Search procedures, labs & medications
Type a procedure, lab test, or medication name. Pick your medical insurer or Rx carrier (PBM, specialty pharmacy, or retail pharmacy) to see the associated coverage and prior-authorization criteria.
Educational only — not a coverage decision. Confirm details with your health plan.
All seeded codes124 matches
Established patient office visit, 20–29 minutes
A visit with a clinician you have seen before, lasting roughly 20–29 minutes of total provider time on the day of the visit, or involving low-complexity medical decision-making.
Established patient office visit, 30–39 minutes
A visit with a clinician you have seen before, lasting roughly 30–39 minutes of total provider time, or involving moderate-complexity medical decision-making.
New patient office visit, 45–59 minutes
A first visit with a clinician you have not seen recently, lasting about 45–59 minutes of total provider time or involving moderate-complexity decision-making.
New patient office visit, 30–44 minutes
A first visit with a clinician, lasting about 30–44 minutes of total time or involving low-complexity decision-making.
Medicare annual wellness visit, subsequent
A yearly Medicare visit focused on prevention — a health risk assessment, screening planning, and a personalized prevention plan. G0439 is used after the first AWV (G0438 is used only once).
Screening mammogram, bilateral
A routine breast X-ray used to screen for breast cancer in people without symptoms, including computer-aided detection when used.
Routine venipuncture (blood draw)
The act of drawing a blood sample from a vein for laboratory testing.
Comprehensive metabolic panel (CMP)
A panel of 14 blood tests that measure kidney function, liver function, blood sugar, and electrolytes.
Complete blood count (CBC) with automated differential
A blood test that measures red cells, white cells (with a breakdown by type), and platelets.