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Department Name Charge Description CPT Mnemonic Charge Amount

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Department Name Charge Description CPT Mnemonic Charge Amount Department Name Charge Description CPT Mnemonic Charge Amount FIDALGO MEDICAL CLINIC EPIDURAL 851 00851 $ - FIDALGO MEDICAL CLINIC EPIDURAL 1961 01961 $ - FIDALGO MEDICAL CLINIC Epidural 1967 01967 $ - FIDALGO MEDICAL CLINIC Epidural 1968 01968 $ - FIDALGO MEDICAL CLINIC FINE NEEDLE ASPIRATION 10021 10021 $ 338.00 FIDALGO MEDICAL CLINIC ACNE SURGERY 10040 10040 $ 139.00 FIDALGO MEDICAL CLINIC ACNE SURG. 10040 10040-51 $ 73.00 FIDALGO MEDICAL CLINIC I&D Abscess, simple/single 10060 10060 $ 228.00 FIDALGO MEDICAL CLINIC I&D OF ABCESS 10060 10060-22 $ 165.00 FIDALGO MEDICAL CLINIC INCISION/DRAIN ABSCESS SIMPLE- 10060 10060-50 $ 165.00 FIDALGO MEDICAL CLINIC INCISION/DRAINAGE ABSCESS; SIM 10060 10060-51 $ 54.00 FIDALGO MEDICAL CLINIC I&D ABSCESS/CARBUNCLE,STAGED,R 10060 10060-58 $ 165.00 FIDALGO MEDICAL CLINIC I&D ABSCESS/CARBUNCLE 10060 10060N $ 228.00 FIDALGO MEDICAL CLINIC I&D Abscess,simple/single 10060 10060R $ 228.00 FIDALGO MEDICAL CLINIC I&D Abscess, complicated 10061 10061 $ 295.00 FIDALGO MEDICAL CLINIC I&D ABSCESS, COMPLICATED 10061 10061R $ 295.00 FIDALGO MEDICAL CLINIC I&D PILONIDAL CYST 10080 10080 $ 204.00 FIDALGO MEDICAL CLINIC I&D PILONIDAL CYST COMPLICATED 10081 10081 $ 243.00 FIDALGO MEDICAL CLINIC Removal fb,subcutan,simple 10120 10120 $ 296.00 FIDALGO MEDICAL CLINIC I&D REMOVAL FB 10120 10120-51 $ 73.00 FIDALGO MEDICAL CLINIC INC REMOVAL FB COMPLICATED 10121 10121 $ 348.00 FIDALGO MEDICAL CLINIC I&D HEMATOMA 10140 10140 $ 171.00 FIDALGO MEDICAL CLINIC I&D HEMATOMA 10140 10140-51 $ 80.00 FIDALGO MEDICAL CLINIC Puncture drain-abscess/hematom 10160 10160 $ 100.00 FIDALGO MEDICAL CLINIC PUNCTURE/ASPIR. HEMATOMA/ABSCE 10160 10160-50 $ 100.00 FIDALGO MEDICAL CLINIC PUNCTURE/ASPIR.HEMATOMA/ABCESS 10160 10160-51 $ 54.00 FIDALGO MEDICAL CLINIC ASP.ABSCESS,HEMATOMA, STAGED 10160 10160-58 $ 100.00 FIDALGO MEDICAL CLINIC COMPLEX DRAINAGE WOUND 10180 10180 $ 526.00 FIDALGO MEDICAL CLINIC DEBRIDEMENT INF.SKIN 11000 11000 $ 113.00 FIDALGO MEDICAL CLINIC DEBRIDEMENT INF. SKIN 11000 11000-51 $ 60.00 FIDALGO MEDICAL CLINIC DEBRIDEMENT INF.SKIN 11000 11000N $ 113.00 FIDALGO MEDICAL CLINIC DEBRIDEMENT ABD WALL 11005 11005 $ 1,702.00 FIDALGO MEDICAL CLINIC ASSIST,DEBRIDEMENT ABD WALL 11005 11005-80 $ 341.00 FIDALGO MEDICAL CLINIC DEBRIDEMENT INC.REM FB 