
Removes a damaged neck disc from the front and fuses adjacent vertebrae together.
Anterior Cervical Discectomy Surgery
Removing a damaged neck disc through the front of the neck to relieve pressure.
Anterior Lamellar Corneal Transplant
Surgery replacing only the cornea's front layers while preserving healthy deeper tissue.
Anterior Pelvic Organ Prolapse Repair
Surgical repair of the front vaginal wall to support a drooping bladder.
Appendectomy (Appendix Removal)
Surgical removal of an infected appendix, typically performed through an open abdominal incision.
Appendix Procedures without CC/MCC
Minimally invasive appendix removal through small incisions during an inpatient hospital stay.
Appendix Surgery (Appendectomy)
Inpatient surgical appendix removal for patients with secondary complications or existing health conditions.
Aquablation Therapy for the Prostate
Removes enlarged prostate tissue using a heat-free, robotically guided waterjet.
Arm Skin Removal Surgery
Surgical removal of loose, sagging skin and excess fat from the upper arms.
Arterial Vascular Embolization
A catheter procedure blocking abnormal arteries to treat aneurysms or vascular malformations.
Arthroscopic Ankle Fusion Surgery
Permanently fuses ankle bones using tiny incisions and a camera instead of open surgery.
Arthroscopic Ankle Surgery with Debridement
Minimally invasive ankle surgery using a camera to clean out damaged joint tissue.
Arthroscopic Knee Surgery for Torn Meniscus
Minimally invasive camera-guided surgery to trim or remove a torn knee meniscus.
Arthroscopic Labral Repair
Minimally invasive camera-guided surgery to reattach torn joint cartilage back to bone.
Arthroscopic Meniscus Transplant Surgery
Minimally invasive knee surgery replacing missing meniscus cartilage with healthy donor tissue.
Arthroscopic Shoulder Labral and Bankart Repair
Minimally invasive surgery to reattach torn shoulder cartilage and stop recurring dislocations.
Arthroscopy
Minimally invasive joint surgery using a small camera instead of large open incisions.
Artificial Urinary Sphincter Implantation
Surgically placing an inflatable mechanical cuff and pump to treat severe urinary incontinence.
Autologous Bone Marrow Transplant
A transplant using the patient's own harvested stem cells rather than a donor's.
Autonomic Function Testing
Evaluates blood pressure control using tilt-table positioning and controlled breathing tests.
Autonomic Function Testing with Tilt Table
Tests how involuntary nerves control heart rate and blood pressure on a tilt table.
Autonomic Nervous System Function Testing
Measures sweat production and skin responses to evaluate autonomic nerve function.
AV Fistula Creation Surgery
Surgically connects an artery directly to a vein, creating natural access for dialysis.
Back MRI
Detailed scan of spinal discs and nerves using magnetic fields rather than radiation.
Barium Swallow Study
A real-time video X-ray evaluating how your throat and esophagus function during swallowing.
Bilateral Breast MRI with Contrast
A detailed magnetic scan of both breasts using injected dye to highlight tissue.
Bilateral Extremity Venogram
An X-ray exam using contrast dye to inspect veins in both arms or legs.
Bilateral Hip X-Ray (3 to 4 Views)
An X-ray capturing three to four detailed views of both hips.
Bilateral Hydrocelectomy
Surgical removal or repair of fluid-filled sacs surrounding both testicles.
Bilateral Venous Duplex Ultrasound
An ultrasound scanning veins in both legs or arms to detect blood clots.
Bimalleolar Ankle Fracture Repair Surgery
Surgery using hardware to repair fractures on both sides of the ankle.
Bladder Repair Surgery
Surgically stitching closed a simple tear, cut, or rupture in the bladder wall.
Bladder Sling Surgery for Urinary Incontinence
Placing a supportive sling beneath the urethra to prevent urine leaks during physical movement.
Body CT Scan
Detailed cross-sectional torso imaging, showing internal organs far better than standard flat X-rays.
Bone Age X-Ray
A hand X-ray evaluating a child's skeletal maturity compared to their chronological age.
Bone Scan of a Specific Area
Targeted nuclear scan of a single bone or joint instead of the entire body.
Bone-Anchored Hearing Loss Surgery
Placing a bone-anchored hearing implant through the skin without removing ear bone.
Brain CT Scan (Without Contrast)
Head and brain X-ray imaging performed without injecting contrast dye.
Brain MRA with and without Contrast
Detailed imaging of brain blood vessels taken both before and after contrast dye.
Brain MRI Scan Without Contrast
Detailed magnetic brain imaging performed without needles or injected contrast dye.
Brain MRI with and without Contrast
Brain scans taken both before and after contrast dye to highlight subtle abnormalities.
Brain MRI with Contrast
A brain scan using injected dye to highlight blood vessels and abnormal tissues.
Brain PET Scan for Metabolic Evaluation
A scan tracking brain glucose and energy use to detect abnormal cellular function.
Brain Scans
Imaging tests like MRIs or CTs that specifically capture internal brain structures and conditions.
Brain Shunt Revision or Replacement Surgery
Surgical repair or replacement of a malfunctioning, blocked, or disconnected brain fluid shunt.
Brain Shunt Surgery
Surgically placing a tube to redirect excess brain fluid to the abdomen or chest.
Breast Biopsy with MRI Guidance
A needle biopsy using MRI scans to locate and sample suspicious breast tissue.
Breast Implant Removal
Surgical removal of an existing breast implant that remains intact and unruptured.
Breast MRI Without Contrast, One Breast
An MRI scan of one breast performed without injected contrast dye.
Breast Reconstruction Surgery with Free Tissue Flap
Rebuilds the breast by moving your own tissue and reconnecting its blood vessels.
Breast Reconstruction with Latissimus Dorsi Flap (Without Implant)
Rebuilding the breast using upper back tissue instead of an artificial implant.
Breast Reconstruction with Tissue Expander Placement
Placing a temporary expander to stretch chest tissue before permanent breast reconstruction.
Breast Ultrasound
A complete ultrasound scan examining every quadrant of a single breast.
Bronchoscopic Lung Volume Reduction
Inserting one-way valves into diseased lung airways using a bronchoscope to improve breathing.
Bronchoscopy with Biopsy
Using an airway scope to inspect the lungs and take tissue samples.
Bronchoscopy with Bronchoalveolar Lavage
A scope procedure that washes and collects fluid from the lungs for testing.
Bronchoscopy with Transbronchial Lung Biopsy
Taking deep lung tissue samples through airway walls using a guided scope.
Bunion Correction Surgery with Joint Fusion
Corrects severe bunions by realigning the toe and permanently fusing a midfoot joint.
Bunion Surgery with Bone Cut Near Midfoot
Bunion correction that realigns the foot by cutting bone near the midfoot.
Bunion Surgery with Bone Cut Near Toe
Corrects a bunion by cutting and realigning the foot bone near the toe.
Bunion Surgery with Simple Bone-Bump Removal
Surgically shaves the big-toe bump without cutting or realigning the underlying bone.
Cardiac Ablation for Ventricular Tachycardia
Catheter procedure scarring lower heart chamber tissue to stop dangerously fast rhythms.
Cardiac Catheterization with Right and Left Heart Angiogram
Images coronary arteries and measures pressures inside both sides of the heart.
Cardiac CT Scan
A contrast-enhanced 3D scan specifically imaging coronary arteries to detect blockages.
Cardiac CT Scan with Contrast
A contrast-enhanced 3D scan evaluating heart structure, blood vessels, and pumping function.
Cardiac MRI (Heart MRI) Without Contrast
An MRI scan evaluating heart structure and function without using injected contrast dye.
Cardiac MRI with and without Contrast
Detailed heart MRI scans taken both before and after injecting contrast dye.
Cardiac Stent Placement
Placing a heart artery stent via catheter during an uncomplicated hospital stay.
Cardiac Stress MRI with Contrast
Heart MRI using contrast dye to evaluate blood flow during simulated stress.
Cardiac Stress Test
Monitors heart activity with an ECG while exercising on a treadmill or stationary bike.
Carotid Angiogram
Catheter-based X-ray imaging to check for blockages in the neck's carotid arteries.
Carotid Artery Stent Placement
Inserting a neck artery stent using a catheter and a protective brain filter.
Carotid Duplex Ultrasound
A specialized ultrasound evaluating carotid artery walls and blood flow to the brain.
Carpal Tunnel Wrist Surgery
Surgical release of the wrist ligament to relieve pressure on the median nerve.
Catheter Ablation for Atrial Fibrillation
A catheter procedure scarring tissue around pulmonary veins to treat atrial fibrillation.
