Serial Claims Master HCPCS List for Medical Review – April 6, 2023
HCPCS Code | Serial Certification Period Default timeframe for application of decisions; may be different based on individual claim review (In months; 99 represents lifetime) |
Start Date /Begin Date |
End Date |
---|---|---|---|
A4256 | 99 | 01/07/2019 | 99/99/9999 |
A4258 | 99 | 01/07/2019 | 99/99/9999 |
A4310 | 99 | 01/07/2019 | 99/99/9999 |
A4311 | 99 | 01/07/2019 | 99/99/9999 |
A4312 | 99 | 01/07/2019 | 99/99/9999 |
A4313 | 99 | 01/07/2019 | 99/99/9999 |
A4314 | 99 | 01/07/2019 | 99/99/9999 |
A4315 | 99 | 01/07/2019 | 99/99/9999 |
A4316 | 99 | 01/07/2019 | 99/99/9999 |
A4320 | 99 | 01/07/2019 | 99/99/9999 |
A4321 | 99 | 01/07/2019 | 99/99/9999 |
A4322 | 99 | 01/07/2019 | 99/99/9999 |
A4326 | 99 | 01/07/2019 | 99/99/9999 |
A4327 | 99 | 01/07/2019 | 99/99/9999 |
A4328 | 99 | 01/07/2019 | 99/99/9999 |
A4331 | 99 | 01/07/2019 | 99/99/9999 |
A4332 | 99 | 01/07/2019 | 99/99/9999 |
A4333 | 99 | 01/07/2019 | 99/99/9999 |
A4334 | 99 | 01/07/2019 | 99/99/9999 |
A4336 | 99 | 01/07/2019 | 99/99/9999 |
A4338 | 99 | 01/07/2019 | 99/99/9999 |
A4340 | 99 | 01/07/2019 | 99/99/9999 |
A4344 | 99 | 01/07/2019 | 99/99/9999 |
A4346 | 99 | 01/07/2019 | 99/99/9999 |
A4349 | 99 | 01/07/2019 | 99/99/9999 |
A4351 | 99 | 01/07/2019 | 99/99/9999 |
A4352 | 99 | 01/07/2019 | 99/99/9999 |
A4353 | 99 | 01/07/2019 | 99/99/9999 |
A4354 | 99 | 01/07/2019 | 99/99/9999 |
A4355 | 99 | 01/07/2019 | 99/99/9999 |
A4356 | 99 | 01/07/2019 | 99/99/9999 |
A4357 | 99 | 01/07/2019 | 99/99/9999 |
A4358 | 99 | 01/07/2019 | 99/99/9999 |
A4360 | 99 | 01/07/2019 | 99/99/9999 |
A4398 | 99 | 01/07/2019 | 99/99/9999 |
A4399 | 99 | 01/07/2019 | 99/99/9999 |
A4402 | 99 | 01/07/2019 | 99/99/9999 |
A4404 | 99 | 01/07/2019 | 99/99/9999 |
A4405 | 99 | 01/07/2019 | 99/99/9999 |
A4406 | 99 | 01/07/2019 | 99/99/9999 |
A4407 | 99 | 01/07/2019 | 99/99/9999 |
A4408 | 99 | 01/07/2019 | 99/99/9999 |
A4409 | 99 | 01/07/2019 | 99/99/9999 |
A4410 | 99 | 01/07/2019 | 99/99/9999 |
A4411 | 99 | 01/07/2019 | 99/99/9999 |
A4412 | 99 | 01/07/2019 | 99/99/9999 |
A4413 | 99 | 01/07/2019 | 99/99/9999 |
A4414 | 99 | 01/07/2019 | 99/99/9999 |
A4415 | 99 | 01/07/2019 | 99/99/9999 |
A4416 | 99 | 01/07/2019 | 99/99/9999 |
A4417 | 99 | 01/07/2019 | 99/99/9999 |
A4418 | 99 | 01/07/2019 | 99/99/9999 |
A4419 | 99 | 01/07/2019 | 99/99/9999 |
A4420 | 99 | 01/07/2019 | 99/99/9999 |
A4422 | 99 | 01/07/2019 | 99/99/9999 |
A4423 | 99 | 01/07/2019 | 99/99/9999 |
A4424 | 99 | 01/07/2019 | 99/99/9999 |
