U.S. DEPARTMENT OF LABOR
OFFICE OF WORKERS' COMPENSATION PROGRAMS
Crosswalk RCC to CPT/HCPCS procedure codes
For calculating maximum allowables for non-PPS hospital outpatient services
RCC RCC PROCEDURE TITLE CPT RANGE FROM CPT RANGE TO
0276-0276 INTRAOCULAR LENS                             Q1001 Q1005
                                              V2630 V2632
                                                         
0280-0289 ONCOLOGY/OTHER                                  36410 36416
36511 36516
36540 36540
36591 36593
90760 90779
90780 90784
90788 90799
96401 96402
96405 96406
96409 96409
                                              96411 96411
                                              96413 96413
                                              96415 96417
                                              96420 96420
                                              96422 96423
                                              96425 96425
                                              96440 96440
                                              96445 96445
                                              96450 96450
                                              96521 96521
                                              96542 96542
                                              96549 96549
                                                         
0300-0319 LABORATORY /   LABORATORY PATHOLOGY                             G0001 G0001
                                              G0306 G0307
                                              G0364 G0364
                                              0026T 0026T
                                              0030T 0030T
                                              0041T 0041T
                                              0043T 0043T
                                              0103T 0103T
                                              0111T 0111T
                                              0194T 0194T
                                              36410 36410
                                              36415 36415
                                              36511 36516
                                              36540 36540
                                              36591 36591
                                              80048 89399
                                                         
0320-0329 RADIOLOGY-DIAGNOSTICS 0028T 0028T
0066T 0070T
0144T 0154T
0159T 0159T
0174T 0175T
49440 49442
49446 49446
49450 49452
49460 49465
70010 76999
77001 77011
77031 77031
77053 77054
77071 77075
77077 77077
77080 77084
                                                         
0330, 333, 339 RADIOLOGY-THERAPEUTIC G0242 G0243
                                              0061T 0061T
                                              0073T 0073T
0190T 0190T
                                              0197T 0197T
                                              55920 55920
                                              61793 61793
                                              77011 77014
77261 77799
0331, 0332, 0335 RADIOLOGY CHEMOTHERAPY ADMINISTRATION                   96400 96549
0340-0348 NUCLEAR MEDICINE                         A4641 A4642
A9500 A9517
A9521 A9526
A9528 A9699
Q9945 Q9967
78000 79999
                                                         
0350-0359 CT SCANS                                70010 76999
77011 77014
77078 77079
0360-0369 OPERATING ROOM SERVICES                              G0289 G0289
                                              Q1001 Q1005
                                              0016T 0017T
                                              0019T 0020T
                                              0027T 0027T
                                              0046T 0046T
                                              0062T 0063T
                                              0084T 0088T
                                              0099T 0102T
                                              0120T 0120T
                                              0123T 0124T
                                              0130T 0130T
                                              0137T 0137T
                                              0170T 0170T
                                              0176T 0177T
                                              0183T 0183T
                                              0186T 0186T
                                              0190T 0191T
                                              0193T 0196T
                                              0198T 0202T
                                              10000 69990
                                              90769 90771
                                              90776 90776
96360 96361
96365 96376
                                              96379 96379
                                             
0400,0402,0404-0409 MAMMOGRAPHY / OTHER IMAGING SERVICES 70010 76999
                                              78000 79999
                                                         
0401 DIAG MAMMOGRAPHY                         G0204 G0204
                                              G0206 G0206
                                              70010 76999
                                              77032 77032
                                              77051 77051
                                              77055 77056
                                              78000 79999
                                                         
0403 SCREENING MAMMOGRAPHY G0202 G0202
                                              70010 76999
                                              77052 77052
                                              77057 77057
                                              78000 79999
                                                         
0410, 0412, 419 RESPIRATORY SERVICES           36600 36600
82800 82820
                                              93720 93722
                                              94010 94799
                                                         
0413 HYPERBARIC OXYGEN THERAPY                            C1300 C1300
                                                         
0420-0429 PHYSICAL THERAPY                         G0151 G0151
G0282 G0283
WRKH1 WRKH2
95851 95852
97001 98943
           
0430-0439 OCCUPATION THERAPY                         G0152 G0152
0019T 0020T
0120T 0120T
0123T 0124T
97001 98943
           
0440-0449 SPEECH - LANGUAGE PATHOLOGY                          G0153 G0153
S9128 S9128
92502 92502
92504 92504
92506 92506
92507 92507
92508 92508
92516 92516
92520 92520
92597 92597
92603 92604
92607 92610
92614 92614
92616 92616
92620 92621
92625 92627
92640 92640
92700 92700
                                                         
