N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF HEALTH BENEFITS SERVICES FEE SCHEDULE PROVIDER SPECIALTY 075 TAXONOMY: 261QR1300X CLINIC

The inclusion of a rate on this table does not guarantee that a service is covered. Please refer to the Medicaid Billing Guide and the Medicaid and Health Choice Clinical Policies on the DMA Web Site. Providers should always bill their usual and customary charges. Please use the monthly Medicaid Bulletin for additions, changes, and deletions to this fee schedule.

Please Note: Colored coded text changes (If Any) - Additions (BLUE) , End-Dated (RED) .

Updated 6/30/2021 CODE MOD DESCRIPTION FACILITY NON-FACILITY 0001A IMMUNIZATION ADMINISTRATION BY INTRAMUSCULAR INJECTION OF SEVE 40.00 40.00 0002A IMMUNIZATION ADMINISTRATION BY INTRAMUSCULAR INJECTION OF SEVE 40.00 40.00 0011A IMMUNIZATION ADMINISTRATION BY INTRAMUSCULAR INJECTION OF SEVE 40.00 40.00 0012A IMMUNIZATION ADMINISTRATION BY INTRAMUSCULAR INJECTION OF SEVE 40.00 40.00 0031A IMMUNIZATION ADMINISTRATION BY INTRAMUSCULAR INJECTION OF SEVE 40.00 40.00 01996 DAILY HOSPITAL MANAGEMENT OF CONTINUOUS SPINAL DRUG ADMINIST 42.14 42.14 0225U INFECTIOUS DISEASE (BACTERIAL OR VIRAL RESPIRATORY TRACT INFECT 298.60 298.60 0226U SURROGATE VIRAL NEUTRALIZATION TEST (SVNT), SEVERE ACUTE RESP 42.28 42.28 0240U INFECTIOUS DISEASE (VIRAL RESPIRATORY TRACT ), PATHOGE 142.63 142.63 0241U INFECTIOUS DISEASE (VIRAL RESPIRATORY TRACT INFECTION), PATHOGE 142.63 142.63 10021 fine needle aspiration; without imaging guidance 56.68 108.77 10040 acne (eg, marsupialization, opening or removal of 68.76 78.15 10060 drainage of abscess 72.94 84.15 10061 drainage of abscess 130.05 144.89 10080 incision and drainage of pilonidal cyst; 74.55 124.22 10081 incision and drainage of pilonidal cyst; 130.66 196.08 10120 incision and removal of foreign body, subcutaneous tissues; 71.53 102.72 10121 incision and removal of foreign body, subcutaneous tissues; 146.44 200.35 10140 drainage of blood effusion 93.45 118.28 10160 puncture aspiration of abscess, , bulla, or cyst 75.25 96.14 10180 incision and drainage, complex, postoperative wound infection 137.91 177.58 11000 surgical cleansing of skin 26.54 41.69 11001 debridement of extensive eczematous or infected skin; each additional 10% of 13.38 13.38 11004 debridement of skin, subcutaneous tissue, muscle and for necrotizing 475.29 475.29 11005 debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing 620.28 620.28 11006 debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing 586.88 586.88 11008 removal of prosthetic material or mesh, abdominal wall for necrotizing soft 223.60 223.60 11042 debridement; 37.98 57.66 11043 debridement; 184.60 210.35 11044 debridement; 254.01 287.33 11055 paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single 19.06 37.22 11056 paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); two to 26.88 45.65 11057 paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more 34.90 54.87 11200 removal of skin tags 53.04 62.43 11201 removal of skin tags, multiple fibrocutaneous tags, any area; each additional 13.53 14.75 11300 shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; 23.98 51.54 11301 shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; 40.77 71.05 11302 shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; 50.56 85.08 11303 shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; 59.30 99.89 11305 shaving of epidermal or dermal lesion, single lesion, , 30.36 53.36 11306 shaving of lesion scalp/neck/hand/etc .6- 1.0 cm 45.98 73.84 11307 shaving of epidermal or dermal lesion, single lesion, scalp, 54.21 87.22 11308 shaving of epidermal or dermal lesion, single lesion, scalp, 65.22 98.23 11310 shaving of epidermal or dermal lesion, single lesion, face, 34.72 64.40 11311 shaving of epidermal or dermal lesion, single lesion, face, 50.86 82.05 11312 shaving of epidermal or dermal lesion, single lesion, face, 58.40 94.74 11313 shaving of epidermal or dermal lesion, single lesion, face, 78.13 118.71 11400 excision, benign lesion including margins, except skin tag (unless listed 57.90 87.57 11401 removal of skin lesion 77.22 108.11 11402 removal of skin lesion 85.52 120.66 11403 removal skin lesion 108.81 139.10 11404 amb surg exc ben lesions trunk arm legs 3.0 to 4.0 121.21 158.46 11406 amb surg exc ben lesion trunk arm leg over 4.0 cm 181.72 224.42 11420 excision, benign lesion including margins, except skin tag (unless listed 62.77 88.81 11421 removal of skin lesion 84.97 115.56 11422 removal of skin lesion 102.46 129.11 11423 amb surg exc ben lesion scalp neck hand 2.0 to 3.0 119.67 150.56 11424 amb surg exc ben lesion scalp neck hand 3.0 to 4.0 138.09 173.83 11426 amb surg exc ben lesion scalp neck hand over 4.0 211.34 250.11 11440 excision, other benign lesion including margins (unless listed elsewhere), 75.02 97.14 11441 removal of skin lesion 98.74 123.57 11442 excision, other benign lesion including margins (unless listed elsewhere), 110.25 139.32 11443 amb surg exc ben lesion face ears nose 2.0 to 3.0 136.52 167.71 11444 amb surg exc ben lesion face ears nose 3.0 to 4.0 175.39 212.04 11446 excision, other benign lesion (unless listed elsewhere), face, 248.62 289.51 11450 exc skin for hidradenitis primary suture/axillary. 180.72 263.99 11451 exc skin for hidradenitis w other closure/axillary 239.12 345.71 11462 exc skin for hidradenitis w prim suture/inguinal 173.71 260.32 11463 exc skin for hidradenitis w oth closure/inguinal 243.86 355.31 11470 exc skin for hidradenitis w primary closure 205.96 290.14 11471 exc skin for hidradenitis with other closure 259.46 365.15 11600 removal of skin lesion 87.42 135.26 11601 removal of skin lesion 113.14 167.35 11602 removal of skin lesion 124.53 183.89 11603 excision malignant lesion truck arms or legs diame 148.22 209.39 11604 amb surg excision malignant lesion 3.0 to 4.0 cm 162.92 231.37 11606 amb surg excision malignant lesion over 4.0 cm 241.95 326.74 11620 removal of skin lesion 88.75 138.11 11621 removal of skin lesion 114.38 168.88 11622 removal of skin lesion 131.95 191.31 11623 excision malignant lesion diameter 2 to 3 cm. 162.78 223.95 11624 amb surg exc malignant lesion 3.0 to 4.0 scalp etc 185.17 252.09 11626 amb surg exc malignant lesion 4.0 scalp neck 231.91 307.31 11640 removal of skin lesion 93.48 144.35 11641 removal of skin lesion 122.08 177.81 11642 removal of skin lesion 144.11 205.28 11643 amb surg exc malignant lesion face ears 2.0 to 3.0 180.22 242.00 11644 amb surg exc malignant lesion face ears 3.0 to 4.0 224.74 298.94 11646 amb surg exc malignant lesion face ears over 4.0 316.51 394.95 11720 debridement of nail(s) by any method(s); one to five 14.03 24.02 11721 debridement of nail(s) by any method(s); six or more 23.97 34.58 11730 removal of nail 48.60 76.17 11732 avulsion of nail plate, partial or complete, simple; each additional nail plate 25.26 35.55 11740 evacuation of subungual hematoma 25.05 34.45 11750 removal of nail bed 138.25 164.90 11755 of nail unit (eg, plate, bed, matrix, hyponychium, proximal and lateral 68.81 102.42 11760 reconstruction of nail bed 102.77 153.04 11762 reconstruction of nail bed 158.77 206.91 11765 wedge excision of skin of nail fold (eg, for ingrown toenail) 52.76 96.99 11770 amb surg exc pilonidal cyst/sinus simple 139.28 197.42 11771 amb surg exc pilonidal cyst/sinus extensive 322.58 406.16 11772 amb surg exc pilonidal cyst/sinus complicated 420.22 492.89 11900 injection into skin lesions 25.01 43.18 11901 injection, intralesional; 38.92 54.98 11960 insertion of tissue expender. 710.46 710.46 11970 replacement of tissue expander with permanent prosthesis 467.48 467.48 11971 removal of tissue expander(s) without insertion of prosthesis 230.44 344.61 11976 removal, implantable contraceptive capsule 79.29 116.83 11980 subcutaneous hormone pellet (implantation of estradiol and/or testosterone) 66.60 83.25 11981 insert drug implant drevice 67.91 103.75 11982 remove drug implant device 82.86 119.58 11983 remove/insert drug implant 151.73 186.10 12001 repair of recent wound 81.84 113.02 12002 amb surg simple repair superficial wound 2.5-7.5 90.81 120.50 12004 simple rep superf wds sca neck axil ext gen tru/ex 106.82 142.24 12005 amb surg simple repair superficial wound 12.5-20.0 133.20 177.42 12006 amb surg simple repair superficial wound 20.0-30.0 168.33 220.41 12007 amb surg simple repair superficial wound over 30.0 192.40 249.64 12011 amb surg simple repair superficial wound 2.5 cm 84.61 120.04 12013 amb surg simple repair superficial wound 2.5-5.0 96.50 132.53 12014 amb surg simple repair superficial wound 5.0-7.5 116.25 156.53 12015 amb surg simple repair superficial wound 7.5-12.5 145.93 196.81 12016 amb surg simple repair superficial wound 12.5-20.0 178.16 235.40 12017 amb surg simple repair superficial wound 20.0-30.0 212.13 212.13 12018 amb surg simple repair superficial wound over 30.0 262.19 262.19 12020 treatment of superficial . 147.17 204.10 12021 treatment of superficial wound with packing. 106.75 121.60 12031 amb surg closure wound up to 2.5 exclud hand/feet 123.32 180.25 12032 amb surg closure wound 2.5-7.5 exclud hand & feet 151.46 231.71 12034 amb surg repair simple lacerations 7.5 to 12.5 158.68 229.24 12035 amb surg closure wound 12.5 to 20.0 186.13 279.39 12036 amb surg closure wound 20.0 to 30.0 214.89 306.96 12037 amb surg closure wound over 30 cm scalp axillae 250.19 346.49 12041 amb surg closure wound up to 2.5 cm neck/hand/feet 132.15 189.09 12042 amb surg closure wound 2.5-7.5 neck/hand/feet 154.46 220.47 12044 amb surg closure wound 7.5 t o 12,5 cm neck/hand 166.60 254.43 12045 amb surg closure wound 12.5-20.0 neck/feet/gentali 193.42 282.15 12046 amb surg closure wound 20.0-30.0 neck/feet/gentali 227.89 334.19 12047 amb surg closure wound 30.0 cm neck/hand/feet/geni 249.40 358.71 12051 amb surg closure wound up to 2.5 face/eyelid/nose 141.39 203.16 12052 amb surg closure wound 2.5-5.0 face/ears/eyelids 165.78 230.29 12053 amb surg closure wound 5.0-7.5 face/ears/eyelids 168.75 253.24 12054 layer closure of wounds of face, ears, eyelids, nose, lips 179.49 268.22 12055 amb surg closure wound 12.5-20.0 face/ears/eyelids 219.20 323.67 12056 amb surg closure wound 20.0 to 30.0 face/ears/eye 267.40 382.18 12057 amb surg closure wound over 30 cm face/ears/eyelid 306.10 427.23 13100 amb surg repair complex trunk 1.0 to 2.5 cm 184.51 241.45 13101 amb surg repair complex 2.5-7.5 cm trunk 224.30 304.86 13102 complex repair trunk each additional 60.25 82.97 13120 amb surg repair complex 1.0-2.5 sclap/arms/legs 192.83 250.97 13121 amb surg repair complex 2.5-7.5 scalp/arm/leg 254.22 337.50 13122 each additional -complex repair to scalp,arms and / or legs 69.04 92.96 13131 repair of wound or lesion 217.62 277.28 13132 repair complex 2.5 to 7.5 cm. 366.87 444.70 13133 each additional-complex repair to forehead,cheeks,chin,mouth,neck,axillae,genit 107.24 131.76 13151 repair of wound or lesion 252.08 315.06 13152 repair complex,eye,nose,ear and lips 2.5 to 75.cm. 339.73 434.51 13153 each additional -complex repair to eyelids,nose,ears and /or lips 116.20 144.68 13160 secondary closure of surgical wound dehiscence. 637.33 637.33 14000 amb surg adjacent tissue transfer trunk up to 10 388.73 470.18 14001 amb surg adjacent tissue transfer 10-30 sq cm 516.56 612.26 14020 amb surg adjacent tissue transfer up to 10 sq cm 444.79 529.59 14021 amb surg adjacent tissue transfer 10-30 sq cm 575.59 672.20 14040 amb surg adjacent tissue transf 10 sq cm cheek etc 506.61 589.60 14041 amb surg adjacent tissue transf defect 10-30 sq cm 626.02 733.83 14060 amb surg adjacent tissue transf up to 10 sq cm 535.14 600.56 14061 amb surg adjacent tissue trans 10-30 sq cm eyelids 667.53 785.95 14350 amb surg fulleted finger/toe flap inc prep recipie 591.91 591.91 15002 surgical preparation or creation of recipient site by excision of open wounds, 182.06 256.24 15003 surgical preparation or creation of recipient site by excision of open wounds, 36.95 55.72 15004 surgical preparation or creation of recipient site by excision of open wounds, 227.62 311.20 15005 surgical preparation or creation of recipient site by excision of open wounds, 73.30 94.20 15050 amb surg pinch graft single or mult cover sm ulcer 340.57 411.74 15100 split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or one 559.55 663.72 15101 split graft, trunk, arms, legs; each additional 100 sq cm, or each additional 90.07 145.18 15120 split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, 613.96 721.77 15121 split graft, face, scalp, eyelids, mouth, neck, ears, orbits, gen 137.89 205.41 15200 amb surg full thickness graft up to 20 sq cm trunk 512.36 616.23 15201 full thickness graft, free, including direct closure of donor site, trunk; each 64.42 113.18 15220 amb surg full thickness graft up to 20 sq cm 483.64 585.39 15221 skin graft procedure 58.94 105.26 15240 amb surg full thickness graft up to 20 cm 617.88 703.89 15241 skin graft procedure 92.01 141.37 15260 amb surg full thickness graft 20 cm nose/eyelid 670.36 763.94 15261 skin graft procedure 115.52 164.88 15570 pedicle flap graft; trunk 559.91 677.71 15572 pedicle flap graft; scalp, arms, or legs 566.56 658.00 15574 pedicle flap-face,neck,axilla,genitalia,hands,feet 598.56 694.26 15576 pedicle flap; eyelids, nose, ears, lips, intraoral 525.58 616.74 15600 amb surg skin graft procedure at trunk 154.84 245.99 15610 amb surg skin graft proceduce scalp/arms or legs 183.50 248.30 15620 amb surg skin graft procedure except 15625 243.88 330.19 15630 amb surg skin graft procedure eyelids/nose/ear/lip 266.60 349.26 15650 amb surg transfer pedicle flap any location interm 300.84 390.17 15731 forehead flap with preservation of vascular pedicle (eg, axial pattern flap, 796.82 876.15 15734 muscle flap, trunk 1065.26 1193.05 15736 muscle flap, upper extremity 919.95 1056.22 15738 muscle flap, lower extremity 1003.20 1128.88 15740 skin graft procedure 675.31 781.31 15750 skin graft procedure 716.67 716.67 15760 amb surg graft island pedicle flap inc prim closur 553.81 648.89 15769 GRAFTING OF PATIENT , HARVESTED BY DIRECT EXCISION 426.48 426.48 15770 skin graft procedure 1046.40 512.62 15780 abrasion treatment of skin 1403.25 636.81 15781 abrasion skin removal tattoos less total face 1552.68 407.34 15782 abrasion skin removal tattoos regional not face 210.88 429.31 15783 superficial dermabrasion 219.00 370.46 15786 abrasion single lesion eg keratosis 250.38 181.45 15787 abrasion; each additional four lesions or less (list separately in addition to 202.81 37.08 15788 chemical peel, facial; 3026.78 319.63 15789 chemical peel, facial; 2172.89 431.70 15792 chemical peel, nonfacial; 2909.19 314.03 15793 chemical peel, nonfacial; 397.76 358.55 15819 cervicoplasty 1108.24 577.56 15820 amb surg blepharoplasty lower eyelids 365.61 409.67 15821 amb surg blepharoplasty with exten herniate pads 370.95 436.03 15822 blepharoplasty, upper eyelid 393.20 320.38 15823 blepharoplasty, upper eyelid; w/excessive skin weighting lid 324.93 508.18 15830 excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, 226.25 920.86 15832 removal of skin furrows 280.00 699.05 15833 removal of skin furrows 185.44 658.96 15834 removal of skin furrows 656.66 656.66 15835 removal of skin furrows 694.50 694.50 15836 removal of skin furrows 578.49 578.49 15837 removal of skin furrows 523.55 595.93 15838 excision excess skin submental fat pad 450.98 450.98 15839 excision excessive skin and subq tissue other area 567.29 659.05 15840 amb surg graft facial nerve paralysis 796.19 796.19 15841 facial nerve paralysis free muscle graft 1334.00 1334.00 15842 graft for facial nerve paralysis; free muscle flap by microsurgical technique 2107.54 2107.54 15845 skin and muscle repair, face 746.90 746.90 15851 removal of sutures under (other than local), other surgeon 37.28 71.49 15852 dressing change (for other than burns) under anesthesia (other than local) 38.81 38.81 15860 intravenous injection of agent (eg, fluorescein) to test vascular flow in flap 91.26 91.26 15920 amb surg primary suture 458.29 458.29 15922 removal of tail 582.13 582.13 15931 excision sacral decubitis ulcer primary suture 523.13 523.13 15933 exc sacral decubitus ulcer with /primary 642.99 642.99 15934 excision sacral decubitus ulcer w skin flap closur 717.85 717.85 15935 exc sacral pressure ulcer local skin flap. 853.46 853.46 15936 exc sacral pressure ulcer other flap closure. 695.92 695.92 15937 exc sacral pressure ulcer with ostectomy. 813.26 813.26 15940 removal of pressure sore. 537.76 537.76 15941 excision sacral decubitus ulcer with ostectomy 697.13 697.13 15944 exc ischial pressure ulcer local skin flap closure 686.99 686.99 15945 exc ischial pressure ulcer with ostectomy 763.08 763.08 15946 exc ischial pressure ulcer w muscle flap/ostectomy 1278.03 1278.03 15950 removal of pressure sore 444.68 444.68 15951 excision trochanteric decuditus ulcer w ostectomy 634.33 634.33 15952 removal of pressure sore 667.17 667.17 15953 removal of pressure sore 742.82 742.82 15956 exc trochanteric pressure ulcer myocutaneous flap 895.07 895.07 15958 exc trochanteric ulcer myocutan flap w ostectomy 912.77 912.77 16000 initial treatment, first degree burn, when no more than local 38.06 53.51 16020 dressings and/or debridement of partial-thickness burns, initial or subsequent; 44.81 62.37 16025 dressings and/or debridement of partial-thickness burns, initial or subsequent; 92.07 113.87 16030 dressings and/or debridement of partial-thickness burns, initial or subsequent; 104.57 136.06 16035 escharotomy; initial incision 173.18 173.18 16036 escharotomy; each additional incision (list separately in addition to code for 69.01 69.01 17000 destruction any method premalignant lesions one le 42.12 59.99 17003 destruction by any method, including laser, with or without surgi 3.71 5.83 17004 destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, 106.39 135.16 17106 destruction of vascular proliferative lesions 219.63 265.66 17107 destruction vascular proliferation lesion 10sq les 290.45 351.93 17108 destruction vascular lesions over 50.0 sq cm 379.05 450.21 17110 destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, 52.34 82.94 17111 destruction by any method of flat warts, molluscum contagiosum 65.43 98.74 17250 chemical cauterization of wound 28.82 56.37 17260 destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, 52.78 72.77 17261 destruct.malig. lesion-trunk,arms,legs; 0.6-1.0 cm 71.19 108.13 17262 destruct.malig. lesion-trunk,arms,legs; 1.1-2.0 cm 91.17 132.06 17263 destruct.malig. lesion-trunk,arms,legs; 2.1-3.0 cm 100.99 145.81 17264 destruct.malig. lesion-trunk,arms,legs; 3.1-4.0 cm 107.92 156.07 17266 destruct.malig. lesion-trunk,arms,legs; over 4. cm 125.76 177.56 17270 destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, 77.01 112.44 17271 destruction malignant lesion scalp,neck-0.6-1.0 cm 86.72 124.27 17272 destruction malignant lesion scalp,neck 1.1-2.0 cm 100.63 142.42 17273 destruction malignant lesion scalp,neck 2.1-3.0 cm 113.65 159.08 17274 destruction malignant lesion scalp,neck-3.1-4.0 cm 139.61 188.67 17276 destruction malignant lesion scalp,neck over 4. cm 168.09 218.97 17280 destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, 69.98 105.41 17281 destruction malignant lesion face 0.6-1.0 cm 97.79 135.03 17282 destruction malignant lesion face 1.1-2.0 cm 113.62 156.62 17283 destruction, malignant lesion, any method, face, ears, eyelids, 142.36 189.61 17284 destruction malignant lesion face 3.1-4.0 cm 169.92 220.79 17286 destruction malignant lesion face over 4.0 cm 228.60 280.08 17311 mohs micrographic technique, including removal of all gross tumor, surgical 306.68 530.47 17312 mohs micrographic technique, including removal of all gross tumor, surgical 163.13 316.96 17313 mohs micrographic technique, including removal of all gross tumor, surgical 275.33 483.97 17314 mohs micrographic technique, including removal of all gross tumor, surgical 151.43 293.76 17315 mohs micrographic technique, including removal of all gross tumor, surgical 43.04 63.63 17340 cryotherapy (co2 slush, liquid n2) for acne 37.12 38.34 17360 acne 78.97 101.68 19000 puncture aspiration of cyst of breast; 38.25 87.61 19001 puncture aspiration of cyst of breast; each additional cyst (list separately in 19.12 22.46 19020 incision of breast lesion 221.41 328.93 19030 injection procedure only for mammary ductogram or galactogram 69.22 134.94 19100 biopsy of breast; percutaneous, needle core, not using imaging guidance 56.11 107.59 19101 biopsy of breast; open, incisional 168.58 245.81 19110 nipple exploration w/wo excision. 250.25 342.01 19112 excision of lactiferous duct fistula. 224.42 319.20 19120 excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant 307.80 356.85 19125 excision of breast lesion identified by preoperative placement of radiological 341.68 395.28 19126 excision of breast lesion identified by preoperative placement of radiological 129.56 129.56 19296 placement of radiotherapy afterloading balloon into the breast for 166.29 2987.78 19297 placement of radiotherapy afterloading balloon catheter into the breast for 75.29 75.29 19298 placement of radiotherapy afterloading brachytherapy (multiple tube 274.10 1026.04 19300 mastectomy for gynecomastia 298.13 378.67 19301 mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy) 477.94 477.94 19302 mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy) 684.08 684.08 19303 mastectomy, simple, complete 739.50 739.50 19305 mastectomy, radical, including pectoral muscles, axillary lymph nodes 852.78 852.78 19306 mastectomy, radical, including pectoral muscles, axillary and internal mammary 893.45 893.45 19307 mastectomy, modified radical, including axillary lymph nodes, with or without 898.66 898.66 19316 mastopexy 609.43 609.43 19318 reduction mammaplasty 897.24 897.24 19325 mammaplasty augmentation with prosthetic implant 503.99 503.99 19328 removal intact mammary implant. 380.02 380.02 19330 removal of implant material. 489.18 489.18 19340 immediate insertion of breast prosthesis following mastectomy or 319.45 319.45 19342 delayed insertion breast prothesis following mastectomy or in re 719.43 719.43 19350 nipple/areola reconstruction 529.82 652.46 19357 breast reconstruction immediate or delayed,with tissue expander 1208.09 1208.09 19361 breast reconstruction with latissimus dorsi flap with or w/o imp 1299.66 1299.66 19364 breast reconstruction with free flap. 2225.06 2225.06 19367 breast reconstruction with tram single pedicle, including closure 1437.69 1437.69 19368 breast reconstruction tram single pedicle, including closure of donor 1783.45 1783.45 19369 breast reconstruction tram double pedicle, including closure of donor 1626.10 1626.10 19370 open periprosthetic capsulotomy breast. 530.05 530.05 19371 periprosthetic capsulectomy breast. 611.57 611.57 19380 revision of reconstructed breast. 598.24 598.24 20200 amb surg biopsy muscle superficial 74.69 145.85 20205 muscle biopsy 118.91 199.76 20206 biopsy, muscle, percutaneous needle 52.33 201.02 20220 bone biopsy 65.34 139.55 20225 biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur) 99.10 522.46 20240 bone biopsy 181.85 181.85 20245 bone biopsy 496.30 496.30 20250 bone biopsy 298.52 298.52 20251 bone biopsy 330.98 330.98 20500 injection of sinus tract; 75.52 91.26 20501 injection of sinus tract diagnostic sinogram 34.49 101.72 20520 removal of foreign body 111.92 146.14 20525 removal of foreign body 196.67 354.74 20526 injection, therapeutic (eg, , corticosteroid), carpal tunnel 47.09 59.51 20550 injection; tendon sheath, ligament, ganglion cyst 34.60 46.11 20600 , aspiration and/or injection; 32.96 43.26 20605 arthrocentesis, aspiration and/or injection; 34.22 46.34 20610 drainage of or bursa 40.87 59.64 20612 aspiration and/or injection of ganglion cyst(s) any location 35.29 46.19 20615 aspiration and injection for treatment of bone cyst 126.69 168.18 20650 insertion of wire or pin with application of skeletal traction, 124.91 153.38 20660 application of tongs or caliper including removal 191.66 202.56 20661 fixation procedure 363.04 363.04 20662 application of halo, including removal; 377.37 377.37 20663 application of halo, including removal; 349.17 349.17 20664 application of halo, including removal, cranial, 6 or more pins placed, for 597.45 597.45 20665 removal of tongs or halo applied by another physician 80.20 95.04 20670 removal of implant superficial eg buried wire pin 117.34 297.82 20680 removal of buried support 327.13 455.22 20690 application , uniplane 431.72 431.72 20692 application of multiplane unilateral external fixation system 807.25 807.25 20693 adjustment or revision external fixation req anest 362.06 362.06 20694 removal under anesthesia, of external fixation system 264.30 327.27 20700 MNL PREP&INSJ DP RX DLVR DEV 75.32 75.32 20701 RMVL DEEP RX DELIVERY DEVICE 56.26 56.26 20702 MNL PREP&INSJ IMED RX DEV 125.27 125.27 20703 RMVL IMED RX DELIVERY DEVICE 89.91 89.91 20704 MNL PREP&INSJ I-ARTIC RX DEV 130.49 130.49 20705 RMVL I-ARTIC RX DELIVERY DEV 107.47 107.47 20802 replantation of arm 1984.70 1984.70 20805 replantation forearm, complete amputation 2430.86 2430.86 20808 reimplantation of hand 3282.55 3282.55 20816 reimplantation of digit 1811.19 1811.19 20822 replantation digit excl thumb, complete amputation 1535.48 1535.48 20824 replantation thumb, complete amputation 1804.28 1804.28 20827 replantation thumb, complete amputation 1595.44 1595.44 20838 replantation foot complete 2003.49 2003.49 20900 bone graft, any donor area; 209.79 323.96 20902 bone graft, any donor area; major or large 290.49 290.49 20910 graft; costochondral 339.94 339.94 20912 cartilage graft; 381.98 381.98 20920 fascia lata graft; 321.96 321.96 20922 removal of tissue for graft 394.73 474.06 20924 removal of tendon for graft. 398.44 398.44 20950 monitor interstitial pressure 72.66 187.12 20955 fibula graft w/microvascular anastomosis 2055.43 2055.43 20962 rib graft w/miscrovascular anastomosis 2099.92 2099.92 20969 free osteocutaneous flap w microvascular anastomos 2277.53 2277.53 20970 osteocutaneous graft w/microvascular anastomosis 2288.08 2288.08 20972 osteocutaneous flap microvascular anastomo metarsa 2094.07 2094.07 20973 free osteocutaneous flap great toe web space 2198.49 2198.49 20974 bio-ostegen system 38.03 50.75 20979 low intensity ultrasound stimlation to aid bone healing, non-invasive(non-op) 29.43 41.85 20982 ablation, bone tumor(s) (eg, osteoid osteoma, metastasis) radiofrequency, 340.45 2873.04 21010 , temporomandibular joint 577.64 577.64 21015 radical resection of tumor soft face or scalp 335.63 335.63 21025 excision of bone, mandible 589.17 686.97 21026 removal of elongated styloid process (facial bone) 377.04 452.45 21029 removal by contouring benign tumor facial bone 493.44 578.83 21030 excision benign tumor of cyst of facial bone other 313.71 378.82 21031 excision of torus mandibularis 224.49 290.82 21032 excision of maxillary torus palatinus 221.31 294.60 21034 excision of malignant tumor of facial bone other than mandible 930.93 1040.27 21040 amb surg excision benign cyst/tumor mandible simp 311.89 381.84 21044 excision of malignant tumor of mandible; 695.91 695.91 21045 exc malignancy mandible radical 971.24 971.24 21046 excision of benign tumor or cyst of mandible; requiring intra-oral 855.73 855.73 21047 excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy 1039.25 1039.25 21048 excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy 867.51 867.51 21049 excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and 1004.70 1004.70 21050 arthrectomy temporomandibular joint unilateral 682.07 682.07 21060 menisectomy temporomandibular joint unilateral 623.55 623.55 21070 coronoidectomy 506.33 506.33 21100 application of halo type appliance for maxillofacial fixation, 310.49 540.03 21110 application of interdental fixation device/other than fracture 487.67 570.35 21116 injection procedure for temporomandibular joint arthrography 35.64 114.38 21120 genioplasty; augmentation 383.57 474.11 21121 genioplasty; augmentation sliding osteotomy single 510.30 594.20 21122 genioplasty; augmentation 2 or more 562.65 562.65 21123 genioplasty; augmentation sliding interpositional 674.99 674.99 21125 augmentation mandibular body or angle prosthetic 591.06 2293.26 21127 augmentation mandibular body angle w/ bone graft 690.59 2729.25 21137 reduction forehead; contouring only 569.49 569.49 21138 reduction forehead contouring & application graft 711.40 711.40 21139 reduction forehead contouring, setback sinus wall 798.78 798.78 21145 reconstruction midface single requiring bone graft 1232.23 1232.23 21146 reconstruction midface 2 pieces requiring bone graft 1315.03 1315.03 21147 reconstruct midface 3 or more pieces with bone graft 1354.20 1354.20 21150 reconstruction midface anterior intrusion 1344.42 1344.42 21151 reconstruct midface any direction req bone graft 1623.24 1623.24 21154 reconstruct midface any type requiring bone graft 1641.49 1641.49 21155 reconstruct midface any type w graft, w lefort i 1862.75 1862.75 21159 reconstruct midface, lefort iii, w bone grafts 2253.64 2253.64 21160 reconstruct midface, lefort iii w/ lefort i, graft 2320.74 2320.74 21172 reconstruct orbital rim/forehead w/wo grafts 1426.52 1426.52 21175 reconstruct bifrontal orbital rims/forehead, graft 1722.44 1722.44 21179 reconstruct forehead/orbital rims with grafts 1179.61 1179.61 21180 reconstruct forehead/orbital rims with autograft 1344.77 1344.77 21181 removal by contouring of benign tumor cranial bone 561.46 561.46 21182 reconstruction of orbital walls, rims, forehead, nasoethmoid complex following 1636.72 1636.72 21183 reconstruction of orbital walls, rims, forehead, nasoethmoid complex following 1830.47 1830.47 21184 reconstruction of orbital walls, rims, forehead, nasoethmoid complex following 1957.85 1957.85 21188 reconstr. midface, osteotomies, w bone grafts 1294.23 1294.23 21193 reconstruct mandibular ramus, osteotomy, w/o graft 989.88 989.88 21194 reconstr. mandibular ramus, osteotomy w bone graft 1130.41 1130.41 21195 reconstruction mandibular ramus w/o internal rigid fixation 1060.66 1060.66 21196 reconstr. mandibular ramus w inter. rigid fixation 1155.97 1155.97 21198 osteotomy, mandible, segmental 908.26 908.26 21199 osteotomy, mandible, segmental; with genioglossus advancement 825.23 825.23 21206 osteotomy, maxilla, segmental 894.78 894.78 21208 augmentation osteoplasty of facial 651.13 1312.21 21209 reduction osteoplasty of facial bones 499.12 626.61 21210 bone graft 650.95 1567.02 21215 bone graft 678.86 2653.92 21230 cartilage graft 607.81 607.81 21235 cartilage graft 443.97 557.24 21240 , temporomandibular joint w/wo graft 878.84 878.84 21242 arthroplasty temporomandibular joint w alloplastic 804.87 804.87 21243 arthoplasty, temporomandibular joint 1322.25 1322.25 21244 reconstruction of mandible 820.95 820.95 21247 reconst. mandibular condyle w bone/cartilage graft 1286.93 1286.93 21255 reconst. zygomatic arch, glenoid fossa w bone/cart 1134.98 1134.98 21256 reconst. orbit w osteotomies and bone grafts 929.41 929.41 21260 orbital hypertelorism correction osteotomies 1045.17 1045.17 21261 orbital hypertelorism comb with intra and extracra 1792.47 1792.47 21263 orbital hypertelorism with forehead advancement 1613.29 1613.29 21267 orbital repositioning 1219.81 1219.81 21268 orbital repositioning intra and external approach 1517.49 1517.49 21270 malar augmentation, bone or alloplastic material 554.67 705.50 21275 secondary rev orbitocraniofacial reconostruction 638.95 638.95 21280 medial canthoplasty 411.22 411.22 21282 lateral canthopexy 271.08 271.08 21295 reduction masseter muscle extraoral approach 135.28 135.28 21296 reduction masseter muscle intraoral approach 329.23 329.23 21310 treatment of closed or open nasal fracture manipul 23.66 80.60 21315 treatment of nose fracture 115.38 197.76 21320 manipulation imstrumental complicated nasal fracture 108.23 190.62 21325 amb surg open reduct nasal fracture complicated 360.44 360.44 21330 amb surg open reduct nasal frac complic int/extern 443.48 443.48 21335 repair of nose fracture 575.67 575.67 21336 open tx nasal septal fx, w/wo stabilization 495.40 495.40 21337 treatment closed septal fracture 220.95 297.27 21338 open treatment nasoethmoid fracture w/o external fixation 566.30 566.30 21339 open treatment naseothmoid fracture w external fix 632.56 632.56 21340 tr closed/open nasoeth com fr w splint wire headca 636.15 636.15 21343 open treatment of depressed frontal sinus 900.06 900.06 21344 open tx of frontal sinus fracture 1187.53 1187.53 21345 tr nasomax comp fr with interdental wire fix or fi 515.71 620.49 21346 op tr nasomax com fr w wiring a/o local fixation 744.82 744.82 21347 op tr nasomac com fr w wir a/o lo fi w mul aproach 864.03 864.03 21348 open tx nasomaxillary fx with 922.25 922.25 21355 repair cheek bone fracture 254.17 335.33 21356 open tx depressed zygomatic arch fracture 291.51 375.41 21360 open treatment of closed or open depressed fx inc 415.40 415.40 21365 repair cheek bone fracture 873.81 873.81 21366 open tx malar area fx inc zygomatic arch w/graft 971.45 971.45 21385 repair eye socket fracture 560.61 560.61 21386 open tx orbital floor fx; periorbital approach. 524.27 524.27 21387 open treatment of orbital floor 585.10 585.10 21390 repair eye socket fracture 606.70 606.70 21395 open tx orbital floor fx; periorbital approach. 766.54 766.54 21400 tx of fx of orbit, wo manipulation. 111.12 134.45 21401 closed treatment of fracture of orbit, except ''blowout''; 229.25 357.95 21406 open tx of fx of orbit,wo implant. 424.06 424.06 21407 open treatment of fracture orbit, except blowout; with implant 502.60 502.60 21408 open tx of fx orbit except "blowout" w/bone graft 692.10 692.10 21421 tx pal/alv ri fx,closed manipulation w wire fix. 475.16 553.60 21422 tx pal/alv ri fx,open tx w wire fixation. 525.04 525.04 21423 open tx of palatal or maxillary fx, mult approach 624.71 624.71 21431 repair upper jaw fracture 570.45 570.45 21432 open rx craniofacial separation 523.76 523.76 21433 dp tr cranioe sep w wi/loc fix complicated 1352.18 1352.18 21435 open tx craniofacial separation (leforte iii type);complicated 1065.28 1065.28 21436 open tx craniofacial separation w/bone graft 1568.61 1568.61 21440 repair dental ridge fx. 334.22 400.53 21445 repair dental ridge fracture. 474.97 571.58 21450 treat lower jaw fracture 350.50 417.42 21451 treatment closed or open mandibular fracture with 472.86 552.80 21452 treatment of open mandibular fracture without mani 252.59 450.03 21453 rx open mandibular fracture with manipulation 570.12 640.07 21454 open rx closed/open mandibular fx w external fix. 432.55 432.55 21461 open tx closed/open mand fx wo interdental fix. 706.72 1438.97 21462 open tx closed/open mand fx w interdental fixation 784.44 1557.28 21465 open treatment mandibular condylar fracture 719.00 719.00 21470 repair lower jaw fracture 939.03 939.03 21480 reset dislocated jaw 26.67 68.75 21485 complicated manipulative treatment of temporomandi 423.38 493.64 21490 reset dislocated jaw 728.34 728.34 21497 interdental wiring for condition other than fracture 427.70 498.27 21501 incision/drainage deep abcess or hematoma 245.25 332.46 21502 drainage of rib abscess 411.77 411.77 21510 inc deep opening of bone cortex osteomyelitis bone 363.09 363.09 21550 excisional biopsy soft tissue 125.01 194.97 21555 excision benign tumor subcutaneous 259.25 329.20 21556 excision deep subfacial intramuscular 324.40 324.40 21557 radical resection of soft tissue tumor 460.99 460.99 21600 excision of rib partial 433.58 433.58 21601 EXC CHEST WALL TUMOR W/RIBS 1046.40 1046.40 21602 EXC CH WAL TUM W/O LYMPHADEC 1403.25 1403.25 21603 EXC CH WAL TUM W/LYMPHADEC 1552.68 1552.68 21610 partial removal of rib 847.29 847.29 21615 excision first and/or cervical rib; 535.70 535.70 21616 exc first a/o cerv rib f outlet comp synd oth caus 682.84 682.84 21620 partial removal sternum 412.83 412.83 21627 sternal debridement 433.09 433.09 21630 radical resection of sternum; 1012.57 1012.57 21632 radical resection of sternum w mediastinal lymphad 1002.83 1002.83 21685 hyoid myotomy and suspension 789.90 789.90 21700 revision of neck muscle 335.37 335.37 21705 revision of neck muscle 516.24 516.24 21720 division sternocleidomastoid for torticollis,open 323.35 323.35 21725 division sternocleidomastoid open op w cast applic 419.28 419.28 21740 reconstructive repair of pectus excavatum or carin 874.01 874.01 21750 closure of median sternotomy separation with or without debridement (separate 579.24 579.24 21820 tx sternum fx; closed 100.72 99.51 21825 treatment of sternum fracture open 447.62 447.62 21920 biopsy, soft tissue of back or flank; 124.91 194.55 21925 biopsy, soft tissue of back or flank; 263.45 322.50 21930 excision tumor, soft tissue of back 292.01 359.85 21935 radical rection of tumor, soft tissue of back. 926.36 926.36 22100 removal part vertebra; cervical 641.17 641.17 22101 removal part of vertebra; thoracic. 639.62 639.62 22102 removal part of vertebra; lumbar. 637.18 637.18 22110 partial excision of vertebral body, for intrinsic bony lesion, without 797.28 797.28 22112 removal part of vertebra 772.79 772.79 22114 removal part of vertebra 792.33 792.33 22210 osteotomy of spine, posterior or posterolateral approach, one vertebral 1396.35 1396.35 22212 posterior approach osteotomy spine, thoracic 1154.75 1154.75 22214 posterior approach osteotomy spine, lumbar 1161.69 1161.69 22220 osteotomy of spine, including diskectomy, anterior approach, single vertebral 1257.41 1257.41 22222 anterior appoach osteotomy spine, thoracic 1150.54 1150.54 22224 anterior approach osteotomy spine, lumbar 1245.06 1245.06 22310 closed treatment of vertebral body fracture(s), without manipulation, requiring 207.50 221.73 22315 closed tx vertebral fx,w/wo anes by manipulation. 589.27 659.52 22318 open treatment and/or reduction of odontoid fracture (cervical) and/or 1255.85 1255.85 22319 open treatment and/or reduction of odontoid fracture (cervical) and/or 1380.79 1380.79 22325 open tx vertebral fx and/or dislocation; lumbar. 1099.59 1099.59 22326 open tx vertebral fx and/or dislocation; cervical. 1146.52 1146.52 22327 open tx vertebral fx and/or dislocation; thoracic 1137.70 1137.70 22505 manipulation of spine requiring anesthesia, any region 97.77 97.77 22532 , lateral extracavitary technique, including minimal diskectomy 1371.66 1371.66 22533 arthrodesis, lateral extracavitary technique, including minimal diskectomy to 1292.83 1292.83 22534 arthrodesis, lateral extracavitary technique, including minimal diskectomy to 300.78 300.78 22548 arthrodesis, anterior transoral or extraoral technique, clivus-c1-c2 1459.44 1459.44 22554 arthrodesis, anterior interbody technique, including minimal diskectomy to 1007.79 1007.79 22556 arthrodesis, anterior interbody technique, including minimal diskectomy to 1308.17 1308.17 22558 arthrodesis, anterior interbody technique, including minimal diskectomy to 1203.68 1203.68 22585 arthrodesis, anterior interbody technique, including minimal diskectomy to 277.83 277.83 22590 arthrodesis, posterior technique, craniocervical (occiput-c2) 1211.06 1211.06 22595 arthrodesis, posterior technique, atlas-axis (c1-c2) 1149.84 1149.84 22600 arthrodesis, posterior or posterolateral technique, single level; cervical 985.15 985.15 22610 arthrodesis, posterior or posterolateral technique, single level; thoracic 972.53 972.53 22612 arthrodesis, posterior or posterolateral technique, single level; lumbar (with 1261.59 1261.59 22630 arthrodesis, posterior interbody technique, including and/or 1212.14 1212.14 22800 arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 1070.87 1070.87 22802 arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 1705.14 1705.14 22810 arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 1619.78 1619.78 22812 arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more 1772.16 1772.16 22818 kyphectomy, circumferential exposure of spine and resection of vertebral 1786.28 1786.28 22819 kyphectomy, circumferential exposure of spine and resection of vertebral 2057.56 2057.56 22830 exploration of 637.73 637.73 22840 posterior non-segmental instrumentation (eg, harrington rod technique), pedicle 632.84 632.84 22842 posterior segmental instrumentation (eg, pedicle fixation, dual rods with 634.23 634.23 22845 anterior instrumentation; 2 to 3 vertebral segments 605.31 605.31 22849 reinsertion of spinal fixation device 1036.30 1036.30 22850 harrington rod removal 564.02 564.02 22852 removal of segmental instrumentation 539.21 539.21 22855 dwyer instrument removal 876.74 876.74 22865 removal of total disc arthroplasty (artificial disc), anterior approach, 1692.18 1692.18 22900 excision abdominal wall tumor subfascial 323.39 323.39 23000 removal of subdeltoid calcareous deposits, open 279.00 403.16 23020 release shoulder joint 543.42 543.42 23030 incision and drainage deep abscess or hematoma 201.98 321.59 23031 incision and drainage infected bursa 167.14 292.81 23035 incision deep with opening of cortex for osteomyel 538.76 538.76 23040 incision of shoulder joint 565.92 565.92 23044 incision, collarbone joint 448.39 448.39 23065 biopsy,soft tissue shoulder; superficial 130.88 164.19 23066 biopsy soft tissues deep 263.87 383.48 23075 excision tumor shoulder; subcutaneous. 139.25 197.10 23076 excision, tumor, shoulder area; 442.27 442.27 23077 radical resection of tumor; soft tussue shoulder. 942.41 942.41 23100 incision shoulder joint 380.87 380.87 23101 incision of shoulder joint 350.21 350.21 23105 arthrotomy for : glenohumeral jnt. 500.01 500.01 23106 arthrotomy for synovectomy, sternoclavicular jnt 371.77 371.77 23107 arthrotomy,glenohumeral jnt,w exploration. 519.68 519.68 23120 amb surg claviculectomy partial 448.78 448.78 23125 claviculectomy; total 553.34 553.34 23130 acromionectomy partial or total 472.10 472.10 23140 removal bone lesion 403.03 403.03 23145 excision of bone cyst clavice, scapula 543.09 543.09 23146 excision of bone lesion of scapula with allograft. 471.53 471.53 23150 removal bone lesion 513.83 513.83 23155 removal bone cyst; humerus w autograft. 622.92 622.92 23156 removal bone cyst; humerus,w allograft. 528.96 528.96 23170 sequestrectomy for osteomyelitis bone abcess clavi 415.59 415.59 23172 sequestrectomy for osteomyelitis of bone abcess sc 425.96 425.96 23174 sequestrec for ostemyelitis or bone abcess humer 591.23 591.23 23180 partial excision of bone for osteomyelitis clavicl 537.68 537.68 23182 removal bone lesion 518.63 518.63 23184 removal bone lesion 585.94 585.94 23190 partial removal of shoulder 436.34 436.34 23195 removal of head of humerus 592.71 592.71 23200 removal of collarbone 700.72 700.72 23210 removal of shoulderblade 732.81 732.81 23220 radical resection of bone tumor, proximal humerus; 849.20 849.20 23330 removal foreign body, subcutaneous, shoulder. 115.87 169.77 23350 injection procedure for shoulder arthrography or enhanced ct/mri shoulder 45.18 122.12 23395 muscle transfer any type for paralysis of shoulder 1021.69 1021.69 23397 muscle transfers, multiple 915.63 915.63 23400 scapulopexy 775.25 775.25 23405 tenomyotomy single 497.47 497.47 23406 tenomyotomy multiple thru same incision 622.69 622.69 23410 repair of ruptured supraspinatus tendon, acute 660.10 660.10 23412 repair of ruptured supraspinatu tendon; chronic. 689.99 689.99 23415 release of shoulder ligament. 548.97 548.97 23420 repair of shoulder injury 773.51 773.51 23430 repair ruptured tendon. 585.30 585.30 23440 removal/transplant tendon 604.10 604.10 23450 capsulorrhaphy repair shoulder. 758.84 758.84 23455 repair shoulder capsule 809.57 809.57 23460 repair shoulder capsule. 876.14 876.14 23462 repair shoulder capsule. 859.95 859.95 23465 repair shoulder capsule. 896.95 896.95 23466 capsulorrhaphy for recurrent dislocation. 883.17 883.17 23470 arthroplasty, glenohumeral joint; hemiarthroplasty 976.29 976.29 23472 arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral 1210.03 1210.03 23480 amb surg osteotomy clavicle w/wo 651.47 651.47 23485 osteotomy clavicle, with bone graft. 770.47 770.47 23490 prophlactic tx of clavicale. 665.44 665.44 23491 prophylactic tx proximal humerous/humeral head. 811.00 811.00 23500 treatment clavicle fracture 156.51 157.42 23505 treatment clavicle fracture 247.15 260.17 23515 repair clavicle fracture 552.36 552.36 23520 treatment of clavicle dislocation. 164.20 163.30 23525 treatment clavicle dislocation w manipulation 238.72 254.47 23530 open tx clavicle dislocation. 423.36 423.36 23532 open tx of closed/open sternoclav dislocation. 486.38 486.38 23540 tx closed clavicle dislocation. 159.40 161.52 23545 tx closed clavicle dislocation w manipulation. 215.89 233.46 23550 open repair clavicle dislocation. 448.59 448.59 23552 open repair clavicle dislocation 516.82 516.82 23570 tx of closed scapular fx. 170.55 168.43 23575 repair scapula fx w manipulation. 272.50 288.25 23585 repair scapula fracture 751.82 751.82 23600 tx humerous fracture 218.11 235.06 23605 repair humerus fracture 323.32 348.75 23615 repair humerus fx w/wo tuberosity 686.92 686.92 23616 open tx proximal humeral fx prosthetic replace 1027.23 1027.23 23620 tx humerus fracture. 183.02 193.62 23625 repair humerus fracture 266.27 282.63 23630 repair humerus fracture 589.70 589.70 23650 repair shoulder dislocation. 202.43 220.30 23655 repair shoulder dislocation 293.41 293.41 23660 repair shoulder dislocation 454.74 454.74 23665 repair dislocation/fracture 297.21 314.79 23670 repair dislocation/fracture 663.35 663.35 23675 repair dislocation/fracture 382.76 411.83 23680 repair dislocation/fracture 718.31 718.31 23700 fixation of shoulder 152.85 152.85 23800 fusion of shoulder jnt 816.15 816.15 23802 fusion of shoulder joint 992.09 992.09 23900 amputation of arm 1061.85 1061.85 23920 amputation of arm 858.62 858.62 23921 disarticulation of shoulder; 310.38 310.38 23930 incision and drainage deep abscess or hematoma 169.72 267.25 23931 incision and drainage infected bursa. 121.71 207.40 23935 incision deep w/opening of cortex for osteomyeliti 387.26 387.26 24000 incision of elbow joint 368.26 368.26 24006 arthrotomy elbow w/capsular release 558.97 558.97 24065 biopsy soft tissues superficial. 129.81 190.69 24066 biopsy soft tissues, deep. 310.55 443.79 24075 excision, tumor, soft tissue of upper arm or elbow area; subcutaneous 242.41 359.01 24076 excision benign tumor deep subfascial or intramusc 370.88 370.88 24077 radical resection soft tissue tumor, arm/elbow. 644.27 644.27 24100 arthrotomy elbow with synovial biopsy only 313.93 313.93 24101 exploration of elbow joint 386.96 386.96 24102 exploration elbow joint. 481.57 481.57 24105 amb surg excision olecranon bursa 258.49 258.49 24110 removal of bone lesion 454.92 454.92 24115 removal of bone lesion/graft 576.05 576.05 24116 removal of bone lesion/graft 684.82 684.82 24120 amb surg exc bone cyst/benign tumor/olecranon 407.25 407.25 24125 removal of bone lesion/graft 471.11 471.11 24126 removal of bone lesion/graft 500.10 500.10 24130 removal of head of raduis 392.91 392.91 24134 sequestrectomy for osteomyelitis or bone abscess s 592.43 592.43 24136 seques for osteo/bone abscess radial head or neck 469.02 469.02 24138 seques for osteo/bone abscess olecranon process 516.45 516.45 24140 partial removal of bone 563.86 563.86 24145 partial removal of bone 472.15 472.15 24147 partial removal of bone 489.81 489.81 24150 removal humerus lesion. 772.45 772.45 24152 removal radius lesion. 580.37 580.37 24155 removal of elbow joint 672.39 672.39 24160 removal prosthetic device 473.66 473.66 24164 implant removal radial head 386.72 386.72 24200 removal of foreign body subcutaneous 105.43 149.04 24201 removal of foreign body deep 282.77 415.71 24220 injection procedure for elbow arthrography 59.69 134.48 24300 manipulatioin, elbow, under anesthesia 299.76 299.76 24301 muscle or tendon transfer any type single 593.85 593.85 24305 tendon lengthening, upper arm or elbow, each tendon 452.34 452.34 24310 revision of arm tendon 369.97 369.97 24320 repair of arm tendon 612.13 612.13 24330 revision of arm muscles 564.20 564.20 24331 revision of arm muscles 624.38 624.38 24332 tenolysis, triceps 471.90 471.90 24340 repair of ruptured tendon 480.22 480.22 24342 repair of ruptured tendon 620.68 620.68 24343 repair lateral collateral ligament, elbow, with local tissue 549.00 549.00 24344 reconstruction lateral collateral ligament, elbow, with tendon graft (includes 859.08 859.08 24345 repair medial collateral ligament, elbow, with local tissue 545.58 545.58 24346 reconstruction medial collateral ligament, elbow, with tendon graft (includes 860.87 860.87 24360 repair elbow joint 714.02 714.02 24361 arthroplasty elbow w humeral prothetic replacement 801.23 801.23 24362 repair of elbow joint 847.92 847.92 24363 arthroplasty w humerus/ulnar prosthetic replace. 1191.70 1191.70 24365 repair of head of radius 502.90 502.90 24366 repair of head of radius w implant. 539.09 539.09 24400 revision of humerus 651.09 651.09 24410 multiple osteotomies humerus. 833.74 833.74 24420 repair of humerus 781.77 781.77 24430 repair nonunion humerous 831.68 831.68 24435 repair/graft of humerus 842.71 842.71 24470 revision of elbow joint 496.60 496.60 24495 decompression of forearm 514.87 514.87 24498 prophylactic tx humerus. 692.42 692.42 24500 treatment humerus fracture 232.87 255.87 24505 treatment humerus fracture 342.97 373.26 24515 repair humerus fracture 693.54 693.54 24516 open tx humeral shaft fx w intramedullary implant 686.52 686.52 24530 treatment humerus fx w/wo intercondylar extension 250.75 275.58 24535 repair humerus fracture 437.68 468.27 24538 fixation humeral fx w/wo intercondylar extension 583.71 583.71 24545 repair humerus fx w/o intercondylar extension 722.48 722.48 24546 open tx humeral supra/transcondylar fx; w/wo fix. 839.52 839.52 24560 treat humerus fracture 204.84 229.68 24565 repair humerus fracture 357.48 384.74 24566 percutaneous skeletal fixation of humeral epicondylar fracture, 545.99 545.99 24575 repair humerus fracture 579.45 579.45 24576 treat humerus fracture 217.84 241.47 24577 repair humerus fracture 370.88 400.26 24579 repair humerus fracture 659.40 659.40 24582 percutaneous skeletal fixation of humeral condylar fracture, 609.19 609.19 24586 repair elbow fracture 873.50 873.50 24587 repair elbow fx with implant 869.82 869.82 24600 treatment of closed elbow dislocation; 248.91 271.94 24605 treatment of closed elbow dislocation; 352.67 352.67 24615 repair elbow dislocation 564.63 564.63 24620 treat elbow fracture 427.19 427.19 24635 repair elbow fracture 590.23 590.23 24640 treat elbow dislocation 66.36 89.37 24650 treat radius fracture 168.98 186.24 24655 treat radius fracture 297.77 323.52 24665 repair radius fracture 506.73 506.73 24666 repair radius fracture 576.60 576.60 24670 treat ulna fracture 189.03 209.62 24675 treat ulna fracture 316.26 342.01 24685 repair ulna fracture 508.99 508.99 24800 fusion of elbow joint 627.50 627.50 24802 fusion/graft of elbow joint 795.26 795.26 24900 amputation of arm 566.67 566.67 24920 amputation of arm 563.15 563.15 24925 amputation, arm through humerus; 435.60 435.60 24930 amputation follow-up surgery 597.51 597.51 24931 amputation follow-up surgery 670.83 670.83 24935 revision of amputation 814.26 814.26 24940 amputation of arm 935.24 935.24 25000 incision of tendon sheath 267.58 267.58 25001 incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) 254.24 254.24 25020 decompression fasciotomy, forearm and/or wrist, flexor or extensor compartment; 443.99 443.99 25023 decomp fasciotomy flex/exten comp w debr nonviable 859.69 859.69 25024 decompression fasciotomy, forearm and/or wrist, flexor and extensor 603.34 603.34 25025 decompression fasciotomy, forearm and/or wrist, flexor and extensor 933.48 933.48 25028 incision and drainage deep abscess or hematoma 395.35 395.35 25031 incision and drainage, forearm and/or wrist; bursa 291.35 291.35 25035 incision deep w opening of cortex for osteomyeliti 504.86 504.86 25040 explortion of wrist joint 448.16 448.16 25065 biopsy soft tissues superficial. 127.97 189.14 25066 biopsy soft tissues deep 291.86 291.86 25075 excision, tumor, soft tissue of forearm and/or wrist area; subcutaneous 255.70 255.70 25076 removal of forearm lesion 345.23 345.23 25077 radical resection soft tissue tumor,forearm/wrist 588.59 588.59 25085 capsulotomy wrist 360.15 360.15 25100 biopsy of wrist joint 266.91 266.91 25101 arthrotomy with joint exploration 314.90 314.90 25105 exploration of wrist joint 383.08 383.08 25107 arthrotomy dist radioulinar joint excision triangu 476.55 476.55 25109 excision of tendon, forearm and/or wrist, flexor or extensor, each 407.93 407.93 25110 amb surg excision lesion tendon sheath 279.39 279.39 25111 amb surg excision ganglion wrist primary 242.33 242.33 25112 excision of ganglion, wrist (dorsal or volar); 297.11 297.11 25115 amb surg excision bursa wrist/forearm 628.36 628.36 25116 removal wrist/rorearm lesion. 506.91 506.91 25118 explore wrist tendon sheath. 297.52 297.52 25119 synovectomy wrist w resection of ulna. 394.67 394.67 25120 removal of forearm lesion 432.29 432.29 25125 removal of forearm lesion 503.87 503.87 25126 removal of forearm lesion 509.02 509.02 25130 removal of wrist lesion 349.45 349.45 25135 removal of wrist lesion 437.09 437.09 25136 removal of wrist lesion 386.26 386.26 25145 sequestrectomy for osteomyelitis or bone abscess 444.06 444.06 25150 partial exc bone for osteomyelitis ulna 453.37 453.37 25151 partial removal radius/ulna 500.66 500.66 25170 removal radius/ulna lesion. 698.62 698.62 25210 removal of wrist bone 383.41 383.41 25215 removal of wrist bones 494.70 494.70 25230 partial removal of radius 339.47 339.47 25240 amb surg excision distal ulna (durrach procedure) 343.97 343.97 25246 injection procedure for wrist arthrography 65.69 136.86 25248 exploration for removal of deep foreign body 342.35 342.35 25250 removal of wrist prosthesis separate procedure. 408.28 408.28 25251 removal wrist prothesis complilated total wrist. 559.03 559.03 25259 manipulation, wrist, under anesthesia 300.65 300.65 25260 amb surg repair tendon/muscle primary single 530.72 530.72 25263 repair additional tendon 529.94 529.94 25265 repair tendon or muscle secondary with free graft 630.36 630.36 25270 repair tendon or muscle extensor primary single ea 425.55 425.55 25272 repair, tendon or muscle, extensor, forearm and/or wrist; 479.58 479.58 25274 repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free 569.24 569.24 25275 repair, tendon sheath, extensor, forearm and/or wrist, with free graft 525.81 525.81 25280 lengthening or shortening of flexor or extensor te 486.07 486.07 25290 tenotomy open single flexor or extensor tendon eac 410.18 410.18 25295 tenolysis sing flexor or extensor tendon each tend 452.17 452.17 25300 fusion of wrist tendons 535.52 535.52 25301 fusion of wrist tendons 510.00 510.00 25310 transplant wrist tendon 526.42 526.42 25312 transplant wrist tendon 610.60 610.60 25315 revise palsy hand 655.00 655.00 25316 revise palsy hand 758.72 758.72 25320 repair wrist joint 753.67 753.67 25332 repair wrist joint w internal fixation 667.19 667.19 25335 centralzation of hand on ulna 757.60 757.60 25337 reconstruction for stabilization of unstable distal ulna 693.82 693.82 25350 osteotomy radius 580.17 580.17 25355 osteotomy radius 653.10 653.10 25360 revision ulna 562.83 562.83 25365 revision radius/ulna 768.46 768.46 25370 revision radius or ulna 837.61 837.61 25375 revision radius and ulna 808.35 808.35 25390 revise radius or ulna 657.11 657.11 25391 revise radius or ulna 836.66 836.66 25392 revise radius & ulna 849.36 849.36 25393 revise/graft radius/ulna 955.13 955.13 25394 osteoplasty, carpal bone, shortening 612.87 612.87 25400 repair nonunion/malunion radius or ulna 689.52 689.52 25405 repair of nonunion or malunion, radius or ulna; with autograft (includes 877.99 877.99 25415 repair radius and ulna 824.36 824.36 25420 repair of nonunion or malunion, radius and ulna; with autograft (includes 982.55 982.55 25425 repair/graft radius or ulna 847.43 847.43 25426 repair/graft radius and ulna 891.54 891.54 25430 insertion of vascular pedicle into carpal bone (eg, harii procedure) 558.32 558.32 25431 repair of nonunion of carpal bone (excluding carpal scaphoid (navicula)) 619.01 619.01 25440 repair of nonunion, scaphoid carpal (navicular) bone, with or without radial 614.86 614.86 25441 arthroplasty prosthetic replace distal radius 745.93 745.93 25442 arthroplasty w prosthetic replacement distal ulna 635.01 635.01 25443 arthroplasty with prosthetic replacement; scaphoid carpal (navicular) 609.05 609.05 25444 arthroplasty w prosthetic replacement lunate 649.98 649.98 25445 arthroplasty w prothetic replacement trapezium 568.83 568.83 25446 arthroplasty w prosthetic replace distal rad/carp 939.11 939.11 25447 interposition arthroplasty intercarpal/carpometa 641.74 641.74 25449 arthroplasty w removal of implant 822.23 822.23 25450 revision of wrist joint 476.23 476.23 25455 revision of wrist joint 543.41 543.41 25490 prophylactic treatment radius 597.78 597.78 25491 prophylactic tx ulna 630.79 630.79 25492 prophylactic tx radius and ulna 761.28 761.28 25500 treat fracture of radius 175.14 191.49 25505 repair fracture of radius 347.85 375.11 25515 repair fracture of radius 523.91 523.91 25520 closed treatment of radial shaft fracture and closed treatment of dislocation 396.56 415.03 25525 open tx radial shaft fx & closed tx radioulnar jnt 633.24 633.24 25526 open treatment of radial shaft fracture, with internal and/or external fixation 777.63 777.63 25530 treat fracture of ulna 166.78 184.95 25535 repair fracture of ulna 342.00 363.79 25545 repair fracture of ulna 489.67 489.67 25560 treat fracture radius & ulna 174.21 193.89 25565 repair fracture radius/ulna 361.59 393.09 25574 open tx radial/ulnar shaft fxs 515.41 515.41 25575 repair fracture radius/ulna 702.23 702.23 25600 treat fracture radius/ulna 191.57 211.25 25605 repair fracture radius/ulna 438.94 462.57 25606 percutaneous skeletal fixation of distal radial fracture or epiphyseal 514.83 514.83 25607 open treatment of distal radial extra-articular fracture or epiphyseal 557.53 557.53 25608 open treatment of distal radial intra-articular fracture or epiphyseal 636.60 636.60 25609 open treatment of distal radial intra-articular fracture or epiphyseal 813.29 813.29 25622 rx closed carpal scaphoid fx without manipulation 195.58 216.48 25624 closed treatment of carpal scaphoid (navicular) fracture; 315.12 343.58 25628 open rx closed or open carpal scaphoid fracture 560.24 560.24 25630 treat wrist fracture(s) 201.59 222.18 25635 repair wrist fracture(s) 291.91 325.24 25645 open treatment of carpal bone fracture (other than carpal scaphoid 441.69 441.69 25650 treatment of closed ulnar styloid fracture 214.15 231.71 25651 percutaneous skeletal fixation of ulnar styloid fracture 364.61 364.61 25652 open treatment of ulnar styloid fracture 481.25 481.25 25660 repair wrist dislocation 304.65 304.65 25670 opne rx of closed or open radiocarpal or intercarp 476.78 476.78 25671 percutaneous skeletal fixation of distal radioulnar dislocation 401.49 401.49 25675 repair wrist dislocation 297.09 321.00 25676 repair wrist dislocation 493.64 493.64 25680 repair wrist fracture 353.03 353.03 25685 repair wrist fracture 575.23 575.23 25690 repair wrist dislocation 355.70 355.70 25695 repair wrist dislocation 495.61 495.61 25800 fusion of wrist 586.37 586.37 25805 fusion/graft of wrist 676.23 676.23 25810 fusion/graft of wrist 682.71 682.71 25820 intercarpal fusion wo bone graft 478.04 478.04 25825 intercarpal fusion w autogenous bone graft 589.61 589.61 25830 arthrodesis, distal radioulnar joint with segmental resection of ulna, with or 734.34 734.34 25900 amputation forearm through radius and ulna 587.43 587.43 25905 amputation of forearm 581.08 581.08 25907 amputation, forearm, through radius and ulna; 506.67 506.67 25909 amputation follow-up surgery 571.23 571.23 25915 amputation of forearm 1002.50 1002.50 25920 disarticulation through wrist 537.47 537.47 25922 disarticulation w secondary closure revision 454.22 454.22 25924 reamputation 524.81 524.81 25927 transmetacarpal amputation 607.74 607.74 25929 transmetacarp amput sec closure or scar revision 440.21 440.21 25931 transmetacarpal reamputation 553.31 553.31 26010 drainage of finger abscess 101.75 188.06 26011 drainage of finger abscess; 142.19 286.64 26020 drainage of tendon sheath, digit and/or palm, each 327.77 327.77 26025 drainage of palm bursa 320.57 320.57 26030 drainage of palm bursas 379.45 379.45 26034 inc deep w/open cortex for osteo/bone abscess hand 410.90 410.90 26035 decompression finger/hand 642.34 642.34 26037 decompressive fasciotomy, hand (excludes 26035) 443.68 443.68 26040 fasciotomy palmar for dupuytren contracture open p 234.61 234.61 26045 release palm contracture 358.95 358.95 26055 amb surg tendon sheath incision for trigger finger 224.33 418.46 26060 tenotomy, percutaneous, single, each digit 200.76 200.76 26070 exploration of hand joint 229.59 229.59 26075 arthrotomy with exploration metacarpophalangeal jo 242.98 242.98 26080 exploration of finger joint 292.72 292.72 26100 biopsy of hand joint 245.93 245.93 26105 arthrotomy with biopsy; metacarpophalangeal joint, each 251.60 251.60 26110 biopsy of finger joint 241.44 241.44 26115 excision, tumor or vascular malformation, soft tissue of hand or finger; 273.53 460.68 26116 excision, tumor or vascular malformation, soft tissue of hand or finger; deep 368.88 368.88 26117 radical resection soft tissue tumor hand/finger 505.81 505.81 26121 fasciectomy palmar w/wo z-plasty or skin grafting 464.22 464.22 26123 fasciectomy, palmar with release of single digit. 635.70 635.70 26125 fasciectomy, palmer w/ release additional digits. 