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MEDICAID PROGRAM ORDERED AMBULATORY …

MEDICAID PROGRAM ORDERED AMBULATORY PROCEDURE CODES ORDERED AMBULATORY Procedure Codes Version 2018 Page 2 of 65 Table of Contents GENERAL INFORMATION .. 3 LABORATORY SERVICES INFORMATION .. 3 RADIOLOGY INFORMATION .. 3 MMIS MODIFIERS .. 8 RADIOLOGY SERVICES .. 9 DIAGNOSTIC RADIOLOGY (DIAGNOSTIC IMAGING) .. 9 DIAGNOSTIC ULTRASOUND .. 18 RADIOLOGIC GUIDANCE .. 23 BREAST, MAMMOGRAPHY .. 24 BONE/JOINT STUDIES .. 24 RADIATION ONCOLOGY .. 25 NUCLEAR MEDICINE .. 29 POSITRON EMISSION TOMOGRAPHY (PET) .. 36 MEDICINE SERVICES .. 37 IMMUNIZATIONS .. 37 MISCELLANEOUS DRUGS AND SOLUTIONS .. 40 HYDRATION, THERAPEUTIC, PROPHYLACTIC, DIAGNOSTIC INJECTIONS and INFUSIONS .. 45 CHEMOTHERAPY DRUGS .. 47 GASTROENTEROLOGY .. 50 OPHTHALMOLOGY .. 51 OTORHINOLARYNGOLOGIC & VESTIBULAR SERVICES .. 52 53 NON INVASIVE VASCULAR DIAGNOSTIC STUDIES .. 57 PULMONARY .. 57 ALLERGY AND CLINICAL IMMUNOLOGY .. 59 NEUROLOGY AND NEUROMUSCULAR procedures .

Ordered Ambulatory Procedure Codes Version 2018 Page 3 of 65 GENERAL INFORMATION 1. INQUIRY: Any questions regarding this section should be directed to the New York State Department of Health (See …

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