0450-0459 EMERGENCY  ROOM                               0190T 0190T
                                              0193T 0193T
                                              10000 69990
                                              90632 90749
                                              90760 90779
                                              90780 90784
                                              90788 90799
                                              92512 92512
                                              96360 96361
                                              96365 96376
                                              96379 96379
                                              99281 99285
                                              99291 99292
                                              99354 99359
                                                         
0460-0469 PULMONARY FUNCTION                           36600 36600
82800 82820
93720 93722
94010 94799
                                                         
0470-0471 AUDIOLOGY                                92502 92502
92504 92504
                                              92506 92506
                                              92511 92511
                                              92542 92548
                                              92550 92550
                                              92552 92553
                                              92555 92557
                                              92561 92565
                                              92567 92572
                                              92575 92577
                                              92579 92579
                                              92582 92588
                                              92596 92597
                                              92603 92604
                                              92607 92608
                                              92620 92621
                                              92625 92627
                                              92640 92640
                                              92700 92700
                                                         
0472 AUDIOLOGY/RX                             92507 92508
                                                         
0490-0499 AMBULATORY SURGERY Q1001 Q1005
                                              0016T 0017T
                                              0027T 0027T
                                              0046T 0046T
                                              0062T 0063T
                                              0084T 0088T
                                              0099T 0102T
                                              0123T 0124T
                                              0137T 0137T
                                              0170T 0170T
                                              0176T 0177T
                                              0183T 0183T
                                              0186T 0186T
                                              0190T 0191T
                                              0198T 0202T
                                              10000 69990
                                                         
0510-0519 OUTPATIENT CLINIC                                   0187T 0187T
                                              0190T 0191T
                                              0193T 0193T
                                              92002 92002
                                              92004 92004
                                              92012 92012
                                              92014 92014
                                              92512 92512
                                              96360 96361
                                              96365 96376
                                              96379 96379
                                              97001 97002
                                              99201 99215
                                              99241 99245
                                                         
0511-0511 OUTPATIENT CLINIC, CHRONIC PAIN CENTER                                   RP100 RP100
                                              RP120 RP120
                                              RP130 RP130
                                              00170 00170
                                              00210 00210
                                              00222 00222
                                              00300 00300
                                              00400 00400
                                              00600 00600
                                              00620 00620
                                              00630 00632
                                              01250 01250
                                              01320 01320
                                              01470 01470
                                              01710 01710
                                              01740 01740
                                              01810 01810
                                              01830 01830
                                              01990 01991
                                              23931 23931
                                              24140 24147
                                              25230 25230
                                              27096 27096
                                              61450 61450
                                              61480 61480
                                              61790 61791
                                              62310 62311
                                              62350 62368
                                              63003 63003
                                              63016 63016
                                              63046 63046
                                              63048 63048
                                              63055 63057
                                              63075 63076
                                              63077 63078
                                              63085 63086
                                              63170 63170
                                              63185 63191
                                              63195 63195
                                              63197 63197
                                              63199 63199
                                              63600 63615
                                              63650 63688
                                              64400 64484
                                              64505 64505
                                              64520 64520
                                              64550 64680
                                              64702 64712
                                              64714 64714
                                              64716 64716
                                              64718 64721
                                              64732 64744
                                              64761 64772
                                              64782 64786
                                              64788 64792
                                              64818 64818
                                              64820 64823
                                              73200 73225
                                              73700 73725
                                              76005 76005
                                              92002 92002
                                              92004 92004
                                              92012 92012
                                              92014 92014
                                              95970 95990
                                              96360 96361
                                              96365 96376
                                              96379 96379
                                              97001 97002
                                              99183 99183
                                              99201 99215
                                              99241 99245
                                                         
