HOUSE CODECPT CODEDESCRIPTIONB TOTAL FEE 99443 99443 PHONE EVALUATION/MANAGEMENT BY 75.00 99442 99442 PHONE EVALUATION/MANAGEMENT PH 50.00 99441 99441 PHONE EVALUATION/MANAGEMENT BY 25.00 99407 99407 SMOKING TOBACCO CESSATION COUNS 41.00 99406 99406 SMOKING TOBACCO CESSATION CO 21.00 99386 99386 PREVENTIVE VISIT NEW 40-64 YRS 226.00 99357 99357 PROLONGED CARE INPT ADDTL 30 136.00 99356 99356 PROLONGED CARE INPT FIRST HOUR 136.00 99355 99355 PROLONGED CARE OUTPT ADD 30 MIN 144.00 99354 99354 PROLONGED CARE FACE-TO-FACE OU 191.00 99315 99315 NURSING FACILITY DISCHARGE DAY 30 108.00 99309 99309 SUB NURSING EVALUATION/MANAGEMENT 135.00 99308 99308 SUB NURSING CARE EVALUATION/MANAG 102.00 99307 99307 SUB NURSING EVALUATION/MANAGMENT 66.00 99306 99306 INITIAL NURSING EVALUATION/MAN 246.00 99305 99305 INT NURSING EVALUATION/MANAGEMENT 192.00 99304 99304 INT NURSING CARE EVALUATION/MA 135.00 99292 99292 CRITICAL CARE EACH ADD'L 30 MI 180.00 99291 99291 CRITICAL CARE FIRST 30-74 MINU 402.00 99285 99285 EMERGENCY DEPT VISIT 5 256.00 99284 99284 EMERGENCY DEPT VISIT 4 174.00 99283 99283 EMERGENCY DEPT VISIT 3 91.00 99282 99282 EMERGENCY DEPT VISIT 2 61.00 99281 99281 EMERGENCY DEPT VISIT 1 31.00 99274 99274 CONFIRMATORY CONSULT 4 288.72 99262 99262 HOSPITAL CONSULT FOLLOW-UP 2 119.75 99261 99261 HOSPITAL CONSULT FOLLOW-UP 1 53.85 99255 99255 HOSPITAL CONSULT INITIAL 5 470.83 99254 99254 HOSPITAL CONSULT INITIAL 4 342.40 99253 99253 HOSPITAL CONSULT INITIAL 3 237.20 99252 99252 HOSPITAL CONSULT INITIAL 2 174.00 99251 99251 HOSPITAL CONSULT INITIAL 1 85.10 99245 99245 OFFICE CONSULTATION 5 441.27 99244 99244 OFFICE CONSULTATION 4 438.70 99243 99243 OFFICE CONSULTATION 3 294.90 99242 99242 OFFICE CONSULTATION 2 214.35 99241 99241 OFFICE CONSULTATION 1 86.88 99239 99239 HOSPITAL DISCHARGE DAY 159.00 99238 99238 HOSPITAL DISCHARGE DAY 107.00 99236 99236 OBSERVATION/INPT CARE LEVEL 3 322.00 99235 99235 OBSERVATION/INPT CARE LEVEL 2 249.00 99234 99234 OBSERVATION/INPT CARE LEVEL 1 197.00 99233 99233 HOSPITAL SUBSEQUENT CARE 3 154.00 99232 99232 HOSPITAL SUBSEQUENT CARE 2 107.00 99231 99231 HOSPITAL SUBSEQUENT CARE 1 58.00 99226 99226 SUBSEQUENT OBSERVATION CARE, PER 155.00 99225 99225 SUBSEQUENT OBSERVATION CARE, PER 108.00 99224 99224 SUBSEQUENT OBSERVATION CARE, PER 59.00 99223 99223 HOSPITAL INITIAL CARE 3 299.00 99222 99222 HOSPITAL INITIAL CARE 2 202.00 99221 99221 HOSPITAL INITIAL CARE 1 149.00 99219 99219 OBSERVATION CARE LEVEL 2 201.00 99218 99218 147.00 99217 99217 OBSERVATION CARE DISCHARGE 107.00 99215 99215 OFFICE VISIT EST LEVEL 5 212.00 99214 99214 OFFICE VISIT EST LEVEL 4 157.00 99213 99213 OFFICE VISIT EST LEVEL 3 107.00 99212 99212 OFFICE VISIT EST LEVEL 2 64.00 99211 99211 OFFICE VISIT EST LEVEL 1 29.00 99205 99205 OFFICE VISIT NEW LEVEL 5 302.00 99204 99204 Office Visit New Level 4 240.00 99203 99203 OFFICE VISIT NEW LEVEL 3 157.00 99202 99202 OFFICE VISIT NEW LEVEL 2 109.00 99201 99201 OFFICE VISIT NEW LEVEL 1 86.00 99070 99070 MEDICAL SUPPLIES 34.00 99051 99051 SERVICE PROVIDED IN OFFICE REGULA 50.00 99050 99050 MEDICAL SERVICE PROVIDED IN THE O 70.00 98928 98928 OMT 7-8 BODY REGIONS 108.00 98927 98927 OMT 5-6 BODY REGIONS 88.00 98926 98926 OMT 3-4 BODY REGIONS 67.00 98925 98925 OMT 1-2 BODY REGIONS 46.00 97760 97760 Orthotics management Training 56.00 97608 97608 NEG PRESS WOUND THERAPY NON DM 932.00 97607 97607 NEG PRESS WOUND THERAPY NON DM 932.00 97606 97606 NEGATIVE PRESSURE WOUND THERAPY G 103.00 97605 97605 PRESSURE WOUND TREATMENT 20.00 97602 97602 REMOVAL OF DEVITALIZED TISSUE FM 507.00 97598 97598 REMOVAL DEVITALIZED TISSUE WOUND 36.00 97597 97597 REMOVAL DEVITALIZATION TISSUE WOU 110.00 97535 97535 SELF CARE/HOME MANAGEMENT 52.00 97530 97530 Therapeutic Activities Direct 52.00 97140 97140 Manual Therapy Each 15 Minutes 44.00 97124 97124 MASSAGE THERAPY 39.00 97116 97116 GAIT TRAINING THERAPY 42.00 97112 97112 Neuromuscular Reeducation 50.00 97110 97110 Therapeutic Procedure 48.00 97035 97035 Ultrasound Each 5 Min 19.00 97033 97033 Iontophoresis, Each 15 Minutes 32.00 97032 97032 Electrical Stimulation (Manual) 28.00 97018 97018 PARAFFIN BATH THERAPY 16.00 97014 97014 Electric Stimulation Therapy 33.17 97012 97012 MECHANICAL TRACTION THERAPY 24.00 97004 97004 OCCUPATIONAL THERAPY RE-EVAL 114.53 97003 97003 OCCUPATIONAL THERAPY EVALUATION 170.78 97002 97002 Physical Therapy Re-Evaluation 89.88 97001 97001 Physical Therapy Evaluation 164.77 96372 96372 THERAPEUTIC, PROPHYLACTIC OR D 37.00 96365 96365 IV INFUSION FOR THERAPY,PROPHYLAX 100.00 96360 96360 IV INFUSION, HYDRATION, 31 MINUTE 83.00 96116 96116 NEUROBEHAVIORAL STATUS EXAM BY PH 137.00 95992 95992 CANALITH REPOSITIONING PROCEDU 64.00 95974 95974 NEUROSTIMULATOR PULSE GENERATO 305.00 95962 95962 CORTICAL MAPPING BY ELECTRODES, E 385.00 95961 95961 CORTICAL MAPPING BY ELECTRODES, I 447.00 95955 95955 EEG DURING NONINTRACRANIAL SURGER 311.00 95937 95937 NEUROMUSCULAR JUNCTION TEST 120.00 95936 95936 H-REFLEX AMPLITUDE LATENCY S 113.00 95934 95934 H-REFLEX AMPLITUDE LATENCY S 136.00 95933 95933 ORBICULARIS OCULI REFLEX STUDY - 112.00 95930 95930 VISUAL EVOKED POTENTIAL TEST C 187.00 95929 95929 CENTRAL MOTOR EVOKE POT STUDY LOW 320.00 95928 95928 CENTRAL MOTOR EVOKED POTENTIAL ST 311.00 95927 95927 SOMATOSENSORY TESTING TRUNK OR HE 200.00 95926 95926 SOMATOSENSORY TESTING LOWER LIMBS 195.00 95925 95925 SOMATOSENSORY TESTING UPPER LIMBS 201.00 95923 95923 TEST AUTONOMIC NERVOUS SYSTEM, SU 205.00 95922 95922 TEST AUTONOMIC NERVOUS SYSTEM, VA 146.00 95921 95921 TEST AUTONOMIC NERVOUS SYSTEM, CA 125.00 95920 95920 INTRAOP NEUROPHYSIOLOGY TST/HR 320.00 95913 95913 NERVE CONDUCTION 13+ STUDIES 438.00 95912 95912 NERVE CONDUCTION 11-12 STUDIES 381.00 95911 95911 NERVE CONDUCTION 9-10 STUDIES 345.00 95910 95910 NERVE CONDUCTION 7-8 STUDIES 289.00 95909 95909 NERVE CONDUCTION 5-6 STUDIES 219.00 95908 95908 NERVE CONDUCTION 3-4 STUDIES 184.00 95907 95907 NERVE CONDUCTION 1-2 STUDIES 143.00 95904 95904 NERVE CONDUCTION, SENSORY 128.00 95903 95903 MOTOR NERVE CONDUCTION W/F WAVE 168.00 95900 95900 NERVE CONDUCTION, MOTOR W/O F 146.00 95887 95887 NEEDLE ELECTROMYOGRAPHY NON EX 118.00 95886 95886 NEEDLE ELECTROMYOGRAPHY COMPLE 134.00 95885 95885 EMG LIMITED STUDY 85.00 95872 95872 NEEDLE ELECTROMYOGRAPHY, SINGLE F 290.00 95870 95870 NEEDLE ELECTROMYOGRAPHY, OTHER 134.00 95869 95869 Electromyography, Thoracic Par 133.00 95868 95868 NEEDLE ELECTROMYOGRAPHY, CRANIAL 197.00 95867 95867 Electromyography, Cranial Nerve S 141.00 95866 95866 NEEDLE ELECTROMYOGRAPHY HEMIDI 198.00 95864 95864 NEEDLE ELECTROMYOGRAPHY, FOUR 359.00 95863 95863 NEEDLE ELECTROMYOGRAPHY, THREE 319.00 95861 95861 NEEDLE ELECTROMYOGRAPHY, TWO E 254.00 95860 95860 NEEDLE ELECTROMYOGRAPHY, 1 EXT 179.00 95834 95834 MUSCLE TESTING MANUAL 77.00 95829 95829 ELECTROCORTICOGRAM AT SURGERY 2,772.00 95827 95827 EEG ALL Night Recording 958.00 95824 95824 EEG CEREBRAL DEATH EVALUATION 59.00 95822 95822 EEG Recording In Coma Or Sleep On 543.00 95819 95819 EEG Recording Awake Asleep 601.00 95807 95807 SLEEP STUDY ATTENDED BY TECHNOLOG 672.00 95180 95180 RAPID DESENSITIZATION PROCEDURE 197.00 95170 95170 ALLERGY ANTIGENS WHOLE BODY EXTRA 14.00 95165 95165 ALLERGY ANTIGENS SINGLE OR MULTIP 19.00 95149 95149 ALLERGY ANTIGENS MULT DOSE VIALS, 132.00 95148 95148 ALLERGY ANTIGENS MULT DOSE VIALS, 100.00 95147 95147 ALLERGY ANTIGENS MULT DOSE VIALS, 70.00 95146 95146 ALLERGY ANTIGENS MULT DOSE VIALS, 66.00 95145 95145 ALLERGY ANTIGENS MULT DOSE VIALS, 36.00 95144 95144 ALLERGY ANTIGENS SINGLE DOSE VIAL 19.00 95125 95125 ALLERGY IMMUNOTHERAPY, TWO OR MOR 50.00 95120 95120 ALLERGY IMMUNOTHERAPY, SINGLE INJ 40.00 95117 95117 ALLERGY INJECTION 2 OR MORE 15.00 95115 95115 ALLERGY INJECTION SINGLE 13.00 95075 95075 ALLERGY TEST, FOOD 121.00 95071 95071 ALLERGY TEST, BRONCHIAL W/ANTIGEN 52.00 95070 95070 ALLERGY TEST, BRONCHIAL W/HISTAMI 44.00 95060 95060 ALLERGY TEST, OPHTHALMIC MUCOUS M 51.00 95056 95056 ALLERGY TEST, PHOTOSENSITIVITY 