A4425 | 99 | 01/07/2019 | 99/99/9999 |
A4426 | 99 | 01/07/2019 | 99/99/9999 |
A4427 | 99 | 01/07/2019 | 99/99/9999 |
A4428 | 99 | 01/07/2019 | 99/99/9999 |
A4430 | 99 | 01/07/2019 | 99/99/9999 |
A4431 | 99 | 01/07/2019 | 99/99/9999 |
A4432 | 99 | 01/07/2019 | 99/99/9999 |
A4433 | 99 | 01/07/2019 | 99/99/9999 |
A4434 | 99 | 01/07/2019 | 99/99/9999 |
A4435 | 99 | 01/07/2019 | 99/99/9999 |
A4455 | 99 | 01/07/2019 | 99/99/9999 |
A4481 | 60 | 01/07/2019 | 99/99/9999 |
A4605 | 60 | 01/07/2019 | 99/99/9999 |
A4623 | 60 | 01/07/2019 | 99/99/9999 |
A4624 | 60 | 01/07/2019 | 99/99/9999 |
A4626 | 60 | 01/07/2019 | 99/99/9999 |
A4628 | 60 | 01/07/2019 | 99/99/9999 |
A4629 | 60 | 01/07/2019 | 99/99/9999 |
A5051 | 99 | 01/07/2019 | 99/99/9999 |
A5052 | 99 | 01/07/2019 | 99/99/9999 |
A5053 | 99 | 01/07/2019 | 99/99/9999 |
A5054 | 99 | 01/07/2019 | 99/99/9999 |
A5055 | 99 | 01/07/2019 | 99/99/9999 |
A5056 | 99 | 01/07/2019 | 99/99/9999 |
A5057 | 99 | 01/07/2019 | 99/99/9999 |
A5061 | 99 | 01/07/2019 | 99/99/9999 |
A5062 | 99 | 01/07/2019 | 99/99/9999 |
A5063 | 99 | 01/07/2019 | 99/99/9999 |
A5071 | 99 | 01/07/2019 | 99/99/9999 |
A5072 | 99 | 01/07/2019 | 99/99/9999 |
A5073 | 99 | 01/07/2019 | 99/99/9999 |
A5081 | 99 | 01/07/2019 | 99/99/9999 |
A5082 | 99 | 01/07/2019 | 99/99/9999 |
A5083 | 99 | 01/07/2019 | 99/99/9999 |
A5093 | 99 | 01/07/2019 | 99/99/9999 |
A5102 | 99 | 01/07/2019 | 99/99/9999 |
A5105 | 99 | 01/07/2019 | 99/99/9999 |
A5112 | 99 | 01/07/2019 | 99/99/9999 |
A5113 | 99 | 01/07/2019 | 99/99/9999 |
A5114 | 99 | 01/07/2019 | 99/99/9999 |
A5131 | 99 | 01/07/2019 | 99/99/9999 |
A7000 | 60 | 01/07/2019 | 99/99/9999 |
A7001 | 60 | 01/07/2019 | 99/99/9999 |
A7002 | 60 | 01/07/2019 | 99/99/9999 |
A7047 | 60 | 01/07/2019 | 99/99/9999 |
A7501 | 60 | 01/07/2019 | 99/99/9999 |
A7503 | 60 | 01/07/2019 | 99/99/9999 |
A7504 | 60 | 01/07/2019 | 99/99/9999 |
A7505 | 60 | 01/07/2019 | 99/99/9999 |
A7506 | 60 | 01/07/2019 | 99/99/9999 |
A7507 | 60 | 01/07/2019 | 99/99/9999 |
A7508 | 60 | 01/07/2019 | 99/99/9999 |
A7509 | 60 | 01/07/2019 | 99/99/9999 |
A7520 | 60 | 01/07/2019 | 99/99/9999 |
A7521 | 60 | 01/07/2019 | 99/99/9999 |
A7522 | 60 | 01/07/2019 | 99/99/9999 |
A7523 | 60 | 01/07/2019 | 99/99/9999 |
A7524 | 60 | 01/07/2019 | 99/99/9999 |
A7526 | 60 | 01/07/2019 | 99/99/9999 |
A7527 | 60 | 01/07/2019 | 99/99/9999 |
B4035 | 99 | 01/07/2019 | 99/99/9999 |
B4220 | 99 | 01/07/2019 | 99/99/9999 |
B4222 | 99 | 01/07/2019 | 99/99/9999 |
B4224 | 99 | 01/07/2019 | 99/99/9999 |
B9002 | 99 | 01/07/2019 | 99/99/9999 |
