Services & Data Requests - Ambulatory/Outpatient Procedures Collected


The Required Procedures and Coding Guidelines:

Claim records that meet all three criterions are included in the quarterly ambulatory/outpatient procedure submission files:

Effective 2007Q3 to Present as Noted


HCPCS Level I CPT-4 Procedure Code Ranges:

Surgery / Endoscopy:

Chemotherapy:

Cardiovascular:

HCPCS Level II Procedure Code Ranges:

All procedures (effective 2007Q3)


Effective 1996 through 2007Q2


CPT-4 Code Ranges:

Surgery / Endoscopy:

Chemotherapy:

Cardiovascular

ICD-9-CM Procedure Code Ranges:

Surgery / Endoscopy / Cardiovascular:

All procedures within the range 01.0 – 86.99 EXCEPT:

Chemotherapy:

For more information contact Special Requests at .