229.33 229.33 26130 exploration hand joint 350.93 350.93 26135 exploration finger joint 427.98 427.98 26140 amb surg synovectomy interphalangeal joint 388.71 388.71 26145 tendon excision palm/digit 395.26 395.26 26160 excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or 244.88 419.93 26170 removal of palm tendon 310.21 310.21 26180 removal of finger tendon 339.15 339.15 26200 amb surg excision/currettage bone cyst metacarpal 348.68 348.68 26205 removal/graft joint lesion 469.29 469.29 26210 removal of finger lesion 337.47 337.47 26215 removal/graft finger lesion 430.09 430.09 26230 partial removal of hand bone 390.64 390.64 26235 partial removal finger bone 383.61 383.61 26236 partial removal finger bone 339.49 339.49 26250 removal of hand bone 453.65 453.65 26260 radical resection for tumor of finger 424.79 424.79 26262 radical resection for tumor of finger 354.23 354.23 26320 removal of implant hand 263.77 263.77 26340 manipulation finger joint, under anesthesia, each joint 234.69 234.69 26350 repair or advancement, flexor tendon, not in zone 2 digital flexor tendon 543.87 543.87 26352 removal/graft tendon 620.29 620.29 26356 repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath 810.62 810.62 26357 flexor tendon repair secondary each tendon 666.93 666.93 26358 repair/graft tendon 705.40 705.40 26370 repair tendon 590.19 590.19 26372 repair/graft tendon 685.62 685.62 26373 profundus tendon repair secondary without free gra 651.25 651.25 26390 excision flexor tendon, with implantation of synthetic rod for delayed tendon 641.83 641.83 26392 removal of synthetic rod and insertion of flexor tendon graft, hand or finger 749.44 749.44 26410 amb surg extensor tendon repair dorsum of hand 432.14 432.14 26412 repair/graft tendon 526.37 526.37 26415 excision of extensor tendon, with implantation of synthetic rod for delayed 557.30 557.30 26416 removal of synthetic rod and insertion of extensor tendon graft (includes 597.69 597.69 26418 repair tendon 433.06 433.06 26420 repair/graft tendon 547.44 547.44 26426 repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); 442.27 442.27 26428 repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); 575.60 575.60 26432 amb surg repair mullet finger deformity 377.90 377.90 26433 repair tendon 406.01 406.01 26434 repair/graft tendon 488.65 488.65 26437 extensor tendon realignment 475.95 475.95 26440 amb surg tenolysis flexor tendon hand 476.21 476.21 26442 release tendon palm & finger 725.37 725.37 26445 tenolysis, extensor tendon, hand or finger; each tendon 441.19 441.19 26449 release tendon forearm 583.95 583.95 26450 incision of tendon 306.93 306.93 26455 incision of tendon 304.83 304.83 26460 tenotomy, extensor, hand or finger, open, each tendon 296.19 296.19 26471 fusion of tendons 468.87 468.87 26474 fusion of tendon 449.32 449.32 26476 tendon lengthening extensor single each 437.48 437.48 26477 tendon shortening extensor single each 441.16 441.16 26478 tendon lengthening flexor hand/finger 479.44 479.44 26479 tendon shortening flexor hand/finger 474.26 474.26 26480 tendon transplant 576.21 576.21 26483 tendon transplant 652.34 652.34 26485 tendon transplant 624.39 624.39 26489 tendon transplant & graft 678.14 678.14 26490 tendon transfer 605.57 605.57 26492 tendon transfer with graft 675.50 675.50 26494 tendon/muscle transfer 612.93 612.93 26496 repair thumb tendon 665.84 665.84 26497 sublimis transfer to correct claw finger iv and v 666.17 666.17 26498 sublimis transfer to correct claw finger 2/3/4/5 892.96 892.96 26499 correction claw finger, other methods 636.22 636.22 26500 tendon reconstruction 478.93 478.93 26502 tendon reconstruction/graft 541.72 541.72 26508 release thumb contracture 481.62 481.62 26510 cross intrinsic transfer, each tendon 455.96 455.96 26516 fusion of knuckle joint 540.21 540.21 26517 fusion of knuckle 637.26 637.26 26518 fusion of knuckle joints 643.43 643.43 26520 release knuckle contracture 497.94 497.94 26525 release finger contracture 500.04 500.04 26530 repair knuckle 414.91 414.91 26531 repair knuckle with implant 483.32 483.32 26535 repair finger joint 311.50 311.50 26536 repair finger joint-implant 513.90 513.90 26540 reconstruction collateral ligament metacarpophalan 506.48 506.48 26541 reconstruct collateral lig metacarpo jt with tendo 620.87 620.87 26542 prim repair collateral ligament w/ local tissue 524.01 524.01 26545 reconstruct finger joint 533.48 533.48 26548 repair/reconstruct finger volar plate 588.38 588.38 26550 construct thumb replacement 1171.43 1171.43 26555 transfer, finger to another position without microvascular anastomosis 1070.21 1070.21 26560 amb surg repair syndactyly fingers 435.87 435.87 26561 repair web finger 704.21 704.21 26562 repair web finger complex 1026.15 1026.15 26565 amb surg osteotomy correction deformity metacarpal 519.26 519.26 26567 amb surg osteotomy correct deformity phalanx 524.52 524.52 26568 osteoplasty for lengthening of metacarpal/phalanx 690.86 690.86 26580 repair hand deformity 1094.75 1094.75 26587 reconstruction of polydactylous digit, soft tissue and bone 751.72 751.72 26590 repair macrodactylia, each digit 998.62 998.62 26591 repair intrinsic muscles of hand 331.51 331.51 26593 release intrinsic muscles of hand 454.58 454.58 26596 excision of constricting ring w z-plastics 569.37 569.37 26600 treat metacarpal fracture 186.74 201.58 26605 closed treatment of metacarpal fracture, single; 213.28 232.96 26607 closed treatment of metacarpal fracture, with manipulation, with external 337.18 337.18 26608 percutaneous skeletal fixation of metacarpal fracture, each bone 364.11 364.11 26615 amb surg open reduction metacarpal fracture 423.65 423.65 26641 treatment carpometacarp disloc thumb w/manipulatio 246.89 268.99 26645 repair thumb dislocation 284.41 307.13 26650 amb surg closed reduction bennett fx pin fixation 363.86 363.86 26665 repair thumb dislocation 470.53 470.53 26670 closed treatment of carpometacarpal dislocation, other than thumb, with 220.48 243.19 26675 repair hand dislocation 304.03 327.65 26676 percutaneous skeletal fixation of carpometacarpal dislocation, other than 381.51 381.51 26685 open treatment of carpometacarpal dislocation, other than thumb; with or 434.49 434.49 26686 open treat clo/open carpometaca dislo cmpl/mul/del 482.52 482.52 26700 repair finger dislocation 217.22 232.37 26705 closed treatment of metacarpophalangeal dislocation, single, 277.03 300.34 26706 treatment of closed metacarpophalangeal dislocatio 331.49 331.49 26715 repair finger dislocation 424.29 424.29 26720 treat finger fractures 128.17 139.67 26725 rx closed phalangeal shaft fx prox or mid phalanx 226.16 250.69 26727 repair finger fractures 357.81 357.81 26735 repair finger fractures 442.13 442.13 26740 closed treatment of articular fracture, involving metacarpophalangeal or 153.04 162.74 26742 tx closed articular fx of fingers w manipulation 251.16 275.09 26746 open rx closed or open articular fx each 542.71 542.71 26750 treat finger fracture 127.55 130.88 26755 closed treatment of distal phalangeal fracture, finger or thumb; 201.78 230.25 26756 tx of closed distal phalangeal fx w pinning 314.90 314.90 26765 open rx closed or open distal phalangeal fx finger 359.00 359.00 26770 repair finger dislocation 180.92 196.96 26775 closed treatment of interphalangeal joint dislocation, single, 252.46 279.71 26776 tx of closed interphalangeal joint dislocation 335.32 335.32 26785 open rx closed or open interphalangeal joint dislo 392.12 392.12 26820 thumb fusion with graft 606.47 606.47 26841 thumb fusion 560.34 560.34 26842 thumb fusion with graft 610.01 610.01 26843 arthrodesis, carpometacarpal joint, digit, other than thumb, each; 564.48 564.48 26844 amb surg arthrodesis fingers (26843-26860) 630.49 630.49 26850 amb surg arthrodesis fingers (26843-26860) 534.39 534.39 26852 amb surg arthrodesis fingers (26843-26860) 613.91 613.91 26860 amb surg arthrodesis fingers 426.57 426.57 26861 arthrodesis each additional interphalangeal joint 86.49 86.49 26862 amb surg arthrodesis with autogenous graft 557.42 557.42 26863 arthrodesis, interphalangeal joint, with or without internal fixation; with 192.87 192.87 26910 amputation metacarpal bone 549.55 549.55 26951 amb surg amputation finger/any joint primary/secon 473.05 473.05 26952 amputation of finger 496.58 496.58 26990 incision/drainage abscess or hematoma 481.26 481.26 26991 incison/drainage infected bursa 407.19 533.77 26992 incis w/open bone cort ex for osteomyelitis or bon 761.06 761.06 27000 amb surg tenotomy adductor unilateral hip 349.48 349.48 27001 amb surg tenotop adductor open hip 424.32 424.32 27003 incision of hit tendon 455.83 455.83 27005 tenotomy, hip flexor(s), open (separate procedure) 576.39 576.39 27006 tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) 582.20 582.20 27025 incision of hip fascia 706.35 706.35 27030 drainage of hip joint 753.86 753.86 27033 exploration of hip joint 780.44 780.44 27035 hip joint devervation femoral or obturator nerves 876.62 876.62 27040 biopsy soft tissue superficial 160.18 259.20 27041 biopsy soft tissue deep 545.75 545.75 27047 excision benign tumor subcutaneous 407.16 480.74 27048 excision benign tumor deep 373.17 373.17 27049 radical resection soft tissue tumor pelvis/hip 794.98 794.98 27050 biopsy of sacroiliac joint 272.80 272.80 27052 biopsy of hip joint 435.16 435.16 27054 arthrotomy with synovectomy, hip joint 534.93 534.93 27060 removal of ischial bursa 336.66 336.66 27062 removal of femur lesion 350.87 350.87 27065 removal of hip bone lesion 391.70 391.70 27066 excision of bone cyst or tumor deep with or withou 638.39 638.39 27067 excision benign tumor w/bone graft req seperate in 810.96 810.96 27070 partial excision (craterization, saucerization) (eg, osteomyelitis or bone 668.26 668.26 27071 partial excision (craterization, saucerization) (eg, osteomyelitis or bone 717.30 717.30 27075 radical resection of tumor or infection; wing of ilium, one pubic or ischial 1860.62 1860.62 27076 partial removal of hip bone 1280.96 1280.96 27077 removal of hip bone 2150.34 2150.34 27078 partial removal of hip bones 807.57 807.57 27080 coccygectomy primary 387.28 387.28 27086 removal foreign body subctaneous tissue 115.83 185.47 27087 removal of foreign body deep tissue 498.53 498.53 27090 removal of hip prosthesis 660.31 660.31 27091 removal of hip prosthesis; complicated, including total hip prosthesis, 1283.60 1283.60 27093 injection procedure for hip arthrography; 60.40 150.34 27095 injection procedure for hip arthrography with anes 68.96 181.32 27096 injection procedure for sacroiliac joint, arthography and/or anesthetic steroid 58.10 138.35 27097 hamstring recession proximal 526.29 526.29 27098 adduct transf to ishium 492.32 492.32 27100 transfer of abdominal muscle 648.78 648.78 27105 transfer of spinal muscle 679.57 679.57 27110 transfer iliopsoas; to greater trochanter of femur 759.99 759.99 27111 transfer iliopsoas to femoral neck 678.55 678.55 27120 reconstruction of hip 1032.24 1032.24 27122 acetabuloplasty; resection, femoral head (eg, girdlestone procedure) 883.03 883.03 27125 hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar 899.48 899.48 27130 arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip 1161.30 1161.30 27132 conversion of previous hip surgery to total hip arthroplasty, with or without 1357.68 1357.68 27134 revision of total hip, both components 1576.72 1576.72 27137 revision of total hip, acetabular component only 1200.44 1200.44 27138 revision of total hip, femoral component only 1249.74 1249.74 27140 osteotomy and transfer of greater trochanter of femur (separate procedure) 715.88 715.88 27146 incision of hip bone 1011.86 1011.86 27147 osteotomy with open reduction of hip 1179.44 1179.44 27151 incision of hip bones 1231.50 1231.50 27156 revision of hip bones 1377.37 1377.37 27158 osteotomy, pelvis, bilateral (eg, congenital malformation) 1106.74 1106.74 27161 incision of neck of femur 977.85 977.85 27165 osteotomy including internal or external fixation 1092.86 1092.86 27170 repair/graft femur 946.91 946.91 27175 treatment of slipped femoral epiphysis; 525.23 525.23 27176 treatment of slipped femoral epiphysis; 726.02 726.02 27177 repair slipped epiphysis 886.64 886.64 27178 open rx slipped fem epiphysis closed manip w/singl 718.59 718.59 27179 revision of neck of femur 774.35 774.35 27181 fixation slipped epiphysis 863.12 863.12 27185 epiphyseal arrest by or stapling, greater trochanter of femur 547.49 547.49 27187 prophylactic tx femoral neck and proximal femur 793.84 793.84 27197 clsd tx pelvic ring fx 103.14 103.14 27198 clsd tx pelvic ring fx 263.51 263.51 27200 repair tail bone fracture 133.35 130.63 27202 repair tail bone fracture 499.51 499.51 27215 open tx of iliac spine s/internal fixation 586.41 586.41 27217 open tx ant. ring fx/dislocation w/internal fix 811.79 811.79 27218 open tx post ring fx/dislocation w/internal fix. 1111.37 1111.37 27220 treatment hipsocket fracture 405.13 407.86 27222 repair hipsocket fracture 778.29 778.29 27226 open tx post/ant. acetabular wall fx, internal fix 829.74 829.74 27227 open treatment acetabular fx w/internal fix. 1344.78 1344.78 27228 open tx acetabular fx w/internal fixation 1540.90 1540.90 27230 treatment fracture of femur 357.72 362.26 27232 repair fracture of femur 619.61 619.61 27235 fixation of femur fracture 725.81 725.81 27236 open treatment of femoral fracture, proximal end, neck, internal fixation or 951.12 951.12 27238 clsd trtmnt interochanteric,pertrochanteric,subtrochanteric fem frac w/o manipu 350.61 350.61 27240 rx closed intertrochanteric or pertro femoral fx w 759.65 759.65 27244 fixation of femur fracture 978.59 978.59 27245 open tx femoral fx; w/intramedullary implant 1013.24 1013.24 27246 treatment of femur fracture 297.39 296.79 27248 repair of femur fracture 599.61 599.61 27250 repair of hip dislocation 190.02 190.02 27252 repair of hip dislocation 600.32 600.32 27253 repair of hip dislocation 754.47 754.47 27254 repair of hip dislocation 1021.58 1021.58 27256 treatment of hip dislocation 196.54 230.44 27257 repair of hip dislocation 268.81 268.81 27258 repair of hip dislocation 885.38 885.38 27259 open rx closed/open acetab fx w/femoral shaft shor 1243.36 1243.36 27265 tx atraumatic hip dislocation w/o anesthesia 304.25 304.25 27266 tx atraumatic hip dislocation w/ gen anesthesia 454.73 454.73 27275 manipulation, hip joint, requiring general anesthesia 140.91 140.91 27280 fusion of sacroiliac joint 818.42 818.42 27282 fusion of pubic bones 642.04 642.04 27284 arthrodesis, hip joint (including obtaining graft); 1252.31 1252.31 27286 fusion of hip joint 1319.44 1319.44 27290 amputation of leg at hip 1261.43 1261.43 27295 amputation of leg at hip 1018.51 1018.51 27301 incision and drainage deep abscess infected bursa 387.73 504.03 27303 incision deep w/opening bone cortex for osteomye o 502.12 502.12 27305 incision of tendon & fascia 365.69 365.69 27306 incision of tendon 295.28 295.28 27307 incision of tendons 364.20 364.20 27310 exploration of knee joint 573.10 573.10 27323 biopsy soft tissues superfical 139.34 201.72 27324 amb surg biopsy soft tissue deep 297.85 297.85 27325 neurectomy, hamstring muscle 413.43 413.43 27326 neurectomy, popliteal (gastrocnemius) 381.03 381.03 27327 excision benign tumor subcutaneous 272.10 343.57 27328 exc bengin tumor deep 328.92 328.92 27329 racical resection soft tissue tumor thigh/knee 825.67 825.67 27330 biopsy of knee 311.81 311.81 27331 exploration of knee joint 368.55 368.55 27332 arthrotomy knee exc semilunar cartilage medial or 501.07 501.07 27333 arthrotomy knee exc semilunar cartilage medial and 453.52 453.52 27334 arthrotomy knee for synovectomy anterior or poster 533.90 533.90 27335 arthrotomy knee anterior and posterior including p 604.61 604.61 27340 removal of kneecap bursa 281.22 281.22 27345 removal of knee cyst 373.10 373.10 27347 excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee 400.50 400.50 27350 removal of kneecap 509.93 509.93 27355 removal of femue lesion 472.55 472.55 27356 removal & graft femur lesion 580.50 580.50 27357 removal & graft femur lesion 643.73 643.73 27358 excision or curettage of bone cyst or benign tumor of femur; with internal 236.68 236.68 27360 partial removal leg bone(s) 669.57 669.57 27365 radical resection of tumor, bone, femur or knee 979.76 979.76 27372 removal of foreign body, deep, thigh region or knee area 314.66 450.64 27380 repair kneecap tendon 461.66 461.66 27381 repair/graft kneecap tendon 631.60 631.60 27385 repair of thigh muscle 494.85 494.85 27386 repair/graft of thigh muscle 654.90 654.90 27390 incision thigh tendon 342.25 342.25 27391 incision thigh tendons 447.02 447.02 27392 incision thigh tendons 552.28 552.28 27393 lengthning of thigh tendon 396.13 396.13 27394 lengthening of thigh tendons 513.04 513.04 27395 lengthening of thigh tendons 696.09 696.09 27396 transplant of thigh tendon 481.82 481.82 27397 transplants of thigh tendons 711.49 711.49 27400 revision of thigh muscles 537.36 537.36 27403 arthrotomy with open meniscus repair 504.74 504.74 27405 repair of knee ligament 531.83 531.83 27407 repair of knee ligament 608.85 608.85 27409 repair of knee ligaments 766.24 766.24 27418 anterior tibial tubercle plasty chondromala patell 660.31 660.31 27420 repair of unstable kneecap 590.87 590.87 27422 repair of unstable kneecap 588.41 588.41 27424 revision/removal of kneecap 590.00 590.00 27425 amb surg lateral retinacular release knee 342.05 342.05 27427 reconstruction knee extra-articular 566.34 566.34 27428 reconstruction knee intra-articular 873.62 873.62 27429 reconstruction knee intra and extra-articular 978.61 978.61 27430 repair of thigh muscles 584.75 584.75 27435 incision of knee joint 626.89 626.89 27437 arthroplasty patella w/o prosthesis 519.55 519.55 27438 arthroplasty patella w/prosthesis 667.37 667.37 27440 repair of knee joint 610.11 610.11 27441 repair of knee joint 630.24 630.24 27442 repair of knee joint 691.45 691.45 27443 repair of knee joint 646.99 646.99 27445 arthroplasty, knee, hinge prosthesis (eg, walldius type) 1011.14 1011.14 27446 total 896.21 896.21 27447 arthroplasty, knee, condyle and plateau; medial and lateral compartments with 1243.21 1243.21 27448 osteotomy femur shaft or supracondylar w/o fixatio 651.91 651.91 27450 osteotomy femur shaft or supracondylar with fixati 813.07 813.07 27454 osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, 1027.92 1027.92 27455 osteotomy proximal tibia unilateral before epiphys 750.89 750.89 27457 osteotomy proximal tibia after epiphyseal closure 774.32 774.32 27465 revision of femur 977.39 977.39 27466 revision of femur 946.48 946.48 27468 osteoplasty, femur; 1073.40 1073.40 27470 repair of femur 943.48 943.48 27472 repair/graft of femur 1020.75 1020.75 27475 arrest, epiphyseal, any method (eg, epiphydiodesis); distal femur 516.85 516.85 27477 repair lower leg epiphyses 580.10 580.10 27479 repair of leg epiphyses 747.99 747.99 27485 arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu 529.05 529.05 27486 revision of total knee arthroplasty, one component 1133.69 1133.69 27487 revision of total knee arthroplasty, with or without allograft; femoral and 1432.03 1432.03 27488 removal of prosthesis, including total knee prosthesis, methylmethacrylate with 958.03 958.03 27495 prophylactic treatment femur 907.41 907.41 27496 decompression fasciotomy, thigh/knee, 1 compart. 393.94 393.94 27497 decompression fasciotomy, thigh/knee w/ debridement 429.19 429.19 27498 decompression fasciotomy, thigh/knee, multiple 468.25 468.25 27499 decompression fasciotomy; thigh/knee w/ debridement 519.12 519.12 27500 treatment of femur fracture 369.53 395.58 27501 closed treatment of supracondylar or transcondylar femoral 384.29 389.45 27502 treatment of closed femoral shaft fracture with ma 624.99 624.99 27503 closed tx supra/transcondylar fem fx; s/manipula. 635.36 635.36 27506 repair femur fx w/insertion intramedullary implant 1065.02 1065.02 27507 open tx fem shaft fx with plate screws 789.25 789.25 27508 treatment of femur fracture 377.27 398.46 27509 percutaneous skeletal fix fem fx w/wo intercon ext 502.96 502.96 27510 repair of femur fracture 551.57 551.57 27511 open tx femoral fx wo intercondylar extension 817.50 817.50 27513 open tx femoral fx w/intercondylar extension 1029.17 1029.17 27514 repair of femur fracture 825.08 825.08 27516 treatment of femur epiphysis 352.11 372.09 27517 repair of femur epiphysis 528.27 528.27 27519 repair of femur epiphysis 746.10 746.10 27520 treatment kneecap fracture 211.97 233.17 27524 repair of kneecap fracture 596.90 596.90 27530 treatment of knee fracture 274.28 293.67 27532 repair of knee fracture 449.28 473.21 27535 open tx fibial fx, proximal; unicondylar 729.33 729.33 27536 tx tibial fx bicondylar 948.83 948.83 27538 treatment of knee fracture 331.21 352.11 27540 repair knee fracture 659.80 659.80 27550 repair knee dislocation 349.60 373.83 27552 repair knee dislocation 485.87 485.87 27556 open rx closed or open knee disloc w/o primary lig 733.56 733.56 27557 osteotomy proximal tibia bilateral with primary li 878.83 878.83 27558 open tx knee dislocation; w/lig repair 987.46 987.46 27560 repair kneecap dislocation 248.28 272.51 27562 closed treatment of patellar dislocation; 358.24 358.24 27566 repair kneecap dislocation 711.98 711.98 27570 amb surg manipulation of knee under anesthesia 114.72 114.72 27580 arthrodesis, knee, any technique 1155.65 1155.65 27590 amputation of leg 664.77 664.77 27591 amputation thigh thru fem immed fit tech includ fi 734.12 734.12 27592 amputation of leg 562.80 562.80 27594 amputation, thigh, through femur, any level; 405.20 405.20 27596 amputation follow-up surgery 589.01 589.01 27598 amputation of lower leg 598.08 598.08 27600 decompression of leg 336.48 336.48 27601 fasciotomy leg for closedspace decompression, ant. 348.25 348.25 27602 decompression of leg 413.65 413.65 27603 incision and drainage deep abscess or hematoma 304.11 398.91 27604 incision and drainage infected bursa 267.96 350.03 27605 amb surg archilles tenotomy local anesthesia 160.97 277.25 27606 tenotomy achilles tendon subcutaneous general anes 236.49 236.49 27607 incision deep w/opening bn cortex for osteomyeliti 486.90 486.90 27610 exploration of ankle joint 519.67 519.67 27612 exploration of ankle joint 453.77 453.77 27613 biopsy soft tissues superficial 130.96 189.41 27614 biopsy soft tissue deep 325.47 429.04 27615 radical resection soft tissue tumor leg/ankle 701.65 701.65 27618 exc benign tumor subsq 301.33 374.91 27619 excision benign tumor deep subfascial or intramusc 468.58 598.80 27620 biopsy of ankle joint 364.75 364.75 27625 exploration of ankle joint 473.51 473.51 27626 amb surg synovectomy ankle includ tenosynovectomy 511.26 511.26 27630 amb surg excision lesion of tendon sheath leg 293.45 408.53 27635 removal of bone lesion 469.67 469.67 27637 removal/graft of bone lesion 596.04 596.04 27638 removal/graft of bone lesion 622.00 622.00 27640 partial removal of tibia 689.14 689.14 27641 parital removal of fibula 552.35 552.35 27645 radical resection of tumor, bone; tibia 836.33 836.33 27646 removal of fibula 739.91 739.91 27647 radical resection of tumor, bone; talus or calcaneus 657.39 657.39 27648 injection procedure for ankle arthrography 43.69 123.63 27650 repair achilles tendon 536.61 536.61 27652 repair/graft achilles tendon 592.68 592.68 27654 repair achilles tendon 578.40 578.40 27656 repair fascial defect of leg 277.32 410.27 27658 repair of leg tendon 304.02 304.02 27659 repair of leg tendon 400.46 400.46 27664 repair of leg tendon 289.42 289.42 27665 repair of leg tendon 331.99 331.99 27675 repair for dislocating peroneal tendons w/o fibula 408.46 408.46 27676 repair disloc peroneal tendons with fibular osteo 495.35 495.35 27680 release of leg tendon 344.83 344.83 27681 amb surg tenolysis multiple ankle flexor 410.97 410.97 27685 lengthening or shortening of tendon single 380.89 486.87 27686 lengthening or shortening of tendon multiple each 448.78 448.78 27687 gastrocnemius recession 369.34 369.34 27690 revision of leg tendon 509.30 509.30 27691 revision of leg tendon 597.11 597.11 27692 transfer or transplant of single tendon (with muscle redirection or rerouting); 91.78 91.78 27695 repair of ankle ligament 392.87 392.87 27696 repair ofankle ligaments 470.69 470.69 27698 suture secondary repair ligament ankle collateral 528.65 528.65 27700 repair of ankle 501.32 501.32 27702 arthroplasty ankle with implant 798.85 798.85 27703 arthroplasty, ankle; revision, total ankle 925.16 925.16 27704 removal of ankle implant 451.34 451.34 27705 incision of tibia 612.37 612.37 27707 incision of fibula 308.88 308.88 27709 incision of tibia & fibula 897.50 897.50 27712 osteotomy; multiple, with realignment on intramedullary rod (eg, sofield type 873.99 873.99 27715 revision of lower leg 853.65 853.65 27720 repair of lower leg 700.63 700.63 27722 repair/graft of lower leg 699.25 699.25 27724 repair/graft of lower leg 1032.59 1032.59 27725 repair malunion tibia by synostosis with fibula 958.62 958.62 27727 repair congenital pseudarthrosis tibia 780.20 780.20 27730 repair of tibia epiphysis 465.18 465.18 27732 repair of fibula epiphysis 316.25 316.25 27734 repair lower leg epiphyses 476.12 476.12 27740 repair lower leg epiphyses 528.13 528.13 27742 repair of leg epiphyses 557.34 557.34 27745 prophylactic treatment tibia 600.74 600.74 27750 treatment of tibia fracture 232.31 252.30 27752 repair of tibia fracture 383.10 409.15 27756 repair of tibia fracture 445.65 445.65 27758 open rx closed or open tibial shaft fx complicated 706.31 706.31 27759 open tx tibial shaft fx by intermedullary implant 801.24 801.24 27760 treatment of ankle fracture 221.36 242.85 27762 repair of ankle fracture 339.32 365.66 27766 repair of ankle fracture 479.50 479.50 27780 treatment of fibula fracture 197.49 217.17 27781 repair of fibula fracture 295.94 316.24 27784 repair of fibula fracture 545.53 545.53 27786 treatment of ankle fracture 208.08 230.19 27788 repair of ankle fracture 295.38 318.99 27792 repair of ankle fracture 551.43 551.43 27808 treatment of ankle fracture 216.87 240.49 27810 repair of ankle fracture 330.80 357.76 27814 repair of ankle fracture 615.45 615.45 27816 treatment of ankle fracture 206.37 228.18 27818 repair of ankle fracture 338.68 369.26 27822 open rx closed or open trimalleolar ankle fx med a 672.90 672.90 27823 open rx closed or open trimalleolar ankle fx w/int 767.73 767.73 27824 closed treatment of fracture of weight bearing articular portion 221.61 229.79 27825 closed tx fx st bearing portion tibia; with skel trac 389.27 421.37 27826 open tx fx distal tibia w fixation of fibula only 646.03 646.03 27827 open tx fix tibia with fixation fibula or tibia only 861.95 861.95 27828 open tx fx tibia w fix fibula only/tibia & fibula 1032.61 1032.61 27829 open tx tibiofibular jnt 515.77 515.77 27830 repair lower leg dislocation 251.42 267.48 27831 closed treatment of proximal tibiofibular joint dislocation; 293.29 293.29 27832 repair lower leg dislocation 556.84 556.84 27840 repair ankle dislocation 271.10 271.10 27842 repair ankle dislocation 379.43 379.43 27846 repair ankle dislocation 587.67 587.67 27848 repair ankle dislocation 665.44 665.44 27860 manipulation of ankle under general anesthesia (includes application 141.68 141.68 27870 amb surg arthrodesis ankle any method 840.59 840.59 27871 arthrodesis tibiofibular joint proximal or distal 550.65 550.65 27880 amputation of lower leg 746.84 746.84 27881 amputation leg w/immediate fitting technique inc a 717.22 717.22 27882 amputation of lower leg 505.97 505.97 27884 amputation, leg, through tibia and fibula; 469.59 469.59 27886 amputation follow-up surgery 535.73 535.73 27888 amputation, ankle, through malleoli of tibia and fibula (eg, syme, pirogoff 566.13 566.13 27889 ankle disarticulation 554.48 554.48 27892 decompression fasciotomy, leg: ant &/or lat compar 434.20 434.20 27893 decompression fasciotomy, leg; posterior compart. 439.26 439.26 27894 decompression fasciotomy, leg; ant &/or lat & post 675.56 675.56 28001 incision and drainage, bursa, foot 147.76 207.71 28002 deep infec req dissec sing bursal space 311.51 388.73 28003 drainage of foot 460.10 538.23 28005 drainage of foot 500.25 500.25 28008 amb surg fasciotomy plantar and/or toe 249.70 328.43 28010 incision of toe tendon 172.35 183.55 28011 incision of toe tendon 243.30 260.26 28020 exploration of a foot joint 292.65 389.26 28022 exploration of a foot joint 270.96 359.39 28024 exploration of a toe joint 256.70 341.49 28035 tarsal tunnel release 295.46 391.77 28043 excision benign tumor subcutaneous. 211.85 261.51 28045 excision benign tumor deep subfascial intramuscula 269.78 366.08 28046 radical resection soft tissue tumor foot 553.50 671.00 28050 arthrotomy with biopsy; intertarsal or tarsometatarsal joint 254.37 343.72 28052 arthrotomy for synovial biopsy; 231.55 316.94 28054 arthrotomy for synovial biopsy; 210.71 297.02 28055 neurectomy, intrinsic musculature of foot 325.24 325.24 28060 amb surg fasciectomy plantar 297.03 386.68 28062 amb surg fasciectomy plantar 349.24 455.83 28070 amb surg synovectomy intertarsal/tarsometatarsal 290.65 383.31 28072 amb surg synovectomy metatarsophalangeal joint 280.47 376.77 28080 amb surg excision morton neuroma single each 283.12 369.73 28086 synovectomy, tendon sheath, foot; 292.92 404.05 28088 amb surg synovectomy tendon sheath extensor foot 243.60 342.33 28090 amb surg synovectomy foot tendon/fibrous tissue 255.77 346.92 28092 amb surg synovectomy toes 223.95 312.38 28100 removal of heel lesion 332.08 447.46 28102 excision or curettage of bone cyst or benign tumor, talus or calcaneus; 453.16 453.16 28103 removal/graft heel lesion 366.60 366.60 28104 excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, 290.99 384.57 28106 excision or curettage of bone cyst or benign tumor, tarsal 387.96 387.96 28107 removal/graft foot lesion 317.46 426.48 28108 removal of toe lesions 239.99 323.26 28110 ostectomy, partial excision, fifth metatarsal head (bunionette) 239.39 338.72 28111 amb surg ostectomy comp excision 1st metatars head 280.41 386.39 28112 amb surg ostectomy compl excision oth metatar head 261.84 365.10 28113 amb surg ostectomy comp excision 5th metatars head 341.85 437.56 28114 ostectomy, complete excision; all metatarsal heads, with partial proximal 661.83 797.80 28116 revision of foot 471.23 571.77 28118 partial removal of heel 340.20 441.04 28119 amb surg ostectomy for spur w/wo plantar fac relea 301.07 393.13 28120 amb surg partial exc bone-sequestrectomy 323.58 435.33 28122 amb surg partial exc tarsal/metatarsal bone 415.93 508.59 28124 partial excision (craterization, saucerization, sequestrectomy, or 277.31 359.67 28126 resection, partial or complete, phalangeal base, each toe 208.26 289.73 28130 removal of bone of ankle 516.87 516.87 28140 amb surg metatarsectomy 378.86 478.50 28150 amb surg phalangectomy single each 237.99 323.39 28153 resection, condyle(s), distal end of phalanx, each toe 216.31 301.11 28160 hemiphalangectomy or interphalangeal joint excision, toe, proximal end of 225.40 308.98 28171 radical resection for tumor tarsal 508.17 508.17 28173 radical resection for tumor metatarsal 463.68 571.79 28175 radical resection for tumor plhalanx 326.48 418.24 28190 removal of foreign body, foot; 110.58 183.86 28192 amb surg removal foreign body foot deep 264.94 355.48 28193 removal of foreign body, foot; 315.55 408.82 28200 amb surg repair/suture of tendon foot flexor singl 264.22 355.38 28202 repair/graft of foot tendon 370.00 474.48 28208 repair of foot tendon 253.65 342.08 28210 repair/graft of foot tendon 345.38 441.98 28220 amb surg tenolysis flexor single 256.25 338.32 28222 release of foot tendons 305.63 391.94 28225 amb surg tenolysis extensor single 212.14 293.30 28226 release of foot tendons 264.64 352.76 28230 incision of foot tendons 243.60 324.75 28232 tenotomy, open, tendon flexor; toe, single tendon (separate procedure) 206.52 287.08 28234 tenotomy, open, extensor, foot or toe, each tendon 215.91 297.37 28238 reconstruction (advancement), posterior tibial tendon with excision of 415.58 520.97 28240 release of big toe 249.97 334.16 28250 revision of foot fascia 332.08 425.96 28260 release of midfoot joint 429.61 522.59 28261 amb surg capsulotomy with tendon lengthening 655.42 760.50 28262 revision of foot and ankle 916.41 1061.16 28264 amb surg capsulotomy midtarsal reyman type proc 575.66 678.03 28270 amb surg capsulotomy for contracture metatarsophal 276.65 361.45 28272 capsulotomy; interphalangeal joint, each joint (separate procedure) 215.82 295.17 28280 amb surg webbing operation for soft corn 300.87 396.56 28285 correction, hammertoe (eg, interphalangeal fusion, partial ortotal phalangectomy 265.63 350.11 28286 revision of hammer toe 255.42 342.33 28288 ostectomy part exotectomy condylec single 2-5 345.43 438.41 28289 hallux rigidus correction with cheilectomy, debridement and capsular release of 450.52 556.21 28291 corrj halux valgus 430.52 650.77 28292 amb surg keller/mcbride/mayo type bunionectomy 484.86 591.15 28295 correction hallux valgus 479.70 832.10 28296 amb surg bunionectomy with metatarsal osteotomy 445.68 560.46 28297 hallux valgus correction, lapidus type procedure 500.87 633.21 28298 incision of toe 426.67 546.59 28299 correction, hallux valgus (bunion), with or without sesamoidectomy; by double 578.49 704.77 28300 amb surg osteotomy calcaneus dwyer/chambers proc 539.79 539.79 28302 amb surg osteotomy talus 534.90 534.90 28304 incision of midfoot bones 492.52 608.19 28305 incision/graft midfoot bones 566.07 566.07 28306 incision of metatarsals 332.66 453.18 28307 osteotomy, 1st metatarsal, with autograft 374.45 532.83 28308 incision of metatarsals 304.78 410.48 28309 incision of metatarsals 730.64 730.64 28310 amb surg osteotomy phalanges 297.81 404.71 28312 osteotomy for shortening, angular or rotational correction; 264.82 369.60 28313 reconstuction, deformity of toe. soft tissue proc 302.85 388.86 28315 amb surg sesamoidectomy first toe 271.03 357.64 28320 repair of foot bones 510.88 510.88 28322 repair of metatarsals 471.28 589.69 28340 reconstruct toe, macrodactyly; soft tissue resection 368.45 470.49 28341 reconstruct toe, macrodactyly; requiring bone resection 436.67 543.27 28344 reconstruct toe(s); polydactyly 257.08 358.52 28345 reconstruct toe(s); syndactyly, with or without skin graft(s)/web 336.84 434.66 28360 reconstruction cleft foot 787.33 787.33 28400 treatment of heel fracture 168.37 182.61 28405 repair of heel fracture 283.02 300.89 28406 treat closed calcan fixation w/manipulation skelet 413.46 413.46 28415 repair of heel fracture 913.76 913.76 28420 repair/graft heel fracture 963.25 963.25 28430 treatment of ankle fracture 153.11 170.98 28435 repair of ankle fracture 225.81 242.77 28436 treatment of closed talus fx w/manip and pinning 330.47 330.47 28445 repair of ankle fracture 862.90 862.90 28450 treatment midfoot fracture 142.33 158.08 28455 repair midfoot fracture 206.75 220.67 28456 percutaneous skeletal fixation of tarsal bone fx. with manipulati 211.22 211.22 28465 repair midfoot fracture(s) 490.12 490.12 28470 treat metatarsal fractures 143.15 157.98 28475 repair metatarsal fractures 187.23 201.76 28476 treatment of closed metatarsal fx w/manip, pinning 261.66 261.66 28485 repair metatarsal fractures 422.43 422.43 28490 treat big toe fracture 89.23 101.35 28495 closed treatment of fracture great toe, phalanx or phalanges; 114.72 128.66 28496 treatment of closed toe fx w/manip and planning. 175.65 308.60 28505 repair of big toe fracture 389.26 500.70 28510 treatment of toe fracture 86.81 88.33 28515 closed treatment of fracture, phalanx or phalanges, other than great toe; 107.66 116.43 28525 repair of toe fracture 308.85 419.98 28530 treatment of closed sesamoid fracture 79.15 85.20 28531 open tx sesamoid fx 152.83 273.65 28540 repair foot dislocation 142.29 151.67 28545 repair foot dislocation 172.53 186.46 28546 treatment tarsal disloc with percutaneous skeletal 232.65 348.02 28555 repair of foot dislocation 522.75 655.10 28570 repair foot dislocation 118.27 130.68 28575 repair foot dislocation 235.23 250.69 28576 percutaneous skeletal fix talotarsel jnt disloc 277.27 277.27 28585 repair of foot dislocation 588.46 700.82 28600 repair foot dislocation 142.40 157.54 28605 closed treatment of tarsometatarsal joint dislocation; 191.69 204.40 28606 treat clsd tars/metatars disloc w/percut skel fix 306.92 306.92 28615 repair foot dislocation 615.93 615.93 28630 repair of toe dislocation 88.62 113.15 28635 closed treatment of metatarsophalangeal joint dislocation; 110.37 134.90 28636 percutaneous skeletal fixation of metatarsophalangeal joint 163.51 221.35 28645 repair of toe dislocation 380.38 474.87 28660 repair of toe dislocation 67.55 82.38 28665 closed treatment of interphalangeal joint dislocation; 109.80 120.69 28666 percutaneous skeletal fixation of interphalangeal joint dislocation, 156.58 156.58 28675 open treatment of closed or open interphalangeal j 316.20 429.45 28705 amb surg pantalar arthrodesis 1066.25 1066.25 28715 triple arthrodesis 788.12 788.12 28725 amb surg arthrodesis subtalar 649.04 649.04 28730 amb surg arthrodesis midtarsal or tarsometatarsal 678.10 678.10 28735 fusion of foot bones 649.38 649.38 28737 arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal 576.16 576.16 28740 amb surg arthrodesis midtarsal or tarsometatarsal 508.25 648.15 28750 amb surg arthrodesis great toe 483.12 629.99 28755 amb surg arthrodesis great toe 274.79 378.65 28760 amb surg arthrodesis great toe 477.70 598.23 28800 amputation, foot; midtarsal (eg, chopart type procedure) 465.14 465.14 28805 amputation thru metatarsal 614.64 614.64 28810 amputation toe & metatarsal 357.89 357.89 28820 amb surg amputation toe metatarsophalangeal joint 281.78 400.19 28825 amb surg amputation toe interphalangeal joint 321.52 434.78 29000 application of body cast 135.47 202.70 29010 application of body cast 124.93 184.89 29015 application of body cast 128.63 180.41 29035 application of body cast 110.69 179.74 29040 application of body cast 124.37 174.94 29044 application of body cast, shoulder to hips; 129.06 195.38 29046 application of body cast, shoulder to hips; 147.88 213.59 29049 application, cast; figure-of-eight 48.49 65.14 29055 application; 106.60 155.05 29058 application; 66.41 84.57 29065 application; 53.40 70.65 29075 application cast figure 8 elbow to finger 48.20 65.46 29085 application cast: hand and lower forearm 51.98 69.85 29086 application, cast; finger (eg, contracture) 38.10 53.25 29105 application of long arm cast 47.02 64.89 29125 application of short arm splint 33.50 50.15 29126 application of short arm dynamic 41.20 57.86 29130 application of finger splint 23.37 30.94 29131 application of finger splint dynamic 26.20 38.01 29200 strapping; 32.41 40.89 29240 strapping: shoulder 35.99 45.70 29260 strapping: elbow or wrist 29.64 39.33 29280 strapping: hand or finger 27.92 37.92 29305 application of hip cast 124.30 175.17 29325 application of hip spica cast; 1 & 1/2 spica or both legs 140.58 195.09 29345 application of long leg cast (thigh to toes); 80.80 101.99 29355 application of long leg cast (thigh to toes); 86.07 105.76 29358 application long leg clast brace 82.29 114.40 29365 application of cylinder cast (thigh to ankle) 70.04 91.25 29405 application of short leg cast 51.35 67.10 29425 application of short leg cast-walking 56.77 72.82 29435 application patellar tendon bearing cast 68.52 89.12 29440 adding walker to previously applied cast 28.19 40.01 29445 application of rigid total contact leg cast 91.44 112.63 29450 application clubfoot cast, long or short leg 101.87 119.43 29505 application of long leg cast 37.87 56.96 29515 application of short leg cast 39.70 53.63 29520 strapping; 29.51 38.28 29530 strapping of knee 30.30 39.98 29540 strapping of ankle 27.03 33.08 29550 strapping; 25.42 32.08 29580 strapping; 29.76 40.35 29700 removal/revision of cast 28.51 48.48 29705 removal of full arm or leg cast 39.09 51.50 29710 removal or bivalving; 67.10 90.11 29720 repair of cast 35.95 59.88 29730 windowing of cast 37.64 50.05 29740 wedging of cast (except clubfoot casts) 54.95 71.90 29750 revision of cast 62.87 78.61 29800 , tm joint with or w/o synovial biopsy 407.14 407.14 29804 arthroscopy, temporomandibular joint, surgical 506.39 506.39 29805 arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate 368.27 368.27 29806 arthroscopy, shoulder, surgical; capsulorrhaphy 846.89 846.89 29807 arthroscopy, shoulder, surgical; repair of slap lesion 824.69 824.69 29819 arthroscopy shoulder surgical with removal of fb 462.35 462.35 29820 arthroscopy synovectomy partial 426.79 426.79 29821 arthroscopy synovectomy complete 466.13 466.13 29822 arthroscopy debridement limited 452.57 452.57 29823 arthroscopy debridement extensive 495.26 495.26 29824 arthroscopy, shoulder, surgical; distal claviculectomy including distal 527.79 527.79 29825 arthroscopy with lysis of adhesions 461.75 461.75 29826 arthroscopy shoulder w/ decompr subacromial space 530.45 530.45 29827 arthroscopy, shoulder, surgical; with rotator cuff repair 868.58 868.58 29830 arthroscopy elbow diagnostic 355.50 355.50 29834 arthroscopy elbow surgical with removal of fb 387.43 387.43 29835 arthroscopy elbow synovectomy partial 397.74 397.74 29836 arthroscopy elbow synovectomy complete 457.38 457.38 29837 arthroscopy elbow debridement limited 417.20 417.20 29838 arthroscopy elbow debridement extensive 466.39 466.39 29840 arthroscopy, wrist, diagnostic, with or without synovial biopsy 348.22 348.22 29843 surgical arthroscopy for infection 374.36 374.36 29844 surgical arthroscopy for partial synovectomy 389.25 389.25 29845 surgical arthroscopy for complete synovectomy 444.96 444.96 29846 surgical arthroscopy for excision fibrocartilage 409.57 409.57 29847 surgical arthroscopy for fixation of fracture 425.43 425.43 29848 endoscopy, wrist, surgical, with release of transverse carpal ligament 386.88 386.88 29850 arthroscopically aided tx of fx knee 452.43 452.43 29851 arthroscopically aided tx fx of knee 745.01 745.01 29855 arthroscopically aided tx of tibial fx 622.85 622.85 29856 arthroscopically aided tx of tibial fx 798.56 798.56 29860 arthroscopy, hip, diagnostic with or without synovial biopsy (sep 512.99 512.99 29861 arthroscopy, hip, surgical; with removal of loose body or foreign 569.53 569.53 29862 arthroscopy, hip, surgical, with debridement/shaving of articular 635.64 635.64 29863 arthroscopy, hip, surgical; with synovectomy 629.07 629.07 29870 arthroscopy knee diagnostic 319.40 319.40 29871 arthroscopy knee surgical 402.06 402.06 29873 arthroscopy, knee, surgical; with lateral release 400.24 400.24 29874 arthroscopy knee with removal of foreign body 422.05 422.05 29875 arthroscopy knee synovectomy limited 388.92 388.92 29876 arthroscopy knee synovectomy major 511.97 511.97 29877 arthroscopy knee debridement/shaving 484.18 484.18 29879 arthroscopy knee abrasion arthroplasty 518.44 518.44 29880 arthroscopy w/meniscectomy, knee 541.51 541.51 29881 arthroscopy knee with meniscectomy 504.29 504.29 29882 arthroscopy knee with meniscus repair 546.75 546.75 29883 arthroscopy w/meniscus repair, knee 667.87 667.87 29884 arthroscopy knee with lysis of adhesions 482.70 482.70 29885 surgical arthroscopy w/bone grafting, knee 586.17 586.17 29886 arthroscopy knee drilling 493.84 493.84 29887 arthroscopy knee drilling with internal fixation 582.80 582.80 29888 ligament repair by arthroscopy, anterior 792.67 792.67 29889 ligament repair by arthroscopy, posterior 967.94 967.94 29891 arthroscopy, ankle, surgical; excision of osteochondral defect of 549.66 549.66 29892 arthroscopically aided repair of large osteochondritis dissecans 562.75 562.75 29893 endoscopic plantar fasciotomy 345.68 453.79 29894 arthroscopy ankle surgical 412.97 412.97 29895 arthroscopy ankle synovectomy partial 399.48 399.48 29897 arthroscopy ankle debridement limited 418.15 418.15 29898 arthroscopy ankle debridement extensive 468.08 468.08 29899 endoscopic plantar fasciotomy with ankle arthrodesis 842.33 842.33 29900 arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy 357.95 357.95 29901 arthroscopy, metacarpophalangeal joint, surgical; with debridement 392.76 392.76 29902 arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced 420.24 420.24 30000 drainage abscess or hematoma, nasal, internal approach 91.76 172.31 30020 drainage abscess or hematoma, nasal septum 92.36 166.86 30100 biopsy, intranasal 55.85 104.91 30110 amb surg-removal of nasal polyp(s) 102.35 169.28 30115 excision nasal polyps, extensive 331.49 331.49 30117 excision or destruction (eg, laser), intranasal lesion; internal approach 256.43 614.68 30118 removal of nose lesion 603.25 603.25 30120 revision of nose 350.29 398.74 30124 excision dermoid cyst, nose; 210.65 210.65 30125 removal of nose lesion 479.58 479.58 30130 excision inferior turbinate, partial or complete, any method 288.27 288.27 30140 submucous resection inferior turbinate, partial or complete, any method 328.32 328.32 30150 partial removal of nose 616.35 616.35 30160 removal of nose 620.33 620.33 30200 injection into turbinate(s), therapeutic 47.68 84.02 30210 displacement therapy (proetz type) 76.94 110.57 30220 insertion nasal septal prosthesis (button) 98.08 216.18 30300 removal foreign body, intranasal; 92.99 167.49 30310 amb surg remove foreign body anesthesia required 157.48 157.48 30320 remove foreign body,nose 347.87 347.87 30400 amb surg rhinoplasty primary 801.61 801.61 30410 rhinoplasty, complete 953.19 953.19 30420 rhinoplasty, including major septal repair 1074.10 1074.10 30430 amb surg rhinoplasty secondary minor revision 697.82 697.82 30435 rhinoplasty, intermediate revision 925.93 925.93 30450 amb surg rhinoplasty secondary major revision 1236.82 1236.82 30460 rhinoplasty for nasal deformity, tip only 600.71 600.71 30462 rhinoplasty for nasal deformity; tip, septum, osteotomies 1207.47 1207.47 30520 repair of nasal septum 467.60 467.60 30540 repair nasal lesion 522.46 522.46 30545 repair nasal lesion 756.61 756.61 30560 lysis intranasal synechia 106.06 198.43 30580 amb surg repair fistula oromaxillary 394.23 486.30 30600 repair mouth/nose fistula 349.83 447.04 30620 reconstruction inner nose 474.85 474.85 30630 amb surg repair septal perforation 484.84 484.84 30801 cautery and/or ablation, mucosa of inferior turbinates, unilateral or 101.20 166.92 30802 cautery/ablation mucosa of turbinates; intramural 145.54 217.31 30901 control nasal hemorrhage, anterior, simple 51.59 80.96 30903 control nasal hemorrhage, anterior, complex any method 67.04 146.69 30905 control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, 86.19 182.79 30906 control nasal hemorrhage, posterior, with posterior nasal 112.22 210.64 30915 ligation nasal sinus artery 451.95 451.95 30920 ligation upper jaw artery 651.78 651.78 30930 fracture nasal inferior turbinate(s), therapeutic 94.06 94.06 31000 lavage by cannulation; maxillary sinus 81.36 133.75 31002 lavage by cannulation; 154.73 154.73 31020 sinusotomy, maxillary (antrotomy); intranasal 268.65 361.92 31030 sinusotomy, maxillary; radical w/o removal polyps 406.21 531.28 31032 sinusotomy, maxillary; radical with removal of polyps 443.96 443.96 31040 exploration behind upper jaw 587.17 587.17 31050 amb surg sinusotomy sphenoid 382.37 382.37 31051 sinusotomy w/ mucosal stripping or polyp removal 500.15 500.15 31070 amb surg sinusotomy frontal trephine 334.95 334.95 31075 amb surg sinusotomy frontal 612.21 612.21 31080 amb surg sinusotomy frontal 791.90 791.90 31081 amb surg sinusotomy frontal 965.04 965.04 31084 amb surg sinusotomy frontal 924.89 924.89 31085 amb surg sinusotomy frontal 978.08 978.08 31086 nonobliterative w osteoplastic flap brow incision 875.84 875.84 31087 nonobliterative w osteoplastic flap coronal incis 868.94 868.94 31090 amb surg sinusotomy combined three or more sinuses 775.75 775.75 31200 amb surg ethmoidectomy 411.14 411.14 31201 amb surg ethmoidectomy 569.95 569.95 31205 amb surg ethmoidectomy 669.51 669.51 31225 removal of upper jaw 1451.89 1451.89 31230 removal of upper jaw 1629.78 1629.78 31231 nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) 62.41 143.87 31233 nasal/sinus endoscopy, diagnostic with maxillary sinusoscopy 113.07 204.23 31235 nasal/sinus endoscopy, diagnostic with sphenoid sinusoscopy 135.12 235.06 31237 nasal/sinus endoscopy, surgical; 150.61 253.58 31238 nasal/sinus endoscopy, surgical; with control of nasal hemorrhage 163.52 261.63 31239 nasal/sinus endoscopy, surgical; 527.03 527.03 31240 nasal/sinus endoscopy, surgical; 133.73 133.73 31254 nasal/sinus endoscopy, surgical, with ethmoidectomy,partial 229.38 229.38 31255 nasal/sinus endoscopy, surgical, w/ethmoidectomy,anterior & posterior(total) 338.98 338.98 31256 nasal/sinus endoscopy, surgical, with maxillary antrostomy 166.04 166.04 31267 maxillary sinus endoscopy, surgical; w/ removal mucous membrane/or polyps 267.68 267.68 31276 nasal/sinus endoscopy w/frontal sinus exploration w/wo tissue re 427.52 427.52 31287 nasal/sinus endoscopy, surgical, with sphenoidotomy; 195.15 195.15 31288 nasal/sinus endoscopy, surgical, with sphenoidotomy; 226.40 226.40 31290 nasal/sinus endoscopy, surgical, with repair of leak; 941.19 941.19 31291 nasal/sinus endoscopy, surgical, with repair of ; 991.94 991.94 31292 nasal/sinus endoscopy, surgical; 814.00 814.00 31293 nasal/sinus endoscopy, surgical; 887.15 887.15 31294 nasal/sinus endoscopy, surgical; 1019.24 1019.24 31300 removal of larynx lesion 989.53 989.53 31360 removal of larynx 1590.28 1590.28 31365 removal of larynx 1994.03 1994.03 31367 partial removal of larynx 1714.87 1714.87 31368 partial removal of larynx 1916.30 1916.30 31370 partial removal of larynx 1610.39 1610.39 31375 partial removal of larynx 1523.05 1523.05 31380 partial removal of larynx 1500.77 1500.77 31382 partial laryngectomy antero-latero-vertical 1645.00 1645.00 31390 removal of larynx & pharynx 2220.20 2220.20 31395 reconstruct larynx & pharynx 2352.71 2352.71 31400 revision of larynx 784.32 784.32 31420 removal of epiglottis 661.90 661.90 31500 insertion of windpipe airway 93.74 93.74 31502 tracheostomy change 29.58 29.58 31505 laryngoscopy, indirect (separate procedure); 39.18 64.01 31510 laryngoscopy, indirect (separate procedure); 99.49 164.29 31511 laryngoscopy indirect with removal foreign body 107.07 165.21 31512 larygoscopy indirect with removal lesion 107.24 162.96 31513 laryngoscopy indirect with voca cord injection 109.22 109.22 31515 amb surg laryngoscopy 90.91 162.07 31520 amb surg laryngoscopy 127.33 127.33 31525 amb surg laryngoscopy 132.25 196.14 31526 laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating 131.20 131.20 31527 amb surg laryngoscopy 160.60 160.60 31528 laryngoscopy direct, with or without tracheoscopy; with dilation, initial 119.70 119.70 31529 laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent 135.00 135.00 31530 amb surg laryngoscopy 165.44 165.44 31531 laryngoscopy, direct, operative, with foreign body removal; with operating 178.04 178.04 31535 amb surg laryngoscopy 158.21 158.21 31536 laryngoscopy, direct, operative, with biopsy; with operating microscope or 176.75 176.75 31540 amb surg laryngoscopy 203.21 203.21 31541 laryngoscopy, direct, operative, with excision of tumor and/ or stripping of 222.27 222.27 31545 laryngoscopy, direct, operative, with operating microscope or telescope, with 301.14 301.14 31546 laryngoscopy, direct, operative, with operating microscope or telescope, with 459.21 459.21 31551 laryngoplasty laryngeal sten 1258.62 1258.62 31552 laryngoplasty laryngeal sten 1270.87 1270.87 31553 laryngoplasty laryngeal sten 1385.10 1385.10 31554 laryngoplasty laryngeal sten 1456.91 1456.91 31560 amb surg laryngoscopy 263.36 263.36 31561 laryngoscopy, direct, operative, with arytenoidectomy; with operating 288.65 288.65 31570 amb surg laryngoscopy 190.34 273.63 31571 laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with 209.73 209.73 31572 largsc w/laser dstrj les 161.15 430.88 31573 largsc w/ther injection 132.91 230.37 31574 largsc w/njx augmentation 132.91 882.98 31575 laryngoscopy flexible fiberscopic diagnostic 62.41 90.57 31576 laryngoscopy flexible fiberscopic with biopsy 101.92 175.52 31577 laryngoscopy flex fiberscopic w/removal foreign bo 123.98 190.30 31578 laryngoscopy flex fiberscopic w/removal of lesion 141.06 221.00 31579 laryngoscopy, flexible or rigid fiberoptic, with stroboscopy 116.19 171.61 31580 revision of larynx 943.26 943.26 31584 repair of larynx 1204.94 1204.94 31587 laryngoplasty, cricoid split 791.32 791.32 31590 laryngeal reinnervation by neuromuscular pedicle 689.07 689.07 31591 laryngoplasty medialization 919.00 919.00 31592 cricotracheal resection 1491.51 1491.51 31600 incision of windpipe 330.68 330.68 31601 tracheostomy under two years 217.86 217.86 31603 tracheostomy emergency procedure transtrachael 186.76 186.76 31605 cricothyroidostomy 154.26 154.26 31610 incision of windpipe 560.98 560.98 31611 const trach fistula w/ insert speech prosthesis 418.07 418.07 31612 tracheal puncture percutan for aspiration of mucou 40.24 63.86 31613 tracheostoma revision; 345.32 345.32 31614 tracheostomy revision complex with flap rotation 574.60 574.60 31615 visualization of windpipe 105.37 145.33 31622 bronchoscopy, (rigid or flexible); diagnostic, with or without cell washing 123.83 253.73 31623 bronchoscopy; with brushing or protected brushings 125.45 277.47 31624 bronchoscopy; with bronchial alveolar lavage 125.76 258.39 31625 amb surg bronchoscopy 146.44 279.08 31628 bronchoscopy; 163.57 334.68 31629 bronchoscopy; 175.08 508.49 31630 amb surg bronchoscopy 174.38 174.38 31631 bronchoscopy diag w/ tracheal dilation and stent 196.74 196.74 31632 bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with 45.33 62.59 31633 bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with 56.84 75.61 31635 amb surg bronchoscopy 162.38 287.14 31636 bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with 192.33 192.33 31637 bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; each 68.36 68.36 31638 bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with 215.81 215.81 31640 amb surg bronchoscopy 223.34 223.34 31641 bronchoscopy, (rigid or flexible); with destruction of tumor or relief of 220.98 220.98 31643 bronchoscopy; with placement of catheter(s) for intracavitary radioelement 151.73 151.73 31645 amb surg bronchoscopy 137.67 250.32 31646 amb surg bronchoscopy 119.21 227.02 31717 cath with bronchial brush biopsy 94.72 241.90 31720 suction 44.94 44.94 31725 catheter aspiration (separate procedure); 81.01 81.01 31730 transtracheal intro dilat or /stent / tube for oxygen 123.71 680.91 31750 repair of windpipe 1050.87 1050.87 31755 repair of windpipe 1327.24 1327.24 31760 repair of windpipe 1151.86 1151.86 31766 carinal reconstruction 1506.46 1506.46 31770 repair/graft of bronchus 1115.95 1115.95 31775 repair of bronchus 1154.31 1154.31 31780 excision tracheal stenosis and anastomosis cervica 973.26 973.26 31781 excision tracheal stenosis and anastamosis cervico 1181.97 1181.97 31785 excis tracheal tumor or carcinoma cervical 891.63 891.63 31786 excis tracheal tumor or carcinoma thoracic 1240.90 1240.90 31800 repair of windpipe injury 550.80 550.80 31805 repair of windpipe injury 682.46 682.46 31820 closure of windpipe lesion 261.10 334.08 31825 surgical closure tracheostomy or fistula; 385.48 468.76 31830 revision trach scar 270.12 336.44 32035 thoracostomy w/rib resection 580.58 580.58 32036 thoracostomy w/open flap draining for empyema 629.90 629.90 32100 exploration/biopsy of chest 800.35 800.35 32110 thoracotomy major w cont of tram hem and or repair 1207.89 1207.89 32120 exploration of chest 716.93 716.93 32124 explore chest,free adhesions 762.69 762.69 32140 thoracotomy major w cyst removal w or wo pleural p 816.17 816.17 32141 thoracot major w/exc-plica bullae w/wo pleur proce 1236.62 1236.62 32150 removal of lung lesion(s) 822.54 822.54 32151 thoracot major w/removal intrapulmonary for body 840.72 840.72 32160 open chest heart massage 631.82 631.82 32200 drainage of lung lesion 922.58 922.58 32215 pleural scarification for repeat pneumothorax 661.28 661.28 32220 release of lung 1323.02 1323.02 32225 partial release of lung 823.32 823.32 32310 pleurectomy, parietal (separate procedure) 759.20 759.20 32320 decortication/parietal pleurectomy 1326.86 1326.86 32400 biopsy, pleura; 77.87 125.41 32420 pneumocentesis, puncture of lung for aspiration 96.87 96.87 32440 removal of lung, total pneumonectomy; 1327.07 1327.07 32442 removal of lung, total pneumonectomy; 2476.24 2476.24 32445 removal of lung, total pneumonectomy; extrapleural 2812.60 2812.60 32480 removal of lung, other than total pneumonectomy; single lobe (lobectomy) 1252.62 1252.62 32482 removal of lung, other than total pneumonectomy; 1335.72 1335.72 32484 removal of lung, other than total pneumonectomy; 1209.06 1209.06 32486 removal of lung, other than total pneumonectomy; 1933.06 1933.06 32488 removal of lung, other than total pneumonectomy; 1957.63 1957.63 32540 removal of lung lesion 1392.00 1392.00 32601 thoracoscopy, diagnostic (separate procedure); 263.16 263.16 32604 thoracoscopy, diagnostic (separate procedure); 415.72 415.72 32606 thoracoscopy, diagnostic (separate procedure); 397.22 397.22 32650 thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical) 561.34 561.34 32651 thoracoscopy, surgical; 889.35 889.35 32652 thoracoscopy, surgical; 1351.61 1351.61 32653 thoracoscopy, surgical; 861.92 861.92 32654 thoracoscopy, surgical; 953.15 953.15 32655 thoracoscopy, surgical; 786.06 786.06 32656 thoracoscopy, surgical; 672.62 672.62 32658 thoracoscopy, surgical; 605.96 605.96 32659 thoracoscopy, surgical; 615.71 615.71 32661 thoracoscopy, surgical; 677.40 677.40 32662 thoracoscopy, surgical; 758.39 758.39 32663 thoracoscopy, surgical; 1170.53 1170.53 32664 thoracoscopy, surgical; 720.74 720.74 32665 thoracoscopy, surgical; 1013.57 1013.57 32800 repair lung thru chest wall 775.18 775.18 32810 close chest wall foll open flap drain for empyema 749.57 749.57 32815 open closure of major bronchial fistula 2228.70 2228.70 32820 major reconstruct chest wall post trauma 1116.99 1116.99 32900 resection ribs extrapleural all stages 1141.56 1141.56 32905 thoracoplasty schede type or extrapleural 1125.76 1125.76 32906 thoracoplasty with closure bronchopleural fistula 1398.90 1398.90 32940 revision of lung 1031.49 1031.49 32960 pneumothorax, therapeutic, intrapleural injection of air 85.37 115.04 32997 total lung lavage (unilateral) 307.06 307.06 33016 PERICARDIOCENTESIS W/IMAGING 210.88 210.88 33017 PRCRD DRG 6YR+ W/O CGEN CAR 219.00 219.00 33018 PRCRD DRG 0-5YR OR W/ANOMLY 250.38 250.38 33019 PERQ PRCRD DRG INSJ CATH CT 202.81 202.81 33020 incision of heart sac 729.81 729.81 33025 incision of heart sac 673.72 673.72 33030 partial removal of heart sac 1079.05 1079.05 33031 pericardiectomy w/o cardiopulmonary bypass 1205.68 1205.68 33050 removal of heart sac lesion 833.39 833.39 33120 removal of heart lesion 1317.99 1317.99 33130 removal of heart lesion 1160.55 1160.55 33140 transmyocardial laser revascularization, by thoracotomy (separate procedure) 1325.54 1325.54 33141 transmyocardial laser revascularization, by thoracotomy; performed at the time 128.67 128.67 33202 insertion of epicardial electrode(s); open incision (eg, thoracotomy, median 657.10 657.10 33203 insertion of epicardial electrode(s); endoscopic approach (eg, thoracoscopy, 692.62 692.62 33206 insertion or replacement of permanent pacemaker with transvenous electrode(s); 400.62 400.62 33207 insertion permanent pacemaker ventricular 429.20 429.20 33208 insertion or replacement of permanent pacemaker with transvenous electrode(s); 462.75 462.75 33210 insertion or replacement of temporary transvenous single chamber cardiac 159.62 159.62 33211 insertion or replacement of temporary transvenous dual chamber 160.47 160.47 33212 insertion or replacement of pacemaker pulse generator only; single chamber, 299.55 299.55 33213 insertion or replacement of pacemaker pulse generator only; 342.02 342.02 33214 upgrade of implanted pacemaker system, conversion of single 423.92 423.92 33215 insert transvenous electrode; single chamber (1 electrode) permanent pacemaker/ 270.73 270.73 33216 insertion of a transvenous electrode; single chamber (one electrode) permanent 333.05 333.05 33217 insertion or repositioning of a transvenous electrode (15 days or more after 330.27 330.27 33218 repair of pacemaker electrode(s) only; single chamber, atrial or ventricular 344.24 344.24 33220 repair of pacemaker electrode(s) only; 347.48 347.48 33222 revision or relocation of skin pocket for pacemaker 302.65 302.65 33223 revision of skin pocket for single or dual chamber pacing 367.17 367.17 33224 insertion of pacing electrode, cardiac venous system, for left ventricular 450.41 450.41 33225 insertion of pacing electrode, cardiac venous system, for left ventricular 406.52 406.52 33226 repositioning of previously implanted cardiac venous system (left ventricular) 435.12 435.12 33233 removal of permanent pacemaker pulse generator 211.41 211.41 33234 removal of transvenous pacemaker electrode(s); single lead system, atrial or 430.34 430.34 33235 removal of transvenous pacemaker electrode(s); dual lead system 555.86 555.86 33236 removal of permanent epicardial pacemaker and electrodes by thoracotomy; 658.15 658.15 33237 removal of permanent epicardial pacemaker and electrodes by thoracotomy; 726.64 726.64 33238 removal of permanent transvenous electrode(s) by thoracotomy 784.95 784.95 33240 insertion or replacement of implantable cardioverter-defibrillator 411.48 411.48 33241 removal of implantable cardioverter-defibrillator pulse generator only 200.10 200.10 33243 removal of implantable cardioverter-defibrillator pulse generator 1156.17 1156.17 33244 removal of single or dual chamber pacing cardioverter-defibrillator 756.19 756.19 33249 insertion or replacement of implantable cardioverter-defibrillator 800.87 800.87 33250 operative ablation of supraventricular arrhythmogenic focus or pathway (eg, 1240.00 1240.00 33251 ablat supravent arrhyth focus with card-pul bypass 1374.63 1374.63 33254 operative tissue ablation and reconstruction of atria, limited (eg, modified 1155.85 1155.85 33255 operative tissue ablation and reconstruction of atria, extensive (eg, maze 1414.07 1414.07 33256 operative tissue ablation and reconstruction of atria, extensive (eg, maze 1687.14 1687.14 33261 operative ablation of ventricular arrhythmogenic focus with cardiopulmonary 1368.10 1368.10 33265 endoscopy, surgical; operative tissue ablation and reconstruction of atria, 1153.43 1153.43 33266 endoscopy, surgical; operative tissue ablation and reconstruction of atria, 1584.06 1584.06 33300 repair of heart wound 1966.68 1966.68 33305 repair of heart wound 3285.02 3285.02 33310 cardiotomy, exploratory (includes removal of foreign body, atrial or 988.28 988.28 33315 cardiotomy explor with bypass 1257.38 1257.38 33320 suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass 896.15 896.15 33321 suture repair of aorta or great vessels; 1010.66 1010.66 33322 repair major blood vessels 1173.80 1173.80 33330 insertion of graft, aorta or great vessels; without shunt, or cardiopulmonary 1186.01 1186.01 33335 insertion of heart graft 1599.97 1599.97 33390 valvuloplasty aortic valve 1701.71 1701.71 33391 valvuloplasty aortic valve 2016.49 2016.49 33404 construction of apical-aortic conduit 1516.02 1516.02 33405 replacement, aortic valve, with cardiopulmonary bypass; with prosthetic valve 1966.38 1966.38 33406 replacement, aortic valve, with cardiopulmonary bypass; with allograft valve 2429.51 2429.51 33410 replacement aortic valve, with cardiopulmonary bypass;with stentless tissue 2143.66 2143.66 33411 replacement aortic valve w/ annulus enlargement 2802.05 2802.05 33412 replacement aortic valve, konno procedure 2121.29 2121.29 33413 replacement, aortic valve; by translocation of autologous pulmonary valve with 2760.00 2760.00 33414 repair of left ventricular outflow tract obstruction by patch 1843.58 1843.58 33415 revision of aortic valve 1710.19 1710.19 33416 ventriculomyotomy/myectomy for subaortic stenosis 1716.34 1716.34 33417 revision of aortic valve 1428.92 1428.92 33420 valvotomy, mitral valve; closed heart 1162.84 1162.84 33422 valvotomy, mitral valve; open heart, with cardiopulmonary bypass 1435.16 1435.16 33425 revision of mitral valve 2243.38 2243.38 33426 valvuloplasty mv w/ card-pul bypass w/ prosth ring 2032.19 2032.19 33427 valvuloplasty mv w/ cpb radical reconstr w/wo ring 2120.38 2120.38 33430 replacement of mitral valve 2352.11 2352.11 33460 valvectomy, tricuspid valve, with cardiopulmonary bypass 1996.65 1996.65 33463 valvuloplasty, tricuspid valve; 2523.81 2523.81 33464 valvuloplasty, tricuspid valve; 2030.85 2030.85 33465 replacement, tricuspid valve, with cardiopulmonary bypass 2274.59 2274.59 33468 revision of tricuspid valve 1598.68 1598.68 33470 valvotomy, pulmonary valve, closed heart; transventricular 1010.09 1010.09 33471 valvotomy pulmonary valve, closed heart via pulmonary artery 1125.77 1125.77 33474 revision of tricuspid valve 1751.61 1751.61 33475 replacement, pulmonary valve 1969.51 1969.51 33476 revision of heart chamber 1245.55 1245.55 33478 revision of heart chamber 1338.10 1338.10 33496 repair of non-structural prosthetic valve dysfunction with cardiopulmonary 1432.08 1432.08 33500 repair coronary fistula w/cardio-pulmonary bypass 1343.61 1343.61 33501 repair of coronary fistula; wo cp bypass 932.25 932.25 33502 repair of anomalous coronary artery from pulmonary artery origin; by ligation 1076.11 1076.11 33503 anomalous coronary artery graft without bypass 1150.68 1150.68 33504 anomalous coronary artery graft with bypass 1229.63 1229.63 33505 repair of anomalous coronary artery; 1696.79 1696.79 33506 repair of anomalous coronary artery; 1756.39 1756.39 33508 endoscopy, surgical, including video-assisted harvest of vein(s) for coronary 14.01 14.01 33510 coronary artery bypass single venous graft 1671.94 1671.94 33511 coronary artery bypass 2 coronary venous grafts 1825.29 1825.29 33512 coronary artery bypass 3 coronary venous grafts 2056.77 2056.77 33513 coronary artery bypass 4 coronary venous grafts 2101.80 2101.80 33514 coronary artery bypass 5 coronary venous grafts 2227.30 2227.30 33516 coronary artery bypass 6 or more venous grafts 2315.51 2315.51 33517 coronary artery bypass; single vein graft 159.60 159.60 33518 coronary artery by pass; 2 venous grafts 345.63 345.63 33519 coronary artery bypass; 3 venous