interface/forms/fee_sheet/codes.php

   1 <?php
   2 $bcodes = array();
   3
   4 $bcodes['CPT4']  = array();
   5
   6 // These are the commonly used CPT codes for YOUR practice.
   7 // Change them to suit your needs.
   8 //
   9 $bcodes['CPT4']['Established Patient'] = array(
  10         '99211' => 'Brief',
  11         '99212' => 'Limited',
  12         '99213' => 'Detailed',
  13         '99214' => 'Extended',
  14         '99215' => 'Comprehensive',
  15         '99391' => 'Well Exam Infant (V20.2)',
  16         '99392' => 'Well Exam 1-4 Yrs (V20.2)',
  17         '99393' => 'Well Exam 5-11 Yrs (V20.2)',
  18         '99394' => 'Well Exam 12-17 Yrs (V72.31/V20.2)',
  19         '99395' => 'Well Exam 18-39 Yrs (V72.31/V70.0)',
  20         '99396' => 'Well Exam 40-64 Yrs (V72.31/V70.0)',
  21         '99397' => 'Well Exam 65+ Yrs (V72.31/V70.0)',
  22 );
  23 $bcodes['CPT4']['New Patient'] = array(
  24         '99201' => 'Brief',
  25         '99202' => 'Limited',
  26         '99203' => 'Detailed',
  27         '99204' => 'Extended',
  28         '99205' => 'Comprehensive',
  29         '99381' => 'Well Exam Infant (V20.2)',
  30         '99382' => 'Well Exam 1-4 Yrs (V20.2)',
  31         '99383' => 'Well Exam 5-11 Yrs (V20.2)',
  32         '99384' => 'Well Exam 12-17 Yrs (V72.31/V20.2)',
  33         '99385' => 'Well Exam 18-39 Yrs (V72.31/V70.0)',
  34         '99386' => 'Well Exam 40-64 Yrs (V72.31/V70.0)',
  35         '99387' => 'Well Exam 65+ Yrs (V72.31/V70.0)',
  36 );
  37 $bcodes['CPT4']['Procedures'] = array(
  38         '10040' => 'Cyst Removal',
  39         '10060' => 'I & D simple/single',
  40         '10061' => 'I & D abscess multiple/complex',
  41         '10160' => 'Aspiration of abscess/hematoma/ap',
  42         '11055' => 'Paring/cutting hypokeratosis-single',
  43         '11056' => 'Paring/cutting hypokeratosis (2-4)',
  44         '11057' => 'Paring/cutting hypokeratosis > 4',
  45         '11100' => 'Biopsy of skin',
  46         '11200' => 'Removal of skin tags up to 15',
  47         '11305' => 'Shave epidermal lesion <= 0.5 cm',
  48         '11730' => 'Avulsion of nail plain (single)',
  49         '12001' => 'Wound repair < 2.5 cm',
  50         '12032' => 'Wound repair > 2.5 cm < 7.5 cm',
  51         '17000' => 'Destruction - one benign lesion',
  52         '17003' => 'Destruction other lesions / 2-14',
  53         '17004' => 'Destruction other lesions >= 15',
  54         '17110' => 'Destr warts <= 14 milla/molloscum',
  55         '17111' => 'Destruction warts >= 15',
  56         '20600' => 'Arthrocentesis - small joint',
  57         '20605' => 'Arthrocentesis - intermediate',
  58         '20610' => 'Arthrocentesis - major joint',
  59         '26075' => 'Incision/splinter removal - finger',
  60         '28190' => 'Foreign body removal - foot',
  61         '29130' => 'Finger splint',
  62         '29530' => 'Strapping knee',
  63         '29540' => 'Strapping ankle',
  64         '29550' => 'Strapping toes',
  65         '30300' => 'Foreign body removal - nasal',
  66         '36550' => 'Flushing portacath',
  67         '69200' => 'Foreign body removal - ear canal',
  68         '69210' => 'Impacted cerumen removal',
  69         '76075-26' => 'Bone density review',
