The services on the Text Attachment are considered an integral part of a doctor's medical or surgical care. They are not eligible as distinct and separate services when performed with medical or surgical care.

Ophthalmoscopy (92225, 92226, 92250, and 92260) may be paid in addition to medical care reported on the same day.

1. Administration of IV Innovar
2. Amsler Grid Test
3. Analysis of data from Swan-Ganz Catheterization
4. Anoscopy without biopsy (46600)
5. Angioscopy (non-coronary vessels or grafts) during therapeutic intervention (35400)
6. Application of external fixation system (20690)
7. Application of halo type appliance for maxillofacial fixation, includes removal (21100)
8. Application of splint (29130-29131)
9. Application of traction, suspension, or corrective appliance (non-fracture care)
10. Blood pressure check
11. Blue field entoptoscopic exam
12. Breast exam
13. Brightness Acuity Test
14. Canalith repositioning procedure (a.k.a., Epley maneuvers, Otolith repositioning)
15. Care plan oversight services (99374-99380)
16. Catheter site inspection by physician
17. Changing of tubes
    1. connecting tube
    2. gastrostomy tube or button(43760)
    3. tracheostomy tube
    4. tracheotomy tube (31502)
    5. ureterostomy tube (50688)
18. Chemical cauterization of granulation tissue (17250)
19. Chemical pleurodesis (e.g., for recurrent or persistent pneumothorax) (32005)
20. Corneal scrapings (65430)
21. Corneal topography/corneal-assisted photokeratoscopy (S0820)
22. Dressing change (for other than burns) under anesthesia (other than local) (15852)
23. Ear/pulse oximetry (94760-94762)
24. Enterostomal therapy (S9474)
25. Eye tonometry (92100)
26. Foreskin manipulation including lysis of preputial adhesions and stretching (54450)
27. Gastric saline load test (91060)
28. Grenz ray therapy
29. Hydrotubation of oviduct (tubal lavage), including materials (58350)
30. Injection of corpora cavernosa with pharmacologic agent(s), e.g., papaverine, phentolamine, etc. (54235)
31. Injection of sinus tract (therapeutic) (20500)
32. Insertion of pessary (57160)
33. Irrigation and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease (57150)
34. IV infusion therapy, administered by physician or under direct supervision of physician
35. IV therapy for severe or intractable allergic disease in physician's office or institution with theophyllines, corticosteroids, antihistamines (excludes cost of the drug)
36. Laryngoscopy, indirect/mirror, without biopsy (31505)
37. Laser interferometry or retinometry
38. Macroscopic examination of arthropod or parasite (87168, 87169)
39. Magnified penile surface scanning (penoscopy)
40. Manual, gross visual fields
41. Medical nutrition therapy (97802-97804)
42. Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality (96902)
43. Miller-Nadler Glare Test
44. Muscle testing (95831-95834, 95851-95852, 95875)
45. Naso- or oro-gastric tube placement, necessitating physician's skill (43752)
46. Nasopharyngolaryngoscopy (indirect)
47. Nasopharyngoscopy (92511)
48. Nonpressurized inhalation treatment for acute airway obstruction (94640)
49. Ophthalmodynamometry (92260)
50. Ophthalmoscopy (92225, 92226)
51. Otoscopy (no removal of foreign body)
52. Phototherapy (for neonatal jaundice)
53. Physician certification services for Medicare-covered services provided by a participating home health agency (patient not present)(G0180)
54. Physician recertification services for Medicare-covered services provided by a participating home health agency (patient not present)(G0179)
55. Physician supervision of a patient receiving Medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities (G0182)
56. Physician supervision of a patient receiving Medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities (G0181)
57. Placement of nasogastric feeding tube
58. Potential acuity testing (visual)
    1. PAM (potential acuity meter)
    2. Guyton - Minkowski test
    3. visometer or retinometer
    4. macular integrity or electro-laser test
59. Prolonged services (99354-99359)
60. Prostatic massage
61. Removal of cerumen (69210)
62. Removal non-contraceptive pellets or capsules (FEP and Special Contracts
    Only-Noncovered under Standard Contracts)
63. Rhinoscopy (no removal of foreign body)
64. Schirmer test
65. Screening test, visual acuity (99173)
66. Slit lamp test (biomicroscopy, binocular microscopy and fluorescein staining) (92504)
67. Special Services (99050-99056)
68. Starting of an IV (See MPB G-16 for information on starting of an IV under the chemotherapy benefit) (36000)
69. Stat charges for laboratory services
70. Strapping of joint, including flexible, gel, and soft casts (29200-29280, 29520-29590)
71. Supplies and materials (except spectacles), provided by the physician over and above those usually included with the office visit or other services rendered (99070)
72. Telemetry
73. Tuning fork test
74. Venipuncture (36400-36410)
75. Visual function screening, automated or semiautomated (99172)