CPT Code Information Current Value

86255 x 13 86053 86363 84182-AGNBS (if appropriate) 86255-AINCS (if appropriate) 86255-AMPCS (if appropriate) 86256-AMPIS (if appropriate) 84182-AMIBS (if appropriate) 84182-AN1BS (if appropriate) 84182-AN2BS (if appropriate) 86255-DPPCS (if appropriate) 86256-DPPTS (if appropriate) 86255-GABCS (if appropriate) 86256-GABIS (if appropriate) 86255-GFACS (if appropriate) 86256-GFATS (if appropriate) 86255-GL1CS (if appropriate) 86256-GL1TS (if appropriate) 86363-MOGTS (if appropriate) 86255-NFHCS (if appropriate) 86256-NIFTS (if appropriate) 86255-NFLCS (if appropriate) 86255-NMDCS (if appropriate) 86256-NMDIS (if appropriate) 86256-NMOTS (if appropriate) 84182-PC1BS (if appropriate) 84182-PCTBS (if appropriate)

CPT Code Information Value Prior to 1/03/2022 10:09am

86255 x 15 86341 84182  84182-AGNBS (if appropriate) 86255-AINCS (if appropriate) 86255-AMPCS (if appropriate) 86256-AMPIS (if appropriate) 84182-AMIBS (if appropriate) 84182-AN1BS (if appropriate) 84182-AN2BS (if appropriate) 86255-DPPCS (if appropriate) 86256-DPPTS (if appropriate) 86255-GABCS (if appropriate) 86256-GABIS (if appropriate) 86255-GFACS (if appropriate) 86256-GFATS (if appropriate) 86255-GL1CS (if appropriate) 86256-GL1TS (if appropriate) 86256-MOGFS (if appropriate) 86256-MOGTS (if appropriate) 86255-NFHCS (if appropriate) 86256-NIFTS (if appropriate) 86255-NFLCS (if appropriate) 86255-NMDCS (if appropriate) 86256-NMDIS (if appropriate) 86256-NMOFS (if appropriate) 86256-NMOTS (if appropriate) 84182-PC1BS (if appropriate) 84182-PCTBS (if appropriate)