64.00 95052 95052 ALLERGY TEST, PHOTO PATCH 10.00 95044 95044 ALLERGY TEST, PATCH OR APPLICATIO 8.00 95028 95028 ALLERGY TESTS INTRADERMAL W/ ALLE 19.00 95027 95027 Allergy Testing Intracutaneous Te 7.00 95024 95024 ALLERGY TESTS INTRADERMAL W/ ALLE 11.00 95015 95015 ALLERGY TEST, INTRADERMAL W/ DRUG 13.00 95010 95010 ALLERGY TESTS PERCUTANEOUS W/ DRU 23.00 95004 95004 ALLERGY TESTS PERCUTANEOUS W/ ALL 10.00 94761 94761 PULSE OXIMETRY MULTIPLE DETERMINA 6.00 94760 94760 PULSE OXIMETRY SINGLE DETERMINATI 4.00 94726 94726 PLETHYSMOGRAPHY DETERMINATION LUN 76.00 94664 94664 Demonstration/Eval,Of Patient Uti 25.00 94640 94640 Pressurized/Non-Pressurized Inhal 26.00 94375 94375 RESPIRATORY FLOW VOLUME LOOP 58.00 94200 94200 MAXIMUM BREATHING CAPACITY, MAXIM 37.00 94150 94150 VITAL CAPACITY TEST TOTAL 55.00 94070 94070 BRONCHOSPASM PROVOCATION EVALUATI 88.00 94060 94060 BRONCHODILATION RESPONSIVENESS SP 88.00 94010 94010 SPIROMETRY 52.00 93923 93923 ARTERY STUDY EXTREMITY MULT LEVEL 199.00 93922 93922 ARTERY STUDY EXTREMITY SINGLE LEV 128.00 93893 93893 TRANSCRANIAL DOPPLER EMBOLI DE 502.00 93892 93892 TRANSCRANIAL DOPPLER EMBOLI DE 477.00 93890 93890 TRANSCRANIAL DOPPLER VASOREACT 412.00 93888 93888 DOPPLER STUDY TRANSCRANIAL FOL 217.00 93886 93886 DOPPLER STUDY TRANSCRANIAL COM 400.00 93882 93882 DUPLEX SCAN EXTRACRANIAL ARTER 187.00 93880 93880 DUPLEX SCAN EXTRACRANIAL ARTER 293.00 93875 93875 EXTRACRANIAL ARTERY STUDY, NON 255.00 93005 93005 EKG TRACING 12.00 92700 92700 Otorhinolaryngological,Service Or 100.00 92625 92625 ASSESSMENT TINNITUS 105.00 92621 92621 EVAL CENTRAL AUDITORY FUNCTION AD 33.00 92620 92620 EVALUATION CENTRAL AUDITORY FUNCT 140.00 92597 92597 COMMUNICATION DEVICE TO SUPPLEMEN 107.00 92596 92596 EAR PROTECTOR ATTENUATION MEASURE 59.00 92595 92595 ELECTROACOUSTIC EVAL FOR HEARING 38.00 92594 92594 ELECTROACOUSTIC EVAL FOR HEARING 18.00 92593 92593 HEARING AID CHECK, BINAURAL 31.00 92592 92592 HEARING AID CHECK, MONAURAL 19.00 92591 92591 HEARING AID EXAM SELECTION, BIN 112.00 92590 92590 HEARING AID EXAM SELECTION, MON 46.00 92588 92588 EVOKED OTOACOUSTIC EMMISIONS COMP 65.00 92587 92587 EVOKED OTOACOUSTIC EMISSIONS LIMI 42.00 92586 92586 Auditory,Limited 124.00 92585 92585 AUDITORY EVOKED POTENTIALS 196.00 92584 92584 ELECTROCOCHLEOGRAPHY 106.00 92583 92583 AUDIOMETRY, SELECT PICTURE 72.00 92582 92582 AUDIOMETRY, CONDITIONING PLAY 96.00 92579 92579 VISUAL REINFORCEMENT AUDIOMETRY 67.00 92577 92577 STENGER TEST, SPEECH 22.00 92576 92576 SYNTHETIC SENTENCE ID TEST 52.00 92575 92575 SENSORINEURAL ACUITY LEVEL TEST 84.00 92572 92572 STAGGERED SPONDAIC WORD TEST 45.00 92571 92571 FILTERED SPEECH TEST 39.00 92570 92570 ACOUSTIC IMMITTANCE TESTING 48.00 92568 92568 ACOUSTIC REFLEX TESTING THRESHOLD 23.00 92567 92567 TYMPANOMETRY 21.00 92565 92565 STENGER TEST, PURE TONE 22.00 92564 92564 SHORT INCREMENT SENSITIVITY INDEX 39.00 92563 92563 AUDIOMETRY, TONE DECAY TEST 44.00 92562 92562 AUDIOMETRY, LOUDNESS BALANCE TEST 67.00 92561 92561 AUDIOMETRY, BEKESY, DIAGNOSTIC 55.00 92557 92557 AUDIOMETRY THRESHOLD EVALUATION 56.00 92556 92556 SPEECH AUDIOMETRY THRESHOLD W/SPE 54.00 92555 92555 SPEECH AUDIOMETRY THRESHOLD 34.00 92553 92553 PURE TONE AUDIOMETRY, AIR BONE 54.00 92552 92552 PURE TONE AUDIOMETRY, AIR 45.00 92551 92551 PURE TONE HEARING TEST, AIR 14.00 92550 92550 TYMPANOMETRY REFLEX THRESHOLD M 31.00 92545 92545 OSCILLATING TRACKING TEST W/RECOR 22.00 92544 92544 NYSTAGMUS, OPTOKINETIC W/RECORDIN 25.00 92542 92542 NYSTAGMUS, POSITIONAL W/RECORD 41.00 92541 92541 NYSTAGMUS, SPONTANEOUS INCL GAZE 37.00 92540 92540 BASIC VESTIBULAR EVAL SPONTANEOUS 151.00 92538 92538 CALORIC VESTIBULAR TEST MONOTH 30.00 92537 92537 CALORIC VESTIBULAR TEST 59.00 92532 92532 NYSTAGMUS, POSITIONAL 25.00 92516 92516 FACIAL NERVE FUNCTION STUDY 101.00 92511 92511 NASOPHARYNGOSCOPY W/ENDOSCOPE 160.00 92507 92507 SPEECH/LANGUAGE/VOICE/COMMUNICATI 117.00 92506 92506 SPEECH/LANGUAGE/VOICE/COMMUNICATI 410.00 92504 92504 BINOCULAR MICROSCOPY 43.00 92502 92502 OTOLARYNGOLOGIC EXAM UNDER ANESTH 143.00 90715 90715 TETANUS, DIPHTHERIA TOXOIDS/ACELL 150.52 90714 90714 TD PRESERVATIVE FREE FOR USE IN I 65.00 90696 90696 T-DAP IPV 152.88 90686 90686 INFLUENZA VIRUS VACCINE 25.00 90472 90472 IMMUNIZATION ADMINSTRATION 2+ SIN 19.00 90471 90471 IMMUNIZATION ADMINISTRATION SINGL 37.00 87880 87880 STREPTOCOCCUS A BY IMMUNOASSAY W/ 24.00 87502 87502 Rapid Flu A 255.00 87070 87070 CULTURE BACTERIAL OTHER SOURCE 18.00 85014 85014 Hematocrit 5.00 84520 84520 UREA NITROGEN QUANTITATIVE 8.00 84295 84295 SODIUM SERUM PLASMA OR WHOLE BLOO 10.00 84132 84132 POTASSIUM SERUM PLASMA OR WHOLE B 9.00 82947 82947 GLUCOSE QUANTITATIVE 20.00 82565 82565 CREATININE BLOOD 11.00 82435 82435 CHLORIDE BLOOD 9.00 82374 82374 CARBON DIOXIDE (BICARBONATE) 10.00 81025 81025 URINE PREGNANCY TEST 13.00 81002 81002 URINALYSIS W/O MICROSCOPY NON-AUT 5.00 81000 81000 URINALYSIS W/MICROSCOPY NON-AUTOM 7.00 80048 80048 METABOLIC PANEL, BASIC (CALCIUM T 16.00 80047 80047 BASIC METABOLIC PANEL IONIZED CAL 16.00 77071 77071 MAN APPL STRESS PRFMD PHYS JOINT 70.00 77002 77002 FLUOROSCOPIC NEEDLE PLACEMENT ASP 150.00 76942 76942 US GUIDANCE FOR NEEDLE GUIDANCE 295.00 76536 76536 ECHOGRAPHY SOFT TISSUE HEAD NEC 225.00 76000 76000 FLUOROSCOPY 1HOUR 17.00 73660 73660 X-RAY TOE(S) 62.30 73650 73650 X-RAY CALCANEUS 61.25 73630 73630 X-RAY FOOT COMPLETE 73.15 73610 73610 X-RAY ANKLE,3+ VIEWS 74.03 73590 73590 X-RAY TIBIA FIBULA AP LAT 64.30 73565 73565 X-RAY KNEES BILATERAL STANDING AP 72.83 73564 73564 X-RAY KNEE COMPLETE 94.98 73562 73562 X-Ray Knee 3 VIEWS 81.55 73560 73560 X-RAY KNEE,2 VIEWS 68.22 73550 73550 X-RAY FEMUR,2 VIEWS 65.58 73540 73540 X-RAY PELVIS HIPS INFANT/CHILD 91.88 73525 73525 ARTHROGRAPHY HIP 150.00 73520 73520 X-RAY HIP BIL W/AP PELVIS 93.35 73510 73510 X-RAY HIP COMPLETE 86.97 73140 73140 X-RAY FINGER,2+VIEWS 69.47 73130 73130 X-RAY HAND, 3+ VIEWS 73.15 73110 73110 X-RAY WRIST COMPLETE 82.00 73100 73100 X-RAY WRIST AP LATERAL 63.75 73090 73090 X-RAY FOREARM, 2 VIEWS 60.85 73080 73080 X-RAY ELBOW COMPLETE 81.12 73060 73060 X-RAY HUMERUS 67.83 73040 73040 ARTHROGRAPHY SHOULDER 45.00 73030 73030 X-RAY SHOULDER COMPLETE 70.03 73020 73020 X-RAY SHOULDER ONE VIEW 55.35 73010 73010 X-RAY SCAPULA COMPLETE 50.00 73000 73000 X-RAY CLAVICLE COMPLETE 65.15 72220 72220 X-RAY SACRUM COCCYX 66.38 72190 72190 X-RAY PELVIS COMPLETE 89.00 72170 72170 X-RAY PELVIS AP ONLY 62.02 72120 72120 X-RAY SPINE LUMBOSACRAL 108.70 72114 72114 X-RAY SPINE LUMBOSACRAL COMPLETE 168.52 72110 72110 X-RAY SPINE LUMBOSACRAL COMPLETE 127.20 72100 72100 X-RAY SPINE LUMBOSACRAL AP LAT 92.33 72090 72090 X-RAY SCOLIOSIS STUDY 97.85 72080 72080 X-RAY SPINE THORACOLUMBAR 82.80 72074 72074 X-RAY SPINE THORACIC COMPLETE 98.65 72070 72070 X-RAY SPINE THORACIC AP LAT 76.95 72052 72052 X-RAY SPINE CERVICAL COMPLETE 153.95 72050 72050 7428 117.83 72040 72040 X-RAY, SPINE,CERVICAL, 2-3 VIEWS 86.00 71130 71130 X-RAY STERNO-CLAVICULAR JOINT 87.17 71100 71100 X-RAY RIBS UNILATERAL 76.88 71020 71020 X-RAY CHEST TWO VIEWS 51.08 71010 71010 X-RAY CHEST SINGLE VIEW FRONTAL 65.53 70140 70140 X-RAY FACIAL BONES 66.05 69990 69990 USE OF OPERATING MICROSCOPE 435.00 69970 69970 REMOVE TUMOR TEMPORAL BONE 4,240.00 69910 69910 LABYRINTHECTOMY W/ MASTOIDECTOMY 2,000.00 69905 69905 LABYRINTHECTOMY TRANSCANAL 1,800.00 69840 69840 REVISE FENESTRATION SURGERY 1,800.00 69820 69820 FENESTRATION SEMICIRCULAR CANAL 1,687.00 69801 69801 LABYRINTHOTOMY TRANSCANAL 380.00 69799 69799 UNLISTED PROCEDURE, MIDDLE EAR 1,500.00 69740 69740 SUTURE NERVE FACIAL INTRATEMPORAL 2,300.00 69720 69720 DECOMPRESS FACIAL NERVE INTRATEMP 2,360.00 69714 69714 IMPLANTATION OSSEOINTEGRATED IMPL 2,130.00 69700 69700 CLOSE POSTAURICULAR FISTULA MASTO 1,350.00 69670 69670 MASTOID OBLITERATION 1,860.00 69667 69667 REPAIR ROUND WINDOW FISTULA 1,595.00 69666 69666 REPAIR OVAL WINDOW FISTULA 1,600.00 69660 69660 STAPEDECTOMY/STAPEDOTOMY W/ OSSIC 1,831.00 