Miscellaneous Diagnostic and Therapeutic Services HCPCS Code range G0127-G0372

Colorectal cancer screening; blood-based biomarker

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous

Electromagnetic therapy, to one or more areas for chronic Stage III and Stage IV pressure ulcers, arterial ulcers, diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care

Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g., general, intravenous sedation (monitored anesthesia care) and use of an operating room

Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary

Hospice evaluation and counseling services, pre-election

Image-guided robotic linear accelerator-based stereotactic radiosurgery, complete course of therapy in one session or first session of fractionated treatment

Image-guided robotic linear accelerator-based stereotactic radiosurgery, delivery including collimator changes and custom plugging, fractionated treatment, all lesions, per session, second through fifth sessions, maximum five sessions per course of treatment

Percutaneous islet cell transplant, includes portal vein catheterization and infusion

Laparoscopy for islet cell transplant, includes portal vein catheterization and infusion