Division of Health Care Financing & Policy SB 278 Section 16 - Physician Rates Reporting Facility & Non-Facility Rate Comparison

Nevada 2016 2016 Medicaid Medicaid Medicaid Medicare Medicare vs. vs. Procedure Code & Description Rates (1) Non-Facility Facility Medicare Medicare Rates for Rates for Non-Facility Facility 10021 Fna w/o image 70.92 128.90 72.80 (57.98) (1.88) 10022 Fna w/image 65.39 148.21 68.38 (82.82) (2.99) 10030 Guide cathet fluid drainage 154.73 827.01 176.71 (672.28) (21.98) 10035 Perq dev soft tiss 1st imag 86.35 568.38 90.92 (482.03) (4.57) 10036 Perq dev soft tiss add imag 43.52 495.42 45.82 (451.90) (2.30) 10040 Acne surgery 87.47 106.03 92.10 (18.56) (4.63) 10060 Drainage of skin abscess 95.60 122.68 101.60 (27.08) (6.00) 10061 Drainage of skin abscess 178.04 215.50 188.01 (37.46) (9.97) 10080 Drainage of pilonidal cyst 103.29 188.83 107.87 (85.54) (4.58) 10081 Drainage of pilonidal cyst 172.45 281.57 177.64 (109.12) (5.19) 10120 Remove foreign body 103.22 159.56 108.73 (56.34) (5.51) 10121 Remove foreign body 185.58 287.08 194.44 (101.50) (8.86) 10140 Drainage of hematoma/fluid 118.06 170.87 124.18 (52.81) (6.12) 10160 Puncture drainage of lesion 95.62 136.49 100.72 (40.87) (5.10) 10180 Complex drainage wound 178.97 258.94 188.14 (79.97) (9.17) 11000 Debride infected skin 28.42 56.88 29.76 (28.46) (1.34) 11001 Debride infected skin add-on 14.22 22.40 14.87 (8.18) (0.65) 11004 Debride genitalia & perineum 579.35 608.28 608.28 (28.93) (28.93) 11005 Debride abdom wall 781.65 822.97 822.97 (41.32) (41.32) 11006 Debride genit/per/abdom wall 702.26 738.09 738.09 (35.83) (35.83) 11008 Remove mesh from abd wall 274.06 289.40 289.40 (15.34) (15.34) 11010 Debride skin at fx site 278.30 518.01 293.96 (239.71) (15.66) 11011 Debride skin musc at fx site 301.71 562.17 314.02 (260.46) (12.31) 11012 Deb skin bone at fx site 426.17 750.34 448.73 (324.17) (22.56) 11042 Deb subq tissue 20 sq cm/< 61.54 122.30 64.69 (60.76) (3.15) 11043 Deb musc/fascia 20 sq cm/< 157.36 238.94 162.88 (81.58) (5.52) 11044 Deb bone 20 sq cm/< 234.59 329.00 242.39 (94.41) (7.80) 11045 Deb subq tissue add-on 27.63 42.68 27.24 (15.05) 0.39 11046 Deb musc/fascia add-on 56.21 76.56 58.48 (20.35) (2.27) 11047 Deb bone add-on 100.66 129.49 104.26 (28.83) (3.60) 11055 Trim skin lesion 15.90 49.83 16.70 (33.93) (0.80) 11056 TRIM SKIN LESIONS 2 TO 4 22.47 60.86 23.58 (38.39) (1.11) 11057 Trim skin lesions over 4 29.39 68.49 30.84 (39.10) (1.45) 11100 Biopsy skin lesion 48.61 108.35 51.11 (59.74) (2.50) 11101 Biopsy skin add-on 24.46 34.20 26.29 (9.74) (1.83) 11200 Removal of skin tags 