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N.C. Department of Health and Human Services

N.C. Department of Health and Human Services

N.C. DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF HEALTH BENEFITS PHYSICIAN SERVICES FEE SCHEDULE PROVIDER SPECIALTY 010 TAXONOMY: 261QF0400X FEDERALLY QUALIFIED HEALTH CENTER

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

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

Updated 6/30/2021

CODE MOD DESCRIPTION FACILITY NON-FACILITY EFFECTIVE DATE 0001A IMMUNIZATION ADMINISTRATION BY INTRAMUSCULAR INJECTION 40.00 40.00 3/15/2021 0002A IMMUNIZATION ADMINISTRATION BY INTRAMUSCULAR INJECTION 40.00 40.00 3/15/2021 0011A IMMUNIZATION ADMINISTRATION BY INTRAMUSCULAR INJECTION 40.00 40.00 3/15/2021 0012A IMMUNIZATION ADMINISTRATION BY INTRAMUSCULAR INJECTION 40.00 40.00 3/15/2021 0031A IMMUNIZATION ADMINISTRATION BY INTRAMUSCULAR INJECTION 40.00 40.00 3/15/2021 01996 DAILY HOSPITAL MANAGEMENT OF CONTINUOUS SPINAL DRUG AD 42.14 42.14 3/1/2020 0225U INFECTIOUS DISEASE (BACTERIAL OR VIRAL RESPIRATORY TRACT 298.60 298.60 8/10/2020 0226U SURROGATE VIRAL NEUTRALIZATION TEST (SVNT), SEVERE ACUT 42.28 42.28 8/10/2020 0240U INFECTIOUS DISEASE (VIRAL RESPIRATORY TRACT ), PA 142.63 142.63 10/6/2020 0241U INFECTIOUS DISEASE (VIRAL RESPIRATORY TRACT INFECTION), PA 142.63 142.63 10/6/2020 10021 fine needle aspiration; without imaging guidance 56.68 108.77 3/1/2020 10040 acne (eg, marsupialization, opening or removal of 68.76 78.15 3/1/2020 10060 drainage of abscess 72.94 84.15 3/1/2020 10061 drainage of abscess 130.05 144.89 3/1/2020 10080 incision and drainage of pilonidal cyst; 74.55 124.22 3/1/2020 10081 incision and drainage of pilonidal cyst; 130.66 196.08 3/1/2020 10120 incision and removal of foreign body, subcutaneous tissues; 71.53 102.72 3/1/2020 10121 incision and removal of foreign body, subcutaneous tissues; 146.44 200.35 3/1/2020 10140 drainage of blood effusion 93.45 118.28 3/1/2020 10160 puncture aspiration of abscess, , bulla, or cyst 75.25 96.14 3/1/2020 10180 incision and drainage, complex, postoperative wound infection 137.91 177.58 3/1/2020 11000 surgical cleansing of skin 26.54 41.69 3/1/2020 11001 debridement of extensive eczematous or infected skin; each additional 10 13.38 13.38 3/1/2020 11004 debridement of skin, subcutaneous tissue, muscle and for necrotizin 475.29 475.29 3/1/2020 11005 debridement of skin, subcutaneous tissue, muscle and fascia for necrotizin 620.28 620.28 3/1/2020 11006 debridement of skin, subcutaneous tissue, muscle and fascia for necrotizin 586.88 586.88 3/1/2020 11008 removal of prosthetic material or mesh, abdominal wall for necrotizing soft 223.60 223.60 3/1/2020 11042 debridement; 37.98 57.66 3/1/2020 11043 debridement; 184.60 210.35 3/1/2020 11044 debridement; 254.01 287.33 3/1/2020 11055 paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single 19.06 37.22 3/1/2020 11056 paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); two to 26.88 45.65 3/1/2020 11057 paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more 34.90 54.87 3/1/2020 11200 removal of skin tags 53.04 62.43 3/1/2020 11201 removal of skin tags, multiple fibrocutaneous tags, any area; each addition 13.53 14.75 3/1/2020 11300 shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; 23.98 51.54 3/1/2020 11301 shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; 40.77 71.05 3/1/2020 11302 shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; 50.56 85.08 3/1/2020 11303 shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; 59.30 99.89 3/1/2020 11305 shaving of epidermal or dermal lesion, single lesion, , 30.36 53.36 3/1/2020 11306 shaving of lesion scalp/neck/hand/etc .6- 1.0 cm 45.98 73.84 3/1/2020 11307 shaving of epidermal or dermal lesion, single lesion, scalp, 54.21 87.22 3/1/2020 11308 shaving of epidermal or dermal lesion, single lesion, scalp, 65.22 98.23 3/1/2020 11310 shaving of epidermal or dermal lesion, single lesion, face, 34.72 64.40 3/1/2020 11311 shaving of epidermal or dermal lesion, single lesion, face, 50.86 82.05 3/1/2020 11312 shaving of epidermal or dermal lesion, single lesion, face, 58.40 94.74 3/1/2020 11313 shaving of epidermal or dermal lesion, single lesion, face, 78.13 118.71 3/1/2020 11400 excision, benign lesion including margins, except skin tag (unless listed 57.90 87.57 3/1/2020 11401 removal of skin lesion 77.22 108.11 3/1/2020 11402 removal of skin lesion 85.52 120.66 3/1/2020 11403 removal skin lesion 108.81 139.10 3/1/2020 11404 amb surg exc ben lesions trunk arm legs 3.0 to 4.0 121.21 158.46 3/1/2020 11406 amb surg exc ben lesion trunk arm leg over 4.0 cm 181.72 224.42 3/1/2020 11420 excision, benign lesion including margins, except skin tag (unless listed 62.77 88.81 3/1/2020 11421 removal of skin lesion 84.97 115.56 3/1/2020 11422 removal of skin lesion 102.46 129.11 3/1/2020 11423 amb surg exc ben lesion scalp neck hand 2.0 to 3.0 119.67 150.56 3/1/2020 11424 amb surg exc ben lesion scalp neck hand 3.0 to 4.0 138.09 173.83 3/1/2020 11426 amb surg exc ben lesion scalp neck hand over 4.0 211.34 250.11 3/1/2020 11440 excision, other benign lesion including margins (unless listed elsewhere), 75.02 97.14 3/1/2020 11441 removal of skin lesion 98.74 123.57 3/1/2020 11442 excision, other benign lesion including margins (unless listed elsewhere), 110.25 139.32 3/1/2020 11443 amb surg exc ben lesion face ears nose 2.0 to 3.0 136.52 167.71 3/1/2020 11444 amb surg exc ben lesion face ears nose 3.0 to 4.0 175.39 212.04 3/1/2020 11446 excision, other benign lesion (unless listed elsewhere), face, 248.62 289.51 3/1/2020 11450 exc skin for hidradenitis primary suture/axillary. 180.72 263.99 3/1/2020 11451 exc skin for hidradenitis w other closure/axillary 239.12 345.71 3/1/2020 11462 exc skin for hidradenitis w prim suture/inguinal 173.71 260.32 3/1/2020 11463 exc skin for hidradenitis w oth closure/inguinal 243.86 355.31 3/1/2020 11470 exc skin for hidradenitis w primary closure 205.96 290.14 3/1/2020 11471 exc skin for hidradenitis with other closure 259.46 365.15 3/1/2020 11600 removal of skin lesion 87.42 135.26 3/1/2020 11601 removal of skin lesion 113.14 167.35 3/1/2020 11602 removal of skin lesion 124.53 183.89 3/1/2020 11603 excision malignant lesion truck arms or legs diame 148.22 209.39 3/1/2020 11604 amb surg excision malignant lesion 3.0 to 4.0 cm 162.92 231.37 3/1/2020 11606 amb surg excision malignant lesion over 4.0 cm 241.95 326.74 3/1/2020 11620 removal of skin lesion 88.75 138.11 3/1/2020 11621 removal of skin lesion 114.38 168.88 3/1/2020 11622 removal of skin lesion 131.95 191.31 3/1/2020 11623 excision malignant lesion diameter 2 to 3 cm. 162.78 223.95 3/1/2020 11624 amb surg exc malignant lesion 3.0 to 4.0 scalp etc 185.17 252.09 3/1/2020 11626 amb surg exc malignant lesion 4.0 scalp neck 231.91 307.31 3/1/2020 11640 removal of skin lesion 93.48 144.35 3/1/2020 11641 removal of skin lesion 122.08 177.81 3/1/2020 11642 removal of skin lesion 144.11 205.28 3/1/2020 11643 amb surg exc malignant lesion face ears 2.0 to 3.0 180.22 242.00 3/1/2020 11644 amb surg exc malignant lesion face ears 3.0 to 4.0 224.74 298.94 3/1/2020 11646 amb surg exc malignant lesion face ears over 4.0 316.51 394.95 3/1/2020 11720 debridement of nail(s) by any method(s); one to five 14.03 24.02 3/1/2020 11721 debridement of nail(s) by any method(s); six or more 23.97 34.58 3/1/2020 11730 removal of nail 48.60 76.17 3/1/2020 11732 avulsion of nail plate, partial or complete, simple; each additional nail plat 25.26 35.55 3/1/2020 11740 evacuation of subungual hematoma 25.05 34.45 3/1/2020 11750 removal of nail bed 138.25 164.90 3/1/2020 11755 biopsy of nail unit (eg, plate, bed, matrix, hyponychium, proximal and later 68.81 102.42 3/1/2020 11760 reconstruction of nail bed 102.77 153.04 3/1/2020 11762 reconstruction of nail bed 158.77 206.91 3/1/2020 11765 wedge excision of skin of nail fold (eg, for ingrown toenail) 52.76 96.99 3/1/2020 11770 amb surg exc pilonidal cyst/sinus simple 139.28 197.42 3/1/2020 11771 amb surg exc pilonidal cyst/sinus extensive 322.58 406.16 3/1/2020 11772 amb surg exc pilonidal cyst/sinus complicated 420.22 492.89 3/1/2020 11900 injection into skin lesions 25.01 43.18 3/1/2020 11901 injection, intralesional; 38.92 54.98 3/1/2020 11960 insertion of tissue expender. 710.46 710.46 3/1/2020 11970 replacement of tissue expander with permanent prosthesis 467.48 467.48 3/1/2020 11971 removal of tissue expander(s) without insertion of prosthesis 230.44 344.61 3/1/2020 11976 removal, implantable contraceptive capsule 79.29 116.83 3/1/2020 11980 subcutaneous hormone pellet (implantation of estradiol and/or testosteron 66.60 83.25 3/1/2020 11981 insert drug implant device 67.91 103.75 3/1/2020 11982 remove drug implant device 82.86 119.58 3/1/2020 11983 remove/insert drug implant 151.73 186.10 3/1/2020 12001 repair of recent wound 81.84 113.02 3/1/2020 12002 amb surg simple repair superficial wound 2.5-7.5 90.81 120.50 3/1/2020 12004 simple rep superf wds sca neck axil ext gen tru/ex 106.82 142.24 3/1/2020 12005 amb surg simple repair superficial wound 12.5-20.0 133.20 177.42 3/1/2020 12006 amb surg simple repair superficial wound 20.0-30.0 168.33 220.41 3/1/2020 12007 amb surg simple repair superficial wound over 30.0 192.40 249.64 3/1/2020 12011 amb surg simple repair superficial wound 2.5 cm 84.61 120.04 3/1/2020 12013 amb surg simple repair superficial wound 2.5-5.0 96.50 132.53 3/1/2020 12014 amb surg simple repair superficial wound 5.0-7.5 116.25 156.53 3/1/2020 12015 amb surg simple repair superficial wound 7.5-12.5 145.93 196.81 3/1/2020 12016 amb surg simple repair superficial wound 12.5-20.0 178.16 235.40 3/1/2020 12017 amb surg simple repair superficial wound 20.0-30.0 212.13 212.13 3/1/2020 12018 amb surg simple repair superficial wound over 30.0 262.19 262.19 3/1/2020 12020 treatment of superficial . 147.17 204.10 3/1/2020 12021 treatment of superficial wound with packing. 106.75 121.60 3/1/2020 12031 amb surg closure wound up to 2.5 exclud hand/feet 123.32 180.25 3/1/2020 12032 amb surg closure wound 2.5-7.5 exclud hand & feet 151.46 231.71 3/1/2020 12034 amb surg repair simple lacerations 7.5 to 12.5 158.68 229.24 3/1/2020 12035 amb surg closure wound 12.5 to 20.0 186.13 279.39 3/1/2020 12036 amb surg closure wound 20.0 to 30.0 214.89 306.96 3/1/2020 12037 amb surg closure wound over 30 cm scalp axillae 250.19 346.49 3/1/2020 12041 amb surg closure wound up to 2.5 cm neck/hand/feet 132.15 189.09 3/1/2020 12042 amb surg closure wound 2.5-7.5 neck/hand/feet 154.46 220.47 3/1/2020 12044 amb surg closure wound 7.5 t o 12,5 cm neck/hand 166.60 254.43 3/1/2020 12045 amb surg closure wound 12.5-20.0 neck/feet/gentali 193.42 282.15 3/1/2020 12046 amb surg closure wound 20.0-30.0 neck/feet/gentali 227.89 334.19 3/1/2020 12047 amb surg closure wound 30.0 cm neck/hand/feet/geni 249.40 358.71 3/1/2020 12051 amb surg closure wound up to 2.5 face/eyelid/nose 141.39 203.16 3/1/2020 12052 amb surg closure wound 2.5-5.0 face/ears/eyelids 165.78 230.29 3/1/2020 12053 amb surg closure wound 5.0-7.5 face/ears/eyelids 168.75 253.24 3/1/2020 12054 layer closure of wounds of face, ears, eyelids, nose, lips 179.49 268.22 3/1/2020 12055 amb surg closure wound 12.5-20.0 face/ears/eyelids 219.20 323.67 3/1/2020 12056 amb surg closure wound 20.0 to 30.0 face/ears/eye 267.40 382.18 3/1/2020 12057 amb surg closure wound over 30 cm face/ears/eyelid 306.10 427.23 3/1/2020 13100 amb surg repair complex trunk 1.0 to 2.5 cm 184.51 241.45 3/1/2020 13101 amb surg repair complex 2.5-7.5 cm trunk 224.30 304.86 3/1/2020 13102 complex repair trunk each additional 60.25 82.97 3/1/2020 13120 amb surg repair complex 1.0-2.5 sclap/arms/legs 192.83 250.97 3/1/2020 13121 amb surg repair complex 2.5-7.5 scalp/arm/leg 254.22 337.50 3/1/2020 13122 each additional -complex repair to scalp,arms and / or legs 69.04 92.96 3/1/2020 13131 repair of wound or lesion 217.62 277.28 3/1/2020 13132 repair complex 2.5 to 7.5 cm. 366.87 444.70 3/1/2020 13133 each additional-complex repair to forehead,cheeks,chin,mouth,neck,axilla 107.24 131.76 3/1/2020 13151 repair of wound or lesion 252.08 315.06 3/1/2020 13152 repair complex,eye,nose,ear and lips 2.5 to 75.cm. 339.73 434.51 3/1/2020 13153 each additional -complex repair to eyelids,nose,ears and /or lips 116.20 144.68 3/1/2020 13160 secondary closure of surgical wound dehiscence. 637.33 637.33 3/1/2020 14000 amb surg adjacent tissue transfer trunk up to 10 388.73 470.18 3/1/2020 14001 amb surg adjacent tissue transfer 10-30 sq cm 516.56 612.26 3/1/2020 14020 amb surg adjacent tissue transfer up to 10 sq cm 444.79 529.59 3/1/2020 14021 amb surg adjacent tissue transfer 10-30 sq cm 575.59 672.20 3/1/2020 14040 amb surg adjacent tissue transf 10 sq cm cheek etc 506.61 589.60 3/1/2020 14041 amb surg adjacent tissue transf defect 10-30 sq cm 626.02 733.83 3/1/2020 14060 amb surg adjacent tissue transf up to 10 sq cm 535.14 600.56 3/1/2020 14061 amb surg adjacent tissue trans 10-30 sq cm eyelids 667.53 785.95 3/1/2020 14350 amb surg fulleted finger/toe flap inc prep recipie 591.91 591.91 3/1/2020 15002 surgical preparation or creation of recipient site by excision of open wound 182.06 256.24 3/1/2020 15003 surgical preparation or creation of recipient site by excision of open wound 36.95 55.72 3/1/2020 15004 surgical preparation or creation of recipient site by excision of open wound 227.62 311.20 3/1/2020 15005 surgical preparation or creation of recipient site by excision of open wound 73.30 94.20 3/1/2020 15050 amb surg pinch graft single or mult cover sm ulcer 340.57 411.74 3/1/2020 15100 split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or one 559.55 663.72 3/1/2020 15101 split graft, trunk, arms, legs; each additional 100 sq cm, or each additiona 90.07 145.18 3/1/2020 15120 split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, 613.96 721.77 3/1/2020 15121 split graft, face, scalp, eyelids, mouth, neck, ears, orbits, gen 137.89 205.41 3/1/2020 15200 amb surg full thickness graft up to 20 sq cm trunk 512.36 616.23 3/1/2020 15201 full thickness graft, free, including direct closure of donor site, trunk; each 64.42 113.18 3/1/2020 15220 amb surg full thickness graft up to 20 sq cm 483.64 585.39 3/1/2020 15221 skin graft procedure 58.94 105.26 3/1/2020 15240 amb surg full thickness graft up to 20 cm 617.88 703.89 3/1/2020 15241 skin graft procedure 92.01 141.37 3/1/2020 15260 amb surg full thickness graft 20 cm nose/eyelid 670.36 763.94 3/1/2020 15261 skin graft procedure 115.52 164.88 3/1/2020 15570 pedicle flap graft; trunk 559.91 677.71 3/1/2020 15572 pedicle flap graft; scalp, arms, or legs 566.56 658.00 3/1/2020 15574 pedicle flap-face,neck,axilla,genitalia,hands,feet 598.56 694.26 3/1/2020 15576 pedicle flap; eyelids, nose, ears, lips, intraoral 525.58 616.74 3/1/2020 15600 amb surg skin graft procedure at trunk 154.84 245.99 3/1/2020 15610 amb surg skin graft proceduce scalp/arms or legs 183.50 248.30 3/1/2020 15620 amb surg skin graft procedure except 15625 243.88 330.19 3/1/2020 15630 amb surg skin graft procedure eyelids/nose/ear/lip 266.60 349.26 3/1/2020 15650 amb surg transfer pedicle flap any location interm 300.84 390.17 3/1/2020 15731 forehead flap with preservation of vascular pedicle (eg, axial pattern flap, 796.82 876.15 3/1/2020 15734 muscle flap, trunk 1065.26 1193.05 3/1/2020 15736 muscle flap, upper extremity 919.95 1056.22 3/1/2020 15738 muscle flap, lower extremity 1003.20 1128.88 3/1/2020 15740 skin graft procedure 675.31 781.31 3/1/2020 15750 skin graft procedure 716.67 716.67 3/1/2020 15760 amb surg graft island pedicle flap inc prim closur 553.81 648.89 3/1/2020 15769 GRAFTING OF PATIENT , HARVESTED BY DIRECT EXCISION 426.48 426.48 3/1/2020 15770 skin graft procedure 1046.40 512.62 3/1/2020 15780 abrasion treatment of skin 1403.25 636.81 3/1/2020 15781 abrasion skin removal tattoos less total face 1552.68 407.34 3/1/2020 15782 abrasion skin removal tattoos regional not face 210.88 429.31 3/1/2020 15783 superficial dermabrasion 219.00 370.46 3/1/2020 15786 abrasion single lesion eg keratosis 250.38 181.45 3/1/2020 15787 abrasion; each additional four lesions or less (list separately in addition to 202.81 37.08 3/1/2020 15788 chemical peel, facial; 3026.78 319.63 3/1/2020 15789 chemical peel, facial; 2172.89 431.70 3/1/2020 15792 chemical peel, nonfacial; 2909.19 314.03 3/1/2020 15793 chemical peel, nonfacial; 397.76 358.55 3/1/2020 15819 cervicoplasty 1108.24 577.56 3/1/2020 15820 amb surg blepharoplasty lower eyelids 365.61 409.67 3/1/2020 15821 amb surg blepharoplasty with exten herniate pads 370.95 436.03 3/1/2020 15822 blepharoplasty, upper eyelid 393.20 320.38 3/1/2020 15823 blepharoplasty, upper eyelid; w/excessive skin weighting lid 324.93 508.18 3/1/2020 15830 excision, excessive skin and subcutaneous tissue (includes lipectomy); ab 226.25 920.86 3/1/2020 15832 removal of skin furrows 280.00 699.05 3/1/2020 15833 removal of skin furrows 185.44 658.96 3/1/2020 15834 removal of skin furrows 656.66 656.66 3/1/2020 15835 removal of skin furrows 694.50 694.50 3/1/2020 15836 removal of skin furrows 578.49 578.49 3/1/2020 15837 removal of skin furrows 523.55 595.93 3/1/2020 15838 excision excess skin submental fat pad 450.98 450.98 3/1/2020 15839 excision excessive skin and subq tissue other area 567.29 659.05 3/1/2020 15840 amb surg graft facial nerve paralysis 796.19 796.19 3/1/2020 15841 facial nerve paralysis free muscle graft 1334.00 1334.00 3/1/2020 15842 graft for facial nerve paralysis; free muscle flap by microsurgical technique 2107.54 2107.54 3/1/2020 15845 skin and muscle repair, face 746.90 746.90 3/1/2020 15851 removal of sutures under (other than local), other surgeon 37.28 71.49 3/1/2020 15852 dressing change (for other than burns) under anesthesia (other than local) 38.81 38.81 3/1/2020 15860 intravenous injection of agent (eg, fluorescein) to test vascular flow in flap 91.26 91.26 3/1/2020 15920 amb surg coccygectomy primary suture 458.29 458.29 3/1/2020 15922 removal of tail bone 582.13 582.13 3/1/2020 15931 excision sacral decubitis ulcer primary suture 523.13 523.13 3/1/2020 15933 exc sacral decubitus ulcer with ostectomy/primary 642.99 642.99 3/1/2020 15934 excision sacral decubitus ulcer w skin flap closur 717.85 717.85 3/1/2020 15935 exc sacral pressure ulcer local skin flap. 853.46 853.46 3/1/2020 15936 exc sacral pressure ulcer other flap closure. 695.92 695.92 3/1/2020 15937 exc sacral pressure ulcer with ostectomy. 813.26 813.26 3/1/2020 15940 removal of pressure sore. 537.76 537.76 3/1/2020 15941 excision sacral decubitus ulcer with ostectomy 697.13 697.13 3/1/2020 15944 exc ischial pressure ulcer local skin flap closure 686.99 686.99 3/1/2020 15945 exc ischial pressure ulcer with ostectomy 763.08 763.08 3/1/2020 15946 exc ischial pressure ulcer w muscle flap/ostectomy 1278.03 1278.03 3/1/2020 15950 removal of pressure sore 444.68 444.68 3/1/2020 15951 excision trochanteric decuditus ulcer w ostectomy 634.33 634.33 3/1/2020 15952 removal of pressure sore 667.17 667.17 3/1/2020 15953 removal of pressure sore 742.82 742.82 3/1/2020 15956 exc trochanteric pressure ulcer myocutaneous flap 895.07 895.07 3/1/2020 15958 exc trochanteric ulcer myocutan flap w ostectomy 912.77 912.77 3/1/2020 16000 initial treatment, first degree burn, when no more than local 38.06 53.51 3/1/2020 16020 dressings and/or debridement of partial-thickness burns, initial or subsequ 44.81 62.37 3/1/2020 16025 dressings and/or debridement of partial-thickness burns, initial or subsequ 92.07 113.87 3/1/2020 16030 dressings and/or debridement of partial-thickness burns, initial or subsequ 104.57 136.06 3/1/2020 16035 escharotomy; initial incision 173.18 173.18 3/1/2020 16036 escharotomy; each additional incision (list separately in addition to code fo 69.01 69.01 3/1/2020 17000 destruction any method premalignant lesions one le 42.12 59.99 3/1/2020 17003 destruction by any method, including laser, with or without surgi 3.71 5.83 3/1/2020 17004 destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery 106.39 135.16 3/1/2020 17106 destruction of vascular proliferative lesions 219.63 265.66 3/1/2020 17107 destruction vascular proliferation lesion 10sq les 290.45 351.93 3/1/2020 17108 destruction vascular lesions over 50.0 sq cm 379.05 450.21 3/1/2020 17110 destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery 52.34 82.94 3/1/2020 17111 destruction by any method of flat warts, molluscum contagiosum 65.43 98.74 3/1/2020 17250 chemical cauterization of wound 28.82 56.37 3/1/2020 17260 destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurge 52.78 72.77 3/1/2020 17261 destruct.malig. lesion-trunk,arms,legs; 0.6-1.0 cm 71.19 108.13 3/1/2020 17262 destruct.malig. lesion-trunk,arms,legs; 1.1-2.0 cm 91.17 132.06 3/1/2020 17263 destruct.malig. lesion-trunk,arms,legs; 2.1-3.0 cm 100.99 145.81 3/1/2020 17264 destruct.malig. lesion-trunk,arms,legs; 3.1-4.0 cm 107.92 156.07 3/1/2020 17266 destruct.malig. lesion-trunk,arms,legs; over 4. cm 125.76 177.56 3/1/2020 17270 destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurge 77.01 112.44 3/1/2020 17271 destruction malignant lesion scalp,neck-0.6-1.0 cm 86.72 124.27 3/1/2020 17272 destruction malignant lesion scalp,neck 1.1-2.0 cm 100.63 142.42 3/1/2020 17273 destruction malignant lesion scalp,neck 2.1-3.0 cm 113.65 159.08 3/1/2020 17274 destruction malignant lesion scalp,neck-3.1-4.0 cm 139.61 188.67 3/1/2020 17276 destruction malignant lesion scalp,neck over 4. cm 168.09 218.97 3/1/2020 17280 destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurge 69.98 105.41 3/1/2020 17281 destruction malignant lesion face 0.6-1.0 cm 97.79 135.03 3/1/2020 17282 destruction malignant lesion face 1.1-2.0 cm 113.62 156.62 3/1/2020 17283 destruction, malignant lesion, any method, face, ears, eyelids, 142.36 189.61 3/1/2020 17284 destruction malignant lesion face 3.1-4.0 cm 169.92 220.79 3/1/2020 17286 destruction malignant lesion face over 4.0 cm 228.60 280.08 3/1/2020 17311 mohs micrographic technique, including removal of all gross tumor, surgic 306.68 530.47 3/1/2020 17312 mohs micrographic technique, including removal of all gross tumor, surgic 163.13 316.96 3/1/2020 17313 mohs micrographic technique, including removal of all gross tumor, surgic 275.33 483.97 3/1/2020 17314 mohs micrographic technique, including removal of all gross tumor, surgic 151.43 293.76 3/1/2020 17315 mohs micrographic technique, including removal of all gross tumor, surgic 43.04 63.63 3/1/2020 17340 cryotherapy (co2 slush, liquid n2) for acne 37.12 38.34 3/1/2020 17360 acne therapy 78.97 101.68 3/1/2020 19000 puncture aspiration of cyst of breast; 38.25 87.61 3/1/2020 19001 puncture aspiration of cyst of breast; each additional cyst (list separately i 19.12 22.46 3/1/2020 19020 incision of breast lesion 221.41 328.93 3/1/2020 19030 injection procedure only for mammary ductogram or galactogram 69.22 134.94 3/1/2020 19100 biopsy of breast; percutaneous, needle core, not using imaging guidance 56.11 107.59 3/1/2020 19101 biopsy of breast; open, incisional 168.58 245.81 3/1/2020 19110 nipple exploration w/wo excision. 250.25 342.01 3/1/2020 19112 excision of lactiferous duct fistula. 224.42 319.20 3/1/2020 19120 excision of cyst, fibroadenoma, or other benign or malignant tumor, aberra 307.80 356.85 3/1/2020 19125 excision of breast lesion identified by preoperative placement of radiologic 341.68 395.28 3/1/2020 19126 excision of breast lesion identified by preoperative placement of radiologic 129.56 129.56 3/1/2020 19296 placement of radiotherapy afterloading balloon catheter into the breast for 166.29 2987.78 3/1/2020 19297 placement of radiotherapy afterloading balloon catheter into the breast for 75.29 75.29 3/1/2020 19298 placement of radiotherapy afterloading brachytherapy catheters (multiple t 274.10 1026.04 3/1/2020 19300 mastectomy for gynecomastia 298.13 378.67 3/1/2020 19301 mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmen 477.94 477.94 3/1/2020 19302 mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmen 684.08 684.08 3/1/2020 19303 mastectomy, simple, complete 739.50 739.50 3/1/2020 19305 mastectomy, radical, including pectoral muscles, axillary lymph nodes 852.78 852.78 3/1/2020 19306 mastectomy, radical, including pectoral muscles, axillary and internal mam 893.45 893.45 3/1/2020 19307 mastectomy, modified radical, including axillary lymph nodes, with or witho 898.66 898.66 3/1/2020 19316 mastopexy 609.43 609.43 3/1/2020 19318 reduction mammaplasty 897.24 897.24 3/1/2020 19325 mammaplasty augmentation with prosthetic implant 503.99 503.99 3/1/2020 19328 removal intact mammary implant. 380.02 380.02 3/1/2020 19330 removal of implant material. 489.18 489.18 3/1/2020 19340 immediate insertion of breast prosthesis following mastectomy or 319.45 319.45 3/1/2020 19342 delayed insertion breast prothesis following mastectomy or in re 719.43 719.43 3/1/2020 19350 nipple/areola reconstruction 529.82 652.46 3/1/2020 19357 breast reconstruction immediate or delayed,with tissue expander 1208.09 1208.09 3/1/2020 19361 breast reconstruction with latissimus dorsi flap with or w/o imp 1299.66 1299.66 3/1/2020 19364 breast reconstruction with free flap. 2225.06 2225.06 3/1/2020 19367 breast reconstruction with tram single pedicle, including closure 1437.69 1437.69 3/1/2020 19368 breast reconstruction tram single pedicle, including closure of donor 1783.45 1783.45 3/1/2020 19369 breast reconstruction tram double pedicle, including closure of donor 1626.10 1626.10 3/1/2020 19370 open periprosthetic capsulotomy breast. 530.05 530.05 3/1/2020 19371 periprosthetic capsulectomy breast. 611.57 611.57 3/1/2020 19380 revision of reconstructed breast. 598.24 598.24 3/1/2020 20200 amb surg biopsy muscle superficial 74.69 145.85 3/1/2020 20205 muscle biopsy 118.91 199.76 3/1/2020 20206 biopsy, muscle, percutaneous needle 52.33 201.02 3/1/2020 20220 bone biopsy 65.34 139.55 3/1/2020 20225 biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur) 99.10 522.46 3/1/2020 20240 bone biopsy 181.85 181.85 3/1/2020 20245 bone biopsy 496.30 496.30 3/1/2020 20250 bone biopsy 298.52 298.52 3/1/2020 20251 bone biopsy 330.98 330.98 3/1/2020 20500 injection of sinus tract; 75.52 91.26 3/1/2020 20501 injection of sinus tract diagnostic sinogram 34.49 101.72 3/1/2020 20520 removal of foreign body 111.92 146.14 3/1/2020 20525 removal of foreign body 196.67 354.74 3/1/2020 20526 injection, therapeutic (eg, , corticosteroid), carpal tunnel 47.09 59.51 3/1/2020 20550 injection; tendon sheath, ligament, ganglion cyst 34.60 46.11 3/1/2020 20600 arthrocentesis, aspiration and/or injection; 32.96 43.26 3/1/2020 20605 arthrocentesis, aspiration and/or injection; 34.22 46.34 3/1/2020 20610 drainage of joint or bursa 40.87 59.64 3/1/2020 20612 aspiration and/or injection of ganglion cyst(s) any location 35.29 46.19 3/1/2020 20615 aspiration and injection for treatment of bone cyst 126.69 168.18 3/1/2020 20650 insertion of wire or pin with application of skeletal traction, 124.91 153.38 3/1/2020 20660 application of tongs or caliper including removal 191.66 202.56 3/1/2020 20661 fixation procedure 363.04 363.04 3/1/2020 20662 application of halo, including removal; 377.37 377.37 3/1/2020 20663 application of halo, including removal; 349.17 349.17 3/1/2020 20664 application of halo, including removal, cranial, 6 or more pins placed, for 597.45 597.45 3/1/2020 20665 removal of tongs or halo applied by another physician 80.20 95.04 3/1/2020 20670 removal of implant superficial eg buried wire pin 117.34 297.82 3/1/2020 20680 removal of buried support 327.13 455.22 3/1/2020 20690 application external fixation, uniplane 431.72 431.72 3/1/2020 20692 application of multiplane unilateral external fixation system 807.25 807.25 3/1/2020 20693 adjustment or revision external fixation req anest 362.06 362.06 3/1/2020 20694 removal under anesthesia, of external fixation system 264.30 327.27 3/1/2020 20700 MNL PREP&INSJ DP RX DLVR DEV 75.32 75.32 3/1/2020 20701 RMVL DEEP RX DELIVERY DEVICE 56.26 56.26 3/1/2020 20702 MNL PREP&INSJ IMED RX DEV 125.27 125.27 3/1/2020 20703 RMVL IMED RX DELIVERY DEVICE 89.91 89.91 3/1/2020 20704 MNL PREP&INSJ I-ARTIC RX DEV 130.49 130.49 3/1/2020 20705 RMVL I-ARTIC RX DELIVERY DEV 107.47 107.47 3/1/2020 20802 replantation of arm 1984.70 1984.70 3/1/2020 20805 replantation forearm, complete amputation 2430.86 2430.86 3/1/2020 20808 reimplantation of hand 3282.55 3282.55 3/1/2020 20816 reimplantation of digit 1811.19 1811.19 3/1/2020 20822 replantation digit excl thumb, complete amputation 1535.48 1535.48 3/1/2020 20824 replantation thumb, complete amputation 1804.28 1804.28 3/1/2020 20827 replantation thumb, complete amputation 1595.44 1595.44 3/1/2020 20838 replantation foot complete 2003.49 2003.49 3/1/2020 20900 bone graft, any donor area; 209.79 323.96 3/1/2020 20902 bone graft, any donor area; major or large 290.49 290.49 3/1/2020 20910 cartilage graft; costochondral 339.94 339.94 3/1/2020 20912 cartilage graft; 381.98 381.98 3/1/2020 20920 fascia lata graft; 321.96 321.96 3/1/2020 20922 removal of tissue for graft 394.73 474.06 3/1/2020 20924 removal of tendon for graft. 398.44 398.44 3/1/2020 20950 monitor interstitial pressure 72.66 187.12 3/1/2020 20955 fibula graft w/microvascular anastomosis 2055.43 2055.43 3/1/2020 20962 rib graft w/miscrovascular anastomosis 2099.92 2099.92 3/1/2020 20969 free osteocutaneous flap w microvascular anastomos 2277.53 2277.53 3/1/2020 20970 osteocutaneous graft w/microvascular anastomosis 2288.08 2288.08 3/1/2020 20972 osteocutaneous flap microvascular anastomo metarsa 2094.07 2094.07 3/1/2020 20973 free osteocutaneous flap great toe web space 2198.49 2198.49 3/1/2020 20974 bio-ostegen system 38.03 50.75 3/1/2020 20979 low intensity ultrasound stimlation to aid bone healing, non-invasive(non-o 29.43 41.85 3/1/2020 20982 ablation, bone tumor(s) (eg, osteoid osteoma, metastasis) radiofrequency 340.45 2873.04 3/1/2020 21010 arthrotomy, temporomandibular joint 577.64 577.64 3/1/2020 21015 radical resection of tumor soft face or scalp 335.63 335.63 3/1/2020 21025 excision of bone, mandible 589.17 686.97 3/1/2020 21026 removal of elongated styloid process (facial bone) 377.04 452.45 3/1/2020 21029 removal by contouring benign tumor facial bone 493.44 578.83 3/1/2020 21030 excision benign tumor of cyst of facial bone other 313.71 378.82 3/1/2020 21031 excision of torus mandibularis 224.49 290.82 3/1/2020 21032 excision of maxillary torus palatinus 221.31 294.60 3/1/2020 21034 excision of malignant tumor of facial bone other than mandible 930.93 1040.27 3/1/2020 21040 amb surg excision benign cyst/tumor mandible simp 311.89 381.84 3/1/2020 21044 excision of malignant tumor of mandible; 695.91 695.91 3/1/2020 21045 exc malignancy mandible radical 971.24 971.24 3/1/2020 21046 excision of benign tumor or cyst of mandible; requiring intra-oral osteotom 855.73 855.73 3/1/2020 21047 excision of benign tumor or cyst of mandible; requiring extra-oral osteotom 1039.25 1039.25 3/1/2020 21048 excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy 867.51 867.51 3/1/2020 21049 excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy 1004.70 1004.70 3/1/2020 21050 arthrectomy temporomandibular joint unilateral 682.07 682.07 3/1/2020 21060 menisectomy temporomandibular joint unilateral 623.55 623.55 3/1/2020 21070 coronoidectomy 506.33 506.33 3/1/2020 21100 application of halo type appliance for maxillofacial fixation, 310.49 540.03 3/1/2020 21110 application of interdental fixation device/other than fracture 487.67 570.35 3/1/2020 21116 injection procedure for temporomandibular joint arthrography 35.64 114.38 3/1/2020 21120 genioplasty; augmentation 383.57 474.11 3/1/2020 21121 genioplasty; augmentation sliding osteotomy single 510.30 594.20 3/1/2020 21122 genioplasty; augmentation 2 or more osteotomies 562.65 562.65 3/1/2020 21123 genioplasty; augmentation sliding interpositional 674.99 674.99 3/1/2020 21125 augmentation mandibular body or angle prosthetic 591.06 2293.26 3/1/2020 21127 augmentation mandibular body angle w/ bone graft 690.59 2729.25 3/1/2020 21137 reduction forehead; contouring only 569.49 569.49 3/1/2020 21138 reduction forehead contouring & application graft 711.40 711.40 3/1/2020 21139 reduction forehead contouring, setback sinus wall 798.78 798.78 3/1/2020 21145 reconstruction midface single requiring bone graft 1232.23 1232.23 3/1/2020 21146 reconstruction midface 2 pieces requiring bone graft 1315.03 1315.03 3/1/2020 21147 reconstruct midface 3 or more pieces with bone graft 1354.20 1354.20 3/1/2020 21150 reconstruction midface anterior intrusion 1344.42 1344.42 3/1/2020 21151 reconstruct midface any direction req bone graft 1623.24 1623.24 3/1/2020 21154 reconstruct midface any type requiring bone graft 1641.49 1641.49 3/1/2020 21155 reconstruct midface any type w graft, w lefort i 1862.75 1862.75 3/1/2020 21159 reconstruct midface, lefort iii, w bone grafts 2253.64 2253.64 3/1/2020 21160 reconstruct midface, lefort iii w/ lefort i, graft 2320.74 2320.74 3/1/2020 21172 reconstruct orbital rim/forehead w/wo grafts 1426.52 1426.52 3/1/2020 21175 reconstruct bifrontal orbital rims/forehead, graft 1722.44 1722.44 3/1/2020 21179 reconstruct forehead/orbital rims with grafts 1179.61 1179.61 3/1/2020 21180 reconstruct forehead/orbital rims with autograft 1344.77 1344.77 3/1/2020 21181 removal by contouring of benign tumor cranial bone 561.46 561.46 3/1/2020 21182 reconstruction of orbital walls, rims, forehead, nasoethmoid complex follow 1636.72 1636.72 3/1/2020 21183 reconstruction of orbital walls, rims, forehead, nasoethmoid complex follow 1830.47 1830.47 3/1/2020 21184 reconstruction of orbital walls, rims, forehead, nasoethmoid complex follow 1957.85 1957.85 3/1/2020 21188 reconstr. midface, osteotomies, w bone grafts 1294.23 1294.23 3/1/2020 21193 reconstruct mandibular ramus, osteotomy, w/o graft 989.88 989.88 3/1/2020 21194 reconstr. mandibular ramus, osteotomy w bone graft 1130.41 1130.41 3/1/2020 21195 reconstruction mandibular ramus w/o internal rigid fixation 1060.66 1060.66 3/1/2020 21196 reconstr. mandibular ramus w inter. rigid fixation 1155.97 1155.97 3/1/2020 21198 osteotomy, mandible, segmental 908.26 908.26 3/1/2020 21199 osteotomy, mandible, segmental; with genioglossus advancement 825.23 825.23 3/1/2020 21206 osteotomy, maxilla, segmental 894.78 894.78 3/1/2020 21208 augmentation osteoplasty of facial bones 651.13 1312.21 3/1/2020 21209 reduction osteoplasty of facial bones 499.12 626.61 3/1/2020 21210 bone graft 650.95 1567.02 3/1/2020 21215 bone graft 678.86 2653.92 3/1/2020 21230 cartilage graft 607.81 607.81 3/1/2020 21235 cartilage graft 443.97 557.24 3/1/2020 21240 arthroplasty, temporomandibular joint w/wo graft 878.84 878.84 3/1/2020 21242 arthroplasty temporomandibular joint w alloplastic 804.87 804.87 3/1/2020 21243 arthoplasty, temporomandibular joint 1322.25 1322.25 3/1/2020 21244 reconstruction of mandible 820.95 820.95 3/1/2020 21247 reconst. mandibular condyle w bone/cartilage graft 1286.93 1286.93 3/1/2020 21255 reconst. zygomatic arch, glenoid fossa w bone/cart 1134.98 1134.98 3/1/2020 21256 reconst. orbit w osteotomies and bone grafts 929.41 929.41 3/1/2020 21260 orbital hypertelorism correction osteotomies 1045.17 1045.17 3/1/2020 21261 orbital hypertelorism comb with intra and extracra 1792.47 1792.47 3/1/2020 21263 orbital hypertelorism with forehead advancement 1613.29 1613.29 3/1/2020 21267 orbital repositioning 1219.81 1219.81 3/1/2020 21268 orbital repositioning intra and external approach 1517.49 1517.49 3/1/2020 21270 malar augmentation, bone or alloplastic material 554.67 705.50 3/1/2020 21275 secondary rev orbitocraniofacial reconostruction 638.95 638.95 3/1/2020 21280 medial canthoplasty 411.22 411.22 3/1/2020 21282 lateral canthopexy 271.08 271.08 3/1/2020 21295 reduction masseter muscle extraoral approach 135.28 135.28 3/1/2020 21296 reduction masseter muscle intraoral approach 329.23 329.23 3/1/2020 21310 treatment of closed or open nasal fracture manipul 23.66 80.60 3/1/2020 21315 treatment of nose fracture 115.38 197.76 3/1/2020 21320 manipulation imstrumental complicated nasal fracture 108.23 190.62 3/1/2020 21325 amb surg open reduct nasal fracture complicated 360.44 360.44 3/1/2020 21330 amb surg open reduct nasal frac complic int/extern 443.48 443.48 3/1/2020 21335 repair of nose fracture 575.67 575.67 3/1/2020 21336 open tx nasal septal fx, w/wo stabilization 495.40 495.40 3/1/2020 21337 treatment closed septal fracture 220.95 297.27 3/1/2020 21338 open treatment nasoethmoid fracture w/o external fixation 566.30 566.30 3/1/2020 21339 open treatment naseothmoid fracture w external fix 632.56 632.56 3/1/2020 21340 tr closed/open nasoeth com fr w splint wire headca 636.15 636.15 3/1/2020 21343 open treatment of depressed frontal sinus 900.06 900.06 3/1/2020 21344 open tx of frontal sinus fracture 1187.53 1187.53 3/1/2020 21345 tr nasomax comp fr with interdental wire fix or fi 515.71 620.49 3/1/2020 21346 op tr nasomax com fr w wiring a/o local fixation 744.82 744.82 3/1/2020 21347 op tr nasomac com fr w wir a/o lo fi w mul aproach 864.03 864.03 3/1/2020 21348 open tx nasomaxillary fx with bone grafting 922.25 922.25 3/1/2020 21355 repair cheek bone fracture 254.17 335.33 3/1/2020 21356 open tx depressed zygomatic arch fracture 291.51 375.41 3/1/2020 21360 open treatment of closed or open depressed fx inc 415.40 415.40 3/1/2020 21365 repair cheek bone fracture 873.81 873.81 3/1/2020 21366 open tx malar area fx inc zygomatic arch w/graft 971.45 971.45 3/1/2020 21385 repair eye socket fracture 560.61 560.61 3/1/2020 21386 open tx orbital floor fx; periorbital approach. 524.27 524.27 3/1/2020 21387 open treatment of orbital floor 585.10 585.10 3/1/2020 21390 repair eye socket fracture 606.70 606.70 3/1/2020 21395 open tx orbital floor fx; periorbital approach. 766.54 766.54 3/1/2020 21400 tx of fx of orbit, wo manipulation. 111.12 134.45 3/1/2020 21401 closed treatment of fracture of orbit, except ''blowout''; 229.25 357.95 3/1/2020 21406 open tx of fx of orbit,wo implant. 424.06 424.06 3/1/2020 21407 open treatment of fracture orbit, except blowout; with implant 502.60 502.60 3/1/2020 21408 open tx of fx orbit except "blowout" w/bone graft 692.10 692.10 3/1/2020 21421 tx pal/alv ri fx,closed manipulation w wire fix. 475.16 553.60 3/1/2020 21422 tx pal/alv ri fx,open tx w wire fixation. 525.04 525.04 3/1/2020 21423 open tx of palatal or maxillary fx, mult approach 624.71 624.71 3/1/2020 21431 repair upper jaw fracture 570.45 570.45 3/1/2020 21432 open rx craniofacial separation 523.76 523.76 3/1/2020 21433 dp tr cranioe sep w wi/loc fix complicated 1352.18 1352.18 3/1/2020 21435 open tx craniofacial separation (leforte iii type);complicated 1065.28 1065.28 3/1/2020 21436 open tx craniofacial separation w/bone graft 1568.61 1568.61 3/1/2020 21440 repair dental ridge fx. 334.22 400.53 3/1/2020 21445 repair dental ridge fracture. 474.97 571.58 3/1/2020 21450 treat lower jaw fracture 350.50 417.42 3/1/2020 21451 treatment closed or open mandibular fracture with 472.86 552.80 3/1/2020 21452 treatment of open mandibular fracture without mani 252.59 450.03 3/1/2020 21453 rx open mandibular fracture with manipulation 570.12 640.07 3/1/2020 21454 open rx closed/open mandibular fx w external fix. 432.55 432.55 3/1/2020 21461 open tx closed/open mand fx wo interdental fix. 706.72 1438.97 3/1/2020 21462 open tx closed/open mand fx w interdental fixation 784.44 1557.28 3/1/2020 21465 open treatment mandibular condylar fracture 719.00 719.00 3/1/2020 21470 repair lower jaw fracture 939.03 939.03 3/1/2020 21480 reset dislocated jaw 26.67 68.75 3/1/2020 21485 complicated manipulative treatment of temporomandi 423.38 493.64 3/1/2020 21490 reset dislocated jaw 728.34 728.34 3/1/2020 21497 interdental wiring for condition other than fracture 427.70 498.27 3/1/2020 21501 incision/drainage deep abcess or hematoma 245.25 332.46 3/1/2020 21502 drainage of rib abscess 411.77 411.77 3/1/2020 21510 inc deep opening of bone cortex osteomyelitis bone 363.09 363.09 3/1/2020 21550 excisional biopsy soft tissue 125.01 194.97 3/1/2020 21555 excision benign tumor subcutaneous 259.25 329.20 3/1/2020 21556 excision deep subfacial intramuscular 324.40 324.40 3/1/2020 21557 radical resection of soft tissue tumor 460.99 460.99 3/1/2020 21600 excision of rib partial 433.58 433.58 3/1/2020 21601 EXC CHEST WALL TUMOR W/RIBS 1046.40 1046.40 3/1/2020 21602 EXC CH WAL TUM W/O LYMPHADEC 1403.25 1403.25 3/1/2020 21603 EXC CH WAL TUM W/LYMPHADEC 1552.68 1552.68 3/1/2020 21610 partial removal of rib 847.29 847.29 3/1/2020 21615 excision first and/or cervical rib; 535.70 535.70 3/1/2020 21616 exc first a/o cerv rib f outlet comp synd oth caus 682.84 682.84 3/1/2020 21620 partial removal sternum 412.83 412.83 3/1/2020 21627 sternal debridement 433.09 433.09 3/1/2020 21630 radical resection of sternum; 1012.57 1012.57 3/1/2020 21632 radical resection of sternum w mediastinal lymphad 1002.83 1002.83 3/1/2020 21685 hyoid myotomy and suspension 789.90 789.90 3/1/2020 21700 revision of neck muscle 335.37 335.37 3/1/2020 21705 revision of neck muscle 516.24 516.24 3/1/2020 21720 division sternocleidomastoid for torticollis,open 323.35 323.35 3/1/2020 21725 division sternocleidomastoid open op w cast applic 419.28 419.28 3/1/2020 21740 reconstructive repair of pectus excavatum or carin 874.01 874.01 3/1/2020 21750 closure of median sternotomy separation with or without debridement (sep 579.24 579.24 3/1/2020 21820 tx sternum fx; closed 100.72 99.51 3/1/2020 21825 treatment of sternum fracture open 447.62 447.62 3/1/2020 21920 biopsy, soft tissue of back or flank; 124.91 194.55 3/1/2020 21925 biopsy, soft tissue of back or flank; 263.45 322.50 3/1/2020 21930 excision tumor, soft tissue of back 292.01 359.85 3/1/2020 21935 radical rection of tumor, soft tissue of back. 926.36 926.36 3/1/2020 22100 removal part vertebra; cervical 641.17 641.17 3/1/2020 22101 removal part of vertebra; thoracic. 639.62 639.62 3/1/2020 22102 removal part of vertebra; lumbar. 637.18 637.18 3/1/2020 22110 partial excision of vertebral body, for intrinsic bony lesion, without 797.28 797.28 3/1/2020 22112 removal part of vertebra 772.79 772.79 3/1/2020 22114 removal part of vertebra 792.33 792.33 3/1/2020 22210 osteotomy of spine, posterior or posterolateral approach, one vertebral 1396.35 1396.35 3/1/2020 22212 posterior approach osteotomy spine, thoracic 1154.75 1154.75 3/1/2020 22214 posterior approach osteotomy spine, lumbar 1161.69 1161.69 3/1/2020 22220 osteotomy of spine, including diskectomy, anterior approach, single verteb 1257.41 1257.41 3/1/2020 22222 anterior appoach osteotomy spine, thoracic 1150.54 1150.54 3/1/2020 22224 anterior approach osteotomy spine, lumbar 1245.06 1245.06 3/1/2020 22310 closed treatment of vertebral body fracture(s), without manipulation, requir 207.50 221.73 3/1/2020 22315 closed tx vertebral fx,w/wo anes by manipulation. 589.27 659.52 3/1/2020 22318 open treatment and/or reduction of odontoid fracture (cervical) and/or 1255.85 1255.85 3/1/2020 22319 open treatment and/or reduction of odontoid fracture (cervical) and/or 1380.79 1380.79 3/1/2020 22325 open tx vertebral fx and/or dislocation; lumbar. 1099.59 1099.59 3/1/2020 22326 open tx vertebral fx and/or dislocation; cervical. 1146.52 1146.52 3/1/2020 22327 open tx vertebral fx and/or dislocation; thoracic 1137.70 1137.70 3/1/2020 22505 manipulation of spine requiring anesthesia, any region 97.77 97.77 3/1/2020 22532 arthrodesis, lateral extracavitary technique, including minimal diskectomy 1371.66 1371.66 3/1/2020 22533 arthrodesis, lateral extracavitary technique, including minimal diskectomy 1292.83 1292.83 3/1/2020 22534 arthrodesis, lateral extracavitary technique, including minimal diskectomy 300.78 300.78 3/1/2020 22548 arthrodesis, anterior transoral or extraoral technique, clivus-c1-c2 1459.44 1459.44 3/1/2020 22554 arthrodesis, anterior interbody technique, including minimal diskectomy to 1007.79 1007.79 3/1/2020 22556 arthrodesis, anterior interbody technique, including minimal diskectomy to 1308.17 1308.17 3/1/2020 22558 arthrodesis, anterior interbody technique, including minimal diskectomy to 1203.68 1203.68 3/1/2020 22585 arthrodesis, anterior interbody technique, including minimal diskectomy to 277.83 277.83 3/1/2020 22590 arthrodesis, posterior technique, craniocervical (occiput-c2) 1211.06 1211.06 3/1/2020 22595 arthrodesis, posterior technique, atlas-axis (c1-c2) 1149.84 1149.84 3/1/2020 22600 arthrodesis, posterior or posterolateral technique, single level; cervical 985.15 985.15 3/1/2020 22610 arthrodesis, posterior or posterolateral technique, single level; thoracic 972.53 972.53 3/1/2020 22612 arthrodesis, posterior or posterolateral technique, single level; lumbar (wit 1261.59 1261.59 3/1/2020 22630 arthrodesis, posterior interbody technique, including and/or 1212.14 1212.14 3/1/2020 22800 arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 1070.87 1070.87 3/1/2020 22802 arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 1705.14 1705.14 3/1/2020 22810 arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 1619.78 1619.78 3/1/2020 22812 arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more 1772.16 1772.16 3/1/2020 22818 kyphectomy, circumferential exposure of spine and resection of vertebral 1786.28 1786.28 3/1/2020 22819 kyphectomy, circumferential exposure of spine and resection of vertebral 2057.56 2057.56 3/1/2020 22830 exploration of spinal fusion 637.73 637.73 3/1/2020 22840 posterior non-segmental instrumentation (eg, harrington rod technique), pe 632.84 632.84 3/1/2020 22842 posterior segmental instrumentation (eg, pedicle fixation, dual rods with 634.23 634.23 3/1/2020 22845 anterior instrumentation; 2 to 3 vertebral segments 605.31 605.31 3/1/2020 22849 reinsertion of spinal fixation device 1036.30 1036.30 3/1/2020 22850 harrington rod removal 564.02 564.02 3/1/2020 22852 removal of segmental instrumentation 539.21 539.21 3/1/2020 22855 dwyer instrument removal 876.74 876.74 3/1/2020 22865 removal of total disc arthroplasty (artificial disc), anterior approach, 1692.18 1692.18 3/1/2020 22900 excision abdominal wall tumor subfascial 323.39 323.39 3/1/2020 23000 removal of subdeltoid calcareous deposits, open 279.00 403.16 3/1/2020 23020 release shoulder joint 543.42 543.42 3/1/2020 23030 incision and drainage deep abscess or hematoma 201.98 321.59 3/1/2020 23031 incision and drainage infected bursa 167.14 292.81 3/1/2020 23035 incision deep with opening of cortex for osteomyel 538.76 538.76 3/1/2020 23040 incision of shoulder joint 565.92 565.92 3/1/2020 23044 incision, collarbone joint 448.39 448.39 3/1/2020 23065 biopsy,soft tissue shoulder; superficial 130.88 164.19 3/1/2020 23066 biopsy soft tissues deep 263.87 383.48 3/1/2020 23075 excision tumor shoulder; subcutaneous. 139.25 197.10 3/1/2020 23076 excision, tumor, shoulder area; 442.27 442.27 3/1/2020 23077 radical resection of tumor; soft tussue shoulder. 942.41 942.41 3/1/2020 23100 incision shoulder joint 380.87 380.87 3/1/2020 23101 incision of shoulder joint 350.21 350.21 3/1/2020 23105 arthrotomy for synovectomy: glenohumeral jnt. 500.01 500.01 3/1/2020 23106 arthrotomy for synovectomy, sternoclavicular jnt 371.77 371.77 3/1/2020 23107 arthrotomy,glenohumeral jnt,w exploration. 519.68 519.68 3/1/2020 23120 amb surg claviculectomy partial 448.78 448.78 3/1/2020 23125 claviculectomy; total 553.34 553.34 3/1/2020 23130 acromionectomy partial or total 472.10 472.10 3/1/2020 23140 removal bone lesion 403.03 403.03 3/1/2020 23145 excision of bone cyst clavice, scapula 543.09 543.09 3/1/2020 23146 excision of bone lesion of scapula with allograft. 471.53 471.53 3/1/2020 23150 removal bone lesion 513.83 513.83 3/1/2020 23155 removal bone cyst; humerus w autograft. 622.92 622.92 3/1/2020 23156 removal bone cyst; humerus,w allograft. 528.96 528.96 3/1/2020 23170 sequestrectomy for osteomyelitis bone abcess clavi 415.59 415.59 3/1/2020 23172 sequestrectomy for osteomyelitis of bone abcess sc 425.96 425.96 3/1/2020 23174 sequestrec for ostemyelitis or bone abcess humer 591.23 591.23 3/1/2020 23180 partial excision of bone for osteomyelitis clavicl 537.68 537.68 3/1/2020 23182 removal bone lesion 518.63 518.63 3/1/2020 23184 removal bone lesion 585.94 585.94 3/1/2020 23190 partial removal of shoulder 436.34 436.34 3/1/2020 23195 removal of head of humerus 592.71 592.71 3/1/2020 23200 removal of collarbone 700.72 700.72 3/1/2020 23210 removal of shoulderblade 732.81 732.81 3/1/2020 23220 radical resection of bone tumor, proximal humerus; 849.20 849.20 3/1/2020 23330 removal foreign body, subcutaneous, shoulder. 115.87 169.77 3/1/2020 23350 injection procedure for shoulder arthrography or enhanced ct/mri shoulder 45.18 122.12 3/1/2020 23395 muscle transfer any type for paralysis of shoulder 1021.69 1021.69 3/1/2020 23397 muscle transfers, multiple 915.63 915.63 3/1/2020 23400 scapulopexy 775.25 775.25 3/1/2020 23405 tenomyotomy single 497.47 497.47 3/1/2020 23406 tenomyotomy multiple thru same incision 622.69 622.69 3/1/2020 23410 repair of ruptured supraspinatus tendon, acute 660.10 660.10 3/1/2020 23412 repair of ruptured supraspinatu tendon; chronic. 689.99 689.99 3/1/2020 23415 release of shoulder ligament. 548.97 548.97 3/1/2020 23420 repair of shoulder injury 773.51 773.51 3/1/2020 23430 repair ruptured tendon. 585.30 585.30 3/1/2020 23440 removal/transplant tendon 604.10 604.10 3/1/2020 23450 capsulorrhaphy repair shoulder. 758.84 758.84 3/1/2020 23455 repair shoulder capsule 809.57 809.57 3/1/2020 23460 repair shoulder capsule. 876.14 876.14 3/1/2020 23462 repair shoulder capsule. 859.95 859.95 3/1/2020 23465 repair shoulder capsule. 896.95 896.95 3/1/2020 23466 capsulorrhaphy for recurrent dislocation. 883.17 883.17 3/1/2020 23470 arthroplasty, glenohumeral joint; hemiarthroplasty 976.29 976.29 3/1/2020 23472 arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal hum 1210.03 1210.03 3/1/2020 23480 amb surg osteotomy clavicle w/wo internal fixation 651.47 651.47 3/1/2020 23485 osteotomy clavicle, with bone graft. 770.47 770.47 3/1/2020 23490 prophlactic tx of clavicale. 665.44 665.44 3/1/2020 23491 prophylactic tx proximal humerous/humeral head. 811.00 811.00 3/1/2020 23500 treatment clavicle fracture 156.51 157.42 3/1/2020 23505 treatment clavicle fracture 247.15 260.17 3/1/2020 23515 repair clavicle fracture 552.36 552.36 3/1/2020 23520 treatment of clavicle dislocation. 164.20 163.30 3/1/2020 23525 treatment clavicle dislocation w manipulation 238.72 254.47 3/1/2020 23530 open tx clavicle dislocation. 423.36 423.36 3/1/2020 23532 open tx of closed/open sternoclav dislocation. 486.38 486.38 3/1/2020 23540 tx closed clavicle dislocation. 159.40 161.52 3/1/2020 23545 tx closed clavicle dislocation w manipulation. 215.89 233.46 3/1/2020 23550 open repair clavicle dislocation. 448.59 448.59 3/1/2020 23552 open repair clavicle dislocation 516.82 516.82 3/1/2020 23570 tx of closed scapular fx. 170.55 168.43 3/1/2020 23575 repair scapula fx w manipulation. 272.50 288.25 3/1/2020 23585 repair scapula fracture 751.82 751.82 3/1/2020 23600 tx humerous fracture 218.11 235.06 3/1/2020 23605 repair humerus fracture 323.32 348.75 3/1/2020 23615 repair humerus fx w/wo tuberosity 686.92 686.92 3/1/2020 23616 open tx proximal humeral fx prosthetic replace 1027.23 1027.23 3/1/2020 23620 tx humerus fracture. 183.02 193.62 3/1/2020 23625 repair humerus fracture 266.27 282.63 3/1/2020 23630 repair humerus fracture 589.70 589.70 3/1/2020 23650 repair shoulder dislocation. 202.43 220.30 3/1/2020 23655 repair shoulder dislocation 293.41 293.41 3/1/2020 23660 repair shoulder dislocation 454.74 454.74 3/1/2020 23665 repair dislocation/fracture 297.21 314.79 3/1/2020 23670 repair dislocation/fracture 663.35 663.35 3/1/2020 23675 repair dislocation/fracture 382.76 411.83 3/1/2020 23680 repair dislocation/fracture 718.31 718.31 3/1/2020 23700 fixation of shoulder 152.85 152.85 3/1/2020 23800 fusion of shoulder jnt 816.15 816.15 3/1/2020 23802 fusion of shoulder joint 992.09 992.09 3/1/2020 23900 amputation of arm 1061.85 1061.85 3/1/2020 23920 amputation of arm 858.62 858.62 3/1/2020 23921 disarticulation of shoulder; 310.38 310.38 3/1/2020 23930 incision and drainage deep abscess or hematoma 169.72 267.25 3/1/2020 23931 incision and drainage infected bursa. 121.71 207.40 3/1/2020 23935 incision deep w/opening of cortex for osteomyeliti 387.26 387.26 3/1/2020 24000 incision of elbow joint 368.26 368.26 3/1/2020 24006 arthrotomy elbow w/capsular release 558.97 558.97 3/1/2020 24065 biopsy soft tissues superficial. 129.81 190.69 3/1/2020 24066 biopsy soft tissues, deep. 310.55 443.79 3/1/2020 24075 excision, tumor, soft tissue of upper arm or elbow area; subcutaneous 242.41 359.01 3/1/2020 24076 excision benign tumor deep subfascial or intramusc 370.88 370.88 3/1/2020 24077 radical resection soft tissue tumor, arm/elbow. 644.27 644.27 3/1/2020 24100 arthrotomy elbow with synovial biopsy only 313.93 313.93 3/1/2020 24101 exploration of elbow joint 386.96 386.96 3/1/2020 24102 exploration elbow joint. 481.57 481.57 3/1/2020 24105 amb surg excision olecranon bursa 258.49 258.49 3/1/2020 24110 removal of bone lesion 454.92 454.92 3/1/2020 24115 removal of bone lesion/graft 576.05 576.05 3/1/2020 24116 removal of bone lesion/graft 684.82 684.82 3/1/2020 24120 amb surg exc bone cyst/benign tumor/olecranon 407.25 407.25 3/1/2020 24125 removal of bone lesion/graft 471.11 471.11 3/1/2020 24126 removal of bone lesion/graft 500.10 500.10 3/1/2020 24130 removal of head of raduis 392.91 392.91 3/1/2020 24134 sequestrectomy for osteomyelitis or bone abscess s 592.43 592.43 3/1/2020 24136 seques for osteo/bone abscess radial head or neck 469.02 469.02 3/1/2020 24138 seques for osteo/bone abscess olecranon process 516.45 516.45 3/1/2020 24140 partial removal of bone 563.86 563.86 3/1/2020 24145 partial removal of bone 472.15 472.15 3/1/2020 24147 partial removal of bone 489.81 489.81 3/1/2020 24150 removal humerus lesion. 772.45 772.45 3/1/2020 24152 removal radius lesion. 580.37 580.37 3/1/2020 24155 removal of elbow joint 672.39 672.39 3/1/2020 24160 removal prosthetic device 473.66 473.66 3/1/2020 24164 implant removal radial head 386.72 386.72 3/1/2020 24200 removal of foreign body subcutaneous 105.43 149.04 3/1/2020 24201 removal of foreign body deep 282.77 415.71 3/1/2020 24220 injection procedure for elbow arthrography 59.69 134.48 3/1/2020 24300 manipulatioin, elbow, under anesthesia 299.76 299.76 3/1/2020 24301 muscle or tendon transfer any type single 593.85 593.85 3/1/2020 24305 tendon lengthening, upper arm or elbow, each tendon 452.34 452.34 3/1/2020 24310 revision of arm tendon 369.97 369.97 3/1/2020 24320 repair of arm tendon 612.13 612.13 3/1/2020 24330 revision of arm muscles 564.20 564.20 3/1/2020 24331 revision of arm muscles 624.38 624.38 3/1/2020 24332 tenolysis, triceps 471.90 471.90 3/1/2020 24340 repair of ruptured tendon 480.22 480.22 3/1/2020 24342 repair of ruptured tendon 620.68 620.68 3/1/2020 24343 repair lateral collateral ligament, elbow, with local tissue 549.00 549.00 3/1/2020 24344 reconstruction lateral collateral ligament, elbow, with tendon graft (include 859.08 859.08 3/1/2020 24345 repair medial collateral ligament, elbow, with local tissue 545.58 545.58 3/1/2020 24346 reconstruction medial collateral ligament, elbow, with tendon graft (include 860.87 860.87 3/1/2020 24360 repair elbow joint 714.02 714.02 3/1/2020 24361 arthroplasty elbow w humeral prothetic replacement 801.23 801.23 3/1/2020 24362 repair of elbow joint 847.92 847.92 3/1/2020 24363 arthroplasty w humerus/ulnar prosthetic replace. 1191.70 1191.70 3/1/2020 24365 repair of head of radius 502.90 502.90 3/1/2020 24366 repair of head of radius w implant. 539.09 539.09 3/1/2020 24400 revision of humerus 651.09 651.09 3/1/2020 24410 multiple osteotomies humerus. 833.74 833.74 3/1/2020 24420 repair of humerus 781.77 781.77 3/1/2020 24430 repair nonunion humerous 831.68 831.68 3/1/2020 24435 repair/graft of humerus 842.71 842.71 3/1/2020 24470 revision of elbow joint 496.60 496.60 3/1/2020 24495 decompression of forearm 514.87 514.87 3/1/2020 24498 prophylactic tx humerus. 692.42 692.42 3/1/2020 24500 treatment humerus fracture 232.87 255.87 3/1/2020 24505 treatment humerus fracture 342.97 373.26 3/1/2020 24515 repair humerus fracture 693.54 693.54 3/1/2020 24516 open tx humeral shaft fx w intramedullary implant 686.52 686.52 3/1/2020 24530 treatment humerus fx w/wo intercondylar extension 250.75 275.58 3/1/2020 24535 repair humerus fracture 437.68 468.27 3/1/2020 24538 fixation humeral fx w/wo intercondylar extension 583.71 583.71 3/1/2020 24545 repair humerus fx w/o intercondylar extension 722.48 722.48 3/1/2020 24546 open tx humeral supra/transcondylar fx; w/wo fix. 839.52 839.52 3/1/2020 24560 treat humerus fracture 204.84 229.68 3/1/2020 24565 repair humerus fracture 357.48 384.74 3/1/2020 24566 percutaneous skeletal fixation of humeral epicondylar fracture, 545.99 545.99 3/1/2020 24575 repair humerus fracture 579.45 579.45 3/1/2020 24576 treat humerus fracture 217.84 241.47 3/1/2020 24577 repair humerus fracture 370.88 400.26 3/1/2020 24579 repair humerus fracture 659.40 659.40 3/1/2020 24582 percutaneous skeletal fixation of humeral condylar fracture, 609.19 609.19 3/1/2020 24586 repair elbow fracture 873.50 873.50 3/1/2020 24587 repair elbow fx with implant 869.82 869.82 3/1/2020 24600 treatment of closed elbow dislocation; 248.91 271.94 3/1/2020 24605 treatment of closed elbow dislocation; 352.67 352.67 3/1/2020 24615 repair elbow dislocation 564.63 564.63 3/1/2020 24620 treat elbow fracture 427.19 427.19 3/1/2020 24635 repair elbow fracture 590.23 590.23 3/1/2020 24640 treat elbow dislocation 66.36 89.37 3/1/2020 24650 treat radius fracture 168.98 186.24 3/1/2020 24655 treat radius fracture 297.77 323.52 3/1/2020 24665 repair radius fracture 506.73 506.73 3/1/2020 24666 repair radius fracture 576.60 576.60 3/1/2020 24670 treat ulna fracture 189.03 209.62 3/1/2020 24675 treat ulna fracture 316.26 342.01 3/1/2020 24685 repair ulna fracture 508.99 508.99 3/1/2020 24800 fusion of elbow joint 627.50 627.50 3/1/2020 24802 fusion/graft of elbow joint 795.26 795.26 3/1/2020 24900 amputation of arm 566.67 566.67 3/1/2020 24920 amputation of arm 563.15 563.15 3/1/2020 24925 amputation, arm through humerus; 435.60 435.60 3/1/2020 24930 amputation follow-up surgery 597.51 597.51 3/1/2020 24931 amputation follow-up surgery 670.83 670.83 3/1/2020 24935 revision of amputation 814.26 814.26 3/1/2020 24940 amputation of arm 935.24 935.24 3/1/2020 25000 incision of tendon sheath 267.58 267.58 3/1/2020 25001 incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) 254.24 254.24 3/1/2020 25020 decompression fasciotomy, forearm and/or wrist, flexor or extensor compa 443.99 443.99 3/1/2020 25023 decomp fasciotomy flex/exten comp w debr nonviable 859.69 859.69 3/1/2020 25024 decompression fasciotomy, forearm and/or wrist, flexor and extensor 603.34 603.34 3/1/2020 25025 decompression fasciotomy, forearm and/or wrist, flexor and extensor 933.48 933.48 3/1/2020 25028 incision and drainage deep abscess or hematoma 395.35 395.35 3/1/2020 25031 incision and drainage, forearm and/or wrist; bursa 291.35 291.35 3/1/2020 25035 incision deep w opening of cortex for osteomyeliti 504.86 504.86 3/1/2020 25040 explortion of wrist joint 448.16 448.16 3/1/2020 25065 biopsy soft tissues superficial. 127.97 189.14 3/1/2020 25066 biopsy soft tissues deep 291.86 291.86 3/1/2020 25075 excision, tumor, soft tissue of forearm and/or wrist area; subcutaneous 255.70 255.70 3/1/2020 25076 removal of forearm lesion 345.23 345.23 3/1/2020 25077 radical resection soft tissue tumor,forearm/wrist 588.59 588.59 3/1/2020 25085 capsulotomy wrist 360.15 360.15 3/1/2020 25100 biopsy of wrist joint 266.91 266.91 3/1/2020 25101 arthrotomy with joint exploration 314.90 314.90 3/1/2020 25105 exploration of wrist joint 383.08 383.08 3/1/2020 25107 arthrotomy dist radioulinar joint excision triangu 476.55 476.55 3/1/2020 25109 excision of tendon, forearm and/or wrist, flexor or extensor, each 407.93 407.93 3/1/2020 25110 amb surg excision lesion tendon sheath 279.39 279.39 3/1/2020 25111 amb surg excision ganglion wrist primary 242.33 242.33 3/1/2020 25112 excision of ganglion, wrist (dorsal or volar); 297.11 297.11 3/1/2020 25115 amb surg excision bursa wrist/forearm 628.36 628.36 3/1/2020 25116 removal wrist/rorearm lesion. 506.91 506.91 3/1/2020 25118 explore wrist tendon sheath. 297.52 297.52 3/1/2020 25119 synovectomy wrist w resection of ulna. 394.67 394.67 3/1/2020 25120 removal of forearm lesion 432.29 432.29 3/1/2020 25125 removal of forearm lesion 503.87 503.87 3/1/2020 25126 removal of forearm lesion 509.02 509.02 3/1/2020 25130 removal of wrist lesion 349.45 349.45 3/1/2020 25135 removal of wrist lesion 437.09 437.09 3/1/2020 25136 removal of wrist lesion 386.26 386.26 3/1/2020 25145 sequestrectomy for osteomyelitis or bone abscess 444.06 444.06 3/1/2020 25150 partial exc bone for osteomyelitis ulna 453.37 453.37 3/1/2020 25151 partial removal radius/ulna 500.66 500.66 3/1/2020 25170 removal radius/ulna lesion. 698.62 698.62 3/1/2020 25210 removal of wrist bone 383.41 383.41 3/1/2020 25215 removal of wrist bones 494.70 494.70 3/1/2020 25230 partial removal of radius 339.47 339.47 3/1/2020 25240 amb surg excision distal ulna (durrach procedure) 343.97 343.97 3/1/2020 25246 injection procedure for wrist arthrography 65.69 136.86 3/1/2020 25248 exploration for removal of deep foreign body 342.35 342.35 3/1/2020 25250 removal of wrist prosthesis separate procedure. 408.28 408.28 3/1/2020 25251 removal wrist prothesis complilated total wrist. 559.03 559.03 3/1/2020 25259 manipulation, wrist, under anesthesia 300.65 300.65 3/1/2020 25260 amb surg repair tendon/muscle primary single 530.72 530.72 3/1/2020 25263 repair additional tendon 529.94 529.94 3/1/2020 25265 repair tendon or muscle secondary with free graft 630.36 630.36 3/1/2020 25270 repair tendon or muscle extensor primary single ea 425.55 425.55 3/1/2020 25272 repair, tendon or muscle, extensor, forearm and/or wrist; 479.58 479.58 3/1/2020 25274 repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with f 569.24 569.24 3/1/2020 25275 repair, tendon sheath, extensor, forearm and/or wrist, with free graft 525.81 525.81 3/1/2020 25280 lengthening or shortening of flexor or extensor te 486.07 486.07 3/1/2020 25290 tenotomy open single flexor or extensor tendon eac 410.18 410.18 3/1/2020 25295 tenolysis sing flexor or extensor tendon each tend 452.17 452.17 3/1/2020 25300 fusion of wrist tendons 535.52 535.52 3/1/2020 25301 fusion of wrist tendons 510.00 510.00 3/1/2020 25310 transplant wrist tendon 526.42 526.42 3/1/2020 25312 transplant wrist tendon 610.60 610.60 3/1/2020 25315 revise palsy hand 655.00 655.00 3/1/2020 25316 revise palsy hand 758.72 758.72 3/1/2020 25320 repair wrist joint 753.67 753.67 3/1/2020 25332 repair wrist joint w internal fixation 667.19 667.19 3/1/2020 25335 centralzation of hand on ulna 757.60 757.60 3/1/2020 25337 reconstruction for stabilization of unstable distal ulna 693.82 693.82 3/1/2020 25350 osteotomy radius 580.17 580.17 3/1/2020 25355 osteotomy radius 653.10 653.10 3/1/2020 25360 revision ulna 562.83 562.83 3/1/2020 25365 revision radius/ulna 768.46 768.46 3/1/2020 25370 revision radius or ulna 837.61 837.61 3/1/2020 25375 revision radius and ulna 808.35 808.35 3/1/2020 25390 revise radius or ulna 657.11 657.11 3/1/2020 25391 revise radius or ulna 836.66 836.66 3/1/2020 25392 revise radius & ulna 849.36 849.36 3/1/2020 25393 revise/graft radius/ulna 955.13 955.13 3/1/2020 25394 osteoplasty, carpal bone, shortening 612.87 612.87 3/1/2020 25400 repair nonunion/malunion radius or ulna 689.52 689.52 3/1/2020 25405 repair of nonunion or malunion, radius or ulna; with autograft (includes 877.99 877.99 3/1/2020 25415 repair radius and ulna 824.36 824.36 3/1/2020 25420 repair of nonunion or malunion, radius and ulna; with autograft (includes 982.55 982.55 3/1/2020 25425 repair/graft radius or ulna 847.43 847.43 3/1/2020 25426 repair/graft radius and ulna 891.54 891.54 3/1/2020 25430 insertion of vascular pedicle into carpal bone (eg, harii procedure) 558.32 558.32 3/1/2020 25431 repair of nonunion of carpal bone (excluding carpal scaphoid (navicula)) 619.01 619.01 3/1/2020 25440 repair of nonunion, scaphoid carpal (navicular) bone, with or without radia 614.86 614.86 3/1/2020 25441 arthroplasty prosthetic replace distal radius 745.93 745.93 3/1/2020 25442 arthroplasty w prosthetic replacement distal ulna 635.01 635.01 3/1/2020 25443 arthroplasty with prosthetic replacement; scaphoid carpal (navicular) 609.05 609.05 3/1/2020 25444 arthroplasty w prosthetic replacement lunate 649.98 649.98 3/1/2020 25445 arthroplasty w prothetic replacement trapezium 568.83 568.83 3/1/2020 25446 arthroplasty w prosthetic replace distal rad/carp 939.11 939.11 3/1/2020 25447 interposition arthroplasty intercarpal/carpometa 641.74 641.74 3/1/2020 25449 arthroplasty w removal of implant 822.23 822.23 3/1/2020 25450 revision of wrist joint 476.23 476.23 3/1/2020 25455 revision of wrist joint 543.41 543.41 3/1/2020 25490 prophylactic treatment radius 597.78 597.78 3/1/2020 25491 prophylactic tx ulna 630.79 630.79 3/1/2020 25492 prophylactic tx radius and ulna 761.28 761.28 3/1/2020 25500 treat fracture of radius 175.14 191.49 3/1/2020 25505 repair fracture of radius 347.85 375.11 3/1/2020 25515 repair fracture of radius 523.91 523.91 3/1/2020 25520 closed treatment of radial shaft fracture and closed treatment of dislocatio 396.56 415.03 3/1/2020 25525 open tx radial shaft fx & closed tx radioulnar jnt 633.24 633.24 3/1/2020 25526 open treatment of radial shaft fracture, with internal and/or external fixation 777.63 777.63 3/1/2020 25530 treat fracture of ulna 166.78 184.95 3/1/2020 25535 repair fracture of ulna 342.00 363.79 3/1/2020 25545 repair fracture of ulna 489.67 489.67 3/1/2020 25560 treat fracture radius & ulna 174.21 193.89 3/1/2020 25565 repair fracture radius/ulna 361.59 393.09 3/1/2020 25574 open tx radial/ulnar shaft fxs 515.41 515.41 3/1/2020 25575 repair fracture radius/ulna 702.23 702.23 3/1/2020 25600 treat fracture radius/ulna 191.57 211.25 3/1/2020 25605 repair fracture radius/ulna 438.94 462.57 3/1/2020 25606 percutaneous skeletal fixation of distal radial fracture or epiphyseal 514.83 514.83 3/1/2020 25607 open treatment of distal radial extra-articular fracture or epiphyseal 557.53 557.53 3/1/2020 25608 open treatment of distal radial intra-articular fracture or epiphyseal 636.60 636.60 3/1/2020 25609 open treatment of distal radial intra-articular fracture or epiphyseal 813.29 813.29 3/1/2020 25622 rx closed carpal scaphoid fx without manipulation 195.58 216.48 3/1/2020 25624 closed treatment of carpal scaphoid (navicular) fracture; 315.12 343.58 3/1/2020 25628 open rx closed or open carpal scaphoid fracture 560.24 560.24 3/1/2020 25630 treat wrist fracture(s) 201.59 222.18 3/1/2020 25635 repair wrist fracture(s) 291.91 325.24 3/1/2020 25645 open treatment of carpal bone fracture (other than carpal scaphoid 441.69 441.69 3/1/2020 25650 treatment of closed ulnar styloid fracture 214.15 231.71 3/1/2020 25651 percutaneous skeletal fixation of ulnar styloid fracture 364.61 364.61 3/1/2020 25652 open treatment of ulnar styloid fracture 481.25 481.25 3/1/2020 25660 repair wrist dislocation 304.65 304.65 3/1/2020 25670 opne rx of closed or open radiocarpal or intercarp 476.78 476.78 3/1/2020 25671 percutaneous skeletal fixation of distal radioulnar dislocation 401.49 401.49 3/1/2020 25675 repair wrist dislocation 297.09 321.00 3/1/2020 25676 repair wrist dislocation 493.64 493.64 3/1/2020 25680 repair wrist fracture 353.03 353.03 3/1/2020 25685 repair wrist fracture 575.23 575.23 3/1/2020 25690 repair wrist dislocation 355.70 355.70 3/1/2020 25695 repair wrist dislocation 495.61 495.61 3/1/2020 25800 fusion of wrist 586.37 586.37 3/1/2020 25805 fusion/graft of wrist 676.23 676.23 3/1/2020 25810 fusion/graft of wrist 682.71 682.71 3/1/2020 25820 intercarpal fusion wo bone graft 478.04 478.04 3/1/2020 25825 intercarpal fusion w autogenous bone graft 589.61 589.61 3/1/2020 25830 arthrodesis, distal radioulnar joint with segmental resection of ulna, with o 734.34 734.34 3/1/2020 25900 amputation forearm through radius and ulna 587.43 587.43 3/1/2020 25905 amputation of forearm 581.08 581.08 3/1/2020 25907 amputation, forearm, through radius and ulna; 506.67 506.67 3/1/2020 25909 amputation follow-up surgery 571.23 571.23 3/1/2020 25915 amputation of forearm 1002.50 1002.50 3/1/2020 25920 disarticulation through wrist 537.47 537.47 3/1/2020 25922 disarticulation w secondary closure revision 454.22 454.22 3/1/2020 25924 reamputation 524.81 524.81 3/1/2020 25927 transmetacarpal amputation 607.74 607.74 3/1/2020 25929 transmetacarp amput sec closure or scar revision 440.21 440.21 3/1/2020 25931 transmetacarpal reamputation 553.31 553.31 3/1/2020 26010 drainage of finger abscess 101.75 188.06 3/1/2020 26011 drainage of finger abscess; 142.19 286.64 3/1/2020 26020 drainage of tendon sheath, digit and/or palm, each 327.77 327.77 3/1/2020 26025 drainage of palm bursa 320.57 320.57 3/1/2020 26030 drainage of palm bursas 379.45 379.45 3/1/2020 26034 inc deep w/open cortex for osteo/bone abscess hand 410.90 410.90 3/1/2020 26035 decompression finger/hand 642.34 642.34 3/1/2020 26037 decompressive fasciotomy, hand (excludes 26035) 443.68 443.68 3/1/2020 26040 fasciotomy palmar for dupuytren contracture open p 234.61 234.61 3/1/2020 26045 release palm contracture 358.95 358.95 3/1/2020 26055 amb surg tendon sheath incision for trigger finger 224.33 418.46 3/1/2020 26060 tenotomy, percutaneous, single, each digit 200.76 200.76 3/1/2020 26070 exploration of hand joint 229.59 229.59 3/1/2020 26075 arthrotomy with exploration metacarpophalangeal jo 242.98 242.98 3/1/2020 26080 exploration of finger joint 292.72 292.72 3/1/2020 26100 biopsy of hand joint 245.93 245.93 3/1/2020 26105 arthrotomy with biopsy; metacarpophalangeal joint, each 251.60 251.60 3/1/2020 26110 biopsy of finger joint 241.44 241.44 3/1/2020 26115 excision, tumor or vascular malformation, soft tissue of hand or finger; 273.53 460.68 3/1/2020 26116 excision, tumor or vascular malformation, soft tissue of hand or finger; dee 368.88 368.88 3/1/2020 26117 radical resection soft tissue tumor hand/finger 505.81 505.81 3/1/2020 26121 fasciectomy palmar w/wo z-plasty or skin grafting 464.22 464.22 3/1/2020 26123 fasciectomy, palmar with release of single digit. 635.70 635.70 3/1/2020 26125 fasciectomy, palmer w/ release additional digits. 