grafts 461.01 461.01 33521 coronary artery bypass; 4 venous grafts 557.81 557.81 33522 coronary artery bypass; 5 venous grafts 634.33 634.33 33523 coronary artery bypass; 6 or more venous grafts 723.88 723.88 33533 coronary artery bypass; single arterial graft 1627.82 1627.82 33534 coronary artery bypass; 2 arterial grafts 1893.49 1893.49 33535 coronary artery bypass; 3 arterial grafts 2103.09 2103.09 33536 coronary artery bypass; 4 or more arterial grafts 2254.18 2254.18 33542 removal of heart lesion 2174.35 2174.35 33545 repair of heart defect 2565.80 2565.80 33572 coronary endarterectomy, open, any method, of left anterior 202.46 202.46 33600 closure of atrioventricular valve (mitral or tricuspid) by suture or 1457.35 1457.35 33602 closure of semilunar valve (aortic or pulmonary) by suture or patch 1388.92 1388.92 33606 anastomosis of pulmonary artery to aorta (damus-kaye-stansel procedure) 1512.53 1512.53 33608 repair of complex cardiac anomaly other than pulmonary atresia 1552.34 1552.34 33610 repair of complex cardiac anomalies (eg, single ventricle with subaortic 1515.02 1515.02 33611 repair of double outlet right ventricle with intraventricular tunnel 1666.88 1666.88 33612 repair of double outlet right ventricle with intraventricular tunnel 1721.34 1721.34 33615 repair of complex cardiac anomalies (eg, tricuspid atresia) 1714.35 1714.35 33617 repair of complex cardiac anomalies (eg, single ventricle) 1840.56 1840.56 33619 repair of single ventricle with aortic outflow obstruction 2256.35 2256.35 33641 repair of heart defect 1370.49 1370.49 33645 revision of heart veins 1348.40 1348.40 33647 repair of asd and vsd, direct of patch closure 1433.51 1433.51 33660 repair of incomplete or partial atrioventricular canal (ostium primum atrial 1503.61 1503.61 33665 repair of intermediate or transitional atrioventricular canal, with or without 1627.45 1627.45 33670 repair of heart chambers 1693.23 1693.23 33675 closure of multiple ventricular septal defects; 1688.94 1688.94 33676 closure of multiple ventricular septal defects; with pulmonary valvotomy or 1757.28 1757.28 33677 closure of multiple ventricular septal defects; with removal of pulmonary 1826.51 1826.51 33681 repair of heart defect 1560.42 1560.42 33684 repair of heart defect 1594.53 1594.53 33688 repair of heart defect 1602.08 1602.08 33690 banding of pulmonary artery 982.63 982.63 33692 complete repair tetralogy of fallot without pulmonary atresia; 1506.39 1506.39 33694 repair of heart defects 1696.97 1696.97 33697 complete repair tetralogy of fallot with pulmonary atresia 1826.17 1826.17 33702 repair of heart defects 1306.43 1306.43 33710 repair of heart defects 1577.79 1577.79 33720 repair of heart defect 1323.42 1323.42 33722 closure of aortico-left ventricular tunnel 1319.34 1319.34 33724 repair of isolated partial anomalous pulmonary venous return (eg, scimitar 1343.22 1343.22 33726 repair of pulmonary venous stenosis 1756.16 1756.16 33730 complete repair anomalous venous return 1674.58 1674.58 33732 repair of cor triatriatum or supravalvular mitral ring by resection 1395.98 1395.98 33735 atrial septectomy or septostomy; closed heart (blalock-hanlon type operation) 1063.03 1063.03 33736 atrial septectomy or septostomy; 1185.19 1185.19 33737 atrial septectomy or septostomy; open heart, with inflow occlusion 1105.30 1105.30 33750 shunt subclavian to pulmonary artery 1111.81 1111.81 33755 shunt ascending aorta to pulmonary artery 1099.09 1099.09 33762 shunt descending aorta to pulmonary artery 1097.21 1097.21 33764 shunt, central w/ prosthetic graft 1081.49 1081.49 33766 shunt; superior vena cava to pulmonary artery for flow to one lung (classical 1189.35 1189.35 33767 shunt; 1204.86 1204.86 33770 repair of transposition of the great arteries with ventricular 1832.99 1832.99 33771 repair of transposition of the great arteries with ventricular 1879.48 1879.48 33774 rep transposition grt arteries w cardiopulm bypass 1543.66 1543.66 33775 rep transposition grt art w cpb w rem pulm band 1605.99 1605.99 33776 rep transpo grt art w cpb w cl vent septal defect 1689.75 1689.75 33777 rep transpo grt art w cpb w rep subpulm obstruct 1655.45 1655.45 33778 repair transpo grt arteries w cardiopulm bypass 2034.89 2034.89 33779 rep transpo grt arteries w cpb w removal pulm band 1954.18 1954.18 33780 repair aortic artery w/ closure septal defect 2030.42 2030.42 33781 repair aortic artery w/ repair of obstruction 1996.92 1996.92 33786 total repair truncus arteriosus 1962.60 1962.60 33788 revision of pulmonary artery 1323.75 1323.75 33800 aortic suspension for tracheal decompression 830.47 830.47 33802 division aberrant vessel 892.59 892.59 33803 division of aberrant vessel w/ reanastomosis 971.78 971.78 33813 obliteration septal defect w/o bypass 1099.79 1099.79 33814 obliteration septal defect with bypass 1297.94 1297.94 33820 repair of patent ductus arteriosus; by ligation 830.59 830.59 33822 patent ductus arteriosus division under 18 yrs 882.04 882.04 33824 patene ductus arteriosus division 18 yrs older 997.54 997.54 33840 exc of coarctation of aorta w/wo assoc pat duc w/d 1009.34 1009.34 33845 exc coarctation of aorta w/wo assoc pat duc art wi 1162.68 1162.68 33851 excision coarctation of aorta waldhusen procedure 1070.24 1070.24 33852 repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic 1162.85 1162.85 33853 repair of hypoplastic or interrupted aortic arch using autogenous 1602.99 1602.99 33858 AS-AORT GRF F/AORTIC DSJ 3026.78 3026.78 33859 AS-AORT GRF F/DS OTH/THN DSJ 2172.89 2172.89 33863 ascending aorta graft, with cardiopulmonary bypass, with or 2681.19 2681.19 33871 TRANSVRS A-ARCH GRF HYPTHRM 2909.19 2909.19 33875 descend thoracic aorta graft w/o bypass 1691.46 1691.46 33877 repair thoracoaaa w/ grft, w/wo cp bypass 3015.72 3015.72 33910 pulmonary artery embolectomy with bypass 1414.99 1414.99 33915 pulmonary artery embolectomy without bypass 1132.60 1132.60 33916 pulmonary endarterectomy w/ bypass 1414.83 1414.83 33917 repair of pulmonary artery stenosis by reconstruction with patch or graft 1279.90 1279.90 33920 repair of pulmonary atresia with ventricular septal defect, 1549.10 1549.10 33922 transection of pulmonary artery with cardiopulmonary bypass 1170.69 1170.69 33967 insertion of intra-aortic balloon assist device, percutaneous 235.67 235.67 33968 removal of intra-aortic balloon assist device, percutaneous 30.28 30.28 33970 insertion of intra-aortic balloon assist device through the femoral artery, 317.02 317.02 33971 removal of intra-aortic balloon assist device including repair of femoral 606.95 606.95 33973 insertion of intra-aortic balloon assist device through the ascending 461.95 461.95 33974 removal of intra-aortic balloon assist device from the ascending 772.93 772.93 33975 insertion of ventricular assist device; extracorporeal, single ventricle 957.39 957.39 33976 insertion of ventricular assist device; extracorporeal, biventricular 1063.15 1063.15 33977 removal of ventricular assist device; extracorporeal, single ventricle 1024.58 1024.58 33978 removal of ventricular assist device; extracorporeal, biventricular 1129.08 1129.08 33979 insertion of ventricular assist device, implantable intracorporeal, single 2099.58 2099.58 33980 removal of ventricular assist device, implantable intracorporeal, single 3080.00 3080.00 34001 removal blood clot artery 827.62 827.62 34051 removal of blood clot,artery 828.42 828.42 34101 amb surg-removal of blood clot, artery 526.21 526.21 34111 embolectomy/thrombectomy, radial or ulnar artery 526.01 526.01 34151 removal of blood clot,artery 1220.76 1220.76 34201 removal blood clot artery 861.11 861.11 34203 embolectomy/thrombectomy,popliteal-tibio-peroneal 842.33 842.33 34401 removal of blood clot, vein 1256.94 1256.94 34421 removal of blood clot, vein 637.77 637.77 34451 removal of blood clot, vein 1318.10 1318.10 34471 removal of blood clot, vein 924.28 924.28 34490 removal of blood clot, vein 528.87 528.87 34501 valvuloplasty femoral vein 820.01 820.01 34502 reconstruction of vena cava, any method 1328.73 1328.73 34510 venous valve transposition any vein donor 932.49 932.49 34520 cross-over vein graft to venous system 895.60 895.60 34530 saphenopopliteal vein anastomosis 841.38 841.38 34717 EVASC RPR A-ILIAC NDGFT 397.76 397.76 34718 EVASC RPR N/A A-ILIAC NDGFT 1108.24 1108.24 34808 endovascular placement of iliac artery occlusion device (list separately in 183.17 183.17 34812 open femoral artery exposure for delivery of aortic endovascular prosthesis, by 302.99 302.99 34813 placement of femoral-femoral prosthetic graft during endovascular aortic 210.69 210.69 34820 open iliac artery exposure for delivery of endovascular prosthesis or iliac 435.11 435.11 34830 open repair of infrarenal aortic aneurysm or dissection, plus repair of 1603.02 1603.02 34831 open repair of infrarenal aortic aneurysm or dissection, plus repair of 1699.81 1699.81 34832 open repair of infrarenal aortic aneurysm or dissection, plus repair of 1722.61 1722.61 34833 open iliac artery exposure with creation of conduit for delivery of aortic or 541.05 541.05 34834 open brachial artery exposure to assist in the deployment of aortic or iliac 245.10 245.10 35001 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and 991.61 991.61 35002 repair rupture aneurysm artery neck incision 1047.49 1047.49 35005 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and 910.86 910.86 35011 direct repair of aneurysm, false aneurysm, or excision (partial or total) and 870.88 870.88 35013 repair ruptured aneurysm artery arm incision 1080.73 1080.73 35021 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and 1058.96 1058.96 35022 ruptured aneurysm innominate artery thoracic 1198.31 1198.31 35045 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and 846.84 846.84 35081 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and 1519.74 1519.74 35082 repair ruptured aneurysm abdominal aorta 1909.01 1909.01 35091 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and 1608.32 1608.32 35092 repair rupt aneurysm abd aorta visceral vessels 2281.43 2281.43 35102 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and 1649.21 1649.21 35103 repair rupt aneurysm abd aorta iliac vessels 1973.08 1973.08 35111 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and 1214.37 1214.37 35112 repair rupt aneurysm splenic artery 1488.62 1488.62 35121 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and 1442.51 1442.51 35122 repair rupt aneurysm hepatic celiac renal mesenter 1726.97 1726.97 35131 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and 1229.38 1229.38 35132 rupture aneurysm iliac artery 1486.83 1486.83 35141 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and 975.02 975.02 35142 repair defect of artery 1166.58 1166.58 35151 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and 1099.73 1099.73 35152 rupture aneurysm popliteal artery 1277.24 1277.24 35180 repair congenital a-v fistula, head and neck 729.30 729.30 35182 repair congential a-v fistula, thorax and abdomen 1500.20 1500.20 35184 repair congential a-v fistula, extremities 884.03 884.03 35188 repair acq or traumatic a-v fistula, head and neck 740.15 740.15 35189 repair acq or traumatic a-v fistula, thorax/abd 1385.42 1385.42 35190 repair acq or traumatic a-v fistula, extremities 646.68 646.68 35201 repair blood vessel lesion 811.57 811.57 35206 repair blood vessel lesion 663.13 663.13 35207 repair blood vessels hand, finger 596.70 596.70 35211 repair blood vessel lesion 1178.31 1178.31 35216 repair blood vessel lesion 1643.58 1643.58 35221 repair blood vessel lesion 1215.92 1215.92 35226 repair blood vessel lesion 732.21 732.21 35231 repair blood vessel lesion 1017.51 1017.51 35236 repair blood vessel lesion 849.15 849.15 35241 repair blood vessel lesion 1230.62 1230.62 35246 repair blood vessel lesion 1338.76 1338.76 35251 repair blood vessel lesion 1446.36 1446.36 35256 repair blood vessel lesion 893.10 893.10 35261 repair blood vessel lesion 902.13 902.13 35266 repair blood vessel lesion 747.89 747.89 35271 repair blood vessel lesion 1176.58 1176.58 35276 repair blood vessel lesion 1235.18 1235.18 35281 repair blood vessel lesion 1381.15 1381.15 35286 repair blood vessel lesion 818.67 818.67 35301 rechanneling of artery 919.11 919.11 35302 thromboendarterectomy, including patch graft, if performed; superficial femoral 978.66 978.66 35303 thromboendarterectomy, including patch graft, if performed; popliteal artery 1077.22 1077.22 35304 thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk 1120.33 1120.33 35305 thromboendarterectomy, including patch graft, if performed; tibial or peroneal 1076.01 1076.01 35306 thromboendarterectomy, including patch graft, if performed; each additional 403.63 403.63 35311 rechanneling of artery 1318.43 1318.43 35321 rechanneling of artery 781.34 781.34 35331 rechanneling of artery 1290.79 1290.79 35341 rechanneling of artery 1215.18 1215.18 35351 rechanneling of artery 1130.02 1130.02 35355 thromboendarterectomy w/ or w/o patch, iliofemoral 917.40 917.40 35361 rechanneling of artery 1390.78 1390.78 35363 thromboendarterectomy w/ or w/o patch aortoiliofem 1513.26 1513.26 35371 rechanneling of artery 722.31 722.31 35372 thromboendartectomy, w/wo patch grft, deep femoral 867.39 867.39 35390 reoperation, carotid, thromboendarterectomy, more than one month after original 142.15 142.15 35500 harvest of upper extremity vein, one segment, for lower extremity bypass 284.66 284.66 35501 artery bypass graft 1369.13 1369.13 35506 artery bypass graft 1165.68 1165.68 35508 bypass graft w/ vein, carotid-vertebral 1204.14 1204.14 35509 artery bypass graft 1316.30 1316.30 35510 bypass graft, with vein; carotid-brachial 1105.42 1105.42 35511 artery bypass graft 1038.95 1038.95 35512 bypass graft, with vein; subclavian-brachial 1077.85 1077.85 35515 bypass graft w/ vein, subclavian-vertebral 1164.17 1164.17 35516 artery bypass graft 1066.54 1066.54 35518 bypass graft w/ vein, axillary-axillary 1057.69 1057.69 35521 artery bypass graft 1113.25 1113.25 35522 bypass graft, with vein; axillary-brachial 1052.70 1052.70 35525 bypass graft, with vein; brachial-brachial 987.95 987.95 35526 artery bypass graft 1457.52 1457.52 35531 artery bypass graft 1778.87 1778.87 35533 bypass graft w/ vain, axillary-femoral-femoral 1376.51 1376.51 35536 artery bypass graft 1533.87 1533.87 35537 bypass graft, with vein; aortoiliac 1902.56 1902.56 35538 bypass graft, with vein; aortobi-iliac 2135.45 2135.45 35539 bypass graft, with vein; aortofemoral 1981.19 1981.19 35540 bypass graft, with vein; aortobifemoral 2219.24 2219.24 35556 artery bypass graft 1215.35 1215.35 35558 artery bypass graft 1075.39 1075.39 35560 bypass graft w/ vein, aortorenal 1565.48 1565.48 35563 artery bypass graft 1199.82 1199.82 35565 artery bypass graft 1161.94 1161.94 35566 artery bypass graft 1458.98 1458.98 35571 artery bypass graft 1178.92 1178.92 35572 harvest of femoropopliteal vein, one segment, for vascular reconstruction 308.01 308.01 35583 in-situ vein bypass; femoral-popliteal 1255.31 1255.31 35585 in-situ vein bypass; femoral-ant tib,post tib,pero 1469.88 1469.88 35587 in-situ vein bypass; popliteal, peroneal 1215.48 1215.48 35600 harvest of upper extremity artery, one segment, for coronary artery bypass 226.55 226.55 35601 artery bypass graft 1265.78 1265.78 35606 artery bypass graft 1030.94 1030.94 35612 artery bypass graft 805.46 805.46 35616 artery bypass graft 987.25 987.25 35621 artery bypass graft 973.92 973.92 35623 bypass graft, with other than vein; 1195.36 1195.36 35626 artery bypass graft 1371.62 1371.62 35631 artery bypass graft 1636.82 1636.82 35636 bypass graft, with other than vein; splenorenal (splenic to renal arterial 1452.51 1452.51 35637 bypass graft, with other than vein; aortoiliac 1503.03 1503.03 35638 bypass graft, with other than vein; aortobi-iliac 1535.42 1535.42 35642 bypass graft w/ other than vein, carotid-vertebral 907.92 907.92 35645 bypass graft w/ other than vein, subclavian-vert 861.58 861.58 35646 bypass graft, with other than vein; aortobifemoral 1515.85 1515.85 35647 bypass graft, with other than vein; aortofemoral 1372.02 1372.02 35650 bypass graft w/ other than vein, axillary-axillary 937.94 937.94 35654 bypass graft w/ other than vein, axil-fem-fem 1211.07 1211.07 35656 artery bypass graft 953.99 953.99 35661 artery bypass graft 954.64 954.64 35663 artery bypass graft 1107.50 1107.50 35665 artery bypass graft 1037.34 1037.34 35666 artery bypass graft 1117.87 1117.87 35671 artery bypass graft 984.77 984.77 35681 bypass graft; composite, prosthetic and vein (list separately in addition to 71.09 71.09 35682 bypass graft; autogenous composite, two segments of veins from two locations 317.34 317.34 35683 bypass graft; autogenous composite, three or more segments of vein from two or 374.33 374.33 35685 placement of vein patch or cuff at distal anastomosis of bypass graft, 178.22 178.22 35686 creation of distal arteriovenous fistula during lower extremity bypass surgery 149.09 149.09 35691 transposition and/or reimplantation; 868.23 868.23 35693 transposition and/or reimplantation; 768.88 768.88 35694 transposition and/or reimplantation; 898.10 898.10 35695 transposition and/or reimplantation; 935.37 935.37 35697 reimplantation, visceral artery to infrarenal aortic prosthesis, each artery 132.76 132.76 35700 reoperation, femoral-popliteal or femoral (popliteal) -anterior 136.62 136.62 35701 exploration,carotid artery 463.83 463.83 35702 EXPL N/FLWD SURG UXTR ART 365.61 365.61 35703 EXPL N/FLWD SURG LXTR ART 370.95 370.95 35800 exploration of neck 409.70 409.70 35820 exploration of chest 1615.04 1615.04 35840 exploration of abdomen 536.31 536.31 35860 exploration of limb 346.12 346.12 35870 repair of graft-enteric fistula 1125.34 1125.34 35875 thrombectomy of arterial or venous graft (other than hemodialysis graft or 517.51 517.51 35876 thrombectomy of arterial or venous graft; 830.17 830.17 35879 revision, lower extremity arterial bypass, without thrombectomy, open; with 812.31 812.31 35881 revision, lower extremity arterial bypass, without thrombectomy, open; with 903.14 903.14 35883 revision, femoral anastomosis of synthetic arterial bypass graft in groin, 1054.37 1054.37 35884 revision, femoral anastomosis of synthetic arterial bypass graft in groin, 1112.58 1112.58 35901 excision of infected graft; 432.99 432.99 35903 excision of infected graft; 489.88 489.88 35905 excision of infected graft; 1531.44 1531.44 35907 excision of infected graft; 1687.79 1687.79 36000 insertion vein access device 8.22 20.64 36002 injection procedures (eg, thrombin) for percutaneous treatment of extremity 95.85 141.28 36005 injection procedure for extremity venography (including introduction of needle 43.34 276.22 36010 insertion vein access device 109.15 478.91 36011 selective catheter placement, venous system; 141.11 756.46 36012 selective catheter placement, venous system; 159.05 712.64 36013 introduction of catheter, right heart or main pulmonary artery 114.33 656.71 36014 selective catheter placement, left or right pulmonary artery 138.24 686.07 36015 selective catheter placement, segmental or subsegmental pulmonary artery 159.85 752.80 36100 establish access to artery 140.00 438.90 36140 introduction of needle or intracatheter; 90.93 399.21 36160 introduction of needle or intracatheter, aortic, translumbar 118.19 440.10 36200 establish access to aorta 135.94 534.48 36215 arterial cath. placement; 1st order thoracic or brachiocephalic branch 215.43 939.80 36216 arterial cath placement, 2nd order thoracic branch 242.87 1027.51 36217 arterial cath placement, 3rd order thoracic branch 290.77 1668.66 36218 selective catheter placement, arterial system; additional second order, third 46.34 158.08 36245 introduction of catheter aorta, each additional 221.71 1035.42 36246 selective catheter placement, arterial system; 242.20 1018.96 36247 arterial catheter placement;3rd order, abd, pelvic,leg 288.36 1595.09 36248 selective catheter placement, arterial system; additional second order, third 46.34 136.27 36260 insertion implantable infusion pump 493.02 493.02 36261 revision of implanted intra-arterial infusion pump 299.49 299.49 36262 removal of implanted intra-arterial infusion pump 227.68 227.68 36400 venipuncture, under age 3 years; femoral or jugular 15.49 21.55 36405 venipuncture, under age 3 years; 13.50 19.55 36406 venipuncture, under age 3 years; 7.92 13.97 36410 venipuncture, child over age 3 years or adult, necessitating 7.61 15.49 36415 collection of venous blood by venipuncture 2.92 2.92 36420 venipuncture, cutdown; 42.09 42.09 36425 venipuncture, cutdown; 33.09 33.09 36430 blood transfusion service 29.72 29.72 36440 push transfusion, blood, 2 years or under 44.28 44.28 36450 exchange transfusion, blood; 101.59 101.59 36455 exchange transfusion, blood; 110.83 110.83 36456 prtl exchange transfuse nb 96.02 96.02 36460 transfusion, intrauterine, fetal 289.97 289.97 36470 injection of sclerosing solution; 58.46 111.76 36471 injection of sclerosing solution; 82.37 138.39 36473 endovenous mchnchem 1st vein 155.37 1284.09 36474 endovenous mchnchem add-on 77.84 77.84 36475 endovenous ablation therapy of incompetent vein, extremity, inclusive of all 294.30 1439.32 36476 endovenous ablation therapy of incompetent vein, extremity, inclusive of all 144.07 313.35 36478 endovenous ablation therapy of incompetent vein, extremity, inclusive of all 297.03 1188.87 36479 endovenous ablation therapy of incompetent vein, extremity, inclusive of all 144.97 329.10 36481 percutaneous portal vein catheterization by any method 355.92 355.92 36500 venous catheterization for selective organ blood sampling 159.03 159.03 36510 catheterization of umbilical vein for diagnosis or therapy, newborn 49.27 90.15 36511 therapeutic apheresis; for white blood cells 77.41 77.41 36512 therapeutic apheresis; for red blood cells 78.61 78.61 36513 therapeutic apheresis; for platelets 81.08 81.08 36514 therapeutic apheresis, for plasma pheresis 76.80 419.31 36516 therapeutic apheresis; with extracorporeal selective adsorption or selective 54.01 1756.55 36522 photopheresis, extracorporeal 86.75 1097.61 36555 insertion of non-tunneled centrally inserted central venous catheter; under 5 110.31 225.99 36556 insertion of non-tunneled centrally inserted central venous catheter; age 5 104.57 193.29 36557 insertion of tunneled centrally inserted central venous catheter, without 256.65 686.97 36558 insertion of tunneled centrally inserted central venous catheter, without 245.31 664.44 36560 insertion of tunneled centrally inserted central venous access device, with 304.00 941.45 36561 insertion of tunneled centrally inserted central venous access device, with 293.99 931.14 36563 insertion of tunneled centrally inserted central venous access device with 305.24 941.79 36565 insertion of tunneled centrally inserted central venous access device, 289.75 789.73 36566 insertion of tunneled centrally inserted central venous access device, 310.36 2909.87 36568 insertion of peripherally inserted central venous catheter (picc), without 84.53 254.11 36569 insertion of peripherally inserted central venous catheter (picc), without 84.42 221.31 36570 insertion of peripherally inserted central venous access device, with 271.12 954.91 36571 insertion of peripherally inserted central venous access device, with 263.80 989.99 36575 repair of tunneled or non-tunneled central venous access catheter, without 33.65 130.86 36576 repair of central venous access device, with subcutaneous port or pump, central 159.92 295.28 36578 replacement, catheter only, of central venous access device, with subcutaneous 182.76 410.79 36580 replacement, complete, of a non-tunneled centrally inserted central venous 60.76 189.46 36581 replacement, complete, of a tunneled centrally inserted central venous 173.22 615.96 36582 replacement, complete, of a tunneled centrally inserted central venous access 254.46 860.12 36583 replacement, complete, of a tunneled centrally inserted central venous access 254.89 860.55 36584 replacement, complete, of a peripherally inserted central venous catheter 62.31 186.47 36585 replacement, complete, of a peripherally inserted central venous access device, 238.94 882.16 36589 removal of tunneled central venous catheter, without subcutaneous port or pump 118.97 139.56 36590 removal of tunneled central venous access device, with subcutaneous port or 168.70 226.24 36595 mechanical removal of pericatheter obstructive material (eg, fibrin sheath) 167.61 498.92 36596 mechanical removal of intraluminal (intracatheter) obstructive material from 39.52 111.90 36597 repositioning of previously placed central venous catheter under fluoroscopic 55.90 106.18 36600 arterial puncture, withdrawal of blood for diagnosis 13.31 25.43 36620 arterial catheterization or cannulation for sampling, monitoring 44.25 44.25 36625 arterial catheterization or cannulation for sampling, monitoring 91.43 91.43 36640 arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown 102.19 102.19 36660 catheterization, umbilical artery, newborn, for diagnosis or therapy 58.13 58.13 36680 placement of needle for intraosseous infusion 51.26 51.26 36800 amb surg insertion of cannula for hemodialysis 133.80 133.80 36810 redirection of blood flow 180.47 180.47 36815 redirection of blood flow 127.26 127.26 36818 arteriovenous anastomosis, open; by upper arm cephalic vein transposition 578.71 578.71 36819 arteriovenous anastomosis, open; by upper arm basilic vein transposition 682.28 682.28 36820 arteriovenous anastomosis, open; by forearm vein transposition 684.51 684.51 36821 arteriovenous anastomosis direct any site 568.60 568.60 36823 insertion of arterial and venous cannula(s) for isolated extracorporeal 1089.02 1089.02 36825 amb surg internal a-v fistula arteriovenous 493.50 493.50 36830 arteriovenous fistula nonautogenous graft 565.40 565.40 36831 thrombectomy, open, arteriovenous fistula without revision, autogenous or 389.94 389.94 36832 revision, open, arteriovenous fistula; without thrombectomy, autogenous or 498.40 498.40 36833 revision, arteriovenous fistula; with thrombectomy, autogenous or nonautogenous 563.27 563.27 36835 thomas shunt 389.26 389.26 36838 distal revascularization and interval ligation (dril), upper extremity 1006.94 1006.94 36860 cannula declotting without balloon catheter 88.68 158.03 36861 cannula declotting with balloon catheter 128.38 128.38 36902 intro cath circuit 194.15 1043.16 36903 intro cath dialysis circuit 265.77 4767.93 36904 thrmbc/nfs dialysis circuit 305.98 1521.59 36905 thrmbc/nfs dialysis circuit 384.02 1946.89 36906 thrmbc/nfs dialysis circuit 448.10 5784.81 36908 sten plmt ctr dialysis seg 167.57 2292.54 37140 venous anastomosis, open; portocaval 1151.41 1151.41 37145 venous anastomosis; renoportal 1241.40 1241.40 37160 venous anastomosis; caval-mesenteric 1080.15 1080.15 37180 venous anastomosis; splenorenal, proximal 1210.57 1210.57 37181 splenorenal distal (selective decompression) 1308.49 1308.49 37182 insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (includes 782.55 782.55 37183 revision of transvenous intrahepatic portosystemic shunt(s) (tips) (includes 371.88 371.88 37195 thrombolysis, cerebral, by intravenous infusion 263.57 263.57 37200 transcatheter biopsy 207.86 207.86 37215 transcatheter placement of intravascular stent(s), cervical carotid artery, 962.55 962.55 37216 transcatheter placement of intravascular stent(s), cervical carotid artery, 884.61 884.61 37246 trluml balo angiop 1st art 318.38 1836.30 37500 vascular endoscopy, surgical, with ligation of perforator veins, subfascial 587.23 587.23 37565 ligation, internal jugular vein 584.23 584.23 37600 ligation, external carotid artery 597.69 597.69 37605 ligation; internal or common carotid artery 684.26 684.26 37606 ligation of neck artery 445.17 445.17 37607 ligation or banding of angioaccess arteriovenous fistula 317.81 317.81 37609 amb surg temporal artery ligation or biopsy 163.58 235.65 37615 ligation major artery neck 393.74 393.74 37616 ligation major artery chest 917.85 917.85 37617 ligate major artery abdomen 1094.89 1094.89 37618 ligation major artery extremity 314.39 314.39 37650 ligation of femoral vein 429.84 429.84 37660 ligation of common iliac vein 1024.99 1024.99 37700 amb surg varicose vein ligation w/wo strip partial 210.41 210.41 37735 removal of leg vein(s) 535.44 535.44 37760 revision of leg veins 527.34 527.34 37765 stab phlebectomy of varicose veins, one extremity; 10-20 stab incisions 378.77 378.77 37766 stab phlebectomy of varicose veins, one extremity; more than 20 incisions 461.09 461.09 37780 revision of leg vein 217.05 217.05 37785 amb surg varicose vein leg ligation 217.55 288.11 38100 removal of spleen 887.13 887.13 38101 splenectomy partial 891.65 891.65 38102 splenectomy; total, en bloc for extensive disease, in conjunction with other 212.59 212.59 38115 repair ruptured spleen w/wo partial splenectomy 986.94 986.94 38120 laparoscopy, surgical, splenectomy 820.62 820.62 38200 injection for spleen x-ray 119.02 119.02 38204 management of recipient hematopoietic progenitor cell donor search and cell 87.00 87.00 38205 blood-derived hematopoietic progenitor cell harvesting for transplantation, per 68.73 68.73 38206 blood-derived hematopoietic progenitor cell harvesting for transplantation, per 68.73 68.73 38207 transplant preparation of hematopoietic progenitor cells; cryopreservation and 42.67 42.67 38208 transplant preparation of hematopoietic progenitor cells; thawing of previously 27.24 27.24 38209 transplant preparation of hematopoietic progenitor cells; thawing of previously 11.70 11.70 38220 bone marrow aspiration 51.54 125.74 38221 bone marrow biopsy, needle or trocar 65.38 139.87 38230 bone marrow harvesting for transplantation 262.50 262.50 38240 bone marrow or blood-derived peripheral stem cell transplantation; allogenic 106.21 106.21 38241 bone marrow transplantation; 106.81 106.81 38242 bone marrow or blood-derived peripheral stem cell transplantation; allogeneic 80.96 80.96 38300 drainage of lymph node abscess or lymphadenitis; simple 142.21 208.54 38305 drainage lymph node lesion 362.31 362.31 38308 incision of lymph channels 348.51 348.51 38380 suture and or ligation of thoracic duct cervical a 448.29 448.29 38381 suture and or ligation of thoracic duct thoracic a 670.11 670.11 38382 suture/ligation thoracic duct abdominal approach 540.89 540.89 38500 biopsy or excision of lymph node(s); open, superficial 196.26 246.53 38505 biopsy or excision of lymph node(s); 62.51 102.78 38510 biopsy or excision of lymph node(s); open, deep cervical node(s) 333.30 399.91 38520 biopsy or excision of lymph node(s); open, deep cervical node(s) with excision 363.98 363.98 38525 biopsy or excision of lymph node(s); open, deep axillary node(s) 329.88 329.88 38530 biopsy or excision of lymph node(s); open, internal mammary node(s) 424.49 424.49 38542 dissection deep jugular node 405.43 405.43 38550 excision of cystic hygroma axillary or cervical 375.21 375.21 38555 removal neck/armpit lesion 782.11 782.11 38562 limited lymphadenectomy for staging pelvic 561.69 561.69 38564 limited lymphadenectomy for staging retroperitonea 558.13 558.13 38570 laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), 455.36 455.36 38571 laparoscopy, surgical; with bilateral total pelvic lymphadenectomy 716.21 716.21 38572 laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and 788.15 788.15 38700 removal of lymph nodes, neck 630.85 630.85 38720 removal of lymph nodes, neck 1048.81 1048.81 38724 cervical lymphadenectomy 1137.76 1137.76 38740 amb surg axillary lymph node dissect superficial 528.50 528.50 38745 amb surg axillary lymph node dissect complete 673.03 673.03 38746 thoracic lymphadenectomy, regional, including mediastinal and peritracheal 222.25 222.25 38747 abdominal lymphadenectomy, regional, including celiac, gastric, portal, 216.66 216.66 38760 inguinofemoral lymphadenectomy, superficial 663.89 663.89 38765 inguinofemoral lymphadenectomy, superficial 1033.44 1033.44 38770 pelvic lymphadenectomy inc ext iliac hypogastric w 692.07 692.07 38780 retroperitoneal lymphadenectomy extens inc pel aor 871.53 871.53 38790 injection for lymphatic x-ray 67.95 67.95 38792 injection procedure; for identification of sentinel node 32.80 32.80 38794 cannulation, thoracic duct 257.26 257.26 39000 mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; 401.47 401.47 39010 mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; 666.81 666.81 39200 removal mediastinal lesion 739.84 739.84 39220 removal mediastinal lesion 952.85 952.85 39501 repair, laceration of diaphragm, any approach 678.24 678.24 39503 repair diaphragmatic hernia neonatal 4761.33 4761.33 39540 repair of diaphragm hernia 693.49 693.49 39541 repari diaphr hernia traumatic chronic 748.10 748.10 39545 imbrication of diaphragm for eventration, transthoracic or transabdominal, 735.68 735.68 39560 resection, diaphragm; with simple repair (eg, primary suture) 636.00 636.00 39561 resection, diaphragm; with complex repair (eg, prosthetic material, local 988.47 988.47 40490 biopsy of lip 59.76 100.63 40500 amb surg vermilionectomy (lip shave) 282.33 379.85 40510 amb surg excision lip transverse wedge excision 280.43 369.16 40520 partial excision of lip 283.41 379.09 40525 excision lip full thickness local flap 440.92 440.92 40527 excision lip full thickness cross lip flap 521.20 521.20 40530 partial removal of lip 321.57 418.78 40650 repair lip 225.60 314.33 40652 repair lip 274.87 369.96 40654 repair lip 333.92 436.88 40700 repair cleft lip 740.24 740.24 40701 repair cleft lip 918.54 918.54 40702 repair cleft lip 714.24 714.24 40720 repair cleft lip 786.23 786.23 40761 repair cleft lip 851.32 851.32 40800 drainage of abscess, cyst, hematoma, vestibule of mouth; 97.99 150.68 40801 drainage of abscess, cyst, hematoma, vestibule of mouth; 171.42 232.90 40804 removal foreign body, mouth 99.26 153.77 40805 removal of embedded foreign body, vestibule of mouth; 177.78 244.10 40808 biopsy mouth lesion 82.31 135.31 40810 excision of lesion of mucosa and submucosa, vestibule of mouth; 98.03 151.02 40812 excision of lesion of mucosa and submucosa, vestibule of mouth; 152.95 213.53 40814 excision mouth lesion 235.94 288.02 40816 exc lesion of mucosa and submucosa w/o repair 246.93 303.57 40818 excision oral nucosa, graft 210.30 265.71 40820 destruction of lesion or scar of vestibule of mouth, by physician 131.16 195.95 40830 closure of laceration, vestibule of mouth; 123.40 181.84 40831 closure of laceration, vestibule of mouth; 173.47 241.61 40840 reconstruction mouth 503.69 624.81 40842 reconstruction mouth 493.38 615.43 40843 reconstruction mouth 642.79 804.80 40844 reconstruction mouth 896.82 1067.31 40845 reconstruction mouth 1005.67 1163.44 41000 intraoral incision and drainage of abscess, cyst, or hematoma 86.90 120.80 41005 intraoral incision and drainage of abscess, cyst, or hematoma 98.61 168.25 41006 intraoral incision and drainage of abscess, cyst, or hematoma 203.37 273.02 41007 intraoral incision and drainage of abscess, cyst, or hematoma 197.36 273.37 41008 intraoral incision and drainage of abscess, cyst, or hematoma 210.88 281.74 41009 intraoral incision and drainage of abscess, cyst, or hematoma 228.84 299.40 41010 incision of lingual frenum (frenotomy) 84.66 150.98 41015 extraoral incision and drainage of abscess, cyst, or hematoma 262.24 322.20 41016 extraoral incision and drainage of abscess, cyst, or hematoma 272.14 330.89 41017 extraoral incision and drainage of abscess, cyst, or hematoma 273.35 333.31 41018 extraoral incision and drainage of abscess, cyst, or hematoma 320.48 382.87 41100 biopsy tongue 86.48 127.66 41105 biopsy of tongue; 87.70 127.97 41108 biopsy floor of mouth 70.42 109.48 41110 excision tongue lesion 102.75 157.57 41112 excision of lesion of tongue with closure; 194.92 249.43 41113 excision tongue lesion 216.97 273.91 41114 exc lesion tongue local tongue flap 504.67 504.67 41115 excision of lingual frenum (frenectomy) 116.17 183.40 41116 excision, lesion of floor of mouth 170.74 243.72 41120 partial removal of tongue 817.53 817.53 41130 partial removal of tongue 1013.43 1013.43 41135 tongue and neck surgery 1698.71 1698.71 41140 removal of tongue 1743.16 1743.16 41145 tongue removal; neck surgery 2186.02 2186.02 41150 mouth and jaw surgery 1728.26 1728.26 41153 glossectomy composite proc w/resection floor mouth 1876.83 1876.83 41155 mouth, jaw, and neck surgery 2339.01 2339.01 41250 repair laceration tongue 111.44 172.01 41251 repair laceration to 2cm posterior one third tongu 129.80 178.56 41252 repair lacerated tongue 168.12 234.13 41510 tongue to lip surgery 316.06 316.06 41520 frenoplasty 197.43 260.73 41800 drainage of abscess, cyst, hematoma from dentoalveolar structures 99.34 169.29 41805 removal of embedded foreign body from dentoalveolar structures; 125.76 174.81 41806 removal of embedded foreign body from dentoalveolar structures; 197.60 257.55 41820 excision, gum 366.04 366.04 41821 excision, gum flap 305.06 305.06 41822 excision gum lesion 138.18 216.31 41823 excision gum lesion 248.22 322.40 41825 excision gum lesion 98.19 153.91 41826 excision gum lesion 158.56 217.32 41827 excision gum lesion 235.64 322.86 41830 amb surg alveolectomy inc curettage osteitis 218.21 291.80 41850 destruction of lesion except excision 36.60 36.60 41870 graft gum 488.07 488.07 41872 gingivoplasty, each quadrant (specify) 202.31 273.18 41874 alveoloplasty, each quadrant (specify) 199.33 277.77 42000 drainage of abscess of palate, uvula 80.66 119.12 42100 biopsy roof of mouth 85.62 113.46 42104 excision, lesion of palate, uvula; 107.64 157.61 42106 excision lesion, mouth roof 140.92 199.96 42107 excision lesion palate, uvula local flap closure 272.09 349.01 42120 resection palate or extensive resection of lesion 763.29 763.29 42140 uvulectomy, excision of uvula 120.61 187.54 42145 palatopharyngoplasty 557.40 557.40 42160 destruction of lesion, palate or uvula (thermal, cryo or chemical) 120.05 181.82 42180 repair palate 146.21 186.19 42182 repair palate 213.66 255.76 42200 reconstruction cleft palate 707.32 707.32 42205 reconstruction cleft palate 754.76 754.76 42210 palatoplasty with bone graft to alveolar ridge-includes obtaining graft 851.15 851.15 42215 reconstruction cleft palate 556.54 556.54 42220 reconstruction cleft palate 432.56 432.56 42225 reconstruction cleft palate 738.38 738.38 42226 lengthening palate and pharyngeal flap 734.75 734.75 42227 lengthening of palate with island flap 713.99 713.99 42235 repair palate 582.81 582.81 42260 repair nose to lip fistula 547.29 652.68 42300 drainage of abscess; 120.46 158.92 42305 drainage of abscess; 345.07 345.07 42310 drainage of abscess; 98.34 123.77 42320 drainage of abscess; 141.31 191.27 42330 sialolithotomy; 131.17 178.09 42335 treatment salivary stone 205.33 283.46 42340 treatment salivary stone 270.55 357.17 42400 biopsy of salivary gland; 47.07 83.72 42405 biopsy of salivary gland; 183.23 235.32 42408 amb surg excision salivary cyst 262.55 349.77 42409 amb surg treatment salivary cyst 177.65 252.15 42410 excision parotid gland 501.21 501.21 42415 ex parotid tumor parotid gl lat lob w dissecan pre 906.34 906.34 42420 excision parotid gland 1039.42 1039.42 42425 excision parotid gland 683.46 683.46 42426 excision parotid tumor or parotid gland total 1112.55 1112.55 42440 excision submaxillary gland 376.91 376.91 42450 excision sublingual gland 285.43 349.64 42500 repair salivary duct 271.43 333.21 42505 repair salivary duct 364.07 433.72 42507 paroid duct divers bilateral 407.47 407.47 42509 parotid duct diversion bilat w/exc both submandibu 667.20 667.20 42510 parotid duct diversion bilat ligat submandibular 503.37 503.37 42550 injection procedure for sialography 56.62 118.69 42600 closure salivary fistula 283.42 374.57 42650 dilation salivary duct 47.26 63.91 42660 dilation and catheterization of salivary duct, with or without injection 63.09 82.47 42665 ligation salivary duct 164.31 235.79 42700 incision and drainage abscess; 107.27 143.60 42720 drainage throat abscess 320.80 362.59 42725 drainage throat abscess 653.19 653.19 42800 biopsy; 88.71 120.52 42804 biopsy; 90.87 152.34 42806 biopsy; 106.86 172.27 42808 excision lesion pharynx 131.99 176.51 42809 removal of foreign body from pharynx 103.51 131.68 42810 amb surg branchial cleft cyst 224.90 295.75 42815 amb surg branchial cleft cyst 441.97 441.97 42820 amb surg tonsillectomy & adenoidectomy under 12 234.11 234.11 42821 amb surg tonsillectomy & adenoidectomy over 12 244.37 244.37 42825 amb surg tonsillectomy under age 12 208.99 208.99 42826 amb surg tonsillectomy age 12 or over 202.01 202.01 42830 amb surg adenoidectomy primary under age 12 164.38 164.38 42831 amb surg adenoidectomy age 12 or over/primary 177.27 177.27 42835 amb surg adenoidectomy secondary under age 12 148.17 148.17 42836 amb surg adenoidectomy age 12 or over/secondary 193.77 193.77 42842 radical resection tonsil without closure 767.41 767.41 42844 radical resection tonsil closure with local flap 1080.20 1080.20 42845 radical resection tonsil closure with other flap 1774.21 1774.21 42860 excision tonsil tags 148.56 148.56 42870 excision lingual tonsil 449.78 449.78 42890 partial removal pharynx 1100.90 1100.90 42892 resect lateral pharyngeal wall direct closure 1445.93 1445.93 42894 resect pharyngeal wall with myocutaneous flap 1853.84 1853.84 42900 repair throat wound 279.49 279.49 42950 reconstruction of throat 623.68 623.68 42953 pharyngoesophageal repair 765.85 765.85 42955 surgical opening of throat 587.81 587.81 42960 control oropharyngeal hemorrhage, primary or secondary (eg, 135.69 135.69 42961 control oropharyngeal hemorrhage, primary or secondary (eg, 336.44 336.44 42962 control bleeding throat 417.31 417.31 42970 control of nasopharyngeal hemorrhage, primary or secondary (eg, 312.66 312.66 42971 control of nasopharyngeal hemorrhage, primary or secondary 367.93 367.93 42972 control bleeding, nose/throat 413.84 413.84 43020 incision of esophagus 426.28 426.28 43030 cricopharyngeal myotomy 421.88 421.88 43045 esophagotomy, thoracic approach, with removal of foreign body 1074.29 1074.29 43100 excision of lesion, esophagus, with primary repair; cervical approach 504.57 504.57 43101 excision of lesion, esophagus, with primary repair; thoracic or abdominal 839.38 839.38 43107 total or near total esophagectomy, without thoracotomy; 2079.44 2079.44 43108 total or near total esophagectomy, without thoracotomy; with colon 3516.15 3516.15 43112 total or near total esophagectomy, with thoracotomy; 2223.24 2223.24 43113 total or near total esophagectomy, with thoracotomy; with colon interposition 3508.33 3508.33 43116 partial esophagectomy, cervical, with free intestinal graft, 3993.44 3993.44 43117 partial esophagectomy, distal two-thirds, with thoracotomy 2034.00 2034.00 43118 partial esophagectomy, distal two-thirds, with thoracotomy and separate 2892.59 2892.59 43121 partial esophagectomy, distal two-thirds, with thoracotomy 2294.64 2294.64 43122 partial esophagectomy, thoracoabdominal or abdominal approach, 2056.83 2056.83 43123 partial esophagectomy, thoracoabdominal or abdominal approach, with or without 3534.47 3534.47 43124 total or partial esophagectomy, without reconstruction 3017.25 3017.25 43130 removal esophagus pouch 639.62 639.62 43135 removal esophagus pouch 1201.62 1201.62 43200 amb surg esophagoscopy rigid/fiberoptic diagnostic 85.64 168.92 43201 esophagoscopy, rigid or flexible; with directed submucosal injection(s), any 107.88 232.03 43202 amb surg esophagoscopy with biopsy 95.28 221.55 43204 esophagoscopy-rigid or fiberoptic diagnostic w inj 187.77 187.77 43205 esophagoscopy, rigid or flexible; 188.31 188.31 43215 amb surg esophagoscopy with removal foreigh body 128.75 128.75 43216 esophagoscopy, rigid or flexible; 119.97 159.34 43217 amb surg esophagoscopy with removal polyp(s) 141.52 297.49 43220 dilation of esophagus 105.90 105.90 43226 esophagogastroscopy w insertion wire to guide dila 118.10 118.10 43227 esophagoscopy, rigid or flexible; with control of bleeding (eg, injection, 176.03 176.03 43231 esophagoscopy, rigid or flexible; with endoscopic ultrasound examination 159.78 159.78 43232 esophagoscopy, rigid or flexible; with transendoscopic ultrasound-guided 220.33 220.33 43235 amb surg esophagogastroduodenoscopy 121.56 238.46 43236 upper gastrointestinal endoscopy including esophagus, stomach, and either the 147.81 296.79 43237 upper gastrointestinal endoscopy including esophagus, stomach, and either the 201.31 201.31 43238 upper gastrointestinal endoscopy including esophagus, stomach, and either the 249.59 249.59 43239 amb surg esophagogastroduodenoscopy w biopsy 143.96 276.30 43240 upper gastrointestinal endoscopy including esophagus, stomach, and either the 335.21 335.21 43241 upper gastrointestinal endoscopy including esophagus, stomach, and either the 130.64 130.64 43242 upper gastrointestinal endoscopy including esophagus, stomach, and either the 357.50 357.50 43243 ugi endoscopy for inj sclerosis esph gas varices 225.18 225.18 43244 upper gastrointestinal endoscopy including esophagus, stomach, 249.61 249.61 43245 upper gastrointestinal endoscopy including esophagus, stomach, and either the 157.35 157.35 43246 upper gastrointestinal endoscopy for placement tub 210.87 210.87 43247 amb surg esophagogastroduodenoscopy w/removal fb 168.35 168.35 43248 upper gastrointestinal endoscopy including esophagus, stomach, 159.09 159.09 43249 upper gi endoscopy, including esophagus, stomach 146.45 146.45 43250 upper gastrointestinal endoscopy including esophagus, stomach, 157.40 157.40 43251 amb surg esophagogastroduodenoscopy w polypectomy 183.15 183.15 43255 amb surg esophagogastroduodenoscopy w coagulation 238.33 238.33 43259 upper gastrointestinal endoscopy including esophagus, stomach, 255.92 255.92 43260 amb surg esophagogastroduodenoscopy 293.06 293.06 43261 endoscopic retrograde cholangiopancreatography (ercp); 308.06 308.06 43262 ercp for sphincterotomy/papillotomy 361.84 361.84 43263 ercp for pressure measurement of sphincter of oddi 357.96 357.96 43264 endoscopic retrograde cholangiopancreatography (ercp); with endoscopic 434.46 434.46 43280 laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet 849.81 849.81 43300 repair of esophagus 500.71 500.71 43305 repair esophagus and fistula 899.21 899.21 43310 repair of esophagus 1256.97 1256.97 43312 esophagoplasty with repair of tracheoesophageal fi 1388.44 1388.44 43313 esophagoplasty for congenital defect, (plastic repair or reconstruction), 2212.04 2212.04 43314 esophagoplasty for congenital defect, (plastic repair or reconstruction), 2532.81 2532.81 43320 esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, 1104.35 1104.35 43325 esophagogastric fundoplasty with fundic patch (tha 1054.59 1054.59 43330 esophagomyotomy (heller type); abdominal approach 1034.51 1034.51 43331 esophagomyotomy thoracic approach 1120.00 1120.00 43340 esophagojejunostomy w tot gastrec abd approach 1073.82 1073.82 43341 esophagojejunostomy thoracic approach 1180.90 1180.90 43351 amb surg esophagostomy 1074.34 1074.34 43352 amb surg esophagostomy 878.38 878.38 43360 gastrointestinal reconstruction for previous esophagectomy, 1884.28 1884.28 43361 gastrointestinal reconstruction for previous esophagectomy, for obstructing 2105.70 2105.70 43400 ligation esophageal veins 1292.74 1292.74 43405 ligation or stapling at gastroesophageal junction for pre-existing 1187.01 1187.01 43410 repair wound,esophagus 811.56 811.56 43415 suture of esophageal wound or injury; transthoracic or transabdominal approach 1383.84 1383.84 43420 repair opening,esophagus 812.50 812.50 43425 closure of esophagostomy or fistula; transthoracic or transabdominal approach 1215.46 1215.46 43450 amb surg esophageal dilation bougie initial 74.11 126.81 43453 dilation esophagus over guide wire or string 80.49 235.84 43460 esophagogastric tamponade, with balloon (sengstaaken type) 184.72 184.72 43500 incision of stomach 607.31 607.31 43501 gastrotomy; with suture repair of bleeding ulcer 1045.62 1045.62 43502 gastrotomy; 1184.30 1184.30 43510 gastrotomy; with esophageal dilation and insertion of permanent intraluminal 749.55 749.55 43520 incision pyloric muscle 549.07 549.07 43605 biopsy of stomach 645.00 645.00 43610 excision, local; ulcer or benign tumor of stomach 762.17 762.17 43611 excision, local; 948.45 948.45 43620 gastrectomy, total; with esophagoenterostomy 1547.28 1547.28 43621 gastrectomy, total; 1762.59 1762.59 43622 gastrectomy, total; 1788.60 1788.60 43631 gastrectomy, partial, distal; 1133.99 1133.99 43632 gastrectomy, partial, distal; 1547.11 1547.11 43633 gastrectomy, partial, distal; 1471.88 1471.88 43634 gastrectomy, partial, distal; 1625.68 1625.68 43635 vagotomy when performed with partial distal gastrectomy (list separately in 90.92 90.92 43640 division vagus nerve 911.36 911.36 43641 vagotomy w/ pyloroplasty parietal cell 919.34 919.34 43644 laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and 1349.63 1349.63 43651 laparoscopy, surgical; transection of vagus nerves, truncal 505.21 505.21 43652 laparoscopy, surgical; transection of vagus nerves, selective or highly 591.92 591.92 43653 laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, 430.68 430.68 43761 repositioning of the gastric feeding tube, any method, through the duodenum for 91.21 102.72 43800 reconstruction of pylorus 723.23 723.23 43810 fusion stomach and bowel 784.10 784.10 43820 gastrojejunostomy; without vagotomy 1016.44 1016.44 43825 fusion stomach and bowel 1008.87 1008.87 43830 gastrostomy, open; without construction of gastric tube (eg, stamm procedure) 535.67 535.67 43831 temporary opening,stomach 446.84 446.84 43832 gastrostomy permanent w construction gastric tube 825.71 825.71 43840 repair lesion,stomach 1030.92 1030.92 43842 gastric restrictive procedure, without gastric bypass, for morbid obesity; 1001.89 1001.89 43843 gastric restrictive procedure, without gastric bypass, for morbid obesity; 983.46 983.46 43846 gastric restrictive procedure, with gastric bypass for morbid obesity; with 1268.39 1268.39 43847 gastric restrictive procedure, with gastric bypass for morbid obesity; with 1386.38 1386.38 43848 revision, open, of gastric restrictive procedure for morbid obesity, other than 1504.47 1504.47 43850 revision stomachbowel fusion 1260.20 1260.20 43855 revision stomachbowel fusion 1316.84 1316.84 43860 revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, 1279.46 1279.46 43865 revision stomachbowel fusion 1330.96 1330.96 43870 repair opening stomach. 547.26 547.26 43880 repair stomach-bowel fistula 1249.93 1249.93 44005 freeing of bowel adhesion 853.81 853.81 44010 duodenotomy 670.89 670.89 44015 tube or needle catheter jejunostomy for enternal alimentation 116.66 116.66 44020 enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), 754.47 754.47 44021 enterotomy small bowel for decompression 763.07 763.07 44025 exploration of large bowel 768.12 768.12 44050 reduction bowel obstruction 727.00 727.00 44055 correction of malrotation 1165.74 1165.74 44100 biopsy of intestine by capsule, tube, peroral (one or more specimens) 96.59 96.59 44110 excision of one or more lesions of small or large intestine not requiring 657.88 657.88 44111 excision bowel lesions 766.31 766.31 44120 enterectomy, resection of small intestine; single resection and anastomosis 949.80 949.80 44121 enterectomy, resection of small intestine; each additional resection and 196.16 196.16 44125 enterectomy, resection of small intestine; with enterostomy 921.88 921.88 44126 enterectomy, resection of small intestine for congenital atresia, single 1905.16 1905.16 44127 enterectomy, resection of small intestine for congenital atresia, single 2218.70 2218.70 44128 enterectomy, resection of small intestine for congenital atresia, single 197.09 197.09 44130 enteroenterostomy, anastomosis of intestine, with or without cutaneous 994.83 994.83 44139 mobilization (take-down) of splenic flexure performed in 98.20 98.20 44140 partial removal of colon 1048.97 1048.97 44141 colectomy partial with cecostomy colostomy 1381.40 1381.40 44143 colectomy partial with end colostomy closure dista 1292.52 1292.52 44144 colectomy partial w/resec colos ileos mucofistula 1358.57 1358.57 44145 partial removal of colon 1307.99 1307.99 44146 colectomy partial w/coloproctostomy colostomy 1634.59 1634.59 44147 colectomy partial abd and transanal approach 1476.18 1476.18 44150 removal of colon 1431.95 1431.95 44151 colectomy total with continent ileostomy 1637.96 1637.96 44155 removal of colon 1605.11 1605.11 44156 colectomy total abd w/ proctectomy w/ continent 1763.58 1763.58 44157 colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, 1675.31 1675.31 44158 colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, 1717.40 1717.40 44160 colectomy, partial, with removal of terminal ileum with ileocolostomy 966.62 966.62 44202 laparoscopy, surgical; enterectomy, resection of small intestine, single 1085.63 1085.63 44203 laparoscopy, surgical; each additional small intestine resection and 195.35 195.35 44204 laparoscopy, surgical; colectomy, partial, with anastomosis 1212.63 1212.63 44205 laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with 1058.65 1058.65 44206 laparoscopy, surgical; colectomy, partial, with end colostomy and closure of 1375.58 1375.58 44207 laparoscopy, surgical; colectomy, partial, with anastomosis, with 1446.11 1446.11 44208 laparoscopy, surgical; colectomy, partial, with anastomosis, with 1571.23 1571.23 44210 laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with 1403.83 1403.83 44211 laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with 1723.65 1723.65 44212 laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with 1616.44 1616.44 44300 surgical opening of bowel 652.70 652.70 44310 ileostomy or jejunostomy, non-tube 816.80 816.80 44312 repair small bowel opening 463.55 463.55 44314 repair small bowel opening 790.27 790.27 44316 continent ileostomy 1083.03 1083.03 44320 colostomy or skin level cecostomy; 931.22 931.22 44322 colostomy or skin level cecostomy; with multiple (eg, for congenital 735.93 735.93 44340 amb surg revision colostomy simple 466.00 466.00 44345 revision of colostomy, complicated 814.73 814.73 44346 revise colostomy w/ repair paracolostomy hernia 915.11 915.11 44360 sm intestine-endoscopy/enteroscopy diagnostic 132.34 132.34 44361 sm intest endoscopy enteroscopy w/biop collec spec 145.87 145.87 44363 sm intest endoscopy enteroscopy w/removal f/b 172.86 172.86 44364 sm intest endoscopy enteroscopy w/remov polyps 186.17 186.17 44365 small intestinal endoscopy, enteroscopy beyond second portion 165.74 165.74 44366 small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not 219.43 219.43 44369 sm intest endoscopy for ablation tumor/lesion 224.15 224.15 44370 small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not 241.42 241.42 44372 small intest endo entero placement j tube 213.70 213.70 44373 small int endoscopy conversion of gtube to jtube 172.86 172.86 44376 small intestinal endoscopy, enteroscopy beyond second portion 255.71 255.71 44377 small intestinal endoscopy, enteroscopy beyond second portion 271.09 271.09 44378 small intestinal endoscopy, enteroscopy beyond second portion of duodenum, 347.76 347.76 44379 small intestinal endoscopy, enteroscopy beyond second portion of duodenum, 368.55 368.55 44380 fiberoptic ileoscopy via stoma 57.54 57.54 44382 ileoscopy, through stoma; with biopsy, single or multiple 69.21 69.21 44385 endoscopic evaluation of small intestinal (abdominal or pelvic) pouch; 88.74 195.94 44386 endoscopic evaluation of small intestinal (abdominal or pelvic) pouch; 104.14 271.61 44388 colonoscopy through stoma; diagnostic, with or without collection of 138.30 272.16 44389 colonoscopy through stoma; with biopsy, single or multiple 154.41 315.82 44390 fiberoptic colonoscopy w removal foreign body 185.30 365.18 44391 colonoscopy through stoma; with control of bleeding (eg, injection, bipolar 211.14 409.21 44392 colonoscopy through stoma; with removal of tumor(s), polyp(s), or other 182.36 343.17 44394 colonoscopy through stoma; 214.98 401.52 44500 introduction of long gastrointestinal tube (eg, miller-abbott) 22.12 22.12 44602 suture of small intestine (enterorrhaphy) for perforated ulcer, 1079.62 1079.62 44603 suture of small intestine (enterorrhaphy) for perforated ulcer, 1237.11 1237.11 44604 suture of large intestine (colorrhaphy) for perforated ulcer, 828.78 828.78 44605 repair bowel lesion 1021.48 1021.48 44615 intestinal stricturoplasty (enterotomy and enterorrhaphy) with 841.42 841.42 44620 repair bowel opening 671.64 671.64 44625 closure of enterostomy, large or small intestine; with resection and 795.83 795.83 44626 closure of enterostomy, large or small intestine; with resection and colorectal 1266.35 1266.35 44640 repair bowel-skin fistula 1104.46 1104.46 44650 repair bowel fistula 1148.60 1148.60 44660 repair bowel-bladder fistula 1112.88 1112.88 44661 closure of enterovesical fistula; with intestine and/or bladder resection 1248.48 1248.48 44680 surgical folding intestine 830.99 830.99 44700 exclusion of small intestine from pelvis by mesh or other prosthesis, or native 804.69 804.69 44701 intraoperative colonic lavage (list separately in addition to code for primary 135.82 135.82 44800 excision bowel pouch 590.39 590.39 44820 excision mesentery lesion 652.75 652.75 44850 repair of mesentery 575.93 575.93 44900 incision and drainage of appendiceal abscess; open 590.24 590.24 44950 appendectomy 500.00 500.00 44955 appendectomy; when done for indicated purpose at time of other major procedure 68.18 68.18 44960 appendectomy for rupt appen w/abscess or generaliz 673.62 673.62 44970 laparoscopy, surgical, appendectomy 459.08 459.08 45000 transrectal drainage of pelvic abscess 320.06 320.06 45005 amb surg incision and drainage submucous abscess 118.51 189.99 45020 drainage of rectal abscess 418.23 418.23 45100 biopsy of rectum 221.75 221.75 45108 anorectal myomectomy 270.22 270.22 45110 proctectomy; complete, combined abdominoperineal, with colostomy 1444.25 1444.25 45111 proctectomy; partial resection of rectum, transabdominal approach 848.22 848.22 45112 proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal 1491.47 1491.47 45113 proctectomy, partial, with rectal mucosectomy, ileoanal 1527.94 1527.94 45114 proctectomy, partial, with anastomosis; abdominal and transsacral approach 1396.25 1396.25 45116 partial removal of rectum 1254.59 1254.59 45119 proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal 1530.43 1530.43 45120 proctectomy, complete (for congenital megacolon), abdominal and perineal 1222.41 1222.41 45121 proctectomy, complete (for congenital megacolon), abdominal and perineal 1338.02 1338.02 45123 proctectomy, partial, without anastomosis, perineal approach 867.04 867.04 45126 pelvic exenteration for colorectal malignancy, with proctectomy (with or 2260.69 2260.69 45130 excision of rectal prolapse 848.02 848.02 45135 excision of rectal prolapse 1037.91 1037.91 45136 excision of ileoanal reservoir with ileostomy 1436.82 1436.82 45150 excision rectal stricture 307.56 307.56 45160 excision of rectal lesion 770.78 770.78 45190 destruction of rectal tumor (eg, electrodessication, electrosurgery, laser 522.95 522.95 45300 amb surg proctosigmoidoscopy diagnostic 39.74 82.75 45303 proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) 68.01 632.18 45305 amb surg proctosigmoidoscopy with biopsy 61.08 134.66 45307 proctosigm w/removal of foreign body 77.32 150.60 45308 proctosigmoidoscopy, rigid; 65.56 137.64 45309 proctosigmoidoscopy, rigid; 76.08 154.82 45315 amb surg proctosigmoidoscopy w removal excrescence 86.57 167.13 45317 proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar 91.31 162.17 45320 proctosigmoidoscopy for ablation of tumor 86.73 162.74 45321 proctosigmoidoscopy for decompression of volvulus 83.92 83.92 45327 proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes 97.87 97.87 45330 sigmoidoscopy, flexible; diagnostic, with or without collection of specimen(s) 51.26 106.68 45331 sigmoidoscopy, flexible; with biopsy, single or multiple 62.23 135.52 45332 sigmoidoscopy w/removal of foreign body 91.30 222.42 45333 sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 90.79 223.73 45334 sigmoidoscopy, flexible; with control of bleeding (eg, injection, bipolar 137.75 137.75 45335 sigmoidoscopy, flexible; with directed submucosal injection(s), any substance 75.82 191.21 45337 amb surg-sigmoidoscopy for decompression volvulus 117.97 117.97 45338 sigmoidoscopy, flexible; 118.10 250.44 45340 sigmoidoscopy, flexible; with dilation by balloon, 1 or more strictures 95.58 339.36 45341 sigmoidoscopy, flexible; with endoscopic ultrasound examination 131.46 131.46 45342 sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or 201.20 201.20 45378 amb surg colonoscopy ascending colon 180.94 316.01 45379 colonoscopy fiberoptic beyond splenic flex w/re fb 226.72 401.15 45380 amb surg colonoscopy ascending colon with biopsy 218.01 379.42 45381 colonoscopy flexible proximal to splenic flexure w directed submucosal injection 206.39 369.01 45382 colonoscopy, flexible, proximal to splenic flexure; with control of bleeding 278.65 499.72 45384 colonoscopy, flexible, proximal to splenic flexure; 226.54 373.41 45385 amb surg colonoscopy ascending colon w polypectomy 258.85 428.43 45386 colonoscopy flexible proximal to splenic flexure w dilation by balloon 1 or more 222.52 524.43 45391 colonoscopy, flexible, proximal to splenic flexure; with endoscopic ultrasound 250.46 250.46 45392 colonoscopy, flexible, proximal to splenic flexure; with transendoscopic 317.01 317.01 45500 repair of rectum 395.00 395.00 45505 repair of rectum 432.88 432.88 45520 treatment of rectal prolapse 30.54 95.36 45540 proctopexy (eg, for prolapse); abdominal approach 832.16 832.16 45541 proctopexy for prolapse perineal approach 713.65 713.65 45550 proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach 1144.28 1144.28 45560 repair rectocele separate procedure 564.49 564.49 45562 exploration, repair, and presacral drainage for rectal injury; 865.98 865.98 45563 exploration, repair, and presacral drainage for rectal injury; 1255.16 1255.16 45800 repair rectobladder fistula 972.73 972.73 45805 repair rectobladder fistula 1099.63 1099.63 45820 repair rectourethral fistula 966.16 966.16 45825 repair rectourethral fistula 1162.48 1162.48 45900 reduction of procidentia (separate procedure) under anesthesia 152.80 152.80 45905 amb surg rectal dilation 129.40 129.40 45910 dilation rectal narrowing 153.36 153.36 45915 removal rectal obstruction 171.76 236.87 46020 placement of seton 169.30 192.32 46030 removal of anal seton, other marker 67.43 96.19 46040 amb surg i & d ischiorectal/perirectal abscess 303.48 374.35 46045 drainage transanal abscess under anesthesia 313.12 313.12 46050 incision anal abcess 70.98 132.76 46060 amb surg fistulectomy anus 344.47 344.47 46070 incision, anal septum (infant) 175.00 175.00 46080 sphincterotomy, anal, division of sphincter (separate procedure) 122.89 175.29 46083 incision of thrombosed hemorrhoid, external 82.01 131.67 46200 amb surg fissurectomy 228.31 292.52 46220 papillectomy or excision of single tag, anus (separate procedure) 87.96 140.65 46221 amb surg hemorrhoidectomy 139.15 184.57 46230 removal of anal tab 131.91 193.68 46250 amb surg hemorrhoidectomy complete 231.88 322.13 46255 amb surg hemorrhoidectomy 264.17 359.86 46257 amb surg hemorrhoidectomy 308.87 308.87 46258 amb surg hemorrhoidectomy 337.82 337.82 46260 amb surg hemorrhoidectomy 351.29 351.29 46261 amb surg hemorrhoidectomy 393.08 393.08 46262 amb surg hemorrhoidectomy 410.07 410.07 46270 removal anal fistula 277.86 348.72 46275 removal anal fistula 298.20 369.66 46280 removal anal fistula 341.94 341.94 46285 removal anal fistula 294.42 359.53 46288 closure of anal fistula with rectal advancement flap 404.71 404.71 46320 enucleation or excision of external thrombotic hemorrhoid 83.72 127.33 46500 injection of sclerosing solution, hemorrhoids 94.56 154.21 46600 anoscopy;diagnostic,w/wo collection of specimen,brushing or washing(separate) 30.25 61.74 46604 anoscopy; with dilation (eg, balloon, guide wire, bougie) 52.56 379.32 46606 anoscopy; with biopsy, single or multiple 58.12 157.44 46608 anoscopy with removal of foreign body 64.05 162.78 46610 anoscopy with removal of polyp. 