2.0 CM 74.11 163.18 78.08 (89.07) (3.97) 11305 Shave skin lesion 0.5 cm/< 38.48 103.94 41.06 (65.46) (2.58) 11306 SHAVE SKIN LESION 0.6-1.0 CM 51.56 127.68 54.25 (76.12) (2.69) 11307 Shave skin lesion 1.1-2.0 cm 66.25 150.53 69.95 (84.28) (3.70) 11308 SHAVE SKIN LESION >2.0 CM 72.94 157.66 77.08 (84.72) (4.14) 11310 Shave skin lesion 0.5 cm/< 47.19 118.91 49.62 (71.72) (2.43) 11311 Shave skin lesion 0.6-1.0 cm 65.00 116.41 68.96 (51.41) (3.96) 11312 Shave skin lesion 1.1-2.0 cm 78.37 167.97 82.11 (89.60) (3.74) 11313 Shave skin lesion >2.0 cm 100.38 194.30 105.44 (93.92) (5.06) 11400 Exc tr-ext b9+marg 0.5 cm< 79.32 129.99 84.43 (50.67) (5.11) 11401 Exc tr-ext b9+marg 0.6-1 cm 103.18 155.95 108.88 (52.77) (5.70) 11402 Exc tr-ext b9+marg 1.1-2 cm 113.71 173.27 119.80 (59.56) (6.09) 11403 Exc tr-ext b9+marg 2.1-3cm/< 146.50 200.64 155.08 (54.14) (8.58) 11404 Exc tr-ext b9+marg 3.1-4 cm 160.82 227.89 170.65 (67.07) (9.83) 11406 Exc tr-ext b9+marg >4.0 cm 244.91 327.57 259.04 (82.66) (14.13) 11420 Exc h-f-nk-sp b9+marg 0.5/< 81.23 128.29 85.74 (47.06) (4.51) 11421 Exc h-f-nk-sp b9+marg 0.6-1 110.40 163.90 115.32 (53.50) (4.92) 11422 Exc h-f-nk-sp b9+marg 1.1-2 134.86 183.38 142.34 (48.52) (7.48) 11423 Exc h-f-nk-sp b9+marg 2.1-3 156.55 211.18 165.24 (54.63) (8.69) 11424 Exc h-f-nk-sp b9+marg 3.1-4 178.52 244.15 188.80 (65.63) (10.28) 11426 Exc h-f-nk-sp b9+marg >4 cm 273.01 348.00 288.50 (74.99) (15.49) 11440 Exc face-mm b9+marg 0.5 cm/< 103.53 141.41 108.65 (37.88) (5.12) 11441 Exc face-mm b9+marg 0.6-1 cm 131.15 175.77 138.49 (44.62) (7.34) 11442 Exc face-mm b9+marg 1.1-2 cm 145.52 196.72 153.04 (51.20) (7.52) 11443 Exc face-mm b9+marg 2.1-3 cm 177.64 234.31 187.62 (56.67) (9.98) 11444 Exc face-mm b9+marg 3.1-4 cm 226.95 293.94 238.59 (66.99) (11.64) 11446 Exc face-mm b9+marg >4 cm 326.08 407.76 341.86 (81.68) (15.78) 11450 Removal sweat gland lesion 250.45 400.01 265.21 (149.56) (14.76) 11451 Removal sweat gland lesion 323.33 509.26 341.32 (185.93) (17.99) 11462 Removal sweat gland lesion 239.27 390.76 253.32 (151.49) (14.05) 11463 Removal sweat gland lesion 326.52 515.36 342.52 (188.84) (16.00) 11470 Removal sweat gland lesion 281.55 433.65 295.83 (152.10) (14.28) 11471 Removal sweat gland lesion 352.30 534.96 367.02 (182.66) (14.72) 11600 Exc tr-ext mal+marg 0.5 cm/< 119.51 201.59 125.15 (82.08) (5.64) 11601 Exc tr-ext mal+marg 0.6-1 cm 148.23 239.45 156.61 (91.22) (8.38) 11602 Exc tr-ext mal+marg 1.1-2 cm 162.64 259.76 172.02 (97.12) (9.38) 11603 Exc tr-ext mal+marg 2.1-3 cm 194.07 296.64 205.89 (102.57) (11.82) 11604 Exc tr-ext mal+marg 3.1-4 cm 214.78 329.75 