229.33 229.33 3/1/2020 26130 exploration hand joint 350.93 350.93 3/1/2020 26135 exploration finger joint 427.98 427.98 3/1/2020 26140 amb surg synovectomy interphalangeal joint 388.71 388.71 3/1/2020 26145 tendon excision palm/digit 395.26 395.26 3/1/2020 26160 excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst 244.88 419.93 3/1/2020 26170 removal of palm tendon 310.21 310.21 3/1/2020 26180 removal of finger tendon 339.15 339.15 3/1/2020 26200 amb surg excision/currettage bone cyst metacarpal 348.68 348.68 3/1/2020 26205 removal/graft joint lesion 469.29 469.29 3/1/2020 26210 removal of finger lesion 337.47 337.47 3/1/2020 26215 removal/graft finger lesion 430.09 430.09 3/1/2020 26230 partial removal of hand bone 390.64 390.64 3/1/2020 26235 partial removal finger bone 383.61 383.61 3/1/2020 26236 partial removal finger bone 339.49 339.49 3/1/2020 26250 removal of hand bone 453.65 453.65 3/1/2020 26260 radical resection for tumor of finger 424.79 424.79 3/1/2020 26262 radical resection for tumor of finger 354.23 354.23 3/1/2020 26320 removal of implant hand 263.77 263.77 3/1/2020 26340 manipulation finger joint, under anesthesia, each joint 234.69 234.69 3/1/2020 26350 repair or advancement, flexor tendon, not in zone 2 digital flexor tendon 543.87 543.87 3/1/2020 26352 removal/graft tendon 620.29 620.29 3/1/2020 26356 repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheat 810.62 810.62 3/1/2020 26357 flexor tendon repair secondary each tendon 666.93 666.93 3/1/2020 26358 repair/graft tendon 705.40 705.40 3/1/2020 26370 repair tendon 590.19 590.19 3/1/2020 26372 repair/graft tendon 685.62 685.62 3/1/2020 26373 profundus tendon repair secondary without free gra 651.25 651.25 3/1/2020 26390 excision flexor tendon, with implantation of synthetic rod for delayed tendo 641.83 641.83 3/1/2020 26392 removal of synthetic rod and insertion of flexor tendon graft, hand or finger 749.44 749.44 3/1/2020 26410 amb surg extensor tendon repair dorsum of hand 432.14 432.14 3/1/2020 26412 repair/graft tendon 526.37 526.37 3/1/2020 26415 excision of extensor tendon, with implantation of synthetic rod for delayed 557.30 557.30 3/1/2020 26416 removal of synthetic rod and insertion of extensor tendon graft (includes 597.69 597.69 3/1/2020 26418 repair tendon 433.06 433.06 3/1/2020 26420 repair/graft tendon 547.44 547.44 3/1/2020 26426 repair of extensor tendon, central slip, secondary (eg, boutonniere deform 442.27 442.27 3/1/2020 26428 repair of extensor tendon, central slip, secondary (eg, boutonniere deform 575.60 575.60 3/1/2020 26432 amb surg repair mullet finger deformity 377.90 377.90 3/1/2020 26433 repair tendon 406.01 406.01 3/1/2020 26434 repair/graft tendon 488.65 488.65 3/1/2020 26437 extensor tendon realignment 475.95 475.95 3/1/2020 26440 amb surg tenolysis flexor tendon hand 476.21 476.21 3/1/2020 26442 release tendon palm & finger 725.37 725.37 3/1/2020 26445 tenolysis, extensor tendon, hand or finger; each tendon 441.19 441.19 3/1/2020 26449 release tendon forearm 583.95 583.95 3/1/2020 26450 incision of tendon 306.93 306.93 3/1/2020 26455 incision of tendon 304.83 304.83 3/1/2020 26460 tenotomy, extensor, hand or finger, open, each tendon 296.19 296.19 3/1/2020 26471 fusion of tendons 468.87 468.87 3/1/2020 26474 fusion of tendon 449.32 449.32 3/1/2020 26476 tendon lengthening extensor single each 437.48 437.48 3/1/2020 26477 tendon shortening extensor single each 441.16 441.16 3/1/2020 26478 tendon lengthening flexor hand/finger 479.44 479.44 3/1/2020 26479 tendon shortening flexor hand/finger 474.26 474.26 3/1/2020 26480 tendon transplant 576.21 576.21 3/1/2020 26483 tendon transplant 652.34 652.34 3/1/2020 26485 tendon transplant 624.39 624.39 3/1/2020 26489 tendon transplant & graft 678.14 678.14 3/1/2020 26490 tendon transfer 605.57 605.57 3/1/2020 26492 tendon transfer with graft 675.50 675.50 3/1/2020 26494 tendon/muscle transfer 612.93 612.93 3/1/2020 26496 repair thumb tendon 665.84 665.84 3/1/2020 26497 sublimis transfer to correct claw finger iv and v 666.17 666.17 3/1/2020 26498 sublimis transfer to correct claw finger 2/3/4/5 892.96 892.96 3/1/2020 26499 correction claw finger, other methods 636.22 636.22 3/1/2020 26500 tendon reconstruction 478.93 478.93 3/1/2020 26502 tendon reconstruction/graft 541.72 541.72 3/1/2020 26508 release thumb contracture 481.62 481.62 3/1/2020 26510 cross intrinsic transfer, each tendon 455.96 455.96 3/1/2020 26516 fusion of knuckle joint 540.21 540.21 3/1/2020 26517 fusion of knuckle joints 637.26 637.26 3/1/2020 26518 fusion of knuckle joints 643.43 643.43 3/1/2020 26520 release knuckle contracture 497.94 497.94 3/1/2020 26525 release finger contracture 500.04 500.04 3/1/2020 26530 repair knuckle 414.91 414.91 3/1/2020 26531 repair knuckle with implant 483.32 483.32 3/1/2020 26535 repair finger joint 311.50 311.50 3/1/2020 26536 repair finger joint-implant 513.90 513.90 3/1/2020 26540 reconstruction collateral ligament metacarpophalan 506.48 506.48 3/1/2020 26541 reconstruct collateral lig metacarpo jt with tendo 620.87 620.87 3/1/2020 26542 prim repair collateral ligament w/ local tissue 524.01 524.01 3/1/2020 26545 reconstruct finger joint 533.48 533.48 3/1/2020 26548 repair/reconstruct finger volar plate 588.38 588.38 3/1/2020 26550 construct thumb replacement 1171.43 1171.43 3/1/2020 26555 transfer, finger to another position without microvascular anastomosis 1070.21 1070.21 3/1/2020 26560 amb surg repair syndactyly fingers 435.87 435.87 3/1/2020 26561 repair web finger 704.21 704.21 3/1/2020 26562 repair web finger complex 1026.15 1026.15 3/1/2020 26565 amb surg osteotomy correction deformity metacarpal 519.26 519.26 3/1/2020 26567 amb surg osteotomy correct deformity phalanx 524.52 524.52 3/1/2020 26568 osteoplasty for lengthening of metacarpal/phalanx 690.86 690.86 3/1/2020 26580 repair hand deformity 1094.75 1094.75 3/1/2020 26587 reconstruction of polydactylous digit, soft tissue and bone 751.72 751.72 3/1/2020 26590 repair macrodactylia, each digit 998.62 998.62 3/1/2020 26591 repair intrinsic muscles of hand 331.51 331.51 3/1/2020 26593 release intrinsic muscles of hand 454.58 454.58 3/1/2020 26596 excision of constricting ring w z-plastics 569.37 569.37 3/1/2020 26600 treat metacarpal fracture 186.74 201.58 3/1/2020 26605 closed treatment of metacarpal fracture, single; 213.28 232.96 3/1/2020 26607 closed treatment of metacarpal fracture, with manipulation, with external 337.18 337.18 3/1/2020 26608 percutaneous skeletal fixation of metacarpal fracture, each bone 364.11 364.11 3/1/2020 26615 amb surg open reduction metacarpal fracture 423.65 423.65 3/1/2020 26641 treatment carpometacarp disloc thumb w/manipulatio 246.89 268.99 3/1/2020 26645 repair thumb dislocation 284.41 307.13 3/1/2020 26650 amb surg closed reduction bennett fx pin fixation 363.86 363.86 3/1/2020 26665 repair thumb dislocation 470.53 470.53 3/1/2020 26670 closed treatment of carpometacarpal dislocation, other than thumb, with 220.48 243.19 3/1/2020 26675 repair hand dislocation 304.03 327.65 3/1/2020 26676 percutaneous skeletal fixation of carpometacarpal dislocation, other than 381.51 381.51 3/1/2020 26685 open treatment of carpometacarpal dislocation, other than thumb; with or 434.49 434.49 3/1/2020 26686 open treat clo/open carpometaca dislo cmpl/mul/del 482.52 482.52 3/1/2020 26700 repair finger dislocation 217.22 232.37 3/1/2020 26705 closed treatment of metacarpophalangeal dislocation, single, 277.03 300.34 3/1/2020 26706 treatment of closed metacarpophalangeal dislocatio 331.49 331.49 3/1/2020 26715 repair finger dislocation 424.29 424.29 3/1/2020 26720 treat finger fractures 128.17 139.67 3/1/2020 26725 rx closed phalangeal shaft fx prox or mid phalanx 226.16 250.69 3/1/2020 26727 repair finger fractures 357.81 357.81 3/1/2020 26735 repair finger fractures 442.13 442.13 3/1/2020 26740 closed treatment of articular fracture, involving metacarpophalangeal or 153.04 162.74 3/1/2020 26742 tx closed articular fx of fingers w manipulation 251.16 275.09 3/1/2020 26746 open rx closed or open articular fx each 542.71 542.71 3/1/2020 26750 treat finger fracture 127.55 130.88 3/1/2020 26755 closed treatment of distal phalangeal fracture, finger or thumb; 201.78 230.25 3/1/2020 26756 tx of closed distal phalangeal fx w pinning 314.90 314.90 3/1/2020 26765 open rx closed or open distal phalangeal fx finger 359.00 359.00 3/1/2020 26770 repair finger dislocation 180.92 196.96 3/1/2020 26775 closed treatment of interphalangeal joint dislocation, single, 252.46 279.71 3/1/2020 26776 tx of closed interphalangeal joint dislocation 335.32 335.32 3/1/2020 26785 open rx closed or open interphalangeal joint dislo 392.12 392.12 3/1/2020 26820 thumb fusion with graft 606.47 606.47 3/1/2020 26841 thumb fusion 560.34 560.34 3/1/2020 26842 thumb fusion with graft 610.01 610.01 3/1/2020 26843 arthrodesis, carpometacarpal joint, digit, other than thumb, each; 564.48 564.48 3/1/2020 26844 amb surg arthrodesis fingers (26843-26860) 630.49 630.49 3/1/2020 26850 amb surg arthrodesis fingers (26843-26860) 534.39 534.39 3/1/2020 26852 amb surg arthrodesis fingers (26843-26860) 613.91 613.91 3/1/2020 26860 amb surg arthrodesis fingers 426.57 426.57 3/1/2020 26861 arthrodesis each additional interphalangeal joint 86.49 86.49 3/1/2020 26862 amb surg arthrodesis with autogenous graft 557.42 557.42 3/1/2020 26863 arthrodesis, interphalangeal joint, with or without internal fixation; with 192.87 192.87 3/1/2020 26910 amputation metacarpal bone 549.55 549.55 3/1/2020 26951 amb surg amputation finger/any joint primary/secon 473.05 473.05 3/1/2020 26952 amputation of finger 496.58 496.58 3/1/2020 26990 incision/drainage abscess or hematoma 481.26 481.26 3/1/2020 26991 incison/drainage infected bursa 407.19 533.77 3/1/2020 26992 incis w/open bone cort ex for osteomyelitis or bon 761.06 761.06 3/1/2020 27000 amb surg tenotomy adductor unilateral hip 349.48 349.48 3/1/2020 27001 amb surg tenotop adductor open hip 424.32 424.32 3/1/2020 27003 incision of hit tendon 455.83 455.83 3/1/2020 27005 tenotomy, hip flexor(s), open (separate procedure) 576.39 576.39 3/1/2020 27006 tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) 582.20 582.20 3/1/2020 27025 incision of hip fascia 706.35 706.35 3/1/2020 27030 drainage of hip joint 753.86 753.86 3/1/2020 27033 exploration of hip joint 780.44 780.44 3/1/2020 27035 hip joint devervation femoral or obturator nerves 876.62 876.62 3/1/2020 27040 biopsy soft tissue superficial 160.18 259.20 3/1/2020 27041 biopsy soft tissue deep 545.75 545.75 3/1/2020 27047 excision benign tumor subcutaneous 407.16 480.74 3/1/2020 27048 excision benign tumor deep 373.17 373.17 3/1/2020 27049 radical resection soft tissue tumor pelvis/hip 794.98 794.98 3/1/2020 27050 biopsy of sacroiliac joint 272.80 272.80 3/1/2020 27052 biopsy of hip joint 435.16 435.16 3/1/2020 27054 arthrotomy with synovectomy, hip joint 534.93 534.93 3/1/2020 27060 removal of ischial bursa 336.66 336.66 3/1/2020 27062 removal of femur lesion 350.87 350.87 3/1/2020 27065 removal of hip bone lesion 391.70 391.70 3/1/2020 27066 excision of bone cyst or tumor deep with or withou 638.39 638.39 3/1/2020 27067 excision benign tumor w/bone graft req seperate in 810.96 810.96 3/1/2020 27070 partial excision (craterization, saucerization) (eg, osteomyelitis or bone 668.26 668.26 3/1/2020 27071 partial excision (craterization, saucerization) (eg, osteomyelitis or bone 717.30 717.30 3/1/2020 27075 radical resection of tumor or infection; wing of ilium, one pubic or ischial 1860.62 1860.62 3/1/2020 27076 partial removal of hip bone 1280.96 1280.96 3/1/2020 27077 removal of hip bone 2150.34 2150.34 3/1/2020 27078 partial removal of hip bones 807.57 807.57 3/1/2020 27080 coccygectomy primary 387.28 387.28 3/1/2020 27086 removal foreign body subctaneous tissue 115.83 185.47 3/1/2020 27087 removal of foreign body deep tissue 498.53 498.53 3/1/2020 27090 removal of hip prosthesis 660.31 660.31 3/1/2020 27091 removal of hip prosthesis; complicated, including total hip prosthesis, 1283.60 1283.60 3/1/2020 27093 injection procedure for hip arthrography; 60.40 150.34 3/1/2020 27095 injection procedure for hip arthrography with anes 68.96 181.32 3/1/2020 27096 injection procedure for sacroiliac joint, arthography and/or anesthetic stero 58.10 138.35 3/1/2020 27097 hamstring recession proximal 526.29 526.29 3/1/2020 27098 adduct transf to ishium 492.32 492.32 3/1/2020 27100 transfer of abdominal muscle 648.78 648.78 3/1/2020 27105 transfer of spinal muscle 679.57 679.57 3/1/2020 27110 transfer iliopsoas; to greater trochanter of femur 759.99 759.99 3/1/2020 27111 transfer iliopsoas to femoral neck 678.55 678.55 3/1/2020 27120 reconstruction of hip 1032.24 1032.24 3/1/2020 27122 acetabuloplasty; resection, femoral head (eg, girdlestone procedure) 883.03 883.03 3/1/2020 27125 hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar 899.48 899.48 3/1/2020 27130 arthroplasty, acetabular and proximal femoral prosthetic replacement (tota 1161.30 1161.30 3/1/2020 27132 conversion of previous hip surgery to total hip arthroplasty, with or without 1357.68 1357.68 3/1/2020 27134 revision of total hip, both components 1576.72 1576.72 3/1/2020 27137 revision of total hip, acetabular component only 1200.44 1200.44 3/1/2020 27138 revision of total hip, femoral component only 1249.74 1249.74 3/1/2020 27140 osteotomy and transfer of greater trochanter of femur (separate procedure 715.88 715.88 3/1/2020 27146 incision of hip bone 1011.86 1011.86 3/1/2020 27147 osteotomy with open reduction of hip 1179.44 1179.44 3/1/2020 27151 incision of hip bones 1231.50 1231.50 3/1/2020 27156 revision of hip bones 1377.37 1377.37 3/1/2020 27158 osteotomy, pelvis, bilateral (eg, congenital malformation) 1106.74 1106.74 3/1/2020 27161 incision of neck of femur 977.85 977.85 3/1/2020 27165 osteotomy including internal or external fixation 1092.86 1092.86 3/1/2020 27170 repair/graft femur 946.91 946.91 3/1/2020 27175 treatment of slipped femoral epiphysis; 525.23 525.23 3/1/2020 27176 treatment of slipped femoral epiphysis; 726.02 726.02 3/1/2020 27177 repair slipped epiphysis 886.64 886.64 3/1/2020 27178 open rx slipped fem epiphysis closed manip w/singl 718.59 718.59 3/1/2020 27179 revision of neck of femur 774.35 774.35 3/1/2020 27181 fixation slipped epiphysis 863.12 863.12 3/1/2020 27185 epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femu 547.49 547.49 3/1/2020 27187 prophylactic tx femoral neck and proximal femur 793.84 793.84 3/1/2020 27197 clsd tx pelvic ring fx 103.14 103.14 3/1/2020 27198 clsd tx pelvic ring fx 263.51 263.51 3/1/2020 27200 repair tail bone fracture 133.35 130.63 3/1/2020 27202 repair tail bone fracture 499.51 499.51 3/1/2020 27215 open tx of iliac spine s/internal fixation 586.41 586.41 3/1/2020 27217 open tx ant. ring fx/dislocation w/internal fix 811.79 811.79 3/1/2020 27218 open tx post ring fx/dislocation w/internal fix. 1111.37 1111.37 3/1/2020 27220 treatment hipsocket fracture 405.13 407.86 3/1/2020 27222 repair hipsocket fracture 778.29 778.29 3/1/2020 27226 open tx post/ant. acetabular wall fx, internal fix 829.74 829.74 3/1/2020 27227 open treatment acetabular fx w/internal fix. 1344.78 1344.78 3/1/2020 27228 open tx acetabular fx w/internal fixation 1540.90 1540.90 3/1/2020 27230 treatment fracture of femur 357.72 362.26 3/1/2020 27232 repair fracture of femur 619.61 619.61 3/1/2020 27235 fixation of femur fracture 725.81 725.81 3/1/2020 27236 open treatment of femoral fracture, proximal end, neck, internal fixation or 951.12 951.12 3/1/2020 27238 clsd trtmnt interochanteric,pertrochanteric,subtrochanteric fem frac w/o ma 350.61 350.61 3/1/2020 27240 rx closed intertrochanteric or pertro femoral fx w 759.65 759.65 3/1/2020 27244 fixation of femur fracture 978.59 978.59 3/1/2020 27245 open tx femoral fx; w/intramedullary implant 1013.24 1013.24 3/1/2020 27246 treatment of femur fracture 297.39 296.79 3/1/2020 27248 repair of femur fracture 599.61 599.61 3/1/2020 27250 repair of hip dislocation 190.02 190.02 3/1/2020 27252 repair of hip dislocation 600.32 600.32 3/1/2020 27253 repair of hip dislocation 754.47 754.47 3/1/2020 27254 repair of hip dislocation 1021.58 1021.58 3/1/2020 27256 treatment of hip dislocation 196.54 230.44 3/1/2020 27257 repair of hip dislocation 268.81 268.81 3/1/2020 27258 repair of hip dislocation 885.38 885.38 3/1/2020 27259 open rx closed/open acetab fx w/femoral shaft shor 1243.36 1243.36 3/1/2020 27265 tx atraumatic hip dislocation w/o anesthesia 304.25 304.25 3/1/2020 27266 tx atraumatic hip dislocation w/ gen anesthesia 454.73 454.73 3/1/2020 27275 manipulation, hip joint, requiring general anesthesia 140.91 140.91 3/1/2020 27280 fusion of sacroiliac joint 818.42 818.42 3/1/2020 27282 fusion of pubic bones 642.04 642.04 3/1/2020 27284 arthrodesis, hip joint (including obtaining graft); 1252.31 1252.31 3/1/2020 27286 fusion of hip joint 1319.44 1319.44 3/1/2020 27290 amputation of leg at hip 1261.43 1261.43 3/1/2020 27295 amputation of leg at hip 1018.51 1018.51 3/1/2020 27301 incision and drainage deep abscess infected bursa 387.73 504.03 3/1/2020 27303 incision deep w/opening bone cortex for osteomye o 502.12 502.12 3/1/2020 27305 incision of tendon & fascia 365.69 365.69 3/1/2020 27306 incision of tendon 295.28 295.28 3/1/2020 27307 incision of tendons 364.20 364.20 3/1/2020 27310 exploration of knee joint 573.10 573.10 3/1/2020 27323 biopsy soft tissues superfical 139.34 201.72 3/1/2020 27324 amb surg biopsy soft tissue deep 297.85 297.85 3/1/2020 27325 neurectomy, hamstring muscle 413.43 413.43 3/1/2020 27326 neurectomy, popliteal (gastrocnemius) 381.03 381.03 3/1/2020 27327 excision benign tumor subcutaneous 272.10 343.57 3/1/2020 27328 exc bengin tumor deep 328.92 328.92 3/1/2020 27329 racical resection soft tissue tumor thigh/knee 825.67 825.67 3/1/2020 27330 biopsy of knee 311.81 311.81 3/1/2020 27331 exploration of knee joint 368.55 368.55 3/1/2020 27332 arthrotomy knee exc semilunar cartilage medial or 501.07 501.07 3/1/2020 27333 arthrotomy knee exc semilunar cartilage medial and 453.52 453.52 3/1/2020 27334 arthrotomy knee for synovectomy anterior or poster 533.90 533.90 3/1/2020 27335 arthrotomy knee anterior and posterior including p 604.61 604.61 3/1/2020 27340 removal of kneecap bursa 281.22 281.22 3/1/2020 27345 removal of knee cyst 373.10 373.10 3/1/2020 27347 excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee 400.50 400.50 3/1/2020 27350 removal of kneecap 509.93 509.93 3/1/2020 27355 removal of femue lesion 472.55 472.55 3/1/2020 27356 removal & graft femur lesion 580.50 580.50 3/1/2020 27357 removal & graft femur lesion 643.73 643.73 3/1/2020 27358 excision or curettage of bone cyst or benign tumor of femur; with internal 236.68 236.68 3/1/2020 27360 partial removal leg bone(s) 669.57 669.57 3/1/2020 27365 radical resection of tumor, bone, femur or knee 979.76 979.76 3/1/2020 27372 removal of foreign body, deep, thigh region or knee area 314.66 450.64 3/1/2020 27380 repair kneecap tendon 461.66 461.66 3/1/2020 27381 repair/graft kneecap tendon 631.60 631.60 3/1/2020 27385 repair of thigh muscle 494.85 494.85 3/1/2020 27386 repair/graft of thigh muscle 654.90 654.90 3/1/2020 27390 incision thigh tendon 342.25 342.25 3/1/2020 27391 incision thigh tendons 447.02 447.02 3/1/2020 27392 incision thigh tendons 552.28 552.28 3/1/2020 27393 lengthning of thigh tendon 396.13 396.13 3/1/2020 27394 lengthening of thigh tendons 513.04 513.04 3/1/2020 27395 lengthening of thigh tendons 696.09 696.09 3/1/2020 27396 transplant of thigh tendon 481.82 481.82 3/1/2020 27397 transplants of thigh tendons 711.49 711.49 3/1/2020 27400 revision of thigh muscles 537.36 537.36 3/1/2020 27403 arthrotomy with open meniscus repair 504.74 504.74 3/1/2020 27405 repair of knee ligament 531.83 531.83 3/1/2020 27407 repair of knee ligament 608.85 608.85 3/1/2020 27409 repair of knee ligaments 766.24 766.24 3/1/2020 27418 anterior tibial tubercle plasty chondromala patell 660.31 660.31 3/1/2020 27420 repair of unstable kneecap 590.87 590.87 3/1/2020 27422 repair of unstable kneecap 588.41 588.41 3/1/2020 27424 revision/removal of kneecap 590.00 590.00 3/1/2020 27425 amb surg lateral retinacular release knee 342.05 342.05 3/1/2020 27427 reconstruction knee extra-articular 566.34 566.34 3/1/2020 27428 reconstruction knee intra-articular 873.62 873.62 3/1/2020 27429 reconstruction knee intra and extra-articular 978.61 978.61 3/1/2020 27430 repair of thigh muscles 584.75 584.75 3/1/2020 27435 incision of knee joint 626.89 626.89 3/1/2020 27437 arthroplasty patella w/o prosthesis 519.55 519.55 3/1/2020 27438 arthroplasty patella w/prosthesis 667.37 667.37 3/1/2020 27440 repair of knee joint 610.11 610.11 3/1/2020 27441 repair of knee joint 630.24 630.24 3/1/2020 27442 repair of knee joint 691.45 691.45 3/1/2020 27443 repair of knee joint 646.99 646.99 3/1/2020 27445 arthroplasty, knee, hinge prosthesis (eg, walldius type) 1011.14 1011.14 3/1/2020 27446 total knee replacement 896.21 896.21 3/1/2020 27447 arthroplasty, knee, condyle and plateau; medial and lateral compartments 1243.21 1243.21 3/1/2020 27448 osteotomy femur shaft or supracondylar w/o fixatio 651.91 651.91 3/1/2020 27450 osteotomy femur shaft or supracondylar with fixati 813.07 813.07 3/1/2020 27454 osteotomy, multiple, with realignment on intramedullary rod, femoral shaft 1027.92 1027.92 3/1/2020 27455 osteotomy proximal tibia unilateral before epiphys 750.89 750.89 3/1/2020 27457 osteotomy proximal tibia after epiphyseal closure 774.32 774.32 3/1/2020 27465 revision of femur 977.39 977.39 3/1/2020 27466 revision of femur 946.48 946.48 3/1/2020 27468 osteoplasty, femur; 1073.40 1073.40 3/1/2020 27470 repair of femur 943.48 943.48 3/1/2020 27472 repair/graft of femur 1020.75 1020.75 3/1/2020 27475 arrest, epiphyseal, any method (eg, epiphydiodesis); distal femur 516.85 516.85 3/1/2020 27477 repair lower leg epiphyses 580.10 580.10 3/1/2020 27479 repair of leg epiphyses 747.99 747.99 3/1/2020 27485 arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu 529.05 529.05 3/1/2020 27486 revision of total knee arthroplasty, one component 1133.69 1133.69 3/1/2020 27487 revision of total knee arthroplasty, with or without allograft; femoral and 1432.03 1432.03 3/1/2020 27488 removal of prosthesis, including total knee prosthesis, methylmethacrylate 958.03 958.03 3/1/2020 27495 prophylactic treatment femur 907.41 907.41 3/1/2020 27496 decompression fasciotomy, thigh/knee, 1 compart. 393.94 393.94 3/1/2020 27497 decompression fasciotomy, thigh/knee w/ debridement 429.19 429.19 3/1/2020 27498 decompression fasciotomy, thigh/knee, multiple 468.25 468.25 3/1/2020 27499 decompression fasciotomy; thigh/knee w/ debridement 519.12 519.12 3/1/2020 27500 treatment of femur fracture 369.53 395.58 3/1/2020 27501 closed treatment of supracondylar or transcondylar femoral 384.29 389.45 3/1/2020 27502 treatment of closed femoral shaft fracture with ma 624.99 624.99 3/1/2020 27503 closed tx supra/transcondylar fem fx; s/manipula. 635.36 635.36 3/1/2020 27506 repair femur fx w/insertion intramedullary implant 1065.02 1065.02 3/1/2020 27507 open tx fem shaft fx with plate screws 789.25 789.25 3/1/2020 27508 treatment of femur fracture 377.27 398.46 3/1/2020 27509 percutaneous skeletal fix fem fx w/wo intercon ext 502.96 502.96 3/1/2020 27510 repair of femur fracture 551.57 551.57 3/1/2020 27511 open tx femoral fx wo intercondylar extension 817.50 817.50 3/1/2020 27513 open tx femoral fx w/intercondylar extension 1029.17 1029.17 3/1/2020 27514 repair of femur fracture 825.08 825.08 3/1/2020 27516 treatment of femur epiphysis 352.11 372.09 3/1/2020 27517 repair of femur epiphysis 528.27 528.27 3/1/2020 27519 repair of femur epiphysis 746.10 746.10 3/1/2020 27520 treatment kneecap fracture 211.97 233.17 3/1/2020 27524 repair of kneecap fracture 596.90 596.90 3/1/2020 27530 treatment of knee fracture 274.28 293.67 3/1/2020 27532 repair of knee fracture 449.28 473.21 3/1/2020 27535 open tx fibial fx, proximal; unicondylar 729.33 729.33 3/1/2020 27536 tx tibial fx bicondylar 948.83 948.83 3/1/2020 27538 treatment of knee fracture 331.21 352.11 3/1/2020 27540 repair knee fracture 659.80 659.80 3/1/2020 27550 repair knee dislocation 349.60 373.83 3/1/2020 27552 repair knee dislocation 485.87 485.87 3/1/2020 27556 open rx closed or open knee disloc w/o primary lig 733.56 733.56 3/1/2020 27557 osteotomy proximal tibia bilateral with primary li 878.83 878.83 3/1/2020 27558 open tx knee dislocation; w/lig repair 987.46 987.46 3/1/2020 27560 repair kneecap dislocation 248.28 272.51 3/1/2020 27562 closed treatment of patellar dislocation; 358.24 358.24 3/1/2020 27566 repair kneecap dislocation 711.98 711.98 3/1/2020 27570 amb surg manipulation of knee under anesthesia 114.72 114.72 3/1/2020 27580 arthrodesis, knee, any technique 1155.65 1155.65 3/1/2020 27590 amputation of leg 664.77 664.77 3/1/2020 27591 amputation thigh thru fem immed fit tech includ fi 734.12 734.12 3/1/2020 27592 amputation of leg 562.80 562.80 3/1/2020 27594 amputation, thigh, through femur, any level; 405.20 405.20 3/1/2020 27596 amputation follow-up surgery 589.01 589.01 3/1/2020 27598 amputation of lower leg 598.08 598.08 3/1/2020 27600 decompression of leg 336.48 336.48 3/1/2020 27601 fasciotomy leg for closedspace decompression, ant. 348.25 348.25 3/1/2020 27602 decompression of leg 413.65 413.65 3/1/2020 27603 incision and drainage deep abscess or hematoma 304.11 398.91 3/1/2020 27604 incision and drainage infected bursa 267.96 350.03 3/1/2020 27605 amb surg archilles tenotomy local anesthesia 160.97 277.25 3/1/2020 27606 tenotomy achilles tendon subcutaneous general anes 236.49 236.49 3/1/2020 27607 incision deep w/opening bn cortex for osteomyeliti 486.90 486.90 3/1/2020 27610 exploration of ankle joint 519.67 519.67 3/1/2020 27612 exploration of ankle joint 453.77 453.77 3/1/2020 27613 biopsy soft tissues superficial 130.96 189.41 3/1/2020 27614 biopsy soft tissue deep 325.47 429.04 3/1/2020 27615 radical resection soft tissue tumor leg/ankle 701.65 701.65 3/1/2020 27618 exc benign tumor subsq 301.33 374.91 3/1/2020 27619 excision benign tumor deep subfascial or intramusc 468.58 598.80 3/1/2020 27620 biopsy of ankle joint 364.75 364.75 3/1/2020 27625 exploration of ankle joint 473.51 473.51 3/1/2020 27626 amb surg synovectomy ankle includ tenosynovectomy 511.26 511.26 3/1/2020 27630 amb surg excision lesion of tendon sheath leg 293.45 408.53 3/1/2020 27635 removal of bone lesion 469.67 469.67 3/1/2020 27637 removal/graft of bone lesion 596.04 596.04 3/1/2020 27638 removal/graft of bone lesion 622.00 622.00 3/1/2020 27640 partial removal of tibia 689.14 689.14 3/1/2020 27641 parital removal of fibula 552.35 552.35 3/1/2020 27645 radical resection of tumor, bone; tibia 836.33 836.33 3/1/2020 27646 removal of fibula 739.91 739.91 3/1/2020 27647 radical resection of tumor, bone; talus or calcaneus 657.39 657.39 3/1/2020 27648 injection procedure for ankle arthrography 43.69 123.63 3/1/2020 27650 repair achilles tendon 536.61 536.61 3/1/2020 27652 repair/graft achilles tendon 592.68 592.68 3/1/2020 27654 repair achilles tendon 578.40 578.40 3/1/2020 27656 repair fascial defect of leg 277.32 410.27 3/1/2020 27658 repair of leg tendon 304.02 304.02 3/1/2020 27659 repair of leg tendon 400.46 400.46 3/1/2020 27664 repair of leg tendon 289.42 289.42 3/1/2020 27665 repair of leg tendon 331.99 331.99 3/1/2020 27675 repair for dislocating peroneal tendons w/o fibula 408.46 408.46 3/1/2020 27676 repair disloc peroneal tendons with fibular osteo 495.35 495.35 3/1/2020 27680 release of leg tendon 344.83 344.83 3/1/2020 27681 amb surg tenolysis multiple ankle flexor 410.97 410.97 3/1/2020 27685 lengthening or shortening of tendon single 380.89 486.87 3/1/2020 27686 lengthening or shortening of tendon multiple each 448.78 448.78 3/1/2020 27687 gastrocnemius recession 369.34 369.34 3/1/2020 27690 revision of leg tendon 509.30 509.30 3/1/2020 27691 revision of leg tendon 597.11 597.11 3/1/2020 27692 transfer or transplant of single tendon (with muscle redirection or rerouting 91.78 91.78 3/1/2020 27695 repair of ankle ligament 392.87 392.87 3/1/2020 27696 repair ofankle ligaments 470.69 470.69 3/1/2020 27698 suture secondary repair ligament ankle collateral 528.65 528.65 3/1/2020 27700 repair of ankle 501.32 501.32 3/1/2020 27702 arthroplasty ankle with implant 798.85 798.85 3/1/2020 27703 arthroplasty, ankle; revision, total ankle 925.16 925.16 3/1/2020 27704 removal of ankle implant 451.34 451.34 3/1/2020 27705 incision of tibia 612.37 612.37 3/1/2020 27707 incision of fibula 308.88 308.88 3/1/2020 27709 incision of tibia & fibula 897.50 897.50 3/1/2020 27712 osteotomy; multiple, with realignment on intramedullary rod (eg, sofield typ 873.99 873.99 3/1/2020 27715 revision of lower leg 853.65 853.65 3/1/2020 27720 repair of lower leg 700.63 700.63 3/1/2020 27722 repair/graft of lower leg 699.25 699.25 3/1/2020 27724 repair/graft of lower leg 1032.59 1032.59 3/1/2020 27725 repair malunion tibia by synostosis with fibula 958.62 958.62 3/1/2020 27727 repair congenital pseudarthrosis tibia 780.20 780.20 3/1/2020 27730 repair of tibia epiphysis 465.18 465.18 3/1/2020 27732 repair of fibula epiphysis 316.25 316.25 3/1/2020 27734 repair lower leg epiphyses 476.12 476.12 3/1/2020 27740 repair lower leg epiphyses 528.13 528.13 3/1/2020 27742 repair of leg epiphyses 557.34 557.34 3/1/2020 27745 prophylactic treatment tibia 600.74 600.74 3/1/2020 27750 treatment of tibia fracture 232.31 252.30 3/1/2020 27752 repair of tibia fracture 383.10 409.15 3/1/2020 27756 repair of tibia fracture 445.65 445.65 3/1/2020 27758 open rx closed or open tibial shaft fx complicated 706.31 706.31 3/1/2020 27759 open tx tibial shaft fx by intermedullary implant 801.24 801.24 3/1/2020 27760 treatment of ankle fracture 221.36 242.85 3/1/2020 27762 repair of ankle fracture 339.32 365.66 3/1/2020 27766 repair of ankle fracture 479.50 479.50 3/1/2020 27780 treatment of fibula fracture 197.49 217.17 3/1/2020 27781 repair of fibula fracture 295.94 316.24 3/1/2020 27784 repair of fibula fracture 545.53 545.53 3/1/2020 27786 treatment of ankle fracture 208.08 230.19 3/1/2020 27788 repair of ankle fracture 295.38 318.99 3/1/2020 27792 repair of ankle fracture 551.43 551.43 3/1/2020 27808 treatment of ankle fracture 216.87 240.49 3/1/2020 27810 repair of ankle fracture 330.80 357.76 3/1/2020 27814 repair of ankle fracture 615.45 615.45 3/1/2020 27816 treatment of ankle fracture 206.37 228.18 3/1/2020 27818 repair of ankle fracture 338.68 369.26 3/1/2020 27822 open rx closed or open trimalleolar ankle fx med a 672.90 672.90 3/1/2020 27823 open rx closed or open trimalleolar ankle fx w/int 767.73 767.73 3/1/2020 27824 closed treatment of fracture of weight bearing articular portion 221.61 229.79 3/1/2020 27825 closed tx fx st bearing portion tibia; with skel trac 389.27 421.37 3/1/2020 27826 open tx fx distal tibia w fixation of fibula only 646.03 646.03 3/1/2020 27827 open tx fix tibia with fixation fibula or tibia only 861.95 861.95 3/1/2020 27828 open tx fx tibia w fix fibula only/tibia & fibula 1032.61 1032.61 3/1/2020 27829 open tx tibiofibular jnt 515.77 515.77 3/1/2020 27830 repair lower leg dislocation 251.42 267.48 3/1/2020 27831 closed treatment of proximal tibiofibular joint dislocation; 293.29 293.29 3/1/2020 27832 repair lower leg dislocation 556.84 556.84 3/1/2020 27840 repair ankle dislocation 271.10 271.10 3/1/2020 27842 repair ankle dislocation 379.43 379.43 3/1/2020 27846 repair ankle dislocation 587.67 587.67 3/1/2020 27848 repair ankle dislocation 665.44 665.44 3/1/2020 27860 manipulation of ankle under general anesthesia (includes application 141.68 141.68 3/1/2020 27870 amb surg arthrodesis ankle any method 840.59 840.59 3/1/2020 27871 arthrodesis tibiofibular joint proximal or distal 550.65 550.65 3/1/2020 27880 amputation of lower leg 746.84 746.84 3/1/2020 27881 amputation leg w/immediate fitting technique inc a 717.22 717.22 3/1/2020 27882 amputation of lower leg 505.97 505.97 3/1/2020 27884 amputation, leg, through tibia and fibula; 469.59 469.59 3/1/2020 27886 amputation follow-up surgery 535.73 535.73 3/1/2020 27888 amputation, ankle, through malleoli of tibia and fibula (eg, syme, pirogoff 566.13 566.13 3/1/2020 27889 ankle disarticulation 554.48 554.48 3/1/2020 27892 decompression fasciotomy, leg: ant &/or lat compar 434.20 434.20 3/1/2020 27893 decompression fasciotomy, leg; posterior compart. 439.26 439.26 3/1/2020 27894 decompression fasciotomy, leg; ant &/or lat & post 675.56 675.56 3/1/2020 28001 incision and drainage, bursa, foot 147.76 207.71 3/1/2020 28002 deep infec req dissec sing bursal space 311.51 388.73 3/1/2020 28003 drainage of foot 460.10 538.23 3/1/2020 28005 drainage of foot 500.25 500.25 3/1/2020 28008 amb surg fasciotomy plantar and/or toe 249.70 328.43 3/1/2020 28010 incision of toe tendon 172.35 183.55 3/1/2020 28011 incision of toe tendon 243.30 260.26 3/1/2020 28020 exploration of a foot joint 292.65 389.26 3/1/2020 28022 exploration of a foot joint 270.96 359.39 3/1/2020 28024 exploration of a toe joint 256.70 341.49 3/1/2020 28035 tarsal tunnel release 295.46 391.77 3/1/2020 28043 excision benign tumor subcutaneous. 211.85 261.51 3/1/2020 28045 excision benign tumor deep subfascial intramuscula 269.78 366.08 3/1/2020 28046 radical resection soft tissue tumor foot 553.50 671.00 3/1/2020 28050 arthrotomy with biopsy; intertarsal or tarsometatarsal joint 254.37 343.72 3/1/2020 28052 arthrotomy for synovial biopsy; 231.55 316.94 3/1/2020 28054 arthrotomy for synovial biopsy; 210.71 297.02 3/1/2020 28055 neurectomy, intrinsic musculature of foot 325.24 325.24 3/1/2020 28060 amb surg fasciectomy plantar 297.03 386.68 3/1/2020 28062 amb surg fasciectomy plantar 349.24 455.83 3/1/2020 28070 amb surg synovectomy intertarsal/tarsometatarsal 290.65 383.31 3/1/2020 28072 amb surg synovectomy metatarsophalangeal joint 280.47 376.77 3/1/2020 28080 amb surg excision morton neuroma single each 283.12 369.73 3/1/2020 28086 synovectomy, tendon sheath, foot; 292.92 404.05 3/1/2020 28088 amb surg synovectomy tendon sheath extensor foot 243.60 342.33 3/1/2020 28090 amb surg synovectomy foot tendon/fibrous tissue 255.77 346.92 3/1/2020 28092 amb surg synovectomy toes 223.95 312.38 3/1/2020 28100 removal of heel lesion 332.08 447.46 3/1/2020 28102 excision or curettage of bone cyst or benign tumor, talus or calcaneus; 453.16 453.16 3/1/2020 28103 removal/graft heel lesion 366.60 366.60 3/1/2020 28104 excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, 290.99 384.57 3/1/2020 28106 excision or curettage of bone cyst or benign tumor, tarsal 387.96 387.96 3/1/2020 28107 removal/graft foot lesion 317.46 426.48 3/1/2020 28108 removal of toe lesions 239.99 323.26 3/1/2020 28110 ostectomy, partial excision, fifth metatarsal head (bunionette) 239.39 338.72 3/1/2020 28111 amb surg ostectomy comp excision 1st metatars head 280.41 386.39 3/1/2020 28112 amb surg ostectomy compl excision oth metatar head 261.84 365.10 3/1/2020 28113 amb surg ostectomy comp excision 5th metatars head 341.85 437.56 3/1/2020 28114 ostectomy, complete excision; all metatarsal heads, with partial proximal 661.83 797.80 3/1/2020 28116 revision of foot 471.23 571.77 3/1/2020 28118 partial removal of heel 340.20 441.04 3/1/2020 28119 amb surg ostectomy for spur w/wo plantar fac relea 301.07 393.13 3/1/2020 28120 amb surg partial exc bone-sequestrectomy 323.58 435.33 3/1/2020 28122 amb surg partial exc tarsal/metatarsal bone 415.93 508.59 3/1/2020 28124 partial excision (craterization, saucerization, sequestrectomy, or 277.31 359.67 3/1/2020 28126 resection, partial or complete, phalangeal base, each toe 208.26 289.73 3/1/2020 28130 removal of bone of ankle 516.87 516.87 3/1/2020 28140 amb surg metatarsectomy 378.86 478.50 3/1/2020 28150 amb surg phalangectomy single each 237.99 323.39 3/1/2020 28153 resection, condyle(s), distal end of phalanx, each toe 216.31 301.11 3/1/2020 28160 hemiphalangectomy or interphalangeal joint excision, toe, proximal end of 225.40 308.98 3/1/2020 28171 radical resection for tumor tarsal 508.17 508.17 3/1/2020 28173 radical resection for tumor metatarsal 463.68 571.79 3/1/2020 28175 radical resection for tumor plhalanx 326.48 418.24 3/1/2020 28190 removal of foreign body, foot; 110.58 183.86 3/1/2020 28192 amb surg removal foreign body foot deep 264.94 355.48 3/1/2020 28193 removal of foreign body, foot; 315.55 408.82 3/1/2020 28200 amb surg repair/suture of tendon foot flexor singl 264.22 355.38 3/1/2020 28202 repair/graft of foot tendon 370.00 474.48 3/1/2020 28208 repair of foot tendon 253.65 342.08 3/1/2020 28210 repair/graft of foot tendon 345.38 441.98 3/1/2020 28220 amb surg tenolysis flexor single 256.25 338.32 3/1/2020 28222 release of foot tendons 305.63 391.94 3/1/2020 28225 amb surg tenolysis extensor single 212.14 293.30 3/1/2020 28226 release of foot tendons 264.64 352.76 3/1/2020 28230 incision of foot tendons 243.60 324.75 3/1/2020 28232 tenotomy, open, tendon flexor; toe, single tendon (separate procedure) 206.52 287.08 3/1/2020 28234 tenotomy, open, extensor, foot or toe, each tendon 215.91 297.37 3/1/2020 28238 reconstruction (advancement), posterior tibial tendon with excision of 415.58 520.97 3/1/2020 28240 release of big toe 249.97 334.16 3/1/2020 28250 revision of foot fascia 332.08 425.96 3/1/2020 28260 release of midfoot joint 429.61 522.59 3/1/2020 28261 amb surg capsulotomy with tendon lengthening 655.42 760.50 3/1/2020 28262 revision of foot and ankle 916.41 1061.16 3/1/2020 28264 amb surg capsulotomy midtarsal reyman type proc 575.66 678.03 3/1/2020 28270 amb surg capsulotomy for contracture metatarsophal 276.65 361.45 3/1/2020 28272 capsulotomy; interphalangeal joint, each joint (separate procedure) 215.82 295.17 3/1/2020 28280 amb surg webbing operation for soft corn 300.87 396.56 3/1/2020 28285 correction, hammertoe (eg, interphalangeal fusion, partial ortotal phalange 265.63 350.11 3/1/2020 28286 revision of hammer toe 255.42 342.33 3/1/2020 28288 ostectomy part exotectomy condylec single 2-5 345.43 438.41 3/1/2020 28289 hallux rigidus correction with cheilectomy, debridement and capsular relea 450.52 556.21 3/1/2020 28291 corrj halux valgus 430.52 650.77 3/1/2020 28292 amb surg keller/mcbride/mayo type bunionectomy 484.86 591.15 3/1/2020 28295 correction hallux valgus 479.70 832.10 3/1/2020 28296 amb surg bunionectomy with metatarsal osteotomy 445.68 560.46 3/1/2020 28297 hallux valgus correction, lapidus type procedure 500.87 633.21 3/1/2020 28298 incision of toe 426.67 546.59 3/1/2020 28299 correction, hallux valgus (bunion), with or without sesamoidectomy; by dou 578.49 704.77 3/1/2020 28300 amb surg osteotomy calcaneus dwyer/chambers proc 539.79 539.79 3/1/2020 28302 amb surg osteotomy talus 534.90 534.90 3/1/2020 28304 incision of midfoot bones 492.52 608.19 3/1/2020 28305 incision/graft midfoot bones 566.07 566.07 3/1/2020 28306 incision of metatarsals 332.66 453.18 3/1/2020 28307 osteotomy, 1st metatarsal, with autograft 374.45 532.83 3/1/2020 28308 incision of metatarsals 304.78 410.48 3/1/2020 28309 incision of metatarsals 730.64 730.64 3/1/2020 28310 amb surg osteotomy phalanges 297.81 404.71 3/1/2020 28312 osteotomy for shortening, angular or rotational correction; 264.82 369.60 3/1/2020 28313 reconstuction, deformity of toe. soft tissue proc 302.85 388.86 3/1/2020 28315 amb surg sesamoidectomy first toe 271.03 357.64 3/1/2020 28320 repair of foot bones 510.88 510.88 3/1/2020 28322 repair of metatarsals 471.28 589.69 3/1/2020 28340 reconstruct toe, macrodactyly; soft tissue resection 368.45 470.49 3/1/2020 28341 reconstruct toe, macrodactyly; requiring bone resection 436.67 543.27 3/1/2020 28344 reconstruct toe(s); polydactyly 257.08 358.52 3/1/2020 28345 reconstruct toe(s); syndactyly, with or without skin graft(s)/web 336.84 434.66 3/1/2020 28360 reconstruction cleft foot 787.33 787.33 3/1/2020 28400 treatment of heel fracture 168.37 182.61 3/1/2020 28405 repair of heel fracture 283.02 300.89 3/1/2020 28406 treat closed calcan fixation w/manipulation skelet 413.46 413.46 3/1/2020 28415 repair of heel fracture 913.76 913.76 3/1/2020 28420 repair/graft heel fracture 963.25 963.25 3/1/2020 28430 treatment of ankle fracture 153.11 170.98 3/1/2020 28435 repair of ankle fracture 225.81 242.77 3/1/2020 28436 treatment of closed talus fx w/manip and pinning 330.47 330.47 3/1/2020 28445 repair of ankle fracture 862.90 862.90 3/1/2020 28450 treatment midfoot fracture 142.33 158.08 3/1/2020 28455 repair midfoot fracture 206.75 220.67 3/1/2020 28456 percutaneous skeletal fixation of tarsal bone fx. with manipulati 211.22 211.22 3/1/2020 28465 repair midfoot fracture(s) 490.12 490.12 3/1/2020 28470 treat metatarsal fractures 143.15 157.98 3/1/2020 28475 repair metatarsal fractures 187.23 201.76 3/1/2020 28476 treatment of closed metatarsal fx w/manip, pinning 261.66 261.66 3/1/2020 28485 repair metatarsal fractures 422.43 422.43 3/1/2020 28490 treat big toe fracture 89.23 101.35 3/1/2020 28495 closed treatment of fracture great toe, phalanx or phalanges; 114.72 128.66 3/1/2020 28496 treatment of closed toe fx w/manip and planning. 175.65 308.60 3/1/2020 28505 repair of big toe fracture 389.26 500.70 3/1/2020 28510 treatment of toe fracture 86.81 88.33 3/1/2020 28515 closed treatment of fracture, phalanx or phalanges, other than great toe; 107.66 116.43 3/1/2020 28525 repair of toe fracture 308.85 419.98 3/1/2020 28530 treatment of closed sesamoid fracture 79.15 85.20 3/1/2020 28531 open tx sesamoid fx 152.83 273.65 3/1/2020 28540 repair foot dislocation 142.29 151.67 3/1/2020 28545 repair foot dislocation 172.53 186.46 3/1/2020 28546 treatment tarsal disloc with percutaneous skeletal 232.65 348.02 3/1/2020 28555 repair of foot dislocation 522.75 655.10 3/1/2020 28570 repair foot dislocation 118.27 130.68 3/1/2020 28575 repair foot dislocation 235.23 250.69 3/1/2020 28576 percutaneous skeletal fix talotarsel jnt disloc 277.27 277.27 3/1/2020 28585 repair of foot dislocation 588.46 700.82 3/1/2020 28600 repair foot dislocation 142.40 157.54 3/1/2020 28605 closed treatment of tarsometatarsal joint dislocation; 191.69 204.40 3/1/2020 28606 treat clsd tars/metatars disloc w/percut skel fix 306.92 306.92 3/1/2020 28615 repair foot dislocation 615.93 615.93 3/1/2020 28630 repair of toe dislocation 88.62 113.15 3/1/2020 28635 closed treatment of metatarsophalangeal joint dislocation; 110.37 134.90 3/1/2020 28636 percutaneous skeletal fixation of metatarsophalangeal joint 163.51 221.35 3/1/2020 28645 repair of toe dislocation 380.38 474.87 3/1/2020 28660 repair of toe dislocation 67.55 82.38 3/1/2020 28665 closed treatment of interphalangeal joint dislocation; 109.80 120.69 3/1/2020 28666 percutaneous skeletal fixation of interphalangeal joint dislocation, 156.58 156.58 3/1/2020 28675 open treatment of closed or open interphalangeal j 316.20 429.45 3/1/2020 28705 amb surg pantalar arthrodesis 1066.25 1066.25 3/1/2020 28715 triple arthrodesis 788.12 788.12 3/1/2020 28725 amb surg arthrodesis subtalar 649.04 649.04 3/1/2020 28730 amb surg arthrodesis midtarsal or tarsometatarsal 678.10 678.10 3/1/2020 28735 fusion of foot bones 649.38 649.38 3/1/2020 28737 arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal 576.16 576.16 3/1/2020 28740 amb surg arthrodesis midtarsal or tarsometatarsal 508.25 648.15 3/1/2020 28750 amb surg arthrodesis great toe 483.12 629.99 3/1/2020 28755 amb surg arthrodesis great toe 274.79 378.65 3/1/2020 28760 amb surg arthrodesis great toe 477.70 598.23 3/1/2020 28800 amputation, foot; midtarsal (eg, chopart type procedure) 465.14 465.14 3/1/2020 28805 amputation thru metatarsal 614.64 614.64 3/1/2020 28810 amputation toe & metatarsal 357.89 357.89 3/1/2020 28820 amb surg amputation toe metatarsophalangeal joint 281.78 400.19 3/1/2020 28825 amb surg amputation toe interphalangeal joint 321.52 434.78 3/1/2020 29000 application of body cast 135.47 202.70 3/1/2020 29010 application of body cast 124.93 184.89 3/1/2020 29015 application of body cast 128.63 180.41 3/1/2020 29035 application of body cast 110.69 179.74 3/1/2020 29040 application of body cast 124.37 174.94 3/1/2020 29044 application of body cast, shoulder to hips; 129.06 195.38 3/1/2020 29046 application of body cast, shoulder to hips; 147.88 213.59 3/1/2020 29049 application, cast; figure-of-eight 48.49 65.14 3/1/2020 29055 application; 106.60 155.05 3/1/2020 29058 application; 66.41 84.57 3/1/2020 29065 application; 53.40 70.65 3/1/2020 29075 application cast figure 8 elbow to finger 48.20 65.46 3/1/2020 29085 application cast: hand and lower forearm 51.98 69.85 3/1/2020 29086 application, cast; finger (eg, contracture) 38.10 53.25 3/1/2020 29105 application of long arm cast 47.02 64.89 3/1/2020 29125 application of short arm splint 33.50 50.15 3/1/2020 29126 application of short arm dynamic 41.20 57.86 3/1/2020 29130 application of finger splint 23.37 30.94 3/1/2020 29131 application of finger splint dynamic 26.20 38.01 3/1/2020 29200 strapping; 32.41 40.89 3/1/2020 29240 strapping: shoulder 35.99 45.70 3/1/2020 29260 strapping: elbow or wrist 29.64 39.33 3/1/2020 29280 strapping: hand or finger 27.92 37.92 3/1/2020 29305 application of hip cast 124.30 175.17 3/1/2020 29325 application of hip spica cast; 1 & 1/2 spica or both legs 140.58 195.09 3/1/2020 29345 application of long leg cast (thigh to toes); 80.80 101.99 3/1/2020 29355 application of long leg cast (thigh to toes); 86.07 105.76 3/1/2020 29358 application long leg clast brace 82.29 114.40 3/1/2020 29365 application of cylinder cast (thigh to ankle) 70.04 91.25 3/1/2020 29405 application of short leg cast 51.35 67.10 3/1/2020 29425 application of short leg cast-walking 56.77 72.82 3/1/2020 29435 application patellar tendon bearing cast 68.52 89.12 3/1/2020 29440 adding walker to previously applied cast 28.19 40.01 3/1/2020 29445 application of rigid total contact leg cast 91.44 112.63 3/1/2020 29450 application clubfoot cast, long or short leg 101.87 119.43 3/1/2020 29505 application of long leg cast 37.87 56.96 3/1/2020 29515 application of short leg cast 39.70 53.63 3/1/2020 29520 strapping; 29.51 38.28 3/1/2020 29530 strapping of knee 30.30 39.98 3/1/2020 29540 strapping of ankle 27.03 33.08 3/1/2020 29550 strapping; 25.42 32.08 3/1/2020 29580 strapping; 29.76 40.35 3/1/2020 29700 removal/revision of cast 28.51 48.48 3/1/2020 29705 removal of full arm or leg cast 39.09 51.50 3/1/2020 29710 removal or bivalving; 67.10 90.11 3/1/2020 29720 repair of cast 35.95 59.88 3/1/2020 29730 windowing of cast 37.64 50.05 3/1/2020 29740 wedging of cast (except clubfoot casts) 54.95 71.90 3/1/2020 29750 revision of cast 62.87 78.61 3/1/2020 29800 arthroscopy, tm joint with or w/o synovial biopsy 407.14 407.14 3/1/2020 29804 arthroscopy, temporomandibular joint, surgical 506.39 506.39 3/1/2020 29805 arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separat 368.27 368.27 3/1/2020 29806 arthroscopy, shoulder, surgical; capsulorrhaphy 846.89 846.89 3/1/2020 29807 arthroscopy, shoulder, surgical; repair of slap lesion 824.69 824.69 3/1/2020 29819 arthroscopy shoulder surgical with removal of fb 462.35 462.35 3/1/2020 29820 arthroscopy synovectomy partial 426.79 426.79 3/1/2020 29821 arthroscopy synovectomy complete 466.13 466.13 3/1/2020 29822 arthroscopy debridement limited 452.57 452.57 3/1/2020 29823 arthroscopy debridement extensive 495.26 495.26 3/1/2020 29824 arthroscopy, shoulder, surgical; distal claviculectomy including distal 527.79 527.79 3/1/2020 29825 arthroscopy with lysis of adhesions 461.75 461.75 3/1/2020 29826 arthroscopy shoulder w/ decompr subacromial space 530.45 530.45 3/1/2020 29827 arthroscopy, shoulder, surgical; with rotator cuff repair 868.58 868.58 3/1/2020 29830 arthroscopy elbow diagnostic 355.50 355.50 3/1/2020 29834 arthroscopy elbow surgical with removal of fb 387.43 387.43 3/1/2020 29835 arthroscopy elbow synovectomy partial 397.74 397.74 3/1/2020 29836 arthroscopy elbow synovectomy complete 457.38 457.38 3/1/2020 29837 arthroscopy elbow debridement limited 417.20 417.20 3/1/2020 29838 arthroscopy elbow debridement extensive 466.39 466.39 3/1/2020 29840 arthroscopy, wrist, diagnostic, with or without synovial biopsy 348.22 348.22 3/1/2020 29843 surgical arthroscopy for infection 374.36 374.36 3/1/2020 29844 surgical arthroscopy for partial synovectomy 389.25 389.25 3/1/2020 29845 surgical arthroscopy for complete synovectomy 444.96 444.96 3/1/2020 29846 surgical arthroscopy for excision fibrocartilage 409.57 409.57 3/1/2020 29847 surgical arthroscopy for fixation of fracture 425.43 425.43 3/1/2020 29848 endoscopy, wrist, surgical, with release of transverse carpal ligament 386.88 386.88 3/1/2020 29850 arthroscopically aided tx of fx knee 452.43 452.43 3/1/2020 29851 arthroscopically aided tx fx of knee 745.01 745.01 3/1/2020 29855 arthroscopically aided tx of tibial fx 622.85 622.85 3/1/2020 29856 arthroscopically aided tx of tibial fx 798.56 798.56 3/1/2020 29860 arthroscopy, hip, diagnostic with or without synovial biopsy (sep 512.99 512.99 3/1/2020 29861 arthroscopy, hip, surgical; with removal of loose body or foreign 569.53 569.53 3/1/2020 29862 arthroscopy, hip, surgical, with debridement/shaving of articular 635.64 635.64 3/1/2020 29863 arthroscopy, hip, surgical; with synovectomy 629.07 629.07 3/1/2020 29870 arthroscopy knee diagnostic 319.40 319.40 3/1/2020 29871 arthroscopy knee surgical 402.06 402.06 3/1/2020 29873 arthroscopy, knee, surgical; with lateral release 400.24 400.24 3/1/2020 29874 arthroscopy knee with removal of foreign body 422.05 422.05 3/1/2020 29875 arthroscopy knee synovectomy limited 388.92 388.92 3/1/2020 29876 arthroscopy knee synovectomy major 511.97 511.97 3/1/2020 29877 arthroscopy knee debridement/shaving 484.18 484.18 3/1/2020 29879 arthroscopy knee abrasion arthroplasty 518.44 518.44 3/1/2020 29880 arthroscopy w/meniscectomy, knee 541.51 541.51 3/1/2020 29881 arthroscopy knee with meniscectomy 504.29 504.29 3/1/2020 29882 arthroscopy knee with meniscus repair 546.75 546.75 3/1/2020 29883 arthroscopy w/meniscus repair, knee 667.87 667.87 3/1/2020 29884 arthroscopy knee with lysis of adhesions 482.70 482.70 3/1/2020 29885 surgical arthroscopy w/bone grafting, knee 586.17 586.17 3/1/2020 29886 arthroscopy knee drilling 493.84 493.84 3/1/2020 29887 arthroscopy knee drilling with internal fixation 582.80 582.80 3/1/2020 29888 ligament repair by arthroscopy, anterior 792.67 792.67 3/1/2020 29889 ligament repair by arthroscopy, posterior 967.94 967.94 3/1/2020 29891 arthroscopy, ankle, surgical; excision of osteochondral defect of 549.66 549.66 3/1/2020 29892 arthroscopically aided repair of large osteochondritis dissecans 562.75 562.75 3/1/2020 29893 endoscopic plantar fasciotomy 345.68 453.79 3/1/2020 29894 arthroscopy ankle surgical 412.97 412.97 3/1/2020 29895 arthroscopy ankle synovectomy partial 399.48 399.48 3/1/2020 29897 arthroscopy ankle debridement limited 418.15 418.15 3/1/2020 29898 arthroscopy ankle debridement extensive 468.08 468.08 3/1/2020 29899 endoscopic plantar fasciotomy with ankle arthrodesis 842.33 842.33 3/1/2020 29900 arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biop 357.95 357.95 3/1/2020 29901 arthroscopy, metacarpophalangeal joint, surgical; with debridement 392.76 392.76 3/1/2020 29902 arthroscopy, metacarpophalangeal joint, surgical; with reduction of displac 420.24 420.24 3/1/2020 30000 drainage abscess or hematoma, nasal, internal approach 91.76 172.31 3/1/2020 30020 drainage abscess or hematoma, nasal septum 92.36 166.86 3/1/2020 30100 biopsy, intranasal 55.85 104.91 3/1/2020 30110 amb surg-removal of nasal polyp(s) 102.35 169.28 3/1/2020 30115 excision nasal polyps, extensive 331.49 331.49 3/1/2020 30117 excision or destruction (eg, laser), intranasal lesion; internal approach 256.43 614.68 3/1/2020 30118 removal of nose lesion 603.25 603.25 3/1/2020 30120 revision of nose 350.29 398.74 3/1/2020 30124 excision dermoid cyst, nose; 210.65 210.65 3/1/2020 30125 removal of nose lesion 479.58 479.58 3/1/2020 30130 excision inferior turbinate, partial or complete, any method 288.27 288.27 3/1/2020 30140 submucous resection inferior turbinate, partial or complete, any method 328.32 328.32 3/1/2020 30150 partial removal of nose 616.35 616.35 3/1/2020 30160 removal of nose 620.33 620.33 3/1/2020 30200 injection into turbinate(s), therapeutic 47.68 84.02 3/1/2020 30210 displacement therapy (proetz type) 76.94 110.57 3/1/2020 30220 insertion nasal septal prosthesis (button) 98.08 216.18 3/1/2020 30300 removal foreign body, intranasal; 92.99 167.49 3/1/2020 30310 amb surg remove foreign body anesthesia required 157.48 157.48 3/1/2020 30320 remove foreign body,nose 347.87 347.87 3/1/2020 30400 amb surg rhinoplasty primary 801.61 801.61 3/1/2020 30410 rhinoplasty, complete 953.19 953.19 3/1/2020 30420 rhinoplasty, including major septal repair 1074.10 1074.10 3/1/2020 30430 amb surg rhinoplasty secondary minor revision 697.82 697.82 3/1/2020 30435 rhinoplasty, intermediate revision 925.93 925.93 3/1/2020 30450 amb surg rhinoplasty secondary major revision 1236.82 1236.82 3/1/2020 30460 rhinoplasty for nasal deformity, tip only 600.71 600.71 3/1/2020 30462 rhinoplasty for nasal deformity; tip, septum, osteotomies 1207.47 1207.47 3/1/2020 30520 repair of nasal septum 467.60 467.60 3/1/2020 30540 repair nasal lesion 522.46 522.46 3/1/2020 30545 repair nasal lesion 756.61 756.61 3/1/2020 30560 lysis intranasal synechia 106.06 198.43 3/1/2020 30580 amb surg repair fistula oromaxillary 394.23 486.30 3/1/2020 30600 repair mouth/nose fistula 349.83 447.04 3/1/2020 30620 reconstruction inner nose 474.85 474.85 3/1/2020 30630 amb surg repair septal perforation 484.84 484.84 3/1/2020 30801 cautery and/or ablation, mucosa of inferior turbinates, unilateral or 101.20 166.92 3/1/2020 30802 cautery/ablation mucosa of turbinates; intramural 145.54 217.31 3/1/2020 30901 control nasal hemorrhage, anterior, simple 51.59 80.96 3/1/2020 30903 control nasal hemorrhage, anterior, complex any method 67.04 146.69 3/1/2020 30905 control nasal hemorrhage, posterior, with posterior nasal packs and/or cau 86.19 182.79 3/1/2020 30906 control nasal hemorrhage, posterior, with posterior nasal 112.22 210.64 3/1/2020 30915 ligation nasal sinus artery 451.95 451.95 3/1/2020 30920 ligation upper jaw artery 651.78 651.78 3/1/2020 30930 fracture nasal inferior turbinate(s), therapeutic 94.06 94.06 3/1/2020 31000 lavage by cannulation; maxillary sinus 81.36 133.75 3/1/2020 31002 lavage by cannulation; 154.73 154.73 3/1/2020 31020 sinusotomy, maxillary (antrotomy); intranasal 268.65 361.92 3/1/2020 31030 sinusotomy, maxillary; radical w/o removal polyps 406.21 531.28 3/1/2020 31032 sinusotomy, maxillary; radical with removal of polyps 443.96 443.96 3/1/2020 31040 exploration behind upper jaw 587.17 587.17 3/1/2020 31050 amb surg sinusotomy sphenoid 382.37 382.37 3/1/2020 31051 sinusotomy w/ mucosal stripping or polyp removal 500.15 500.15 3/1/2020 31070 amb surg sinusotomy frontal trephine 334.95 334.95 3/1/2020 31075 amb surg sinusotomy frontal 612.21 612.21 3/1/2020 31080 amb surg sinusotomy frontal 791.90 791.90 3/1/2020 31081 amb surg sinusotomy frontal 965.04 965.04 3/1/2020 31084 amb surg sinusotomy frontal 924.89 924.89 3/1/2020 31085 amb surg sinusotomy frontal 978.08 978.08 3/1/2020 31086 nonobliterative w osteoplastic flap brow incision 875.84 875.84 3/1/2020 31087 nonobliterative w osteoplastic flap coronal incis 868.94 868.94 3/1/2020 31090 amb surg sinusotomy combined three or more sinuses 775.75 775.75 3/1/2020 31200 amb surg ethmoidectomy 411.14 411.14 3/1/2020 31201 amb surg ethmoidectomy 569.95 569.95 3/1/2020 31205 amb surg ethmoidectomy 669.51 669.51 3/1/2020 31225 removal of upper jaw 1451.89 1451.89 3/1/2020 31230 removal of upper jaw 1629.78 1629.78 3/1/2020 31231 nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) 62.41 143.87 3/1/2020 31233 nasal/sinus endoscopy, diagnostic with maxillary sinusoscopy 113.07 204.23 3/1/2020 31235 nasal/sinus endoscopy, diagnostic with sphenoid sinusoscopy 135.12 235.06 3/1/2020 31237 nasal/sinus endoscopy, surgical; 150.61 253.58 3/1/2020 31238 nasal/sinus endoscopy, surgical; with control of nasal hemorrhage 163.52 261.63 3/1/2020 31239 nasal/sinus endoscopy, surgical; 527.03 527.03 3/1/2020 31240 nasal/sinus endoscopy, surgical; 133.73 133.73 3/1/2020 31254 nasal/sinus endoscopy, surgical, with ethmoidectomy,partial 229.38 229.38 3/1/2020 31255 nasal/sinus endoscopy, surgical, w/ethmoidectomy,anterior & posterior(tot 338.98 338.98 3/1/2020 31256 nasal/sinus endoscopy, surgical, with maxillary antrostomy 166.04 166.04 3/1/2020 31267 maxillary sinus endoscopy, surgical; w/ removal mucous membrane/or po 267.68 267.68 3/1/2020 31276 nasal/sinus endoscopy w/frontal sinus exploration w/wo tissue re 427.52 427.52 3/1/2020 31287 nasal/sinus endoscopy, surgical, with sphenoidotomy; 195.15 195.15 3/1/2020 31288 nasal/sinus endoscopy, surgical, with sphenoidotomy; 226.40 226.40 3/1/2020 31290 nasal/sinus endoscopy, surgical, with repair of leak; 941.19 941.19 3/1/2020 31291 nasal/sinus endoscopy, surgical, with repair of ; 991.94 991.94 3/1/2020 31292 nasal/sinus endoscopy, surgical; 814.00 814.00 3/1/2020 31293 nasal/sinus endoscopy, surgical; 887.15 887.15 3/1/2020 31294 nasal/sinus endoscopy, surgical; 1019.24 1019.24 3/1/2020 31300 removal of larynx lesion 989.53 989.53 3/1/2020 31360 removal of larynx 1590.28 1590.28 3/1/2020 31365 removal of larynx 1994.03 1994.03 3/1/2020 31367 partial removal of larynx 1714.87 1714.87 3/1/2020 31368 partial removal of larynx 1916.30 1916.30 3/1/2020 31370 partial removal of larynx 1610.39 1610.39 3/1/2020 31375 partial removal of larynx 1523.05 1523.05 3/1/2020 31380 partial removal of larynx 1500.77 1500.77 3/1/2020 31382 partial laryngectomy antero-latero-vertical 1645.00 1645.00 3/1/2020 31390 removal of larynx & pharynx 2220.20 2220.20 3/1/2020 31395 reconstruct larynx & pharynx 2352.71 2352.71 3/1/2020 31400 revision of larynx 784.32 784.32 3/1/2020 31420 removal of epiglottis 661.90 661.90 3/1/2020 31500 insertion of windpipe airway 93.74 93.74 3/1/2020 31502 tracheostomy change 29.58 29.58 3/1/2020 31505 laryngoscopy, indirect (separate procedure); 39.18 64.01 3/1/2020 31510 laryngoscopy, indirect (separate procedure); 99.49 164.29 3/1/2020 31511 laryngoscopy indirect with removal foreign body 107.07 165.21 3/1/2020 31512 larygoscopy indirect with removal lesion 107.24 162.96 3/1/2020 31513 laryngoscopy indirect with voca cord injection 109.22 109.22 3/1/2020 31515 amb surg laryngoscopy 90.91 162.07 3/1/2020 31520 amb surg laryngoscopy 127.33 127.33 3/1/2020 31525 amb surg laryngoscopy 132.25 196.14 3/1/2020 31526 laryngoscopy direct, with or without tracheoscopy; diagnostic, with operati 131.20 131.20 3/1/2020 31527 amb surg laryngoscopy 160.60 160.60 3/1/2020 31528 laryngoscopy direct, with or without tracheoscopy; with dilation, initial 119.70 119.70 3/1/2020 31529 laryngoscopy direct, with or without tracheoscopy; with dilation, subseque 135.00 135.00 3/1/2020 31530 amb surg laryngoscopy 165.44 165.44 3/1/2020 31531 laryngoscopy, direct, operative, with foreign body removal; with operating 178.04 178.04 3/1/2020 31535 amb surg laryngoscopy 158.21 158.21 3/1/2020 31536 laryngoscopy, direct, operative, with biopsy; with operating microscope or 176.75 176.75 3/1/2020 31540 amb surg laryngoscopy 203.21 203.21 3/1/2020 31541 laryngoscopy, direct, operative, with excision of tumor and/ or stripping of 222.27 222.27 3/1/2020 31545 laryngoscopy, direct, operative, with operating microscope or telescope, w 301.14 301.14 3/1/2020 31546 laryngoscopy, direct, operative, with operating microscope or telescope, w 459.21 459.21 3/1/2020 31551 laryngoplasty laryngeal sten 1258.62 1258.62 3/1/2020 31552 laryngoplasty laryngeal sten 1270.87 1270.87 3/1/2020 31553 laryngoplasty laryngeal sten 1385.10 1385.10 3/1/2020 31554 laryngoplasty laryngeal sten 1456.91 1456.91 3/1/2020 31560 amb surg laryngoscopy 263.36 263.36 3/1/2020 31561 laryngoscopy, direct, operative, with arytenoidectomy; with operating 288.65 288.65 3/1/2020 31570 amb surg laryngoscopy 190.34 273.63 3/1/2020 31571 laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with 209.73 209.73 3/1/2020 31572 largsc w/laser dstrj les 161.15 430.88 3/1/2020 31573 largsc w/ther injection 132.91 230.37 3/1/2020 31574 largsc w/njx augmentation 132.91 882.98 3/1/2020 31575 laryngoscopy flexible fiberscopic diagnostic 62.41 90.57 3/1/2020 31576 laryngoscopy flexible fiberscopic with biopsy 101.92 175.52 3/1/2020 31577 laryngoscopy flex fiberscopic w/removal foreign bo 123.98 190.30 3/1/2020 31578 laryngoscopy flex fiberscopic w/removal of lesion 141.06 221.00 3/1/2020 31579 laryngoscopy, flexible or rigid fiberoptic, with stroboscopy 116.19 171.61 3/1/2020 31580 revision of larynx 943.26 943.26 3/1/2020 31584 repair of larynx 1204.94 1204.94 3/1/2020 31587 laryngoplasty, cricoid split 791.32 791.32 3/1/2020 31590 laryngeal reinnervation by neuromuscular pedicle 689.07 689.07 3/1/2020 31591 laryngoplasty medialization 919.00 919.00 3/1/2020 31592 cricotracheal resection 1491.51 1491.51 3/1/2020 31600 incision of windpipe 330.68 330.68 3/1/2020 31601 tracheostomy under two years 217.86 217.86 3/1/2020 31603 tracheostomy emergency procedure transtrachael 186.76 186.76 3/1/2020 31605 cricothyroidostomy 154.26 154.26 3/1/2020 31610 incision of windpipe 560.98 560.98 3/1/2020 31611 const trach fistula w/ insert speech prosthesis 418.07 418.07 3/1/2020 31612 tracheal puncture percutan for aspiration of mucou 40.24 63.86 3/1/2020 31613 tracheostoma revision; 345.32 345.32 3/1/2020 31614 tracheostomy revision complex with flap rotation 574.60 574.60 3/1/2020 31615 visualization of windpipe 105.37 145.33 3/1/2020 31622 bronchoscopy, (rigid or flexible); diagnostic, with or without cell washing 123.83 253.73 3/1/2020 31623 bronchoscopy; with brushing or protected brushings 125.45 277.47 3/1/2020 31624 bronchoscopy; with bronchial alveolar lavage 125.76 258.39 3/1/2020 31625 amb surg bronchoscopy 146.44 279.08 3/1/2020 31628 bronchoscopy; 163.57 334.68 3/1/2020 31629 bronchoscopy; 175.08 508.49 3/1/2020 31630 amb surg bronchoscopy 174.38 174.38 3/1/2020 31631 bronchoscopy diag w/ tracheal dilation and stent 196.74 196.74 3/1/2020 31632 bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with 45.33 62.59 3/1/2020 31633 bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with 56.84 75.61 3/1/2020 31635 amb surg bronchoscopy 162.38 287.14 3/1/2020 31636 bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with 192.33 192.33 3/1/2020 31637 bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; each 68.36 68.36 3/1/2020 31638 bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; with 215.81 215.81 3/1/2020 31640 amb surg bronchoscopy 223.34 223.34 3/1/2020 31641 bronchoscopy, (rigid or flexible); with destruction of tumor or relief of 220.98 220.98 3/1/2020 31643 bronchoscopy; with placement of catheter(s) for intracavitary radioelemen 151.73 151.73 3/1/2020 31645 amb surg bronchoscopy 137.67 250.32 3/1/2020 31646 amb surg bronchoscopy 119.21 227.02 3/1/2020 31717 cath with bronchial brush biopsy 94.72 241.90 3/1/2020 31720 suction 44.94 44.94 3/1/2020 31725 catheter aspiration (separate procedure); 81.01 81.01 3/1/2020 31730 transtracheal intro dilat or /stent / tube for oxygen 123.71 680.91 3/1/2020 31750 repair of windpipe 1050.87 1050.87 3/1/2020 31755 repair of windpipe 1327.24 1327.24 3/1/2020 31760 repair of windpipe 1151.86 1151.86 3/1/2020 31766 carinal reconstruction 1506.46 1506.46 3/1/2020 31770 repair/graft of bronchus 1115.95 1115.95 3/1/2020 31775 repair of bronchus 1154.31 1154.31 3/1/2020 31780 excision tracheal stenosis and anastomosis cervica 973.26 973.26 3/1/2020 31781 excision tracheal stenosis and anastamosis cervico 1181.97 1181.97 3/1/2020 31785 excis tracheal tumor or carcinoma cervical 891.63 891.63 3/1/2020 31786 excis tracheal tumor or carcinoma thoracic 1240.90 1240.90 3/1/2020 31800 repair of windpipe injury 550.80 550.80 3/1/2020 31805 repair of windpipe injury 682.46 682.46 3/1/2020 31820 closure of windpipe lesion 261.10 334.08 3/1/2020 31825 surgical closure tracheostomy or fistula; 385.48 468.76 3/1/2020 31830 revision trach scar 270.12 336.44 3/1/2020 32035 thoracostomy w/rib resection 580.58 580.58 3/1/2020 32036 thoracostomy w/open flap draining for empyema 629.90 629.90 3/1/2020 32100 exploration/biopsy of chest 800.35 800.35 3/1/2020 32110 thoracotomy major w cont of tram hem and or repair 1207.89 1207.89 3/1/2020 32120 exploration of chest 716.93 716.93 3/1/2020 32124 explore chest,free adhesions 762.69 762.69 3/1/2020 32140 thoracotomy major w cyst removal w or wo pleural p 816.17 816.17 3/1/2020 32141 thoracot major w/exc-plica bullae w/wo pleur proce 1236.62 1236.62 3/1/2020 32150 removal of lung lesion(s) 822.54 822.54 3/1/2020 32151 thoracot major w/removal intrapulmonary for body 840.72 840.72 3/1/2020 32160 open chest heart massage 631.82 631.82 3/1/2020 32200 drainage of lung lesion 922.58 922.58 3/1/2020 32215 pleural scarification for repeat pneumothorax 661.28 661.28 3/1/2020 32220 release of lung 1323.02 1323.02 3/1/2020 32225 partial release of lung 823.32 823.32 3/1/2020 32310 pleurectomy, parietal (separate procedure) 759.20 759.20 3/1/2020 32320 decortication/parietal pleurectomy 1326.86 1326.86 3/1/2020 32400 biopsy, pleura; 77.87 125.41 3/1/2020 32420 pneumocentesis, puncture of lung for aspiration 96.87 96.87 3/1/2020 32440 removal of lung, total pneumonectomy; 1327.07 1327.07 3/1/2020 32442 removal of lung, total pneumonectomy; 2476.24 2476.24 3/1/2020 32445 removal of lung, total pneumonectomy; extrapleural 2812.60 2812.60 3/1/2020 32480 removal of lung, other than total pneumonectomy; single lobe (lobectomy) 1252.62 1252.62 3/1/2020 32482 removal of lung, other than total pneumonectomy; 1335.72 1335.72 3/1/2020 32484 removal of lung, other than total pneumonectomy; 1209.06 1209.06 3/1/2020 32486 removal of lung, other than total pneumonectomy; 1933.06 1933.06 3/1/2020 32488 removal of lung, other than total pneumonectomy; 1957.63 1957.63 3/1/2020 32540 removal of lung lesion 1392.00 1392.00 3/1/2020 32601 thoracoscopy, diagnostic (separate procedure); 263.16 263.16 3/1/2020 32604 thoracoscopy, diagnostic (separate procedure); 415.72 415.72 3/1/2020 32606 thoracoscopy, diagnostic (separate procedure); 397.22 397.22 3/1/2020 32650 thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical) 561.34 561.34 3/1/2020 32651 thoracoscopy, surgical; 889.35 889.35 3/1/2020 32652 thoracoscopy, surgical; 1351.61 1351.61 3/1/2020 32653 thoracoscopy, surgical; 861.92 861.92 3/1/2020 32654 thoracoscopy, surgical; 953.15 953.15 3/1/2020 32655 thoracoscopy, surgical; 786.06 786.06 3/1/2020 32656 thoracoscopy, surgical; 672.62 672.62 3/1/2020 32658 thoracoscopy, surgical; 605.96 605.96 3/1/2020 32659 thoracoscopy, surgical; 615.71 615.71 3/1/2020 32661 thoracoscopy, surgical; 677.40 677.40 3/1/2020 32662 thoracoscopy, surgical; 758.39 758.39 3/1/2020 32663 thoracoscopy, surgical; 1170.53 1170.53 3/1/2020 32664 thoracoscopy, surgical; 720.74 720.74 3/1/2020 32665 thoracoscopy, surgical; 1013.57 1013.57 3/1/2020 32800 repair lung thru chest wall 775.18 775.18 3/1/2020 32810 close chest wall foll open flap drain for empyema 749.57 749.57 3/1/2020 32815 open closure of major bronchial fistula 2228.70 2228.70 3/1/2020 32820 major reconstruct chest wall post trauma 1116.99 1116.99 3/1/2020 32900 resection ribs extrapleural all stages 1141.56 1141.56 3/1/2020 32905 thoracoplasty schede type or extrapleural 1125.76 1125.76 3/1/2020 32906 thoracoplasty with closure bronchopleural fistula 1398.90 1398.90 3/1/2020 32940 revision of lung 1031.49 1031.49 3/1/2020 32960 pneumothorax, therapeutic, intrapleural injection of air 85.37 115.04 3/1/2020 32997 total lung lavage (unilateral) 307.06 307.06 3/1/2020 33016 PERICARDIOCENTESIS W/IMAGING 210.88 210.88 3/1/2020 33017 PRCRD DRG 6YR+ W/O CGEN CAR 219.00 219.00 3/1/2020 33018 PRCRD DRG 0-5YR OR W/ANOMLY 250.38 250.38 3/1/2020 33019 PERQ PRCRD DRG INSJ CATH CT 202.81 202.81 3/1/2020 33020 incision of heart sac 729.81 729.81 3/1/2020 33025 incision of heart sac 673.72 673.72 3/1/2020 33030 partial removal of heart sac 1079.05 1079.05 3/1/2020 33031 pericardiectomy w/o cardiopulmonary bypass 1205.68 1205.68 3/1/2020 33050 removal of heart sac lesion 833.39 833.39 3/1/2020 33120 removal of heart lesion 1317.99 1317.99 3/1/2020 33130 removal of heart lesion 1160.55 1160.55 3/1/2020 33140 transmyocardial laser revascularization, by thoracotomy (separate proced 1325.54 1325.54 3/1/2020 33141 transmyocardial laser revascularization, by thoracotomy; performed at the 128.67 128.67 3/1/2020 33202 insertion of epicardial electrode(s); open incision (eg, thoracotomy, media 657.10 657.10 3/1/2020 33203 insertion of epicardial electrode(s); endoscopic approach (eg, thoracoscop 692.62 692.62 3/1/2020 33206 insertion or replacement of permanent pacemaker with transvenous electr 400.62 400.62 3/1/2020 33207 insertion permanent pacemaker ventricular 429.20 429.20 3/1/2020 33208 insertion or replacement of permanent pacemaker with transvenous electr 462.75 462.75 3/1/2020 33210 insertion or replacement of temporary transvenous single chamber cardiac 159.62 159.62 3/1/2020 33211 insertion or replacement of temporary transvenous dual chamber 160.47 160.47 3/1/2020 33212 insertion or replacement of pacemaker pulse generator only; single chamb 299.55 299.55 3/1/2020 33213 insertion or replacement of pacemaker pulse generator only; 342.02 342.02 3/1/2020 33214 upgrade of implanted pacemaker system, conversion of single 423.92 423.92 3/1/2020 33215 insert transvenous electrode; single chamber (1 electrode) permanent pac 270.73 270.73 3/1/2020 33216 insertion of a transvenous electrode; single chamber (one electrode) perm 333.05 333.05 3/1/2020 33217 insertion or repositioning of a transvenous electrode (15 days or more afte 330.27 330.27 3/1/2020 33218 repair of pacemaker electrode(s) only; single chamber, atrial or ventricular 344.24 344.24 3/1/2020 33220 repair of pacemaker electrode(s) only; 347.48 347.48 3/1/2020 33222 revision or relocation of skin pocket for pacemaker 302.65 302.65 3/1/2020 33223 revision of skin pocket for single or dual chamber pacing 367.17 367.17 3/1/2020 33224 insertion of pacing electrode, cardiac venous system, for left ventricular 450.41 450.41 3/1/2020 33225 insertion of pacing electrode, cardiac venous system, for left ventricular 406.52 406.52 3/1/2020 33226 repositioning of previously implanted cardiac venous system (left ventricul 435.12 435.12 3/1/2020 33233 removal of permanent pacemaker pulse generator 211.41 211.41 3/1/2020 33234 removal of transvenous pacemaker electrode(s); single lead system, atria 430.34 430.34 3/1/2020 33235 removal of transvenous pacemaker electrode(s); dual lead system 555.86 555.86 3/1/2020 33236 removal of permanent epicardial pacemaker and electrodes by thoracotom 658.15 658.15 3/1/2020 33237 removal of permanent epicardial pacemaker and electrodes by thoracotom 726.64 726.64 3/1/2020 33238 removal of permanent transvenous electrode(s) by thoracotomy 784.95 784.95 3/1/2020 33240 insertion or replacement of implantable cardioverter-defibrillator 411.48 411.48 3/1/2020 33241 removal of implantable cardioverter-defibrillator pulse generator only 200.10 200.10 3/1/2020 33243 removal of implantable cardioverter-defibrillator pulse generator 1156.17 1156.17 3/1/2020 33244 removal of single or dual chamber pacing cardioverter-defibrillator 756.19 756.19 3/1/2020 33249 insertion or replacement of implantable cardioverter-defibrillator 800.87 800.87 3/1/2020 33250 operative ablation of supraventricular arrhythmogenic focus or pathway (e 1240.00 1240.00 3/1/2020 33251 ablat supravent arrhyth focus with card-pul bypass 1374.63 1374.63 3/1/2020 33254 operative tissue ablation and reconstruction of atria, limited (eg, modified 1155.85 1155.85 3/1/2020 33255 operative tissue ablation and reconstruction of atria, extensive (eg, maze 1414.07 1414.07 3/1/2020 33256 operative tissue ablation and reconstruction of atria, extensive (eg, maze 1687.14 1687.14 3/1/2020 33261 operative ablation of ventricular arrhythmogenic focus with cardiopulmona 1368.10 1368.10 3/1/2020 33265 endoscopy, surgical; operative tissue ablation and reconstruction of atria, 1153.43 1153.43 3/1/2020 33266 endoscopy, surgical; operative tissue ablation and reconstruction of atria, 1584.06 1584.06 3/1/2020 33300 repair of heart wound 1966.68 1966.68 3/1/2020 33305 repair of heart wound 3285.02 3285.02 3/1/2020 33310 cardiotomy, exploratory (includes removal of foreign body, atrial or 988.28 988.28 3/1/2020 33315 cardiotomy explor with bypass 1257.38 1257.38 3/1/2020 33320 suture repair of aorta or great vessels; without shunt or cardiopulmonary b 896.15 896.15 3/1/2020 33321 suture repair of aorta or great vessels; 1010.66 1010.66 3/1/2020 33322 repair major blood vessels 1173.80 1173.80 3/1/2020 33330 insertion of graft, aorta or great vessels; without shunt, or cardiopulmonary 1186.01 1186.01 3/1/2020 33335 insertion of heart graft 1599.97 1599.97 3/1/2020 33390 valvuloplasty aortic valve 1701.71 1701.71 3/1/2020 33391 valvuloplasty aortic valve 2016.49 2016.49 3/1/2020 33404 construction of apical-aortic conduit 1516.02 1516.02 3/1/2020 33405 replacement, aortic valve, with cardiopulmonary bypass; with prosthetic va 1966.38 1966.38 3/1/2020 33406 replacement, aortic valve, with cardiopulmonary bypass; with allograft valv 2429.51 2429.51 3/1/2020 33410 replacement aortic valve, with cardiopulmonary bypass;with stentless tissu 2143.66 2143.66 3/1/2020 33411 replacement aortic valve w/ annulus enlargement 2802.05 2802.05 3/1/2020 33412 replacement aortic valve, konno procedure 2121.29 2121.29 3/1/2020 33413 replacement, aortic valve; by translocation of autologous pulmonary valve 2760.00 2760.00 3/1/2020 33414 repair of left ventricular outflow tract obstruction by patch 1843.58 1843.58 3/1/2020 33415 revision of aortic valve 1710.19 1710.19 3/1/2020 33416 ventriculomyotomy/myectomy for subaortic stenosis 1716.34 1716.34 3/1/2020 33417 revision of aortic valve 1428.92 1428.92 3/1/2020 33420 valvotomy, mitral valve; closed heart 1162.84 1162.84 3/1/2020 33422 valvotomy, mitral valve; open heart, with cardiopulmonary bypass 1435.16 1435.16 3/1/2020 33425 revision of mitral valve 2243.38 2243.38 3/1/2020 33426 valvuloplasty mv w/ card-pul bypass w/ prosth ring 2032.19 2032.19 3/1/2020 33427 valvuloplasty mv w/ cpb radical reconstr w/wo ring 2120.38 2120.38 3/1/2020 33430 replacement of mitral valve 2352.11 2352.11 3/1/2020 33460 valvectomy, tricuspid valve, with cardiopulmonary bypass 1996.65 1996.65 3/1/2020 33463 valvuloplasty, tricuspid valve; 2523.81 2523.81 3/1/2020 33464 valvuloplasty, tricuspid valve; 2030.85 2030.85 3/1/2020 33465 replacement, tricuspid valve, with cardiopulmonary bypass 2274.59 2274.59 3/1/2020 33468 revision of tricuspid valve 1598.68 1598.68 3/1/2020 33470 valvotomy, pulmonary valve, closed heart; transventricular 1010.09 1010.09 3/1/2020 33471 valvotomy pulmonary valve, closed heart via pulmonary artery 