Commonwealth of Massachusetts
Executive Office of Health and Human Services
Division of Medical Assistance
600 Washington Street
Boston, MA  02111
www.mass.gov/dma	

MASSHEALTH
TRANSMITTAL LETTER FPA-34
March 2003

	TO:	Family Planning Agencies Participating in MassHealth

	FROM:	Douglas S. Brown, Acting Commissioner

	RE:	Family Planning Agency Manual (2003 HCPCS)

The federal government has revised the HCFA Common Procedure Coding System (HCPCS) for MassHealth billing.

This letter transmits changes to your provider manual that contain the new and revised codes.  The revised Subchapter 6 is effective for dates of service on or after April 1, 2003.

If you wish to obtain a fee schedule, you may purchase Division of Health Care Finance and Policy regulations from either the Massachusetts State Bookstore or from the Division of Health Care Finance and Policy (see addresses and telephone numbers below).  You must contact them first to find out the price of the publication.  The Division of Health Care Finance and Policy also has regulations available on disk.  The regulation title is 114.3 CMR 16.00: Surgery and Related Anesthesia Care.

Massachusetts State Bookstore		Division of Health Care Finance and Policy
State House, Room 116			Two Boylston Street
Boston, MA 02133				Boston, MA 02116
Telephone: 617-727-2834			Telephone: 617-988-3100	
www.mass.gov/sec/spr			www.mass.gov/dhcfp

DMA Web Site
This transmittal letter and attached pages are available on the Division’s Web site at www.mass.gov/dma.  

Questions
If you have any questions about this transmittal letter, please contact MassHealth Provider Services at 617-628-4141 or 1-800-325-5231.

NEW MATERIAL
(The pages listed here contain new or revised language.)

Family Planning Agency Manual

Pages vi, and 6-1 through 6-12

OBSOLETE MATERIAL
(The pages listed here are no longer in effect.)

Family Planning Agency Manual

Pages vi, and 6-1 through 6-12 — transmitted by Transmittal Letter FPA-33

Commonwealth of Massachusetts
Division of Medical Assistance
Provider Manual Series	
SUBCHAPTER NUMBER AND TITLE

TABLE OF CONTENTS	
PAGE

vi	

FAMILY PLANNING AGENCY
MANUAL	
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FPA-34	
DATE

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6.  SERVICE CODES AND DESCRIPTIONS

Definitions		6-1
Service Codes and Descriptions:  Visits		6-1
Service Codes and Descriptions:  Contraceptive Supplies and Drugs		6-2
Service Codes and Descriptions:  Medical and Surgery Procedures		6-2
Service Codes and Descriptions:  Laboratory Services		6-3
Organ or Disease-Oriented Panels		6-3
Urinalysis		6-4
Chemistry		6-4
Hematology and Coagulation		6-6
Immunology		6-7
Transfusion Medicine		6-8
Microbiology		6-8
Anatomic Pathology		6-11
Cytopathology		6-11
Cytogenetic Studies		6-12
Surgical Pathology		6-12
Miscellaneous		6-12

Appendix A.	DIRECTORY		A-1

Appendix B.	ENROLLMENT CENTERS 		B-1

Appendix C.	THIRD-PARTY-LIABILITY CODES		C-1

Appendix W	EPSDT SERVICES:  MEDICAL PROTOCOL AND
				PERIODICITY SCHEDULE		W-1

Appendix X.	FAMILY ASSISTANCE COPAYMENTS AND DEDUCTIBLES 		X-1

Appendix Y.	REVS CODES/MESSAGES 		Y-1

Appendix Z.	EPSDT SERVICES LABORATORY CODES		Z-1

Commonwealth of Massachusetts
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601  Definitions

(A)  New Patient — a patient who has not received any professional services from the provider within the past three years.

(B)  Established Patient — a patient who has received professional services from the provider within the past three years.