69650 69650 STAPES MOBILIZATION 1,585.00 69646 69646 TYMPANOPLASTY W/ MASTOIDECTOMY RA 3,040.00 69645 69645 TYMPANOPLASTY W/ MASTOIDECTOMY RA 2,865.00 69644 69644 TYMPANOPLASTY W/ MASTOIDECTOMY IN 2,915.00 69643 69643 TYMPANOPLASTY W/ MASTOIDECTOMY IN 2,415.00 69642 69642 TYMPANOPLASTY W/ MASTOIDECTOMY W/ 2,640.00 69641 69641 TYMPANOPLASTY W/ MASTOIDECTOMY W/ 2,050.00 69637 69637 TYMPANOPLASTY W/ ANTHROTOMY OR MA 2,755.00 69636 69636 TYMPANOPLASTY W/ ANTHROTOMY/MASTO 2,715.00 69635 69635 TYMPANOPLASTY W/ ANTHROTOMY/MASTO 2,420.00 69633 69633 TYMPANOPLASTY W/O MASTOIDECTOMY ( 2,050.00 69632 69632 TYMPANOPLASTY W/O MASTOIDECT W/ O 2,109.00 69631 69631 TYMPANOPLASTY W/O MASTOIDECTOMY W 1,740.00 69620 69620 MYRINGOPLASTY 1,346.00 69610 69610 REPAIR TYMPANIC MEMBRANE 750.00 69604 69604 MASTOIDECTOMY REVISION, TYMPANOPL 2,192.00 69603 69603 MASTOIDECTOMY REVISION, RADICAL 2,500.00 69602 69602 MASTOIDECTOMY REVISION, MODIFIED 2,145.00 69601 69601 MASTOIDECTOMY REVISION, COMPLETE 2,065.00 69540 69540 EXCISION AURAL POLYP 405.00 69511 69511 MASTOIDECTOMY RADICAL 2,424.00 69505 69505 MASTOIDECTOMY MODIFIED RADICAL 2,370.00 69502 69502 MASTOIDECTOMY COMPLETE 1,920.00 69501 69501 MASTOIDECTOMY SIMPLE 1,440.00 69450 69450 TYMPANOLYSIS, TRANSCANAL 1,070.00 69440 69440 EXPLORE MIDDLE EAR THROUGH POSTAU 1,350.00 69436 69436 TYMPANOSTOMY, GENERAL ANESTHESIA 314.00 69433 69433 TYMPANOSTOMY, LOCAL/TOPICAL ANEST 392.00 69424 69424 Remove Ventilating Tube Requiring 250.00 69421 69421 MYRINGOTOMY W/ASPIRATION/EUSTACHI 291.00 69420 69420 MYRINGOTOMY W/ ASPIRATION/EUSTACH 370.00 69320 69320 RECONSTRUCT AUDITORY CANAL EXTER 3,005.00 69310 69310 RECONSTRUCT AUDITORY CANAL EXTERN 2,140.00 69300 69300 OTOPLASTY PROTRUDING EAR W/ W/O S 1,430.00 69222 69222 DEBRIDEMENT MASTOIDECTOMY CAVITY, 425.00 69220 69220 DEBRIDEMENT MASTOIDECTOMY CAVITY, 265.00 69210 69210 REMOVE IMPACTED CERUMEN 100.00 69209 69209 REMOVE IMPACT CERUMEN IRRIGATI 38.00 69205 69205 REMOVE FOREIGN BODY EXT AUDITORY 199.00 69200 69200 REMOVE FOREIGN BODY EXT AUDITORY 240.00 69145 69145 EXCISION LESION SOFT TISSUE EXTER 767.00 69140 69140 EXCISION EXOSTOSIS EXTERNAL AUDIT 1,720.00 69120 69120 AMPUTATION EXTERNAL EAR, COMPLETE 780.00 69110 69110 EXC. LESION, EXTERNAL EAR 890.00 69105 69105 BIOPSY EXTERNAL AUDITORY CANAL 275.00 69100 69100 BIOPSY EXTERNAL EAR 195.00 69020 69020 DRAIN ABSCESS EXTERNAL AUDITORY C 450.00 69005 69005 DRAIN ABSCESS/HEMATOMA EXTERNAL E 307.00 69000 69000 DRAIN ABSCESS/HEMATOMA EXTERNAL E 364.00 65220 65220 REMOVE FOREIGN BODY CORNEA W/O SL 125.00 64831 64831 DIGITAL NERVE REPAIR 1,347.00 64782 64782 EXC NEUROMA HAND OR FOOT 892.00 64721 64721 NEUROPLASTY MEDIAN NERV CARPL TUN 836.00 64719 64719 ULNAR NERVE REL GUYANS CANAL 781.00 64718 64718 ULNAR NERVE DECOMPRESSION ELBOW 1,154.00 64615 64615 CHEMODENERVATION OF EXTREMITY 375.00 64614 64614 CHEMODENEVATION OF MUSCLES EXT 335.00 64613 64613 DESTRUCTION W/NEUROLYTIC AGENT 390.00 64612 64612 DESTRUCTION W/NEUROLYTIC AGENT 400.00 64455 64455 INJECTION,STEROID PLANTAR 95.00 64450 64450 INJECTION FOR NERVE BLOCK, OTH 156.00 63048 63048 LAMINECTOMY SINGLE VERTEBRAL SEG 498.50 63047 63047 LAMINECTOMY SING SEGMENT LUMBAR 2,441.53 63042 63042 LAMINECTOMY RE-EXPLORE LUMBAR 2,495.00 63035 63035 LAMINECTOMY EACH ADDTL INTERSPACE 480.50 63030 63030 LAMINECTOMY ONE INTERSPACE LUM 2,037.00 63017 63017 LAMINECTOMY LUMBAR 2,666.03 63005 63005 LAMINECTOMY,W/NR DECOMP,LUMAR X2 2,260.00 62270 62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC 308.00 61782 61782 STEREOTACTIC COMPUTER-ASSISTED, C 347.00 61781 61781 STEREOTACTIC COMPUTER-ASSISTED, C 459.00 60512 60512 PARATHYROID AUTOTRANSPLANTATION 485.00 60500 60500 PARATHYROIDECTOMY OR EXPLORATION 1,890.00 60280 60280 EXCISION THYROGLOSSAL DUCT CYST O 868.00 60271 60271 THYROIDECTOMY INCL SUBSTERNAL THY 2,090.00 60252 60252 THYROIDECTOMY FOR MALIGNANCY W/LI 2,600.00 60240 60240 THYROIDECTOMY TOTAL OR COMPLETE 1,801.00 60225 60225 THYROID LOBECTOMY TOTAL UNILATERA 1,840.00 60220 60220 THYROID LOBECTOMY TOTAL UNILATERA 1,385.00 60210 60210 THYROID LOBECTOMY PARTIAL UNILATE 1,395.00 58150 58150 TOTAL ABD HYSTERECTOMY W/OVARIES 1,980.00 51792 51792 STIMULUS EVOKED RESPONSE 560.00 51785 51785 EMG ANAL OR URETHRAL SPHINCTER 545.00 49421 49421 INSERT INTRAPERITONEAL CANNULA/CA 442.00 49419 49419 Insert Intraperitoneal Cannula,W/ 496.00 49418 49418 INSERTION TUNNELED INTRAPERITONEA 1,465.00 46083 46083 INCISION THROMBOSED HEMORRHOID EX 343.00 43450 43450 DILATE ESOPHAGUS UNGUIDED SOUND O 305.00 43200 43200 ESOPHAGOSCOPY DIAGNOSTIC 525.00 43180 43180 ESOPHAGOSCOPY RIGID TRANSORAL 1,087.00 43130 43130 DIVERTICULECTOMY HYPOPHARYNX/ESOP 1,560.00 42962 42962 CONTROL OROPHARYNGEAL HEMORRHAGE 1,031.00 42961 42961 CONTROL OROPHARYNGEAL HEMORRHAGE 840.00 42950 42950 PHARYNGOPLASTY 1,625.00 42900 42900 REPAIR PHARYNX WOUND/INJURY 675.00 42870 42870 EXCISION LINGUAL TONSIL 1,183.00 42842 42842 RESECTION RADICAL TONSILS W/O CLO 1,975.00 42831 42831 ADENOIDECTOMY PRIM 12 YEARS 442.00 42830 42830 ADENOIDECTOMY PRIM 12 YEARS 409.00 42826 42826 TONSILLECTOMY 12 YEARS 497.00 42825 42825 TONSILLECTOMY 12 YEARS 517.00 42821 42821 TONSILLECTOMY ADENOIDECTOMY 1 595.00 42820 42820 TONSILLECTOMY ADENOIDECTOMY 1 570.00 42815 42815 EXCISION BRACHIAL CLEFT CYST/VEST 1,115.00 42808 42808 EXCISION/DESTRUCTION LESION PHARY 446.00 42806 42806 BIOPSY NASOPHARYNX SURVEY FOR UNK 429.00 42804 42804 BIOPSY NASOPHARYNX VISIBLE LESION 385.00 42802 42802 BIOPSY HYPOPHARYNX 465.00 42800 42800 BIOPSY OROPHARYNX 311.00 42725 42725 I D ABSCESS RETRO/PARAPHARYNGEA 1,630.00 42700 42700 I D ABSCESS PERITONSILLAR 375.00 42650 42650 DILATE SALIVARY DUCT 164.00 42500 42500 REPAIR SALIVARY DUCT SIALODOCHOPL 860.00 42440 42440 EXCISION SUBMANDIBULAR GLAND 820.00 42426 42426 EXCISION PAROTID TUMOR/GLAND TOTA 2,690.00 42420 42420 EXCISION PAROTID TUMOR/GLAND TOTA 2,400.00 42415 42415 EXCISION PAROTID TUMOR/GLAND LAT 2,087.00 42410 42410 EXCISION PAROTID TUMOR/GLAND LAT 1,227.00 42408 42408 EXCISION SUBLINGUAL SALIVARY CYST 895.00 42405 42405 BIOPSY SALIVARY GLAND INCISIONAL 590.00 42340 42340 SIALOLITHOTOMY PAROTID EXTRAORAL 910.00 42335 42335 SIALOLITHOTOMY SUBMANDIBULAR COMP 740.00 42330 42330 SIALOLITHOTOMY SUBMANDIBULAR/SUBL 460.00 42145 42145 PALATOPHARYNGOPLASTY 1,400.00 42140 42140 UVULECTOMY EXCISION OF UVULA 496.00 42107 42107 EXCISION LESION PALATE UVULA W/LO 915.00 42106 42106 EXCISION LESION PALATE UVULA SIMP 542.00 42104 42104 EXCISION LESION PALATE UVULA W/O 425.00 42100 42100 BIOPSY PALATE, UVULA 296.00 41827 41827 EXCISION LESION/TUMOR DENTOALVEOL 880.00 41826 41826 EXCISION LESION/TUMOR DENTOALVEOL 630.00 41825 41825 EXCISION LESION/TUMOR DENTOALVEOL 420.00 41530 41530 SUBMUCOSAL ABLATION TONGUE BASE, 6,255.00 41520 41520 FRENOPLASTY 705.00 41120 41120 GLOSSECTOMY ONE-HALF TONGUE 2,080.00 41116 41116 EXCISION LESION FLOOR OF MOUTH 655.00 41115 41115 EXCISION LINGUAL FRENUM (FRENECTO 488.00 41114 41114 EXCISION LESION TONGUE W/CLOSURE 1,270.00 41113 41113 EXCISION LESION TONGUE W/CLOSURE 730.00 41112 41112 EXCISION LESION TONGUE W/CLOSURE 663.00 41110 41110 EXCISION LESION TONGUE W/O CLOSUR 418.00 41108 41108 BIOPSY FLOOR OF MOUTH 290.00 41105 41105 BIOPSY TONGUE POSTERIOR ONE-THIRD 338.00 41100 41100 BIOPSY TONGUE ANTERIOR TWO-THIRDS 331.00 41010 41010 INCISION LINGUAL FRENUM (FRENOTOM 394.00 41008 41008 I D LESION INTRAORAL SUBMANDIBU 755.00 40819 40819 EXCISION FRENUM/LABIAL/BUCCAL 625.00 40816 40816 EXCISION LESION VESTIBULE MOUTH C 800.00 40812 40812 EXCISION LESION VESTIBULE MOUTH S 572.00 40810 40810 EXCISION LESION VESTIBULE MOUTH W 408.00 40808 40808 BIOPSY VESTIBULE OF MOUTH 367.00 40806 40806 INCISION LABIAL FRENUM (FRENOTOMY 106.00 40800 40800 DRAIN ABSCESS/CYST/HEMATOMA VESTI 420.00 40520 40520 EXCISION LIP V-EXCISION W/PRIMARY 959.00 40490 40490 BIOPSY LIP 250.00 38724 38724 LYMPHADENECTOMY CERVICAL (MODIFIE 2,865.00 38510 38510 BIOPSY/EXCISION DEEP CERVICAL 1,020.00 38500 38500 BIOPSY/EXCISION