CMS Shoppable Services

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.

Evaluation & Management Services

70 CMS-Specified Shoppable Services2020 CPT/HCPCS Primary CodeCharge
Psychotherapy, 30 min90832NA
Psychotherapy, 45 min90834NA
Psychotherapy, 60 min90837NA
Family psychotherapy, not including patient, 50 min90846NA
Family psychotherapy, including patient, 50 min90847NA
Group psychotherapy90853NA
New patient office or other outpatient visit, typically 30 min99203NA
New patient office of other outpatient visit, typically 45 min99204NA
New patient office of other outpatient visit, typically 60 min99205NA
Patient office consultation, typically 40 min99243NA
Patient office consultation, typically 60 min99244NA
Initial new patient preventive medicine evaluation (18-39 years)99385NA
Initial new patient preventive medicine evaluation (40-64 years)99386NA

 

Laboratory & Pathology Services

70 CMS-Specified Shoppable Services2020 CPT/HCPCS Primary CodeCharge
Basic metabolic panel80048NA
Blood test, comprehensive group of blood chemicals80053NA
Obstetric blood test panel80055NA
Blood test, lipids (cholesterol and triglycerides)80061NA
Kidney function panel test80069NA
Liver function blood test panel80076NA
Manual urinalysis test with examination using microscope81000 or 81001NA
Automated urinalysis test81002 or 81003NA
PSA (prostate specific antigen)84153-84154NA
Blood test, thyroid stimulating hormone (TSH)84443NA
Complete blood cell count, with differential white blood cells, automated85025NA
Complete blood count, automated85027NA
Blood test, clotting time85610NA
Coagulation assessment blood test85730NA

 

Radiology Services

70 CMS-Specified Shoppable Services2020 CPT/HCPCS Primary CodeCharge
CT scan, head or brain, without contrast70450NA
MRI scan of brain before and after contrast70553NA
X-Ray, lower back, minimum four views72110NA
MRI scan of lower spinal canal72148NA
CT scan, pelvis, with contrast72193NA
MRI scan of leg joint73721NA
CT scan of abdomen and pelvis with contrast74177NA
Ultrasound of abdomen76700NA
Abdominal ultrasound of pregnant uterus (greater or equal to 14 weeks 0 days) single or first fetus76805NA
Ultrasound pelvis through vagina76830NA
Mammography of one breast77065NA
Mammography of both breasts77066NA
Mammography, screening, bilateral77067NA

 

Medicine and Surgery Services

70 CMS-Specified Shoppable Services2020 CPT/HCPCS Primary CodeCharge
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities216NA
Spinal fusion except cervical without major comorbid conditions or complications (MCC)460NA
Major joint replacement or reattachment of lower extremity without major comorbid conditions or complications (MCC).470NA
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).473NA
Uterine and adnexa procedures for non-malignancy without comorbid conditions (CC) or major comorbid conditions or complications (MCC)743NA
Removal of 1 or more breast growth, open procedure19120NA
Shaving of shoulder bone using an endoscope29826NA
Removal of one knee cartilage using an endoscope29881NA
Removal of tonsils and adenoid glands patient younger than age 1242820NA
Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope43235NA
Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope43239NA
Diagnostic examination of large bowel using an endoscope45378NA
Biopsy of large bowel using an endoscope45380NA
Removal of polyps or growths of large bowel using an endoscope45385NA
Ultrasound examination of lower large bowel using an endoscope45391NA
Removal of gallbladder using an endoscope47562NA
Repair of groin hernia patient age 5 years or older49505NA
Biopsy of prostate gland55700NA
Surgical removal of prostate and surrounding lymph nodes using an endoscope55866NA
Routine obstetric care for vaginal delivery, including pre-and post-delivery care59400NA
Routine obstetric care for cesarean delivery, including pre-and post-delivery care59510NA
Routine obstetric care for vaginal delivery after prior cesarean delivery including pre-and post-delivery care59610NA
Injection of substance into spinal canal of lower back or sacrum using imaging guidance62322-62323NA
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance64483NA
Removal of recurring cataract in lens capsule using laser66821NA
Removal of cataract with insertion of lens66984NA
Electrocardiogram, routine, with interpretation and report93000NA
Insertion of catheter into left heart for diagnosis93452NA
Sleep study95810NA
Physical therapy, therapeutic exercise97110NA