63.49 161.01 46611 anoscopy; 65.58 127.67 46612 anoscopy with multple polyp removal 77.64 193.01 46614 anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar 55.37 98.06 46615 anoscopy; 78.97 113.80 46700 repair anal stricture 488.13 488.13 46705 anoplasty, plastic operation for stricture; 401.47 401.47 46706 repair of anal fistula with fibrin glue 128.93 128.93 46715 repair of low imperforate anus; with anoperineal fistula (''cut-back'' 397.37 397.37 46716 repair of low imperforate anus; with transposition of anoperineal or 969.45 969.45 46730 repair of high imperforate anus without fistula; perineal or sacroperineal 1475.67 1475.67 46735 repair of high imperforate anus without fistula; combined transabdominal and 1724.37 1724.37 46740 construction of anus 1585.28 1585.28 46742 repair of high imperforate anus with rectourethral or rectovaginal 1874.20 1874.20 46744 repair of cloacal anomaly by anorectovaginoplasty and , 2678.14 2678.14 46746 repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, 3089.56 3089.56 46748 repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, 3229.68 3229.68 46750 repair anal sphincter 590.78 590.78 46751 repair anal sphincter 489.36 489.36 46753 reconstruction of anus 445.74 445.74 46754 removal of thiersch wire or suture, anal canal 163.03 209.98 46760 repair anal sphincter 836.27 836.27 46761 sphincteroplasty, levatormuscle imbrication 723.74 723.74 46900 destruction of lesion(s), anus (eg, condyloma, papilloma, 106.33 169.02 46910 destruction of lesion(s), anus (eg, condyloma, papilloma, 101.83 176.02 46916 destruction of lesion(s), anus (eg, condyloma, papilloma, 111.68 174.37 46917 destruction of lesion(s), anus (eg, condyloma, papilloma, 102.55 332.09 46922 destruction of lesion(s), anus (eg, condyloma, papilloma, 101.85 183.31 46924 destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum 142.43 377.74 46940 curettage or cautery of anal fissure, including dilation of anal sphincter 113.76 160.40 46942 curettage or cauterization of anal fissure, including dilation 101.03 148.28 46945 ligation of internal hemorrhoids - single procedure 159.08 205.11 46946 ligation of internal hemorrhoids; 168.86 222.76 46947 hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling 287.97 287.97 47000 amb surg biopsy liver needle percutaneous 86.79 260.93 47001 biopsy of liver, needle; when done for indicated purpose at time of other major 84.04 84.04 47010 hepatotomy; for open drainage of abscess or cyst, one or two stages 927.07 927.07 47015 laparotomy, with aspiration and/or injection of hepatic 879.75 879.75 47100 biopsy of liver, wedge 643.37 643.37 47120 partial removal of liver 1816.44 1816.44 47122 resection of liver, trisegmentectomy 2706.23 2706.23 47125 partial removal of liver 2423.41 2423.41 47130 partial removal of liver 2606.08 2606.08 47140 donor hepatectomy (including cold preservation), from living donor; left 2728.18 2728.18 47141 donor hepatectomy, with preparation and maintenance of allograft, from living 3247.45 3247.45 47142 donor hepatectomy, with preparation and maintenance of allograft, from living 3576.13 3576.13 47300 treatment,liver lesion 865.63 865.63 47350 management of liver hemorrhage; simple suture of liver wound or injury 1062.88 1062.88 47360 management of liver hemorrhage; complex suture of liver wound or injury, with 1447.68 1447.68 47370 laparoscopy, surgical, ablation of one or more liver tumor(s); radiofrequency 972.42 972.42 47371 laparoscopy, surgical, ablation of one or more liver tumor(s); cryosurgical 989.80 989.80 47380 ablation, open, of one or more liver tumor(s); radiofrequency 1137.37 1137.37 47381 ablation, open, of one or more liver tumor(s); cryosurgical 1159.18 1159.18 47382 ablation, one or more liver tumor(s), percutaneous, radiofrequency 718.31 718.31 47400 incision of bile duct 1652.51 1652.51 47420 choledochotomy or choledochostomy with exploration, drainage, or removal of 1040.83 1040.83 47425 incision of bile duct 1051.31 1051.31 47460 transduodenal sphincterotomy or sphincteroplasty, with or without transduodenal 991.46 991.46 47480 incision of gallbladder 659.18 659.18 47490 percutaneous cholecystostomy 441.76 441.76 47550 biliary endoscopy, intraoperative (choledochoscopy) (list separately in 134.43 134.43 47552 biliary endoscopy 286.99 286.99 47553 biliary endoscopy for biopsy 287.62 287.62 47554 biliary endoscopy, percutaneous via t-tube or other tract; with removal of 421.00 421.00 47555 biliary endoscopy for dilation 344.95 344.95 47556 biliary endoscopy, percutaneous via t-tube or other tract; with dilation of 390.22 390.22 47562 laparoscopy, surgical, cholecystomy 572.17 572.17 47563 laparoscopy, surgical; cholecystectomy with cholangiography 585.93 585.93 47564 laparoscopy, surgical; cholecystectomy with exploration of common duct 677.67 677.67 47570 laparoscopy, surgical; cholecystoenterostomy 604.74 604.74 47600 removal of gallbladder 821.59 821.59 47605 removal of gallbladder 760.28 760.28 47610 removal of gallbladder 975.62 975.62 47612 cholecystectomy w/ choledochoenterostomy 985.81 985.81 47620 removal of gallbladder 1070.28 1070.28 47700 explor for cong atresia bile ducts with or w/o liv 810.32 810.32 47701 portoenterostomy 1394.94 1394.94 47711 excision of bile duct tumor, with or without primary repair of bile duct; 1211.02 1211.02 47712 excision of bile duct tumor, with or without primary repair of bile duct; 1551.93 1551.93 47715 excision of choledochal cyst 1017.32 1017.32 47720 fusion gallbladder & bowel 878.29 878.29 47721 cholecystoenterostomy w/gastroenterostomy 1037.09 1037.09 47740 fusion gallbladder & bowel 1002.06 1002.06 47741 cholecystoenterostomy; 1135.69 1135.69 47760 anastomosis, of extrahepatic biliary ducts and gastrointestinal tract 1713.02 1713.02 47765 anastomosis, of intrahepatic ducts and gastrointestinal tract 2263.33 2263.33 47780 fusion bile ducts and bowel 1873.79 1873.79 47785 anastomosis, roux-en-y, of intrahepatic biliary ducts and 2444.51 2444.51 47800 reconstruction of bile ducts 1222.90 1222.90 47801 placement of choledochal stent 862.51 862.51 47802 u-tube hepaticoenterostomy 1173.51 1173.51 47900 suture of extrahepatic biliary duct for pre-existing injury 1057.65 1057.65 48000 placement of drains, peripancreatic, for acute pancreatitis; 1467.69 1467.69 48001 placement of drains, peripancreatic, for acute pancreatitis; 1805.24 1805.24 48020 removal of pancreatic stone 903.86 903.86 48100 biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge 686.10 686.10 48102 biopsy of pancreas, percutaneous needle 221.41 440.06 48105 resection or debridement of pancreas and peripancreatic tissue for acute 2225.44 2225.44 48120 removal pancreas lesion 857.79 857.79 48140 pancreatectomy, distal subtotal, with or without splenectomy; without 1214.98 1214.98 48145 partial removal of pancreas 1261.90 1261.90 48146 pancreatectomy, distal, near-total with preservation of duodenum 1438.62 1438.62 48148 excision of ampulla of vater 955.41 955.41 48150 pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, 2431.41 2431.41 48152 pancreatectomy, proximal subtotal with total duodenectomy, 2247.79 2247.79 48153 pancreatectomy, proximal subtotal with near-total duodenectomy, 2428.13 2428.13 48154 pancreatectomy, proximal subtotal with near-total duodenectomy, 2253.72 2253.72 48155 removal of pancreas 1394.98 1394.98 48400 injection procedure for intraoperative pancreatography (list separately in 88.45 88.45 48500 marsupialization of pancreatic cyst 873.47 873.47 48510 external drainage, pseudocyst of pancreas; open 829.38 829.38 48520 fusion pancreas cyst - bowel 847.84 847.84 48540 fusion pancreas cyst - bowel 1013.92 1013.92 48545 pancreatorrhaphy for injury 1026.40 1026.40 48547 duodenal exclusion with gastrojejunostomy for pancreatic injury 1385.36 1385.36 48548 pancreaticojejunostomy, side-to-side anastomosis (puestow-type operation) 1296.88 1296.88 48554 transplantation of pancreatic allograft 1916.75 1916.75 48556 removal of transplanted pancreatic allograft 956.82 956.82 49000 exploration of abdomen 602.66 602.66 49002 reexploration of abdomen 792.57 792.57 49010 exploration behind abdomen 747.71 747.71 49013 PRPERTL PEL PACK HEMRRG TRMA 393.20 393.20 49014 REEXPLORATION PELVIC WOUND 324.93 324.93 49020 drainage of peritoneal abscess or localized peritonitis, exclusive of 1237.33 1237.33 49040 drainage of subdiaphragmatic or subphrenic abscess; open 775.12 775.12 49060 drainage of retroperitoneal abscess; open 867.71 867.71 49062 drainage of extraperitoneal lymphocele to peritoneal cavity, open 589.18 589.18 49180 biopsy, abdominal or retroperitoneal mass, percutaneous needle 78.71 139.57 49215 excision of presacral or sacroccygeal tumor 1734.80 1734.80 49250 umbilectomy, omphalectomy, excision of umbilicus 449.23 449.23 49255 removal of omentum 610.41 610.41 49320 laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without 257.36 257.36 49321 laparoscopy, surgical; with biopsy (single or multiple) 270.94 270.94 49322 laparoscopy, surgical, abdomen, peritoneum, and omentum; with aspiration of 294.65 294.65 49323 laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of 500.40 500.40 49324 laparoscopy, surgical; with insertion of intraperitoneal cannula or catheter, 306.74 306.74 49325 laparoscopy, surgical; with revision of previously placed intraperitoneal 329.43 329.43 49326 laparoscopy, surgical; with omentopexy (omental tacking procedure) (list 152.49 152.49 49400 air injection into abdomen 85.26 145.52 49402 removal of peritoneal foreign body from peritoneal cavity 665.51 665.51 49419 insertion of intraperitoneal cannula or catheter, with subcutaneous reservoir, 355.38 355.38 49421 amb surg insertion intraperitoneal cannula permane 304.44 304.44 49422 removal of permanent intraperitoneal cannula or catheter 306.05 306.05 49423 exchange of previously placed abscess or cyst drainage catheter under 67.84 453.95 49424 contrast injection for assessment of abscess or cyst via previously placed 35.41 124.13 49425 insertion of peritonial-venous shunt 597.45 597.45 49426 revision of peritoneal-venous shunt 508.91 508.91 49427 injection procedure (eg, contrast media) for evaluation of 40.89 40.89 49428 ligation of peritoneal-venous shunt 342.16 342.16 49429 removal of peritoneal-venous shunt 361.88 361.88 49435 insertion of subcutaneous extension to intraperitoneal cannula or catheter with 97.64 97.64 49436 delayed creation of exit site from embedded subcutaneous segment of 142.63 142.63 49491 repair, initial inguinal hernia, preterm infant (less than 37 weeks gestation 601.02 601.02 49492 repair, initial inguinal hernia, preterm infant (less than 37 weeks gestation 734.45 734.45 49495 repair, initial inguinal hernia, full term infant under age 6 months, or 305.43 305.43 49496 repair initial inguinal hernia, under age 6 months, with or 463.30 463.30 49500 amb surg repair inguinal hernia under age 5 unital 303.25 303.25 49501 repair initial inguinal hernia, age 6 months to under 5 years, 460.01 460.01 49505 amb surg repair inguinal hernia age 5/over unilat 398.38 398.38 49507 repair initial inguinal hernia, age 5 years or over; 490.86 490.86 49520 repair inguinal hernia 487.28 487.28 49521 repair recurrent inguinal hernia, any age; 594.81 594.81 49525 repair inguinal hernia 440.38 440.38 49540 repair lumbar hernia 521.27 521.27 49550 amb surg repair hernia femoral 442.55 442.55 49553 repair initial femoral hernia, any age; 484.47 484.47 49555 repair femoral hernia 460.82 460.82 49557 repair recurrent femoral hernia; 560.04 560.04 49560 amb surg hernia repair ventral 572.71 572.71 49561 repair initial incisional hernia; 723.04 723.04 49565 repair abdominal hernia 593.81 593.81 49566 repair recurrent incisional hernia; 730.49 730.49 49568 implantation of mesh or other prosthesis for incisional or ventral hernia 216.05 216.05 49570 amb surg hernia repair epigastric 313.07 313.07 49572 repair epigastric hernia (eg, preperitoneal fat); 388.68 388.68 49580 amb surg hernia repair umbilical 243.36 243.36 49582 repair umbilical hernia, under age 5 years; 362.33 362.33 49585 repair umbilical hernia, age 5 years or over; 336.75 336.75 49587 repair umbilical hernia, age 5 years or over; 399.56 399.56 49590 repair abdominal hernia 438.80 438.80 49600 repair of small omphalocele, with primary closure 566.44 566.44 49605 repair of large omphalocele or gastroschisis; with or without prosthesis 3926.45 3926.45 49606 repair omphalocele stag clo prosth red op room ane 887.91 887.91 49610 repair umbilical hernia 526.97 526.97 49611 repair umbilical hernia 473.79 473.79 49650 laparoscopy, surgical; repair initial inguinal hernia 327.61 327.61 49651 laparoscopy, surgical; repair recurrent iguinal hernia 423.77 423.77 49900 repair of abdominal wall 629.12 629.12 49904 omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall 1171.28 1171.28 49905 omental flap for reconstruction of chest wall 288.42 288.42 50010 exploration of 615.99 615.99 50020 drainage of kidney abscess 879.67 879.67 50040 drainage of kidney 828.31 828.31 50045 exploration of kidney 836.46 836.46 50060 removal of kidney stone 1030.50 1030.50 50065 incision of kidney 1083.76 1083.76 50070 incision of kidney 1076.76 1076.76 50075 removal of kidney stone 1324.06 1324.06 50080 percutaneous nephrostolithotomy, up to 2 cm 786.71 786.71 50081 percutaneous nephrostolithotomy, over 2 cm 1156.10 1156.10 50100 revise kidney blood vessels 843.13 843.13 50120 exploration of kidney: pyelotomy 852.85 852.85 50125 exploration / drainage kidney 881.94 881.94 50130 removal of kidney stone 933.33 933.33 50135 exploration of kidney: complicated 1011.12 1011.12 50200 biopsy of kidney 127.88 127.88 50205 biopsy of kidney 593.84 593.84 50220 , including partial ureterectomy, any open approach 919.03 919.03 50225 removal of kidney 1065.06 1065.06 50230 removal of kidney 1155.07 1155.07 50234 nephrectomy with total ureterectomy and bladder cu 1172.49 1172.49 50236 removal of kidney & 1326.44 1326.44 50240 partial removal of kidney 1191.32 1191.32 50280 removal of kidney lesion 849.11 849.11 50290 excision of perinephric cyst 784.14 784.14 50300 donor nephrectomy (including cold preservation); from cadaver donor, unilateral 1315.35 1315.35 50320 donor nephrectomy, with preparation and maintenance of allograft; from living 1155.43 1155.43 50340 removal of kidney 712.71 712.71 50360 renal allotransplantation, implantation of graft; excluding donor and recipient 1958.95 1958.95 50365 transplantation of kidney 2207.05 2207.05 50370 removal of transplanted renal allograft 915.34 915.34 50380 reimplantation of kidney 1544.60 1544.60 50390 aspiration and/or injection of renal cyst or pelvis by needle, percutaneous 89.37 89.37 50391 instillation(s) of therapeutic agent into renal pelvis and/or ureter through 91.00 113.72 50396 manometric studies through or pyelostomy tube, 106.25 106.25 50400 revision of kidney/ureter 1040.78 1040.78 50405 revision of kidney/ureter 1262.78 1262.78 50500 repair of kidney wound 1009.12 1009.12 50520 closure kidney/skin fistula 933.03 933.03 50525 closure nephrovisceral fistula including visceral 1167.55 1167.55 50526 closure nephrovisceral fistula thoracic approach 1223.71 1223.71 50540 revision of horseshoe kidney 1019.97 1019.97 50541 laparoscopy, surgical; ablation of renal cysts 830.77 830.77 50542 laparoscopy, surgical; ablation of renal mass lesion(s) 1053.86 1053.86 50543 laparoscopy, surgical; partial nephrectomy 1345.01 1345.01 50544 laparoscopy, surgical; pyeloplasty 1134.40 1134.40 50545 laparoscopy, surgical; radical nephrectomy (includes removal of gerota’s fascia 1217.49 1217.49 50546 laparoscopy, surgical; nephrectomy, including partial ureterectomy 1078.83 1078.83 50547 laparoscopy, surgical; donor nephrectomy (including cold preservation), from 1296.00 1296.00 50548 laparoscopy, surgical; nephrectomy with total ureterectomy 1227.80 1227.80 50551 renal endoscopy through established nephrostomy or pyelostomy, 270.66 330.31 50553 renal endoscopy through established nephrostomy or pyelostomy, 285.95 344.99 50555 visualization/biopsy kidney 313.04 376.33 50557 treatment of kidney lesion 317.92 383.93 50561 renal endoscopy with removal of foreign body 363.25 435.61 50562 renal endoscopy through established nephrostomy or pyelostomy, with or without 534.32 534.32 50570 renal endoscopy through nephrotomy or pyelotomy, with or without 453.60 453.60 50572 renal endoscopy through nephrotomy or pyelotomy, with or without 493.63 493.63 50574 visualization/biopsy kidney 521.46 521.46 50575 renal endoscopy through nephrotomy or pyelotomy, with or without 659.58 659.58 50576 treatment of kidney lesion 520.70 520.70 50580 treatment of kidney lesion 557.78 557.78 50590 shock wave (professional component) 506.26 813.02 50600 exploration of ureter 843.27 843.27 50605 ureterotomy for insertion of indwelling stent 812.94 812.94 50610 removal of stone, ureter 860.30 860.30 50620 removal of stone, ureter 815.98 815.98 50630 removal of stone, ureter 795.87 795.87 50650 removal of ureter 930.50 930.50 50660 ureterectomy, total, ectopic ureter, combination abdominal, 1029.26 1029.26 50684 injection for ureter x-ray 44.39 152.81 50686 manometric studies through or indwelling ureteral catheter 81.40 81.40 50688 change of ureterostomy tube or externally accessible ureteral stent via ileal 70.67 70.67 50690 injection for ureter x-ray 62.75 87.28 50700 revision of ureter 833.14 833.14 50715 release of ureter 985.96 985.96 50722 release of ureter 857.69 857.69 50725 release/revision of ureter 980.50 980.50 50727 revision urinary-cutaneous anastomosis 448.20 448.20 50728 revision of urinary-cutaneous anastomosis w repair 618.64 618.64 50740 fusion of ureter-kidney 965.29 965.29 50750 fusion of ureter-kidney 1047.02 1047.02 50760 fusion of ureter 977.16 977.16 50770 splicing of 1014.86 1014.86 50780 reimplant ureter in bladder 979.67 979.67 50782 ureteroneocystostomy; anastomosis 961.96 961.96 50783 ureteroneocystostomy; ureteral tailoring 998.37 998.37 50785 reimplant ureter in bladder 1087.30 1087.30 50800 implant ureter in bowel 824.96 824.96 50810 , with creation of sigmoid bladder and establishment of 1087.00 1087.00 50815 ureterocolon conduit, including intestine anastomosis 1100.91 1100.91 50820 ureteroileal conduit (ileal bladder), including intestine anastomosis (bricker 1173.15 1173.15 50825 continent diversion, including intestine anastomosis using any segment of small 1488.93 1488.93 50830 urinary andiversion 1617.22 1617.22 50840 replacement of all or part of ureter by intestine segment, including intestine 1107.96 1107.96 50845 cutaneous appendico-vesicostomy 1123.41 1123.41 50860 transplant of ureter to skin 851.17 851.17 50900 repair of ureter 748.86 748.86 50920 closure ureter/skin fistula 791.66 791.66 50930 closure ureter/bowel fistula 960.05 960.05 50940 release of ureter 796.54 796.54 50945 laparoscopy, surgical, ureterolithotomy 884.60 884.60 50947 laparoscopy, surgical; ureteroneocystostomy with and ureteral stent 1254.80 1254.80 50948 laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral 1164.48 1164.48 50951 ureteral endoscopy through established ureterostomy, with 282.36 345.04 50953 ureteral endoscopy through established ureterostomy, with 310.39 364.31 50955 visualization/biopsy ureter 335.40 402.63 50957 treatment of ureter lesion 325.80 392.12 50961 ureteral endoscopy through established ureterostomy, with 291.65 353.72 50970 visualization of ureter 342.03 342.03 50972 visualization of ureter 329.29 329.29 50974 visualization/biopsy ureter 436.12 436.12 50976 treatment of ureter lesion 429.56 429.56 50980 treatment of ureter lesion 328.38 328.38 51020 cystotomy or cystostomy w/fulgration and/or insert 415.34 415.34 51030 incision/treatment bladder 411.86 411.86 51040 cystostomy, cystotomy with drainage 258.97 258.97 51045 incision of bladder 414.25 414.25 51050 removal of bladder stone 421.96 421.96 51060 removal of ureteral stone 520.00 520.00 51065 cystotomy, with calculus basket extraction and/or ultrasonic or 516.57 516.57 51080 drainage of bladder abscess 361.31 361.31 51500 removal of bladder cyst 556.95 556.95 51520 removal of bladder lesion 524.20 524.20 51525 removal of bladder lesion 771.87 771.87 51530 removal of bladder lesion 687.76 687.76 51535 revision of ureter lesion 698.63 698.63 51550 partial removal of bladder 849.28 849.28 51555 partial removal of bladder 1129.95 1129.95 51565 revision of bladder & ureter 1155.08 1155.08 51570 removal of bladder 1319.84 1319.84 51575 cyctectomy w/bilat lymphadenectomy including hypog 1649.96 1649.96 51580 removal of bladder 1718.91 1718.91 51585 cyctectomy w/bilat lymph including hypogastric and 1915.18 1915.18 51590 , complete, with ureteroileal conduit or sigmoid bladder, including 1745.03 1745.03 51595 cystectomy w/bilat lymph including hypogastric and 1983.44 1983.44 51596 cystectomy, complete, with continent diversion, any open technique, using any 2131.75 2131.75 51597 removal of pelvic structures 2056.16 2056.16 51600 injection procedure for or voiding urethrocystography 40.35 164.50 51605 injection procedure and placement of chain for contrast and/ 34.50 34.50 51610 injection procedure for retrograde urethrocystography 57.03 96.69 51700 bladder irrigation, simple, lavage and/or instillation 40.35 76.08 51701 insertion of non-dwelling bladder catheter (eg, straight catheterization for 24.47 52.63 51702 insertion of temporary indwelling bladder catheter; simple (eg, foley) 26.89 67.47 51703 insertion of temporary indwelling bladder catheter; complicated (eg, altered 73.83 122.88 51705 change of cystostomy tube; 59.70 98.47 51710 change of cystostomy tube; 85.00 138.92 51715 endoscopic injection of implant material into the submucosal 180.22 259.27 51720 bladder instillation of anticarcinogenic agent (including detention time) 75.33 102.89 51725 26 simple cystometrogram (cmg) (eg, spinal manometer) 69.18 69.18 51725 TC simple cystometrogram (cmg) (eg, spinal manometer) 69.18 69.18 51725 simple cystometrogram (cmg) (eg, spinal manometer) 69.18 69.18 51726 26 complex cystometrogram (eg, calibrated electronic equipment) 78.67 78.67 51726 TC complex cystometrogram (eg, calibrated electronic equipment) 78.67 78.67 51726 complex cystometrogram (eg, calibrated electronic equipment) 78.67 78.67 51736 26 simple uroflowmetry 28.28 28.28 51736 TC simple uroflowmetry 28.28 28.28 51736 simple uroflowmetry 28.28 28.28 51741 26 complex uroflowmetry 52.82 52.82 51741 TC complex uroflowmetry 52.82 52.82 51741 complex uroflowmetry 52.82 52.82 51784 26 anal/urinary muscle study 69.84 69.84 51784 TC anal/urinary muscle study 69.84 69.84 51784 anal/urinary muscle study 69.84 69.84 51785 26 needle electromyography studies (emg) of anal or urethral sphincter, any 69.93 69.93 51785 TC needle electromyography studies (emg) of anal or urethral sphincter, any 69.93 69.93 51785 needle electromyography studies (emg) of anal or urethral sphincter, any 69.93 69.93 51792 26 stimulus evoked response (eg, measurement of bulbocavernosus 50.18 50.18 51792 TC stimulus evoked response (eg, measurement of bulbocavernosus 50.18 50.18 51792 stimulus evoked response (eg, measurement of bulbocavernosus 50.18 50.18 51797 26 voiding pressure studies (vp); 39.88 39.88 51797 TC voiding pressure studies (vp); 39.88 39.88 51797 voiding pressure studies (vp); 39.88 39.88 51800 cystoplasty or cystourethroplasty with or w/o res 938.30 938.30 51820 revision of urinary tract 956.74 956.74 51840 anterior vesicourethropexy, or (eg, marshall-marchetti-krantz, 570.87 570.87 51841 fixation of bladder/ 677.82 677.82 51845 abdomino-vaginal vesical neck suspension 519.90 519.90 51860 repair of bladder wound 635.88 635.88 51865 repair of bladder wound 788.13 788.13 51880 repair of bladder opening 412.06 412.06 51900 repair bladder/vagina lesion 730.83 730.83 51920 repair bladder/uterus lesion 675.43 675.43 51925 hysterectomy/bladder repair 880.79 880.79 51940 closure, exstrophy of bladder 1447.38 1447.38 51960 enterocystoplasty, including intestinal anastomosis 1247.68 1247.68 51980 construct bladder opening 638.32 638.32 51990 laparoscopy, surgical; urethral suspension for stress incontinence 657.08 657.08 51992 laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or 717.22 717.22 52000 amb surg cystoscopy 113.16 184.63 52001 cystourethroscopy with irrigation and evacuation of clots 263.12 342.76 52005 amb surg cystoscopy/uretheral catheter 120.79 253.13 52007 amb surg cystourethroscopy 151.28 470.47 52010 amb surg cystoscopy/duct catheter 146.84 352.16 52204 amb surg cystoscopy and biopsy 128.30 385.71 52214 amb surg treat urinary tract lesion 198.00 507.50 52224 amb surg treat urinary tract lesion 154.91 719.69 52234 amb surg treatment of bladder lesion 225.94 225.94 52235 treatment of bladder lesion 264.94 264.94 52240 treatment of bladder lesion 463.65 463.65 52250 amb surg cystourethroscopy 221.77 221.77 52260 amb surg cystourethroscopy 191.36 191.36 52265 cystourethroscopy, with dilation of bladder for interstitial cystitis; 144.12 370.04 52270 amb surg cystourethroscopy 166.47 358.16 52275 amb surg cystourethroscopy 228.23 490.18 52276 amb surg cystourethroscopy 243.61 243.61 52277 amb surg cystourethroscopy 297.72 297.72 52281 amb surg dilation urethral stricture 140.94 269.94 52282 cystourethroscopy, with insertion of urethral stent 307.27 307.27 52283 amb surg injection treatment, urethra 183.24 251.66 52285 amb surg cystourethroscopy 177.46 253.17 52290 amb surg cystourethroscopy 224.11 224.11 52300 amb surg cystourethroscopy 257.41 257.41 52305 amb surg cystourethroscopy 255.91 255.91 52310 remove bladder/urethra stone 138.55 223.64 52315 amb surg cystourethroscopy 252.12 396.27 52317 litholapaxy: crushing or fragmentation of calculus 320.19 835.91 52318 amb surg litholapaxy: of calculus complicated 436.38 436.38 52320 amb surg cystourethroscopy 226.41 226.41 52325 amb surg cystourethroscopy w/fragmentat of calculu 294.66 294.66 52327 cystourethroscopy (including ureteral catheterization); 241.47 469.20 52330 amb surg cystourethroscopy 242.40 679.10 52332 amb surg cystourethroscopy 142.43 419.52 52334 amb surg cystourethroscop w/insertion ureteral wir 235.32 235.32 52341 cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, 267.36 267.36 52342 cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, 290.71 290.71 52343 cystourethroscopy; with treatment of intra-renal stricture (eg, balloon 323.44 323.44 52344 cystourethroscopy with ; with treatment of ureteral stricture (eg, 350.64 350.64 52345 cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction 373.99 373.99 52346 cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture 422.18 422.18 52351 cystourethroscopy, w/ureteroscopy and/or pyeloscopy; diagnostic 287.86 287.86 52352 cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or 338.05 338.05 52353 cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy 389.03 389.03 52354 cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or 359.49 359.49 52355 cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of 428.69 428.69 52400 cystourethroscopy with incision, fulguration, or resection of congenital 439.66 439.66 52450 transurethral incision of prostate 418.17 418.17 52500 transurethral resection of bladder neck (separate procedure) 436.96 436.96 52601 amb surg transurethral resection of bladder 744.46 744.46 52630 amb surg transurethral resection of prostate 397.92 397.92 52640 amb surg transurethral resection of prostate 270.90 270.90 52647 laser coagulation of prostate, including control of postoperative bleeding, 579.15 1885.87 52648 laser vaporization of prostate, including control of postoperative bleeding, 618.22 1927.36 52700 drainage of prostate abscess 388.48 388.48 53000 revision of urethra 132.53 132.53 53010 revision of urethra 259.44 259.44 53020 meatotomy, cutting of meatus (separate procedure); 88.50 88.50 53025 meatotomy, cutting of meatus (separate procedure); 58.03 58.03 53040 drainage of urethra abscess 350.83 350.83 53060 drainage of skene's gland abscess or cyst 137.09 154.05 53080 drainage of urinary leakage 388.21 388.21 53085 drainage of urinary leakage 552.56 552.56 53200 biopsy of urethra 127.41 139.22 53210 removal of urethra 691.41 691.41 53215 removal of urethra 840.35 840.35 53220 treatment of urethra lesion 402.96 402.96 53230 removal of urethra lesion 537.72 537.72 53235 removal of urethra lesion 571.87 571.87 53240 revision of urethral pouch 383.46 383.46 53250 removal of urethral gland 355.72 355.72 53260 excision or fulguration; 157.01 176.69 53265 treatment of urethral lesion 165.02 195.91 53270 removal of urethral gland 161.64 180.12 53275 repair of urethral defect 238.26 238.26 53400 revision urethra, 1st stage 718.78 718.78 53405 revision urethra, 2nd stage 791.95 791.95 53410 reconstruction of urethra 884.16 884.16 53415 urethroplasty, transpubic, one stage 1020.40 1020.40 53420 revision urethra, 1st stage 725.81 725.81 53425 revision urethra, 2nd stage 851.81 851.81 53430 reconstruction of urethra 850.37 850.37 53431 urethroplasty with tubularization of posterior urethra and/or lower bladder for 1043.01 1043.01 53440 operation for correction of male urinary incontinence, with 788.33 788.33 53442 rem perineal prosthesis introduced for incontinen 693.78 693.78 53444 insertion of tandem cuff (dual cuff) 717.23 717.23 53445 insertion of inflatable urethral/bladder neck sphincter, including placement of 791.35 791.35 53446 removal of inflatable urethral/bladder neck sphincter, including pump, 578.00 578.00 53447 removal and replacement of inflatable urethral/bladder neck sphincter including 731.89 731.89 53448 removal and replacement of inflatable urethral/bladder neck sphincter including 1158.45 1158.45 53449 repair of inflatable urethral/bladder neck sphincter, including pump, 549.69 549.69 53450 revision of urethra 365.07 365.07 53460 revision of urethra 410.42 410.42 53500 urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, 661.09 661.09 53502 urethrorrhaphy, female 434.16 434.16 53505 repair of urethra injury 436.13 436.13 53510 repair of urethra injury 567.97 567.97 53515 repair of urethra injury 717.17 717.17 53520 repair of urethra defect 498.05 498.05 53600 dilation of urethral stricture by passage of sound or urethral dilator, male; 58.75 76.92 53601 dilation of urethral stricture by passage of sound or urethral dilator, male; 48.98 74.41 53605 dilation of urethral stricture or vesical neck by passage 59.22 59.22 53620 dilation of urethral stricture by passage of filiform and follower, male; 79.85 109.83 53621 dilation of urethral stricture by passage of filiform and follower, male; 66.27 103.51 53660 dilation of female urethra including suppository and/or instillation; 37.31 64.26 53661 dilation of female urethra including suppository and/or instillation; 36.72 63.98 53665 dilation of female urethra, general or conduction (spinal) anesthesia 34.61 34.61 53850 transurethral destruction of prostate tissue; by microwave thermo 511.14 2159.76 53852 transurethral destruction of prostate tissue; by radiofrequency thermotherapy 556.17 2080.63 54000 slitting of prepuce, dorsal or lateral (separate procedure);newborn 95.15 137.54 54001 slitting of prepuce, dorsal or lateral (separate procedure); 123.01 169.65 54015 i & d penis, deep 278.39 278.39 54050 destruction of lesion(s), penis (eg, condyloma, papilloma, 83.18 103.78 54055 treatment of penis lesion 76.76 99.16 54056 destruction of lesion(s), penis (eg, condyloma, papilloma, 85.81 108.21 54057 destruction of lesion(s), penis (eg, condyloma, papilloma, 80.67 118.83 54060 destruction of lesion(s), penis (eg, condyloma, papilloma, 112.88 161.02 54065 destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum 138.00 177.06 54100 biopsy of penis; (separate procedure) 102.73 161.79 54105 biopsy of penis; 192.78 244.87 54110 excision of penile plaque (peyronie disease); 559.88 559.88 54111 excision of penile plaque with graft to 5cm 724.27 724.27 54112 excision of penile plaque with graft more than 5cm 850.22 850.22 54115 removal foreign body from deep penile tissue 375.74 401.18 54120 partial amputation of penis 566.24 566.24 54125 amputation of penis 730.77 730.77 54130 amputation of penis 1082.27 1082.27 54135 amputation penis w/bilateral lymph include hypogas 1374.81 1374.81 54150 circumcision 88.24 148.20 54160 circumcision,surgical excision other than clamp; newborn 130.32 205.11 54161 amb surg circumcision except newborn 176.68 176.68 54162 lysis or excicion of penile post-circumcision adhesions 175.61 238.61 54163 repair incomplete circumcision 193.79 193.79 54164 frenulotomy of penis 170.44 170.44 54200 injection procedure for peyronie disease; 74.57 96.67 54205 injection procedure for peyronie disease; 480.31 480.31 54220 irrigation of corpora cavernosa for priapism 121.82 187.85 54230 inj procedure for corpora cavernosgraphy 72.08 86.92 54240 26 penile plethysmography 60.92 60.92 54240 TC penile plethysmography 60.92 60.92 54240 penile plethysmography 60.92 60.92 54300 revion of penis 583.21 583.21 54304 correction of chordee or 1st stage hypospadias 683.47 683.47 54308 urethroplasty for 2nd stage hypospadias repair 650.75 650.75 54312 urethroplasty for hypospadias repair more than 3cm 752.06 752.06 54316 urethroplasty for hypospadias repair with graft 910.64 910.64 54318 urethroplasty for hypospadias to release penis 655.58 655.58 54322 one stage distal hypospadias repair & meatal adv. 712.07 712.07 54324 one stage distal hypospadias repair w/ urethroplst 885.24 885.24 54326 one stage distal hypospadias repair w/ urethroplst 832.74 832.74 54328 hypospadias with urethroplasty to correct chordee 843.97 843.97 54332 penile hypospadias repair dissection to corr chord 922.64 922.64 54336 hypospadias repair to corrt chordee and urethropla 1048.50 1048.50 54340 repair hypospadias complications; simple 506.29 506.29 54344 repair hypospadias complications w/ urethroplasty 873.57 873.57 54348 repair hypospadias compli dissection and urethropl 927.47 927.47 54352 repair of hypospadias cripple requiring dissection 1308.43 1308.43 54360 plasti operation on penis to correct angulation 655.98 655.98 54380 revision of penis 726.95 726.95 54385 revise penis/bladder defect 877.53 877.53 54390 revise penis/bladder defect 1070.42 1070.42 54406 removal of all components of a multi-component, inflatable penile prosthesis 658.49 658.49 54415 removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile 472.32 472.32 54420 revision of penis 638.04 638.04 54430 revision of penis 577.79 577.79 54435 corpora cavernosa-glans penis fistulization (eg, biopsy needle, 373.35 373.35 54440 revision of penis 789.46 789.46 54450 foreskin manipulation including lysis of preputial adhesions and stretching 53.47 65.58 54500 biopsy of testis, needle (separate procedure) 68.28 68.28 54505 biopsy of testis 191.28 191.28 54512 excision of extraparenchymal lesion of testis 481.12 481.12 54520 orchiectomy, simple 290.97 290.97 54522 orchiectomy, partial 522.48 522.48 54530 amb surg orchiectomy radical inguinal approach 454.23 454.23 54535 amb surg orchiectomy with abdominal approach 661.08 661.08 54550 exploration for testis 438.45 438.45 54560 exploration for testis 598.93 598.93 54600 reduce testis torsion 405.22 405.22 54620 fixation of testis 272.31 272.31 54640 amb surg orchiopexy any type 416.05 416.05 54650 orchiopexy abdominal approach for intra-abdominal testis 638.30 638.30 54670 repair testis injury 361.73 361.73 54680 relocation of testis(es) 705.39 705.39 54690 laparoscopy, surgical; orchiectomy 570.22 570.22 54692 laparoscopy, surgical; orchiopexy for intra-abdominal testis 696.72 696.72 54700 amb surg i & d epididymis testis/scrotal space 188.70 188.70 54800 biopsy of epididymis, needle 119.51 119.51 54830 excision of local lesion of epididymis 329.19 329.19 54840 amb surg excision spermatocele w/wo epididymectomy 289.11 289.11 54860 removal of epididymis 373.51 373.51 54861 removal of epididymes 505.66 505.66 54865 exploration of epididymis, with or without biopsy 317.79 317.79 55000 puncture aspiration of hydrocele, tunica vaginalis, with or 75.75 107.25 55040 amb surg excision hydrocele unilateral 300.47 300.47 55041 amb surg excision hydrocele bilateral 452.53 452.53 55060 repair of hydrocele 336.02 336.02 55100 drainage of scrotal wall abscess 142.37 189.30 55110 scrotal exploration 341.90 341.90 55120 removal of scrotum lesion 313.52 313.52 55150 removal of scrotum 433.45 433.45 55175 scrotoplasty; simple 321.65 321.65 55180 scrotoplasty; complicated 612.93 612.93 55200 incision of sperm duct 246.54 429.15 55250 removal of sperm duct(s) 201.40 377.35 55300 vasotomy for vasograms, seminal vesiculograms, or epididymograms, 163.68 163.68 55500 amb surg excision hydrocele of spermatic cord 333.52 333.52 55520 removal of sperm cord lesion 343.59 343.59 55530 amb surg excision varicocele 315.24 315.24 55535 amb surg excision varicocele abdominal approach 381.48 381.48 55540 amb surg excision varicocele with hernia repair 416.97 416.97 55550 laparoscopy, surgical, with ligation of spermatic veins for varicocele 377.82 377.82 55600 incise sperm duct pouch 380.52 380.52 55650 remove sperm duct pouch 641.27 641.27 55680 remove sperm pouch lesion 303.00 303.00 55700 biopsy, prostate; 123.70 203.65 55705 amb surg prostate biopsy incisional any approach 242.29 242.29 55720 drainage of prostate abscess 414.67 414.67 55725 drainage of prostate abscess 526.40 526.40 55801 removal of prostate 980.54 980.54 55810 removal of prostate 1186.92 1186.92 55812 prostatectomy perineal radical w lymph biopsy 1458.82 1458.82 55815 prostatectomy perineal w pelvic lymphadenectomy 1600.55 1600.55 55821 removal of prostate 788.56 788.56 55831 removal of prostate 854.81 854.81 55840 prostatectomy, retropubic radical, with or without nerve sparing; 1210.90 1210.90 55842 prostatectomy retropubic w lymph biopsy 1297.91 1297.91 55845 extensive prostate surgery 1485.57 1485.57 55860 exposure of prostate, any approach, for insertion of radioactive substance; 791.09 791.09 55862 exposure of prostate, any approach, for insertion of radioactive substance; 999.77 999.77 55865 exposure of prostate, any approach, for insertion of radioactive substance; 1211.77 1211.77 55866 laparoscopy surgical prostatectomy retropubic radical including nerve sparing 1578.12 1578.12 55873 cryosurgical ablation of the prostate (includes ultrasonic guidance for 1030.77 1030.77 55875 transperineal placement of needles or catheters into prostate for interstitial 685.89 685.89 55876 placement of interstitial device(s) for guidance (eg, 95.76 125.75 56405 incision and drainage of vulva or perineal abscess 86.46 88.27 56420 drainage of vulva abscess 75.22 101.26 56440 marsupialization of bartholin's gland cyst 150.06 150.06 56441 lysis of labial adhesions 115.94 122.29 56442 hymenotomy, simple incision 39.97 39.97 56501 destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, 92.03 105.36 56515 destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, 160.56 180.54 56605 biopsy of vulva/perineum 1 lesion 50.52 68.09 56606 biopsy of vulva or perineum (separate procedure); each separate additional 24.91 31.57 56620 vulvectomy partial unilateral or bilateral. 402.85 402.85 56625 external genital surgery 486.15 486.15 56630 vulvectomy radical without skin graft 712.29 712.29 56631 vulvectomy, radical, partial; w lymphadenectomy 906.63 906.63 56632 vulvectomy, radical, partial; 1049.62 1049.62 56633 vulvectomy, radical, complete 929.87 929.87 56634 vulvectomy, rad, complete; uni lymphadenectomy 982.32 982.32 56637 vulvectomy, radical, complete; w lymphadenectomy 1161.70 1161.70 56640 vulvectomy radical with inguinofem iliac pelvic ly 1158.93 1158.93 56700 external genital surgery 151.77 151.77 56740 amb surg excision bartholin gland or cyst 243.34 243.34 56800 plastic repair of introitus 200.10 200.10 56805 clitoroplasty for intersex state 945.28 945.28 56810 perineoplasty, repair of perineum non-ob 215.04 215.04 56820 colposcopy of the vulva; 70.41 90.41 56821 colposcopy of the vulva; with biopsy (s) 95.61 121.07 57000 amb surg colpotomy with exploration 156.41 156.41 57010 amb surg colpotomy w drainage pelvic abscess 351.68 351.68 57020 colpocentesis (separate procedure) 67.99 77.67 57022 incision and drainage of vaginal hematoma; obstetrical/postpartum 136.49 136.49 57023 incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, 256.00 256.00 57061 destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, 78.61 91.63 57065 destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, 139.78 156.44 57100 biopsy of vagina 54.61 72.17 57105 biopsy of vagina 101.63 110.10 57106 vaginectomy, partial removal of vaginal wall; 387.51 387.51 57107 vaginectomy, partial removal of vaginal wall; with removal of paravaginal 1153.04 1153.04 57109 vaginectomy, partial removal of vaginal wall; with removal of paravaginal 1318.76 1318.76 57110 vaginectomy, complete removal of vaginal wall; 741.63 741.63 57111 vaginectomy, complete removal of vaginal wall; with removal of paravaginal 1332.16 1332.16 57120 vaginal surgery 419.52 419.52 57130 amb surg excision vaginal septum 131.93 147.38 57135 amb surg excision vaginal cyst or tumor 142.32 158.07 57150 treatment vaginal infection 24.91 41.25 57155 insertion of uterine tandems and/or vaginal ovoids for clinical brachytherapy 347.51 347.51 57160 fitting and insertion of pessary or other intravaginal support device 39.99 62.71 57170 diaphram fitting with instructions 40.55 56.61 57180 introduction of any hemostatic agent or pack for spontaneous 87.52 115.07 57200 amb surg colporrphaphy suture of injury to vagina 241.88 241.88 57210 amb surg colporrhaphy 300.46 300.46 57220 amb surg colporrhaphy 260.93 260.93 57230 amb surg colporrhaphy 326.89 326.89 57240 amb surg colporrhaphy 545.74 545.74 57250 amb surg colporrhaphy w/wo perineorrhaphy 534.24 534.24 57260 combined anteroposterior colporrhaphy 666.20 666.20 57265 comb anteroposterior colporrhaphy w enterocele 744.08 744.08 57267 insertion of mesh or other prosthesis for repair of pelvic floor defect, each 224.84 224.84 57268 repair enterocele vaginal approach 393.90 393.90 57270 repair of visceral pouch 656.65 656.65 57280 fixation of vagina 798.85 798.85 57282 colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) 417.75 417.75 57283 colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) 565.93 565.93 57287 removal or revision of sling for stress incontinence (eg, fascia or synthetic) 579.52 579.52 57288 sling operation for stress incontinence 610.23 610.23 57289 pereyra procedure inc anterior colporrhaphy 641.34 641.34 57291 construction artificial vagina w/o graft 444.85 444.85 57292 construction artificial vagina with graft 682.91 682.91 57296 revision (including removal) of prosthetic vaginal graft; open abdominal 782.09 782.09 57300 amb surg closure rectovaginal fistula vag approach 435.54 435.54 57305 repair rectum/vagina lesion 729.56 729.56 57307 repair rectum/vagina lesion 816.27 816.27 57308 closure of rectovaginal fistula; transperineal approach, with per 520.30 520.30 57310 repair urthra/vagina lesion 405.56 405.56 57311 closure urethrovaginal fistula w/ bulbocavernosus 463.33 463.33 57320 repair bladder/vagina lesion 461.66 461.66 57330 repair bladder/vagina lesion 656.83 656.83 57335 vaginoplasty for intersex state 959.28 959.28 57400 dilation of vagina under anesthesia 112.12 112.12 57410 amb surg pelvic exam under anesthesia 87.98 87.98 57415 removal vag foreign body w anesth. 130.89 130.89 57420 colposcopy of the entire vagina, with cervix if present; 74.80 95.09 57421 colposcopy of the entire vagina, with cervix if present; with biopsy(s) of 102.17 128.19 57425 laparoscopy, surgical, colpopexy (suspension of vaginal apex) 806.11 806.11 57452 colposcopy (vaginoscopy); 75.86 89.48 57454 colposcopy with biopsy 113.28 126.91 57455 colposcoopy of the cervix including upper/adjacent vagina; with biopsy(s) of the 92.54 117.68 57456 colposcopy of the cervix including upper/adjacent vagina; with endocervical 86.33 111.16 57460 colposcopy (vaginoscopy); with loop electrode excision procedure of the cervix 136.05 241.13 57461 colposcopy of the cervix including upper/adjacent vagina; w/loop electrode 157.45 271.01 57500 biopsy, single or multiple, or local excision of lesion, with 61.46 106.59 57505 endocervical curettage (not done as part of a dilation and curettage) 73.59 82.07 57510 cautery of cervix; electro or thermal 95.75 108.77 57511 cryocautry initial or repeat cervix uteri 107.30 118.21 57513 amb surg-cauterization of cervix, laser surgery 107.91 116.70 57520 conization cervix-including d&c, repair or fulguration 223.03 250.29 57522 conization of cervix, loop electrode excision 197.88 214.54 57530 removal of cervix 280.68 280.68 57531 radical trachelectomy, with bilateral total pelvic lymphadenectomy and 1399.99 1399.99 57540 removal of cervix tissue 640.21 640.21 57545 remove cervix, repair pelvis 675.53 675.53 57550 removal of cervix tissue 332.06 332.06 57555 remove cervix, repair vagina 491.64 491.64 57556 cervix uteri with repair of enterocele 469.13 469.13 57558 dilation and curettage of cervical stump 92.49 101.87 57700 amb surg cervical cerclage (tracheloplasty) 248.72 248.72 57720 revision of cervix 249.63 249.63 57800 dilation of cervical canal, instrumental (separate procedure) 40.10 49.18 58100 endometrial sampling (biopsy) with or without endocervical sampling (biopsy), 72.90 90.17 58120 dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) 176.99 203.64 58140 myomectomy, excision of leiomyomata of uterus, single or multiple (separate 751.01 751.01 58145 removal of uterine lesion 444.23 444.23 58146 myomectomy excision of fibroid tumor(s) of uterus 5 or more in tramural myomas 957.19 957.19 58150 ambulatory surgery, total abdominal hysterectomy 814.12 814.12 58152 total abdominal hysterectomy (corpus and cervix), with or without removal of 1027.86 1027.86 58180 partial hysterectomy 781.66 781.66 58200 extensive uterine surgery 1076.95 1076.95 58210 extensive uterine surgery 1434.84 1434.84 58240 removal of pelvis contents 2256.21 2256.21 58260 hysterectomy 679.34 679.34 58262 vaginal hysterectomy w/ removal of tubes and ovary(s) 759.37 759.37 58263 vaginal hysterectomy w/ removal of tube/ovary & enterocele 818.35 818.35 58267 hysterectomy & repair vagina 869.64 869.64 58270 hysterectomy & repair vagina 728.15 728.15 58275 vaginal hysterectomy, with total or partial vaginectomy; 810.26 810.26 58280 hysterectomy, revise vagina 867.14 867.14 58285 hysterectomy 1088.88 1088.88 58290 vaginal hysterectomy, for uterus greater than 250 grams 952.77 952.77 58291 vaginal hysterectomy, for uterus greater than 250 grams; with removal of 1035.52 1035.52 58292 vaginal hysterectomy, for uterus greater than 250 grams; with removal of 1091.46 1091.46 58294 vaginal hysterectomy, for uterus greater than 250 grams; with repair of 1006.74 1006.74 58300 insert intrauterine device 46.16 64.02 58301 removal of iud 56.81 78.61 58346 insertion of heyman capsules for clinical brachytherapy 374.01 374.01 58353 endometrial ablation, thermal, without hysteroscopic guidance 181.52 905.59 58400 fixation of uterus 366.92 366.92 58410 fixation of uterus 659.11 659.11 58520 repair of ruptured uterus 643.59 643.59 58540 revision of uterus 747.46 747.46 58541 laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; 704.78 704.78 58542 laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; 783.14 783.14 58543 laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 796.24 796.24 58544 laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 860.78 860.78 58545 laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with 736.27 736.27 58546 laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or 933.68 933.68 58548 laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic 1457.00 1457.00 58550 laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; 726.47 726.47 58552 laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less 802.10 802.10 58553 laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 938.53 938.53 58554 laparoscopy, surgical, w/vaginal hysterectomy, for uterus greater than 250 grams 1075.54 1075.54 58555 hysteroscopy, diagnostic (separate procedure) 158.20 196.97 58558 hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or 223.03 266.64 58559 hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) 286.99 286.99 58560 hysteroscopy, surgical; with division or resection of intrauterine septum 324.41 324.41 58561 hysteroscopy, surgical; with removal of leiomyomata 459.38 459.38 58562 hysteroscopy, surgical with removal of impacted foreign object 243.29 282.35 58563 hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, 286.99 1475.00 58600 amb surg ligation or transection fallopian tubes 297.61 297.61 58605 ligation or transection fallop tubes abd or vag po 270.44 270.44 58611 ligation or transection of fallopian tube(s) when done at the time of cesarean 65.14 65.13 58615 occlus fallopian tubes by device vag/suprapubic 204.39 204.39 58660 laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) 553.43 553.43 58661 laparoscopy, surgical; with removal of adnexal structures (partial or total 532.21 532.21 58662 laparoscopy, surgical; with fulguration or excision of lesions of the ovary, 581.73 581.73 58670 laparoscopy, surgical; with fulguration of oviducts (with or without 299.64 299.64 58671 laparoscopy, surgical; with occlusion of oviducts by device 299.53 299.54 58700 salpingectomy complete or partial unilateral or bi 626.14 626.14 58720 removal of ovary/tube(s) 588.47 588.47 58800 amb surg drainage ovarian cyst 243.26 260.52 58805 drainage of ovarian cyst(s) 330.91 330.91 58820 drainage of ovarian abcess 255.01 255.01 58822 drainage of ovarian abscess 578.24 578.24 58900 biopsy of ovary(s) 337.68 337.68 58920 partial removal of ovary(s) 576.06 576.06 58925 ovarian cystectomy unilateral or bilateral 600.40 600.40 58940 oophorectomy partial or total unilateral or bilate 410.39 410.39 58943 oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or 918.89 918.89 58950 resection of ovarian, tubal or primary peritoneal malignancy with bilateral 875.61 875.61 58951 resect ovarian malignancy 1130.70 1130.70 58952 resection of ovarian, tubal or primary peritoneal malignancy with bilateral 1275.17 1275.17 58953 bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy 1582.49 1582.49 58954 bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy 1718.04 1718.04 58956 bilateral salpingo-oophorectomy with total omentectomy, total abdominal 1107.60 1107.60 58957 resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, 1217.83 1217.83 58958 resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, 1353.69 1353.69 58960 laparotomy, for staging or restaging of ovarian, tubal or primary peritoneal 756.63 756.63 59000 amniocentesis; diagnostic 66.86 104.41 59001 amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound 152.93 152.93 59012 cordocentesis (intrauterine), any method 168.70 168.70 59020 26 fetal contraction 31.29 31.29 59020 TC fetal contraction 31.29 31.29 59020 fetal contraction 31.29 31.29 59025 26 fetal non-stress test 25.20 25.20 59025 TC fetal non-stress test 25.20 25.20 59025 fetal non-stress test 25.20 25.20 59030 fetal blood sampling scalp 93.99 93.99 59100 removal of uterus lesion 673.41 673.41 59120 treatment atypical pregnancy 643.21 643.21 59121 surg treat ectopic pregn tubal wo salping/oophorec 646.16 646.16 59130 treatment atypical pregnancy 754.59 754.59 59135 treatment atypical pregnancy 763.46 763.46 59136 tx ectopic pregnancy w/ partial resection uterus 713.76 713.76 59140 treatment atypical pregnancy 319.17 319.17 59150 lap tx ectopic pregnancy w/o removal tubes/ovaries 625.37 625.37 59151 lap tx ectopic pregnancy w/ removal tubes/ovaries 611.16 611.16 59160 currettage, postpartum 146.87 173.52 59200 insertion of hygroscopic cervical dilator 37.38 60.09 59300 amb surg episiotomy of vaginal repair only 120.71 156.14 59320 cerclage of cervix during pregnancy, vaginal 126.45 126.45 59325 cerclage of cervix during pregnancy, abdominal 199.65 199.65 59350 hysterorrhaphy of ruptured uterus 230.22 230.22 59400 obstetrical care 1437.02 1437.02 59409 vaginal delivery only (w or w/o episiotomy and/or forceps) 638.06 638.06 59410 vaginal delivery only (with or without episiotomy and/or forceps); including 739.89 739.89 59412 external cephalic version, with or without tocolysis 85.48 85.48 59414 delivery of placenta (infant born outside of hosp) 76.04 76.04 59425 antepartum care only; 282.41 357.21 59426 antepartum care only; 499.75 639.05 59430 postpartum care only, separate procedure 104.03 114.63 59514 cesarean delivery only; 755.50 755.50 59525 subtotal or total hysterectomy after cesarean delivery (list separately in 402.11 402.11 59812 surgical tx spontaneous abortion, any trimester 237.64 254.29 59820 amb surg missed abortion any trimester 279.53 299.83 59821 treatment of missed abortion, completed surgically; 284.05 305.54 59830 septic abortion 353.56 353.56 59856 induced abortion, by one or more vaginal suppositories 399.57 399.57 59870 uterine evacuation and curettage for hydatidiform mole 379.21 379.21 59871 removal of cerclage suture under anesthesia (other than local) 110.40 110.40 60000 incision and drainage of thyroglossal duct cyst, infected 115.29 125.88 60100 biopsy thyroid, percutaneous core needle 70.11 94.64 60200 drainage thyroid duct lesion 519.53 519.53 60210 partial thyroid lobectomy, unilateral; 556.82 556.82 60212 partial thyroid lobectomy, unilateral; 800.37 800.37 60220 partial removal of thyroid 610.54 610.54 60225 tot thy subt lobectomy inc isthmus 733.56 733.56 60240 removal of thyroid 778.18 778.18 60252 removal of thyroid 1050.84 1050.84 60254 extensive thyroid surgery 1354.34 1354.34 60260 thyroidectomy, removal of all remaining thyroid tissue 877.41 877.41 60270 thyroidectomy, including substernal thyroid; sternal split or transthoracic 1105.87 1105.87 60271 thyroidectomy, including substernal thyroid gland; 847.68 847.68 60280 amb surg excision thyroglossal duct cyst or sinus 348.29 348.29 60281 excision of thyroglossal duct,cyst,sinus;recurrent 466.25 466.25 60500 explore parathyroid glands 806.78 806.78 60502 re-exploration of parathyroids 1012.80 1012.80 60505 explore parathyroid glands 1112.12 1112.12 60512 parathyroid autotransplantation (list separately in addition to code for 198.16 198.16 60520 thymectomy, partial or total; transcervical approach (separate procedure) 831.02 831.02 60521 thymectomy, partial or total; 953.39 953.39 60522 thymectomy, partial or total; 1150.35 1150.35 60540 exploration adrenal gland 876.14 876.14 60545 exploration adrenal gland 997.65 997.65 60600 removal carotid body lesion 1160.58 1160.58 60605 removal carotid body lesion 1460.47 1460.47 60650 laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration 977.31 977.31 61000 subdural tap through fontanelle, or suture, infant, unilateral or bilateral; 88.64 88.64 61001 subdural tap through fontanelle, or suture, infant, unilateral or bilateral; 86.63 86.63 61020 ventricular puncture through previous burr hole, fontanelle, 102.83 102.83 61026 ventricular puncture through previous burr hole, fontanelle, suture, or 103.06 103.06 61050 removal canal fluid 88.06 88.06 61055 cisternal or lateral cervical (c1-c2) puncture; with injection of medication or 113.77 113.77 61070 puncture of shunt tubing or reservoir for aspiration or injection procedure 65.37 65.37 61105 twist drill hole for subdural or ventricular puncture; 338.94 338.94 61107 twist drill hole for implant ventric cath/recordin 253.44 253.44 61108 twist drill hole for evac of subdural hematoma 674.79 674.79 61120 burr hole(s) for ventricular puncture (including injection of gas, contrast 553.31 553.31 61140 incise 961.20 961.20 61150 incise skull for drainage 1029.48 1029.48 61151 incise skull for drainage 744.98 744.98 61154 incise skull for drainage 962.63 962.63 61156 incise skull for drainage 960.52 960.52 61210 relieve/measure brain fluid 295.89 295.89 61215 insertion of subcutaneous reservoir to ventr cath 368.29 368.29 61250 burr hole trephine, supratentorial, exploratory 648.18 648.18 61253 burr hole or trephine infratentorial unilateral/bi 715.39 715.39 61304 incise skull for exploration 1268.54 1268.54 61305 incise skull for exploration 1530.08 1530.08 61312 craniectomy for evac of hematoma, supratentorial 1588.27 1588.27 61313 craniectomy for evac of hematoma, intracerebral 1516.77 1516.77 61314 craniectomy for evac of hematoma, infrantentorial 1403.75 1403.75 61315 craniectomy for evac of hematoma, intracerebellar 1598.38 1598.38 61316 incision and subcutaneous placement of cranial bone (list separately in addition 69.73 69.73 61320 incise skull for drainage 1478.20 1478.20 61321 craniectomy drainage of intracranial abscess infra 1621.01 1621.01 61322 craniectomy or , decompressive, with or without duraplasty, for 1800.12 1800.12 61323 craniectomy or craniotomy, decompressive, with or without duraplasty, for 1832.01 1832.01 61330 incise skull for exploration 1257.39 1257.39 61333 explor decompress orbit transcran approach remove 1471.83 1471.83 61340 other cranial decompression eg subtemporal suprate 1100.18 1100.18 61343 craniectomy w/ cervical laminectomy 1701.59 1701.59 61345 other cranial decompression posterior fossa 1574.27 1574.27 61450 craniectomy for section comp or decomp or sensory 1460.73 1460.73 61458 craniectomy exploration/decompress cranial nerves 1556.45 1556.45 61460 craniectomy suboccipital for section of 1 or more 1579.31 1579.31 61500 removal of skull lesion 1040.89 1040.89 61501 craniectomy for osteomyelitis 891.90 891.90 61510 removal of brain lesion 1678.03 1678.03 61512 remove brain lining lesion 1982.72 1982.72 61514 removal of brain abscess 1470.85 1470.85 61516 removal of brain lesion 1435.02 1435.02 61517 implantation of brain intracavitary chemotherapy agent (list separately in 69.70 69.70 61518 removal of brain lesion 2133.22 2133.22 61519 remove brain lining lesion 2298.35 2298.35 61520 craniectomy cerebellopontine angle tumor 2940.38 2940.38 61521 craniectomy excision ,midline tumor sku 2470.34 2470.34 61522 removal of brain abscess 1693.11 1693.11 61524 removal of brain lesion 1598.67 1598.67 61526 removal skull cavity lesion 2673.28 2673.28 61530 removal skull cavity lesion 2270.00 2270.00 61531 subdural implant of strip electrodes,lng term moni 924.47 924.47 61533 craniectomy for insertion epidural electrode array 1168.97 1168.97 61534 removal of brain lesion 1258.98 1258.98 61535 craniectomy removal epidural electro array wo tiss 752.18 752.18 61536 removal of brain lesion 2009.61 2009.61 61537 craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without 1853.75 1853.75 61538 craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with 1988.02 1988.02 61539 cran f lobectomy w/electrocorticogr partial or tot 1819.46 1819.46 61540 craniotomy with elevation of bone flap; for lobectomy, other than temporal 1705.57 1705.57 61541 craniectomy for transection of corpus callosum 1638.38 1638.38 61543 craniectomy for part or subtotal 1660.72 1660.72 61544 remove/treat brain lesion 1373.41 1373.41 61545 bone flap craniectomy to excise craniopharyngioma 2447.01 2447.01 61546 removal of 1773.02 1773.02 61548 removal of pituitary gland 1203.69 1203.69 61550 release skull closure 788.98 788.98 61552 craniectomy for craniostenosis multiple sutures on 1036.30 1036.30 61556 craniotomy for craniosynostosis, frontal/parietal 1264.71 1264.71 61557 craniotomy for craniosynostosis, bifrontal bone 1298.64 1298.64 61558 ext. craniectomy for mult cranial sut. craniosynos 1340.90 1340.90 61559 ext. craniectomy for craniosynostosis w recontouri 1859.54 1859.54 61563 exc. tumor of cranial bone w/o optic nerve decompr 1496.67 1496.67 61564 exc. tumor of cranial bone w optic nerve decompres 1873.10 1873.10 61566 craniotomy with elevation of bone flap; for selective 1729.09 1729.09 61567 craniotomy with elevation of bone flap; for multiple subpial transections, with 1945.68 1945.68 61570 craniectomy or craniotomy for excision foreign bod 1414.51 1414.51 61571 craniectomy or craniotomy penetrating wound brain 1535.89 1535.89 61575 transoral approach to skull base, brain stem 1834.68 1834.68 61576 transoral approach to skull base w/ split tongue 2925.75 2925.75 61580 craniofacial approach to anterior cranial fossa; 1918.88 1918.88 61581 craniofacial approach to anterior cranial fossa; 2154.93 2154.93 61582 craniofacial approach to anterior cranial fossa; 2200.80 2200.80 61583 craniofacial approach to anterior cranial fossa; 2233.29 2233.29 61584 orbitocranial approach to anterior cranial fossa, extradural, 2175.13 2175.13 61585 orbitocranial approach to anterior cranial fossa, extradural, 2310.35 2310.35 61590 infratemporal pre-auricular approach to middle cranial fossa 2449.90 2449.90 61591 infratemporal post-auricular approach to middle cranial fossa 2466.56 2466.56 61592 orbitocranial zygomatic approach to middle cranial fossa (cavernous 2450.12 2450.12 61595 transtemporal approach to posterior cranial fossa, jugular 1849.39 1849.39 61596 transcochlear approach to posterior cranial fossa, jugular 2037.99 2037.99 61597 transcondylar (far lateral) approach to posterior cranial fossa, 2225.25 2225.25 61598 transpetrosal approach to posterior cranial fossa, clivus or 1973.82 1973.82 61600 resection or excision of neoplastic, vascular or infectious 1664.59 1664.59 61601 resection or excision of neoplastic, vascular or infectious 1815.50 1815.50 61605 resection or excision of neoplastic, vascular or infectious 1745.13 1745.13 61606 resection or excision of neoplastic, vascular or infectious 2333.58 2333.58 61607 resection or excision of neoplastic, vascular or infectious 2167.95 2167.95 61608 resection or excision of neoplastic, vascular or infectious 2517.85 2517.85 61611 transection or ligation, carotid artery in petrous canal; without repair (list 377.52 377.52 61613 obliteration of carotid aneurysm, arteriovenous malformation, 2448.57 2448.57 61615 resection or excision of neoplastic, vascular or infectious 1936.34 1936.34 61616 resection or excision of neoplastic, vascular or infectious 2542.27 2542.27 61618 secondary repair of dura for cerebrospinal fluid leak, anterior, middle or 1004.99 1004.99 61619 secondary repair of dura for csf leak, anterior, middle or 1159.91 1159.91 61623 endovascular temporary balloon arterial occlusion, head or neck 468.68 468.68 61624 transcatheter occlusion or embolization (eg, for tumor destruction, 933.47 933.47 61626 transcatheter occlusion or embolization (eg, for tumor destruction, 760.89 760.89 61680 surg of malformation, supratentorial, simple 1753.58 1753.58 61682 surg of malformation, supratentorial, complex 3300.91 3300.91 61684 surg of malformation, infratentorial, simple 2195.85 2195.85 61686 surg of malformation, infratentorial, complex 3532.88 3532.88 61690 surg of malformation, dural, simple 1669.06 1669.06 61692 surg of malformation, dural, complex 2853.53 2853.53 61697 surgery of complex intracranial aneurysm, intracranial approach; carotid 3229.81 3229.81 61698 surgery of complex intracranial aneurysm, intracranial approach; 3478.51 3478.51 61700 surgery of simple intracranial aneurysm, intracranial approach; carotid 2695.32 2695.32 61702 incise skull/vessel surgery 3025.87 3025.87 61703 surgery intracranial aneurysm cervical approach 1032.94 1032.94 61705 revise circulation to head 1986.22 1986.22 61708 revise circulation to head 1726.33 1726.33 61710 revise circulation to head 1564.95 1564.95 61711 anastomosis arterial extracranial intracranial art 2022.78 2022.78 61735 incise skull/brain surgery 1111.18 1111.18 61750 stereotactic biopsy aspiration or excision 1080.65 1080.65 61751 stereot actic biopsy w computer axial tomography 1051.94 1051.94 61760 stereotactic implant depth electrode; long term mon 1190.39 1190.39 61770 stereotactic localization, including burr hole(s), with insertion of 1176.97 1176.97 61790 stereotactic lesion of gas ganglion percutaneous b 653.37 653.37 61791 sterotactic lesion trigeminal medullary tract 846.77 846.77 61863 twist drill, burr hole, craniotomy, or craniectomy with stereotactic 1161.63 1161.63 61864 twist drill, burr hole, craniotomy, or craniectomy with stereotactic 317.25 317.25 61867 twist drill, burr hole, craniotomy, or craniectomy with stereotactic 1716.98 1716.98 61868 twist drill, burr hole, craniotomy, or craniectomy with stereotactic 472.82 472.82 61886 incision and subcutaneous placement of cranial neurostimulator pulse generator 609.27 609.27 62000 repair of skull fracture 679.50 679.50 62005 repair of skull fracture 954.35 954.35 62010 elevation of depressed skull fracture with debride 1165.61 1165.61 62100 craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for 1242.36 1242.36 62115 reduce craniomegalic skull w/o graft/ 1109.21 1109.21 62117 reduce craniomegalic skull w craniotomy/reconstruc 1477.71 1477.71 62120 repair skull cavity lesion 1400.10 1400.10 62121 craniotomy w repair encephalocele, skull base 1279.99 1279.99 62140 amb surg cranioplasty for skull defect 806.14 806.14 62141 repair of skull 885.54 885.54 62142 removal bone flap or prosthetic plate of skull 673.87 673.87 62143 replace bone flap or prosthetic plate of skull 790.05 790.05 62145 repair of skull & brain 1084.29 1084.29 62146 cranioplasty w autograft up to 5 cm diameter 930.43 930.43 62147 cranioplasty w autograft larger than 5cm diameter 1105.30 1105.30 62148 incision and retrieval of subcutaneous cranial bone graft for cranioplasty 99.67 99.67 62160 neuroendoscopy, intracranial, for placement or replacement of ventricular 152.66 152.66 62161 neuroendoscopy intracranial:with dissection of adhesions fenestration of septum 1165.54 1165.54 62162 neuroendoscopy, intracranial; with feneration or excision of colloid cyst, 1450.06 1450.06 62164 neuroendoscopy, intracranial; with excision of brain tumor, including placement 1547.49 1547.49 62165 neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or 1201.22 1201.22 62180 establish brain cavity shunt 1221.73 1221.73 62190 creation shunt subdural arial jugular auricular 693.72 693.72 62192 establish brain cavity shunt 740.25 740.25 62194 replacement of irrigation subdural catheter 302.56 302.56 62200 establish brain cavity shunt 1056.37 1056.37 62201 ventriculocisternostomy, stereotactic method 905.49 905.49 62220 establish brain cavity shunt 778.02 778.02 62223 establish brain cavity shunt 797.63 797.63 62225 replacement of irrigation ventricular catheter 379.39 379.39 62230 replacement or revision of cerebrospinal fluid shunt, obstructed valve, or 642.55 642.55 62252 26 reprogramming of programmable cerebrospinal shunt 37.56 37.56 62252 TC reprogramming of programmable cerebrospinal shunt 37.56 37.56 62252 reprogramming of programmable cerebrospinal shunt 37.56 37.56 62256 removal of complete cerebrospinal fluid shunt system; without replacement 444.89 444.89 62258 replace brain cavity shunt 864.69 864.69 62263 percutaneouslysis of epidural adhesions using solution inj. or mech. means 308.01 513.32 62264 percutaneous lysis of epidural adhesions using solution injection (eg 189.37 315.36 62268 percutaneous aspiration, cyst or syrinx 222.53 372.73 62269 biopsy of spinal cord, percutaneous needle 226.82 403.98 62270 spinal puncture, lumbar, diagnostic 64.38 123.12 62272 spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or 67.91 144.54 62273 amb surg epidural blood patch 92.17 132.45 62280 injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline 125.64 241.93 62281 injection of neurolytic substance (eg, alcohol, phenol, iced 121.31 224.58 62282 inj. neurolytic sust, lumbar or caudil epidural. 