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Updated Fee Schedule - April 1

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Updated Fee Schedule - April 1 Updated Fee Schedule - April 1 Procedure Code Modifier Description Fee Schedule Amount 10021 Fna w/o image $146.14 10022 Fna w/image $150.23 10040 Acne surgery $102.29 10060 Drainage of skin abscess $111.49 10061 Drainage of skin abscess $188.34 10080 Drainage of pilonidal cyst $169.54 10081 Drainage of pilonidal cyst $262.25 10120 Remove foreign body $137.97 10121 Remove foreign body $266.71 10140 Drainage of hematoma/fluid $157.75 10160 Puncture drainage of lesion $128.69 10180 Complex drainage, wound $238.12 11000 Debride infected skin $55.20 11001 Debride infected skin add-on $22.77 11004 Debride genitalia & perineum $589.24 11005 Debride abdom wall $768.09 11006 Debride genit/per/abdom wall $733.13 11008 Remove mesh from abd wall $280.22 11010 Debride skin, fx $483.81 11011 Debride skin/muscle, fx $536.89 11012 Debride skin/muscle/bone, fx $733.44 11040 Debride skin, partial $48.22 11041 Debride skin, full $56.76 11042 Debride skin/tissue $76.87$ 11043 Debride tissue/muscle $277.72 11044 Debride tissue/muscle/bone $379.75 11055 Trim skin lesion $50.16 11056 Trim skin lesions, 2 to 4 $60.83 11057 Trim skin lesions, over 4 $73.19 11100 Biopsy, skin lesion $106.89 11101 Biopsy, skin add-on $33.82 11200 Removal of skin tags $83.26 11201 Remove skin tags add-on $18.59 11300 Shave skin lesion $69.87 11301 Shave skin lesion $95.09 11302 Shave skin lesion $113.58 11303 Shave skin lesion $133.40 11305 Shave skin lesion $71.34 11306 Shave skin lesion $98.10 11307 Shave skin lesion $115.81 11308 Shave skin lesion $129.82 11310 Shave skin lesion $86.45 11311 Shave skin lesion $109.19 11312 Shave skin lesion $126.31 11313 Shave skin lesion $157.29 11400 Exc tr-ext b9+marg 0.5 < cm $118.96 11401 Exc tr-ext b9+marg 0.6-1 cm $145.42 11402 Exc tr-ext b9+marg 1.1-2 cm $162.25 11403 Exc tr-ext b9+marg 2.1-3 cm $185.56 11404 Exc tr-ext b9+marg 3.1-4 cm $211.20 11406 Exc tr-ext b9+marg > 4.0 cm $293.95 Page 1Page 1 Updated Fee Schedule - April 1 11420 Exc h-f-nk-sp b9+marg 0.5 < $119.85 11421 Exc h-f-nk-sp b9+marg 0.6-1 $154.63 11422 Exc h-f-nk-sp b9+marg 1.1-2 $172.46 11423 Exc h-f-nk-sp b9+marg 2.1-3 $200.24 11424 Exc h-f-nk-sp b9+marg 3.1-4 $230.27 11426 Exc h-f-nk-sp b9+marg > 4 cm $326.64 11440 Exc face-mm b9+marg 0.5 < cm $131.62 11441 Exc face-mm b9+marg 0.6-1 cm $165.58 11442 Exc face-mm b9+marg 1.1-2 cm $186.25 11443 Exc face-mm b9+marg 2.1-3 cm $222.42 11444 Exc face-mm b9+marg 3.1-4 cm $279.03 11446 Exc face-mm b9+marg > 4 cm $376.68 11450 Removal, sweat gland lesion $354.91 11451 Removal, sweat gland lesion $462.78 11462 Removal, sweat gland lesion $351.58 11463 Removal, sweat gland lesion $476.77 11470 Removal, sweat gland lesion $388.04 11471 Removal, sweat gland lesion $487.15 11600 Exc tr-ext mlg+marg 0.5 < cm $181.40 11601 Exc tr-ext mlg+marg 0.6-1 cm $223.78 11602 Exc tr-ext mlg+marg 1.1-2 cm $245.85 11603 Exc tr-ext mlg+marg 2.1-3 cm $277.92 11604 Exc tr-ext mlg+marg 3.1-4 cm $306.81 11606 Exc tr-ext mlg+marg > 4 cm $428.06 11620 Exc h-f-nk-sp mlg+marg 0.5 < $185.34$ 11621 Exc h-f-nk-sp mlg+marg 0.6-1 $226.25 11622 Exc h-f-nk-sp mlg+marg 1.1-2 $255.52 11623 Exc h-f-nk-sp mlg+marg 2.1-3 $296.38 11624 Exc h-f-nk-sp mlg+marg 3.1-4 $332.96 11626 Exc h-f-nk-sp mlg+mar > 4 cm $404.48 11640 Exc face-mm malig+marg 0.5 < $194.56 11641 Exc face-mm malig+marg 0.6-1 $238.46 11642 Exc face-mm malig+marg 1.1-2 $274.10 11643 Exc face-mm malig+marg 2.1-3 $320.18 11644 Exc face-mm malig+marg 3.1-4 $394.48 11646 Exc face-mm mlg+marg > 4 cm $516.76 11719 Trim nail(s) $22.17 11720 Debride nail, 1-5 $32.20 11721 Debride nail, 6 or more $45.57 11730 Removal of nail plate $100.72 11732 Remove nail plate, add-on $46.65 11740 Drain blood from under nail $46.74 11750 Removal of nail bed $217.32 11752 Remove nail bed/finger tip $309.04 11755 Biopsy, nail unit $136.77 11760 Repair of nail bed $208.10 11762 Reconstruction of nail bed $274.52 11765 Excision of nail fold, toe $134.22 11770 Removal of pilonidal lesion $263.02 11771 Removal of pilonidal lesion $536.22 11772 Removal of pilonidal lesion $650.99 11900 Injection into skin lesions $57.56 Page 2Page 2 Updated Fee Schedule - April 1 11901 Added skin lesions injection $72.27 11920 Correct skin color defects $188.05 11921 Correct skin color defects $213.68 11922 Correct skin color defects $63.17 11950 Therapy for contour defects $77.02 11951 Therapy for contour defects $102.77 11952 Therapy for contour defects $144.47 11954 Therapy for contour defects $166.25 11960 Insert tissue expander(s) $932.89 11970 Replace tissue expander $609.15 11971 Remove tissue expander(s) $470.91 11975 Insert contraceptive cap $137.35 11976 Removal of contraceptive cap $153.53 11977 Removal/reinsert contra cap $244.43 11980 Implant hormone pellet(s) $107.31 11981 Insert drug implant device $141.64 11982 Remove drug implant device $162.59 11983 Remove/insert drug implant $248.01 12001 Repair superficial wound(s) $148.26 12002 Repair superficial wound(s) $157.77 12004 Repair superficial wound(s) $185.98 12005 Repair superficial wound(s) $231.43 12006 Repair superficial wound(s) $286.31 12007 Repair superficial wound(s) $324.99 12011 Repair superficial wound(s) $157.82$ 12013 Repair superficial wound(s) $173.81 12014 Repair superficial wound(s) $204.69 12015 Repair superficial wound(s) $256.30 12016 Repair superficial wound(s) $305.94 12017 Repair superficial wound(s) $265.07 12018 Repair superficial wound(s) $330.97 12020 Closure of split wound $272.37 12021 Closure of split wound $160.09 12031 Intmd wnd repair s/tr/ext $241.51 12032 Intmd wnd repair s/tr/ext $313.15 12034 Intmd wnd repair s/tr/ext $305.77 12035 Intmd wnd repair s/tr/ext $374.54 12036 Intmd wnd repair s/tr/ext $409.65 12037 Intmd wnd repair s/tr/ext $461.79 12041 Intmd wnd repair n-hf/genit $252.31 12042 Intmd wnd repair n-hg/genit $294.18 12044 Intmd wnd repair n-hg/genit $340.29 12045 Intmd wnd repair n-hg/genit $376.63 12046 Intmd wnd repair n-hg/genit $447.17 12047 Intmd wnd repair n-hg/genit $479.18 12051 Intmd wnd repair face/mm $272.02 12052 Intmd wnd repair face/mm $307.85 12053 Intmd wnd repair face/mm $338.52 12054 Intmd wnd repair, face/mm $357.34 12055 Intmd wnd repair face/mm $429.58 12056 Intmd wnd repair face/mm $507.62 12057 Intmd wnd repair face/mm $565.62 Page 3Page 3 Updated Fee Schedule - April 1 13100 Repair of wound or lesion $321.62 13101 Repair of wound or lesion $405.67 13102 Repair wound/lesion add-on $109.27 13120 Repair of wound or lesion $333.75 13121 Repair of wound or lesion $448.77 13122 Repair wound/lesion add-on $121.98 13131 Repair of wound or lesion $367.16 13132 Repair of wound or lesion $584.15 13133 Repair wound/lesion add-on $171.00 13150 Repair of wound or lesion $366.02 13151 Repair of wound or lesion $415.87 13152 Repair of wound or lesion $571.54 13153 Repair wound/lesion add-on $188.35 13160 Late closure of wound $820.40 14000 Skin tissue rearrangement $625.99 14001 Skin tissue rearrangement $810.38 14020 Skin tissue rearrangement $704.48 14021 Skin tissue rearrangement $888.33 14040 Skin tissue rearrangement $777.68 14041 Skin tissue rearrangement $966.28 14060 Skin tissue rearrangement $787.91 14061 Skin tissue rearrangement $1,036.09 14300 Skin tissue rearrangement $1,115.74 14350 Skin tissue rearrangement $762.94 15002 Wound prep, trk/arm/leg $339.64$ 15003 Wound prep, addl 100 cm $73.93 15004 Wound prep, f/n/hf/g $411.45 15005 Wnd prep, f/n/hf/g, addl cm $122.81 15040 Harvest cultured skin graft $262.23 15050 Skin pinch graft $548.99 15100 Skin splt grft, trnk/arm/leg $877.22 15101 Skin splt grft t/a/l, add-on $195.54 15110 Epidrm autogrft trnk/arm/leg $857.56 15111 Epidrm autogrft t/a/l add-on $124.02 15115 Epidrm a-grft face/nck/hf/g $865.70 15116 Epidrm a-grft f/n/hf/g addl $168.28 15120 Skn splt a-grft fac/nck/hf/g $948.79 15121 Skn splt a-grft f/n/hf/g add $274.73 15130 Derm autograft, trnk/arm/leg $683.23 15131 Derm autograft t/a/l add-on $100.90 15135 Derm autograft face/nck/hf/g $871.04 15136 Derm autograft, f/n/hf/g add $92.18 15150 Cult epiderm grft t/arm/leg $705.18 15151 Cult epiderm grft t/a/l addl $130.17 15152 Cult epiderm graft t/a/l +% $170.34 15155 Cult epiderm graft, f/n/hf/g $739.18 15156 Cult epidrm grft f/n/hfg add $180.97 15157 Cult epiderm grft f/n/hfg +% $199.81 15170 Acell graft trunk/arms/legs $427.16 15171 Acell graft t/arm/leg add-on $94.93 15175 Acellular graft, f/n/hf/g $541.94 15176 Acell graft, f/n/hf/g add-on $152.25 Page 4Page 4 Updated Fee Schedule - April 1 15200 Skin full graft, trunk $813.55 15201 Skin full graft trunk add-on $152.61 15220 Skin full graft sclp/arm/leg $777.66 15221 Skin full graft add-on $142.41 15240 Skin full grft face/genit/hf $928.97 15241 Skin full graft add-on $188.71 15260 Skin full graft een & lips $1,002.44 15261 Skin full graft add-on $218.81 15300 Apply skinallogrft, t/arm/lg $344.56 15301 Apply sknallogrft t/a/l addl $64.61 15320 Apply skin allogrft f/n/hf/g $387.78 15321 Aply sknallogrft f/n/hfg add $96.07 15330 Aply acell alogrft t/arm/leg $320.99 15331 Aply acell grft t/a/l add-on $64.61 15335 Apply acell graft, f/n/hf/g $336.19 15336 Aply acell grft f/n/hf/g add $89.66 15340 Apply cult skin substitute $322.10 15341 Apply cult skin sub add-on $48.22 15360 Apply cult derm sub, t/a/l $366.75 15361 Aply cult derm sub t/a/l add $71.77 15365 Apply cult derm sub f/n/hf/g $358.92 15366 Apply cult derm f/hf/g add $88.38 15400 Apply skin xenograft, t/a/l $400.93 15401 Apply skn xenogrft t/a/l add $96.67 15420 Apply skin xgraft, f/n/hf/g $452.22$ 15421 Apply skn xgrft f/n/hf/g add $117.16 15430 Apply acellular xenograft $531.88 15570 Form
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