LYMPH NODE(S) SUP 785.00 37766 37766 STAB PHLEBECTOMY OF VARICOSE VEIN 1,063.00 37765 37765 STAB PHLEBECTOMY OF VARICOSE VEIN 534.00 37615 37615 LIGATION MAJOR ARTERY NECK 1,010.00 36831 36831 THROMBECTOMY ARTERIOVENOUS FISTUL 551.00 36830 36830 Arteriovenous Fistula Nonautogeno 800.00 36821 36821 ANASTOMOSIS ARTERIOVENOUS DIRECT 1,339.00 36819 36819 ARTERIOVENOUS ANASTOMOSIS, OPEN B 958.00 36818 36818 ARTERIOVEN ANASTOMOSIS OPEN UP 1,354.00 36589 36589 REMOVAL OF TUNNELED CENTRAL VENOU 500.00 36481 36481 PERCUTANEOUS PORTAL VEIN CATHE 432.00 36478 36478 ENDOVENOUS ABLATION THERAPY INCOM 2,337.00 36476 36476 ENDOVENOUS ABLATION THERAPY INCOM 565.00 36475 36475 ENDOVENOUS ABLATION THERAPY OF IN 2,930.00 36415 36415 Collection Of Venous Blood By Ven 25.00 35800 35800 P/OP EXPLOR FOR HEMOR,NECK 1,417.00 31622 31622 BRONCHOSCOPY, RIGID OR FLEX, DIAG 610.00 31615 31615 TRACHEOBRONCHOSCOPY THROUGH EST T 355.00 31613 31613 TRACHEOSTOMA REVISION SIMPLE 888.00 31603 31603 TRACHEOSTOMY,EMERGENT 445.00 31600 31600 TRACHEOSTOMY PLANNED 787.00 31595 31595 SECTION RECURRENT LARYNGEAL NERVE 1,495.00 31590 31590 LARYNGEAL REINNERVATION BY NEUROM 2,240.00 31588 31588 LARYNGOPLASTY NOT OTHERWISE SPECI 2,240.00 31587 31587 LARYNGOPLASTY CRICOID SPLIT 1,975.00 31584 31584 LARYNGOPLASTY W/OPEN REDUCTION OF 2,970.00 31580 31580 LARYNGOPLASTY FOR LARYNGEAL WEB T 2,395.00 31579 31579 LARYNGOSCOPY FLEXIBLE OR RIGID FI 411.00 31578 31578 LARYNGOSCOPY FLEXIBLE FIBEROPTIC 475.00 31577 31577 LARYNGOSCOPY FLEXIBLE FIBEROPTIC 475.00 31576 31576 LARYNGOSCOPY FLEXIBLE FIBEROPTIC 436.00 31575 31575 LARYNGOSCOPY FLEXIBLE FIBEROPTIC 221.00 31571 31571 LARYNGOSCOPY DIRECT W/INJ INTO VO 500.00 31570 31570 LARYNGOSCOPY DIRECT W/INJECTION I 665.00 31561 31561 LARYNGOSCOPY DIRECT OP W/ARYTENOI 685.00 31560 31560 LARYNGOSCOPY DIRECT OPERATIVE W/A 625.00 31546 31546 LARYNGOSCOPY DIRECT RECONSTRUCTIO 1,100.00 31545 31545 LARYNGOSCOPY DIRECT OPERATIVE W/O 725.00 31541 31541 LARYNGY DIR EXC TUMOR/STRIP VOCAL 530.00 31540 31540 LARYNGOSCOPY DIRECT EXC TUMOR/STR 485.00 31536 31536 LARYNGOSCOPY DIRECT BIOPSY W/OPER 417.00 31535 31535 LARYNGOSCOPY DIRECT OPERATIVE W/B 374.00 31531 31531 LARYNGOSCOPY DIRECT REMOVE FOREIG 380.00 31530 31530 LARYNGOSCOPY DIRECT OPERATIVE W/R 392.00 31527 31527 LARYNGOSCOPY DIRECT W/INSERTION O 390.00 31526 31526 LARYNGOSCOPY DIRECT DIAGNOSTIC W/ 311.00 31525 31525 LARYNGOSCOPY DIRECT DIAGNOSTIC EX 495.00 31520 31520 LARYNGOSCOPY DIRECT DIAGNOSTIC NE 312.00 31515 31515 LARYNGOSCOPY DIRECT FOR ASPIRATIO 404.00 31512 31512 LARYNGOSCOPY INDIRECT W/REMOVAL L 405.00 31511 31511 LARYNGOSCOPY INDIRECT W/REMOVAL F 412.00 31510 31510 LARYNGOSCOPY INDIRECT W/BIOPSY 415.00 31505 31505 LARYNGOSCOPY INDIRECT DIAGNOSTIC 160.00 31502 31502 TRACHEOTOMY TUBE CHANGE PRIOR TO 70.00 31500 31500 INTUBATION ENDOTRACHEAL EMERGENCY 220.00 31420 31420 EPIGLOTTIDECTOMY 1,640.00 31400 31400 ARYTENOIDECTOMY OR ARYTENOIDOPEXY 1,950.00 31395 31395 PHARYNGOLARYNGECTOMY W/RECONSTRUC 5,900.00 31390 31390 PHARYNGOLARYNGECTOMY W/O RECONSTR 5,610.00 31382 31382 LARYNGECTOMY PARTIAL ANTERO-LATER 4,170.00 31380 31380 LARYNGECTOMY PARTIAL ANTEROVERTIC 3,800.00 31375 31375 LARYNGECTOMY PARTIAL LATEROVERTIC 3,860.00 31370 31370 LARYNGECTOMY PARTIAL HORIZONTAL 4,065.00 31368 31368 LARYNGECTOMY SUBTOTAL SUPRAGLOTTI 4,800.00 31367 31367 LARYNGECTOMY SUBTOTAL SUPRAGLOTTI 4,330.00 31365 31365 LARYNGECTOMY TOTAL W/RADICAL NECK 5,060.00 31360 31360 LARYNGECTOMY TOTAL W/O RADICAL NE 4,090.00 31320 31320 LARYNGOTOMY DIAGNOSTIC 1,280.00 31300 31300 LARYNGOTOMY W/REMOVAL TUMOR/LARYN 2,475.00 31298 31298 NASAL/SINUS ENDO DILA OSTIA 7,509.00 31297 31297 NASAL/SINUS ENDOSCOPY, DILATION S 3,960.00 31296 31296 NASAL/SINUS ENDOSCOPY,DILATION FR 4,000.00 31295 31295 NASAL/SINUS ENDOSCOPY,W/DILATION 3,902.00 31294 31294 ENDOSCOPY NASAL/SINUS W/OPTIC NER 2,450.00 31293 31293 ENDOSCOPY NASAL/SINUS W/MED INF 2,140.00 31292 31292 ENDOSCOPY NASAL/SINUS W/MED OR IN 1,970.00 31291 31291 ENDOSCOPY NASAL/SINUS RPR CEREBRO 2,430.00 31290 31290 ENDOSCOPY NASAL/SINUS RPR CEREBRO 2,285.00 31288 31288 ENDOSCOPY NASAL/SINUS W/REMOVAL T 528.00 31287 31287 ENDOSCOPY NASAL/SINUS W/ SPHENOID 456.00 31276 31276 ENDOSCOPY NASAL/SINUS SURGICAL W/ 991.00 31267 31267 ENDOSCOPY NASAL/SINUS SURGICAL RE 623.00 31259 31259 NASAL/SINUS ENDO INC SPHEN REM 930.00 31256 31256 ENDOSCOPY NASAL/SINUS SURGICAL W/ 388.00 31255 31255 ENDOSCOPY NASAL/SINUS SURGICAL W/ 786.00 31254 31254 ENDOSCOPY NASAL/SINUS SURGICAL W/ 536.00 31253 31253 NASAL/SINUS ENDO ETHMOID,TOTAL 980.00 31240 31240 ENDOSCOPY NASAL/SINUS W/ CONCHA B 315.00 31239 31239 ENDOSCOPY NASAL/SINUS W/ DACRYOCY 1,210.00 31238 31238 ENDOSCOPY NASAL/SINUS W/ CONTROL 500.00 31237 31237 ENDOSCOPY NASAL/SINUS SURGICAL W/ 501.00 31235 31235 ENDOSCOPY NASAL/SINUS W/ SPHENOID 580.00 31233 31233 ENDOSCOPY NASAL/SINUS W/ MAXILLAR 510.00 31231 31231 ENDOSCOPY NASAL DIAGNOSTIC 404.00 31201 31201 ETHMOIDECTOMY INTRANASAL TOTAL 1,445.00 31200 31200 ETHMOIDECTOMY INTRANASAL ANTERIOR 1,110.00 31090 31090 SINUSOTOMY UNILATERAL THREE OR MO 1,995.00 31087 31087 SINUSOTOMY FRONTAL NONOBLITER W/O 2,115.00 31086 31086 SINUSOTOMY FRONTAL NONOBLITER W/O 2,190.00 31085 31085 SINUSOTOMY FRONTAL OBLITER W/OSTE 2,870.00 31084 31084 SINUSOTOMY FRONTAL OBLITER W/OSTE 2,250.00 31081 31081 SINUSOTOMY FRONTAL OBLITER W/O OS 2,925.00 31080 31080 SINUSOTOMY FRONTAL OBLITER W/O OS 2,010.00 31075 31075 SINUSOTOMY FRONTAL TRANSORBITAL U 1,525.00 31070 31070 SINUSOTOMY FRONTAL EXTERNAL SIMPL 855.00 31051 31051 SINUSOTOMY SPHENOID W/MUCOSAL STR 1,260.00 31050 31050 SINUSOTOMY SPHENOID 945.00 31032 31032 SINUSOTOMY MAXILLARY RADICAL W/RE 1,120.00 31030 31030 SINUSOTOMY MAXILLARY RADICAL 1,350.00 31020 31020 SINUSOTOMY MAXILLARY INTRANASAL 945.00 31002 31002 LAVAGE SPHENDID SINUS 375.00 31000 31000 LAVAGE MAXILLARY SINUS 356.00 30930 30930 FX NASAL INFERIOR TURBINATE TH 239.00 30920 30920 LIGATION INTERNAL MAXILLARY ARTER 1,630.00 30915 30915 LIGATION ARTERIES ETHMOIDAL 1,125.00 30906 30906 CONTROL NOSEBLEED POSTERIOR SUBSE 545.00 30905 30905 CONTROL NOSEBLEED POSTERIOR INITI 500.00 30903 30903 CONTROL NOSEBLEED ANTERIOR COMPLE 427.00 30901 30901 CONTROL NOSEBLEED ANTERIOR SIMPLE 185.00 30802 30802 CAUTERIZATION MUCOSA TURBINATES I 565.00 30801 30801 CAUTERIZATION MUCOSA INFERIOR TUR 442.00 30630 30630 REPAIR NASAL SEPTAL PERFORATIONS 1,220.00 30620 30620 DERMATOPLASTY SEPTAL OR INTRANASA 1,215.00 30600 30600 REPAIR FISTULA ORONASAL 1,115.00 30580 30580 REPAIR FISTULA OROMAXILLARY 1,275.00 30560 30560 LYSIS INTRANASAL SYNECHIA 516.00 30540 30540 REPAIR CHOANAL ATRESIA INTRANASAL 1,340.00 30520 30520 SEPTOPLASTY/SUBMUCOUS RESECTION C 1,208.00 30465 30465 REPAIR NASAL VESTIBULAR STENOSIS 1,903.00 30450 30450 RHINOPLASTY SECONDARY MAJOR REVIS 2,920.00 30435 30435 RHINOPLASTY SECONDARY INTERMEDIAT 2,425.00 30430 30430 RHINOPLASTY SECONDARY MINOR REVIS 1,680.00 30420 30420 RHINOPLASTY PRIMARY W/MAJOR SEPTA 2,680.00 30410 30410 RHINOPLASTY PRIMARY COMPLETE 2,300.00 30400 30400 RHINOPLASTY PRIMARY LAT ALAR CA 1,960.00 30310 30310 REMOVE FOREIGN BODY INTRANASAL W/ 400.00 30300 30300 REMOVE FOREIGN BODY INTRANASAL (O 344.00 30220 30220 INSERT NASAL SEPTAL BUTTON 583.00 30210 30210 DISPLACMENT THERAPY (PROETZ TYPE) 290.00 30160 30160 RHINECTOMY TOTAL 1,510.00 30150 30150 RHINECTOMY PARTIAL 1,500.00 30140 30140 SUBMUCOUS RESECTION INFERIOR TURB 851.00 30130 30130 EXCISION INFERIOR TURBINATE PARTI 738.00 30125 30125 EXCISION DERMOID CYST NOSE COMPLE 1,190.00 30124 30124 EXCISION DERMOID CYST NOSE SIMPLE 555.00 30120 30120 EXCISION PLANE SKIN OF NOSE FOR R 1,010.00 30118 30118 EXCISION INTRANASAL LESION EXTERN 1,500.00 30117 30117 EXCISION INTRANASAL LESION INTERN 1,686.00 30115 30115 EXCISION NASAL POLYP EXTENSIVE 840.00 30110 30110 EXCISION NASAL POLYP SIMPLE 450.00 30100 30100 BIOPSY INTRANASAL 275.00 30020 30020 DRAIN ABSCESS/HEMATOMA NASAL SEPT 450.00 30000 30000 DRAIN ABSCESS/HEMATOMA NASAL INTE 446.00 29999 29999 SHOULDER