111.60 231.83 62284 injection for spine x-ray 75.53 176.37 62287 aspiration or decompression procedure, percutaneous, of nucleus pulposus of 445.10 445.10 62290 injection for disc x-ray 140.84 258.95 62291 injection for disc x-ray 136.10 242.70 62292 inj proc chemonucleolysis lumbar 1 or more levels 403.17 403.17 62294 intrathecal injection into spine 643.38 643.38 62320 njx interlaminar crv/thrc 91.31 145.92 62321 njx interlaminar crv/thrc 98.46 215.83 62322 njx interlaminar lmbr/sac 78.63 135.96 62323 njx interlaminar lmbr/sac 89.93 211.83 62324 njx interlaminar crv/thrc 83.54 127.89 62325 njx interlaminar crv/thrc 96.04 191.98 62326 njx interlaminar lmbr/sac 81.97 134.17 62327 njx interlaminar lmbr/sac 87.24 195.26 62328 DX LMBR SPI PNXR W/FLUOR/CT 226.25 226.25 62329 THER SPI PNXR CSF FLUOR/CT 280.00 280.00 62350 implantation, revision or repositioning of tunneled intrathecal or epidural 311.18 311.18 62351 implantation, revision/reposition intrathecal/epidural cath w/lam 653.45 653.45 62360 implantation/replacement device for intrathecal/epidural drug inf 224.40 224.40 62361 implantation/replacement device intrathecal/epidural drug in w/pu 308.96 308.96 62362 implant/replace device for intrathecal/epidural drug inf pro/pump 326.43 326.43 63001 decompression of spinal cord 951.92 951.92 63003 lamin f/decomp spin cord a/o cauda eq one/two segm 957.77 957.77 63005 revision of spinal column 908.38 908.38 63011 laminectomy sacral decompression spinal cord 859.32 859.32 63012 laminectomy, lumbar w decompression cauda equina 924.47 924.47 63015 laminectomy more than two segs cervical 1142.91 1142.91 63016 thoracic 1176.56 1176.56 63017 laminotomy lumbar 958.10 958.10 63020 laminotomy, cervical, one interspace 906.11 906.11 63030 laminotomy (hemilaminectomy), with decompression of nerve root(s), including 752.22 752.22 63035 laminotomy (hemilaminectomy), with decompression of nerve root(s), including 160.70 160.70 63040 laminotomy (hemilaminectomy), with decompression of nerve root(s), including 1102.12 1102.12 63042 revision of spinal column 1031.40 1031.40 63043 laminotomy (hemilaminectomy), with decompression of nerve root(s), including 247.21 247.21 63044 laminotomy (hemilaminectomy), with decompression of nerve root(s), including 233.10 233.10 63045 laminectomy, single segment, cervical 985.10 985.10 63046 laminectomy, single segment, thoracic 941.76 941.76 63047 laminectomy, single segment, lumbar 858.67 858.67 63048 laminectomy, and (unilateral or bilateral with 173.06 173.06 63055 decompression spinal cord, single segment,thoracic 1268.70 1268.70 63056 decompression spinal cord, single segment, lumbar 1171.79 1171.79 63057 transpedicular approach with decompression of spinal cord, equina and/or nerve 265.04 265.04 63064 hemilaminectomy thoracic costovertebral approach 1388.46 1388.46 63066 costovertebral approach with decompression of spinal cord or nerve root(s), 163.44 163.44 63075 diskectomy cervical ante appr w/o arthrodesis 1082.09 1082.09 63076 diskectomy, anterior, with decompression of spinal cord and/ or nerve root(s), 204.58 204.58 63077 diskectomy, single space, thoracic 1189.21 1189.21 63078 diskectomy, anterior, with decompression of spinal cord and/ or nerve root(s), 162.88 162.88 63081 vertebral , single segment, cervical 1391.71 1391.71 63082 vertebral corpectomy (vertebral body resection), partial or complete, anterior 220.85 220.85 63085 vertebral corpectomy, single segment, thoracic 1490.74 1490.74 63086 vertebral corpectomy (vertebral body resection), partial or complete, 156.96 156.96 63087 vertebral corpectomy, single segment, lumbar 1903.42 1903.42 63088 vertebral corpectomy (vertebral body resection), partial or complete, combined 214.78 214.78 63090 vertebral corpectomy, single segment, lumbar 1558.01 1558.01 63091 vertebral corpectomy (vertebral body resection), partial or complete, 147.63 147.63 63101 vertebral corpectomy (vertebral body resection), partial or complete, lateral 1781.68 1781.68 63102 vertebral corpectomy (vertebral body resection), partial or complete, lateral 1774.42 1774.42 63103 vertebral corpectomy (vertebral body resection), partial or complete, lateral 235.71 235.71 63170 laminectomy for myelotomy thoracic or thoracolumba 1192.51 1192.51 63172 laminectomy w/ drainage to subarachnoid space 1073.29 1073.29 63173 laminectomy w/ drainage to peritoneal space 1323.00 1323.00 63185 revise spinal column/nerves 878.07 878.07 63190 laminectomy for more than two segments 1009.29 1009.29 63191 laminectomy w section of spinal accessory nerve 965.21 965.21 63194 lamiwectomy unilateral cervical 1148.42 1148.42 63195 revise spinal column/cord 1161.41 1161.41 63196 revise spinal column/cord 1366.08 1366.08 63197 laminectomy corotomy bilateral cervical 1302.16 1302.16 63198 revise spinal column/cord 1450.35 1450.35 63199 laminectomy cordotomy bilateral thoracic 1535.64 1535.64 63200 laminectomy for tethered spinal cord, lumbar 1164.51 1164.51 63250 revise spinal cord vessels 2263.42 2263.42 63251 laminectomy arteriovenovs malfunction thoracic 2347.64 2347.64 63252 laminectomy for malformation , thoracolumbar 2349.36 2349.36 63265 laminectomy for intraspinal lesion, cervical 1289.65 1289.65 63266 laminectomy for intraspinal lesion, thoracic 1326.15 1326.15 63267 excise intraspinal lesion lumbar 1067.44 1067.44 63268 excise intraspinal lesion, sacral 1072.29 1072.29 63270 excise intraspinal lesion, cervical 1588.17 1588.17 63271 excise intraspinal lesion, thoracic 1597.69 1597.69 63272 excise intraspinal lesion, lumbar 1471.73 1471.73 63273 excise intraspinal lesion ,sacral 1390.71 1390.71 63275 biopsy/ excise spinal tumor, cervical 1385.62 1385.62 63276 biopsy/ excise spinal tumor, thoracic 1380.37 1380.37 63277 biopsy/ excise spinal tumor, lumbar 1211.41 1211.41 63278 biopsy/ excise spinal tumor, sacral 1186.14 1186.14 63280 biopsy/ excise spinal tumor, cervical 1638.03 1638.03 63281 biopsy/ excise spinal tumor, thoracic 1619.47 1619.47 63282 biopsy/ excise spinal tumor, lumbar 1528.00 1528.00 63283 biopsy/ excise spinal tumor, sacral 1447.90 1447.90 63285 biopsy/ excise spinal tumor, cervical 2012.19 2012.19 63286 biopsy, excise spinal tumor 2004.79 2004.79 63287 biopsy, excise spinal tumor 2115.71 2115.71 63290 biopsy, excise spinal tumor 2141.03 2141.03 63295 osteoplastic reconstruction of dorsal spinal elements, following primary 255.64 255.64 63300 removal vertebral body 1429.01 1429.01 63301 removal of vertebral body 1604.87 1604.87 63302 removal of vertebral body 1594.64 1594.64 63303 removal of vertebral body 1668.43 1668.43 63304 removal of vertebral body 1768.53 1768.53 63305 removal of vertebral body 1807.71 1807.71 63306 removal of vertebral body 1894.01 1894.01 63307 removal of vertebral body 1757.83 1757.83 63308 vertebral corpectomy (vertebral body resection), each additional segment 265.56 265.56 63600 examine spinal cord lesion 667.74 667.74 63610 stereotactic stim of spinal cord percu not followe 358.75 1050.72 63650 percutaneous implantation of neurostimulator electrode array, epidural 330.78 330.78 63655 laminectomy implantation of neurostimulator electrodes,plates/paddle epidural 654.39 654.39 63685 incision subcut placement neu/stimulator receiver 315.74 315.74 63688 revision removal spinal neurostimulator receiverr 282.71 282.71 63700 repair of spinal herniation 951.92 951.92 63702 repair of spinal herniation 1070.29 1070.29 63704 repair of spinal herniation 1193.81 1193.81 63706 repair of spinal herniation 1389.78 1389.78 63707 repair of dural/cerebrospinal fluid leak, not requiring laminectomy 702.65 702.65 63709 repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy 854.39 854.39 63710 dural graft spinal 853.24 853.24 63740 creation of shunt, including laminectomy 723.12 723.12 63741 creation shunt lumbar, percutaneo w/o laminectomy 471.48 471.48 63744 replacement irrigation or revision of lumbar subar 493.94 493.94 63746 removal shunt system without replacement 430.23 430.23 64400 injection, anesthetic agent; 51.43 84.43 64405 injection, anesthetic agent; 60.02 82.12 64408 injection, anesthetic agent; 72.16 94.56 64415 injection, anesthetic agent; 60.92 103.32 64416 injection, anesthetic agent; brachial plexus, continuous infusion by catheter 76.60 76.60 64417 injection, anesthetic agent; 60.33 104.23 64418 injection, anesthetic agent; 59.81 105.84 64420 injection, anesthetic agent; 53.92 125.09 64421 injection, anesthetic agent; 73.94 184.46 64425 injection, anesthetic agent; 76.65 102.40 64430 injection, anesthetic agent; 72.28 123.46 64435 injection, anesthetic agent; 69.27 114.69 64445 injection, anesthetic agent; 65.98 107.16 64446 injection, anesthetic agent; sciatic nerve, continuous infusion by catheter 76.43 76.43 64447 injection, anesthetic agent; femoral nerve, single 58.24 58.24 64448 injection, anesthetic agent; femoral nerve, continuous infusion by catheter 67.69 67.69 64449 injection, anesthetic agent; lumbar plexus, posterior approach, continuous 75.69 75.69 64450 injection for nerve block 59.12 82.13 64451 NJX AA&/STRD NRV NRVTG SI JT 71.48 183.62 64454 NJX AA&/STRD GNCLR NRV BRNCH 185.44 185.44 64479 injection, anesthetic agent and/or steroid, transforaminal epidural; cervical 100.56 217.15 64480 injection, anesthetic agent and/or steroid, cervical or thoracic, each addition 65.81 110.04 64483 injection, anesthetic agent and/or steroid, lumbar or sacral, single level 88.41 210.76 64484 injection, anesthetic agent and/or steroid, lumbar or sacral, each add: level 56.11 107.59 64486 INJECTIONS OF LOCAL ANESTHETIC FOR CONTROL AND ABDOMINAL $48.50 $93.23 64487 CONTINUOUS INFUSIONS OF LOCAL ANESTHETIC FOR PAIN CONTROL AND $55.52 $151.06 64488 INJECTIONS OF LOCAL ANESTHETIC FOR PAIN CONTROL AND ABDOMINAL $60.01 $114.57 64489 CONTINUOUS INFUSIONS OF LOCAL ANESTHETIC FOR PAIN CONTROL AND $67.54 $233.22 64505 injection, anesthetic agent, sphenopalative ganglion 68.41 81.12 64510 injection, anesthetic agent; 55.32 111.05 64517 injection, anesthetic agent; superior hypogastric plexus 97.32 135.18 64520 injection, anesthetic agent; 62.51 144.88 64530 injection, anesthetic agent; 73.79 150.10 64555 percutaneous implantation of neurostimulator electrodes; peripheral nerve 125.24 170.07 64561 percutaneous implantation of neurostimulator electrodes; sacral nerve 352.29 909.49 64575 incision for implantation of neurostimulator electrodes; peripheral nerve 227.80 227.80 64581 incision for implantation of neurostimulator electrodes; sacral nerve 684.62 684.62 64585 revision or removal peripheral stimulator electode 129.18 263.03 64600 injection treatment of nerve 172.12 315.36 64605 injection treatment of nerve 274.28 445.68 64610 injection treatment of nerve 384.12 543.10 64612 chemodenervation of muscle(s); muscle(s) innervated by facial nerve (eg, for 108.29 122.52 64620 injection treatment of nerve 134.73 213.47 64624 DSTRJ NULYT AGT GNCLR NRV 131.66 354.11 64630 destruction by neurolytic agent; pudendal nerve 156.12 186.11 64640 injection of treatment of nerve 143.06 182.73 64680 destruction by neurolytic agent col/ac plexus w/w 130.44 240.38 64681 destruction by neurolytic agent, with or without radiologic monitoring; 175.90 311.26 64702 amb surg neurolysis 361.05 361.05 64704 amb surg neurolysis 265.94 265.94 64708 amb surg neurolysis 374.98 374.98 64712 amb surg neurolysis 432.68 432.68 64713 amb surg neurolysis 605.65 605.65 64714 amb surg neurolysis 518.82 518.82 64716 neuroplasty and/or transposition cranial nerve 409.97 409.97 64718 amb surg exploration ulnar nerve at elbow 441.60 441.60 64719 amb surg exploration ulnar nerve at wrist 306.30 306.30 64721 amb surg exploration median nerve at carpal tunnel 321.38 322.59 64722 amb surg decompression unspecified nerve 263.26 263.26 64726 amb surg decompression plantar digital nerve 232.02 232.02 64727 amb surg neurolysis 152.03 152.03 64732 amb surg transection of avulsion supraorbital nerv 299.86 299.86 64734 amb surg transection infraorbital nerve 324.40 324.40 64736 incision of chin nerve 306.24 306.24 64738 transection or avulsion of inferior alveolar nerve 362.42 362.42 64740 transection or avulsion of lingual nerve 361.25 361.25 64742 incision of facial nerve 370.59 370.59 64744 amb surg transect greater occipital nerve unilater 325.02 325.02 64746 incise diaphragm nerve 351.15 351.15 64755 transection or avulsion of; vagus nerves limited to proximal stomach (selective 710.89 710.89 64760 incision of vagus nerve 376.50 376.50 64763 incise hip/thigh nerve 429.39 429.39 64766 incise hip/thigh nerve 496.16 496.16 64771 transection/avulsion cranial nerve extradural 464.34 464.34 64772 incise spinal nerve 446.59 446.59 64774 amb surg excision neuroma cutaneous nerve surgical 322.50 322.50 64776 amb surg excision neuroma digital nerve 1/both 310.05 310.05 64778 excision of neuroma; digital nerve, each additional digit (list separately in 151.03 151.03 64782 remove nerve lesion 365.75 365.75 64783 excision of neuroma; hand or foot, each additional nerve, except same digit 180.51 180.51 64784 remove nerve lesion 569.22 569.22 64786 excision of neuroma; 855.37 855.37 64787 remove nerve lesion/implant 207.29 207.29 64788 removal of nerve lesion 302.44 302.44 64790 excision of neurofibroma or neurolemmoma; 651.29 651.29 64792 removal of nerve lesion 844.91 844.91 64795 biopsy of nerve 154.76 154.76 64802 remove sympathetic nerves 481.94 481.94 64804 remove sympathetic nerves 734.76 734.76 64809 remove sympathetic nerves 689.33 689.33 64818 remove sympathetic nerves 534.89 534.89 64820 sympathectomy; digital arteries, each digit 595.49 595.49 64821 sympathectomy; radial artery 536.47 536.47 64822 sympathectomy; ulnar artery 530.15 530.15 64823 sympathectomy; superficial palmar arch 602.98 602.98 64831 repair of nerve, digital 531.66 531.66 64832 suture of digital nerve, hand or foot; each additional digital nerve (list 280.44 280.44 64834 repair of nerve, hand 589.43 589.43 64835 repair of nerve, hand 639.07 639.07 64836 repair of nerve, hand 638.74 638.74 64837 suture of each additional nerve, hand or foot (list separately in addition to 311.36 311.36 64840 repair of nerve, foot 727.82 727.82 64856 repair/transpose nerve 804.36 804.36 64857 suture major periph nerve arm/leg exc sciatic w/o 841.08 841.08 64858 repair sciatic nerve 969.47 969.47 64859 suture of each additional major peripheral nerve (list separately in addition 211.20 211.20 64861 repair of arm nerves 1095.19 1095.19 64862 repair of low back nerves 1074.11 1074.11 64864 repair of facial nerve 697.50 697.50 64865 suture facial nerve intratemporal w/wo grafting 919.46 919.46 64866 fusion of facial/other nerve 956.32 956.32 64868 fusion of facial/other nerve 836.73 836.73 64872 suture of nerve; 99.03 99.03 64874 repair & revise nerve 145.65 145.65 64885 nerve graft, head/neck; up to 4cm. 908.68 908.68 64886 nerve graft, head/neck; more than 4 cm. 1078.16 1078.16 64890 nerve graft, hand or foot 866.48 866.48 64891 nerve graft single strand hand or foot more than 4 894.97 894.97 64892 nerve graft, arm or leg 842.95 842.95 64893 nerve graft single strand arm or leg more than 4 c 888.00 888.00 64895 nerve graft, hand or foot 1042.39 1042.39 64896 nerve graft multiple strands hand or foot over 4cm 1149.29 1149.29 64897 nerve graft, arm or leg 1008.39 1008.39 64898 nerve graft single strand more than 4cm 1099.39 1099.39 64901 nerve graft, each additional nerve; single strand 495.62 495.62 64902 nerve graft multiple strands 569.63 569.63 64905 nerve pedicle transfer first stage 805.91 805.91 64907 nerve pedicle transfer second stage 1059.81 1059.81 65091 revise eyeball 459.92 459.92 65101 removal of eyeball 529.85 529.85 65110 removal of eyeball 893.82 893.82 65112 remove eye, revise socket 1052.80 1052.80 65114 remove eye, revise socket 1095.21 1095.21 65205 removal of foreign body, external eye; 33.56 41.74 65210 removal of foreign body, external eye; 40.45 51.04 65220 removal of foreign body, external eye; 33.06 42.76 65222 removal of foreign body, external eye; 44.30 56.11 65235 removal of foreign body, intraocular; from anterior chamber of eye or lens 505.90 505.90 65260 remove foreign body from eye 694.30 694.30 65265 remove foreign body from eye 782.07 782.07 65270 repair of laceration; 103.49 191.31 65272 repair wound of eye 251.18 355.05 65273 rep laceration conjuctiva by mobilazation rearr w 276.14 276.14 65275 repair wound of eye 328.76 400.52 65280 repair wound of eye 484.52 484.52 65285 repair wound of eye 757.04 757.04 65286 repair of laceration by application of tissue glue 356.07 502.65 65290 repair wound of eye socket 355.45 355.45 65400 removal of eye lesion 428.36 480.75 65410 biopsy of cornea of eye 77.45 104.39 65420 amb surg excision/transposition pterygium wo graft 269.45 367.87 65426 amb surg pterygium excision/transposition w graft 344.38 465.21 65430 scraping of cornea, diagnostic, for smear and/or culture 77.45 85.01 65435 removal of corneal epithelium; 51.54 58.51 65436 curette/treat cornea 267.91 278.50 65450 destruction of lesion of cornea by cryotherapy, photocoagulation 226.56 229.28 65600 multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) 242.16 277.89 65710 corneal transplant 799.19 799.19 65730 corneal transplant 889.61 889.61 65750 corneal transplant 902.84 902.84 65755 keratoplasty, penetrating 897.51 897.51 65770 keratoprosthesis 1032.96 1032.96 65772 corneal relaxing incision for correction of surgically induced astigmatism 290.30 321.79 65775 corneal wedge resection for correction of surgically induced astigmatism 396.64 396.64 65800 paracentesis of anterior chamber of eye (separate procedure); 98.02 111.04 65810 amb surg paracentesis anterior chamber eye 336.27 336.27 65815 drainage of eyeball 341.17 455.32 65820 relieve inner eye pressure 540.59 540.59 65850 incision of eyeball 617.41 617.41 65855 trabeculoplasty by laser one or more sessions 217.62 246.10 65860 severing adhesions of anter. segmt. laser techniq. 189.03 227.19 65865 relieve inner eye adhesions 344.04 344.04 65870 relieve inner eye adhesions 425.39 425.39 65875 relieve inner eye adhesions 451.71 451.71 65880 relieve inner eye adhesions 476.41 476.41 65900 removal of epithelial downgrowth, anterior chamber of eye 699.67 699.67 65920 removal of implanted material, anterior segment of eye 565.71 565.71 65930 removal of blood clot, anterior segment of eye 466.12 466.12 66020 injection, anterior chamber of eye (separate procedure); air or liquid 95.26 133.72 66030 injection, anterior chamber (separate procedure); 79.46 117.93 66130 amb surg excision lesion sclera 420.26 509.91 66150 incision of eyeball 621.13 621.13 66155 incision of eyeball 619.15 619.15 66160 incision of eyeball 705.57 705.57 66170 incision of eyeball 854.37 854.37 66172 fistulizaiton of sclera for glaucoma; trabeculectomy ab externo with scarring 1073.48 1073.48 66180 aqueous shunt to extraocular reservoir 852.95 852.95 66185 revision of aqueous shunt to extraocular reservoir 536.99 536.99 66225 repair/graft eyeball lesion 676.24 676.24 66250 revision or repair of operative wound of anterior segment, 398.42 535.01 66500 incision of iris 253.39 253.39 66505 incision of iris 277.45 277.45 66600 amb surg iridectomy, corneoscleral/corneal section 589.81 589.81 66605 amb surg iridectomy, corneoscleral/corneal section 768.96 768.96 66625 amb surg iridectomy corneoscleral or corneal 310.07 310.07 66630 amb surg iridectomy corneoscleral or corneal 408.47 408.47 66635 amb surg iridectomy corneoscleral or corneal 412.62 412.62 66680 repair of iris 368.88 368.88 66682 suture of iris ciliary body w/retrieval of suture 447.66 447.66 66700 ciliary body destruction; diathermy. 285.72 322.67 66710 ciliary body destruction; cyclophotocoagulation, transscleral 284.90 317.30 66711 ciliary body destruction; cyclophotocoagulation, endoscopic 455.76 455.76 66720 cilary body distruction; cryotherapy. 300.48 331.97 66740 ciliary body distruction; cyclodialysis. 286.11 315.18 66761 revision of iris 294.71 322.89 66762 revision of iris 305.06 338.67 66770 destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) 345.93 376.52 66820 incision of lens lesion 284.03 284.03 66821 discission secondary cataract; laser 218.18 230.90 66825 repositioning intraocular lens pros; incisional 548.10 548.10 66830 amb surg cataract removal 515.07 515.07 66840 amb surg cataract removal 501.95 501.95 66850 removal of lens material; phacofragmentation with aspiration 573.12 573.12 66852 removal lens material, pars plana w/wo vitrectomy 613.61 613.61 66920 amb surg cataract removal 547.43 547.43 66930 amb surg cataract removal 622.28 622.28 66940 amb surg cataract removal 564.69 564.69 66982 extracapsular cataract removal with insertion of intraocular lens prosthesis 779.01 779.01 66983 intracapsular extraction with insertion of prosthe 537.01 537.01 66984 extracapsular cataract removal with lens prosthes 558.04 558.04 66985 insert lens prosthesis 551.03 551.03 66986 exchange of intraocular lens. 675.17 675.17 66990 use of ophthalmic endoscope (list separately in addition to code for primary 69.67 69.67 67005 partial removal of eye fluid 339.47 339.47 67010 partial removal of eye fluid 393.55 393.55 67015 release of eye fluid 419.14 419.14 67025 replace eye fluid 452.87 519.49 67027 implantation of intravitreal drug delivery system (eg, ganciclovir implant), 621.62 621.62 67028 intravitreal injection of a pharmacologic agent (separate procedure) 126.18 156.16 67030 incise inner eye strands 373.81 373.81 67031 severing of vitreous stands laser surgery 254.24 276.34 67036 vitrectomy, pars plana approach 702.54 702.54 67039 vitrectomy, mech, w focal endolaser photocoagulat 898.97 898.97 67040 laser treatment of retina 1037.86 1037.86 67101 repair of retinal detachment, one or more sessions 484.86 556.64 67105 repair of retinal detachment, one or more sessions; photocoagulation, with or 465.17 516.04 67107 repair detached retina 883.25 883.25 67108 repair detached retina 1177.49 1177.49 67110 repair of retinal detachment; by injection of air or other gas (eg, pneumatic 558.55 624.26 67115 release of encircling material 354.08 354.08 67120 revision of inner eye 399.43 468.78 67121 removal of implanted material, intraocular. 657.94 657.94 67141 prophylaxis of retinal detachment 348.39 372.93 67145 prophylaxis of retinal detachment;photocoagulation 356.30 376.28 67208 destruction of retinal lesion 417.73 432.26 67210 destruction of localized lesion of retina (eg, macular , tumors), one or 490.28 506.33 67218 treatment inner eye lesion 1029.93 1029.93 67220 destruction of localized lesion of choroid (eg, choroidal neovascularization), 742.42 776.95 67221 destruction of localized lesion of choroid (eg, choroidal neovascularization); 164.94 218.55 67225 destruction of localized lesion of choroid (eg, choroidal neovascularization); 21.56 22.77 67227 destruction of retinopathy, one or more sessions 412.60 439.55 67228 destruction of retinopathy, photocoagulation 766.47 864.89 67250 reinforce eyeball wall 569.60 569.60 67255 reinforce/graft eyeball wall 608.70 608.70 67311 stabismus surgery, one horizonal muscle 432.41 432.41 67312 strabismus surgery, two horizontal muscles 517.94 517.94 67314 strabismus surgery, one vertical muscle 484.94 484.94 67316 strabismus surgery, 2 or more vertical muscles 581.62 581.62 67318 strabismus surgery, any procedure, superior oblique muscle 507.37 507.37 67320 revise eye ball muscles 244.35 244.35 67331 amb surg strabismus surgery patient prior surgery 231.37 231.37 67332 revise eyeball muscles 251.60 251.60 67334 strabismus surg., post fixation suture w/wo recess 228.23 228.23 67335 placement of adjustable suture(s) during strabismus surgery, including 114.81 114.81 67340 strabismus surg. w exploration/repair detached mus 271.88 271.88 67343 release extensive scar tissue w/o detaching muscle 471.08 471.08 67345 chemodenervation of extraocular muscle 156.81 171.64 67346 biopsy of extraocular muscle 150.37 150.37 67400 explore/treat eye socket 676.94 676.94 67405 explore/treat eye socket 575.42 575.42 67412 explore/treat eye socket 626.66 626.66 67413 explore/treat eye socket 626.88 626.88 67414 orbitotomy wo flap; w bone removal for decompress. 964.74 964.74 67415 explore/treat eye socket 80.39 80.39 67420 explore/treat eye socket 1201.67 1201.67 67430 explore/treat eye socket 910.46 910.46 67440 explore/treat eye socket 877.93 877.93 67445 orbitotomy w flap/window; w bone removal. 1035.21 1035.21 67450 explore/treat eye socket 910.96 910.96 67500 retrobulbar injection; 61.20 67.25 67505 inject/treat eye socket 58.98 65.33 67515 injection of medication or other substance into tenon's capsule 64.32 69.48 67570 optic nerve decompression. 845.15 845.15 67700 blepharotomy, drainage of abscess, eyelid 83.25 189.85 67710 incision of eyelid 69.30 159.85 67715 incision of eyelid 78.49 168.74 67800 excision of chalazion; 76.34 91.78 67801 excision of chalazion; 99.17 117.95 67805 excision of chalazion; 121.64 145.88 67808 excision of chalazion; 263.25 263.25 67810 biopsy of eyelid 71.51 163.87 67820 correction of trichiasis; 40.12 38.91 67825 correction of trichiasis; epilation by other than forceps 87.56 93.02 67830 revise eyelashes 100.37 190.92 67835 revise eyelashes w/free mucous membrane graft 320.60 320.60 67840 excision eyelid lesion w/o closure or with simple direct closure 116.46 200.34 67850 destruction of lesion of lid margin up to 1 cm 104.08 161.31 67875 temporary closure of eyelids by suture 72.60 125.30 67880 revision of eyelid(s) 263.25 326.22 67882 construction intermarginal adhesions with transposition of tarsal plate 339.39 403.28 67901 repair of blepharoptosis; frontalis muscle technique with suture or other 421.42 504.08 67902 repair of blepharoptosis; frontalis muscle technique with autologous fascial 522.57 522.57 67903 amb surg repair blepharoptosis 364.09 445.85 67904 amb surg repair blepharoptosis 432.02 527.71 67906 amb surg repair blepharoptosis 377.63 377.63 67908 amb surg repair blepharoptosis 313.51 355.30 67909 amb surg reduction overcorrection of ptosis 321.16 389.59 67911 amb surg correction of lid retraction 404.01 404.01 67912 correction of lagophthalmos, with implantation of upper eyelid lid load (eg, 362.71 651.91 67914 amb surg repair ectropion suture 211.69 282.86 67915 repair of ectropion; 186.85 253.17 67916 amb surg repair ectropion blepharoplasty 315.47 389.97 67917 amb surg repair ectropion blepharoplasty extensive 349.16 426.68 67921 amb surg repair entropion suture 197.86 269.03 67922 repair of entropion; 179.99 245.09 67923 amb surg repair entropion excision tarsal wedge 340.61 411.77 67924 amb surg repair entropion blepharoplasty extensive 329.46 425.46 67930 repair eyelid wound; partial thickness 182.42 267.21 67935 repair eyelid wound; full thickness 332.68 434.73 67938 remove foreign body, eyelid 83.60 173.53 67950 revision of eyelids: canthoplasty 342.62 419.53 67961 revision of eyelids 334.70 418.58 67966 revision of eyelids over one-fourth of lid margin 475.43 554.17 67971 reconstruction of eyelid 536.73 536.73 67973 reconstruction of eyelid 695.76 695.76 67974 reconstruction of eyelid, total eyelid, upper, 1 stage or 1st stage 692.96 692.96 67975 reconstruction of eyelid, 2nd stage 506.63 506.63 68020 incise / drain eyelid lesion 80.67 86.43 68040 treatment of eyelid lesions 40.47 48.34 68100 biopsy eyelid lining 73.21 124.38 68110 remove eyelid lining lesion 107.71 161.92 68115 remove eyelid lining lesion; over 1 cm 134.61 224.55 68130 remove eyelid lining lesion; with adjacent sclera 298.26 388.20 68135 remove eyelid lining lesion; destruction of lesion, conjunctiva 110.01 113.64 68200 subconjunctival injection 25.85 31.00 68320 revise / graft eyelid lining 383.30 513.52 68325 revise / graft eyelid lining; w/buccal mucous membrane graft 477.72 477.72 68326 revise eyelid lining; conjunctivoplasty, reconstruction cul-de-sac 465.05 465.05 68328 revise / graft eyelid lining; w/ buccal mucous membrane graft 519.67 519.67 68330 revise eyelid lining; repair of symblepharon; conjunctivoplasty, w/o graft 329.81 431.87 68335 revise/graft eyelid lining; w/free graft conjunctiva or buccal mucous membrane 466.56 466.56 68340 separate eyelid adhesions 284.85 388.42 68360 revise eyelid lining; conjunctival flap; bridge or partial 294.64 379.43 68362 revise eyelid lining; total 472.98 472.98 68400 incise/drain tear gland 99.74 201.19 68420 incise/drain tear gland; of lacrimal sac 128.19 230.25 68440 incise tear duct opening 69.42 76.99 68500 removal of tear gland 704.69 704.69 68505 partial removal of tear gland 708.72 708.72 68510 biopsy of tear gland 220.78 331.61 68520 removal of tear sac 498.44 498.44 68525 biopsy of tear sac 203.47 203.47 68530 clearance of tear duct 193.84 314.67 68540 remove tear gland lesion 673.91 673.91 68550 remove tear gland lesion 828.94 828.94 68700 repair tear ducts 434.91 434.91 68705 revise tear duct opening 121.05 171.62 68720 incise tear ducts 552.21 552.21 68745 incise tear ducts 554.26 554.26 68750 establish tear duct channel 569.48 569.48 68760 close tear duct opening 105.80 145.47 68761 closure of the lacrimal punctum; 85.80 106.08 68770 close tear system fistula 431.10 431.10 68840 exploration of tear ducts 80.98 89.76 68850 injection only dacryocystography 46.40 50.64 69000 drainage external ear, abscess or hematoma; 91.50 137.53 69005 drain external ear lesion 124.74 163.81 69020 drain outer ear canal lesion 110.95 174.55 69100 biopsy external ear 39.55 81.65 69105 biopsy external auditory canal 51.39 106.50 69110 partial removal external ear 255.80 348.47 69120 removal of external ear 310.75 310.75 69140 amb surg excision exotosis external auditory canal 677.03 677.03 69145 excision soft tissue lesion, external auditory canal 192.86 292.50 69150 extensive outer ear surgery 834.91 834.91 69155 extensive ear/neck surgery 1343.14 1343.14 69200 removal foreign body from external auditory canal; 44.63 92.78 69205 removal foreign body from external auditory canal; 79.82 79.82 69210 removal impacted cerumen (separate procedure), one or both ears 26.76 38.88 69220 debridement, mastoidectomy cavity, simple 49.82 104.03 69222 debridement, mastoidectomy cavity, complex 107.73 167.09 69310 reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due 847.09 847.09 69320 rebuild outer ear canal 1211.02 1211.02 69420 myringotomy including aspiration and/or eustachian tube inflation 94.02 144.90 69421 myringotomy including aspiration and/or eustachian tube inflation 119.15 119.15 69424 removal ventilating tube insert by other physician 49.88 98.33 69433 tympanostomy, local or topical anesthesia 101.87 151.23 69436 amb surg tympanostomy w insert ventilation tubes 129.63 129.63 69440 amb surg middle ear exploration 535.89 535.89 69450 tympanolysis transcanal 419.83 419.83 69501 amb surg transmastoid anttrotomy (mastoidectomy) 577.49 577.49 69502 mastoidectomy complete 769.02 769.02 69505 removal mastoid structures 945.37 945.37 69511 removal mastoid structure 972.33 972.33 69530 remove part of temporal bone 1313.89 1313.89 69535 remove part of temporal bone 2145.57 2145.57 69540 remove ear lesion 98.95 157.40 69550 remove ear lesion 816.59 816.59 69552 remove ear lesion 1252.09 1252.09 69554 remove ear lesion 1996.48 1996.48 69601 revise mastoid surgery 828.92 828.92 69602 revise mastoid surgery 861.86 861.86 69603 revise mastoid surgery 1000.35 1000.35 69604 revise mastoid surgery 889.20 889.20 69610 repair of eardrum 238.53 307.28 69620 amb surg myringoplasty 385.83 534.82 69631 amb surg tympanoplasty without mastoidectomy 689.65 689.65 69632 repair of eardrum 848.40 848.40 69633 tympanoplasty w/o mastoidectomy with ossicular cha 816.99 816.99 69635 repair eardrum structures 959.25 959.25 69636 rebuild eardrum structures 1087.25 1087.25 69637 amb surg tympano/antr or mast w ossic-porp or torp 1082.22 1082.22 69641 amb surg tympano/mastoidect, no ossic chn reconstr 822.53 822.53 69642 revise middle ear & mastoid 1061.82 1061.82 69643 revise middle ear and mastoid 969.75 969.75 69644 revise middle ear & mastoid 1171.50 1171.50 69645 revise middle ear & mastoid 1147.28 1147.28 69646 tympanoplasty with mastoidectomy (including canalplasty, middle 1220.98 1220.98 69650 release middle ear bone 626.31 626.31 69660 amb surg stapedectomy 737.89 737.89 69661 stapedectomy with foot plate drill out 965.48 965.48 69662 revision stapedectomy or stapedotomy 926.14 926.14 69666 repair middle ear structures 635.52 635.52 69667 repair middle ear structures 637.68 637.68 69670 remove mastoid air cells 744.05 744.05 69676 typanic neurectomy 654.48 654.48 69700 amb surg closure postauricularicular fistula masto 546.33 546.33 69720 release facial nerve 928.99 928.99 69725 release facial nerve 1522.47 1522.47 69740 repair facial nerve 938.86 938.86 69745 repair facial nerve 996.40 996.40 69801 incise inner ear 587.53 587.53 69805 explore inner ear 840.89 840.89 69806 explore inner ear 754.07 754.07 69905 remove inner ear 726.82 726.82 69910 remove ear and mastoid 815.90 815.90 69915 incise inner ear nerve 1239.85 1239.85 69930 cochlear device implantation with or w/o mastoidectomy 995.07 995.07 69950 incise inner ear nerve 1469.78 1469.78 69955 release facial nerve 1605.80 1605.80 69960 release inner ear canal 1558.47 1558.47 69970 remove inner ear lesion 1739.48 1739.48 69990 microsurgical techniques, requiring use of operating microscope (list 175.97 175.97 70010 26 , posterior fossa 53.03 53.03 70010 TC myelography, posterior fossa 90.88 90.88 70010 myelography, posterior fossa 143.89 143.89 70015 26 cisternography, positive contrast 54.24 54.24 70015 TC cisternography, positive contrast 66.47 66.47 70015 cisternography, positive contrast 120.72 120.72 70030 26 radiologic exam eye 7.59 7.59 70030 TC radiologic exam eye 15.87 15.87 70030 radiologic exam eye 23.45 23.45 70100 26 radiologic exam mandible partial 7.92 7.92 70100 TC radiologic exam mandible partial 17.37 17.37 70100 radiologic exam mandible partial 25.29 25.29 70110 26 radiologic exam mandible complete 11.12 11.12 70110 TC radiologic exam mandible complete 21.72 21.72 70110 radiologic exam mandible complete 32.84 32.84 70120 26 radiologic exam mastoid 7.92 7.92 70120 TC radiologic exam mastoid 19.60 19.60 70120 radiologic exam mastoid 27.53 27.53 70130 26 radiologic exam mastoids, complete 15.18 15.18 70130 TC radiologic exam mastoids, complete 30.42 30.42 70130 radiologic exam mastoids, complete 45.60 45.60 70134 26 radiologic exam internal auditory complete 15.18 15.18 70134 TC radiologic exam internal auditory complete 24.05 24.05 70134 radiologic exam internal auditory complete 39.23 39.23 70140 26 radiologic exam, facial bones, less than three views 8.24 8.24 70140 TC radiologic exam, facial bones, less than three views 16.58 16.58 70140 radiologic exam, facial bones, less than three views 24.82 24.82 70150 26 radiologic exam facial bones, complete 11.45 11.45 70150 TC radiologic exam facial bones, complete 24.05 24.05 70150 radiologic exam facial bones, complete 35.50 35.50 70160 26 radiologic exam, nasal bones, complete, minimum of 3 views 7.59 7.59 70160 TC radiologic exam, nasal bones, complete, minimum of 3 views 18.89 18.89 70160 radiologic exam, nasal bones, complete, minimum of 3 views 26.48 26.48 70170 26 dacryocystography 13.36 13.36 70170 TC dacryocystography 31.92 31.92 70170 dacryocystography 44.81 44.81 70190 26 radiologic exam, optic foramina 9.20 9.20 70190 TC radiologic exam, optic foramina 20.21 20.21 70190 radiologic exam, optic foramina 29.41 29.41 70200 26 radiologic exam, orbits, complete 12.40 12.40 70200 TC radiologic exam, orbits, complete 24.36 24.36 70200 radiologic exam, orbits, complete 36.76 36.76 70210 26 radiologic exam, sinuses, paranasal less than 3 views 7.59 7.59 70210 TC radiologic exam, sinuses, paranasal less than 3 views 17.18 17.18 70210 radiologic exam, sinuses, paranasal less than 3 views 24.78 24.78 70220 26 radiologic exam sinuses complete 10.82 10.82 70220 TC radiologic exam sinuses complete 21.63 21.63 70220 radiologic exam sinuses complete 32.45 32.45 70240 26 radiologic exam sella turcica 8.55 8.55 70240 TC radiologic exam sella turcica 15.87 15.87 70240 radiologic exam sella turcica 24.40 24.40 70250 26 radiologic exam, skull, less than 4 views, with/without stereo 10.49 10.49 70250 TC radiologic exam, skull, less than 4 views, with/without stereo 19.60 19.60 70250 radiologic exam, skull, less than 4 views, with/without stereo 30.09 30.09 70260 26 radiologic exam skull complete 14.88 14.88 70260 TC radiologic exam skull complete 25.17 25.17 70260 radiologic exam skull complete 40.05 40.05 70300 26 radiologic exam teeth 4.69 4.69 70300 TC radiologic exam teeth 6.79 6.79 70300 radiologic exam teeth 11.77 11.77 70310 26 radiologic exam, teeth partial exam 7.27 7.27 70310 TC radiologic exam, teeth partial exam 20.71 20.71 70310 radiologic exam, teeth partial exam 27.97 27.97 70320 26 radiologic exam teeth complete 9.83 9.83 70320 TC radiologic exam teeth complete 20.71 20.71 70320 radiologic exam teeth complete 27.97 27.97 70328 26 radiologic exam temporomandibular joint 7.92 7.92 70328 TC radiologic exam temporomandibular joint 16.77 16.77 70328 radiologic exam temporomandibular joint 24.69 24.69 70330 26 radiologic exam, temporomandibular joint, open & closed,bilateral 10.78 10.78 70330 TC radiologic exam, temporomandibular joint, open & closed,bilateral 28.30 28.30 70330 radiologic exam, temporomandibular joint, open & closed,bilateral 39.08 39.08 70332 26 temporomandibular joint arthrography 23.54 23.54 70332 TC temporomandibular joint arthrography 47.01 47.01 70332 temporomandibular joint arthrography 70.55 70.55 70336 26 magnetic resonance (eg, proton) imaging, temporomandibular joint(s) 66.26 66.26 70336 TC magnetic resonance (eg, proton) imaging, temporomandibular joint(s) 359.29 359.29 70336 magnetic resonance (eg, proton) imaging, temporomandibular joint(s) 425.55 425.55 70350 26 cephalogram, orthodontic 7.59 7.59 70350 TC cephalogram, orthodontic 9.50 9.50 70350 cephalogram, orthodontic 17.09 17.09 70355 26 orthopantogram 8.87 8.87 70355 TC orthopantogram 10.22 10.22 70355 orthopantogram 19.09 19.09 70360 26 radiologic exam; neck 7.59 7.59 70360 TC radiologic exam; neck 10.22 10.22 70360 radiologic exam; neck 19.09 19.09 70370 26 radiologic exam; pharynx or larynx 14.02 14.02 70370 TC radiologic exam; pharynx or larynx 47.48 47.48 70370 radiologic exam; pharynx or larynx 61.50 61.50 70380 26 radiologic exam, salivary gland 7.59 7.59 70380 TC radiologic exam, salivary gland 22.94 22.94 70380 radiologic exam, salivary gland 30.52 30.52 70390 26 sialography 17.09 17.09 70390 TC sialography 65.27 65.27 70390 sialography 82.36 82.36 70450 26 computerized axial tomography, head or brain 38.35 38.35 70450 TC computerized axial tomography, head or brain 144.49 144.49 70450 computerized axial tomography, head or brain 182.85 182.85 70460 26 computerized axial tomography with contrast 50.76 50.76 70460 TC computerized axial tomography with contrast 185.81 185.81 70460 computerized axial tomography with contrast 236.55 236.55 70470 26 computerized axial tomography with/without contras 57.06 57.06 70470 TC computerized axial tomography with/without contras 229.06 229.06 70470 computerized axial tomography with/without contras 286.10 286.10 70480 26 computerized axial tomography orbit 57.38 57.38 70480 TC computerized axial tomography orbit 221.11 221.11 70480 computerized axial tomography orbit 278.49 278.49 70481 26 computerized axial tomography with contrast 61.87 61.87 70481 TC computerized axial tomography with contrast 261.82 261.82 70481 computerized axial tomography with contrast 323.68 323.68 70482 26 computerized axial tomography with/without contras 64.76 64.76 70482 TC computerized axial tomography with/without contras 305.67 305.67 70482 computerized axial tomography with/without contras 370.44 370.44 70486 26 computerized axial tomography 51.08 51.08 70486 TC computerized axial tomography 184.46 184.46 70486 computerized axial tomography 235.54 235.54 70487 26 computerized axial tomography, with contrast 58.65 58.65 70487 TC computerized axial tomography, with contrast 226.09 226.09 70487 computerized axial tomography, with contrast 284.73 284.73 70488 26 computerized axial tomography with/without contras 63.48 63.48 70488 TC computerized axial tomography with/without contras 282.66 282.66 70488 computerized axial tomography with/without contras 346.13 346.13 70490 26 computerized axial tomography,neck 57.69 57.69 70490 TC computerized axial tomography,neck 175.98 175.98 70490 computerized axial tomography,neck 233.68 233.68 70491 26 computerized axial tomography neck with contrast 61.87 61.87 70491 TC computerized axial tomography neck with contrast 218.21 218.21 70491 computerized axial tomography neck with contrast 280.08 280.08 70492 26 computerized axial tomography with/without contras 64.76 64.76 70492 TC computerized axial tomography with/without contras 274.77 274.77 70492 computerized axial tomography with/without contras 339.55 339.55 70496 26 computed tomographic angiography, head, without contrast material(s), followed 78.94 78.94 70496 TC computed tomographic angiography, head, without contrast material(s), followed 461.14 461.14 70496 computed tomographic angiography, head, without contrast material(s), followed 540.08 540.08 70498 26 computed tomographic angiography, neck, without contrast material(s), followed 79.24 79.24 70498 TC computed tomographic angiography, neck, without contrast material(s), followed 463.26 463.26 70498 computed tomographic angiography, neck, without contrast material(s), followed 542.50 542.50 70540 26 magnetic resonance (eg, proton) imaging, orbit, face, and neck; without 60.28 60.28 70540 TC magnetic resonance (eg, proton) imaging, orbit, face, and neck; without 400.26 400.26 70540 magnetic resonance (eg, proton) imaging, orbit, face, and neck; without 460.54 460.54 70542 26 magnetic resonance (eg, proton) imaging, orbit, face, and neck; with contrast 72.36 72.36 70542 TC magnetic resonance (eg, proton) imaging, orbit, face, and neck; with contrast 439.48 439.48 70542 magnetic resonance (eg, proton) imaging, orbit, face, and neck; with contrast 511.83 511.83 70543 26 magnetic resonance (eg, proton) imaging, orbit, face, and neck; without 96.09 96.09 70543 TC magnetic resonance (eg, proton) imaging, orbit, face, and neck; without 609.17 609.17 70543 magnetic resonance (eg, proton) imaging, orbit, face, and neck; without 705.25 705.25 70544 26 magnetic resonance angiography, head; without contrast material(s) 53.66 53.66 70544 TC magnetic resonance angiography, head; without contrast material(s) 442.56 442.56 70544 magnetic resonance angiography, head; without contrast material(s) 496.22 496.22 70545 26 magnetic resonance angiography, head; with contrast material(s) 53.66 53.66 70545 TC magnetic resonance angiography, head; with contrast material(s) 440.44 440.44 70545 magnetic resonance angiography, head; with contrast material(s) 494.10 494.10 70546 26 magnetic resonance angiography, head; without contrast material(s), followed by 80.58 80.58 70546 TC magnetic resonance angiography, head; without contrast material(s), followed by 706.04 706.04 70546 magnetic resonance angiography, head; without contrast material(s), followed by 786.62 786.62 70547 26 magnetic resonance angiography, neck; without contrast material(s) 53.66 53.66 70547 TC magnetic resonance angiography, neck; without contrast material(s) 441.36 441.36 70547 magnetic resonance angiography, neck; without contrast material(s) 495.00 495.00 70548 26 magnetic resonance angiography, neck; with contrast material(s) 53.66 53.66 70548 TC magnetic resonance angiography, neck; with contrast material(s) 460.74 460.74 70548 magnetic resonance angiography, neck; with contrast material(s) 514.40 514.40 70549 26 magnetic resonance angiography, neck; without contrast material(s), followed by 80.58 80.58 70549 TC magnetic resonance angiography, neck; without contrast material(s), followed by 706.64 706.64 70549 magnetic resonance angiography, neck; without contrast material(s), followed by 787.22 787.22 70551 26 magnetic resonance, brain 66.26 66.26 70551 TC magnetic resonance, brain 409.56 409.56 70551 magnetic resonance, brain 475.82 475.82 70552 26 magnetic resonance, brain with contrast 79.92 79.92 70552 TC magnetic resonance, brain with contrast 452.12 452.12 70552 magnetic resonance, brain with contrast 532.05 532.05 70553 26 magnetic resonance, brain with/without contrast 105.69 105.69 70553 TC magnetic resonance, brain with/without contrast 602.57 602.57 70553 magnetic resonance, brain with/without contrast 708.26 708.26 70557 26 magnetic resonance (eg, proton) imaging, brain (including brain stem and skull 130.83 130.83 70557 TC magnetic resonance (eg, proton) imaging, brain (including brain stem and skull 392.48 392.48 70557 magnetic resonance (eg, proton) imaging, brain (including brain stem and skull 523.30 523.30 70558 26 magnetic resonance (eg, proton) imaging, brain (including brain stem and skull 142.87 142.87 70558 TC magnetic resonance (eg, proton) imaging, brain (including brain stem and skull 428.63 428.63 70558 magnetic resonance (eg, proton) imaging, brain (including brain stem and skull 571.50 571.50 70559 26 magnetic resonance (eg, proton) imaging, brain (including brain stem and skull 145.11 145.11 70559 TC magnetic resonance (eg, proton) imaging, brain (including brain stem and skull 435.32 435.32 70559 magnetic resonance (eg, proton) imaging, brain (including brain stem and skull 580.42 580.42 71100 26 radiologic exam, ribs 9.83 9.83 71100 TC radiologic exam, ribs 17.48 17.48 71100 radiologic exam, ribs 27.32 27.32 71101 26 radiologic exam ribs /posteroanterior chest 11.77 11.77 71101 TC radiologic exam ribs /posteroanterior chest 21.12 21.12 71101 radiologic exam ribs /posteroanterior chest 32.89 32.89 71110 26 radiologic exam, ribs bilateral 11.77 11.77 71110 TC radiologic exam, ribs bilateral 22.24 22.24 71110 radiologic exam, ribs bilateral 34.01 34.01 71111 26 radiologic exam including posteroanterior 14.02 14.02 71111 TC radiologic exam including posteroanterior 29.41 29.41 71111 radiologic exam including posteroanterior 43.43 43.43 71120 26 radiologic exam sternum 8.87 8.87 71120 TC radiologic exam sternum 18.40 18.40 71120 radiologic exam sternum 27.27 27.27 71130 26 radiologic exam sternoclavicular joint(s) 9.83 9.83 71130 TC radiologic exam sternoclavicular joint(s) 21.42 21.42 71130 radiologic exam sternoclavicular joint(s) 31.26 31.26 71250 26 computerized axial tomography 52.04 52.04 71250 TC computerized axial tomography 186.62 186.62 71250 computerized axial tomography 238.65 238.65 71260 26 computerized axial tomography with contrast 55.57 55.57 71260 TC computerized axial tomography with contrast 230.56 230.56 71260 computerized axial tomography with contrast 286.13 286.13 71270 26 computerized axial tomography without contrast 61.87 61.87 71270 TC computerized axial tomography without contrast 291.18 291.18 71270 computerized axial tomography without contrast 61.87 61.87 71275 26 computed tomographic angiography, chest, without contrast material(s), followed 86.53 86.53 71275 TC computed tomographic angiography, chest, without contrast material(s), followed 349.39 349.39 71275 computed tomographic angiography, chest, without contrast material(s), followed 435.92 435.92 71550 26 magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and 65.10 65.10 71550 TC magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and 449.05 449.05 71550 magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and 514.14 514.14 71551 26 magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and 77.07 77.07 71551 TC magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and 499.87 499.87 71551 magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and 576.94 576.94 71552 26 magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and 101.81 101.81 71552 TC magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and 689.43 689.43 71552 magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and 791.24 791.24 72020 26 radiologic exam spine /specify level 6.94 6.94 72020 TC radiologic exam spine /specify level 12.83 12.83 72020 radiologic exam spine /specify level 19.77 19.77 72040 26 radiologic examination, spine, cervical; two or three views 9.83 9.83 72040 TC radiologic examination, spine, cervical; two or three views 20.82 20.82 72040 radiologic examination, spine, cervical; two or three views 30.65 30.65 72050 26 radiologic exam spine. 4 views 13.69 13.69 72050 TC radiologic exam spine. 4 views 29.72 29.72 72050 radiologic exam spine. 4 views 43.40 43.40 72052 26 radiologic exam spine, complete 16.14 16.14 72052 TC radiologic exam spine, complete 38.19 38.19 72052 radiologic exam spine, complete 54.33 54.33 72070 26 radiologic examination, spine; thoracic, two views 9.83 9.83 72070 TC radiologic examination, spine; thoracic, two views 18.40 18.40 72070 radiologic examination, spine; thoracic, two views 28.22 28.22 72072 26 radiologic examination, spine; thoracic, three views 9.83 9.83 72072 TC radiologic examination, spine; thoracic, three views 22.24 22.24 72072 radiologic examination, spine; thoracic, three views 32.07 32.07 72074 26 radiologic examination, spine; thoracic, minimum of four views 9.83 9.83 72074 TC radiologic examination, spine; thoracic, minimum of four views 27.59 27.59 72074 radiologic examination, spine; thoracic, minimum of four views 37.42 37.42 72080 26 radiologic examination, spine; thoracolumbar, two views 9.83 9.83 72080 TC radiologic examination, spine; thoracolumbar, two views 19.60 19.60 72080 radiologic examination, spine; thoracolumbar, two views 29.44 29.44 72100 26 radiologic examination, spine, lumbosacral; two or three views 9.83 9.83 72100 TC radiologic examination, spine, lumbosacral; two or three views 22.33 22.33 72100 radiologic examination, spine, lumbosacral; two or three views 32.16 32.16 72110 26 radiologic examination, spine, lumbosacral; minimum of four views 13.69 13.69 72110 TC radiologic examination, spine, lumbosacral; minimum of four views 31.23 31.23 72110 radiologic examination, spine, lumbosacral; minimum of four views 44.92 44.92 72114 26 radiologic exam spine complete /bending view 16.14 16.14 72114 TC radiologic exam spine complete /bending view 42.43 42.43 72114 radiologic exam spine complete /bending view 58.57 58.57 72120 26 radiologic exam spine bending view 9.83 9.83 72120 TC radiologic exam spine bending view 30.31 30.31 72120 radiologic exam spine bending view 40.15 40.15 72125 26 computerized axial tomography 52.04 52.04 72125 TC computerized axial tomography 187.23 187.23 72125 computerized axial tomography 239.25 239.25 72126 26 computerized axial tomography with contrast 54.61 54.61 72126 TC computerized axial tomography with contrast 230.86 230.86 72126 computerized axial tomography with contrast 285.47 285.47 72127 26 computerized axial tomography without contrast 56.75 56.75 72127 TC computerized axial tomography without contrast 290.58 290.58 72127 computerized axial tomography without contrast 347.33 347.33 72128 26 computerized axial tomography thoracic spine 52.04 52.04 72128 TC computerized axial tomography thoracic spine 186.62 186.62 72128 computerized axial tomography thoracic spine 238.65 238.65 72129 26 comp. axial tomography/thoracic spine with contras 54.92 54.92 72129 TC comp. axial tomography/thoracic spine with contras 230.86 230.86 72129 comp. axial tomography/thoracic spine with contras 285.78 285.78 72130 26 comp. tomography/thoracic spine without contrast 57.06 57.06 72130 TC comp. tomography/thoracic spine without contrast 291.18 291.18 72130 comp. tomography/thoracic spine without contrast 348.24 348.24 72131 26 computerized axial tomography/ lumbar spine 52.04 52.04 72131 TC computerized axial tomography/ lumbar spine 186.31 186.31 72131 computerized axial tomography/ lumbar spine 238.35 238.35 72132 26 computerized axial tomography lumbar spine/contras 54.92 54.92 72132 TC computerized axial tomography lumbar spine/contras 230.56 230.56 72132 computerized axial tomography lumbar spine/contras 285.47 285.47 72133 26 computerized tomography lumbar spine w/wo contrast 57.06 57.06 72133 TC computerized tomography lumbar spine w/wo contrast 290.88 290.88 72133 computerized tomography lumbar spine w/wo contrast 347.94 347.94 72141 26 magnetic resonance spinal canal 71.40 71.40 72141 TC magnetic resonance spinal canal 364.14 364.14 72141 magnetic resonance spinal canal 435.54 435.54 72142 26 magnetic resonance /spine canal with contrast 85.93 85.93 72142 TC magnetic resonance /spine canal with contrast 451.51 451.51 72142 magnetic resonance /spine canal with contrast 537.44 537.44 72146 26 magnetic resonance/ spinal canal and contents 71.70 71.70 72146 TC magnetic resonance/ spinal canal and contents 374.86 374.86 72146 magnetic resonance/ spinal canal and contents 446.58 446.58 72147 26 magnetic resonance/spinal canal with contrast 86.23 86.23 72147 TC magnetic resonance/spinal canal with contrast 405.49 405.49 72147 magnetic resonance/spinal canal with contrast 491.72 491.72 72148 26 magnetic resonance lumbar 66.26 66.26 72148 TC magnetic resonance lumbar 374.57 374.57 72148 magnetic resonance lumbar 440.82 440.82 72149 26 magnetic resonance lumbar with contrast 79.92 79.92 72149 TC magnetic resonance lumbar with contrast 451.22 451.22 72149 magnetic resonance lumbar with contrast 531.13 531.13 72156 26 magnetic resonance with /without contrast 114.89 114.89 72156 TC magnetic resonance with /without contrast 594.09 594.09 72156 magnetic resonance with /without contrast 708.98 708.98 72157 26 mri; spinal canal, wo then w contrast; thoracic 115.20 115.20 72157 TC mri; spinal canal, wo then w contrast; thoracic 558.66 558.66 72157 mri; spinal canal, wo then w contrast; thoracic 673.85 673.85 72158 26 magnetic resonance lumbar with/without contrast 105.38 105.38 72158 TC magnetic resonance lumbar with/without contrast 593.79 593.79 72158 magnetic resonance lumbar with/without contrast 699.16 699.16 72170 26 radiologic examination, pelvis; one or two views 7.59 7.59 72170 TC radiologic examination, pelvis; one or two views 14.05 14.05 72170 radiologic examination, pelvis; one or two views 21.63 21.63 72190 26 radiologic exam pelvic complete 9.50 9.50 72190 TC radiologic exam pelvic complete 23.24 23.24 72190 radiologic exam pelvic complete 32.75 32.75 72191 26 computed tomographic angiography, pelvis, without contrast material(s), 81.51 81.51 72191 TC computed tomographic angiography, pelvis, without contrast material(s), 338.49 338.49 72191 computed tomographic angiography, pelvis, without contrast material(s), 419.99 419.99 72192 26 computerized axial tomography; pelvic 49.14 49.14 72192 TC computerized axial tomography; pelvic 177.84 177.84 72192 computerized axial tomography; pelvic 226.98 226.98 72193 26 computerized axial tomography; pelvic with contras 52.04 52.04 72193 TC computerized axial tomography; pelvic with contras 219.46 219.46 72193 computerized axial tomography; pelvic with contras 271.50 271.50 72194 26 tomography; pelvic with/without contrast 54.61 54.61 72194 TC tomography; pelvic with/without contrast 291.17 291.17 72194 tomography; pelvic with/without contrast 345.77 345.77 72195 26 magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) 65.10 65.10 72195 TC magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) 406.05 406.05 72195 magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s) 471.15 471.15 72196 26 magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) 77.68 77.68 72196 TC magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) 444.75 444.75 72196 magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) 522.43 522.43 72197 26 magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), 101.20 101.20 72197 TC magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), 614.46 614.46 72197 magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), 715.66 715.66 72200 26 radiologic exam sacrum, coccyx 7.59 7.59 72200 TC radiologic exam sacrum, coccyx 16.46 16.46 72200 radiologic exam sacrum, coccyx 24.06 24.06 72202 26 x-ray exam of sacroiliac joints, 3 or more views 8.55 8.55 72202 TC x-ray exam of sacroiliac joints, 3 or more views 20.52 20.52 72202 x-ray exam of sacroiliac joints, 3 or more views 8.55 8.55 72220 26 sacrum and coccyx 7.59 7.59 72220 TC sacrum and coccyx 16.88 16.88 72220 sacrum and coccyx 24.48 24.48 72240 26 myelograph, cervical 40.61 40.61 72240 TC myelograph, cervical 91.79 91.79 72240 myelograph, cervical 132.42 132.42 72255 26 myelography, thoracic 39.71 39.71 72255 TC myelography, thoracic 81.48 81.48 72255 myelography, thoracic 121.19 121.19 72265 26 myelography, lumbo sacral 37.10 37.10 72265 TC myelography, lumbo sacral 86.03 86.03 72265 myelography, lumbo sacral 123.11 123.11 72270 26 myelography, entire spinal canal 59.62 59.62 72270 TC myelography, entire spinal canal 132.53 132.53 72270 myelography, entire spinal canal 192.15 192.15 72275 26 epidurography, radiological supervision and interpretation 32.07 32.07 72275 TC epidurography, radiological supervision and interpretation 55.15 55.15 72275 epidurography, radiological supervision and interpretation 87.21 87.21 72285 26 diskography, cervical, radiological supervision & interpretation 49.73 49.73 72285 TC diskography, cervical, radiological supervision & interpretation 98.56 98.56 72285 diskography, cervical, radiological supervision & interpretation 148.29 148.29 72295 26 disdography, lumbar 36.29 36.29 72295 TC disdography, lumbar 95.21 95.21 72295 disdography, lumbar 131.50 131.50 73000 26 radiologic exam clavicle, complete 7.27 7.27 73000 TC radiologic exam clavicle, complete 15.55 15.55 73000 radiologic exam clavicle, complete 22.82 22.82 73010 26 radiologic exam, scapula/ complete 7.59 7.59 73010 TC radiologic exam, scapula/ complete 15.87 15.87 73010 radiologic exam, scapula/ complete 23.45 23.45 73020 26 radiologic exam shoulder 6.64 6.64 73020 TC radiologic exam shoulder 12.83 12.83 73020 radiologic exam shoulder 19.47 19.47 73030 26 radiologic exam shoulder complete 8.22 8.22 73030 TC radiologic exam shoulder complete 16.58 16.58 73030 radiologic exam shoulder complete 24.79 24.79 73040 26 radiologic exam shoulder, arthrography 24.15 24.15 73040 TC radiologic exam shoulder, arthrography 64.58 64.58 73040 radiologic exam shoulder, arthrography 88.71 88.71 73050 26 radiologic exam, acromioclavicular joints 9.19 9.19 73050 TC radiologic exam, acromioclavicular joints 20.52 20.52 73050 radiologic exam, acromioclavicular joints 29.69 29.69 73060 26 radiologic exam humerus 7.59 7.59 73060 TC radiologic exam humerus 16.58 16.58 73060 radiologic exam humerus 24.16 24.16 73070 26 radiologic examination, elbow; two views 6.64 6.64 73070 TC radiologic examination, elbow; two views 15.55 15.55 73070 radiologic examination, elbow; two views 22.19 22.19 73080 26 radilogic exam elbow, complete 7.59 7.59 73080 TC radilogic exam elbow, complete 20.82 20.82 73080 radilogic exam elbow, complete 28.40 28.40 73085 26 radiologic exam elbow, arthrography 23.85 23.85 73085 TC radiologic exam elbow, arthrography 56.40 56.40 73085 radiologic exam elbow, arthrography 80.24 80.24 73090 26 radiologic examination; forearm, two views 6.95 6.95 73090 TC radiologic examination; forearm, two views 15.55 15.55 73090 radiologic examination; forearm, two views 22.52 22.52 73092 26 radiologic exam forearm infant 6.95 6.95 73092 TC radiologic exam forearm infant 16.17 16.17 73092 radiologic exam forearm infant 23.12 23.12 73100 26 radiologic examination, wrist; two views 7.27 7.27 73100 TC radiologic examination, wrist; two views 16.17 16.17 73100 radiologic examination, wrist; two views 23.43 23.43 73110 26 radiologic exam wrist, complete 7.59 7.59 73110 TC radiologic exam wrist, complete 20.40 20.40 73110 radiologic exam wrist, complete 27.99 27.99 73115 26 radiologic exam wrist arthrography 24.15 24.15 73115 TC radiologic exam wrist arthrography 60.83 60.83 73115 radiologic exam wrist arthrography 84.98 84.98 73120 26 radiologic exam, hand 6.95 6.95 73120 TC radiologic exam, hand 15.25 15.25 73120 radiologic exam, hand 22.22 22.22 73130 26 radiologic exam hand min/3 views 7.59 7.59 73130 TC radiologic exam hand min/3 views 17.99 17.99 73130 radiologic exam hand min/3 views 25.57 25.57 73140 26 radiologic exam finger(s) 5.99 5.99 73140 TC radiologic exam finger(s) 17.68 17.68 73140 radiologic exam finger(s) 23.66 23.66 73200 26 tomography, upper extremity 48.84 48.84 73200 TC tomography, upper extremity 177.50 177.50 73200 tomography, upper