226.58 (114.97) (11.80) 11606 Exc tr-ext mal+marg >4 cm 319.34 471.46 336.66 (152.12) (17.32) 11620 Exc h-f-nk-sp mal+marg 0.5/< 121.29 203.78 126.97 (82.49) (5.68) 11621 Exc s/n/h/f/g mal+mrg 0.6-1 148.93 240.92 158.07 (91.99) (9.14) 11622 Exc s/n/h/f/g mal+mrg 1.1-2 170.68 268.49 180.75 (97.81) (10.07) 11623 Exc s/n/h/f/g mal+mrg 2.1-3 211.61 314.84 223.71 (103.23) (12.10) 11624 Exc s/n/h/f/g mal+mrg 3.1-4 239.93 354.79 253.12 (114.86) (13.19) 11626 Exc s/n/h/f/g mal+mrg >4 cm 294.83 427.17 310.07 (132.34) (15.24) 11640 Exc f/e/e/n/l mal+mrg 0.5cm< 125.18 210.13 131.44 (84.95) (6.26) 11641 Exc f/e/e/n/l mal+mrg 0.6-1 155.98 249.40 164.68 (93.42) (8.70) 11642 Exc f/e/e/n/l mal+mrg 1.1-2 183.25 284.61 194.24 (101.36) (10.99) 11643 Exc f/e/e/n/l mal+mrg 2.1-3 230.87 334.94 242.68 (104.07) (11.81) 11644 Exc f/e/e/n/l mal+mrg 3.1-4 285.84 412.85 300.27 (127.01) (14.43) 11646 Exc f/e/e/n/l mal+mrg >4 cm 397.05 538.76 416.76 (141.71) (19.71) 11719 Trim nail(s) any number 7.60 14.38 7.98 (6.78) (0.38) 11720 Debride nail 1-5 14.90 33.69 15.24 (18.79) (0.34) 11721 Debride nail 6 or more 24.56 46.83 25.75 (22.27) (1.19) 11730 REMOVAL OF NAIL PLATE 50.53 103.42 52.97 (52.89) (2.44) 11732 Remove nail plate add-on 20.06 37.23 21.04 (17.17) (0.98) 11740 Drain blood from under nail 32.76 52.03 34.34 (19.27) (1.58) 11750 Removal of nail bed 173.14 189.52 148.10 (16.38) 25.04 11755 Biopsy nail unit 78.21 139.93 81.56 (61.72) (3.35) 11760 Repair of nail bed 133.87 203.92 122.59 (70.05) 11.28 11762 Reconstruction of nail bed 185.05 293.47 192.55 (108.42) (7.50) 11765 EXCISION OF NAIL FOLD TOE 93.04 175.88 98.68 (82.84) (5.64) 11770 Remove pilonidal cyst simple 183.77 291.31 194.53 (107.54) (10.76) 11771 Remove pilonidal cyst exten 431.80 600.73 456.14 (168.93) (24.34) 11772 Remove pilonidal cyst compl 573.13 728.65 606.65 (155.52) (33.52) 11900 Inject skin lesions 7 48.63 72.97 50.75 (24.34) (2.12) 11950 Tx contour defects 1 cc/< 53.20 76.77 53.42 (23.57) (0.22) 11951 Tx contour defects 1.1-5.0cc 76.48 101.45 75.09 (24.97) 1.39 11952 Tx contour defects 5.1-10cc 100.70 136.30 101.28 (35.60) (0.58) 11954 Tx contour defects >10.0 cc 116.38 164.50 120.07 (48.12) (3.69) 11960 Insert tissue expander(s) 934.51 994.84 994.84 (60.33) (60.33) 11970 Replace tissue expander 616.24 640.09 640.09 (23.85) (23.85) 11971 Remove tissue expander(s) 322.25 493.78 336.01 (171.53) (13.76) 11976 Remove contraceptive capsule 97.05 148.67 97.84 (51.62) (0.79) 11980 Implant hormone pellet(s) 79.88 98.05 58.52 (18.17) 21.36 11981 Insert drug implant device 81.34 146.79 86.16 (65.45) (4.82) 11982 Remove drug