B9004 | 99 | 01/07/2019 | 99/99/9999 |
B9006 | 99 | 01/07/2019 | 99/99/9999 |
E0165 | 60 | 11/20/2018 | 99/99/9999 |
E0170 | 60 | 11/20/2018 | 99/99/9999 |
E0171 | 60 | 11/20/2018 | 99/99/9999 |
E0181 | 60 | 11/20/2018 | 99/99/9999 |
E0184 | 60 | 01/07/2019 | 99/99/9999 |
E0185 | 60 | 01/07/2019 | 99/99/9999 |
E0186 | 60 | 11/20/2018 | 99/99/9999 |
E0187 | 60 | 11/20/2018 | 99/99/9999 |
E0196 | 60 | 11/20/2018 | 99/99/9999 |
E0197 | 60 | 11/20/2018 | 99/99/9999 |
E0198 | 60 | 11/20/2018 | 99/99/9999 |
E0199 | 60 | 01/07/2019 | 99/99/9999 |
E0202 | 60 | 11/20/2018 | 99/99/9999 |
E0231 | 60 | 11/20/2018 | 99/99/9999 |
E0235 | 60 | 11/20/2018 | 99/99/9999 |
E0250 | 60 | 11/20/2018 | 99/99/9999 |
E0251 | 60 | 11/20/2018 | 99/99/9999 |
E0255 | 60 | 11/20/2018 | 99/99/9999 |
E0256 | 60 | 11/20/2018 | 99/99/9999 |
E0260 | 60 | 11/20/2018 | 99/99/9999 |
E0261 | 60 | 11/20/2018 | 99/99/9999 |
E0290 | 60 | 11/20/2018 | 99/99/9999 |
E0291 | 60 | 11/20/2018 | 99/99/9999 |
E0292 | 60 | 11/20/2018 | 99/99/9999 |
E0293 | 60 | 11/20/2018 | 99/99/9999 |
E0294 | 60 | 11/20/2018 | 99/99/9999 |
E0295 | 60 | 11/20/2018 | 99/99/9999 |
E0300 | 60 | 11/20/2018 | 99/99/9999 |
E0301 | 60 | 11/20/2018 | 99/99/9999 |
E0302 | 60 | 11/20/2018 | 99/99/9999 |
E0303 | 60 | 11/20/2018 | 99/99/9999 |
E0304 | 60 | 11/20/2018 | 99/99/9999 |
E0305 | 60 | 11/20/2018 | 99/99/9999 |
E0316 | 60 | 11/20/2018 | 99/99/9999 |
E0328 | 60 | 11/20/2018 | 99/99/9999 |
E0329 | 60 | 11/20/2018 | 99/99/9999 |
E0424 | 60 | 01/07/2019 | 99/99/9999 |
E0431 | 60 | 01/07/2019 | 99/99/9999 |
E0433 | 60 | 01/07/2019 | 99/99/9999 |
E0434 | 60 | 01/07/2019 | 99/99/9999 |
E0439 | 60 | 01/07/2019 | 99/99/9999 |
E0441 | 99 | 01/07/2019 | 99/99/9999 |
E0442 | 99 | 01/07/2019 | 99/99/9999 |
E0443 | 99 | 01/07/2019 | 99/99/9999 |
E0444 | 99 | 01/07/2019 | 99/99/9999 |
E0447 | 99 | 01/01/2019 | 99/99/9999 |
E0470 | 60 | 11/20/2018 | 99/99/9999 |
E0471 | 60 | 11/20/2018 | 99/99/9999 |
E0480 | 60 | 11/20/2018 | 99/99/9999 |
E0482 | 60 | 11/20/2018 | 99/99/9999 |
E0483 | 60 | 11/20/2018 | 99/99/9999 |
E0550 | 60 | 11/20/2018 | 99/99/9999 |
E0565 | 60 | 11/20/2018 | 99/99/9999 |
E0570 | 60 | 11/20/2018 | 99/99/9999 |
E0572 | 60 | 11/20/2018 | 99/99/9999 |
E0574 | 60 | 11/20/2018 | 99/99/9999 |
E0585 | 60 | 11/20/2018 | 99/99/9999 |
E0600 | 60 | 11/20/2018 | 99/99/9999 |
E0601 | 60 | 11/20/2018 | 99/99/9999 |
E0606 | 60 | 11/20/2018 | 99/99/9999 |
E0607 | 99 | 01/07/2019 | 99/99/9999 |
E0618 | 60 | 11/20/2018 | 99/99/9999 |
E0619 | 60 | 11/20/2018 | 99/99/9999 |