11010 11010 $ 557.00 FIDALGO MEDICAL CLINIC DEBRIDEMENT,SKIN & SUBC.TISSUE 11042 11042 $ 139.00 FIDALGO MEDICAL CLINIC PARING OR CUTTING,SINGLE LESIO 11055 11055 $ 73.00 FIDALGO MEDICAL CLINIC PARING OR CUTTING BENIGN HYPER 11055 11055-51 $ 41.00 FIDALGO MEDICAL CLINIC PARING OR CUTTING,LESION 2-4 B 11056 11056 $ 106.00 FIDALGO MEDICAL CLINIC PARING OR CUTTING BENIGN LESIO 11057 11057 $ 139.00 FIDALGO MEDICAL CLINIC Tangntl BX Skin Single Les 11102 11102 $ 86.00 FIDALGO MEDICAL CLINIC Tangntl BX Skin Single Les 11102 11102R $ 86.00 FIDALGO MEDICAL CLINIC Tangntl Bx Skin Ea Addl Les 11103 11103 $ 50.00 FIDALGO MEDICAL CLINIC Tangntl Bx Skin Ea Addl Les 11103 11103R $ 50.00 FIDALGO MEDICAL CLINIC Punch BX Skin Single Les 11104 11104 $ 108.00 FIDALGO MEDICAL CLINIC Punch BX Skin Single Les 11104 11104R $ 108.00 FIDALGO MEDICAL CLINIC Punch BX Ea Addl Les 11105 11105 $ 59.00 FIDALGO MEDICAL CLINIC Punch BX Ea Addl Les 11105 11105R $ 59.00 FIDALGO MEDICAL CLINIC Incisional BX Skin Single Les 11106 11106 $ 131.00 FIDALGO MEDICAL CLINIC Incisional BX Skin Single Les 11106 11106R $ 131.00 FIDALGO MEDICAL CLINIC Incisional BX Skin Addl Les 11107 11107 $ 70.00 FIDALGO MEDICAL CLINIC Incisional BX Skin Addl Les 11107 11107R $ 70.00 FIDALGO MEDICAL CLINIC REMOVAL OF SKIN TAGS, 15 OR LE 11200 11200 $ 127.00 FIDALGO MEDICAL CLINIC REMOVAL OF SKIN TAGS/2ND PROC. 11200 11200-51 $ 127.00 FIDALGO MEDICAL CLINIC REMOVAL OF SKIN TAGS,15 OR LES 11200 11200N $ 127.00 FIDALGO MEDICAL CLINIC REMOVAL OF SKIN TAGS-EACH ADT' 11201 11201 $ 41.00 FIDALGO MEDICAL CLINIC SHAVING DERM LES.0.5LESS,TR,AR 11300 11300 $ 139.00 FIDALGO MEDICAL CLINIC SHAVING DERM LES.0.5LESS,TR,AR 11300 11300-51 $ 73.00 FIDALGO MEDICAL CLINIC SHAVING DERM LES,0.6-1.0CM,TR, 11301 11301 $ 184.00 FIDALGO MEDICAL CLINIC SHAVING EPIDERMAL LES.0.6-1.0C 11301 11301-51 $ 93.00 FIDALGO MEDICAL CLINIC SHAVING DERM LES.1.1-2.0CM,TR, 11302 11302 $ 197.00 FIDALGO MEDICAL CLINIC SHAVING DERM.LES.1.1-2.0CM,TR, 11302 11302-51 $ 100.00 FIDALGO MEDICAL CLINIC SHAVING DERM LES.1.1-2.OCM,TR, 11302 11302R $ 197.00 FIDALGO MEDICAL CLINIC SHAVING EPI/DERMAL LES,TR,A&L, 11303 11303 $ 224.00 FIDALGO MEDICAL CLINIC SHAVING DERM LES.0.5LESS,SC,NK 11305 11305 $ 132.00 FIDALGO MEDICAL CLINIC SHAVING DERM LES.0.5CMLESS,SC, 11305 11305-51 $ 67.00 FIDALGO MEDICAL CLINIC SHAVING DERM LES.0.5 less 11305 11305R $ 132.00 FIDALGO MEDICAL CLINIC SHAVING DERM LES 0.6-1.0CM,SC, 11306 11306 $ 152.00 FIDALGO MEDICAL CLINIC SHAVING DERM LES.0.6-1.0 CM SC 11306 11306-51 $ 80.00 FIDALGO MEDICAL CLINIC SHAVING DERM LES.1.1-2.0CM SC, 11307 11307 $ 184.00 FIDALGO MEDICAL CLINIC SHAVING DERM LES.1.1-2.0CM SC, 11307 11307-51 $ 93.00 FIDALGO MEDICAL CLINIC SHAVE SKIN LESION >2cm 11308 11308 $ 172.00 FIDALGO MEDICAL CLINIC SHAVING DERM LES.0.5CMLESS,FAC 11310 11310 $ 139.00 FIDALGO MEDICAL CLINIC SHAVING DERM LES.0.5CMLESS,FAC 11310 11310-51 $ 73.00 FIDALGO MEDICAL CLINIC SHAVING,DERM.LES 0.6-1.0CM FAC 11311 11311 $ 178.00 FIDALGO MEDICAL CLINIC SHAVING DERM LES,1.1-2.0CM,FAC 11312 11312 $ 197.00 FIDALGO MEDICAL CLINIC SHAVING EPI/DERM.LESION,FACE,E 11313 11313 $ 276.00 FIDALGO MEDICAL CLINIC EXC.BEN.LES.0.5CMLESS,TR,ARM&L 11400 11400 $ 119.00 FIDALGO MEDICAL CLINIC EXC.BEN.LES.0.5CMLESS,TR,ARM&L 11400 11400-51 $ 60.00 FIDALGO MEDICAL CLINIC EXC.LES.0.6-1.0CM,TRUNK,ARM&LE 11401 11401 $ 228.00 FIDALGO MEDICAL CLINIC EXC.BEN.LES. 0.6-1.0CM,TRUNK,A 11401 11401-51 $ 86.00 FIDALGO MEDICAL CLINIC EXC.LES.0.6-1.0cm,Trunk, arm & 11401 11401R $ 228.00 FIDALGO MEDICAL CLINIC Exc Les 0.6-1.0cm T/A/L 11401 11401H $ 228.00 FIDALGO MEDICAL CLINIC EXC.BEN.LES.1.1-2.0CM,TRUNK,AR 11402 11402 $ 330.00 FIDALGO MEDICAL CLINIC EXC.BEN.LES. 1.1-2.0CM,TRUNK,A 11402 11402-51 $ 113.00 FIDALGO MEDICAL CLINIC EXC.BEN LES.1.1-2.0cm,trunk,ar 11402 11402R $ 330.00 FIDALGO MEDICAL CLINIC EXC.BEN.LES.2.1-3.0CM,TRUNK,AR 11403 11403 $ 256.00 FIDALGO MEDICAL CLINIC EXC.BEN.LES.2.1-3.0CM,TRUNK,AR 11403 11403-51 $ 132.00 FIDALGO MEDICAL CLINIC LESION 2.1 TO 3.0 CM, BENIGN 11403 11403-58 $ 256.00 FIDALGO MEDICAL CLINIC EXC/BEN.LES.2.1-3.0cm,trunk,ar 11403 11403R $ 256.00 FIDALGO MEDICAL CLINIC EXC LESION BN 3.1-4.0CM,TRUNK, 11404 11404 $ 308.00 FIDALGO MEDICAL CLINIC EXC.BEN.LES 3.1-4.0 CM,TRUNK,A 11404 11404-58 $ 308.00 FIDALGO MEDICAL CLINIC EXC LESION BBN OVER 4.0CM 11406 11406 $ 446.00 FIDALGO MEDICAL CLINIC Exc Tr-Ext B9+Marg>4.0cm 11406 11406H $ 446.00 FIDALGO MEDICAL CLINIC EXC.BEN.LES.0.5LESS,SC,NECK,H& 11420 11420 $ 139.00 FIDALGO MEDICAL CLINIC EXC.BEN.LES. 0.5LESS,SC,NECK,H 11420 11420-51 $ 73.00 FIDALGO MEDICAL CLINIC EXC BEN.LES.0.6-1.0CM,SC,NECK, 11421 11421 $ 191.00 FIDALGO MEDICAL CLINIC EXC.BENIGN LESION 0.6 TO 1.0 C 11421 11421-22 $ 191.00 FIDALGO MEDICAL CLINIC EXC.BENEIGN LESION 0.6 TO 1.0 11421 11421-51 $ 100.00 FIDALGO MEDICAL CLINIC EXC.BEN.LES.0.6-1 11421 11421N $ 191.00 FIDALGO MEDICAL CLINIC EXC BENIGN LES.1.1-2.0 CM,SC,N 11422 11422 $ 359.00 FIDALGO MEDICAL CLINIC Exc Benign Les 1.1-2.0cm 11422 11422H $ 359.00 FIDALGO MEDICAL CLINIC EXC.BENIGN LESION NECK 1.0-2.0 