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.
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 |