1125.77 1125.77 3/1/2020 33474 revision of tricuspid valve 1751.61 1751.61 3/1/2020 33475 replacement, pulmonary valve 1969.51 1969.51 3/1/2020 33476 revision of heart chamber 1245.55 1245.55 3/1/2020 33478 revision of heart chamber 1338.10 1338.10 3/1/2020 33496 repair of non-structural prosthetic valve dysfunction with cardiopulmonary 1432.08 1432.08 3/1/2020 33500 repair coronary fistula w/cardio-pulmonary bypass 1343.61 1343.61 3/1/2020 33501 repair of coronary fistula; wo cp bypass 932.25 932.25 3/1/2020 33502 repair of anomalous coronary artery from pulmonary artery origin; by ligati 1076.11 1076.11 3/1/2020 33503 anomalous coronary artery graft without bypass 1150.68 1150.68 3/1/2020 33504 anomalous coronary artery graft with bypass 1229.63 1229.63 3/1/2020 33505 repair of anomalous coronary artery; 1696.79 1696.79 3/1/2020 33506 repair of anomalous coronary artery; 1756.39 1756.39 3/1/2020 33508 endoscopy, surgical, including video-assisted harvest of vein(s) for corona 14.01 14.01 3/1/2020 33510 coronary artery bypass single venous graft 1671.94 1671.94 3/1/2020 33511 coronary artery bypass 2 coronary venous grafts 1825.29 1825.29 3/1/2020 33512 coronary artery bypass 3 coronary venous grafts 2056.77 2056.77 3/1/2020 33513 coronary artery bypass 4 coronary venous grafts 2101.80 2101.80 3/1/2020 33514 coronary artery bypass 5 coronary venous grafts 2227.30 2227.30 3/1/2020 33516 coronary artery bypass 6 or more venous grafts 2315.51 2315.51 3/1/2020 33517 coronary artery bypass; single vein graft 159.60 159.60 3/1/2020 33518 coronary artery by pass; 2 venous grafts 345.63 345.63 3/1/2020 33519 coronary artery bypass; 3 venous grafts 461.01 461.01 3/1/2020 33521 coronary artery bypass; 4 venous grafts 557.81 557.81 3/1/2020 33522 coronary artery bypass; 5 venous grafts 634.33 634.33 3/1/2020 33523 coronary artery bypass; 6 or more venous grafts 723.88 723.88 3/1/2020 33533 coronary artery bypass; single arterial graft 1627.82 1627.82 3/1/2020 33534 coronary artery bypass; 2 arterial grafts 1893.49 1893.49 3/1/2020 33535 coronary artery bypass; 3 arterial grafts 2103.09 2103.09 3/1/2020 33536 coronary artery bypass; 4 or more arterial grafts 2254.18 2254.18 3/1/2020 33542 removal of heart lesion 2174.35 2174.35 3/1/2020 33545 repair of heart defect 2565.80 2565.80 3/1/2020 33572 coronary endarterectomy, open, any method, of left anterior 202.46 202.46 3/1/2020 33600 closure of atrioventricular valve (mitral or tricuspid) by suture or 1457.35 1457.35 3/1/2020 33602 closure of semilunar valve (aortic or pulmonary) by suture or patch 1388.92 1388.92 3/1/2020 33606 anastomosis of pulmonary artery to aorta (damus-kaye-stansel procedure 1512.53 1512.53 3/1/2020 33608 repair of complex cardiac anomaly other than pulmonary atresia 1552.34 1552.34 3/1/2020 33610 repair of complex cardiac anomalies (eg, single ventricle with subaortic 1515.02 1515.02 3/1/2020 33611 repair of double outlet right ventricle with intraventricular tunnel 1666.88 1666.88 3/1/2020 33612 repair of double outlet right ventricle with intraventricular tunnel 1721.34 1721.34 3/1/2020 33615 repair of complex cardiac anomalies (eg, tricuspid atresia) 1714.35 1714.35 3/1/2020 33617 repair of complex cardiac anomalies (eg, single ventricle) 1840.56 1840.56 3/1/2020 33619 repair of single ventricle with aortic outflow obstruction 2256.35 2256.35 3/1/2020 33641 repair of heart defect 1370.49 1370.49 3/1/2020 33645 revision of heart veins 1348.40 1348.40 3/1/2020 33647 repair of asd and vsd, direct of patch closure 1433.51 1433.51 3/1/2020 33660 repair of incomplete or partial atrioventricular canal (ostium primum atrial 1503.61 1503.61 3/1/2020 33665 repair of intermediate or transitional atrioventricular canal, with or without 1627.45 1627.45 3/1/2020 33670 repair of heart chambers 1693.23 1693.23 3/1/2020 33675 closure of multiple ventricular septal defects; 1688.94 1688.94 3/1/2020 33676 closure of multiple ventricular septal defects; with pulmonary valvotomy or 1757.28 1757.28 3/1/2020 33677 closure of multiple ventricular septal defects; with removal of pulmonary 1826.51 1826.51 3/1/2020 33681 repair of heart defect 1560.42 1560.42 3/1/2020 33684 repair of heart defect 1594.53 1594.53 3/1/2020 33688 repair of heart defect 1602.08 1602.08 3/1/2020 33690 banding of pulmonary artery 982.63 982.63 3/1/2020 33692 complete repair tetralogy of fallot without pulmonary atresia; 1506.39 1506.39 3/1/2020 33694 repair of heart defects 1696.97 1696.97 3/1/2020 33697 complete repair tetralogy of fallot with pulmonary atresia 1826.17 1826.17 3/1/2020 33702 repair of heart defects 1306.43 1306.43 3/1/2020 33710 repair of heart defects 1577.79 1577.79 3/1/2020 33720 repair of heart defect 1323.42 1323.42 3/1/2020 33722 closure of aortico-left ventricular tunnel 1319.34 1319.34 3/1/2020 33724 repair of isolated partial anomalous pulmonary venous return (eg, scimitar 1343.22 1343.22 3/1/2020 33726 repair of pulmonary venous stenosis 1756.16 1756.16 3/1/2020 33730 complete repair anomalous venous return 1674.58 1674.58 3/1/2020 33732 repair of cor triatriatum or supravalvular mitral ring by resection 1395.98 1395.98 3/1/2020 33735 atrial septectomy or septostomy; closed heart (blalock-hanlon type operat 1063.03 1063.03 3/1/2020 33736 atrial septectomy or septostomy; 1185.19 1185.19 3/1/2020 33737 atrial septectomy or septostomy; open heart, with inflow occlusion 1105.30 1105.30 3/1/2020 33750 shunt subclavian to pulmonary artery 1111.81 1111.81 3/1/2020 33755 shunt ascending aorta to pulmonary artery 1099.09 1099.09 3/1/2020 33762 shunt descending aorta to pulmonary artery 1097.21 1097.21 3/1/2020 33764 shunt, central w/ prosthetic graft 1081.49 1081.49 3/1/2020 33766 shunt; superior vena cava to pulmonary artery for flow to one lung (classic 1189.35 1189.35 3/1/2020 33767 shunt; 1204.86 1204.86 3/1/2020 33770 repair of transposition of the great arteries with ventricular 1832.99 1832.99 3/1/2020 33771 repair of transposition of the great arteries with ventricular 1879.48 1879.48 3/1/2020 33774 rep transposition grt arteries w cardiopulm bypass 1543.66 1543.66 3/1/2020 33775 rep transposition grt art w cpb w rem pulm band 1605.99 1605.99 3/1/2020 33776 rep transpo grt art w cpb w cl vent septal defect 1689.75 1689.75 3/1/2020 33777 rep transpo grt art w cpb w rep subpulm obstruct 1655.45 1655.45 3/1/2020 33778 repair transpo grt arteries w cardiopulm bypass 2034.89 2034.89 3/1/2020 33779 rep transpo grt arteries w cpb w removal pulm band 1954.18 1954.18 3/1/2020 33780 repair aortic artery w/ closure septal defect 2030.42 2030.42 3/1/2020 33781 repair aortic artery w/ repair of obstruction 1996.92 1996.92 3/1/2020 33786 total repair truncus arteriosus 1962.60 1962.60 3/1/2020 33788 revision of pulmonary artery 1323.75 1323.75 3/1/2020 33800 aortic suspension for tracheal decompression 830.47 830.47 3/1/2020 33802 division aberrant vessel 892.59 892.59 3/1/2020 33803 division of aberrant vessel w/ reanastomosis 971.78 971.78 3/1/2020 33813 obliteration septal defect w/o bypass 1099.79 1099.79 3/1/2020 33814 obliteration septal defect with bypass 1297.94 1297.94 3/1/2020 33820 repair of patent ductus arteriosus; by ligation 830.59 830.59 3/1/2020 33822 patent ductus arteriosus division under 18 yrs 882.04 882.04 3/1/2020 33824 patene ductus arteriosus division 18 yrs older 997.54 997.54 3/1/2020 33840 exc of coarctation of aorta w/wo assoc pat duc w/d 1009.34 1009.34 3/1/2020 33845 exc coarctation of aorta w/wo assoc pat duc art wi 1162.68 1162.68 3/1/2020 33851 excision coarctation of aorta waldhusen procedure 1070.24 1070.24 3/1/2020 33852 repair of hypoplastic or interrupted aortic arch using autogenous or prosthe 1162.85 1162.85 3/1/2020 33853 repair of hypoplastic or interrupted aortic arch using autogenous 1602.99 1602.99 3/1/2020 33858 AS-AORT GRF F/AORTIC DSJ 3026.78 3026.78 3/1/2020 33859 AS-AORT GRF F/DS OTH/THN DSJ 2172.89 2172.89 3/1/2020 33863 ascending aorta graft, with cardiopulmonary bypass, with or 2681.19 2681.19 3/1/2020 33871 TRANSVRS A-ARCH GRF HYPTHRM 2909.19 2909.19 3/1/2020 33875 descend thoracic aorta graft w/o bypass 1691.46 1691.46 3/1/2020 33877 repair thoracoaaa w/ grft, w/wo cp bypass 3015.72 3015.72 3/1/2020 33910 pulmonary artery embolectomy with bypass 1414.99 1414.99 3/1/2020 33915 pulmonary artery embolectomy without bypass 1132.60 1132.60 3/1/2020 33916 pulmonary endarterectomy w/ bypass 1414.83 1414.83 3/1/2020 33917 repair of pulmonary artery stenosis by reconstruction with patch or graft 1279.90 1279.90 3/1/2020 33920 repair of pulmonary atresia with ventricular septal defect, 1549.10 1549.10 3/1/2020 33922 transection of pulmonary artery with cardiopulmonary bypass 1170.69 1170.69 3/1/2020 33967 insertion of intra-aortic balloon assist device, percutaneous 235.67 235.67 3/1/2020 33968 removal of intra-aortic balloon assist device, percutaneous 30.28 30.28 3/1/2020 33970 insertion of intra-aortic balloon assist device through the femoral artery, 317.02 317.02 3/1/2020 33971 removal of intra-aortic balloon assist device including repair of femoral 606.95 606.95 3/1/2020 33973 insertion of intra-aortic balloon assist device through the ascending 461.95 461.95 3/1/2020 33974 removal of intra-aortic balloon assist device from the ascending 772.93 772.93 3/1/2020 33975 insertion of ventricular assist device; extracorporeal, single ventricle 957.39 957.39 3/1/2020 33976 insertion of ventricular assist device; extracorporeal, biventricular 1063.15 1063.15 3/1/2020 33977 removal of ventricular assist device; extracorporeal, single ventricle 1024.58 1024.58 3/1/2020 33978 removal of ventricular assist device; extracorporeal, biventricular 1129.08 1129.08 3/1/2020 33979 insertion of ventricular assist device, implantable intracorporeal, single 2099.58 2099.58 3/1/2020 33980 removal of ventricular assist device, implantable intracorporeal, single 3080.00 3080.00 3/1/2020 34001 removal blood clot artery 827.62 827.62 3/1/2020 34051 removal of blood clot,artery 828.42 828.42 3/1/2020 34101 amb surg-removal of blood clot, artery 526.21 526.21 3/1/2020 34111 embolectomy/thrombectomy, radial or ulnar artery 526.01 526.01 3/1/2020 34151 removal of blood clot,artery 1220.76 1220.76 3/1/2020 34201 removal blood clot artery 861.11 861.11 3/1/2020 34203 embolectomy/thrombectomy,popliteal-tibio-peroneal 842.33 842.33 3/1/2020 34401 removal of blood clot, vein 1256.94 1256.94 3/1/2020 34421 removal of blood clot, vein 637.77 637.77 3/1/2020 34451 removal of blood clot, vein 1318.10 1318.10 3/1/2020 34471 removal of blood clot, vein 924.28 924.28 3/1/2020 34490 removal of blood clot, vein 528.87 528.87 3/1/2020 34501 valvuloplasty femoral vein 820.01 820.01 3/1/2020 34502 reconstruction of vena cava, any method 1328.73 1328.73 3/1/2020 34510 venous valve transposition any vein donor 932.49 932.49 3/1/2020 34520 cross-over vein graft to venous system 895.60 895.60 3/1/2020 34530 saphenopopliteal vein anastomosis 841.38 841.38 3/1/2020 34717 EVASC RPR A-ILIAC NDGFT 397.76 397.76 3/1/2020 34718 EVASC RPR N/A A-ILIAC NDGFT 1108.24 1108.24 3/1/2020 34808 endovascular placement of iliac artery occlusion device (list separately in 183.17 183.17 3/1/2020 34812 open femoral artery exposure for delivery of aortic endovascular prosthesi 302.99 302.99 3/1/2020 34813 placement of femoral-femoral prosthetic graft during endovascular aortic 210.69 210.69 3/1/2020 34820 open iliac artery exposure for delivery of endovascular prosthesis or iliac 435.11 435.11 3/1/2020 34830 open repair of infrarenal aortic aneurysm or dissection, plus repair of 1603.02 1603.02 3/1/2020 34831 open repair of infrarenal aortic aneurysm or dissection, plus repair of 1699.81 1699.81 3/1/2020 34832 open repair of infrarenal aortic aneurysm or dissection, plus repair of 1722.61 1722.61 3/1/2020 34833 open iliac artery exposure with creation of conduit for delivery of aortic or 541.05 541.05 3/1/2020 34834 open brachial artery exposure to assist in the deployment of aortic or iliac 245.10 245.10 3/1/2020 35001 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) a 991.61 991.61 3/1/2020 35002 repair rupture aneurysm artery neck incision 1047.49 1047.49 3/1/2020 35005 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) a 910.86 910.86 3/1/2020 35011 direct repair of aneurysm, false aneurysm, or excision (partial or total) and 870.88 870.88 3/1/2020 35013 repair ruptured aneurysm artery arm incision 1080.73 1080.73 3/1/2020 35021 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) a 1058.96 1058.96 3/1/2020 35022 ruptured aneurysm innominate artery thoracic 1198.31 1198.31 3/1/2020 35045 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) a 846.84 846.84 3/1/2020 35081 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) a 1519.74 1519.74 3/1/2020 35082 repair ruptured aneurysm abdominal aorta 1909.01 1909.01 3/1/2020 35091 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) a 1608.32 1608.32 3/1/2020 35092 repair rupt aneurysm abd aorta visceral vessels 2281.43 2281.43 3/1/2020 35102 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) a 1649.21 1649.21 3/1/2020 35103 repair rupt aneurysm abd aorta iliac vessels 1973.08 1973.08 3/1/2020 35111 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) a 1214.37 1214.37 3/1/2020 35112 repair rupt aneurysm splenic artery 1488.62 1488.62 3/1/2020 35121 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) a 1442.51 1442.51 3/1/2020 35122 repair rupt aneurysm hepatic celiac renal mesenter 1726.97 1726.97 3/1/2020 35131 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) a 1229.38 1229.38 3/1/2020 35132 rupture aneurysm iliac artery 1486.83 1486.83 3/1/2020 35141 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) a 975.02 975.02 3/1/2020 35142 repair defect of artery 1166.58 1166.58 3/1/2020 35151 direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) a 1099.73 1099.73 3/1/2020 35152 rupture aneurysm popliteal artery 1277.24 1277.24 3/1/2020 35180 repair congenital a-v fistula, head and neck 729.30 729.30 3/1/2020 35182 repair congential a-v fistula, thorax and abdomen 1500.20 1500.20 3/1/2020 35184 repair congential a-v fistula, extremities 884.03 884.03 3/1/2020 35188 repair acq or traumatic a-v fistula, head and neck 740.15 740.15 3/1/2020 35189 repair acq or traumatic a-v fistula, thorax/abd 1385.42 1385.42 3/1/2020 35190 repair acq or traumatic a-v fistula, extremities 646.68 646.68 3/1/2020 35201 repair blood vessel lesion 811.57 811.57 3/1/2020 35206 repair blood vessel lesion 663.13 663.13 3/1/2020 35207 repair blood vessels hand, finger 596.70 596.70 3/1/2020 35211 repair blood vessel lesion 1178.31 1178.31 3/1/2020 35216 repair blood vessel lesion 1643.58 1643.58 3/1/2020 35221 repair blood vessel lesion 1215.92 1215.92 3/1/2020 35226 repair blood vessel lesion 732.21 732.21 3/1/2020 35231 repair blood vessel lesion 1017.51 1017.51 3/1/2020 35236 repair blood vessel lesion 849.15 849.15 3/1/2020 35241 repair blood vessel lesion 1230.62 1230.62 3/1/2020 35246 repair blood vessel lesion 1338.76 1338.76 3/1/2020 35251 repair blood vessel lesion 1446.36 1446.36 3/1/2020 35256 repair blood vessel lesion 893.10 893.10 3/1/2020 35261 repair blood vessel lesion 902.13 902.13 3/1/2020 35266 repair blood vessel lesion 747.89 747.89 3/1/2020 35271 repair blood vessel lesion 1176.58 1176.58 3/1/2020 35276 repair blood vessel lesion 1235.18 1235.18 3/1/2020 35281 repair blood vessel lesion 1381.15 1381.15 3/1/2020 35286 repair blood vessel lesion 818.67 818.67 3/1/2020 35301 rechanneling of artery 919.11 919.11 3/1/2020 35302 thromboendarterectomy, including patch graft, if performed; superficial fem 978.66 978.66 3/1/2020 35303 thromboendarterectomy, including patch graft, if performed; popliteal arter 1077.22 1077.22 3/1/2020 35304 thromboendarterectomy, including patch graft, if performed; tibioperoneal 1120.33 1120.33 3/1/2020 35305 thromboendarterectomy, including patch graft, if performed; tibial or peron 1076.01 1076.01 3/1/2020 35306 thromboendarterectomy, including patch graft, if performed; each addition 403.63 403.63 3/1/2020 35311 rechanneling of artery 1318.43 1318.43 3/1/2020 35321 rechanneling of artery 781.34 781.34 3/1/2020 35331 rechanneling of artery 1290.79 1290.79 3/1/2020 35341 rechanneling of artery 1215.18 1215.18 3/1/2020 35351 rechanneling of artery 1130.02 1130.02 3/1/2020 35355 thromboendarterectomy w/ or w/o patch, iliofemoral 917.40 917.40 3/1/2020 35361 rechanneling of artery 1390.78 1390.78 3/1/2020 35363 thromboendarterectomy w/ or w/o patch aortoiliofem 1513.26 1513.26 3/1/2020 35371 rechanneling of artery 722.31 722.31 3/1/2020 35372 thromboendartectomy, w/wo patch grft, deep femoral 867.39 867.39 3/1/2020 35390 reoperation, carotid, thromboendarterectomy, more than one month after o 142.15 142.15 3/1/2020 35500 harvest of upper extremity vein, one segment, for lower extremity bypass 284.66 284.66 3/1/2020 35501 artery bypass graft 1369.13 1369.13 3/1/2020 35506 artery bypass graft 1165.68 1165.68 3/1/2020 35508 bypass graft w/ vein, carotid-vertebral 1204.14 1204.14 3/1/2020 35509 artery bypass graft 1316.30 1316.30 3/1/2020 35510 bypass graft, with vein; carotid-brachial 1105.42 1105.42 3/1/2020 35511 artery bypass graft 1038.95 1038.95 3/1/2020 35512 bypass graft, with vein; subclavian-brachial 1077.85 1077.85 3/1/2020 35515 bypass graft w/ vein, subclavian-vertebral 1164.17 1164.17 3/1/2020 35516 artery bypass graft 1066.54 1066.54 3/1/2020 35518 bypass graft w/ vein, axillary-axillary 1057.69 1057.69 3/1/2020 35521 artery bypass graft 1113.25 1113.25 3/1/2020 35522 bypass graft, with vein; axillary-brachial 1052.70 1052.70 3/1/2020 35525 bypass graft, with vein; brachial-brachial 987.95 987.95 3/1/2020 35526 artery bypass graft 1457.52 1457.52 3/1/2020 35531 artery bypass graft 1778.87 1778.87 3/1/2020 35533 bypass graft w/ vain, axillary-femoral-femoral 1376.51 1376.51 3/1/2020 35536 artery bypass graft 1533.87 1533.87 3/1/2020 35537 bypass graft, with vein; aortoiliac 1902.56 1902.56 3/1/2020 35538 bypass graft, with vein; aortobi-iliac 2135.45 2135.45 3/1/2020 35539 bypass graft, with vein; aortofemoral 1981.19 1981.19 3/1/2020 35540 bypass graft, with vein; aortobifemoral 2219.24 2219.24 3/1/2020 35556 artery bypass graft 1215.35 1215.35 3/1/2020 35558 artery bypass graft 1075.39 1075.39 3/1/2020 35560 bypass graft w/ vein, aortorenal 1565.48 1565.48 3/1/2020 35563 artery bypass graft 1199.82 1199.82 3/1/2020 35565 artery bypass graft 1161.94 1161.94 3/1/2020 35566 artery bypass graft 1458.98 1458.98 3/1/2020 35571 artery bypass graft 1178.92 1178.92 3/1/2020 35572 harvest of femoropopliteal vein, one segment, for vascular reconstruction 308.01 308.01 3/1/2020 35583 in-situ vein bypass; femoral-popliteal 1255.31 1255.31 3/1/2020 35585 in-situ vein bypass; femoral-ant tib,post tib,pero 1469.88 1469.88 3/1/2020 35587 in-situ vein bypass; popliteal, peroneal 1215.48 1215.48 3/1/2020 35600 harvest of upper extremity artery, one segment, for coronary artery bypass 226.55 226.55 3/1/2020 35601 artery bypass graft 1265.78 1265.78 3/1/2020 35606 artery bypass graft 1030.94 1030.94 3/1/2020 35612 artery bypass graft 805.46 805.46 3/1/2020 35616 artery bypass graft 987.25 987.25 3/1/2020 35621 artery bypass graft 973.92 973.92 3/1/2020 35623 bypass graft, with other than vein; 1195.36 1195.36 3/1/2020 35626 artery bypass graft 1371.62 1371.62 3/1/2020 35631 artery bypass graft 1636.82 1636.82 3/1/2020 35636 bypass graft, with other than vein; splenorenal (splenic to renal arterial 1452.51 1452.51 3/1/2020 35637 bypass graft, with other than vein; aortoiliac 1503.03 1503.03 3/1/2020 35638 bypass graft, with other than vein; aortobi-iliac 1535.42 1535.42 3/1/2020 35642 bypass graft w/ other than vein, carotid-vertebral 907.92 907.92 3/1/2020 35645 bypass graft w/ other than vein, subclavian-vert 861.58 861.58 3/1/2020 35646 bypass graft, with other than vein; aortobifemoral 1515.85 1515.85 3/1/2020 35647 bypass graft, with other than vein; aortofemoral 1372.02 1372.02 3/1/2020 35650 bypass graft w/ other than vein, axillary-axillary 937.94 937.94 3/1/2020 35654 bypass graft w/ other than vein, axil-fem-fem 1211.07 1211.07 3/1/2020 35656 artery bypass graft 953.99 953.99 3/1/2020 35661 artery bypass graft 954.64 954.64 3/1/2020 35663 artery bypass graft 1107.50 1107.50 3/1/2020 35665 artery bypass graft 1037.34 1037.34 3/1/2020 35666 artery bypass graft 1117.87 1117.87 3/1/2020 35671 artery bypass graft 984.77 984.77 3/1/2020 35681 bypass graft; composite, prosthetic and vein (list separately in addition to 71.09 71.09 3/1/2020 35682 bypass graft; autogenous composite, two segments of veins from two loca 317.34 317.34 3/1/2020 35683 bypass graft; autogenous composite, three or more segments of vein from 374.33 374.33 3/1/2020 35685 placement of vein patch or cuff at distal anastomosis of bypass graft, 178.22 178.22 3/1/2020 35686 creation of distal arteriovenous fistula during lower extremity bypass surge 149.09 149.09 3/1/2020 35691 transposition and/or reimplantation; 868.23 868.23 3/1/2020 35693 transposition and/or reimplantation; 768.88 768.88 3/1/2020 35694 transposition and/or reimplantation; 898.10 898.10 3/1/2020 35695 transposition and/or reimplantation; 935.37 935.37 3/1/2020 35697 reimplantation, visceral artery to infrarenal aortic prosthesis, each artery 132.76 132.76 3/1/2020 35700 reoperation, femoral-popliteal or femoral (popliteal) -anterior 136.62 136.62 3/1/2020 35701 exploration,carotid artery 463.83 463.83 3/1/2020 35702 EXPL N/FLWD SURG UXTR ART 365.61 365.61 3/1/2020 35703 EXPL N/FLWD SURG LXTR ART 370.95 370.95 3/1/2020 35800 exploration of neck 409.70 409.70 3/1/2020 35820 exploration of chest 1615.04 1615.04 3/1/2020 35840 exploration of abdomen 536.31 536.31 3/1/2020 35860 exploration of limb 346.12 346.12 3/1/2020 35870 repair of graft-enteric fistula 1125.34 1125.34 3/1/2020 35875 thrombectomy of arterial or venous graft (other than hemodialysis graft or 517.51 517.51 3/1/2020 35876 thrombectomy of arterial or venous graft; 830.17 830.17 3/1/2020 35879 revision, lower extremity arterial bypass, without thrombectomy, open; wit 812.31 812.31 3/1/2020 35881 revision, lower extremity arterial bypass, without thrombectomy, open; wit 903.14 903.14 3/1/2020 35883 revision, femoral anastomosis of synthetic arterial bypass graft in groin, 1054.37 1054.37 3/1/2020 35884 revision, femoral anastomosis of synthetic arterial bypass graft in groin, 1112.58 1112.58 3/1/2020 35901 excision of infected graft; 432.99 432.99 3/1/2020 35903 excision of infected graft; 489.88 489.88 3/1/2020 35905 excision of infected graft; 1531.44 1531.44 3/1/2020 35907 excision of infected graft; 1687.79 1687.79 3/1/2020 36000 insertion vein access device 8.22 20.64 3/1/2020 36002 injection procedures (eg, thrombin) for percutaneous treatment of extremit 95.85 141.28 3/1/2020 36005 injection procedure for extremity venography (including introduction of nee 43.34 276.22 3/1/2020 36010 insertion vein access device 109.15 478.91 3/1/2020 36011 selective catheter placement, venous system; 141.11 756.46 3/1/2020 36012 selective catheter placement, venous system; 159.05 712.64 3/1/2020 36013 introduction of catheter, right heart or main pulmonary artery 114.33 656.71 3/1/2020 36014 selective catheter placement, left or right pulmonary artery 138.24 686.07 3/1/2020 36015 selective catheter placement, segmental or subsegmental pulmonary arte 159.85 752.80 3/1/2020 36100 establish access to artery 140.00 438.90 3/1/2020 36140 introduction of needle or intracatheter; 90.93 399.21 3/1/2020 36160 introduction of needle or intracatheter, aortic, translumbar 118.19 440.10 3/1/2020 36200 establish access to aorta 135.94 534.48 3/1/2020 36215 arterial cath. placement; 1st order thoracic or brachiocephalic branch 215.43 939.80 3/1/2020 36216 arterial cath placement, 2nd order thoracic branch 242.87 1027.51 3/1/2020 36217 arterial cath placement, 3rd order thoracic branch 290.77 1668.66 3/1/2020 36218 selective catheter placement, arterial system; additional second order, thir 46.34 158.08 3/1/2020 36245 introduction of catheter aorta, each additional 221.71 1035.42 3/1/2020 36246 selective catheter placement, arterial system; 242.20 1018.96 3/1/2020 36247 arterial catheter placement;3rd order, abd, pelvic,leg 288.36 1595.09 3/1/2020 36248 selective catheter placement, arterial system; additional second order, thir 46.34 136.27 3/1/2020 36260 insertion implantable infusion pump 493.02 493.02 3/1/2020 36261 revision of implanted intra-arterial infusion pump 299.49 299.49 3/1/2020 36262 removal of implanted intra-arterial infusion pump 227.68 227.68 3/1/2020 36400 venipuncture, under age 3 years; femoral or jugular 15.49 21.55 3/1/2020 36405 venipuncture, under age 3 years; 13.50 19.55 3/1/2020 36406 venipuncture, under age 3 years; 7.92 13.97 3/1/2020 36410 venipuncture, child over age 3 years or adult, necessitating 7.61 15.49 3/1/2020 36415 collection of venous blood by venipuncture 2.92 2.92 3/1/2020 36420 venipuncture, cutdown; 42.09 42.09 3/1/2020 36425 venipuncture, cutdown; 33.09 33.09 3/1/2020 36430 blood transfusion service 29.72 29.72 3/1/2020 36440 push transfusion, blood, 2 years or under 44.28 44.28 3/1/2020 36450 exchange transfusion, blood; 101.59 101.59 3/1/2020 36455 exchange transfusion, blood; 110.83 110.83 3/1/2020 36456 prtl exchange transfuse nb 96.02 96.02 3/1/2020 36460 transfusion, intrauterine, fetal 289.97 289.97 3/1/2020 36470 injection of sclerosing solution; 58.46 111.76 3/1/2020 36471 injection of sclerosing solution; 82.37 138.39 3/1/2020 36473 endovenous mchnchem 1st vein 155.37 1284.09 3/1/2020 36474 endovenous mchnchem add-on 77.84 77.84 3/1/2020 36475 endovenous ablation therapy of incompetent vein, extremity, inclusive of a 294.30 1439.32 3/1/2020 36476 endovenous ablation therapy of incompetent vein, extremity, inclusive of a 144.07 313.35 3/1/2020 36478 endovenous ablation therapy of incompetent vein, extremity, inclusive of a 297.03 1188.87 3/1/2020 36479 endovenous ablation therapy of incompetent vein, extremity, inclusive of a 144.97 329.10 3/1/2020 36481 percutaneous portal vein catheterization by any method 355.92 355.92 3/1/2020 36500 venous catheterization for selective organ blood sampling 159.03 159.03 3/1/2020 36510 catheterization of umbilical vein for diagnosis or therapy, newborn 49.27 90.15 3/1/2020 36511 therapeutic apheresis; for white blood cells 77.41 77.41 3/1/2020 36512 therapeutic apheresis; for red blood cells 78.61 78.61 3/1/2020 36513 therapeutic apheresis; for platelets 81.08 81.08 3/1/2020 36514 therapeutic apheresis, for plasma pheresis 76.80 419.31 3/1/2020 36516 therapeutic apheresis; with extracorporeal selective adsorption or selectiv 54.01 1756.55 3/1/2020 36522 photopheresis, extracorporeal 86.75 1097.61 3/1/2020 36555 insertion of non-tunneled centrally inserted central venous catheter; under 110.31 225.99 3/1/2020 36556 insertion of non-tunneled centrally inserted central venous catheter; age 5 104.57 193.29 3/1/2020 36557 insertion of tunneled centrally inserted central venous catheter, without 256.65 686.97 3/1/2020 36558 insertion of tunneled centrally inserted central venous catheter, without 245.31 664.44 3/1/2020 36560 insertion of tunneled centrally inserted central venous access device, with 304.00 941.45 3/1/2020 36561 insertion of tunneled centrally inserted central venous access device, with 293.99 931.14 3/1/2020 36563 insertion of tunneled centrally inserted central venous access device with 305.24 941.79 3/1/2020 36565 insertion of tunneled centrally inserted central venous access device, 289.75 789.73 3/1/2020 36566 insertion of tunneled centrally inserted central venous access device, 310.36 2909.87 3/1/2020 36568 insertion of peripherally inserted central venous catheter (picc), without 84.53 254.11 3/1/2020 36569 insertion of peripherally inserted central venous catheter (picc), without 84.42 221.31 3/1/2020 36570 insertion of peripherally inserted central venous access device, with 271.12 954.91 3/1/2020 36571 insertion of peripherally inserted central venous access device, with 263.80 989.99 3/1/2020 36575 repair of tunneled or non-tunneled central venous access catheter, without 33.65 130.86 3/1/2020 36576 repair of central venous access device, with subcutaneous port or pump, c 159.92 295.28 3/1/2020 36578 replacement, catheter only, of central venous access device, with subcuta 182.76 410.79 3/1/2020 36580 replacement, complete, of a non-tunneled centrally inserted central venou 60.76 189.46 3/1/2020 36581 replacement, complete, of a tunneled centrally inserted central venous 173.22 615.96 3/1/2020 36582 replacement, complete, of a tunneled centrally inserted central venous acc 254.46 860.12 3/1/2020 36583 replacement, complete, of a tunneled centrally inserted central venous acc 254.89 860.55 3/1/2020 36584 replacement, complete, of a peripherally inserted central venous catheter 62.31 186.47 3/1/2020 36585 replacement, complete, of a peripherally inserted central venous access d 238.94 882.16 3/1/2020 36589 removal of tunneled central venous catheter, without subcutaneous port or 118.97 139.56 3/1/2020 36590 removal of tunneled central venous access device, with subcutaneous por 168.70 226.24 3/1/2020 36595 mechanical removal of pericatheter obstructive material (eg, fibrin sheath) 167.61 498.92 3/1/2020 36596 mechanical removal of intraluminal (intracatheter) obstructive material from 39.52 111.90 3/1/2020 36597 repositioning of previously placed central venous catheter under fluorosco 55.90 106.18 3/1/2020 36600 arterial puncture, withdrawal of blood for diagnosis 13.31 25.43 3/1/2020 36620 arterial catheterization or cannulation for sampling, monitoring 44.25 44.25 3/1/2020 36625 arterial catheterization or cannulation for sampling, monitoring 91.43 91.43 3/1/2020 36640 arterial catheterization for prolonged infusion therapy (chemotherapy), cutd 102.19 102.19 3/1/2020 36660 catheterization, umbilical artery, newborn, for diagnosis or therapy 58.13 58.13 3/1/2020 36680 placement of needle for intraosseous infusion 51.26 51.26 3/1/2020 36800 amb surg insertion of cannula for hemodialysis 133.80 133.80 3/1/2020 36810 redirection of blood flow 180.47 180.47 3/1/2020 36815 redirection of blood flow 127.26 127.26 3/1/2020 36818 arteriovenous anastomosis, open; by upper arm cephalic vein transpositio 578.71 578.71 3/1/2020 36819 arteriovenous anastomosis, open; by upper arm basilic vein transposition 682.28 682.28 3/1/2020 36820 arteriovenous anastomosis, open; by forearm vein transposition 684.51 684.51 3/1/2020 36821 arteriovenous anastomosis direct any site 568.60 568.60 3/1/2020 36823 insertion of arterial and venous cannula(s) for isolated extracorporeal 1089.02 1089.02 3/1/2020 36825 amb surg internal a-v fistula arteriovenous 493.50 493.50 3/1/2020 36830 arteriovenous fistula nonautogenous graft 565.40 565.40 3/1/2020 36831 thrombectomy, open, arteriovenous fistula without revision, autogenous or 389.94 389.94 3/1/2020 36832 revision, open, arteriovenous fistula; without thrombectomy, autogenous o 498.40 498.40 3/1/2020 36833 revision, arteriovenous fistula; with thrombectomy, autogenous or nonauto 563.27 563.27 3/1/2020 36835 thomas shunt 389.26 389.26 3/1/2020 36838 distal revascularization and interval ligation (dril), upper extremity 1006.94 1006.94 3/1/2020 36860 cannula declotting without balloon catheter 88.68 158.03 3/1/2020 36861 cannula declotting with balloon catheter 128.38 128.38 3/1/2020 36902 intro cath dialysis circuit 194.15 1043.16 3/1/2020 36903 intro cath dialysis circuit 265.77 4767.93 3/1/2020 36904 thrmbc/nfs dialysis circuit 305.98 1521.59 3/1/2020 36905 thrmbc/nfs dialysis circuit 384.02 1946.89 3/1/2020 36906 thrmbc/nfs dialysis circuit 448.10 5784.81 3/1/2020 36908 sten plmt ctr dialysis seg 167.57 2292.54 3/1/2020 37140 venous anastomosis, open; portocaval 1151.41 1151.41 3/1/2020 37145 venous anastomosis; renoportal 1241.40 1241.40 3/1/2020 37160 venous anastomosis; caval-mesenteric 1080.15 1080.15 3/1/2020 37180 venous anastomosis; splenorenal, proximal 1210.57 1210.57 3/1/2020 37181 splenorenal distal (selective decompression) 1308.49 1308.49 3/1/2020 37182 insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (include 782.55 782.55 3/1/2020 37183 revision of transvenous intrahepatic portosystemic shunt(s) (tips) (includes 371.88 371.88 3/1/2020 37195 thrombolysis, cerebral, by intravenous infusion 263.57 263.57 3/1/2020 37200 transcatheter biopsy 207.86 207.86 3/1/2020 37215 transcatheter placement of intravascular stent(s), cervical carotid artery, 962.55 962.55 3/1/2020 37216 transcatheter placement of intravascular stent(s), cervical carotid artery, 884.61 884.61 3/1/2020 37246 trluml balo angiop 1st art 318.38 1836.30 3/1/2020 37500 vascular endoscopy, surgical, with ligation of perforator veins, subfascial 587.23 587.23 3/1/2020 37565 ligation, internal jugular vein 584.23 584.23 3/1/2020 37600 ligation, external carotid artery 597.69 597.69 3/1/2020 37605 ligation; internal or common carotid artery 684.26 684.26 3/1/2020 37606 ligation of neck artery 445.17 445.17 3/1/2020 37607 ligation or banding of angioaccess arteriovenous fistula 317.81 317.81 3/1/2020 37609 amb surg temporal artery ligation or biopsy 163.58 235.65 3/1/2020 37615 ligation major artery neck 393.74 393.74 3/1/2020 37616 ligation major artery chest 917.85 917.85 3/1/2020 37617 ligate major artery abdomen 1094.89 1094.89 3/1/2020 37618 ligation major artery extremity 314.39 314.39 3/1/2020 37650 ligation of femoral vein 429.84 429.84 3/1/2020 37660 ligation of common iliac vein 1024.99 1024.99 3/1/2020 37700 amb surg varicose vein ligation w/wo strip partial 210.41 210.41 3/1/2020 37735 removal of leg vein(s) 535.44 535.44 3/1/2020 37760 revision of leg veins 527.34 527.34 3/1/2020 37765 stab phlebectomy of varicose veins, one extremity; 10-20 stab incisions 378.77 378.77 3/1/2020 37766 stab phlebectomy of varicose veins, one extremity; more than 20 incisions 461.09 461.09 3/1/2020 37780 revision of leg vein 217.05 217.05 3/1/2020 37785 amb surg varicose vein leg ligation 217.55 288.11 3/1/2020 38100 removal of spleen 887.13 887.13 3/1/2020 38101 splenectomy partial 891.65 891.65 3/1/2020 38102 splenectomy; total, en bloc for extensive disease, in conjunction with other 212.59 212.59 3/1/2020 38115 repair ruptured spleen w/wo partial splenectomy 986.94 986.94 3/1/2020 38120 laparoscopy, surgical, splenectomy 820.62 820.62 3/1/2020 38200 injection for spleen x-ray 119.02 119.02 3/1/2020 38204 management of recipient hematopoietic progenitor cell donor search and c 87.00 87.00 3/1/2020 38205 blood-derived hematopoietic progenitor cell harvesting for transplantation, 68.73 68.73 3/1/2020 38206 blood-derived hematopoietic progenitor cell harvesting for transplantation, 68.73 68.73 3/1/2020 38207 transplant preparation of hematopoietic progenitor cells; cryopreservation 42.67 42.67 3/1/2020 38208 transplant preparation of hematopoietic progenitor cells; thawing of previo 27.24 27.24 3/1/2020 38209 transplant preparation of hematopoietic progenitor cells; thawing of previo 11.70 11.70 3/1/2020 38220 bone marrow aspiration 51.54 125.74 3/1/2020 38221 bone marrow biopsy, needle or trocar 65.38 139.87 3/1/2020 38230 bone marrow harvesting for transplantation 262.50 262.50 3/1/2020 38240 bone marrow or blood-derived peripheral stem cell transplantation; alloge 106.21 106.21 3/1/2020 38241 bone marrow transplantation; 106.81 106.81 3/1/2020 38242 bone marrow or blood-derived peripheral stem cell transplantation; alloge 80.96 80.96 3/1/2020 38300 drainage of lymph node abscess or lymphadenitis; simple 142.21 208.54 3/1/2020 38305 drainage lymph node lesion 362.31 362.31 3/1/2020 38308 incision of lymph channels 348.51 348.51 3/1/2020 38380 suture and or ligation of thoracic duct cervical a 448.29 448.29 3/1/2020 38381 suture and or ligation of thoracic duct thoracic a 670.11 670.11 3/1/2020 38382 suture/ligation thoracic duct abdominal approach 540.89 540.89 3/1/2020 38500 biopsy or excision of lymph node(s); open, superficial 196.26 246.53 3/1/2020 38505 biopsy or excision of lymph node(s); 62.51 102.78 3/1/2020 38510 biopsy or excision of lymph node(s); open, deep cervical node(s) 333.30 399.91 3/1/2020 38520 biopsy or excision of lymph node(s); open, deep cervical node(s) with exc 363.98 363.98 3/1/2020 38525 biopsy or excision of lymph node(s); open, deep axillary node(s) 329.88 329.88 3/1/2020 38530 biopsy or excision of lymph node(s); open, internal mammary node(s) 424.49 424.49 3/1/2020 38542 dissection deep jugular node 405.43 405.43 3/1/2020 38550 excision of cystic hygroma axillary or cervical 375.21 375.21 3/1/2020 38555 removal neck/armpit lesion 782.11 782.11 3/1/2020 38562 limited lymphadenectomy for staging pelvic 561.69 561.69 3/1/2020 38564 limited lymphadenectomy for staging retroperitonea 558.13 558.13 3/1/2020 38570 laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), 455.36 455.36 3/1/2020 38571 laparoscopy, surgical; with bilateral total pelvic lymphadenectomy 716.21 716.21 3/1/2020 38572 laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and 788.15 788.15 3/1/2020 38700 removal of lymph nodes, neck 630.85 630.85 3/1/2020 38720 removal of lymph nodes, neck 1048.81 1048.81 3/1/2020 38724 cervical lymphadenectomy 1137.76 1137.76 3/1/2020 38740 amb surg axillary lymph node dissect superficial 528.50 528.50 3/1/2020 38745 amb surg axillary lymph node dissect complete 673.03 673.03 3/1/2020 38746 thoracic lymphadenectomy, regional, including mediastinal and peritrache 222.25 222.25 3/1/2020 38747 abdominal lymphadenectomy, regional, including celiac, gastric, portal, 216.66 216.66 3/1/2020 38760 inguinofemoral lymphadenectomy, superficial 663.89 663.89 3/1/2020 38765 inguinofemoral lymphadenectomy, superficial 1033.44 1033.44 3/1/2020 38770 pelvic lymphadenectomy inc ext iliac hypogastric w 692.07 692.07 3/1/2020 38780 retroperitoneal lymphadenectomy extens inc pel aor 871.53 871.53 3/1/2020 38790 injection for lymphatic x-ray 67.95 67.95 3/1/2020 38792 injection procedure; for identification of sentinel node 32.80 32.80 3/1/2020 38794 cannulation, thoracic duct 257.26 257.26 3/1/2020 39000 mediastinotomy with exploration, drainage, removal of foreign body, or bio 401.47 401.47 3/1/2020 39010 mediastinotomy with exploration, drainage, removal of foreign body, or bio 666.81 666.81 3/1/2020 39200 removal mediastinal lesion 739.84 739.84 3/1/2020 39220 removal mediastinal lesion 952.85 952.85 3/1/2020 39501 repair, laceration of diaphragm, any approach 678.24 678.24 3/1/2020 39503 repair diaphragmatic hernia neonatal 4761.33 4761.33 3/1/2020 39540 repair of diaphragm hernia 693.49 693.49 3/1/2020 39541 repari diaphr hernia traumatic chronic 748.10 748.10 3/1/2020 39545 imbrication of diaphragm for eventration, transthoracic or transabdominal, 735.68 735.68 3/1/2020 39560 resection, diaphragm; with simple repair (eg, primary suture) 636.00 636.00 3/1/2020 39561 resection, diaphragm; with complex repair (eg, prosthetic material, local 988.47 988.47 3/1/2020 40490 biopsy of lip 59.76 100.63 3/1/2020 40500 amb surg vermilionectomy (lip shave) 282.33 379.85 3/1/2020 40510 amb surg excision lip transverse wedge excision 280.43 369.16 3/1/2020 40520 partial excision of lip 283.41 379.09 3/1/2020 40525 excision lip full thickness local flap 440.92 440.92 3/1/2020 40527 excision lip full thickness cross lip flap 521.20 521.20 3/1/2020 40530 partial removal of lip 321.57 418.78 3/1/2020 40650 repair lip 225.60 314.33 3/1/2020 40652 repair lip 274.87 369.96 3/1/2020 40654 repair lip 333.92 436.88 3/1/2020 40700 repair cleft lip 740.24 740.24 3/1/2020 40701 repair cleft lip 918.54 918.54 3/1/2020 40702 repair cleft lip 714.24 714.24 3/1/2020 40720 repair cleft lip 786.23 786.23 3/1/2020 40761 repair cleft lip 851.32 851.32 3/1/2020 40800 drainage of abscess, cyst, hematoma, vestibule of mouth; 97.99 150.68 3/1/2020 40801 drainage of abscess, cyst, hematoma, vestibule of mouth; 171.42 232.90 3/1/2020 40804 removal foreign body, mouth 99.26 153.77 3/1/2020 40805 removal of embedded foreign body, vestibule of mouth; 177.78 244.10 3/1/2020 40808 biopsy mouth lesion 82.31 135.31 3/1/2020 40810 excision of lesion of mucosa and submucosa, vestibule of mouth; 98.03 151.02 3/1/2020 40812 excision of lesion of mucosa and submucosa, vestibule of mouth; 152.95 213.53 3/1/2020 40814 excision mouth lesion 235.94 288.02 3/1/2020 40816 exc lesion of mucosa and submucosa w/o repair 246.93 303.57 3/1/2020 40818 excision oral nucosa, graft 210.30 265.71 3/1/2020 40820 destruction of lesion or scar of vestibule of mouth, by physician 131.16 195.95 3/1/2020 40830 closure of laceration, vestibule of mouth; 123.40 181.84 3/1/2020 40831 closure of laceration, vestibule of mouth; 173.47 241.61 3/1/2020 40840 reconstruction mouth 503.69 624.81 3/1/2020 40842 reconstruction mouth 493.38 615.43 3/1/2020 40843 reconstruction mouth 642.79 804.80 3/1/2020 40844 reconstruction mouth 896.82 1067.31 3/1/2020 40845 reconstruction mouth 1005.67 1163.44 3/1/2020 41000 intraoral incision and drainage of abscess, cyst, or hematoma 86.90 120.80 3/1/2020 41005 intraoral incision and drainage of abscess, cyst, or hematoma 98.61 168.25 3/1/2020 41006 intraoral incision and drainage of abscess, cyst, or hematoma 203.37 273.02 3/1/2020 41007 intraoral incision and drainage of abscess, cyst, or hematoma 197.36 273.37 3/1/2020 41008 intraoral incision and drainage of abscess, cyst, or hematoma 210.88 281.74 3/1/2020 41009 intraoral incision and drainage of abscess, cyst, or hematoma 228.84 299.40 3/1/2020 41010 incision of lingual frenum (frenotomy) 84.66 150.98 3/1/2020 41015 extraoral incision and drainage of abscess, cyst, or hematoma 262.24 322.20 3/1/2020 41016 extraoral incision and drainage of abscess, cyst, or hematoma 272.14 330.89 3/1/2020 41017 extraoral incision and drainage of abscess, cyst, or hematoma 273.35 333.31 3/1/2020 41018 extraoral incision and drainage of abscess, cyst, or hematoma 320.48 382.87 3/1/2020 41100 biopsy tongue 86.48 127.66 3/1/2020 41105 biopsy of tongue; 87.70 127.97 3/1/2020 41108 biopsy floor of mouth 70.42 109.48 3/1/2020 41110 excision tongue lesion 102.75 157.57 3/1/2020 41112 excision of lesion of tongue with closure; 194.92 249.43 3/1/2020 41113 excision tongue lesion 216.97 273.91 3/1/2020 41114 exc lesion tongue local tongue flap 504.67 504.67 3/1/2020 41115 excision of lingual frenum (frenectomy) 116.17 183.40 3/1/2020 41116 excision, lesion of floor of mouth 170.74 243.72 3/1/2020 41120 partial removal of tongue 817.53 817.53 3/1/2020 41130 partial removal of tongue 1013.43 1013.43 3/1/2020 41135 tongue and neck surgery 1698.71 1698.71 3/1/2020 41140 removal of tongue 1743.16 1743.16 3/1/2020 41145 tongue removal; neck surgery 2186.02 2186.02 3/1/2020 41150 mouth and jaw surgery 1728.26 1728.26 3/1/2020 41153 glossectomy composite proc w/resection floor mouth 1876.83 1876.83 3/1/2020 41155 mouth, jaw, and neck surgery 2339.01 2339.01 3/1/2020 41250 repair laceration tongue 111.44 172.01 3/1/2020 41251 repair laceration to 2cm posterior one third tongu 129.80 178.56 3/1/2020 41252 repair lacerated tongue 168.12 234.13 3/1/2020 41510 tongue to lip surgery 316.06 316.06 3/1/2020 41520 frenoplasty 197.43 260.73 3/1/2020 41800 drainage of abscess, cyst, hematoma from dentoalveolar structures 99.34 169.29 3/1/2020 41805 removal of embedded foreign body from dentoalveolar structures; 125.76 174.81 3/1/2020 41806 removal of embedded foreign body from dentoalveolar structures; 197.60 257.55 3/1/2020 41820 excision, gum 366.04 366.04 3/1/2020 41821 excision, gum flap 305.06 305.06 3/1/2020 41822 excision gum lesion 138.18 216.31 3/1/2020 41823 excision gum lesion 248.22 322.40 3/1/2020 41825 excision gum lesion 98.19 153.91 3/1/2020 41826 excision gum lesion 158.56 217.32 3/1/2020 41827 excision gum lesion 235.64 322.86 3/1/2020 41830 amb surg alveolectomy inc curettage osteitis 218.21 291.80 3/1/2020 41850 destruction of lesion except excision 36.60 36.60 3/1/2020 41870 graft gum 488.07 488.07 3/1/2020 41872 gingivoplasty, each quadrant (specify) 202.31 273.18 3/1/2020 41874 alveoloplasty, each quadrant (specify) 199.33 277.77 3/1/2020 42000 drainage of abscess of palate, uvula 80.66 119.12 3/1/2020 42100 biopsy roof of mouth 85.62 113.46 3/1/2020 42104 excision, lesion of palate, uvula; 107.64 157.61 3/1/2020 42106 excision lesion, mouth roof 140.92 199.96 3/1/2020 42107 excision lesion palate, uvula local flap closure 272.09 349.01 3/1/2020 42120 resection palate or extensive resection of lesion 763.29 763.29 3/1/2020 42140 uvulectomy, excision of uvula 120.61 187.54 3/1/2020 42145 palatopharyngoplasty 557.40 557.40 3/1/2020 42160 destruction of lesion, palate or uvula (thermal, cryo or chemical) 120.05 181.82 3/1/2020 42180 repair palate 146.21 186.19 3/1/2020 42182 repair palate 213.66 255.76 3/1/2020 42200 reconstruction cleft palate 707.32 707.32 3/1/2020 42205 reconstruction cleft palate 754.76 754.76 3/1/2020 42210 palatoplasty with bone graft to alveolar ridge-includes obtaining graft 851.15 851.15 3/1/2020 42215 reconstruction cleft palate 556.54 556.54 3/1/2020 42220 reconstruction cleft palate 432.56 432.56 3/1/2020 42225 reconstruction cleft palate 738.38 738.38 3/1/2020 42226 lengthening palate and pharyngeal flap 734.75 734.75 3/1/2020 42227 lengthening of palate with island flap 713.99 713.99 3/1/2020 42235 repair palate 582.81 582.81 3/1/2020 42260 repair nose to lip fistula 547.29 652.68 3/1/2020 42300 drainage of abscess; 120.46 158.92 3/1/2020 42305 drainage of abscess; 345.07 345.07 3/1/2020 42310 drainage of abscess; 98.34 123.77 3/1/2020 42320 drainage of abscess; 141.31 191.27 3/1/2020 42330 sialolithotomy; 131.17 178.09 3/1/2020 42335 treatment salivary stone 205.33 283.46 3/1/2020 42340 treatment salivary stone 270.55 357.17 3/1/2020 42400 biopsy of salivary gland; 47.07 83.72 3/1/2020 42405 biopsy of salivary gland; 183.23 235.32 3/1/2020 42408 amb surg excision salivary cyst 262.55 349.77 3/1/2020 42409 amb surg treatment salivary cyst 177.65 252.15 3/1/2020 42410 excision parotid gland 501.21 501.21 3/1/2020 42415 ex parotid tumor parotid gl lat lob w dissecan pre 906.34 906.34 3/1/2020 42420 excision parotid gland 1039.42 1039.42 3/1/2020 42425 excision parotid gland 683.46 683.46 3/1/2020 42426 excision parotid tumor or parotid gland total 1112.55 1112.55 3/1/2020 42440 excision submaxillary gland 376.91 376.91 3/1/2020 42450 excision sublingual gland 285.43 349.64 3/1/2020 42500 repair salivary duct 271.43 333.21 3/1/2020 42505 repair salivary duct 364.07 433.72 3/1/2020 42507 paroid duct divers bilateral 407.47 407.47 3/1/2020 42509 parotid duct diversion bilat w/exc both submandibu 667.20 667.20 3/1/2020 42510 parotid duct diversion bilat ligat submandibular 503.37 503.37 3/1/2020 42550 injection procedure for sialography 56.62 118.69 3/1/2020 42600 closure salivary fistula 283.42 374.57 3/1/2020 42650 dilation salivary duct 47.26 63.91 3/1/2020 42660 dilation and catheterization of salivary duct, with or without injection 63.09 82.47 3/1/2020 42665 ligation salivary duct 164.31 235.79 3/1/2020 42700 incision and drainage abscess; 107.27 143.60 3/1/2020 42720 drainage throat abscess 320.80 362.59 3/1/2020 42725 drainage throat abscess 653.19 653.19 3/1/2020 42800 biopsy; 88.71 120.52 3/1/2020 42804 biopsy; 90.87 152.34 3/1/2020 42806 biopsy; 106.86 172.27 3/1/2020 42808 excision lesion pharynx 131.99 176.51 3/1/2020 42809 removal of foreign body from pharynx 103.51 131.68 3/1/2020 42810 amb surg branchial cleft cyst 224.90 295.75 3/1/2020 42815 amb surg branchial cleft cyst 441.97 441.97 3/1/2020 42820 amb surg tonsillectomy & adenoidectomy under 12 234.11 234.11 3/1/2020 42821 amb surg tonsillectomy & adenoidectomy over 12 244.37 244.37 3/1/2020 42825 amb surg tonsillectomy under age 12 208.99 208.99 3/1/2020 42826 amb surg tonsillectomy age 12 or over 202.01 202.01 3/1/2020 42830 amb surg adenoidectomy primary under age 12 164.38 164.38 3/1/2020 42831 amb surg adenoidectomy age 12 or over/primary 177.27 177.27 3/1/2020 42835 amb surg adenoidectomy secondary under age 12 148.17 148.17 3/1/2020 42836 amb surg adenoidectomy age 12 or over/secondary 193.77 193.77 3/1/2020 42842 radical resection tonsil without closure 767.41 767.41 3/1/2020 42844 radical resection tonsil closure with local flap 1080.20 1080.20 3/1/2020 42845 radical resection tonsil closure with other flap 1774.21 1774.21 3/1/2020 42860 excision tonsil tags 148.56 148.56 3/1/2020 42870 excision lingual tonsil 449.78 449.78 3/1/2020 42890 partial removal pharynx 1100.90 1100.90 3/1/2020 42892 resect lateral pharyngeal wall direct closure 1445.93 1445.93 3/1/2020 42894 resect pharyngeal wall with myocutaneous flap 1853.84 1853.84 3/1/2020 42900 repair throat wound 279.49 279.49 3/1/2020 42950 reconstruction of throat 623.68 623.68 3/1/2020 42953 pharyngoesophageal repair 765.85 765.85 3/1/2020 42955 surgical opening of throat 587.81 587.81 3/1/2020 42960 control oropharyngeal hemorrhage, primary or secondary (eg, 135.69 135.69 3/1/2020 42961 control oropharyngeal hemorrhage, primary or secondary (eg, 336.44 336.44 3/1/2020 42962 control bleeding throat 417.31 417.31 3/1/2020 42970 control of nasopharyngeal hemorrhage, primary or secondary (eg, 312.66 312.66 3/1/2020 42971 control of nasopharyngeal hemorrhage, primary or secondary 367.93 367.93 3/1/2020 42972 control bleeding, nose/throat 413.84 413.84 3/1/2020 43020 incision of esophagus 426.28 426.28 3/1/2020 43030 cricopharyngeal myotomy 421.88 421.88 3/1/2020 43045 esophagotomy, thoracic approach, with removal of foreign body 1074.29 1074.29 3/1/2020 43100 excision of lesion, esophagus, with primary repair; cervical approach 504.57 504.57 3/1/2020 43101 excision of lesion, esophagus, with primary repair; thoracic or abdominal 839.38 839.38 3/1/2020 43107 total or near total esophagectomy, without thoracotomy; 2079.44 2079.44 3/1/2020 43108 total or near total esophagectomy, without thoracotomy; with colon 3516.15 3516.15 3/1/2020 43112 total or near total esophagectomy, with thoracotomy; 2223.24 2223.24 3/1/2020 43113 total or near total esophagectomy, with thoracotomy; with colon interpositi 3508.33 3508.33 3/1/2020 43116 partial esophagectomy, cervical, with free intestinal graft, 3993.44 3993.44 3/1/2020 43117 partial esophagectomy, distal two-thirds, with thoracotomy 2034.00 2034.00 3/1/2020 43118 partial esophagectomy, distal two-thirds, with thoracotomy and separate 2892.59 2892.59 3/1/2020 43121 partial esophagectomy, distal two-thirds, with thoracotomy 2294.64 2294.64 3/1/2020 43122 partial esophagectomy, thoracoabdominal or abdominal approach, 2056.83 2056.83 3/1/2020 43123 partial esophagectomy, thoracoabdominal or abdominal approach, with or 3534.47 3534.47 3/1/2020 43124 total or partial esophagectomy, without reconstruction 3017.25 3017.25 3/1/2020 43130 removal esophagus pouch 639.62 639.62 3/1/2020 43135 removal esophagus pouch 1201.62 1201.62 3/1/2020 43200 amb surg esophagoscopy rigid/fiberoptic diagnostic 85.64 168.92 3/1/2020 43201 esophagoscopy, rigid or flexible; with directed submucosal injection(s), an 107.88 232.03 3/1/2020 43202 amb surg esophagoscopy with biopsy 95.28 221.55 3/1/2020 43204 esophagoscopy-rigid or fiberoptic diagnostic w inj 187.77 187.77 3/1/2020 43205 esophagoscopy, rigid or flexible; 188.31 188.31 3/1/2020 43215 amb surg esophagoscopy with removal foreigh body 128.75 128.75 3/1/2020 43216 esophagoscopy, rigid or flexible; 119.97 159.34 3/1/2020 43217 amb surg esophagoscopy with removal polyp(s) 141.52 297.49 3/1/2020 43220 dilation of esophagus 105.90 105.90 3/1/2020 43226 esophagogastroscopy w insertion wire to guide dila 118.10 118.10 3/1/2020 43227 esophagoscopy, rigid or flexible; with control of bleeding (eg, injection, 176.03 176.03 3/1/2020 43231 esophagoscopy, rigid or flexible; with endoscopic ultrasound examination 159.78 159.78 3/1/2020 43232 esophagoscopy, rigid or flexible; with transendoscopic ultrasound-guided 220.33 220.33 3/1/2020 43235 amb surg esophagogastroduodenoscopy 121.56 238.46 3/1/2020 43236 upper gastrointestinal endoscopy including esophagus, stomach, and eithe 147.81 296.79 3/1/2020 43237 upper gastrointestinal endoscopy including esophagus, stomach, and eithe 201.31 201.31 3/1/2020 43238 upper gastrointestinal endoscopy including esophagus, stomach, and eithe 249.59 249.59 3/1/2020 43239 amb surg esophagogastroduodenoscopy w biopsy 143.96 276.30 3/1/2020 43240 upper gastrointestinal endoscopy including esophagus, stomach, and eithe 335.21 335.21 3/1/2020 43241 upper gastrointestinal endoscopy including esophagus, stomach, and eithe 130.64 130.64 3/1/2020 43242 upper gastrointestinal endoscopy including esophagus, stomach, and eithe 357.50 357.50 3/1/2020 43243 ugi endoscopy for inj sclerosis esph gas varices 225.18 225.18 3/1/2020 43244 upper gastrointestinal endoscopy including esophagus, stomach, 249.61 249.61 3/1/2020 43245 upper gastrointestinal endoscopy including esophagus, stomach, and eithe 157.35 157.35 3/1/2020 43246 upper gastrointestinal endoscopy for placement tub 210.87 210.87 3/1/2020 43247 amb surg esophagogastroduodenoscopy w/removal fb 168.35 168.35 3/1/2020 43248 upper gastrointestinal endoscopy including esophagus, stomach, 159.09 159.09 3/1/2020 43249 upper gi endoscopy, including esophagus, stomach 146.45 146.45 3/1/2020 43250 upper gastrointestinal endoscopy including esophagus, stomach, 157.40 157.40 3/1/2020 43251 amb surg esophagogastroduodenoscopy w polypectomy 183.15 183.15 3/1/2020 43255 amb surg esophagogastroduodenoscopy w coagulation 238.33 238.33 3/1/2020 43259 upper gastrointestinal endoscopy including esophagus, stomach, 255.92 255.92 3/1/2020 43260 amb surg esophagogastroduodenoscopy 293.06 293.06 3/1/2020 43261 endoscopic retrograde cholangiopancreatography (ercp); 308.06 308.06 3/1/2020 43262 ercp for sphincterotomy/papillotomy 361.84 361.84 3/1/2020 43263 ercp for pressure measurement of sphincter of oddi 357.96 357.96 3/1/2020 43264 endoscopic retrograde cholangiopancreatography (ercp); with endoscopic 434.46 434.46 3/1/2020 43280 laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet 849.81 849.81 3/1/2020 43300 repair of esophagus 500.71 500.71 3/1/2020 43305 repair esophagus and fistula 899.21 899.21 3/1/2020 43310 repair of esophagus 1256.97 1256.97 3/1/2020 43312 esophagoplasty with repair of tracheoesophageal fi 1388.44 1388.44 3/1/2020 43313 esophagoplasty for congenital defect, (plastic repair or reconstruction), 2212.04 2212.04 3/1/2020 43314 esophagoplasty for congenital defect, (plastic repair or reconstruction), 2532.81 2532.81 3/1/2020 43320 esophagogastrostomy (cardioplasty), with or without vagotomy and pyloro 1104.35 1104.35 3/1/2020 43325 esophagogastric fundoplasty with fundic patch (tha 1054.59 1054.59 3/1/2020 43330 esophagomyotomy (heller type); abdominal approach 1034.51 1034.51 3/1/2020 43331 esophagomyotomy thoracic approach 1120.00 1120.00 3/1/2020 43340 esophagojejunostomy w tot gastrec abd approach 1073.82 1073.82 3/1/2020 43341 esophagojejunostomy thoracic approach 1180.90 1180.90 3/1/2020 43351 amb surg esophagostomy 1074.34 1074.34 3/1/2020 43352 amb surg esophagostomy 878.38 878.38 3/1/2020 43360 gastrointestinal reconstruction for previous esophagectomy, 1884.28 1884.28 3/1/2020 43361 gastrointestinal reconstruction for previous esophagectomy, for obstructing 2105.70 2105.70 3/1/2020 43400 ligation esophageal veins 1292.74 1292.74 3/1/2020 43405 ligation or stapling at gastroesophageal junction for pre-existing 1187.01 1187.01 3/1/2020 43410 repair wound,esophagus 811.56 811.56 3/1/2020 43415 suture of esophageal wound or injury; transthoracic or transabdominal app 1383.84 1383.84 3/1/2020 43420 repair opening,esophagus 812.50 812.50 3/1/2020 43425 closure of esophagostomy or fistula; transthoracic or transabdominal appr 1215.46 1215.46 3/1/2020 43450 amb surg esophageal dilation bougie initial 74.11 126.81 3/1/2020 43453 dilation esophagus over guide wire or string 80.49 235.84 3/1/2020 43460 esophagogastric tamponade, with balloon (sengstaaken type) 184.72 184.72 3/1/2020 43500 incision of stomach 607.31 607.31 3/1/2020 43501 gastrotomy; with suture repair of bleeding ulcer 1045.62 1045.62 3/1/2020 43502 gastrotomy; 1184.30 1184.30 3/1/2020 43510 gastrotomy; with esophageal dilation and insertion of permanent intralumin 749.55 749.55 3/1/2020 43520 incision pyloric muscle 549.07 549.07 3/1/2020 43605 biopsy of stomach 645.00 645.00 3/1/2020 43610 excision, local; ulcer or benign tumor of stomach 762.17 762.17 3/1/2020 43611 excision, local; 948.45 948.45 3/1/2020 43620 gastrectomy, total; with esophagoenterostomy 1547.28 1547.28 3/1/2020 43621 gastrectomy, total; 1762.59 1762.59 3/1/2020 43622 gastrectomy, total; 1788.60 1788.60 3/1/2020 43631 gastrectomy, partial, distal; 1133.99 1133.99 3/1/2020 43632 gastrectomy, partial, distal; 1547.11 1547.11 3/1/2020 43633 gastrectomy, partial, distal; 1471.88 1471.88 3/1/2020 43634 gastrectomy, partial, distal; 1625.68 1625.68 3/1/2020 43635 vagotomy when performed with partial distal gastrectomy (list separately i 90.92 90.92 3/1/2020 43640 division vagus nerve 911.36 911.36 3/1/2020 43641 vagotomy w/ pyloroplasty parietal cell 919.34 919.34 3/1/2020 43644 laparoscopy, surgical, gastric restrictive procedure; with gastric bypass an 1349.63 1349.63 3/1/2020 43651 laparoscopy, surgical; transection of vagus nerves, truncal 505.21 505.21 3/1/2020 43652 laparoscopy, surgical; transection of vagus nerves, selective or highly 591.92 591.92 3/1/2020 43653 laparoscopy, surgical; gastrostomy, without construction of gastric tube (e 430.68 430.68 3/1/2020 43761 repositioning of the gastric feeding tube, any method, through the duodenu 91.21 102.72 3/1/2020 43800 reconstruction of pylorus 723.23 723.23 3/1/2020 43810 fusion stomach and bowel 784.10 784.10 3/1/2020 43820 gastrojejunostomy; without vagotomy 1016.44 1016.44 3/1/2020 43825 fusion stomach and bowel 1008.87 1008.87 3/1/2020 43830 gastrostomy, open; without construction of gastric tube (eg, stamm proced 535.67 535.67 3/1/2020 43831 temporary opening,stomach 446.84 446.84 3/1/2020 43832 gastrostomy permanent w construction gastric tube 825.71 825.71 3/1/2020 43840 repair lesion,stomach 1030.92 1030.92 3/1/2020 43842 gastric restrictive procedure, without gastric bypass, for morbid obesity; 1001.89 1001.89 3/1/2020 43843 gastric restrictive procedure, without gastric bypass, for morbid obesity; 983.46 983.46 3/1/2020 43846 gastric restrictive procedure, with gastric bypass for morbid obesity; with 1268.39 1268.39 3/1/2020 43847 gastric restrictive procedure, with gastric bypass for morbid obesity; with 1386.38 1386.38 3/1/2020 43848 revision, open, of gastric restrictive procedure for morbid obesity, other tha 1504.47 1504.47 3/1/2020 43850 revision stomachbowel fusion 1260.20 1260.20 3/1/2020 43855 revision stomachbowel fusion 1316.84 1316.84 3/1/2020 43860 revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruct 1279.46 1279.46 3/1/2020 43865 revision stomachbowel fusion 1330.96 1330.96 3/1/2020 43870 repair opening stomach. 547.26 547.26 3/1/2020 43880 repair stomach-bowel fistula 1249.93 1249.93 3/1/2020 44005 freeing of bowel adhesion 853.81 853.81 3/1/2020 44010 duodenotomy 670.89 670.89 3/1/2020 44015 tube or needle catheter jejunostomy for enternal alimentation 116.66 116.66 3/1/2020 44020 enterotomy, small intestine, other than duodenum; for exploration, biopsy( 754.47 754.47 3/1/2020 44021 enterotomy small bowel for decompression 763.07 763.07 3/1/2020 44025 exploration of large bowel 768.12 768.12 3/1/2020 44050 reduction bowel obstruction 727.00 727.00 3/1/2020 44055 correction of malrotation 1165.74 1165.74 3/1/2020 44100 biopsy of intestine by capsule, tube, peroral (one or more specimens) 96.59 96.59 3/1/2020 44110 excision of one or more lesions of small or large intestine not requiring 657.88 657.88 3/1/2020 44111 excision bowel lesions 766.31 766.31 3/1/2020 44120 enterectomy, resection of small intestine; single resection and anastomos 949.80 949.80 3/1/2020 44121 enterectomy, resection of small intestine; each additional resection and 196.16 196.16 3/1/2020 44125 enterectomy, resection of small intestine; with enterostomy 921.88 921.88 3/1/2020 44126 enterectomy, resection of small intestine for congenital atresia, single 1905.16 1905.16 3/1/2020 44127 enterectomy, resection of small intestine for congenital atresia, single 2218.70 2218.70 3/1/2020 44128 enterectomy, resection of small intestine for congenital atresia, single 197.09 197.09 3/1/2020 44130 enteroenterostomy, anastomosis of intestine, with or without cutaneous 994.83 994.83 3/1/2020 44139 mobilization (take-down) of splenic flexure performed in 98.20 98.20 3/1/2020 44140 partial removal of colon 1048.97 1048.97 3/1/2020 44141 colectomy partial with cecostomy colostomy 1381.40 1381.40 3/1/2020 44143 colectomy partial with end colostomy closure dista 1292.52 1292.52 3/1/2020 44144 colectomy partial w/resec colos ileos mucofistula 1358.57 1358.57 3/1/2020 44145 partial removal of colon 1307.99 1307.99 3/1/2020 44146 colectomy partial w/coloproctostomy colostomy 1634.59 1634.59 3/1/2020 44147 colectomy partial abd and transanal approach 1476.18 1476.18 3/1/2020 44150 removal of colon 1431.95 1431.95 3/1/2020 44151 colectomy total with continent ileostomy 1637.96 1637.96 3/1/2020 44155 removal of colon 1605.11 1605.11 3/1/2020 44156 colectomy total abd w/ proctectomy w/ continent 1763.58 1763.58 3/1/2020 44157 colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, 1675.31 1675.31 3/1/2020 44158 colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, 1717.40 1717.40 3/1/2020 44160 colectomy, partial, with removal of terminal ileum with ileocolostomy 966.62 966.62 3/1/2020 44202 laparoscopy, surgical; enterectomy, resection of small intestine, single 1085.63 1085.63 3/1/2020 44203 laparoscopy, surgical; each additional small intestine resection and 195.35 195.35 3/1/2020 44204 laparoscopy, surgical; colectomy, partial, with anastomosis 1212.63 1212.63 3/1/2020 44205 laparoscopy, surgical; colectomy, partial, with removal of terminal ileum w 1058.65 1058.65 3/1/2020 44206 laparoscopy, surgical; colectomy, partial, with end colostomy and closure 1375.58 1375.58 3/1/2020 44207 laparoscopy, surgical; colectomy, partial, with anastomosis, with 1446.11 1446.11 3/1/2020 44208 laparoscopy, surgical; colectomy, partial, with anastomosis, with 1571.23 1571.23 3/1/2020 44210 laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, w 1403.83 1403.83 3/1/2020 44211 laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with 1723.65 1723.65 3/1/2020 44212 laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with 1616.44 1616.44 3/1/2020 44300 surgical opening of bowel 652.70 652.70 3/1/2020 44310 ileostomy or jejunostomy, non-tube 816.80 816.80 3/1/2020 44312 repair small bowel opening 463.55 463.55 3/1/2020 44314 repair small bowel opening 790.27 790.27 3/1/2020 44316 continent ileostomy 1083.03 1083.03 3/1/2020 44320 colostomy or skin level cecostomy; 931.22 931.22 3/1/2020 44322 colostomy or skin level cecostomy; with multiple biopsies (eg, for congenit 735.93 735.93 3/1/2020 44340 amb surg revision colostomy simple 466.00 466.00 3/1/2020 44345 revision of colostomy, complicated 814.73 814.73 3/1/2020 44346 revise colostomy w/ repair paracolostomy hernia 915.11 915.11 3/1/2020 44360 sm intestine-endoscopy/enteroscopy diagnostic 132.34 132.34 3/1/2020 44361 sm intest endoscopy enteroscopy w/biop collec spec 145.87 145.87 3/1/2020 44363 sm intest endoscopy enteroscopy w/removal f/b 172.86 172.86 3/1/2020 44364 sm intest endoscopy enteroscopy w/remov polyps 186.17 186.17 3/1/2020 44365 small intestinal endoscopy, enteroscopy beyond second portion 165.74 165.74 3/1/2020 44366 small intestinal endoscopy, enteroscopy beyond second portion of duoden 219.43 219.43 3/1/2020 44369 sm intest endoscopy for ablation tumor/lesion 224.15 224.15 3/1/2020 44370 small intestinal endoscopy, enteroscopy beyond second portion of duoden 241.42 241.42 3/1/2020 44372 small intest endo entero placement j tube 213.70 213.70 3/1/2020 44373 small int endoscopy conversion of gtube to jtube 172.86 172.86 3/1/2020 44376 small intestinal endoscopy, enteroscopy beyond second portion 255.71 255.71 3/1/2020 44377 small intestinal endoscopy, enteroscopy beyond second portion 271.09 271.09 3/1/2020 44378 small intestinal endoscopy, enteroscopy beyond second portion of duoden 347.76 347.76 3/1/2020 44379 small intestinal endoscopy, enteroscopy beyond second portion of duoden 368.55 368.55 3/1/2020 44380 fiberoptic ileoscopy via stoma 57.54 57.54 3/1/2020 44382 ileoscopy, through stoma; with biopsy, single or multiple 69.21 69.21 3/1/2020 44385 endoscopic evaluation of small intestinal (abdominal or pelvic) pouch; 88.74 195.94 3/1/2020 44386 endoscopic evaluation of small intestinal (abdominal or pelvic) pouch; 104.14 271.61 3/1/2020 44388 colonoscopy through stoma; diagnostic, with or without collection of 138.30 272.16 3/1/2020 44389 colonoscopy through stoma; with biopsy, single or multiple 154.41 315.82 3/1/2020 44390 fiberoptic colonoscopy w removal foreign body 185.30 365.18 3/1/2020 44391 colonoscopy through stoma; with control of bleeding (eg, injection, bipolar 211.14 409.21 3/1/2020 44392 colonoscopy through stoma; with removal of tumor(s), polyp(s), or other 182.36 343.17 3/1/2020 44394 colonoscopy through stoma; 214.98 401.52 3/1/2020 44500 introduction of long gastrointestinal tube (eg, miller-abbott) 22.12 22.12 3/1/2020 44602 suture of small intestine (enterorrhaphy) for perforated ulcer, 1079.62 1079.62 3/1/2020 44603 suture of small intestine (enterorrhaphy) for perforated ulcer, 1237.11 1237.11 3/1/2020 44604 suture of large intestine (colorrhaphy) for perforated ulcer, 828.78 828.78 3/1/2020 44605 repair bowel lesion 1021.48 1021.48 3/1/2020 44615 intestinal stricturoplasty (enterotomy and enterorrhaphy) with 841.42 841.42 3/1/2020 44620 repair bowel opening 671.64 671.64 3/1/2020 44625 closure of enterostomy, large or small intestine; with resection and 795.83 795.83 3/1/2020 44626 closure of enterostomy, large or small intestine; with resection and colorec 1266.35 1266.35 3/1/2020 44640 repair bowel-skin fistula 1104.46 1104.46 3/1/2020 44650 repair bowel fistula 1148.60 1148.60 3/1/2020 44660 repair bowel-bladder fistula 1112.88 1112.88 3/1/2020 44661 closure of enterovesical fistula; with intestine and/or bladder resection 1248.48 1248.48 3/1/2020 44680 surgical folding intestine 830.99 830.99 3/1/2020 44700 exclusion of small intestine from pelvis by mesh or other prosthesis, or nat 804.69 804.69 3/1/2020 44701 intraoperative colonic lavage (list separately in addition to code for primar 135.82 135.82 3/1/2020 44800 excision bowel pouch 590.39 590.39 3/1/2020 44820 excision mesentery lesion 652.75 652.75 3/1/2020 44850 repair of mesentery 575.93 575.93 3/1/2020 44900 incision and drainage of appendiceal abscess; open 590.24 590.24 3/1/2020 44950 appendectomy 500.00 500.00 3/1/2020 44955 appendectomy; when done for indicated purpose at time of other major pro 68.18 68.18 3/1/2020 44960 appendectomy for rupt appen w/abscess or generaliz 673.62 673.62 3/1/2020 44970 laparoscopy, surgical, appendectomy 459.08 459.08 3/1/2020 45000 transrectal drainage of pelvic abscess 320.06 320.06 3/1/2020 45005 amb surg incision and drainage submucous abscess 118.51 189.99 3/1/2020 45020 drainage of rectal abscess 418.23 418.23 3/1/2020 45100 biopsy of rectum 221.75 221.75 3/1/2020 45108 anorectal myomectomy 270.22 270.22 3/1/2020 45110 proctectomy; complete, combined abdominoperineal, with colostomy 1444.25 1444.25 3/1/2020 45111 proctectomy; partial resection of rectum, transabdominal approach 848.22 848.22 3/1/2020 45112 proctectomy, combined abdominoperineal, pull-through procedure (eg, co 1491.47 1491.47 3/1/2020 45113 proctectomy, partial, with rectal mucosectomy, ileoanal 1527.94 1527.94 3/1/2020 45114 proctectomy, partial, with anastomosis; abdominal and transsacral approa 1396.25 1396.25 3/1/2020 45116 partial removal of rectum 1254.59 1254.59 3/1/2020 45119 proctectomy, combined abdominoperineal pull-through procedure (eg, colo 1530.43 1530.43 3/1/2020 45120 proctectomy, complete (for congenital megacolon), abdominal and perinea 1222.41 1222.41 3/1/2020 45121 proctectomy, complete (for congenital megacolon), abdominal and perinea 1338.02 1338.02 3/1/2020 45123 proctectomy, partial, without anastomosis, perineal approach 867.04 867.04 3/1/2020 45126 pelvic exenteration for colorectal malignancy, with proctectomy (with or 2260.69 2260.69 3/1/2020 45130 excision of rectal prolapse 848.02 848.02 3/1/2020 45135 excision of rectal prolapse 1037.91 1037.91 3/1/2020 45136 excision of ileoanal reservoir with ileostomy 1436.82 1436.82 3/1/2020 45150 excision rectal stricture 307.56 307.56 3/1/2020 45160 excision of rectal lesion 770.78 770.78 3/1/2020 45190 destruction of rectal tumor (eg, electrodessication, electrosurgery, laser 522.95 522.95 3/1/2020 45300 amb surg proctosigmoidoscopy diagnostic 39.74 82.75 3/1/2020 45303 proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) 68.01 632.18 3/1/2020 45305 amb surg proctosigmoidoscopy with biopsy 61.08 134.66 3/1/2020 45307 proctosigm w/removal of foreign body 77.32 150.60 3/1/2020 45308 proctosigmoidoscopy, rigid; 65.56 137.64 3/1/2020 45309 proctosigmoidoscopy, rigid; 76.08 154.82 3/1/2020 45315 amb surg proctosigmoidoscopy w removal excrescence 86.57 167.13 3/1/2020 45317 proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar 91.31 162.17 3/1/2020 45320 proctosigmoidoscopy for ablation of tumor 86.73 162.74 3/1/2020 45321 proctosigmoidoscopy for decompression of volvulus 83.92 83.92 3/1/2020 45327 proctosigmoidoscopy, rigid; with transendoscopic stent placement (include 97.87 97.87 3/1/2020 45330 sigmoidoscopy, flexible; diagnostic, with or without collection of specimen 51.26 106.68 3/1/2020 45331 sigmoidoscopy, flexible; with biopsy, single or multiple 62.23 135.52 3/1/2020 45332 sigmoidoscopy w/removal of foreign body 91.30 222.42 3/1/2020 45333 sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion 90.79 223.73 3/1/2020 45334 sigmoidoscopy, flexible; with control of bleeding (eg, injection, bipolar 137.75 137.75 3/1/2020 45335 sigmoidoscopy, flexible; with directed submucosal injection(s), any substa 75.82 191.21 3/1/2020 45337 amb surg-sigmoidoscopy for decompression volvulus 117.97 117.97 3/1/2020 45338 sigmoidoscopy, flexible; 118.10 250.44 3/1/2020 45340 sigmoidoscopy, flexible; with dilation by balloon, 1 or more strictures 95.58 339.36 3/1/2020 45341 sigmoidoscopy, flexible; with endoscopic ultrasound examination 131.46 131.46 3/1/2020 45342 sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramura 201.20 201.20 3/1/2020 45378 amb surg colonoscopy ascending colon 180.94 316.01 3/1/2020 45379 colonoscopy fiberoptic beyond splenic flex w/re fb 226.72 401.15 3/1/2020 45380 amb surg colonoscopy ascending colon with biopsy 218.01 379.42 3/1/2020 45381 colonoscopy flexible proximal to splenic flexure w directed submucosal inj 206.39 369.01 3/1/2020 45382 colonoscopy, flexible, proximal to splenic flexure; with control of bleeding 278.65 499.72 3/1/2020 45384 colonoscopy, flexible, proximal to splenic flexure; 226.54 373.41 3/1/2020 45385 amb surg colonoscopy ascending colon w polypectomy 258.85 428.43 3/1/2020 45386 colonoscopy flexible proximal to splenic flexure w dilation by balloon 1 or 222.52 524.43 3/1/2020 45391 colonoscopy, flexible, proximal to splenic flexure; with endoscopic ultrasou 250.46 250.46 3/1/2020 45392 colonoscopy, flexible, proximal to splenic flexure; with transendoscopic 317.01 317.01 3/1/2020 45500 repair of rectum 395.00 395.00 3/1/2020 45505 repair of rectum 432.88 432.88 3/1/2020 45520 treatment of rectal prolapse 30.54 95.36 3/1/2020 45540 proctopexy (eg, for prolapse); abdominal approach 832.16 832.16 3/1/2020 45541 proctopexy for prolapse perineal approach 713.65 713.65 3/1/2020 45550 proctopexy (eg, for prolapse); with sigmoid resection, abdominal approach 1144.28 1144.28 3/1/2020 45560 repair rectocele separate procedure 564.49 564.49 3/1/2020 45562 exploration, repair, and presacral drainage for rectal injury; 865.98 865.98 3/1/2020 45563 exploration, repair, and presacral drainage for rectal injury; 1255.16 1255.16 3/1/2020 45800 repair rectobladder fistula 972.73 972.73 3/1/2020 45805 repair rectobladder fistula 1099.63 1099.63 3/1/2020 45820 repair rectourethral fistula 966.16 966.16 3/1/2020 45825 repair rectourethral fistula 1162.48 1162.48 3/1/2020 45900 reduction of procidentia (separate procedure) under anesthesia 152.80 152.80 3/1/2020 45905 amb surg rectal dilation 129.40 129.40 3/1/2020 45910 dilation rectal narrowing 153.36 153.36 3/1/2020 45915 removal rectal obstruction 171.76 236.87 3/1/2020 46020 placement of seton 169.30 192.32 3/1/2020 46030 removal of anal seton, other marker 67.43 96.19 3/1/2020 46040 amb surg i & d ischiorectal/perirectal abscess 303.48 374.35 3/1/2020 46045 drainage transanal abscess under anesthesia 313.12 313.12 3/1/2020 46050 incision anal abcess 70.98 132.76 3/1/2020 46060 amb surg fistulectomy anus 344.47 344.47 3/1/2020 46070 incision, anal septum (infant) 175.00 175.00 3/1/2020 46080 sphincterotomy, anal, division of sphincter (separate procedure) 122.89 175.29 3/1/2020 46083 incision of thrombosed hemorrhoid, external 82.01 131.67 3/1/2020 46200 amb surg fissurectomy 228.31 292.52 3/1/2020 46220 papillectomy or excision of single tag, anus (separate procedure) 87.96 140.65 3/1/2020 46221 amb surg hemorrhoidectomy 139.15 184.57 3/1/2020 46230 removal of anal tab 131.91 193.68 3/1/2020 46250 amb surg hemorrhoidectomy complete 231.88 322.13 3/1/2020 46255 amb surg hemorrhoidectomy 264.17 359.86 3/1/2020 46257 amb surg hemorrhoidectomy 308.87 308.87 3/1/2020 46258 amb surg hemorrhoidectomy 337.82 337.82 3/1/2020 46260 amb surg hemorrhoidectomy 351.29 351.29 3/1/2020 46261 amb surg hemorrhoidectomy 393.08 393.08 3/1/2020 46262 amb surg hemorrhoidectomy 410.07 410.07 3/1/2020 46270 removal anal fistula 277.86 348.72 3/1/2020 46275 removal anal fistula 298.20 369.66 3/1/2020 46280 removal anal fistula 341.94 341.94 3/1/2020 46285 removal anal fistula 294.42 359.53 3/1/2020 46288 closure of anal fistula with rectal advancement flap 404.71 404.71 3/1/2020 46320 enucleation or excision of external thrombotic hemorrhoid 83.72 127.33 3/1/2020 46500 injection of sclerosing solution, hemorrhoids 94.56 154.21 3/1/2020 46600 anoscopy;diagnostic,w/wo collection of specimen,brushing or washing(sep 30.25 61.74 3/1/2020 46604 anoscopy; with dilation (eg, balloon, guide wire, bougie) 52.56 379.32 3/1/2020 46606 anoscopy; with biopsy, single or multiple 58.12 157.44 3/1/2020 46608 anoscopy with removal of foreign body 64.05 162.78 3/1/2020 46610 anoscopy with removal of polyp. 