Catheter Ablation for Supraventricular Tachycardia (SVT)
Catheter procedure that scars upper-heart tissue to stop rapid, abnormal rhythm signals.
Cervical Artificial Disc Replacement
Replaces a damaged neck disc with an artificial implant to preserve natural spinal motion.
Cervical Laminectomy Surgery
Neck surgery removing vertebral bone to relieve pressure on compressed spinal nerves.
Cervical or Thoracic Facet Joint Radiofrequency Ablation
Disables pain-transmitting nerves in a neck or upper-back spinal joint using heat.
Cervical Spinal Fusion without CC/MCC
Surgery removing a damaged neck disc from the front and fusing the vertebrae.
Cervical Spine (Neck) MRI with and without Contrast
Detailed neck MRI scans taken both before and after injected contrast dye.
Cervical Spine (Neck) MRI Without Contrast
A detailed magnetic scan of the neck's spine and nerves without injected dye.
Cervical Spine CT Scan with Contrast
Neck CT scan using IV dye to highlight blood vessels and soft tissues.
Cervical Spine MRI with Contrast
A neck MRI using injected dye to clearly highlight spinal tissues and abnormalities.
Cesarean Childbirth Delivery
Covers only the surgical C-section delivery, separate from prenatal and postpartum care.
Cesarean Delivery (C-Section)
Covers only the surgical C-section delivery itself, excluding prenatal and postpartum care.
Cesarean Section (C-Section) Delivery with Sterilization
C-section delivery combined with permanent surgical sterilization during a single uncomplicated operation.
Cesarean Section without Sterilization with CC
A C-section delivery managing medical complications, performed without permanent sterilization.
Cesarean Section without Sterilization without CC/MCC
Standard cesarean delivery without sterilization or major medical complications.
Chest CT Angiography (CTA)
A CT scan using contrast dye to specifically evaluate chest blood vessels.
Chest CT Scan (With and Without Contrast)
Chest CT scans taken both before and after injecting contrast dye.
Chest CT Scan with Contrast
Detailed chest imaging using injected dye to highlight blood vessels and soft tissues.
Chest CT Scan without Contrast
Detailed cross-sectional imaging of the chest without using injected contrast dye.
Chest MRI Scan without Contrast
A detailed chest scan using magnetic fields without injecting contrast dye.
Chest MRI with Contrast
A chest MRI using injected dye for clearer images of tissues and vessels.
Chest X-Ray (2 Views)
A chest X-ray capturing front and side views of the heart and lungs.
Chest X-Ray (3 Views)
A chest X-ray capturing images from three angles for a more thorough evaluation.
Chest X-Ray (4 or More Views)
An extensive chest X-ray using four or more angles rather than standard views.
Circumcision with Clamp Device and Local Anesthetic
Surgical foreskin removal performed using a clamp device and local numbing medication.
Clavicle (Collarbone) Fracture Repair Surgery
Surgical repair to realign and secure a broken collarbone using metal hardware.
Cleft Palate Repair
Surgery to close a gap specifically in the roof of the mouth.
Clitoroplasty Surgery
Reconstructive surgery that reshapes or reduces the clitoris specifically for intersex conditions.
Cochlear Implant Surgery
Surgically implants an inner ear device to directly stimulate auditory nerves.
Colonoscopy with Polyp or Lesion Ablation
A colonoscopy that burns or vaporizes abnormal tissue rather than cutting it out.
Colonoscopy with Polyp Removal
A colonoscopy using heated forceps to remove polyps and seal the tissue.
Colonoscopy with Snare Polyp Removal
A colon exam that removes polyps using a specialized wire snare loop.
Combined Anterior and Posterior Prolapse Repair
Surgery repairing both the front and back vaginal walls to support fallen pelvic organs.
Complete Abdominal Ultrasound
Comprehensive sound-wave imaging examining all major organs within the entire abdomen.
Complete Abdominal Vascular Duplex Ultrasound
Comprehensive ultrasound evaluating blood flow and vessel structure throughout abdominal and pelvic organs.
Complete Ankle X-Ray
An ankle X-ray using at least three views to evaluate bones and joints.
Complete Blood Count (CBC)
An automated test measuring red and white blood cells, platelets, and hemoglobin levels.
Complete Elbow X-Ray
A comprehensive elbow X-ray capturing at least three angles to assess the joint.
Complete Endoscopic Ethmoid Sinus Surgery for Nasal Polyps
Completely clears polyps from both the front and back ethmoid sinuses endoscopically.
Complete Knee X-Ray (4 or More Views)
A knee X-ray using four or more distinct angles for a comprehensive evaluation.
Complete Mastoidectomy (Ear Surgery)
Full surgical removal of diseased or infected mastoid bone cells behind the ear.
Complete Transthoracic Echocardiogram (Heart Echo)
A complete, noninvasive chest ultrasound evaluating heart structures, valves, and blood flow.
Complete Wrist X-Ray (3 or More Views)
A complete wrist X-ray capturing at least three angles for thorough bone evaluation.
Complex Interstitial Brachytherapy
Delivering targeted internal radiation directly into tumors using intricately placed needles or tubes.
Complex Proton Beam Therapy
Proton radiation targeting multiple tumor areas from several angles using custom-shaped beams.
Comprehensive Metabolic Panel (CMP)
A blood test measuring fourteen substances to evaluate liver, kidney, and metabolic function.
Corneal Transplant
Full-thickness corneal replacement for eyes that already have an artificial lens implant.
Corneal Transplant for an Eye with an Artificial Lens
A full-thickness corneal transplant in an eye that already has an artificial lens.
Coronary Angiogram
A catheter-based X-ray test using dye to check for blocked heart arteries.
Coronary Angiogram with Bypass Graft Imaging
An imaging test checking blood flow in heart arteries and previous bypass grafts.
Coronary bypass without cardiac catheterization without MCC
Open-heart surgery using grafted vessels to bypass blockages in three heart arteries.
Coronary Calcium Heart Scan
A dye-free chest CT scan measuring calcified plaque buildup inside heart arteries.
Coronary Stent Placement
Complex heart stent placement for multiple blocked arteries or patients with severe complications.
CT Angiogram
A specialized CT scan using contrast dye to clearly visualize blood vessels noninvasively.
CT Angiogram (CTA) of the Abdomen and Pelvis
A contrast CT scan mapping blood vessels across the abdomen and pelvis.
CT Angiogram of the Head
A contrast CT scan specifically visualizing blood vessels within the brain.
CT Angiogram of the Legs
A CT scan using injected dye to examine blood vessels in the legs.
CT Angiogram of the Neck
A contrast-enhanced CT scan that specifically maps blood vessels in the neck.
CT Angiography
A CT scan using injected dye to specifically map and evaluate blood vessels.
CT Angiography of the Upper Extremity
A CT scan using contrast dye to map blood vessels in the arm.
CT Scan of an Arm or Upper Extremity (Without Contrast)
A detailed X-ray scan of the arm performed without using contrast dye.
CT Scan of Spine
Cross-sectional X-ray imaging focusing specifically on the vertebrae and bony spinal structures.
CT Scan of the Abdomen and Pelvis with and without Contrast
Abdominal and pelvic CT scan taken both before and after contrast dye injection.
CT Scan of the Abdomen and Pelvis with Contrast
An abdominal and pelvic imaging scan using contrast dye to highlight internal organs.
CT Scan of the Abdomen and Pelvis Without Contrast
Detailed imaging of abdominal and pelvic organs performed without using contrast dye.
CT Scan of the Brain, With and Without Contrast
A brain CT scan performed both before and after injecting contrast dye.
CT Scan of the Cervical Spine (Neck) with and without Contrast
A neck CT scan capturing images both before and after contrast dye injection.
CT Scan of the Cervical Spine (Neck) Without Contrast
A detailed X-ray scan of the neck spine performed without injected contrast dye.
CT Scan of the Head or Brain with Contrast
A brain scan using injected dye to highlight blood vessels and tissue abnormalities.
CT Scan of the Lower Extremity with Contrast
Leg CT scan using injected dye to highlight soft tissues and blood vessels.
CT Scan of the Lower Extremity without Contrast
A detailed X-ray scan of the leg or foot without injected contrast dye.
CT Scan of the Lumbar Spine (Lower Back)
A lower-back CT scan performed both before and after contrast dye injection.
CT Scan of the Lumbar Spine (Lower Back) without Contrast
Cross-sectional imaging of the lower spine performed without using injected contrast dye.
CT Scan of the Pelvis Without Contrast
Detailed pelvic imaging to check lower organs and bones without using contrast dye.
CT Scan of the Soft Tissue Neck with Contrast
A neck CT scan using contrast dye to clearly highlight tissues and blood vessels.