E0627 | 60 | 01/07/2019 | 99/99/9999 |
E0629 | 60 | 01/07/2019 | 99/99/9999 |
E0630 | 60 | 11/20/2018 | 99/99/9999 |
E0635 | 60 | 11/20/2018 | 99/99/9999 |
E0636 | 60 | 11/20/2018 | 99/99/9999 |
E0639 | 60 | 01/07/2019 | 99/99/9999 |
E0640 | 60 | 11/20/2018 | 99/99/9999 |
E0641 | 60 | 11/20/2018 | 99/99/9999 |
E0656 | 60 | 11/20/2018 | 99/99/9999 |
E0657 | 60 | 11/20/2018 | 99/99/9999 |
E0740 | 60 | 11/20/2018 | 99/99/9999 |
E0745 | 60 | 11/20/2018 | 99/99/9999 |
E0764 | 60 | 11/20/2018 | 99/99/9999 |
E0776 | 60 | 11/20/2018 | 99/99/9999 |
E0779 | 60 | 11/20/2018 | 99/99/9999 |
E0781 | 60 | 11/20/2018 | 99/99/9999 |
E0784 | 60 | 11/20/2018 | 99/99/9999 |
E0849 | 60 | 11/20/2018 | 99/99/9999 |
E0855 | 60 | 11/20/2018 | 99/99/9999 |
E0860 | 60 | 01/07/2019 | 99/99/9999 |
E0910 | 60 | 11/20/2018 | 99/99/9999 |
E0911 | 60 | 11/20/2018 | 99/99/9999 |
E0912 | 60 | 11/20/2018 | 99/99/9999 |
E0920 | 60 | 11/20/2018 | 99/99/9999 |
E0930 | 60 | 11/20/2018 | 99/99/9999 |
E0940 | 60 | 11/20/2018 | 99/99/9999 |
E0941 | 60 | 11/20/2018 | 99/99/9999 |
E0946 | 60 | 11/20/2018 | 99/99/9999 |
E0958 | 60 | 11/20/2018 | 99/99/9999 |
E0985 | 60 | 11/20/2018 | 99/99/9999 |
E0986 | 60 | 11/20/2018 | 99/99/9999 |
E0988 | 60 | 11/20/2018 | 99/99/9999 |
E1020 | 60 | 11/20/2018 | 99/99/9999 |
E1028 | 60 | 11/20/2018 | 99/99/9999 |
E1031 | 60 | 11/20/2018 | 99/99/9999 |
E1035 | 60 | 11/20/2018 | 99/99/9999 |
E1036 | 60 | 11/20/2018 | 99/99/9999 |
E1037 | 60 | 11/20/2018 | 99/99/9999 |
E1038 | 60 | 11/20/2018 | 99/99/9999 |
E1039 | 60 | 11/20/2018 | 99/99/9999 |
E1161 | 60 | 11/20/2018 | 99/99/9999 |
E1225 | 60 | 11/20/2018 | 99/99/9999 |
E1231 | 60 | 01/07/2019 | 99/99/9999 |
E1232 | 60 | 11/20/2018 | 99/99/9999 |
E1233 | 60 | 11/20/2018 | 99/99/9999 |
E1234 | 60 | 11/20/2018 | 99/99/9999 |
E1235 | 60 | 11/20/2018 | 99/99/9999 |
E1236 | 60 | 11/20/2018 | 99/99/9999 |
E1237 | 60 | 11/20/2018 | 99/99/9999 |
E1238 | 60 | 11/20/2018 | 99/99/9999 |
E1239 | 60 | 11/20/2018 | 99/99/9999 |
E1390 | 60 | 11/20/2018 | 99/99/9999 |
E1391 | 60 | 11/20/2018 | 99/99/9999 |
E1392 | 60 | 11/20/2018 | 99/99/9999 |
E1405 | 60 | 01/07/2019 | 99/99/9999 |
E1406 | 60 | 01/07/2019 | 99/99/9999 |
E1700 | 60 | 11/20/2018 | 99/99/9999 |
E2000 | 60 | 11/20/2018 | 99/99/9999 |
E2100 | 99 | 01/07/2019 | 99/99/9999 |
E2101 | 99 | 01/07/2019 | 99/99/9999 |
E2120 | 60 | 11/20/2018 | 99/99/9999 |
E2227 | 60 | 11/20/2018 | 99/99/9999 |
E2228 | 60 | 11/20/2018 | 99/99/9999 |
E2500 | 99 | 01/07/2019 | 99/99/9999 |