63.49 161.01 3/1/2020 46611 anoscopy; 65.58 127.67 3/1/2020 46612 anoscopy with multple polyp removal 77.64 193.01 3/1/2020 46614 anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar 55.37 98.06 3/1/2020 46615 anoscopy; 78.97 113.80 3/1/2020 46700 repair anal stricture 488.13 488.13 3/1/2020 46705 anoplasty, plastic operation for stricture; 401.47 401.47 3/1/2020 46706 repair of anal fistula with fibrin glue 128.93 128.93 3/1/2020 46715 repair of low imperforate anus; with anoperineal fistula (''cut-back'' 397.37 397.37 3/1/2020 46716 repair of low imperforate anus; with transposition of anoperineal or 969.45 969.45 3/1/2020 46730 repair of high imperforate anus without fistula; perineal or sacroperineal 1475.67 1475.67 3/1/2020 46735 repair of high imperforate anus without fistula; combined transabdominal a 1724.37 1724.37 3/1/2020 46740 construction of anus 1585.28 1585.28 3/1/2020 46742 repair of high imperforate anus with rectourethral or rectovaginal 1874.20 1874.20 3/1/2020 46744 repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, 2678.14 2678.14 3/1/2020 46746 repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, 3089.56 3089.56 3/1/2020 46748 repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, 3229.68 3229.68 3/1/2020 46750 repair anal sphincter 590.78 590.78 3/1/2020 46751 repair anal sphincter 489.36 489.36 3/1/2020 46753 reconstruction of anus 445.74 445.74 3/1/2020 46754 removal of thiersch wire or suture, anal canal 163.03 209.98 3/1/2020 46760 repair anal sphincter 836.27 836.27 3/1/2020 46761 sphincteroplasty, levatormuscle imbrication 723.74 723.74 3/1/2020 46900 destruction of lesion(s), anus (eg, condyloma, papilloma, 106.33 169.02 3/1/2020 46910 destruction of lesion(s), anus (eg, condyloma, papilloma, 101.83 176.02 3/1/2020 46916 destruction of lesion(s), anus (eg, condyloma, papilloma, 111.68 174.37 3/1/2020 46917 destruction of lesion(s), anus (eg, condyloma, papilloma, 102.55 332.09 3/1/2020 46922 destruction of lesion(s), anus (eg, condyloma, papilloma, 101.85 183.31 3/1/2020 46924 destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum 142.43 377.74 3/1/2020 46940 curettage or cautery of anal fissure, including dilation of anal sphincter 113.76 160.40 3/1/2020 46942 curettage or cauterization of anal fissure, including dilation 101.03 148.28 3/1/2020 46945 ligation of internal hemorrhoids - single procedure 159.08 205.11 3/1/2020 46946 ligation of internal hemorrhoids; 168.86 222.76 3/1/2020 46947 hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling 287.97 287.97 3/1/2020 47000 amb surg biopsy liver needle percutaneous 86.79 260.93 3/1/2020 47001 biopsy of liver, needle; when done for indicated purpose at time of other m 84.04 84.04 3/1/2020 47010 hepatotomy; for open drainage of abscess or cyst, one or two stages 927.07 927.07 3/1/2020 47015 laparotomy, with aspiration and/or injection of hepatic 879.75 879.75 3/1/2020 47100 biopsy of liver, wedge 643.37 643.37 3/1/2020 47120 partial removal of liver 1816.44 1816.44 3/1/2020 47122 resection of liver, trisegmentectomy 2706.23 2706.23 3/1/2020 47125 partial removal of liver 2423.41 2423.41 3/1/2020 47130 partial removal of liver 2606.08 2606.08 3/1/2020 47140 donor hepatectomy (including cold preservation), from living donor; left 2728.18 2728.18 3/1/2020 47141 donor hepatectomy, with preparation and maintenance of allograft, from liv 3247.45 3247.45 3/1/2020 47142 donor hepatectomy, with preparation and maintenance of allograft, from liv 3576.13 3576.13 3/1/2020 47300 treatment,liver lesion 865.63 865.63 3/1/2020 47350 management of liver hemorrhage; simple suture of liver wound or injury 1062.88 1062.88 3/1/2020 47360 management of liver hemorrhage; complex suture of liver wound or injury, 1447.68 1447.68 3/1/2020 47370 laparoscopy, surgical, ablation of one or more liver tumor(s); radiofrequen 972.42 972.42 3/1/2020 47371 laparoscopy, surgical, ablation of one or more liver tumor(s); cryosurgical 989.80 989.80 3/1/2020 47380 ablation, open, of one or more liver tumor(s); radiofrequency 1137.37 1137.37 3/1/2020 47381 ablation, open, of one or more liver tumor(s); cryosurgical 1159.18 1159.18 3/1/2020 47382 ablation, one or more liver tumor(s), percutaneous, radiofrequency 718.31 718.31 3/1/2020 47400 incision of bile duct 1652.51 1652.51 3/1/2020 47420 choledochotomy or choledochostomy with exploration, drainage, or remov 1040.83 1040.83 3/1/2020 47425 incision of bile duct 1051.31 1051.31 3/1/2020 47460 transduodenal sphincterotomy or sphincteroplasty, with or without transdu 991.46 991.46 3/1/2020 47480 incision of gallbladder 659.18 659.18 3/1/2020 47490 percutaneous cholecystostomy 441.76 441.76 3/1/2020 47550 biliary endoscopy, intraoperative (choledochoscopy) (list separately in 134.43 134.43 3/1/2020 47552 biliary endoscopy 286.99 286.99 3/1/2020 47553 biliary endoscopy for biopsy 287.62 287.62 3/1/2020 47554 biliary endoscopy, percutaneous via t-tube or other tract; with removal of 421.00 421.00 3/1/2020 47555 biliary endoscopy for dilation 344.95 344.95 3/1/2020 47556 biliary endoscopy, percutaneous via t-tube or other tract; with dilation of 390.22 390.22 3/1/2020 47562 laparoscopy, surgical, cholecystomy 572.17 572.17 3/1/2020 47563 laparoscopy, surgical; cholecystectomy with cholangiography 585.93 585.93 3/1/2020 47564 laparoscopy, surgical; cholecystectomy with exploration of common duct 677.67 677.67 3/1/2020 47570 laparoscopy, surgical; cholecystoenterostomy 604.74 604.74 3/1/2020 47600 removal of gallbladder 821.59 821.59 3/1/2020 47605 removal of gallbladder 760.28 760.28 3/1/2020 47610 removal of gallbladder 975.62 975.62 3/1/2020 47612 cholecystectomy w/ choledochoenterostomy 985.81 985.81 3/1/2020 47620 removal of gallbladder 1070.28 1070.28 3/1/2020 47700 explor for cong atresia bile ducts with or w/o liv 810.32 810.32 3/1/2020 47701 portoenterostomy 1394.94 1394.94 3/1/2020 47711 excision of bile duct tumor, with or without primary repair of bile duct; 1211.02 1211.02 3/1/2020 47712 excision of bile duct tumor, with or without primary repair of bile duct; 1551.93 1551.93 3/1/2020 47715 excision of choledochal cyst 1017.32 1017.32 3/1/2020 47720 fusion gallbladder & bowel 878.29 878.29 3/1/2020 47721 cholecystoenterostomy w/gastroenterostomy 1037.09 1037.09 3/1/2020 47740 fusion gallbladder & bowel 1002.06 1002.06 3/1/2020 47741 cholecystoenterostomy; 1135.69 1135.69 3/1/2020 47760 anastomosis, of extrahepatic biliary ducts and gastrointestinal tract 1713.02 1713.02 3/1/2020 47765 anastomosis, of intrahepatic ducts and gastrointestinal tract 2263.33 2263.33 3/1/2020 47780 fusion bile ducts and bowel 1873.79 1873.79 3/1/2020 47785 anastomosis, roux-en-y, of intrahepatic biliary ducts and 2444.51 2444.51 3/1/2020 47800 reconstruction of bile ducts 1222.90 1222.90 3/1/2020 47801 placement of choledochal stent 862.51 862.51 3/1/2020 47802 u-tube hepaticoenterostomy 1173.51 1173.51 3/1/2020 47900 suture of extrahepatic biliary duct for pre-existing injury 1057.65 1057.65 3/1/2020 48000 placement of drains, peripancreatic, for acute pancreatitis; 1467.69 1467.69 3/1/2020 48001 placement of drains, peripancreatic, for acute pancreatitis; 1805.24 1805.24 3/1/2020 48020 removal of pancreatic stone 903.86 903.86 3/1/2020 48100 biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, w 686.10 686.10 3/1/2020 48102 biopsy of pancreas, percutaneous needle 221.41 440.06 3/1/2020 48105 resection or debridement of pancreas and peripancreatic tissue for acute 2225.44 2225.44 3/1/2020 48120 removal pancreas lesion 857.79 857.79 3/1/2020 48140 pancreatectomy, distal subtotal, with or without splenectomy; without 1214.98 1214.98 3/1/2020 48145 partial removal of pancreas 1261.90 1261.90 3/1/2020 48146 pancreatectomy, distal, near-total with preservation of duodenum 1438.62 1438.62 3/1/2020 48148 excision of ampulla of vater 955.41 955.41 3/1/2020 48150 pancreatectomy, proximal subtotal with total duodenectomy, partial gastre 2431.41 2431.41 3/1/2020 48152 pancreatectomy, proximal subtotal with total duodenectomy, 2247.79 2247.79 3/1/2020 48153 pancreatectomy, proximal subtotal with near-total duodenectomy, 2428.13 2428.13 3/1/2020 48154 pancreatectomy, proximal subtotal with near-total duodenectomy, 2253.72 2253.72 3/1/2020 48155 removal of pancreas 1394.98 1394.98 3/1/2020 48400 injection procedure for intraoperative pancreatography (list separately in 88.45 88.45 3/1/2020 48500 marsupialization of pancreatic cyst 873.47 873.47 3/1/2020 48510 external drainage, pseudocyst of pancreas; open 829.38 829.38 3/1/2020 48520 fusion pancreas cyst - bowel 847.84 847.84 3/1/2020 48540 fusion pancreas cyst - bowel 1013.92 1013.92 3/1/2020 48545 pancreatorrhaphy for injury 1026.40 1026.40 3/1/2020 48547 duodenal exclusion with gastrojejunostomy for pancreatic injury 1385.36 1385.36 3/1/2020 48548 pancreaticojejunostomy, side-to-side anastomosis (puestow-type operatio 1296.88 1296.88 3/1/2020 48554 transplantation of pancreatic allograft 1916.75 1916.75 3/1/2020 48556 removal of transplanted pancreatic allograft 956.82 956.82 3/1/2020 49000 exploration of abdomen 602.66 602.66 3/1/2020 49002 reexploration of abdomen 792.57 792.57 3/1/2020 49010 exploration behind abdomen 747.71 747.71 3/1/2020 49013 PRPERTL PEL PACK HEMRRG TRMA 393.20 393.20 3/1/2020 49014 REEXPLORATION PELVIC WOUND 324.93 324.93 3/1/2020 49020 drainage of peritoneal abscess or localized peritonitis, exclusive of 1237.33 1237.33 3/1/2020 49040 drainage of subdiaphragmatic or subphrenic abscess; open 775.12 775.12 3/1/2020 49060 drainage of retroperitoneal abscess; open 867.71 867.71 3/1/2020 49062 drainage of extraperitoneal lymphocele to peritoneal cavity, open 589.18 589.18 3/1/2020 49180 biopsy, abdominal or retroperitoneal mass, percutaneous needle 78.71 139.57 3/1/2020 49215 excision of presacral or sacroccygeal tumor 1734.80 1734.80 3/1/2020 49250 umbilectomy, omphalectomy, excision of umbilicus 449.23 449.23 3/1/2020 49255 removal of omentum 610.41 610.41 3/1/2020 49320 laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or with 257.36 257.36 3/1/2020 49321 laparoscopy, surgical; with biopsy (single or multiple) 270.94 270.94 3/1/2020 49322 laparoscopy, surgical, abdomen, peritoneum, and omentum; with aspiratio 294.65 294.65 3/1/2020 49323 laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage 500.40 500.40 3/1/2020 49324 laparoscopy, surgical; with insertion of intraperitoneal cannula or catheter, 306.74 306.74 3/1/2020 49325 laparoscopy, surgical; with revision of previously placed intraperitoneal 329.43 329.43 3/1/2020 49326 laparoscopy, surgical; with omentopexy (omental tacking procedure) (list 152.49 152.49 3/1/2020 49400 air injection into abdomen 85.26 145.52 3/1/2020 49402 removal of peritoneal foreign body from peritoneal cavity 665.51 665.51 3/1/2020 49419 insertion of intraperitoneal cannula or catheter, with subcutaneous reservo 355.38 355.38 3/1/2020 49421 amb surg insertion intraperitoneal cannula permane 304.44 304.44 3/1/2020 49422 removal of permanent intraperitoneal cannula or catheter 306.05 306.05 3/1/2020 49423 exchange of previously placed abscess or cyst drainage catheter under 67.84 453.95 3/1/2020 49424 contrast injection for assessment of abscess or cyst via previously placed 35.41 124.13 3/1/2020 49425 insertion of peritonial-venous shunt 597.45 597.45 3/1/2020 49426 revision of peritoneal-venous shunt 508.91 508.91 3/1/2020 49427 injection procedure (eg, contrast media) for evaluation of 40.89 40.89 3/1/2020 49428 ligation of peritoneal-venous shunt 342.16 342.16 3/1/2020 49429 removal of peritoneal-venous shunt 361.88 361.88 3/1/2020 49435 insertion of subcutaneous extension to intraperitoneal cannula or catheter 97.64 97.64 3/1/2020 49436 delayed creation of exit site from embedded subcutaneous segment of 142.63 142.63 3/1/2020 49491 repair, initial inguinal hernia, preterm infant (less than 37 weeks gestation 601.02 601.02 3/1/2020 49492 repair, initial inguinal hernia, preterm infant (less than 37 weeks gestation 734.45 734.45 3/1/2020 49495 repair, initial inguinal hernia, full term infant under age 6 months, or 305.43 305.43 3/1/2020 49496 repair initial inguinal hernia, under age 6 months, with or 463.30 463.30 3/1/2020 49500 amb surg repair inguinal hernia under age 5 unital 303.25 303.25 3/1/2020 49501 repair initial inguinal hernia, age 6 months to under 5 years, 460.01 460.01 3/1/2020 49505 amb surg repair inguinal hernia age 5/over unilat 398.38 398.38 3/1/2020 49507 repair initial inguinal hernia, age 5 years or over; 490.86 490.86 3/1/2020 49520 repair inguinal hernia 487.28 487.28 3/1/2020 49521 repair recurrent inguinal hernia, any age; 594.81 594.81 3/1/2020 49525 repair inguinal hernia 440.38 440.38 3/1/2020 49540 repair lumbar hernia 521.27 521.27 3/1/2020 49550 amb surg repair hernia femoral 442.55 442.55 3/1/2020 49553 repair initial femoral hernia, any age; 484.47 484.47 3/1/2020 49555 repair femoral hernia 460.82 460.82 3/1/2020 49557 repair recurrent femoral hernia; 560.04 560.04 3/1/2020 49560 amb surg hernia repair ventral 572.71 572.71 3/1/2020 49561 repair initial incisional hernia; 723.04 723.04 3/1/2020 49565 repair abdominal hernia 593.81 593.81 3/1/2020 49566 repair recurrent incisional hernia; 730.49 730.49 3/1/2020 49568 implantation of mesh or other prosthesis for incisional or ventral hernia 216.05 216.05 3/1/2020 49570 amb surg hernia repair epigastric 313.07 313.07 3/1/2020 49572 repair epigastric hernia (eg, preperitoneal fat); 388.68 388.68 3/1/2020 49580 amb surg hernia repair umbilical 243.36 243.36 3/1/2020 49582 repair umbilical hernia, under age 5 years; 362.33 362.33 3/1/2020 49585 repair umbilical hernia, age 5 years or over; 336.75 336.75 3/1/2020 49587 repair umbilical hernia, age 5 years or over; 399.56 399.56 3/1/2020 49590 repair abdominal hernia 438.80 438.80 3/1/2020 49600 repair of small omphalocele, with primary closure 566.44 566.44 3/1/2020 49605 repair of large omphalocele or gastroschisis; with or without prosthesis 3926.45 3926.45 3/1/2020 49606 repair omphalocele stag clo prosth red op room ane 887.91 887.91 3/1/2020 49610 repair umbilical hernia 526.97 526.97 3/1/2020 49611 repair umbilical hernia 473.79 473.79 3/1/2020 49650 laparoscopy, surgical; repair initial inguinal hernia 327.61 327.61 3/1/2020 49651 laparoscopy, surgical; repair recurrent iguinal hernia 423.77 423.77 3/1/2020 49900 repair of abdominal wall 629.12 629.12 3/1/2020 49904 omental flap, extra-abdominal (eg, for reconstruction of sternal and chest w 1171.28 1171.28 3/1/2020 49905 omental flap for reconstruction of chest wall 288.42 288.42 3/1/2020 50010 exploration of kidney 615.99 615.99 3/1/2020 50020 drainage of kidney abscess 879.67 879.67 3/1/2020 50040 drainage of kidney 828.31 828.31 3/1/2020 50045 exploration of kidney 836.46 836.46 3/1/2020 50060 removal of kidney stone 1030.50 1030.50 3/1/2020 50065 incision of kidney 1083.76 1083.76 3/1/2020 50070 incision of kidney 1076.76 1076.76 3/1/2020 50075 removal of kidney stone 1324.06 1324.06 3/1/2020 50080 percutaneous nephrostolithotomy, up to 2 cm 786.71 786.71 3/1/2020 50081 percutaneous nephrostolithotomy, over 2 cm 1156.10 1156.10 3/1/2020 50100 revise kidney blood vessels 843.13 843.13 3/1/2020 50120 exploration of kidney: pyelotomy 852.85 852.85 3/1/2020 50125 exploration / drainage kidney 881.94 881.94 3/1/2020 50130 removal of kidney stone 933.33 933.33 3/1/2020 50135 exploration of kidney: complicated 1011.12 1011.12 3/1/2020 50200 biopsy of kidney 127.88 127.88 3/1/2020 50205 biopsy of kidney 593.84 593.84 3/1/2020 50220 nephrectomy, including partial ureterectomy, any open approach 919.03 919.03 3/1/2020 50225 removal of kidney 1065.06 1065.06 3/1/2020 50230 removal of kidney 1155.07 1155.07 3/1/2020 50234 nephrectomy with total ureterectomy and bladder cu 1172.49 1172.49 3/1/2020 50236 removal of kidney & ureter 1326.44 1326.44 3/1/2020 50240 partial removal of kidney 1191.32 1191.32 3/1/2020 50280 removal of kidney lesion 849.11 849.11 3/1/2020 50290 excision of perinephric cyst 784.14 784.14 3/1/2020 50300 donor nephrectomy (including cold preservation); from cadaver donor, uni 1315.35 1315.35 3/1/2020 50320 donor nephrectomy, with preparation and maintenance of allograft; from liv 1155.43 1155.43 3/1/2020 50340 removal of kidney 712.71 712.71 3/1/2020 50360 renal allotransplantation, implantation of graft; excluding donor and recipie 1958.95 1958.95 3/1/2020 50365 transplantation of kidney 2207.05 2207.05 3/1/2020 50370 removal of transplanted renal allograft 915.34 915.34 3/1/2020 50380 reimplantation of kidney 1544.60 1544.60 3/1/2020 50390 aspiration and/or injection of renal cyst or pelvis by needle, percutaneous 89.37 89.37 3/1/2020 50391 instillation(s) of therapeutic agent into renal pelvis and/or ureter through 91.00 113.72 3/1/2020 50396 manometric studies through nephrostomy or pyelostomy tube, 106.25 106.25 3/1/2020 50400 revision of kidney/ureter 1040.78 1040.78 3/1/2020 50405 revision of kidney/ureter 1262.78 1262.78 3/1/2020 50500 repair of kidney wound 1009.12 1009.12 3/1/2020 50520 closure kidney/skin fistula 933.03 933.03 3/1/2020 50525 closure nephrovisceral fistula including visceral 1167.55 1167.55 3/1/2020 50526 closure nephrovisceral fistula thoracic approach 1223.71 1223.71 3/1/2020 50540 revision of horseshoe kidney 1019.97 1019.97 3/1/2020 50541 laparoscopy, surgical; ablation of renal cysts 830.77 830.77 3/1/2020 50542 laparoscopy, surgical; ablation of renal mass lesion(s) 1053.86 1053.86 3/1/2020 50543 laparoscopy, surgical; partial nephrectomy 1345.01 1345.01 3/1/2020 50544 laparoscopy, surgical; pyeloplasty 1134.40 1134.40 3/1/2020 50545 laparoscopy, surgical; radical nephrectomy (includes removal of gerota’s f 1217.49 1217.49 3/1/2020 50546 laparoscopy, surgical; nephrectomy, including partial ureterectomy 1078.83 1078.83 3/1/2020 50547 laparoscopy, surgical; donor nephrectomy (including cold preservation), fr 1296.00 1296.00 3/1/2020 50548 laparoscopy, surgical; nephrectomy with total ureterectomy 1227.80 1227.80 3/1/2020 50551 renal endoscopy through established nephrostomy or pyelostomy, 270.66 330.31 3/1/2020 50553 renal endoscopy through established nephrostomy or pyelostomy, 285.95 344.99 3/1/2020 50555 visualization/biopsy kidney 313.04 376.33 3/1/2020 50557 treatment of kidney lesion 317.92 383.93 3/1/2020 50561 renal endoscopy with removal of foreign body 363.25 435.61 3/1/2020 50562 renal endoscopy through established nephrostomy or pyelostomy, with or 534.32 534.32 3/1/2020 50570 renal endoscopy through nephrotomy or pyelotomy, with or without 453.60 453.60 3/1/2020 50572 renal endoscopy through nephrotomy or pyelotomy, with or without 493.63 493.63 3/1/2020 50574 visualization/biopsy kidney 521.46 521.46 3/1/2020 50575 renal endoscopy through nephrotomy or pyelotomy, with or without 659.58 659.58 3/1/2020 50576 treatment of kidney lesion 520.70 520.70 3/1/2020 50580 treatment of kidney lesion 557.78 557.78 3/1/2020 50590 lithotripsy shock wave (professional component) 506.26 813.02 3/1/2020 50600 exploration of ureter 843.27 843.27 3/1/2020 50605 ureterotomy for insertion of indwelling stent 812.94 812.94 3/1/2020 50610 removal of stone, ureter 860.30 860.30 3/1/2020 50620 removal of stone, ureter 815.98 815.98 3/1/2020 50630 removal of stone, ureter 795.87 795.87 3/1/2020 50650 removal of ureter 930.50 930.50 3/1/2020 50660 ureterectomy, total, ectopic ureter, combination abdominal, 1029.26 1029.26 3/1/2020 50684 injection for ureter x-ray 44.39 152.81 3/1/2020 50686 manometric studies through ureterostomy or indwelling ureteral catheter 81.40 81.40 3/1/2020 50688 change of ureterostomy tube or externally accessible ureteral stent via ilea 70.67 70.67 3/1/2020 50690 injection for ureter x-ray 62.75 87.28 3/1/2020 50700 revision of ureter 833.14 833.14 3/1/2020 50715 release of ureter 985.96 985.96 3/1/2020 50722 release of ureter 857.69 857.69 3/1/2020 50725 release/revision of ureter 980.50 980.50 3/1/2020 50727 revision urinary-cutaneous anastomosis 448.20 448.20 3/1/2020 50728 revision of urinary-cutaneous anastomosis w repair 618.64 618.64 3/1/2020 50740 fusion of ureter-kidney 965.29 965.29 3/1/2020 50750 fusion of ureter-kidney 1047.02 1047.02 3/1/2020 50760 fusion of ureter 977.16 977.16 3/1/2020 50770 splicing of ureters 1014.86 1014.86 3/1/2020 50780 reimplant ureter in bladder 979.67 979.67 3/1/2020 50782 ureteroneocystostomy; anastomosis 961.96 961.96 3/1/2020 50783 ureteroneocystostomy; ureteral tailoring 998.37 998.37 3/1/2020 50785 reimplant ureter in bladder 1087.30 1087.30 3/1/2020 50800 implant ureter in bowel 824.96 824.96 3/1/2020 50810 ureterosigmoidostomy, with creation of sigmoid bladder and establishmen 1087.00 1087.00 3/1/2020 50815 ureterocolon conduit, including intestine anastomosis 1100.91 1100.91 3/1/2020 50820 ureteroileal conduit (ileal bladder), including intestine anastomosis (bricke 1173.15 1173.15 3/1/2020 50825 continent diversion, including intestine anastomosis using any segment of 1488.93 1488.93 3/1/2020 50830 urinary andiversion 1617.22 1617.22 3/1/2020 50840 replacement of all or part of ureter by intestine segment, including intestine 1107.96 1107.96 3/1/2020 50845 cutaneous appendico-vesicostomy 1123.41 1123.41 3/1/2020 50860 transplant of ureter to skin 851.17 851.17 3/1/2020 50900 repair of ureter 748.86 748.86 3/1/2020 50920 closure ureter/skin fistula 791.66 791.66 3/1/2020 50930 closure ureter/bowel fistula 960.05 960.05 3/1/2020 50940 release of ureter 796.54 796.54 3/1/2020 50945 laparoscopy, surgical, ureterolithotomy 884.60 884.60 3/1/2020 50947 laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral 1254.80 1254.80 3/1/2020 50948 laparoscopy, surgical; ureteroneocystostomy without cystoscopy and urete 1164.48 1164.48 3/1/2020 50951 ureteral endoscopy through established ureterostomy, with 282.36 345.04 3/1/2020 50953 ureteral endoscopy through established ureterostomy, with 310.39 364.31 3/1/2020 50955 visualization/biopsy ureter 335.40 402.63 3/1/2020 50957 treatment of ureter lesion 325.80 392.12 3/1/2020 50961 ureteral endoscopy through established ureterostomy, with 291.65 353.72 3/1/2020 50970 visualization of ureter 342.03 342.03 3/1/2020 50972 visualization of ureter 329.29 329.29 3/1/2020 50974 visualization/biopsy ureter 436.12 436.12 3/1/2020 50976 treatment of ureter lesion 429.56 429.56 3/1/2020 50980 treatment of ureter lesion 328.38 328.38 3/1/2020 51020 cystotomy or cystostomy w/fulgration and/or insert 415.34 415.34 3/1/2020 51030 incision/treatment bladder 411.86 411.86 3/1/2020 51040 cystostomy, cystotomy with drainage 258.97 258.97 3/1/2020 51045 incision of bladder 414.25 414.25 3/1/2020 51050 removal of bladder stone 421.96 421.96 3/1/2020 51060 removal of ureteral stone 520.00 520.00 3/1/2020 51065 cystotomy, with calculus basket extraction and/or ultrasonic or 516.57 516.57 3/1/2020 51080 drainage of bladder abscess 361.31 361.31 3/1/2020 51500 removal of bladder cyst 556.95 556.95 3/1/2020 51520 removal of bladder lesion 524.20 524.20 3/1/2020 51525 removal of bladder lesion 771.87 771.87 3/1/2020 51530 removal of bladder lesion 687.76 687.76 3/1/2020 51535 revision of ureter lesion 698.63 698.63 3/1/2020 51550 partial removal of bladder 849.28 849.28 3/1/2020 51555 partial removal of bladder 1129.95 1129.95 3/1/2020 51565 revision of bladder & ureter 1155.08 1155.08 3/1/2020 51570 removal of bladder 1319.84 1319.84 3/1/2020 51575 cyctectomy w/bilat lymphadenectomy including hypog 1649.96 1649.96 3/1/2020 51580 removal of bladder 1718.91 1718.91 3/1/2020 51585 cyctectomy w/bilat lymph including hypogastric and 1915.18 1915.18 3/1/2020 51590 cystectomy, complete, with ureteroileal conduit or sigmoid bladder, includ 1745.03 1745.03 3/1/2020 51595 cystectomy w/bilat lymph including hypogastric and 1983.44 1983.44 3/1/2020 51596 cystectomy, complete, with continent diversion, any open technique, using 2131.75 2131.75 3/1/2020 51597 removal of pelvic structures 2056.16 2056.16 3/1/2020 51600 injection procedure for cystography or voiding urethrocystography 40.35 164.50 3/1/2020 51605 injection procedure and placement of chain for contrast and/ 34.50 34.50 3/1/2020 51610 injection procedure for retrograde urethrocystography 57.03 96.69 3/1/2020 51700 bladder irrigation, simple, lavage and/or instillation 40.35 76.08 3/1/2020 51701 insertion of non-dwelling bladder catheter (eg, straight catheterization for 24.47 52.63 3/1/2020 51702 insertion of temporary indwelling bladder catheter; simple (eg, foley) 26.89 67.47 3/1/2020 51703 insertion of temporary indwelling bladder catheter; complicated (eg, altere 73.83 122.88 3/1/2020 51705 change of cystostomy tube; 59.70 98.47 3/1/2020 51710 change of cystostomy tube; 85.00 138.92 3/1/2020 51715 endoscopic injection of implant material into the submucosal 180.22 259.27 3/1/2020 51720 bladder instillation of anticarcinogenic agent (including detention time) 75.33 102.89 3/1/2020 51725 26 simple cystometrogram (cmg) (eg, spinal manometer) 69.18 69.18 3/1/2020 51725 TC simple cystometrogram (cmg) (eg, spinal manometer) 69.18 69.18 3/1/2020 51725 simple cystometrogram (cmg) (eg, spinal manometer) 69.18 69.18 3/1/2020 51726 26 complex cystometrogram (eg, calibrated electronic equipment) 78.67 78.67 3/1/2020 51726 TC complex cystometrogram (eg, calibrated electronic equipment) 78.67 78.67 3/1/2020 51726 complex cystometrogram (eg, calibrated electronic equipment) 78.67 78.67 3/1/2020 51736 26 simple uroflowmetry 28.28 28.28 3/1/2020 51736 TC simple uroflowmetry 28.28 28.28 3/1/2020 51736 simple uroflowmetry 28.28 28.28 3/1/2020 51741 26 complex uroflowmetry 52.82 52.82 3/1/2020 51741 TC complex uroflowmetry 52.82 52.82 3/1/2020 51741 complex uroflowmetry 52.82 52.82 3/1/2020 51784 26 anal/urinary muscle study 69.84 69.84 3/1/2020 51784 TC anal/urinary muscle study 69.84 69.84 3/1/2020 51784 anal/urinary muscle study 69.84 69.84 3/1/2020 51785 26 needle electromyography studies (emg) of anal or urethral sphincter, any 69.93 69.93 3/1/2020 51785 TC needle electromyography studies (emg) of anal or urethral sphincter, any 69.93 69.93 3/1/2020 51785 needle electromyography studies (emg) of anal or urethral sphincter, any 69.93 69.93 3/1/2020 51792 26 stimulus evoked response (eg, measurement of bulbocavernosus 50.18 50.18 3/1/2020 51792 TC stimulus evoked response (eg, measurement of bulbocavernosus 50.18 50.18 3/1/2020 51792 stimulus evoked response (eg, measurement of bulbocavernosus 50.18 50.18 3/1/2020 51797 26 voiding pressure studies (vp); 39.88 39.88 3/1/2020 51797 TC voiding pressure studies (vp); 39.88 39.88 3/1/2020 51797 voiding pressure studies (vp); 39.88 39.88 3/1/2020 51800 cystoplasty or cystourethroplasty with or w/o res 938.30 938.30 3/1/2020 51820 revision of urinary tract 956.74 956.74 3/1/2020 51840 anterior vesicourethropexy, or urethropexy (eg, marshall-marchetti-krantz, 570.87 570.87 3/1/2020 51841 fixation of bladder/urethra 677.82 677.82 3/1/2020 51845 abdomino-vaginal vesical neck suspension 519.90 519.90 3/1/2020 51860 repair of bladder wound 635.88 635.88 3/1/2020 51865 repair of bladder wound 788.13 788.13 3/1/2020 51880 repair of bladder opening 412.06 412.06 3/1/2020 51900 repair bladder/vagina lesion 730.83 730.83 3/1/2020 51920 repair bladder/uterus lesion 675.43 675.43 3/1/2020 51925 hysterectomy/bladder repair 880.79 880.79 3/1/2020 51940 closure, exstrophy of bladder 1447.38 1447.38 3/1/2020 51960 enterocystoplasty, including intestinal anastomosis 1247.68 1247.68 3/1/2020 51980 construct bladder opening 638.32 638.32 3/1/2020 51990 laparoscopy, surgical; urethral suspension for stress incontinence 657.08 657.08 3/1/2020 51992 laparoscopy, surgical; sling operation for stress incontinence (eg, fascia o 717.22 717.22 3/1/2020 52000 amb surg cystoscopy 113.16 184.63 3/1/2020 52001 cystourethroscopy with irrigation and evacuation of clots 263.12 342.76 3/1/2020 52005 amb surg cystoscopy/uretheral catheter 120.79 253.13 3/1/2020 52007 amb surg cystourethroscopy 151.28 470.47 3/1/2020 52010 amb surg cystoscopy/duct catheter 146.84 352.16 3/1/2020 52204 amb surg cystoscopy and biopsy 128.30 385.71 3/1/2020 52214 amb surg treat urinary tract lesion 198.00 507.50 3/1/2020 52224 amb surg treat urinary tract lesion 154.91 719.69 3/1/2020 52234 amb surg treatment of bladder lesion 225.94 225.94 3/1/2020 52235 treatment of bladder lesion 264.94 264.94 3/1/2020 52240 treatment of bladder lesion 463.65 463.65 3/1/2020 52250 amb surg cystourethroscopy 221.77 221.77 3/1/2020 52260 amb surg cystourethroscopy 191.36 191.36 3/1/2020 52265 cystourethroscopy, with dilation of bladder for interstitial cystitis; 144.12 370.04 3/1/2020 52270 amb surg cystourethroscopy 166.47 358.16 3/1/2020 52275 amb surg cystourethroscopy 228.23 490.18 3/1/2020 52276 amb surg cystourethroscopy 243.61 243.61 3/1/2020 52277 amb surg cystourethroscopy 297.72 297.72 3/1/2020 52281 amb surg dilation urethral stricture 140.94 269.94 3/1/2020 52282 cystourethroscopy, with insertion of urethral stent 307.27 307.27 3/1/2020 52283 amb surg injection treatment, urethra 183.24 251.66 3/1/2020 52285 amb surg cystourethroscopy 177.46 253.17 3/1/2020 52290 amb surg cystourethroscopy 224.11 224.11 3/1/2020 52300 amb surg cystourethroscopy 257.41 257.41 3/1/2020 52305 amb surg cystourethroscopy 255.91 255.91 3/1/2020 52310 remove bladder/urethra stone 138.55 223.64 3/1/2020 52315 amb surg cystourethroscopy 252.12 396.27 3/1/2020 52317 litholapaxy: crushing or fragmentation of calculus 320.19 835.91 3/1/2020 52318 amb surg litholapaxy: of calculus complicated 436.38 436.38 3/1/2020 52320 amb surg cystourethroscopy 226.41 226.41 3/1/2020 52325 amb surg cystourethroscopy w/fragmentat of calculu 294.66 294.66 3/1/2020 52327 cystourethroscopy (including ureteral catheterization); 241.47 469.20 3/1/2020 52330 amb surg cystourethroscopy 242.40 679.10 3/1/2020 52332 amb surg cystourethroscopy 142.43 419.52 3/1/2020 52334 amb surg cystourethroscop w/insertion ureteral wir 235.32 235.32 3/1/2020 52341 cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation 267.36 267.36 3/1/2020 52342 cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, 290.71 290.71 3/1/2020 52343 cystourethroscopy; with treatment of intra-renal stricture (eg, balloon 323.44 323.44 3/1/2020 52344 cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (e 350.64 350.64 3/1/2020 52345 cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junct 373.99 373.99 3/1/2020 52346 cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture 422.18 422.18 3/1/2020 52351 cystourethroscopy, w/ureteroscopy and/or pyeloscopy; diagnostic 287.86 287.86 3/1/2020 52352 cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or 338.05 338.05 3/1/2020 52353 cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy 389.03 389.03 3/1/2020 52354 cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/ 359.49 359.49 3/1/2020 52355 cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of 428.69 428.69 3/1/2020 52400 cystourethroscopy with incision, fulguration, or resection of congenital 439.66 439.66 3/1/2020 52450 transurethral incision of prostate 418.17 418.17 3/1/2020 52500 transurethral resection of bladder neck (separate procedure) 436.96 436.96 3/1/2020 52601 amb surg transurethral resection of bladder 744.46 744.46 3/1/2020 52630 amb surg transurethral resection of prostate 397.92 397.92 3/1/2020 52640 amb surg transurethral resection of prostate 270.90 270.90 3/1/2020 52647 laser coagulation of prostate, including control of postoperative bleeding, 579.15 1885.87 3/1/2020 52648 laser vaporization of prostate, including control of postoperative bleeding, 618.22 1927.36 3/1/2020 52700 drainage of prostate abscess 388.48 388.48 3/1/2020 53000 revision of urethra 132.53 132.53 3/1/2020 53010 revision of urethra 259.44 259.44 3/1/2020 53020 meatotomy, cutting of meatus (separate procedure); 88.50 88.50 3/1/2020 53025 meatotomy, cutting of meatus (separate procedure); 58.03 58.03 3/1/2020 53040 drainage of urethra abscess 350.83 350.83 3/1/2020 53060 drainage of skene's gland abscess or cyst 137.09 154.05 3/1/2020 53080 drainage of urinary leakage 388.21 388.21 3/1/2020 53085 drainage of urinary leakage 552.56 552.56 3/1/2020 53200 biopsy of urethra 127.41 139.22 3/1/2020 53210 removal of urethra 691.41 691.41 3/1/2020 53215 removal of urethra 840.35 840.35 3/1/2020 53220 treatment of urethra lesion 402.96 402.96 3/1/2020 53230 removal of urethra lesion 537.72 537.72 3/1/2020 53235 removal of urethra lesion 571.87 571.87 3/1/2020 53240 revision of urethral pouch 383.46 383.46 3/1/2020 53250 removal of urethral gland 355.72 355.72 3/1/2020 53260 excision or fulguration; 157.01 176.69 3/1/2020 53265 treatment of urethral lesion 165.02 195.91 3/1/2020 53270 removal of urethral gland 161.64 180.12 3/1/2020 53275 repair of urethral defect 238.26 238.26 3/1/2020 53400 revision urethra, 1st stage 718.78 718.78 3/1/2020 53405 revision urethra, 2nd stage 791.95 791.95 3/1/2020 53410 reconstruction of urethra 884.16 884.16 3/1/2020 53415 urethroplasty, transpubic, one stage 1020.40 1020.40 3/1/2020 53420 revision urethra, 1st stage 725.81 725.81 3/1/2020 53425 revision urethra, 2nd stage 851.81 851.81 3/1/2020 53430 reconstruction of urethra 850.37 850.37 3/1/2020 53431 urethroplasty with tubularization of posterior urethra and/or lower bladder f 1043.01 1043.01 3/1/2020 53440 operation for correction of male urinary incontinence, with 788.33 788.33 3/1/2020 53442 rem perineal prosthesis introduced for incontinen 693.78 693.78 3/1/2020 53444 insertion of tandem cuff (dual cuff) 717.23 717.23 3/1/2020 53445 insertion of inflatable urethral/bladder neck sphincter, including placement 791.35 791.35 3/1/2020 53446 removal of inflatable urethral/bladder neck sphincter, including pump, 578.00 578.00 3/1/2020 53447 removal and replacement of inflatable urethral/bladder neck sphincter incl 731.89 731.89 3/1/2020 53448 removal and replacement of inflatable urethral/bladder neck sphincter incl 1158.45 1158.45 3/1/2020 53449 repair of inflatable urethral/bladder neck sphincter, including pump, 549.69 549.69 3/1/2020 53450 revision of urethra 365.07 365.07 3/1/2020 53460 revision of urethra 410.42 410.42 3/1/2020 53500 urethrolysis, transvaginal, secondary, open, including cystourethroscopy (e 661.09 661.09 3/1/2020 53502 urethrorrhaphy, female 434.16 434.16 3/1/2020 53505 repair of urethra injury 436.13 436.13 3/1/2020 53510 repair of urethra injury 567.97 567.97 3/1/2020 53515 repair of urethra injury 717.17 717.17 3/1/2020 53520 repair of urethra defect 498.05 498.05 3/1/2020 53600 dilation of urethral stricture by passage of sound or urethral dilator, male; 58.75 76.92 3/1/2020 53601 dilation of urethral stricture by passage of sound or urethral dilator, male; 48.98 74.41 3/1/2020 53605 dilation of urethral stricture or vesical neck by passage 59.22 59.22 3/1/2020 53620 dilation of urethral stricture by passage of filiform and follower, male; 79.85 109.83 3/1/2020 53621 dilation of urethral stricture by passage of filiform and follower, male; 66.27 103.51 3/1/2020 53660 dilation of female urethra including suppository and/or instillation; 37.31 64.26 3/1/2020 53661 dilation of female urethra including suppository and/or instillation; 36.72 63.98 3/1/2020 53665 dilation of female urethra, general or conduction (spinal) anesthesia 34.61 34.61 3/1/2020 53850 transurethral destruction of prostate tissue; by microwave thermo 511.14 2159.76 3/1/2020 53852 transurethral destruction of prostate tissue; by radiofrequency thermothera 556.17 2080.63 3/1/2020 54000 slitting of prepuce, dorsal or lateral (separate procedure);newborn 95.15 137.54 3/1/2020 54001 slitting of prepuce, dorsal or lateral (separate procedure); 123.01 169.65 3/1/2020 54015 i & d penis, deep 278.39 278.39 3/1/2020 54050 destruction of lesion(s), penis (eg, condyloma, papilloma, 83.18 103.78 3/1/2020 54055 treatment of penis lesion 76.76 99.16 3/1/2020 54056 destruction of lesion(s), penis (eg, condyloma, papilloma, 85.81 108.21 3/1/2020 54057 destruction of lesion(s), penis (eg, condyloma, papilloma, 80.67 118.83 3/1/2020 54060 destruction of lesion(s), penis (eg, condyloma, papilloma, 112.88 161.02 3/1/2020 54065 destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum 138.00 177.06 3/1/2020 54100 biopsy of penis; (separate procedure) 102.73 161.79 3/1/2020 54105 biopsy of penis; 192.78 244.87 3/1/2020 54110 excision of penile plaque (peyronie disease); 559.88 559.88 3/1/2020 54111 excision of penile plaque with graft to 5cm 724.27 724.27 3/1/2020 54112 excision of penile plaque with graft more than 5cm 850.22 850.22 3/1/2020 54115 removal foreign body from deep penile tissue 375.74 401.18 3/1/2020 54120 partial amputation of penis 566.24 566.24 3/1/2020 54125 amputation of penis 730.77 730.77 3/1/2020 54130 amputation of penis 1082.27 1082.27 3/1/2020 54135 amputation penis w/bilateral lymph include hypogas 1374.81 1374.81 3/1/2020 54150 circumcision 88.24 148.20 3/1/2020 54160 circumcision,surgical excision other than clamp; newborn 130.32 205.11 3/1/2020 54161 amb surg circumcision except newborn 176.68 176.68 3/1/2020 54162 lysis or excicion of penile post-circumcision adhesions 175.61 238.61 3/1/2020 54163 repair incomplete circumcision 193.79 193.79 3/1/2020 54164 frenulotomy of penis 170.44 170.44 3/1/2020 54200 injection procedure for peyronie disease; 74.57 96.67 3/1/2020 54205 injection procedure for peyronie disease; 480.31 480.31 3/1/2020 54220 irrigation of corpora cavernosa for priapism 121.82 187.85 3/1/2020 54230 inj procedure for corpora cavernosgraphy 72.08 86.92 3/1/2020 54240 26 penile plethysmography 60.92 60.92 3/1/2020 54240 TC penile plethysmography 60.92 60.92 3/1/2020 54240 penile plethysmography 60.92 60.92 3/1/2020 54300 revion of penis 583.21 583.21 3/1/2020 54304 correction of chordee or 1st stage hypospadias 683.47 683.47 3/1/2020 54308 urethroplasty for 2nd stage hypospadias repair 650.75 650.75 3/1/2020 54312 urethroplasty for hypospadias repair more than 3cm 752.06 752.06 3/1/2020 54316 urethroplasty for hypospadias repair with graft 910.64 910.64 3/1/2020 54318 urethroplasty for hypospadias to release penis 655.58 655.58 3/1/2020 54322 one stage distal hypospadias repair & meatal adv. 712.07 712.07 3/1/2020 54324 one stage distal hypospadias repair w/ urethroplst 885.24 885.24 3/1/2020 54326 one stage distal hypospadias repair w/ urethroplst 832.74 832.74 3/1/2020 54328 hypospadias with urethroplasty to correct chordee 843.97 843.97 3/1/2020 54332 penile hypospadias repair dissection to corr chord 922.64 922.64 3/1/2020 54336 hypospadias repair to corrt chordee and urethropla 1048.50 1048.50 3/1/2020 54340 repair hypospadias complications; simple 506.29 506.29 3/1/2020 54344 repair hypospadias complications w/ urethroplasty 873.57 873.57 3/1/2020 54348 repair hypospadias compli dissection and urethropl 927.47 927.47 3/1/2020 54352 repair of hypospadias cripple requiring dissection 1308.43 1308.43 3/1/2020 54360 plasti operation on penis to correct angulation 655.98 655.98 3/1/2020 54380 revision of penis 726.95 726.95 3/1/2020 54385 revise penis/bladder defect 877.53 877.53 3/1/2020 54390 revise penis/bladder defect 1070.42 1070.42 3/1/2020 54406 removal of all components of a multi-component, inflatable penile prosthes 658.49 658.49 3/1/2020 54415 removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile 472.32 472.32 3/1/2020 54420 revision of penis 638.04 638.04 3/1/2020 54430 revision of penis 577.79 577.79 3/1/2020 54435 corpora cavernosa-glans penis fistulization (eg, biopsy needle, 373.35 373.35 3/1/2020 54440 revision of penis 789.46 789.46 3/1/2020 54450 foreskin manipulation including lysis of preputial adhesions and stretching 53.47 65.58 3/1/2020 54500 biopsy of testis, needle (separate procedure) 68.28 68.28 3/1/2020 54505 biopsy of testis 191.28 191.28 3/1/2020 54512 excision of extraparenchymal lesion of testis 481.12 481.12 3/1/2020 54520 orchiectomy, simple 290.97 290.97 3/1/2020 54522 orchiectomy, partial 522.48 522.48 3/1/2020 54530 amb surg orchiectomy radical inguinal approach 454.23 454.23 3/1/2020 54535 amb surg orchiectomy with abdominal approach 661.08 661.08 3/1/2020 54550 exploration for testis 438.45 438.45 3/1/2020 54560 exploration for testis 598.93 598.93 3/1/2020 54600 reduce testis torsion 405.22 405.22 3/1/2020 54620 fixation of testis 272.31 272.31 3/1/2020 54640 amb surg orchiopexy any type 416.05 416.05 3/1/2020 54650 orchiopexy abdominal approach for intra-abdominal testis 638.30 638.30 3/1/2020 54670 repair testis injury 361.73 361.73 3/1/2020 54680 relocation of testis(es) 705.39 705.39 3/1/2020 54690 laparoscopy, surgical; orchiectomy 570.22 570.22 3/1/2020 54692 laparoscopy, surgical; orchiopexy for intra-abdominal testis 696.72 696.72 3/1/2020 54700 amb surg i & d epididymis testis/scrotal space 188.70 188.70 3/1/2020 54800 biopsy of epididymis, needle 119.51 119.51 3/1/2020 54830 excision of local lesion of epididymis 329.19 329.19 3/1/2020 54840 amb surg excision spermatocele w/wo epididymectomy 289.11 289.11 3/1/2020 54860 removal of epididymis 373.51 373.51 3/1/2020 54861 removal of epididymes 505.66 505.66 3/1/2020 54865 exploration of epididymis, with or without biopsy 317.79 317.79 3/1/2020 55000 puncture aspiration of hydrocele, tunica vaginalis, with or 75.75 107.25 3/1/2020 55040 amb surg excision hydrocele unilateral 300.47 300.47 3/1/2020 55041 amb surg excision hydrocele bilateral 452.53 452.53 3/1/2020 55060 repair of hydrocele 336.02 336.02 3/1/2020 55100 drainage of scrotal wall abscess 142.37 189.30 3/1/2020 55110 scrotal exploration 341.90 341.90 3/1/2020 55120 removal of scrotum lesion 313.52 313.52 3/1/2020 55150 removal of scrotum 433.45 433.45 3/1/2020 55175 scrotoplasty; simple 321.65 321.65 3/1/2020 55180 scrotoplasty; complicated 612.93 612.93 3/1/2020 55200 incision of sperm duct 246.54 429.15 3/1/2020 55250 removal of sperm duct(s) 201.40 377.35 3/1/2020 55300 vasotomy for vasograms, seminal vesiculograms, or epididymograms, 163.68 163.68 3/1/2020 55500 amb surg excision hydrocele of spermatic cord 333.52 333.52 3/1/2020 55520 removal of sperm cord lesion 343.59 343.59 3/1/2020 55530 amb surg excision varicocele 315.24 315.24 3/1/2020 55535 amb surg excision varicocele abdominal approach 381.48 381.48 3/1/2020 55540 amb surg excision varicocele with hernia repair 416.97 416.97 3/1/2020 55550 laparoscopy, surgical, with ligation of spermatic veins for varicocele 377.82 377.82 3/1/2020 55600 incise sperm duct pouch 380.52 380.52 3/1/2020 55650 remove sperm duct pouch 641.27 641.27 3/1/2020 55680 remove sperm pouch lesion 303.00 303.00 3/1/2020 55700 biopsy, prostate; 123.70 203.65 3/1/2020 55705 amb surg prostate biopsy incisional any approach 242.29 242.29 3/1/2020 55720 drainage of prostate abscess 414.67 414.67 3/1/2020 55725 drainage of prostate abscess 526.40 526.40 3/1/2020 55801 removal of prostate 980.54 980.54 3/1/2020 55810 removal of prostate 1186.92 1186.92 3/1/2020 55812 prostatectomy perineal radical w lymph biopsy 1458.82 1458.82 3/1/2020 55815 prostatectomy perineal w pelvic lymphadenectomy 1600.55 1600.55 3/1/2020 55821 removal of prostate 788.56 788.56 3/1/2020 55831 removal of prostate 854.81 854.81 3/1/2020 55840 prostatectomy, retropubic radical, with or without nerve sparing; 1210.90 1210.90 3/1/2020 55842 prostatectomy retropubic w lymph biopsy 1297.91 1297.91 3/1/2020 55845 extensive prostate surgery 1485.57 1485.57 3/1/2020 55860 exposure of prostate, any approach, for insertion of radioactive substance 791.09 791.09 3/1/2020 55862 exposure of prostate, any approach, for insertion of radioactive substance 999.77 999.77 3/1/2020 55865 exposure of prostate, any approach, for insertion of radioactive substance 1211.77 1211.77 3/1/2020 55866 laparoscopy surgical prostatectomy retropubic radical including nerve spa 1578.12 1578.12 3/1/2020 55873 cryosurgical ablation of the prostate (includes ultrasonic guidance for 1030.77 1030.77 3/1/2020 55875 transperineal placement of needles or catheters into prostate for interstitia 685.89 685.89 3/1/2020 55876 placement of interstitial device(s) for radiation therapy guidance (eg, 95.76 125.75 3/1/2020 56405 incision and drainage of vulva or perineal abscess 86.46 88.27 3/1/2020 56420 drainage of vulva abscess 75.22 101.26 3/1/2020 56440 marsupialization of bartholin's gland cyst 150.06 150.06 3/1/2020 56441 lysis of labial adhesions 115.94 122.29 3/1/2020 56442 hymenotomy, simple incision 39.97 39.97 3/1/2020 56501 destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, 92.03 105.36 3/1/2020 56515 destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery 160.56 180.54 3/1/2020 56605 biopsy of vulva/perineum 1 lesion 50.52 68.09 3/1/2020 56606 biopsy of vulva or perineum (separate procedure); each separate addition 24.91 31.57 3/1/2020 56620 vulvectomy partial unilateral or bilateral. 402.85 402.85 3/1/2020 56625 external genital surgery 486.15 486.15 3/1/2020 56630 vulvectomy radical without skin graft 712.29 712.29 3/1/2020 56631 vulvectomy, radical, partial; w lymphadenectomy 906.63 906.63 3/1/2020 56632 vulvectomy, radical, partial; 1049.62 1049.62 3/1/2020 56633 vulvectomy, radical, complete 929.87 929.87 3/1/2020 56634 vulvectomy, rad, complete; uni lymphadenectomy 982.32 982.32 3/1/2020 56637 vulvectomy, radical, complete; w lymphadenectomy 1161.70 1161.70 3/1/2020 56640 vulvectomy radical with inguinofem iliac pelvic ly 1158.93 1158.93 3/1/2020 56700 external genital surgery 151.77 151.77 3/1/2020 56740 amb surg excision bartholin gland or cyst 243.34 243.34 3/1/2020 56800 plastic repair of introitus 200.10 200.10 3/1/2020 56805 clitoroplasty for intersex state 945.28 945.28 3/1/2020 56810 perineoplasty, repair of perineum non-ob 215.04 215.04 3/1/2020 56820 colposcopy of the vulva; 70.41 90.41 3/1/2020 56821 colposcopy of the vulva; with biopsy (s) 95.61 121.07 3/1/2020 57000 amb surg colpotomy with exploration 156.41 156.41 3/1/2020 57010 amb surg colpotomy w drainage pelvic abscess 351.68 351.68 3/1/2020 57020 colpocentesis (separate procedure) 67.99 77.67 3/1/2020 57022 incision and drainage of vaginal hematoma; obstetrical/postpartum 136.49 136.49 3/1/2020 57023 incision and drainage of vaginal hematoma; non-obstetrical (eg, post-traum 256.00 256.00 3/1/2020 57061 destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, 78.61 91.63 3/1/2020 57065 destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurger 139.78 156.44 3/1/2020 57100 biopsy of vagina 54.61 72.17 3/1/2020 57105 biopsy of vagina 101.63 110.10 3/1/2020 57106 vaginectomy, partial removal of vaginal wall; 387.51 387.51 3/1/2020 57107 vaginectomy, partial removal of vaginal wall; with removal of paravaginal 1153.04 1153.04 3/1/2020 57109 vaginectomy, partial removal of vaginal wall; with removal of paravaginal 1318.76 1318.76 3/1/2020 57110 vaginectomy, complete removal of vaginal wall; 741.63 741.63 3/1/2020 57111 vaginectomy, complete removal of vaginal wall; with removal of paravagin 1332.16 1332.16 3/1/2020 57120 vaginal surgery 419.52 419.52 3/1/2020 57130 amb surg excision vaginal septum 131.93 147.38 3/1/2020 57135 amb surg excision vaginal cyst or tumor 142.32 158.07 3/1/2020 57150 treatment vaginal infection 24.91 41.25 3/1/2020 57155 insertion of uterine tandems and/or vaginal ovoids for clinical brachytherap 347.51 347.51 3/1/2020 57160 fitting and insertion of pessary or other intravaginal support device 39.99 62.71 3/1/2020 57170 diaphram fitting with instructions 40.55 56.61 3/1/2020 57180 introduction of any hemostatic agent or pack for spontaneous 87.52 115.07 3/1/2020 57200 amb surg colporrphaphy suture of injury to vagina 241.88 241.88 3/1/2020 57210 amb surg colporrhaphy 300.46 300.46 3/1/2020 57220 amb surg colporrhaphy 260.93 260.93 3/1/2020 57230 amb surg colporrhaphy 326.89 326.89 3/1/2020 57240 amb surg colporrhaphy 545.74 545.74 3/1/2020 57250 amb surg colporrhaphy w/wo perineorrhaphy 534.24 534.24 3/1/2020 57260 combined anteroposterior colporrhaphy 666.20 666.20 3/1/2020 57265 comb anteroposterior colporrhaphy w enterocele 744.08 744.08 3/1/2020 57267 insertion of mesh or other prosthesis for repair of pelvic floor defect, each 224.84 224.84 3/1/2020 57268 repair enterocele vaginal approach 393.90 393.90 3/1/2020 57270 repair of visceral pouch 656.65 656.65 3/1/2020 57280 fixation of vagina 798.85 798.85 3/1/2020 57282 colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeu 417.75 417.75 3/1/2020 57283 colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrha 565.93 565.93 3/1/2020 57287 removal or revision of sling for stress incontinence (eg, fascia or synthetic 579.52 579.52 3/1/2020 57288 sling operation for stress incontinence 610.23 610.23 3/1/2020 57289 pereyra procedure inc anterior colporrhaphy 641.34 641.34 3/1/2020 57291 construction artificial vagina w/o graft 444.85 444.85 3/1/2020 57292 construction artificial vagina with graft 682.91 682.91 3/1/2020 57296 revision (including removal) of prosthetic vaginal graft; open abdominal 782.09 782.09 3/1/2020 57300 amb surg closure rectovaginal fistula vag approach 435.54 435.54 3/1/2020 57305 repair rectum/vagina lesion 729.56 729.56 3/1/2020 57307 repair rectum/vagina lesion 816.27 816.27 3/1/2020 57308 closure of rectovaginal fistula; transperineal approach, with per 520.30 520.30 3/1/2020 57310 repair urthra/vagina lesion 405.56 405.56 3/1/2020 57311 closure urethrovaginal fistula w/ bulbocavernosus 463.33 463.33 3/1/2020 57320 repair bladder/vagina lesion 461.66 461.66 3/1/2020 57330 repair bladder/vagina lesion 656.83 656.83 3/1/2020 57335 vaginoplasty for intersex state 959.28 959.28 3/1/2020 57400 dilation of vagina under anesthesia 112.12 112.12 3/1/2020 57410 amb surg pelvic exam under anesthesia 87.98 87.98 3/1/2020 57415 removal vag foreign body w anesth. 130.89 130.89 3/1/2020 57420 colposcopy of the entire vagina, with cervix if present; 74.80 95.09 3/1/2020 57421 colposcopy of the entire vagina, with cervix if present; with biopsy(s) of 102.17 128.19 3/1/2020 57425 laparoscopy, surgical, colpopexy (suspension of vaginal apex) 806.11 806.11 3/1/2020 57452 colposcopy (vaginoscopy); 75.86 89.48 3/1/2020 57454 colposcopy with biopsy 113.28 126.91 3/1/2020 57455 colposcoopy of the cervix including upper/adjacent vagina; with biopsy(s) 92.54 117.68 3/1/2020 57456 colposcopy of the cervix including upper/adjacent vagina; with endocervica 86.33 111.16 3/1/2020 57460 colposcopy (vaginoscopy); with loop electrode excision procedure of the c 136.05 241.13 3/1/2020 57461 colposcopy of the cervix including upper/adjacent vagina; w/loop electrode 157.45 271.01 3/1/2020 57500 biopsy, single or multiple, or local excision of lesion, with 61.46 106.59 3/1/2020 57505 endocervical curettage (not done as part of a dilation and curettage) 73.59 82.07 3/1/2020 57510 cautery of cervix; electro or thermal 95.75 108.77 3/1/2020 57511 cryocautry initial or repeat cervix uteri 107.30 118.21 3/1/2020 57513 amb surg-cauterization of cervix, laser surgery 107.91 116.70 3/1/2020 57520 conization cervix-including d&c, repair or fulguration 223.03 250.29 3/1/2020 57522 conization of cervix, loop electrode excision 197.88 214.54 3/1/2020 57530 removal of cervix 280.68 280.68 3/1/2020 57531 radical trachelectomy, with bilateral total pelvic lymphadenectomy and 1399.99 1399.99 3/1/2020 57540 removal of cervix tissue 640.21 640.21 3/1/2020 57545 remove cervix, repair pelvis 675.53 675.53 3/1/2020 57550 removal of cervix tissue 332.06 332.06 3/1/2020 57555 remove cervix, repair vagina 491.64 491.64 3/1/2020 57556 cervix uteri with repair of enterocele 469.13 469.13 3/1/2020 57558 dilation and curettage of cervical stump 92.49 101.87 3/1/2020 57700 amb surg cervical cerclage (tracheloplasty) 248.72 248.72 3/1/2020 57720 revision of cervix 249.63 249.63 3/1/2020 57800 dilation of cervical canal, instrumental (separate procedure) 40.10 49.18 3/1/2020 58100 endometrial sampling (biopsy) with or without endocervical sampling (biop 72.90 90.17 3/1/2020 58120 dilation and curettage, diagnostic and/or therapeutic (nonobstetrical) 176.99 203.64 3/1/2020 58140 myomectomy, excision of leiomyomata of uterus, single or multiple (separ 751.01 751.01 3/1/2020 58145 removal of uterine lesion 444.23 444.23 3/1/2020 58146 myomectomy excision of fibroid tumor(s) of uterus 5 or more in tramural m 957.19 957.19 3/1/2020 58150 ambulatory surgery, total abdominal hysterectomy 814.12 814.12 3/1/2020 58152 total abdominal hysterectomy (corpus and cervix), with or without removal 1027.86 1027.86 3/1/2020 58180 partial hysterectomy 781.66 781.66 3/1/2020 58200 extensive uterine surgery 1076.95 1076.95 3/1/2020 58210 extensive uterine surgery 1434.84 1434.84 3/1/2020 58240 removal of pelvis contents 2256.21 2256.21 3/1/2020 58260 hysterectomy 679.34 679.34 3/1/2020 58262 vaginal hysterectomy w/ removal of tubes and ovary(s) 759.37 759.37 3/1/2020 58263 vaginal hysterectomy w/ removal of tube/ovary & enterocele 818.35 818.35 3/1/2020 58267 hysterectomy & repair vagina 869.64 869.64 3/1/2020 58270 hysterectomy & repair vagina 728.15 728.15 3/1/2020 58275 vaginal hysterectomy, with total or partial vaginectomy; 810.26 810.26 3/1/2020 58280 hysterectomy, revise vagina 867.14 867.14 3/1/2020 58285 hysterectomy 1088.88 1088.88 3/1/2020 58290 vaginal hysterectomy, for uterus greater than 250 grams 952.77 952.77 3/1/2020 58291 vaginal hysterectomy, for uterus greater than 250 grams; with removal of 1035.52 1035.52 3/1/2020 58292 vaginal hysterectomy, for uterus greater than 250 grams; with removal of 1091.46 1091.46 3/1/2020 58294 vaginal hysterectomy, for uterus greater than 250 grams; with repair of 1006.74 1006.74 3/1/2020 58300 insert intrauterine device 46.16 64.02 3/1/2020 58301 removal of iud 56.81 78.61 3/1/2020 58346 insertion of heyman capsules for clinical brachytherapy 374.01 374.01 3/1/2020 58353 endometrial ablation, thermal, without hysteroscopic guidance 181.52 905.59 3/1/2020 58400 fixation of uterus 366.92 366.92 3/1/2020 58410 fixation of uterus 659.11 659.11 3/1/2020 58520 repair of ruptured uterus 643.59 643.59 3/1/2020 58540 revision of uterus 747.46 747.46 3/1/2020 58541 laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less 704.78 704.78 3/1/2020 58542 laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less 783.14 783.14 3/1/2020 58543 laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 796.24 796.24 3/1/2020 58544 laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 860.78 860.78 3/1/2020 58545 laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas w 736.27 736.27 3/1/2020 58546 laparoscopy, surgical, myomectomy, excision; 5 or more intramural myom 933.68 933.68 3/1/2020 58548 laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic 1457.00 1457.00 3/1/2020 58550 laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or l 726.47 726.47 3/1/2020 58552 laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or l 802.10 802.10 3/1/2020 58553 laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 2 938.53 938.53 3/1/2020 58554 laparoscopy, surgical, w/vaginal hysterectomy, for uterus greater than 250 1075.54 1075.54 3/1/2020 58555 hysteroscopy, diagnostic (separate procedure) 158.20 196.97 3/1/2020 58558 hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or 223.03 266.64 3/1/2020 58559 hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) 286.99 286.99 3/1/2020 58560 hysteroscopy, surgical; with division or resection of intrauterine septum 324.41 324.41 3/1/2020 58561 hysteroscopy, surgical; with removal of leiomyomata 459.38 459.38 3/1/2020 58562 hysteroscopy, surgical with removal of impacted foreign object 243.29 282.35 3/1/2020 58563 hysteroscopy, surgical; with endometrial ablation (eg, endometrial resectio 286.99 1475.00 3/1/2020 58600 amb surg ligation or transection fallopian tubes 297.61 297.61 3/1/2020 58605 ligation or transection fallop tubes abd or vag po 270.44 270.44 3/1/2020 58611 ligation or transection of fallopian tube(s) when done at the time of cesare 65.14 65.13 3/1/2020 58615 occlus fallopian tubes by device vag/suprapubic 204.39 204.39 3/1/2020 58660 laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) 553.43 553.43 3/1/2020 58661 laparoscopy, surgical; with removal of adnexal structures (partial or total 532.21 532.21 3/1/2020 58662 laparoscopy, surgical; with fulguration or excision of lesions of the ovary, 581.73 581.73 3/1/2020 58670 laparoscopy, surgical; with fulguration of oviducts (with or without 299.64 299.64 3/1/2020 58671 laparoscopy, surgical; with occlusion of oviducts by device 299.53 299.54 3/1/2020 58700 salpingectomy complete or partial unilateral or bi 626.14 626.14 3/1/2020 58720 removal of ovary/tube(s) 588.47 588.47 3/1/2020 58800 amb surg drainage ovarian cyst 243.26 260.52 3/1/2020 58805 drainage of ovarian cyst(s) 330.91 330.91 3/1/2020 58820 drainage of ovarian abcess 255.01 255.01 3/1/2020 58822 drainage of ovarian abscess 578.24 578.24 3/1/2020 58900 biopsy of ovary(s) 337.68 337.68 3/1/2020 58920 partial removal of ovary(s) 576.06 576.06 3/1/2020 58925 ovarian cystectomy unilateral or bilateral 600.40 600.40 3/1/2020 58940 oophorectomy partial or total unilateral or bilate 410.39 410.39 3/1/2020 58943 oophorectomy, partial or total, unilateral or bilateral; for ovarian, tubal or 918.89 918.89 3/1/2020 58950 resection of ovarian, tubal or primary peritoneal malignancy with bilateral 875.61 875.61 3/1/2020 58951 resect ovarian malignancy 1130.70 1130.70 3/1/2020 58952 resection of ovarian, tubal or primary peritoneal malignancy with bilateral 1275.17 1275.17 3/1/2020 58953 bilateral salpingo-oophorectomy with omentectomy, total abdominal hyste 1582.49 1582.49 3/1/2020 58954 bilateral salpingo-oophorectomy with omentectomy, total abdominal hyste 1718.04 1718.04 3/1/2020 58956 bilateral salpingo-oophorectomy with total omentectomy, total abdominal 1107.60 1107.60 3/1/2020 58957 resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, 1217.83 1217.83 3/1/2020 58958 resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, 1353.69 1353.69 3/1/2020 58960 laparotomy, for staging or restaging of ovarian, tubal or primary peritoneal 756.63 756.63 3/1/2020 59000 amniocentesis; diagnostic 66.86 104.41 3/1/2020 59001 amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound 152.93 152.93 3/1/2020 59012 cordocentesis (intrauterine), any method 168.70 168.70 3/1/2020 59020 26 fetal contraction 31.29 31.29 3/1/2020 59020 TC fetal contraction 31.29 31.29 3/1/2020 59020 fetal contraction 31.29 31.29 3/1/2020 59025 26 fetal non-stress test 25.20 25.20 3/1/2020 59025 TC fetal non-stress test 25.20 25.20 3/1/2020 59025 fetal non-stress test 25.20 25.20 3/1/2020 59030 fetal blood sampling scalp 93.99 93.99 3/1/2020 59100 removal of uterus lesion 673.41 673.41 3/1/2020 59120 treatment atypical pregnancy 643.21 643.21 3/1/2020 59121 surg treat ectopic pregn tubal wo salping/oophorec 646.16 646.16 3/1/2020 59130 treatment atypical pregnancy 754.59 754.59 3/1/2020 59135 treatment atypical pregnancy 763.46 763.46 3/1/2020 59136 tx ectopic pregnancy w/ partial resection uterus 713.76 713.76 3/1/2020 59140 treatment atypical pregnancy 319.17 319.17 3/1/2020 59150 lap tx ectopic pregnancy w/o removal tubes/ovaries 625.37 625.37 3/1/2020 59151 lap tx ectopic pregnancy w/ removal tubes/ovaries 611.16 611.16 3/1/2020 59160 currettage, postpartum 146.87 173.52 3/1/2020 59200 insertion of hygroscopic cervical dilator 37.38 60.09 3/1/2020 59300 amb surg episiotomy of vaginal repair only 120.71 156.14 3/1/2020 59320 cerclage of cervix during pregnancy, vaginal 126.45 126.45 3/1/2020 59325 cerclage of cervix during pregnancy, abdominal 199.65 199.65 3/1/2020 59350 hysterorrhaphy of ruptured uterus 230.22 230.22 3/1/2020 59400 obstetrical care 1437.02 1437.02 3/1/2020 59409 vaginal delivery only (w or w/o episiotomy and/or forceps) 638.06 638.06 3/1/2020 59410 vaginal delivery only (with or without episiotomy and/or forceps); including 739.89 739.89 3/1/2020 59412 external cephalic version, with or without tocolysis 85.48 85.48 3/1/2020 59414 delivery of placenta (infant born outside of hosp) 76.04 76.04 3/1/2020 59425 antepartum care only; 282.41 357.21 3/1/2020 59426 antepartum care only; 499.75 639.05 3/1/2020 59430 postpartum care only, separate procedure 104.03 114.63 3/1/2020 59514 cesarean delivery only; 755.50 755.50 3/1/2020 59525 subtotal or total hysterectomy after cesarean delivery (list separately in 402.11 402.11 3/1/2020 59812 surgical tx spontaneous abortion, any trimester 237.64 254.29 3/1/2020 59820 amb surg missed abortion any trimester 279.53 299.83 3/1/2020 59821 treatment of missed abortion, completed surgically; 284.05 305.54 3/1/2020 59830 septic abortion 353.56 353.56 3/1/2020 59856 induced abortion, by one or more vaginal suppositories 399.57 399.57 3/1/2020 59870 uterine evacuation and curettage for hydatidiform mole 379.21 379.21 3/1/2020 59871 removal of cerclage suture under anesthesia (other than local) 110.40 110.40 3/1/2020 60000 incision and drainage of thyroglossal duct cyst, infected 115.29 125.88 3/1/2020 60100 biopsy thyroid, percutaneous core needle 70.11 94.64 3/1/2020 60200 drainage thyroid duct lesion 519.53 519.53 3/1/2020 60210 partial thyroid lobectomy, unilateral; 556.82 556.82 3/1/2020 60212 partial thyroid lobectomy, unilateral; 800.37 800.37 3/1/2020 60220 partial removal of thyroid 610.54 610.54 3/1/2020 60225 tot thy subt lobectomy inc isthmus 733.56 733.56 3/1/2020 60240 removal of thyroid 778.18 778.18 3/1/2020 60252 removal of thyroid 1050.84 1050.84 3/1/2020 60254 extensive thyroid surgery 1354.34 1354.34 3/1/2020 60260 thyroidectomy, removal of all remaining thyroid tissue 877.41 877.41 3/1/2020 60270 thyroidectomy, including substernal thyroid; sternal split or transthoracic 1105.87 1105.87 3/1/2020 60271 thyroidectomy, including substernal thyroid gland; 847.68 847.68 3/1/2020 60280 amb surg excision thyroglossal duct cyst or sinus 348.29 348.29 3/1/2020 60281 excision of thyroglossal duct,cyst,sinus;recurrent 466.25 466.25 3/1/2020 60500 explore parathyroid glands 806.78 806.78 3/1/2020 60502 re-exploration of parathyroids 1012.80 1012.80 3/1/2020 60505 explore parathyroid glands 1112.12 1112.12 3/1/2020 60512 parathyroid autotransplantation (list separately in addition to code for 198.16 198.16 3/1/2020 60520 thymectomy, partial or total; transcervical approach (separate procedure) 831.02 831.02 3/1/2020 60521 thymectomy, partial or total; 953.39 953.39 3/1/2020 60522 thymectomy, partial or total; 1150.35 1150.35 3/1/2020 60540 exploration adrenal gland 876.14 876.14 3/1/2020 60545 exploration adrenal gland 997.65 997.65 3/1/2020 60600 removal carotid body lesion 1160.58 1160.58 3/1/2020 60605 removal carotid body lesion 1460.47 1460.47 3/1/2020 60650 laparoscopy, surgical, with adrenalectomy, partial or complete, or explorat 977.31 977.31 3/1/2020 61000 subdural tap through fontanelle, or suture, infant, unilateral or bilateral; 88.64 88.64 3/1/2020 61001 subdural tap through fontanelle, or suture, infant, unilateral or bilateral; 86.63 86.63 3/1/2020 61020 ventricular puncture through previous burr hole, fontanelle, 102.83 102.83 3/1/2020 61026 ventricular puncture through previous burr hole, fontanelle, suture, or 103.06 103.06 3/1/2020 61050 removal brain canal fluid 88.06 88.06 3/1/2020 61055 cisternal or lateral cervical (c1-c2) puncture; with injection of medication o 113.77 113.77 3/1/2020 61070 puncture of shunt tubing or reservoir for aspiration or injection procedure 65.37 65.37 3/1/2020 61105 twist drill hole for subdural or ventricular puncture; 338.94 338.94 3/1/2020 61107 twist drill hole for implant ventric cath/recordin 253.44 253.44 3/1/2020 61108 twist drill hole for evac of subdural hematoma 674.79 674.79 3/1/2020 61120 burr hole(s) for ventricular puncture (including injection of gas, contrast 553.31 553.31 3/1/2020 61140 incise 961.20 961.20 3/1/2020 61150 incise skull for drainage 1029.48 1029.48 3/1/2020 61151 incise skull for drainage 744.98 744.98 3/1/2020 61154 incise skull for drainage 962.63 962.63 3/1/2020 61156 incise skull for drainage 960.52 960.52 3/1/2020 61210 relieve/measure brain fluid 295.89 295.89 3/1/2020 61215 insertion of subcutaneous reservoir to ventr cath 368.29 368.29 3/1/2020 61250 burr hole trephine, supratentorial, exploratory 648.18 648.18 3/1/2020 61253 burr hole or trephine infratentorial unilateral/bi 715.39 715.39 3/1/2020 61304 incise skull for exploration 1268.54 1268.54 3/1/2020 61305 incise skull for exploration 1530.08 1530.08 3/1/2020 61312 craniectomy for evac of hematoma, supratentorial 1588.27 1588.27 3/1/2020 61313 craniectomy for evac of hematoma, intracerebral 1516.77 1516.77 3/1/2020 61314 craniectomy for evac of hematoma, infrantentorial 1403.75 1403.75 3/1/2020 61315 craniectomy for evac of hematoma, intracerebellar 1598.38 1598.38 3/1/2020 61316 incision and subcutaneous placement of cranial bone (list separately in ad 69.73 69.73 3/1/2020 61320 incise skull for drainage 1478.20 1478.20 3/1/2020 61321 craniectomy drainage of intracranial abscess infra 1621.01 1621.01 3/1/2020 61322 craniectomy or , decompressive, with or without duraplasty, for 1800.12 1800.12 3/1/2020 61323 craniectomy or craniotomy, decompressive, with or without duraplasty, for 1832.01 1832.01 3/1/2020 61330 incise skull for exploration 1257.39 1257.39 3/1/2020 61333 explor decompress orbit transcran approach remove 1471.83 1471.83 3/1/2020 61340 other cranial decompression eg subtemporal suprate 1100.18 1100.18 3/1/2020 61343 craniectomy w/ cervical laminectomy 1701.59 1701.59 3/1/2020 61345 other cranial decompression posterior fossa 1574.27 1574.27 3/1/2020 61450 craniectomy for section comp or decomp or sensory 1460.73 1460.73 3/1/2020 61458 craniectomy exploration/decompress cranial nerves 1556.45 1556.45 3/1/2020 61460 craniectomy suboccipital for section of 1 or more 1579.31 1579.31 3/1/2020 61500 removal of skull lesion 1040.89 1040.89 3/1/2020 61501 craniectomy for osteomyelitis 891.90 891.90 3/1/2020 61510 removal of brain lesion 1678.03 1678.03 3/1/2020 61512 remove brain lining lesion 1982.72 1982.72 3/1/2020 61514 removal of brain abscess 1470.85 1470.85 3/1/2020 61516 removal of brain lesion 1435.02 1435.02 3/1/2020 61517 implantation of brain intracavitary chemotherapy agent (list separately in 69.70 69.70 3/1/2020 61518 removal of brain lesion 2133.22 2133.22 3/1/2020 61519 remove brain lining lesion 2298.35 2298.35 3/1/2020 61520 craniectomy cerebellopontine angle tumor 2940.38 2940.38 3/1/2020 61521 craniectomy excision brain tumor,midline tumor sku 2470.34 2470.34 3/1/2020 61522 removal of brain abscess 1693.11 1693.11 3/1/2020 61524 removal of brain lesion 1598.67 1598.67 3/1/2020 61526 removal skull cavity lesion 2673.28 2673.28 3/1/2020 61530 removal skull cavity lesion 2270.00 2270.00 3/1/2020 61531 subdural implant of strip electrodes,lng term moni 924.47 924.47 3/1/2020 61533 craniectomy for insertion epidural electrode array 1168.97 1168.97 3/1/2020 61534 removal of brain lesion 1258.98 1258.98 3/1/2020 61535 craniectomy removal epidural electro array wo tiss 752.18 752.18 3/1/2020 61536 removal of brain lesion 2009.61 2009.61 3/1/2020 61537 craniotomy with elevation of bone flap; for lobectomy, temporal lobe, witho 1853.75 1853.75 3/1/2020 61538 craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with 1988.02 1988.02 3/1/2020 61539 cran f lobectomy w/electrocorticogr partial or tot 1819.46 1819.46 3/1/2020 61540 craniotomy with elevation of bone flap; for lobectomy, other than temporal 1705.57 1705.57 3/1/2020 61541 craniectomy for transection of corpus callosum 1638.38 1638.38 3/1/2020 61543 craniectomy for part or subtotal 1660.72 1660.72 3/1/2020 61544 remove/treat brain lesion 1373.41 1373.41 3/1/2020 61545 bone flap craniectomy to excise craniopharyngioma 2447.01 2447.01 3/1/2020 61546 removal of 1773.02 1773.02 3/1/2020 61548 removal of pituitary gland 1203.69 1203.69 3/1/2020 61550 release skull closure 788.98 788.98 3/1/2020 61552 craniectomy for craniostenosis multiple sutures on 1036.30 1036.30 3/1/2020 61556 craniotomy for craniosynostosis, frontal/parietal 1264.71 1264.71 3/1/2020 61557 craniotomy for craniosynostosis, bifrontal bone 1298.64 1298.64 3/1/2020 61558 ext. craniectomy for mult cranial sut. craniosynos 1340.90 1340.90 3/1/2020 61559 ext. craniectomy for craniosynostosis w recontouri 1859.54 1859.54 3/1/2020 61563 exc. tumor of cranial bone w/o optic nerve decompr 1496.67 1496.67 3/1/2020 61564 exc. tumor of cranial bone w optic nerve decompres 1873.10 1873.10 3/1/2020 61566 craniotomy with elevation of bone flap; for selective amygdalohippocampe 1729.09 1729.09 3/1/2020 61567 craniotomy with elevation of bone flap; for multiple subpial transections, w 1945.68 1945.68 3/1/2020 61570 craniectomy or craniotomy for excision foreign bod 1414.51 1414.51 3/1/2020 61571 craniectomy or craniotomy penetrating wound brain 1535.89 1535.89 3/1/2020 61575 transoral approach to skull base, brain stem 1834.68 1834.68 3/1/2020 61576 transoral approach to skull base w/ split tongue 2925.75 2925.75 3/1/2020 61580 craniofacial approach to anterior cranial fossa; 1918.88 1918.88 3/1/2020 61581 craniofacial approach to anterior cranial fossa; 2154.93 2154.93 3/1/2020 61582 craniofacial approach to anterior cranial fossa; 2200.80 2200.80 3/1/2020 61583 craniofacial approach to anterior cranial fossa; 2233.29 2233.29 3/1/2020 61584 orbitocranial approach to anterior cranial fossa, extradural, 2175.13 2175.13 3/1/2020 61585 orbitocranial approach to anterior cranial fossa, extradural, 2310.35 2310.35 3/1/2020 61590 infratemporal pre-auricular approach to middle cranial fossa 2449.90 2449.90 3/1/2020 61591 infratemporal post-auricular approach to middle cranial fossa 2466.56 2466.56 3/1/2020 61592 orbitocranial zygomatic approach to middle cranial fossa (cavernous 2450.12 2450.12 3/1/2020 61595 transtemporal approach to posterior cranial fossa, jugular 1849.39 1849.39 3/1/2020 61596 transcochlear approach to posterior cranial fossa, jugular 2037.99 2037.99 3/1/2020 61597 transcondylar (far lateral) approach to posterior cranial fossa, 2225.25 2225.25 3/1/2020 61598 transpetrosal approach to posterior cranial fossa, clivus or 1973.82 1973.82 3/1/2020 61600 resection or excision of neoplastic, vascular or infectious 1664.59 1664.59 3/1/2020 61601 resection or excision of neoplastic, vascular or infectious 1815.50 1815.50 3/1/2020 61605 resection or excision of neoplastic, vascular or infectious 1745.13 1745.13 3/1/2020 61606 resection or excision of neoplastic, vascular or infectious 2333.58 2333.58 3/1/2020 61607 resection or excision of neoplastic, vascular or infectious 2167.95 2167.95 3/1/2020 61608 resection or excision of neoplastic, vascular or infectious 2517.85 2517.85 3/1/2020 61611 transection or ligation, carotid artery in petrous canal; without repair (list 377.52 377.52 3/1/2020 61613 obliteration of carotid aneurysm, arteriovenous malformation, 2448.57 2448.57 3/1/2020 61615 resection or excision of neoplastic, vascular or infectious 1936.34 1936.34 3/1/2020 61616 resection or excision of neoplastic, vascular or infectious 2542.27 2542.27 3/1/2020 61618 secondary repair of dura for cerebrospinal fluid leak, anterior, middle or 1004.99 1004.99 3/1/2020 61619 secondary repair of dura for csf leak, anterior, middle or 1159.91 1159.91 3/1/2020 61623 endovascular temporary balloon arterial occlusion, head or neck 468.68 468.68 3/1/2020 61624 transcatheter occlusion or embolization (eg, for tumor destruction, 933.47 933.47 3/1/2020 61626 transcatheter occlusion or embolization (eg, for tumor destruction, 760.89 760.89 3/1/2020 61680 surg of malformation, supratentorial, simple 1753.58 1753.58 3/1/2020 61682 surg of malformation, supratentorial, complex 3300.91 3300.91 3/1/2020 61684 surg of malformation, infratentorial, simple 2195.85 2195.85 3/1/2020 61686 surg of malformation, infratentorial, complex 3532.88 3532.88 3/1/2020 61690 surg of malformation, dural, simple 1669.06 1669.06 3/1/2020 61692 surg of malformation, dural, complex 2853.53 2853.53 3/1/2020 61697 surgery of complex intracranial aneurysm, intracranial approach; carotid 3229.81 3229.81 3/1/2020 61698 surgery of complex intracranial aneurysm, intracranial approach; 3478.51 3478.51 3/1/2020 61700 surgery of simple intracranial aneurysm, intracranial approach; carotid 2695.32 2695.32 3/1/2020 61702 incise skull/vessel surgery 3025.87 3025.87 3/1/2020 61703 surgery intracranial aneurysm cervical approach 1032.94 1032.94 3/1/2020 61705 revise circulation to head 1986.22 1986.22 3/1/2020 61708 revise circulation to head 1726.33 1726.33 3/1/2020 61710 revise circulation to head 1564.95 1564.95 3/1/2020 61711 anastomosis arterial extracranial intracranial art 2022.78 2022.78 3/1/2020 61735 incise skull/brain surgery 1111.18 1111.18 3/1/2020 61750 stereotactic biopsy aspiration or excision 1080.65 1080.65 3/1/2020 61751 stereot actic biopsy w computer axial tomography 1051.94 1051.94 3/1/2020 61760 stereotactic implant depth electrode; long term mon 1190.39 1190.39 3/1/2020 61770 stereotactic localization, including burr hole(s), with insertion of 1176.97 1176.97 3/1/2020 61790 stereotactic lesion of gas ganglion percutaneous b 653.37 653.37 3/1/2020 61791 sterotactic lesion trigeminal medullary tract 846.77 846.77 3/1/2020 61863 twist drill, burr hole, craniotomy, or craniectomy with stereotactic 1161.63 1161.63 3/1/2020 61864 twist drill, burr hole, craniotomy, or craniectomy with stereotactic 317.25 317.25 3/1/2020 61867 twist drill, burr hole, craniotomy, or craniectomy with stereotactic 1716.98 1716.98 3/1/2020 61868 twist drill, burr hole, craniotomy, or craniectomy with stereotactic 472.82 472.82 3/1/2020 61886 incision and subcutaneous placement of cranial neurostimulator pulse gen 609.27 609.27 3/1/2020 62000 repair of skull fracture 679.50 679.50 3/1/2020 62005 repair of skull fracture 954.35 954.35 3/1/2020 62010 elevation of depressed skull fracture with debride 1165.61 1165.61 3/1/2020 62100 craniotomy for repair of dural/cerebrospinal fluid leak, including surgery fo 1242.36 1242.36 3/1/2020 62115 reduce craniomegalic skull w/o graft/ 1109.21 1109.21 3/1/2020 62117 reduce craniomegalic skull w craniotomy/reconstruc 1477.71 1477.71 3/1/2020 62120 repair skull cavity lesion 1400.10 1400.10 3/1/2020 62121 craniotomy w repair encephalocele, skull base 1279.99 1279.99 3/1/2020 62140 amb surg cranioplasty for skull defect 806.14 806.14 3/1/2020 62141 repair of skull 885.54 885.54 3/1/2020 62142 removal bone flap or prosthetic plate of skull 673.87 673.87 3/1/2020 62143 replace bone flap or prosthetic plate of skull 790.05 790.05 3/1/2020 62145 repair of skull & brain 1084.29 1084.29 3/1/2020 62146 cranioplasty w autograft up to 5 cm diameter 930.43 930.43 3/1/2020 62147 cranioplasty w autograft larger than 5cm diameter 1105.30 1105.30 3/1/2020 62148 incision and retrieval of subcutaneous cranial bone graft for cranioplasty 99.67 99.67 3/1/2020 62160 neuroendoscopy, intracranial, for placement or replacement of ventricular 152.66 152.66 3/1/2020 62161 neuroendoscopy intracranial:with dissection of adhesions fenestration of s 1165.54 1165.54 3/1/2020 62162 neuroendoscopy, intracranial; with feneration or excision of colloid cyst, 1450.06 1450.06 3/1/2020 62164 neuroendoscopy, intracranial; with excision of brain tumor, including place 1547.49 1547.49 3/1/2020 62165 neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal o 1201.22 1201.22 3/1/2020 62180 establish brain cavity shunt 1221.73 1221.73 3/1/2020 62190 creation shunt subdural arial jugular auricular 693.72 693.72 3/1/2020 62192 establish brain cavity shunt 740.25 740.25 3/1/2020 62194 replacement of irrigation subdural catheter 302.56 302.56 3/1/2020 62200 establish brain cavity shunt 1056.37 1056.37 3/1/2020 62201 ventriculocisternostomy, stereotactic method 905.49 905.49 3/1/2020 62220 establish brain cavity shunt 778.02 778.02 3/1/2020 62223 establish brain cavity shunt 797.63 797.63 3/1/2020 62225 replacement of irrigation ventricular catheter 379.39 379.39 3/1/2020 62230 replacement or revision of cerebrospinal fluid shunt, obstructed valve, or 642.55 642.55 3/1/2020 62252 26 reprogramming of programmable cerebrospinal shunt 37.56 37.56 3/1/2020 62252 TC reprogramming of programmable cerebrospinal shunt 37.56 37.56 3/1/2020 62252 reprogramming of programmable cerebrospinal shunt 37.56 37.56 3/1/2020 62256 removal of complete cerebrospinal fluid shunt system; without replacemen 444.89 444.89 3/1/2020 62258 replace brain cavity shunt 864.69 864.69 3/1/2020 62263 percutaneouslysis of epidural adhesions using solution inj. or mech. mean 308.01 513.32 3/1/2020 62264 percutaneous lysis of epidural adhesions using solution injection (eg 189.37 315.36 3/1/2020 62268 percutaneous aspiration, cyst or syrinx 222.53 372.73 3/1/2020 62269 biopsy of spinal cord, percutaneous needle 226.82 403.98 3/1/2020 62270 spinal puncture, lumbar, diagnostic 64.38 123.12 3/1/2020 62272 spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle 67.91 144.54 3/1/2020 62273 amb surg epidural blood patch 92.17 132.45 3/1/2020 62280 injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline 125.64 241.93 3/1/2020 62281 injection of neurolytic substance (eg, alcohol, phenol, iced 121.31 224.58 3/1/2020 62282 inj. neurolytic sust, lumbar or caudil epidural. 