602  Service Codes and Descriptions:  Visits

Service
Code   	Service Description

New Patient

99201	Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components:
-	a problem-focused history;
-	a problem-focused examination; and
-	straightforward medical decisionmaking (brief service)
99203	Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components:
-	a detailed history;
-	a detailed examination; and
-	medical decisionmaking of low complexity
99205	Office or other outpatient visit for the evaluation and management of a new patient, which requires these three key components:  
-	a comprehensive history;
-	a comprehensive examination; and
-	medical decisionmaking of high complexity (comprehensive service)

Established Patient

99211	Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician (minimal service)
99213	Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components:
-	an expanded problem-focused history;
-	an expanded problem-focused examination; 
-	medical decisionmaking of low complexity (limited service)
99215	Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two of these three key components:
-	a comprehensive history;
-	a comprehensive examination;
-	medical decisionmaking of high complexity (comprehensive service)

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603  Service Codes and Descriptions:  Contraceptive Supplies and Drugs

Service
Code   	Service Description

A4261	Cervical cap (I.C.)
J1055	Injection, medroxyprogesterone acetate for contraceptive use, 150 mg (Depo-Provera) (I.C.)
J1056	Injection, medroxyprogesterone acetate/estradiol cypionate, 5 mg/25 mg (Lunelle) (I.C.)
S4989	Contraceptive intrauterine device (I.C.)
S4993	Contraceptive pills for birth control
X1051	Diaphragm (including applicator and contraceptive cream or jelly)
X1052	Condoms (three)
X1054	Contraceptive jelly
X1056	Contraceptive cream
X1057	Contraceptive film (three)
X1058	Contraceptive foam
X1059	Female condoms with lubricant (three)
X1060	Female condoms with lubricant (six)
X1061	Contraceptive suppositories (package of 12)
X1063	Cervical sponges (three)
X1069	Medications and injectables related to family planning services, with the exception of Rho (D)
human immune globulin and contraceptive injectables, such as Depo-Provera (the Division will pay for these items at the provider's cost) (I.C.)

604  Service Codes and Descriptions:  Medical and Surgery Procedures

Service
Code   	Service Description

11975	Insertion, implantable contraceptive capsules (global rate for Norplant System of Contraception, includes counseling prior to insertion, the price of the Norplant device, the insertion procedure, and one follow-up visit)
11976	Removal, implantable contraceptive capsules (S.P.)
11977	Removal with reinsertion, implantable contraceptive capsules (global rate for Norplant System of Contraception, includes the price of the Norplant device, removal of an old device, insertion of a new device, and one follow-up visit)
19100	Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) 
49080	Peritoneocentesis, abdominal paracentesis, or peritoneal lavage (diagnostic or therapeutic); initial
55250	Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s) (Consent for Sterilization form CS-18 or CS-21 required) 
55450	Ligation (percutaneous) of vas deferens, unilateral or bilateral (separate procedure) (Consent 				for Sterilization form CS-18 or CS-21 required) 
56420	Incision and drainage of Bartholin’s gland abscess
56501	Destruction of lesion(s), vulva; simple (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery)
56605	Biopsy of vulva or perineum (separate procedure); one lesion 
56606		each separate additional lesion (List separately in addition to code for primary procedure.)

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604  Service Codes and Descriptions:  Medical and Surgery Procedures (cont.)

Service
Code   	Service Description

57061	Destruction of vaginal lesion(s); simple (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery)
57100	Biopsy of vaginal mucosa; simple (separate procedure)
57420	Colposcopy of the entire vagina, with cervix if present
57421		with biopsy(ies)
57452	Colposcopy of the cervix including upper/adjacent vagina 
57454		with biopsy(ies) of the cervix and/or endocervical curettage 
57455		with biopsy(ies) of the cervix
57456		with endocervical curettage
57460		with loop electrode biopsy(ies) of the cervix 
57461		with loop electrode conization of the cervix
57500	Biopsy, single or multiple, or local excision of lesion, with or without fulguration (separate
procedure) 
57505	Endocervical curettage (not done as part of a dilation and curettage)
57510	Cautery of cervix; electro or thermal
57511		cryocautery, initial or repeat
57513		laser ablation
57520	Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser
57522	loop electrode excision
58100		Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)

605	Service Codes and Descriptions:  Laboratory Services 

	ORGAN OR DISEASE-ORIENTED PANELS

These panels were developed for coding purposes only and should not be interpreted as clinical parameters.  The tests listed with each panel identify the defined components of that panel.  These panel components are not intended to limit the performance of other tests.  If one performs tests in addition to those specifically indicated for a particular panel, those tests should be reported separately in addition to the panel code.