CT Scan of the Thoracic Spine without Contrast
A mid-back CT scan producing detailed spinal images without using contrast dye.
CT Scan with Contrast
Uses special dye to highlight blood vessels and organs more clearly than standard scans.
CT Scans
Combines multiple X-rays to produce detailed cross-sectional images, unlike standard flat X-rays.
Cubital Tunnel Release Surgery
Surgical release or repositioning of the compressed ulnar nerve at the elbow.
Cystoscopy (Bladder Scope Exam)
A diagnostic visual examination of the bladder and urethra using a thin camera scope.
D-Dimer Blood Test
A blood test measuring clot-breakdown proteins to help rule out dangerous blood clots.
Deep Brain Stimulation Electrode Implantation
Surgically implanting a deep-brain stimulation electrode guided by real-time electrical brain mapping.
Deep Brain Stimulation Neurostimulator Generator Placement or Replacement
Implanting or replacing a brain stimulator battery connected to two or more leads.
Deep Perirectal Abscess Incision and Drainage
Surgically draining severe, deep-tissue infections located around the lower rectum.
Detailed Fetal Anatomy Ultrasound
A comprehensive ultrasound providing a deeper evaluation of fetal anatomy than standard scans.
Diagnostic Colonoscopy with Biopsy
A camera exam of the colon that collects small tissue samples for testing.
Diagnostic ERCP
An endoscopic and X-ray examination specifically to diagnose bile and pancreatic duct conditions.
Diagnostic Hysteroscopy
A camera exam inspecting inside the uterus for diagnosis rather than surgical treatment.
Diagnostic Knee Arthroscopy
Using a small camera to inspect the knee joint without performing surgical repairs.
Diagnostic Laparoscopy
Using a small camera to inspect abdominal organs for diagnosis rather than treatment.
Diagnostic Laparoscopy with Biopsy
Keyhole surgery inspecting abdominal organs and collecting tissue samples for testing.
Diagnostic Mammogram (Both Breasts)
Detailed X-rays of both breasts to investigate specific symptoms or abnormal screening results.
Diagnostic Mammogram (One Breast)
Targeted X-ray of one breast to investigate specific symptoms rather than routine screening.
Diagnostic or Screening Colonoscopy
A visual colon exam for screening or symptoms, without surgical polyp removal.
Diagnostic Upper Endoscopy (EGD)
A visual scope examination of the upper digestive tract strictly to diagnose conditions.
Diagnostic Ureteroscopy
Using a small camera to inspect the ureters and kidneys for diagnosis, not treatment.
Diagnostic Wrist Arthroscopy
A minimally invasive camera exam to inspect wrist joint structures without surgical repair.
Dilation and Curettage (D&C)
A non-pregnancy procedure to sample or clear the uterine lining through the cervix.
Doppler Ultrasound
Uses sound waves to measure blood flow through vessels, unlike standard structural imaging.
Doppler-Guided Hemorrhoidal Artery Ligation (HAL-RAR)
Uses ultrasound guidance to tie off hemorrhoid blood vessels without cutting tissue away.
Dual-Lead Pacemaker Battery Replacement
Replacing a depleted pacemaker battery unit while keeping the existing two-chamber heart leads.
Duplex Ultrasound
Combines standard anatomical ultrasound with Doppler technology to evaluate blood vessel flow.
Ear Tube Placement Surgery
Surgically inserting ear tubes to relieve middle ear fluid while under general anesthesia.
Eardrum Repair and Ear Bone Reconstruction (Tympanoplasty)
Patches a perforated eardrum while reconstructing damaged middle ear bones to restore hearing.
Eardrum Repair and Ear Bone Reconstruction with Synthetic Prosthesis
Repairs the eardrum and replaces damaged middle ear bones using an artificial prosthesis.
Eardrum Repair Surgery (Tympanoplasty)
Surgically patches a torn eardrum with tissue without repairing the hearing bones.
Echocardiogram
An ultrasound that uses sound waves to create moving pictures of the heart.
Echocardiography
Ultrasound imaging of the heart to evaluate its valves, chambers, and blood flow.
Elbow X-Ray
A two-view X-ray examining the elbow joint and bones for fractures or injuries.
Electrical Cardioversion
Restores normal heart rhythm using timed external electric shocks rather than medication.
Electrophysiology Study (EPS Heart Test)
An invasive test using heart catheters to map electrical signals and trigger arrhythmias.
Emergency Room Visit, Moderate Severity (Level 3)
Mid-level emergency care evaluating moderate conditions that require low-complexity medical decisions.
Endoscopic Lumbar Spine Surgery
Relieves pinched lower-back nerves through tiny incisions guided by a miniature camera.
Endoscopic Partial Sinus Surgery for Nasal Polyps
Endoscopic surgery that partially removes polyps and diseased tissue from the front sinuses.
Endoscopic Sinus Surgery (FESS) with Maxillary Antrostomy
Endoscopic surgery to enlarge the natural drainage pathway of the cheek sinus.
Endoscopic Sinus Surgery (FESS) with Maxillary Sinus Tissue Removal
Endoscopic surgery that opens the cheek sinus and removes diseased internal tissue.
Endoscopic Sinus Surgery (Frontal Sinus)
Endoscopic surgery to clear blockages specifically in the frontal sinuses behind the forehead.
Endoscopic Urethral Bulking Injection for Urinary Incontinence
A camera-guided injection that bulks the urethra to prevent stress urinary leakage.
Endoscopy
Visually inspecting internal organs with a flexible camera instead of external imaging.
Endothelial Corneal Transplant
Surgery replacing only the cornea's damaged inner layer instead of the entire cornea.
Endovascular Aneurysm Repair (EVAR)
Minimally invasive stent-graft placement to reinforce an unruptured abdominal aortic aneurysm.
Endovascular Cardiac Valve Replacement without MCC
Replacing a diseased aortic valve using a catheter rather than open-heart surgery.
Endovenous Radiofrequency Ablation for Varicose Veins
Closing a diseased varicose vein from the inside using targeted radiofrequency heat.
ERCP with Sphincterotomy
An endoscopic procedure that cuts the bile duct muscle to relieve blockages.
ERCP with Stent Placement
An endoscopic procedure inserting a stent to reopen blocked bile or pancreatic ducts.
ERCP with Stone Removal
An endoscopic procedure to extract stones lodged in bile or pancreatic ducts.
Esophageal Stent Placement
Endoscopic placement of an expandable stent through the mouth to open a narrowed esophagus.
Extensive Hemorrhoid Removal Surgery
Surgical removal of multiple groups of both internal and external hemorrhoids.
Extensive Pilonidal Sinus Surgery
Surgical removal of large, complex, or deeply infected cysts near the tailbone.
External Hemorrhoid Removal (Hemorrhoidectomy)
Surgical removal of painful, swollen hemorrhoids located entirely outside the anus.
Extracorporeal Membrane Oxygenation (ECMO) Procedure
Temporary life support that externally pumps and oxygenates blood for failing hearts or lungs.
Extremity Venous Duplex Ultrasound
A focused ultrasound evaluating blood flow and clots in a single arm or leg.
Eye Muscle Surgery on One Vertical Muscle
Surgical adjustment of a single vertical eye muscle to correct up-and-down misalignment.
Femur (Thigh Bone) X-Ray
Takes at least two X-ray angles of the thigh bone to evaluate fractures.
Fetal Anatomy Ultrasound Scan
A second-trimester abdominal scan checking the baby's detailed organ development and growth.
Fetal Echocardiogram
A specialized ultrasound evaluating an unborn baby's heart structure, rhythm, and blood flow.
Finger Surgery (Trigger Finger Tendon Sheath Release)
Surgically opening the finger's tendon sheath to relieve painful catching and locking.
First or Cervical Rib Removal Surgery
Surgical removal of the uppermost or extra neck rib to relieve nerve compression.
Fistula Surgery
Surgically repairing, closing, or removing an abnormal passageway between two organs or tissues.
Flexible Sigmoidoscopy
An examination of the rectum and lower colon, unlike a complete colonoscopy.
Focused Breast Ultrasound
A targeted ultrasound examining a specific lump or area in one breast.
Foot and Ankle X-Ray
A complete foot X-ray capturing at least three angles to evaluate bones and joints.
Foot and Ankle X-Ray
Images both foot and ankle bones together for fractures, unlike single-joint views.
Foot X-Ray (2 Views)
A basic two-angle foot X-ray evaluating fractures, joint damage, or bone alignment.
Full-Thickness Corneal Transplant
Surgery replacing all corneal layers with donor tissue while preserving the natural lens.
