CMS Required Shoppable Services Not Performed by Three Rivers Health

Procedure Name	Applicable HCPCS, Procedure, DRG Codes
Ultrasound of Large Bowel	45391
Biopsy of Prostate Gland	55700
Surgical Removal of Prostate Gland and Lymph Nodes	55866
Routine obstetric care for vaginal delivery after prior cesarean delivery including pre-and post-delivery care	59610
Removal of Recurring Cataract in Lens Capsule using Laser	66821
Cataract Surgery	66984
Left Heart Catheterization	93452
Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with major complications or comorbidities	DRG 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