11422 11422-51 $ 119.00 FIDALGO MEDICAL CLINIC EXC.BENIGN LES.2.1 CM-3.0 CM 11423 11423 $ 295.00 FIDALGO MEDICAL CLINIC EXC.BENIGN LES.2.1-3.0CM 11423 11423-51 $ 152.00 FIDALGO MEDICAL CLINIC EXC LESION BN 3.1-4.0CM,SC,NEC 11424 11424 $ 367.00 FIDALGO MEDICAL CLINIC EXC LESION BN OVER 4.0CM 11426 11426 $ 628.00 FIDALGO MEDICAL CLINIC EXC.BEN.LES.0.5CMLESS,FACE,EAR 11440 11440 $ 171.00 FIDALGO MEDICAL CLINIC EXC.BEN.LES.0.5CMLESS,FACE,EAR 11440 11440-51 $ 100.00 FIDALGO MEDICAL CLINIC EXC.BEN.LES. 0.6-1.0CM,FACE,EA 11441 11441 $ 210.00 FIDALGO MEDICAL CLINIC EXC.BEN.LES.1.1-2.0CM,FACE,EAR 11442 11442 $ 256.00 FIDALGO MEDICAL CLINIC EXC.BEN.LES.2.1-3.0CM,FACE,EAR 11443 11443 $ 341.00 FIDALGO MEDICAL CLINIC EXC.BEN.LES.3.1-4.0CM,FACE,EAR 11444 11444 $ 400.00 FIDALGO MEDICAL CLINIC EXCISION,BENIGN LESION INC.MAR 11446 11446 $ 648.00 FIDALGO MEDICAL CLINIC EXCISION,MALIG LESION TRUNK,AR 11600 11600 $ 224.00 FIDALGO MEDICAL CLINIC EXC MAL LESION .6-1.0 TR,ARMS, 11601 11601 $ 314.00 FIDALGO MEDICAL CLINIC EXC MAL LESION .6-1.0 TR,ARMS 11601 11601-51 $ 132.00 FIDALGO MEDICAL CLINIC EXC MAL LES 1.1-2.0CM,ARMS,LGS 11602 11602 $ 374.00 FIDALGO MEDICAL CLINIC EXC MAL LES 2.1-3.0CM TRUNK, A 11603 11603 $ 459.00 FIDALGO MEDICAL CLINIC EXC MAL LES 2.1-3.0CM trunk,ar 11603 11603R $ 459.00 FIDALGO MEDICAL CLINIC EXC.MAL.LES.- 3.1- 4.0 CM,TRUN 11604 11604 $ 524.00 FIDALGO MEDICAL CLINIC EXC.,MALIGNANT LESION >4.0 CM 11606 11606 $ 589.00 FIDALGO MEDICAL CLINIC EXC.MAL.LESION 0.5CMLESS,SC,NE 11620 11620 $ 250.00 FIDALGO MEDICAL CLINIC EXC.MAL.LESION 0.5CM LESS,SC,N 11620 11620-51 $ 126.00 FIDALGO MEDICAL CLINIC EXC.MALIG.LES.0.6-1.0CM,SC,NEC 11621 11621 $ 446.00 FIDALGO MEDICAL CLINIC EXC.MALIG LES.0.6-1.0CM,SC,NEC 11621 11621-51 $ 224.00 FIDALGO MEDICAL CLINIC EXC MALIG.LES.1.1-2.0CM,SC,NEC 11622 11622 $ 641.00 FIDALGO MEDICAL CLINIC EXC MALIG.LES 2.1-3.0CM,SC,NEC 11623 11623 $ 472.00 FIDALGO MEDICAL CLINIC EXC.MALIG.LES-3.1-4.0CM,SC,NEC 11624 11624 $ 589.00 FIDALGO MEDICAL CLINIC EXC.MALIGNANT LESION OVER 4.0 11626 11626 $ 654.00 FIDALGO MEDICAL CLINIC EXC.MALIG.LES.0.5CMLESS,FACE,E 11640 11640 $ 276.00 FIDALGO MEDICAL CLINIC EXC.MALIG.LES.0.5CMLESS,FACE,E 11640 11640-51 $ 256.00 FIDALGO MEDICAL CLINIC EXC.MALIG.LES.0.6-1.0CM,FACE,E 11641 11641 $ 354.00 FIDALGO MEDICAL CLINIC EXC.MALIG.LES.0.6-1.0CM,FACE,E 11641 11641-51 $ 184.00 FIDALGO MEDICAL CLINIC EXC.MALIG.LES.1.1-2.0CM,FACE,E 11642 11642 $ 387.00 FIDALGO MEDICAL CLINIC EXC MALIGN.
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