Full-Thickness Skin Graft (Trunk)
Transplants full-thickness skin to repair small wounds on the chest, abdomen, or back.
Functional Brain MRI (fMRI)
An MRI mapping live brain activity during tasks instead of just structural anatomy.
Fundoplication Surgery
Surgery wrapping the upper stomach around the lower esophagus to prevent acid reflux.
Gamma Knife Radiosurgery
Incision-free, single-session radiation that uses focused gamma beams to treat brain lesions.
Gastric Bypass Surgery
Laparoscopic weight-loss surgery that creates a smaller stomach pouch and reroutes the intestines.
Gastric Sleeve Surgery (Bariatric Surgery)
Surgery that permanently removes most of the stomach, forming a smaller sleeve.
Genicular Nerve Radiofrequency Ablation
Relieves chronic knee pain by using targeted heat to disable joint sensory nerves.
Hand X-Ray (2 Views)
An X-ray capturing two distinct angles to examine the hand's bones and joints.
Hand X-Ray (3 or More Views)
Hand X-ray using three or more angles to thoroughly evaluate bones and joints.
Heart PET Perfusion Scan (Single Study)
A single PET scan assessing heart muscle blood flow during rest or stress.
Heart Valve Replacement Surgery
Surgical replacement of a diseased heart valve using a mechanical or biological implant.
Hemoglobin A1c (HbA1c) Test
Measures average blood sugar over recent months, unlike standard daily glucose checks.
Hernia Repair
Surgery to reposition bulging internal tissue and reinforce the weakened surrounding muscle wall.
Hernia Repair Surgery
Surgery that repositions protruding internal tissue and reinforces the weakened muscle wall.
HIDA Scan
A nuclear scan tracking fluid flow to evaluate gallbladder and bile duct function.
HIDA Scan with Medication
A gallbladder imaging scan using medication to measure how effectively it empties.
High-Dose-Rate Brachytherapy (Over 12 Channels)
High-potency, temporary internal radiation delivered through more than 12 targeted channels.
High-Risk Screening Colonoscopy
A preventive colon screening tailored specifically for individuals with elevated colorectal cancer risks.
Hip Arthroscopy Surgery
Minimally invasive hip surgery to smooth damaged cartilage and trim torn joint tissue.
Hip Arthroscopy with Labral Repair
Minimally invasive surgery using a camera to reattach torn hip socket cartilage.
Hip Impingement Surgery (Acetabuloplasty)
Minimally invasive surgery to trim excess bone from the hip socket rim.
Hip Impingement Surgery (Arthroscopic Femoroplasty)
Minimally invasive surgery reshaping the thigh bone to relieve hip joint impingement.
Hip X-Ray (4 or More Views)
A comprehensive X-ray capturing four or more angles of one hip joint.
Hip X-Ray (Single Hip, 2 to 3 Views)
A focused X-ray capturing two or three angled views of a single hip.
Hydrocelectomy (Hydrocele Removal)
Surgery to drain and remove a fluid-filled sac around one testicle.
Hysterosalpingography (HSG Test)
An X-ray procedure using dye to check if the fallopian tubes are blocked.
Hysteroscopic Endometrial Ablation
A camera-guided procedure to destroy the uterine lining and reduce heavy menstrual bleeding.
Hysteroscopic Removal of Uterine Fibroids (Myomectomy)
Removing uterine fibroids through the vagina and cervix without making external abdominal incisions.
Implantable Loop Recorder Insertion
Inserting a small monitor under chest skin for continuous, long-term heart rhythm recording.
Implantable Venous Access Port (Chemo Port) Placement
Surgical insertion of an under-the-skin port for long-term intravenous treatments without external tubing.
In-Lab Sleep Study (Polysomnography)
An overnight, technologist-monitored clinic test tracking brain, breathing, and body activity during sleep.
Inferior Turbinate Reduction (Nasal Surgery)
Surgically reducing swollen tissue beneath the nasal lining to clear blocked breathing passages.
Inferior Vena Cava Venogram
Contrast X-ray imaging specifically evaluating blood flow and clots in the inferior vena cava.
Inflatable Penile Implant Surgery
Surgically placing a multi-piece, pump-operated inflatable implant to treat erectile dysfunction.
Inguinal Hernia Repair Surgery
Surgical repair of a first-time, reducible groin hernia for patients five and older.
Inpatient Laparoscopic Gallbladder Removal
Minimally invasive gallbladder removal requiring an inpatient hospital stay without bile duct exploration.
Inpatient Physical Rehabilitation
Intensive, overnight hospital therapy and 24-hour medical care for patients with complex recoveries.
Inspire Hypoglossal Nerve Stimulator Revision or Replacement
Surgically repairing, adjusting, or replacing parts of an existing sleep apnea nerve stimulator.
Inspire Sleep Apnea Implant Procedure
Surgical implantation of a nerve-stimulating device to keep airways open during sleep.
Intensity-Modulated Radiation Therapy (IMRT) Delivery
Radiation delivery using precisely sculpted, variable-strength beams to protect surrounding healthy tissue.
Intermediate Proton Beam Therapy
Proton radiation therapy precisely targeting multiple areas using customized beam-shaping devices.
Intermediate Stitches for Small Cuts or Wounds
Layered stitching for small, deeper cuts on the body, limbs, or scalp.
Intracept Procedure (Basivertebral Nerve Ablation)
Disables the basivertebral nerve inside spinal vertebrae using heat to stop back pain.
Joint Replacement Surgery
Surgically replacing a damaged natural joint with an artificial prosthetic implant.
Kidney and Retroperitoneal Ultrasound
An ultrasound evaluating the kidneys, aorta, and deep structures behind the abdominal cavity.
Kidney Stone Removal Surgery (Ureteroscopy with Lithotripsy)
Breaks and removes kidney stones using an internal scope equipped with a laser.
Kidney Stone Removal Surgery with Stent Placement
Breaks kidney stones with a scope and laser, leaving a temporary drainage stent.
Kidney Transplant
A donor kidney transplant surgery performed without requiring hemodialysis.
Kidney Transplant with Dialysis
A kidney transplant surgery requiring temporary dialysis treatments during the hospital stay.
Knee Arthroscopy with Cartilage Shaving (Chondroplasty)
Minimally invasive surgery using a scope to trim and smooth damaged knee cartilage.
Knee X-Ray (1 or 2 Views)
A basic knee X-ray capturing just one or two angles of the joint.
Knee X-Ray (3 Views)
Takes three distinct angled knee images, offering more detailed views than basic X-rays.
Labrum Repair Surgery
Reattaches torn shoulder or hip cartilage to bone rather than just trimming it.
Labrum Surgery
Surgically repairing or trimming torn cartilage stabilizing the hip or shoulder socket.
Laparoscopic Abdominal Hernia Repair Surgery
Minimally invasive laparoscopic surgery to repair a small hernia in the abdominal wall.
Laparoscopic Appendectomy (Appendix Removal)
Appendix removal performed through tiny incisions using a camera rather than open surgery.
Laparoscopic Cholecystectomy without C.D.E. without CC/MCC
Minimally invasive surgery to remove the gallbladder without exploring the bile duct.
Laparoscopic Ectopic Pregnancy Surgery
Minimally invasive removal of an ectopic pregnancy and the affected tube or ovary.
Laparoscopic Fibroid Removal (Myomectomy)
Minimally invasive surgery to remove up to four uterine fibroids, preserving the uterus.
Laparoscopic Fundoplication (Surgery for GERD)
Minimally invasive surgery wrapping stomach tissue around the esophagus to prevent acid reflux.
Laparoscopic Gallbladder Removal
Surgically removing the gallbladder through tiny abdominal incisions instead of open surgery.
Laparoscopic Gallbladder Removal with Bile Duct Imaging
Laparoscopic gallbladder removal that includes real-time X-ray imaging of the bile ducts.
Laparoscopic Gastric Banding (Lap Band Surgery)
Minimally invasive surgery placing an adjustable band around the stomach to limit food intake.
Laparoscopic Hiatal Hernia Repair with Mesh
Minimally invasive repair of a hiatal hernia using mesh to reinforce the diaphragm.
Laparoscopic Hiatal Hernia Repair without Mesh
Minimally invasive surgery repairing a hiatal hernia using stitches instead of synthetic mesh.
Laparoscopic Hysterectomy
Minimally invasive removal of the uterus through small incisions rather than open surgery.
Laparoscopic Inguinal Hernia Repair
Keyhole surgery using small incisions and a camera to repair a groin hernia.
Laparoscopic Liver Radiofrequency Ablation
Using radiofrequency heat to destroy liver tumors through minimally invasive keyhole incisions.