extremity 226.34 226.34 73201 26 tomography upper extremity, with contrast 52.04 52.04 73201 TC tomography upper extremity, with contrast 219.32 219.32 73201 tomography upper extremity, with contrast 271.36 271.36 73202 26 tomography upper extremity, without contrast 54.61 54.61 73202 TC tomography upper extremity, without contrast 292.15 292.15 73202 tomography upper extremity, without contrast 346.76 346.76 73206 26 computed tomographic angiography, upper extremity, without contrast 82.12 82.12 73206 TC computed tomographic angiography, upper extremity, without contrast 320.31 320.31 73206 computed tomographic angiography, upper extremity, without contrast 402.42 402.42 73218 26 magnetic resonance (eg, proton) imaging, upper extremity, other than joint; 59.98 59.98 73218 TC magnetic resonance (eg, proton) imaging, upper extremity, other than joint; 411.16 411.16 73218 magnetic resonance (eg, proton) imaging, upper extremity, other than joint; 471.15 471.15 73219 26 magnetic resonance (eg, proton) imaging, upper extremity, other than joint; 72.36 72.36 73219 TC magnetic resonance (eg, proton) imaging, upper extremity, other than joint; 445.22 445.22 73219 magnetic resonance (eg, proton) imaging, upper extremity, other than joint; 517.59 517.59 73220 26 magnetic resonance (eg, proton) imaging, upper extremity, other than joint; 96.39 96.39 73220 TC magnetic resonance (eg, proton) imaging, upper extremity, other than joint; 615.23 615.23 73220 magnetic resonance (eg, proton) imaging, upper extremity, other than joint; 711.61 711.61 73221 26 magnetic resonance (eg, proton) imaging, any joint of upper extremity; without 60.28 60.28 73221 TC magnetic resonance (eg, proton) imaging, any joint of upper extremity; without 385.73 385.73 73221 magnetic resonance (eg, proton) imaging, any joint of upper extremity; without 446.01 446.01 73222 26 magnetic resonance (eg, proton) imaging, any joint of upper extremity; with 72.36 72.36 73222 TC magnetic resonance (eg, proton) imaging, any joint of upper extremity; with 419.79 419.79 73222 magnetic resonance (eg, proton) imaging, any joint of upper extremity; with 492.15 492.15 73223 26 magnetic resonance (eg, proton) imaging, any joint of upper extremity; without 96.09 96.09 73223 TC magnetic resonance (eg, proton) imaging, any joint of upper extremity; without 584.64 584.64 73223 magnetic resonance (eg, proton) imaging, any joint of upper extremity; without 680.73 680.73 73525 26 radiologic exam hip, authrograph 24.36 24.36 73525 TC radiologic exam hip, authrograph 55.79 55.79 73525 radiologic exam hip, authrograph 80.15 80.15 73560 26 radiologic examination, knee; one or two views 7.59 7.59 73560 TC radiologic examination, knee; one or two views 15.87 15.87 73560 radiologic examination, knee; one or two views 23.45 23.45 73562 26 radiologic examination, knee; three views 8.22 8.22 73562 TC radiologic examination, knee; three views 19.91 19.91 73562 radiologic examination, knee; three views 28.13 28.13 73564 26 radiologic examination, knee; complete, four or more views 9.83 9.83 73564 TC radiologic examination, knee; complete, four or more views 22.94 22.94 73564 radiologic examination, knee; complete, four or more views 32.77 32.77 73565 26 radiologic exam knee (both) 7.90 7.90 73565 TC radiologic exam knee (both) 17.07 17.07 73565 radiologic exam knee (both) 24.97 24.97 73580 26 radiologic exam knee, arthrography 24.36 24.36 73580 TC radiologic exam knee, arthrography 75.29 75.29 73580 radiologic exam knee, arthrography 99.63 99.63 73590 26 radiologic examination; tibia and fibula, two views 7.59 7.59 73590 TC radiologic examination; tibia and fibula, two views 14.95 14.95 73590 radiologic examination; tibia and fibula, two views 22.54 22.54 73592 26 rad exam lower extremity infant 6.95 6.95 73592 TC rad exam lower extremity infant 16.17 16.17 73592 rad exam lower extremity infant 23.12 23.12 73600 26 radiologic examination, ankle; two views 6.95 6.95 73600 TC radiologic examination, ankle; two views 15.25 15.25 73600 radiologic examination, ankle; two views 22.22 22.22 73610 26 radiologic exam complete 7.59 7.59 73610 TC radiologic exam complete 17.99 17.99 73610 radiologic exam complete 25.57 25.57 73615 26 radiologic exam ankle, arthrography 24.06 24.06 73615 TC radiologic exam ankle, arthrography 58.21 58.21 73615 radiologic exam ankle, arthrography 82.27 82.27 73620 26 radiologic examination, foot; two views 6.95 6.95 73620 TC radiologic examination, foot; two views 14.65 14.65 73620 radiologic examination, foot; two views 21.61 21.61 73630 26 radiologic exam foot complete 7.59 7.59 73630 TC radiologic exam foot complete 17.68 17.68 73630 radiologic exam foot complete 25.26 25.26 73650 26 radiologic exam calcaneus 6.95 6.95 73650 TC radiologic exam calcaneus 14.95 14.95 73650 radiologic exam calcaneus 21.91 21.91 73660 26 radiologic exam calcaneus toe or toes 5.68 5.68 73660 TC radiologic exam calcaneus toe or toes 16.77 16.77 73660 radiologic exam calcaneus toe or toes 22.45 22.45 73700 26 computerized axial tomography lower extremity 48.84 48.84 73700 TC computerized axial tomography lower extremity 177.80 177.80 73700 computerized axial tomography lower extremity 226.63 226.63 73701 26 computerized tomography lower extremity w/contrast 52.34 52.34 73701 TC computerized tomography lower extremity w/contrast 220.84 220.84 73701 computerized tomography lower extremity w/contrast 273.18 273.18 73702 26 computerized tomography lower extremity w & w/o contrast 54.92 54.92 73702 TC computerized tomography lower extremity w & w/o contrast 292.75 292.75 73702 computerized tomography lower extremity w & w/o contrast 347.67 347.67 73706 26 computerized tomographic angiography, lower extremity 86.27 86.27 73706 TC computerized tomographic angiography, lower extremity 350.90 350.90 73706 computerized tomographic angiography, lower extremity 437.17 437.17 73718 26 magnetic resonance (eg, proton) imaging, lower extremity other than joint; 60.28 60.28 73718 TC magnetic resonance (eg, proton) imaging, lower extremity other than joint; 402.69 402.69 73718 magnetic resonance (eg, proton) imaging, lower extremity other than joint; 462.97 462.97 73719 26 magnetic resonance (eg, proton) imaging, lower extremity other than joint; with 72.36 72.36 73719 TC magnetic resonance (eg, proton) imaging, lower extremity other than joint; with 439.78 439.78 73719 magnetic resonance (eg, proton) imaging, lower extremity other than joint; with 512.13 512.13 73720 26 magnetic resonance (eg, proton) imaging, lower extremity other than joint; 96.39 96.39 73720 TC magnetic resonance (eg, proton) imaging, lower extremity other than joint; 614.92 614.92 73720 magnetic resonance (eg, proton) imaging, lower extremity other than joint; 711.31 711.31 73721 26 magnetic resonance (eg, proton) imaging, any joint of lower extremity; without 60.28 60.28 73721 TC magnetic resonance (eg, proton) imaging, any joint of lower extremity; without 393.30 393.30 73721 magnetic resonance (eg, proton) imaging, any joint of lower extremity; without 453.58 453.58 73722 26 magnetic resonance (eg, proton) imaging, any joint of lower extremity; with 72.66 72.66 73722 TC magnetic resonance (eg, proton) imaging, any joint of lower extremity; with 423.42 423.42 73722 magnetic resonance (eg, proton) imaging, any joint of lower extremity; with 496.08 496.08 73723 26 magnetic resonance (eg, proton) imaging, any joint of lower extremity; without 96.39 96.39 73723 TC magnetic resonance (eg, proton) imaging, any joint of lower extremity; without 582.82 582.82 73723 magnetic resonance (eg, proton) imaging, any joint of lower extremity; without 679.20 679.20 74022 26 rad exam abdomen. complete abdomen series 14.31 14.31 74022 TC rad exam abdomen. complete abdomen series 26.17 26.17 74022 rad exam abdomen. complete abdomen series 40.50 40.50 74150 26 computer tomography without contrast mater 53.32 53.32 74150 TC computer tomography without contrast mater 175.81 175.81 74150 computer tomography without contrast mater 229.14 229.14 74160 26 tomography, abdomen with contrast 57.36 57.36 74160 TC tomography, abdomen with contrast 247.01 247.01 74160 tomography, abdomen with contrast 304.37 304.37 74170 26 tomography, without/with contrast 62.82 62.82 74170 TC tomography, without/with contrast 335.38 335.38 74170 tomography, without/with contrast 398.20 398.20 74175 26 computed tomographic angiography, abdomen, without contrast material(s), 85.67 85.67 74175 TC computed tomographic angiography, abdomen, without contrast material(s), 358.77 358.77 74175 computed tomographic angiography, abdomen, without contrast material(s), 444.44 444.44 74176 TC of abdomen and pelvis 110.76 110.76 74177 TC ct scan of abdomen and pelvis with contrast 211.33 211.33 74178 TC ct scan of abdomen and pelvis before and after contrast 279.32 279.32 74181 26 magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) 65.39 65.39 74181 TC magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) 361.84 361.84 74181 magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s) 427.23 427.23 74182 26 magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) 77.68 77.68 74182 TC magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) 488.96 488.96 74182 magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s) 566.64 566.64 74183 26 magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), 101.20 101.20 74183 TC magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), 615.07 615.07 74183 magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), 716.27 716.27 74190 26 peritoneogram (eg, after injection of air or contrast), radiological 21.59 21.59 74190 TC peritoneogram (eg, after injection of air or contrast), radiological 43.76 43.76 74190 peritoneogram (eg, after injection of air or contrast), radiological 64.39 64.39 74210 26 radiologic exam, pharynx 16.44 16.44 74210 TC radiologic exam, pharynx 47.28 47.28 74210 radiologic exam, pharynx 63.71 63.71 74220 26 radiologic exam; esophagus 20.62 20.62 74220 TC radiologic exam; esophagus 51.82 51.82 74220 radiologic exam; esophagus 72.45 72.45 74221 26 X-RAY XM ESOPHAGUS 2CNTRST 31.19 31.19 74221 TC X-RAY XM ESOPHAGUS 2CNTRST 62.69 62.69 74221 X-RAY XM ESOPHAGUS 2CNTRST 93.86 93.86 74230 26 swallowing function, with cineradiography/videoradiography 23.82 23.82 74230 TC swallowing function, with cineradiography/videoradiography 50.81 50.81 74230 swallowing function, with cineradiography/videoradiography 74.63 74.63 74235 26 removal of foreign body(s) 54.53 54.53 74235 TC removal of foreign body(s) 84.34 84.34 74235 removal of foreign body(s) 138.87 138.87 74240 26 radiologic exam; gastrointestinal tract 31.08 31.08 74240 TC radiologic exam; gastrointestinal tract 58.89 58.89 74240 radiologic exam; gastrointestinal tract 89.97 89.97 74246 26 rad exam, gastrointestinal tract upper air contras 31.08 31.08 74246 TC rad exam, gastrointestinal tract upper air contras 71.73 71.73 74246 rad exam, gastrointestinal tract upper air contras 102.82 102.82 74248 26 X-RAY SM INT F-THRU STD 31.19 31.19 74248 TC X-RAY SM INT F-THRU STD 40.31 40.31 74248 X-RAY SM INT F-THRU STD 71.49 71.49 74250 26 radiologic examination, small intestine, includes multiple serial films; 20.96 20.96 74250 TC radiologic examination, small intestine, includes multiple serial films; 63.23 63.23 74250 radiologic examination, small intestine, includes multiple serial films; 84.18 84.18 74251 26 radiologic examination, small bowel, includes multiple serial films; 31.08 31.08 74251 TC radiologic examination, small bowel, includes multiple serial films; 230.39 230.39 74251 radiologic examination, small bowel, includes multiple serial films; 261.48 261.48 74270 26 radiologic examination, colon; barium enema, with or without kub 31.08 31.08 74270 TC radiologic examination, colon; barium enema, with or without kub 89.80 89.80 74270 radiologic examination, colon; barium enema, with or without kub 120.89 120.89 74280 26 radiologic exam, air contrast/ high density 44.45 44.45 74280 TC radiologic exam, air contrast/ high density 122.92 122.92 74280 radiologic exam, air contrast/ high density 167.37 167.37 74283 26 therapeutic enema, contrast or air, for reduction of intussusception or other 90.41 90.41 74283 TC therapeutic enema, contrast or air, for reduction of intussusception or other 84.98 84.98 74283 therapeutic enema, contrast or air, for reduction of intussusception or other 175.38 175.38 74290 26 cholecystography, oral contrast 14.31 14.31 74290 TC cholecystography, oral contrast 39.50 39.50 74290 cholecystography, oral contrast 53.81 53.81 74300 26 cholangiography and/or pancreatography; intraoperative, radiological 16.14 16.14 74300 cholangiography and/or pancreatography; intraoperative, radiological 46.12 46.12 74301 26 cholangiography and/or pancreatography; additional set intraoperative, 24.45 24.45 74328 26 endoscopic catheterization 135.68 135.68 74328 TC endoscopic catheterization 31.71 31.71 74328 endoscopic catheterization 100.43 100.43 74329 26 endoscopic cath of the pancreatic ductal system 132.14 132.14 74329 TC endoscopic cath of the pancreatic ductal system 40.59 40.59 74329 endoscopic cath of the pancreatic ductal system 105.58 105.58 74330 26 combined endoscopic catheterization 144.12 144.12 74330 TC combined endoscopic catheterization 24.15 24.15 74330 combined endoscopic catheterization 87.84 87.84 74340 26 introduction of long gastrointestinal tube (eg, miller-abbott), including 111.21 111.21 74355 26 percutaneous placement enteroclysis tube radiologi 34.28 34.28 74355 TC percutaneous placement enteroclysis tube radiologi 88.17 88.17 74355 percutaneous placement enteroclysis tube radiologi 120.32 120.32 74360 26 intraluminal dilation strictures/obstructions radi 25.06 25.06 74360 TC intraluminal dilation strictures/obstructions radi 105.25 105.25 74360 intraluminal dilation strictures/obstructions radi 129.27 129.27 74363 26 percutaneous transhepatic dilation of biliary duct stricture with or without 39.94 39.94 74363 TC percutaneous transhepatic dilation of biliary duct stricture with or without 189.88 189.88 74363 percutaneous transhepatic dilation of biliary duct stricture with or without 234.95 234.95 74400 26 urography, intravenous 21.91 21.91 74400 TC urography, intravenous 69.21 69.21 74400 urography, intravenous 91.12 91.12 74410 26 urography, infusion, drip technique 22.22 22.22 74410 TC urography, infusion, drip technique 73.75 73.75 74410 urography, infusion, drip technique 95.96 95.96 74415 26 urography, with mephrotomography 21.91 21.91 74415 TC urography, with mephrotomography 87.89 87.89 74415 urography, with mephrotomography 109.80 109.80 74420 26 urography, retrograde 16.44 16.44 74420 TC urography, retrograde 87.84 87.84 74420 urography, retrograde 103.34 103.34 74425 26 urography, antegrade 16.44 16.44 74425 TC urography, antegrade 43.75 43.75 74425 urography, antegrade 59.25 59.25 74430 26 cystography, minimum 3 views 14.52 14.52 74430 TC cystography, minimum 3 views 50.60 50.60 74430 cystography, minimum 3 views 65.13 65.13 74440 26 vasograph 17.09 17.09 74440 TC vasograph 53.04 53.04 74440 vasograph 70.12 70.12 74445 26 corpora cavernosography 52.40 52.40 74445 TC corpora cavernosography 37.10 37.10 74445 corpora cavernosography 87.21 87.21 74450 26 urethrocystography 15.15 15.15 74450 TC urethrocystography 48.79 48.79 74450 urethrocystography 63.27 63.27 74455 26 urethrocystography, voiding 15.15 15.15 74455 TC urethrocystography, voiding 60.22 60.22 74455 urethrocystography, voiding 75.38 75.38 74470 26 radiologic exam; renal cyst study 24.45 24.45 74470 TC radiologic exam; renal cyst study 42.15 42.15 74470 radiologic exam; renal cyst study 65.18 65.18 74485 26 dilation of nephrostomy/ureters, superv and interp 24.66 24.66 74485 TC dilation of nephrostomy/ureters, superv and interp 74.09 74.09 74485 dilation of nephrostomy/ureters, superv and interp 98.75 98.75 74710 26 pelvimentry, with/without placental localization 15.48 15.48 74710 TC pelvimentry, with/without placental localization 21.23 21.23 74710 pelvimentry, with/without placental localization 36.72 36.72 74775 26 perineogram 27.88 27.88 74775 TC perineogram 49.13 49.13 74775 perineogram 75.81 75.81 75561 TC mri f heart before and after contrast 446.15 446.15 75600 26 aortography, thoracic without serialography 23.42 23.42 75600 TC aortography, thoracic without serialography 242.43 242.43 75600 aortography, thoracic without serialography 265.86 265.86 75605 26 aortography thoracic by serialography 52.90 52.90 75605 TC aortography thoracic by serialography 175.81 175.81 75605 aortography thoracic by serialography 228.71 228.71 75625 26 aortography, abdominal by serialography 51.59 51.59 75625 TC aortography, abdominal by serialography 174.00 174.00 75625 aortography, abdominal by serialography 225.58 225.58 75630 26 aortography, abdominal plus bilateral lower extrem 82.38 82.38 75630 TC aortography, abdominal plus bilateral lower extrem 180.58 180.58 75630 aortography, abdominal plus bilateral lower extrem 262.96 262.96 75635 26 computed tomographic angiography, abdominal aorta and bilateral iliofemoral 109.62 109.62 75635 TC computed tomographic angiography, abdominal aorta and bilateral iliofemoral 396.63 396.63 75635 computed tomographic angiography, abdominal aorta and bilateral iliofemoral 506.26 506.26 75705 26 angiography, spinal, selective 99.51 99.51 75705 TC angiography, spinal, selective 183.69 183.69 75705 angiography, spinal, selective 283.20 283.20 75710 26 angiography, extremity, unilateral 51.80 51.80 75710 TC angiography, extremity, unilateral 186.71 186.71 75710 angiography, extremity, unilateral 238.51 238.51 75716 26 angiography, extremity, bilateral 59.48 59.48 75716 TC angiography, extremity, bilateral 206.69 206.69 75716 angiography, extremity, bilateral 266.19 266.19 75726 26 angiography visceral selective or supraselective 51.68 51.68 75726 TC angiography visceral selective or supraselective 184.29 184.29 75726 angiography visceral selective or supraselective 235.97 235.97 75731 26 angiography adrenal unilateral, selective 54.31 54.31 75731 TC angiography adrenal unilateral, selective 189.75 189.75 75731 angiography adrenal unilateral, selective 244.05 244.05 75733 26 angiography adrenal bilateral selective 63.22 63.22 75733 TC angiography adrenal bilateral selective 213.36 213.36 75733 angiography adrenal bilateral selective 276.57 276.57 75736 26 angiography pelvic,selective or supraselective 52.20 52.20 75736 TC angiography pelvic,selective or supraselective 185.81 185.81 75736 angiography pelvic,selective or supraselective 237.99 237.99 75741 26 angiography pulmonary unilateral selective 59.58 59.58 75741 TC angiography pulmonary unilateral selective 169.45 169.45 75741 angiography pulmonary unilateral selective 229.03 229.03 75743 26 angiography pulmonary bilateral selective 75.79 75.79 75743 TC angiography pulmonary bilateral selective 175.51 175.51 75743 angiography pulmonary bilateral selective 251.30 251.30 75746 26 angiography pulmonary by nonsel cath or ven inj. 51.38 51.38 75746 TC angiography pulmonary by nonsel cath or ven inj. 179.45 179.45 75746 angiography pulmonary by nonsel cath or ven inj. 230.83 230.83 75756 26 angiography,internal mammary 54.81 54.81 75756 TC angiography,internal mammary 190.04 190.04 75756 angiography,internal mammary 244.85 244.85 75774 26 angiography, selective, each additional vessel studied after basic examination, 16.44 16.44 75774 TC angiography, selective, each additional vessel studied after basic examination, 161.57 161.57 75774 angiography, selective, each additional vessel studied after basic examination, 178.02 178.02 75801 26 lymphangiography, extemity only unilateral 35.74 35.74 75801 TC lymphangiography, extemity only unilateral 181.70 181.70 75801 lymphangiography, extemity only unilateral 217.37 217.37 75803 26 lymphangiography, extemity only, bilateral 52.97 52.97 75803 TC lymphangiography, extemity only, bilateral 182.02 182.02 75803 lymphangiography, extemity only, bilateral 231.41 231.41 75805 26 lymphangiography, pelvic/abdominal, unilateral 36.94 36.94 75805 TC lymphangiography, pelvic/abdominal, unilateral 204.81 204.81 75805 lymphangiography, pelvic/abdominal, unilateral 239.80 239.80 75807 26 lymphangiography, pelvic;abdominal, bilateral 52.97 52.97 75807 TC lymphangiography, pelvic;abdominal, bilateral 199.25 199.25 75807 lymphangiography, pelvic;abdominal, bilateral 252.22 252.22 75809 26 shuntogram for investigation of previously placed indwelling nonvascular shunt 20.96 20.96 75809 TC shuntogram for investigation of previously placed indwelling nonvascular shunt 51.91 51.91 75809 shuntogram for investigation of previously placed indwelling nonvascular shunt 72.87 72.87 75810 26 splenoportography 51.99 51.99 75810 TC splenoportography 421.98 421.98 75810 splenoportography 470.68 470.68 75820 26 venography, extremity, unilateral 32.01 32.01 75820 TC venography, extremity, unilateral 68.18 68.18 75820 venography, extremity, unilateral 100.19 100.19 75822 26 venography, extremity, bilateral 47.55 47.55 75822 TC venography, extremity, bilateral 75.55 75.55 75822 venography, extremity, bilateral 123.10 123.10 75825 26 venography, caval, inferior with serialography 51.20 51.20 75825 TC venography, caval, inferior with serialography 166.41 166.41 75825 venography, caval, inferior with serialography 217.61 217.61 75827 26 venography, caval, superior, with seralography 50.17 50.17 75827 TC venography, caval, superior, with seralography 167.03 167.03 75827 venography, caval, superior, with seralography 217.19 217.19 75831 26 venography, renal, unilateral, selective 51.28 51.28 75831 TC venography, renal, unilateral, selective 168.85 168.85 75831 venography, renal, unilateral, selective 220.13 220.13 75833 26 venography, renal, bilateral, selective 66.40 66.40 75833 TC venography, renal, bilateral, selective 179.75 179.75 75833 venography, renal, bilateral, selective 246.15 246.15 75840 26 venography, adrenal, unilateral, selective 50.59 50.59 75840 TC venography, adrenal, unilateral, selective 167.63 167.63 75840 venography, adrenal, unilateral, selective 218.22 218.22 75842 26 venography, adrenal, bilateral, selective 67.19 67.19 75842 TC venography, adrenal, bilateral, selective 180.35 180.35 75842 venography, adrenal, bilateral, selective 247.54 247.54 75860 26 venography, sinus or jugular, catheter 52.40 52.40 75860 TC venography, sinus or jugular, catheter 172.17 172.17 75860 venography, sinus or jugular, catheter 224.56 224.56 75870 26 venography, superior sagittal sinus 51.08 51.08 75870 TC venography, superior sagittal sinus 171.57 171.57 75870 venography, superior sagittal sinus 222.65 222.65 75872 26 venography, epidural 53.85 53.85 75872 TC venography, epidural 188.83 188.83 75872 venography, epidural 242.69 242.69 75880 26 venography, orbital 30.81 30.81 75880 TC venography, orbital 70.29 70.29 75880 venography, orbital 101.10 101.10 75885 26 percutaneous transhepatic porto w hemodynamuc eval 65.34 65.34 75885 TC percutaneous transhepatic porto w hemodynamuc eval 169.45 169.45 75885 percutaneous transhepatic porto w hemodynamuc eval 234.79 234.79 75887 26 percutaneous transhepatic portog wo hemody eval 65.34 65.34 75887 TC percutaneous transhepatic portog wo hemody eval 171.27 171.27 75887 percutaneous transhepatic portog wo hemody eval 236.61 236.61 75889 26 hepatic venog wedged or free w hemodynamic eval 51.68 51.68 75889 TC hepatic venog wedged or free w hemodynamic eval 169.14 169.14 75889 hepatic venog wedged or free w hemodynamic eval 220.84 220.84 75891 26 hepatic venography wedged or free wo hemody eva 51.68 51.68 75891 TC hepatic venography wedged or free wo hemody eva 169.14 169.14 75891 hepatic venography wedged or free wo hemody eva 220.84 220.84 75893 26 venous sampling thru cath w or wo angiography 24.15 24.15 75893 TC venous sampling thru cath w or wo angiography 168.85 168.85 75893 venous sampling thru cath w or wo angiography 192.99 192.99 75894 26 transcatheter therapy, embolization, any method 59.39 59.39 75894 TC transcatheter therapy, embolization, any method 808.17 808.17 75894 transcatheter therapy, embolization, any method 864.71 864.71 75898 26 angiography through existing catheter for follow-up study for transcatheter 75.16 75.16 75898 TC angiography through existing catheter for follow-up study for transcatheter 35.15 35.15 75898 angiography through existing catheter for follow-up study for transcatheter 106.16 106.16 75901 26 mechanical removal of pericatheter obstructive material (eg, fibrin sheath) 21.91 21.91 75901 TC mechanical removal of pericatheter obstructive material (eg, fibrin sheath) 117.16 117.16 75901 mechanical removal of pericatheter obstructive material (eg, fibrin sheath) 139.07 139.07 75902 26 mechanical removal of intraluminal (intracatheter) obstructive material from 17.42 17.42 75902 TC mechanical removal of intraluminal (intracatheter) obstructive material from 60.84 60.84 75902 mechanical removal of intraluminal (intracatheter) obstructive material from 78.26 78.26 75970 26 transcatheter biopsy 37.70 37.70 75970 TC transcatheter biopsy 373.44 373.44 75970 transcatheter biopsy 411.14 411.14 75984 26 change of percutaneous tube or drainage catheter with contrast monitoring (eg, 32.68 32.68 75984 TC change of percutaneous tube or drainage catheter with contrast monitoring (eg, 63.45 63.45 75984 change of percutaneous tube or drainage catheter with contrast monitoring (eg, 96.14 96.14 75989 26 radiological guidance for percutaneous drainage of abscess, or specimen 53.62 53.62 75989 TC radiological guidance for percutaneous drainage of abscess, or specimen 68.33 68.33 75989 radiological guidance for percutaneous drainage of abscess, or specimen 121.96 121.96 76000 26 (separate procedure), up to one hour physician time, other than 7.59 7.59 76000 TC fluoroscopy (separate procedure), up to one hour physician time, other than 72.02 72.02 76000 fluoroscopy (separate procedure), up to one hour physician time, other than 79.60 79.60 76010 26 radiologic examination from nose to rectum for foreign body, single view, child 8.22 8.22 76010 TC radiologic examination from nose to rectum for foreign body, single view, child 15.25 15.25 76010 radiologic examination from nose to rectum for foreign body, single view, child 23.48 23.48 76080 26 radiologic examination, abscess, fistula or sinus tract study, radiological 24.45 24.45 76080 TC radiologic examination, abscess, fistula or sinus tract study, radiological 29.41 29.41 76080 radiologic examination, abscess, fistula or sinus tract study, radiological 53.87 53.87 76098 26 radiological examination, surgical specimen 7.27 7.27 76098 TC radiological examination, surgical specimen 9.50 9.50 76098 radiological examination, surgical specimen 16.76 16.76 76100 26 xray exam, sngl plane body sctn other than w urogr 25.97 25.97 76100 TC xray exam, sngl plane body sctn other than w urogr 86.25 86.25 76100 xray exam, sngl plane body sctn other than w urogr 112.21 112.21 76101 26 xray exam complex motion bdy sect othr w kidy; uni 25.66 25.66 76101 TC xray exam complex motion bdy sect othr w kidy; uni 129.15 129.15 76101 xray exam complex motion bdy sect othr w kidy; uni 154.82 154.82 76102 26 xray exam complex motion bdy sect othr w kid; bilt 25.37 25.37 76102 TC xray exam complex motion bdy sect othr w kid; bilt 181.86 181.86 76102 xray exam complex motion bdy sect othr w kid; bilt 207.23 207.23 76120 26 cineradiography/videoradiography, except where specifically included 16.79 16.79 76120 TC cineradiography/videoradiography, except where specifically included 46.37 46.37 76120 cineradiography/videoradiography, except where specifically included 63.16 63.16 76125 26 cineradiography/videoradiography to complement routine examination (list 12.68 12.68 76125 TC cineradiography/videoradiography to complement routine examination (list 26.46 26.46 76125 cineradiography/videoradiography to complement routine examination (list 39.13 39.13 76140 x-ray consultation 33.62 33.62 76376 TC 3d radiographic procedure 55.66 55.66 76377 TC 3d radiograhic procedure with computerized image postprocessing 55.88 55.88 76380 26 computerized axial tomography, limited or localized follow-up study 43.82 43.82 76380 TC computerized axial tomography, limited or localized follow-up study 128.51 128.51 76380 computerized axial tomography, limited or localized follow-up study 172.32 172.32 76506 26 ,b-scan including a-mode 28.83 28.83 76506 TC echoencephalography,b-scan including a-mode 68.28 68.28 76506 echoencephalography,b-scan including a-mode 97.11 97.11 76511 26 ophthalmic altrasnd, echog a-scan w amplitud quali 42.61 42.61 76511 TC ophthalmic altrasnd, echog a-scan w amplitud quali 39.61 39.61 76511 ophthalmic altrasnd, echog a-scan w amplitud quali 82.22 82.22 76512 26 opthalmic ultrasnd, echog; constrast b-scan 42.70 42.70 76512 TC opthalmic ultrasnd, echog; constrast b-scan 34.47 34.47 76512 opthalmic ultrasnd, echog; constrast b-scan 77.18 77.18 76513 26 echo exam of eye, water bath 29.28 29.28 76513 TC echo exam of eye, water bath 41.44 41.44 76513 echo exam of eye, water bath 70.74 70.74 76514 26 ophthalmic ultrasound, echography, diagnostic; corneal pachymetry, unilateral 7.90 7.90 76514 TC ophthalmic ultrasound, echography, diagnostic; corneal pachymetry, unilateral 2.93 2.93 76514 ophthalmic ultrasound, echography, diagnostic; corneal pachymetry, unilateral 10.83 10.83 76516 26 ophthalmic biometry by ultrsnd echography a-scan 24.26 24.26 76516 TC ophthalmic biometry by ultrsnd echography a-scan 32.34 32.34 76516 ophthalmic biometry by ultrsnd echography a-scan 56.58 56.58 76519 26 ophthalmic bilm by ultrasnd echog, a-scan w/intrao 24.55 24.55 76519 TC ophthalmic bilm by ultrasnd echog, a-scan w/intrao 35.97 35.97 76519 ophthalmic bilm by ultrasnd echog, a-scan w/intrao 60.52 60.52 76529 26 ophthalmic ultrasonic foreign body localization 25.75 25.75 76529 TC ophthalmic ultrasonic foreign body localization 31.64 31.64 76529 ophthalmic ultrasonic foreign body localization 57.38 57.38 76536 26 ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), 24.50 24.50 76536 TC ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), 67.99 67.99 76536 ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), 92.48 92.48 76604 26 ultrasound, chest, b-scan (includes mediastinum) and/or real time with image 24.48 24.48 76604 TC ultrasound, chest, b-scan (includes mediastinum) and/or real time with image 48.09 48.09 76604 ultrasound, chest, b-scan (includes mediastinum) and/or real time with image 72.57 72.57 76700 26 ultrasound, abdominal, b-scan and/or real time with image documentation; 36.13 36.13 76700 TC ultrasound, abdominal, b-scan and/or real time with image documentation; 78.60 78.60 76700 ultrasound, abdominal, b-scan and/or real time with image documentation; 114.72 114.72 76705 26 echog, abd, b-scan &/or real time w/ img documntn 26.60 26.60 76705 TC echog, abd, b-scan &/or real time w/ img documntn 60.41 60.41 76705 echog, abd, b-scan &/or real time w/ img documntn 87.00 87.00 76706 us abdl aorta screen aaa 81.23 81.23 76706 TC us abdl aorta screen aaa 56.35 56.35 76706 26 us abdl aorta screen aaa 24.87 24.87 76770 26 ultrasound, retroperitoneal (eg, renal, aorta, nodes), b-scan and/or real time 33.02 33.02 76770 TC ultrasound, retroperitoneal (eg, renal, aorta, nodes), b-scan and/or real time 76.79 76.79 76770 ultrasound, retroperitoneal (eg, renal, aorta, nodes), b-scan and/or real time 109.81 109.81 76775 26 echog,retroprtnl,b-scan&/or rel tm w/img doc; lmtd 26.58 26.58 76775 TC echog,retroprtnl,b-scan&/or rel tm w/img doc; lmtd 67.07 67.07 76775 echog,retroprtnl,b-scan&/or rel tm w/img doc; lmtd 93.65 93.65 76776 26 ultrasound, transplanted kidney, real time and duplex doppler with image 33.99 33.99 76776 TC ultrasound, transplanted kidney, real time and duplex doppler with image 87.98 87.98 76776 ultrasound, transplanted kidney, real time and duplex doppler with image 121.97 121.97 76800 26 ultrasound, spinal canal and contents 47.72 47.72 76800 TC ultrasound, spinal canal and contents 56.47 56.47 76800 ultrasound, spinal canal and contents 104.20 104.20 76801 TC ultrasound, pregnant uterus, real time with image documentation, fetal and 64.70 64.70 76801 ultrasound, pregnant uterus, real time with image documentation, fetal and 110.53 110.53 76802 TC ultrasound, pregnant uterus, real time with image documentation, fetal and 26.41 26.41 76805 TC ultrasound, pregnant uterus, b-scan and/or real time with image documentation; 77.03 77.03 76805 ultrasound, pregnant uterus, b-scan and/or real time with image documentation; 122.94 122.94 76810 TC echography; complete with multiple gestation 42.42 42.42 76811 TC ultrasound, pregnant uterus, real time with image documentation, fetal and 91.30 91.30 76812 TC ultrasound, pregnant uterus, real time with image documentation, fetal and 93.00 93.00 76813 TC ultrasound, pregnant uterus, real time with image documentation, first 57.72 57.72 76814 TC ultrasound, pregnant uterus, real time with image documentation, first 28.34 28.34 76815 TC echography, pregnant uterus, b-scan and/or real time with image documentation; 48.00 48.00 76816 TC echograph pregnant uterus follow up 56.96 56.96 76817 TC ultrasound, pregnant uterus, real time with image documentation, transvaginal 52.72 52.72 76817 ultrasound, pregnant uterus, real time with image documentation, transvaginal 85.48 85.48 76819 TC fetal biophysical profile; without non-stress testing 45.38 45.38 76820 TC doppler velocimetry, fetal; umbilical artery 23.99 23.99 76825 TC echocardiography fetal 103.44 103.44 76826 TC echocardiography, fetal heart in utero 61.31 61.31 76827 TC doppler ecg, fetal heart pulsed&/or cont wave comp 35.50 35.50 76828 TC doppler ecg fetal heart uls.&/or cont wave fol-up 20.74 20.74 76830 26 ultrasound, transvaginal 30.48 30.48 76830 TC ultrasound, transvaginal 70.21 70.21 76830 ultrasound, transvaginal 100.70 100.70 76831 26 hysterosonography, with or without color flow doppler 31.16 31.16 76831 TC hysterosonography, with or without color flow doppler 69.60 69.60 76831 hysterosonography, with or without color flow doppler 100.77 100.77 76856 26 ultrasound, pelvic (nonobstetric), b-scan and/or real time with image 30.79 30.79 76856 TC ultrasound, pelvic (nonobstetric), b-scan and/or real time with image 70.52 70.52 76856 ultrasound, pelvic (nonobstetric), b-scan and/or real time with image 101.30 101.30 76857 26 echo, pelv (non-ob) b-scan&/or rel tm w/img d;ltd/ 17.40 17.40 76857 TC echo, pelv (non-ob) b-scan&/or rel tm w/img d;ltd/ 66.65 66.65 76857 echo, pelv (non-ob) b-scan&/or rel tm w/img d;ltd/ 84.05 84.05 76870 26 ultrasound, scrotum and contents 28.84 28.84 76870 TC ultrasound, scrotum and contents 71.42 71.42 76870 ultrasound, scrotum and contents 100.28 100.28 76872 26 echography, transrectal 31.90 31.90 76872 TC echography, transrectal 87.48 87.48 76872 echography, transrectal 119.37 119.37 76873 26 echography, transrectal; prostate volume study for brachytherapy treatment 69.57 69.57 76873 TC echography, transrectal; prostate volume study for brachytherapy treatment 82.06 82.06 76873 echography, transrectal; prostate volume study for brachytherapy treatment 151.63 151.63 76882 TC Ultrasound, extremity, nonvascular, real-time with image documentation; complete 8.74 8.74 76882 Ultrasound, extremity, nonvascular, real-time with image documentation; complete 26.34 26.34 76885 26 ultrasound, infant hips, real time with imaging documentation; dynamic 36.29 36.29 76885 TC ultrasound, infant hips, real time with imaging documentation; dynamic 81.11 81.11 76885 ultrasound, infant hips, real time with imaging documentation; dynamic 114.15 114.15 76886 26 ultrasound, infant hips, real time with imaging documentation; limited, static 27.28 27.28 76886 TC ultrasound, infant hips, real time with imaging documentation; limited, static 57.08 57.08 76886 ultrasound, infant hips, real time with imaging documentation; limited, static 84.36 84.36 76932 26 ultrasonic guidance for endomyocardial biopsy, imaging supervision and 32.04 32.04 76932 TC ultrasonic guidance for endomyocardial biopsy, imaging supervision and 51.33 51.33 76932 ultrasonic guidance for endomyocardial biopsy, imaging supervision and 83.39 83.39 76936 26 ultrasound guided compression repair of arterial pseudo-aneurysm 89.95 89.95 76936 TC ultrasound guided compression repair of arterial pseudo-aneurysm 174.52 174.52 76936 ultrasound guided compression repair of arterial pseudo-aneurysm 264.48 264.48 76937 26 ultrasound guidance for vascular access requiring ultrasound evaluation of 13.78 13.78 76937 TC ultrasound guidance for vascular access requiring ultrasound evaluation of 16.61 16.61 76937 ultrasound guidance for vascular access requiring ultrasound evaluation of 30.39 30.39 76940 26 ultrasound guidance for, and monitoring of, visceral tissue ablation 92.81 92.81 76940 TC ultrasound guidance for, and monitoring of, visceral tissue ablation 56.01 56.01 76940 ultrasound guidance for, and monitoring of, visceral tissue ablation 146.06 146.06 76941 26 ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, 58.65 58.65 76941 TC ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, 47.08 47.08 76941 ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, 105.72 105.72 76942 26 ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, 30.12 30.12 76942 TC ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, 124.72 124.72 76942 ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, 154.84 154.84 76945 26 ultrasonic guidance for chorionic villus sampling, imaging supervision and 29.22 29.22 76945 TC ultrasonic guidance for chorionic villus sampling, imaging supervision and 47.80 47.80 76945 ultrasonic guidance for chorionic villus sampling, imaging supervision and 77.02 77.02 76946 26 ultrasonic guidance for amniocentesis, imaging supervision and interpretation 16.50 16.50 76946 TC ultrasonic guidance for amniocentesis, imaging supervision and interpretation 21.16 21.16 76946 ultrasonic guidance for amniocentesis, imaging supervision and interpretation 37.64 37.64 76975 26 gastrointestinal endoscopic ultrasound, supervision and interpretation 36.74 36.74 76975 TC gastrointestinal endoscopic ultrasound, supervision and interpretation 49.14 49.14 76975 gastrointestinal endoscopic ultrasound, supervision and interpretation 85.87 85.87 76977 26 ultrasound bone density measurement and interpretation, peripheral site(s), any 2.45 2.45 76977 TC ultrasound bone density measurement and interpretation, peripheral site(s), any 9.21 9.21 76977 ultrasound bone density measurement and interpretation, peripheral site(s), any 11.67 11.67 76998 26 ultrasonic guidance, intraoperative 53.79 53.79 76998 TC ultrasonic guidance, intraoperative 88.17 88.17 76998 ultrasonic guidance, intraoperative 141.34 141.34 77001 26 fluoroscopic guidance for central venous access device placement, replacement 16.88 16.88 77001 TC fluoroscopic guidance for central venous access device placement, replacement 70.21 70.21 77001 fluoroscopic guidance for central venous access device placement, replacement 87.11 87.11 77002 26 fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, 23.54 23.54 77002 TC fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, 36.28 36.28 77002 fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, 59.83 59.83 77003 26 fluoroscopic guidance and localization of needle or catheter tip for spine or 24.80 24.80 77003 TC fluoroscopic guidance and localization of needle or catheter tip for spine or 25.38 25.38 77003 fluoroscopic guidance and localization of needle or catheter tip for spine or 50.18 50.18 77011 26 computed tomography guidance for stereotactic localization 53.67 53.67 77011 TC computed tomography guidance for stereotactic localization 511.42 511.42 77011 computed tomography guidance for stereotactic localization 565.09 565.09 77012 26 computed tomography guidance for needle placement (eg, biopsy, aspiration, 52.34 52.34 77012 TC computed tomography guidance for needle placement (eg, biopsy, aspiration, 114.40 114.40 77012 computed tomography guidance for needle placement (eg, biopsy, aspiration, 166.74 166.74 77013 26 computerized tomography guidance for, and monitoring of, parenchymal tissue 180.40 180.40 77013 TC computerized tomography guidance for, and monitoring of, parenchymal tissue 335.06 335.06 77013 computerized tomography guidance for, and monitoring of, parenchymal tissue 505.43 505.43 77014 26 computed tomography guidance for placement of radiation therapy fields 37.43 37.43 77014 TC computed tomography guidance for placement of radiation therapy fields 118.09 118.09 77014 computed tomography guidance for placement of radiation therapy fields 155.54 155.54 77021 26 magnetic resonance guidance for needle placement (eg, for biopsy, needle 67.94 67.94 77021 TC magnetic resonance guidance for needle placement (eg, for biopsy, needle 305.77 305.77 77021 magnetic resonance guidance for needle placement (eg, for biopsy, needle 373.71 373.71 77022 26 magnetic resonance guidance for, and monitoring of, parenchymal tissue ablation 188.92 188.92 77022 TC magnetic resonance guidance for, and monitoring of, parenchymal tissue ablation 62.99 62.99 77022 magnetic resonance guidance for, and monitoring of, parenchymal tissue ablation 251.90 251.90 77053 26 mammary ductogram or galactogram, single duct, radiological supervision and 16.14 16.14 77053 TC mammary ductogram or galactogram, single duct, radiological supervision and 47.72 47.72 77053 mammary ductogram or galactogram, single duct, radiological supervision and 63.86 63.86 77054 26 mammary ductogram or galactogram, multiple ducts, radiological supervision and 20.30 20.30 77054 TC mammary ductogram or galactogram, multiple ducts, radiological supervision and 65.72 65.72 77054 mammary ductogram or galactogram, multiple ducts, radiological supervision and 86.02 86.02 77063 26 screening digital tomography of both breasts 26.34 26.34 77063 TC screening digital tomography of both breasts 21.49 21.49 77063 screening digital tomography of both breasts 47.84 47.84 77072 26 bone age studies 8.55 8.55 77072 TC bone age studies 11.31 11.31 77072 bone age studies 19.87 19.87 77073 26 bone length studies (orthoroentgenogram, scanogram) 12.08 12.08 77073 TC bone length studies (orthoroentgenogram, scanogram) 19.51 19.51 77073 bone length studies (orthoroentgenogram, scanogram) 31.58 31.58 77074 26 radiologic examination, osseous survey; limited (eg, for metastases) 20.30 20.30 77074 TC radiologic examination, osseous survey; limited (eg, for metastases) 37.59 37.59 77074 radiologic examination, osseous survey; limited (eg, for metastases) 57.89 57.89 77075 26 radiologic examination, osseous survey; complete (axial and appendicular 24.15 24.15 77075 TC radiologic examination, osseous survey; complete (axial and appendicular 59.50 59.50 77075 radiologic examination, osseous survey; complete (axial and appendicular 83.65 83.65 77076 26 radiologic examination, osseous survey, infant 30.21 30.21 77076 TC radiologic examination, osseous survey, infant 48.28 48.28 77076 radiologic examination, osseous survey, infant 78.49 78.49 77077 26 joint survey, single view, 2 or more joints (specify) 13.89 13.89 77077 TC joint survey, single view, 2 or more joints (specify) 21.84 21.84 77077 joint survey, single view, 2 or more joints (specify) 35.73 35.73 77078 26 computed tomography, bone mineral density study, 1 or more sites; axial 11.12 11.12 77078 TC computed tomography, bone mineral density study, 1 or more sites; axial 130.82 130.82 77078 computed tomography, bone mineral density study, 1 or more sites; axial 141.93 141.93 77080 26 dual-energy x-ray absorptiometry (dxa), bone density study, 1 or more sites; 8.87 8.87 77080 TC dual-energy x-ray absorptiometry (dxa), bone density study, 1 or more sites; 50.17 50.17 77080 dual-energy x-ray absorptiometry (dxa), bone density study, 1 or more sites; 59.04 59.04 77081 26 dual-energy x-ray absorptiometry (dxa), bone density study, 1 or more sites; 9.52 9.52 77081 TC dual-energy x-ray absorptiometry (dxa), bone density study, 1 or more sites; 15.88 15.88 77081 dual-energy x-ray absorptiometry (dxa), bone density study, 1 or more sites; 25.41 25.41 77084 26 magnetic resonance (eg, proton) imaging, bone marrow blood supply 72.01 72.01 77084 TC magnetic resonance (eg, proton) imaging, bone marrow blood supply 411.67 411.67 77084 magnetic resonance (eg, proton) imaging, bone marrow blood supply 483.68 483.68 77261 therapeutic treatment planning; 62.40 62.40 77262 therapeutic radiology treatment planning; 93.78 93.78 77263 therapeutic radiology treatment planning; 139.14 139.14 77280 26 radiation therapeutic simulator aided field setting simple 31.02 31.02 77280 TC radiation therapeutic simulator aided field setting simple 123.35 123.35 77280 radiation therapeutic simulator aided field setting simple 154.37 154.37 77285 26 radiation therapeutic simulator aided field setting intermediate 46.32 46.32 77285 TC radiation therapeutic simulator aided field setting intermediate 219.42 219.42 77285 radiation therapeutic simulator aided field setting intermediate 265.73 265.73 77290 26 radiation therapy simulator aided field setting complex 68.79 68.79 77290 TC radiation therapy simulator aided field setting complex 343.72 343.72 77290 radiation therapy simulator aided field setting complex 412.49 412.49 77295 26 therapeutic radiology simulation-aided field setting; three-dimensional 201.00 201.00 77295 TC therapeutic radiology simulation-aided field setting; three-dimensional 374.43 374.43 77295 therapeutic radiology simulation-aided field setting; three-dimensional 575.43 575.43 77300 26 basic radiation dosimetry calculation, central axis depth dose calculation, 27.28 27.28 77300 TC basic radiation dosimetry calculation, central axis depth dose calculation, 33.25 33.25 77300 basic radiation dosimetry calculation, central axis depth dose calculation, 60.53 60.53 77301 26 intensity modulated radiotherapy plan, including dose-volume histograms 352.25 352.25 77301 TC intensity modulated radiotherapy plan, including dose-volume histograms 1460.38 1460.38 77301 intensity modulated radiotherapy plan, including dose-volume histograms 1812.64 1812.64 77321 26 special teletherapy port part/ hemi/ total body 41.83 41.83 77321 TC special teletherapy port part/ hemi/ total body 61.59 61.59 77321 special teletherapy port part/ hemi/ total body 103.43 103.43 77331 26 special dosimetry 38.40 38.40 77331 TC special dosimetry 15.55 15.55 77331 special dosimetry 53.96 53.96 77332 26 treatment devices (simple) 23.75 23.75 77332 TC treatment devices (simple) 42.03 42.03 77332 treatment devices (simple) 65.78 65.78 77333 26 treatment devices (intermediate) 37.11 37.11 77333 TC treatment devices (intermediate) 21.97 21.97 77333 treatment devices (intermediate) 59.08 59.08 77334 26 treatment devices (complex) 54.56 54.56 77334 TC treatment devices (complex) 79.54 79.54 77334 treatment devices (complex) 134.10 134.10 77336 continuing medical physics consultation, including assessment of treatment 51.17 51.17 77370 special medical radiation physics consultation 97.30 97.30 77427 radiation treatment management, five treatments 165.54 165.54 77431 26 radiation therapy mgmt, complete course, 1-2 fract 82.95 82.95 77431 radiation therapy mgmt, complete course, 1-2 fract 84.45 84.45 77432 stereotactic radiation treatment management of cerebral lesion(s) 351.99 351.99 77435 stereotactic body radiation therapy, treatment management, per treatment 583.65 583.65 77470 26 special treatment procedure (eg, total body irradiation, hemibody radiation, 92.21 92.21 77470 TC special treatment procedure (eg, total body irradiation, hemibody radiation, 124.29 124.29 77470 special treatment procedure (eg, total body irradiation, hemibody radiation, 216.51 216.51 77600 26 hyperthermia, externally generated 68.79 68.79 77600 TC hyperthermia, externally generated 242.26 242.26 77600 hyperthermia, externally generated 311.03 311.03 77605 26 hyperthermia, ext; deep 89.91 89.91 77605 TC hyperthermia, ext; deep 464.87 464.87 77605 hyperthermia, ext; deep 554.78 554.78 77610 26 hyperthermia generated by interstitial prob(s) 66.96 66.96 77610 TC hyperthermia generated by interstitial prob(s) 450.61 450.61 77610 hyperthermia generated by interstitial prob(s) 517.57 517.57 77615 26 hyperthermia; more than 5 interstitial applicators 91.91 91.91 77615 TC hyperthermia; more than 5 interstitial applicators 639.91 639.91 77615 hyperthermia; more than 5 interstitial applicators 731.82 731.82 77620 26 intracavity hyperthermia 69.15 69.15 77620 TC intracavity hyperthermia 256.48 256.48 77620 intracavity hyperthermia 325.65 325.65 77750 26 infusion or instillation of radioelement soultion 217.80 217.80 77750 TC infusion or instillation of radioelement soultion 75.96 75.96 77750 infusion or instillation of radioelement soultion 293.74 293.74 77761 26 intracavitary radiation source application; simple 167.16 167.16 77761 TC intracavitary radiation source application; simple 134.03 134.03 77761 intracavitary radiation source application; simple 301.19 301.19 77762 26 intracavitary radioelement application (intermed) 252.66 252.66 77762 TC intracavitary radioelement application (intermed) 159.31 159.31 77762 intracavitary radioelement application (intermed) 411.97 411.97 77763 26 interstital radioelement application; complex 379.21 379.21 77763 TC interstital radioelement application; complex 204.95 204.95 77763 interstital radioelement application; complex 584.16 584.16 77778 26 interstitial radioelement application complex 495.77 495.77 77778 TC interstitial radioelement application complex 213.34 213.34 77778 interstitial radioelement application complex 709.13 709.13 77789 26 surface application of radiation source 50.38 50.38 77789 TC surface application of radiation source 39.18 39.18 77789 surface application of radiation source 89.55 89.55 77790 26 supervision, handling, loading of radiation source 46.32 46.32 77790 TC supervision, handling, loading of radiation source 28.89 28.89 77790 supervision, handling, loading of radiation source 75.20 75.20 78014 TC nuclear imaging for thyroid uptake measurements 177.42 177.42 78015 26 thyroid carcinoma metastases imaging; limited area 30.12 30.12 78015 TC thyroid carcinoma metastases imaging; limited area 138.88 138.88 78015 thyroid carcinoma metastases imaging; limited area 169.01 169.01 78016 26 thyroid carcinoma metastes imaging w/add'l studies 36.86 36.86 78016 TC thyroid carcinoma metastes imaging w/add'l studies 219.36 219.36 78016 thyroid carcinoma metastes imaging w/add'l studies 256.21 256.21 78018 26 thyroid carcinoma metastases imaging; whole body 38.68 38.68 78018 TC thyroid carcinoma metastases imaging; whole body 219.82 219.82 78018 thyroid carcinoma metastases imaging; whole body 258.49 258.49 78020 26 thyroid carcinoma metastases uptake (list separately in addition to code for 27.02 27.02 78020 TC thyroid carcinoma metastases uptake (list separately in addition to code for 49.23 49.23 78020 thyroid carcinoma metastases uptake (list separately in addition to code for 76.26 76.26 78070 26 parathyroid imaging 37.07 37.07 78070 TC parathyroid imaging 106.75 106.75 78070 parathyroid imaging 143.82 143.82 78075 26 adrenal imaging, cortex &/or medulla 33.33 33.33 78075 TC adrenal imaging, cortex &/or medulla 301.89 301.89 78075 adrenal imaging, cortex &/or medulla 335.22 335.22 78102 26 bone marrow imaging; limited area 24.78 24.78 78102 TC bone marrow imaging; limited area 108.18 108.18 78102 bone marrow imaging; limited area 132.96 132.96 78103 26 bone marrow imaging; multiple areas 33.65 33.65 78103 TC bone marrow imaging; multiple areas 144.95 144.95 78103 bone marrow imaging; multiple areas 178.62 178.62 78104 26 bone marrow imaging; whole body 36.20 36.20 78104 TC bone marrow imaging; whole body 168.40 168.40 78104 bone marrow imaging; whole body 204.60 204.60 78110 26 plasma volume, radiopharmaceutical volume-dilution technique (separate 8.55 8.55 78110 TC plasma volume, radiopharmaceutical volume-dilution technique (separate 54.84 54.84 78110 plasma volume, radiopharmaceutical volume-dilution technique (separate 63.40 63.40 78111 26 plasma volume radionuclide vol-dilut tech;mult sam 10.14 10.14 78111 TC plasma volume radionuclide vol-dilut tech;mult sam 70.74 70.74 78111 plasma volume radionuclide vol-dilut tech;mult sam 80.87 80.87 78120 26 red cell volume determination; single sampling 10.46 10.46 78120 TC red cell volume determination; single sampling 61.64 61.64 78120 red cell volume determination; single sampling 72.10 72.10 78121 26 red cell volume determination; multiple sampling 14.31 14.31 78121 TC red cell volume determination; multiple sampling 73.16 73.16 78121 red cell volume determination; multiple sampling 87.49 87.49 78122 26 whole blood volume determination, including separate measurement of plasma 20.30 20.30 78122 TC whole blood volume determination, including separate measurement of plasma 88.26 88.26 78122 whole blood volume determination, including separate measurement of plasma 108.56 108.56 78130 26 red cell survival study 27.55 27.55 78130 TC red cell survival study 99.51 99.51 78130 red cell survival study 127.07 127.07 78140 26 red cell splenic and/or hepatic sequestration 27.55 27.55 78140 TC red cell splenic and/or hepatic sequestration 95.51 95.51 78140 red cell splenic and/or hepatic sequestration 123.07 123.07 78185 26 spleen imaging only, with or without vascular flow 18.05 18.05 78185 TC spleen imaging only, with or without vascular flow 135.64 135.64 78185 spleen imaging only, with or without vascular flow 153.69 153.69 78191 26 platelet survival study 27.25 27.25 78191 TC platelet survival study 137.30 137.30 78191 platelet survival study 164.55 164.55 78195 26 lymphatics and lymph nodes imaging 54.16 54.16 78195 TC lymphatics and lymph nodes imaging 221.70 221.70 78195 lymphatics and lymph nodes imaging 275.86 275.86 78201 26 liver imaging; static only 19.36 19.36 78201 TC liver imaging; static only 122.62 122.62 78201 liver imaging; static only 141.98 141.98 78202 26 liver imaging; with vascular flow 22.56 22.56 78202 TC liver imaging; with vascular flow 141.30 141.30 78202 liver imaging; with vascular flow 163.86 163.86 78215 26 liver and spleen imaging; static only 21.91 21.91 78215 TC liver and spleen imaging; static only 129.79 129.79 78215 liver and spleen imaging; static only 151.70 151.70 78216 26 liver and spleen imaging with vascular flow 25.43 25.43 78216 TC liver and spleen imaging with vascular flow 89.74 89.74 78216 liver and spleen imaging with vascular flow 115.17 115.17 78230 26 salivary gland imaging 19.99 19.99 78230 TC salivary gland imaging 109.29 109.29 78230 salivary gland imaging 129.29 129.29 78231 26 salivary gland imaging; with serial images 23.19 23.19 78231 TC salivary gland imaging; with serial images 87.41 87.41 78231 salivary gland imaging; with serial images 110.61 110.61 78232 26 salivary gland function study 21.25 21.25 78232 TC salivary gland function study 91.26 91.26 78232 salivary gland function study 112.51 112.51 78258 26 esophageal motility 33.63 33.63 78258 TC esophageal motility 146.76 146.76 78258 esophageal motility 180.38 180.38 78261 26 gastric mucosa imaging 31.08 31.08 78261 TC gastric mucosa imaging 167.80 167.80 78261 gastric mucosa imaging 198.88 198.88 78262 26 gastroesophageal reflux study 30.16 30.16 78262 TC gastroesophageal reflux study 165.98 165.98 78262 gastroesophageal reflux study 196.13 196.13 78264 26 gastric emptying study 34.94 34.94 78264 TC gastric emptying study 190.81 190.81 78264 gastric emptying study 225.75 225.75 78267 urea breath test, c-14 (isotopic); acquisition for analysis 10.68 10.68 78268 urea breath test, c-14; analysis 91.54 91.54 78278 26 acute gastrointestinal blood loss imaging 44.45 44.45 78278 TC acute gastrointestinal blood loss imaging 227.78 227.78 78278 acute gastrointestinal blood loss imaging 272.21 272.21 78282 26 gastrointestinal protein loss 17.09 17.09 78282 TC gastrointestinal protein loss 43.09 43.09 78282 gastrointestinal protein loss 60.19 60.19 78290 26 intestine imaging (eg, ectopic gastric mucosa, meckels localization, volvulus) 30.75 30.75 78290 TC intestine imaging (eg, ectopic gastric mucosa, meckels localization, volvulus) 212.28 212.28 78290 intestine imaging (eg, ectopic gastric mucosa, meckels localization, volvulus) 243.03 243.03 78291 26 peritoneal-venous shunt patency test 39.64 39.64 78291 TC peritoneal-venous shunt patency test 158.98 158.98 78291 peritoneal-venous shunt patency test 198.61 198.61 78300 26 bone and/or joint imaging, limited area 27.88 27.88 78300 TC bone and/or joint imaging, limited area 111.63 111.63 78300 bone and/or joint imaging, limited area 139.51 139.51 78305 26 bone and/or joint imaging; multiple areas 37.10 37.10 78305 TC bone and/or joint imaging; multiple areas 148.40 148.40 78305 bone and/or joint imaging; multiple areas 185.48 185.48 78306 26 bone and/or joint imaging; whole body 38.68 38.68 78306 TC bone and/or joint imaging; whole body 166.58 166.58 78306 bone and/or joint imaging; whole body 205.26 205.26 78315 26 bone imaging by three phase technique 45.73 45.73 78315 TC bone imaging by three phase technique 226.86 226.86 78315 bone imaging by three phase technique 272.59 272.59 78414 26 determ of ventricular ejection frctn w/probe tech 19.08 19.08 78414 TC determ of ventricular ejection frctn w/probe tech 51.12 51.12 78414 determ of ventricular ejection frctn w/probe tech 70.21 70.21 78428 26 cardiac shunt detection 36.46 36.46 78428 TC cardiac shunt detection 125.65 125.65 78428 cardiac shunt detection 162.10 162.10 78445 26 non-cardiac vascular flow imaging (ie, angiography, venography) 21.91 21.91 78445 TC non-cardiac vascular flow imaging (ie, angiography, venography) 113.73 113.73 78445 non-cardiac vascular flow imaging (ie, angiography, venography) 135.63 135.63 78452 TC study of vessels of heart using drugs or exercise multiple studies 191.53 191.53 78456 26 acute venous thrombosis imaging, peptide 47.50 47.50 78456 TC acute venous thrombosis imaging, peptide 239.20 239.20 78456 acute venous thrombosis imaging, peptide 286.70 286.70 78457 26 venous thrombosis imaging, venogram; unilateral 34.31 34.31 78457 TC venous thrombosis imaging, venogram; unilateral 121.93 121.93 78457 venous thrombosis imaging, venogram; unilateral 156.23 156.23 78458 26 venous thrombosis imaging; bilateral 40.59 40.59 78458 TC venous thrombosis imaging; bilateral 131.85 131.85 78458 venous thrombosis imaging; bilateral 172.44 172.44 78466 26 nuclear scan, heart muscle 31.99 31.99 78466 TC nuclear scan, heart muscle 117.08 117.08 78466 nuclear scan, heart muscle 149.07 149.07 78468 26 nuclear scan, heart muscle 38.02 38.02 78468 TC nuclear scan, heart muscle 149.91 149.91 78468 nuclear scan, heart muscle 187.93 187.93 78469 26 myocardial imaging, infarct avid, planar; tomographic spect with or without 42.85 42.85 78469 TC myocardial imaging, infarct avid, planar; tomographic spect with or without 170.86 170.86 78469 myocardial imaging, infarct avid, planar; tomographic spect with or without 213.71 213.71 78472 26 cardiac blood pool imaging, gated equilibrium; planar, single study at rest or 45.33 45.33 78472 TC cardiac blood pool imaging, gated equilibrium; planar, single study at rest or 172.18 172.18 78472 cardiac blood pool imaging, gated equilibrium; planar, single study at rest or 217.51 217.51 78473 26 cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion 69.06 69.06 78473 TC cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion 228.57 228.57 78473 cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion 297.63 297.63 78481 26 cardiac blood pool imaging, (planar), first pass technique; single study, at 46.95 46.95 78481 TC cardiac blood pool imaging, (planar), first pass technique; single study, at 144.21 144.21 78481 cardiac blood pool imaging, (planar), first pass technique; single study, at 191.15 191.15 78483 26 cardiac blood pool imaging, (planar), first pass technique; multiple studies, 71.27 71.27 78483 TC cardiac blood pool imaging, (planar), first pass technique; multiple studies, 199.00 199.00 78483 cardiac blood pool imaging, (planar), first pass technique; multiple studies, 270.26 270.26 78494 26 cardiac blood pool imaging, gated equilibrium, spect, at rest, wall motion 55.44 55.44 78494 TC cardiac blood pool imaging, gated equilibrium, spect, at rest, wall motion 182.18 182.18 78494 cardiac blood pool imaging, gated equilibrium, spect, at rest, wall motion 237.62 237.62 78496 26 cardiac blood pool imaging, gated equilibrium, single study, at rest, with 23.75 23.75 78496 TC cardiac blood pool imaging, gated equilibrium, single study, at rest, with 74.06 74.06 78496 cardiac blood pool imaging, gated equilibrium, single study, at rest, with 97.82 97.82 78580 26 pulmonary perfusion imaging; particulate 33.33 33.33 78580 TC pulmonary perfusion imaging; particulate 138.80 138.80 78580 pulmonary perfusion imaging; particulate 172.13 172.13 78600 26 brain imaging, limited procedure; static 19.97 19.97 78600 TC brain imaging, limited procedure; static 122.52 122.52 78600 brain imaging, limited procedure; static 142.50 142.50 78601 26 brain imaging, ltd procedure; w/vascular flow 22.87 22.87 78601 TC brain imaging, ltd procedure; w/vascular flow 146.67 146.67 78601 brain imaging, ltd procedure; w/vascular flow 169.53 169.53 78605 26 brain imaging, complete study; static 24.13 24.13 78605 TC brain imaging, complete study; static 134.57 134.57 78605 brain imaging, complete study; static 158.69 158.69 78606 26 brain imaging, complete study w/vascular flow 28.84 28.84 78606 TC brain imaging, complete study w/vascular flow 219.38 219.38 78606 brain imaging, complete study w/vascular flow 248.21 248.21 78610 26 brain imaging, vascular flow only 13.97 13.97 78610 TC brain imaging, vascular flow only 129.57 129.57 78610 brain imaging, vascular flow only 143.54 143.54 78630 26 cerebrospinal fluid flow,imag; cisternography 30.75 30.75 78630 TC cerebrospinal fluid flow,imag; cisternography 232.73 232.73 78630 cerebrospinal fluid flow,imag; cisternography 263.49 263.49 78635 26 cerebrospinal fluid flow imag; ventriculography 27.66 27.66 78635 TC cerebrospinal fluid flow imag; ventriculography 212.16 212.16 78635 cerebrospinal fluid flow imag; ventriculography 239.82 239.82 78645 26 cerebrospinal fluid flow imag; shunt evaluation 25.75 25.75 78645 TC cerebrospinal fluid flow imag; shunt evaluation 216.93 216.93 78645 cerebrospinal fluid flow imag; shunt evaluation 242.67 242.67 78650 26 cerebrospinal fluid leakage detection and localization 27.55 27.55 78650 TC cerebrospinal fluid leakage detection and localization 229.37 229.37 78650 cerebrospinal fluid leakage detection and localization 256.94 256.94 78660 26 radiopharmaceutical dacryocystography 23.82 23.82 78660 TC radiopharmaceutical dacryocystography 110.60 110.60 78660 radiopharmaceutical dacryocystography 134.43 134.43 78700 26 kidney imaging; static only 20.30 20.30 78700 TC kidney imaging; static only 121.12 121.12 78700 kidney imaging; static only 141.41 141.41 78701 26 kidney imaging; with vascular flow 21.91 21.91 78701 TC kidney imaging; with vascular flow 147.28 147.28 78701 kidney imaging; with vascular flow 169.19 169.19 78707 26 kidney imaging with vascular flow and function; single study without 43.16 43.16 78707 TC kidney imaging with vascular flow and function; single study without 154.68 154.68 78707 kidney imaging with vascular flow and function; single study without 197.84 197.84 78708 26 kidney imaging with vascular flow and function; single study, wit 54.58 54.58 78708 TC kidney imaging with vascular flow and function; single study, wit 107.44 107.44 78708 kidney imaging with vascular flow and function; single study, wit 162.02 162.02 78709 26 kidney imaging with vascular flow and function; multiple studies 63.45 63.45 78709 TC kidney imaging with vascular flow and function; multiple studies 227.97 227.97 78709 kidney imaging with vascular flow and function; multiple studies 291.42 291.42 78725 26 kidney function study, non-imaging radioisotopic study 16.79 16.79 78725 TC