ARTH W/THERMAL SHRINKAGE 4,725.00 29916 29916 ARTHROSCOPY, HIP, LABRAL REPAR 1,000.00 29914 29914 ARTHROSCOPY,HIP,W/FEMOROPLASTY,TR 1,956.00 29897 29897 ARTHROSCOPY ANKLE DEBRIDE LTD 1,210.00 29888 29888 ARTHROSCOPY ANT CRUCIATE LIG RPR 1,931.00 29886 29886 ARTHROSCOPY KNEE W/DRILLING 1,230.00 29884 29884 ARTHROSCOPY KNEE LYSIS ADHESIONS 1,194.00 29882 29882 ARTHROSCOPY KNEE W/MENISCUS REPR 1,626.32 29881 29881 ARTHROSCOPY KNEE W/MENISCECTOM 1,058.00 29880 29880 ARTHROSCOPY KNEE W/MENISCECTOMY 1,100.00 29879 29879 ARTHROSCOPY KNEE ABRASION ARTHRO 1,539.00 29877 29877 ARTHROSCOPY KNEE CHONDROPLASTY 1,216.00 29875 29875 ARTHROSCOPY KNEE SYNOVECTOMY LTD 968.00 29874 29874 ARTHROSCOPY KNEE REMOVE LOOSE/ 1,040.00 29871 29871 ARTHROSCOPY KNEE SURGICAL 1,182.12 29870 29870 ARTHROSCOPY KNEE DIAGNOSTIC 804.00 29848 29848 ARTHROSCOPY WRIST REL TRANS CARP 1,004.00 29827 29827 Arthroscopy, Rotator Cuff Repair 2,579.90 29826 29826 ARTHROSCOPY,SHOULDER DEC/PAR ACRO 478.73 29824 29824 Claviculectomy, Mumford Procedure 1,310.00 29823 29823 ARTHROSOPY SHOULDER DEBRIDE EXT 1,215.00 29822 29822 ARTHROSCOPY SHOULDER DEBRIDE LIM 1,334.00 29822.80 29822 ARTHROSCOPY SHOULDER DEBRIDE LIM 1,334.00 29819 29819 ARTHROSCOPY SHOULDER REMOVE FB 1,135.00 29807 29807 Arthros RPR Slap Lesion,Shoulder 2,402.78 29806 29806 Arthroscop Capsulorraphy Shoulder 2,055.00 29805 29805 ARTHROSCOPY SHOULDER,DIAGNOSTIC 910.00 29700 29700 REMOVE/BIVALVE GAUNT/BOOT/BODY 127.00 29581 29581 APPLICATION OF MULTI-LAYER VENOUS 121.00 29580 29580 APPLY UNNA BOOT 120.00 29550 29550 STRAPPING TOES 50.00 29540 29540 STRAPPING ANKLE 36.00 29530 29530 STRAPPING KNEE 95.00 29515 29515 APPLY SPLINT SHORT LEG 98.00 29505 29505 APPLY SPLINT LONG LEG 98.00 29445 29445 APPLY TOTAL CONTACT LEG CAST 264.00 29425 29425 APPLY CAST SHORT LEG WALKER 197.30 29405 29405 APPLY CAST SHORT LEG 118.00 29355 29355 APPLY CAST LONG LEG WALKER 209.00 29345 29345 APPLY CAST LONG LEG 198.00 29280 29280 STRAPPING HAND OR FINGER 100.00 29260 29260 STRAPPING ELBOW OR WRIST 100.00 29130 29130 APPLY SPLINT FINGER STATIC 56.00 29126 29126 APPLY SPLINT SHORT ARM DYNAMIC 148.00 29125 29125 APPLY SPLINT SHORT ARM STATIC 128.00 29105 29105 APPLY SPLINT LONG ARM 117.00 29085 29085 APPLY CAST GAUNTLET 214.00 29075 29075 APPLY CAST SHORT ARM 170.00 29065 29065 APPLY CAST LONG ARM 134.00 29055 29055 APPLY SHOULDER SPICA 492.00 28825 28825 AMPUTATION TOE IP JT 734.00 28820 28820 AMPUTATION TOE MP JT 782.00 28810 28810 AMPUTATION METATARSAL W/TOE 949.57 28805 28805 AMPUTATION FOOT TRANSMETATARSAL 1,460.00 28755 28755 ARTHRODESIS GREAT TOE IP JT 1,010.00 28750 28750 ARTHRODESIS GREAT TOE MP JT 1,595.00 28737 28737 Arthrodesis Midtar Nav-Cuneiform 1,800.70 28665 28665 DISLOC IP JT FOOT W/ANES 300.00 28615 28615 DISLOC TARSOMETATARSAL W/WO FIX 1,843.00 28525 28525 FX PHALANX EXCL GR TOE OPEN TX 1,130.00 28515 28515 FX PHALANX ESCL GR TOE W/MANIP 281.00 28510 28510 FX PHALANX EXCL GR TOE W/O MANIP 236.00 28496 28496 FX GREAT TOE PHALANX PERCUT FIX 467.00 28495 28495 FX GREAT TOE PHALANX W/MANIP 348.00 28490 28490 FX GREAT TOE PHALANX W/O MANIP 304.80 28485 28485 FX METATARSAL OPEN TX W/WO FIX 1,069.00 28470 28470 FX Metatarsal W/O Manip 462.30 28450 28450 FX TARSAL BONE W/O MANIP 429.05 28430 28430 FX TALUS W/O MANIP 695.22 28415 28415 FX CALCANEUS W/WO FIX OPEN TX 2,160.00 28400 28400 FX CALCANEUS W/O MANIP 527.30 28322 28322 REPAIR NON/MALUNION METATARSAL 1,545.00 28315 28315 SESAMOIDECTOMY FIRST TOE 1,125.00 28312 28312 OSTEOTOMY PROX PHALANX TOE OTH 1,000.00 28310 28310 OSTEOTOMY PROX PHALANX 1ST TOE 1,065.00 28308 28308 OSTEOTOMY METATARSAL EXCL FIRS 1,100.00 28307 28307 OSTEOTOMY METATARSAL 1ST W/GRA 1,355.00 28306 28306 OSTEOTOMY METATARSAL FIRST 1,200.00 28307 28306 OSTEOTOMY METATARSAL 1ST W/GRA 1,355.00 28299 28299 HALLUX VALGUS CORRECT OTHER 1,994.00 28298 28298 HALLUX VALGUS CORRECT PHAL OSTEO 1,689.00 28297 28297 HALLUX VALGUS CORRECT (LAPIDUS) 2,066.00 28296 28296 HALLUX VALGUS CORRECT W/MT OSTEO 1,026.00 28295 28295 HALLUX VALGUS CORRECTION PROXI 1,864.00 28292 28292 HALLUX VALGUS CORRECTION 962.00 28291 28291 HALLUX RIGIDUS CORRECTION 1,443.00 28290 28290 HALLUX VALGUS CORRECTION 1,378.00 28289 28289 HALLUX RIGIDUS CORRECTION 1,440.00 28288 28288 OSTECTOMY/EXOSTEC/CONDYLECT MT 1,390.00 28285 28285 CCORRECTION HAMMERTOE 543.00 28270 28270 CAPSULOTOMY METATARSOPHALANGEAL 965.00 28240 28240 TENOTOMY ABDUCTOR HALLUCIS MUSCLE 865.00 28238 28238 RECONST POST TIB TEND EXC NAVICUL 1,446.00 28234 28234 TENOTOMY EXTENSOR FOOT OR TOE 968.00 28232 28232 TENOTOMY FLEXOR TOE SINGLE 760.00 28200 28200 REPAIR FLEXOR TENDON FOOT W/O GRF 955.00 28192 28192 REMOVE FOREIGN BODY FOOT DEEP 1,113.00 28190 28190 REMOVE FOREIGN BODY FOOT SUBCUT 266.00 28160 28160 HEMIPHALANGECTOMY/IP EXC TOE 825.00 28140 28140 METATARSECTOMY 1,427.00 28124 28124 PART EXC BONE PHALANX TOE 658.00 28122 28122 PART EXC BONE TARSAL/METATARSAL 874.00 28120 28120 PART EXC BONE TALUS/CALCANEUS 1,325.00 28119 28119 OSTECTOMY CALCANEUS FOR SPUR 1,067.15 28118 28118 OSTECTOMY CALCANEUS 1,177.00 28113 28113 OSTECTOMY COMP EXC 5TH MT HEAD 1,160.00 28112 28112 OSTECTOMY COMP EXC 2/3/4 MT HEAD 960.00 28111 28111 OSTECTOMY COMP EXC 1ST MT HEAD 647.00 28110 28110 OSTECTOMY PARTIAL EXCISION 5TH 576.00 28108 28108 EXC LESION PHALANGES FOOT 1,001.00 28107 28107 EXC LESION TARSAL/METATARS W/ALLO 1,080.00 28104 28104 EXC LESION TARSAL/METATARSAL 1,025.00 28103 28103 EXC LESION TALUS/CALCAN W/ALLOGR 780.00 28100 28100 EXC LESION TALUS/CALCANEUS 1,373.00 28092 28092 EXC LESION TOES 825.00 28090 28090 EXC LESION FOOT 920.00 28086 28086 SYNOVECTOMY FLEXOR TENDON FOOT 1,065.00 28080 28080 EXC INTERDIGITAL NEUROMA SINGLE 1,025.00 28060 28060 FASCIECTOMY PLANTAR FASCIA PART 1,015.00 28054 28054 ARTHROTOMY SYNOV BIOPSY IP FOOT 479.00 28045 28045 EXCISION TUMOR FOOT DEEP 984.00 28043 28043 EXCISION TUMOR FOOT SUBCUT 780.00 28041 28041 EXCISION TUMOR SOFT TISSUEFOOT 910.00 28039 28039 EXC TUMOR FT/TOE 1.5CM OR 1,165.00 28035 28035 TARSAL TUNNEL RELEASE 1,040.00 28020 28020 ARTHROTOMY INTERTARSAL/TARSOMETA 1,067.00 28010 28010 TENOTOMY TOE SUBCUT SINGLE TENDON 411.00 28008 28008 FASCIOTOMY FOOT AND/OR TOE 857.00 28005 28005 INCISION BONE CORTEX FOOT 1,661.95 28002 28002 I D FOOT BELOW FASCIA SING BURS 875.00 28001 28001 I D FOOT BURSA FOOT 548.00 27880 27880 AMPUTATION LEG THROUGH TIB/FIB 7,750.00 27870 27870 ARTHRODESIS ANKLE 2,636.00 27840 27840 DISLOC ANKLE W/O ANESTHESIA 717.00 27829 27829 DISRUPTION DIS TIBIOFIB JT 1,360.00 27825 27825 FX TIBIA DISTAL W/MANIPULATION 1,260.00 27824 27824 FX TIBIA DISTAL W/O MANIPULATION 605.00 27822 27822 FX TRIMALLEOLAR ANKLE W/WO FIX 1,679.00 27818 27818 FX TRIMALLEOLAR ANKLE W/MANIP 844.00 27816 27816 FX TRIMALLEOLAR ANKLE W/O MANIP 680.88 27814 27814 FX BIMALLEOLAR ANKLE W/WO FIX 1,509.00 27810 27810 FX BIMALLEOLAR ANKLE W/MANIP 975.43 27808 27808 FX BIMALLEOLAR ANKLE W/O MANIP 583.00 27792 27792 FX LATERAL MALLEOLUS W/WO FIX 1,275.00 27788 27788 FX LATERAL MALLEOLUS W/MANIP 747.00 27786 27786 FX LATERAL MALLEOLUS W/O MANIP 665.65 27781 27781 FX FIBULA PROX/SHAFT W/MANIP 925.00 27780 27780 FX FIBULA PROX/SHAFT W/O MANIP 590.00 27766 27766 FX MEDIAL MALLEOLUS W/WO FIX 1,180.00 27760 27760 FX MEDIAL MALLEOLUS W/O MANIP 658.25 27759 27759 FX TIBIA SHAFT INTRAMED IMPLANT 1,935.00 27758 27758 FX TIBIA SHAFT W/PLATE/SCREWS 2,256.10 27752 27752 FX TIBIA SHAFT W/MANIP 1,035.00 27750 27750 FX TIBIA SHAFT W/O MANIP 795.97 27720 27720 REPAIR NON/MALUNION TIB W/O GRAFT 2,042.00 27698 27698 REPAIR LIG ANKLE COLLAT SECONDARY 1,521.00 27695 27695 REPAIR COLLATERAL LIG ANKLE PRIM 1,175.00 27691 27691 TRANSFER TENDON ANT/POST TIBIA DP 1,465.00 27680 27680 TENOLYSIS FLEX/EXT TEND LEG/ANKLE 1,013.00 27675 27675 REPAIR DISLOCAT PERONEAL TENDON 1,165.00 27665 27665 REPAIR EXTENSOR TENDON LEG 2NDRY 810.00 27664 27664 REPAIR EXTENSOR TENDON LEG PRIM 855.00 27658 27658 REPAIR FLEXOR TENDON LEG PRIMARY 733.00 27654 27654 REPAIR ACHILLES TENDON SECONDARY 