111.60 231.83 3/1/2020 62284 injection for spine x-ray 75.53 176.37 3/1/2020 62287 aspiration or decompression procedure, percutaneous, of nucleus pulposu 445.10 445.10 3/1/2020 62290 injection for disc x-ray 140.84 258.95 3/1/2020 62291 injection for disc x-ray 136.10 242.70 3/1/2020 62292 inj proc chemonucleolysis lumbar 1 or more levels 403.17 403.17 3/1/2020 62294 intrathecal injection into spine 643.38 643.38 3/1/2020 62320 njx interlaminar crv/thrc 91.31 145.92 3/1/2020 62321 njx interlaminar crv/thrc 98.46 215.83 3/1/2020 62322 njx interlaminar lmbr/sac 78.63 135.96 3/1/2020 62323 njx interlaminar lmbr/sac 89.93 211.83 3/1/2020 62324 njx interlaminar crv/thrc 83.54 127.89 3/1/2020 62325 njx interlaminar crv/thrc 96.04 191.98 3/1/2020 62326 njx interlaminar lmbr/sac 81.97 134.17 3/1/2020 62327 njx interlaminar lmbr/sac 87.24 195.26 3/1/2020 62328 DX LMBR SPI PNXR W/FLUOR/CT 226.25 226.25 3/1/2020 62329 THER SPI PNXR CSF FLUOR/CT 280.00 280.00 3/1/2020 62350 implantation, revision or repositioning of tunneled intrathecal or epidural 311.18 311.18 3/1/2020 62351 implantation, revision/reposition intrathecal/epidural cath w/lam 653.45 653.45 3/1/2020 62360 implantation/replacement device for intrathecal/epidural drug inf 224.40 224.40 3/1/2020 62361 implantation/replacement device intrathecal/epidural drug in w/pu 308.96 308.96 3/1/2020 62362 implant/replace device for intrathecal/epidural drug inf pro/pump 326.43 326.43 3/1/2020 63001 decompression of spinal cord 951.92 951.92 3/1/2020 63003 lamin f/decomp spin cord a/o cauda eq one/two segm 957.77 957.77 3/1/2020 63005 revision of spinal column 908.38 908.38 3/1/2020 63011 laminectomy sacral decompression spinal cord 859.32 859.32 3/1/2020 63012 laminectomy, lumbar w decompression cauda equina 924.47 924.47 3/1/2020 63015 laminectomy more than two segs cervical 1142.91 1142.91 3/1/2020 63016 laminotomy thoracic 1176.56 1176.56 3/1/2020 63017 laminotomy lumbar 958.10 958.10 3/1/2020 63020 laminotomy, cervical, one interspace 906.11 906.11 3/1/2020 63030 laminotomy (hemilaminectomy), with decompression of nerve root(s), inclu 752.22 752.22 3/1/2020 63035 laminotomy (hemilaminectomy), with decompression of nerve root(s), inclu 160.70 160.70 3/1/2020 63040 laminotomy (hemilaminectomy), with decompression of nerve root(s), inclu 1102.12 1102.12 3/1/2020 63042 revision of spinal column 1031.40 1031.40 3/1/2020 63043 laminotomy (hemilaminectomy), with decompression of nerve root(s), inclu 247.21 247.21 3/1/2020 63044 laminotomy (hemilaminectomy), with decompression of nerve root(s), inclu 233.10 233.10 3/1/2020 63045 laminectomy, single segment, cervical 985.10 985.10 3/1/2020 63046 laminectomy, single segment, thoracic 941.76 941.76 3/1/2020 63047 laminectomy, single segment, lumbar 858.67 858.67 3/1/2020 63048 laminectomy, facetectomy and foraminotomy (unilateral or bilateral with 173.06 173.06 3/1/2020 63055 decompression spinal cord, single segment,thoracic 1268.70 1268.70 3/1/2020 63056 decompression spinal cord, single segment, lumbar 1171.79 1171.79 3/1/2020 63057 transpedicular approach with decompression of spinal cord, equina and/or 265.04 265.04 3/1/2020 63064 hemilaminectomy thoracic costovertebral approach 1388.46 1388.46 3/1/2020 63066 costovertebral approach with decompression of spinal cord or nerve root(s 163.44 163.44 3/1/2020 63075 diskectomy cervical ante appr w/o arthrodesis 1082.09 1082.09 3/1/2020 63076 diskectomy, anterior, with decompression of spinal cord and/ or nerve root 204.58 204.58 3/1/2020 63077 diskectomy, single space, thoracic 1189.21 1189.21 3/1/2020 63078 diskectomy, anterior, with decompression of spinal cord and/ or nerve root 162.88 162.88 3/1/2020 63081 vertebral corpectomy, single segment, cervical 1391.71 1391.71 3/1/2020 63082 vertebral corpectomy (vertebral body resection), partial or complete, anter 220.85 220.85 3/1/2020 63085 vertebral corpectomy, single segment, thoracic 1490.74 1490.74 3/1/2020 63086 vertebral corpectomy (vertebral body resection), partial or complete, 156.96 156.96 3/1/2020 63087 vertebral corpectomy, single segment, lumbar 1903.42 1903.42 3/1/2020 63088 vertebral corpectomy (vertebral body resection), partial or complete, comb 214.78 214.78 3/1/2020 63090 vertebral corpectomy, single segment, lumbar 1558.01 1558.01 3/1/2020 63091 vertebral corpectomy (vertebral body resection), partial or complete, 147.63 147.63 3/1/2020 63101 vertebral corpectomy (vertebral body resection), partial or complete, latera 1781.68 1781.68 3/1/2020 63102 vertebral corpectomy (vertebral body resection), partial or complete, latera 1774.42 1774.42 3/1/2020 63103 vertebral corpectomy (vertebral body resection), partial or complete, latera 235.71 235.71 3/1/2020 63170 laminectomy for myelotomy thoracic or thoracolumba 1192.51 1192.51 3/1/2020 63172 laminectomy w/ drainage to subarachnoid space 1073.29 1073.29 3/1/2020 63173 laminectomy w/ drainage to peritoneal space 1323.00 1323.00 3/1/2020 63185 revise spinal column/nerves 878.07 878.07 3/1/2020 63190 laminectomy for more than two segments 1009.29 1009.29 3/1/2020 63191 laminectomy w section of spinal accessory nerve 965.21 965.21 3/1/2020 63194 lamiwectomy unilateral cervical 1148.42 1148.42 3/1/2020 63195 revise spinal column/cord 1161.41 1161.41 3/1/2020 63196 revise spinal column/cord 1366.08 1366.08 3/1/2020 63197 laminectomy corotomy bilateral cervical 1302.16 1302.16 3/1/2020 63198 revise spinal column/cord 1450.35 1450.35 3/1/2020 63199 laminectomy cordotomy bilateral thoracic 1535.64 1535.64 3/1/2020 63200 laminectomy for tethered spinal cord, lumbar 1164.51 1164.51 3/1/2020 63250 revise spinal cord vessels 2263.42 2263.42 3/1/2020 63251 laminectomy arteriovenovs malfunction thoracic 2347.64 2347.64 3/1/2020 63252 laminectomy for malformation , thoracolumbar 2349.36 2349.36 3/1/2020 63265 laminectomy for intraspinal lesion, cervical 1289.65 1289.65 3/1/2020 63266 laminectomy for intraspinal lesion, thoracic 1326.15 1326.15 3/1/2020 63267 excise intraspinal lesion lumbar 1067.44 1067.44 3/1/2020 63268 excise intraspinal lesion, sacral 1072.29 1072.29 3/1/2020 63270 excise intraspinal lesion, cervical 1588.17 1588.17 3/1/2020 63271 excise intraspinal lesion, thoracic 1597.69 1597.69 3/1/2020 63272 excise intraspinal lesion, lumbar 1471.73 1471.73 3/1/2020 63273 excise intraspinal lesion ,sacral 1390.71 1390.71 3/1/2020 63275 biopsy/ excise spinal tumor, cervical 1385.62 1385.62 3/1/2020 63276 biopsy/ excise spinal tumor, thoracic 1380.37 1380.37 3/1/2020 63277 biopsy/ excise spinal tumor, lumbar 1211.41 1211.41 3/1/2020 63278 biopsy/ excise spinal tumor, sacral 1186.14 1186.14 3/1/2020 63280 biopsy/ excise spinal tumor, cervical 1638.03 1638.03 3/1/2020 63281 biopsy/ excise spinal tumor, thoracic 1619.47 1619.47 3/1/2020 63282 biopsy/ excise spinal tumor, lumbar 1528.00 1528.00 3/1/2020 63283 biopsy/ excise spinal tumor, sacral 1447.90 1447.90 3/1/2020 63285 biopsy/ excise spinal tumor, cervical 2012.19 2012.19 3/1/2020 63286 biopsy, excise spinal tumor 2004.79 2004.79 3/1/2020 63287 biopsy, excise spinal tumor 2115.71 2115.71 3/1/2020 63290 biopsy, excise spinal tumor 2141.03 2141.03 3/1/2020 63295 osteoplastic reconstruction of dorsal spinal elements, following primary 255.64 255.64 3/1/2020 63300 removal vertebral body 1429.01 1429.01 3/1/2020 63301 removal of vertebral body 1604.87 1604.87 3/1/2020 63302 removal of vertebral body 1594.64 1594.64 3/1/2020 63303 removal of vertebral body 1668.43 1668.43 3/1/2020 63304 removal of vertebral body 1768.53 1768.53 3/1/2020 63305 removal of vertebral body 1807.71 1807.71 3/1/2020 63306 removal of vertebral body 1894.01 1894.01 3/1/2020 63307 removal of vertebral body 1757.83 1757.83 3/1/2020 63308 vertebral corpectomy (vertebral body resection), each additional segment 265.56 265.56 3/1/2020 63600 examine spinal cord lesion 667.74 667.74 3/1/2020 63610 stereotactic stim of spinal cord percu not followe 358.75 1050.72 3/1/2020 63650 percutaneous implantation of neurostimulator electrode array, epidural 330.78 330.78 3/1/2020 63655 laminectomy implantation of neurostimulator electrodes,plates/paddle epid 654.39 654.39 3/1/2020 63685 incision subcut placement neu/stimulator receiver 315.74 315.74 3/1/2020 63688 revision removal spinal neurostimulator receiverr 282.71 282.71 3/1/2020 63700 repair of spinal herniation 951.92 951.92 3/1/2020 63702 repair of spinal herniation 1070.29 1070.29 3/1/2020 63704 repair of spinal herniation 1193.81 1193.81 3/1/2020 63706 repair of spinal herniation 1389.78 1389.78 3/1/2020 63707 repair of dural/cerebrospinal fluid leak, not requiring laminectomy 702.65 702.65 3/1/2020 63709 repair of dural/cerebrospinal fluid leak or pseudomeningocele, with lamine 854.39 854.39 3/1/2020 63710 dural graft spinal 853.24 853.24 3/1/2020 63740 creation of shunt, including laminectomy 723.12 723.12 3/1/2020 63741 creation shunt lumbar, percutaneo w/o laminectomy 471.48 471.48 3/1/2020 63744 replacement irrigation or revision of lumbar subar 493.94 493.94 3/1/2020 63746 removal shunt system without replacement 430.23 430.23 3/1/2020 64400 injection, anesthetic agent; 51.43 84.43 3/1/2020 64405 injection, anesthetic agent; 60.02 82.12 3/1/2020 64408 injection, anesthetic agent; 72.16 94.56 3/1/2020 64415 injection, anesthetic agent; 60.92 103.32 3/1/2020 64416 injection, anesthetic agent; brachial plexus, continuous infusion by cathete 76.60 76.60 3/1/2020 64417 injection, anesthetic agent; 60.33 104.23 3/1/2020 64418 injection, anesthetic agent; 59.81 105.84 3/1/2020 64420 injection, anesthetic agent; 53.92 125.09 3/1/2020 64421 injection, anesthetic agent; 73.94 184.46 3/1/2020 64425 injection, anesthetic agent; 76.65 102.40 3/1/2020 64430 injection, anesthetic agent; 72.28 123.46 3/1/2020 64435 injection, anesthetic agent; 69.27 114.69 3/1/2020 64445 injection, anesthetic agent; 65.98 107.16 3/1/2020 64446 injection, anesthetic agent; sciatic nerve, continuous infusion by catheter 76.43 76.43 3/1/2020 64447 injection, anesthetic agent; femoral nerve, single 58.24 58.24 3/1/2020 64448 injection, anesthetic agent; femoral nerve, continuous infusion by catheter 67.69 67.69 3/1/2020 64449 injection, anesthetic agent; lumbar plexus, posterior approach, continuous 75.69 75.69 3/1/2020 64450 injection for nerve block 59.12 82.13 3/1/2020 64451 NJX AA&/STRD NRV NRVTG SI JT 71.48 183.62 3/1/2020 64454 NJX AA&/STRD GNCLR NRV BRNCH 185.44 185.44 3/1/2020 64479 injection, anesthetic agent and/or steroid, transforaminal epidural; cervical 100.56 217.15 3/1/2020 64480 injection, anesthetic agent and/or steroid, cervical or thoracic, each additio 65.81 110.04 3/1/2020 64483 injection, anesthetic agent and/or steroid, lumbar or sacral, single level 88.41 210.76 3/1/2020 64484 injection, anesthetic agent and/or steroid, lumbar or sacral, each add: leve 56.11 107.59 3/1/2020 64486 INJECTIONS OF LOCAL ANESTHETIC FOR CONTROL AND ABD 48.50 93.23 10/1/2020 64487 CONTINUOUS INFUSIONS OF LOCAL ANESTHETIC FOR PAIN CONTR 55.52 151.06 10/1/2020 64488 INJECTIONS OF LOCAL ANESTHETIC FOR PAIN CONTROL AND ABD 60.01 114.57 10/1/2020 64489 CONTINUOUS INFUSIONS OF LOCAL ANESTHETIC FOR PAIN CONTR 67.54 233.22 10/1/2020 64505 injection, anesthetic agent, sphenopalative ganglion 68.41 81.12 3/1/2020 64510 injection, anesthetic agent; 55.32 111.05 3/1/2020 64517 injection, anesthetic agent; superior hypogastric plexus 97.32 135.18 3/1/2020 64520 injection, anesthetic agent; 62.51 144.88 3/1/2020 64530 injection, anesthetic agent; 73.79 150.10 3/1/2020 64555 percutaneous implantation of neurostimulator electrodes; peripheral nerve 125.24 170.07 3/1/2020 64561 percutaneous implantation of neurostimulator electrodes; sacral nerve 352.29 909.49 3/1/2020 64575 incision for implantation of neurostimulator electrodes; peripheral nerve 227.80 227.80 3/1/2020 64581 incision for implantation of neurostimulator electrodes; sacral nerve 684.62 684.62 3/1/2020 64585 revision or removal peripheral stimulator electode 129.18 263.03 3/1/2020 64600 injection treatment of nerve 172.12 315.36 3/1/2020 64605 injection treatment of nerve 274.28 445.68 3/1/2020 64610 injection treatment of nerve 384.12 543.10 3/1/2020 64612 chemodenervation of muscle(s); muscle(s) innervated by facial nerve (eg, 108.29 122.52 3/1/2020 64620 injection treatment of nerve 134.73 213.47 3/1/2020 64624 DSTRJ NULYT AGT GNCLR NRV 131.66 354.11 3/1/2020 64630 destruction by neurolytic agent; pudendal nerve 156.12 186.11 3/1/2020 64640 injection of treatment of nerve 143.06 182.73 3/1/2020 64680 destruction by neurolytic agent col/ac plexus w/w 130.44 240.38 3/1/2020 64681 destruction by neurolytic agent, with or without radiologic monitoring; 175.90 311.26 3/1/2020 64702 amb surg neurolysis 361.05 361.05 3/1/2020 64704 amb surg neurolysis 265.94 265.94 3/1/2020 64708 amb surg neurolysis 374.98 374.98 3/1/2020 64712 amb surg neurolysis 432.68 432.68 3/1/2020 64713 amb surg neurolysis 605.65 605.65 3/1/2020 64714 amb surg neurolysis 518.82 518.82 3/1/2020 64716 neuroplasty and/or transposition cranial nerve 409.97 409.97 3/1/2020 64718 amb surg exploration ulnar nerve at elbow 441.60 441.60 3/1/2020 64719 amb surg exploration ulnar nerve at wrist 306.30 306.30 3/1/2020 64721 amb surg exploration median nerve at carpal tunnel 321.38 322.59 3/1/2020 64722 amb surg decompression unspecified nerve 263.26 263.26 3/1/2020 64726 amb surg decompression plantar digital nerve 232.02 232.02 3/1/2020 64727 amb surg neurolysis 152.03 152.03 3/1/2020 64732 amb surg transection of avulsion supraorbital nerv 299.86 299.86 3/1/2020 64734 amb surg transection infraorbital nerve 324.40 324.40 3/1/2020 64736 incision of chin nerve 306.24 306.24 3/1/2020 64738 transection or avulsion of inferior alveolar nerve 362.42 362.42 3/1/2020 64740 transection or avulsion of lingual nerve 361.25 361.25 3/1/2020 64742 incision of facial nerve 370.59 370.59 3/1/2020 64744 amb surg transect greater occipital nerve unilater 325.02 325.02 3/1/2020 64746 incise diaphragm nerve 351.15 351.15 3/1/2020 64755 transection or avulsion of; vagus nerves limited to proximal stomach (sele 710.89 710.89 3/1/2020 64760 incision of vagus nerve 376.50 376.50 3/1/2020 64763 incise hip/thigh nerve 429.39 429.39 3/1/2020 64766 incise hip/thigh nerve 496.16 496.16 3/1/2020 64771 transection/avulsion cranial nerve extradural 464.34 464.34 3/1/2020 64772 incise spinal nerve 446.59 446.59 3/1/2020 64774 amb surg excision neuroma cutaneous nerve surgical 322.50 322.50 3/1/2020 64776 amb surg excision neuroma digital nerve 1/both 310.05 310.05 3/1/2020 64778 excision of neuroma; digital nerve, each additional digit (list separately in 151.03 151.03 3/1/2020 64782 remove nerve lesion 365.75 365.75 3/1/2020 64783 excision of neuroma; hand or foot, each additional nerve, except same dig 180.51 180.51 3/1/2020 64784 remove nerve lesion 569.22 569.22 3/1/2020 64786 excision of neuroma; 855.37 855.37 3/1/2020 64787 remove nerve lesion/implant 207.29 207.29 3/1/2020 64788 removal of nerve lesion 302.44 302.44 3/1/2020 64790 excision of neurofibroma or neurolemmoma; 651.29 651.29 3/1/2020 64792 removal of nerve lesion 844.91 844.91 3/1/2020 64795 biopsy of nerve 154.76 154.76 3/1/2020 64802 remove sympathetic nerves 481.94 481.94 3/1/2020 64804 remove sympathetic nerves 734.76 734.76 3/1/2020 64809 remove sympathetic nerves 689.33 689.33 3/1/2020 64818 remove sympathetic nerves 534.89 534.89 3/1/2020 64820 sympathectomy; digital arteries, each digit 595.49 595.49 3/1/2020 64821 sympathectomy; radial artery 536.47 536.47 3/1/2020 64822 sympathectomy; ulnar artery 530.15 530.15 3/1/2020 64823 sympathectomy; superficial palmar arch 602.98 602.98 3/1/2020 64831 repair of nerve, digital 531.66 531.66 3/1/2020 64832 suture of digital nerve, hand or foot; each additional digital nerve (list 280.44 280.44 3/1/2020 64834 repair of nerve, hand 589.43 589.43 3/1/2020 64835 repair of nerve, hand 639.07 639.07 3/1/2020 64836 repair of nerve, hand 638.74 638.74 3/1/2020 64837 suture of each additional nerve, hand or foot (list separately in addition to 311.36 311.36 3/1/2020 64840 repair of nerve, foot 727.82 727.82 3/1/2020 64856 repair/transpose nerve 804.36 804.36 3/1/2020 64857 suture major periph nerve arm/leg exc sciatic w/o 841.08 841.08 3/1/2020 64858 repair sciatic nerve 969.47 969.47 3/1/2020 64859 suture of each additional major peripheral nerve (list separately in addition 211.20 211.20 3/1/2020 64861 repair of arm nerves 1095.19 1095.19 3/1/2020 64862 repair of low back nerves 1074.11 1074.11 3/1/2020 64864 repair of facial nerve 697.50 697.50 3/1/2020 64865 suture facial nerve intratemporal w/wo grafting 919.46 919.46 3/1/2020 64866 fusion of facial/other nerve 956.32 956.32 3/1/2020 64868 fusion of facial/other nerve 836.73 836.73 3/1/2020 64872 suture of nerve; 99.03 99.03 3/1/2020 64874 repair & revise nerve 145.65 145.65 3/1/2020 64885 nerve graft, head/neck; up to 4cm. 908.68 908.68 3/1/2020 64886 nerve graft, head/neck; more than 4 cm. 1078.16 1078.16 3/1/2020 64890 nerve graft, hand or foot 866.48 866.48 3/1/2020 64891 nerve graft single strand hand or foot more than 4 894.97 894.97 3/1/2020 64892 nerve graft, arm or leg 842.95 842.95 3/1/2020 64893 nerve graft single strand arm or leg more than 4 c 888.00 888.00 3/1/2020 64895 nerve graft, hand or foot 1042.39 1042.39 3/1/2020 64896 nerve graft multiple strands hand or foot over 4cm 1149.29 1149.29 3/1/2020 64897 nerve graft, arm or leg 1008.39 1008.39 3/1/2020 64898 nerve graft single strand more than 4cm 1099.39 1099.39 3/1/2020 64901 nerve graft, each additional nerve; single strand 495.62 495.62 3/1/2020 64902 nerve graft multiple strands 569.63 569.63 3/1/2020 64905 nerve pedicle transfer first stage 805.91 805.91 3/1/2020 64907 nerve pedicle transfer second stage 1059.81 1059.81 3/1/2020 65091 revise eyeball 459.92 459.92 3/1/2020 65101 removal of eyeball 529.85 529.85 3/1/2020 65110 removal of eyeball 893.82 893.82 3/1/2020 65112 remove eye, revise socket 1052.80 1052.80 3/1/2020 65114 remove eye, revise socket 1095.21 1095.21 3/1/2020 65205 removal of foreign body, external eye; 33.56 41.74 3/1/2020 65210 removal of foreign body, external eye; 40.45 51.04 3/1/2020 65220 removal of foreign body, external eye; 33.06 42.76 3/1/2020 65222 removal of foreign body, external eye; 44.30 56.11 3/1/2020 65235 removal of foreign body, intraocular; from anterior chamber of eye or lens 505.90 505.90 3/1/2020 65260 remove foreign body from eye 694.30 694.30 3/1/2020 65265 remove foreign body from eye 782.07 782.07 3/1/2020 65270 repair of laceration; 103.49 191.31 3/1/2020 65272 repair wound of eye 251.18 355.05 3/1/2020 65273 rep laceration conjuctiva by mobilazation rearr w 276.14 276.14 3/1/2020 65275 repair wound of eye 328.76 400.52 3/1/2020 65280 repair wound of eye 484.52 484.52 3/1/2020 65285 repair wound of eye 757.04 757.04 3/1/2020 65286 repair of laceration by application of tissue glue 356.07 502.65 3/1/2020 65290 repair wound of eye socket 355.45 355.45 3/1/2020 65400 removal of eye lesion 428.36 480.75 3/1/2020 65410 biopsy of cornea of eye 77.45 104.39 3/1/2020 65420 amb surg excision/transposition pterygium wo graft 269.45 367.87 3/1/2020 65426 amb surg pterygium excision/transposition w graft 344.38 465.21 3/1/2020 65430 scraping of cornea, diagnostic, for smear and/or culture 77.45 85.01 3/1/2020 65435 removal of corneal epithelium; 51.54 58.51 3/1/2020 65436 curette/treat cornea 267.91 278.50 3/1/2020 65450 destruction of lesion of cornea by cryotherapy, photocoagulation 226.56 229.28 3/1/2020 65600 multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) 242.16 277.89 3/1/2020 65710 corneal transplant 799.19 799.19 3/1/2020 65730 corneal transplant 889.61 889.61 3/1/2020 65750 corneal transplant 902.84 902.84 3/1/2020 65755 keratoplasty, penetrating 897.51 897.51 3/1/2020 65770 keratoprosthesis 1032.96 1032.96 3/1/2020 65772 corneal relaxing incision for correction of surgically induced astigmatism 290.30 321.79 3/1/2020 65775 corneal wedge resection for correction of surgically induced astigmatism 396.64 396.64 3/1/2020 65800 paracentesis of anterior chamber of eye (separate procedure); 98.02 111.04 3/1/2020 65810 amb surg paracentesis anterior chamber eye 336.27 336.27 3/1/2020 65815 drainage of eyeball 341.17 455.32 3/1/2020 65820 relieve inner eye pressure 540.59 540.59 3/1/2020 65850 incision of eyeball 617.41 617.41 3/1/2020 65855 trabeculoplasty by laser one or more sessions 217.62 246.10 3/1/2020 65860 severing adhesions of anter. segmt. laser techniq. 189.03 227.19 3/1/2020 65865 relieve inner eye adhesions 344.04 344.04 3/1/2020 65870 relieve inner eye adhesions 425.39 425.39 3/1/2020 65875 relieve inner eye adhesions 451.71 451.71 3/1/2020 65880 relieve inner eye adhesions 476.41 476.41 3/1/2020 65900 removal of epithelial downgrowth, anterior chamber of eye 699.67 699.67 3/1/2020 65920 removal of implanted material, anterior segment of eye 565.71 565.71 3/1/2020 65930 removal of blood clot, anterior segment of eye 466.12 466.12 3/1/2020 66020 injection, anterior chamber of eye (separate procedure); air or liquid 95.26 133.72 3/1/2020 66030 injection, anterior chamber (separate procedure); 79.46 117.93 3/1/2020 66130 amb surg excision lesion sclera 420.26 509.91 3/1/2020 66150 incision of eyeball 621.13 621.13 3/1/2020 66155 incision of eyeball 619.15 619.15 3/1/2020 66160 incision of eyeball 705.57 705.57 3/1/2020 66170 incision of eyeball 854.37 854.37 3/1/2020 66172 fistulizaiton of sclera for glaucoma; trabeculectomy ab externo with scarrin 1073.48 1073.48 3/1/2020 66180 aqueous shunt to extraocular reservoir 852.95 852.95 3/1/2020 66185 revision of aqueous shunt to extraocular reservoir 536.99 536.99 3/1/2020 66225 repair/graft eyeball lesion 676.24 676.24 3/1/2020 66250 revision or repair of operative wound of anterior segment, 398.42 535.01 3/1/2020 66500 incision of iris 253.39 253.39 3/1/2020 66505 incision of iris 277.45 277.45 3/1/2020 66600 amb surg iridectomy, corneoscleral/corneal section 589.81 589.81 3/1/2020 66605 amb surg iridectomy, corneoscleral/corneal section 768.96 768.96 3/1/2020 66625 amb surg iridectomy corneoscleral or corneal 310.07 310.07 3/1/2020 66630 amb surg iridectomy corneoscleral or corneal 408.47 408.47 3/1/2020 66635 amb surg iridectomy corneoscleral or corneal 412.62 412.62 3/1/2020 66680 repair of iris 368.88 368.88 3/1/2020 66682 suture of iris ciliary body w/retrieval of suture 447.66 447.66 3/1/2020 66700 ciliary body destruction; diathermy. 285.72 322.67 3/1/2020 66710 ciliary body destruction; cyclophotocoagulation, transscleral 284.90 317.30 3/1/2020 66711 ciliary body destruction; cyclophotocoagulation, endoscopic 455.76 455.76 3/1/2020 66720 cilary body distruction; cryotherapy. 300.48 331.97 3/1/2020 66740 ciliary body distruction; cyclodialysis. 286.11 315.18 3/1/2020 66761 revision of iris 294.71 322.89 3/1/2020 66762 revision of iris 305.06 338.67 3/1/2020 66770 destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) 345.93 376.52 3/1/2020 66820 incision of lens lesion 284.03 284.03 3/1/2020 66821 discission secondary cataract; laser 218.18 230.90 3/1/2020 66825 repositioning intraocular lens pros; incisional 548.10 548.10 3/1/2020 66830 amb surg cataract removal 515.07 515.07 3/1/2020 66840 amb surg cataract removal 501.95 501.95 3/1/2020 66850 removal of lens material; phacofragmentation with aspiration 573.12 573.12 3/1/2020 66852 removal lens material, pars plana w/wo vitrectomy 613.61 613.61 3/1/2020 66920 amb surg cataract removal 547.43 547.43 3/1/2020 66930 amb surg cataract removal 622.28 622.28 3/1/2020 66940 amb surg cataract removal 564.69 564.69 3/1/2020 66982 extracapsular cataract removal with insertion of intraocular lens prosthesis 779.01 779.01 3/1/2020 66983 intracapsular extraction with insertion of prosthe 537.01 537.01 3/1/2020 66984 extracapsular cataract removal with lens prosthes 558.04 558.04 3/1/2020 66985 insert lens prosthesis 551.03 551.03 3/1/2020 66986 exchange of intraocular lens. 675.17 675.17 3/1/2020 66990 use of ophthalmic endoscope (list separately in addition to code for primar 69.67 69.67 3/1/2020 67005 partial removal of eye fluid 339.47 339.47 3/1/2020 67010 partial removal of eye fluid 393.55 393.55 3/1/2020 67015 release of eye fluid 419.14 419.14 3/1/2020 67025 replace eye fluid 452.87 519.49 3/1/2020 67027 implantation of intravitreal drug delivery system (eg, ganciclovir implant), 621.62 621.62 3/1/2020 67028 intravitreal injection of a pharmacologic agent (separate procedure) 126.18 156.16 3/1/2020 67030 incise inner eye strands 373.81 373.81 3/1/2020 67031 severing of vitreous stands laser surgery 254.24 276.34 3/1/2020 67036 vitrectomy, pars plana approach 702.54 702.54 3/1/2020 67039 vitrectomy, mech, w focal endolaser photocoagulat 898.97 898.97 3/1/2020 67040 laser treatment of retina 1037.86 1037.86 3/1/2020 67101 repair of retinal detachment, one or more sessions 484.86 556.64 3/1/2020 67105 repair of retinal detachment, one or more sessions; photocoagulation, with 465.17 516.04 3/1/2020 67107 repair detached retina 883.25 883.25 3/1/2020 67108 repair detached retina 1177.49 1177.49 3/1/2020 67110 repair of retinal detachment; by injection of air or other gas (eg, pneumatic 558.55 624.26 3/1/2020 67115 release of encircling material 354.08 354.08 3/1/2020 67120 revision of inner eye 399.43 468.78 3/1/2020 67121 removal of implanted material, intraocular. 657.94 657.94 3/1/2020 67141 prophylaxis of retinal detachment 348.39 372.93 3/1/2020 67145 prophylaxis of retinal detachment;photocoagulation 356.30 376.28 3/1/2020 67208 destruction of retinal lesion 417.73 432.26 3/1/2020 67210 destruction of localized lesion of retina (eg, macular , tumors), one 490.28 506.33 3/1/2020 67218 treatment inner eye lesion 1029.93 1029.93 3/1/2020 67220 destruction of localized lesion of choroid (eg, choroidal neovascularization 742.42 776.95 3/1/2020 67221 destruction of localized lesion of choroid (eg, choroidal neovascularization 164.94 218.55 3/1/2020 67225 destruction of localized lesion of choroid (eg, choroidal neovascularization 21.56 22.77 3/1/2020 67227 destruction of retinopathy, one or more sessions 412.60 439.55 3/1/2020 67228 destruction of retinopathy, photocoagulation 766.47 864.89 3/1/2020 67250 reinforce eyeball wall 569.60 569.60 3/1/2020 67255 reinforce/graft eyeball wall 608.70 608.70 3/1/2020 67311 stabismus surgery, one horizonal muscle 432.41 432.41 3/1/2020 67312 strabismus surgery, two horizontal muscles 517.94 517.94 3/1/2020 67314 strabismus surgery, one vertical muscle 484.94 484.94 3/1/2020 67316 strabismus surgery, 2 or more vertical muscles 581.62 581.62 3/1/2020 67318 strabismus surgery, any procedure, superior oblique muscle 507.37 507.37 3/1/2020 67320 revise eye ball muscles 244.35 244.35 3/1/2020 67331 amb surg strabismus surgery patient prior surgery 231.37 231.37 3/1/2020 67332 revise eyeball muscles 251.60 251.60 3/1/2020 67334 strabismus surg., post fixation suture w/wo recess 228.23 228.23 3/1/2020 67335 placement of adjustable suture(s) during strabismus surgery, including 114.81 114.81 3/1/2020 67340 strabismus surg. w exploration/repair detached mus 271.88 271.88 3/1/2020 67343 release extensive scar tissue w/o detaching muscle 471.08 471.08 3/1/2020 67345 chemodenervation of extraocular muscle 156.81 171.64 3/1/2020 67346 biopsy of extraocular muscle 150.37 150.37 3/1/2020 67400 explore/treat eye socket 676.94 676.94 3/1/2020 67405 explore/treat eye socket 575.42 575.42 3/1/2020 67412 explore/treat eye socket 626.66 626.66 3/1/2020 67413 explore/treat eye socket 626.88 626.88 3/1/2020 67414 orbitotomy wo flap; w bone removal for decompress. 964.74 964.74 3/1/2020 67415 explore/treat eye socket 80.39 80.39 3/1/2020 67420 explore/treat eye socket 1201.67 1201.67 3/1/2020 67430 explore/treat eye socket 910.46 910.46 3/1/2020 67440 explore/treat eye socket 877.93 877.93 3/1/2020 67445 orbitotomy w flap/window; w bone removal. 1035.21 1035.21 3/1/2020 67450 explore/treat eye socket 910.96 910.96 3/1/2020 67500 retrobulbar injection; 61.20 67.25 3/1/2020 67505 inject/treat eye socket 58.98 65.33 3/1/2020 67515 injection of medication or other substance into tenon's capsule 64.32 69.48 3/1/2020 67570 optic nerve decompression. 845.15 845.15 3/1/2020 67700 blepharotomy, drainage of abscess, eyelid 83.25 189.85 3/1/2020 67710 incision of eyelid 69.30 159.85 3/1/2020 67715 incision of eyelid 78.49 168.74 3/1/2020 67800 excision of chalazion; 76.34 91.78 3/1/2020 67801 excision of chalazion; 99.17 117.95 3/1/2020 67805 excision of chalazion; 121.64 145.88 3/1/2020 67808 excision of chalazion; 263.25 263.25 3/1/2020 67810 biopsy of eyelid 71.51 163.87 3/1/2020 67820 correction of trichiasis; 40.12 38.91 3/1/2020 67825 correction of trichiasis; epilation by other than forceps 87.56 93.02 3/1/2020 67830 revise eyelashes 100.37 190.92 3/1/2020 67835 revise eyelashes w/free mucous membrane graft 320.60 320.60 3/1/2020 67840 excision eyelid lesion w/o closure or with simple direct closure 116.46 200.34 3/1/2020 67850 destruction of lesion of lid margin up to 1 cm 104.08 161.31 3/1/2020 67875 temporary closure of eyelids by suture 72.60 125.30 3/1/2020 67880 revision of eyelid(s) 263.25 326.22 3/1/2020 67882 construction intermarginal adhesions with transposition of tarsal plate 339.39 403.28 3/1/2020 67901 repair of blepharoptosis; frontalis muscle technique with suture or other 421.42 504.08 3/1/2020 67902 repair of blepharoptosis; frontalis muscle technique with autologous fascia 522.57 522.57 3/1/2020 67903 amb surg repair blepharoptosis 364.09 445.85 3/1/2020 67904 amb surg repair blepharoptosis 432.02 527.71 3/1/2020 67906 amb surg repair blepharoptosis 377.63 377.63 3/1/2020 67908 amb surg repair blepharoptosis 313.51 355.30 3/1/2020 67909 amb surg reduction overcorrection of ptosis 321.16 389.59 3/1/2020 67911 amb surg correction of lid retraction 404.01 404.01 3/1/2020 67912 correction of lagophthalmos, with implantation of upper eyelid lid load (eg, 362.71 651.91 3/1/2020 67914 amb surg repair ectropion suture 211.69 282.86 3/1/2020 67915 repair of ectropion; 186.85 253.17 3/1/2020 67916 amb surg repair ectropion blepharoplasty 315.47 389.97 3/1/2020 67917 amb surg repair ectropion blepharoplasty extensive 349.16 426.68 3/1/2020 67921 amb surg repair entropion suture 197.86 269.03 3/1/2020 67922 repair of entropion; 179.99 245.09 3/1/2020 67923 amb surg repair entropion excision tarsal wedge 340.61 411.77 3/1/2020 67924 amb surg repair entropion blepharoplasty extensive 329.46 425.46 3/1/2020 67930 repair eyelid wound; partial thickness 182.42 267.21 3/1/2020 67935 repair eyelid wound; full thickness 332.68 434.73 3/1/2020 67938 remove foreign body, eyelid 83.60 173.53 3/1/2020 67950 revision of eyelids: canthoplasty 342.62 419.53 3/1/2020 67961 revision of eyelids 334.70 418.58 3/1/2020 67966 revision of eyelids over one-fourth of lid margin 475.43 554.17 3/1/2020 67971 reconstruction of eyelid 536.73 536.73 3/1/2020 67973 reconstruction of eyelid 695.76 695.76 3/1/2020 67974 reconstruction of eyelid, total eyelid, upper, 1 stage or 1st stage 692.96 692.96 3/1/2020 67975 reconstruction of eyelid, 2nd stage 506.63 506.63 3/1/2020 68020 incise / drain eyelid lesion 80.67 86.43 3/1/2020 68040 treatment of eyelid lesions 40.47 48.34 3/1/2020 68100 biopsy eyelid lining 73.21 124.38 3/1/2020 68110 remove eyelid lining lesion 107.71 161.92 3/1/2020 68115 remove eyelid lining lesion; over 1 cm 134.61 224.55 3/1/2020 68130 remove eyelid lining lesion; with adjacent sclera 298.26 388.20 3/1/2020 68135 remove eyelid lining lesion; destruction of lesion, conjunctiva 110.01 113.64 3/1/2020 68200 subconjunctival injection 25.85 31.00 3/1/2020 68320 revise / graft eyelid lining 383.30 513.52 3/1/2020 68325 revise / graft eyelid lining; w/buccal mucous membrane graft 477.72 477.72 3/1/2020 68326 revise eyelid lining; conjunctivoplasty, reconstruction cul-de-sac 465.05 465.05 3/1/2020 68328 revise / graft eyelid lining; w/ buccal mucous membrane graft 519.67 519.67 3/1/2020 68330 revise eyelid lining; repair of symblepharon; conjunctivoplasty, w/o graft 329.81 431.87 3/1/2020 68335 revise/graft eyelid lining; w/free graft conjunctiva or buccal mucous memb 466.56 466.56 3/1/2020 68340 separate eyelid adhesions 284.85 388.42 3/1/2020 68360 revise eyelid lining; conjunctival flap; bridge or partial 294.64 379.43 3/1/2020 68362 revise eyelid lining; total 472.98 472.98 3/1/2020 68400 incise/drain tear gland 99.74 201.19 3/1/2020 68420 incise/drain tear gland; of lacrimal sac 128.19 230.25 3/1/2020 68440 incise tear duct opening 69.42 76.99 3/1/2020 68500 removal of tear gland 704.69 704.69 3/1/2020 68505 partial removal of tear gland 708.72 708.72 3/1/2020 68510 biopsy of tear gland 220.78 331.61 3/1/2020 68520 removal of tear sac 498.44 498.44 3/1/2020 68525 biopsy of tear sac 203.47 203.47 3/1/2020 68530 clearance of tear duct 193.84 314.67 3/1/2020 68540 remove tear gland lesion 673.91 673.91 3/1/2020 68550 remove tear gland lesion 828.94 828.94 3/1/2020 68700 repair tear ducts 434.91 434.91 3/1/2020 68705 revise tear duct opening 121.05 171.62 3/1/2020 68720 incise tear ducts 552.21 552.21 3/1/2020 68745 incise tear ducts 554.26 554.26 3/1/2020 68750 establish tear duct channel 569.48 569.48 3/1/2020 68760 close tear duct opening 105.80 145.47 3/1/2020 68761 closure of the lacrimal punctum; 85.80 106.08 3/1/2020 68770 close tear system fistula 431.10 431.10 3/1/2020 68840 exploration of tear ducts 80.98 89.76 3/1/2020 68850 injection only dacryocystography 46.40 50.64 3/1/2020 69000 drainage external ear, abscess or hematoma; 91.50 137.53 3/1/2020 69005 drain external ear lesion 124.74 163.81 3/1/2020 69020 drain outer ear canal lesion 110.95 174.55 3/1/2020 69100 biopsy external ear 39.55 81.65 3/1/2020 69105 biopsy external auditory canal 51.39 106.50 3/1/2020 69110 partial removal external ear 255.80 348.47 3/1/2020 69120 removal of external ear 310.75 310.75 3/1/2020 69140 amb surg excision exotosis external auditory canal 677.03 677.03 3/1/2020 69145 excision soft tissue lesion, external auditory canal 192.86 292.50 3/1/2020 69150 extensive outer ear surgery 834.91 834.91 3/1/2020 69155 extensive ear/neck surgery 1343.14 1343.14 3/1/2020 69200 removal foreign body from external auditory canal; 44.63 92.78 3/1/2020 69205 removal foreign body from external auditory canal; 79.82 79.82 3/1/2020 69210 removal impacted cerumen (separate procedure), one or both ears 26.76 38.88 3/1/2020 69220 debridement, mastoidectomy cavity, simple 49.82 104.03 3/1/2020 69222 debridement, mastoidectomy cavity, complex 107.73 167.09 3/1/2020 69310 reconstruction of external auditory canal (meatoplasty) (eg, for stenosis du 847.09 847.09 3/1/2020 69320 rebuild outer ear canal 1211.02 1211.02 3/1/2020 69420 myringotomy including aspiration and/or eustachian tube inflation 94.02 144.90 3/1/2020 69421 myringotomy including aspiration and/or eustachian tube inflation 119.15 119.15 3/1/2020 69424 removal ventilating tube insert by other physician 49.88 98.33 3/1/2020 69433 tympanostomy, local or topical anesthesia 101.87 151.23 3/1/2020 69436 amb surg tympanostomy w insert ventilation tubes 129.63 129.63 3/1/2020 69440 amb surg middle ear exploration 535.89 535.89 3/1/2020 69450 tympanolysis transcanal 419.83 419.83 3/1/2020 69501 amb surg transmastoid anttrotomy (mastoidectomy) 577.49 577.49 3/1/2020 69502 mastoidectomy complete 769.02 769.02 3/1/2020 69505 removal mastoid structures 945.37 945.37 3/1/2020 69511 removal mastoid structure 972.33 972.33 3/1/2020 69530 remove part of temporal bone 1313.89 1313.89 3/1/2020 69535 remove part of temporal bone 2145.57 2145.57 3/1/2020 69540 remove ear lesion 98.95 157.40 3/1/2020 69550 remove ear lesion 816.59 816.59 3/1/2020 69552 remove ear lesion 1252.09 1252.09 3/1/2020 69554 remove ear lesion 1996.48 1996.48 3/1/2020 69601 revise mastoid surgery 828.92 828.92 3/1/2020 69602 revise mastoid surgery 861.86 861.86 3/1/2020 69603 revise mastoid surgery 1000.35 1000.35 3/1/2020 69604 revise mastoid surgery 889.20 889.20 3/1/2020 69610 repair of eardrum 238.53 307.28 3/1/2020 69620 amb surg myringoplasty 385.83 534.82 3/1/2020 69631 amb surg tympanoplasty without mastoidectomy 689.65 689.65 3/1/2020 69632 repair of eardrum 848.40 848.40 3/1/2020 69633 tympanoplasty w/o mastoidectomy with ossicular cha 816.99 816.99 3/1/2020 69635 repair eardrum structures 959.25 959.25 3/1/2020 69636 rebuild eardrum structures 1087.25 1087.25 3/1/2020 69637 amb surg tympano/antr or mast w ossic-porp or torp 1082.22 1082.22 3/1/2020 69641 amb surg tympano/mastoidect, no ossic chn reconstr 822.53 822.53 3/1/2020 69642 revise middle ear & mastoid 1061.82 1061.82 3/1/2020 69643 revise middle ear and mastoid 969.75 969.75 3/1/2020 69644 revise middle ear & mastoid 1171.50 1171.50 3/1/2020 69645 revise middle ear & mastoid 1147.28 1147.28 3/1/2020 69646 tympanoplasty with mastoidectomy (including canalplasty, middle 1220.98 1220.98 3/1/2020 69650 release middle ear bone 626.31 626.31 3/1/2020 69660 amb surg stapedectomy 737.89 737.89 3/1/2020 69661 stapedectomy with foot plate drill out 965.48 965.48 3/1/2020 69662 revision stapedectomy or stapedotomy 926.14 926.14 3/1/2020 69666 repair middle ear structures 635.52 635.52 3/1/2020 69667 repair middle ear structures 637.68 637.68 3/1/2020 69670 remove mastoid air cells 744.05 744.05 3/1/2020 69676 typanic neurectomy 654.48 654.48 3/1/2020 69700 amb surg closure postauricularicular fistula masto 546.33 546.33 3/1/2020 69720 release facial nerve 928.99 928.99 3/1/2020 69725 release facial nerve 1522.47 1522.47 3/1/2020 69740 repair facial nerve 938.86 938.86 3/1/2020 69745 repair facial nerve 996.40 996.40 3/1/2020 69801 incise inner ear 587.53 587.53 3/1/2020 69805 explore inner ear 840.89 840.89 3/1/2020 69806 explore inner ear 754.07 754.07 3/1/2020 69905 remove inner ear 726.82 726.82 3/1/2020 69910 remove ear and mastoid 815.90 815.90 3/1/2020 69915 incise inner ear nerve 1239.85 1239.85 3/1/2020 69930 cochlear device implantation with or w/o mastoidectomy 995.07 995.07 3/1/2020 69950 incise inner ear nerve 1469.78 1469.78 3/1/2020 69955 release facial nerve 1605.80 1605.80 3/1/2020 69960 release inner ear canal 1558.47 1558.47 3/1/2020 69970 remove inner ear lesion 1739.48 1739.48 3/1/2020 69990 microsurgical techniques, requiring use of operating microscope (list 175.97 175.97 3/1/2020 70010 26 , posterior fossa 53.03 53.03 3/1/2020 70010 TC myelography, posterior fossa 90.88 90.88 3/1/2020 70010 myelography, posterior fossa 143.89 143.89 3/1/2020 70015 26 cisternography, positive contrast 54.24 54.24 3/1/2020 70015 TC cisternography, positive contrast 66.47 66.47 3/1/2020 70015 cisternography, positive contrast 120.72 120.72 3/1/2020 70030 26 radiologic exam eye 7.59 7.59 3/1/2020 70030 TC radiologic exam eye 15.87 15.87 3/1/2020 70030 radiologic exam eye 23.45 23.45 3/1/2020 70100 26 radiologic exam mandible partial 7.92 7.92 3/1/2020 70100 TC radiologic exam mandible partial 17.37 17.37 3/1/2020 70100 radiologic exam mandible partial 25.29 25.29 3/1/2020 70110 26 radiologic exam mandible complete 11.12 11.12 3/1/2020 70110 TC radiologic exam mandible complete 21.72 21.72 3/1/2020 70110 radiologic exam mandible complete 32.84 32.84 3/1/2020 70120 26 radiologic exam mastoid 7.92 7.92 3/1/2020 70120 TC radiologic exam mastoid 19.60 19.60 3/1/2020 70120 radiologic exam mastoid 27.53 27.53 3/1/2020 70130 26 radiologic exam mastoids, complete 15.18 15.18 3/1/2020 70130 TC radiologic exam mastoids, complete 30.42 30.42 3/1/2020 70130 radiologic exam mastoids, complete 45.60 45.60 3/1/2020 70134 26 radiologic exam internal auditory complete 15.18 15.18 3/1/2020 70134 TC radiologic exam internal auditory complete 24.05 24.05 3/1/2020 70134 radiologic exam internal auditory complete 39.23 39.23 3/1/2020 70140 26 radiologic exam, facial bones, less than three views 8.24 8.24 3/1/2020 70140 TC radiologic exam, facial bones, less than three views 16.58 16.58 3/1/2020 70140 radiologic exam, facial bones, less than three views 24.82 24.82 3/1/2020 70150 26 radiologic exam facial bones, complete 11.45 11.45 3/1/2020 70150 TC radiologic exam facial bones, complete 24.05 24.05 3/1/2020 70150 radiologic exam facial bones, complete 35.50 35.50 3/1/2020 70160 26 radiologic exam, nasal bones, complete, minimum of 3 views 7.59 7.59 3/1/2020 70160 TC radiologic exam, nasal bones, complete, minimum of 3 views 18.89 18.89 3/1/2020 70160 radiologic exam, nasal bones, complete, minimum of 3 views 26.48 26.48 3/1/2020 70170 26 dacryocystography 13.36 13.36 3/1/2020 70170 TC dacryocystography 31.92 31.92 3/1/2020 70170 dacryocystography 44.81 44.81 3/1/2020 70190 26 radiologic exam, optic foramina 9.20 9.20 3/1/2020 70190 TC radiologic exam, optic foramina 20.21 20.21 3/1/2020 70190 radiologic exam, optic foramina 29.41 29.41 3/1/2020 70200 26 radiologic exam, orbits, complete 12.40 12.40 3/1/2020 70200 TC radiologic exam, orbits, complete 24.36 24.36 3/1/2020 70200 radiologic exam, orbits, complete 36.76 36.76 3/1/2020 70210 26 radiologic exam, sinuses, paranasal less than 3 views 7.59 7.59 3/1/2020 70210 TC radiologic exam, sinuses, paranasal less than 3 views 17.18 17.18 3/1/2020 70210 radiologic exam, sinuses, paranasal less than 3 views 24.78 24.78 3/1/2020 70220 26 radiologic exam sinuses complete 10.82 10.82 3/1/2020 70220 TC radiologic exam sinuses complete 21.63 21.63 3/1/2020 70220 radiologic exam sinuses complete 32.45 32.45 3/1/2020 70240 26 radiologic exam sella turcica 8.55 8.55 3/1/2020 70240 TC radiologic exam sella turcica 15.87 15.87 3/1/2020 70240 radiologic exam sella turcica 24.40 24.40 3/1/2020 70250 26 radiologic exam, skull, less than 4 views, with/without stereo 10.49 10.49 3/1/2020 70250 TC radiologic exam, skull, less than 4 views, with/without stereo 19.60 19.60 3/1/2020 70250 radiologic exam, skull, less than 4 views, with/without stereo 30.09 30.09 3/1/2020 70260 26 radiologic exam skull complete 14.88 14.88 3/1/2020 70260 TC radiologic exam skull complete 25.17 25.17 3/1/2020 70260 radiologic exam skull complete 40.05 40.05 3/1/2020 70300 26 radiologic exam teeth 4.69 4.69 3/1/2020 70300 TC radiologic exam teeth 6.79 6.79 3/1/2020 70300 radiologic exam teeth 11.77 11.77 3/1/2020 70310 26 radiologic exam, teeth partial exam 7.27 7.27 3/1/2020 70310 TC radiologic exam, teeth partial exam 20.71 20.71 3/1/2020 70310 radiologic exam, teeth partial exam 27.97 27.97 3/1/2020 70320 26 radiologic exam teeth complete 9.83 9.83 3/1/2020 70320 TC radiologic exam teeth complete 20.71 20.71 3/1/2020 70320 radiologic exam teeth complete 27.97 27.97 3/1/2020 70328 26 radiologic exam temporomandibular joint 7.92 7.92 3/1/2020 70328 TC radiologic exam temporomandibular joint 16.77 16.77 3/1/2020 70328 radiologic exam temporomandibular joint 24.69 24.69 3/1/2020 70330 26 radiologic exam, temporomandibular joint, open & closed,bilateral 10.78 10.78 3/1/2020 70330 TC radiologic exam, temporomandibular joint, open & closed,bilateral 28.30 28.30 3/1/2020 70330 radiologic exam, temporomandibular joint, open & closed,bilateral 39.08 39.08 3/1/2020 70332 26 temporomandibular joint arthrography 23.54 23.54 3/1/2020 70332 TC temporomandibular joint arthrography 47.01 47.01 3/1/2020 70332 temporomandibular joint arthrography 70.55 70.55 3/1/2020 70336 26 magnetic resonance (eg, proton) imaging, temporomandibular joint(s) 66.26 66.26 3/1/2020 70336 TC magnetic resonance (eg, proton) imaging, temporomandibular joint(s) 359.29 359.29 3/1/2020 70336 magnetic resonance (eg, proton) imaging, temporomandibular joint(s) 425.55 425.55 3/1/2020 70350 26 cephalogram, orthodontic 7.59 7.59 3/1/2020 70350 TC cephalogram, orthodontic 9.50 9.50 3/1/2020 70350 cephalogram, orthodontic 17.09 17.09 3/1/2020 70355 26 orthopantogram 8.87 8.87 3/1/2020 70355 TC orthopantogram 10.22 10.22 3/1/2020 70355 orthopantogram 19.09 19.09 3/1/2020 70360 26 radiologic exam; neck 7.59 7.59 3/1/2020 70360 TC radiologic exam; neck 10.22 10.22 3/1/2020 70360 radiologic exam; neck 19.09 19.09 3/1/2020 70370 26 radiologic exam; pharynx or larynx 14.02 14.02 3/1/2020 70370 TC radiologic exam; pharynx or larynx 47.48 47.48 3/1/2020 70370 radiologic exam; pharynx or larynx 61.50 61.50 3/1/2020 70380 26 radiologic exam, salivary gland 7.59 7.59 3/1/2020 70380 TC radiologic exam, salivary gland 22.94 22.94 3/1/2020 70380 radiologic exam, salivary gland 30.52 30.52 3/1/2020 70390 26 sialography 17.09 17.09 3/1/2020 70390 TC sialography 65.27 65.27 3/1/2020 70390 sialography 82.36 82.36 3/1/2020 70450 26 computerized axial tomography, head or brain 38.35 38.35 3/1/2020 70450 TC computerized axial tomography, head or brain 144.49 144.49 3/1/2020 70450 computerized axial tomography, head or brain 182.85 182.85 3/1/2020 70460 26 computerized axial tomography with contrast 50.76 50.76 3/1/2020 70460 TC computerized axial tomography with contrast 185.81 185.81 3/1/2020 70460 computerized axial tomography with contrast 236.55 236.55 3/1/2020 70470 26 computerized axial tomography with/without contras 57.06 57.06 3/1/2020 70470 TC computerized axial tomography with/without contras 229.06 229.06 3/1/2020 70470 computerized axial tomography with/without contras 286.10 286.10 3/1/2020 70480 26 computerized axial tomography orbit 57.38 57.38 3/1/2020 70480 TC computerized axial tomography orbit 221.11 221.11 3/1/2020 70480 computerized axial tomography orbit 278.49 278.49 3/1/2020 70481 26 computerized axial tomography with contrast 61.87 61.87 3/1/2020 70481 TC computerized axial tomography with contrast 261.82 261.82 3/1/2020 70481 computerized axial tomography with contrast 323.68 323.68 3/1/2020 70482 26 computerized axial tomography with/without contras 64.76 64.76 3/1/2020 70482 TC computerized axial tomography with/without contras 305.67 305.67 3/1/2020 70482 computerized axial tomography with/without contras 370.44 370.44 3/1/2020 70486 26 computerized axial tomography 51.08 51.08 3/1/2020 70486 TC computerized axial tomography 184.46 184.46 3/1/2020 70486 computerized axial tomography 235.54 235.54 3/1/2020 70487 26 computerized axial tomography, with contrast 58.65 58.65 3/1/2020 70487 TC computerized axial tomography, with contrast 226.09 226.09 3/1/2020 70487 computerized axial tomography, with contrast 284.73 284.73 3/1/2020 70488 26 computerized axial tomography with/without contras 63.48 63.48 3/1/2020 70488 TC computerized axial tomography with/without contras 282.66 282.66 3/1/2020 70488 computerized axial tomography with/without contras 346.13 346.13 3/1/2020 70490 26 computerized axial tomography,neck 57.69 57.69 3/1/2020 70490 TC computerized axial tomography,neck 175.98 175.98 3/1/2020 70490 computerized axial tomography,neck 233.68 233.68 3/1/2020 70491 26 computerized axial tomography neck with contrast 61.87 61.87 3/1/2020 70491 TC computerized axial tomography neck with contrast 218.21 218.21 3/1/2020 70491 computerized axial tomography neck with contrast 280.08 280.08 3/1/2020 70492 26 computerized axial tomography with/without contras 64.76 64.76 3/1/2020 70492 TC computerized axial tomography with/without contras 274.77 274.77 3/1/2020 70492 computerized axial tomography with/without contras 339.55 339.55 3/1/2020 70496 26 computed tomographic angiography, head, without contrast material(s), fo 78.94 78.94 3/1/2020 70496 TC computed tomographic angiography, head, without contrast material(s), fo 461.14 461.14 3/1/2020 70496 computed tomographic angiography, head, without contrast material(s), fo 540.08 540.08 3/1/2020 70498 26 computed tomographic angiography, neck, without contrast material(s), fo 79.24 79.24 3/1/2020 70498 TC computed tomographic angiography, neck, without contrast material(s), fo 463.26 463.26 3/1/2020 70498 computed tomographic angiography, neck, without contrast material(s), fo 542.50 542.50 3/1/2020 70540 26 magnetic resonance (eg, proton) imaging, orbit, face, and neck; without 60.28 60.28 3/1/2020 70540 TC magnetic resonance (eg, proton) imaging, orbit, face, and neck; without 400.26 400.26 3/1/2020 70540 magnetic resonance (eg, proton) imaging, orbit, face, and neck; without 460.54 460.54 3/1/2020 70542 26 magnetic resonance (eg, proton) imaging, orbit, face, and neck; with contr 72.36 72.36 3/1/2020 70542 TC magnetic resonance (eg, proton) imaging, orbit, face, and neck; with contr 439.48 439.48 3/1/2020 70542 magnetic resonance (eg, proton) imaging, orbit, face, and neck; with contr 511.83 511.83 3/1/2020 70543 26 magnetic resonance (eg, proton) imaging, orbit, face, and neck; without 96.09 96.09 3/1/2020 70543 TC magnetic resonance (eg, proton) imaging, orbit, face, and neck; without 609.17 609.17 3/1/2020 70543 magnetic resonance (eg, proton) imaging, orbit, face, and neck; without 705.25 705.25 3/1/2020 70544 26 magnetic resonance angiography, head; without contrast material(s) 53.66 53.66 3/1/2020 70544 TC magnetic resonance angiography, head; without contrast material(s) 442.56 442.56 3/1/2020 70544 magnetic resonance angiography, head; without contrast material(s) 496.22 496.22 3/1/2020 70545 26 magnetic resonance angiography, head; with contrast material(s) 53.66 53.66 3/1/2020 70545 TC magnetic resonance angiography, head; with contrast material(s) 440.44 440.44 3/1/2020 70545 magnetic resonance angiography, head; with contrast material(s) 494.10 494.10 3/1/2020 70546 26 magnetic resonance angiography, head; without contrast material(s), follow 80.58 80.58 3/1/2020 70546 TC magnetic resonance angiography, head; without contrast material(s), follow 706.04 706.04 3/1/2020 70546 magnetic resonance angiography, head; without contrast material(s), follow 786.62 786.62 3/1/2020 70547 26 magnetic resonance angiography, neck; without contrast material(s) 53.66 53.66 3/1/2020 70547 TC magnetic resonance angiography, neck; without contrast material(s) 441.36 441.36 3/1/2020 70547 magnetic resonance angiography, neck; without contrast material(s) 495.00 495.00 3/1/2020 70548 26 magnetic resonance angiography, neck; with contrast material(s) 53.66 53.66 3/1/2020 70548 TC magnetic resonance angiography, neck; with contrast material(s) 460.74 460.74 3/1/2020 70548 magnetic resonance angiography, neck; with contrast material(s) 514.40 514.40 3/1/2020 70549 26 magnetic resonance angiography, neck; without contrast material(s), follow 80.58 80.58 3/1/2020 70549 TC magnetic resonance angiography, neck; without contrast material(s), follow 706.64 706.64 3/1/2020 70549 magnetic resonance angiography, neck; without contrast material(s), follow 787.22 787.22 3/1/2020 70551 26 magnetic resonance, brain 66.26 66.26 3/1/2020 70551 TC magnetic resonance, brain 409.56 409.56 3/1/2020 70551 magnetic resonance, brain 475.82 475.82 3/1/2020 70552 26 magnetic resonance, brain with contrast 79.92 79.92 3/1/2020 70552 TC magnetic resonance, brain with contrast 452.12 452.12 3/1/2020 70552 magnetic resonance, brain with contrast 532.05 532.05 3/1/2020 70553 26 magnetic resonance, brain with/without contrast 105.69 105.69 3/1/2020 70553 TC magnetic resonance, brain with/without contrast 602.57 602.57 3/1/2020 70553 magnetic resonance, brain with/without contrast 708.26 708.26 3/1/2020 70557 26 magnetic resonance (eg, proton) imaging, brain (including brain stem and 130.83 130.83 3/1/2020 70557 TC magnetic resonance (eg, proton) imaging, brain (including brain stem and 392.48 392.48 3/1/2020 70557 magnetic resonance (eg, proton) imaging, brain (including brain stem and 523.30 523.30 3/1/2020 70558 26 magnetic resonance (eg, proton) imaging, brain (including brain stem and 142.87 142.87 3/1/2020 70558 TC magnetic resonance (eg, proton) imaging, brain (including brain stem and 428.63 428.63 3/1/2020 70558 magnetic resonance (eg, proton) imaging, brain (including brain stem and 571.50 571.50 3/1/2020 70559 26 magnetic resonance (eg, proton) imaging, brain (including brain stem and 145.11 145.11 3/1/2020 70559 TC magnetic resonance (eg, proton) imaging, brain (including brain stem and 435.32 435.32 3/1/2020 70559 magnetic resonance (eg, proton) imaging, brain (including brain stem and 580.42 580.42 3/1/2020 71100 26 radiologic exam, ribs 9.83 9.83 3/1/2020 71100 TC radiologic exam, ribs 17.48 17.48 3/1/2020 71100 radiologic exam, ribs 27.32 27.32 3/1/2020 71101 26 radiologic exam ribs /posteroanterior chest 11.77 11.77 3/1/2020 71101 TC radiologic exam ribs /posteroanterior chest 21.12 21.12 3/1/2020 71101 radiologic exam ribs /posteroanterior chest 32.89 32.89 3/1/2020 71110 26 radiologic exam, ribs bilateral 11.77 11.77 3/1/2020 71110 TC radiologic exam, ribs bilateral 22.24 22.24 3/1/2020 71110 radiologic exam, ribs bilateral 34.01 34.01 3/1/2020 71111 26 radiologic exam including posteroanterior 14.02 14.02 3/1/2020 71111 TC radiologic exam including posteroanterior 29.41 29.41 3/1/2020 71111 radiologic exam including posteroanterior 43.43 43.43 3/1/2020 71120 26 radiologic exam sternum 8.87 8.87 3/1/2020 71120 TC radiologic exam sternum 18.40 18.40 3/1/2020 71120 radiologic exam sternum 27.27 27.27 3/1/2020 71130 26 radiologic exam sternoclavicular joint(s) 9.83 9.83 3/1/2020 71130 TC radiologic exam sternoclavicular joint(s) 21.42 21.42 3/1/2020 71130 radiologic exam sternoclavicular joint(s) 31.26 31.26 3/1/2020 71250 26 computerized axial tomography 52.04 52.04 3/1/2020 71250 TC computerized axial tomography 186.62 186.62 3/1/2020 71250 computerized axial tomography 238.65 238.65 3/1/2020 71260 26 computerized axial tomography with contrast 55.57 55.57 3/1/2020 71260 TC computerized axial tomography with contrast 230.56 230.56 3/1/2020 71260 computerized axial tomography with contrast 286.13 286.13 3/1/2020 71270 26 computerized axial tomography without contrast 61.87 61.87 3/1/2020 71270 TC computerized axial tomography without contrast 291.18 291.18 3/1/2020 71270 computerized axial tomography without contrast 61.87 61.87 3/1/2020 71275 26 computed tomographic angiography, chest, without contrast material(s), fo 86.53 86.53 3/1/2020 71275 TC computed tomographic angiography, chest, without contrast material(s), fo 349.39 349.39 3/1/2020 71275 computed tomographic angiography, chest, without contrast material(s), fo 435.92 435.92 3/1/2020 71550 26 magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar 65.10 65.10 3/1/2020 71550 TC magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar 449.05 449.05 3/1/2020 71550 magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar 514.14 514.14 3/1/2020 71551 26 magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar 77.07 77.07 3/1/2020 71551 TC magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar 499.87 499.87 3/1/2020 71551 magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar 576.94 576.94 3/1/2020 71552 26 magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar 101.81 101.81 3/1/2020 71552 TC magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar 689.43 689.43 3/1/2020 71552 magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar 791.24 791.24 3/1/2020 72020 26 radiologic exam spine /specify level 6.94 6.94 3/1/2020 72020 TC radiologic exam spine /specify level 12.83 12.83 3/1/2020 72020 radiologic exam spine /specify level 19.77 19.77 3/1/2020 72040 26 radiologic examination, spine, cervical; two or three views 9.83 9.83 3/1/2020 72040 TC radiologic examination, spine, cervical; two or three views 20.82 20.82 3/1/2020 72040 radiologic examination, spine, cervical; two or three views 30.65 30.65 3/1/2020 72050 26 radiologic exam spine. 4 views 13.69 13.69 3/1/2020 72050 TC radiologic exam spine. 4 views 29.72 29.72 3/1/2020 72050 radiologic exam spine. 4 views 43.40 43.40 3/1/2020 72052 26 radiologic exam spine, complete 16.14 16.14 3/1/2020 72052 TC radiologic exam spine, complete 38.19 38.19 3/1/2020 72052 radiologic exam spine, complete 54.33 54.33 3/1/2020 72070 26 radiologic examination, spine; thoracic, two views 9.83 9.83 3/1/2020 72070 TC radiologic examination, spine; thoracic, two views 18.40 18.40 3/1/2020 72070 radiologic examination, spine; thoracic, two views 28.22 28.22 3/1/2020 72072 26 radiologic examination, spine; thoracic, three views 9.83 9.83 3/1/2020 72072 TC radiologic examination, spine; thoracic, three views 22.24 22.24 3/1/2020 72072 radiologic examination, spine; thoracic, three views 32.07 32.07 3/1/2020 72074 26 radiologic examination, spine; thoracic, minimum of four views 9.83 9.83 3/1/2020 72074 TC radiologic examination, spine; thoracic, minimum of four views 27.59 27.59 3/1/2020 72074 radiologic examination, spine; thoracic, minimum of four views 37.42 37.42 3/1/2020 72080 26 radiologic examination, spine; thoracolumbar, two views 9.83 9.83 3/1/2020 72080 TC radiologic examination, spine; thoracolumbar, two views 19.60 19.60 3/1/2020 72080 radiologic examination, spine; thoracolumbar, two views 29.44 29.44 3/1/2020 72100 26 radiologic examination, spine, lumbosacral; two or three views 9.83 9.83 3/1/2020 72100 TC radiologic examination, spine, lumbosacral; two or three views 22.33 22.33 3/1/2020 72100 radiologic examination, spine, lumbosacral; two or three views 32.16 32.16 3/1/2020 72110 26 radiologic examination, spine, lumbosacral; minimum of four views 13.69 13.69 3/1/2020 72110 TC radiologic examination, spine, lumbosacral; minimum of four views 31.23 31.23 3/1/2020 72110 radiologic examination, spine, lumbosacral; minimum of four views 44.92 44.92 3/1/2020 72114 26 radiologic exam spine complete /bending view 16.14 16.14 3/1/2020 72114 TC radiologic exam spine complete /bending view 42.43 42.43 3/1/2020 72114 radiologic exam spine complete /bending view 58.57 58.57 3/1/2020 72120 26 radiologic exam spine bending view 9.83 9.83 3/1/2020 72120 TC radiologic exam spine bending view 30.31 30.31 3/1/2020 72120 radiologic exam spine bending view 40.15 40.15 3/1/2020 72125 26 computerized axial tomography 52.04 52.04 3/1/2020 72125 TC computerized axial tomography 187.23 187.23 3/1/2020 72125 computerized axial tomography 239.25 239.25 3/1/2020 72126 26 computerized axial tomography with contrast 54.61 54.61 3/1/2020 72126 TC computerized axial tomography with contrast 230.86 230.86 3/1/2020 72126 computerized axial tomography with contrast 285.47 285.47 3/1/2020 72127 26 computerized axial tomography without contrast 56.75 56.75 3/1/2020 72127 TC computerized axial tomography without contrast 290.58 290.58 3/1/2020 72127 computerized axial tomography without contrast 347.33 347.33 3/1/2020 72128 26 computerized axial tomography thoracic spine 52.04 52.04 3/1/2020 72128 TC computerized axial tomography thoracic spine 186.62 186.62 3/1/2020 72128 computerized axial tomography thoracic spine 238.65 238.65 3/1/2020 72129 26 comp. axial tomography/thoracic spine with contras 54.92 54.92 3/1/2020 72129 TC comp. axial tomography/thoracic spine with contras 230.86 230.86 3/1/2020 72129 comp. axial tomography/thoracic spine with contras 285.78 285.78 3/1/2020 72130 26 comp. tomography/thoracic spine without contrast 57.06 57.06 3/1/2020 72130 TC comp. tomography/thoracic spine without contrast 291.18 291.18 3/1/2020 72130 comp. tomography/thoracic spine without contrast 348.24 348.24 3/1/2020 72131 26 computerized axial tomography/ lumbar spine 52.04 52.04 3/1/2020 72131 TC computerized axial tomography/ lumbar spine 186.31 186.31 3/1/2020 72131 computerized axial tomography/ lumbar spine 238.35 238.35 3/1/2020 72132 26 computerized axial tomography lumbar spine/contras 54.92 54.92 3/1/2020 72132 TC computerized axial tomography lumbar spine/contras 230.56 230.56 3/1/2020 72132 computerized axial tomography lumbar spine/contras 285.47 285.47 3/1/2020 72133 26 computerized tomography lumbar spine w/wo contrast 57.06 57.06 3/1/2020 72133 TC computerized tomography lumbar spine w/wo contrast 290.88 290.88 3/1/2020 72133 computerized tomography lumbar spine w/wo contrast 347.94 347.94 3/1/2020 72141 26 magnetic resonance spinal canal 71.40 71.40 3/1/2020 72141 TC magnetic resonance spinal canal 364.14 364.14 3/1/2020 72141 magnetic resonance spinal canal 435.54 435.54 3/1/2020 72142 26 magnetic resonance /spine canal with contrast 85.93 85.93 3/1/2020 72142 TC magnetic resonance /spine canal with contrast 451.51 451.51 3/1/2020 72142 magnetic resonance /spine canal with contrast 537.44 537.44 3/1/2020 72146 26 magnetic resonance/ spinal canal and contents 71.70 71.70 3/1/2020 72146 TC magnetic resonance/ spinal canal and contents 374.86 374.86 3/1/2020 72146 magnetic resonance/ spinal canal and contents 446.58 446.58 3/1/2020 72147 26 magnetic resonance/spinal canal with contrast 86.23 86.23 3/1/2020 72147 TC magnetic resonance/spinal canal with contrast 405.49 405.49 3/1/2020 72147 magnetic resonance/spinal canal with contrast 491.72 491.72 3/1/2020 72148 26 magnetic resonance lumbar 66.26 66.26 3/1/2020 72148 TC magnetic resonance lumbar 374.57 374.57 3/1/2020 72148 magnetic resonance lumbar 440.82 440.82 3/1/2020 72149 26 magnetic resonance lumbar with contrast 79.92 79.92 3/1/2020 72149 TC magnetic resonance lumbar with contrast 451.22 451.22 3/1/2020 72149 magnetic resonance lumbar with contrast 531.13 531.13 3/1/2020 72156 26 magnetic resonance with /without contrast 114.89 114.89 3/1/2020 72156 TC magnetic resonance with /without contrast 594.09 594.09 3/1/2020 72156 magnetic resonance with /without contrast 708.98 708.98 3/1/2020 72157 26 mri; spinal canal, wo then w contrast; thoracic 115.20 115.20 3/1/2020 72157 TC mri; spinal canal, wo then w contrast; thoracic 558.66 558.66 3/1/2020 72157 mri; spinal canal, wo then w contrast; thoracic 673.85 673.85 3/1/2020 72158 26 magnetic resonance lumbar with/without contrast 105.38 105.38 3/1/2020 72158 TC magnetic resonance lumbar with/without contrast 593.79 593.79 3/1/2020 72158 magnetic resonance lumbar with/without contrast 699.16 699.16 3/1/2020 72170 26 radiologic examination, pelvis; one or two views 7.59 7.59 3/1/2020 72170 TC radiologic examination, pelvis; one or two views 14.05 14.05 3/1/2020 72170 radiologic examination, pelvis; one or two views 21.63 21.63 3/1/2020 72190 26 radiologic exam pelvic complete 9.50 9.50 3/1/2020 72190 TC radiologic exam pelvic complete 23.24 23.24 3/1/2020 72190 radiologic exam pelvic complete 32.75 32.75 3/1/2020 72191 26 computed tomographic angiography, pelvis, without contrast material(s), 81.51 81.51 3/1/2020 72191 TC computed tomographic angiography, pelvis, without contrast material(s), 338.49 338.49 3/1/2020 72191 computed tomographic angiography, pelvis, without contrast material(s), 419.99 419.99 3/1/2020 72192 26 computerized axial tomography; pelvic 49.14 49.14 3/1/2020 72192 TC computerized axial tomography; pelvic 177.84 177.84 3/1/2020 72192 computerized axial tomography; pelvic 226.98 226.98 3/1/2020 72193 26 computerized axial tomography; pelvic with contras 52.04 52.04 3/1/2020 72193 TC computerized axial tomography; pelvic with contras 219.46 219.46 3/1/2020 72193 computerized axial tomography; pelvic with contras 271.50 271.50 3/1/2020 72194 26 tomography; pelvic with/without contrast 54.61 54.61 3/1/2020 72194 TC tomography; pelvic with/without contrast 291.17 291.17 3/1/2020 72194 tomography; pelvic with/without contrast 345.77 345.77 3/1/2020 72195 26 magnetic resonance (eg, proton) imaging, pelvis; without contrast materia 65.10 65.10 3/1/2020 72195 TC magnetic resonance (eg, proton) imaging, pelvis; without contrast materia 406.05 406.05 3/1/2020 72195 magnetic resonance (eg, proton) imaging, pelvis; without contrast materia 471.15 471.15 3/1/2020 72196 26 magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) 77.68 77.68 3/1/2020 72196 TC magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) 444.75 444.75 3/1/2020 72196 magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s) 522.43 522.43 3/1/2020 72197 26 magnetic resonance (eg, proton) imaging, pelvis; without contrast materia 101.20 101.20 3/1/2020 72197 TC magnetic resonance (eg, proton) imaging, pelvis; without contrast materia 614.46 614.46 3/1/2020 72197 magnetic resonance (eg, proton) imaging, pelvis; without contrast materia 715.66 715.66 3/1/2020 72200 26 radiologic exam sacrum, coccyx 7.59 7.59 3/1/2020 72200 TC radiologic exam sacrum, coccyx 16.46 16.46 3/1/2020 72200 radiologic exam sacrum, coccyx 24.06 24.06 3/1/2020 72202 26 x-ray exam of sacroiliac joints, 3 or more views 8.55 8.55 3/1/2020 72202 TC x-ray exam of sacroiliac joints, 3 or more views 20.52 20.52 3/1/2020 72202 x-ray exam of sacroiliac joints, 3 or more views 8.55 8.55 3/1/2020 72220 26 sacrum and coccyx 7.59 7.59 3/1/2020 72220 TC sacrum and coccyx 16.88 16.88 3/1/2020 72220 sacrum and coccyx 24.48 24.48 3/1/2020 72240 26 myelograph, cervical 40.61 40.61 3/1/2020 72240 TC myelograph, cervical 91.79 91.79 3/1/2020 72240 myelograph, cervical 132.42 132.42 3/1/2020 72255 26 myelography, thoracic 39.71 39.71 3/1/2020 72255 TC myelography, thoracic 81.48 81.48 3/1/2020 72255 myelography, thoracic 121.19 121.19 3/1/2020 72265 26 myelography, lumbo sacral 37.10 37.10 3/1/2020 72265 TC myelography, lumbo sacral 86.03 86.03 3/1/2020 72265 myelography, lumbo sacral 123.11 123.11 3/1/2020 72270 26 myelography, entire spinal canal 59.62 59.62 3/1/2020 72270 TC myelography, entire spinal canal 132.53 132.53 3/1/2020 72270 myelography, entire spinal canal 192.15 192.15 3/1/2020 72275 26 epidurography, radiological supervision and interpretation 32.07 32.07 3/1/2020 72275 TC epidurography, radiological supervision and interpretation 55.15 55.15 3/1/2020 72275 epidurography, radiological supervision and interpretation 87.21 87.21 3/1/2020 72285 26 diskography, cervical, radiological supervision & interpretation 49.73 49.73 3/1/2020 72285 TC diskography, cervical, radiological supervision & interpretation 98.56 98.56 3/1/2020 72285 diskography, cervical, radiological supervision & interpretation 148.29 148.29 3/1/2020 72295 26 disdography, lumbar 36.29 36.29 3/1/2020 72295 TC disdography, lumbar 95.21 95.21 3/1/2020 72295 disdography, lumbar 131.50 131.50 3/1/2020 73000 26 radiologic exam clavicle, complete 7.27 7.27 3/1/2020 73000 TC radiologic exam clavicle, complete 15.55 15.55 3/1/2020 73000 radiologic exam clavicle, complete 22.82 22.82 3/1/2020 73010 26 radiologic exam, scapula/ complete 7.59 7.59 3/1/2020 73010 TC radiologic exam, scapula/ complete 15.87 15.87 3/1/2020 73010 radiologic exam, scapula/ complete 23.45 23.45 3/1/2020 73020 26 radiologic exam shoulder 6.64 6.64 3/1/2020 73020 TC radiologic exam shoulder 12.83 12.83 3/1/2020 73020 radiologic exam shoulder 19.47 19.47 3/1/2020 73030 26 radiologic exam shoulder complete 8.22 8.22 3/1/2020 73030 TC radiologic exam shoulder complete 16.58 16.58 3/1/2020 73030 radiologic exam shoulder complete 24.79 24.79 