Laparoscopic Partial (Supracervical) Hysterectomy
Minimally invasive surgery to remove the upper uterus while leaving the cervix intact.
Laparoscopic Partial Nephrectomy
Minimally invasive surgery to remove only the diseased portion of a kidney.
Laparoscopic Pelvic Organ Prolapse Repair
Minimally invasive surgery to lift and secure a prolapsed vagina through small incisions.
Laparoscopic Rectal Prolapse Repair with Sigmoid Resection
Minimally invasive surgery to secure a prolapsed rectum and remove excess colon.
Laparoscopic Rectal Prolapse Surgery
A minimally invasive keyhole procedure to secure a slipped rectum back in place.
Laparoscopic Spleen Removal
A minimally invasive surgery to remove the spleen using small abdominal incisions.
Laparoscopic Total Hysterectomy with Removal of Fallopian Tubes or Ovaries
Minimally invasive surgery removing the entire uterus, cervix, and fallopian tubes or ovaries.
Laparoscopic Tubal Ligation
Minimally invasive surgery using heat to seal the fallopian tubes for permanent sterilization.
Laparoscopic Varicocelectomy
Minimally invasive abdominal surgery using a camera to tie off enlarged testicular veins.
Laser Prostate Surgery
Vaporizes obstructing prostate tissue with focused laser heat rather than traditional cutting.
Laser Retinal Detachment Repair
Secures retinal tears using targeted laser heat instead of freezing or invasive surgery.
Leadless Pacemaker Implantation
Inserting a tiny, wire-free pacemaker directly into the heart using a catheter.
Left Heart Catheterization and Coronary Angiography
Images blockages in coronary arteries and evaluates pumping in the heart's left chamber.
Leg X-Ray
Images the leg's long bones rather than isolated joints or soft tissues.
Level 1 Emergency Room Visit
Basic emergency room care for minor conditions, usually managed without needing a physician.
Level 2 Emergency Room Visit
Emergency care for minor conditions requiring straightforward medical evaluation and simple treatment.
Level 4 Emergency Room Visit
Emergency care for severe, complex conditions that require moderate medical decision-making.
Level 5 Emergency Room Visit
The highest-severity emergency visit for severe, complex, or life-threatening medical conditions.
Ligament Reconstruction Surgery
Replacing a torn ligament with a tissue graft rather than stitching it together.
Limited Abdominal Ultrasound
A targeted ultrasound examining a specific abdominal organ rather than the entire belly.
Limited or Follow-Up Echocardiogram (Echo Test)
A focused heart ultrasound re-evaluating a specific condition rather than a complete examination.
Lipid Panel Blood Test
Measures total cholesterol, HDL, and triglycerides to evaluate cardiovascular health and risk.
Lipoprotein Apheresis
A specialized blood-filtering procedure that selectively removes harmful cholesterol before returning your blood.
Liver Transplant
Complex surgery replacing a failing liver or intestines in patients with major complications.
Low-Dose CT Lung Cancer Screening
A low-radiation chest scan without contrast dye designed to detect early lung cancer.
Lower Back (Lumbar Spine) X-Ray
A lower-back X-ray capturing at least four different angles of your spine.
Lower Extremity Arterial Doppler Ultrasound
An ultrasound test evaluating blood flow through the arteries in both legs.
Lower Extremity MRI Scan (Non-Joint, Without Contrast)
A dye-free MRI of leg areas like the calf or thigh, excluding joints.
Lower Jaw Surgery (Mandibular Osteotomy)
Surgically cutting and realigning the lower jawbone, secured internally with plates or screws.
Lower Jaw Surgery without Rigid Fixation
Repositioning the lower jawbone using temporary wiring or splints instead of permanent plates.
Lower Leg X-Ray (2 Views)
Two X-ray views imaging the lower leg bones to detect fractures or injuries.
Lumbar Artificial Disc Replacement Surgery
Replaces a damaged lower-back disc with an artificial implant to preserve spinal movement.
Lumbar Facet Radiofrequency Ablation
Relieves lower back pain by using targeted heat to deactivate facet joint nerves.
Lumbar Kyphoplasty
Repairing a fractured lower-back vertebra by inflating a balloon and injecting bone cement.
Lumbar Laminectomy Surgery
Surgically removes lower back vertebral bone to relieve pressure on compressed spinal nerves.
Lumbar Spinal Fusion Surgery
Lower back surgery permanently joining two vertebrae using custom-designed implants.
Lumbar Spine (Lower Back) MRI Without Contrast
Detailed magnetic imaging of the lower spine performed without injecting contrast dye.
Lumbar Spine CT Scan with Contrast
Lower back CT scan using injected dye to highlight nerves and blood vessels.
Lumbar Spine Decompression and Discectomy
Single-level lower-back surgery removing bone and disc tissue to relieve pinched nerves.
Lumbar Spine MRI with Contrast
Lower-back MRI using injected dye to highlight inflammation, infection, or abnormal tissue.
Lumbar Spine X-Ray (2 or 3 Views)
A basic lower-back X-ray capturing two or three specific angles of the spine.
Lumpectomy
Surgical removal of a breast tumor while preserving the rest of the breast.
Lumpectomy with Axillary Lymph Node Removal
Removes a breast tumor and nearby underarm lymph nodes while preserving the breast.
Lung Lobectomy Surgery
Surgical removal of one entire lobe of a lung, rather than the whole lung.
Lung Scan
Uses radioactive tracers to evaluate airflow and blood circulation, unlike standard chest X-rays.
Lung Transplant
Surgical replacement of one or both failing lungs with healthy donor organs.
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC
Full surgical replacement of an arthritic knee joint using artificial implants.
Male Urinary Incontinence Surgery
Surgical placement of a sling or artificial sphincter to treat male incontinence.
Mammograms
Specialized low-dose X-ray imaging used specifically to evaluate and screen breast tissue.
Meniscus Repair Surgery
Minimally invasive surgery to stitch torn knee cartilage back together rather than removing it.
Meniscus Repair Surgery (Medial and Lateral)
Arthroscopic surgery repairing torn cartilage on both the inner and outer knee.
Meniscus Tear Surgery (Knee Arthroscopy)
Minimally invasive surgery trimming damaged cartilage from both the inner and outer meniscus.
Minimally Invasive Lung Lobectomy
Removing a lung lobe through tiny incisions using a camera, avoiding open surgery.
Minimally Invasive SI Joint Fusion Surgery
A small-incision procedure using image-guided implants to stabilize and fuse the sacroiliac joint.
Modified Radical Mastectomy (Breast Cancer Surgery)
Removes the entire breast and underarm lymph nodes while preserving the chest muscle.
MRA Brain Scan without Contrast
A magnetic scan mapping brain blood vessels without using injected contrast dye.
MRA Head and Brain Scan with Contrast
An MRI scan using contrast dye to clearly highlight blood vessels in the brain.
MRI of a Knee or Lower Extremity Joint (Without Contrast)
An MRI scan imaging a leg joint, such as the knee, without contrast dye.
MRI of the Lumbar Spine (Lower Back) with and without Contrast
A lower-back MRI performed before and after contrast dye to highlight tissue changes.
MRI of the Orbit, Face, or Neck Without Contrast
Magnetic scan of the eyes, face, or neck performed without injected contrast dye.
MRI Scans
Imaging using magnets and radio waves rather than radiation to visualize soft tissues.
MRI with Contrast
An MRI scan using injected dye to highlight tissues and vessels more clearly.
Multi-Level Spinal Fusion Surgery
Surgery that permanently joins multiple vertebrae in the mid or lower back.
Myocardial Perfusion Scan
Nuclear imaging tracking heart blood flow during a single rest or stress session.
Myocardial Perfusion Scan (Nuclear Stress Test)
Nuclear scan comparing heart muscle blood flow during rest and stress.
Myocardial PET Scan for Heart Blood Flow
Advanced PET scans measuring heart muscle blood flow during both rest and stress.
Nasal Septal Perforation Repair
Surgery using tissue grafts to close a hole in the nasal septum.
Nasal Surgery with Septal Repair (Rhinoplasty)
Reshapes the outer nose while fixing the internal septum to improve breathing.
Neck CT Scan with and without Contrast
A neck CT scan capturing images both before and after contrast dye injection.
Neck CT Scan Without Contrast
Detailed imaging of soft neck tissues captured without using injected contrast dye.
Neck Soft Tissue X-Ray
An X-ray focused on airway and throat tissues rather than neck bones.
Neck Ultrasound
Images soft tissues of the neck, including the thyroid, using sound waves.
Neck X-Ray (2 or 3 Views)
An X-ray taking two or three angled images to check neck bones.
Needle Biopsy of the Lung
Image-guided removal of lung tissue using a needle inserted through the chest wall.