kidney function study, non-imaging radioisotopic study 65.57 65.57 78725 kidney function study, non-imaging radioisotopic study 82.36 82.36 78730 26 residual study 7.75 7.75 78730 TC urinary bladder residual study 55.26 55.26 78730 urinary bladder residual study 63.01 63.01 78740 26 ureteral reflux study (radiopharmaceutical voiding cystogram) 25.95 25.95 78740 TC ureteral reflux study (radiopharmaceutical voiding cystogram) 142.40 142.40 78740 ureteral reflux study (radiopharmaceutical voiding cystogram) 168.35 168.35 78761 26 testicular imaging; with vascular flow 32.05 32.05 78761 TC testicular imaging; with vascular flow 137.08 137.08 78761 testicular imaging; with vascular flow 169.12 169.12 78800 26 radiopharmaceutical localization of tumor; limited area 29.40 29.40 78800 TC radiopharmaceutical localization of tumor; limited area 121.84 121.84 78800 radiopharmaceutical localization of tumor; limited area 151.24 151.24 78801 26 radionuclide localization multiple areas 35.69 35.69 78801 TC radionuclide localization multiple areas 166.58 166.58 78801 radionuclide localization multiple areas 202.27 202.27 78802 26 radionuclide localization whole body 38.68 38.68 78802 TC radionuclide localization whole body 225.78 225.78 78802 radionuclide localization whole body 264.45 264.45 78803 26 radiopharmaceutical localization of tumor; tomographic (spect) 49.14 49.14 78803 TC radiopharmaceutical localization of tumor; tomographic (spect) 242.56 242.56 78803 radiopharmaceutical localization of tumor; tomographic (spect) 291.70 291.70 78804 26 radiopharmaceutical localization of tumor or distribution of 48.28 48.28 78804 TC radiopharmaceutical localization of tumor or distribution of 416.86 416.86 78804 radiopharmaceutical localization of tumor or distribution of 465.15 465.15 78812 TC nuclear imaging from skull base to mid-thigh 823.27 823.27 79200 26 intracavitary radioactive colloid therapy 89.73 89.73 79200 TC intracavitary radioactive colloid therapy 60.14 60.14 79200 intracavitary radioactive colloid therapy 149.87 149.87 79300 26 interstitial radioactive colloid therapy 72.65 72.65 79300 TC interstitial radioactive colloid therapy 117.25 117.25 79300 interstitial radioactive colloid therapy 189.89 189.89 79403 26 radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous 102.08 102.08 79403 TC radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous 84.98 84.98 79403 radiopharmaceutical therapy, radiolabeled monoclonal antibody by intravenous 187.06 187.06 79440 26 intra-articular radiopharmaceutical therapy 89.52 89.52 79440 TC intra-articular radiopharmaceutical therapy 49.23 49.23 79440 intra-articular radiopharmaceutical therapy 138.76 138.76 80048 basic metabolic panel 10.70 10.70 80050 general health screen panel 12.08 12.32 80051 electrolyte panel 9.21 9.21 80053 comprehensive metabolic panel 11.28 11.28 80055 obstetric panel 30.10 30.10 80061 lipid panel 17.89 17.89 80069 renal function panel 10.70 10.70 80074 acute hepatitis panel 62.21 62.21 80076 hepatic function panel 10.70 10.70 80150 amikacin 20.12 20.12 80151 MEASUREMENT OF AMIODARONE 16.96 16.96 80155 caffeine level 18.07 18.07 80156 carbamazepine; total 19.44 19.44 80157 carbamazepine; free 17.69 17.69 80158 cyclosporine 24.11 24.11 80159 clozapine level 23.63 23.63 80162 digoxin 17.72 17.72 80164 dipropylacetic acid 17.89 17.89 80167 MEASUREMENT OF FELBAMATE 16.96 16.96 80168 ethosuximide 21.82 21.82 80169 everolimus level 17.54 17.54 80170 gentamicin 4.62 4.62 80171 gabapentin level 16.94 16.94 80173 haloperidol 19.44 19.44 80175 lamotrigine level 16.94 16.94 80176 lidocaine 19.60 19.60 80177 levetiracetam level 16.94 16.94 80178 lithium 8.83 8.83 80180 mycophenolate (mycophenolic acid) level 23.07 23.07 80181 MEASUREMENT OF FLECAINIDE 16.96 16.96 80183 oxcarbazepine level 16.94 16.94 80184 phenobarbital 15.30 15.30 80185 phentoin: total 17.69 17.69 80186 phentoin; free 18.38 18.38 80188 primidone 21.75 21.75 80190 procainamide 22.37 22.37 80192 procainamide: with antibodies 22.37 22.37 80194 quinidine 19.48 19.48 80197 tacrolimus 18.31 18.31 80198 theophylline 18.89 18.89 80199 tiagabine level 23.07 23.07 80200 tobramycin 21.51 21.51 80201 topiramate 15.92 15.92 80202 vancomycin 17.89 17.89 80203 zonisamide level 16.94 16.94 80204 MEASUREMENT OF METHOTREXATE 18.30 18.30 80299 quantitation of drug, not elsewhere specified 18.28 18.28 80400 acth stimulation panel; 43.53 43.53 80402 acth stimulation panel; 116.06 116.06 80406 acth stimulation panel; 104.48 104.48 80408 aldosterone suppression evaluation panel (eg, saline infusion) 167.54 167.54 80410 calcitonin stimulation panel (eg, calcium, pentagastrin) 107.24 107.24 80412 corticotropic releasing hormone (crh) stimulation panel 440.01 440.01 80418 combined rapid anterior pituitary evaluation panel 771.05 771.05 80420 dexamethasone suppression panel, 48 hour 96.16 96.16 80422 glucagon tolerance panel; 61.52 61.52 80424 glucagon tolerance panel; 67.42 67.42 80428 growth hormone stimulation panel (eg, arginine infusion, l-dopa 89.02 89.02 80430 growth hormone suppression panel (glucose administration) 104.73 104.73 80432 insulin-induced c-peptide suppression panel 147.51 147.51 80434 insulin tolerance panel; 135.01 135.01 80435 insulin tolerance panel; 137.45 137.45 80436 metyrapone panel 121.70 121.70 80438 thyrotropin releasing hormone (trh) stimulation panel; 65.27 65.27 80439 thyrotropin releasing hormone (trh) stimulation panel; 87.02 87.02 80500 26 clinical consultation, without patient's history 13.85 15.29 80500 consultation, without patient's history 15.96 18.08 80502 26 clinical pathology consultation , comprehensive 42.43 43.20 80502 clinical pathology consultation , comprehensive 55.58 56.78 81000 routine urine analysis 4.23 4.23 81001 urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, 4.23 4.23 81002 urinalysis routine without microscopy 3.41 3.41 81003 ua, by dip stick or tablet; automated, wo micro 3.00 3.00 81005 urine tests 2.90 2.90 81007 urinalysis; bacteriuria screen, except by culture or dipstick 3.43 3.43 81015 microscopic urine exam 4.05 4.05 81020 urinalysis routine 2 or 3 glass test 4.92 4.92 81025 ua preg. test - color comparison method 8.44 8.44 81050 volume measurement for timed collection, each 4.00 4.00 81229 genome-wide microarray analysis for copy number and single nucleotide polymorph 1218.00 1218.00 81243 gene analysis (fragile x mental retardation) abnormall alleles 59.89 59.89 82009 acetone qualitative 6.03 6.03 82010 laboratory services,analysis 10.91 10.91 82013 acetylcholinesterase 14.92 14.92 82016 acylcarnitines; qualitative, each specimen 18.51 18.51 82017 acylcarnitines; quantitative, each specimen (for carnitine, see 82379) 22.52 22.52 82024 acth 51.57 51.57 82030 adenosine;5'monophosphate,cyclic (cyclic amp) 34.45 34.45 82040 albumin serum 6.62 6.62 82042 albumin; urine or other source, quantitative, each specimen 6.91 6.91 82043 albumin; urine, micr, quantitative 7.73 7.73 82044 albumin; urine, micro, semiquantitative 3.82 3.82 82075 alcohol breath 16.09 16.09 82085 aldolase 12.96 12.96 82088 aldosterone 54.41 54.41 82103 alpha-1-antitrypsin; total 17.93 17.93 82104 alpha-1-antitrypsin; phenotype 19.30 19.30 82105 alpha-fetoprotein; serum 22.40 22.40 82106 alpha-fetoprotein; amniotic fluid 22.40 22.40 82107 alpha-fetoprotein (afp); afp-l3 fraction isoform and total afp (including ratio) 85.98 85.98 82108 aluminum 34.02 34.02 82120 amines, vaginal fluid, qualitative 5.02 5.02 82127 amino acids; single, qualitative, each specimen 18.51 18.51 82128 amino acids; multiple, qualitative, each specimen 18.51 18.51 82131 amino acids; single, quantitative, each specimen 22.52 22.52 82135 aminolevulinic acid delta 21.98 21.98 82136 amino acids, 2 to 5 amino acids, quantitative, each specimen 22.52 22.52 82139 amino acids, 6 or more amino acids, quantitative, each specimen 22.52 22.52 82140 ammonia 19.46 19.46 82143 amniotic fluid scan 9.19 9.19 82150 amylase 8.65 8.65 82154 androstanediol glucuronide 38.49 38.49 82157 androstenedione 39.08 39.08 82160 androsterone 33.39 33.39 82163 angiotensin ii 27.41 27.41 82164 angiotensin i (ace) 19.48 19.48 82172 apolipoprotein, each 20.69 20.69 82175 arsenic 25.33 25.33 82180 ascorbic acid 13.20 13.20 82190 atomic absorption spectroscopy, each 19.91 19.91 82232 beta-2 microglobulin 21.61 21.61 82239 bile acids; total 21.75 21.75 82240 bile acids; cholylglycine 21.75 21.75 82247 bilirubin; total 6.71 6.71 82248 bilirubin; direct 6.71 6.71 82252 bilirubin feces qualitative 6.07 6.07 82261 biotinidase, each specimen 22.52 22.52 82270 blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, 4.34 4.34 82274 blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, 21.23 21.23 82286 bradykinin 9.19 9.19 82300 cadmium 30.89 30.89 82306 calcifediol (25-oh vitamin d-3) 39.52 39.52 82308 calcitonin 35.74 35.74 82310 calcium; total 6.88 6.88 82330 calcium; ionized 18.24 18.24 82331 calcium after calcium infusion test 6.91 6.91 82340 calcium urine quantitative timed specimen 6.95 6.95 82355 calculus; qualitative analysis 15.45 15.45 82360 calculus quantitative chemical 17.19 17.19 82365 calculus quantitative infrared spectroscopy 17.21 17.21 82370 calculus quantitative x-ray defraction 16.73 16.73 82373 carbohydrate deficient transferrin 24.11 24.11 82374 carbon dioxide 6.53 6.53 82375 laboratory services,analysis 14.77 14.77 82376 carbon diox comb parcarb muno qualitativ 8.00 8.00 82378 carcinoembryonic antigen (cea) 25.33 25.33 82379 carnitine (total and free), quantitative, each specimen 22.52 22.52 82380 carotene 12.32 12.32 82382 catecholamines; total urine 22.95 22.95 82383 catecholamines blood 33.45 33.45 82384 catecholamines fractionated 33.71 33.71 82387 cathepsin-d 18.51 18.51 82390 ceruloplasmin 14.34 14.34 82397 chemiluminescent assay 18.51 18.51 82415 chloramphenicol 16.92 16.92 82435 chloride, serum 6.13 6.13 82436 chloride, urine 6.71 6.71 82438 chloride; other source 6.53 6.53 82441 chlorinatrd hydrocarbonns screen 8.01 8.01 82465 cholesterol, serum or whole blood, total 5.81 5.81 82480 cholinesterase 7.68 7.68 82482 cholinesterase 6.14 6.14 82485 chondruitine b sulfate quantitative 27.56 27.56 82495 chromium 27.08 27.08 82507 citric acid 37.12 37.12 82523 collagen cross links, any method 19.57 19.57 82525 copper 16.57 16.57 82528 corticosterone 30.05 30.05 82530 cortisol; free 22.31 22.31 82533 cortisol; total 21.77 21.77 82540 creatine 6.20 6.20 82542 column chromatography/mass spectrometry (eg, gc/ms, or hplc/ms), analyte not 24.11 24.11 82550 creatine kinase (ck), (cpk); total 8.69 8.69 82552 cpk isoenzyme (qualitative) 17.88 17.88 82553 cpk; mb fraction only 15.41 15.41 82554 cpk; isoforms 15.84 15.84 82565 serum creatinine 6.85 6.85 82570 creatinine; other source 6.91 6.91 82575 creatinine clearance 12.61 12.61 82585 cryofibrinogen 11.45 11.45 82595 cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) 8.64 8.64 82600 cyanide 25.90 25.90 82607 cyanocobalamin (vitamin b-12) 20.12 20.12 82608 cyanocobalamin unsaturated binding capacity 19.12 19.12 82615 cystine 10.90 10.90 82626 dehydroepiandrosterone (dhea) 33.74 33.74 82627 dhea-s 29.68 29.68 82633 deoxycorticosterone 41.35 41.35 82634 deoxycortisol, 11- 39.08 39.08 82638 dibucaine number 16.35 16.35 82652 dihydroxyvitamin d 51.39 51.39 82657 enzyme activity in blood cells, cultured cells, or tissue, not elsewhere 24.11 24.11 82658 enzyme activity in blood cells, cultured cells, or tissue, not elsewhere 24.11 24.11 82664 electrophoretic tech 45.86 45.86 82668 erythropoietin 25.10 25.10 82670 estradiol 31.79 31.79 82671 estrogens fractionated blood 43.12 43.12 82672 estrogens total blood 28.95 28.95 82677 estriol 32.29 32.29 82679 estrone 33.33 33.33 82681 DIRECT MEASUREMENT OF FREE ESTRADIOL (HORMONE) 25.43 25.43 82693 ethylene glycol 18.52 18.52 82696 etiocholanolone 31.48 31.48 82705 fecal fat screen 6.79 6.79 82710 fat or lipids, feces; quantitative 22.43 22.43 82715 fecal fat 22.98 22.98 82725 fatty acids, nonesterified 17.78 17.78 82726 very long chain fatty acids 24.11 24.11 82728 ferritin specify method 18.19 18.19 82731 fetal fibronectin, cervicovaginal secretions, semi-quantitative 85.98 85.98 82735 fluoride 24.76 24.76 82746 folic acid 19.62 19.62 82747 folic acid; rbc 20.12 20.12 82757 fructose semen 23.16 23.16 82759 galactorinase rbc 28.68 28.68 82760 galactose 14.94 14.94 82775 galactose-1-phosdhate uridyl transferase;qual 28.12 28.12 82776 galactose 1 phosphate uridyl transferase quantitat 11.19 11.19 82784 gamma globulin 12.41 12.41 82785 gammaglobulin; ige 21.99 21.99 82787 gammaglobulin; immunoglobulin subclasses, (igg1, 2, 3, or 4), each 10.70 10.70 82800 oxygen saturation ph only 8.57 8.57 82803 gases, blood, any combination of ph, pco2, po2, co2, hco3 (including calculated 25.84 25.84 82805 gases, blood, any combination of ph, pco2, po2, co2, hco2 (including 37.88 37.88 82810 gases, blood, o2 saturation only, by direct measurement, except 11.66 11.66 82820 hemoglobin - oxygen affinity 13.34 13.34 82930 gastric acid analysis, includes ph if performed, each specimen 7.33 7.33 82938 gastrin after secretin stimulation 23.63 23.63 82941 gastrin 23.54 23.54 82943 glucagon 19.08 19.08 82945 glucose, body fluid, other than blood 5.24 5.24 82946 glucagon tolerance test 20.12 20.12 82947 glucose; quantitative, blood (except reagent strip) 5.24 5.24 82948 blood glucose -finger stick 4.23 4.23 82950 glucose post glucose dose 6.34 6.34 82951 oral glucose tolerance test 17.19 17.19 82952 glucose tolerance test each assit beyond 3 spec 5.24 5.24 82955 glucose 6 phosphate dehydrogenase 6.22 6.22 82960 glucose 6 phosphate dehydrogenase screen 8.10 8.10 82962 blood glucose by monitoring device 3.13 3.13 82963 glucosidase beta 28.68 28.68 82965 glutamate dehydrogenase 10.32 10.32 82977 g g t 9.61 9.61 82978 glutatione level and stability 19.03 19.03 82979 glutathione reductase rbc 9.19 9.19 82985 glycated protein 20.12 20.12 83001 gonadotropin; follicle stimulating hormone (fsh) 24.81 24.81 83002 hemoglobin fractionation and quanitation; electrophoresis 24.73 24.73 83003 growth stimulating hormone 22.25 22.25 83010 haptoglobin 16.80 16.80 83012 haptoglobin phenotypes electrophoresis 22.95 22.95 83013 helicobacter pylori; analysis for urease activity, non-radioactive isotope 89.92 89.92 83014 helicobacter pylori, breath test analysis; drug administration and sample 10.49 10.49 83015 heavy metal screen 25.14 25.14 83018 heavy metal; quantitative, each 29.32 29.32 83020 26 hemoglobin fractionation and quantitation; electrophoresis (eg, a2, s, c, 16.25 16.25 83020 hemoglobin fractionation and quantitation; electrophoresis (eg, a2, s, c, 16.78 16.78 83021 hemoglobin fractionation and quantitation; chromotography (eg, a2, s, c, and/or 24.11 24.11 83026 hemoglobin; by copper sulfate method 3.15 3.15 83030 hemoglobin f(fetal) chemical 11.05 11.05 83033 hemoglobin; f (fetal), qualitative 7.96 7.96 83036 hemoglobin; glycosylated (a1c) 12.96 12.96 83045 methemoglobin 6.63 6.63 83050 methemoglobin quantitative 9.78 9.78 83051 methemoglobin plasma 9.75 9.75 83060 sulfhemoglobin quantitative 11.05 11.05 83065 hemoglobin thermolabile 9.19 9.19 83068 hemoglobin unstablescreen 3.84 3.84 83069 hemoglobin urine 5.26 5.26 83070 hemosiderin 0.74 0.74 83080 b-hexosaminidase, each assay 22.52 22.52 83088 histamine 39.43 39.43 83090 homocystine 22.52 22.52 83150 homovanillic acid (hva) 25.84 25.84 83491 hydroxycorticosteroids, 17- (17-ohcs) 23.38 23.38 83497 5 hiaa qualitative 17.21 17.21 83498 hydroxyprogesterone, 17-d 36.26 36.26 83500 hydroxyproline free 30.24 30.24 83505 hydroxyproline total 32.45 32.45 83516 immunoassay for analyte other than infectious agent antibody or infectious 15.30 15.30 83518 immunoassay for analyte other than antibody or infectious agent antigen, 10.21 10.21 83519 immunoassay, analyte, quantitative; by radiopharmaceutical technique (eg, ria) 18.04 18.04 83520 immunoassay analyte; not otherwise specified 17.28 17.28 83525 insulin; total 15.27 15.27 83527 insulin; 16.89 16.89 83528 intrinscic factor level 21.23 21.23 83540 iron 8.65 8.65 83550 ibc 11.67 11.67 83570 idh 11.81 11.81 83582 ketogenic steroids; fractionation 18.92 18.92 83586 ketosteroids, 17- (17-ks); total 17.09 17.09 83593 ketosteroids, 17- (17-ks); fractionation 35.11 35.11 83605 "lactates" 14.26 14.26 83615 lactate dehydrogenase (ld), (ldh) 8.06 8.06 83625 ldh isoenzymes 12.42 12.42 83632 lactogen, human placental (hpl) 26.99 26.99 83633 lactose urine qualitaitive 7.35 7.35 83655 lead 16.16 16.16 83661 fetal lung maturity assessment; lecithin sphingomyelin (l/s) ratio 29.35 29.35 83662 l/s ratio 25.25 25.25 83663 fetal lung maturity assessment; fluorescence polarization 25.25 25.25 83664 fetal lung maturity assessment; lamellar body density 25.25 25.25 83670 leucine aminopeptidase (lap) 12.23 12.23 83690 lipase 9.19 9.19 83718 lipoprotein. direct measurement; high density cholesterol. 10.93 10.93 83719 lipoprotein, direct measurement; direct measurement, vldl cholesterol 15.54 15.54 83721 lipoprotein, direct measurement; direct measurement, ldl cholesterol 12.74 12.74 83727 luteinizing releasing factor (lrh) 22.95 22.95 83735 magnesium 8.95 8.95 83775 malate dehydrogenase 9.84 9.84 83785 manganese blood or urine 32.83 32.83 83789 mass spectrometry and tandem mass spectrometry (ms, ms/ ms), analyte not 24.11 24.11 83825 mercury, quantitative 21.71 21.71 83835 methanephrines 22.62 22.62 83857 methemalbumin 14.34 14.34 83861 microfluidic analysis utilizing an integrated collection and analysis device, tear osm 5.54 5.54 83864 mucopolysaccharides, acid; quantitative 26.59 26.59 83872 mucin synovial fluid 7.82 7.82 83873 myelin basic protein, cerebrospinal fluid 22.97 22.97 83874 myoglobin 17.24 17.24 83880 natriuretic peptide 45.32 45.32 83883 nephelometry, each analyte 18.15 18.15 83885 nickel 32.71 32.71 83915 5 nucleotidase 14.89 14.89 83916 oligoclonal immune (oligoclonal bands) 26.84 26.84 83918 organic acids; total, quantitative, each specimen 21.98 21.98 83919 organic acids; qualitative, each specimen 21.98 21.98 83921 organic acid, single, quantitative 21.98 21.98 83930 osmolality blood 8.83 8.83 83935 osmolality 9.09 9.09 83937 osteocalcin (bone g1a protein) 38.01 38.01 83945 oxalate 17.19 17.19 83950 oncoprotein, her-2/neu 85.98 85.98 83970 parathormone 55.10 55.10 83986 ph body fluid except blood 4.78 4.78 84030 phenylalanine (pku), blood 7.35 7.35 84035 phenylketones, qualitative 4.88 4.88 84060 phosphatase acid 9.86 9.86 84066 phosphatase acid; prostatic 12.90 12.90 84075 phosphatase alkaline 6.91 6.91 84078 phosphatase alkaline blood heat stable 9.74 9.74 84080 alkaline phosphatase isoenzyme 19.74 19.74 84081 phosphatydylglycerol 22.06 22.06 84085 phosphogluconat6 6-dehydrogenase rbc 9.00 9.00 84087 phosphohexose isomerase 13.78 13.78 84100 phosphorus inorganic (phosphate) 6.33 6.33 84105 phosphorus (phosphate) urine 6.91 6.91 84106 porphobilinogen 5.72 5.72 84110 porphobilinogen urine quantitative 11.28 11.28 84112 placental alpha microglobulin-1 (pamg-1), cervicovaginal secretion, qualitative 86.60 86.60 84119 porphyrins qualitative 11.50 11.50 84120 porphyrins, urine; quantitation and fractionation 19.64 19.64 84126 prophyrins feces quanitative 34.01 34.01 84132 potassium serum 6.13 6.13 84133 potassium urine 5.74 5.74 84134 prealbumin 19.48 19.48 84135 pregnanediol 25.54 25.54 84138 pregnanetriol 25.28 25.28 84140 pregnenolone 26.72 26.72 84143 17-hydroxypregnenolone 30.47 30.47 84144 progesterone 27.86 27.86 84146 prolactin 25.87 25.87 84150 prostaglandin, each 33.33 33.33 84152 prostate specific antigen (psa); complexed (direct measurement) 24.56 24.56 84153 prostate specific antigen (psa); total 24.56 24.56 84154 prostate specific antigen (psa); free 24.56 24.56 84155 protein, total, except by refractometry; serum 4.89 4.89 84160 protein refractometric 6.91 6.91 84165 26 protein electrophoresis 15.96 15.96 84165 protein electrophoresis 14.28 14.28 84181 26 protein; western blot, with report and interpretation 15.96 15.96 84181 protein; western blot, with report and interpretation 15.70 15.70 84182 26 protein;immuno probe for band id, each 16.46 16.46 84182 protein;immuno probe for band id, each 15.70 15.70 84202 protoporphyrin rbc quantitative 19.16 19.16 84203 protoporphyrin rbc screen 11.50 11.50 84206 proinsulin 23.78 23.78 84207 pyridoxine vitamine b-6 37.51 37.51 84210 pyruvate 14.49 14.49 84220 pyruvate kinase 12.59 12.59 84228 quinine 15.54 15.54 84233 receptor assay estrogen (estradiol) 85.98 85.98 84234 receptor assay progesterone 86.60 86.60 84235 receptor assay endocrine not estrogen or progester 69.87 69.87 84238 receptor assay; non-endocrine (specify receptor) 48.81 48.81 84244 renin 29.36 29.36 84252 riboflavin 27.02 27.02 84255 selenium 34.08 34.08 84260 serotonin 21.75 21.75 84270 shbg 29.01 29.01 84275 sialic acid 17.93 17.93 84285 silica 31.44 31.44 84295 sodium blood 6.43 6.43 84300 sodium urine 6.49 6.49 84302 sodium; other source 6.49 6.49 84305 somatomedin 18.51 18.51 84307 somatostatin 18.51 18.51 84311 spectrophometry, not elsewhere specified 9.33 9.33 84315 specific gravity cexce pt urine 3.35 3.35 84375 sugar chomatographic tlc/paper chomatoga phy 26.17 26.17 84376 sugars (mon-, di, and oligosaccharides); single qualitative, each specimen 7.35 7.35 84377 sugars (mon-, di, and oligosaccharides); multiple qualitative, each specimen 7.35 7.35 84378 sugars (mon-, di, and oligosaccharides); single quantitative, each specimen 15.38 15.38 84379 sugars (mon-, di, and oligosaccharides); multiple quantitative, each specimen 15.38 15.38 84392 sulfate, urine 6.34 6.34 84402 testosterone; free 33.99 33.99 84403 testosterone; total 34.47 34.47 84425 thiamine 28.35 28.35 84430 thiocyanate 7.70 7.70 84432 thyroglobulin 21.44 21.44 84436 thyroxine; total 7.70 7.70 84437 thyroxine; requiring elution (eg, neonatal) 8.64 8.64 84439 thyroxine; free 12.04 12.04 84442 tbg by ria 19.74 19.74 84443 tsh 21.76 21.76 84445 thyroid stimulating immune globulins (tsi) 67.89 67.89 84446 vitamin e 18.93 18.93 84449 transcortin (cortisol binding globulin) 24.03 24.03 84450 transferase; aspartate amino (ast) (sgot) 6.90 6.90 84460 transferase; alanine amino (alt) (sgpt) 7.07 7.07 84466 transferrin 17.04 17.04 84478 triglycerides 7.69 7.69 84479 thyroid hormone (t3 or t4) uptake or thyroid hormone binding ratio (thbr) 7.96 7.96 84480 triiodothyronine t3; total (tt-3) 18.93 18.93 84481 tridothyronine (t-3); free 22.62 22.62 84482 t-3; reverse 21.04 21.04 84484 troponin, quantitative 13.14 13.14 84485 trypsin duodenal fluid 10.03 10.03 84488 trypsin; feces, qualitative 9.74 9.74 84490 trypsin feces quantitative 10.15 10.15 84510 tyrosine 13.88 13.88 84512 troponin, qualitative 8.31 8.31 84520 urea nitrogen; quantitative 5.26 5.26 84525 urea nitrogen; semiquantitative (eg, reagent strip test) 5.02 5.02 84540 laboratory services,analysis 6.34 6.34 84545 urea clearance 7.70 7.70 84550 uric acid; blood 6.03 6.03 84560 uric acid; other source 6.34 6.34 84577 fecal urobilinogen quantitative 16.65 16.65 84578 urobilinogen qualitative 3.13 3.13 84580 urobilinogen urine quantitative 9.48 9.48 84583 urobilinogen urine semiquantitative 6.71 6.71 84585 uma 20.70 20.70 84586 vasoactive intestinal peptide (vip) 21.34 21.34 84588 vasopressin (antidiuretic hormone, adh) 45.32 45.32 84590 vitamin a 15.48 15.48 84597 vitamin k 18.30 18.30 84600 volatiles 18.59 18.59 84620 d-xylose tolerance 15.81 15.81 84630 zinc 15.20 15.20 84681 c-peptide any method 21.21 21.21 84702 gonadotropin chorionic quantitative 11.68 11.68 84703 pregnancy test (gonodotropin, chorionic (hcg); qualitative) 10.03 10.03 85002 bleeding time 6.01 6.01 85004 blood count; automated differential wbc count 8.64 8.64 85007 blood count diff wbc count 4.60 4.60 85008 blood count; blood smear, microscopic examination without manual differential 4.60 4.60 85009 blood count; manual differential wbc count, buffy coat 4.96 4.96 85013 blood count; spun microhematocrit 3.16 3.16 85014 blood count; hematocrit (hct) 3.16 3.16 85018 blood count; hemoglobin (hgb) 3.16 3.16 85025 blood count hemogram/platelet count auto/auto comp 10.37 10.37 85027 blood count hemogram automated w platelet count 8.64 8.64 85032 blood count; manual cell count (erythrocyte, leukocyte, or platelet) each 5.74 5.74 85041 rbc 4.01 4.01 85044 blood count; reticulocyte, manual 5.74 5.74 85045 blood count, reticulocyte count, flow cytometry 5.34 5.34 85046 blood count; reticulocytes, automated, including one or more cellular 7.46 7.46 85048 blood count; leukocyte (wbc), automated 3.39 3.39 85049 blood count; platelet, automated 5.97 5.97 85060 26 blood smear, peripheral, interp by physician 14.16 14.16 85060 blood smear, peripheral, interp by physician 19.70 19.70 85097 26 bone marrow, smear interpretation 64.08 64.08 85097 bone marrow, smear interpretation 40.99 40.99 85130 chromogenic substrate assay 15.88 15.88 85170 clot retraction 4.83 4.83 85175 clot lysis time whole blood dilution 6.07 6.07 85210 clotting factor ii prothrombin specific 17.34 17.34 85220 clotting factor v labile factor 23.56 23.56 85230 clotting factor vii 23.91 23.91 85240 clotting factor viii one stage 23.91 23.91 85244 clotting; factor viii related antigen 27.26 27.26 85245 clotting; factor 8 30.63 30.63 85246 clotting; factor 8, vw factor antigen 30.63 30.63 85247 clotting; factor 8, multimetric analysis 30.63 30.63 85250 clotting factor ix 25.42 25.42 85260 clotting factor x 23.91 23.91 85270 clotting factor xi 23.91 23.91 85280 clotting factor xii 25.84 25.84 85290 clotting factor xiii 21.82 21.82 85291 clotting factor xiii fibrin stabilizing screen sol 11.87 11.87 85292 clotting; factor ii prekallikrein assay 25.28 25.28 85293 clotting; factor ii molecular weight assay 25.28 25.28 85300 clotting inhibitors or anticoagulants antithrombin 15.81 15.81 85301 clotting inhibitors; antithrombin iii, antigen ass 14.44 14.44 85302 clotting inhibitors or anticoagulants; protein c, antigen 16.05 16.05 85303 clotting inhibitors or anticoag; protein c 18.46 18.46 85305 clotting inhibitors or anticoagulants; protein s, total 15.48 15.48 85306 clotting inhibitors or anticoag; protein s free 19.08 19.08 85307 activated protein c (apc) resistance assay 19.08 19.08 85335 factor inhibitor test 17.19 17.19 85337 thrombomodulin 13.91 13.91 85345 coagulation time 5.74 5.74 85347 coagulation time other methods 5.68 5.68 85348 coagulation time other methods 4.97 4.97 85360 euglobulin lysis 11.21 11.21 85362 fibrin degredation products 9.19 9.19 85370 fdp; quantitative 12.30 12.30 85378 fdp, d-dimer; semiquantitative 9.52 9.52 85379 fdp, d-dimer; quantitative 12.30 12.30 85380 fibrin degradation products, d-dimer; ultrasensitive (eg, for evaluation for 12.30 12.30 85384 fibrinogen; activity 11.34 11.34 85385 fibrinogen; antigen 11.34 11.34 85390 26 fibrinolysins or coagulopathy screen, interpretation and report 16.25 16.25 85390 fibrinolysins or coagulopathy screen, interpretation and report 6.90 6.90 85400 fibrinolytic mechanisms plasmin 11.81 11.81 85410 fibrinolytic mechanisms antiplasmin 10.29 10.29 85415 fibrinolytic factors & inhibitors 22.95 22.95 85420 fibrinolytic mechanisms plasminogen 8.73 8.73 85421 plasminogen, antigenic assay 13.60 13.60 85441 heinz bodies direct 5.62 5.62 85445 heinz bodies induced acetyl phenylhydrazine 9.09 9.09 85460 hemoglobin or rbcs, fetal, for fetomaternal hemorrhage; 10.06 10.06 85461 hemoglobin or rbcs, fetal, for fetomaternal hemorrhage; 8.85 8.85 85475 hemolysin, acid 10.06 10.06 85520 heparin assay 17.47 17.47 85525 heparin neutralization 15.81 15.81 85530 heparin-protamine tolerance test 18.93 18.93 85536 iron stain, peripheral blood 8.64 8.64 85540 leukocyte alkaline phosphatase 11.49 11.49 85547 rbc fragility 5.47 5.47 85549 muramidase 25.04 25.04 85555 osmotic fragility, rbc; unincubated 8.93 8.93 85557 osmotic fragility incubated quantitative 17.83 17.83 85576 26 platelet; aggregation (in vitro), each agent 16.25 16.25 85576 platelet; aggregation (in vitro), each agent 28.68 28.68 85597 platelet neutralization 24.00 24.00 85598 phospholipid neutralization; hexagonal phospholipid 24.17 24.17 85610 prothrombin time 5.25 5.25 85611 prothrombin time 5.26 5.26 85612 russell viper venom time (includes venom); undiluted 12.78 12.78 85613 russell vipor venom time; duluted 12.78 12.78 85635 reptilase test 13.15 13.15 85651 sedimentation rate, erythrocyte, non-automated 4.74 4.74 85652 sedimentation rate, erythrocyte; automated 3.60 3.60 85660 sickling rbc reduction slide method 7.37 7.37 85670 thrombin time plasma 7.71 7.71 85675 thrombin time titer 9.16 9.16 85705 thromboplastin inhibition; tissue 12.85 12.85 85730 ptt 8.01 8.01 85732 thromboplastin time, partial (ptt); substitution, plasma fractions, each 8.64 8.64 85810 viscosity 13.53 13.53 86000 agglutins febrile ea 9.31 9.31 86001 allergen specific igg quantitative or semiquantitative, each allergen 6.97 6.97 86003 measurement of antibody (ige) to allergic substance 6.76 6.76 86021 antibody identification leukocyte antibodies 20.10 20.10 86022 antibody identification platelet antibodies 24.52 24.52 86023 antibody id platelet associated immunoglobulin 16.62 16.62 86038 antinuclear antibodies (ana); 16.14 16.14 86039 ana; titer 14.91 14.91 86060 aso titer 9.74 9.74 86063 antistreptolysin screen 7.71 7.71 86077 26 blood bank services; evaluation of irregular antib 32.57 32.57 86077 blood bank services; evaluation of irregular antib 41.09 41.09 86078 26 blood bank irregular antib investigation of transf 33.27 33.27 86078 blood bank irregular antib investigation of transf 41.09 41.09 86079 26 blood bank authorization for deviation stand proce 32.88 32.88 86079 blood bank authorization for deviation stand proce 41.39 41.39 86140 crp 6.91 6.91 86141 c-reactive protein; high sensitivity (hscrp) 17.28 17.28 86146 beta 2 glycoprotein i antibody, each 19.37 19.37 86147 cardiolipin (phospholipid) antibody, each ig class 19.37 19.37 86148 anti-phosphatidylserine (phospholipid) antibody 19.93 19.93 86155 chemothaxis assay specify method 21.34 21.34 86156 cold agglutinin; screen 8.57 8.57 86157 cold aggultinin; titer 8.57 8.57 86160 complement; antigen, each component 16.03 16.03 86161 complement; functional activity, each 16.03 16.03 86162 complement total 27.12 27.12 86171 complement fixation test, each 13.38 13.38 86215 ash titer 17.68 17.68 86225 deoxyribonucleic acid (dna) antibody; native or double stranded 18.34 18.34 86226 dna antibody; single stranded 16.17 16.17 86235 extractable nuclear antigen antibody 23.94 23.94 86255 26 fluorescent noninfectious agent antibody; screen, each antibody 16.25 16.25 86255 fluorescent noninfectious agent antibody; screen, each antibody 16.09 16.09 86256 26 fluorescent antibody titer 16.25 16.25 86256 fluorescent antibody titer 16.09 16.09 86277 growth hormone, human (hgh), antibody 21.01 21.01 86280 hemagglutination inhibiton 10.93 10.93 86294 immunoassay for tumor antigen, qualitative or semiquantitative 26.19 26.19 86300 immunoassay for tumor antigen, quantitative; ca 15-3 (27.29) 27.77 27.77 86301 immunoassay for tumor antigen, quantitative; ca 19-9 27.77 27.77 86304 immunoassay for tumor antigen, quantitative; ca 125 27.77 27.77 86308 heterophile antibodies; screening 6.91 6.91 86309 heterophile antibodies; titer 8.64 8.64 86310 heterophile absorption 9.84 9.84 86316 immunoassay for tumor antigen; other antigen, quantitative (eg, ca 50, 72-4, 27.77 27.77 86317 immunoassay for infectious agent antibody, quantitative, not otherwise specified 19.37 19.37 86318 immunoassay for infectious agent antibody, qualitative or semiquantitative, 17.28 17.28 86320 26 immunoelectrophoresis; serum 16.25 16.25 86320 immunoelectrophoresis; serum 29.93 29.93 86325 26 immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with 15.96 15.96 86325 immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with 29.85 29.85 86327 26 immunoelectrophoresis, serum each specimen plate 18.71 18.71 86327 immunoelectrophoresis, serum each specimen plate 30.29 30.29 86328 IMMUNOASSAY FOR INFECTIOUS AGENT ANTIBODY(IES), QUALITATIVE OR $45.23 $45.23 86329 immunodiffusion, not elsewhere specified 18.74 18.74 86331 gel diffusion qualitative ouchterlony 15.15 15.15 86332 immune complex assay 32.54 32.54 86334 26 immunofixation electophoresis 16.25 16.25 86334 immunofixation electophoresis 29.82 29.82 86335 immunologic analyis technique on body fluid 38.00 38.00 86336 inhibin A (reproductive organ hormone) measurement 16.37 16.37 86337 insulin antibodies 28.59 28.59 86340 intrinsic factor antibodies 20.12 20.12 86341 islet cell antibody 17.93 17.93 86344 leukocyte phagocytosis 10.67 10.67 86353 lymphocyte transformation, mitogen (phytomitogen) or antigen induced blastogenes 65.45 65.45 86359 t cells; 50.36 50.36 86360 t cells; absolute cd4 and cd8 count, including ratio 62.73 62.73 86361 t cells; absolute cd4 count 35.74 35.74 86376 microsomal antibodies (eg, thryoid or liver-kidney), each 18.50 18.50 86382 neutralization test viral 22.56 22.56 86384 nbt test 15.20 15.20 86403 particle agglutination; screen, each antibody 13.61 13.61 86406 particle agglutination; 14.21 14.21 86408 NEUTRALIZING ANTIBODY, SEVERE ACUTE RESPIRATORY SYNDROME CO 42.13 42.13 86409 NEUTRLZG ANTB SARSCOV2 TITER 79.61 79.61 86413 SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SARS-COV-2 51.43 51.43 86430 rheumatoid factor; qualitative 7.58 7.58 86431 rheumatoid factor; quantitative 7.58 7.58 86481 tuberculosis test, cell mediated immunity antigen response measurement; enumera 83.34 83.34 86485 skin teat; candida 6.65 6.65 86490 sensitivity test coccidioidomycosis 5.57 5.57 86510 sensitivity test histoplasmosis 5.57 5.57 86580 tuberculin skin test - ppd (mantoux method) 5.87 5.87 86590 streptokinase antibody 14.72 14.72 86592 syphilis, precipitation or flocculation tests 5.69 5.69 86593 syphilis precipitation flocculation test quantitative 5.89 5.89 86602 antibody; actinomyces 13.59 13.59 86603 antibody; adenovirus 17.02 17.02 86606 antibody; aspirgillus 17.02 17.02 86609 antibody; bacterium, not elsewhere specified 17.02 17.02 86611 antibody; bartonella 13.59 13.59 86612 antibody; blastomyces 17.02 17.02 86615 antibody; bordetella 17.61 17.61 86617 antibody; 15.80 15.80 86618 anitbody:lyme disease 19.37 19.37 86619 antibody; borrelia 17.86 17.86 86622 antibody; brucella 10.06 10.06 86625 antibody; campylobactor 10.06 10.06 86628 antibody; candida 15.15 15.15 86631 antibody; chlamydia 15.78 15.78 86632 antibody; chlamida, igm 16.95 16.95 86635 antibody, coccidioides 15.32 15.32 86638 antibody; q fever 16.19 16.19 86641 antibody; cryptococcus 19.25 19.25 86644 antibody; cmv 19.18 19.18 86645 antibody; cmv, igm 19.37 19.37 86648 antibody; diptheria 19.37 19.37 86651 antibody; encephalitis, california 17.61 17.61 86652 antibody; encephalitis, eastern equine 17.61 17.61 86653 antibody; encephalitis st, louis 17.61 17.61 86654 antibody;encephalitis western equine 17.61 17.61 86658 antibody; enterovirus 17.02 17.02 86663 antibody; epstein-barr, early antigen 17.51 17.51 86664 antibody; epstein-barr, nuclear antigen 19.37 19.37 86665 antibody; epstein-barr viral capsid 21.69 21.69 86666 antibody; ehrlichia 13.59 13.59 86668 antibody; fracisella tularensis 13.88 13.88 86671 antibody; fungus 16.37 16.37 86674 antibody; giardia lamblia 19.37 19.37 86677 antibody; helicobacter pyloui 19.37 19.37 86682 antibody; helminth 17.36 17.36 86684 antibody; hemophilus influenza 19.37 19.37 86687 antibody; htlv i 11.20 11.20 86688 antibody; htlv-it 15.70 15.70 86689 htlv 1, antibody detection, confirmatory test 25.85 25.85 86692 antobody; hepatitis, delta agent 19.37 19.37 86694 antibody; herpes simplex, non-specific type test 19.18 19.18 86695 antibody; herpes simplex, type 1 17.61 17.61 86696 antibody; herpes simplex, type 2 25.85 25.85 86698 antobody; histoplasm 16.68 16.68 86701 antibody; hiv-1 11.85 11.85 86702 antibody; hiv-2 15.70 15.70 86703 antibody; hiv-1 & hiv-2, single assay 15.70 15.70 86704 hepatitis b core antibody (hbcab), total 15.54 15.54 86705 hepatitis b core antibody (hbcab); igm antibody 15.71 15.71 86706 hepatitis b surface antibody (hbsab) 14.34 14.34 86707 hepatitis be antibody (hbeab) 15.45 15.45 86708 hepatitis a antibody (haab), total 16.54 16.54 86709 hepatitis a antibody (haab); igm antibody 15.03 15.03 86710 antibody, influenza virus 18.10 18.10 86711 antibody; jc (john cunningham) virus 18.87 18.87 86713 antibody; legionella 20.43 20.43 86717 antibody; leishmania 11.19 11.19 86720 antibody; leptospira 13.17 13.17 86723 antibody; listeria monocytogenes 17.61 17.61 86727 antibody; lymphocytic choriomeningitis 17.02 17.02 86732 antibody; mucormycosis 17.61 17.61 86735 antibody; mumps 17.42 17.42 86738 antibody; mycoplasma 17.68 17.68 86744 antibody; nocardia 17.61 17.61 86747 antibody; parvovirus 19.37 19.37 86750 antibody; malaria 17.61 17.61 86753 antibody; protozoa, not elsewhere speci fied 11.19 11.19 86756 antibody; respiratory syncytial virus 17.21 17.21 86757 antibody; rickettsia 25.85 25.85 86759 antibody; rotavirus 17.02 17.02 86762 antibody; rubella 19.18 19.18 86765 antibody; rubeola 17.20 17.20 86768 antibody; salmonella 17.61 17.61 86769 ANTIBODY; SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (S $42.13 $42.13 86771 antibody; shigella 17.61 17.61 86774 antibody; tetanus 19.37 19.37 86777 antibody; toxoplasma 19.18 19.18 86778 antibody; toxoplasma, igm 19.23 19.23 86784 antibody; trichinella 16.77 16.77 86787 antibody; varicella-zoster 17.20 17.20 86788 antibody; west nile virus, igm 19.37 19.37 86789 antibody; west nile virus 19.18 19.18 86790 antibody; virus, not elsewhere specified 17.20 17.20 86793 antibody; yersinia 17.61 17.61 86800 thyroglobulin antibody 21.23 21.23 86803 hepatitis c antibody; 19.06 19.06 86804 hepatitis c antibody; confirmatory test (eg, immunoblot) 15.80 15.80 86805 lymphocytotoxicity assay, visual xm; w/ titration 69.80 69.80 86806 lymphocytotoxicity assay, visual xm; w/o titration 63.54 63.54 86807 serum screening for cytotoxic pra; standard method 52.83 52.83 86808 serum screening for cytotoxic pra; quick method 39.63 39.63 86812 tissue typing hla typing a,b, or c single antigen 34.45 34.45 86813 tissue typing hla typing a,b, &/or c mult antigens 77.42 77.42 86816 hla typing; dr/dq, single antigen 37.19 37.19 86817 hla typing; dr/dq, multiple antigens 85.94 85.94 86821 tissue typing lympnocyte culture mixed (mlc) 75.37 75.37 86828 antibody to human leukocyte antigens (hla), solid phase assays (eg, microspheres 51.98 51.98 86829 antibody to human leukocyte antigens (hla), solid phase assays (eg, microspheres 38.99 38.99 86830 antibody to human leukocyte antigens (hla), solid phase assays (eg, microspheres 105.27 105.27 86831 antibody to human leukocyte antigens (hla), solid phase assays (eg, microspheres 90.24 90.24 86832 antibody to human leukocyte antigens (hla), solid phase assays (eg, microspheres 165.44 165.44 86833 antibody to human leukocyte antigens (hla), solid phase assays (eg, microspheres 150.39 150.39 86834 antibody to human leukocyte antigens (hla), solid phase assays (eg, microspheres 466.23 466.23 86835 antibody to human leukocyte antigens (hla), solid phase assays (eg, microspheres 421.11 421.11 86850 antibody screen, rbc, each serum technique 15.55 15.55 86860 antibody elution, each elution 15.21 15.21 86870 antibody id, each panel for each serum technique 27.46 27.46 86880 coombs test; direct, each antiserum 7.17 7.17 86885 antihuman globulin test indirect, qualitative each antiserum 7.63 7.63 86886 coombs test, indirect titer, each antiserum 6.91 6.91 86900 blood typing; abo 3.98 3.98 86901 blood typing; rh (d) 3.98 3.98 86902 blood typing; antigen testing of donor blood using reagent serum, each antigen test 5.15 5.15 86904 blood typing; antigen screening, per unit screened 12.68 12.68 86905 blood typing; rbc antigens, each 5.10 5.10 86906 blood typing; rh phenotyping, complete 10.35 10.35 86940 hemolysins/agglutinins, auto, screen, each 10.95 10.95 86941 hemolysins/ agglutinins, each; incubated 16.17 16.17 87003 animal innoculation small animal w/observation and 22.47 22.47 87015 concentration (any type), for infectious agents 8.91 8.91 87040 culture, bacterial; blood, aerobic, with isolation and presumptive 13.78 13.78 87045 culture, bacterial; feces, with isolation and preliminary examination (eg, kia, 12.59 12.59 87046 culture, bacterial; stool, additional pathogens, isolation and preliminary 12.59 12.59 87070 culture, bacterial; any other source except urine, blood or stool, aerobic, 11.50 11.50 87071 culture, bacterial; quantitative, aerobic with isolation and presumptive 12.59 12.59 87073 culture, bacterial; quantitative, anaerobic with isolation and presumptive 12.59 12.59 87075 culture, bacterial; any source, anaerobic with isolation and presumptive 12.63 12.63 87076 culture, bacterial; anaerobic isolate, additional methods required for 10.78 10.78 87077 culture, bacterial; aerobic isolate, additional methods required for definitive 10.78 10.78 87081 culture, presumptive, pathogenic organisms, screening only; 7.70 7.70 87084 culture w colony estimation from density chart inc 11.50 11.50 87086 culture, bacterial; quantitative colony count, urine 10.77 10.77 87088 culture, bacterial; with isolation and presumptive identification of isolates, 10.80 10.80 87101 culture, fungi (mold or yeast) isolation, with presumptive identification of 10.29 10.29 87102 culture fungi isolation other source 11.21 11.21 87103 blood culture for fungi 12.04 12.04 87106 culture, fungi, definitive identification, each organism; yeast 13.78 13.78 87107 culture, fungi, definitive identification, each organism; mold 13.78 13.78 87109 culture mycoplasm any source 20.55 20.55 87110 culture chlamydia, any source 26.16 26.16 87116 culture, tubercle or other acid-fast bacilli (eg, tb, afb, mycobacteria) any 14.43 14.43 87118 culture, mycobacterial, definitive identification, each isolate 14.61 14.61 87140 culture, typing; immunofluorescent method, each antiserum 7.44 7.44 87143 culture, typing; gas liquid chromatography (glc) or high pressure liquid 16.73 16.73 87147 culture, typing; immunologic method, other than immunofluoresence (eg, 6.91 6.91 87149 culture, typing; identification by nucleic acid probe 26.78 26.78 87152 culture, typing; identification by pulse field gel typing 6.98 6.98 87158 culture typing other methods 6.98 6.98 87164 26 darkfield examination 15.96 15.96 87164 darkfield examination 8.45 8.45 87166 dark field exam any source w/o collection 15.08 15.08 87168 macroscopic examination; arthropod 5.09 5.09 87169 macroscopic examination; parasite 5.09 5.09 87172 pinworm exam (eg, cellophane tape prep) 5.09 5.09 87176 homogenization, tissue, for culture 7.85 7.85 87177 ova and parasites 11.88 11.88 87181 susceptibility studies, antimicrobial agent; agar dilution method, per agent 6.34 6.34 87184 susceptibility studies, antimicrobial agent; disk method, per plate (12 or 9.20 9.20 87185 susceptibility studies, antimicrobial agent; enzyme detection (eg, beta 6.34 6.34 87186 susceptibility studies, antimicrobial agent; microdilution or agar dilution 11.54 11.54 87187 susceptibility studies, antimicrobial agent; microdilution or agar dilution, 13.84 13.84 87188 susceptibility studies, antimicrobial agent; macrobroth dilution method, each 8.86 8.86 87190 susceptibility studies, antimicrobial agent; mycobacteria, proportion method, 7.55 7.55 87197 serum bactericidal titer 20.06 20.06 87205 smear, primary source with interpretation; gram or giemsa stain for , 5.69 5.69 87206 smear, primary source with interpretation; fluorescent and/or acid fast stain 7.17 7.17 87207 26 smear, primary source with interpretation; special stain for inclusion bodies 16.25 16.25 87207 smear, primary source with interpretation; special stain for inclusion bodies 8.00 8.00 87210 smear, primary source with interpretation; wet mount for infectious agents (eg, 5.09 5.09 87220 tissue examination by koh slide of samples from skin, hair, or nails for fungi 5.69 5.69 87230 tissue culture lymphocyte 26.37 26.37 87250 virus isolation; inoculation of embryonated eggs, or small animal, includes 21.75 21.75 87252 virus isolation; tissue culture inoculation, observation, and presumptive 21.75 21.75 87253 virus isolation; tissue culture, additional studies or definitive 21.75 21.75 87254 virus isolation; centrifuge enhanced (shell vial) technique, includes 21.75 21.75 87255 virus isolation; including identification by non-immunologic method, other than 32.62 32.62 87260 infectious agent antigen detection by immunofluorescent technique; adenovirus 15.30 15.30 87265 infectious agent antigen detection by direct fluorescent antibody technique; 15.30 15.30 87267 infectious agent antigen detection by immunofluorescent technique; enterovirus, 15.30 15.30 87270 infectious agent antigen detection by direct fluorescent antibody technique; 15.30 15.30 87271 infectious agent antigen detection by immunofluorescent technique; 15.30 15.30 87272 infectious agent antigen detection by direct fluorescent antibody technique; 15.30 15.30 87273 infectious agent antigen detection by immunofluorescent technique; herpes 15.30 15.30 87274 infectious agent antigen detection by immunofluorescent technique; herpes 15.30 15.30 87275 infectious agent antigen detection by immunofluorescent technique; influenza b 15.30 15.30 87276 infectious agent antigen detection by direct fluorescent antibody technique; 15.30 15.30 87278 infectious agent antigen detection by direct fluorescent antibody technique; 15.30 15.30 87279 infectious agent antigen detection by immunofluorescent technique; 15.30 15.30 87280 infectious agent antigen detection by direct fluorescent antibody technique; 15.30 15.30 87281 infectious agent antigen detection by immunofluorescent technique; pneumocystis 15.30 15.30 87283 infectious agent antigen detection by immunofluorescent technique; rubeola 15.30 15.30 87285 infectious agent antigen detection by direct fluorescent antibody technique; 15.30 15.30 87290 infectious agent antigen detection by direct fluorescent antibody technique; 15.30 15.30 87299 infectious agent antigen detection by immunofluorescent technique; not 15.30 15.30 87300 infectious agent antigen detection by immunofluorescent technique, polyvalent 15.30 15.30 87301 infectious agent antigen detection by enzyme immunoassay technique, qualitative 15.30 15.30 87305 infectious agent antigen detection by enzyme immunoassay technique, qualitative 15.30 15.30 87320 infectious agent antigen detection by enzyme immunoassay technique, qualitative 15.30 15.30 87324 infectious agent antigen detection by enzyme immunoassay technique, qualitative 15.30 15.30 87327 infectious agent antigen detection by enzyme immunoassay technique, qualitative 15.30 15.30 87328 infectious agent antigen detection by enzyme immunoassay technique, qualitative 15.30 15.30 87332 infectious agent antigen detection by enzyme immunoassay technique, qualitative 15.30 15.30 87335 infectious agent antigen detection by enzyme immunoassay technique, qualitative 15.30 15.30 87336 infectious agent antigen detection by enzyme immunoassay technique, qualitative 15.30 15.30 87337 infectious agent antigen detection by enzyme immunoassay technique, qualitative 15.30 15.30 87338 infectious agent antigen detection by enzyme immunoassay technique, qualitative 19.20 19.20 87339 infectious agent antigen detection by enzyme immunoassay technique, qualitative 15.30 15.30 87340 infectious agent antigen detection by enzyme immunoassay technique, qualitative 12.42 12.42 87341 infectious agent antigen detection by enzyme immunoassay technique, qualitative 12.42 12.42 87350 infectious agent antigen detection by enzyme immunoassay technique, qualitative 14.77 14.77 87380 infectious agent antigen detection by enzyme immunoassay technique, qualitative 21.92 21.92 87385 infectious agent antigen detection by enzyme immunoassay technique, qualitative 15.30 15.30 87389 infectious agent antigen detection by enzyme immunoassay technique, qualitative 31.42 31.42 87390 infectious agent antigen detection by enzyme immunoassay technique, qualitative 23.55 23.55 87391 infectious agent antigen detection by enzyme immunoassay technique, qualitative 23.55 23.55 87400 infectious agent antigen detection by enzyme immunoassay technique, qualitative 15.30 15.30 87420 infectious agent antigen detection by enzyme immunoassay technique, qualitative 15.30 15.30 87425 infectious agent antigen detection by enzyme immunoassay technique, qualitative 15.30 15.30 87426 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, 38.13 38.13 87427 infectious agent antigen detection by enzyme immunoassay technique, qualitative 15.30 15.30 87428 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, $63.59 $63.59 87430 infectious agent antigen detection by enzyme immunoassay technique, qualitative 15.30 15.30 87449 infectious agent antigen detection by enzyme immunoassay 15.30 15.30 87450 infectious agent antigen detection by enzyme immunoassay technique qualitative 10.21 10.21 87451 infectious agent antigen detection by enzyme immunoassay technique qualitative 10.21 10.21 87471 infectious agent detection by nucleic acid (dna or rna); bartonella henselae 32.74 32.74 87472 infectious agent detection by nucleic acid (dna or rna); bartonella henselae 43.48 43.48 87475 infectious agent detection by nucleic acid (dna or rna); borrelia burgdorferi, 26.78 26.78 87476 infectious agent detection by nucleic acid (dna or rna); borrelia burgdorferi, 32.74 32.74 87480 infectious agent detection by nucleic acid (dna or rna); candida species, 26.78 26.78 87481 infectious agent detection by nucleic acid (dna or rna); candida species, 32.74 32.74 87482 infectious agent detection by nucleic acid (dna or rna); candida species, 43.48 43.48 87485 infectious agent detection by nucleic acid (dna or rna); chlamydia pneumoniae, 26.78 26.78 87486 infectious agent detection by nucleic acid (dna or rna); chlamydia pneumoniae, 32.74 32.74 87487 infectious agent detection by nucleic acid (dna or rna); chlamydia pneumoniae, 43.48 43.48 87490 infectious agent detection by nucleic acid (dna or rna); chlamydia trachomatis, 26.78 26.78 87491 infectious agent detection by nucleic acid (dna or rna); chlamydia trachomatis 32.74 32.74 87492 infectious agent detection by nucleic acid (dna or rna); chlamydia trachomatis, 43.48 43.48 87495 infectious agent detection by nucleic acid (dna or rna); cytomegalovirus, 26.78 26.78 87496 infectious agent detection by nucleic acid (dna or rna); cytomegalovirus, 32.74 32.74 87497 infectious agent detection by nucleic acid (dna or rna); cytomegalovirus, 43.48 43.48 87498 infectious agent detection by nucleic acid (dna or rna); enterovirus, amplified 32.74 32.74 87501 infectious agent detection by nucleic acid (dna or rna); influenza virus, reverse trans 38.51 38.51 87502 infectious agent detection by nucleic acid (dna or rna); influenza virus, for multiple t 71.48 71.48 87503 infectious agent detection by nucleic acid (dna or rna); influenza virus, for multiple t 12.40 12.41 87510 infectious agent detection by nucleic acid (dna or rna); gardnerella vaginalis, 26.78 26.78 87511 infectious agent detection by nucleic acid (dna or rna); gardnerella vaginalis, 32.74 32.74 87512 infectious agent detection by nucleic acid (dna or rna); gardnerella vaginalis, 43.48 43.48 87516 infectious agent detection by nucleic acid (dna or rna); hepatitis b virus, 32.74 32.74 87517 infectious agent detection by nucleic acid (dna or rna); hepatitis b virus, 43.48 43.48 87520 infectious agent detection by nucleic acid (dna or rna); hepatitis c, direct 26.78 26.78 87521 infectious agent detection by nucleic acid (dna or rna); hepatitis c, amplified 32.74 32.74 87522 infectious agent detection by nucleic acid (dna or rna); hepatitis c, 43.48 43.48 87525 infectious agent detection by nucleic acid (dna or rna); hepatitis g, direct 26.78 26.78 87526 infectious agent detection by nucleic acid (dna or rna); hepatitis g, amplified 32.74 32.74 87527 infectious agent detection by nucleic acid (dna or rna); hepatitis g, 43.48 43.48 87528 infectious agent detection by nucleic acid (dna or rna); herpes simplex virus 26.78 26.78 87529 infectious agent detection by nucleic acid (dna or rna); herpes simplex virus, 32.74 32.74 87530 infectious agent detection by nucleic acid (dna or rna); herpes simplex virus 43.48 43.48 87531 infectious agent detection by nucleic acid (dna or rna); herpes virus-6, direct 26.78 26.78 87532 infectious agent detection by nucleic acid (dna or rna); herpes virus-6, 32.74 32.74 87533 infectious agent detection by nucleic acid (dna or rna); herpes virus-6, 43.48 43.48 87534 infectious agent detection by nucleic acid (dna or rna); hiv-1, direct probe 26.78 26.78 87535 infectious agent detection by nucleic acid (dna or rna); hiv-1, amplified probe 32.74 32.74 87536 infectious agent detection by nucleic acid (dna or rna); hiv-1, quantification 70.97 70.97 87537 infectious agent detection by nucleic acid (dna or rna); hiv-2, direct probe 26.78 26.78 87538 infectious agent detection by nucleic acid (dna or rna); hiv-2, amplified probe 32.74 32.74 87539 infectious agent detection by nucleic acid (dna or rna); hiv-2, quantification 43.48 43.48 87540 infectious agent detection by nucleic acid (dna or rna); legionella 26.78 26.78 87541 infectious agent detection by nucleic acid (dna or rna); legionella 32.74 32.74 87542 infectious agent detection by nucleic acid (dna or rna); legionella 43.48 43.48 87550 infectious agent detection by nucleic acid (dna or rna); mycobacteria species, 26.78 26.78 87551 infectious agent detection by nucleic acid (dna or rna); mycobacteria species, 32.74 32.74 87552 infectious agent detection by nucleic acid (dna or rna); mycobacteria species, 43.48 43.48 87555 infectious agent detection by nucleic acid (dna or rna); mycobacteria 26.78 26.78 87556 infectious agent detection by nucleic acid (dna or rna); mycobacteria 32.74 32.74 87557 infectious agent detection by nucleic acid (dna or rna); mycobacteria 43.48 43.48 87560 infectious agent detection by nucleic acid (dna or rna); mycobacteria 26.78 26.78 87561 infectious agent detection by nucleic acid (dna or rna); mycobacteria 32.74 32.74 87562 infectious agent detection by nucleic acid (dna or rna); mycobacteria 43.48 43.48 87563 DETECTION OF MYCOPLASMA GENITALIUM BY DNA OR RNA PROBE 26.78 26.78 87580 infectious agent detection by nucleic acid (dna or rna); mycoplasma pneumoniae, 26.78 26.78 87581 infectious agent detection by nucleic acid (dna or rna); mycoplasma pneumoniae, 32.74 32.74 87582 infectious agent detection by nucleic acid (dna or rna); mycoplasma pneumoniae, 43.48 43.48 87590 infectious agent detection by nucleic acid (dna or rna); neisseria gonorrhoeae, 26.78 26.78 87591 infectious agent detection by nucleic acid (dna or rna); neisseria gonorrhoeae, 32.74 32.74 87592 infectious agent detection by nucleic acid (dna or rna); neisseria gonorrhoeae, 43.48 43.48 87631 infectious agent detection by nucleic acid (dna or rna); respiratory virus (eg, adenov 94.04 94.04 87632 infectious agent detection by nucleic acid (dna or rna); respiratory virus (eg, adenov 142.46 142.46 87633 infectious agent detection by nucleic acid (dna or rna); respiratory virus (eg, adenov 263.53 263.53 87635 INFECTIOUS AGENT DETECTION BY NUCLEIC ACIDE (DNA OR RNA); SEVER 71.48 71.48 87636 INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); SEVERE $142.63 $142.63 87637 INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); SEVERE $142.63 $142.63 87640 infectious agent detection by nucleic acid (dna or rna); staphylococcus aureus, 32.74 32.74 87641 infectious agent detection by nucleic acid (dna or rna); staphylococcus aureus, 32.74 32.74 87650 infectious agent detection by nucleic acid (dna or rna); streptococcus, group 26.78 26.78 87651 infectious agent detection by nucleic acid (dna or rna); streptococcus, group 32.74 32.74 87652 infectious agent detection by nucleic acid (dna or rna); streptococcus, group 43.48 43.48 87653 infectious agent detection by nucleic acid (dna or rna); streptococcus, group 32.74 32.74 infectious agent detection by nucleic acid (dna or rna); trichomonas vaginalis, 31.33 87661 amplified probe technique 31.33 87797 infectious agent detection by nucleic acid (dna or rna), not otherwise 26.78 26.78 87798 infectious agent detection by nucleic acid (dna or rna), not otherwise 32.74 32.74 87799 infectious agent detection by nucleic acid (dna or rna), not otherwise 43.48 43.48 87800 infectious agent detection by nucleic acid (dna or rna), multiple organisms; 53.54 53.54 87801 infectious agent detection by nucleic acid (dna or rna), multiple organisms; 65.47 65.47 87802 infectious agent antigen detection by immunoassay with direct optical 15.30 15.30 87803 infectious agent antigen detection by immunoassay with direct optical 15.30 15.30 87804 infectious agent antigen detection by immunoassay with direct optical 15.30 15.30 87806 detection test for hiv-1 32.06 32.06 87807 detection test for respiratory synctial virus (RSV) 16.81 16.81 87808 infectious agent antigen detection by immunoassay with direct optical 15.30 15.30 87810 infectious agent detection by immunoassay with direct optical observation 15.30 15.30 87811 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY WITH DIRECT $41.38 $41.38 87850 infectious agent detection by immunoassay with direct optical observation 15.30 15.30 87880 "infectious agent detection by immunoassay with direct optical observation" 15.30 15.30 87899 infectious agent detection by immunoassy with direct optical observ. 