1,982.78 27652 27652 REPAIR ACHILLES TENDON PRIM GRAFT 1,327.00 27650 27650 REPAIR ARCHILLES TENDON PRIMARY 1,566.00 27640 27640 PART EXC BONE TIBIA 1,620.00 27635 27635 EXC LESION TIBIA/FIBULA 1,140.00 27632 27632 EXCISION TUMOR SOFT TISSUE LEG 985.00 27630 27630 EXC LESION LEG/ANKLE 1,092.00 27626 27626 ARTHROTOMY ANKLE W/TENOSYNOVECT 1,222.00 27618 27618 EXC TUMOR LEG/ANKLE SUBCUTANEOUS 876.00 27607 27607 INCISION LEG/ANKLE 2,096.55 27603 27603 I D LEG/ANKLE ABSCESS/HEMATOMA 1,015.00 27590 27590 AMPUTATION THIGH THRU FEMUR 1,575.00 27570 27570 MANIPULATION KNEE UNDER ANESTH 294.00 27560 27560 DISLOCATION PATELLA W/O ANES 712.50 27538 27538 FX KNEE INTERCON/TUBEROSITY 968.80 27535 27535 FX TIBIA PROX UNICONDYLAR 2,078.55 27530 27530 FX TIBIA PROX W/O MANIP 823.47 27524 27524 FX PATELLA W/INT FIX AND/OR PAT 1,801.83 27520 27520 FX PATELLA W/O MANIP 674.67 27514 27514 FX FEMUR MED/LAT CONDYLE OPEN TX 3,191.42 27513 27513 FX FEMUR SUPRA/TRANSCONDYLAR 2,942.00 27511 27511 FX FEMUR SUPRA/TRANSCOND W/WO FIX 2,356.00 27510 27510 FX FEMUR MED/LAT CONDYLE W/MANIP 1,568.03 27508 27508 FX FEMUR MED/LAT CONDYLE W/O MAN 1,221.95 27507 27507 FX FEMUR SHAFT W/PLATE/SCREWS 2,527.02 27506 27506 FX FEMUR SHAFT W/INTRAMED IMPLANT 2,981.85 27502 27502 FX FEMUR SHAFT W/MANIP 1,495.00 27501 27501 FX FEMUR SUPRA/TRANSCON W/O MANIP 1,328.47 27500 27500 FX FEMUR SHAFT W/O MANIP 1,112.05 27488 27488 REMOVE TOTAL KNEE PROSTHESIS 2,800.00 27487 27487 REVISE TOTAL KNEE ARTHROPLASTY 4,173.00 27486 27486 REVISE TOTAL KNEE ARTH ONE COM 3,191.00 27447 27447 ARTHROPLASTY KNEE TOTAL 3,318.00 27446 27446 ARTHROPLASTY KNEE MED OR LAT COMP 2,802.35 27438 27438 ARTHROPLASTY PATELLA W/PROSTH 1,630.00 27437 27437 ARTHROPLASTY PATELLA W/O PROSTH 1,275.00 27428 27428 RECONSTRUCT LIG KNEE INTR-ARTIC 2,150.00 27425 27425 Lateral Retinacular Release 872.00 27422 27422 RECONSTRUCT PATELLA W/EXT REALIG 1,723.00 27415 27415 OSTEOCHONDRAL ALLOGRAFT KNEE OPEN 2,660.00 27407 27407 PCL RECONSTRUCTION 1,530.00 27405 27405 REPAIR KNEE COLLATERAL LIGAMENT 1,305.00 27385 27385 REPAIR QUAD/HAMSTRING PRIMARY 1,571.85 27385.80 27385 REPAIR QUAD/HAMSTRING PRIMARY 555.00 27381 27381 REPAIR INFRAPATELLAR TENDON 2ND 1,950.45 27380 27380 REPAIR INFRAPATELLAR TENDON PRIM 1,127.00 27372 27372 REMOVE FOREIGN BODY THIGH/KNEE 1,158.00 27360 27360 PART EXC FEMUR/PROX TIBIA/FIBULA 1,645.00 27355 27355 ECX LESION FEMUR 1,177.00 27350 27350 PATELLECTOMY/HEMIPATELLECTOMY 1,260.00 27347 27347 Excision Lesion Meniscus/Cap Knee 1,110.00 27340 27340 EXC PREPATELLAR BURSA 816.35 27334 27334 ARTHROTOMY KNEE SYNOV ANT OR POST 1,579.00 27331 27331 ARTHROTOMY KNEE W/EXPLOR/BX/REMOV 920.00 27327 27327 EXC TUMOR THIGH/KNEE SUBCUT 880.00 27324 27324 BIOPSY SOFT TISSUE THIGH/KNEE DEE 1,063.42 27323 27323 BIOPSY SOFT TISSUE THIGH/KNEE SUP 520.00 27310 27310 ARTROTOMY KNEE EXPL/DRAIN/REM FB 1,410.00 27301 27301 I D KNEE/THIGH ABSCESS/HEM/BUR 1,304.00 27266 27266 DISLOCATION POST HIP ARTH W/ANES 1,134.00 27265 27265 DISLOCATION POST HIP ARTHROPLASTY 775.00 27254 27254 DISLOCATION HIP TRAUM W/FX 2,455.00 27253 27253 DISLOCATION HIP TRAUM W/WO FIX 1,818.00 27248 27248 FX GRTR TROCHANTER OPEN TX 1,440.00 27246 27246 FX GRTR TROCHANTER W/O MANIP 800.65 27245 27245 FX INTER/PER/SUBTROCH INTRAMED 3,344.40 27244 27244 FX INTER/PER/SUBTROCH PLATE/SCREW 2,413.00 27238 27238 FX INTER/PER/SUBTROCH W/O MANIP 1,024.67 27236 27236 FX FEMUR NECK INT FIX OR PROS 2,344.00 27235 27235 FX FEMUR NECK PERCUT FIXATION 2,118.00 27230 27230 FX FEMUR W/O MANIP 983.90 27220 27220 FX ACETABULUM W/O MANIP 1,130.58 27200 27200 FX COCCYX 457.78 27193 27193 FX PELVIS RING W/O MANIP 977.07 27138 27138 REVISE TOTAL HIP ARTHROPLASTY 2,980.00 27137 27137 REVISE TOTAL HIP ARTHROPLASTY 3,387.90 27134 27134 REVISE TOTAL HIP ARTHROPLASTY 3,730.00 27132 27132 CONVERSION PREV SX TO HIP REPLAC 3,745.27 27130 27130 ARTHROPLASTY HIP TOTAL 2,660.00 27125 27125 HEMIARTHROPLASTY HIP PARTIAL 2,425.57 27091 27091 REMOVE HIP PROSTHESIS COMPLIC 3,975.65 27062 27062 EXC TROCHANTERIC BURSA/CALCIFIC 1,049.00 26992 26992 INCISION BONE CORTEX PELVIS/HIP 1,858.00 26990 26990 I D PELVIS/HIP ABSCESS/HEMATOMA 1,857.57 26951 26951 AMPUTATION METACARPAL W/NEURECT 1,479.00 26910 26910 AMPUTATION METACARPAL W/FGR/THUMB 1,942.95 26863 26863 ARTHRODESIS IP JT W/GRAFT ADDTL 445.00 26862 26862 ARTHRODESIS IP JT W/GRAFT 1,394.00 26861 26861 ARTHRODESIS IP JT ADDTL 201.00 26860 26860 ARTHRODESIS IP JT 1,060.00 26820 26820 FUSION IN OPPOSITION THUMB W/GRFT 1,118.00 26776 26776 DISLOCATION IP JT PERCUT FIX 850.00 26770 26770 DISLOCATION IP JT W/MANIP 534.00 26765 26765 FX DIS PHALANX FGR/THMB OPEN TX 990.85 26756 26756 FX DIS PHALANX FGR/THMB SKELETALN 800.00 26750 26750 FX DIS PHALANX FGR/THMB W/O MANIP 355.00 26740 26740 FX MCP/IP ARTICULAR W/O MANIP 447.50 26735 26735 FX PHALANX SHAFT/PROX/MID/FGR/TH 1,361.35 26727 26727 FX PHALANX SHAFT/PROX/MID FGR/TH 1,325.45 26725 26725 FX PHALANX SHAFT/PROX/MID W/MANIP 678.90 26720 26720 FX PHALANX SHAFT/PROX/MID W/O MAN 384.00 26700 26700 DISLOCATION MCP W/MANIP W/O ANES 628.00 26676 26676 Dislocation CMC Percut Fix 960.00 26641 26641 DISLOCATION CMC THUMB W/MANIP 876.95 26615 26615 FX METACARPAL OPEN TX W/WO FIXATI 1,123.00 26608 26608 FX METACARPAL PERCUTANEOUS FIX 926.00 26605 26605 FX METACARPAL W/MANIP 661.00 26600 26600 FX METACARPAL W/O MANIP 569.00 26540 26540 REPAIR COLLATERAL LIG MCP JT 1,245.00 26531 26531 ARTHROPLASTY MCP JT W/IMPLANT 1,200.00 26520 26520 CAPSULECTOMY/CAPSULOTOMY MP JOINT 1,234.32 26480 26480 TENDON TRANSFER CMC/HAND W/O F 1,742.00 26445 26445 TENOLYSIS EXT TENDON HAND/FGR 1,101.00 26440 26440 TENOLYSIS FLEX TENDON PALM/FGR 1,000.00 26437 26437 REALIGNMENT EXT TENDON HAND 1,564.77 26432 26432 TX DISTAL EXTENSOR TENDON INSERTN 1,150.00 26418 26418 REPAIR EXT TENDON FGR W/O GRAFT 1,090.00 26410 26410 REPAIR EXT TENDON HAND W/O GRAFT 1,065.00 26370 26370 REPAIR PROFUNDUS TENDON PRIMARY 1,453.00 26356 26356 REPAIR FLEXOR TENDON PRIMARY 1,707.00 26352 26352 REPAIR FLEXOR TENDON 2ND W/GRAFT 1,339.00 26350 26350 REPAIR FLEXOR TENDON W/O FREE 1,339.00 26341 26341 MANIPULATION,PALMAR FASCIAL CORD, 187.00 26236 26236 PARTIAL EXC BONE DISTAL PHLNX FGR 1,000.00 26210 26210 EXC LESION PROX/MID/DIS PHALANX 862.00 26200 26200 EXC LESION METACARPAL 1,037.00 26160 26160 EXC LESION TENDON SHEATH HAND/FG 1,110.00 26145 26145 SYNOVECTOMY TENDON SHEATH RADICAL 985.00 26125 26125 FASCIECTOMY PALMAR PARTIAL 535.00 26123 26123 FASCIECTOMY PALMAR PARTIAL 1,605.00 26115 26115 EXC TUMOR HAND/FINGER SUBCUT 976.00 26111 26111 EXC TUMOR,HAND/FINGER 1.5+ 805.00 26110 26110 ARTHROTOMY W/BIOPSY IP JOINT 624.00 26080 26080 ARTHROTOMY INTERPHALANGEAL JT 846.00 26075 26075 ARTHROTOMY METACARPOPHALANGEAL JT 635.00 26070 26070 ARTHROTOMY CARPOMETACARPAL JT 605.00 26055 26055 TENDON SHEATH INCISION 1,079.00 26045 26045 Fasciotomy Palmar Open Partial 511.00 26040 26040 FASCIOTOMY PALMAR PERCUTANEOUS 607.00 26034 26034 INCISION BONE CORTEX HAND/FINGER 1,151.65 26020 26020 DRAIN TENDON SHEATH DIGIT/PALM 835.00 26011 26011 DRAIN FINGER ABSCESS COMPLIC 812.50 26010 26010 DRAIN FINGER ABSCESS SIMPLE 505.00 25825 25825 ARTHRODESIS WRIST LTD W/AUTOGRAFT 1,460.00 25820 25820 ARTHRODESIS WRIST LIMITED 1,202.00 25810 25810 ARTHRODESIS WRIST W/ILIAC/AUTOGR 1,966.25 25800 25800 ARTHRODESIS WRIST COMPLETE 1,817.47 25652 25652 ORIF Distal Radius FX 1,200.00 25650 25650 FX ULNAR STYLOID 628.25 25630 25630 FX CARPAL BONE W/O MANIPULATION 665.75 25628 25628 FX CARPAL SCAPHOID OPEN TX 1,390.00 25624 25624 FX CARPAL SCAPHOID W/MANIP 910.00 25622 25622 FX CARPAL SCAPHOID W/O MANIP 618.15 25620 25620 FX DISTAL RADIUS OPEN TX 1,191.80 25611 25611 FX DISTAL RADIUS PERCUTANEOUS 1,689.28 25609 25609 ORIF DIST RADIAL IA FX, 3 FRAGS 2,413.00 25608 25608 ORIF,DIS RADIAL-ARTICULAR,2 FR 1,590.00 25607 25607 ORIF DIS RAD EX-AR FX OR EP SEP 1,683.00 25606 25606 PSF Radial or Epip FX 1,539.00 25605 25605 FX DISTAL RADIUS W/MANIP 1,055.00 25600 25600 FX DISTAL RADIUS W/O MANIP 