implant device 97.30 166.50 104.75 (69.20) (7.45) 11983 Remove/insert drug implant 168.65 231.08 181.37 (62.43) (12.72) 12001 Rpr s/n/ax/gen/trnk 2.5cm/< 45.00 93.23 46.17 (48.23) (1.17) 12002 Rpr s/n/ax/gen/trnk2.6-7.5cm 59.25 113.35 60.63 (54.10) (1.38) 12004 Rpr s/n/ax/gen/trk7.6-12.5cm 73.87 133.44 75.83 (59.57) (1.96) 12005 Rpr s/n/a/gen/trk12.6-20.0cm 99.98 168.14 98.48 (68.16) 1.50 12006 Rpr s/n/a/gen/trk20.1-30.0cm 121.24 199.29 120.96 (78.05) 0.28 12007 Rpr s/n/ax/gen/trnk >30.0 cm 150.62 232.42 152.96 (81.80) (2.34) 12011 Rpr f/e/e/n/l/m 2.5 cm/< 56.15 114.22 57.36 (58.07) (1.21) 12013 Rpr f/e/e/n/l/m 2.6-5.0 cm 62.72 119.20 60.08 (56.48) 2.64 12014 Rpr f/e/e/n/l/m 5.1-7.5 cm 79.77 139.21 77.45 (59.44) 2.32 12015 Rpr f/e/e/n/l/m 7.6-12.5 cm 99.25 168.51 97.34 (69.26) 1.91 12016 Rpr fe/e/en/l/m 12.6-20.0 cm 134.79 213.77 133.19 (78.98) 1.60 12017 Rpr fe/e/en/l/m 20.1-30.0 cm 154.16 159.56 159.56 (5.40) (5.40) 12018 Rpr f/e/e/n/l/m >30.0 cm 174.32 180.92 180.92 (6.60) (6.60) 12020 Closure of split wound 190.75 304.14 204.73 (113.39) (13.98) 12021 Closure of split wound 141.38 174.91 148.55 (33.53) (7.17) 12031 Intmd rpr s/a/t/ext 2.5 cm/< 152.69 248.23 161.24 (95.54) (8.55) 12032 Intmd rpr s/a/t/ext 2.6-7.5 193.83 317.99 205.78 (124.16) (11.95) 12034 Intmd rpr s/tr/ext 7.6-12.5 206.50 326.04 217.59 (119.54) (11.09) 12035 Intmd rpr s/a/t/ext 12.6-20 242.75 400.93 252.95 (158.18) (10.20) 12036 Intmd rpr s/a/t/ext 20.1-30 281.53 441.05 293.45 (159.52) (11.92) 12037 Intmd rpr s/tr/ext >30.0 cm 329.21 499.69 343.42 (170.48) (14.21) 12041 Intmd rpr n-hf/genit 2.5cm/< 156.10 248.06 158.44 (91.96) (2.34) 12042 Intmd rpr n-hf/genit2.6-7.5 199.13 302.38 211.26 (103.25) (12.13) 12044 Intmd rpr n-hf/genit7.6-12.5 215.46 376.13 225.89 (160.67) (10.43) 12045 Intmd rpr n-hf/genit12.6-20 270.64 422.36 284.92 (151.72) (14.28) 12046 Intmd rpr n-hf/genit20.1-30 307.30 501.40 326.68 (194.10) (19.38) 12047 Intmd rpr n-hf/genit >30.0cm 342.23 543.58 363.21 (201.35) (20.98) 12051 Intmd rpr face/mm 2.5 cm/< 171.16 270.53 180.91 (99.37) (9.75) 12052 Intmd rpr face/mm 2.6-5.0 cm 202.59 307.87 214.87 (105.28) (12.28) 12053 Intmd rpr face/mm 5.1-7.5 cm 217.62 361.48 229.31 (143.86) (11.69) 12054 Intmd rpr face/mm 7.6-12.5cm 229.00 377.38 233.91 (148.38) (4.91) 12055 Intmd rpr face/mm 12.6-20 cm 304.25 490.14 322.57 (185.89) (18.32) 12056 Intmd rpr face/mm 20.1-30.0 378.07 572.37 398.40 (194.30) (20.33) 12057 Intmd rpr face/mm >30.0 cm 380.17 589.00 428.21 (208.83) (48.04) 13100 Cmplx rpr trunk 1.1-2.5 cm 205.67 350.51 217.21 (144.84) (11.54) 13101 Cmplx rpr trunk 2.6-7.5 cm 253.35 