  70         '87210' => 'Wet Prep/Reading',
  71         '87220' => 'KOH Prep/Reading',
  72         '93233' => 'Holter Monitor Review',
  73         '93272' => 'Event monitor interpretation',
  74 );
  75 $bcodes['CPT4']['Lab'] = array(
  76         '82962' => 'Accucheck',
  77         '90788' => 'Admin of Antibiotic',
  78         '90782' => 'Admin of Injection',
  79         '95115' => 'Allergy injection',
  80         '94640' => 'Breating Treatment (aerosol)',
  81         '94664' => 'MDI Instruction',
  82         '93000' => 'EKG',
  83         '99173' => 'Eye acuity screening',
  84         '93270' => 'Event monitor hookup/disc',
  85         '85018-QW' => 'Hemocue',
  86         '82270' => 'Hemoccult',
  87         '93231' => 'Holter connect/disconnect',
  88         '90780' => 'IV infusion up to one hour',
  89         '86308' => 'Monospot',
  90         '94760' => 'O2 saturation',
  91         '94761' => 'O2 saturation > 1 hour',
  92         '85610-QW' => 'Prothrombin time',
  93         '87430' => 'Quick strep test',
  94         '94375-26' => 'Respiratory Flow Volume Loop',
  95         '99000' => 'Specimen handling',
  96         '94010' => 'Spirometry Screen',
  97         '99070' => 'Supplies Medical splint/aco',
  98         '86580' => 'TB skin test',
  99         '81002' => 'Urinalysis w/o micro',
 100         '81025' => 'Urine pregnancy losl/BHCG',
 101         '36415' => 'Venipuncture',
 102         'G0107' => 'Screening Hemoccult - Medicare',
 103 );
 104 $bcodes['CPT4']['Immunizations'] = array(
 105         '90471' => 'Single Immunization Admin',
 106         '90472' => 'Additional Immunization Admin',
 107         'G0008' => 'Flu shot / medicare (V06.6)',
 108         'G0009' => 'Pneumovax / medicare (V06.6)',
 109         '90658' => 'Influenza (V04.8)',
 110         '90732' => 'Pneumonia (V03.82)',
 111         '90718' => 'Td (V06.5)',
 112         '90703' => 'Tot Tox (V03.7)',
 113 );
 114 $bcodes['CPT4']['Consultation and Review'] = array(
 115         '99361' => 'Medical Conference 30 min',
 116         '99371' => 'Telephone Consultation 1-10 min',
 117         '99372' => 'Telephone Consultation 10-20 min',
 118         '99374' => 'Physician Supervision H.H. Pt',
 119         'G0180' => 'HH Certification Initial',
 120         'G0179' => 'HH Recertification',
 121         'G0181' => 'Care Plan Oversight',
 122 );
 123
 124 $bcodes['HCPCS'] = array();
 125
 126 $bcodes['HCPCS']['Therapeutic Injections'] = array(
 127         'J7619' => 'Albuterol unit dose 0.083%',
 128         'J1200' => 'Benadryl up to 50 mg',
 129         'J3420' => 'B-12 1000 mg',
 130         'J0704' => 'Colostone Soluspan',
 131         'J0698' => 'Claforan up to 1000 mg',
 132         'J0735' => 'Clonidine up to 1 mg',
 133         'J1094' => 'Decadron 8 mg/ml',
 134         'J1100' => 'Decadron 4 mg/ml',
 135         'J1390' => 'Estrogen 20 mg',
 136         'J0970' => 'Estrogen 40 mg',
 137         'J1820' => 'Insulin up to 100 units',
 138         'J1940' => 'Lasix up to 20 mg',
 139         'J2000' => 'Lidocaine 1% cc',
 140         'J2010' => 'Lincocin up to 300 mg',
 141         'J2550' => 'Phenergan up to 50 mg',
 142         'J2680' => 'Prolixin 25 mg',
 143         'J3410' => 'Vistaril up to 25 mg',
 144 );
 145 ?>