3/1/2020 73040 26 radiologic exam shoulder, arthrography 24.15 24.15 3/1/2020 73040 TC radiologic exam shoulder, arthrography 64.58 64.58 3/1/2020 73040 radiologic exam shoulder, arthrography 88.71 88.71 3/1/2020 73050 26 radiologic exam, acromioclavicular joints 9.19 9.19 3/1/2020 73050 TC radiologic exam, acromioclavicular joints 20.52 20.52 3/1/2020 73050 radiologic exam, acromioclavicular joints 29.69 29.69 3/1/2020 73060 26 radiologic exam humerus 7.59 7.59 3/1/2020 73060 TC radiologic exam humerus 16.58 16.58 3/1/2020 73060 radiologic exam humerus 24.16 24.16 3/1/2020 73070 26 radiologic examination, elbow; two views 6.64 6.64 3/1/2020 73070 TC radiologic examination, elbow; two views 15.55 15.55 3/1/2020 73070 radiologic examination, elbow; two views 22.19 22.19 3/1/2020 73080 26 radilogic exam elbow, complete 7.59 7.59 3/1/2020 73080 TC radilogic exam elbow, complete 20.82 20.82 3/1/2020 73080 radilogic exam elbow, complete 28.40 28.40 3/1/2020 73085 26 radiologic exam elbow, arthrography 23.85 23.85 3/1/2020 73085 TC radiologic exam elbow, arthrography 56.40 56.40 3/1/2020 73085 radiologic exam elbow, arthrography 80.24 80.24 3/1/2020 73090 26 radiologic examination; forearm, two views 6.95 6.95 3/1/2020 73090 TC radiologic examination; forearm, two views 15.55 15.55 3/1/2020 73090 radiologic examination; forearm, two views 22.52 22.52 3/1/2020 73092 26 radiologic exam forearm infant 6.95 6.95 3/1/2020 73092 TC radiologic exam forearm infant 16.17 16.17 3/1/2020 73092 radiologic exam forearm infant 23.12 23.12 3/1/2020 73100 26 radiologic examination, wrist; two views 7.27 7.27 3/1/2020 73100 TC radiologic examination, wrist; two views 16.17 16.17 3/1/2020 73100 radiologic examination, wrist; two views 23.43 23.43 3/1/2020 73110 26 radiologic exam wrist, complete 7.59 7.59 3/1/2020 73110 TC radiologic exam wrist, complete 20.40 20.40 3/1/2020 73110 radiologic exam wrist, complete 27.99 27.99 3/1/2020 73115 26 radiologic exam wrist arthrography 24.15 24.15 3/1/2020 73115 TC radiologic exam wrist arthrography 60.83 60.83 3/1/2020 73115 radiologic exam wrist arthrography 84.98 84.98 3/1/2020 73120 26 radiologic exam, hand 6.95 6.95 3/1/2020 73120 TC radiologic exam, hand 15.25 15.25 3/1/2020 73120 radiologic exam, hand 22.22 22.22 3/1/2020 73130 26 radiologic exam hand min/3 views 7.59 7.59 3/1/2020 73130 TC radiologic exam hand min/3 views 17.99 17.99 3/1/2020 73130 radiologic exam hand min/3 views 25.57 25.57 3/1/2020 73140 26 radiologic exam finger(s) 5.99 5.99 3/1/2020 73140 TC radiologic exam finger(s) 17.68 17.68 3/1/2020 73140 radiologic exam finger(s) 23.66 23.66 3/1/2020 73200 26 tomography, upper extremity 48.84 48.84 3/1/2020 73200 TC tomography, upper extremity 177.50 177.50 3/1/2020 73200 tomography, upper extremity 226.34 226.34 3/1/2020 73201 26 tomography upper extremity, with contrast 52.04 52.04 3/1/2020 73201 TC tomography upper extremity, with contrast 219.32 219.32 3/1/2020 73201 tomography upper extremity, with contrast 271.36 271.36 3/1/2020 73202 26 tomography upper extremity, without contrast 54.61 54.61 3/1/2020 73202 TC tomography upper extremity, without contrast 292.15 292.15 3/1/2020 73202 tomography upper extremity, without contrast 346.76 346.76 3/1/2020 73206 26 computed tomographic angiography, upper extremity, without contrast 82.12 82.12 3/1/2020 73206 TC computed tomographic angiography, upper extremity, without contrast 320.31 320.31 3/1/2020 73206 computed tomographic angiography, upper extremity, without contrast 402.42 402.42 3/1/2020 73218 26 magnetic resonance (eg, proton) imaging, upper extremity, other than joint 59.98 59.98 3/1/2020 73218 TC magnetic resonance (eg, proton) imaging, upper extremity, other than joint 411.16 411.16 3/1/2020 73218 magnetic resonance (eg, proton) imaging, upper extremity, other than joint 471.15 471.15 3/1/2020 73219 26 magnetic resonance (eg, proton) imaging, upper extremity, other than joint 72.36 72.36 3/1/2020 73219 TC magnetic resonance (eg, proton) imaging, upper extremity, other than joint 445.22 445.22 3/1/2020 73219 magnetic resonance (eg, proton) imaging, upper extremity, other than joint 517.59 517.59 3/1/2020 73220 26 magnetic resonance (eg, proton) imaging, upper extremity, other than joint 96.39 96.39 3/1/2020 73220 TC magnetic resonance (eg, proton) imaging, upper extremity, other than joint 615.23 615.23 3/1/2020 73220 magnetic resonance (eg, proton) imaging, upper extremity, other than joint 711.61 711.61 3/1/2020 73221 26 magnetic resonance (eg, proton) imaging, any joint of upper extremity; wit 60.28 60.28 3/1/2020 73221 TC magnetic resonance (eg, proton) imaging, any joint of upper extremity; wit 385.73 385.73 3/1/2020 73221 magnetic resonance (eg, proton) imaging, any joint of upper extremity; wit 446.01 446.01 3/1/2020 73222 26 magnetic resonance (eg, proton) imaging, any joint of upper extremity; wit 72.36 72.36 3/1/2020 73222 TC magnetic resonance (eg, proton) imaging, any joint of upper extremity; wit 419.79 419.79 3/1/2020 73222 magnetic resonance (eg, proton) imaging, any joint of upper extremity; wit 492.15 492.15 3/1/2020 73223 26 magnetic resonance (eg, proton) imaging, any joint of upper extremity; wit 96.09 96.09 3/1/2020 73223 TC magnetic resonance (eg, proton) imaging, any joint of upper extremity; wit 584.64 584.64 3/1/2020 73223 magnetic resonance (eg, proton) imaging, any joint of upper extremity; wit 680.73 680.73 3/1/2020 73525 26 radiologic exam hip, authrograph 24.36 24.36 3/1/2020 73525 TC radiologic exam hip, authrograph 55.79 55.79 3/1/2020 73525 radiologic exam hip, authrograph 80.15 80.15 3/1/2020 73560 26 radiologic examination, knee; one or two views 7.59 7.59 3/1/2020 73560 TC radiologic examination, knee; one or two views 15.87 15.87 3/1/2020 73560 radiologic examination, knee; one or two views 23.45 23.45 3/1/2020 73562 26 radiologic examination, knee; three views 8.22 8.22 3/1/2020 73562 TC radiologic examination, knee; three views 19.91 19.91 3/1/2020 73562 radiologic examination, knee; three views 28.13 28.13 3/1/2020 73564 26 radiologic examination, knee; complete, four or more views 9.83 9.83 3/1/2020 73564 TC radiologic examination, knee; complete, four or more views 22.94 22.94 3/1/2020 73564 radiologic examination, knee; complete, four or more views 32.77 32.77 3/1/2020 73565 26 radiologic exam knee (both) 7.90 7.90 3/1/2020 73565 TC radiologic exam knee (both) 17.07 17.07 3/1/2020 73565 radiologic exam knee (both) 24.97 24.97 3/1/2020 73580 26 radiologic exam knee, arthrography 24.36 24.36 3/1/2020 73580 TC radiologic exam knee, arthrography 75.29 75.29 3/1/2020 73580 radiologic exam knee, arthrography 99.63 99.63 3/1/2020 73590 26 radiologic examination; tibia and fibula, two views 7.59 7.59 3/1/2020 73590 TC radiologic examination; tibia and fibula, two views 14.95 14.95 3/1/2020 73590 radiologic examination; tibia and fibula, two views 22.54 22.54 3/1/2020 73592 26 rad exam lower extremity infant 6.95 6.95 3/1/2020 73592 TC rad exam lower extremity infant 16.17 16.17 3/1/2020 73592 rad exam lower extremity infant 23.12 23.12 3/1/2020 73600 26 radiologic examination, ankle; two views 6.95 6.95 3/1/2020 73600 TC radiologic examination, ankle; two views 15.25 15.25 3/1/2020 73600 radiologic examination, ankle; two views 22.22 22.22 3/1/2020 73610 26 radiologic exam complete 7.59 7.59 3/1/2020 73610 TC radiologic exam complete 17.99 17.99 3/1/2020 73610 radiologic exam complete 25.57 25.57 3/1/2020 73615 26 radiologic exam ankle, arthrography 24.06 24.06 3/1/2020 73615 TC radiologic exam ankle, arthrography 58.21 58.21 3/1/2020 73615 radiologic exam ankle, arthrography 82.27 82.27 3/1/2020 73620 26 radiologic examination, foot; two views 6.95 6.95 3/1/2020 73620 TC radiologic examination, foot; two views 14.65 14.65 3/1/2020 73620 radiologic examination, foot; two views 21.61 21.61 3/1/2020 73630 26 radiologic exam foot complete 7.59 7.59 3/1/2020 73630 TC radiologic exam foot complete 17.68 17.68 3/1/2020 73630 radiologic exam foot complete 25.26 25.26 3/1/2020 73650 26 radiologic exam calcaneus 6.95 6.95 3/1/2020 73650 TC radiologic exam calcaneus 14.95 14.95 3/1/2020 73650 radiologic exam calcaneus 21.91 21.91 3/1/2020 73660 26 radiologic exam calcaneus toe or toes 5.68 5.68 3/1/2020 73660 TC radiologic exam calcaneus toe or toes 16.77 16.77 3/1/2020 73660 radiologic exam calcaneus toe or toes 22.45 22.45 3/1/2020 73700 26 computerized axial tomography lower extremity 48.84 48.84 3/1/2020 73700 TC computerized axial tomography lower extremity 177.80 177.80 3/1/2020 73700 computerized axial tomography lower extremity 226.63 226.63 3/1/2020 73701 26 computerized tomography lower extremity w/contrast 52.34 52.34 3/1/2020 73701 TC computerized tomography lower extremity w/contrast 220.84 220.84 3/1/2020 73701 computerized tomography lower extremity w/contrast 273.18 273.18 3/1/2020 73702 26 computerized tomography lower extremity w & w/o contrast 54.92 54.92 3/1/2020 73702 TC computerized tomography lower extremity w & w/o contrast 292.75 292.75 3/1/2020 73702 computerized tomography lower extremity w & w/o contrast 347.67 347.67 3/1/2020 73706 26 computerized tomographic angiography, lower extremity 86.27 86.27 3/1/2020 73706 TC computerized tomographic angiography, lower extremity 350.90 350.90 3/1/2020 73706 computerized tomographic angiography, lower extremity 437.17 437.17 3/1/2020 73718 26 magnetic resonance (eg, proton) imaging, lower extremity other than joint; 60.28 60.28 3/1/2020 73718 TC magnetic resonance (eg, proton) imaging, lower extremity other than joint; 402.69 402.69 3/1/2020 73718 magnetic resonance (eg, proton) imaging, lower extremity other than joint; 462.97 462.97 3/1/2020 73719 26 magnetic resonance (eg, proton) imaging, lower extremity other than joint; 72.36 72.36 3/1/2020 73719 TC magnetic resonance (eg, proton) imaging, lower extremity other than joint; 439.78 439.78 3/1/2020 73719 magnetic resonance (eg, proton) imaging, lower extremity other than joint; 512.13 512.13 3/1/2020 73720 26 magnetic resonance (eg, proton) imaging, lower extremity other than joint; 96.39 96.39 3/1/2020 73720 TC magnetic resonance (eg, proton) imaging, lower extremity other than joint; 614.92 614.92 3/1/2020 73720 magnetic resonance (eg, proton) imaging, lower extremity other than joint; 711.31 711.31 3/1/2020 73721 26 magnetic resonance (eg, proton) imaging, any joint of lower extremity; with 60.28 60.28 3/1/2020 73721 TC magnetic resonance (eg, proton) imaging, any joint of lower extremity; with 393.30 393.30 3/1/2020 73721 magnetic resonance (eg, proton) imaging, any joint of lower extremity; with 453.58 453.58 3/1/2020 73722 26 magnetic resonance (eg, proton) imaging, any joint of lower extremity; with 72.66 72.66 3/1/2020 73722 TC magnetic resonance (eg, proton) imaging, any joint of lower extremity; with 423.42 423.42 3/1/2020 73722 magnetic resonance (eg, proton) imaging, any joint of lower extremity; with 496.08 496.08 3/1/2020 73723 26 magnetic resonance (eg, proton) imaging, any joint of lower extremity; with 96.39 96.39 3/1/2020 73723 TC magnetic resonance (eg, proton) imaging, any joint of lower extremity; with 582.82 582.82 3/1/2020 73723 magnetic resonance (eg, proton) imaging, any joint of lower extremity; with 679.20 679.20 3/1/2020 74022 26 rad exam abdomen. complete abdomen series 14.31 14.31 3/1/2020 74022 TC rad exam abdomen. complete abdomen series 26.17 26.17 3/1/2020 74022 rad exam abdomen. complete abdomen series 40.50 40.50 3/1/2020 74150 26 computer tomography without contrast mater 53.32 53.32 3/1/2020 74150 TC computer tomography without contrast mater 175.81 175.81 3/1/2020 74150 computer tomography without contrast mater 229.14 229.14 3/1/2020 74160 26 tomography, abdomen with contrast 57.36 57.36 3/1/2020 74160 TC tomography, abdomen with contrast 247.01 247.01 3/1/2020 74160 tomography, abdomen with contrast 304.37 304.37 3/1/2020 74170 26 tomography, without/with contrast 62.82 62.82 3/1/2020 74170 TC tomography, without/with contrast 335.38 335.38 3/1/2020 74170 tomography, without/with contrast 398.20 398.20 3/1/2020 74175 26 computed tomographic angiography, abdomen, without contrast material(s 85.67 85.67 3/1/2020 74175 TC computed tomographic angiography, abdomen, without contrast material(s 358.77 358.77 3/1/2020 74175 computed tomographic angiography, abdomen, without contrast material(s 444.44 444.44 3/1/2020 74176 TC of abdomen and pelvis 110.76 110.76 3/1/2020 74177 TC ct scan of abdomen and pelvis with contrast 211.33 211.33 3/1/2020 74178 TC ct scan of abdomen and pelvis before and after contrast 279.32 279.32 3/1/2020 74181 26 magnetic resonance (eg, proton) imaging, abdomen; without contrast mate 65.39 65.39 3/1/2020 74181 TC magnetic resonance (eg, proton) imaging, abdomen; without contrast mate 361.84 361.84 3/1/2020 74181 magnetic resonance (eg, proton) imaging, abdomen; without contrast mate 427.23 427.23 3/1/2020 74182 26 magnetic resonance (eg, proton) imaging, abdomen; with contrast materia 77.68 77.68 3/1/2020 74182 TC magnetic resonance (eg, proton) imaging, abdomen; with contrast materia 488.96 488.96 3/1/2020 74182 magnetic resonance (eg, proton) imaging, abdomen; with contrast materia 566.64 566.64 3/1/2020 74183 26 magnetic resonance (eg, proton) imaging, abdomen; without contrast mate 101.20 101.20 3/1/2020 74183 TC magnetic resonance (eg, proton) imaging, abdomen; without contrast mate 615.07 615.07 3/1/2020 74183 magnetic resonance (eg, proton) imaging, abdomen; without contrast mate 716.27 716.27 3/1/2020 74190 26 peritoneogram (eg, after injection of air or contrast), radiological 21.59 21.59 3/1/2020 74190 TC peritoneogram (eg, after injection of air or contrast), radiological 43.76 43.76 3/1/2020 74190 peritoneogram (eg, after injection of air or contrast), radiological 64.39 64.39 3/1/2020 74210 26 radiologic exam, pharynx 16.44 16.44 3/1/2020 74210 TC radiologic exam, pharynx 47.28 47.28 3/1/2020 74210 radiologic exam, pharynx 63.71 63.71 3/1/2020 74220 26 radiologic exam; esophagus 20.62 20.62 3/1/2020 74220 TC radiologic exam; esophagus 51.82 51.82 3/1/2020 74220 radiologic exam; esophagus 72.45 72.45 3/1/2020 74221 26 X-RAY XM ESOPHAGUS 2CNTRST 31.19 31.19 3/1/2020 74221 TC X-RAY XM ESOPHAGUS 2CNTRST 62.69 62.69 3/1/2020 74221 X-RAY XM ESOPHAGUS 2CNTRST 93.86 93.86 3/1/2020 74230 26 swallowing function, with cineradiography/videoradiography 23.82 23.82 3/1/2020 74230 TC swallowing function, with cineradiography/videoradiography 50.81 50.81 3/1/2020 74230 swallowing function, with cineradiography/videoradiography 74.63 74.63 3/1/2020 74235 26 removal of foreign body(s) 54.53 54.53 3/1/2020 74235 TC removal of foreign body(s) 84.34 84.34 3/1/2020 74235 removal of foreign body(s) 138.87 138.87 3/1/2020 74240 26 radiologic exam; gastrointestinal tract 31.08 31.08 3/1/2020 74240 TC radiologic exam; gastrointestinal tract 58.89 58.89 3/1/2020 74240 radiologic exam; gastrointestinal tract 89.97 89.97 3/1/2020 74246 26 rad exam, gastrointestinal tract upper air contras 31.08 31.08 3/1/2020 74246 TC rad exam, gastrointestinal tract upper air contras 71.73 71.73 3/1/2020 74246 rad exam, gastrointestinal tract upper air contras 102.82 102.82 3/1/2020 74248 26 X-RAY SM INT F-THRU STD 31.19 31.19 3/1/2020 74248 TC X-RAY SM INT F-THRU STD 40.31 40.31 3/1/2020 74248 X-RAY SM INT F-THRU STD 71.49 71.49 3/1/2020 74250 26 radiologic examination, small intestine, includes multiple serial films; 20.96 20.96 3/1/2020 74250 TC radiologic examination, small intestine, includes multiple serial films; 63.23 63.23 3/1/2020 74250 radiologic examination, small intestine, includes multiple serial films; 84.18 84.18 3/1/2020 74251 26 radiologic examination, small bowel, includes multiple serial films; 31.08 31.08 3/1/2020 74251 TC radiologic examination, small bowel, includes multiple serial films; 230.39 230.39 3/1/2020 74251 radiologic examination, small bowel, includes multiple serial films; 261.48 261.48 3/1/2020 74270 26 radiologic examination, colon; barium enema, with or without kub 31.08 31.08 3/1/2020 74270 TC radiologic examination, colon; barium enema, with or without kub 89.80 89.80 3/1/2020 74270 radiologic examination, colon; barium enema, with or without kub 120.89 120.89 3/1/2020 74280 26 radiologic exam, air contrast/ high density 44.45 44.45 3/1/2020 74280 TC radiologic exam, air contrast/ high density 122.92 122.92 3/1/2020 74280 radiologic exam, air contrast/ high density 167.37 167.37 3/1/2020 74283 26 therapeutic enema, contrast or air, for reduction of intussusception or othe 90.41 90.41 3/1/2020 74283 TC therapeutic enema, contrast or air, for reduction of intussusception or othe 84.98 84.98 3/1/2020 74283 therapeutic enema, contrast or air, for reduction of intussusception or othe 175.38 175.38 3/1/2020 74290 26 cholecystography, oral contrast 14.31 14.31 3/1/2020 74290 TC cholecystography, oral contrast 39.50 39.50 3/1/2020 74290 cholecystography, oral contrast 53.81 53.81 3/1/2020 74300 26 cholangiography and/or pancreatography; intraoperative, radiological 16.14 16.14 3/1/2020 74300 cholangiography and/or pancreatography; intraoperative, radiological 46.12 46.12 3/1/2020 74301 26 cholangiography and/or pancreatography; additional set intraoperative, 24.45 24.45 3/1/2020 74328 26 endoscopic catheterization 135.68 135.68 3/1/2020 74328 TC endoscopic catheterization 31.71 31.71 3/1/2020 74328 endoscopic catheterization 100.43 100.43 3/1/2020 74329 26 endoscopic cath of the pancreatic ductal system 132.14 132.14 3/1/2020 74329 TC endoscopic cath of the pancreatic ductal system 40.59 40.59 3/1/2020 74329 endoscopic cath of the pancreatic ductal system 105.58 105.58 3/1/2020 74330 26 combined endoscopic catheterization 144.12 144.12 3/1/2020 74330 TC combined endoscopic catheterization 24.15 24.15 3/1/2020 74330 combined endoscopic catheterization 87.84 87.84 3/1/2020 74340 26 introduction of long gastrointestinal tube (eg, miller-abbott), including 111.21 111.21 3/1/2020 74355 26 percutaneous placement enteroclysis tube radiologi 34.28 34.28 3/1/2020 74355 TC percutaneous placement enteroclysis tube radiologi 88.17 88.17 3/1/2020 74355 percutaneous placement enteroclysis tube radiologi 120.32 120.32 3/1/2020 74360 26 intraluminal dilation strictures/obstructions radi 25.06 25.06 3/1/2020 74360 TC intraluminal dilation strictures/obstructions radi 105.25 105.25 3/1/2020 74360 intraluminal dilation strictures/obstructions radi 129.27 129.27 3/1/2020 74363 26 percutaneous transhepatic dilation of biliary duct stricture with or without 39.94 39.94 3/1/2020 74363 TC percutaneous transhepatic dilation of biliary duct stricture with or without 189.88 189.88 3/1/2020 74363 percutaneous transhepatic dilation of biliary duct stricture with or without 234.95 234.95 3/1/2020 74400 26 urography, intravenous 21.91 21.91 3/1/2020 74400 TC urography, intravenous 69.21 69.21 3/1/2020 74400 urography, intravenous 91.12 91.12 3/1/2020 74410 26 urography, infusion, drip technique 22.22 22.22 3/1/2020 74410 TC urography, infusion, drip technique 73.75 73.75 3/1/2020 74410 urography, infusion, drip technique 95.96 95.96 3/1/2020 74415 26 urography, with mephrotomography 21.91 21.91 3/1/2020 74415 TC urography, with mephrotomography 87.89 87.89 3/1/2020 74415 urography, with mephrotomography 109.80 109.80 3/1/2020 74420 26 urography, retrograde 16.44 16.44 3/1/2020 74420 TC urography, retrograde 87.84 87.84 3/1/2020 74420 urography, retrograde 103.34 103.34 3/1/2020 74425 26 urography, antegrade 16.44 16.44 3/1/2020 74425 TC urography, antegrade 43.75 43.75 3/1/2020 74425 urography, antegrade 59.25 59.25 3/1/2020 74430 26 cystography, minimum 3 views 14.52 14.52 3/1/2020 74430 TC cystography, minimum 3 views 50.60 50.60 3/1/2020 74430 cystography, minimum 3 views 65.13 65.13 3/1/2020 74440 26 vasograph 17.09 17.09 3/1/2020 74440 TC vasograph 53.04 53.04 3/1/2020 74440 vasograph 70.12 70.12 3/1/2020 74445 26 corpora cavernosography 52.40 52.40 3/1/2020 74445 TC corpora cavernosography 37.10 37.10 3/1/2020 74445 corpora cavernosography 87.21 87.21 3/1/2020 74450 26 urethrocystography 15.15 15.15 3/1/2020 74450 TC urethrocystography 48.79 48.79 3/1/2020 74450 urethrocystography 63.27 63.27 3/1/2020 74455 26 urethrocystography, voiding 15.15 15.15 3/1/2020 74455 TC urethrocystography, voiding 60.22 60.22 3/1/2020 74455 urethrocystography, voiding 75.38 75.38 3/1/2020 74470 26 radiologic exam; renal cyst study 24.45 24.45 3/1/2020 74470 TC radiologic exam; renal cyst study 42.15 42.15 3/1/2020 74470 radiologic exam; renal cyst study 65.18 65.18 3/1/2020 74485 26 dilation of nephrostomy/ureters, superv and interp 24.66 24.66 3/1/2020 74485 TC dilation of nephrostomy/ureters, superv and interp 74.09 74.09 3/1/2020 74485 dilation of nephrostomy/ureters, superv and interp 98.75 98.75 3/1/2020 74710 26 pelvimentry, with/without placental localization 15.48 15.48 3/1/2020 74710 TC pelvimentry, with/without placental localization 21.23 21.23 3/1/2020 74710 pelvimentry, with/without placental localization 36.72 36.72 3/1/2020 74775 26 perineogram 27.88 27.88 3/1/2020 74775 TC perineogram 49.13 49.13 3/1/2020 74775 perineogram 75.81 75.81 3/1/2020 75561 TC mri f heart before and after contrast 446.15 446.15 3/1/2020 75600 26 aortography, thoracic without serialography 23.42 23.42 3/1/2020 75600 TC aortography, thoracic without serialography 242.43 242.43 3/1/2020 75600 aortography, thoracic without serialography 265.86 265.86 3/1/2020 75605 26 aortography thoracic by serialography 52.90 52.90 3/1/2020 75605 TC aortography thoracic by serialography 175.81 175.81 3/1/2020 75605 aortography thoracic by serialography 228.71 228.71 3/1/2020 75625 26 aortography, abdominal by serialography 51.59 51.59 3/1/2020 75625 TC aortography, abdominal by serialography 174.00 174.00 3/1/2020 75625 aortography, abdominal by serialography 225.58 225.58 3/1/2020 75630 26 aortography, abdominal plus bilateral lower extrem 82.38 82.38 3/1/2020 75630 TC aortography, abdominal plus bilateral lower extrem 180.58 180.58 3/1/2020 75630 aortography, abdominal plus bilateral lower extrem 262.96 262.96 3/1/2020 75635 26 computed tomographic angiography, abdominal aorta and bilateral iliofem 109.62 109.62 3/1/2020 75635 TC computed tomographic angiography, abdominal aorta and bilateral iliofem 396.63 396.63 3/1/2020 75635 computed tomographic angiography, abdominal aorta and bilateral iliofem 506.26 506.26 3/1/2020 75705 26 angiography, spinal, selective 99.51 99.51 3/1/2020 75705 TC angiography, spinal, selective 183.69 183.69 3/1/2020 75705 angiography, spinal, selective 283.20 283.20 3/1/2020 75710 26 angiography, extremity, unilateral 51.80 51.80 3/1/2020 75710 TC angiography, extremity, unilateral 186.71 186.71 3/1/2020 75710 angiography, extremity, unilateral 238.51 238.51 3/1/2020 75716 26 angiography, extremity, bilateral 59.48 59.48 3/1/2020 75716 TC angiography, extremity, bilateral 206.69 206.69 3/1/2020 75716 angiography, extremity, bilateral 266.19 266.19 3/1/2020 75726 26 angiography visceral selective or supraselective 51.68 51.68 3/1/2020 75726 TC angiography visceral selective or supraselective 184.29 184.29 3/1/2020 75726 angiography visceral selective or supraselective 235.97 235.97 3/1/2020 75731 26 angiography adrenal unilateral, selective 54.31 54.31 3/1/2020 75731 TC angiography adrenal unilateral, selective 189.75 189.75 3/1/2020 75731 angiography adrenal unilateral, selective 244.05 244.05 3/1/2020 75733 26 angiography adrenal bilateral selective 63.22 63.22 3/1/2020 75733 TC angiography adrenal bilateral selective 213.36 213.36 3/1/2020 75733 angiography adrenal bilateral selective 276.57 276.57 3/1/2020 75736 26 angiography pelvic,selective or supraselective 52.20 52.20 3/1/2020 75736 TC angiography pelvic,selective or supraselective 185.81 185.81 3/1/2020 75736 angiography pelvic,selective or supraselective 237.99 237.99 3/1/2020 75741 26 angiography pulmonary unilateral selective 59.58 59.58 3/1/2020 75741 TC angiography pulmonary unilateral selective 169.45 169.45 3/1/2020 75741 angiography pulmonary unilateral selective 229.03 229.03 3/1/2020 75743 26 angiography pulmonary bilateral selective 75.79 75.79 3/1/2020 75743 TC angiography pulmonary bilateral selective 175.51 175.51 3/1/2020 75743 angiography pulmonary bilateral selective 251.30 251.30 3/1/2020 75746 26 angiography pulmonary by nonsel cath or ven inj. 51.38 51.38 3/1/2020 75746 TC angiography pulmonary by nonsel cath or ven inj. 179.45 179.45 3/1/2020 75746 angiography pulmonary by nonsel cath or ven inj. 230.83 230.83 3/1/2020 75756 26 angiography,internal mammary 54.81 54.81 3/1/2020 75756 TC angiography,internal mammary 190.04 190.04 3/1/2020 75756 angiography,internal mammary 244.85 244.85 3/1/2020 75774 26 angiography, selective, each additional vessel studied after basic examina 16.44 16.44 3/1/2020 75774 TC angiography, selective, each additional vessel studied after basic examina 161.57 161.57 3/1/2020 75774 angiography, selective, each additional vessel studied after basic examina 178.02 178.02 3/1/2020 75801 26 lymphangiography, extemity only unilateral 35.74 35.74 3/1/2020 75801 TC lymphangiography, extemity only unilateral 181.70 181.70 3/1/2020 75801 lymphangiography, extemity only unilateral 217.37 217.37 3/1/2020 75803 26 lymphangiography, extemity only, bilateral 52.97 52.97 3/1/2020 75803 TC lymphangiography, extemity only, bilateral 182.02 182.02 3/1/2020 75803 lymphangiography, extemity only, bilateral 231.41 231.41 3/1/2020 75805 26 lymphangiography, pelvic/abdominal, unilateral 36.94 36.94 3/1/2020 75805 TC lymphangiography, pelvic/abdominal, unilateral 204.81 204.81 3/1/2020 75805 lymphangiography, pelvic/abdominal, unilateral 239.80 239.80 3/1/2020 75807 26 lymphangiography, pelvic;abdominal, bilateral 52.97 52.97 3/1/2020 75807 TC lymphangiography, pelvic;abdominal, bilateral 199.25 199.25 3/1/2020 75807 lymphangiography, pelvic;abdominal, bilateral 252.22 252.22 3/1/2020 75809 26 shuntogram for investigation of previously placed indwelling nonvascular s 20.96 20.96 3/1/2020 75809 TC shuntogram for investigation of previously placed indwelling nonvascular s 51.91 51.91 3/1/2020 75809 shuntogram for investigation of previously placed indwelling nonvascular s 72.87 72.87 3/1/2020 75810 26 splenoportography 51.99 51.99 3/1/2020 75810 TC splenoportography 421.98 421.98 3/1/2020 75810 splenoportography 470.68 470.68 3/1/2020 75820 26 venography, extremity, unilateral 32.01 32.01 3/1/2020 75820 TC venography, extremity, unilateral 68.18 68.18 3/1/2020 75820 venography, extremity, unilateral 100.19 100.19 3/1/2020 75822 26 venography, extremity, bilateral 47.55 47.55 3/1/2020 75822 TC venography, extremity, bilateral 75.55 75.55 3/1/2020 75822 venography, extremity, bilateral 123.10 123.10 3/1/2020 75825 26 venography, caval, inferior with serialography 51.20 51.20 3/1/2020 75825 TC venography, caval, inferior with serialography 166.41 166.41 3/1/2020 75825 venography, caval, inferior with serialography 217.61 217.61 3/1/2020 75827 26 venography, caval, superior, with seralography 50.17 50.17 3/1/2020 75827 TC venography, caval, superior, with seralography 167.03 167.03 3/1/2020 75827 venography, caval, superior, with seralography 217.19 217.19 3/1/2020 75831 26 venography, renal, unilateral, selective 51.28 51.28 3/1/2020 75831 TC venography, renal, unilateral, selective 168.85 168.85 3/1/2020 75831 venography, renal, unilateral, selective 220.13 220.13 3/1/2020 75833 26 venography, renal, bilateral, selective 66.40 66.40 3/1/2020 75833 TC venography, renal, bilateral, selective 179.75 179.75 3/1/2020 75833 venography, renal, bilateral, selective 246.15 246.15 3/1/2020 75840 26 venography, adrenal, unilateral, selective 50.59 50.59 3/1/2020 75840 TC venography, adrenal, unilateral, selective 167.63 167.63 3/1/2020 75840 venography, adrenal, unilateral, selective 218.22 218.22 3/1/2020 75842 26 venography, adrenal, bilateral, selective 67.19 67.19 3/1/2020 75842 TC venography, adrenal, bilateral, selective 180.35 180.35 3/1/2020 75842 venography, adrenal, bilateral, selective 247.54 247.54 3/1/2020 75860 26 venography, sinus or jugular, catheter 52.40 52.40 3/1/2020 75860 TC venography, sinus or jugular, catheter 172.17 172.17 3/1/2020 75860 venography, sinus or jugular, catheter 224.56 224.56 3/1/2020 75870 26 venography, superior sagittal sinus 51.08 51.08 3/1/2020 75870 TC venography, superior sagittal sinus 171.57 171.57 3/1/2020 75870 venography, superior sagittal sinus 222.65 222.65 3/1/2020 75872 26 venography, epidural 53.85 53.85 3/1/2020 75872 TC venography, epidural 188.83 188.83 3/1/2020 75872 venography, epidural 242.69 242.69 3/1/2020 75880 26 venography, orbital 30.81 30.81 3/1/2020 75880 TC venography, orbital 70.29 70.29 3/1/2020 75880 venography, orbital 101.10 101.10 3/1/2020 75885 26 percutaneous transhepatic porto w hemodynamuc eval 65.34 65.34 3/1/2020 75885 TC percutaneous transhepatic porto w hemodynamuc eval 169.45 169.45 3/1/2020 75885 percutaneous transhepatic porto w hemodynamuc eval 234.79 234.79 3/1/2020 75887 26 percutaneous transhepatic portog wo hemody eval 65.34 65.34 3/1/2020 75887 TC percutaneous transhepatic portog wo hemody eval 171.27 171.27 3/1/2020 75887 percutaneous transhepatic portog wo hemody eval 236.61 236.61 3/1/2020 75889 26 hepatic venog wedged or free w hemodynamic eval 51.68 51.68 3/1/2020 75889 TC hepatic venog wedged or free w hemodynamic eval 169.14 169.14 3/1/2020 75889 hepatic venog wedged or free w hemodynamic eval 220.84 220.84 3/1/2020 75891 26 hepatic venography wedged or free wo hemody eva 51.68 51.68 3/1/2020 75891 TC hepatic venography wedged or free wo hemody eva 169.14 169.14 3/1/2020 75891 hepatic venography wedged or free wo hemody eva 220.84 220.84 3/1/2020 75893 26 venous sampling thru cath w or wo angiography 24.15 24.15 3/1/2020 75893 TC venous sampling thru cath w or wo angiography 168.85 168.85 3/1/2020 75893 venous sampling thru cath w or wo angiography 192.99 192.99 3/1/2020 75894 26 transcatheter therapy, embolization, any method 59.39 59.39 3/1/2020 75894 TC transcatheter therapy, embolization, any method 808.17 808.17 3/1/2020 75894 transcatheter therapy, embolization, any method 864.71 864.71 3/1/2020 75898 26 angiography through existing catheter for follow-up study for transcatheter 75.16 75.16 3/1/2020 75898 TC angiography through existing catheter for follow-up study for transcatheter 35.15 35.15 3/1/2020 75898 angiography through existing catheter for follow-up study for transcatheter 106.16 106.16 3/1/2020 75901 26 mechanical removal of pericatheter obstructive material (eg, fibrin sheath) 21.91 21.91 3/1/2020 75901 TC mechanical removal of pericatheter obstructive material (eg, fibrin sheath) 117.16 117.16 3/1/2020 75901 mechanical removal of pericatheter obstructive material (eg, fibrin sheath) 139.07 139.07 3/1/2020 75902 26 mechanical removal of intraluminal (intracatheter) obstructive material from 17.42 17.42 3/1/2020 75902 TC mechanical removal of intraluminal (intracatheter) obstructive material from 60.84 60.84 3/1/2020 75902 mechanical removal of intraluminal (intracatheter) obstructive material from 78.26 78.26 3/1/2020 75970 26 transcatheter biopsy 37.70 37.70 3/1/2020 75970 TC transcatheter biopsy 373.44 373.44 3/1/2020 75970 transcatheter biopsy 411.14 411.14 3/1/2020 75984 26 change of percutaneous tube or drainage catheter with contrast monitoring 32.68 32.68 3/1/2020 75984 TC change of percutaneous tube or drainage catheter with contrast monitoring 63.45 63.45 3/1/2020 75984 change of percutaneous tube or drainage catheter with contrast monitoring 96.14 96.14 3/1/2020 75989 26 radiological guidance for percutaneous drainage of abscess, or specimen 53.62 53.62 3/1/2020 75989 TC radiological guidance for percutaneous drainage of abscess, or specimen 68.33 68.33 3/1/2020 75989 radiological guidance for percutaneous drainage of abscess, or specimen 121.96 121.96 3/1/2020 76000 26 (separate procedure), up to one hour physician time, other tha 7.59 7.59 3/1/2020 76000 TC fluoroscopy (separate procedure), up to one hour physician time, other tha 72.02 72.02 3/1/2020 76000 fluoroscopy (separate procedure), up to one hour physician time, other tha 79.60 79.60 3/1/2020 76010 26 radiologic examination from nose to rectum for foreign body, single view, c 8.22 8.22 3/1/2020 76010 TC radiologic examination from nose to rectum for foreign body, single view, c 15.25 15.25 3/1/2020 76010 radiologic examination from nose to rectum for foreign body, single view, c 23.48 23.48 3/1/2020 76080 26 radiologic examination, abscess, fistula or sinus tract study, radiological 24.45 24.45 3/1/2020 76080 TC radiologic examination, abscess, fistula or sinus tract study, radiological 29.41 29.41 3/1/2020 76080 radiologic examination, abscess, fistula or sinus tract study, radiological 53.87 53.87 3/1/2020 76098 26 radiological examination, surgical specimen 7.27 7.27 3/1/2020 76098 TC radiological examination, surgical specimen 9.50 9.50 3/1/2020 76098 radiological examination, surgical specimen 16.76 16.76 3/1/2020 76100 26 xray exam, sngl plane body sctn other than w urogr 25.97 25.97 3/1/2020 76100 TC xray exam, sngl plane body sctn other than w urogr 86.25 86.25 3/1/2020 76100 xray exam, sngl plane body sctn other than w urogr 112.21 112.21 3/1/2020 76101 26 xray exam complex motion bdy sect othr w kidy; uni 25.66 25.66 3/1/2020 76101 TC xray exam complex motion bdy sect othr w kidy; uni 129.15 129.15 3/1/2020 76101 xray exam complex motion bdy sect othr w kidy; uni 154.82 154.82 3/1/2020 76102 26 xray exam complex motion bdy sect othr w kid; bilt 25.37 25.37 3/1/2020 76102 TC xray exam complex motion bdy sect othr w kid; bilt 181.86 181.86 3/1/2020 76102 xray exam complex motion bdy sect othr w kid; bilt 207.23 207.23 3/1/2020 76120 26 cineradiography/videoradiography, except where specifically included 16.79 16.79 3/1/2020 76120 TC cineradiography/videoradiography, except where specifically included 46.37 46.37 3/1/2020 76120 cineradiography/videoradiography, except where specifically included 63.16 63.16 3/1/2020 76125 26 cineradiography/videoradiography to complement routine examination (list 12.68 12.68 3/1/2020 76125 TC cineradiography/videoradiography to complement routine examination (list 26.46 26.46 3/1/2020 76125 cineradiography/videoradiography to complement routine examination (list 39.13 39.13 3/1/2020 76140 x-ray consultation 33.62 33.62 3/1/2020 76376 TC 3d radiographic procedure 55.66 55.66 3/1/2020 76377 TC 3d radiograhic procedure with computerized image postprocessing 55.88 55.88 3/1/2020 76380 26 computerized axial tomography, limited or localized follow-up study 43.82 43.82 3/1/2020 76380 TC computerized axial tomography, limited or localized follow-up study 128.51 128.51 3/1/2020 76380 computerized axial tomography, limited or localized follow-up study 172.32 172.32 3/1/2020 76506 26 ,b-scan including a-mode 28.83 28.83 3/1/2020 76506 TC echoencephalography,b-scan including a-mode 68.28 68.28 3/1/2020 76506 echoencephalography,b-scan including a-mode 97.11 97.11 3/1/2020 76511 26 ophthalmic altrasnd, echog a-scan w amplitud quali 42.61 42.61 3/1/2020 76511 TC ophthalmic altrasnd, echog a-scan w amplitud quali 39.61 39.61 3/1/2020 76511 ophthalmic altrasnd, echog a-scan w amplitud quali 82.22 82.22 3/1/2020 76512 26 opthalmic ultrasnd, echog; constrast b-scan 42.70 42.70 3/1/2020 76512 TC opthalmic ultrasnd, echog; constrast b-scan 34.47 34.47 3/1/2020 76512 opthalmic ultrasnd, echog; constrast b-scan 77.18 77.18 3/1/2020 76513 26 echo exam of eye, water bath 29.28 29.28 3/1/2020 76513 TC echo exam of eye, water bath 41.44 41.44 3/1/2020 76513 echo exam of eye, water bath 70.74 70.74 3/1/2020 76514 26 ophthalmic ultrasound, echography, diagnostic; corneal pachymetry, unila 7.90 7.90 3/1/2020 76514 TC ophthalmic ultrasound, echography, diagnostic; corneal pachymetry, unila 2.93 2.93 3/1/2020 76514 ophthalmic ultrasound, echography, diagnostic; corneal pachymetry, unila 10.83 10.83 3/1/2020 76516 26 ophthalmic biometry by ultrsnd echography a-scan 24.26 24.26 3/1/2020 76516 TC ophthalmic biometry by ultrsnd echography a-scan 32.34 32.34 3/1/2020 76516 ophthalmic biometry by ultrsnd echography a-scan 56.58 56.58 3/1/2020 76519 26 ophthalmic bilm by ultrasnd echog, a-scan w/intrao 24.55 24.55 3/1/2020 76519 TC ophthalmic bilm by ultrasnd echog, a-scan w/intrao 35.97 35.97 3/1/2020 76519 ophthalmic bilm by ultrasnd echog, a-scan w/intrao 60.52 60.52 3/1/2020 76529 26 ophthalmic ultrasonic foreign body localization 25.75 25.75 3/1/2020 76529 TC ophthalmic ultrasonic foreign body localization 31.64 31.64 3/1/2020 76529 ophthalmic ultrasonic foreign body localization 57.38 57.38 3/1/2020 76536 26 ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid 24.50 24.50 3/1/2020 76536 TC ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid 67.99 67.99 3/1/2020 76536 ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid 92.48 92.48 3/1/2020 76604 26 ultrasound, chest, b-scan (includes mediastinum) and/or real time with ima 24.48 24.48 3/1/2020 76604 TC ultrasound, chest, b-scan (includes mediastinum) and/or real time with ima 48.09 48.09 3/1/2020 76604 ultrasound, chest, b-scan (includes mediastinum) and/or real time with ima 72.57 72.57 3/1/2020 76700 26 ultrasound, abdominal, b-scan and/or real time with image documentation 36.13 36.13 3/1/2020 76700 TC ultrasound, abdominal, b-scan and/or real time with image documentation 78.60 78.60 3/1/2020 76700 ultrasound, abdominal, b-scan and/or real time with image documentation 114.72 114.72 3/1/2020 76705 26 echog, abd, b-scan &/or real time w/ img documntn 26.60 26.60 3/1/2020 76705 TC echog, abd, b-scan &/or real time w/ img documntn 60.41 60.41 3/1/2020 76705 echog, abd, b-scan &/or real time w/ img documntn 87.00 87.00 3/1/2020 76706 us abdl aorta screen aaa 81.23 81.23 3/1/2020 76706 TC us abdl aorta screen aaa 56.35 56.35 3/1/2020 76706 26 us abdl aorta screen aaa 24.87 24.87 3/1/2020 76770 26 ultrasound, retroperitoneal (eg, renal, aorta, nodes), b-scan and/or real tim 33.02 33.02 3/1/2020 76770 TC ultrasound, retroperitoneal (eg, renal, aorta, nodes), b-scan and/or real tim 76.79 76.79 3/1/2020 76770 ultrasound, retroperitoneal (eg, renal, aorta, nodes), b-scan and/or real tim 109.81 109.81 3/1/2020 76775 26 echog,retroprtnl,b-scan&/or rel tm w/img doc; lmtd 26.58 26.58 3/1/2020 76775 TC echog,retroprtnl,b-scan&/or rel tm w/img doc; lmtd 67.07 67.07 3/1/2020 76775 echog,retroprtnl,b-scan&/or rel tm w/img doc; lmtd 93.65 93.65 3/1/2020 76776 26 ultrasound, transplanted kidney, real time and duplex doppler with image 33.99 33.99 3/1/2020 76776 TC ultrasound, transplanted kidney, real time and duplex doppler with image 87.98 87.98 3/1/2020 76776 ultrasound, transplanted kidney, real time and duplex doppler with image 121.97 121.97 3/1/2020 76800 26 ultrasound, spinal canal and contents 47.72 47.72 3/1/2020 76800 TC ultrasound, spinal canal and contents 56.47 56.47 3/1/2020 76800 ultrasound, spinal canal and contents 104.20 104.20 3/1/2020 76801 TC ultrasound, pregnant uterus, real time with image documentation, fetal and 64.70 64.70 3/1/2020 76801 ultrasound, pregnant uterus, real time with image documentation, fetal and 110.53 110.53 3/1/2020 76802 TC ultrasound, pregnant uterus, real time with image documentation, fetal and 26.41 26.41 3/1/2020 76805 TC ultrasound, pregnant uterus, b-scan and/or real time with image document 77.03 77.03 3/1/2020 76805 ultrasound, pregnant uterus, b-scan and/or real time with image document 122.94 122.94 3/1/2020 76810 TC echography; complete with multiple gestation 42.42 42.42 3/1/2020 76811 TC ultrasound, pregnant uterus, real time with image documentation, fetal and 91.30 91.30 3/1/2020 76812 TC ultrasound, pregnant uterus, real time with image documentation, fetal and 93.00 93.00 3/1/2020 76813 TC ultrasound, pregnant uterus, real time with image documentation, first 57.72 57.72 3/1/2020 76814 TC ultrasound, pregnant uterus, real time with image documentation, first 28.34 28.34 3/1/2020 76815 TC echography, pregnant uterus, b-scan and/or real time with image documen 48.00 48.00 3/1/2020 76816 TC echograph pregnant uterus follow up 56.96 56.96 3/1/2020 76817 TC ultrasound, pregnant uterus, real time with image documentation, transvag 52.72 52.72 3/1/2020 76817 ultrasound, pregnant uterus, real time with image documentation, transvag 85.48 85.48 3/1/2020 76819 TC fetal biophysical profile; without non-stress testing 45.38 45.38 3/1/2020 76820 TC doppler velocimetry, fetal; umbilical artery 23.99 23.99 3/1/2020 76825 TC echocardiography fetal 103.44 103.44 3/1/2020 76826 TC echocardiography, fetal heart in utero 61.31 61.31 3/1/2020 76827 TC doppler ecg, fetal heart pulsed&/or cont wave comp 35.50 35.50 3/1/2020 76828 TC doppler ecg fetal heart uls.&/or cont wave fol-up 20.74 20.74 3/1/2020 76830 26 ultrasound, transvaginal 30.48 30.48 3/1/2020 76830 TC ultrasound, transvaginal 70.21 70.21 3/1/2020 76830 ultrasound, transvaginal 100.70 100.70 3/1/2020 76831 26 hysterosonography, with or without color flow doppler 31.16 31.16 3/1/2020 76831 TC hysterosonography, with or without color flow doppler 69.60 69.60 3/1/2020 76831 hysterosonography, with or without color flow doppler 100.77 100.77 3/1/2020 76856 26 ultrasound, pelvic (nonobstetric), b-scan and/or real time with image 30.79 30.79 3/1/2020 76856 TC ultrasound, pelvic (nonobstetric), b-scan and/or real time with image 70.52 70.52 3/1/2020 76856 ultrasound, pelvic (nonobstetric), b-scan and/or real time with image 101.30 101.30 3/1/2020 76857 26 echo, pelv (non-ob) b-scan&/or rel tm w/img d;ltd/ 17.40 17.40 3/1/2020 76857 TC echo, pelv (non-ob) b-scan&/or rel tm w/img d;ltd/ 66.65 66.65 3/1/2020 76857 echo, pelv (non-ob) b-scan&/or rel tm w/img d;ltd/ 84.05 84.05 3/1/2020 76870 26 ultrasound, scrotum and contents 28.84 28.84 3/1/2020 76870 TC ultrasound, scrotum and contents 71.42 71.42 3/1/2020 76870 ultrasound, scrotum and contents 100.28 100.28 3/1/2020 76872 26 echography, transrectal 31.90 31.90 3/1/2020 76872 TC echography, transrectal 87.48 87.48 3/1/2020 76872 echography, transrectal 119.37 119.37 3/1/2020 76873 26 echography, transrectal; prostate volume study for brachytherapy treatmen 69.57 69.57 3/1/2020 76873 TC echography, transrectal; prostate volume study for brachytherapy treatmen 82.06 82.06 3/1/2020 76873 echography, transrectal; prostate volume study for brachytherapy treatmen 151.63 151.63 3/1/2020 76882 TC Ultrasound, extremity, nonvascular, real-time with image documentation; c 8.74 8.74 3/1/2020 76882 Ultrasound, extremity, nonvascular, real-time with image documentation; c 26.34 26.34 3/1/2020 76885 26 ultrasound, infant hips, real time with imaging documentation; dynamic 36.29 36.29 3/1/2020 76885 TC ultrasound, infant hips, real time with imaging documentation; dynamic 81.11 81.11 3/1/2020 76885 ultrasound, infant hips, real time with imaging documentation; dynamic 114.15 114.15 3/1/2020 76886 26 ultrasound, infant hips, real time with imaging documentation; limited, stat 27.28 27.28 3/1/2020 76886 TC ultrasound, infant hips, real time with imaging documentation; limited, stat 57.08 57.08 3/1/2020 76886 ultrasound, infant hips, real time with imaging documentation; limited, stat 84.36 84.36 3/1/2020 76932 26 ultrasonic guidance for endomyocardial biopsy, imaging supervision and 32.04 32.04 3/1/2020 76932 TC ultrasonic guidance for endomyocardial biopsy, imaging supervision and 51.33 51.33 3/1/2020 76932 ultrasonic guidance for endomyocardial biopsy, imaging supervision and 83.39 83.39 3/1/2020 76936 26 ultrasound guided compression repair of arterial pseudo-aneurysm 89.95 89.95 3/1/2020 76936 TC ultrasound guided compression repair of arterial pseudo-aneurysm 174.52 174.52 3/1/2020 76936 ultrasound guided compression repair of arterial pseudo-aneurysm 264.48 264.48 3/1/2020 76937 26 ultrasound guidance for vascular access requiring ultrasound evaluation o 13.78 13.78 3/1/2020 76937 TC ultrasound guidance for vascular access requiring ultrasound evaluation o 16.61 16.61 3/1/2020 76937 ultrasound guidance for vascular access requiring ultrasound evaluation o 30.39 30.39 3/1/2020 76940 26 ultrasound guidance for, and monitoring of, visceral tissue ablation 92.81 92.81 3/1/2020 76940 TC ultrasound guidance for, and monitoring of, visceral tissue ablation 56.01 56.01 3/1/2020 76940 ultrasound guidance for, and monitoring of, visceral tissue ablation 146.06 146.06 3/1/2020 76941 26 ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, 58.65 58.65 3/1/2020 76941 TC ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, 47.08 47.08 3/1/2020 76941 ultrasonic guidance for intrauterine fetal transfusion or cordocentesis, 105.72 105.72 3/1/2020 76942 26 ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection 30.12 30.12 3/1/2020 76942 TC ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection 124.72 124.72 3/1/2020 76942 ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection 154.84 154.84 3/1/2020 76945 26 ultrasonic guidance for chorionic villus sampling, imaging supervision and 29.22 29.22 3/1/2020 76945 TC ultrasonic guidance for chorionic villus sampling, imaging supervision and 47.80 47.80 3/1/2020 76945 ultrasonic guidance for chorionic villus sampling, imaging supervision and 77.02 77.02 3/1/2020 76946 26 ultrasonic guidance for amniocentesis, imaging supervision and interpreta 16.50 16.50 3/1/2020 76946 TC ultrasonic guidance for amniocentesis, imaging supervision and interpreta 21.16 21.16 3/1/2020 76946 ultrasonic guidance for amniocentesis, imaging supervision and interpreta 37.64 37.64 3/1/2020 76975 26 gastrointestinal endoscopic ultrasound, supervision and interpretation 36.74 36.74 3/1/2020 76975 TC gastrointestinal endoscopic ultrasound, supervision and interpretation 49.14 49.14 3/1/2020 76975 gastrointestinal endoscopic ultrasound, supervision and interpretation 85.87 85.87 3/1/2020 76977 26 ultrasound bone density measurement and interpretation, peripheral site(s 2.45 2.45 3/1/2020 76977 TC ultrasound bone density measurement and interpretation, peripheral site(s 9.21 9.21 3/1/2020 76977 ultrasound bone density measurement and interpretation, peripheral site(s 11.67 11.67 3/1/2020 76998 26 ultrasonic guidance, intraoperative 53.79 53.79 3/1/2020 76998 TC ultrasonic guidance, intraoperative 88.17 88.17 3/1/2020 76998 ultrasonic guidance, intraoperative 141.34 141.34 3/1/2020 77001 26 fluoroscopic guidance for central venous access device placement, replac 16.88 16.88 3/1/2020 77001 TC fluoroscopic guidance for central venous access device placement, replac 70.21 70.21 3/1/2020 77001 fluoroscopic guidance for central venous access device placement, replac 87.11 87.11 3/1/2020 77002 26 fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injecti 23.54 23.54 3/1/2020 77002 TC fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injecti 36.28 36.28 3/1/2020 77002 fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injecti 59.83 59.83 3/1/2020 77003 26 fluoroscopic guidance and localization of needle or catheter tip for spine o 24.80 24.80 3/1/2020 77003 TC fluoroscopic guidance and localization of needle or catheter tip for spine o 25.38 25.38 3/1/2020 77003 fluoroscopic guidance and localization of needle or catheter tip for spine o 50.18 50.18 3/1/2020 77011 26 computed tomography guidance for stereotactic localization 53.67 53.67 3/1/2020 77011 TC computed tomography guidance for stereotactic localization 511.42 511.42 3/1/2020 77011 computed tomography guidance for stereotactic localization 565.09 565.09 3/1/2020 77012 26 computed tomography guidance for needle placement (eg, biopsy, aspirat 52.34 52.34 3/1/2020 77012 TC computed tomography guidance for needle placement (eg, biopsy, aspirat 114.40 114.40 3/1/2020 77012 computed tomography guidance for needle placement (eg, biopsy, aspirat 166.74 166.74 3/1/2020 77013 26 computerized tomography guidance for, and monitoring of, parenchymal ti 180.40 180.40 3/1/2020 77013 TC computerized tomography guidance for, and monitoring of, parenchymal ti 335.06 335.06 3/1/2020 77013 computerized tomography guidance for, and monitoring of, parenchymal ti 505.43 505.43 3/1/2020 77014 26 computed tomography guidance for placement of radiation therapy fields 37.43 37.43 3/1/2020 77014 TC computed tomography guidance for placement of radiation therapy fields 118.09 118.09 3/1/2020 77014 computed tomography guidance for placement of radiation therapy fields 155.54 155.54 3/1/2020 77021 26 magnetic resonance guidance for needle placement (eg, for biopsy, needl 67.94 67.94 3/1/2020 77021 TC magnetic resonance guidance for needle placement (eg, for biopsy, needl 305.77 305.77 3/1/2020 77021 magnetic resonance guidance for needle placement (eg, for biopsy, needl 373.71 373.71 3/1/2020 77022 26 magnetic resonance guidance for, and monitoring of, parenchymal tissue a 188.92 188.92 3/1/2020 77022 TC magnetic resonance guidance for, and monitoring of, parenchymal tissue a 62.99 62.99 3/1/2020 77022 magnetic resonance guidance for, and monitoring of, parenchymal tissue a 251.90 251.90 3/1/2020 77053 26 mammary ductogram or galactogram, single duct, radiological supervision 16.14 16.14 3/1/2020 77053 TC mammary ductogram or galactogram, single duct, radiological supervision 47.72 47.72 3/1/2020 77053 mammary ductogram or galactogram, single duct, radiological supervision 63.86 63.86 3/1/2020 77054 26 mammary ductogram or galactogram, multiple ducts, radiological supervis 20.30 20.30 3/1/2020 77054 TC mammary ductogram or galactogram, multiple ducts, radiological supervis 65.72 65.72 3/1/2020 77054 mammary ductogram or galactogram, multiple ducts, radiological supervis 86.02 86.02 3/1/2020 77063 26 screening digital tomography of both breasts 26.34 26.34 3/1/2020 77063 TC screening digital tomography of both breasts 21.49 21.49 3/1/2020 77063 screening digital tomography of both breasts 47.84 47.84 3/1/2020 77072 26 bone age studies 8.55 8.55 3/1/2020 77072 TC bone age studies 11.31 11.31 3/1/2020 77072 bone age studies 19.87 19.87 3/1/2020 77073 26 bone length studies (orthoroentgenogram, scanogram) 12.08 12.08 3/1/2020 77073 TC bone length studies (orthoroentgenogram, scanogram) 19.51 19.51 3/1/2020 77073 bone length studies (orthoroentgenogram, scanogram) 31.58 31.58 3/1/2020 77074 26 radiologic examination, osseous survey; limited (eg, for metastases) 20.30 20.30 3/1/2020 77074 TC radiologic examination, osseous survey; limited (eg, for metastases) 37.59 37.59 3/1/2020 77074 radiologic examination, osseous survey; limited (eg, for metastases) 57.89 57.89 3/1/2020 77075 26 radiologic examination, osseous survey; complete (axial and appendicular 24.15 24.15 3/1/2020 77075 TC radiologic examination, osseous survey; complete (axial and appendicular 59.50 59.50 3/1/2020 77075 radiologic examination, osseous survey; complete (axial and appendicular 83.65 83.65 3/1/2020 77076 26 radiologic examination, osseous survey, infant 30.21 30.21 3/1/2020 77076 TC radiologic examination, osseous survey, infant 48.28 48.28 3/1/2020 77076 radiologic examination, osseous survey, infant 78.49 78.49 3/1/2020 77077 26 joint survey, single view, 2 or more joints (specify) 13.89 13.89 3/1/2020 77077 TC joint survey, single view, 2 or more joints (specify) 21.84 21.84 3/1/2020 77077 joint survey, single view, 2 or more joints (specify) 35.73 35.73 3/1/2020 77078 26 computed tomography, bone mineral density study, 1 or more sites; axial 11.12 11.12 3/1/2020 77078 TC computed tomography, bone mineral density study, 1 or more sites; axial 130.82 130.82 3/1/2020 77078 computed tomography, bone mineral density study, 1 or more sites; axial 141.93 141.93 3/1/2020 77080 26 dual-energy x-ray absorptiometry (dxa), bone density study, 1 or more site 8.87 8.87 3/1/2020 77080 TC dual-energy x-ray absorptiometry (dxa), bone density study, 1 or more site 50.17 50.17 3/1/2020 77080 dual-energy x-ray absorptiometry (dxa), bone density study, 1 or more site 59.04 59.04 3/1/2020 77081 26 dual-energy x-ray absorptiometry (dxa), bone density study, 1 or more site 9.52 9.52 3/1/2020 77081 TC dual-energy x-ray absorptiometry (dxa), bone density study, 1 or more site 15.88 15.88 3/1/2020 77081 dual-energy x-ray absorptiometry (dxa), bone density study, 1 or more site 25.41 25.41 3/1/2020 77084 26 magnetic resonance (eg, proton) imaging, bone marrow blood supply 72.01 72.01 3/1/2020 77084 TC magnetic resonance (eg, proton) imaging, bone marrow blood supply 411.67 411.67 3/1/2020 77084 magnetic resonance (eg, proton) imaging, bone marrow blood supply 483.68 483.68 3/1/2020 77261 therapeutic radiology treatment planning; 62.40 62.40 3/1/2020 77262 therapeutic radiology treatment planning; 93.78 93.78 3/1/2020 77263 therapeutic radiology treatment planning; 139.14 139.14 3/1/2020 77280 26 radiation therapeutic simulator aided field setting simple 31.02 31.02 3/1/2020 77280 TC radiation therapeutic simulator aided field setting simple 123.35 123.35 3/1/2020 77280 radiation therapeutic simulator aided field setting simple 154.37 154.37 3/1/2020 77285 26 radiation therapeutic simulator aided field setting intermediate 46.32 46.32 3/1/2020 77285 TC radiation therapeutic simulator aided field setting intermediate 219.42 219.42 3/1/2020 77285 radiation therapeutic simulator aided field setting intermediate 265.73 265.73 3/1/2020 77290 26 radiation therapy simulator aided field setting complex 68.79 68.79 3/1/2020 77290 TC radiation therapy simulator aided field setting complex 343.72 343.72 3/1/2020 77290 radiation therapy simulator aided field setting complex 412.49 412.49 3/1/2020 77295 26 therapeutic radiology simulation-aided field setting; three-dimensional 201.00 201.00 3/1/2020 77295 TC therapeutic radiology simulation-aided field setting; three-dimensional 374.43 374.43 3/1/2020 77295 therapeutic radiology simulation-aided field setting; three-dimensional 575.43 575.43 3/1/2020 77300 26 basic radiation dosimetry calculation, central axis depth dose calculation, 27.28 27.28 3/1/2020 77300 TC basic radiation dosimetry calculation, central axis depth dose calculation, 33.25 33.25 3/1/2020 77300 basic radiation dosimetry calculation, central axis depth dose calculation, 60.53 60.53 3/1/2020 77301 26 intensity modulated radiotherapy plan, including dose-volume histograms 352.25 352.25 3/1/2020 77301 TC intensity modulated radiotherapy plan, including dose-volume histograms 1460.38 1460.38 3/1/2020 77301 intensity modulated radiotherapy plan, including dose-volume histograms 1812.64 1812.64 3/1/2020 77321 26 special teletherapy port part/ hemi/ total body 41.83 41.83 3/1/2020 77321 TC special teletherapy port part/ hemi/ total body 61.59 61.59 3/1/2020 77321 special teletherapy port part/ hemi/ total body 103.43 103.43 3/1/2020 77331 26 special dosimetry 38.40 38.40 3/1/2020 77331 TC special dosimetry 15.55 15.55 3/1/2020 77331 special dosimetry 53.96 53.96 3/1/2020 77332 26 treatment devices (simple) 23.75 23.75 3/1/2020 77332 TC treatment devices (simple) 42.03 42.03 3/1/2020 77332 treatment devices (simple) 65.78 65.78 3/1/2020 77333 26 treatment devices (intermediate) 37.11 37.11 3/1/2020 77333 TC treatment devices (intermediate) 21.97 21.97 3/1/2020 77333 treatment devices (intermediate) 59.08 59.08 3/1/2020 77334 26 treatment devices (complex) 54.56 54.56 3/1/2020 77334 TC treatment devices (complex) 79.54 79.54 3/1/2020 77334 treatment devices (complex) 134.10 134.10 3/1/2020 77336 continuing medical physics consultation, including assessment of treatmen 51.17 51.17 3/1/2020 77370 special medical radiation physics consultation 97.30 97.30 3/1/2020 77427 radiation treatment management, five treatments 165.54 165.54 3/1/2020 77431 26 radiation therapy mgmt, complete course, 1-2 fract 82.95 82.95 3/1/2020 77431 radiation therapy mgmt, complete course, 1-2 fract 84.45 84.45 3/1/2020 77432 stereotactic radiation treatment management of cerebral lesion(s) 351.99 351.99 3/1/2020 77435 stereotactic body radiation therapy, treatment management, per treatment 583.65 583.65 3/1/2020 77470 26 special treatment procedure (eg, total body irradiation, hemibody radiation 92.21 92.21 3/1/2020 77470 TC special treatment procedure (eg, total body irradiation, hemibody radiation 124.29 124.29 3/1/2020 77470 special treatment procedure (eg, total body irradiation, hemibody radiation 216.51 216.51 3/1/2020 77600 26 hyperthermia, externally generated 68.79 68.79 3/1/2020 77600 TC hyperthermia, externally generated 242.26 242.26 3/1/2020 77600 hyperthermia, externally generated 311.03 311.03 3/1/2020 77605 26 hyperthermia, ext; deep 89.91 89.91 3/1/2020 77605 TC hyperthermia, ext; deep 464.87 464.87 3/1/2020 77605 hyperthermia, ext; deep 554.78 554.78 3/1/2020 77610 26 hyperthermia generated by interstitial prob(s) 66.96 66.96 3/1/2020 77610 TC hyperthermia generated by interstitial prob(s) 450.61 450.61 3/1/2020 77610 hyperthermia generated by interstitial prob(s) 517.57 517.57 3/1/2020 77615 26 hyperthermia; more than 5 interstitial applicators 91.91 91.91 3/1/2020 77615 TC hyperthermia; more than 5 interstitial applicators 639.91 639.91 3/1/2020 77615 hyperthermia; more than 5 interstitial applicators 731.82 731.82 3/1/2020 77620 26 intracavity hyperthermia 69.15 69.15 3/1/2020 77620 TC intracavity hyperthermia 256.48 256.48 3/1/2020 77620 intracavity hyperthermia 325.65 325.65 3/1/2020 77750 26 infusion or instillation of radioelement soultion 217.80 217.80 3/1/2020 77750 TC infusion or instillation of radioelement soultion 75.96 75.96 3/1/2020 77750 infusion or instillation of radioelement soultion 293.74 293.74 3/1/2020 77761 26 intracavitary radiation source application; simple 167.16 167.16 3/1/2020 77761 TC intracavitary radiation source application; simple 134.03 134.03 3/1/2020 77761 intracavitary radiation source application; simple 301.19 301.19 3/1/2020 77762 26 intracavitary radioelement application (intermed) 252.66 252.66 3/1/2020 77762 TC intracavitary radioelement application (intermed) 159.31 159.31 3/1/2020 77762 intracavitary radioelement application (intermed) 411.97 411.97 3/1/2020 77763 26 interstital radioelement application; complex 379.21 379.21 3/1/2020 77763 TC interstital radioelement application; complex 204.95 204.95 3/1/2020 77763 interstital radioelement application; complex 584.16 584.16 3/1/2020 77778 26 interstitial radioelement application complex 495.77 495.77 3/1/2020 77778 TC interstitial radioelement application complex 213.34 213.34 3/1/2020 77778 interstitial radioelement application complex 709.13 709.13 3/1/2020 77789 26 surface application of radiation source 50.38 50.38 3/1/2020 77789 TC surface application of radiation source 39.18 39.18 3/1/2020 77789 surface application of radiation source 89.55 89.55 3/1/2020 77790 26 supervision, handling, loading of radiation source 46.32 46.32 3/1/2020 77790 TC supervision, handling, loading of radiation source 28.89 28.89 3/1/2020 77790 supervision, handling, loading of radiation source 75.20 75.20 3/1/2020 78014 TC nuclear medicine imaging for thyroid uptake measurements 177.42 177.42 3/1/2020 78015 26 thyroid carcinoma metastases imaging; limited area 30.12 30.12 3/1/2020 78015 TC thyroid carcinoma metastases imaging; limited area 138.88 138.88 3/1/2020 78015 thyroid carcinoma metastases imaging; limited area 169.01 169.01 3/1/2020 78016 26 thyroid carcinoma metastes imaging w/add'l studies 36.86 36.86 3/1/2020 78016 TC thyroid carcinoma metastes imaging w/add'l studies 219.36 219.36 3/1/2020 78016 thyroid carcinoma metastes imaging w/add'l studies 256.21 256.21 3/1/2020 78018 26 thyroid carcinoma metastases imaging; whole body 38.68 38.68 3/1/2020 78018 TC thyroid carcinoma metastases imaging; whole body 219.82 219.82 3/1/2020 78018 thyroid carcinoma metastases imaging; whole body 258.49 258.49 3/1/2020 78020 26 thyroid carcinoma metastases uptake (list separately in addition to code fo 27.02 27.02 3/1/2020 78020 TC thyroid carcinoma metastases uptake (list separately in addition to code fo 49.23 49.23 3/1/2020 78020 thyroid carcinoma metastases uptake (list separately in addition to code fo 76.26 76.26 3/1/2020 78070 26 parathyroid imaging 37.07 37.07 3/1/2020 78070 TC parathyroid imaging 106.75 106.75 3/1/2020 78070 parathyroid imaging 143.82 143.82 3/1/2020 78075 26 adrenal imaging, cortex &/or medulla 33.33 33.33 3/1/2020 78075 TC adrenal imaging, cortex &/or medulla 301.89 301.89 3/1/2020 78075 adrenal imaging, cortex &/or medulla 335.22 335.22 3/1/2020 78102 26 bone marrow imaging; limited area 24.78 24.78 3/1/2020 78102 TC bone marrow imaging; limited area 108.18 108.18 3/1/2020 78102 bone marrow imaging; limited area 132.96 132.96 3/1/2020 78103 26 bone marrow imaging; multiple areas 33.65 33.65 3/1/2020 78103 TC bone marrow imaging; multiple areas 144.95 144.95 3/1/2020 78103 bone marrow imaging; multiple areas 178.62 178.62 3/1/2020 78104 26 bone marrow imaging; whole body 36.20 36.20 3/1/2020 78104 TC bone marrow imaging; whole body 168.40 168.40 3/1/2020 78104 bone marrow imaging; whole body 204.60 204.60 3/1/2020 78110 26 plasma volume, radiopharmaceutical volume-dilution technique (separate 8.55 8.55 3/1/2020 78110 TC plasma volume, radiopharmaceutical volume-dilution technique (separate 54.84 54.84 3/1/2020 78110 plasma volume, radiopharmaceutical volume-dilution technique (separate 63.40 63.40 3/1/2020 78111 26 plasma volume radionuclide vol-dilut tech;mult sam 10.14 10.14 3/1/2020 78111 TC plasma volume radionuclide vol-dilut tech;mult sam 70.74 70.74 3/1/2020 78111 plasma volume radionuclide vol-dilut tech;mult sam 80.87 80.87 3/1/2020 78120 26 red cell volume determination; single sampling 10.46 10.46 3/1/2020 78120 TC red cell volume determination; single sampling 61.64 61.64 3/1/2020 78120 red cell volume determination; single sampling 72.10 72.10 3/1/2020 78121 26 red cell volume determination; multiple sampling 14.31 14.31 3/1/2020 78121 TC red cell volume determination; multiple sampling 73.16 73.16 3/1/2020 78121 red cell volume determination; multiple sampling 87.49 87.49 3/1/2020 78122 26 whole blood volume determination, including separate measurement of pla 20.30 20.30 3/1/2020 78122 TC whole blood volume determination, including separate measurement of pla 88.26 88.26 3/1/2020 78122 whole blood volume determination, including separate measurement of pla 108.56 108.56 3/1/2020 78130 26 red cell survival study 27.55 27.55 3/1/2020 78130 TC red cell survival study 99.51 99.51 3/1/2020 78130 red cell survival study 127.07 127.07 3/1/2020 78140 26 red cell splenic and/or hepatic sequestration 27.55 27.55 3/1/2020 78140 TC red cell splenic and/or hepatic sequestration 95.51 95.51 3/1/2020 78140 red cell splenic and/or hepatic sequestration 123.07 123.07 3/1/2020 78185 26 spleen imaging only, with or without vascular flow 18.05 18.05 3/1/2020 78185 TC spleen imaging only, with or without vascular flow 135.64 135.64 3/1/2020 78185 spleen imaging only, with or without vascular flow 153.69 153.69 3/1/2020 78191 26 platelet survival study 27.25 27.25 3/1/2020 78191 TC platelet survival study 137.30 137.30 3/1/2020 78191 platelet survival study 164.55 164.55 3/1/2020 78195 26 lymphatics and lymph nodes imaging 54.16 54.16 3/1/2020 78195 TC lymphatics and lymph nodes imaging 221.70 221.70 3/1/2020 78195 lymphatics and lymph nodes imaging 275.86 275.86 3/1/2020 78201 26 liver imaging; static only 19.36 19.36 3/1/2020 78201 TC liver imaging; static only 122.62 122.62 3/1/2020 78201 liver imaging; static only 141.98 141.98 3/1/2020 78202 26 liver imaging; with vascular flow 22.56 22.56 3/1/2020 78202 TC liver imaging; with vascular flow 141.30 141.30 3/1/2020 78202 liver imaging; with vascular flow 163.86 163.86 3/1/2020 78215 26 liver and spleen imaging; static only 21.91 21.91 3/1/2020 78215 TC liver and spleen imaging; static only 129.79 129.79 3/1/2020 78215 liver and spleen imaging; static only 151.70 151.70 3/1/2020 78216 26 liver and spleen imaging with vascular flow 25.43 25.43 3/1/2020 78216 TC liver and spleen imaging with vascular flow 89.74 89.74 3/1/2020 78216 liver and spleen imaging with vascular flow 115.17 115.17 3/1/2020 78230 26 salivary gland imaging 19.99 19.99 3/1/2020 78230 TC salivary gland imaging 109.29 109.29 3/1/2020 78230 salivary gland imaging 129.29 129.29 3/1/2020 78231 26 salivary gland imaging; with serial images 23.19 23.19 3/1/2020 78231 TC salivary gland imaging; with serial images 87.41 87.41 3/1/2020 78231 salivary gland imaging; with serial images 110.61 110.61 3/1/2020 78232 26 salivary gland function study 21.25 21.25 3/1/2020 78232 TC salivary gland function study 91.26 91.26 3/1/2020 78232 salivary gland function study 112.51 112.51 3/1/2020 78258 26 esophageal motility 33.63 33.63 3/1/2020 78258 TC esophageal motility 146.76 146.76 3/1/2020 78258 esophageal motility 180.38 180.38 3/1/2020 78261 26 gastric mucosa imaging 31.08 31.08 3/1/2020 78261 TC gastric mucosa imaging 167.80 167.80 3/1/2020 78261 gastric mucosa imaging 198.88 198.88 3/1/2020 78262 26 gastroesophageal reflux study 30.16 30.16 3/1/2020 78262 TC gastroesophageal reflux study 165.98 165.98 3/1/2020 78262 gastroesophageal reflux study 196.13 196.13 3/1/2020 78264 26 gastric emptying study 34.94 34.94 3/1/2020 78264 TC gastric emptying study 190.81 190.81 3/1/2020 78264 gastric emptying study 225.75 225.75 3/1/2020 78267 urea breath test, c-14 (isotopic); acquisition for analysis 10.68 10.68 3/1/2020 78268 urea breath test, c-14; analysis 91.54 91.54 3/1/2020 78278 26 acute gastrointestinal blood loss imaging 44.45 44.45 3/1/2020 78278 TC acute gastrointestinal blood loss imaging 227.78 227.78 3/1/2020 78278 acute gastrointestinal blood loss imaging 272.21 272.21 3/1/2020 78282 26 gastrointestinal protein loss 17.09 17.09 3/1/2020 78282 TC gastrointestinal protein loss 43.09 43.09 3/1/2020 78282 gastrointestinal protein loss 60.19 60.19 3/1/2020 78290 26 intestine imaging (eg, ectopic gastric mucosa, meckels localization, volvul 30.75 30.75 3/1/2020 78290 TC intestine imaging (eg, ectopic gastric mucosa, meckels localization, volvul 212.28 212.28 3/1/2020 78290 intestine imaging (eg, ectopic gastric mucosa, meckels localization, volvul 243.03 243.03 3/1/2020 78291 26 peritoneal-venous shunt patency test 39.64 39.64 3/1/2020 78291 TC peritoneal-venous shunt patency test 158.98 158.98 3/1/2020 78291 peritoneal-venous shunt patency test 198.61 198.61 3/1/2020 78300 26 bone and/or joint imaging, limited area 27.88 27.88 3/1/2020 78300 TC bone and/or joint imaging, limited area 111.63 111.63 3/1/2020 78300 bone and/or joint imaging, limited area 139.51 139.51 3/1/2020 78305 26 bone and/or joint imaging; multiple areas 37.10 37.10 3/1/2020 78305 TC bone and/or joint imaging; multiple areas 148.40 148.40 3/1/2020 78305 bone and/or joint imaging; multiple areas 185.48 185.48 3/1/2020 78306 26 bone and/or joint imaging; whole body 38.68 38.68 3/1/2020 78306 TC bone and/or joint imaging; whole body 166.58 166.58 3/1/2020 78306 bone and/or joint imaging; whole body 205.26 205.26 3/1/2020 78315 26 bone imaging by three phase technique 45.73 45.73 3/1/2020 78315 TC bone imaging by three phase technique 226.86 226.86 3/1/2020 78315 bone imaging by three phase technique 272.59 272.59 3/1/2020 78414 26 determ of ventricular ejection frctn w/probe tech 19.08 19.08 3/1/2020 78414 TC determ of ventricular ejection frctn w/probe tech 51.12 51.12 3/1/2020 78414 determ of ventricular ejection frctn w/probe tech 70.21 70.21 3/1/2020 78428 26 cardiac shunt detection 36.46 36.46 3/1/2020 78428 TC cardiac shunt detection 125.65 125.65 3/1/2020 78428 cardiac shunt detection 162.10 162.10 3/1/2020 78445 26 non-cardiac vascular flow imaging (ie, angiography, venography) 21.91 21.91 3/1/2020 78445 TC non-cardiac vascular flow imaging (ie, angiography, venography) 113.73 113.73 3/1/2020 78445 non-cardiac vascular flow imaging (ie, angiography, venography) 135.63 135.63 3/1/2020 78452 TC nuclear medicine study of vessels of heart using drugs or exercise multiple 191.53 191.53 3/1/2020 78456 26 acute venous thrombosis imaging, peptide 47.50 47.50 3/1/2020 78456 TC acute venous thrombosis imaging, peptide 239.20 239.20 3/1/2020 78456 acute venous thrombosis imaging, peptide 286.70 286.70 3/1/2020 78457 26 venous thrombosis imaging, venogram; unilateral 34.31 34.31 3/1/2020 78457 TC venous thrombosis imaging, venogram; unilateral 121.93 121.93 3/1/2020 78457 venous thrombosis imaging, venogram; unilateral 156.23 156.23 3/1/2020 78458 26 venous thrombosis imaging; bilateral 40.59 40.59 3/1/2020 78458 TC venous thrombosis imaging; bilateral 131.85 131.85 3/1/2020 78458 venous thrombosis imaging; bilateral 172.44 172.44 3/1/2020 78466 26 nuclear scan, heart muscle 31.99 31.99 3/1/2020 78466 TC nuclear scan, heart muscle 117.08 117.08 3/1/2020 78466 nuclear scan, heart muscle 149.07 149.07 3/1/2020 78468 26 nuclear scan, heart muscle 38.02 38.02 3/1/2020 78468 TC nuclear scan, heart muscle 149.91 149.91 3/1/2020 78468 nuclear scan, heart muscle 187.93 187.93 3/1/2020 78469 26 myocardial imaging, infarct avid, planar; tomographic spect with or withou 42.85 42.85 3/1/2020 78469 TC myocardial imaging, infarct avid, planar; tomographic spect with or withou 170.86 170.86 3/1/2020 78469 myocardial imaging, infarct avid, planar; tomographic spect with or withou 213.71 213.71 3/1/2020 78472 26 cardiac blood pool imaging, gated equilibrium; planar, single study at rest 45.33 45.33 3/1/2020 78472 TC cardiac blood pool imaging, gated equilibrium; planar, single study at rest 172.18 172.18 3/1/2020 78472 cardiac blood pool imaging, gated equilibrium; planar, single study at rest 217.51 217.51 3/1/2020 78473 26 cardiac blood pool imaging, gated equilibrium; multiple studies, wall motio 69.06 69.06 3/1/2020 78473 TC cardiac blood pool imaging, gated equilibrium; multiple studies, wall motio 228.57 228.57 3/1/2020 78473 cardiac blood pool imaging, gated equilibrium; multiple studies, wall motio 297.63 297.63 3/1/2020 78481 26 cardiac blood pool imaging, (planar), first pass technique; single study, at 46.95 46.95 3/1/2020 78481 TC cardiac blood pool imaging, (planar), first pass technique; single study, at 144.21 144.21 3/1/2020 78481 cardiac blood pool imaging, (planar), first pass technique; single study, at 191.15 191.15 3/1/2020 78483 26 cardiac blood pool imaging, (planar), first pass technique; multiple studies 71.27 71.27 3/1/2020 78483 TC cardiac blood pool imaging, (planar), first pass technique; multiple studies 199.00 199.00 3/1/2020 78483 cardiac blood pool imaging, (planar), first pass technique; multiple studies 270.26 270.26 3/1/2020 78494 26 cardiac blood pool imaging, gated equilibrium, spect, at rest, wall motion 55.44 55.44 3/1/2020 78494 TC cardiac blood pool imaging, gated equilibrium, spect, at rest, wall motion 182.18 182.18 3/1/2020 78494 cardiac blood pool imaging, gated equilibrium, spect, at rest, wall motion 237.62 237.62 3/1/2020 78496 26 cardiac blood pool imaging, gated equilibrium, single study, at rest, with 23.75 23.75 3/1/2020 78496 TC cardiac blood pool imaging, gated equilibrium, single study, at rest, with 74.06 74.06 3/1/2020 78496 cardiac blood pool imaging, gated equilibrium, single study, at rest, with 97.82 97.82 3/1/2020 78580 26 pulmonary perfusion imaging; particulate 33.33 33.33 3/1/2020 78580 TC pulmonary perfusion imaging; particulate 138.80 138.80 3/1/2020 78580 pulmonary perfusion imaging; particulate 172.13 172.13 3/1/2020 78600 26 brain imaging, limited procedure; static 19.97 19.97 3/1/2020 78600 TC brain imaging, limited procedure; static 122.52 122.52 3/1/2020 78600 brain imaging, limited procedure; static 142.50 142.50 3/1/2020 78601 26 brain imaging, ltd procedure; w/vascular flow 22.87 22.87 3/1/2020 78601 TC brain imaging, ltd procedure; w/vascular flow 146.67 146.67 3/1/2020 78601 brain imaging, ltd procedure; w/vascular flow 169.53 169.53 3/1/2020 78605 26 brain imaging, complete study; static 24.13 24.13 3/1/2020 78605 TC brain imaging, complete study; static 134.57 134.57 3/1/2020 78605 brain imaging, complete study; static 158.69 158.69 3/1/2020 78606 26 brain imaging, complete study w/vascular flow 28.84 28.84 3/1/2020 78606 TC brain imaging, complete study w/vascular flow 219.38 219.38 3/1/2020 78606 brain imaging, complete study w/vascular flow 248.21 248.21 3/1/2020 78610 26 brain imaging, vascular flow only 13.97 13.97 3/1/2020 78610 TC brain imaging, vascular flow only 129.57 129.57 3/1/2020 78610 brain imaging, vascular flow only 143.54 143.54 3/1/2020 78630 26 cerebrospinal fluid flow,imag; cisternography 30.75 30.75 3/1/2020 78630 TC cerebrospinal fluid flow,imag; cisternography 232.73 232.73 3/1/2020 78630 cerebrospinal fluid flow,imag; cisternography 263.49 263.49 3/1/2020 78635 26 cerebrospinal fluid flow imag; ventriculography 27.66 27.66 3/1/2020 78635 TC cerebrospinal fluid flow imag; ventriculography 212.16 212.16 3/1/2020 78635 cerebrospinal fluid flow imag; ventriculography 239.82 239.82 3/1/2020 