CMS Required Shoppable Services Not Performed by Three Rivers Health

Procedure NameApplicable HCPCS, Procedure, DRG Codes
Ultrasound of Large Bowel45391
Biopsy of Prostate Gland55700
Surgical Removal of Prostate Gland and Lymph Nodes55866
Routine obstetric care for vaginal delivery after prior cesarean delivery including pre-and post-delivery care59610
Removal of Recurring Cataract in Lens Capsule using Laser66821
Cataract Surgery66984
Left Heart Catheterization93452
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbiditiesDRG 216
Spinal fusion except cervical without major comorbid conditions or complications (MCC)DRG 460
Cervical spinal fusion without comorbid conditions (CC) or major comorbid conditions or complications (MCC).DRG 473
Uterine and adnexa procedures for non-malignancy without comorbid conditions (CC) or major comorbid conditions or complications (MCC)DRG 743