CMS Shoppable Services

RML Specialty Hospital is a Long Term Acute Care Hospital which does not offer any of the 70 CMS-specified shoppable services. RML Specialty Hospital does not offer services that can be scheduled by a healthcare consumer in advance.

Information as of 12/31/2020.

Click here to download the Excel version of the CMS Shoppable Services.

Evaluation & Management Services

70 CMS-Specified Shoppable Services 2020 CPT/HCPCS Primary Code Charge
Psychotherapy, 30 min 90832 NA
Psychotherapy, 45 min 90834 NA
Psychotherapy, 60 min 90837 NA
Family psychotherapy, not including patient, 50 min 90846 NA
Family psychotherapy, including patient, 50 min 90847 NA
Group psychotherapy 90853 NA
New patient office or other outpatient visit, typically 30 min 99203 NA
New patient office of other outpatient visit, typically 45 min 99204 NA
New patient office of other outpatient visit, typically 60 min 99205 NA
Patient office consultation, typically 40 min 99243 NA
Patient office consultation, typically 60 min 99244 NA
Initial new patient preventive medicine evaluation (18-39 years) 99385 NA
Initial new patient preventive medicine evaluation (40-64 years) 99386 NA

Laboratory & Pathology Services

70 CMS-Specified Shoppable Services 2020 CPT/HCPCS Primary Code Charge
Basic metabolic panel 80048 NA
Blood test, comprehensive group of blood chemicals 80053 NA
Obstetric blood test panel 80055 NA
Blood test, lipids (cholesterol and triglycerides) 80061 NA
Kidney function panel test 80069 NA
Liver function blood test panel 80076 NA
Manual urinalysis test with examination using microscope 81000 or 81001 NA
Automated urinalysis test 81002 or 81003 NA
PSA (prostate specific antigen) 84153-84154 NA
Blood test, thyroid stimulating hormone (TSH) 84443 NA
Complete blood cell count, with differential white blood cells, automated 85025 NA
Complete blood count, automated 85027 NA
Blood test, clotting time 85610 NA
Coagulation assessment blood test 85730 NA

Radiology Services

70 CMS-Specified Shoppable Services 2020 CPT/HCPCS Primary Code Charge
CT scan, head or brain, without contrast 70450 NA
MRI scan of brain before and after contrast 70553 NA
X-Ray, lower back, minimum four views 72110 NA
MRI scan of lower spinal canal 72148 NA
CT scan, pelvis, with contrast 72193 NA
MRI scan of leg joint 73721 NA
CT scan of abdomen and pelvis with contrast 74177 NA
Ultrasound of abdomen 76700 NA
Abdominal ultrasound of pregnant uterus (greater or equal to 14 weeks 0 days) single or first fetus 76805 NA
Ultrasound pelvis through vagina 76830 NA
Mammography of one breast 77065 NA
Mammography of both breasts 77066 NA
Mammography, screening, bilateral 77067 NA

Medicine and Surgery Services

70 CMS-Specified Shoppable Services 2020 CPT/HCPCS Primary Code Charge
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities 216 NA
Spinal fusion except cervical without major comorbid conditions or complications (MCC) 460 NA
Major joint replacement or reattachment of lower extremity without major comorbid conditions or complications (MCC). 470 NA
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC). 473 NA
Uterine and adnexa procedures for non-malignancy without comorbid conditions (CC) or major comorbid conditions or complications (MCC) 743 NA
Removal of 1 or more breast growth, open procedure 19120 NA
Shaving of shoulder bone using an endoscope 29826 NA
Removal of one knee cartilage using an endoscope 29881 NA
Removal of tonsils and adenoid glands patient younger than age 12 42820 NA
Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope 43235 NA
Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope 43239 NA
Diagnostic examination of large bowel using an endoscope 45378 NA
Biopsy of large bowel using an endoscope 45380 NA
Removal of polyps or growths of large bowel using an endoscope 45385 NA
Ultrasound examination of lower large bowel using an endoscope 45391 NA
Removal of gallbladder using an endoscope 47562 NA
Repair of groin hernia patient age 5 years or older 49505 NA
Biopsy of prostate gland 55700 NA
Surgical removal of prostate and surrounding lymph nodes using an endoscope 55866 NA
Routine obstetric care for vaginal delivery, including pre-and post-delivery care 59400 NA
Routine obstetric care for cesarean delivery, including pre-and post-delivery care 59510 NA
Routine obstetric care for vaginal delivery after prior cesarean delivery including pre-and post-delivery care 59610 NA
Injection of substance into spinal canal of lower back or sacrum using imaging guidance 62322-62323 NA
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance 64483 NA
Removal of recurring cataract in lens capsule using laser 66821 NA
Removal of cataract with insertion of lens 66984 NA
Electrocardiogram, routine, with interpretation and report 93000 NA
Insertion of catheter into left heart for diagnosis 93452 NA
Sleep study 95810 NA
Physical therapy, therapeutic exercise 97110 NA