Service
Code   	Service Description

80055	Obstetric panel (This panel must include the following:  hemogram, automated, and manual differential WBC count (CBC) (85022) or hemogram and platelet count, automated, and automated complete differential WBC count (CBC) (85025), hepatitis B surface antigen (HBsAg) (87340), antibody, rubella (86762), syphilis test, qualitative (e.g., VDRL, RPR, ART) (86592), antibody screen, RBC, each serum technique (86850), blood typing, ABO (86900), and blood typing, Rh (D) (86901).)

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605	Service Codes and Descriptions:  Laboratory Services (cont.)

Service
Code   	Service Description

80061	Lipid panel (This panel must include the following:  cholesterol, serum, total (82465), lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718), and triglycerides  (84478).)
80074	Acute hepatitis panel (This panel must include the following:  hepatitis A antibody (HAAb), IgM antibody (86709), hepatitis B core antibody (HbcAb), IgM antibody (86705), hepatitis B surface antigen (HbsAg) (87340), and hepatitis C antibody (86803).)
80076	Hepatic function panel (This panel must include the following:  albumin (82040), bilirubin, total (82247), bilirubin, direct (82248), phosphatase, alkaline (84075), protein, total (84155), transferase, alanine amino (ALT) (SGPT) (84460), and transferase, aspartate amino (AST) (SGOT) (84450).)

URINALYSIS

81000	Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; nonautomated, with microscopy
81001		automated, with microscopy
81002		nonautomated, without microscopy
81003		automated, without microscopy
81005	Urinalysis; qualitative or semiquantitative, except immunoassays
81007		bacteriuria screen, except by culture or dipstick
81025	Urine pregnancy test, by visual color comparison methods
81099	Unlisted urinalysis procedure 

CHEMISTRY

The material for examination may be from any source.  The examination is quantitative unless specified. Clinical information derived from the results of laboratory data that is mathematically calculated (e.g., free thyroxine index (T7)) is considered part of the test procedure and therefore is not a separately reportable service.

82040	Albumin; serum
82247	Bilirubin; total
82248		direct
82270	Blood, occult; by peroxidase activity (e.g., guaiac), qualitative; feces, 1-3 simultaneous determinations
82273		other sources
82310	Calcium; total

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605	Service Codes and Descriptions:  Laboratory Services (cont.)

Service
Code   	Service Description

82465	Cholesterol, serum or whole blood, total
82540	Creatine
82550	Creatine kinase (CK), (CPK); total
82565	Creatinine; blood
82570		other source
82607	Cyanocobalamin (vitamin B-12)
82627	Dehydroepiandrosterone-sulfate (DHEA-S)
82670	Estradiol
82671	Estrogens; fractionated
82672		total
82677	Estriol
82679	Estrone
82746	Folic acid; serum
82947	Glucose; quantitative, blood (except reagent strip) 
82950		post-glucose dose (includes glucose)
82951		tolerance test (GTT), three specimens (includes glucose)
82955	Glucose‑6‑phosphate dehydrogenase (G6PD); quantitative
82960		screen
83001	Gonadotropin; follicle-stimulating hormone (FSH)
83002		luteinizing hormone (LH)
83003	Growth hormone, human (HGH) (somatotropin)
83036	Hemoglobin; glycated
83491	Hydroxycorticosteroids, 17‑ (17‑OHCS)
83540	Iron
83550	Iron-binding capacity
83586	Ketosteroids, 17‑ (17‑KS); total
83593		fractionation
83615	Lactate dehydrogenase (LD), (LDH)
83625		isoenzymes, separation and quantitation
83718	Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)
84060	Phosphatase, acid; total
84066		prostatic
84075	Phosphatase, alkaline
84078		heat stable (total not included)
84080		isoenzymes

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605	Service Codes and Descriptions:  Laboratory Services (cont.)