Needle Breast Biopsy
Sampling breast tissue using a needle guided by touch, without imaging equipment.
Open Ankle Fusion
Open surgery that permanently fuses ankle bones together to eliminate painful joint motion.
Open Fundoplication Surgery
Traditional open surgery wrapping the stomach around the esophagus to stop acid reflux.
Open Gallbladder Removal Surgery
Surgical removal of the gallbladder using an open abdominal incision instead of laparoscopy.
Open Ovarian Cyst Removal Surgery
Surgical removal of an ovarian cyst through a traditional open abdominal incision.
Open Radiofrequency Ablation of Liver Tumors
Heat-based destruction of liver tumors performed through an open abdominal incision.
Open Reduction and Internal Fixation (ORIF) Ankle Surgery
Surgically realigning and securing a fractured inner ankle bone using plates or screws.
Open Rotator Cuff Repair Surgery
Surgically repairing a newly torn rotator cuff tendon through a traditional open incision.
Open Sacroiliac (SI) Joint Fusion Surgery
Open surgery using hardware and bone grafts to permanently fuse the sacroiliac joint.
Operating Room Procedures for Obesity without CC/MCC
Weight-loss surgery that shrinks the stomach and bypasses part of the small intestine.
Optilume Urethral Balloon Dilation
Opens a narrowed urethra using a drug-coated balloon to prevent future scarring.
Other Endovascular Cardiac Valve Procedures without MCC
Catheter-based clipping of the tricuspid valve to stop leakage without open-heart surgery.
Overnight Sleep Study with CPAP Titration (Polysomnography)
An overnight sleep study that includes fitting and calibrating a CPAP breathing machine.
Pacemaker Battery and Pulse Generator Replacement
Replacing the battery unit for an existing multi-lead pacemaker without changing the wires.
Panniculectomy (Abdominal Skin Removal Surgery)
Surgically removes hanging lower abdominal skin and fat without tightening underlying muscles.
Parotid Gland Tumor Surgery
Surgical removal of an outer parotid gland tumor without dissecting the facial nerve.
Parotid Tumor Surgery (Partial Parotidectomy)
Surgical removal of an outer parotid tumor while preserving the facial nerve.
Pars Plana Vitrectomy Surgery
Surgical removal of the eye's internal gel through incisions in the pars plana.
Partial Clavicle Removal (Collarbone Surgery)
Surgical removal of a small section of collarbone to relieve painful shoulder friction.
Partial Knee Replacement
Replaces only one damaged knee compartment rather than the entire joint.
Partial Nephrectomy (Kidney-Sparing Surgery)
Surgery removing only diseased kidney tissue while preserving the rest of the organ.
Partial Shoulder Replacement (Hemiarthroplasty)
Replaces only the shoulder's ball joint with an implant, leaving the socket intact.
Partial Thyroid Removal (Thyroid Lobectomy)
Surgically removing only one lobe of the thyroid, leaving the other half intact.
Pelvic CT Angiography
A specialized CT scan using dye to clearly map pelvic blood vessels.
Pelvic CT Scan with and without Contrast
Pelvic CT imaging performed both before and after contrast dye for detailed comparison.
Pelvic CT Scan with Contrast
An imaging scan using contrast dye to clearly highlight pelvic organs and blood vessels.
Pelvic MRI with and without Contrast
A pelvic MRI capturing images both before and after contrast dye injection.
Pelvic MRI with Contrast
A dye-enhanced magnetic scan providing detailed images of pelvic organs and blood vessels.
Pelvic MRI Without Contrast
An MRI of the pelvic area performed without using injected contrast dye.
Pelvic Ultrasound
A full sound-wave scan evaluating pelvic organs rather than monitoring a pregnancy.
Pelvis X-Ray
A basic one- or two-view X-ray imaging the pelvic bones and hip joints.
Percutaneous Kidney Stone Removal (Up to 2 cm)
Removal of kidney stones up to two centimeters through a small back puncture.
Percutaneous Liver Radiofrequency Ablation
Destroys liver tumors with radiofrequency heat delivered through a needle in the skin.
Percutaneous Nephrolithotomy (PCNL) Kidney Stone Removal
Surgical removal of large kidney stones through a small incision in the back.
Peripheral Extremity Angiogram
A catheter-guided X-ray test detecting blood vessel blockages in an arm or leg.
Permanent Cardiac Pacemaker Implant without CC/MCC
Standard surgical implantation of a permanent pacemaker in patients without major complications.
Permanent Pacemaker Implantation
Surgically implanting or replacing a pacemaker wired into the heart's lower chamber.
Permanent Pacemaker Implantation (Dual Chamber)
Placement of a pacemaker connected to both the upper and lower heart chambers.
Peroneal Tendon Dislocation Repair with Bone Reshaping
Repairs dislocating ankle tendons and reshapes the bone groove to secure them.
Peroneal Tendon Repair Surgery
Repairs dislocating outer ankle tendons without cutting or reshaping the bone.
PET Scan
Uses radioactive tracers to detect cellular metabolic activity rather than just physical structures.
PET Scan from Skull Base to Mid-Thigh
PET scan evaluating cellular metabolic activity specifically from the neck to mid-thigh.
PET Scan of a Limited Area
A PET scan targeting a specific body region rather than the entire body.
PET-CT Scan (Skull Base to Mid-Thigh)
Combines PET metabolic scans and CT structural imaging from the neck to mid-thigh.
PET-CT Scan of a Limited Area
Combines PET and CT imaging for a specific body area rather than whole-body.
Physician-Administered Functional Brain MRI (fMRI)
Real-time brain mapping performed while a physician directly administers movement or visual tasks.
Pilonidal Sinus Surgery
Surgically removes complex or recurring pilonidal cysts and extensive infected tissue.
Pituitary Microadenoma Surgery
Surgical removal of small pituitary gland tumors to restore normal hormone balance.
Pituitary Surgery
Minimally invasive removal of pituitary tumors through the nose without opening the skull.
Plantar Fasciitis Surgery
Surgically cutting part of the foot's plantar fascia to ease severe heel pain.
Posterior Cervical Laminotomy and Foraminotomy
Surgery through the back of the neck opening bone to relieve pinched nerves.
Posterior Cervical Spinal Fusion
Surgically fusing neck vertebrae together through an incision in the back of the neck.
Posterior Fossa Decompression Surgery
Surgical removal of skull-base bone to relieve compression on the brainstem and spine.
Posterior Pelvic Organ Prolapse Repair (Rectocele Repair)
Surgery reinforcing the weakened back vaginal wall to repair a rectocele prolapse.
Postpartum Dilation and Curettage (D&C)
Surgically clears retained placenta or tissue from the uterus specifically after childbirth.
Prostate Surgery (Radical Prostatectomy)
Minimally invasive, robotic-assisted surgery to completely remove the prostate while sparing critical nerves.
Psychoses
Round-the-clock secure hospital admission for acute psychiatric care and crisis stabilization.
Pulmonary Function Test (Lung Volume Plethysmography)
Measures total lung volume and airway resistance inside an airtight, booth-like chamber.
Pulmonary Function Test (Spirometry)
Evaluates lung function by measuring how much and how fast you can exhale air.
Pulmonary Function Test with Bronchodilator
Measures breathing capacity before and after inhaled medication to see if airways open.
Quadruple Coronary Artery Bypass Surgery
Rerouting blood around four blocked heart arteries using only vein grafts.
Rabies Vaccine for Humans
An intramuscular injection given to prevent rabies before or after potential animal exposure.
Radical Inguinal Orchiectomy (Testicle Removal)
Removal of a testicle and spermatic cord through the groin to treat tumors.
Radiofrequency Ablation
Destroys targeted tissue using radio-wave heat rather than freezing or surgical cutting.
Rectal Prolapse Surgery (Perineal Approach)
Repairs rectal prolapse through the area around the anus rather than the abdomen.
Recurrent Inguinal Hernia Repair
Surgery to repair a groin hernia that has returned after a previous operation.
Renal Venography (Kidney Vein X-Ray)
An X-ray using injected dye to examine blood flow in a kidney's vein.
Retinal Detachment Repair Surgery
Reattaches the retina through vitrectomy by removing eye fluid and sealing tears.
Retinal Detachment Repair with Gas Injection
Reattaches a separated retina using an injected gas bubble to press it flat.
Retinal Detachment Repair with Scleral Buckle
Reattaches a detached retina using an external silicone band placed around the eye.
Rib Removal Surgery
Surgery removing the first or extra neck rib to relieve compressed nerves and vessels.
Right Heart Cardiac Catheterization
Measures blood pressure and flow specifically within the right heart chambers and lungs.