78645 26 cerebrospinal fluid flow imag; shunt evaluation 25.75 25.75 3/1/2020 78645 TC cerebrospinal fluid flow imag; shunt evaluation 216.93 216.93 3/1/2020 78645 cerebrospinal fluid flow imag; shunt evaluation 242.67 242.67 3/1/2020 78650 26 cerebrospinal fluid leakage detection and localization 27.55 27.55 3/1/2020 78650 TC cerebrospinal fluid leakage detection and localization 229.37 229.37 3/1/2020 78650 cerebrospinal fluid leakage detection and localization 256.94 256.94 3/1/2020 78660 26 radiopharmaceutical dacryocystography 23.82 23.82 3/1/2020 78660 TC radiopharmaceutical dacryocystography 110.60 110.60 3/1/2020 78660 radiopharmaceutical dacryocystography 134.43 134.43 3/1/2020 78700 26 kidney imaging; static only 20.30 20.30 3/1/2020 78700 TC kidney imaging; static only 121.12 121.12 3/1/2020 78700 kidney imaging; static only 141.41 141.41 3/1/2020 78701 26 kidney imaging; with vascular flow 21.91 21.91 3/1/2020 78701 TC kidney imaging; with vascular flow 147.28 147.28 3/1/2020 78701 kidney imaging; with vascular flow 169.19 169.19 3/1/2020 78707 26 kidney imaging with vascular flow and function; single study without 43.16 43.16 3/1/2020 78707 TC kidney imaging with vascular flow and function; single study without 154.68 154.68 3/1/2020 78707 kidney imaging with vascular flow and function; single study without 197.84 197.84 3/1/2020 78708 26 kidney imaging with vascular flow and function; single study, wit 54.58 54.58 3/1/2020 78708 TC kidney imaging with vascular flow and function; single study, wit 107.44 107.44 3/1/2020 78708 kidney imaging with vascular flow and function; single study, wit 162.02 162.02 3/1/2020 78709 26 kidney imaging with vascular flow and function; multiple studies 63.45 63.45 3/1/2020 78709 TC kidney imaging with vascular flow and function; multiple studies 227.97 227.97 3/1/2020 78709 kidney imaging with vascular flow and function; multiple studies 291.42 291.42 3/1/2020 78725 26 kidney function study, non-imaging radioisotopic study 16.79 16.79 3/1/2020 78725 TC kidney function study, non-imaging radioisotopic study 65.57 65.57 3/1/2020 78725 kidney function study, non-imaging radioisotopic study 82.36 82.36 3/1/2020 78730 26 urinary bladder residual study 7.75 7.75 3/1/2020 78730 TC urinary bladder residual study 55.26 55.26 3/1/2020 78730 urinary bladder residual study 63.01 63.01 3/1/2020 78740 26 ureteral reflux study (radiopharmaceutical voiding cystogram) 25.95 25.95 3/1/2020 78740 TC ureteral reflux study (radiopharmaceutical voiding cystogram) 142.40 142.40 3/1/2020 78740 ureteral reflux study (radiopharmaceutical voiding cystogram) 168.35 168.35 3/1/2020 78761 26 testicular imaging; with vascular flow 32.05 32.05 3/1/2020 78761 TC testicular imaging; with vascular flow 137.08 137.08 3/1/2020 78761 testicular imaging; with vascular flow 169.12 169.12 3/1/2020 78800 26 radiopharmaceutical localization of tumor; limited area 29.40 29.40 3/1/2020 78800 TC radiopharmaceutical localization of tumor; limited area 121.84 121.84 3/1/2020 78800 radiopharmaceutical localization of tumor; limited area 151.24 151.24 3/1/2020 78801 26 radionuclide localization multiple areas 35.69 35.69 3/1/2020 78801 TC radionuclide localization multiple areas 166.58 166.58 3/1/2020 78801 radionuclide localization multiple areas 202.27 202.27 3/1/2020 78802 26 radionuclide localization whole body 38.68 38.68 3/1/2020 78802 TC radionuclide localization whole body 225.78 225.78 3/1/2020 78802 radionuclide localization whole body 264.45 264.45 3/1/2020 78803 26 radiopharmaceutical localization of tumor; tomographic (spect) 49.14 49.14 3/1/2020 78803 TC radiopharmaceutical localization of tumor; tomographic (spect) 242.56 242.56 3/1/2020 78803 radiopharmaceutical localization of tumor; tomographic (spect) 291.70 291.70 3/1/2020 78804 26 radiopharmaceutical localization of tumor or distribution of 48.28 48.28 3/1/2020 78804 TC radiopharmaceutical localization of tumor or distribution of 416.86 416.86 3/1/2020 78804 radiopharmaceutical localization of tumor or distribution of 465.15 465.15 3/1/2020 78812 TC nuclear imaging from skull base to mid-thigh 823.27 823.27 3/1/2020 79200 26 intracavitary radioactive colloid therapy 89.73 89.73 3/1/2020 79200 TC intracavitary radioactive colloid therapy 60.14 60.14 3/1/2020 79200 intracavitary radioactive colloid therapy 149.87 149.87 3/1/2020 79300 26 interstitial radioactive colloid therapy 72.65 72.65 3/1/2020 79300 TC interstitial radioactive colloid therapy 117.25 117.25 3/1/2020 79300 interstitial radioactive colloid therapy 189.89 189.89 3/1/2020 79403 26 radiopharmaceutical therapy, radiolabeled monoclonal antibody by intrave 102.08 102.08 3/1/2020 79403 TC radiopharmaceutical therapy, radiolabeled monoclonal antibody by intrave 84.98 84.98 3/1/2020 79403 radiopharmaceutical therapy, radiolabeled monoclonal antibody by intrave 187.06 187.06 3/1/2020 79440 26 intra-articular radiopharmaceutical therapy 89.52 89.52 3/1/2020 79440 TC intra-articular radiopharmaceutical therapy 49.23 49.23 3/1/2020 79440 intra-articular radiopharmaceutical therapy 138.76 138.76 3/1/2020 80048 basic metabolic panel 10.70 10.70 3/1/2020 80050 general health screen panel 12.08 12.32 3/1/2020 80051 electrolyte panel 9.21 9.21 3/1/2020 80053 comprehensive metabolic panel 11.28 11.28 3/1/2020 80055 obstetric panel 30.10 30.10 3/1/2020 80061 lipid panel 17.89 17.89 3/1/2020 80069 renal function panel 10.70 10.70 3/1/2020 80074 acute hepatitis panel 62.21 62.21 3/1/2020 80076 hepatic function panel 10.70 10.70 3/1/2020 80150 amikacin 20.12 20.12 3/1/2020 80151 MEASUREMENT OF AMIODARONE 16.96 16.96 1/1/2021 80155 caffeine level 18.07 18.07 3/1/2020 80156 carbamazepine; total 19.44 19.44 3/1/2020 80157 carbamazepine; free 17.69 17.69 3/1/2020 80158 cyclosporine 24.11 24.11 3/1/2020 80159 clozapine level 23.63 23.63 3/1/2020 80162 digoxin 17.72 17.72 3/1/2020 80164 dipropylacetic acid 17.89 17.89 3/1/2020 80167 MEASUREMENT OF FELBAMATE 16.96 16.96 1/1/2021 80168 ethosuximide 21.82 21.82 3/1/2020 80169 everolimus level 17.54 17.54 3/1/2020 80170 gentamicin 4.62 4.62 3/1/2020 80171 gabapentin level 16.94 16.94 3/1/2020 80173 haloperidol 19.44 19.44 3/1/2020 80175 lamotrigine level 16.94 16.94 3/1/2020 80176 lidocaine 19.60 19.60 3/1/2020 80177 levetiracetam level 16.94 16.94 3/1/2020 80178 lithium 8.83 8.83 3/1/2020 80180 mycophenolate (mycophenolic acid) level 23.07 23.07 3/1/2020 80181 MEASUREMENT OF FLECAINIDE 16.96 16.96 1/1/2021 80183 oxcarbazepine level 16.94 16.94 3/1/2020 80184 phenobarbital 15.30 15.30 3/1/2020 80185 phentoin: total 17.69 17.69 3/1/2020 80186 phentoin; free 18.38 18.38 3/1/2020 80188 primidone 21.75 21.75 3/1/2020 80190 procainamide 22.37 22.37 3/1/2020 80192 procainamide: with antibodies 22.37 22.37 3/1/2020 80194 quinidine 19.48 19.48 3/1/2020 80197 tacrolimus 18.31 18.31 3/1/2020 80198 theophylline 18.89 18.89 3/1/2020 80199 tiagabine level 23.07 23.07 3/1/2020 80200 tobramycin 21.51 21.51 3/1/2020 80201 topiramate 15.92 15.92 3/1/2020 80202 vancomycin 17.89 17.89 3/1/2020 80203 zonisamide level 16.94 16.94 3/1/2020 80204 MEASUREMENT OF METHOTREXATE 18.30 18.30 1/1/2021 80299 quantitation of drug, not elsewhere specified 18.28 18.28 3/1/2020 80400 acth stimulation panel; 43.53 43.53 3/1/2020 80402 acth stimulation panel; 116.06 116.06 3/1/2020 80406 acth stimulation panel; 104.48 104.48 3/1/2020 80408 aldosterone suppression evaluation panel (eg, saline infusion) 167.54 167.54 3/1/2020 80410 calcitonin stimulation panel (eg, calcium, pentagastrin) 107.24 107.24 3/1/2020 80412 corticotropic releasing hormone (crh) stimulation panel 440.01 440.01 3/1/2020 80418 combined rapid anterior pituitary evaluation panel 771.05 771.05 3/1/2020 80420 dexamethasone suppression panel, 48 hour 96.16 96.16 3/1/2020 80422 glucagon tolerance panel; 61.52 61.52 3/1/2020 80424 glucagon tolerance panel; 67.42 67.42 3/1/2020 80428 growth hormone stimulation panel (eg, arginine infusion, l-dopa 89.02 89.02 3/1/2020 80430 growth hormone suppression panel (glucose administration) 104.73 104.73 3/1/2020 80432 insulin-induced c-peptide suppression panel 147.51 147.51 3/1/2020 80434 insulin tolerance panel; 135.01 135.01 3/1/2020 80435 insulin tolerance panel; 137.45 137.45 3/1/2020 80436 metyrapone panel 121.70 121.70 3/1/2020 80438 thyrotropin releasing hormone (trh) stimulation panel; 65.27 65.27 3/1/2020 80439 thyrotropin releasing hormone (trh) stimulation panel; 87.02 87.02 3/1/2020 80500 26 clinical pathology consultation, without patient's history 13.85 15.29 3/1/2020 80500 clinical pathology consultation, without patient's history 15.96 18.08 3/1/2020 80502 26 clinical pathology consultation , comprehensive 42.43 43.20 3/1/2020 80502 clinical pathology consultation , comprehensive 55.58 56.78 3/1/2020 81000 routine urine analysis 4.23 4.23 3/1/2020 81001 urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, 4.23 4.23 3/1/2020 81002 urinalysis routine without microscopy 3.41 3.41 3/1/2020 81003 ua, by dip stick or tablet; automated, wo micro 3.00 3.00 3/1/2020 81005 urine tests 2.90 2.90 3/1/2020 81007 urinalysis; bacteriuria screen, except by culture or dipstick 3.43 3.43 3/1/2020 81015 microscopic urine exam 4.05 4.05 3/1/2020 81020 urinalysis routine 2 or 3 glass test 4.92 4.92 3/1/2020 81025 ua preg. test - color comparison method 8.44 8.44 3/1/2020 81050 volume measurement for timed collection, each 4.00 4.00 3/1/2020 81229 genome-wide microarray analysis for copy number and single nucleotide p 1218.00 1218.00 3/1/2020 81243 gene analysis (fragile x mental retardation) abnormall alleles 59.89 59.89 3/1/2020 82009 acetone qualitative 6.03 6.03 3/1/2020 82010 laboratory services,analysis 10.91 10.91 3/1/2020 82013 acetylcholinesterase 14.92 14.92 3/1/2020 82016 acylcarnitines; qualitative, each specimen 18.51 18.51 3/1/2020 82017 acylcarnitines; quantitative, each specimen (for carnitine, see 82379) 22.52 22.52 3/1/2020 82024 acth 51.57 51.57 3/1/2020 82030 adenosine;5'monophosphate,cyclic (cyclic amp) 34.45 34.45 3/1/2020 82040 albumin serum 6.62 6.62 3/1/2020 82042 albumin; urine or other source, quantitative, each specimen 6.91 6.91 3/1/2020 82043 albumin; urine, micr, quantitative 7.73 7.73 3/1/2020 82044 albumin; urine, micro, semiquantitative 3.82 3.82 3/1/2020 82075 alcohol breath 16.09 16.09 3/1/2020 82085 aldolase 12.96 12.96 3/1/2020 82088 aldosterone 54.41 54.41 3/1/2020 82103 alpha-1-antitrypsin; total 17.93 17.93 3/1/2020 82104 alpha-1-antitrypsin; phenotype 19.30 19.30 3/1/2020 82105 alpha-fetoprotein; serum 22.40 22.40 3/1/2020 82106 alpha-fetoprotein; amniotic fluid 22.40 22.40 3/1/2020 82107 alpha-fetoprotein (afp); afp-l3 fraction isoform and total afp (including ratio 85.98 85.98 3/1/2020 82108 aluminum 34.02 34.02 3/1/2020 82120 amines, vaginal fluid, qualitative 5.02 5.02 3/1/2020 82127 amino acids; single, qualitative, each specimen 18.51 18.51 3/1/2020 82128 amino acids; multiple, qualitative, each specimen 18.51 18.51 3/1/2020 82131 amino acids; single, quantitative, each specimen 22.52 22.52 3/1/2020 82135 aminolevulinic acid delta 21.98 21.98 3/1/2020 82136 amino acids, 2 to 5 amino acids, quantitative, each specimen 22.52 22.52 3/1/2020 82139 amino acids, 6 or more amino acids, quantitative, each specimen 22.52 22.52 3/1/2020 82140 ammonia 19.46 19.46 3/1/2020 82143 amniotic fluid scan 9.19 9.19 3/1/2020 82150 amylase 8.65 8.65 3/1/2020 82154 androstanediol glucuronide 38.49 38.49 3/1/2020 82157 androstenedione 39.08 39.08 3/1/2020 82160 androsterone 33.39 33.39 3/1/2020 82163 angiotensin ii 27.41 27.41 3/1/2020 82164 angiotensin i (ace) 19.48 19.48 3/1/2020 82172 apolipoprotein, each 20.69 20.69 3/1/2020 82175 arsenic 25.33 25.33 3/1/2020 82180 ascorbic acid 13.20 13.20 3/1/2020 82190 atomic absorption spectroscopy, each 19.91 19.91 3/1/2020 82232 beta-2 microglobulin 21.61 21.61 3/1/2020 82239 bile acids; total 21.75 21.75 3/1/2020 82240 bile acids; cholylglycine 21.75 21.75 3/1/2020 82247 bilirubin; total 6.71 6.71 3/1/2020 82248 bilirubin; direct 6.71 6.71 3/1/2020 82252 bilirubin feces qualitative 6.07 6.07 3/1/2020 82261 biotinidase, each specimen 22.52 22.52 3/1/2020 82270 blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, 4.34 4.34 3/1/2020 82274 blood, occult, by fecal hemoglobin determination by immunoassay, qualita 21.23 21.23 3/1/2020 82286 bradykinin 9.19 9.19 3/1/2020 82300 cadmium 30.89 30.89 3/1/2020 82306 calcifediol (25-oh vitamin d-3) 39.52 39.52 3/1/2020 82308 calcitonin 35.74 35.74 3/1/2020 82310 calcium; total 6.88 6.88 3/1/2020 82330 calcium; ionized 18.24 18.24 3/1/2020 82331 calcium after calcium infusion test 6.91 6.91 3/1/2020 82340 calcium urine quantitative timed specimen 6.95 6.95 3/1/2020 82355 calculus; qualitative analysis 15.45 15.45 3/1/2020 82360 calculus quantitative chemical 17.19 17.19 3/1/2020 82365 calculus quantitative infrared spectroscopy 17.21 17.21 3/1/2020 82370 calculus quantitative x-ray defraction 16.73 16.73 3/1/2020 82373 carbohydrate deficient transferrin 24.11 24.11 3/1/2020 82374 carbon dioxide 6.53 6.53 3/1/2020 82375 laboratory services,analysis 14.77 14.77 3/1/2020 82376 carbon diox comb parcarb muno qualitativ 8.00 8.00 3/1/2020 82378 carcinoembryonic antigen (cea) 25.33 25.33 3/1/2020 82379 carnitine (total and free), quantitative, each specimen 22.52 22.52 3/1/2020 82380 carotene 12.32 12.32 3/1/2020 82382 catecholamines; total urine 22.95 22.95 3/1/2020 82383 catecholamines blood 33.45 33.45 3/1/2020 82384 catecholamines fractionated 33.71 33.71 3/1/2020 82387 cathepsin-d 18.51 18.51 3/1/2020 82390 ceruloplasmin 14.34 14.34 3/1/2020 82397 chemiluminescent assay 18.51 18.51 3/1/2020 82415 chloramphenicol 16.92 16.92 3/1/2020 82435 chloride, serum 6.13 6.13 3/1/2020 82436 chloride, urine 6.71 6.71 3/1/2020 82438 chloride; other source 6.53 6.53 3/1/2020 82441 chlorinatrd hydrocarbonns screen 8.01 8.01 3/1/2020 82465 cholesterol, serum or whole blood, total 5.81 5.81 3/1/2020 82480 cholinesterase 7.68 7.68 3/1/2020 82482 cholinesterase 6.14 6.14 3/1/2020 82485 chondruitine b sulfate quantitative 27.56 27.56 3/1/2020 82495 chromium 27.08 27.08 3/1/2020 82507 citric acid 37.12 37.12 3/1/2020 82523 collagen cross links, any method 19.57 19.57 3/1/2020 82525 copper 16.57 16.57 3/1/2020 82528 corticosterone 30.05 30.05 3/1/2020 82530 cortisol; free 22.31 22.31 3/1/2020 82533 cortisol; total 21.77 21.77 3/1/2020 82540 creatine 6.20 6.20 3/1/2020 82542 column chromatography/mass spectrometry (eg, gc/ms, or hplc/ms), analy 24.11 24.11 3/1/2020 82550 creatine kinase (ck), (cpk); total 8.69 8.69 3/1/2020 82552 cpk isoenzyme (qualitative) 17.88 17.88 3/1/2020 82553 cpk; mb fraction only 15.41 15.41 3/1/2020 82554 cpk; isoforms 15.84 15.84 3/1/2020 82565 serum creatinine 6.85 6.85 3/1/2020 82570 creatinine; other source 6.91 6.91 3/1/2020 82575 creatinine clearance 12.61 12.61 3/1/2020 82585 cryofibrinogen 11.45 11.45 3/1/2020 82595 cryoglobulin, qualitative or semi-quantitative (eg, cryocrit) 8.64 8.64 3/1/2020 82600 cyanide 25.90 25.90 3/1/2020 82607 cyanocobalamin (vitamin b-12) 20.12 20.12 3/1/2020 82608 cyanocobalamin unsaturated binding capacity 19.12 19.12 3/1/2020 82615 cystine 10.90 10.90 3/1/2020 82626 dehydroepiandrosterone (dhea) 33.74 33.74 3/1/2020 82627 dhea-s 29.68 29.68 3/1/2020 82633 deoxycorticosterone 41.35 41.35 3/1/2020 82634 deoxycortisol, 11- 39.08 39.08 3/1/2020 82638 dibucaine number 16.35 16.35 3/1/2020 82652 dihydroxyvitamin d 51.39 51.39 3/1/2020 82657 enzyme activity in blood cells, cultured cells, or tissue, not elsewhere 24.11 24.11 3/1/2020 82658 enzyme activity in blood cells, cultured cells, or tissue, not elsewhere 24.11 24.11 3/1/2020 82664 electrophoretic tech 45.86 45.86 3/1/2020 82668 erythropoietin 25.10 25.10 3/1/2020 82670 estradiol 31.79 31.79 3/1/2020 82671 estrogens fractionated blood 43.12 43.12 3/1/2020 82672 estrogens total blood 28.95 28.95 3/1/2020 82677 estriol 32.29 32.29 3/1/2020 82679 estrone 33.33 33.33 3/1/2020 82681 DIRECT MEASUREMENT OF FREE ESTRADIOL (HORMONE) 25.43 25.43 1/1/2021 82693 ethylene glycol 18.52 18.52 3/1/2020 82696 etiocholanolone 31.48 31.48 3/1/2020 82705 fecal fat screen 6.79 6.79 3/1/2020 82710 fat or lipids, feces; quantitative 22.43 22.43 3/1/2020 82715 fecal fat 22.98 22.98 3/1/2020 82725 fatty acids, nonesterified 17.78 17.78 3/1/2020 82726 very long chain fatty acids 24.11 24.11 3/1/2020 82728 ferritin specify method 18.19 18.19 3/1/2020 82731 fetal fibronectin, cervicovaginal secretions, semi-quantitative 85.98 85.98 3/1/2020 82735 fluoride 24.76 24.76 3/1/2020 82746 folic acid 19.62 19.62 3/1/2020 82747 folic acid; rbc 20.12 20.12 3/1/2020 82757 fructose semen 23.16 23.16 3/1/2020 82759 galactorinase rbc 28.68 28.68 3/1/2020 82760 galactose 14.94 14.94 3/1/2020 82775 galactose-1-phosdhate uridyl transferase;qual 28.12 28.12 3/1/2020 82776 galactose 1 phosphate uridyl transferase quantitat 11.19 11.19 3/1/2020 82784 gamma globulin 12.41 12.41 3/1/2020 82785 gammaglobulin; ige 21.99 21.99 3/1/2020 82787 gammaglobulin; immunoglobulin subclasses, (igg1, 2, 3, or 4), each 10.70 10.70 3/1/2020 82800 oxygen saturation ph only 8.57 8.57 3/1/2020 82803 gases, blood, any combination of ph, pco2, po2, co2, hco3 (including calc 25.84 25.84 3/1/2020 82805 gases, blood, any combination of ph, pco2, po2, co2, hco2 (including 37.88 37.88 3/1/2020 82810 gases, blood, o2 saturation only, by direct measurement, except 11.66 11.66 3/1/2020 82820 hemoglobin - oxygen affinity 13.34 13.34 3/1/2020 82930 gastric acid analysis, includes ph if performed, each specimen 7.33 7.33 3/1/2020 82938 gastrin after secretin stimulation 23.63 23.63 3/1/2020 82941 gastrin 23.54 23.54 3/1/2020 82943 glucagon 19.08 19.08 3/1/2020 82945 glucose, body fluid, other than blood 5.24 5.24 3/1/2020 82946 glucagon tolerance test 20.12 20.12 3/1/2020 82947 glucose; quantitative, blood (except reagent strip) 5.24 5.24 3/1/2020 82948 blood glucose -finger stick 4.23 4.23 3/1/2020 82950 glucose post glucose dose 6.34 6.34 3/1/2020 82951 oral glucose tolerance test 17.19 17.19 3/1/2020 82952 glucose tolerance test each assit beyond 3 spec 5.24 5.24 3/1/2020 82955 glucose 6 phosphate dehydrogenase 6.22 6.22 3/1/2020 82960 glucose 6 phosphate dehydrogenase screen 8.10 8.10 3/1/2020 82962 blood glucose by monitoring device 3.13 3.13 3/1/2020 82963 glucosidase beta 28.68 28.68 3/1/2020 82965 glutamate dehydrogenase 10.32 10.32 3/1/2020 82977 g g t 9.61 9.61 3/1/2020 82978 glutatione level and stability 19.03 19.03 3/1/2020 82979 glutathione reductase rbc 9.19 9.19 3/1/2020 82985 glycated protein 20.12 20.12 3/1/2020 83001 gonadotropin; follicle stimulating hormone (fsh) 24.81 24.81 3/1/2020 83002 hemoglobin fractionation and quanitation; electrophoresis 24.73 24.73 3/1/2020 83003 growth stimulating hormone 22.25 22.25 3/1/2020 83010 haptoglobin 16.80 16.80 3/1/2020 83012 haptoglobin phenotypes electrophoresis 22.95 22.95 3/1/2020 83013 helicobacter pylori; analysis for urease activity, non-radioactive isotope 89.92 89.92 3/1/2020 83014 helicobacter pylori, breath test analysis; drug administration and sample 10.49 10.49 3/1/2020 83015 heavy metal screen 25.14 25.14 3/1/2020 83018 heavy metal; quantitative, each 29.32 29.32 3/1/2020 83020 26 hemoglobin fractionation and quantitation; electrophoresis (eg, a2, s, c, 16.25 16.25 3/1/2020 83020 hemoglobin fractionation and quantitation; electrophoresis (eg, a2, s, c, 16.78 16.78 3/1/2020 83021 hemoglobin fractionation and quantitation; chromotography (eg, a2, s, c, a 24.11 24.11 3/1/2020 83026 hemoglobin; by copper sulfate method 3.15 3.15 3/1/2020 83030 hemoglobin f(fetal) chemical 11.05 11.05 3/1/2020 83033 hemoglobin; f (fetal), qualitative 7.96 7.96 3/1/2020 83036 hemoglobin; glycosylated (a1c) 12.96 12.96 3/1/2020 83045 methemoglobin 6.63 6.63 3/1/2020 83050 methemoglobin quantitative 9.78 9.78 3/1/2020 83051 methemoglobin plasma 9.75 9.75 3/1/2020 83060 sulfhemoglobin quantitative 11.05 11.05 3/1/2020 83065 hemoglobin thermolabile 9.19 9.19 3/1/2020 83068 hemoglobin unstablescreen 3.84 3.84 3/1/2020 83069 hemoglobin urine 5.26 5.26 3/1/2020 83070 hemosiderin 0.74 0.74 3/1/2020 83080 b-hexosaminidase, each assay 22.52 22.52 3/1/2020 83088 histamine 39.43 39.43 3/1/2020 83090 homocystine 22.52 22.52 3/1/2020 83150 homovanillic acid (hva) 25.84 25.84 3/1/2020 83491 hydroxycorticosteroids, 17- (17-ohcs) 23.38 23.38 3/1/2020 83497 5 hiaa qualitative 17.21 17.21 3/1/2020 83498 hydroxyprogesterone, 17-d 36.26 36.26 3/1/2020 83500 hydroxyproline free 30.24 30.24 3/1/2020 83505 hydroxyproline total 32.45 32.45 3/1/2020 83516 immunoassay for analyte other than infectious agent antibody or infectious 15.30 15.30 3/1/2020 83518 immunoassay for analyte other than antibody or infectious agent antigen, 10.21 10.21 3/1/2020 83519 immunoassay, analyte, quantitative; by radiopharmaceutical technique (eg 18.04 18.04 3/1/2020 83520 immunoassay analyte; not otherwise specified 17.28 17.28 3/1/2020 83525 insulin; total 15.27 15.27 3/1/2020 83527 insulin; 16.89 16.89 3/1/2020 83528 intrinscic factor level 21.23 21.23 3/1/2020 83540 iron 8.65 8.65 3/1/2020 83550 ibc 11.67 11.67 3/1/2020 83570 idh 11.81 11.81 3/1/2020 83582 ketogenic steroids; fractionation 18.92 18.92 3/1/2020 83586 ketosteroids, 17- (17-ks); total 17.09 17.09 3/1/2020 83593 ketosteroids, 17- (17-ks); fractionation 35.11 35.11 3/1/2020 83605 "lactates" 14.26 14.26 3/1/2020 83615 lactate dehydrogenase (ld), (ldh) 8.06 8.06 3/1/2020 83625 ldh isoenzymes 12.42 12.42 3/1/2020 83632 lactogen, human placental (hpl) 26.99 26.99 3/1/2020 83633 lactose urine qualitaitive 7.35 7.35 3/1/2020 83655 lead 16.16 16.16 3/1/2020 83661 fetal lung maturity assessment; lecithin sphingomyelin (l/s) ratio 29.35 29.35 3/1/2020 83662 l/s ratio 25.25 25.25 3/1/2020 83663 fetal lung maturity assessment; fluorescence polarization 25.25 25.25 3/1/2020 83664 fetal lung maturity assessment; lamellar body density 25.25 25.25 3/1/2020 83670 leucine aminopeptidase (lap) 12.23 12.23 3/1/2020 83690 lipase 9.19 9.19 3/1/2020 83718 lipoprotein. direct measurement; high density cholesterol. 10.93 10.93 3/1/2020 83719 lipoprotein, direct measurement; direct measurement, vldl cholesterol 15.54 15.54 3/1/2020 83721 lipoprotein, direct measurement; direct measurement, ldl cholesterol 12.74 12.74 3/1/2020 83727 luteinizing releasing factor (lrh) 22.95 22.95 3/1/2020 83735 magnesium 8.95 8.95 3/1/2020 83775 malate dehydrogenase 9.84 9.84 3/1/2020 83785 manganese blood or urine 32.83 32.83 3/1/2020 83789 mass spectrometry and tandem mass spectrometry (ms, ms/ ms), analyte 24.11 24.11 3/1/2020 83825 mercury, quantitative 21.71 21.71 3/1/2020 83835 methanephrines 22.62 22.62 3/1/2020 83857 methemalbumin 14.34 14.34 3/1/2020 83861 microfluidic analysis utilizing an integrated collection and analysis device, 5.54 5.54 3/1/2020 83864 mucopolysaccharides, acid; quantitative 26.59 26.59 3/1/2020 83872 mucin synovial fluid 7.82 7.82 3/1/2020 83873 myelin basic protein, cerebrospinal fluid 22.97 22.97 3/1/2020 83874 myoglobin 17.24 17.24 3/1/2020 83880 natriuretic peptide 45.32 45.32 3/1/2020 83883 nephelometry, each analyte 18.15 18.15 3/1/2020 83885 nickel 32.71 32.71 3/1/2020 83915 5 nucleotidase 14.89 14.89 3/1/2020 83916 oligoclonal immune (oligoclonal bands) 26.84 26.84 3/1/2020 83918 organic acids; total, quantitative, each specimen 21.98 21.98 3/1/2020 83919 organic acids; qualitative, each specimen 21.98 21.98 3/1/2020 83921 organic acid, single, quantitative 21.98 21.98 3/1/2020 83930 osmolality blood 8.83 8.83 3/1/2020 83935 osmolality 9.09 9.09 3/1/2020 83937 osteocalcin (bone g1a protein) 38.01 38.01 3/1/2020 83945 oxalate 17.19 17.19 3/1/2020 83950 oncoprotein, her-2/neu 85.98 85.98 3/1/2020 83970 parathormone 55.10 55.10 3/1/2020 83986 ph body fluid except blood 4.78 4.78 3/1/2020 84030 phenylalanine (pku), blood 7.35 7.35 3/1/2020 84035 phenylketones, qualitative 4.88 4.88 3/1/2020 84060 phosphatase acid 9.86 9.86 3/1/2020 84066 phosphatase acid; prostatic 12.90 12.90 3/1/2020 84075 phosphatase alkaline 6.91 6.91 3/1/2020 84078 phosphatase alkaline blood heat stable 9.74 9.74 3/1/2020 84080 alkaline phosphatase isoenzyme 19.74 19.74 3/1/2020 84081 phosphatydylglycerol 22.06 22.06 3/1/2020 84085 phosphogluconat6 6-dehydrogenase rbc 9.00 9.00 3/1/2020 84087 phosphohexose isomerase 13.78 13.78 3/1/2020 84100 phosphorus inorganic (phosphate) 6.33 6.33 3/1/2020 84105 phosphorus (phosphate) urine 6.91 6.91 3/1/2020 84106 porphobilinogen 5.72 5.72 3/1/2020 84110 porphobilinogen urine quantitative 11.28 11.28 3/1/2020 84112 placental alpha microglobulin-1 (pamg-1), cervicovaginal secretion, qualita 86.60 86.60 3/1/2020 84119 porphyrins qualitative 11.50 11.50 3/1/2020 84120 porphyrins, urine; quantitation and fractionation 19.64 19.64 3/1/2020 84126 prophyrins feces quanitative 34.01 34.01 3/1/2020 84132 potassium serum 6.13 6.13 3/1/2020 84133 potassium urine 5.74 5.74 3/1/2020 84134 prealbumin 19.48 19.48 3/1/2020 84135 pregnanediol 25.54 25.54 3/1/2020 84138 pregnanetriol 25.28 25.28 3/1/2020 84140 pregnenolone 26.72 26.72 3/1/2020 84143 17-hydroxypregnenolone 30.47 30.47 3/1/2020 84144 progesterone 27.86 27.86 3/1/2020 84146 prolactin 25.87 25.87 3/1/2020 84150 prostaglandin, each 33.33 33.33 3/1/2020 84152 prostate specific antigen (psa); complexed (direct measurement) 24.56 24.56 3/1/2020 84153 prostate specific antigen (psa); total 24.56 24.56 3/1/2020 84154 prostate specific antigen (psa); free 24.56 24.56 3/1/2020 84155 protein, total, except by refractometry; serum 4.89 4.89 3/1/2020 84160 protein refractometric 6.91 6.91 3/1/2020 84165 26 protein electrophoresis 15.96 15.96 3/1/2020 84165 protein electrophoresis 14.28 14.28 3/1/2020 84181 26 protein; western blot, with report and interpretation 15.96 15.96 3/1/2020 84181 protein; western blot, with report and interpretation 15.70 15.70 3/1/2020 84182 26 protein;immuno probe for band id, each 16.46 16.46 3/1/2020 84182 protein;immuno probe for band id, each 15.70 15.70 3/1/2020 84202 protoporphyrin rbc quantitative 19.16 19.16 3/1/2020 84203 protoporphyrin rbc screen 11.50 11.50 3/1/2020 84206 proinsulin 23.78 23.78 3/1/2020 84207 pyridoxine vitamine b-6 37.51 37.51 3/1/2020 84210 pyruvate 14.49 14.49 3/1/2020 84220 pyruvate kinase 12.59 12.59 3/1/2020 84228 quinine 15.54 15.54 3/1/2020 84233 receptor assay estrogen (estradiol) 85.98 85.98 3/1/2020 84234 receptor assay progesterone 86.60 86.60 3/1/2020 84235 receptor assay endocrine not estrogen or progester 69.87 69.87 3/1/2020 84238 receptor assay; non-endocrine (specify receptor) 48.81 48.81 3/1/2020 84244 renin 29.36 29.36 3/1/2020 84252 riboflavin 27.02 27.02 3/1/2020 84255 selenium 34.08 34.08 3/1/2020 84260 serotonin 21.75 21.75 3/1/2020 84270 shbg 29.01 29.01 3/1/2020 84275 sialic acid 17.93 17.93 3/1/2020 84285 silica 31.44 31.44 3/1/2020 84295 sodium blood 6.43 6.43 3/1/2020 84300 sodium urine 6.49 6.49 3/1/2020 84302 sodium; other source 6.49 6.49 3/1/2020 84305 somatomedin 18.51 18.51 3/1/2020 84307 somatostatin 18.51 18.51 3/1/2020 84311 spectrophometry, not elsewhere specified 9.33 9.33 3/1/2020 84315 specific gravity cexce pt urine 3.35 3.35 3/1/2020 84375 sugar chomatographic tlc/paper chomatoga phy 26.17 26.17 3/1/2020 84376 sugars (mon-, di, and oligosaccharides); single qualitative, each specimen 7.35 7.35 3/1/2020 84377 sugars (mon-, di, and oligosaccharides); multiple qualitative, each specim 7.35 7.35 3/1/2020 84378 sugars (mon-, di, and oligosaccharides); single quantitative, each specime 15.38 15.38 3/1/2020 84379 sugars (mon-, di, and oligosaccharides); multiple quantitative, each specim 15.38 15.38 3/1/2020 84392 sulfate, urine 6.34 6.34 3/1/2020 84402 testosterone; free 33.99 33.99 3/1/2020 84403 testosterone; total 34.47 34.47 3/1/2020 84425 thiamine 28.35 28.35 3/1/2020 84430 thiocyanate 7.70 7.70 3/1/2020 84432 thyroglobulin 21.44 21.44 3/1/2020 84436 thyroxine; total 7.70 7.70 3/1/2020 84437 thyroxine; requiring elution (eg, neonatal) 8.64 8.64 3/1/2020 84439 thyroxine; free 12.04 12.04 3/1/2020 84442 tbg by ria 19.74 19.74 3/1/2020 84443 tsh 21.76 21.76 3/1/2020 84445 thyroid stimulating immune globulins (tsi) 67.89 67.89 3/1/2020 84446 vitamin e 18.93 18.93 3/1/2020 84449 transcortin (cortisol binding globulin) 24.03 24.03 3/1/2020 84450 transferase; aspartate amino (ast) (sgot) 6.90 6.90 3/1/2020 84460 transferase; alanine amino (alt) (sgpt) 7.07 7.07 3/1/2020 84466 transferrin 17.04 17.04 3/1/2020 84478 triglycerides 7.69 7.69 3/1/2020 84479 thyroid hormone (t3 or t4) uptake or thyroid hormone binding ratio (thbr) 7.96 7.96 3/1/2020 84480 triiodothyronine t3; total (tt-3) 18.93 18.93 3/1/2020 84481 tridothyronine (t-3); free 22.62 22.62 3/1/2020 84482 t-3; reverse 21.04 21.04 3/1/2020 84484 troponin, quantitative 13.14 13.14 3/1/2020 84485 trypsin duodenal fluid 10.03 10.03 3/1/2020 84488 trypsin; feces, qualitative 9.74 9.74 3/1/2020 84490 trypsin feces quantitative 10.15 10.15 3/1/2020 84510 tyrosine 13.88 13.88 3/1/2020 84512 troponin, qualitative 8.31 8.31 3/1/2020 84520 urea nitrogen; quantitative 5.26 5.26 3/1/2020 84525 urea nitrogen; semiquantitative (eg, reagent strip test) 5.02 5.02 3/1/2020 84540 laboratory services,analysis 6.34 6.34 3/1/2020 84545 urea clearance 7.70 7.70 3/1/2020 84550 uric acid; blood 6.03 6.03 3/1/2020 84560 uric acid; other source 6.34 6.34 3/1/2020 84577 fecal urobilinogen quantitative 16.65 16.65 3/1/2020 84578 urobilinogen qualitative 3.13 3.13 3/1/2020 84580 urobilinogen urine quantitative 9.48 9.48 3/1/2020 84583 urobilinogen urine semiquantitative 6.71 6.71 3/1/2020 84585 uma 20.70 20.70 3/1/2020 84586 vasoactive intestinal peptide (vip) 21.34 21.34 3/1/2020 84588 vasopressin (antidiuretic hormone, adh) 45.32 45.32 3/1/2020 84590 vitamin a 15.48 15.48 3/1/2020 84597 vitamin k 18.30 18.30 3/1/2020 84600 volatiles 18.59 18.59 3/1/2020 84620 d-xylose tolerance 15.81 15.81 3/1/2020 84630 zinc 15.20 15.20 3/1/2020 84681 c-peptide any method 21.21 21.21 3/1/2020 84702 gonadotropin chorionic quantitative 11.68 11.68 3/1/2020 84703 pregnancy test (gonodotropin, chorionic (hcg); qualitative) 10.03 10.03 3/1/2020 85002 bleeding time 6.01 6.01 3/1/2020 85004 blood count; automated differential wbc count 8.64 8.64 3/1/2020 85007 blood count diff wbc count 4.60 4.60 3/1/2020 85008 blood count; blood smear, microscopic examination without manual differe 4.60 4.60 3/1/2020 85009 blood count; manual differential wbc count, buffy coat 4.96 4.96 3/1/2020 85013 blood count; spun microhematocrit 3.16 3.16 3/1/2020 85014 blood count; hematocrit (hct) 3.16 3.16 3/1/2020 85018 blood count; hemoglobin (hgb) 3.16 3.16 3/1/2020 85025 blood count hemogram/platelet count auto/auto comp 10.37 10.37 3/1/2020 85027 blood count hemogram automated w platelet count 8.64 8.64 3/1/2020 85032 blood count; manual cell count (erythrocyte, leukocyte, or platelet) each 5.74 5.74 3/1/2020 85041 rbc 4.01 4.01 3/1/2020 85044 blood count; reticulocyte, manual 5.74 5.74 3/1/2020 85045 blood count, reticulocyte count, flow cytometry 5.34 5.34 3/1/2020 85046 blood count; reticulocytes, automated, including one or more cellular 7.46 7.46 3/1/2020 85048 blood count; leukocyte (wbc), automated 3.39 3.39 3/1/2020 85049 blood count; platelet, automated 5.97 5.97 3/1/2020 85060 26 blood smear, peripheral, interp by physician 14.16 14.16 3/1/2020 85060 blood smear, peripheral, interp by physician 19.70 19.70 3/1/2020 85097 26 bone marrow, smear interpretation 64.08 64.08 3/1/2020 85097 bone marrow, smear interpretation 40.99 40.99 3/1/2020 85130 chromogenic substrate assay 15.88 15.88 3/1/2020 85170 clot retraction 4.83 4.83 3/1/2020 85175 clot lysis time whole blood dilution 6.07 6.07 3/1/2020 85210 clotting factor ii prothrombin specific 17.34 17.34 3/1/2020 85220 clotting factor v labile factor 23.56 23.56 3/1/2020 85230 clotting factor vii 23.91 23.91 3/1/2020 85240 clotting factor viii one stage 23.91 23.91 3/1/2020 85244 clotting; factor viii related antigen 27.26 27.26 3/1/2020 85245 clotting; factor 8 30.63 30.63 3/1/2020 85246 clotting; factor 8, vw factor antigen 30.63 30.63 3/1/2020 85247 clotting; factor 8, multimetric analysis 30.63 30.63 3/1/2020 85250 clotting factor ix 25.42 25.42 3/1/2020 85260 clotting factor x 23.91 23.91 3/1/2020 85270 clotting factor xi 23.91 23.91 3/1/2020 85280 clotting factor xii 25.84 25.84 3/1/2020 85290 clotting factor xiii 21.82 21.82 3/1/2020 85291 clotting factor xiii fibrin stabilizing screen sol 11.87 11.87 3/1/2020 85292 clotting; factor ii prekallikrein assay 25.28 25.28 3/1/2020 85293 clotting; factor ii molecular weight assay 25.28 25.28 3/1/2020 85300 clotting inhibitors or anticoagulants antithrombin 15.81 15.81 3/1/2020 85301 clotting inhibitors; antithrombin iii, antigen ass 14.44 14.44 3/1/2020 85302 clotting inhibitors or anticoagulants; protein c, antigen 16.05 16.05 3/1/2020 85303 clotting inhibitors or anticoag; protein c 18.46 18.46 3/1/2020 85305 clotting inhibitors or anticoagulants; protein s, total 15.48 15.48 3/1/2020 85306 clotting inhibitors or anticoag; protein s free 19.08 19.08 3/1/2020 85307 activated protein c (apc) resistance assay 19.08 19.08 3/1/2020 85335 factor inhibitor test 17.19 17.19 3/1/2020 85337 thrombomodulin 13.91 13.91 3/1/2020 85345 coagulation time 5.74 5.74 3/1/2020 85347 coagulation time other methods 5.68 5.68 3/1/2020 85348 coagulation time other methods 4.97 4.97 3/1/2020 85360 euglobulin lysis 11.21 11.21 3/1/2020 85362 fibrin degredation products 9.19 9.19 3/1/2020 85370 fdp; quantitative 12.30 12.30 3/1/2020 85378 fdp, d-dimer; semiquantitative 9.52 9.52 3/1/2020 85379 fdp, d-dimer; quantitative 12.30 12.30 3/1/2020 85380 fibrin degradation products, d-dimer; ultrasensitive (eg, for evaluation for 12.30 12.30 3/1/2020 85384 fibrinogen; activity 11.34 11.34 3/1/2020 85385 fibrinogen; antigen 11.34 11.34 3/1/2020 85390 26 fibrinolysins or coagulopathy screen, interpretation and report 16.25 16.25 3/1/2020 85390 fibrinolysins or coagulopathy screen, interpretation and report 6.90 6.90 3/1/2020 85400 fibrinolytic mechanisms plasmin 11.81 11.81 3/1/2020 85410 fibrinolytic mechanisms antiplasmin 10.29 10.29 3/1/2020 85415 fibrinolytic factors & inhibitors 22.95 22.95 3/1/2020 85420 fibrinolytic mechanisms plasminogen 8.73 8.73 3/1/2020 85421 plasminogen, antigenic assay 13.60 13.60 3/1/2020 85441 heinz bodies direct 5.62 5.62 3/1/2020 85445 heinz bodies induced acetyl phenylhydrazine 9.09 9.09 3/1/2020 85460 hemoglobin or rbcs, fetal, for fetomaternal hemorrhage; 10.06 10.06 3/1/2020 85461 hemoglobin or rbcs, fetal, for fetomaternal hemorrhage; 8.85 8.85 3/1/2020 85475 hemolysin, acid 10.06 10.06 3/1/2020 85520 heparin assay 17.47 17.47 3/1/2020 85525 heparin neutralization 15.81 15.81 3/1/2020 85530 heparin-protamine tolerance test 18.93 18.93 3/1/2020 85536 iron stain, peripheral blood 8.64 8.64 3/1/2020 85540 leukocyte alkaline phosphatase 11.49 11.49 3/1/2020 85547 rbc fragility 5.47 5.47 3/1/2020 85549 muramidase 25.04 25.04 3/1/2020 85555 osmotic fragility, rbc; unincubated 8.93 8.93 3/1/2020 85557 osmotic fragility incubated quantitative 17.83 17.83 3/1/2020 85576 26 platelet; aggregation (in vitro), each agent 16.25 16.25 3/1/2020 85576 platelet; aggregation (in vitro), each agent 28.68 28.68 3/1/2020 85597 platelet neutralization 24.00 24.00 3/1/2020 85598 phospholipid neutralization; hexagonal phospholipid 24.17 24.17 3/1/2020 85610 prothrombin time 5.25 5.25 3/1/2020 85611 prothrombin time 5.26 5.26 3/1/2020 85612 russell viper venom time (includes venom); undiluted 12.78 12.78 3/1/2020 85613 russell vipor venom time; duluted 12.78 12.78 3/1/2020 85635 reptilase test 13.15 13.15 3/1/2020 85651 sedimentation rate, erythrocyte, non-automated 4.74 4.74 3/1/2020 85652 sedimentation rate, erythrocyte; automated 3.60 3.60 3/1/2020 85660 sickling rbc reduction slide method 7.37 7.37 3/1/2020 85670 thrombin time plasma 7.71 7.71 3/1/2020 85675 thrombin time titer 9.16 9.16 3/1/2020 85705 thromboplastin inhibition; tissue 12.85 12.85 3/1/2020 85730 ptt 8.01 8.01 3/1/2020 85732 thromboplastin time, partial (ptt); substitution, plasma fractions, each 8.64 8.64 3/1/2020 85810 viscosity 13.53 13.53 3/1/2020 86000 agglutins febrile ea 9.31 9.31 3/1/2020 86001 allergen specific igg quantitative or semiquantitative, each allergen 6.97 6.97 3/1/2020 86003 measurement of antibody (ige) to allergic substance 6.76 6.76 3/1/2020 86021 antibody identification leukocyte antibodies 20.10 20.10 3/1/2020 86022 antibody identification platelet antibodies 24.52 24.52 3/1/2020 86023 antibody id platelet associated immunoglobulin 16.62 16.62 3/1/2020 86038 antinuclear antibodies (ana); 16.14 16.14 3/1/2020 86039 ana; titer 14.91 14.91 3/1/2020 86060 aso titer 9.74 9.74 3/1/2020 86063 antistreptolysin screen 7.71 7.71 3/1/2020 86077 26 blood bank services; evaluation of irregular antib 32.57 32.57 3/1/2020 86077 blood bank services; evaluation of irregular antib 41.09 41.09 3/1/2020 86078 26 blood bank irregular antib investigation of transf 33.27 33.27 3/1/2020 86078 blood bank irregular antib investigation of transf 41.09 41.09 3/1/2020 86079 26 blood bank authorization for deviation stand proce 32.88 32.88 3/1/2020 86079 blood bank authorization for deviation stand proce 41.39 41.39 3/1/2020 86140 crp 6.91 6.91 3/1/2020 86141 c-reactive protein; high sensitivity (hscrp) 17.28 17.28 3/1/2020 86146 beta 2 glycoprotein i antibody, each 19.37 19.37 3/1/2020 86147 cardiolipin (phospholipid) antibody, each ig class 19.37 19.37 3/1/2020 86148 anti-phosphatidylserine (phospholipid) antibody 19.93 19.93 3/1/2020 86155 chemothaxis assay specify method 21.34 21.34 3/1/2020 86156 cold agglutinin; screen 8.57 8.57 3/1/2020 86157 cold aggultinin; titer 8.57 8.57 3/1/2020 86160 complement; antigen, each component 16.03 16.03 3/1/2020 86161 complement; functional activity, each 16.03 16.03 3/1/2020 86162 complement total 27.12 27.12 3/1/2020 86171 complement fixation test, each 13.38 13.38 3/1/2020 86215 ash titer 17.68 17.68 3/1/2020 86225 deoxyribonucleic acid (dna) antibody; native or double stranded 18.34 18.34 3/1/2020 86226 dna antibody; single stranded 16.17 16.17 3/1/2020 86235 extractable nuclear antigen antibody 23.94 23.94 3/1/2020 86255 26 fluorescent noninfectious agent antibody; screen, each antibody 16.25 16.25 3/1/2020 86255 fluorescent noninfectious agent antibody; screen, each antibody 16.09 16.09 3/1/2020 86256 26 fluorescent antibody titer 16.25 16.25 3/1/2020 86256 fluorescent antibody titer 16.09 16.09 3/1/2020 86277 growth hormone, human (hgh), antibody 21.01 21.01 3/1/2020 86280 hemagglutination inhibiton 10.93 10.93 3/1/2020 86294 immunoassay for tumor antigen, qualitative or semiquantitative 26.19 26.19 3/1/2020 86300 immunoassay for tumor antigen, quantitative; ca 15-3 (27.29) 27.77 27.77 3/1/2020 86301 immunoassay for tumor antigen, quantitative; ca 19-9 27.77 27.77 3/1/2020 86304 immunoassay for tumor antigen, quantitative; ca 125 27.77 27.77 3/1/2020 86308 heterophile antibodies; screening 6.91 6.91 3/1/2020 86309 heterophile antibodies; titer 8.64 8.64 3/1/2020 86310 heterophile absorption 9.84 9.84 3/1/2020 86316 immunoassay for tumor antigen; other antigen, quantitative (eg, ca 50, 72- 27.77 27.77 3/1/2020 86317 immunoassay for infectious agent antibody, quantitative, not otherwise spe 19.37 19.37 3/1/2020 86318 immunoassay for infectious agent antibody, qualitative or semiquantitative 17.28 17.28 3/1/2020 86320 26 immunoelectrophoresis; serum 16.25 16.25 3/1/2020 86320 immunoelectrophoresis; serum 29.93 29.93 3/1/2020 86325 26 immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with 15.96 15.96 3/1/2020 86325 immunoelectrophoresis; other fluids (eg, urine, cerebrospinal fluid) with 29.85 29.85 3/1/2020 86327 26 immunoelectrophoresis, serum each specimen plate 18.71 18.71 3/1/2020 86327 immunoelectrophoresis, serum each specimen plate 30.29 30.29 3/1/2020 86328 IMMUNOASSAY FOR INFECTIOUS AGENT ANTIBODY(IES), QUALITAT $45.23 $45.23 4/10/2020 86329 immunodiffusion, not elsewhere specified 18.74 18.74 3/1/2020 86331 gel diffusion qualitative ouchterlony 15.15 15.15 3/1/2020 86332 immune complex assay 32.54 32.54 3/1/2020 86334 26 immunofixation electophoresis 16.25 16.25 3/1/2020 86334 immunofixation electophoresis 29.82 29.82 3/1/2020 86335 immunologic analyis technique on body fluid 38.00 38.00 3/1/2020 86336 inhibin A (reproductive organ hormone) measurement 16.37 16.37 3/1/2020 86337 insulin antibodies 28.59 28.59 3/1/2020 86340 intrinsic factor antibodies 20.12 20.12 3/1/2020 86341 islet cell antibody 17.93 17.93 3/1/2020 86344 leukocyte phagocytosis 10.67 10.67 3/1/2020 86353 lymphocyte transformation, mitogen (phytomitogen) or antigen induced bla 65.45 65.45 3/1/2020 86359 t cells; 50.36 50.36 3/1/2020 86360 t cells; absolute cd4 and cd8 count, including ratio 62.73 62.73 3/1/2020 86361 t cells; absolute cd4 count 35.74 35.74 3/1/2020 86376 microsomal antibodies (eg, thryoid or liver-kidney), each 18.50 18.50 3/1/2020 86382 neutralization test viral 22.56 22.56 3/1/2020 86384 nbt test 15.20 15.20 3/1/2020 86403 particle agglutination; screen, each antibody 13.61 13.61 3/1/2020 86406 particle agglutination; 14.21 14.21 3/1/2020 86408 NEUTRALIZING ANTIBODY, SEVERE ACUTE RESPIRATORY SYNDRO 42.13 42.13 8/10/2020 86409 NEUTRLZG ANTB SARSCOV2 TITER 79.61 79.61 8/10/2020 86413 SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SARS 51.43 51.43 9/8/2020 86430 rheumatoid factor; qualitative 7.58 7.58 3/1/2020 86431 rheumatoid factor; quantitative 7.58 7.58 3/1/2020 86481 tuberculosis test, cell mediated immunity antigen response measurement; 83.34 83.34 3/1/2020 86485 skin teat; candida 6.65 6.65 3/1/2020 86490 sensitivity test coccidioidomycosis 5.57 5.57 3/1/2020 86510 sensitivity test histoplasmosis 5.57 5.57 3/1/2020 86580 tuberculin skin test - ppd (mantoux method) 5.87 5.87 3/1/2020 86590 streptokinase antibody 14.72 14.72 3/1/2020 86592 syphilis, precipitation or flocculation tests 5.69 5.69 3/1/2020 86593 syphilis precipitation flocculation test quantitative 5.89 5.89 3/1/2020 86602 antibody; actinomyces 13.59 13.59 3/1/2020 86603 antibody; adenovirus 17.02 17.02 3/1/2020 86606 antibody; aspirgillus 17.02 17.02 3/1/2020 86609 antibody; bacterium, not elsewhere specified 17.02 17.02 3/1/2020 86611 antibody; bartonella 13.59 13.59 3/1/2020 86612 antibody; blastomyces 17.02 17.02 3/1/2020 86615 antibody; bordetella 17.61 17.61 3/1/2020 86617 antibody; 15.80 15.80 3/1/2020 86618 anitbody:lyme disease 19.37 19.37 3/1/2020 86619 antibody; borrelia 17.86 17.86 3/1/2020 86622 antibody; brucella 10.06 10.06 3/1/2020 86625 antibody; campylobactor 10.06 10.06 3/1/2020 86628 antibody; candida 15.15 15.15 3/1/2020 86631 antibody; chlamydia 15.78 15.78 3/1/2020 86632 antibody; chlamida, igm 16.95 16.95 3/1/2020 86635 antibody, coccidioides 15.32 15.32 3/1/2020 86638 antibody; q fever 16.19 16.19 3/1/2020 86641 antibody; cryptococcus 19.25 19.25 3/1/2020 86644 antibody; cmv 19.18 19.18 3/1/2020 86645 antibody; cmv, igm 19.37 19.37 3/1/2020 86648 antibody; diptheria 19.37 19.37 3/1/2020 86651 antibody; encephalitis, california 17.61 17.61 3/1/2020 86652 antibody; encephalitis, eastern equine 17.61 17.61 3/1/2020 86653 antibody; encephalitis st, louis 17.61 17.61 3/1/2020 86654 antibody;encephalitis western equine 17.61 17.61 3/1/2020 86658 antibody; enterovirus 17.02 17.02 3/1/2020 86663 antibody; epstein-barr, early antigen 17.51 17.51 3/1/2020 86664 antibody; epstein-barr, nuclear antigen 19.37 19.37 3/1/2020 86665 antibody; epstein-barr viral capsid 21.69 21.69 3/1/2020 86666 antibody; ehrlichia 13.59 13.59 3/1/2020 86668 antibody; fracisella tularensis 13.88 13.88 3/1/2020 86671 antibody; fungus 16.37 16.37 3/1/2020 86674 antibody; giardia lamblia 19.37 19.37 3/1/2020 86677 antibody; helicobacter pyloui 19.37 19.37 3/1/2020 86682 antibody; helminth 17.36 17.36 3/1/2020 86684 antibody; hemophilus influenza 19.37 19.37 3/1/2020 86687 antibody; htlv i 11.20 11.20 3/1/2020 86688 antibody; htlv-it 15.70 15.70 3/1/2020 86689 htlv 1, antibody detection, confirmatory test 25.85 25.85 3/1/2020 86692 antobody; hepatitis, delta agent 19.37 19.37 3/1/2020 86694 antibody; herpes simplex, non-specific type test 19.18 19.18 3/1/2020 86695 antibody; herpes simplex, type 1 17.61 17.61 3/1/2020 86696 antibody; herpes simplex, type 2 25.85 25.85 3/1/2020 86698 antobody; histoplasm 16.68 16.68 3/1/2020 86701 antibody; hiv-1 11.85 11.85 3/1/2020 86702 antibody; hiv-2 15.70 15.70 3/1/2020 86703 antibody; hiv-1 & hiv-2, single assay 15.70 15.70 3/1/2020 86704 hepatitis b core antibody (hbcab), total 15.54 15.54 3/1/2020 86705 hepatitis b core antibody (hbcab); igm antibody 15.71 15.71 3/1/2020 86706 hepatitis b surface antibody (hbsab) 14.34 14.34 3/1/2020 86707 hepatitis be antibody (hbeab) 15.45 15.45 3/1/2020 86708 hepatitis a antibody (haab), total 16.54 16.54 3/1/2020 86709 hepatitis a antibody (haab); igm antibody 15.03 15.03 3/1/2020 86710 antibody, influenza virus 18.10 18.10 3/1/2020 86711 antibody; jc (john cunningham) virus 18.87 18.87 3/1/2020 86713 antibody; legionella 20.43 20.43 3/1/2020 86717 antibody; leishmania 11.19 11.19 3/1/2020 86720 antibody; leptospira 13.17 13.17 3/1/2020 86723 antibody; listeria monocytogenes 17.61 17.61 3/1/2020 86727 antibody; lymphocytic choriomeningitis 17.02 17.02 3/1/2020 86732 antibody; mucormycosis 17.61 17.61 3/1/2020 86735 antibody; mumps 17.42 17.42 3/1/2020 86738 antibody; mycoplasma 17.68 17.68 3/1/2020 86744 antibody; nocardia 17.61 17.61 3/1/2020 86747 antibody; parvovirus 19.37 19.37 3/1/2020 86750 antibody; malaria 17.61 17.61 3/1/2020 86753 antibody; protozoa, not elsewhere speci fied 11.19 11.19 3/1/2020 86756 antibody; respiratory syncytial virus 17.21 17.21 3/1/2020 86757 antibody; rickettsia 25.85 25.85 3/1/2020 86759 antibody; rotavirus 17.02 17.02 3/1/2020 86762 antibody; rubella 19.18 19.18 3/1/2020 86765 antibody; rubeola 17.20 17.20 3/1/2020 86768 antibody; salmonella 17.61 17.61 3/1/2020 86769 ANTIBODY; SEVERE ACUTE RESPIRATORY SYNDROME CORONAVI $42.13 $42.13 4/10/2020 86771 antibody; shigella 17.61 17.61 3/1/2020 86774 antibody; tetanus 19.37 19.37 3/1/2020 86777 antibody; toxoplasma 19.18 19.18 3/1/2020 86778 antibody; toxoplasma, igm 19.23 19.23 3/1/2020 86784 antibody; trichinella 16.77 16.77 3/1/2020 86787 antibody; varicella-zoster 17.20 17.20 3/1/2020 86788 antibody; west nile virus, igm 19.37 19.37 3/1/2020 86789 antibody; west nile virus 19.18 19.18 3/1/2020 86790 antibody; virus, not elsewhere specified 17.20 17.20 3/1/2020 86793 antibody; yersinia 17.61 17.61 3/1/2020 86800 thyroglobulin antibody 21.23 21.23 3/1/2020 86803 hepatitis c antibody; 19.06 19.06 3/1/2020 86804 hepatitis c antibody; confirmatory test (eg, immunoblot) 15.80 15.80 3/1/2020 86805 lymphocytotoxicity assay, visual xm; w/ titration 69.80 69.80 3/1/2020 86806 lymphocytotoxicity assay, visual xm; w/o titration 63.54 63.54 3/1/2020 86807 serum screening for cytotoxic pra; standard method 52.83 52.83 3/1/2020 86808 serum screening for cytotoxic pra; quick method 39.63 39.63 3/1/2020 86812 tissue typing hla typing a,b, or c single antigen 34.45 34.45 3/1/2020 86813 tissue typing hla typing a,b, &/or c mult antigens 77.42 77.42 3/1/2020 86816 hla typing; dr/dq, single antigen 37.19 37.19 3/1/2020 86817 hla typing; dr/dq, multiple antigens 85.94 85.94 3/1/2020 86821 tissue typing lympnocyte culture mixed (mlc) 75.37 75.37 3/1/2020 86828 antibody to human leukocyte antigens (hla), solid phase assays (eg, micro 51.98 51.98 3/1/2020 86829 antibody to human leukocyte antigens (hla), solid phase assays (eg, micro 38.99 38.99 3/1/2020 86830 antibody to human leukocyte antigens (hla), solid phase assays (eg, micro 105.27 105.27 3/1/2020 86831 antibody to human leukocyte antigens (hla), solid phase assays (eg, micro 90.24 90.24 3/1/2020 86832 antibody to human leukocyte antigens (hla), solid phase assays (eg, micro 165.44 165.44 3/1/2020 86833 antibody to human leukocyte antigens (hla), solid phase assays (eg, micro 150.39 150.39 3/1/2020 86834 antibody to human leukocyte antigens (hla), solid phase assays (eg, micro 466.23 466.23 3/1/2020 86835 antibody to human leukocyte antigens (hla), solid phase assays (eg, micro 421.11 421.11 3/1/2020 86850 antibody screen, rbc, each serum technique 15.55 15.55 3/1/2020 86860 antibody elution, each elution 15.21 15.21 3/1/2020 86870 antibody id, each panel for each serum technique 27.46 27.46 3/1/2020 86880 coombs test; direct, each antiserum 7.17 7.17 3/1/2020 86885 antihuman globulin test indirect, qualitative each antiserum 7.63 7.63 3/1/2020 86886 coombs test, indirect titer, each antiserum 6.91 6.91 3/1/2020 86900 blood typing; abo 3.98 3.98 3/1/2020 86901 blood typing; rh (d) 3.98 3.98 3/1/2020 86902 blood typing; antigen testing of donor blood using reagent serum, each an 5.15 5.15 3/1/2020 86904 blood typing; antigen screening, per unit screened 12.68 12.68 3/1/2020 86905 blood typing; rbc antigens, each 5.10 5.10 3/1/2020 86906 blood typing; rh phenotyping, complete 10.35 10.35 3/1/2020 86940 hemolysins/agglutinins, auto, screen, each 10.95 10.95 3/1/2020 86941 hemolysins/ agglutinins, each; incubated 16.17 16.17 3/1/2020 87003 animal innoculation small animal w/observation and 22.47 22.47 3/1/2020 87015 concentration (any type), for infectious agents 8.91 8.91 3/1/2020 87040 culture, bacterial; blood, aerobic, with isolation and presumptive 13.78 13.78 3/1/2020 87045 culture, bacterial; feces, with isolation and preliminary examination (eg, kia 12.59 12.59 3/1/2020 87046 culture, bacterial; stool, additional pathogens, isolation and preliminary 12.59 12.59 3/1/2020 87070 culture, bacterial; any other source except urine, blood or stool, aerobic, 11.50 11.50 3/1/2020 87071 culture, bacterial; quantitative, aerobic with isolation and presumptive 12.59 12.59 3/1/2020 87073 culture, bacterial; quantitative, anaerobic with isolation and presumptive 12.59 12.59 3/1/2020 87075 culture, bacterial; any source, anaerobic with isolation and presumptive 12.63 12.63 3/1/2020 87076 culture, bacterial; anaerobic isolate, additional methods required for 10.78 10.78 3/1/2020 87077 culture, bacterial; aerobic isolate, additional methods required for definitiv 10.78 10.78 3/1/2020 87081 culture, presumptive, pathogenic organisms, screening only; 7.70 7.70 3/1/2020 87084 culture w colony estimation from density chart inc 11.50 11.50 3/1/2020 87086 culture, bacterial; quantitative colony count, urine 10.77 10.77 3/1/2020 87088 culture, bacterial; with isolation and presumptive identification of isolates, 10.80 10.80 3/1/2020 87101 culture, fungi (mold or yeast) isolation, with presumptive identification of 10.29 10.29 3/1/2020 87102 culture fungi isolation other source 11.21 11.21 3/1/2020 87103 blood culture for fungi 12.04 12.04 3/1/2020 87106 culture, fungi, definitive identification, each organism; yeast 13.78 13.78 3/1/2020 87107 culture, fungi, definitive identification, each organism; mold 13.78 13.78 3/1/2020 87109 culture mycoplasm any source 20.55 20.55 3/1/2020 87110 culture chlamydia, any source 26.16 26.16 3/1/2020 87116 culture, tubercle or other acid-fast bacilli (eg, tb, afb, mycobacteria) any 14.43 14.43 3/1/2020 87118 culture, mycobacterial, definitive identification, each isolate 14.61 14.61 3/1/2020 87140 culture, typing; immunofluorescent method, each antiserum 7.44 7.44 3/1/2020 87143 culture, typing; gas liquid chromatography (glc) or high pressure liquid 16.73 16.73 3/1/2020 87147 culture, typing; immunologic method, other than immunofluoresence (eg, 6.91 6.91 3/1/2020 87149 culture, typing; identification by nucleic acid probe 26.78 26.78 3/1/2020 87152 culture, typing; identification by pulse field gel typing 6.98 6.98 3/1/2020 87158 culture typing other methods 6.98 6.98 3/1/2020 87164 26 darkfield examination 15.96 15.96 3/1/2020 87164 darkfield examination 8.45 8.45 3/1/2020 87166 dark field exam any source w/o collection 15.08 15.08 3/1/2020 87168 macroscopic examination; arthropod 5.09 5.09 3/1/2020 87169 macroscopic examination; parasite 5.09 5.09 3/1/2020 87172 pinworm exam (eg, cellophane tape prep) 5.09 5.09 3/1/2020 87176 homogenization, tissue, for culture 7.85 7.85 3/1/2020 87177 ova and parasites 11.88 11.88 3/1/2020 87181 susceptibility studies, antimicrobial agent; agar dilution method, per agent 6.34 6.34 3/1/2020 87184 susceptibility studies, antimicrobial agent; disk method, per plate (12 or 9.20 9.20 3/1/2020 87185 susceptibility studies, antimicrobial agent; enzyme detection (eg, beta 6.34 6.34 3/1/2020 87186 susceptibility studies, antimicrobial agent; microdilution or agar dilution 11.54 11.54 3/1/2020 87187 susceptibility studies, antimicrobial agent; microdilution or agar dilution, 13.84 13.84 3/1/2020 87188 susceptibility studies, antimicrobial agent; macrobroth dilution method, ea 8.86 8.86 3/1/2020 87190 susceptibility studies, antimicrobial agent; mycobacteria, proportion metho 7.55 7.55 3/1/2020 87197 serum bactericidal titer 20.06 20.06 3/1/2020 87205 smear, primary source with interpretation; gram or giemsa stain for bacter 5.69 5.69 3/1/2020 87206 smear, primary source with interpretation; fluorescent and/or acid fast stai 7.17 7.17 3/1/2020 87207 26 smear, primary source with interpretation; special stain for inclusion bodie 16.25 16.25 3/1/2020 87207 smear, primary source with interpretation; special stain for inclusion bodie 8.00 8.00 3/1/2020 87210 smear, primary source with interpretation; wet mount for infectious agents 5.09 5.09 3/1/2020 87220 tissue examination by koh slide of samples from skin, hair, or nails for fung 5.69 5.69 3/1/2020 87230 tissue culture lymphocyte 26.37 26.37 3/1/2020 87250 virus isolation; inoculation of embryonated eggs, or small animal, includes 21.75 21.75 3/1/2020 87252 virus isolation; tissue culture inoculation, observation, and presumptive 21.75 21.75 3/1/2020 87253 virus isolation; tissue culture, additional studies or definitive 21.75 21.75 3/1/2020 87254 virus isolation; centrifuge enhanced (shell vial) technique, includes 21.75 21.75 3/1/2020 87255 virus isolation; including identification by non-immunologic method, other t 32.62 32.62 3/1/2020 87260 infectious agent antigen detection by immunofluorescent technique; adeno 15.30 15.30 3/1/2020 87265 infectious agent antigen detection by direct fluorescent antibody technique 15.30 15.30 3/1/2020 87267 infectious agent antigen detection by immunofluorescent technique; entero 15.30 15.30 3/1/2020 87270 infectious agent antigen detection by direct fluorescent antibody technique 15.30 15.30 3/1/2020 87271 infectious agent antigen detection by immunofluorescent technique; 15.30 15.30 3/1/2020 87272 infectious agent antigen detection by direct fluorescent antibody technique 15.30 15.30 3/1/2020 87273 infectious agent antigen detection by immunofluorescent technique; herpe 15.30 15.30 3/1/2020 87274 infectious agent antigen detection by immunofluorescent technique; herpe 15.30 15.30 3/1/2020 87275 infectious agent antigen detection by immunofluorescent technique; influen 15.30 15.30 3/1/2020 87276 infectious agent antigen detection by direct fluorescent antibody technique 15.30 15.30 3/1/2020 87278 infectious agent antigen detection by direct fluorescent antibody technique 15.30 15.30 3/1/2020 87279 infectious agent antigen detection by immunofluorescent technique; 15.30 15.30 3/1/2020 87280 infectious agent antigen detection by direct fluorescent antibody technique 15.30 15.30 3/1/2020 87281 infectious agent antigen detection by immunofluorescent technique; pneum 15.30 15.30 3/1/2020 87283 infectious agent antigen detection by immunofluorescent technique; rubeo 15.30 15.30 3/1/2020 87285 infectious agent antigen detection by direct fluorescent antibody technique 15.30 15.30 3/1/2020 87290 infectious agent antigen detection by direct fluorescent antibody technique 15.30 15.30 3/1/2020 87299 infectious agent antigen detection by immunofluorescent technique; not 15.30 15.30 3/1/2020 87300 infectious agent antigen detection by immunofluorescent technique, polyva 15.30 15.30 3/1/2020 87301 infectious agent antigen detection by enzyme immunoassay technique, qu 15.30 15.30 3/1/2020 87305 infectious agent antigen detection by enzyme immunoassay technique, qu 15.30 15.30 3/1/2020 87320 infectious agent antigen detection by enzyme immunoassay technique, qu 15.30 15.30 3/1/2020 87324 infectious agent antigen detection by enzyme immunoassay technique, qu 15.30 15.30 3/1/2020 87327 infectious agent antigen detection by enzyme immunoassay technique, qu 15.30 15.30 3/1/2020 87328 infectious agent antigen detection by enzyme immunoassay technique, qu 15.30 15.30 3/1/2020 87332 infectious agent antigen detection by enzyme immunoassay technique, qu 15.30 15.30 3/1/2020 87335 infectious agent antigen detection by enzyme immunoassay technique, qu 15.30 15.30 3/1/2020 87336 infectious agent antigen detection by enzyme immunoassay technique, qu 15.30 15.30 3/1/2020 87337 infectious agent antigen detection by enzyme immunoassay technique, qu 15.30 15.30 3/1/2020 87338 infectious agent antigen detection by enzyme immunoassay technique, qu 19.20 19.20 3/1/2020 87339 infectious agent antigen detection by enzyme immunoassay technique, qu 15.30 15.30 3/1/2020 87340 infectious agent antigen detection by enzyme immunoassay technique, qu 12.42 12.42 3/1/2020 87341 infectious agent antigen detection by enzyme immunoassay technique, qu 12.42 12.42 3/1/2020 87350 infectious agent antigen detection by enzyme immunoassay technique, qu 14.77 14.77 3/1/2020 87380 infectious agent antigen detection by enzyme immunoassay technique, qu 21.92 21.92 3/1/2020 87385 infectious agent antigen detection by enzyme immunoassay technique, qu 15.30 15.30 3/1/2020 87389 infectious agent antigen detection by enzyme immunoassay technique, qu 31.42 31.42 3/1/2020 87390 infectious agent antigen detection by enzyme immunoassay technique, qu 23.55 23.55 3/1/2020 87391 infectious agent antigen detection by enzyme immunoassay technique, qu 23.55 23.55 3/1/2020 87400 infectious agent antigen detection by enzyme immunoassay technique, qu 15.30 15.30 3/1/2020 87420 infectious agent antigen detection by enzyme immunoassay technique, qu 15.30 15.30 3/1/2020 87425 infectious agent antigen detection by enzyme immunoassay technique, qu 15.30 15.30 3/1/2020 87426 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECH 38.13 38.13 9/1/2020 87427 infectious agent antigen detection by enzyme immunoassay technique, qu 15.30 15.30 3/1/2020 87428 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECH $63.59 $63.59 10/6/2020 87430 infectious agent antigen detection by enzyme immunoassay technique, qu 15.30 15.30 3/1/2020 87449 infectious agent antigen detection by enzyme immunoassay 15.30 15.30 3/1/2020 87450 infectious agent antigen detection by enzyme immunoassay technique qua 10.21 10.21 3/1/2020 87451 infectious agent antigen detection by enzyme immunoassay technique qua 10.21 10.21 3/1/2020 87471 infectious agent detection by nucleic acid (dna or rna); bartonella henselae 32.74 32.74 3/1/2020 87472 infectious agent detection by nucleic acid (dna or rna); bartonella henselae 43.48 43.48 3/1/2020 87475 infectious agent detection by nucleic acid (dna or rna); borrelia burgdorfer 26.78 26.78 3/1/2020 87476 infectious agent detection by nucleic acid (dna or rna); borrelia burgdorfer 32.74 32.74 3/1/2020 87480 infectious agent detection by nucleic acid (dna or rna); candida species, 26.78 26.78 3/1/2020 87481 infectious agent detection by nucleic acid (dna or rna); candida species, 32.74 32.74 3/1/2020 87482 infectious agent detection by nucleic acid (dna or rna); candida species, 43.48 43.48 3/1/2020 87485 infectious agent detection by nucleic acid (dna or rna); chlamydia pneumo 26.78 26.78 3/1/2020 87486 infectious agent detection by nucleic acid (dna or rna); chlamydia pneumo 32.74 32.74 3/1/2020 87487 infectious agent detection by nucleic acid (dna or rna); chlamydia pneumo 43.48 43.48 3/1/2020 87490 infectious agent detection by nucleic acid (dna or rna); chlamydia trachom 26.78 26.78 3/1/2020 87491 infectious agent detection by nucleic acid (dna or rna); chlamydia trachom 32.74 32.74 3/1/2020 87492 infectious agent detection by nucleic acid (dna or rna); chlamydia trachom 43.48 43.48 3/1/2020 87495 infectious agent detection by nucleic acid (dna or rna); cytomegalovirus, 26.78 26.78 3/1/2020 87496 infectious agent detection by nucleic acid (dna or rna); cytomegalovirus, 32.74 32.74 3/1/2020 87497 infectious agent detection by nucleic acid (dna or rna); cytomegalovirus, 43.48 43.48 3/1/2020 87498 infectious agent detection by nucleic acid (dna or rna); enterovirus, amplifi 32.74 32.74 3/1/2020 87501 infectious agent detection by nucleic acid (dna or rna); influenza virus, rev 38.51 38.51 3/1/2020 87502 infectious agent detection by nucleic acid (dna or rna); influenza virus, for 71.48 71.48 3/1/2020 87503 infectious agent detection by nucleic acid (dna or rna); influenza virus, for 12.40 12.41 3/1/2020 87510 infectious agent detection by nucleic acid (dna or rna); gardnerella vagina 26.78 26.78 3/1/2020 87511 infectious agent detection by nucleic acid (dna or rna); gardnerella vagina 32.74 32.74 3/1/2020 87512 infectious agent detection by nucleic acid (dna or rna); gardnerella vagina 43.48 43.48 3/1/2020 87516 infectious agent detection by nucleic acid (dna or rna); hepatitis b virus, 32.74 32.74 3/1/2020 87517 infectious agent detection by nucleic acid (dna or rna); hepatitis b virus, 43.48 43.48 3/1/2020 87520 infectious agent detection by nucleic acid (dna or rna); hepatitis c, direct 26.78 26.78 3/1/2020 87521 infectious agent detection by nucleic acid (dna or rna); hepatitis c, amplifie 32.74 32.74 3/1/2020 87522 infectious agent detection by nucleic acid (dna or rna); hepatitis c, 43.48 43.48 3/1/2020 87525 infectious agent detection by nucleic acid (dna or rna); hepatitis g, direct 26.78 26.78 3/1/2020 87526 infectious agent detection by nucleic acid (dna or rna); hepatitis g, amplifie 32.74 32.74 3/1/2020 87527 infectious agent detection by nucleic acid (dna or rna); hepatitis g, 43.48 43.48 3/1/2020 87528 infectious agent detection by nucleic acid (dna or rna); herpes simplex viru 26.78 26.78 3/1/2020 87529 infectious agent detection by nucleic acid (dna or rna); herpes simplex viru 32.74 32.74 3/1/2020 87530 infectious agent detection by nucleic acid (dna or rna); herpes simplex viru 43.48 43.48 3/1/2020 87531 infectious agent detection by nucleic acid (dna or rna); herpes virus-6, dire 26.78 26.78 3/1/2020 87532 infectious agent detection by nucleic acid (dna or rna); herpes virus-6, 32.74 32.74 3/1/2020 87533 infectious agent detection by nucleic acid (dna or rna); herpes virus-6, 43.48 43.48 3/1/2020 87534 infectious agent detection by nucleic acid (dna or rna); hiv-1, direct probe 26.78 26.78 3/1/2020 87535 infectious agent detection by nucleic acid (dna or rna); hiv-1, amplified pro 32.74 32.74 3/1/2020 87536 infectious agent detection by nucleic acid (dna or rna); hiv-1, quantification 70.97 70.97 3/1/2020 87537 infectious agent detection by nucleic acid (dna or rna); hiv-2, direct probe 26.78 26.78 3/1/2020 87538 infectious agent detection by nucleic acid (dna or rna); hiv-2, amplified pro 32.74 32.74 3/1/2020 87539 infectious agent detection by nucleic acid (dna or rna); hiv-2, quantification 43.48 43.48 3/1/2020 87540 infectious agent detection by nucleic acid (dna or rna); legionella 26.78 26.78 3/1/2020 87541 infectious agent detection by nucleic acid (dna or rna); legionella 32.74 32.74 3/1/2020 87542 infectious agent detection by nucleic acid (dna or rna); legionella 43.48 43.48 3/1/2020 87550 infectious agent detection by nucleic acid (dna or rna); mycobacteria spec 26.78 26.78 3/1/2020 87551 infectious agent detection by nucleic acid (dna or rna); mycobacteria spec 32.74 32.74 3/1/2020 87552 infectious agent detection by nucleic acid (dna or rna); mycobacteria spec 43.48 43.48 3/1/2020 87555 infectious agent detection by nucleic acid (dna or rna); mycobacteria 26.78 26.78 3/1/2020 87556 infectious agent detection by nucleic acid (dna or rna); mycobacteria 32.74 32.74 3/1/2020 87557 infectious agent detection by nucleic acid (dna or rna); mycobacteria 43.48 43.48 3/1/2020 87560 infectious agent detection by nucleic acid (dna or rna); mycobacteria 26.78 26.78 3/1/2020 87561 infectious agent detection by nucleic acid (dna or rna); mycobacteria 32.74 32.74 3/1/2020 87562 infectious agent detection by nucleic acid (dna or rna); mycobacteria 43.48 43.48 3/1/2020 87563 DETECTION OF MYCOPLASMA GENITALIUM BY DNA OR RNA PROB 26.78 26.78 3/1/2020 87580 infectious agent detection by nucleic acid (dna or rna); mycoplasma pneum 26.78 26.78 3/1/2020 87581 infectious agent detection by nucleic acid (dna or rna); mycoplasma pneum 32.74 32.74 3/1/2020 87582 infectious agent detection by nucleic acid (dna or rna); mycoplasma pneum 43.48 43.48 3/1/2020 87590 infectious agent detection by nucleic acid (dna or rna); neisseria gonorrhoe 26.78 26.78 3/1/2020 87591 infectious agent detection by nucleic acid (dna or rna); neisseria gonorrhoe 32.74 32.74 3/1/2020 87592 infectious agent detection by nucleic acid (dna or rna); neisseria gonorrhoe 43.48 43.48 3/1/2020 87631 infectious agent detection by nucleic acid (dna or rna); respiratory virus (e 94.04 94.04 3/1/2020 87632 infectious agent detection by nucleic acid (dna or rna); respiratory virus (e 142.46 142.46 3/1/2020 87633 infectious agent detection by nucleic acid (dna or rna); respiratory virus (e 263.53 263.53 3/1/2020 87635 INFECTIOUS AGENT DETECTION BY NUCLEIC ACIDE (DNA OR RNA) 71.48 71.48 3/13/2020 87636 INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); $142.63 $142.63 10/6/2020 87637 INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); $142.63 $142.63 10/6/2020 87640 infectious agent detection by nucleic acid (dna or rna); staphylococcus aur 32.74 32.74 3/1/2020 87641 infectious agent detection by nucleic acid (dna or rna); staphylococcus aur 32.74 32.74 3/1/2020 87650 infectious agent detection by nucleic acid (dna or rna); streptococcus, grou 26.78 26.78 3/1/2020 87651 infectious agent detection by nucleic acid (dna or rna); streptococcus, grou 32.74 32.74 3/1/2020 87652 infectious agent detection by nucleic acid (dna or rna); streptococcus, grou 43.48 43.48 3/1/2020 87653 infectious agent detection by nucleic acid (dna or rna); streptococcus, grou 32.74 32.74 3/1/2020 infectious agent detection by nucleic acid (dna or rna); trichomonas 31.33 87661 vaginalis, amplified probe technique 31.33 3/1/2020 87797 infectious agent detection by nucleic acid (dna or rna), not otherwise 26.78 26.78 3/1/2020 87798 infectious agent detection by nucleic acid (dna or rna), not otherwise 32.74 32.74 3/1/2020 87799 infectious agent detection by nucleic acid (dna or rna), not otherwise 43.48 43.48 3/1/2020 87800 infectious agent detection by nucleic acid (dna or rna), multiple organisms 53.54 53.54 3/1/2020 87801 infectious agent detection by nucleic acid (dna or rna), multiple organisms 65.47 65.47 3/1/2020 87802 infectious agent antigen detection by immunoassay with direct optical 15.30 15.30 3/1/2020 87803 infectious agent antigen detection by immunoassay with direct optical 15.30 15.30 3/1/2020 87804 infectious agent antigen detection by immunoassay with direct optical 15.30 15.30 3/1/2020 87806 detection test for hiv-1 32.06 32.06 3/1/2020 87807 detection test for respiratory synctial virus (RSV) 16.81 16.81 3/1/2020 87808 infectious agent antigen detection by immunoassay with direct optical 15.30 15.30 3/1/2020 87810 infectious agent detection by immunoassay with direct optical observation 15.30 15.30 3/1/2020 87811 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY WITH $41.38 $41.38 10/6/2020 87850 infectious agent detection by immunoassay with direct optical observation 15.30 15.30 3/1/2020 87880 "infectious agent detection by immunoassay with direct optical observation 15.30 15.30 3/1/2020 87899 infectious agent detection by immunoassy with direct optical observ. 