Service
Code   	Service Description

84132	Potassium; serum
84144	Progesterone
84146	Prolactin
84155	Protein; total, except refractometry
84160		refractometric
84165		electrophoretic fractionation and quantitation
84295	Sodium; serum
84300		urine
84402	Testosterone; free
84403		total
84436	Thyroxine; total
84437		requiring elution (e.g., neonatal)
84439		free
84443	Thyroid‑stimulating hormone (TSH)
84450	Transferase; aspartate amino (AST) (SGOT)
84460	  alanine amino (ALT) (SGPT)
84478	Triglycerides
84479	Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR)
84480	Triiodothyronine T3; total (TT-3)
84520	Urea nitrogen; quantitative
84550	Uric acid; blood
84590	Vitamin A
84702	Gonadotropin, chorionic (hCG); quantitative
84703		qualitative 

HEMATOLOGY AND COAGULATION

85007	Blood count; blood smear, microscopic examination with manual differential WBC count 
85008		blood smear, microscopic examination without manual differential WBC count 
85009		manual differential WBC count, buffy coat
85013		spun microhematocrit 
85014		 hematocrit (Hct)
85018		hemoglobin (Hgb)

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605	Service Codes and Descriptions:  Laboratory Services (cont.)

Service
Code   	Service Description

85025		complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count
85027		complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)
85041		red blood cell (RBC), automated 
85610	Prothrombin time
85651	Sedimentation rate, erythrocyte; nonautomated
85652		automated
85660	Sickling of RBC, reduction

IMMUNOLOGY

86038	Antinuclear antibodies (ANA)
86171	Complement fixation tests, each antigen
86235	Extractable nuclear antigen, antibody to, any method (e.g., nRNP, SS-A, SS-B, Sm, RNP,
		Sc170, J01), each antibody
86280	Hemagglutination inhibition test (HAI)
86308	Heterophile antibodies; screening
86309		titer
86310		titers after absorption with beef cells and guinea pig kidney
86317	Immunoassay for infectious agent antibody, quantitative, not elsewhere specified
86318	Immunoassay for infectious agent antibody, qualitative or semiquantitative, single step method (e.g., reagent strip)
86592	Syphilis test; qualitative (e.g., VDRL, RPR, ART)
86593		quantitative

		The following codes (86628-86804) are qualitative or semiquantitative immunoassays performed by multiple step methods for the detection of antibodies to infectious agents.  For immunoassays by single step method (e.g., reagent strips), use code 86318.  Procedures for the identification of antibodies should be coded as precisely as possible.  For example, an antibody to a virus could be coded with increasing specificity for virus, family, genus, species, or type.  In some cases, further precision may be added to codes by specifying the class of immunoglobulin being detected.  When multiple tests are done to detect antibodies to organisms classified more precisely than the specificity allowed by available codes, it is appropriate to code each as a separate service.

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FPA-34	
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605	Service Codes and Descriptions:  Laboratory Services (cont.)

Service
Code   	Service Description

86628	Antibody; candida
86631		chlamydia
86632		chlamydia, IgM
86687		HTLV-I
86688		HTLV-II
86689		HTLV or HIV antibody, confirmatory test (e.g., Western Blot)
86692		hepatitis, delta agent
86694		herpes simplex, non-specific type test
86695		herpes simplex, type 1
86696		herpes simplex, type 2	
86704	Hepatitis B core antibody (HBcAb); total
86705		IgM antibody
86706	Hepatitis B surface antibody (HBsAb)
86707	Hepatitis Be antibody (HBeAb)
86708	Hepatitis A antibody (HAAb); total
86709		IgM antibody
86762	Antibody; rubella
86781		treponema pallidum, confirmatory test (e.g., FTA-abs)
86803	Hepatitis C antibody
86804		confirmatory test (e.g., immunoblot)