0512 DENTAL CLINIC                            D0120 D0180
                                                         
0513 PSYCHIATRIC CLINIC 90804 90814
                                                         
0529 OTHER FREE STANDING CLINICS                      0193T 0193T
                                                         
0530-0539 OSTEOPATHIC SERVICES                          97001 98943
                                                         
0550-0559 SKILLED NURSING                          G0154 G0154
S9123 S9124
T1000 T1004
T1017 T1017
T1030 T1031
           
0560-0569 MEDICAL SOCIAL SERVICES                           G0155 G0155
S9127 S9127
           
0570-0579 HOME HEALTH AIDE (HOME HEALTH) G0156 G0156
S5126 S5126
S9122 S9122
T1021 T1022
                                                         
0580-0589 OTHER VISITS (HOME HEALTH) 99503 99600
                                                         
0590-0599 UNITS OF SERVICE (HOME HEALTH) G0156 G0156
S9122 S9122
T1021 T1022
99503 99509
99511 99512
                                                         
0610, 0614, 0619 MAGNETIC RESONACE TECHNOLOGY (MRI & MRA) 70010 76999
77001 77011
77021 77021
77031 77031
77053 77054
77058 77059
77071 77075
                                              77080 77084
                                                         
0651-0651 HOSPICE SERVICES (ROUTINE HOME CARE)  S9126 S9126
T2042 T2043
0652-0652 HOSPICE SERVICES (CONTINUOUS HOME CARE)             S9126 S9126
T2042 T2043
                                                         
0681 TRAUMA LEVEL 1                           G0390 G0390
                                                         
0760,0762-0769  TREATMENT/OBSERVATION  ROOM                   99217 99223
                                              99231 99236
                                              99238 99239
                                                         
0761 TREATMENT ROOM                    0187T 0187T
                                              0190T 0191T
                                              0193T 0193T
                                              0198T 0199T
                                              92512 92512
                                              99217 99223
                                              99231 99236
                                              99238 99239
                                                         
0900-0907 BEHAVIOR HEALTH TREATMENT SERVICES 90801 90802
90804 90819
90821 90824
90826 90829
90845 90847
90849 90849
90853 90853
90862 90862
                                              90865 90865
                                              90870 90870
                                              90875 90876
                                              90880 90880
                                              90882 90882
                                              90885 90885
                                              90887 90887
                                              90889 90889
                                              96102 96103
                                              96105 96105
                                              96110 96111
                                              96116 96116
                                              96118 96118
                                              96119 96120
                                              96150 96152
                                              96155 96155
                                                         
0910-0919 BEHAVIOR HEALTH TREATMENT SERVICES 96101 96103
EXTENSION OF 0900-0907 96105 96105
96110 96111
96116 96116
96118 96118
                                              96119 96120
                                              96150 96152
                                                         
0915-0915 BH/GROUP THERAPY                         96153 96153
                                                         
0916-0916 FAMILY THERAPY                            96154 96154
                                              96155 96155
                                             
0917-0917 BH/BIOFEED                               90901 90901
                                              90911 90911
                                             
0920, 0929 OTHER DIAGNOSTIC SERVICES 0185T 0185T
     (NOT OTHERWISE CLASSIFIED) 0187T 0187T
                                              0198T 0199T
                                              29904 29907
                                              92512 92512
                                              92531 92534
                                              92540 92541
                                              92547 92547
                                              93982 93982
                                              95980 95982
                                                         
0922-0922 ELECTROMYLEGRAM 95831 95904
                                              95925 95937
                                                         
0960-0969 PROFESSIONAL FEES                        99201 99499
                                                         
0970-0979 PROFESSIONAL FEES                        00100 01999
     EXTENSION OF 0960-0969 THROUGH 0979 10000 69990
                                              70010 79999
                                              90801 90911
                                              92002 92371
                                              93000 93014
                                              94010 94799
                                              95805 95827
                                              97001 98943
                                              99201 99499
                                                         
0980-0989 PROFESSIONAL FEES                        00100 01999
                                              10000 69990
                                              70010 79999
                                              90801 90911
                                              92002 92371
                                              93000 93014
                                              94010 94799
                                              95805 95827
                                              97001 98943
                                              99201 99499
                                                         
0982-0982 OUTPATIENT PROFESSIONAL FEES             00100 01999
                                              10000 69990
                                              70010 79999
                                              90801 90911
                                              92002 92371
                                              92613 92613
                                              92615 92615
                                              92617 92617
                                              93000 93014
                                              94010 94799
                                              95805 95827
                                              97001 98943