| 1.01.508 | Negative Pressure Wound Therapy in the Outpatient Setting |
| 1.01.528 | Hearing Aids (Excludes Implantable Devices) |
| 2.01.57 | Electrostimulation and Electromagnetic Therapy for Treating Wounds |
| 2.01.107 | Fractional Carbon Dioxide (CO2) Laser Ablation Treatment of Hypertrophic Scars or Keloids for Functional Improvement |
| 2.01.543 | Recombinant and Autologous Platelet-Derived Growth Factors for Wound Healing and Other Non-Orthopedic Conditions |
| 2.04.136 | Nutrient/Nutritional Panel Testing |
| 2.04.509 | Cardiovascular Risk Panels |
| 2.04.524 | Fecal Analysis in the Diagnosis of Intestinal Dysbiosis |
| 2.04.525 | Intracellular Micronutrient Testing |
| 7.01.63 | Deep Brain Stimulation |
| 7.01.97 | Intracoronary Drug Delivery Balloon Procedures |
| 7.01.153 | Adipose-Derived Stem Cells in Autologous Fat Grafting to the Breast |
| 7.01.174 | Stationary Ultrasonic Diathermy Devices |
| 7.01.176 | Suture Button Suspensionplasty Fixation System for Thumb Carpometacarpal Osteoarthritis |
| 7.01.508 | Blepharoplasty, Blepharoptosis and Brow Ptosis Surgery |
| 7.01.516 | Bariatric Surgery |
| 7.01.523 | Panniculectomy and Excision of Redundant Skin |
| 7.01.533 | Reconstructive Breast Surgery/Management of Breast Implants |
| 7.01.550 | Knee Arthroplasty in Adults |
| 7.01.557 | Gender Transition/Affirmation Surgery and Related Services |
| 7.01.558 | Rhinoplasty |
| 7.01.563 | Ablative Treatments for Occipital Neuralgia, Chronic Headaches, and Atypical Facial Pain |
| 7.01.564 | Pulsed Radiofrequency for the Treatment of Chronic Pain |
| 7.01.573 | Hip Arthroplasty in Adults |
| 7.01.589 | Artificial Intervertebral Disc: Lumbar Spine |
| 7.01.590 | Shoulder Arthroplasty |
| 8.01.15 | Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma |
| 8.01.17 | Hematopoietic Cell Transplantation for Plasma Cell Dyscrasias, Including Multiple Myeloma and POEMS Syndrome |
| 8.01.23 | Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer |
| 8.01.24 | Hematopoietic Cell Transplantation for Miscellaneous Solid Tumors in Adults |
| 8.01.25 | Hematopoietic Cell Transplantation for Autoimmune Diseases |
| 8.01.26 | Hematopoietic Cell Transplantation for Acute Myeloid Leukemia |
| 8.01.28 | Hematopoietic Cell Transplantation for Central Nervous System Embryonal Tumors and Ependymoma |
| 8.01.30 | Hematopoietic Cell Transplantation for Chronic Myeloid Leukemia |
| 8.01.36 | Extracorporeal Photopheresis |
| 8.01.42 | Hematopoietic Cell Transplantation for Primary Amyloidosis |
| 8.01.52 | Orthopedic Applications of Stem Cell Therapy (Including Allografts and Bone Substitutes Used with Autologous Bone Marrow) |
| 8.01.55 | Stem Cell Therapy for Peripheral Arterial Disease |
| 8.01.520 | Hematopoietic Cell Transplantation for Acute Lymphoblastic Leukemia |
| 8.01.529 | Hematopoietic Cell Transplantation for Non-Hodgkin Lymphomas |
| 8.01.532 | Hematopoietic Cell Transplantation in the Treatment of Germ-Cell Tumors |
| 8.01.539 | Allogeneic Hematopoietic Cell Transplantation for Myelodysplastic Syndromes and Myeloproliferative Neoplasms |
| 8.03.502 | Physical Medicine and Rehabilitation - Physical Therapy and Medical Massage Therapy |
| 8.03.503 | Occupational Therapy |
| 8.03.505 | Speech Therapy |