415.01 267.78 (161.66) (14.43) 13102 Cmplx rpr trunk addl 5cm/< 74.94 127.32 78.37 (52.38) (3.43) 13120 Cmplx rpr s/a/l 1.1-2.5 cm 236.18 366.60 249.50 (130.42) (13.32) 13121 Cmplx rpr s/a/l 2.6-7.5 cm 266.90 447.53 282.22 (180.63) (15.32) 13122 Cmplx rpr s/a/l addl 5 cm/> 86.11 139.37 90.04 (53.26) (3.93) 13131 Cmplx rpr f/c/c/m/n/ax/g/h/f 250.46 403.29 263.59 (152.83) (13.13) 13132 Cmplx rpr f/c/c/m/n/ax/g/h/f 314.11 498.69 332.25 (184.58) (18.14) 13133 Cmplx rpr f/c/c/m/n/ax/g/h/f 131.55 186.84 138.26 (55.29) (6.71) 13151 Cmplx rpr e/n/e/l 1.1-2.5 cm 287.17 441.57 303.00 (154.40) (15.83) 13152 Cmplx rpr e/n/e/l 2.6-7.5 cm 348.07 530.65 367.61 (182.58) (19.54) 13153 Cmplx rpr e/n/e/l addl 5cm/< 142.39 202.62 149.15 (60.23) (6.76) 13160 Late closure of wound 812.08 847.51 847.51 (35.43) (35.43) 14000 Tis trnfr trunk 10 sq cm/< 503.62 651.75 530.12 (148.13) (26.50) 14001 Tis trnfr trunk 10.1-30sqcm 653.91 837.52 689.54 (183.61) (35.63) 14020 Tis trnfr s/a/l 10 sq cm/< 570.41 729.65 599.74 (159.24) (29.33) 14021 Tis trnfr s/a/l 10.1-30 sqcm 718.98 912.11 758.10 (193.13) (39.12) 14040 Tis trnfr f/c/c/m/n/a/g/h/f 634.12 797.85 667.18 (163.73) (33.06) 14041 Tis trnfr f/c/c/m/n/a/g/h/f 777.02 987.61 820.79 (210.59) (43.77) 14060 Tis trnfr e/n/e/l 10 sq cm/< 675.50 813.18 710.38 (137.68) (34.88) 14061 Tis trnfr e/n/e/l10.1-30sqcm 831.27 1,062.73 878.59 (231.46) (47.32) 14301 Tis trnfr any 30.1-60 sq cm 885.86 1,128.49 930.43 (242.63) (44.57) 14302 Tis trnfr addl 30 sq cm/< 222.91 233.24 233.24 (10.33) (10.33) 14350 Filleted finger/toe flap 710.79 729.97 729.97 (19.18) (19.18) 15002 Wound prep trk/arm/leg 228.12 364.06 238.67 (135.94) (10.55) 15003 Wound prep addl 100 cm 45.82 79.27 48.02 (33.45) (2.20) 15004 Wound prep f/n/hf/g 273.12 420.16 284.23 (147.04) (11.11) 15005 Wnd prep f/n/hf/g addl cm 92.01 130.32 95.68 (38.31) (3.67) 15040 Harvest cultured skin graft 127.99 269.87 134.69 (141.88) (6.70) 15050 Skin pinch graft 447.97 591.50 469.12 (143.53) (21.15) 15100 Skin splt grft trnk/arm/leg 721.11 899.25 753.53 (178.14) (32.42) 15101 Skin splt grft t/a/l add-on 111.59 195.47 117.15 (83.88) (5.56) 15110 Epidrm autogrft trnk/arm/leg 755.76 839.14 730.70 (83.38) 25.06 15111 Epidrm autogrft t/a/l add-on 102.43 120.95 109.28 (18.52) (6.85) 15115 Epidrm a-grft face/nck/hf/g 760.07 861.47 752.27 (101.40) 7.80 15116 Epidrm a-grft f/n/hf/g addl 135.54 160.10 144.29 (24.56) (8.75) 15120 Skn splt a-grft fac/nck/hf/g 704.54 892.16 735.51 (187.62) (30.97) 15121 Skn splt a-grft f/n/hf/g add 132.65 219.03 139.96 (86.38) (7.31) 15130 Derm autograft trnk/arm/leg 572.46 705.53 594.44 (133.07) (21.98) 15131 Derm autograft t/a/l add-on 93.99 104.20 95.54 (10.21) (1.55) 15135 Derm autograft face/nck/hf/g 751.60 883.92 775.10 (132.32) (23.50) 15136 Derm autograft f/n/hf/g add 85.38 98.98 92.58 (13.60) (7.20) 15150 Cult skin grft t/arm/leg 628.41 730.23 667.72 (101.82) (39.31) 15151 Cult skin grft t/a/l addl 109.41 127.74 117.95 (18.33) (8.54) 15152 Cult skin graft t/a/l +% 141.28 156.74 146.57 (15.46) (5.29) 15155 Cult skin graft f/n/hf/g 643.99 756.25 699.39 (112.26) (55.40) 15156 Cult skin grft f/n/hfg add 150.68 165.01 156.35 (14.33) (5.67) 15157 Cult epiderm grft f/n/hfg +% 151.39 181.92 169.87 (30.53) (18.48) 15200 Skin full graft trunk 676.40 870.35 708.06 (193.95) (31.66) 15201 Skin full graft trunk add-on 80.59 155.38 82.71 (74.79) (2.12) 15220 Skin full graft sclp/arm/leg 617.95 807.65 648.75 (189.70) (30.80) 15221 Skin full graft add-on 72.52 143.62 75.09 (71.10) (2.57) 15240 Skin full grft face/genit/hf 804.14 978.46 845.91 (174.32) (41.77) 15241 Skin full graft add-on 113.11 193.86 117.42 (80.75) (4.31) 15260 Skin full graft een & lips 861.95 1,061.06 907.05 (199.11) (45.10) 15261 Skin full graft add-on 141.57 226.66 147.96 (85.09) (6.39) 15271 Skin sub graft trnk/arm/leg 86.34 147.25 88.89 (60.91) (2.55) 15272 Skin sub graft t/a/l add-on 17.05 28.33 18.16 (11.28) (1.11) 15273 Skin sub grft t/arm/lg child 202.49 311.21 212.56 (108.72) (10.07) 15274 Skn sub grft t/a/l child add 43.94 74.70 48.34 (30.76) (4.40) 15275 Skin sub graft face/nk/hf/g 100.21 155.82 100.09 (55.61) 0.12 15276 Skin sub graft f/n/hf/g addl 25.03 35.93 26.14 (10.90) (1.11) 15277 Skn sub grft f/n/hf/g child 220.54 337.10 236.18 (116.56) (15.64) 15278 Skn sub grft f/n/hf/g ch add 54.74 88.98 59.99 (34.24) (5.25) 15570 Skin pedicle flap trunk 744.45 957.23 774.60 (212.78) (30.15) 15572 Skin pedicle flap arms/legs 749.58 929.08 785.62 (179.50) (36.04) 15574 Pedcle fh/ch/ch/m/n/ax/g/h/f 773.29 957.50 808.38 (184.21) (35.09) 15576 Pedicle e/n/e/l/ntroral 679.03 844.93 707.11 (165.90) (28.08) 15600 Delay flap trunk 207.69 339.64 218.77 (131.95) (11.08) 15610 Delay flap arms/legs 241.70 373.59 254.60 (131.89) (12.90) 15620 Delay flap f/c/c/n/ax/g/h/f 328.03 461.90 344.41 (133.87) (16.38) 15630 Delay flap eye/nos/ear/lip 347.96 482.34 365.99 (134.38) (18.03) 15650 Transfer skin pedicle flap 386.06 528.35 402.96 (142.29) (16.90) 15731 Forehead flap w/vasc pedicle 1,020.27 1,181.70 1,062.34 (161.43) (42.07) 15732 Muscle-skin graft head/neck 1,147.42 1,347.90 1,175.44 (200.48) (28.02) 15734 Muscle-skin graft trunk 1,331.00 1,575.90 1,387.24 (244.90) (56.24) 15736 Muscle-skin