E2502 | 99 | 01/07/2019 | 99/99/9999 |
E2504 | 99 | 01/07/2019 | 99/99/9999 |
E2506 | 99 | 01/07/2019 | 99/99/9999 |
E2508 | 99 | 01/07/2019 | 99/99/9999 |
E2510 | 99 | 01/07/2019 | 99/99/9999 |
E2511 | 99 | 01/07/2019 | 99/99/9999 |
J1459 | 99 | 01/07/2019 | 99/99/9999 |
J1556 | 99 | 01/07/2019 | 99/99/9999 |
J1557 | 99 | 01/07/2019 | 99/99/9999 |
J1561 | 99 | 01/07/2019 | 99/99/9999 |
J1566 | 99 | 01/07/2019 | 99/99/9999 |
J1568 | 99 | 01/07/2019 | 99/99/9999 |
J1569 | 99 | 01/07/2019 | 99/99/9999 |
J1572 | 99 | 01/07/2019 | 99/99/9999 |
J1573 | 99 | 01/07/2019 | 99/99/9999 |
J1599 | 99 | 01/07/2019 | 99/99/9999 |
J2545 | 60 | 01/07/2019 | 99/99/9999 |
J2791 | 99 | 01/07/2019 | 99/99/9999 |
J2920 | 99 | 01/07/2019 | 99/99/9999 |
J2930 | 99 | 01/07/2019 | 99/99/9999 |
J7500 | 99 | 01/07/2019 | 99/99/9999 |
J7501 | 99 | 01/07/2019 | 99/99/9999 |
J7502 | 99 | 01/07/2019 | 99/99/9999 |
J7503 | 99 | 01/07/2019 | 99/99/9999 |
J7506 | 99 | 01/07/2019 | 99/99/9999 |
J7507 | 99 | 01/07/2019 | 99/99/9999 |
J7508 | 99 | 01/07/2019 | 99/99/9999 |
J7509 | 99 | 01/07/2019 | 99/99/9999 |
J7511 | 99 | 01/07/2019 | 99/99/9999 |
J7515 | 99 | 01/07/2019 | 99/99/9999 |
J7517 | 99 | 01/07/2019 | 99/99/9999 |
J7518 | 99 | 01/07/2019 | 99/99/9999 |
J7520 | 99 | 01/07/2019 | 99/99/9999 |
J7527 | 99 | 01/07/2019 | 99/99/9999 |
J7599 | 99 | 01/07/2019 | 99/99/9999 |
J7605 | 60 | 01/07/2019 | 99/99/9999 |
J7606 | 60 | 01/07/2019 | 99/99/9999 |
J7608 | 60 | 01/07/2019 | 99/99/9999 |
J7611 | 60 | 01/07/2019 | 99/99/9999 |
J7612 | 60 | 01/07/2019 | 99/99/9999 |
J7613 | 60 | 01/07/2019 | 99/99/9999 |
J7614 | 60 | 01/07/2019 | 99/99/9999 |
J7620 | 60 | 01/07/2019 | 99/99/9999 |
J7626 | 60 | 01/07/2019 | 99/99/9999 |
J7631 | 60 | 01/07/2019 | 99/99/9999 |
J7639 | 60 | 01/07/2019 | 99/99/9999 |
J7644 | 60 | 01/07/2019 | 99/99/9999 |
J7669 | 60 | 01/07/2019 | 99/99/9999 |
J7682 | 60 | 01/07/2019 | 99/99/9999 |
J7686 | 60 | 01/07/2019 | 99/99/9999 |
J8530 | 99 | 01/07/2019 | 99/99/9999 |
J8610 | 99 | 01/07/2019 | 99/99/9999 |
K0001 | 60 | 11/20/2018 | 99/99/9999 |
K0002 | 60 | 11/20/2018 | 99/99/9999 |
K0003 | 60 | 11/20/2018 | 99/99/9999 |
K0004 | 60 | 11/20/2018 | 99/99/9999 |
K0005 | 60 | 01/07/2019 | 99/99/9999 |
K0006 | 60 | 11/20/2018 | 99/99/9999 |
K0007 | 60 | 11/20/2018 | 99/99/9999 |
K0009 | 60 | 11/20/2018 | 99/99/9999 |
K0730 | 60 | 11/20/2018 | 99/99/9999 |
K0738 | 60 | 01/07/2019 | 99/99/9999 |
K0890 | 60 | 11/20/2018 | 99/99/9999 |
K0891 | 60 | 11/20/2018 | 99/99/9999 |
Q4074 | 60 | 01/07/2019 | 99/99/9999 |