TRANSFUSION MEDICINE

86850	Antibody screen, RBC, each serum technique
86900	Blood typing; ABO
86901		Rh (D) (I.C.)
86906		Rh phenotyping, complete

MICROBIOLOGY

87070	Culture, bacterial; any other source except urine, blood or stool, with isolation and presumptive identification of isolates
87075		any source; anaerobic with isolation and presumptive identification of isolates
87081	Culture, presumptive, pathogenic organisms, screening only
87086	Culture, bacterial; quantitative colony count, urine
87088		with isolation and presumptive identification of isolates, urine
87101	Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail
87102		other source (except blood)
87103		blood

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605	Service Codes and Descriptions:  Laboratory Services (cont.)

Service
Code   	Service Description

87110	Culture, chlamydia, any source
87140	Culture, typing; immunofluorescent method, each antiserum
87164	Dark field examination, any source (e.g., penile, vaginal, oral, skin); includes specimen collection
87177	Ova and parasites, direct smears, concentration and identification
87181	Susceptibility studies, antimicrobial agent; agar dilution method, per agent (e.g., antibiotic gradient strip)
87184		disk method, per plate (12 or fewer agents)
87186		microdilution or agar dilution (minimum inhibitory concentration (MIC) or breakpoint), each multiantimicrobial, per plate 
87188		macrobroth dilution method, each agent
87205	Smear, primary source, with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types 
87206		fluorescent and/or acid‑fast stain for bacteria, fungi, parasites, viruses, or cell types
87207		special stain for inclusion bodies or parasites (e.g., malaria, coccidia, microsporidia, trypanosomes, herpes viruses)
87210		wet mount for infectious agents (e.g., saline, India ink, KOH preps)
87220	Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (e.g., scabies)
87252	Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect
87253		tissue culture, additional studies or definitive identification (e.g., hemabsorption, neutralization, immunofluoresence stain), each isolate

			Infectious agents by antigen detection, immunofluorescence microscopy, or nucleic acid probe techniques should be reported as precisely as possible. The most specific code possible should be reported.  For identification of antibodies to many of the listed infectious agents, see 86602-86804.

87270	Infectious agent antigen detection by immunofluorescent technique; chlamydia trachomatis
87273		herpes simplex virus type 2
87274		herpes simplex virus type 1
87285		treponema pallidum

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605	Service Codes and Descriptions:  Laboratory Services (cont.)

Service
Code   	Service Description

87320	Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, multiple step method; chlamydia trachomatis
87340		hepatitis B surface antigen (HBsAg)
87350		hepatitis Be antigen (HBeAg)
87380		hepatitis, delta agent
87390		HIV-1
87391		HIV-2
87480	Infectious agent detection by nucleic acid (DNA or RNA); candida species, direct probe technique
87481		candida species, amplified probe technique
87482		candida species, quantification
87490		chlamydia trachomatis, direct probe technique
87491		chlamydia trachomatis, amplified probe technique
87492		chlamydia trachomatis, quantification
87510		gardnerella vaginalis, direct probe technique
87511		gardnerella vaginalis, amplified probe technique
87512		gardnerella vaginalis, quantification
87515		hepatitis B virus, direct probe technique
87516		hepatitis B virus, amplified probe technique
87517		hepatitis B virus, quantification
87520		hepatitis C, direct probe technique
87521		hepatitis C, amplified probe technique
87522		hepatitis C, quantification
87528		herpes simplex virus, direct probe technique
87529		herpes simplex virus, amplified probe technique
87530		herpes simplex virus, quantification
87534		HIV-1, direct probe technique
87535		HIV-1, amplified probe technique
87536		HIV-1, quantification
87537		HIV-2, direct probe technique
87538		HIV-2, amplified probe technique
87539		HIV-2, quantification
87590		neisseria gonorrhoeae, direct probe technique
87591		neisseria gonorrhoeae, amplified probe technique
87592		neisseria gonorrhoeae, quantification
87620		papillomavirus, human, direct probe technique
87621		papillomavirus, human, amplified probe technique
87622		papillomavirus, human, quantification

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605	Service Codes and Descriptions:  Laboratory Services (cont.)