630.00 25574 25574 FX RADIAL ULNAR SHAFT OPEN TX 1,547.00 25565 25565 FX RADIAL ULNAR SHAFT W/MANIP 1,190.00 25560 25560 FX RADIAL ULNAR SHAFT 577.48 25545 25545 FX ULNAR SHAFT OPEN TX 1,440.00 25530 25530 FX ULNAR SHAFT 524.15 25515 25515 FX RADIAL SHAFT OPEN TX 1,290.00 25505 25505 FX RADIAL SHAFT W/MANIP 965.00 25500 25500 FX RADIAL SHAFT W/O MANIPULATI 202.00 25447 25447 ARTHROPLASTY INTERPOSITION IC/CM 1,806.40 25440 25440 REPAIR NONUNION SCAPHOID 1,485.00 25390 25390 OSTEOPLASTY SHORTEN RADIUS/ULNA 1,485.00 25320 25320 CAPSULORRHAPHY/RECONSTRUCT WRIST 2,049.00 25310 25310 TRANSPLANT TENDON FOREARM/WRIST 1,210.00 25260 25260 REPAIR FLEXOR TENDON/MUSCLE FA/WR 1,533.00 25248 25248 REMOVE FOREIGN BODY FOREARM/WRIST 802.00 25240 25240 EXC DISTAL ULNA 620.00 25230 25230 RADIAL STYLOIDECTOMY 830.00 25215 25215 CARPECTOMY ALL BONES PROX ROW 1,831.35 25151 25151 PART EXC BONE RADIUS 1,125.00 25120 25120 EXC LESION RADIUS/ULNA 1,783.40 25115 25115 RADICAL EXC ARM/WRIST FLEXORS 2,155.18 25111 25111 EXCISION GANGLION WRIST PRIMARY 623.00 25101 25101 ARTHROTOMY WRIST W/JT EXPLORATIO 940.00 25076 25076 EXC TUMOR FOREARM/WRIST DEEP 1,012.00 25075 25075 EXC TUMOR FOREARM/WRIST SUBCUT 915.00 25040 25040 ARTHROTOMY RADIO/MIDCARPAL JT 1,315.00 25028 25028 I D FOREARM/WRIST ABSCESS/HEMA 1,148.53 25000 25000 INCISION EXT TENDON SHEATH WRIST 654.00 24685 24685 FX ULNA PROXIMAL OPEN TX 1,370.67 24675 24675 FX ULNA PROXIMAL W/MANIP 1,175.00 24670 24670 FX ULNA PROXIMAL W/O MANIPULATION 582.30 24666 24666 FX RADIAL HEAD/NECK W/PROSTHESIS 1,906.40 24665 24665 FX RADIAL HEAD/NECK OPEN TX 1,255.00 24650 24650 FX RADIAL HEAD/NECK W/O MANIP 551.98 24640 24640 SUBLUXATION RADIAL HEAD W/MANIP 293.00 24620 24620 FX MONTEGGIA W/MANIPULATION 1,070.00 24605 24605 DISLOCATION ELBOW W/ANESTHESIA 905.00 24600 24600 DISLOCATION ELBOW W/O ANESTHESIA 707.00 24586 24586 FX DISLOCATION ELBOW OPEN TX 2,102.00 24575 24575 FX EPICONDYLE OPEN TX 1,762.15 24530 24530 FX SUPRA/TRANSCONDYLE HUMERUS 794.45 24515 24515 FX HUMERAL SHAFT W/PLATE/SCREWS 2,056.30 24505 24505 FX HUMERAL SHAFT W/MANIP 990.52 24500 24500 FX HUMERAL SHAFT W/O MANIP 757.98 24359 24359 ELBOW TENOTOMY W/DEBR TEND RPR 1,521.00 24358 24358 ELBOW TENOTOMY W/DEBRIDEMENT 1,019.00 24357 24357 TENOTOMY ELBOW,LATERAL OR MEDI 826.00 24342 24342 RPR BICEPS/TRICEPS TENDON DISTAL 1,130.00 24342.AS 24342 RPR BICEPS/TRICEPS TENDON DISTAL 565.00 24341 24341 REPAIR TENDON/MUSCLE UP ARM/ELBOW 1,440.00 24340 24340 TENODESIS BICEPS TENDON AT ELBOW 1,419.00 24147 24147 PART EXC BONE OLECRANON PROCESS 1,214.00 24120 24120 EXC ELBOW LESION 1,020.00 24105 24105 EXCISION OLECRANON BURSA 681.00 24101 24101 ARTHROTOMY ELBOW W/JOINT EXPLORE 1,194.35 24075 24075 EXC TUMOR UP ARM/ELBOW SUBCUT 951.00 24071 24071 EXCISION TUMOR SOFT TISSUE UPPER 780.00 24065 24065 BIOPSY ARM/ELBOW SOFT TISSUE 490.00 23931 23931 I D UP ARM/ELBOW BURSA 550.00 23930 23930 I D UP ARM/ELBOW ABSCESS/HEMAT 685.00 23700 23700 MANIPULATION SHOULDER W/ANES 383.00 23670 23670 DISLOCATION SHOULDER FX GRTR TUB 2,008.00 23665 23665 DISLOCATION SHOULDER W/FX GRTR 935.22 23655 23655 DISLOCATION SHOULDER W/ANES 781.00 23650 23650 DISLOCATION SHOULDER W/O ANES 605.00 23630 23630 FX GRTR TUBEROSITY OPEN TX 1,790.00 23620 23620 FX GRTR TUBEROSITY W/O MANIP 524.48 23616 23616 FX PROX HUMERUS OPEN W/PROSTH 2,922.00 23615 23615 FX PROX HUMERUS OPEN TX 1,710.00 23605 23605 FX PROXIMAL HUMERUS W/MANIPULA 890.00 23600 23600 FX PROX HUMERUS W/O MANIP 693.70 23585 23585 FX SCAPULA OPEN TX 1,900.00 23570 23570 FX SCAPULA W/O MANIP 495.85 23550 23550 DISLOCATION AC JT OPEN TX 1,415.45 23515 23515 FX CLAVICLE OPEN W/WO FIXATION 1,668.00 23500 23500 FX CLAVICLE W/O MANIPULATION 467.08 23472 23472 ARTHROPLASTY SHOULDER TOTAL 3,374.02 23470 23470 ARTHROPLASTY GLENOHUMERAL JOINT 2,820.88 23466 23466 CAPSULORRHAPHY W/MULTI DIR INSTAB 2,587.00 23455 23455 CAPSULORRHAPHY ANT W/LABRAL RPR 1,940.00 23450 23450 CAPSULORRHAPHY ANTERIOR 1,830.00 23420 23420 REPAIR ROTATOR CUFF AVULSION CHR 935.00 23412 23412 REPAIR ROTATOR CUFF RUPTURE CHRN 1,991.00 23410 23410 REPAIR ROTATOR CUFF RUPTURE ACUTE 1,606.00 23350 23350 INJECTION FOR SHOULDER ARTHROGRAP 250.00 23180 23180 PARTIAL EXCISION BONE CLAVICLE 1,285.00 23130 23130 ACROMIOPLASTY/ACROMIONECTOMY PAR 1,188.00 23120 23120 CLAVICULECTOMY PARTIAL 1,140.00 23075 23075 EXC TUMOR SHOULDER SUBCUTANEOUS 895.00 23071 23071 EXC.TUMOR,SHOULDER 3CM OR MORE 816.00 23030 23030 I D SHOULDER ABSCESS/HEMATOMA 845.00 23000 23000 REMOVE SUBDELTOID CALCAREOUS DEP 1,115.00 22614 22614 ARTHRODESIS POST EA ADDTL SEGMENT 755.00 22612 22612 ARTHRODESIS LUMBAR POST/POSTLAT 3,750.22 22552 22552 ARTHRODESIS,ANTERIOR INTERBODY,EA 760.00 22310 22310 FX VERTEBRAL BODY W/CAST OR BRACE 595.00 22305 22305 FX VERTEBRAL PROCESS 414.50 21932 21932 EXCISION TUMOR, SOFT TISSUE, B 1,270.00 21930 21930 EXC TUMOR SOFT TISSUE BACK/FLANK 918.00 21556 21556 EXC TUMOR NECK/THORAX DEEP 1,036.00 21555 21555 EXC TUMOR NECK/THORAX SUBCUT 795.00 21554 21554 EXCISION TUMOR, SOFT TISSUE, NECK 1,400.00 21552 21552 EXCISION TUMOR, SOFT TISSUE NECK/ 880.00 21550 21550 BIOPSY SOFT TISSUE NECK/THORAX 510.00 21501 21501 I D NECK/CHEST LESION 880.00 21320 21320 FX NASAL BONE W/STABILIZATION 498.00 21315 21315 FX NASAL BONE W/O STABILIZATION 536.00 21235 21235 GRAFT EAR CARTILAGE 1,400.00 21198 21198 OSTEOTOMY MANDIBLE SEGMENTAL 2,300.00 21045 21045 EXC MALIG TUMOR MANDIBLE 2,400.00 21034 21034 EXC MALIG TUMOR FACIAL BONE 2,600.00 21014 21014 EXCISION, TUMOR, SOFT TISSUE, FAC 1,020.00 20979 20979 LOW INT ULTRASOUND STIMULATION 105.00 20975 20975 ELECTRICAL BONE STIM INVASIVE 386.20 20974 20974 ELECTRICAL BONE STIM NON-INVASIVE 145.00 20938 20938 AUTOGRAFT STRUCT/BICORT/TRICORT 448.82 20937 20937 AUTOGRAFT FOR SPINE SX MORSELIZED 472.05 20926 20926 REMOVE TISSUE FOR GRAFT 829.00 20924 20924 REMOVE TENDON FOR GRAFT 1,178.00 20902 20902 REMOVE BONE FOR GRAFT MAJOR/LARG 743.15 20900 20900 REMOVE BONE FOR GRAFT MINOR/SMAL 805.00 20694 20694 REMOVE EXTERNAL FIXATION W/ANES 815.00 20680 20680 Remove Support Implant-Deep 1,202.00 20670 20670 REMOVE SUPPORT IMPLANT SUPERFIC 914.00 20612 20612 ASPIRATION/INJ OF GANGLION CYSTS 118.00 20611 20611 ARTH/ASP/INJ OF JOINT/BURSA 177.00 20610 20610 INJECT/DRAIN JOINT/BURSA MAJOR 118.00 20606 20606 ARTHROCENTESIS ASPIRTATION INJ 157.00 20605 20605 INJECT/DRAIN JOINT/BURSA MEDIUM 98.00 20604 20604 ARTHROCENTESIS ASPIRATION INJ 154.00 20600 20600 INJECT/DRAIN JOINT/BURSA SMALL 94.00 20552 20552 Injection, Single Or Multiple tri 110.00 20551 20551 INJECTION TENDON,SINGLE 118.00 20550 20550 INJ TENDON/LIGAMENT/CYST 134.00 20527 20527 INJECTION,ENZYME PALMAR FASCIAL C 159.00 20526 20526 INJECTION,THERAPEUTIC,CT 160.00 20520 20520 REMOVE FOREIGN BODY SIMPLE 300.00 20245 20245 BIOPSY BONE EXCISIONAL DEEP 1,205.00 20240 20240 BIOPSY BONE EXCISIONAL SUPERFIC 430.00 20225 20225 BIOPSY BONE TROCAR/NEEDLE DEEP 1,005.00 20220 20220 BIOPSY BONE TROCAR/NEEDLE SUPERF 327.00 20005 20005 INCISION ABSCESS DEEP 607.00 17283 17283 DESTRUCTION MALIG LESION 2.1-3CM 353.00 17282 17282 DESTRUCTION MALIG LESION 1.1-2CM 295.00 17281 17281 DESTRUCTION MALIG LESION .6-1CM F 257.00 17280 17280 DESTRUCTION MALIG LESION .6CM F 203.00 17273 17273 DESTRUCTION MALIG LESION 2.1-3CM 300.00 17272 17272 DESTRUCTION MALIG LESION 1.1-2CM 269.00 17271 17271 DESTRUCTION MALIG LESION .6-1CM S 236.00 17270 17270 DESTRUCTION MALIG LESION .6CM S 218.00 17250 17250 CHEMICAL CAUTERY GRANULATION TISS 100.00 17111 17111 DESTRUCTION OF FLAT WARTS OR MOLL 255.00 17110 17110 SURGICAL DESTRUCT BENIGN LESION 215.00 17003 17003 DESTRUCTION OF LESIONS 2-14 20.00 17000 17000 DESTRUCTION OF LESION FIRST 157.00 16030 16030 BURN TREATMENT LARGE GREATER THAN 364.00 16025 16025 BURN TREATMENT MEDIUM 5% TO 10% T 288.00 16020 16020 DRESSING/DEBRIDEMENT PART-THICK B 161.00 16000 16000 BURN TREATMENT INITIAL 1ST DEGREE 134.00 15278 15278 ADD'L 100 CM SKIN GRAFT 165.00 15277 15277 APPLIC SKIN GRAFT FACE,SCALP,EYEL 640.00 