15.30 15.30 3/1/2020 87900 infectious agent drug susceptibility analysis 105.47 105.47 3/1/2020 87901 infectious agent genotype analysis by nucleic acid (dna or rna), hiv 1, reve 104.20 104.20 3/1/2020 87902 infectious agent genotype analysis by nucleic acid (dna or rna); hepatitis c 104.20 104.20 3/1/2020 87903 infectious agent phenotype analysis by nucleic acid (dna or rna) with drug 363.34 363.34 3/1/2020 87904 infectious agent phenotype analysis by nucleic acid (dna or rna) with drug 21.75 21.75 3/1/2020 87906 infectious agent genotype analysis by nucleic acid (dna or rna); hiv-1, othe 52.48 52.48 3/1/2020 87910 infectious agent genotype analysis by nucleic acid (dna or rna); cytomega 102.50 102.50 3/1/2020 87912 infectious agent genotype analysis by nucleic acid (dna or rna); hepatitis b 102.50 102.50 3/1/2020 88104 26 cytopathology,fld,wash or brush, excpt cerv or vag 24.20 24.20 3/1/2020 88104 TC cytopathology,fld,wash or brush, excpt cerv or vag 27.67 27.67 3/1/2020 88104 cytopathology,fld,wash or brush, excpt cerv or vag 51.87 51.87 3/1/2020 88106 26 cytopthlgy,fld,wash or brush,expt cer or vag fltme 24.20 24.20 3/1/2020 88106 TC cytopthlgy,fld,wash or brush,expt cer or vag fltme 40.08 40.08 3/1/2020 88106 cytopthlgy,fld,wash or brush,expt cer or vag fltme 64.28 64.28 3/1/2020 88108 26 cytopathology, concentration technique, smears and interpretation (eg, 24.20 24.20 3/1/2020 88108 TC cytopathology, concentration technique, smears and interpretation (eg, 36.76 36.76 3/1/2020 88108 cytopathology, concentration technique, smears and interpretation (eg, 60.95 60.95 3/1/2020 88112 cell examination of specimen 84.39 84.39 3/1/2020 88120 cytopathology, in situ hybridization (eg, fish), urinary tract specimen with m 396.49 396.49 3/1/2020 88121 cytopathology, in situ hybridization (eg, fish), urinary tract specimen with m 334.87 334.87 3/1/2020 88125 26 cytopathology, forensic 11.45 11.45 3/1/2020 88125 TC cytopathology, forensic 6.87 6.87 3/1/2020 88125 cytopathology, forensic 18.31 18.31 3/1/2020 88130 26 buccal smear 21.12 21.12 3/1/2020 88130 buccal smear 20.09 20.09 3/1/2020 88140 26 sex chromatin ident periph blood smear 10.77 10.77 3/1/2020 88140 sex chromatin ident periph blood smear 10.67 10.67 3/1/2020 88141 cytopathology, cervical or vaginal (any reporting system); requiring 23.55 23.55 3/1/2020 88142 cytopathology, cervical or vaginal (any reporting system), collected in 27.05 27.05 3/1/2020 88143 cytopathology, cervical or vaginal (any reporting system), collected in 27.05 27.05 3/1/2020 88147 cytopathology smears, cervical or vaginal; screening by automated system 14.10 14.10 3/1/2020 88148 cytopathology smears, cervical or vaginal; screening by automated system 14.10 14.10 3/1/2020 88150 cytopathology, slides, cervical or vaginal; manual screening under physici 14.10 14.10 3/1/2020 88152 cytopathology, slides, cervical or vaginal; with manual screening and 14.10 14.10 3/1/2020 88153 cytopathology, slides, cervical or vaginal; with manual screening and 14.10 14.10 3/1/2020 88155 cytopathology, slides, cervical or vaginal, definitive hormonal evaluation (e 8.00 8.00 3/1/2020 88160 26 cytopathology, smears, any other source; screening and interpretation 21.63 21.63 3/1/2020 88160 TC cytopathology, smears, any other source; screening and interpretation 22.22 22.22 3/1/2020 88160 cytopathology, smears, any other source; screening and interpretation 43.85 43.85 3/1/2020 88161 26 cytopathology,any othr source; prep,screen & inter 21.33 21.33 3/1/2020 88161 TC cytopathology,any othr source; prep,screen & inter 24.34 24.34 3/1/2020 88161 cytopathology,any othr source; prep,screen & inter 45.66 45.66 3/1/2020 88162 26 cytopathology, extend stdy involv over5slid &/ormu 33.08 33.08 3/1/2020 88162 TC cytopathology, extend stdy involv over5slid &/ormu 33.12 33.12 3/1/2020 88162 cytopathology, extend stdy involv over5slid &/ormu 66.19 66.19 3/1/2020 88164 cytopathology, slides, cervical or vaginal (the bethesda system); manual 14.10 14.10 3/1/2020 88165 cytopathology, slides, cervical or vaginal (the bethesda system); with man 14.10 14.10 3/1/2020 88166 cytopathology, slides, cervical or vaginal (the bethesda system); with man 14.10 14.10 3/1/2020 88167 cytopathology, slides, cervical or vaginal (the bethesda system); with man 14.10 14.10 3/1/2020 88172 26 cytopathology, evaluation of fine needle aspirate; immediate cytohistologic 26.11 26.11 3/1/2020 88172 TC cytopathology, evaluation of fine needle aspirate; immediate cytohistologic 18.59 18.59 3/1/2020 88172 cytopathology, evaluation of fine needle aspirate; immediate cytohistologic 44.70 44.70 3/1/2020 88173 26 eval fn ndl sspir w/wo prep sm; interpret & report 60.17 60.17 3/1/2020 88173 TC eval fn ndl sspir w/wo prep sm; interpret & report 53.11 53.11 3/1/2020 88173 eval fn ndl sspir w/wo prep sm; interpret & report 113.28 113.28 3/1/2020 88174 cytopathology, cervical or vaginal (any reporting system), collected in 28.52 28.52 3/1/2020 88175 cytopathology, cervical or vaginal (any reporting system), collected in 34.69 34.69 3/1/2020 88177 cytopathology, evaluation of fine needle aspirate; immediate cytohistologic 24.49 24.49 3/1/2020 88182 26 cell cycle or dna analysis 31.28 31.28 3/1/2020 88182 TC cell cycle or dna analysis 54.73 54.73 3/1/2020 88182 cell cycle or dna analysis 86.02 86.02 3/1/2020 88230 26 tissue culture for non-neoplastic disease 127.23 127.23 3/1/2020 88230 TC tissue culture for non-neoplastic disease 41.77 41.77 3/1/2020 88230 tissue culture for non-neoplastic disease 155.53 155.53 3/1/2020 88233 26 tissue culture, skin 153.89 153.89 3/1/2020 88233 TC tissue culture, skin 50.66 50.66 3/1/2020 88233 tissue culture, skin 187.88 187.88 3/1/2020 88235 26 tissue culture, placenta 161.07 161.07 3/1/2020 88235 TC tissue culture, placenta 53.05 53.05 3/1/2020 88235 tissue culture, placenta 196.58 196.58 3/1/2020 88237 26 tissue culture for neoplastic disorders; bone marrow, blood cells 138.01 138.01 3/1/2020 88237 TC tissue culture for neoplastic disorders; bone marrow, blood cells 45.37 45.37 3/1/2020 88237 tissue culture for neoplastic disorders; bone marrow, blood cells 168.62 168.62 3/1/2020 88239 26 tissue culture for neoplastic disorders; solid tumor 161.36 161.36 3/1/2020 88239 TC tissue culture for neoplastic disorders; solid tumor 53.15 53.15 3/1/2020 88239 tissue culture for neoplastic disorders; solid tumor 196.95 196.95 3/1/2020 88245 26 chromosome analysis for breakage syndromes; baseline sister chromated 162.83 162.83 3/1/2020 88245 TC chromosome analysis for breakage syndromes; baseline sister chromated 53.63 53.63 3/1/2020 88245 chromosome analysis for breakage syndromes; baseline sister chromated 198.72 198.72 3/1/2020 88248 26 chromosome analysis for breakage syndromes; baseline breakage, score 189.59 189.59 3/1/2020 88248 TC chromosome analysis for breakage syndromes; baseline breakage, score 62.56 62.56 3/1/2020 88248 chromosome analysis for breakage syndromes; baseline breakage, score 231.19 231.19 3/1/2020 88261 26 chromosome analysis; count 5 cells, 1 karyotype, with banding 193.50 193.50 3/1/2020 88261 TC chromosome analysis; count 5 cells, 1 karyotype, with banding 63.86 63.86 3/1/2020 88261 chromosome analysis; count 5 cells, 1 karyotype, with banding 235.95 235.95 3/1/2020 88262 26 chromosome analysis, count 15-20 cells, 2 karyotypes w/banding 136.19 136.19 3/1/2020 88262 TC chromosome analysis, count 15-20 cells, 2 karyotypes w/banding 44.75 44.75 3/1/2020 88262 chromosome analysis, count 15-20 cells, 2 karyotypes w/banding 166.39 166.39 3/1/2020 88263 26 chromosome analysis 164.40 164.40 3/1/2020 88263 TC chromosome analysis 54.16 54.16 3/1/2020 88263 chromosome analysis 200.62 200.62 3/1/2020 88264 26 chromosome analysis; analyze 20-25 cells 136.19 136.19 3/1/2020 88264 TC chromosome analysis; analyze 20-25 cells 44.75 44.75 3/1/2020 88264 chromosome analysis; analyze 20-25 cells 166.39 166.39 3/1/2020 88267 26 chromosome analysis, amniotic fluid or chorioic villus, 15 cells 196.84 196.84 3/1/2020 88267 TC chromosome analysis, amniotic fluid or chorioic villus, 15 cells 64.97 64.97 3/1/2020 88267 chromosome analysis, amniotic fluid or chorioic villus, 15 cells 239.99 239.99 3/1/2020 88269 26 chromosome analysis, amniotic fluid 182.05 182.05 3/1/2020 88269 TC chromosome analysis, amniotic fluid 60.04 60.04 3/1/2020 88269 chromosome analysis, amniotic fluid 222.04 222.04 3/1/2020 88271 26 molecular cytogenetics; dna probe, each (eg, fish) 14.97 14.97 3/1/2020 88271 TC molecular cytogenetics; dna probe, each (eg, fish) 4.35 4.35 3/1/2020 88271 molecular cytogenetics; dna probe, each (eg, fish) 19.32 19.32 3/1/2020 88272 26 molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 ce 28.51 28.51 3/1/2020 88272 TC molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 ce 8.86 8.86 3/1/2020 88272 molecular cytogenetics; chromosomal in situ hybridization, analyze 3-5 ce 35.74 35.74 3/1/2020 88273 26 molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 34.40 34.40 3/1/2020 88273 TC molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 10.83 10.83 3/1/2020 88273 molecular cytogenetics; chromosomal in situ hybridization, analyze 10-30 42.89 42.89 3/1/2020 88274 26 molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cel 37.34 37.34 3/1/2020 88274 TC molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cel 11.81 11.81 3/1/2020 88274 molecular cytogenetics; interphase in situ hybridization, analyze 25-99 cel 46.46 46.46 3/1/2020 88275 26 molecular cytogenetics; interphase in situ hybridization, analyze 100-300 c 43.23 43.23 3/1/2020 88275 TC molecular cytogenetics; interphase in situ hybridization, analyze 100-300 c 13.78 13.78 3/1/2020 88275 molecular cytogenetics; interphase in situ hybridization, analyze 100-300 c 53.61 53.61 3/1/2020 88280 26 chrom analysis additional karotyping 26.66 26.66 3/1/2020 88280 TC chrom analysis additional karotyping 8.25 8.25 3/1/2020 88280 chrom analysis additional karotyping 33.51 33.51 3/1/2020 88283 26 banding for chromosome analysis 20.23 20.23 3/1/2020 88283 TC banding for chromosome analysis 6.11 6.11 3/1/2020 88283 banding for chromosome analysis 25.71 25.71 3/1/2020 88285 26 chromosome analysis, additional cells counted 19.95 19.95 3/1/2020 88285 TC chromosome analysis, additional cells counted 6.01 6.01 3/1/2020 88285 chromosome analysis, additional cells counted 25.36 25.36 3/1/2020 88289 26 chromosome analysis, additional high resolution study 36.36 36.36 3/1/2020 88289 TC chromosome analysis, additional high resolution study 11.49 11.49 3/1/2020 88289 chromosome analysis, additional high resolution study 45.28 45.28 3/1/2020 88291 cytogenetics and molecular cytogenetics, interpretation and report 25.00 25.00 3/1/2020 88300 26 level i-surgical pathology, gross exam only 3.74 3.74 3/1/2020 88300 TC level i-surgical pathology, gross exam only 15.66 15.66 3/1/2020 88300 level i-surgical pathology, gross exam only 19.38 19.38 3/1/2020 88302 26 level ii-surgical pathology, grossµ exam 5.68 5.68 3/1/2020 88302 TC level ii-surgical pathology, grossµ exam 34.94 34.94 3/1/2020 88302 level ii-surgical pathology, grossµ exam 40.61 40.61 3/1/2020 88304 26 level iii - surgical pathology, gross and microscopic examination 9.53 9.53 3/1/2020 88304 TC level iii - surgical pathology, gross and microscopic examination 42.20 42.20 3/1/2020 88304 level iii - surgical pathology, gross and microscopic examination 51.74 51.74 3/1/2020 88305 26 level iv - surgical pathology, gross and microscopic examination 32.75 32.75 3/1/2020 88305 TC level iv - surgical pathology, gross and microscopic examination 55.64 55.64 3/1/2020 88305 level iv - surgical pathology, gross and microscopic examination 88.39 88.39 3/1/2020 88307 26 level v - surgical pathology, gross and microscopic examination 69.66 69.66 3/1/2020 88307 TC level v - surgical pathology, gross and microscopic examination 107.54 107.54 3/1/2020 88307 level v - surgical pathology, gross and microscopic examination 177.19 177.19 3/1/2020 88309 26 level vi-surgicla pathology, gross & micro exam 120.28 120.28 3/1/2020 88309 TC level vi-surgicla pathology, gross & micro exam 147.51 147.51 3/1/2020 88309 level vi-surgicla pathology, gross & micro exam 267.80 267.80 3/1/2020 88311 26 decalcification procedure 10.49 10.49 3/1/2020 88311 TC decalcification procedure 5.05 5.05 3/1/2020 88311 decalcification procedure 15.54 15.54 3/1/2020 88312 26 special stains; group i for microorganisms, each 23.24 23.24 3/1/2020 88312 TC special stains; group i for microorganisms, each 59.86 59.86 3/1/2020 88312 special stains; group i for microorganisms, each 83.11 83.11 3/1/2020 88313 26 group ii, all other,excpt immunocytochem &immunope 10.19 10.19 3/1/2020 88313 TC group ii, all other,excpt immunocytochem &immunope 50.17 50.17 3/1/2020 88313 group ii, all other,excpt immunocytochem &immunope 60.35 60.35 3/1/2020 88314 26 group ii, histochemical staining w/frozen section 19.70 19.70 3/1/2020 88314 TC group ii, histochemical staining w/frozen section 54.32 54.32 3/1/2020 88314 group ii, histochemical staining w/frozen section 74.01 74.01 3/1/2020 88319 26 determinative histochemistry or cytochemistry/enzyme /each 22.91 22.91 3/1/2020 88319 TC determinative histochemistry or cytochemistry/enzyme /each 92.47 92.47 3/1/2020 88319 determinative histochemistry or cytochemistry/enzyme /each 115.38 115.38 3/1/2020 88321 consultation on tissue exam 76.81 76.81 3/1/2020 88323 26 consult & report on referred mat' req.prep of sld 75.48 75.48 3/1/2020 88323 TC consult & report on referred mat' req.prep of sld 47.05 47.05 3/1/2020 88323 consult & report on referred mat' req.prep of sld 122.54 122.54 3/1/2020 88325 comprehensive review records slides w/report 163.24 163.24 3/1/2020 88329 operating room consultation 42.34 42.34 3/1/2020 88331 26 pathology consultation during surgery; first tissue block, with frozen 52.50 52.50 3/1/2020 88331 TC pathology consultation during surgery; first tissue block, with frozen 24.15 24.15 3/1/2020 88331 pathology consultation during surgery; first tissue block, with frozen 76.66 76.66 3/1/2020 88332 26 pathlgy consult dur. surg; ea add tis blk w/frz sc 25.79 25.79 3/1/2020 88332 TC pathlgy consult dur. surg; ea add tis blk w/frz sc 8.59 8.59 3/1/2020 88332 pathlgy consult dur. surg; ea add tis blk w/frz sc 34.38 34.38 3/1/2020 88342 26 immunocytochemistry each antibody 36.33 36.33 3/1/2020 88342 TC immunocytochemistry each antibody 47.66 47.66 3/1/2020 88342 immunocytochemistry each antibody 83.98 83.98 3/1/2020 88346 26 immunofluorescent stdy, ea. antibdy; direct method 36.96 36.96 3/1/2020 88346 TC immunofluorescent stdy, ea. antibdy; direct method 47.36 47.36 3/1/2020 88346 immunofluorescent stdy, ea. antibdy; direct method 84.30 84.30 3/1/2020 88348 26 electron microscopy diagnostic 65.22 65.22 3/1/2020 88348 TC electron microscopy diagnostic 455.70 455.70 3/1/2020 88348 electron microscopy diagnostic 520.92 520.92 3/1/2020 88355 26 morphometric analysis skeletal muscle 76.56 76.56 3/1/2020 88355 TC morphometric analysis skeletal muscle 125.11 125.11 3/1/2020 88355 morphometric analysis skeletal muscle 201.66 201.66 3/1/2020 88356 26 morphometric analysis nerve 122.25 122.25 3/1/2020 88356 TC morphometric analysis nerve 123.80 123.80 3/1/2020 88356 morphometric analysis nerve 246.05 246.05 3/1/2020 88358 26 morphometric analysis of tumor 39.85 39.85 3/1/2020 88358 TC morphometric analysis of tumor 25.98 25.98 3/1/2020 88358 morphometric analysis of tumor 65.82 65.82 3/1/2020 88362 26 nerve teasing preparation 93.50 93.50 3/1/2020 88362 TC nerve teasing preparation 128.13 128.13 3/1/2020 88362 nerve teasing preparation 221.63 221.63 3/1/2020 88365 26 tissue in situ hybridization, interpretation and report 50.81 50.81 3/1/2020 88365 TC tissue in situ hybridization, interpretation and report 81.27 81.27 3/1/2020 88365 tissue in situ hybridization, interpretation and report 132.08 132.08 3/1/2020 88371 26 protein analysis of tissue by western blot, interp and report 15.96 15.96 3/1/2020 88371 protein analysis of tissue by western blot, interp and report 19.37 19.37 3/1/2020 88372 26 protein analysis of tissue by western blot, immunological probe 15.96 15.96 3/1/2020 88372 TC protein analysis of tissue by western blot, immunological probe 16.30 16.30 3/1/2020 88372 protein analysis of tissue by western blot, immunological probe 15.70 15.70 3/1/2020 89050 cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), 6.32 6.32 3/1/2020 89051 synovial fluid diff 6.95 6.95 3/1/2020 89055 leukocyte assessment, fecal, qualitative or semiquantitative 5.69 5.69 3/1/2020 89060 crystal id, synovial fluid 9.54 9.54 3/1/2020 89125 fat stain, feces, urine, or respiratory secretions 5.76 5.76 3/1/2020 89160 meat fibers feces 4.92 4.92 3/1/2020 89190 nasal smear for eosinophils 6.22 6.22 3/1/2020 89300 semen analysis; presence and/or motility of sperm including huhner test (p 11.90 11.90 3/1/2020 89310 semen analysis 11.19 11.19 3/1/2020 89320 semen analysis complete 16.09 16.09 3/1/2020 89325 sperm agglutination with antibody titer 14.25 14.25 3/1/2020 90460 EP administration of first vaccine or toxoid component through 18 years of age 21.47 21.47 3/1/2020 90471 EP immunization administration-one single or combo vaccine toxiod 14.40 14.40 3/1/2020 90471 immunization administration-one single or combo vaccine toxiod 14.40 14.40 3/1/2020 90472 EP each additional immunization admin;one vaccine single or combo toxiod 14.40 14.40 3/1/2020 90472 each additional immunization admin;one vaccine single or combo toxiod 14.40 14.40 3/1/2020 90473 EP immunization admin (intranasal or oral) 14.40 14.40 3/1/2020 90473 immunization admin (intranasal or oral) 14.40 14.40 3/1/2020 90474 EP each additional vaccine (single or combination vaccine/taxoid) 14.40 14.40 3/1/2020 90474 each additional vaccine (single or combination vaccine/taxoid) 14.40 14.40 3/1/2020 90845 psychoanalysis 72.77 72.77 3/1/2020 90846 family therapy 77.40 77.40 3/1/2020 90847 family psychotherapy (conjoint psychotherapy) (with patient present) 96.11 96.11 3/1/2020 90849 multiple-family group psychotherapy 28.82 28.82 3/1/2020 90853 group therapy 27.39 27.39 3/1/2020 90865 narcosynthesis for psychiatric diagnostic and therapeutic purposes (eg, so 135.74 135.74 3/1/2020 90870 electroconvulsive therapy (includes necessary monitoring) 119.01 119.01 3/1/2020 90935 hemodialysis proc. with single physician eval. 58.34 58.34 3/1/2020 90937 hemodialysis proc. requiring repeated evaluations 95.97 95.97 3/1/2020 90945 dialysis procedure other than hemodialysis (eg, peritoneal dialysis, 60.61 60.61 3/1/2020 90947 dialysis procedure other than hemodialysis (eg, peritoneal dialysis, 98.22 98.22 3/1/2020 91010 26 esophageal motility (manometric study of the esophagus and/or gastroeso 58.53 58.53 3/1/2020 91010 TC esophageal motility (manometric study of the esophagus and/or gastroeso 98.76 98.76 3/1/2020 91010 esophageal motility (manometric study of the esophagus and/or gastroeso 157.28 157.28 3/1/2020 91020 26 gastric motility (manometric) studies 67.06 67.06 3/1/2020 91020 TC gastric motility (manometric) studies 123.89 123.89 3/1/2020 91020 gastric motility (manometric) studies 190.96 190.96 3/1/2020 91030 26 esophagus, acid perfusion 43.34 43.34 3/1/2020 91030 TC esophagus, acid perfusion 71.28 71.28 3/1/2020 91030 esophagus, acid perfusion 114.62 114.62 3/1/2020 91034 26 esophagus, gastroesophageal reflux test; with nasal catheter ph electrode 45.41 45.41 3/1/2020 91034 TC esophagus, gastroesophageal reflux test; with nasal catheter ph electrode 118.74 118.74 3/1/2020 91034 esophagus, gastroesophageal reflux test; with nasal catheter ph electrode 164.17 164.17 3/1/2020 91037 26 esophageal function test, gastroesophageal reflux test with nasal catheter 46.02 46.02 3/1/2020 91037 TC esophageal function test, gastroesophageal reflux test with nasal catheter 86.05 86.05 3/1/2020 91037 esophageal function test, gastroesophageal reflux test with nasal catheter 132.06 132.06 3/1/2020 91038 26 esophageal function test, gastroesophageal reflux test with nasal catheter 52.09 52.09 3/1/2020 91038 TC esophageal function test, gastroesophageal reflux test with nasal catheter 64.84 64.84 3/1/2020 91038 esophageal function test, gastroesophageal reflux test with nasal catheter 116.94 116.94 3/1/2020 91040 26 esophageal balloon distension provocation study 47.23 47.23 3/1/2020 91040 TC esophageal balloon distension provocation study 263.80 263.80 3/1/2020 91040 esophageal balloon distension provocation study 311.03 311.03 3/1/2020 91065 26 breath hydrogen test 9.19 9.19 3/1/2020 91065 TC breath hydrogen test 44.64 44.64 3/1/2020 91065 breath hydrogen test 53.80 53.80 3/1/2020 91110 26 gastrointestinal tract imaging, intraluminal (e.g., capsule endoscopy) 170.39 170.39 3/1/2020 91110 TC gastrointestinal tract imaging, intraluminal (e.g., capsule endoscopy) 572.90 572.90 3/1/2020 91110 gastrointestinal tract imaging, intraluminal (e.g., capsule endoscopy) 743.30 743.30 3/1/2020 91120 26 rectal sensation, tone, and compliance test (ie, response to graded balloo 42.90 42.90 3/1/2020 91120 TC rectal sensation, tone, and compliance test (ie, response to graded balloo 275.80 275.80 3/1/2020 91120 rectal sensation, tone, and compliance test (ie, response to graded balloo 318.70 318.70 3/1/2020 91122 26 anorectal manometry 79.42 79.42 3/1/2020 91122 TC anorectal manometry 113.41 113.41 3/1/2020 91122 anorectal manometry 192.83 192.83 3/1/2020 92002 eye exam & treatment,initial 58.30 58.30 3/1/2020 92004 eye exam & treatment,initial 110.08 110.08 3/1/2020 92012 eye exam & treatment 61.41 61.41 3/1/2020 92014 eye exam & treatment 89.81 89.81 3/1/2020 92015 2etermination of refractive state 27.18 27.18 3/1/2020 92018 ophthalmological examination and evaluation w/anes 112.68 112.68 3/1/2020 92019 opthalmol exam/eval under gen anesthesia subsequen 56.23 56.23 3/1/2020 92020 gonioscopy (separate procedure) 20.80 20.80 3/1/2020 92025 26 computerized corneal topography, unilateral or bilateral, with interpretation 15.60 15.60 3/1/2020 92025 TC computerized corneal topography, unilateral or bilateral, with interpretation 11.11 11.11 3/1/2020 92025 computerized corneal topography, unilateral or bilateral, with interpretation 26.71 26.71 3/1/2020 92060 sensorimotor examination with multiple measurements of ocular deviation 46.54 46.54 3/1/2020 92081 visual field examination, unilateral or bilateral, with interpretation and 40.97 40.97 3/1/2020 92082 special eye exam 19.46 19.46 3/1/2020 92083 special eye exam 22.33 22.33 3/1/2020 92136 26 ophthalmic biometry by partial coherence interferometry with intraocular le 24.55 24.55 3/1/2020 92136 TC ophthalmic biometry by partial coherence interferometry with intraocular le 39.61 39.61 3/1/2020 92136 ophthalmic biometry by partial coherence interferometry with intraocular le 64.17 64.17 3/1/2020 92235 26 fluorescein angiography (includes multiframe imaging) with interpretation a 36.93 36.93 3/1/2020 92235 TC fluorescein angiography (includes multiframe imaging) with interpretation a 62.41 62.41 3/1/2020 92235 fluorescein angiography (includes multiframe imaging) with interpretation a 99.34 99.34 3/1/2020 92242 fluorescein icg angiography 195.03 195.03 3/1/2020 92242 TC fluorescein icg angiography 145.67 145.67 3/1/2020 92242 26 fluorescein icg angiography 49.36 49.36 3/1/2020 92265 needle oculoelectromyography, one or more extraocular muscles, one or b 61.08 61.08 3/1/2020 92270 electro-oculography with interpretation and report 69.95 69.95 3/1/2020 92283 color vision examination 35.06 35.06 3/1/2020 92284 dark adaptation examination with interpretation and report 47.04 47.04 3/1/2020 92502 ear and throat examination under general anesthesia 79.85 79.85 3/1/2020 92504 special ear examination 23.36 23.36 3/1/2020 92507 treatment of speech, language, voice, communication, and/ or auditory 71.66 71.66 3/1/2020 92508 treatment of speech, language 2 or more 25.07 25.07 3/1/2020 92511 visualization nose & throat 123.21 123.21 3/1/2020 92512 nasal function studies 49.32 49.32 3/1/2020 92516 facial nerve function studies (eg, electroneuronography) 50.62 50.62 3/1/2020 92520 laryngeal function studies (ie, aerodynamic testing and acoustic testing) 50.61 50.61 3/1/2020 92531 spontaneous nystagmus test 18.95 18.95 3/1/2020 92532 positional nystagmus test 19.33 19.33 3/1/2020 92533 inner ear test 12.32 12.32 3/1/2020 92534 optokinetic nystagmus test 36.40 36.40 3/1/2020 92541 26 spontaneous nystagmus test 17.76 17.76 3/1/2020 92541 TC spontaneous nystagmus test 30.70 30.70 3/1/2020 92541 spontaneous nystagmus test 48.45 48.45 3/1/2020 92542 26 positional nystagmus test 14.65 14.65 3/1/2020 92542 TC positional nystagmus test 35.54 35.54 3/1/2020 92542 positional nystagmus test 50.19 50.19 3/1/2020 92544 26 optokimetic nustagmus test 11.45 11.45 3/1/2020 92544 TC optokimetic nustagmus test 28.89 28.89 3/1/2020 92544 optokimetic nustagmus test 40.32 40.32 3/1/2020 92545 26 oscillating tracking test 10.15 10.15 3/1/2020 92545 TC oscillating tracking test 27.67 27.67 3/1/2020 92545 oscillating tracking test 37.83 37.83 3/1/2020 92546 26 sinusoidal vertical axis rotational testing 12.73 12.73 3/1/2020 92546 TC sinusoidal vertical axis rotational testing 54.93 54.93 3/1/2020 92546 sinusoidal vertical axis rotational testing 67.66 67.66 3/1/2020 92547 use of vertical electrodes (list separately in addition to code for primary 4.27 4.27 3/1/2020 92551 screening test, pure tone air only 8.68 8.68 3/1/2020 92552 pure tone audiometry (threshold) air only 17.48 17.48 3/1/2020 92553 audiometry air and bone 23.35 23.35 3/1/2020 92555 speech audiometry threshold 12.95 12.95 3/1/2020 92556 speech audiometry and speech recognition 20.01 20.01 3/1/2020 92557 comprehensive audiometry threshold eval and speech recognition 38.18 38.18 3/1/2020 92560 hearing test, screening 18.38 18.38 3/1/2020 92561 special hearing test 22.75 22.75 3/1/2020 92562 special hearing test 18.40 18.40 3/1/2020 92563 special hearing test 16.58 16.58 3/1/2020 92564 special hearing test 15.88 15.88 3/1/2020 92565 special hearing test 10.22 10.22 3/1/2020 92567 tympanometry impedance testing 14.76 14.76 3/1/2020 92568 acoustic reflex testing; threshold 15.47 15.47 3/1/2020 92571 filtered speech test 13.24 13.24 3/1/2020 92572 staggered sporatic word test 14.14 14.14 3/1/2020 92575 special hearing test 28.58 28.58 3/1/2020 92576 synthetic sentence identification test 17.08 17.08 3/1/2020 92577 special hearing test 13.86 13.86 3/1/2020 92582 conditioning play audiometry 33.35 33.35 3/1/2020 92583 select picture audiometry 26.80 26.80 3/1/2020 92584 electrocochleography 54.33 54.33 3/1/2020 92587 evoked otoacoustic emsissions;limited 31.58 31.58 3/1/2020 92588 evoked otoacoustic emsissions;comprehensive 52.25 52.25 3/1/2020 92590 hearing aid exam and selection monaural 37.31 37.31 3/1/2020 92591 hearing aid exam binaural 56.03 56.03 3/1/2020 92592 hearing aid check monaural 16.33 16.33 3/1/2020 92593 hearing aid check binaural 24.69 24.69 3/1/2020 92594 electracoustic eval for hearing aid monaural 18.03 18.03 3/1/2020 92595 electronacoustic eval binaural 26.94 26.94 3/1/2020 92596 ear protector attenuation measurements 28.19 28.19 3/1/2020 92601 diagnostic analysis of cochlear implant, patient under 7 years of age; with 132.47 132.47 3/1/2020 92602 diagnostic analysis of cochlear implant, patient under 7 years of age; 82.47 82.47 3/1/2020 92603 diagnostic analysis of cochlear implant, age 7 years or older w/programmi 119.63 119.63 3/1/2020 92604 diagnostic analysis of cochlear implant, age 7 years or older subsequent p 70.84 70.84 3/1/2020 92607 eval for prescription for speech generating & alt. comm. device - face to fa 125.80 125.80 3/1/2020 92608 each additional 30 minutes (use in conjunction with 92607) 24.05 24.05 3/1/2020 92609 therapeutic svcs for use of speech generating device including prog. & mo 66.84 66.84 3/1/2020 92610 eval of swallowing and oral function for feeding 64.65 64.65 3/1/2020 92611 motion flourscopic evaluation of swallowing function by cine or video reco 70.40 70.40 3/1/2020 92612 endoscopic study of swallowing 129.93 129.93 3/1/2020 92614 flexible fiberoptic endoscopic evaluation, laryngeal sensory testing by cine 115.99 115.99 3/1/2020 92616 flexible fiberoptic endoscopic evaluation of swallowing and laryngeal sens 159.71 159.71 3/1/2020 92620 evaluation of central auditory function, with report; initial 60 minutes 63.26 63.26 3/1/2020 92621 evaluation of central auditory function, with report; each additional 15 minu 14.70 14.70 3/1/2020 92625 assessment of tinnitus (includes pitch, loudness matching, and masking) 50.09 50.09 3/1/2020 92950 heart-lung resuscitation 233.46 233.46 3/1/2020 92953 temporary external pacing 10.36 10.36 3/1/2020 92960 cardioversion, elective, electrical conversion of arrhythmia, external 218.97 218.97 3/1/2020 92961 cardioversion, elective, electrical conversion of arrhythmia; internal 228.67 228.67 3/1/2020 92970 cardioassist-method of circulatory assist; internal 159.73 159.73 3/1/2020 92971 cardioassist-method of circulatory assist; external 90.69 90.69 3/1/2020 92973 percutaneous transluminal coronary thrombectomy (list separately in addit 162.12 162.12 3/1/2020 92974 transcatheter placement of radiation delivery device for subsequent coron 148.61 148.61 3/1/2020 92975 thrombolysis coronary by intracoronary infusion 356.13 356.13 3/1/2020 92977 thrombolysis coronary by intravenous infusion 108.27 108.27 3/1/2020 92986 percutaneous balloon valvuloplasty; aortic valve 1209.38 1209.38 3/1/2020 92990 percutaneous balloon valvuloplasty; pulmonary valve 963.36 963.36 3/1/2020 92997 percutaneous transluminal pulmonary artery balloon angioplasty; single ve 559.50 559.50 3/1/2020 92998 percutaneous transluminal pulmonary artery balloon angioplasty; each add 286.40 286.40 3/1/2020 93000 electrocardiogram, routine ekg at least 12 leads; interp and repo 17.69 17.69 3/1/2020 93005 electrocardiogram, tracing 9.81 9.81 3/1/2020 93010 electrocardiogram report 7.90 7.90 3/1/2020 93015 cardiovascular stress test 84.69 84.69 3/1/2020 93016 cardiovascular stress test using maximal or submaximal treadmill or bicyc 21.50 21.50 3/1/2020 93017 electrocardiogram tracing 48.92 48.92 3/1/2020 93018 treadmill ekg-interp only 14.27 14.27 3/1/2020 93024 26 ergonovine provocation test 55.48 55.48 3/1/2020 93024 TC ergonovine provocation test 48.59 48.59 3/1/2020 93024 ergonovine provocation test 104.09 104.09 3/1/2020 93025 microvolt t-wave alternans for assessment of ventricular arrhythmias 36.08 36.08 3/1/2020 93040 electrocardiogram report 11.41 11.41 3/1/2020 93041 rhythm ecg, one to three leads; tracing only w/o interpretation a 4.44 4.44 3/1/2020 93042 rhythm strip-interp only 6.96 6.96 3/1/2020 93224 electrocardiographic monitoring for 24 hours by continuous original ecg 99.23 99.23 3/1/2020 93225 electrocardiographic monitoring for 24 hours by continuous original ecg 29.22 29.22 3/1/2020 93226 electrocardiographic monitoring for 24 hours by continuous original ecg 45.00 45.00 3/1/2020 93227 electrocardiographic monitoring for 24 hours by continuous original ecg 25.00 25.00 3/1/2020 93271 patient demand single or multiple event recording with 179.99 179.99 3/1/2020 93272 patient demand single or multiple event recording with 24.10 24.10 3/1/2020 93306 TC ultrasound examination of heart including colot-depicted blood flow rate, d 161.30 161.30 3/1/2020 93307 26 echocardiography, transthoracic, real-time with image documentation (2d) 43.76 43.76 3/1/2020 93307 TC echocardiography, transthoracic, real-time with image documentation (2d) 104.72 104.72 3/1/2020 93307 echocardiography, transthoracic, real-time with image documentation (2d) 148.47 148.47 3/1/2020 93308 26 echocardiography real time scan limited 25.64 25.64 3/1/2020 93308 TC echocardiography real time scan limited 68.10 68.10 3/1/2020 93308 echocardiography real time scan limited 93.75 93.75 3/1/2020 93312 26 echocardiography, transesophageal, real time with image documentation 102.15 102.15 3/1/2020 93312 TC echocardiography, transesophageal, real time with image documentation 173.19 173.19 3/1/2020 93312 echocardiography, transesophageal, real time with image documentation 275.34 275.34 3/1/2020 93313 echocardio, rl time w/doc transesophageal; plc pro 36.58 36.58 3/1/2020 93314 26 echocardio, rl time w/doc transesophageal intrp.on 57.81 57.81 3/1/2020 93314 TC echocardio, rl time w/doc transesophageal intrp.on 177.43 177.43 3/1/2020 93314 echocardio, rl time w/doc transesophageal intrp.on 235.22 235.22 3/1/2020 93320 26 doppler echocardiography, pulsed wave and/or continuous wave with spec 18.10 18.10 3/1/2020 93320 TC doppler echocardiography, pulsed wave and/or continuous wave with spec 47.30 47.30 3/1/2020 93320 doppler echocardiography, pulsed wave and/or continuous wave with spec 65.42 65.42 3/1/2020 93321 26 doppler echocardiography, pulsed wave and/or continuous wave with spec 7.25 7.25 3/1/2020 93321 TC doppler echocardiography, pulsed wave and/or continuous wave with spec 21.65 21.65 3/1/2020 93321 doppler echocardiography, pulsed wave and/or continuous wave with spec 28.89 28.89 3/1/2020 93325 26 doppler echocardiography color flow velocity mapping (list separately in 3.41 3.41 3/1/2020 93325 doppler echocardiography color flow velocity mapping (list separately in 43.50 43.50 3/1/2020 93350 26 echocardiography, transthoracic, real-time with image documentation (2d, 70.64 70.64 3/1/2020 93350 TC echocardiography, transthoracic, real-time with image documentation (2d, 108.99 108.99 3/1/2020 93350 echocardiography, transthoracic, real-time with image documentation (2d, 179.63 179.63 3/1/2020 93503 placement of flow directed catheter 99.42 99.42 3/1/2020 93505 26 endocardial biopsy 214.10 214.10 3/1/2020 93505 TC endocardial biopsy 419.11 419.11 3/1/2020 93505 endocardial biopsy 633.21 633.21 3/1/2020 93530 26 right heart catheterization for congenital cardiac anomalies 204.44 204.44 3/1/2020 93530 TC right heart catheterization for congenital cardiac anomalies 570.00 570.00 3/1/2020 93530 right heart catheterization for congenital cardiac anomalies 771.09 771.09 3/1/2020 93531 26 combined right heart cath and retrograde left heart cath for cong 400.46 400.46 3/1/2020 93531 TC combined right heart cath and retrograde left heart cath for cong 1626.38 1626.38 3/1/2020 93531 combined right heart cath and retrograde left heart cath for cong 2018.28 2018.28 3/1/2020 93532 26 combined right and left catheterization for congenital cardiac 474.94 474.94 3/1/2020 93532 TC combined right and left catheterization for congenital cardiac 1501.24 1501.24 3/1/2020 93532 combined right and left catheterization for congenital cardiac 1976.15 1976.15 3/1/2020 93533 26 combined right heart catheterization and transseptal left heart catheterizat 319.62 319.62 3/1/2020 93533 TC combined right heart catheterization and transseptal left heart catheterizat 1515.38 1515.38 3/1/2020 93533 combined right heart catheterization and transseptal left heart catheterizat 1835.01 1835.01 3/1/2020 93561 26 indicator dilution studies, including arterial/venous cath. 21.02 21.02 3/1/2020 93561 TC indicator dilution studies, including arterial/venous cath. 18.08 18.08 3/1/2020 93561 indicator dilution studies, including arterial/venous cath. 39.40 39.40 3/1/2020 93562 26 indicator dilution studies, including arterial/venous cath. subse 6.66 6.66 3/1/2020 93562 TC indicator dilution studies, including arterial/venous cath. subse 11.19 11.19 3/1/2020 93562 indicator dilution studies, including arterial/venous cath. subse 17.91 17.91 3/1/2020 93571 26 intravascular doppler velocity and/or pressure derived coronary flow reser 87.12 87.12 3/1/2020 93571 TC intravascular doppler velocity and/or pressure derived coronary flow reser 149.98 149.98 3/1/2020 93571 intravascular doppler velocity and/or pressure derived coronary flow reser 232.43 232.43 3/1/2020 93572 26 intravascular doppler velocity and/or pressure derived coronary flow reser 68.57 68.57 3/1/2020 93572 TC intravascular doppler velocity and/or pressure derived coronary flow reser 77.31 77.31 3/1/2020 93572 intravascular doppler velocity and/or pressure derived coronary flow reser 145.88 145.88 3/1/2020 93580 percutaneous transcatheter closure of congenital interatrial communication 887.71 887.71 3/1/2020 93581 percutaneous transcatheter closure of a congenital ventricular septal defec 1163.98 1163.98 3/1/2020 93590 perq transcath cls mitral 1062.90 1062.90 3/1/2020 93591 perq transcath cls aortic 882.09 882.09 3/1/2020 93592 perq transcath closure each 388.70 388.70 3/1/2020 93600 26 special electrocardigram 103.92 103.92 3/1/2020 93600 TC special electrocardigram 63.77 63.77 3/1/2020 93600 special electrocardigram 163.04 163.04 3/1/2020 93602 26 intra atrial recording 103.52 103.52 3/1/2020 93602 TC intra atrial recording 35.06 35.06 3/1/2020 93602 intra atrial recording 134.25 134.25 3/1/2020 93603 26 right ventricular recording 103.73 103.73 3/1/2020 93603 TC right ventricular recording 54.31 54.31 3/1/2020 93603 right ventricular recording 153.38 153.38 3/1/2020 93609 26 intraventricular and/or intra-atrial mapping of tachycardia site(s) with 245.12 245.12 3/1/2020 93610 26 intra-atrial pacing 147.16 147.16 3/1/2020 93610 TC intra-atrial pacing 42.80 42.80 3/1/2020 93610 intra-atrial pacing 183.45 183.45 3/1/2020 93612 26 intraventricular pacing 146.45 146.45 3/1/2020 93612 TC intraventricular pacing 51.72 51.72 3/1/2020 93612 intraventricular pacing 192.26 192.26 3/1/2020 93613 26 intracardiac electrophysiologic 3-dimensional mapping (list separately in 198.19 198.19 3/1/2020 93613 TC intracardiac electrophysiologic 3-dimensional mapping (list separately in 128.55 128.55 3/1/2020 93613 intracardiac electrophysiologic 3-dimensional mapping (list separately in 344.40 344.40 3/1/2020 93618 26 induction arrhythmia by electrical pacing 210.47 210.47 3/1/2020 93618 TC induction arrhythmia by electrical pacing 127.74 127.74 3/1/2020 93618 induction arrhythmia by electrical pacing 327.16 327.16 3/1/2020 93619 26 comprehensive ep eval with rt atrial pacing and recording, rt ventricular pa 363.46 363.46 3/1/2020 93619 TC comprehensive ep eval with rt atrial pacing and recording, rt ventricular pa 253.34 253.34 3/1/2020 93619 comprehensive ep eval with rt atrial pacing and recording, rt ventricular pa 602.83 602.83 3/1/2020 93620 26 comprehensive ep eval with rt atrial pacing and recording, rt ventricular pa 571.34 571.34 3/1/2020 93620 TC comprehensive ep eval with rt atrial pacing and recording, rt ventricular pa 286.07 286.07 3/1/2020 93620 comprehensive ep eval with rt atrial pacing and recording, rt ventricular pa 848.34 848.34 3/1/2020 93621 26 comprehensive electrophysiologic evaluation with right atrial pacing and 103.35 103.35 3/1/2020 93621 TC comprehensive electrophysiologic evaluation with right atrial pacing and 79.45 79.45 3/1/2020 93621 comprehensive electrophysiologic evaluation with right atrial pacing and 182.82 182.82 3/1/2020 93622 26 comprehensive electrophysiologic evaluation with right atrial pacing and 151.18 151.18 3/1/2020 93622 TC comprehensive electrophysiologic evaluation with right atrial pacing and 116.05 116.05 3/1/2020 93622 comprehensive electrophysiologic evaluation with right atrial pacing and 267.23 267.23 3/1/2020 93623 26 programmed stimulation and pacing after intravenous drug infusion (list 140.15 140.15 3/1/2020 93640 26 electrophysiologic evaluation of cardioverter-defibrillator leads (includes 171.98 171.98 3/1/2020 93640 TC electrophysiologic evaluation of cardioverter-defibrillator leads (includes 236.44 236.44 3/1/2020 93640 electrophysiologic evaluation of cardioverter-defibrillator leads (includes 400.51 400.51 3/1/2020 93641 26 electrophysiologic evaluation of cardioverter- defibrillator 291.06 291.06 3/1/2020 93641 TC electrophysiologic evaluation of cardioverter- defibrillator 233.86 233.86 3/1/2020 93641 electrophysiologic evaluation of cardioverter- defibrillator 510.70 510.70 3/1/2020 93642 26 electrophysiologic evaluation of cardioverter-defibrillator 238.89 238.89 3/1/2020 93642 TC electrophysiologic evaluation of cardioverter-defibrillator 164.68 164.68 3/1/2020 93642 electrophysiologic evaluation of cardioverter-defibrillator 403.57 403.57 3/1/2020 93660 evaluation of cardiovascular function with tilt table evaluation, with 147.72 147.72 3/1/2020 93662 26 intracardiac echocardiography during therapeutic/diagnostic intervention, 135.32 135.32 3/1/2020 93662 TC intracardiac echocardiography during therapeutic/diagnostic intervention, 109.07 109.07 3/1/2020 93662 intracardiac echocardiography during therapeutic/diagnostic intervention, 266.34 266.34 3/1/2020 93701 26 bioimpedance, thoracic, electrical 7.90 7.90 3/1/2020 93701 TC bioimpedance, thoracic, electrical 20.80 20.80 3/1/2020 93701 bioimpedance, thoracic, electrical 28.70 28.70 3/1/2020 93724 26 electronic analysis of antitachycardia pacemaker system (includes 234.95 234.95 3/1/2020 93724 TC electronic analysis of antitachycardia pacemaker system (includes 54.34 54.34 3/1/2020 93724 electronic analysis of antitachycardia pacemaker system (includes 289.30 289.30 3/1/2020 93740 26 analysis pacemaker single chamber/telephonic 6.95 6.95 3/1/2020 93740 TC analysis pacemaker single chamber/telephonic 1.42 1.42 3/1/2020 93740 analysis pacemaker single chamber/telephonic 8.38 8.38 3/1/2020 93745 26 initial set-up and programming by a physician of wearable 39.51 39.51 3/1/2020 93745 TC initial set-up and programming by a physician of wearable 23.05 23.05 3/1/2020 93745 initial set-up and programming by a physician of wearable 62.56 62.56 3/1/2020 93770 26 determination of venous pressure 6.95 6.95 3/1/2020 93770 TC determination of venous pressure 0.50 0.50 3/1/2020 93770 determination of venous pressure 7.48 7.48 3/1/2020 93880 TC duplex scan extracranial arteries, bilat. complete 179.27 179.27 3/1/2020 93882 26 duplex scan of extracranial arteries; 17.86 17.86 3/1/2020 93882 TC duplex scan of extracranial arteries; 118.13 118.13 3/1/2020 93882 duplex scan of extracranial arteries; 135.99 135.99 3/1/2020 93886 26 stdy of intracranial art;comp 41.41 41.41 3/1/2020 93886 TC transcranial doppler stdy of intracranial art;comp 206.76 206.76 3/1/2020 93886 transcranial doppler stdy of intracranial art;comp 248.17 248.17 3/1/2020 93888 26 transcranial doppler study of the intracranial arteries; limited study 27.99 27.99 3/1/2020 93888 TC transcranial doppler study of the intracranial arteries; limited study 140.97 140.97 3/1/2020 93888 transcranial doppler study of the intracranial arteries; limited study 168.97 168.97 3/1/2020 93890 26 transcranial doppler study of the intracranial arteries; vasoreactivity study 43.98 43.98 3/1/2020 93890 TC transcranial doppler study of the intracranial arteries; vasoreactivity study 174.05 174.05 3/1/2020 93890 transcranial doppler study of the intracranial arteries; vasoreactivity study 218.02 218.02 3/1/2020 93892 26 transcranial doppler study of the intracranial arteries; emboli detection 50.10 50.10 3/1/2020 93892 TC transcranial doppler study of the intracranial arteries; emboli detection 189.19 189.19 3/1/2020 93892 transcranial doppler study of the intracranial arteries; emboli detection 239.28 239.28 3/1/2020 93893 26 transcranial doppler study of the intracranial arteries; emboli detection with 50.40 50.40 3/1/2020 93893 TC transcranial doppler study of the intracranial arteries; emboli detection with 188.29 188.29 3/1/2020 93893 transcranial doppler study of the intracranial arteries; emboli detection with 238.69 238.69 3/1/2020 93922 26 noninvasive physiologic studies of upper or lower extremity 11.03 11.03 3/1/2020 93922 TC noninvasive physiologic studies of upper or lower extremity 89.31 89.31 3/1/2020 93922 noninvasive physiologic studies of upper or lower extremity 100.33 100.33 3/1/2020 93923 26 noninvasive physiologic studies of upper or lower extremity 20.11 20.11 3/1/2020 93923 TC noninvasive physiologic studies of upper or lower extremity 134.78 134.78 3/1/2020 93923 noninvasive physiologic studies of upper or lower extremity 154.89 154.89 3/1/2020 93924 26 noninvasive physiologic studies of lower extremity arteries, 22.86 22.86 3/1/2020 93924 TC noninvasive physiologic studies of lower extremity arteries, 167.81 167.81 3/1/2020 93924 noninvasive physiologic studies of lower extremity arteries, 190.67 190.67 3/1/2020 93925 26 duplex scan lower extrem. arteries; bilat,complete 25.87 25.87 3/1/2020 93925 TC duplex scan lower extrem. arteries; bilat,complete 230.76 230.76 3/1/2020 93925 duplex scan lower extrem. arteries; bilat,complete 256.63 256.63 3/1/2020 93926 26 duplex scan of lower extremity arteries or arterial bypass grafts; unilateral 17.54 17.54 3/1/2020 93926 TC duplex scan of lower extremity arteries or arterial bypass grafts; unilateral 146.20 146.20 3/1/2020 93926 duplex scan of lower extremity arteries or arterial bypass grafts; unilateral 163.74 163.74 3/1/2020 93930 26 duplex scan upper extrem. arteries; bilat complete 20.74 20.74 3/1/2020 93930 TC duplex scan upper extrem. arteries; bilat complete 181.50 181.50 3/1/2020 93930 duplex scan upper extrem. arteries; bilat complete 202.24 202.24 3/1/2020 93931 26 duplex scan of upper extremity arteries or arterial bypass grafts; unilateral 13.80 13.80 3/1/2020 93931 TC duplex scan of upper extremity arteries or arterial bypass grafts; unilateral 121.57 121.57 3/1/2020 93931 duplex scan of upper extremity arteries or arterial bypass grafts; unilateral 135.38 135.38 3/1/2020 93970 26 duplex scan of extremity veins; complete, bilatera 30.47 30.47 3/1/2020 93970 TC duplex scan of extremity veins; complete, bilatera 180.00 180.00 3/1/2020 93970 duplex scan of extremity veins; complete, bilatera 210.47 210.47 3/1/2020 93971 26 duplex scan of extremity veins including responses to compression and ot 20.20 20.20 3/1/2020 93971 TC duplex scan of extremity veins including responses to compression and ot 119.18 119.18 3/1/2020 93971 duplex scan of extremity veins including responses to compression and ot 139.37 139.37 3/1/2020 93975 26 duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scr 81.31 81.31 3/1/2020 93975 TC duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scr 235.44 235.44 3/1/2020 93975 duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scr 316.75 316.75 3/1/2020 93976 26 duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scr 53.98 53.98 3/1/2020 93976 TC duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scr 128.88 128.88 3/1/2020 93976 duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scr 182.86 182.86 3/1/2020 93978 26 duplex scan complete; aorta,vena cava,iliac vasc. 29.19 29.19 3/1/2020 93978 TC duplex scan complete; aorta,vena cava,iliac vasc. 168.79 168.79 3/1/2020 93978 duplex scan complete; aorta,vena cava,iliac vasc. 197.97 197.97 3/1/2020 93979 26 duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts 19.57 19.57 3/1/2020 93979 TC duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts 117.34 117.34 3/1/2020 93979 duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts 136.90 136.90 3/1/2020 93985 26 DUP-SCAN HEMO COMPL BI STD 34.37 34.37 3/1/2020 93985 TC DUP-SCAN HEMO COMPL BI STD 194.71 194.71 3/1/2020 93985 DUP-SCAN HEMO COMPL BI STD 229.08 229.08 3/1/2020 93986 26 DUP-SCAN HEMO COMPL UNI STD 22.03 22.03 3/1/2020 93986 TC DUP-SCAN HEMO COMPL UNI STD 110.82 110.82 3/1/2020 93986 DUP-SCAN HEMO COMPL UNI STD 132.85 132.85 3/1/2020 93990 26 duplex scan of hemodialysis 10.93 10.93 3/1/2020 93990 duplex scan of hemodialysis 160.16 160.16 3/1/2020 94002 ventilation assist and management, initiation of pressure or volume preset 77.62 77.62 3/1/2020 94003 ventilation assist and management, initiation of pressure or volume preset 56.09 56.09 3/1/2020 94004 ventilation assist and management, initiation of pressure or volume preset 40.83 40.83 3/1/2020 94010 26 spirometry including graphic record total timed vital capacity exploratory fl 7.29 7.29 3/1/2020 94010 TC spirometry including graphic record total timed vital capacity exploratory fl 20.40 20.40 3/1/2020 94010 spirometry including graphic record total timed vital capacity exploratory fl 27.69 27.69 3/1/2020 94060 26 bronchospasm evaluation, spirometry as in 94010 before & after bronchod 12.78 12.78 3/1/2020 94060 TC bronchospasm evaluation, spirometry as in 94010 before & after bronchod 35.76 35.76 3/1/2020 94060 bronchospasm evaluation, spirometry as in 94010 before & after bronchod 48.55 48.55 3/1/2020 94070 26 prolonged postexposure evaluation of bronchospasm with multiple spirom 25.11 25.11 3/1/2020 94070 TC prolonged postexposure evaluation of bronchospasm with multiple spirom 25.69 25.69 3/1/2020 94070 prolonged postexposure evaluation of bronchospasm with multiple spirom 50.80 50.80 3/1/2020 94150 26 vital capacity total 3.41 3.41 3/1/2020 94150 TC vital capacity total 15.34 15.34 3/1/2020 94150 vital capacity total 18.75 18.75 3/1/2020 94200 26 max breathing capacity, max voluntary ventilation 4.73 4.73 3/1/2020 94200 TC max breathing capacity, max voluntary ventilation 14.05 14.05 3/1/2020 94200 max breathing capacity, max voluntary ventilation 18.75 18.75 3/1/2020 94375 26 respiratory flow volume loop 12.78 12.78 3/1/2020 94375 TC respiratory flow volume loop 18.59 18.59 3/1/2020 94375 respiratory flow volume loop 30.42 30.42 3/1/2020 94450 26 breathing response to hypoxia 16.54 16.54 3/1/2020 94450 TC breathing response to hypoxia 26.16 26.16 3/1/2020 94450 breathing response to hypoxia 42.69 42.69 3/1/2020 94610 intrapulmonary surfactant administration by a physician through endotrach 54.58 54.58 3/1/2020 94621 26 pulmonary stress testing; complex (including measurements of co2 produc 61.96 61.96 3/1/2020 94621 TC pulmonary stress testing; complex (including measurements of co2 produc 75.05 75.05 3/1/2020 94621 pulmonary stress testing; complex (including measurements of co2 produc 137.03 137.03 3/1/2020 94640 nonpressurized inhalation treatment for acute airway obstruction 11.01 11.01 3/1/2020 94642 aerosol inhalation pentamidine prophylaxis 9.66 9.66 3/1/2020 94644 continuous inhalation treatment with aerosol medication for acute airway 28.28 28.28 3/1/2020 94645 continuous inhalation treatment with aerosol medication for acute airway 11.01 11.01 3/1/2020 94660 continuous positive airway pressure ventilation (cpap), initiation and 48.43 48.43 3/1/2020 94662 cont negative pressure vent iniation/management 31.56 31.56 3/1/2020 94664 aerosol tx initial 12.04 12.04 3/1/2020 94667 manipulation of chest wall 16.79 16.79 3/1/2020 94668 subsequent manipulation of chest wall 15.87 15.87 3/1/2020 94680 26 expired gas analysis 10.84 10.84 3/1/2020 94680 TC expired gas analysis 37.29 37.29 3/1/2020 94680 expired gas analysis 48.12 48.12 3/1/2020 94681 26 expired gas analysis with co2 8.26 8.26 3/1/2020 94681 TC expired gas analysis with co2 43.68 43.68 3/1/2020 94681 expired gas analysis with co2 51.94 51.94 3/1/2020 94690 26 expired gas analysis rest, indirect 3.11 3.11 3/1/2020 94690 TC expired gas analysis rest, indirect 38.69 38.69 3/1/2020 94690 expired gas analysis rest, indirect 41.79 41.79 3/1/2020 94760 non-invasive ear or pulse oximetry 2.24 2.24 3/1/2020 94761 noninvasive ear or pulse oximetry multiple determ. 4.27 4.27 3/1/2020 94762 noninvasive pulse oximetry for o2 saturation; by continuous overnight mon 23.88 23.88 3/1/2020 94772 26 respiratory pattern recording 52.89 52.89 3/1/2020 94772 TC respiratory pattern recording 47.55 47.55 3/1/2020 94772 respiratory pattern recording 100.43 100.43 3/1/2020 95012 Measurement of inhaled nitric oxide gas 17.18 17.18 3/1/2020 95060 allergy eye tests 19.18 19.18 3/1/2020 95065 allergy nose test 17.46 17.46 3/1/2020 95076 ingestion challenge test (sequential and incremental ingestion of test items 63.11 100.98 3/1/2020 95079 ingestion challenge test (sequential and incremental ingestion of test items 57.99 71.66 3/1/2020 95117 professional services for allergen immunotherapy not including provision o 10.09 10.09 3/1/2020 95130 immunotherapy 29.95 29.95 3/1/2020 95131 immunotherapy 2 stinging insect venoms 37.31 37.31 3/1/2020 95132 immunotherapy 3 stinging insect venoms $29.37 29.37 3/1/2020 95133 immunotherapy 4 stinging insect venoms $54.33 54.33 3/1/2020 95134 immunotherapy 5 stinging insect venoms $65.03 65.03 3/1/2020 95705 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG, 2-12 HOURS, UNM 198.11 198.11 3/1/2020 95706 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG), 2-12 HOURS, WIT 198.11 198.11 3/1/2020 95707 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG), 2-12 HOURS, WIT 198.11 198.11 3/1/2020 95708 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG), 12-26 HOURS, UN 198.11 198.11 3/1/2020 95709 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG), 12-26 HOURS, W 198.11 198.11 3/1/2020 95710 MEASUREMENT OF BRAIN WAVE ACTIVITY (EEG), 12-26 HOURS, W 198.11 198.11 3/1/2020 95711 MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG), 2-1 1508.02 1508.02 3/1/2020 95712 MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG), 2-1 185.35 185.35 3/1/2020 95713 MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG), 2-1 1508.02 1508.02 3/1/2020 95714 MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG), 12 1508.02 1508.02 3/1/2020 95715 MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG), 12 1508.02 1508.02 3/1/2020 95716 MEASUREMENT OF BRAIN WAVE ACTIVITY WITH VIDEO (VEEG), 12 1508.02 1508.02 3/1/2020 95717 EEG PHYS/QHP 2-12 HR W/O VID 92.27 92.27 3/1/2020 95718 EEG PHYS/QHP 2-12 HR W/VEEG 121.09 121.09 3/1/2020 95719 EEG PHYS/QHP EA INCR W/O VID 142.49 142.49 3/1/2020 95720 EEG PHY/QHP EA INCR W/VEEG 187.38 187.38 3/1/2020 95721 EEG PHY/QHP>36<60 HR W/O VID 188.91 188.91 3/1/2020 95722 EEG PHY/QHP>36<60 HR W/VEEG 229.22 229.22 3/1/2020 95723 EEG PHY/QHP>60<84 HR W/O VID 234.06 234.06 3/1/2020 95724 EEG PHY/QHP>60<84 HR W/VEEG 292.74 292.74 3/1/2020 95725 EEG PHY/QHP>84 HR W/O VID 267.14 267.14 3/1/2020 95726 EEG PHY/QHP>84 HR W/VEEG 369.96 369.96 3/1/2020 95805 26 multiple sleep latency or maintenance of wakefulness testing, recording, 80.38 80.38 3/1/2020 95805 TC multiple sleep latency or maintenance of wakefulness testing, recording, 274.16 274.16 3/1/2020 95805 multiple sleep latency or maintenance of wakefulness testing, recording, 354.53 354.53 3/1/2020 95806 sleep study, simultaneous recording of ventilation, respiratory 176.00 176.00 3/1/2020 95807 26 sleep study, simultaneous recording of ventilation, respiratory effort, ecg o 70.55 70.55 3/1/2020 95807 TC sleep study, simultaneous recording of ventilation, respiratory effort, ecg o 343.05 343.05 3/1/2020 95807 sleep study, simultaneous recording of ventilation, respiratory effort, ecg o 413.58 413.58 3/1/2020 95808 26 ; sleep staging with 1-3 add'l parameters of sleep, attend 113.07 113.07 3/1/2020 95808 TC polysomnography; sleep staging with 1-3 add'l parameters of sleep, attend 429.95 429.95 3/1/2020 95808 polysomnography; sleep staging with 1-3 add'l parameters of sleep, attend 543.03 543.03 3/1/2020 95810 26 polysomnography; sleep staging with 4 or more add'l parameters of sleep 149.05 149.05 3/1/2020 95810 TC polysomnography; sleep staging with 4 or more add'l parameters of sleep 498.40 498.40 3/1/2020 95810 polysomnography; sleep staging with 4 or more add'l parameters of sleep 647.45 647.45 3/1/2020 95811 polysomnography; of sleep, attended by a technologist sleep stagi 713.33 713.33 3/1/2020 95812 26 eeg extended monitoring; up to 1 hour 47.20 47.20 3/1/2020 95812 eeg extended monitoring; up to 1 hour 198.48 198.48 3/1/2020 95813 26 eeg extended monitoring; greater than 1 hour 75.16 75.16 3/1/2020 95813 eeg extended monitoring; greater than 1 hour 244.30 244.30 3/1/2020 95816 26 electroencephalogram (eeg) including recording awake and drowsy (includ 47.20 47.20 3/1/2020 95816 TC electroencephalogram (eeg) including recording awake and drowsy (includ 135.02 135.02 3/1/2020 95816 electroencephalogram (eeg) including recording awake and drowsy (includ 182.23 182.23 3/1/2020 95819 26 electroencephalogram (eeg) including recording awake and asleep (includ 47.20 47.20 3/1/2020 95819 TC electroencephalogram (eeg) including recording awake and asleep (includ 148.34 148.34 3/1/2020 95819 electroencephalogram (eeg) including recording awake and asleep (includ 195.54 195.54 3/1/2020 95822 26 electroencephalogram; sleep only 47.20 47.20 3/1/2020 95822 TC electroencephalogram; sleep only 147.45 147.45 3/1/2020 95822 electroencephalogram; sleep only 194.66 194.66 3/1/2020 95824 26 electroencephalogram; cerebral death eval. only 32.33 32.33 3/1/2020 95824 TC electroencephalogram; cerebral death eval. only 14.11 14.11 3/1/2020 95824 electroencephalogram; cerebral death eval. only 52.40 52.40 3/1/2020 95829 26 electrocorticogram at surger 273.81 273.81 3/1/2020 95829 TC electrocorticogram at surger 742.06 742.06 3/1/2020 95829 electrocorticogram at surger 1015.85 1015.85 3/1/2020 95830 26 insertion of electrodes for electroencephalographi 24.63 24.63 3/1/2020 95830 insertion of electrodes for electroencephalographi 74.29 74.29 3/1/2020 95851 26 range of motion evaluation 5.23 5.23 3/1/2020 95851 range of motion evaluation 6.95 6.95 3/1/2020 95852 26 range of motion measurements and report of hands 2.70 2.70 3/1/2020 95852 range of motion measurements and report of hands 10.77 10.77 3/1/2020 95857 26 tensilon test for myasthenia gravis 8.83 8.83 3/1/2020 95857 tensilon test for myasthenia gravis 35.33 35.33 3/1/2020 95860 26 needle electromyography, one extremity with or without related paraspina 43.06 43.06 3/1/2020 95860 TC needle electromyography, one extremity with or without related paraspina 26.16 26.16 3/1/2020 95860 needle electromyography, one extremity with or without related paraspina 69.23 69.23 3/1/2020 95861 26 needle electromyography, two extremities with or without related paraspin 68.83 68.83 3/1/2020 95861 TC needle electromyography, two extremities with or without related paraspin 31.83 31.83 3/1/2020 95861 needle electromyography, two extremities with or without related paraspin 100.66 100.66 3/1/2020 95863 26 needle electromyography, three extremities with or without related parasp 82.47 82.47 3/1/2020 95863 TC needle electromyography, three extremities with or without related parasp 37.59 37.59 3/1/2020 95863 needle electromyography, three extremities with or without related parasp 120.06 120.06 3/1/2020 95864 26 needle electromyography, four extremities with or without related paraspin 88.21 88.21 3/1/2020 95864 TC needle electromyography, four extremities with or without related paraspin 37.59 37.59 3/1/2020 95864 needle electromyography, four extremities with or without related paraspin 120.06 120.06 3/1/2020 95867 26 needle electromyography,cranial nerve supplied muscles,unilateral 34.97 34.97 3/1/2020 95867 TC needle electromyography,cranial nerve supplied muscles,unilateral 25.05 25.05 3/1/2020 95867 needle electromyography,cranial nerve supplied muscles,unilateral 60.03 60.03 3/1/2020 95868 26 needle electromyography,cranial nerve supplied muscles,bilateral 52.08 52.08 3/1/2020 95868 TC needle electromyography,cranial nerve supplied muscles,bilateral 30.42 30.42 3/1/2020 95868 needle electromyography,cranial nerve supplied muscles,bilateral 82.50 82.50 3/1/2020 95869 26 needle electromyography; thoracic paraspinal muscles 16.46 16.46 3/1/2020 95869 TC needle electromyography; thoracic paraspinal muscles 30.42 30.42 3/1/2020 95869 needle electromyography; thoracic paraspinal muscles 52.08 52.08 3/1/2020 95870 26 needle electromyography; other than paraspinal (eg, abdomen, thorax) 16.46 16.46 3/1/2020 95870 TC needle electromyography; other than paraspinal (eg, abdomen, thorax) 20.71 20.71 3/1/2020 95870 needle electromyography; other than paraspinal (eg, abdomen, thorax) 37.17 37.17 3/1/2020 95872 26 needle electromyography using single fiber electrode, with quantitative 121.70 121.70 3/1/2020 95872 TC needle electromyography using single fiber electrode, with quantitative 21.92 21.92 3/1/2020 95872 needle electromyography using single fiber electrode, with quantitative 143.62 143.62 3/1/2020 95875 26 ischemic limb exercise test with serial specimen(s) acquisition for muscle 48.26 48.26 3/1/2020 95875 TC ischemic limb exercise test with serial specimen(s) acquisition for muscle 30.63 30.63 3/1/2020 95875 ischemic limb exercise test with serial specimen(s) acquisition for muscle 78.88 78.88 3/1/2020 95925 26 short-latency somatosensory evoked potential study, stimulation of any/all 23.96 23.96 3/1/2020 95925 TC short-latency somatosensory evoked potential study, stimulation of any/all 73.93 73.93 3/1/2020 95925 short-latency somatosensory evoked potential study, stimulation of any/all 97.88 97.88 3/1/2020 95933 26 orbisularis occuli reflex by electrodiagnostic tes 26.20 26.20 3/1/2020 95933 TC orbisularis occuli reflex by electrodiagnostic tes 27.59 27.59 3/1/2020 95933 orbisularis occuli reflex by electrodiagnostic tes 53.79 53.79 3/1/2020 95937 26 neuromuscular junctn testing, ea nerve,any 1 meth. 29.60 29.60 3/1/2020 95937 TC neuromuscular junctn testing, ea nerve,any 1 meth. 18.59 18.59 3/1/2020 95937 neuromuscular junctn testing, ea nerve,any 1 meth. 48.18 48.18 3/1/2020 95954 26 pharmacological or physical activation requiring physician attendance duri 99.87 99.87 3/1/2020 95954 TC pharmacological or physical activation requiring physician attendance duri 108.76 108.76 3/1/2020 95954 pharmacological or physical activation requiring physician attendance duri 208.61 208.61 3/1/2020 95955 26 electroencephalogram during surgery interpretation 43.49 43.49 3/1/2020 95955 TC electroencephalogram during surgery interpretation 71.66 71.66 3/1/2020 95955 electroencephalogram during surgery interpretation 115.15 115.15 3/1/2020 95957 digital analysis of electroencephalogram (eeg) (eg, for epileptic spike 217.99 217.99 3/1/2020 95958 26 wada activation test for hemispheric funct.inc.eeg 185.57 185.57 3/1/2020 95958 TC wada activation test for hemispheric funct.inc.eeg 138.67 138.67 3/1/2020 95958 wada activation test for hemispheric funct.inc.eeg 324.24 324.24 3/1/2020 95961 26 functional cortical and subcortical mapping by stimulation and/or recording 138.09 138.09 3/1/2020 95961 TC functional cortical and subcortical mapping by stimulation and/or recording 58.38 58.38 3/1/2020 95961 functional cortical and subcortical mapping by stimulation and/or recording 196.47 196.47 3/1/2020 95962 26 functional cortical mapping by stimulation of electrodes on brain surface, o 143.52 143.52 3/1/2020 95962 TC functional cortical mapping by stimulation of electrodes on brain surface, o 39.01 39.01 3/1/2020 95962 functional cortical mapping by stimulation of electrodes on brain surface, o 182.54 182.54 3/1/2020 95970 electronic analysis of implanted neurostimulator pulse generator system (e 19.29 42.00 3/1/2020 95971 electronic analysis of implanted neurostimulator pulse generator system (e 34.87 48.79 3/1/2020 95972 electronic analysis of implanted neurostimulator pulse generator system (e 66.24 87.14 3/1/2020 95990 refilling and maintenance of implantable pump or reservoir for drug deliver 48.49 48.49 3/1/2020 95991 refilling and maintenance of implantable pump or reservoir for drug deliver 31.90 74.00 3/1/2020 96040 medical genetics and genetic counseling services, each 30 minutes face-t 33.65 33.65 3/1/2020 96110 developmental screening 9.19 9.19 3/1/2020 96127 EP brief emotional or behavioral assessment 4.71 4.71 3/1/2020 96156 HLTH BHV ASSMT/REASSESSMENT 87.49 87.49 3/1/2020 96158 HLTH BHV IVNTJ INDIV 1ST 30 54.33 59.79 3/1/2020 96158 EP HLTH BHV IVNTJ INDIV 1ST 31 50.55 55.62 3/1/2020 96159 HLTH BHV IVNTJ INDIV EA ADDL 18.73 20.85 3/1/2020 96159 EP HLTH BHV IVNTJ INDIV EA ADDL 17.42 19.39 3/1/2020 96160 pt-focused hlth risk assmt 3.93 3.93 3/1/2020 96161 caregiver health risk assmt 3.93 3.93 3/1/2020 96372 injection beneath the skin or into muscle for therapy, diagnosis, or prevent 17.89 17.89 3/1/2020 96405 chemotherapy administration; intralesional, up to and including 7 lesions 71.85 71.85 3/1/2020 96406 chemotherapy administration; intralesional, more than 7 lesions 99.50 99.50 3/1/2020 96420 chemotherapy admin, intra-arterial push 90.20 90.20 3/1/2020 96422 chemotherapy admin, intra-arterial infusion up to 1 hour 145.61 145.61 3/1/2020 96423 chemotherapy administration, intra-arterial; infusion technique, each 65.34 65.34 3/1/2020 96425 chemotherapy admin, intra-arterial infusion, over 8 hours (pump) 143.49 143.49 3/1/2020 96440 chemotherapy admin, into pleural cavity including thoracentesis 506.29 506.29 3/1/2020 96450 chemotherapy administration, into cns (eg, intrathecal), requiring and 177.64 177.64 3/1/2020 96542 chemotherapy injection, subarachnoid or intraventricular via subq. reservo 113.83 113.83 3/1/2020 96570 photodynamic therapy by endoscopic application of light to ablate abnorm 50.41 50.41 3/1/2020 96571 photodynamic therapy by endoscopic application of light to ablate abnorm 24.38 24.38 3/1/2020 96900 ultraviolet light therapy 16.17 16.17 3/1/2020 96910 photochemotheraph tar/ultrauiolet b goeckerman tre 52.31 52.31 3/1/2020 96912 photochemotherapy psoralens/ultrauiolet a puva 67.05 67.05 3/1/2020 96920 laser treatment for inflammatory skin disease (psoriasis) total area less th 137.10 137.10 3/1/2020 96921 laser treatment for inflammatory skin disease (psoriasis); 250 sq cm to 50 134.32 134.32 3/1/2020 96922 laser treatment for inflammatory skin disease (psoriasis); over 500 sq cm 199.79 199.79 3/1/2020 97010 application of a modality to 1 or more areas; hot or cold packs 3.98 3.98 3/1/2020 97012 traction; mechanical 12.63 12.63 3/1/2020 97014 electrical stimulation (unattended) 11.55 11.55 3/1/2020 97016 vasopneumatic devices 13.06 13.06 3/1/2020 97018 paraffin bath 6.72 6.72 3/1/2020 97022 whirlpool 14.86 14.86 3/1/2020 97024 application of a modality to one or more areas; diathermy (eg, microwave) 4.60 4.60 3/1/2020 97026 infared 4.29 4.29 3/1/2020 97028 ultraviolet 5.25 5.25 3/1/2020 97032 application of modality to 1 or more areas 14.14 14.14 3/1/2020 97034 contrast bath 12.83 12.83 3/1/2020 97035 ultrasound 10.11 10.11 3/1/2020 97036 hubbard tank 21.80 21.80 3/1/2020 97110 therapeutic procedure 1 or more area 24.54 24.54 3/1/2020 97112 neuromuscular re-education of movement 25.23 25.23 3/1/2020 97113 therapeutic procedure, one or more areas, each 15 minutes; 29.76 29.76 3/1/2020 97116 therapeutic procedure 1 or more areas 21.48 21.48 3/1/2020 97124 massage including effleurage 19.54 19.54 3/1/2020 97140 manual therapy techniques; each 15 mins 22.76 22.76 3/1/2020 97161 pt eval low complex 20 min 70.83 70.83 3/1/2020 97162 pt eval mod complex 30 min 70.83 70.83 3/1/2020 97163 pt eval high complex 45 min 70.83 70.83 3/1/2020 97164 pt re-eval est plan care 48.00 48.00 3/1/2020 97165 ot eval low complex 30 min 68.71 68.71 3/1/2020 97166 ot eval mod complex 45 min 68.71 68.71 3/1/2020 97167 ot eval high complex 60 min 68.71 68.71 3/1/2020 97168 ot re-eval est plan care 45.34 45.34 3/1/2020 97530 therapeutic activities direct 1 on 1 by provider; each 15 mins 25.82 25.82 3/1/2020 97597 removal of devitalized tissue from wound(s), selective debridement, witho 50.01 50.01 3/1/2020 97598 removal of devitalized tissue from wound(s), selective debridement, witho 62.06 62.06 3/1/2020 97750 physical performance test or measurement 25.14 25.14 3/1/2020 97802 medical nutrition therapy; initial assessment and intervention, individual 25.74 25.74 3/1/2020 97803 medical nutrition therapy; re-assessment and intervention, individual, 22.51 22.51 3/1/2020 98966 TELEPHONE ASSESSMENT AND MANAGEMENT SERVICE, 5-10 MINU 11.58 12.48 3/13/2020 98967 TELEPHONE ASSESSMENT AND MANAGEMENT SERVICE, 11-20 MIN 23.11 24.32 3/13/2020 98968 TELEPHONE ASSESSMENT AND MANAGEMENT SERVICE, 21-30 MIN 33.68 35.65 3/13/2020 99050 medical services after hours 28.67 28.67 3/1/2020 99051 service(s) provided in the office during regularly scheduled evening, week 28.67 28.67 3/1/2020 99053 service(s) provided between 10:00 pm and 8:00 am at 24-hour facility, in 28.67 28.67 3/1/2020 99058 office visit/emergency 19.11 19.11 3/1/2020 99070 special supplies 10.20 10.20 3/1/2020 99082 unusual travel 0.89 0.89 3/1/2020 99100 anesthesia for patient of extreme age, under one year and over seventy (li 18.80 18.80 3/1/2020 99116 anesthesia complicated by utilization of total body hypothermia (list 18.80 18.80 3/1/2020 99135 anesthesia complicated by utilization of controlled hypotension (list 18.39 18.39 3/1/2020 99140 anesthesia complicated by emergency conditions (specify) (list separately 18.80 18.80 3/1/2020 99151 mod sed same phys/qhp <5 yrs 66.57 66.57 3/1/2020 99152 mod sed same phys/qhp 5/> yrs 44.17 44.17 3/1/2020 99153 mod sed same phys/qhp ea 9.29 9.29 3/1/2020 99155 mod sed oth phys/qhp <5 yrs 82.50 82.50 3/1/2020 99156 mod sed oth phys/qhp 5/> yrs 67.59 67.59 3/1/2020 99157 mod see other phys qhp ea 51.26 51.26 3/1/2020 99170 anogenital examination with colposcopic magnification in childhood for 122.85 122.85 3/1/2020 99175 induced vomiting 20.85 20.85 3/1/2020 99183 physician attendance and supervision of hyperbaric oxygen therapy, 163.21 163.21 3/1/2020 99190 monitoring services 97.15 97.15 3/1/2020 99191 monitoring services 62.38 62.38 3/1/2020 99192 monitoring services 45.17 45.17 3/1/2020 99195 therapeutic phlebotomy 58.86 58.86 3/1/2020 99215 office/outpatient visit est 92.55 116.11 3/1/2020 99217 observation care discharge day management 64.39 64.39 3/1/2020 99218 initial observation, per day, low complexity 60.73 60.73 3/1/2020 99219 initial observation care, per day, moderate complexity 100.57 100.57 3/1/2020 99220 initial observation care, per day, high complexity 141.05 141.05 3/1/2020 99221 initial hosp. care, minor. phys time approx 30 min 87.20 87.20 3/1/2020 99222 initial hosp care,moderate-phys time approx 50 min 119.01 119.01 3/1/2020 99223 initial hosp care, severe-phys time approx 70 min 175.23 175.23 3/1/2020 99231 hosp visit, stable. phys time approx 15 minutes 36.02 36.02 3/1/2020 99232 hosp visit, moderate. phys time approx 25 minutes 64.90 64.90 3/1/2020 99233 hosp visit, complex. phys time approx 35 minutes 92.96 92.96 3/1/2020 99238 hospital discharge day management; 30 minutes or less 64.17 64.17 3/1/2020 99239 hospital discharge day management; more than 30 minutes 93.25 93.25 3/1/2020 99241 office consultation new or established patient 41.98 41.98 3/1/2020 99242 office consultation new or established patient 78.65 78.65 3/1/2020 99243 office consultation new or established patient 108.15 108.15 3/1/2020 99244 office consultation new or established patient 160.64 160.64 3/1/2020 99245 office consultation new or established patient 197.43 197.43 3/1/2020 99251 initial inpt consult- phys time approx 20 min. 42.86 42.86 3/1/2020 99252 initial inpt consult- phys time approx 40 min. 66.41 66.41 3/1/2020 99253 initial inpt consult- phys time approx 55 min. 100.82 100.82 3/1/2020 99254 initial inpt consult- phys time approx 80 min. 145.83 145.83 3/1/2020 99255 initial inpt consult- phys time approx 110 min. 177.69 177.69 3/1/2020 99281 er visit, minor 17.88 17.88 3/1/2020 99282 er visit, low severity 34.79 34.79 3/1/2020 99283 er visit, moderate severity 53.92 53.92 3/1/2020 99284 er visit, high severity 100.95 100.95 3/1/2020 99288 physician direction of ems advanced life support 46.86 46.86 3/1/2020 99354 prolonged physician service in the office or other outpatient setting requirin 88.80 88.80 3/1/2020 99355 prolonged physician service in the office or other outpatient setting requirin 87.91 87.91 3/1/2020 99356 prolonged physician service in the inpatient setting, requiring direct 81.09 81.09 3/1/2020 99357 prolonged physician service in the inpatient setting, requiring direct 81.65 81.65 3/1/2020 99360 physician standby service, requiring prolonged physician attendance, each 52.44 52.44 3/1/2020 99375 physician supervision of patients under care of home health 100.78 100.78 3/1/2020 99378 physician supervision of a hospice patient (patient not present) requiring 104.11 104.11 3/1/2020 99381 EP init pm E/M new pat infant younger than 1 year 84.35 84.35 3/1/2020 99381 init pm E/M new pat infant younger than 1 year 86.22 86.22 3/1/2020 99382 EP init pm E/M new pat infant age 1 through 4 years 84.35 84.35 3/1/2020 99382 init pm E/M new pat infant age 1 through 4 years 94.00 94.00 3/1/2020 99383 EP prev visit new age 5 through 11 years 84.35 84.35 3/1/2020 99383 prev visit new age 5 through 11 years 93.33 93.33 3/1/2020 99384 EP pre visit new age 12 through 17 years 84.35 84.35 3/1/2020 99384 pre visit new age 12 through 17 years 101.67 101.67 3/1/2020 99385 EP init new patient preventive medicine evaluation age 18-39 yrs 84.35 84.35 3/1/2020 99385 init new patient preventive medicine evaluation age 18-39 yrs 101.67 101.67 3/1/2020 99386 PREV VISIT NEW AGE 40-64 90.87 119.15 3/1/2020 99391 EP periodic prevention medicine under on year 84.35 84.35 3/1/2020 99391 periodic prevention medicine under on year 71.88 71.88 3/1/2020 99392 EP periodic prevention medicine age 001-004 84.35 84.35 3/1/2020 99392 periodic prevention medicine age 001-004 80.23 80.23 3/1/2020 99393 EP periodic prevention medicine age 005-011 84.35 84.35 3/1/2020 99393 periodic prevention medicine age 005-011 79.89 79.89 3/1/2020 99394 EP periodic prevention medicine age 012-17 84.35 84.35 3/1/2020 99394 periodic prevention medicine age 012-17 88.00 88.00 3/1/2020 99395 EP estab. Pt physical exam: 18 to 39 years 84.35 84.35 3/1/2020 99395 estab. Pt physical exam: 18 to 39 years 88.34 88.34 3/1/2020 99396 PREV VISIT EST AGE 40-64 74.05 96.68 3/1/2020 99397 PER PM REEVAL EST PAT 65+ YR 80.37 105.22 3/1/2020 99401 PREVENTIVE MEDICINE COUNSELING, APPROXIMATELY 15 MINUTE $21.10 $32.94 6/22/2021 99421 ONLINE DIGITAL EVALUATION AND MANAGEMENT SERVICE, FOR A 16.91 26.80 3/10/2020 99422 ONLINE DIGITAL EVALUATION AND MANAGEMENT SERVICE, FOR A 33.10 44.75 3/10/2020 99423 ONLINE DIGITAL EVALUATION AND MANAGEMENT SERVICE, FOR A 51.20 67.43 3/10/2020 99441 PHYSICIAN TELEPHONE PATIENT SERVICE, 5-10 MINUTES OF MEDI 16.91 26.80 3/10/2020 99442 PHYSICIAN TELEPHONE PATIENT SERVICE, 11-20 MINUTES OF MED 33.10 44.75 3/10/2020 99443 PHYSICIAN TELEPHONE PATIENT SERVICE, 21-30 MINUTES OF MED 51.20 67.43 3/10/2020 99453 REMOTE MONITORING OF PHYSIOLOGIC PARAMETERS, INITIAL SE 15.71 15.71 3/10/2020 99454 REMOTE MONITORING OF PHYSIOLOGIC PARAMETERS, INITIAL SU 52.37 52.37 3/10/2020 99457 REMOTE PHYSIOLOGIC MONITORING TREATMENT MANAGEMENT S 28.48 44.23 3/10/2020 99458 REMOTE PHYSIOLOGIC MONITORING TREATMENT MANAGEMENT S 28.48 36.35 3/10/2020 99460 initial hospital or birthing center care, per day, for evaluation and 54.55 54.55 3/1/2020 99463 initial hospital or birthing center care, per day, for evaluation and 72.98 72.98 3/1/2020 99464 attendance at delivery (when requested by the delivering physician) and in 62.48 62.48 3/1/2020 99468 initial inpatient neonatal critical care, per day, for the evaluation and 765.30 765.30 3/1/2020 99469 subsequent inpatient neonatal critical care, per day, for the evaluation and 335.15 335.15 3/1/2020 99473 Self Measuring Blood Pressure Monitoring 9.33 9.33 3/10/2020 99474 Self Measuring Blood Pressure Reading 7.86 13.02 3/10/2020 A4263 permanent,long-term,nondissolvable lacrimal duct implant,each 10.28 10.28 3/1/2020 D0145 ORAL EVALUATION FOR A PATIENT UNDER THREE YEARS OF AGE 39.91 39.91 3/1/2020 D1206 TOPICAL APPLICATION OF FLUORIDE VARNISH 17.62 17.62 3/1/2020 G0071 COMMUNICATION TECHNOLOGY-BASED SERVICES FOR 5 M 16.91 26.80 3/10/2020 G0127 trimming of dystrophic nails, any number 16.08 16.08 3/1/2020 G0279 diagnostic digital breast tomosynthesis, unilateral or bilateral 47.84 47.84 3/1/2020 G0279 26 diagnostic digital breast tomosynthesis, unilateral or bilateral 26.34 26.34 3/1/2020 G0279 TC diagnostic digital breast tomosynthesis, unilateral or bilateral 21.49 21.49 3/1/2020 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 when G0477 performed,per date of service 14.20 14.20 3/1/2020

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 G0478 validation when performed,per date of service 18.93 18.93 3/1/2020 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 validation when performed,per date of G0479 service 75.73 75.73 3/1/2020 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 lc/ms (any type, single or tandem and G0480 excluding immunoassays (e.g., ia, e 76.39 76.39 3/1/2020 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 lc/ms (any type, single or tandem and G0481 excluding immunoassays (e.g., ia, ei 117.52 117.52 3/1/2020 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 lc/ms (any type, single or tandem and G0482 excluding immunoassays (e.g., ia, ei 158.64 158.64 3/1/2020 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 lc/ms (any type, single or tandem and G0483 excluding immunoassays (e.g., ia, ei 205.65 205.65 3/1/2020 SPECIMEN COLLECTION FOR SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SARS-COV-2) (CORONAVIRUS G2023 DISEASE [COVID-19]), ANY SPECIMEN SOURCE 23.46 23.46 3/1/2020 SPECIMEN COLLECTION FOR SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SARS-COV-2) (CORONAVIRUS DISEASE [COVID-19]), FROM AN INDIVIDUAL IN A SNF OR BY A G2024 LABORATORY ON BEHALF OF A HHA, ANY SPECIMEN SOURCE 25.46 25.46 3/1/2020 SCREENING PERFORMED AND POSITIVE AND PROVISION OF G9919 RECOMMENDATIONS (SCRN ND POS ND PROV OF REC) 30.01 31.30 1/1/2021 S9442 birthing class (one unit = 2 hours) 9.12 9.12 3/1/2020 T1017 targeted case management (one unit = 15 minutes) 18.55 18.55 3/1/2020 U0003 INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); $100.00 $100.00 3/18/2020 U0004 2019-NCOV CORONAVIRUS, SARS-COV-2/2019-NCOV (COVID-19), AN $100.00 $100.00 3/18/2020 Providers should always bill their usual and customary charges. Please use the monthly NC Medicaid Bulletins for additions, changes, and deletion to this schedule.