Service
Code   	Service Description

87810	Infectious agent detection by immunoassay with direct optical observation; chlamydia trachomatis
87850		neisseria gonorrhoeae

ANATOMIC PATHOLOGY

	Cytopathology

88104	Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation
88106		filter method only with interpretation
88107		smears and filter preparation with interpretation 
88108	Cytopathology, concentration technique, smears and interpretation (e.g., Saccomanno technique) 
88130	Sex chromatin identification; Barr bodies

		Codes 88141-88155, 88164-88167 are used to report cervical or vaginal screening by various methods and to report physician interpretation services. Use codes 88150-88154 to report Pap smears that are examined using non-Bethesda reporting. Use codes 88164-88167 to report Pap smears that are examined using the Bethesda System of reporting. Use codes 88142-88145 to report specimens collected in fluid medium with automated thin layer preparation that are examined using any system of reporting (Bethesda or non-Bethesda). Within each of these three code families choose the one code that describes the screening method(s) used. Codes 88141 and 88155 should be reported in addition to the screening code chosen when the additional services are provided.
			
88141	Cytopathology, cervical or vaginal (any reporting system); requiring interpretation by physician (List separately in addition to code for technical service.)
88142	Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision
88143		with manual screening and rescreening under physician supervision
88147	Cytopathology smears, cervical or vaginal; screening by automated system under physician supervision
88148		screening by automated system with manual rescreening under physician supervision 
88150	Cytopathology, slides, cervical or vaginal; manual screening under physician supervision
88152		with manual screening and computer-assisted rescreening under physician supervision
88153		with manual screening and rescreening under physician supervision
88154		with manual screening and computer-assisted rescreening using cell selection and review under physician supervision
88155	Cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (e.g., maturation index, karyopyknotic index, estrogenic index) (List separately in addition to code(s) for other technical and interpretation services.)

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605	Service Codes and Descriptions:  Laboratory Services (cont.)

Service
Code   	Service Description

88160	Cytopathology, smears, any other source; screening and interpretation
88161		preparation, screening, and interpretation
88162		extended study involving over 5 slides and/or multiple stains (I.C.)
88164	Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision
88165		with manual screening and rescreening under physician supervision
88166		with manual screening and computer-assisted rescreening under physician supervision
86167		with manual screening and computer-assisted rescreening using cell selection and review under physician supervision
88199	Unlisted cytopathology procedure (I.C.)

	Cytogenetic Studies

88261	Chromosome analysis; count five cells, one karyotype, with banding
88262		count 15 to 20 cells, 2 karyotypes, with banding
88267	Chromosome analysis, amniotic fluid or chorionic villus, count 15 cells, 1 karyotype, with banding
88280	Chromosome analysis; additional karyotypes, each study
88285		additional cells counted, each study

SURGICAL PATHOLOGY

Codes 88300 through 88309 are further clarified in the Current Procedural Terminology (CPT) code book.

88300	Level I - surgical pathology, gross examination only
88302	Level II - surgical pathology, gross and microscopic examination
88304	Level III - surgical pathology, gross and microscopic examination
88305	Level IV - surgical pathology, gross and microscopic examination
88307	Level V - surgical pathology, gross and microscopic examination
88309	Level VI - surgical pathology, gross and microscopic examination

MISCELLANEOUS

89050	Cell count, miscellaneous body fluids (e.g., cerebrospinal fluid, joint fluid), except blood

This publication contains codes that are copyrighted by the American Medical Association.  Certain terms
used in the service descriptions for HCPCS codes are defined in the Current Procedural Terminology
(CPT) code book.