15276 15276 ADD'L 25CM SKIN GRAFT FACE,SCALP, 68.00 15275 15275 APPLICATION SKIN GRAFT FACE,SCALP 294.00 15274 15274 ADD'L 100 SQ CM SKIN SUBSTITUE GR 138.00 15273 15273 APPLICATION SKIN GRAFT 100SQ CM 584.00 15272 15272 ADD'L 25 SQ CM APPLICATION SKIN G 54.00 15271 15271 APPLICATION SKIN SUBSTITUTE GRAFT 276.00 15120 15120 SK SPLIT-THICK GRAFT 1ST 100 SQ C 1,649.00 15115 15115 EPIDERMAL AUTOGRAFT 1ST 100 SQ CM 1,539.00 15110 15110 EPIDERMAL AUTOGRAFT 1ST 100 SQ CM 1,546.00 15100 15100 SPLIT GRAFT,TRUNK,ARMS,LEGS 1,660.00 15050 15050 PINCH GRAFT,FINGER TIP 1,085.00 15004 15004 SURG PREP/CREATION SITE EXCISION 775.00 15002 15002 SURGICAL PREP RECIPIENT SITE TRUN 676.00 14061 14061 SKIN TISSUE REARRANGE 10.1-30 SQ 1,975.00 14060 14060 SKIN TISSUE REARRANGE TO 10 SQ CM 1,514.00 14040 14040 ADJACENT TISSUE TRANSF 741.13 13160 13160 SECONDARY CLOSURE OF WOUND 1,570.00 13152 13152 REPAIR COMPLEX WOUND 2.6-7.5CM EY 734.00 13151 13151 REPAIR COMPLEX WOUND 1.1-2.5CM EY 611.00 13150 13150 REPAIR COMPLEX WOUND UP TO 1CM EY 539.00 13133 13133 REPAIR WOUND COMPLEX 5CM OR LESS 345.00 13132 13132 REPAIR WOUND COMPLEX 2.6-7.5CM 905.00 13131 13131 REPAIR WOUND COMPLEX 1.1-2.5CM 748.00 13122 13122 REPAIR COMPLEX EA ADD 5CM OR LESS 255.00 13121 13121 REPAIR WOUND COMPLEX 2.6-7.5CM 810.00 13120 13120 REPAIR WOUND COMPLEX 1.1-2.5CM 505.00 12053 12053 REPAIR IMMEDIATE WOUND 5.1-7.5CM 499.00 12052 12052 REPAIR IMMEDIATE WOUND 2.6-5CM FA 571.00 12051 12051 REPAIR IMMEDIATE WOUND 2.6CM FA 500.00 12044 12044 LAYER CLOSURE WOUND 7.6-12.5CM 685.00 12042 12042 LAYER CLOSURE WOUND 2.6-7.5 CM 417.00 12041 12041 LAYER CLOSURE WOUND 2.6CM 349.00 12034 12034 LAYER CLOSURE WOUND 7.6-12.5CM 450.00 12032 12032 LAYER CLOSURE WOUND 2.6-7.5CM 437.00 12031 12031 LAYER CLOSURE WOUND 2.6CM 460.00 12020 12020 CLOSE SPLIT WOUND 759.00 12018 12018 REPAIR SUPERFIC WOUND 30CM FACE 341.00 12017 12017 REPAIR SUPERFIC WOUND 20.1-30CM F 302.00 12016 12016 REPAIR SUPERFIC WOUND 12.6-20CM F 408.00 12015 12015 REPAIR SUPERFIC WOUND 7.6-12.5CM 330.00 12014 12014 REPAIR SUPERFIC WOUND 5.1-7.5CM F 270.00 12013 12013 REPAIR SUPERFIC WOUND 2.6-5CM FAC 221.00 12011 12011 REPAIR SUPERFIC WOUND 2.6CM FAC 212.00 12007 12007 REPAIR SUPERFIC WOUND 30CM 425.00 12004 12004 REPAIR SUPERFIC WOUND 7.6-12.5CM 248.00 12002 12002 REPAIR SUPERFIC WOUND 2.6-7.5CM 211.00 12001 12001 REPAIR SUPERFIC WOUND 2.6CM 174.00 11900 11900 105.00 11765 11765 WEDGE EXCISION SKIN NAIL FOLD 320.00 11760 11760 REPAIR NAIL BED 445.00 11750 11750 EXCISE NAIL BED MATRIX 435.00 11740 11740 EVACUATION SUBUNGUAL HEMATOMA 96.00 11732 11732 AVULSION NAIL PLATE EACH ADDTL 102.00 11730 11730 AVULSION NAIL PLATE 204.00 11721 11721 DEBRIDE NAILS ANY METHOD 6/MORE 88.00 11720 11720 DEBRIDE NAILS ANY METHOD 1-5 63.00 11719 11719 TRIM NONDYSTROPHIC NAILS 28.00 11646 11646 EXCISE MALIG LESION 4CM FACE/EA 1,001.00 11644 11644 EXCISE MALIG LESION 3.1-4CM FACE/ 766.00 11643 11643 EXCISE MALIG LESION 2.1-3CM FACE/ 622.00 11642 11642 EXCISE MALIG LESION 1.1-2CM FACE/ 527.00 11641 11641 EXCISE MALIG LESION .6-1CM FACE/E 343.00 11640 11640 EXCISE MALIG LESION .6CM FACE/E 389.00 11626 11626 EXCISE MALIG LESION 4CM 592.00 11624 11624 EXCISE MALIG LESION 3.1-4CM 490.00 11623 11623 EXCISE MALIG LESION 2.1-3CM 435.00 11622 11622 EXCISE MALIG LESION 1.1-2CM 370.00 11621 11621 EXCISE MALIG LESION .6-1CM 332.00 11620 11620 EXCISE MALIG LESION .6CM 375.97 11604 11604 EXCISE MALIG LESION 3.1-4CM 725.00 11446 11446 Excise Benign Lesion 4CM Face/E 568.00 11444 11444 EXCISE BENIGN LESION 3.1-4CM FACE 546.00 11443 11443 EXCISE BENIGN LESION 2.1-3CM FACE 434.00 11442 11442 Excise Benign Lesion 1.1-2CM Face 364.00 11441 11441 Excise Benign Lesion .6-1CM Face/ 325.00 11440 11440 Excise Benign Lesion .5CM Face/E 261.00 11426 11426 EXCISE BENIGN LESION 4CM 484.00 11424 11424 EXCISE BENIGN LESION 3.1-4CM 338.00 11423 11423 EXCISE BENIGN LESION 2.1-3CM 293.00 11422 11422 EXCISE BENIGN LESION 1.1-2CM 340.00 11421 11421 EXCISE BENIGN LESION .6-1CM 304.00 11420 11420 EXCISE BENIGN LESION .6CM 177.00 11403 11403 EXCISE BENIGN LESION 2.1-3CM 372.00 11402 11402 EXCISE BENIGN LESION 1.1-2CM 379.00 11401 11401 EXCISE BENIGN LESION .6-1CM 341.00 11400 11400 EXCISE BENIGN LESION .6CM 239.35 11313 11313 SHAVE SKIN LESION 2CM FACE/EAR/ 268.00 11312 11312 SHAVE SKIN LESION 1.1-2CM FACE/EA 231.00 11311 11311 SHAVE SKIN LESION .6-1CM FACE/EAR 216.00 11310 11310 SHAVE SKIN LESION .6CM FACE/EAR/ 221.00 11308 11308 SHAVE SKIN LESION 2CM SCALP/NEC 219.00 11307 11307 SHAVE SKIN LESION 1.1-2CM SCALP/N 207.00 11306 11306 SHAVE SKIN LESION .6-1CM SCALP/NE 176.00 11305 11305 SHAVING OF EPIDERMAL OR DERMAL L 190.00 11302 11302 SHAVE SKIN LESION 1.1-2CM TRUNK/A 275.00 11201 11201 REMOVE SKIN TAGS EACH ADDTL 10 LE 27.00 11200 11200 Exc.Skin Tags, up to 15 lesions 128.00 11101 11101 BIOPSY SKIN LESION EACH ADDTL 64.00 11100 11100 BIOPSY SKIN LESION SINGLE 106.00 11057 11057 PARE HYPERKERATOTIC LESION, 4 128.00 11056 11056 PARING OF BENIGN LESIONS,2-4 114.00 11055 11055 PARING OR CUTTING B HP LESION 93.00 11047 11047 DEBRIDEMENT,BONE,EPIDERMIS/DERMIS 242.00 11046 11046 DEBRIDEMENT MUSCLE/FASCIA,EPIDERM 145.00 11045 11045 DEBRIDEMENT MUSCLE/FASCIA,EPIDERM 79.00 11044 11044 DEBRIDEMENT TISSUE/MUSCLE/BONE 611.00 11043 11043 DEBRIDEMENT SKIN,SUBCUT,MUSCLE 443.00 11042 11042 DEBRIDEMENT SKIN SUBCUT TISSUE 226.00 11040 11040 DEBRIDEMENT SKIN PARTL THICKNESS 98.88 11011 11011 DEBRIDE FX/DIS SKIN/SUBCUT/MUSCLE 1,025.00 11010 11010 DEBRIDE OPEN FX/DIS SKIN/SUBCUT 930.00 11000 11000 DEBRIDEMENT SKIN TO 10% 79.00 10180 10180 I D POST-OP WOUND INFECT COMPL 470.00 10160 10160 PUNCTURE DRAINAGE OF LESION 252.00 10140 10140 I D HEMATOMA 317.00 10121 10121 REMOVE FOREIGN BODY SUBCUT COMPL 531.00 10120 10120 REMOVE FOREIGN BODY SUBCUT SIMPLE 296.00 10080 10080 I D PILONIDAL CYST SIMPLE 350.00 10061 10061 I D ABSCESS COMPLICATED 394.00 10060 10060 I D ABSCESS SIMPLE 229.00 10021 10021 ASPIRATION WITHOUT IMAGING GUIDAN 238.00 L3260 L3260 AMBULATORY SURGICAL BOOT EACH 7.50 J7325 J7325 SYNVISC One 2,208.00 J7325-1 J7325 SYNVISC Low Dose 16 units 736.00 J7324 J7324 INJECTION HYALURONAN OR DERIVATIV 174.00 J7322 J7322 Hymovis 463.20 J7322 J7322 Hymovis 19.30 J7321 J7321 HYALGAN, PER DOSE 250.00 J7320 J7320 HYLAN G-F20 496.85 J3490A J3490 SINUVA 1,530.00 J3301 J3301 INJECTION TRIAMCINOLONE ACETONIDE 11.00 J2930 J2930 Solu-medrol 125MG 15.00 J2405 J2405 INJECTION ONDANSETRON HCI PER 1 M 25.00 J1885 J1885 INJECT KETOROLAC TROMETHAMINE 24.00 J1885 X2 J1885 INJECT TORADOL 30 MG 48.00 J1885 X4 J1885 INJECT KETOROLAC TROMETHAMINE 60 96.00 J1100 J1100 DEXAMETHASONE NA/PHOS 2.00 J1100-3 J1100 Dexamethasone NS Phos 3CC 6.00 J1100-7 J1100 Dexamethasone NA/Phos 7cc 14.00 J1040 J1040 INJ,METHYLPREDNISOLONE 80mg/ml 18.73 J1030 J1030 INJ,METHYLPREDISOLONE 40mg/ml 10.85 J1020 J1020 INJECTION DEPO-MEDROL 20 MG 5.00 J0775 J0775 INJECTION, COLLAGENASE, CLOSTRIDI 80.00 J0702 J0702 INJECTION BETAMETHASONE ACETATE 26.97 J0696 2 J0696 2 Rocephin 2 gm 36.00 J0696 1G J0696 1G ROCEPHIN 1 GM 36.00 J0696 J0696 ROCEPHIN 36.00 J0585 J0585 INJECTION ONABOTULINUMTOXIN A, 11.00 G0460 G0460 Autologous platelet rich plasma f 374.00 G0396 G0396 ALCOHOL/SUBSTANCE ABUSE STRUCT 80.00 G0289 G0289 KNEE CHONDROPLASTY OTHER COMPART 200.00 G0283 G0283 ELEC STIM, UNATTENDED 26.25 G0277 G0277 Hyperbaric oxygen under pressure, 163.00 G0268 G0268 REMOVAL IMPACTED CERUMEN SAME DAY 80.00 G0180 G0180 PHYSICIAN CERTIFICATION SERVIC 60.00 G0179 G0179 PHYSICIAN RECERTIFICTION SVRS 50.00 G0127 G0127 TRIM DYSTROPHIC NAILS 45.00 A9300 A9300 EXERCISE EQUIPMENT 12.50 A9270 A9270 NONCOVERED ITEM OR SERVICE 62.50 A6449 A6449 LIGHT COMPRESS BAND,ELASTIC,KNIT/ 15.00 A6448 A6448 LIGHT COMPRESSION BANDAGE,ELASTIC 12.50 A4649 A4649 SURGICAL SUPPLY MISCELLANEOUS 17.50 A4590 A4590 SPECIAL CASTING MATERIAL/ PROCEL 150.00 A4570 A4570 SPLINT 15.00 A4550 A4550 SURGICAL TRAY 412.50 A4495 A4495 SURGICAL STOCKING THIGH LENGTH 5.00 A4490 A4490 SURGICAL STOCKING ABOVE KNEE 13.12