Rotator Cuff Repair Surgery
Minimally invasive surgery using a camera to reattach torn rotator cuff tendons.
Rotator Cuff Surgery
Open surgery using a traditional incision to repair long-standing rotator cuff tears.
Routine Blood Labs
Standard panels evaluating overall baseline health, unlike specialized or single-marker blood tests.
Routine Electroencephalogram (EEG)
A standard test recording brain wave patterns during awake and drowsy states.
Routine Screening Colonoscopy
A preventive colon exam for cancer in individuals without symptoms or high risk.
Screening Mammogram
Routine preventive breast X-rays to check for cancer in patients without symptoms.
Scrotal Ultrasound
A sound-wave imaging exam used specifically to evaluate the testicles and scrotum.
Secondary Achilles Tendon Repair Surgery
Revision surgery to fix an Achilles tendon that has re-torn or healed poorly.
Self-Contained Inflatable Penile Implant Surgery
Surgically placing an all-in-one inflatable penile prosthesis contained entirely within the penis.
Semi-Rigid Penile Implant Surgery
Surgically implants bendable rods for erectile dysfunction instead of an inflatable pump device.
Septoplasty (Nasal Surgery)
Surgery straightening the internal nasal septum to open blocked airways, unlike cosmetic reshaping.
Shock Wave Lithotripsy for Kidney Stones
Breaks kidney stones into passable pieces using external sound waves without incisions.
Shoulder Arthroscopy with Extensive Debridement
Minimally invasive shoulder surgery thoroughly clearing out widespread damaged tissue and bone spurs.
Shoulder Dislocation Reset with Anesthesia
Manually resetting a dislocated shoulder joint while the patient is under anesthesia.
Shoulder Labrum Repair
Minimally invasive surgery to reattach torn cartilage to the shoulder socket rim.
Shoulder or Arm Joint MRI Scan Without Contrast
A detailed MRI scan of an arm or shoulder joint without contrast dye.
Shoulder Reconstruction Surgery with Labral Repair
Reattaches the torn shoulder labrum and tightens the joint capsule to prevent dislocations.
Shoulder X-Ray (2 or More Views)
An X-ray capturing multiple angles of the shoulder to evaluate bones and joints.
Simple Facial Stitches (2.5 cm or Less)
Simple closure of a minor, shallow facial cut up to one inch long.
Simple or Complete Mastectomy (Total Breast Removal)
Complete removal of the breast while sparing underlying chest muscles and lymph nodes.
Simple Orchiectomy (Testicle Removal Surgery)
Surgical removal of testicles through the scrotum, unlike extensive radical cancer procedures.
Simple Pilonidal Cyst Incision and Drainage
A basic surgical cut to drain infected fluid from a tailbone cyst.
Simple Proton Beam Radiation Therapy
Basic proton radiation using a single, uncompensated beam shaped for one target area.
Simple Stitches for Skin Wounds (2.6 to 7.5 cm)
Basic single-layer closure for superficial skin cuts between one and three inches long.
Simple Stitches or Wound Repair (2.5 cm or Less)
Simple closure of a superficial skin cut measuring one inch or less.
Single Arterial Coronary Artery Bypass Graft (CABG)
Heart bypass surgery using a single healthy artery to reroute blocked blood flow.
Single Level Spinal Fusion Except Cervical without MCC
Surgery permanently fusing the fourth and fifth lower back vertebrae to stabilize the spine.
Single-Lead Pacemaker Battery and Generator Replacement
Replacing an existing single-lead pacemaker's battery and generator while keeping the original wire.
Single-View Chest X-Ray
A chest X-ray that captures a single image rather than multiple views.
Single-View Hip X-Ray
Produces just one X-ray picture of a single hip rather than multiple angles.
Small Full-Thickness Skin Graft Surgery
Transplants all skin layers to repair small wounds on the scalp or limbs.
Spinal Tap (Lumbar Puncture)
Collecting a spinal fluid sample from the lower back specifically for diagnostic testing.
Spine MRI
Magnetic scan showing detailed views of spinal discs, nerves, and the spinal cord.
Split-Thickness Skin Graft (Face, Hands, Neck, or Feet)
Transplanting thin skin layers specifically onto delicate areas like the face, neck, or hands.
Split-Thickness Skin Graft Surgery (Trunk, Arms, or Legs)
Transplanting thin, partial-thickness skin to cover wounds on the trunk, arms, or legs.
Standing Knee X-Ray (Both Knees)
A weight-bearing X-ray imaging both knees together to assess joint alignment and spacing.
Stapedectomy or Stapedotomy (Ear Bone Surgery)
Surgically replacing the middle ear's stapes bone with a prosthesis to improve hearing.
Stent Procedures
Inserting a tiny mesh tube to keep narrowed blood vessels or pathways open.
Stereotactic Breast Biopsy
Uses mammography X-rays to guide a needle biopsy and mark abnormal breast tissue.
Strabismus Surgery on One Eye Muscle
Surgically adjusts one horizontal eye muscle to correct side-to-side alignment.
Strabismus Surgery on Two Horizontal Eye Muscles
Surgically adjusting two horizontal eye muscles to straighten crossed or misaligned eyes.
Stress Echocardiogram
Heart ultrasound imaging before and after exercise to evaluate function under stress.
Subacromial Decompression Surgery
Trimming bone from the shoulder blade to relieve pinched rotator cuff tendons.
Superficial Lymph Node Biopsy
Open surgical removal of a lymph node near the skin's surface for testing.
Superficial Lymph Node Needle Biopsy
Using a needle to sample lymph nodes near the skin surface without surgery.
Superficial Perianal Abscess Drainage
Opening and draining a shallow, skin-level pocket of pus near the anus.
Superior Vena Cava Venogram
An X-ray using dye to detect blockages in the upper body's main vein.
Supracervical Hysterectomy (Partial Hysterectomy)
Surgical removal of the upper uterus while leaving the cervix intact.
Surgical Circumcision (Older Than 28 Days)
Surgical foreskin removal using stitches rather than clamps for patients past newborn age.
Surgical Hemorrhoid Removal
Surgical removal of a single cluster of both internal and external hemorrhoids.
Surgical Hysteroscopy with Biopsy or Polyp Removal
Using a uterine scope to actively remove polyps or take tissue biopsies.
Temporomandibular Joint (TMJ) Arthroscopic Surgery
Minimally invasive surgery using a tiny camera to repair jaw joint problems.
Temporomandibular Joint (TMJ) Surgery
Surgically repairing or reconstructing the jaw joint, sometimes using the patient's own tissue.
Testicular Torsion Surgery
Emergency surgery to untwist a rotated testicle, restore blood flow, and secure it.
Therapeutic Plasma Exchange
Filters out harmful blood plasma and replaces it with healthy donor fluid.
Therapeutic Spinal Tap (Lumbar Puncture)
Draining excess spinal fluid to relieve pressure, rather than collecting samples for diagnostic testing.
Thermal Endometrial Ablation
Destroys the uterine lining using heat to treat heavy bleeding, without camera guidance.
Thoracic Kyphoplasty
Repairing a fractured mid-back vertebra by inflating a balloon and injecting cement.
Thoracic Spine CT Scan with and without Contrast
Mid-back CT imaging performed both before and after contrast dye injection.
Thoracic Spine CT Scan with Contrast
A middle-back CT scan using injected dye to highlight spinal tissues and vessels.
Thoracic Spine MRI With and Without Contrast
A middle-back MRI scan performed both before and after injecting contrast dye.
Thoracic Spine MRI with Contrast
A mid-back MRI using injected dye to highlight inflammation, infection, or tumors.
Thoracic Spine MRI without Contrast
An MRI imaging the middle back and spine without injected contrast dye.
Three-Phase Bone Scan
A nuclear scan capturing blood flow and bone changes across three timed stages.
Thyroid Cancer Surgery with Limited Neck Dissection
Removes the cancerous thyroid gland along with select nearby lymph nodes.
Thyroid Stimulating Hormone (TSH) Blood Test
Measures blood levels of thyroid-stimulating hormone to evaluate overall thyroid function.
Tommy John Surgery (Elbow Ligament Reconstruction)
Rebuilding a torn inner elbow ligament using a tendon graft to restore stability.
Tonsil and Adenoid Removal (Child Under Age 12)
Surgical removal of both tonsils and adenoids in a child under age twelve.
Tonsillectomy (Under Age 12)
Surgery to remove the tonsils in children under the age of 12.
Tonsillectomy and Adenoid Removal (Age 12 and Older)
Surgical removal of both tonsils and adenoids in patients 12 and older.