15.30 15.30 87900 infectious agent drug susceptibility analysis 105.47 105.47 87901 infectious agent genotype analysis by nucleic acid (dna or rna), hiv 1, reverse 104.20 104.20 87902 infectious agent genotype analysis by nucleic acid (dna or rna); hepatitis c 104.20 104.20 87903 infectious agent phenotype analysis by nucleic acid (dna or rna) with drug 363.34 363.34 87904 infectious agent phenotype analysis by nucleic acid (dna or rna) with drug 21.75 21.75 87906 infectious agent genotype analysis by nucleic acid (dna or rna); hiv-1, other region ( 52.48 52.48 87910 infectious agent genotype analysis by nucleic acid (dna or rna); cytomegalovirus 102.50 102.50 87912 infectious agent genotype analysis by nucleic acid (dna or rna); hepatitis b virus 102.50 102.50 88104 26 ,fld,wash or brush, excpt cerv or vag 24.20 24.20 88104 TC cytopathology,fld,wash or brush, excpt cerv or vag 27.67 27.67 88104 cytopathology,fld,wash or brush, excpt cerv or vag 51.87 51.87 88106 26 cytopthlgy,fld,wash or brush,expt cer or vag fltme 24.20 24.20 88106 TC cytopthlgy,fld,wash or brush,expt cer or vag fltme 40.08 40.08 88106 cytopthlgy,fld,wash or brush,expt cer or vag fltme 64.28 64.28 88108 26 cytopathology, concentration technique, smears and interpretation (eg, 24.20 24.20 88108 TC cytopathology, concentration technique, smears and interpretation (eg, 36.76 36.76 88108 cytopathology, concentration technique, smears and interpretation (eg, 60.95 60.95 88112 cell examination of specimen 84.39 84.39 88120 cytopathology, in situ hybridization (eg, fish), urinary tract specimen with morphome 396.49 396.49 88121 cytopathology, in situ hybridization (eg, fish), urinary tract specimen with morphome 334.87 334.87 88125 26 cytopathology, forensic 11.45 11.45 88125 TC cytopathology, forensic 6.87 6.87 88125 cytopathology, forensic 18.31 18.31 88130 26 buccal smear 21.12 21.12 88130 buccal smear 20.09 20.09 88140 26 sex chromatin ident periph blood smear 10.77 10.77 88140 sex chromatin ident periph blood smear 10.67 10.67 88141 cytopathology, cervical or vaginal (any reporting system); requiring 23.55 23.55 88142 cytopathology, cervical or vaginal (any reporting system), collected in 27.05 27.05 88143 cytopathology, cervical or vaginal (any reporting system), collected in 27.05 27.05 88147 cytopathology smears, cervical or vaginal; screening by automated system under 14.10 14.10 88148 cytopathology smears, cervical or vaginal; screening by automated system with 14.10 14.10 88150 cytopathology, slides, cervical or vaginal; manual screening under physician 14.10 14.10 88152 cytopathology, slides, cervical or vaginal; with manual screening and 14.10 14.10 88153 cytopathology, slides, cervical or vaginal; with manual screening and 14.10 14.10 88155 cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (eg, 8.00 8.00 88160 26 cytopathology, smears, any other source; screening and interpretation 21.63 21.63 88160 TC cytopathology, smears, any other source; screening and interpretation 22.22 22.22 88160 cytopathology, smears, any other source; screening and interpretation 43.85 43.85 88161 26 cytopathology,any othr source; prep,screen & inter 21.33 21.33 88161 TC cytopathology,any othr source; prep,screen & inter 24.34 24.34 88161 cytopathology,any othr source; prep,screen & inter 45.66 45.66 88162 26 cytopathology, extend stdy involv over5slid &/ormu 33.08 33.08 88162 TC cytopathology, extend stdy involv over5slid &/ormu 33.12 33.12 88162 cytopathology, extend stdy involv over5slid &/ormu 66.19 66.19 88164 cytopathology, slides, cervical or vaginal (the bethesda system); manual 14.10 14.10 88165 cytopathology, slides, cervical or vaginal (the bethesda system); with manual 14.10 14.10 88166 cytopathology, slides, cervical or vaginal (the bethesda system); with manual 14.10 14.10 88167 cytopathology, slides, cervical or vaginal (the bethesda system); with manual 14.10 14.10 88172 26 cytopathology, evaluation of fine needle aspirate; immediate cytohistologic 26.11 26.11 88172 TC cytopathology, evaluation of fine needle aspirate; immediate cytohistologic 18.59 18.59 88172 cytopathology, evaluation of fine needle aspirate; immediate cytohistologic 44.70 44.70 88173 26 eval fn ndl sspir w/wo prep sm; interpret & report 60.17 60.17 88173 TC eval fn ndl sspir w/wo prep sm; interpret & report 53.11 53.11 88173 eval fn ndl sspir w/wo prep sm; interpret & report 113.28 113.28 88174 cytopathology, cervical or vaginal (any reporting system), collected in 28.52 28.52 88175 cytopathology, cervical or vaginal (any reporting system), collected in 34.69 34.69 88177 cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to 24.49 24.49 88182 26 cell cycle or dna analysis 31.28 31.28 88182 TC cell cycle or dna analysis 54.73 54.73 88182 cell cycle or dna analysis 86.02 86.02 88230 26 tissue culture for non-neoplastic disease 127.23 127.23 88230 TC tissue culture for non-neoplastic disease 41.77 41.77 88230 tissue culture for non-neoplastic disease 155.53 155.53 88233 26 tissue culture, skin 153.89 153.89 88233 TC tissue culture, skin 50.66 50.66 88233 tissue culture, skin 187.88 187.88 88235 26 tissue culture, placenta 161.07 161.07 88235 TC tissue culture, placenta 53.05 53.05 88235 tissue culture, placenta 196.58 196.58 88237 26 tissue culture for neoplastic disorders; bone marrow, blood cells 138.01 138.01 88237 TC tissue culture for neoplastic disorders; bone marrow, blood cells 45.37 45.37 88237 tissue culture for neoplastic disorders; bone marrow, blood cells 168.62 168.62 88239 26 tissue culture for neoplastic disorders; solid tumor 161.36 161.36 88239 TC tissue culture for neoplastic disorders; solid tumor 53.15 53.15 88239 tissue culture for neoplastic disorders; solid tumor 196.95 196.95 88245 26 chromosome analysis for breakage syndromes; baseline sister chromated exchang 162.83 162.83 88245 TC chromosome analysis for breakage syndromes; baseline sister chromated exchang 53.63 53.63 88245 chromosome analysis for breakage syndromes; baseline sister chromated exchang 198.72 198.72 88248 26 chromosome analysis for breakage syndromes; baseline breakage, score 50-100 189.59 189.59 88248 TC chromosome analysis for breakage syndromes; baseline breakage, score 50-100 62.56 62.56 88248 chromosome analysis for breakage syndromes; baseline breakage, score 50-100 231.19 231.19 88261 26 chromosome analysis; count 5 cells, 1 karyotype, with banding 193.50 193.50 88261 TC chromosome analysis; count 5 cells, 1 karyotype, with banding 63.86 63.86 88261 chromosome analysis; count 5 cells, 1 karyotype, with banding 235.95 235.95 88262 26 chromosome analysis, count 15-20 cells, 2 karyotypes w/banding 136.19 136.19 88262 TC chromosome analysis, count 15-20 cells, 2 karyotypes w/banding 44.75 44.75 88262 chromosome analysis, count 15-20 cells, 2 karyotypes w/banding 166.39 166.39 88263 26 chromosome analysis 164.40 164.40 88263 TC chromosome analysis 54.16 54.16 88263 chromosome analysis 200.62 200.62 88264 26 chromosome analysis; analyze 20-25 cells 136.19 136.19 88264 TC chromosome analysis; analyze 20-25 cells 44.75 44.75 88264 chromosome analysis; analyze 20-25 cells 166.39 166.39 88267 26 chromosome analysis, amniotic fluid or chorioic villus, 15 cells 196.84 196.84 88267 TC chromosome analysis, amniotic fluid or chorioic villus, 15 cells 64.97 64.97 88267 chromosome analysis, amniotic fluid or chorioic villus, 15 cells 239.99 239.99 88269 26 chromosome analysis, amniotic fluid 182.05 182.05 88269 TC chromosome analysis, amniotic fluid 60.04 60.04 88269 chromosome analysis, amniotic fluid 222.04 222.04 88271 26 molecular cytogenetics; dna probe, each (eg, fish) 14.97 14.97 88271 TC molecular cytogenetics; dna probe, each (eg, fish) 4.35 4.35 88271 molecular cytogenetics; dna probe, each (eg, fish) 19.32 19.32 88272 26 molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells 28.51 28.51 88272 TC molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells 8.86 8.86 88272 molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 cells 35.74 35.74 88273 26 molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells 34.40 34.40 88273 TC molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells 10.83 10.83 88273 molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 cells 42.89 42.89 88274 26 molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells 37.34 37.34 88274 TC molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells 11.81 11.81 88274 molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cells 46.46 46.46 88275 26 molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells 43.23 43.23 88275 TC molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells 13.78 13.78 88275 molecular cytogenetics; interphase in situ hybridization, analyze 100-300 cells 53.61 53.61 88280 26 chrom analysis additional karotyping 26.66 26.66 88280 TC chrom analysis additional karotyping 8.25 8.25 88280 chrom analysis additional karotyping 33.51 33.51 88283 26 banding for chromosome analysis 20.23 20.23 88283 TC banding for chromosome analysis 6.11 6.11 88283 banding for chromosome analysis 25.71 25.71 88285 26 chromosome analysis, additional cells counted 19.95 19.95 88285 TC chromosome analysis, additional cells counted 6.01 6.01 88285 chromosome analysis, additional cells counted 25.36 25.36 88289 26 chromosome analysis, additional high resolution study 36.36 36.36 88289 TC chromosome analysis, additional high resolution study 11.49 11.49 88289 chromosome analysis, additional high resolution study 45.28 45.28 88291 cytogenetics and molecular cytogenetics, interpretation and report 25.00 25.00 88300 26 level i-surgical pathology, gross exam only 3.74 3.74 88300 TC level i-surgical pathology, gross exam only 15.66 15.66 88300 level i-surgical pathology, gross exam only 19.38 19.38 88302 26 level ii-surgical pathology, grossµ exam 5.68 5.68 88302 TC level ii-surgical pathology, grossµ exam 34.94 34.94 88302 level ii-surgical pathology, grossµ exam 40.61 40.61 88304 26 level iii - surgical pathology, gross and microscopic examination 9.53 9.53 88304 TC level iii - surgical pathology, gross and microscopic examination 42.20 42.20 88304 level iii - surgical pathology, gross and microscopic examination 51.74 51.74 88305 26 level iv - surgical pathology, gross and microscopic examination 32.75 32.75 88305 TC level iv - surgical pathology, gross and microscopic examination 55.64 55.64 88305 level iv - surgical pathology, gross and microscopic examination 88.39 88.39 88307 26 level v - surgical pathology, gross and microscopic examination 69.66 69.66 88307 TC level v - surgical pathology, gross and microscopic examination 107.54 107.54 88307 level v - surgical pathology, gross and microscopic examination 177.19 177.19 88309 26 level vi-surgicla pathology, gross & micro exam 120.28 120.28 88309 TC level vi-surgicla pathology, gross & micro exam 147.51 147.51 88309 level vi-surgicla pathology, gross & micro exam 267.80 267.80 88311 26 decalcification procedure 10.49 10.49 88311 TC decalcification procedure 5.05 5.05 88311 decalcification procedure 15.54 15.54 88312 26 special stains; group i for microorganisms, each 23.24 23.24 88312 TC special stains; group i for microorganisms, each 59.86 59.86 88312 special stains; group i for microorganisms, each 83.11 83.11 88313 26 group ii, all other,excpt immunocytochem &immunope 10.19 10.19 88313 TC group ii, all other,excpt immunocytochem &immunope 50.17 50.17 88313 group ii, all other,excpt immunocytochem &immunope 60.35 60.35 88314 26 group ii, histochemical staining w/frozen section 19.70 19.70 88314 TC group ii, histochemical staining w/frozen section 54.32 54.32 88314 group ii, histochemical staining w/frozen section 74.01 74.01 88319 26 determinative histochemistry or cytochemistry/enzyme /each 22.91 22.91 88319 TC determinative histochemistry or cytochemistry/enzyme /each 92.47 92.47 88319 determinative histochemistry or cytochemistry/enzyme /each 115.38 115.38 88321 consultation on tissue exam 76.81 76.81 88323 26 consult & report on referred mat' req.prep of sld 75.48 75.48 88323 TC consult & report on referred mat' req.prep of sld 47.05 47.05 88323 consult & report on referred mat' req.prep of sld 122.54 122.54 88325 comprehensive review records slides w/report 163.24 163.24 88329 operating room consultation 42.34 42.34 88331 26 pathology consultation during surgery; first tissue block, with frozen 52.50 52.50 88331 TC pathology consultation during surgery; first tissue block, with frozen 24.15 24.15 88331 pathology consultation during surgery; first tissue block, with frozen 76.66 76.66 88332 26 pathlgy consult dur. surg; ea add tis blk w/frz sc 25.79 25.79 88332 TC pathlgy consult dur. surg; ea add tis blk w/frz sc 8.59 8.59 88332 pathlgy consult dur. surg; ea add tis blk w/frz sc 34.38 34.38 88342 26 immunocytochemistry each antibody 36.33 36.33 88342 TC immunocytochemistry each antibody 47.66 47.66 88342 immunocytochemistry each antibody 83.98 83.98 88346 26 immunofluorescent stdy, ea. antibdy; direct method 36.96 36.96 88346 TC immunofluorescent stdy, ea. antibdy; direct method 47.36 47.36 88346 immunofluorescent stdy, ea. antibdy; direct method 84.30 84.30 88348 26 electron microscopy diagnostic 65.22 65.22 88348 TC electron microscopy diagnostic 455.70 455.70 88348 electron microscopy diagnostic 520.92 520.92 88355 26 morphometric analysis skeletal muscle 76.56 76.56 88355 TC morphometric analysis skeletal muscle 125.11 125.11 88355 morphometric analysis skeletal muscle 201.66 201.66 88356 26 morphometric analysis nerve 122.25 122.25 88356 TC morphometric analysis nerve 123.80 123.80 88356 morphometric analysis nerve 246.05 246.05 88358 26 morphometric analysis of tumor 39.85 39.85 88358 TC morphometric analysis of tumor 25.98 25.98 88358 morphometric analysis of tumor 65.82 65.82 88362 26 nerve teasing preparation 93.50 93.50 88362 TC nerve teasing preparation 128.13 128.13 88362 nerve teasing preparation 221.63 221.63 88365 26 tissue in situ hybridization, interpretation and report 50.81 50.81 88365 TC tissue in situ hybridization, interpretation and report 81.27 81.27 88365 tissue in situ hybridization, interpretation and report 132.08 132.08 88371 26 protein analysis of tissue by western blot, interp and report 15.96 15.96 88371 protein analysis of tissue by western blot, interp and report 19.37 19.37 88372 26 protein analysis of tissue by western blot, immunological probe 15.96 15.96 88372 TC protein analysis of tissue by western blot, immunological probe 16.30 16.30 88372 protein analysis of tissue by western blot, immunological probe 15.70 15.70 89050 cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), 6.32 6.32 89051 synovial fluid diff 6.95 6.95 89055 leukocyte assessment, fecal, qualitative or semiquantitative 5.69 5.69 89060 crystal id, synovial fluid 9.54 9.54 89125 fat stain, feces, urine, or respiratory secretions 5.76 5.76 89160 meat fibers feces 4.92 4.92 89190 nasal smear for eosinophils 6.22 6.22 89300 semen analysis; presence and/or motility of sperm including huhner test (post 11.90 11.90 89310 semen analysis 11.19 11.19 89320 semen analysis complete 16.09 16.09 89325 sperm agglutination with antibody titer 14.25 14.25 90460 EP administration of first vaccine or toxoid component through 18 years of age with cou 21.47 20.45 90471 EP immunization administration-one single or combo vaccine toxiod 14.40 14.40 90471 immunization administration-one single or combo vaccine toxiod 14.40 14.40 90472 EP each additional immunization admin;one vaccine single or combo toxiod 14.40 14.40 90472 each additional immunization admin;one vaccine single or combo toxiod 14.40 14.40 90473 EP immunization admin (intranasal or oral) 14.40 14.40 90473 immunization admin (intranasal or oral) 14.40 14.40 90474 EP each additional vaccine (single or combination vaccine/taxoid) 14.40 14.40 90474 each additional vaccine (single or combination vaccine/taxoid) 14.40 14.40 90845 psychoanalysis 72.77 72.77 90846 family therapy 77.40 77.40 90847 family psychotherapy (conjoint psychotherapy) (with patient present) 96.11 96.11 90849 multiple-family group psychotherapy 28.82 28.82 90853 group therapy 27.39 27.39 90865 narcosynthesis for psychiatric diagnostic and therapeutic purposes (eg, sodium 135.74 135.74 90870 electroconvulsive therapy (includes necessary monitoring) 119.01 119.01 90935 hemodialysis proc. with single physician eval. 58.34 58.34 90937 hemodialysis proc. requiring repeated evaluations 95.97 95.97 90945 dialysis procedure other than hemodialysis (eg, peritoneal dialysis, 60.61 60.61 90947 dialysis procedure other than hemodialysis (eg, peritoneal dialysis, 98.22 98.22 91010 26 esophageal motility (manometric study of the esophagus and/or gastroesophageal 58.53 58.53 91010 TC esophageal motility (manometric study of the esophagus and/or gastroesophageal 98.76 98.76 91010 esophageal motility (manometric study of the esophagus and/or gastroesophageal 157.28 157.28 91020 26 gastric motility (manometric) studies 67.06 67.06 91020 TC gastric motility (manometric) studies 123.89 123.89 91020 gastric motility (manometric) studies 190.96 190.96 91030 26 esophagus, acid perfusion 43.34 43.34 91030 TC esophagus, acid perfusion 71.28 71.28 91030 esophagus, acid perfusion 114.62 114.62 91034 26 esophagus, gastroesophageal reflux test; with nasal catheter ph electrode(s) 45.41 45.41 91034 TC esophagus, gastroesophageal reflux test; with nasal catheter ph electrode(s) 118.74 118.74 91034 esophagus, gastroesophageal reflux test; with nasal catheter ph electrode(s) 164.17 164.17 91037 26 esophageal function test, gastroesophageal reflux test with nasal catheter 46.02 46.02 91037 TC esophageal function test, gastroesophageal reflux test with nasal catheter 86.05 86.05 91037 esophageal function test, gastroesophageal reflux test with nasal catheter 132.06 132.06 91038 26 esophageal function test, gastroesophageal reflux test with nasal catheter 52.09 52.09 91038 TC esophageal function test, gastroesophageal reflux test with nasal catheter 64.84 64.84 91038 esophageal function test, gastroesophageal reflux test with nasal catheter 116.94 116.94 91040 26 esophageal balloon distension provocation study 47.23 47.23 91040 TC esophageal balloon distension provocation study 263.80 263.80 91040 esophageal balloon distension provocation study 311.03 311.03 91065 26 breath hydrogen test 9.19 9.19 91065 TC breath hydrogen test 44.64 44.64 91065 breath hydrogen test 53.80 53.80 91110 26 gastrointestinal tract imaging, intraluminal (e.g., capsule endoscopy) 170.39 170.39 91110 TC gastrointestinal tract imaging, intraluminal (e.g., capsule endoscopy) 572.90 572.90 91110 gastrointestinal tract imaging, intraluminal (e.g., capsule endoscopy) 743.30 743.30 91120 26 rectal sensation, tone, and compliance test (ie, response to graded balloon 42.90 42.90 91120 TC rectal sensation, tone, and compliance test (ie, response to graded balloon 275.80 275.80 91120 rectal sensation, tone, and compliance test (ie, response to graded balloon 318.70 318.70 91122 26 anorectal manometry 79.42 79.42 91122 TC anorectal manometry 113.41 113.41 91122 anorectal manometry 192.83 192.83 92002 eye exam & treatment,initial 58.30 58.30 92004 eye exam & treatment,initial 110.08 110.08 92012 eye exam & treatment 61.41 61.41 92014 eye exam & treatment 89.81 89.81 92015 2etermination of refractive state 27.18 27.18 92018 ophthalmological examination and evaluation w/anes 112.68 112.68 92019 opthalmol exam/eval under gen anesthesia subsequen 56.23 56.23 92020 gonioscopy (separate procedure) 20.80 20.80 92025 26 computerized corneal topography, unilateral or bilateral, with interpretation 15.60 15.60 92025 TC computerized corneal topography, unilateral or bilateral, with interpretation 11.11 11.11 92025 computerized corneal topography, unilateral or bilateral, with interpretation 26.71 26.71 92060 sensorimotor examination with multiple measurements of ocular deviation (eg, 46.54 46.54 92081 visual field examination, unilateral or bilateral, with interpretation and 40.97 40.97 92082 special eye exam 19.46 19.46 92083 special eye exam 22.33 22.33 92136 26 ophthalmic biometry by partial coherence interferometry with intraocular lens 24.55 24.55 92136 TC ophthalmic biometry by partial coherence interferometry with intraocular lens 39.61 39.61 92136 ophthalmic biometry by partial coherence interferometry with intraocular lens 64.17 64.17 92235 26 fluorescein angiography (includes multiframe imaging) with interpretation and 36.93 36.93 92235 TC fluorescein angiography (includes multiframe imaging) with interpretation and 62.41 62.41 92235 fluorescein angiography (includes multiframe imaging) with interpretation and 99.34 99.34 92242 fluorescein icg angiography 195.03 195.03 92242 TC fluorescein icg angiography 145.67 145.67 92242 26 fluorescein icg angiography 49.36 49.36 92265 needle oculoelectromyography, one or more extraocular muscles, one or both 61.08 61.08 92270 electro-oculography with interpretation and report 69.95 69.95 92283 color vision examination 35.06 35.06 92284 dark adaptation examination with interpretation and report 47.04 47.04 92502 ear and throat examination under general anesthesia 79.85 79.85 92504 special ear examination 23.36 23.36 92507 treatment of speech, language, voice, communication, and/ or auditory 71.66 71.66 92508 treatment of speech, language 2 or more 25.07 25.07 92511 visualization nose & throat 123.21 123.21 92512 nasal function studies 49.32 49.32 92516 facial nerve function studies (eg, electroneuronography) 50.62 50.62 92520 laryngeal function studies (ie, aerodynamic testing and acoustic testing) 50.61 50.61 92531 spontaneous nystagmus test 18.95 18.95 92532 positional nystagmus test 19.33 19.33 92533 inner ear test 12.32 12.32 92534 optokinetic nystagmus test 36.40 36.40 92541 26 spontaneous nystagmus test 17.76 17.76 92541 TC spontaneous nystagmus test 30.70 30.70 92541 spontaneous nystagmus test 48.45 48.45 92542 26 positional nystagmus test 14.65 14.65 92542 TC positional nystagmus test 35.54 35.54 92542 positional nystagmus test 50.19 50.19 92544 26 optokimetic nustagmus test 11.45 11.45 92544 TC optokimetic nustagmus test 28.89 28.89 92544 optokimetic nustagmus test 40.32 40.32 92545 26 oscillating tracking test 10.15 10.15 92545 TC oscillating tracking test 27.67 27.67 92545 oscillating tracking test 37.83 37.83 92546 26 sinusoidal vertical axis rotational testing 12.73 12.73 92546 TC sinusoidal vertical axis rotational testing 54.93 54.93 92546 sinusoidal vertical axis rotational testing 67.66 67.66 92547 use of vertical electrodes (list separately in addition to code for primary 4.27 4.27 92551 screening test, pure tone air only 8.68 8.68 92552 pure tone audiometry (threshold) air only 17.48 17.48 92553 audiometry air and bone 23.35 23.35 92555 speech audiometry threshold 12.95 12.95 92556 speech audiometry and speech recognition 20.01 20.01 92557 comprehensive audiometry threshold eval and speech recognition 38.18 38.18 92560 hearing test, screening 18.38 18.38 92561 special hearing test 22.75 22.75 92562 special hearing test 18.40 18.40 92563 special hearing test 16.58 16.58 92564 special hearing test 15.88 15.88 92565 special hearing test 10.22 10.22 92567 tympanometry impedance testing 14.76 14.76 92568 acoustic reflex testing; threshold 15.47 15.47 92571 filtered speech test 13.24 13.24 92572 staggered sporatic word test 14.14 14.14 92575 special hearing test 28.58 28.58 92576 synthetic sentence identification test 17.08 17.08 92577 special hearing test 13.86 13.86 92582 conditioning play audiometry 33.35 33.35 92583 select picture audiometry 26.80 26.80 92584 electrocochleography 54.33 54.33 92587 evoked otoacoustic emsissions;limited 31.58 31.58 92588 evoked otoacoustic emsissions;comprehensive 52.25 52.25 92590 hearing aid exam and selection monaural 37.31 37.31 92591 hearing aid exam binaural 56.03 56.03 92592 hearing aid check monaural 16.33 16.33 92593 hearing aid check binaural 24.69 24.69 92594 electracoustic eval for hearing aid monaural 18.03 18.03 92595 electronacoustic eval binaural 26.94 26.94 92596 ear protector attenuation measurements 28.19 28.19 92601 diagnostic analysis of cochlear implant, patient under 7 years of age; with 132.47 132.47 92602 diagnostic analysis of cochlear implant, patient under 7 years of age; 82.47 82.47 92603 diagnostic analysis of cochlear implant, age 7 years or older w/programming 119.63 119.63 92604 diagnostic analysis of cochlear implant, age 7 years or older subsequent program 70.84 70.84 92607 eval for prescription for speech generating & alt. comm. device - face to face 125.80 125.80 92608 each additional 30 minutes (use in conjunction with 92607) 24.05 24.05 92609 therapeutic svcs for use of speech generating device including prog. & modif. 66.84 66.84 92610 eval of swallowing and oral function for feeding 64.65 64.65 92611 motion flourscopic evaluation of swallowing function by cine or video recording 70.40 70.40 92612 endoscopic study of swallowing 129.93 129.93 92614 flexible fiberoptic endoscopic evaluation, laryngeal sensory testing by cine or 115.99 115.99 92616 flexible fiberoptic endoscopic evaluation of swallowing and laryngeal sensory 159.71 159.71 92620 evaluation of central auditory function, with report; initial 60 minutes 63.26 63.26 92621 evaluation of central auditory function, with report; each additional 15 minutes 14.70 14.70 92625 assessment of tinnitus (includes pitch, loudness matching, and masking) 50.09 50.09 92950 heart-lung resuscitation 233.46 233.46 92953 temporary external pacing 10.36 10.36 92960 cardioversion, elective, electrical conversion of arrhythmia, external 218.97 218.97 92961 cardioversion, elective, electrical conversion of arrhythmia; internal 228.67 228.67 92970 cardioassist-method of circulatory assist; internal 159.73 159.73 92971 cardioassist-method of circulatory assist; external 90.69 90.69 92973 percutaneous transluminal coronary thrombectomy (list separately in addition to 162.12 162.12 92974 transcatheter placement of radiation delivery device for subsequent coronary 148.61 148.61 92975 thrombolysis coronary by intracoronary infusion 356.13 356.13 92977 thrombolysis coronary by intravenous infusion 108.27 108.27 92986 percutaneous balloon valvuloplasty; aortic valve 1209.38 1209.38 92990 percutaneous balloon valvuloplasty; pulmonary valve 963.36 963.36 92997 percutaneous transluminal pulmonary artery balloon angioplasty; single vessel 559.50 559.50 92998 percutaneous transluminal pulmonary artery balloon angioplasty; each additional 286.40 286.40 93000 electrocardiogram, routine ekg at least 12 leads; interp and repo 17.69 17.69 93005 electrocardiogram, tracing 9.81 9.81 93010 electrocardiogram report 7.90 7.90 93015 cardiovascular stress test 84.69 84.69 93016 cardiovascular stress test using maximal or submaximal treadmill or bicycle 21.50 21.50 93017 electrocardiogram tracing 48.92 48.92 93018 treadmill ekg-interp only 14.27 14.27 93024 26 ergonovine provocation test 55.48 55.48 93024 TC ergonovine provocation test 48.59 48.59 93024 ergonovine provocation test 104.09 104.09 93025 microvolt t-wave alternans for assessment of ventricular arrhythmias 36.08 36.08 93040 electrocardiogram report 11.41 11.41 93041 rhythm ecg, one to three leads; tracing only w/o interpretation a 4.44 4.44 93042 rhythm strip-interp only 6.96 6.96 93224 electrocardiographic monitoring for 24 hours by continuous original ecg 99.23 99.23 93225 electrocardiographic monitoring for 24 hours by continuous original ecg 29.22 29.22 93226 electrocardiographic monitoring for 24 hours by continuous original ecg 45.00 45.00 93227 electrocardiographic monitoring for 24 hours by continuous original ecg 25.00 25.00 93271 patient demand single or multiple event recording with 179.99 179.99 93272 patient demand single or multiple event recording with 24.10 24.10 93306 TC ultrasound examination of heart including colot-depicted blood flow rate, direction, a 161.30 161.30 93307 26 echocardiography, transthoracic, real-time with image documentation (2d) with 43.76 43.76 93307 TC echocardiography, transthoracic, real-time with image documentation (2d) with 104.72 104.72 93307 echocardiography, transthoracic, real-time with image documentation (2d) with 148.47 148.47 93308 26 echocardiography real time scan limited 25.64 25.64 93308 TC echocardiography real time scan limited 68.10 68.10 93308 echocardiography real time scan limited 93.75 93.75 93312 26 echocardiography, transesophageal, real time with image documentation (2d) 102.15 102.15 93312 TC echocardiography, transesophageal, real time with image documentation (2d) 173.19 173.19 93312 echocardiography, transesophageal, real time with image documentation (2d) 275.34 275.34 93313 echocardio, rl time w/doc transesophageal; plc pro 36.58 36.58 93314 26 echocardio, rl time w/doc transesophageal intrp.on 57.81 57.81 93314 TC echocardio, rl time w/doc transesophageal intrp.on 177.43 177.43 93314 echocardio, rl time w/doc transesophageal intrp.on 235.22 235.22 93320 26 doppler echocardiography, pulsed wave and/or continuous wave with spectral 18.10 18.10 93320 TC doppler echocardiography, pulsed wave and/or continuous wave with spectral 47.30 47.30 93320 doppler echocardiography, pulsed wave and/or continuous wave with spectral 65.42 65.42 93321 26 doppler echocardiography, pulsed wave and/or continuous wave with spectral 7.25 7.25 93321 TC doppler echocardiography, pulsed wave and/or continuous wave with spectral 21.65 21.65 93321 doppler echocardiography, pulsed wave and/or continuous wave with spectral 28.89 28.89 93325 26 doppler echocardiography color flow velocity mapping (list separately in 3.41 3.41 93325 doppler echocardiography color flow velocity mapping (list separately in 43.50 43.50 93350 26 echocardiography, transthoracic, real-time with image documentation (2d, with 70.64 70.64 93350 TC echocardiography, transthoracic, real-time with image documentation (2d, with 108.99 108.99 93350 echocardiography, transthoracic, real-time with image documentation (2d, with 179.63 179.63 93503 placement of flow directed catheter 99.42 99.42 93505 26 endocardial biopsy 214.10 214.10 93505 TC endocardial biopsy 419.11 419.11 93505 endocardial biopsy 633.21 633.21 93530 26 right heart catheterization for congenital cardiac anomalies 204.44 204.44 93530 TC right heart catheterization for congenital cardiac anomalies 570.00 570.00 93530 right heart catheterization for congenital cardiac anomalies 771.09 771.09 93531 26 combined right heart cath and retrograde left heart cath for cong 400.46 400.46 93531 TC combined right heart cath and retrograde left heart cath for cong 1626.38 1626.38 93531 combined right heart cath and retrograde left heart cath for cong 2018.28 2018.28 93532 26 combined right and left catheterization for congenital cardiac 474.94 474.94 93532 TC combined right and left catheterization for congenital cardiac 1501.24 1501.24 93532 combined right and left catheterization for congenital cardiac 1976.15 1976.15 93533 26 combined right heart catheterization and transseptal left heart catheterization 319.62 319.62 93533 TC combined right heart catheterization and transseptal left heart catheterization 1515.38 1515.38 93533 combined right heart catheterization and transseptal left heart catheterization 1835.01 1835.01 93561 26 indicator dilution studies, including arterial/venous cath. 21.02 21.02 93561 TC indicator dilution studies, including arterial/venous cath. 18.08 18.08 93561 indicator dilution studies, including arterial/venous cath. 39.40 39.40 93562 26 indicator dilution studies, including arterial/venous cath. subse 6.66 6.66 93562 TC indicator dilution studies, including arterial/venous cath. subse 11.19 11.19 93562 indicator dilution studies, including arterial/venous cath. subse 17.91 17.91 93571 26 intravascular doppler velocity and/or pressure derived coronary flow reserve 87.12 87.12 93571 TC intravascular doppler velocity and/or pressure derived coronary flow reserve 149.98 149.98 93571 intravascular doppler velocity and/or pressure derived coronary flow reserve 232.43 232.43 93572 26 intravascular doppler velocity and/or pressure derived coronary flow reserve 68.57 68.57 93572 TC intravascular doppler velocity and/or pressure derived coronary flow reserve 77.31 77.31 93572 intravascular doppler velocity and/or pressure derived coronary flow reserve 145.88 145.88 93580 percutaneous transcatheter closure of congenital interatrial communication (ie, 887.71 887.71 93581 percutaneous transcatheter closure of a congenital ventricular septal defect 1163.98 1163.98 93590 perq transcath cls mitral 1062.90 1062.90 93591 perq transcath cls aortic 882.09 882.09 93592 perq transcath closure each 388.70 388.70 93600 26 special electrocardigram 103.92 103.92 93600 TC special electrocardigram 63.77 63.77 93600 special electrocardigram 163.04 163.04 93602 26 intra atrial recording 103.52 103.52 93602 TC intra atrial recording 35.06 35.06 93602 intra atrial recording 134.25 134.25 93603 26 right ventricular recording 103.73 103.73 93603 TC right ventricular recording 54.31 54.31 93603 right ventricular recording 153.38 153.38 93609 26 intraventricular and/or intra-atrial mapping of tachycardia site(s) with 245.12 245.12 93610 26 intra-atrial pacing 147.16 147.16 93610 TC intra-atrial pacing 42.80 42.80 93610 intra-atrial pacing 183.45 183.45 93612 26 intraventricular pacing 146.45 146.45 93612 TC intraventricular pacing 51.72 51.72 93612 intraventricular pacing 192.26 192.26 93613 26 intracardiac electrophysiologic 3-dimensional mapping (list separately in 198.19 198.19 93613 TC intracardiac electrophysiologic 3-dimensional mapping (list separately in 128.55 128.55 93613 intracardiac electrophysiologic 3-dimensional mapping (list separately in 344.40 344.40 93618 26 induction arrhythmia by electrical pacing 210.47 210.47 93618 TC induction arrhythmia by electrical pacing 127.74 127.74 93618 induction arrhythmia by electrical pacing 327.16 327.16 93619 26 comprehensive ep eval with rt atrial pacing and recording, rt ventricular pacin 363.46 363.46 93619 TC comprehensive ep eval with rt atrial pacing and recording, rt ventricular pacin 253.34 253.34 93619 comprehensive ep eval with rt atrial pacing and recording, rt ventricular pacin 602.83 602.83 93620 26 comprehensive ep eval with rt atrial pacing and recording, rt ventricular pacin 571.34 571.34 93620 TC comprehensive ep eval with rt atrial pacing and recording, rt ventricular pacin 286.07 286.07 93620 comprehensive ep eval with rt atrial pacing and recording, rt ventricular pacin 848.34 848.34 93621 26 comprehensive electrophysiologic evaluation with right atrial pacing and 103.35 103.35 93621 TC comprehensive electrophysiologic evaluation with right atrial pacing and 79.45 79.45 93621 comprehensive electrophysiologic evaluation with right atrial pacing and 182.82 182.82 93622 26 comprehensive electrophysiologic evaluation with right atrial pacing and 151.18 151.18 93622 TC comprehensive electrophysiologic evaluation with right atrial pacing and 116.05 116.05 93622 comprehensive electrophysiologic evaluation with right atrial pacing and 267.23 267.23 93623 26 programmed stimulation and pacing after intravenous drug infusion (list 140.15 140.15 93640 26 electrophysiologic evaluation of cardioverter-defibrillator leads (includes 171.98 171.98 93640 TC electrophysiologic evaluation of cardioverter-defibrillator leads (includes 236.44 236.44 93640 electrophysiologic evaluation of cardioverter-defibrillator leads (includes 400.51 400.51 93641 26 electrophysiologic evaluation of cardioverter- defibrillator 291.06 291.06 93641 TC electrophysiologic evaluation of cardioverter- defibrillator 233.86 233.86 93641 electrophysiologic evaluation of cardioverter- defibrillator 510.70 510.70 93642 26 electrophysiologic evaluation of cardioverter-defibrillator 238.89 238.89 93642 TC electrophysiologic evaluation of cardioverter-defibrillator 164.68 164.68 93642 electrophysiologic evaluation of cardioverter-defibrillator 403.57 403.57 93660 evaluation of cardiovascular function with tilt table evaluation, with 147.72 147.72 93662 26 intracardiac echocardiography during therapeutic/diagnostic intervention, 135.32 135.32 93662 TC intracardiac echocardiography during therapeutic/diagnostic intervention, 109.07 109.07 93662 intracardiac echocardiography during therapeutic/diagnostic intervention, 266.34 266.34 93701 26 bioimpedance, thoracic, electrical 7.90 7.90 93701 TC bioimpedance, thoracic, electrical 20.80 20.80 93701 bioimpedance, thoracic, electrical 28.70 28.70 93724 26 electronic analysis of antitachycardia pacemaker system (includes 234.95 234.95 93724 TC electronic analysis of antitachycardia pacemaker system (includes 54.34 54.34 93724 electronic analysis of antitachycardia pacemaker system (includes 289.30 289.30 93740 26 analysis pacemaker single chamber/telephonic 6.95 6.95 93740 TC analysis pacemaker single chamber/telephonic 1.42 1.42 93740 analysis pacemaker single chamber/telephonic 8.38 8.38 93745 26 initial set-up and programming by a physician of wearable 39.51 39.51 93745 TC initial set-up and programming by a physician of wearable 23.05 23.05 93745 initial set-up and programming by a physician of wearable 62.56 62.56 93770 26 determination of venous pressure 6.95 6.95 93770 TC determination of venous pressure 0.50 0.50 93770 determination of venous pressure 7.48 7.48 93880 TC duplex scan extracranial arteries, bilat. complete 179.27 179.27 93882 26 duplex scan of extracranial arteries; 17.86 17.86 93882 TC duplex scan of extracranial arteries; 118.13 118.13 93882 duplex scan of extracranial arteries; 135.99 135.99 93886 26 stdy of intracranial art;comp 41.41 41.41 93886 TC transcranial doppler stdy of intracranial art;comp 206.76 206.76 93886 transcranial doppler stdy of intracranial art;comp 248.17 248.17 93888 26 transcranial doppler study of the intracranial arteries; limited study 27.99 27.99 93888 TC transcranial doppler study of the intracranial arteries; limited study 140.97 140.97 93888 transcranial doppler study of the intracranial arteries; limited study 168.97 168.97 93890 26 transcranial doppler study of the intracranial arteries; vasoreactivity study 43.98 43.98 93890 TC transcranial doppler study of the intracranial arteries; vasoreactivity study 174.05 174.05 93890 transcranial doppler study of the intracranial arteries; vasoreactivity study 218.02 218.02 93892 26 transcranial doppler study of the intracranial arteries; emboli detection 50.10 50.10 93892 TC transcranial doppler study of the intracranial arteries; emboli detection 189.19 189.19 93892 transcranial doppler study of the intracranial arteries; emboli detection 239.28 239.28 93893 26 transcranial doppler study of the intracranial arteries; emboli detection with 50.40 50.40 93893 TC transcranial doppler study of the intracranial arteries; emboli detection with 188.29 188.29 93893 transcranial doppler study of the intracranial arteries; emboli detection with 238.69 238.69 93922 26 noninvasive physiologic studies of upper or lower extremity 11.03 11.03 93922 TC noninvasive physiologic studies of upper or lower extremity 89.31 89.31 93922 noninvasive physiologic studies of upper or lower extremity 100.33 100.33 93923 26 noninvasive physiologic studies of upper or lower extremity 20.11 20.11 93923 TC noninvasive physiologic studies of upper or lower extremity 134.78 134.78 93923 noninvasive physiologic studies of upper or lower extremity 154.89 154.89 93924 26 noninvasive physiologic studies of lower extremity arteries, 22.86 22.86 93924 TC noninvasive physiologic studies of lower extremity arteries, 167.81 167.81 93924 noninvasive physiologic studies of lower extremity arteries, 190.67 190.67 93925 26 duplex scan lower extrem. arteries; bilat,complete 25.87 25.87 93925 TC duplex scan lower extrem. arteries; bilat,complete 230.76 230.76 93925 duplex scan lower extrem. arteries; bilat,complete 256.63 256.63 93926 26 duplex scan of lower extremity arteries or arterial bypass grafts; unilateral 17.54 17.54 93926 TC duplex scan of lower extremity arteries or arterial bypass grafts; unilateral 146.20 146.20 93926 duplex scan of lower extremity arteries or arterial bypass grafts; unilateral 163.74 163.74 93930 26 duplex scan upper extrem. arteries; bilat complete 20.74 20.74 93930 TC duplex scan upper extrem. arteries; bilat complete 181.50 181.50 93930 duplex scan upper extrem. arteries; bilat complete 202.24 202.24 93931 26 duplex scan of upper extremity arteries or arterial bypass grafts; unilateral 13.80 13.80 93931 TC duplex scan of upper extremity arteries or arterial bypass grafts; unilateral 121.57 121.57 93931 duplex scan of upper extremity arteries or arterial bypass grafts; unilateral 135.38 135.38 93970 26 duplex scan of extremity veins; complete, bilatera 30.47 30.47 93970 TC duplex scan of extremity veins; complete, bilatera 180.00 180.00 93970 duplex scan of extremity veins; complete, bilatera 210.47 210.47 93971 26 duplex scan of extremity veins including responses to compression and other 20.20 20.20 93971 TC duplex scan of extremity veins including responses to compression and other 119.18 119.18 93971 duplex scan of extremity veins including responses to compression and other 139.37 139.37 93975 26 duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal 81.31 81.31 93975 TC duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal 235.44 235.44 93975 duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal 316.75 316.75 93976 26 duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal 53.98 53.98 93976 TC duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal 128.88 128.88 93976 duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal 182.86 182.86 93978 26 duplex scan complete; aorta,vena cava,iliac vasc. 29.19 29.19 93978 TC duplex scan complete; aorta,vena cava,iliac vasc. 168.79 168.79 93978 duplex scan complete; aorta,vena cava,iliac vasc. 197.97 197.97 93979 26 duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; 19.57 19.57 93979 TC duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; 117.34 117.34 93979 duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; 136.90 136.90 93985 26 DUP-SCAN HEMO COMPL BI STD 34.37 34.37 93985 TC DUP-SCAN HEMO COMPL BI STD 194.71 194.71 93985 DUP-SCAN HEMO COMPL BI STD 229.08 229.08 93986 26 DUP-SCAN HEMO COMPL UNI STD 22.03 22.03 93986 TC DUP-SCAN HEMO COMPL UNI STD 110.82 110.82 93986 DUP-SCAN HEMO COMPL UNI STD 132.85 132.85 93990 26 duplex scan of hemodialysis 10.93 10.93 93990 duplex scan of hemodialysis 160.16 160.16 94002 ventilation assist and management, initiation of pressure or volume preset 77.62 77.62 94003 ventilation assist and management, initiation of pressure or volume preset 56.09 56.09 94004 ventilation assist and management, initiation of pressure or volume preset 40.83 40.83 94010 26 spirometry including graphic record total timed vital capacity exploratory flow 7.29 7.29 94010 TC spirometry including graphic record total timed vital capacity exploratory flow 20.40 20.40 94010 spirometry including graphic record total timed vital capacity exploratory flow 27.69 27.69 94060 26 bronchospasm evaluation, spirometry as in 94010 before & after bronchodilator 12.78 12.78 94060 TC bronchospasm evaluation, spirometry as in 94010 before & after bronchodilator 35.76 35.76 94060 bronchospasm evaluation, spirometry as in 94010 before & after bronchodilator 48.55 48.55 94070 26 prolonged postexposure evaluation of bronchospasm with multiple spirometric 25.11 25.11 94070 TC prolonged postexposure evaluation of bronchospasm with multiple spirometric 25.69 25.69 94070 prolonged postexposure evaluation of bronchospasm with multiple spirometric 50.80 50.80 94150 26 vital capacity total 3.41 3.41 94150 TC vital capacity total 15.34 15.34 94150 vital capacity total 18.75 18.75 94200 26 max breathing capacity, max voluntary ventilation 4.73 4.73 94200 TC max breathing capacity, max voluntary ventilation 14.05 14.05 94200 max breathing capacity, max voluntary ventilation 18.75 18.75 94375 26 respiratory flow volume loop 12.78 12.78 94375 TC respiratory flow volume loop 18.59 18.59 94375 respiratory flow volume loop 30.42 30.42 94450 26 breathing response to hypoxia 16.54 16.54 94450 TC breathing response to hypoxia 26.16 26.16 94450 breathing response to hypoxia 42.69 42.69 94610 intrapulmonary surfactant administration by a physician through endotracheal 54.58 54.58 94621 26 pulmonary stress testing; complex (including measurements of co2 production, o2 61.96 61.96 94621 TC pulmonary stress testing; complex (including measurements of co2 production, o2 75.05 75.05 94621 pulmonary stress testing; complex (including measurements of co2 production, o2 137.03 137.03 94640 nonpressurized inhalation treatment for acute airway obstruction 11.01 11.01 94642 aerosol inhalation pentamidine prophylaxis 9.66 9.66 94644 continuous inhalation treatment with aerosol medication for acute airway 28.28 28.28 94645 continuous inhalation treatment with aerosol medication for acute airway 11.01 11.01 94660 continuous positive airway pressure ventilation (cpap), initiation and 48.43 48.43 94662 cont negative pressure vent iniation/management 31.56 31.56 94664 aerosol tx initial 12.04 12.04 94667 manipulation of chest wall 16.79 16.79 94668 subsequent manipulation of chest wall 15.87 15.87 94680 26 expired gas analysis 10.84 10.84 94680 TC expired gas analysis 37.29 37.29 94680 expired gas analysis 48.12 48.12 94681 26 expired gas analysis with co2 8.26 8.26 94681 TC expired gas analysis with co2 43.68 43.68 94681 expired gas analysis with co2 51.94 51.94 94690 26 expired gas analysis rest, indirect 3.11 3.11 94690 TC expired gas analysis rest, indirect 38.69 38.69 94690 expired gas analysis rest, indirect 41.79 41.79 94760 non-invasive ear or pulse oximetry 2.24 2.24 94761 noninvasive ear or pulse oximetry multiple determ. 4.27 4.27 94762 noninvasive pulse oximetry for o2 saturation; by continuous overnight monitoring 23.88 23.88 94772 26 respiratory pattern recording 52.89 52.89 94772 TC respiratory pattern recording 47.55 47.55 94772 respiratory pattern recording 100.43 100.43 95012 Measurement of inhaled nitric oxide gas 17.18 17.18 95060 eye tests 19.18 19.18 95065 allergy nose test 17.46 17.46 95076 ingestion challenge test (sequential and incremental ingestion of test items, eg, foo 63.11 100.98 95079 ingestion challenge test (sequential and incremental ingestion of test items, eg, foo 57.99 71.66 95117 professional services for allergen immunotherapy not including provision of 10.09 10.09 95130 immunotherapy 29.95 29.95 95131 immunotherapy 2 stinging insect venoms 37.31 37.31 95132 immunotherapy 3 stinging insect venoms $29.37 29.37 95133 immunotherapy 4 stinging insect venoms $54.33 54.33 95134 immunotherapy 5 stinging insect venoms $65.03 65.03 95705 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG, 2-12 HOURS, UNMONITOR 198.11 198.11 95706 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG), 2-12 HOURS, WITH INTER198.11 198.11 95707 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG), 2-12 HOURS, WITH CONT 198.11 198.11 95708 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG), 12-26 HOURS, UNMONITO 198.11 198.11 95709 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG), 12-26 HOURS, WITH INTE 198.11 198.11 95710 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG), 12-26 HOURS, WITH CON198.11 198.11 95711 MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG), 2-12 HOUR 1508.02 1508.02 95712 MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG), 2-12 HOUR 185.35 185.35 95713 MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG), 2-12 HOUR 1508.02 1508.02 95714 MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG), 12-26 HOU 1508.02 1508.02 95715 MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG), 12-26 HOU 1508.02 1508.02 95716 MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG), 12-26 HOU 1508.02 1508.02 95717 EEG PHYS/QHP 2-12 HR W/O VID 92.27 92.27 95718 EEG PHYS/QHP 2-12 HR W/VEEG 121.09 121.09 95719 EEG PHYS/QHP EA INCR W/O VID 142.49 142.49 95720 EEG PHY/QHP EA INCR W/VEEG 187.38 187.38 95721 EEG PHY/QHP>36<60 HR W/O VID 188.91 188.91 95722 EEG PHY/QHP>36<60 HR W/VEEG 229.22 229.22 95723 EEG PHY/QHP>60<84 HR W/O VID 234.06 234.06 95724 EEG PHY/QHP>60<84 HR W/VEEG 292.74 292.74 95725 EEG PHY/QHP>84 HR W/O VID 267.14 267.14 95726 EEG PHY/QHP>84 HR W/VEEG 369.96 369.96 95805 26 multiple sleep latency or maintenance of wakefulness testing, recording, 80.38 80.38 95805 TC multiple sleep latency or maintenance of wakefulness testing, recording, 274.16 274.16 95805 multiple sleep latency or maintenance of wakefulness testing, recording, 354.53 354.53 95806 sleep study, simultaneous recording of ventilation, respiratory 176.00 176.00 95807 26 sleep study, simultaneous recording of ventilation, respiratory effort, ecg or 70.55 70.55 95807 TC sleep study, simultaneous recording of ventilation, respiratory effort, ecg or 343.05 343.05 95807 sleep study, simultaneous recording of ventilation, respiratory effort, ecg or 413.58 413.58 95808 26 ; sleep staging with 1-3 add'l parameters of sleep, attended 113.07 113.07 95808 TC polysomnography; sleep staging with 1-3 add'l parameters of sleep, attended 429.95 429.95 95808 polysomnography; sleep staging with 1-3 add'l parameters of sleep, attended 543.03 543.03 95810 26 polysomnography; sleep staging with 4 or more add'l parameters of sleep, attende 149.05 149.05 95810 TC polysomnography; sleep staging with 4 or more add'l parameters of sleep, attende 498.40 498.40 95810 polysomnography; sleep staging with 4 or more add'l parameters of sleep, attende 647.45 647.45 95811 polysomnography; of sleep, attended by a technologist sleep stagi 713.33 713.33 95812 26 eeg extended monitoring; up to 1 hour 47.20 47.20 95812 eeg extended monitoring; up to 1 hour 198.48 198.48 95813 26 eeg extended monitoring; greater than 1 hour 75.16 75.16 95813 eeg extended monitoring; greater than 1 hour 244.30 244.30 95816 26 electroencephalogram (eeg) including recording awake and drowsy (including 47.20 47.20 95816 TC electroencephalogram (eeg) including recording awake and drowsy (including 135.02 135.02 95816 electroencephalogram (eeg) including recording awake and drowsy (including 182.23 182.23 95819 26 electroencephalogram (eeg) including recording awake and asleep (including 47.20 47.20 95819 TC electroencephalogram (eeg) including recording awake and asleep (including 148.34 148.34 95819 electroencephalogram (eeg) including recording awake and asleep (including 195.54 195.54 95822 26 electroencephalogram; sleep only 47.20 47.20 95822 TC electroencephalogram; sleep only 147.45 147.45 95822 electroencephalogram; sleep only 194.66 194.66 95824 26 electroencephalogram; cerebral death eval. only 32.33 32.33 95824 TC electroencephalogram; cerebral death eval. only 14.11 14.11 95824 electroencephalogram; cerebral death eval. only 52.40 52.40 95829 26 electrocorticogram at surger 273.81 273.81 95829 TC electrocorticogram at surger 742.06 742.06 95829 electrocorticogram at surger 1015.85 1015.85 95830 26 insertion of electrodes for electroencephalographi 24.63 24.63 95830 insertion of electrodes for electroencephalographi 74.29 74.29 95851 26 range of motion evaluation 5.23 5.23 95851 range of motion evaluation 6.95 6.95 95852 26 range of motion measurements and report of hands 2.70 2.70 95852 range of motion measurements and report of hands 10.77 10.77 95857 26 tensilon test for myasthenia gravis 8.83 8.83 95857 tensilon test for myasthenia gravis 35.33 35.33 95860 26 needle electromyography, one extremity with or without related paraspinal areas 43.06 43.06 95860 TC needle electromyography, one extremity with or without related paraspinal areas 26.16 26.16 95860 needle electromyography, one extremity with or without related paraspinal areas 69.23 69.23 95861 26 needle electromyography, two extremities with or without related paraspinal 68.83 68.83 95861 TC needle electromyography, two extremities with or without related paraspinal 31.83 31.83 95861 needle electromyography, two extremities with or without related paraspinal 100.66 100.66 95863 26 needle electromyography, three extremities with or without related paraspinal 82.47 82.47 95863 TC needle electromyography, three extremities with or without related paraspinal 37.59 37.59 95863 needle electromyography, three extremities with or without related paraspinal 120.06 120.06 95864 26 needle electromyography, four extremities with or without related paraspinal 88.21 88.21 95864 TC needle electromyography, four extremities with or without related paraspinal 37.59 37.59 95864 needle electromyography, four extremities with or without related paraspinal 120.06 120.06 95867 26 needle electromyography,cranial nerve supplied muscles,unilateral 34.97 34.97 95867 TC needle electromyography,cranial nerve supplied muscles,unilateral 25.05 25.05 95867 needle electromyography,cranial nerve supplied muscles,unilateral 60.03 60.03 95868 26 needle electromyography,cranial nerve supplied muscles,bilateral 52.08 52.08 95868 TC needle electromyography,cranial nerve supplied muscles,bilateral 30.42 30.42 95868 needle electromyography,cranial nerve supplied muscles,bilateral 82.50 82.50 95869 26 needle electromyography; thoracic paraspinal muscles 16.46 16.46 95869 TC needle electromyography; thoracic paraspinal muscles 30.42 30.42 95869 needle electromyography; thoracic paraspinal muscles 52.08 52.08 95870 26 needle electromyography; other than paraspinal (eg, abdomen, thorax) 16.46 16.46 95870 TC needle electromyography; other than paraspinal (eg, abdomen, thorax) 20.71 20.71 95870 needle electromyography; other than paraspinal (eg, abdomen, thorax) 37.17 37.17 95872 26 needle electromyography using single fiber electrode, with quantitative 121.70 121.70 95872 TC needle electromyography using single fiber electrode, with quantitative 21.92 21.92 95872 needle electromyography using single fiber electrode, with quantitative 143.62 143.62 95875 26 ischemic limb exercise test with serial specimen(s) acquisition for muscle 48.26 48.26 95875 TC ischemic limb exercise test with serial specimen(s) acquisition for muscle 30.63 30.63 95875 ischemic limb exercise test with serial specimen(s) acquisition for muscle 78.88 78.88 95925 26 short-latency somatosensory evoked potential study, stimulation of any/all 23.96 23.96 95925 TC short-latency somatosensory evoked potential study, stimulation of any/all 73.93 73.93 95925 short-latency somatosensory evoked potential study, stimulation of any/all 97.88 97.88 95933 26 orbisularis occuli reflex by electrodiagnostic tes 26.20 26.20 95933 TC orbisularis occuli reflex by electrodiagnostic tes 27.59 27.59 95933 orbisularis occuli reflex by electrodiagnostic tes 53.79 53.79 95937 26 neuromuscular junctn testing, ea nerve,any 1 meth. 29.60 29.60 95937 TC neuromuscular junctn testing, ea nerve,any 1 meth. 18.59 18.59 95937 neuromuscular junctn testing, ea nerve,any 1 meth. 48.18 48.18 95954 26 pharmacological or physical activation requiring physician attendance during 99.87 99.87 95954 TC pharmacological or physical activation requiring physician attendance during 108.76 108.76 95954 pharmacological or physical activation requiring physician attendance during 208.61 208.61 95955 26 electroencephalogram during surgery interpretation 43.49 43.49 95955 TC electroencephalogram during surgery interpretation 71.66 71.66 95955 electroencephalogram during surgery interpretation 115.15 115.15 95957 digital analysis of electroencephalogram (eeg) (eg, for epileptic spike 217.99 217.99 95958 26 wada activation test for hemispheric funct.inc.eeg 185.57 185.57 95958 TC wada activation test for hemispheric funct.inc.eeg 138.67 138.67 95958 wada activation test for hemispheric funct.inc.eeg 324.24 324.24 95961 26 functional cortical and subcortical mapping by stimulation and/or recording of 138.09 138.09 95961 TC functional cortical and subcortical mapping by stimulation and/or recording of 58.38 58.38 95961 functional cortical and subcortical mapping by stimulation and/or recording of 196.47 196.47 95962 26 functional cortical mapping by stimulation of electrodes on brain surface, or 143.52 143.52 95962 TC functional cortical mapping by stimulation of electrodes on brain surface, or 39.01 39.01 95962 functional cortical mapping by stimulation of electrodes on brain surface, or 182.54 182.54 95970 electronic analysis of implanted neurostimulator pulse generator system (eg, 19.29 42.00 95971 electronic analysis of implanted neurostimulator pulse generator system (eg, 34.87 48.79 95972 electronic analysis of implanted neurostimulator pulse generator system (eg, 66.24 87.14 95990 refilling and maintenance of implantable pump or reservoir for drug delivery, 48.49 48.49 95991 refilling and maintenance of implantable pump or reservoir for drug delivery, 31.90 74.00 96040 and genetic counseling services, each 30 minutes face-to-face 33.65 33.65 96110 developmental screening 9.19 9.19 96127 EP brief emotional/behavioral assessment 4.71 4.71 96156 HLTH BHV ASSMT/REASSESSMENT 87.49 87.49 96158 HLTH BHV IVNTJ INDIV 1ST 30 54.33 59.79 96158 EP HLTH BHV IVNTJ INDIV 1ST 31 50.55 55.62 96159 HLTH BHV IVNTJ INDIV EA ADDL 18.73 20.85 96159 EP HLTH BHV IVNTJ INDIV EA ADDL 17.42 19.39 96160 pt-focused hlth risk assmt 3.93 3.93 96160 EP pt-focused hlth risk assmt 3.93 3.93 96161 caregiver health risk assmt 3.93 3.93 96161 EP caregiver health risk assmt 3.93 3.93 96156 HLTH BHV ASSMT/REASSESSMENT 79.60 87.486 96158 HLTH BHV IVNTJ INDIV 1ST 30 54.33 59.79 96158 EP HLTH BHV IVNTJ INDIV 1ST 31 50.44 55.62 96159 HLTH BHV IVNTJ INDIV EA ADDL 18.73 20.85 96159 EP HLTH BHV IVNTJ INDIV EA ADDL 17.42 19.4 96160 pt-focused hlth risk assmt 3.93 3.93 96161 caregiver health risk assmt 9.93 3.93 96372 injection beneath the skin or into muscle for therapy, diagnosis, or prevention 17.89 17.89 96405 chemotherapy administration; intralesional, up to and including 7 lesions 71.85 71.85 96406 chemotherapy administration; intralesional, more than 7 lesions 99.50 99.50 96420 chemotherapy admin, intra-arterial push 90.20 90.20 96422 chemotherapy admin, intra-arterial infusion up to 1 hour 145.61 145.61 96423 chemotherapy administration, intra-arterial; infusion technique, each 65.34 65.34 96425 chemotherapy admin, intra-arterial infusion, over 8 hours (pump) 143.49 143.49 96440 chemotherapy admin, into pleural cavity including thoracentesis 506.29 506.29 96450 chemotherapy administration, into cns (eg, intrathecal), requiring and 177.64 177.64 96542 chemotherapy injection, subarachnoid or intraventricular via subq. reservoir 113.83 113.83 96570 photodynamic therapy by endoscopic application of light to ablate abnormal 50.41 50.41 96571 photodynamic therapy by endoscopic application of light to ablate abnormal 24.38 24.38 96900 ultraviolet light therapy 16.17 16.17 96910 photochemotheraph tar/ultrauiolet b goeckerman tre 52.31 52.31 96912 photochemotherapy psoralens/ultrauiolet a puva 67.05 67.05 96920 laser treatment for inflammatory skin disease (psoriasis) total area less than 137.10 137.10 96921 laser treatment for inflammatory skin disease (psoriasis); 250 sq cm to 500 sq 134.32 134.32 96922 laser treatment for inflammatory skin disease (psoriasis); over 500 sq cm 199.79 199.79 97010 application of a modality to 1 or more areas; hot or cold packs 3.98 3.98 97012 traction; mechanical 12.63 12.63 97014 electrical stimulation (unattended) 11.55 11.55 97016 vasopneumatic devices 13.06 13.06 97018 paraffin bath 6.72 6.72 97022 whirlpool 14.86 14.86 97024 application of a modality to one or more areas; diathermy (eg, microwave) 4.60 4.60 97026 infared 4.29 4.29 97028 ultraviolet 5.25 5.25 97032 application of modality to 1 or more areas 14.14 14.14 97034 contrast bath 12.83 12.83 97035 ultrasound 10.11 10.11 97036 hubbard tank 21.80 21.80 97110 therapeutic procedure 1 or more area 24.54 24.54 97112 neuromuscular re-education of movement 25.23 25.23 97113 therapeutic procedure, one or more areas, each 15 minutes; 29.76 29.76 97116 therapeutic procedure 1 or more areas 21.48 21.48 97124 massage including effleurage 19.54 19.54 97140 manual therapy techniques; each 15 mins 22.76 22.76 97161 pt eval low complex 20 min 70.83 70.83 97162 pt eval mod complex 30 min 70.83 70.83 97163 pt eval high complex 45 min 70.83 70.83 97164 pt re-eval est plan care 48.00 48.00 97165 ot eval low complex 30 min 68.71 68.71 97166 ot eval mod complex 45 min 68.71 68.71 97167 ot eval high complex 60 min 68.71 68.71 97168 ot re-eval est plan care 45.34 45.34 97530 therapeutic activities direct 1 on 1 by provider; each 15 mins 25.82 25.82 97597 removal of devitalized tissue from wound(s), selective debridement, without 50.01 50.01 97598 removal of devitalized tissue from wound(s), selective debridement, without 62.06 62.06 97750 physical performance test or measurement 25.14 25.14 97802 medical nutrition therapy; initial assessment and intervention, individual 25.74 25.74 97803 medical nutrition therapy; re-assessment and intervention, individual, 22.51 22.51 98966 TELEPHONE ASSESSMENT AND MANAGEMENT SERVICE, 5-10 MINUTES OF 11.58 12.48 98967 TELEPHONE ASSESSMENT AND MANAGEMENT SERVICE, 11-20 MINUTES O 23.11 24.32 98968 TELEPHONE ASSESSMENT AND MANAGEMENT SERVICE, 21-30 MINUTES O 33.68 35.65 99050 medical services after hours 28.67 28.67 99051 service(s) provided in the office during regularly scheduled evening, weekend 28.67 28.67 99053 service(s) provided between 10:00 pm and 8:00 am at 24-hour facility, in 28.67 28.67 99058 office visit/emergency 19.11 19.11 99070 special supplies 10.20 10.20 99082 unusual travel 0.89 0.89 99100 anesthesia for patient of extreme age, under one year and over seventy (list 18.80 18.80 99116 anesthesia complicated by utilization of total body hypothermia (list 18.80 18.80 99135 anesthesia complicated by utilization of controlled hypotension (list 18.39 18.39 99140 anesthesia complicated by emergency conditions (specify) (list separately in 18.80 18.80 99151 mod sed same phys/qhp <5 yrs 66.57 66.57 99152 mod sed same phys/qhp 5/> yrs 44.17 44.17 99153 mod sed same phys/qhp ea 9.29 9.29 99155 mod sed oth phys/qhp <5 yrs 82.50 82.50 99156 mod sed oth phys/qhp 5/> yrs 67.59 67.59 99157 mod see other phys qhp ea 51.26 51.26 99170 anogenital examination with colposcopic magnification in childhood for 122.85 122.85 99175 induced vomiting 20.85 20.85 99183 physician attendance and supervision of hyperbaric oxygen therapy, 163.21 163.21 99190 monitoring services 97.15 97.15 99191 monitoring services 62.38 62.38 99192 monitoring services 45.17 45.17 99195 therapeutic phlebotomy 58.86 58.86 99215 office/outpatient visit est 92.55 116.11 99217 observation care discharge day management 64.39 64.39 99218 initial observation, per day, low complexity 60.73 60.73 99219 initial observation care, per day, moderate complexity 100.57 100.57 99220 initial observation care, per day, high complexity 141.05 141.05 99221 initial hosp. care, minor. phys time approx 30 min 87.20 87.20 99222 initial hosp care,moderate-phys time approx 50 min 119.01 119.01 99223 initial hosp care, severe-phys time approx 70 min 175.23 175.23 99231 hosp visit, stable. phys time approx 15 minutes 36.02 36.02 99232 hosp visit, moderate. phys time approx 25 minutes 64.90 64.90 99233 hosp visit, complex. phys time approx 35 minutes 92.96 92.96 99238 hospital discharge day management; 30 minutes or less 64.17 64.17 99239 hospital discharge day management; more than 30 minutes 93.25 93.25 99241 office consultation new or established patient 41.98 41.98 99242 office consultation new or established patient 78.65 78.65 99243 office consultation new or established patient 108.15 108.15 99244 office consultation new or established patient 160.64 160.64 99245 office consultation new or established patient 197.43 197.43 99251 initial inpt consult- phys time approx 20 min. 42.86 42.86 99252 initial inpt consult- phys time approx 40 min. 66.41 66.41 99253 initial inpt consult- phys time approx 55 min. 100.82 100.82 99254 initial inpt consult- phys time approx 80 min. 145.83 145.83 99255 initial inpt consult- phys time approx 110 min. 177.69 177.69 99281 er visit, minor 17.88 17.88 99282 er visit, low severity 34.79 34.79 99283 er visit, moderate severity 53.92 53.92 99284 er visit, high severity 100.95 100.95 99288 physician direction of ems advanced life support 46.86 46.86 99354 prolonged physician service in the office or other outpatient setting requiring 88.80 88.80 99355 prolonged physician service in the office or other outpatient setting requiring 87.91 87.91 99356 prolonged physician service in the inpatient setting, requiring direct 81.09 81.09 99357 prolonged physician service in the inpatient setting, requiring direct 81.65 81.65 99360 physician standby service, requiring prolonged physician attendance, each 30 52.44 52.44 99375 physician supervision of patients under care of home health 100.78 100.78 99378 physician supervision of a hospice patient (patient not present) requiring 104.11 104.11 99381 EP init pm E/M new pat infant younger than 1 year 84.35 84.35 99381 init pm E/M new pat infant younger than 1 year 86.22 86.22 99382 EP init pm E/M new pat infant age 1 through 4 years 84.35 84.35 99382 init pm E/M new pat infant age 1 through 4 years 94.00 94.00 99383 EP prev visit new age 5 through 11 years 84.35 84.35 99383 prev visit new age 5 through 11 years 93.33 93.33 99384 EP pre visit new age 12 through 17 years 84.35 84.35 99384 pre visit new age 12 through 17 years 101.67 101.67 99385 EP init new patient preventive medicine evaluation age 18-39 yrs 84.35 84.35 99385 init new patient preventive medicine evaluation age 18-39 yrs 101.67 101.67 99386 PREV VISIT NEW AGE 40-64 90.87 119.15 99391 EP periodic prevention medicine under on year 84.35 84.35 99391 periodic prevention medicine under on year 71.88 71.88 99392 EP periodic prevention medicine age 001-004 84.35 84.35 99392 periodic prevention medicine age 001-004 80.23 80.23 99393 EP periodic prevention medicine age 005-011 84.35 84.35 99393 periodic prevention medicine age 005-011 79.89 79.89 99394 EP periodic prevention medicine age 012-17 84.35 84.35 99394 periodic prevention medicine age 012-17 88.00 88.00 99395 EP estab. Pt physical exam: 18 to 39 years 84.35 84.35 99395 estab. Pt physical exam: 18 to 39 years 88.34 88.34 99396 PREV VISIT EST AGE 40-64 74.05 96.68 99397 PER PM REEVAL EST PAT 65+ YR 80.37 105.22 99401 PREVENTIVE MEDICINE COUNSELING, APPROXIMATELY 15 MINUTES $21.10 $32.94 99421 ONLINE DIGITAL EVALUATION AND MANAGEMENT SERVICE, FOR AN ESTA 16.91 26.80 99422 ONLINE DIGITAL EVALUATION AND MANAGEMENT SERVICE, FOR AN ESTA 33.10 44.75 99423 ONLINE DIGITAL EVALUATION AND MANAGEMENT SERVICE, FOR AN ESTA 51.20 67.43 99441 PHYSICIAN TELEPHONE PATIENT SERVICE, 5-10 MINUTES OF MEDICAL DIS 16.91 26.80 99442 PHYSICIAN TELEPHONE PATIENT SERVICE, 11-20 MINUTES OF MEDICAL DI 33.10 44.75 99443 PHYSICIAN TELEPHONE PATIENT SERVICE, 21-30 MINUTES OF MEDICAL DI 51.20 67.43 99453 REMOTE MONITORING OF PHYSIOLOGIC PARAMETERS, INITIAL SET-UP AN 14.96 14.96 99454 REMOTE MONITORING OF PHYSIOLOGIC PARAMETERS, INITIAL SUPPLY OF 49.88 49.88 99457 REMOTE PHYSIOLOGIC MONITORING TREATMENT MANAGEMENT SERVICE 27.12 42.12 99458 REMOTE PHYSIOLOGIC MONITORING TREATMENT MANAGEMENT SERVICE 27.12 34.62 99460 initial hospital or birthing center care, per day, for evaluation and 51.95 51.95 99463 initial hospital or birthing center care, per day, for evaluation and 69.50 69.50 99464 attendance at delivery (when requested by the delivering physician) and initial 59.50 59.50 99468 initial inpatient neonatal critical care, per day, for the evaluation and 728.86 728.86 99469 subsequent inpatient neonatal critical care, per day, for the evaluation and 319.19 319.19 99473 Self Measuring Blood Pressure Monitoring 9.33 9.33 99474 Self Measuring Blood Pressure Reading 7.86 13.02 D0145 ORAL EVALUATION FOR A PATIENT UNDER THREE YEARS OF AGE AND CO 39.91 39.91 D1206 TOPICAL APPLICATION OF FLUORIDE VARNISH 17.62 17.62 A4263 permanent,long-term,nondissolvable lacrimal duct implant,each 9.79 9.79 G0071 COMMUNICATION TECHNOLOGY-BASED SERVICES FOR 5 MINUTES 16.91 26.80 G0127 trimming of dystrophic nails, any number 15.31 15.31 G0279 diagnostic digital breast tomosynthesis, unilateral or bilateral 45.56 45.56 G0279 26 diagnostic digital breast tomosynthesis, unilateral or bilateral 25.09 25.09 G0279 TC diagnostic digital breast tomosynthesis, unilateral or bilateral 20.47 20.47 drug test(s), presumptive,any number of drug classes;any number of devices or procedures,(e.g.,immunoassay) capable of being read by direct optical observation only (e.g.,dipsticks,cups,cards,cartridges),includes sample validation G0477 when performed,per date of service 13.52 13.52 drug test(s), presumptive,any number of drug classes;any number of devices or procedures, (e.g.,immunoassay) read by instrument-assisted direct optical observation (e.g.,dipstick,cups,cards,cartridges),includes validation when G0478 performed,per date of service 18.03 18.03 drug test(s),presumptive,any number of drug classes;any number of devices or procedures by instrumented chemistry analyzers utilizing immunoassay,enzyme assay,tof,maldi,ldtd,desi,dart,ghpc,gc masws spectrometry),includes sample G0479 validation when performed,per date of service 72.12 72.12

drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) G0480 and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, e 72.75 72.75

drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limited to gc/ms (any type, single or tandem) and G0481 lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, ei 111.92 111.92

drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limited to gc/ms (any type, single or tandem) and G0482 lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, ei 151.09 151.09

drug test(s), definitive, utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including but not limited to gc/ms (any type, single or tandem) and G0483 lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, ei 195.86 195.86 SCREENING PERFORMED AND POSITIVE AND PROVISION OF G9919 RECOMMENDATIONS (SCRN ND POS ND PROV OF REC) 30.01 31.30 S9442 birthing class (one unit = 2 hours) 8.69 8.69 T1017 targeted case management (one unit = 15 minutes) 17.67 17.67 U0003 INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); SEVERE $100.00 $100.00 U0004 2019-NCOV CORONAVIRUS, SARS-COV-2/2019-NCOV (COVID-19), ANY TECH $100.00 $100.00

Providers should always bill their usual and customary charges. Please use the monthly NC Medicaid Bulletins for additions changes and deletion to this schedule.

EFFECTIVE DATE 3/15/2021 3/15/2021 3/15/2021 3/15/2021 3/15/2021 3/1/2020 8/10/2020 8/10/2020 10/6/2020 10/6/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 3/1/2020 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