Torn Labrum Surgery
Surgical repair or trimming of torn cartilage lining the shoulder or hip socket.
Total Ankle Replacement
Replaces a damaged ankle joint with artificial implants to maintain natural mobility.
Total Hip Replacement
Surgery replacing both the hip's ball and socket with artificial implants.
Total Hysterectomy
Surgical removal of the entire uterus and cervix through an abdominal incision.
Total Knee Replacement
Completely replaces the entire damaged knee joint with durable artificial components.
Total Parotid Gland Removal (Parotidectomy)
Complete surgical removal of the parotid salivary gland while safely preserving the facial nerve.
Total Shoulder Replacement
Surgery replacing both the shoulder's ball and socket with artificial implants.
Total Spleen Removal (Splenectomy)
Surgery to completely remove the entire spleen rather than just a portion.
Total Thyroidectomy (Complete Thyroid Removal)
Surgical removal of the entire thyroid gland rather than just a portion.
Transcatheter Aortic Heart Valve Replacement (TAVR)
Replacing an aortic valve via a leg catheter rather than open-heart surgery.
Transcatheter Atrial Septal Defect (ASD) Closure
Closing a hole between heart chambers using a catheter rather than open-heart surgery.
Transcatheter Heart Valve Replacement (TAVR)
Replacing a damaged aortic valve through a leg artery without open-heart surgery.
Transcatheter Mitral Valve Repair (MitraClip Procedure)
A minimally invasive catheter procedure clipping a leaky mitral valve without open-heart surgery.
Transcatheter Mitral Valve Repair (MitraClip)
A catheter-guided clip fixes a leaky mitral valve without open-heart surgery.
Transcatheter Ventricular Septal Defect (VSD) Closure
Catheter repair of a hole between lower heart chambers, avoiding open-heart surgery.
Transcranial Doppler Ultrasound
A noninvasive ultrasound measuring blood flow through arteries inside the brain.
Transesophageal Echocardiogram (TEE)
Heart ultrasound performed from inside the esophagus for clearer, unobstructed views.
Transoral Incisionless Fundoplication (TIF) for GERD
Rebuilds the anti-reflux valve through the mouth to treat GERD without external incisions.
Transthoracic Echocardiogram (Heart Ultrasound)
An external chest ultrasound checking heart structure and pumping motion without Doppler imaging.
Transurethral Cystolitholapaxy
Crushing and removing a small bladder stone through the urethra without an incision.
Transurethral Cystolitholapaxy (Bladder Stone Removal)
Crushing and removing large or complicated bladder stones through a scope without incisions.
Transurethral Resection of the Prostate (TURP)
Surgically trims excess prostate tissue through the urethra, requiring no external incisions.
Transvaginal Ultrasound
Pelvic imaging using an internal vaginal probe for clearer views than abdominal scans.
Transvaginal Ultrasound During Pregnancy
An internal ultrasound using a vaginal probe to closely view an early pregnancy.
Treatment of Shoulder Dislocation without Anesthesia
Manually putting a dislocated shoulder back in place without sedation or anesthesia.
Tubal Ligation (Getting Your Tubes Tied)
Permanent surgical sterilization performed by cutting or tying off the fallopian tubes.
Tubal Ligation Reversal
Surgically reconnecting previously cut or tied fallopian tubes to restore natural fertility.
Ultrasound
Creates internal images using high-frequency sound waves rather than radiation.
Ultrasound-Guided Breast Biopsy
A needle procedure using real-time ultrasound to precisely sample suspicious breast tissue.
Unilateral Extremity Venogram
X-ray imaging using dye to evaluate veins in a single arm or leg.
Unit of Red Blood Cells
One transfusion unit of red blood cells filtered to remove white blood cells.
Upper Arm or Forearm MRI Without Contrast
A dye-free MRI scan of the upper arm or forearm, excluding the joints.
Upper Endoscopic Ultrasound with Biopsy
An upper endoscopy using ultrasound to guide needle biopsies of digestive tissue.
Upper Endoscopy (EGD) with Biopsy
Examining the upper digestive tract with a camera scope and taking tissue samples.
Upper Endoscopy (EGD) with Esophageal Balloon Dilation
An upper endoscopy that inflates a tiny balloon to widen a narrowed esophagus.
Upper Endoscopy (EGD) with Polyp or Lesion Removal
An upper endoscopy that removes polyps or growths using a wire snare loop.
Upper Extremity Arterial Doppler Ultrasound
An ultrasound checking blood flow and blockages across the arteries of both arms.
Upper Extremity CT Scan with Contrast
An arm CT scan using injected dye to highlight blood vessels and tissues.
Upper Jaw Surgery (LeFort I Osteotomy)
Repositions the entire upper jaw as a single piece without using bone grafts.
UPPP Surgery (Uvulopalatopharyngoplasty)
Surgically removes and reshapes excess throat and palate tissue to widen the airway.
Ureteral Stent Insertion
Using a scope to place an internal drainage tube between the kidney and bladder.
Ureteroscopy with Kidney Stone Removal
Using a thin scope passed through the urinary tract to directly retrieve stones.
Urethral Stricture Surgery (Anterior Urethroplasty)
A single-stage operation repairing a narrowed front section of the male urethra.
Urethral Stricture Surgery (Internal Urethrotomy)
Widens a narrowed urethra by cutting scar tissue internally using a small scope.
Urology Ultrasound
Ultrasound imaging focused specifically on the urinary system and male reproductive organs.
Vaginal Childbirth Delivery
Delivering a baby through the birth canal rather than surgically via a cesarean section.
Vaginal Delivery without Sterilization/D&C with CC
Inpatient vaginal childbirth involving medical complications that require extra care and monitoring.
Vaginal Delivery without Sterilization/D&C without CC/MCC
An uncomplicated vaginal birth without surgical interventions, sterilization, or major complications.
Vaginal Hysterectomy
Surgical removal of a uterus under 250 grams entirely through the vagina.
Vaginoplasty with Tissue Graft
Surgical creation or reconstruction of a vagina specifically using a transplanted tissue graft.
Vaginoplasty Without Tissue Graft
Surgically creates or reconstructs a vagina using local tissue rather than a graft.
Varicocelectomy (Varicocele Repair)
Surgery to tie off or remove enlarged, swollen veins inside the scrotum.
Vascular Embolization
A procedure that deliberately blocks blood flow to starve tumors or diseased organs.
Vascular Embolization for Bleeding
A catheter procedure that blocks damaged vessels to stop active bleeding.
Venography
An X-ray imaging test using injected dye to visualize veins rather than arteries.
Venous Embolization Procedure
A minimally invasive procedure to block abnormal, non-bleeding veins like varicoceles or malformations.
Ventilation-Perfusion (V/Q) Lung Scan
A nuclear scan comparing lung airflow and blood circulation to detect blood clots.
Video-Assisted Thoracoscopic Surgery (VATS) with Lung Wedge Resection
Minimally invasive camera-guided surgery to remove a small section of lung tissue.
Video-Assisted Thoracoscopic Surgery (VATS) with Pleurodesis
Minimally invasive chest surgery to seal lung linings and prevent fluid or air buildup.
Vitrectomy Surgery with Retinal Laser Treatment
Surgical eye gel removal combined with internal laser treatment to stabilize the retina.
Vitrectomy with Epiretinal Membrane Removal
Eye surgery that removes vitreous gel and peels scar tissue off the retina.
Vitrectomy with Internal Limiting Membrane Removal
Eye surgery removing fluid while precisely peeling the retina's ultra-thin surface membrane.
Whole-Body Bone Scan
A nuclear medicine scan checking the entire skeleton rather than a single joint.
Whole-Body PET Scan
Detects metabolic cell activity throughout the entire body using a radioactive tracer.
Whole-Body PET-CT Scan
Combines full-body structural CT and metabolic PET imaging in a single exam.
Wound Care Visit with Deep Tissue Debridement
Removing dead skin and underlying subcutaneous tissue from a wound to promote healing.
Wound Care Visit with Selective Debridement
Precisely removing dead tissue from small open wounds using handheld tools or waterjets.
Wrist Arthroscopy with Cartilage Repair or Joint Debridement
Minimally invasive wrist surgery to repair torn cartilage or remove damaged joint tissue.
Wrist Fracture Repair Surgery
Open surgery to realign and secure a broken wrist bone outside the joint.
Wrist Ganglion Cyst Removal
Surgical removal of a wrist ganglion cyst along with its connecting stalk.
Wrist Tendon Sheath Release Surgery
Surgically opening a constricted wrist tendon sheath to relieve painful thumb-side tendon friction.
X-Rays
Fast 2D radiation imaging primarily used to view bones rather than soft tissues.