graft arm 1,154.86 1,383.83 1,198.19 (228.97) (43.33) 15738 Muscle-skin graft leg 1,252.48 1,469.19 1,294.84 (216.71) (42.36) 15740 Island pedicle flap graft 854.11 1,068.00 900.44 (213.89) (46.33) 15750 Neurovascular pedicle flap 919.29 966.40 966.40 (47.11) (47.11) 15756 Free myo/skin flap microvasc 2,356.30 2,448.11 2,448.11 (91.81) (91.81) 15757 Free skin flap microvasc 2,323.21 2,417.86 2,417.86 (94.65) (94.65) 15758 Free fascial flap microvasc 2,325.11 2,421.81 2,421.81 (96.70) (96.70) 15760 Composite skin graft 714.82 895.16 747.55 (180.34) (32.73) 15770 Derma-fat-fascia graft 683.17 707.57 707.57 (24.40) (24.40) 15777 Acellular derm matrix implt 214.33 224.23 224.23 (9.90) (9.90) 15786 Abrasion lesion single 138.92 256.93 142.46 (118.01) (3.54) 15787 Abrasion lesions add-on 17.77 51.72 18.21 (33.95) (0.44) 15792 Chemical peel nonfacial 260.98 469.47 279.69 (208.49) (18.71) 15793 Chemical peel nonfacial 363.84 518.79 388.12 (154.95) (24.28) 15820 Revision of lower eyelid 534.87 588.98 530.99 (54.11) 3.88 15821 Revision of lower eyelid 567.00 634.44 569.67 (67.44) (2.67) 15822 Revision of upper eyelid 401.47 466.41 409.17 (64.94) (7.70) 15823 Revision of upper eyelid 567.31 634.68 568.79 (67.37) (1.48) 15830 Exc skin abd 1,181.00 1,231.79 1,231.79 (50.79) (50.79) 15840 Nerve palsy fascial graft 1,028.85 1,061.86 1,061.86 (33.01) (33.01) 15841 Nerve palsy muscle graft 1,609.83 1,699.01 1,699.01 (89.18) (89.18) 15842 Nerve palsy microsurg graft 2,661.87 2,766.70 2,766.70 (104.83) (104.83) 15845 Skin and muscle repair face 1,026.97 1,055.97 1,055.97 (29.00) (29.00) 15847 Exc skin abd add-on 412.57 0.00 0.00 412.57 412.57 15850 Remove sutures same surgeon 39.22 93.33 43.25 (54.11) (4.03) 15851 Remove sutures diff surgeon 46.36 103.79 47.69 (57.43) (1.33) 15852 Dressing change not for burn 46.76 49.07 49.07 (2.31) (2.31) 15860 Test for blood flow in graft 111.94 116.04 116.04 (4.10) (4.10) 15920 Removal of tail bone ulcer 608.79 634.88 634.88 (26.09) (26.09) 15922 Removal of tail bone ulcer 791.10 820.49 820.49 (29.39) (29.39) 15931 Remove sacrum pressure sore 684.75 720.78 720.78 (36.03) (36.03) 15933 Remove sacrum pressure sore 855.61 891.15 891.15 (35.54) (35.54) 15934 Remove sacrum pressure sore 925.62 973.49 973.49 (47.87) (47.87) 15935 Remove sacrum pressure sore 1,096.92 1,148.15 1,148.15 (51.23) (51.23) 15936 Remove sacrum pressure sore 899.09 935.40 935.40 (36.31) (36.31) 15937 Remove sacrum pressure sore 1,048.00 1,085.03 1,085.03 (37.03) (37.03) 15940 Remove hip pressure sore 702.46 735.57 735.57 (33.11) (33.11) 15941 Remove hip pressure sore 909.85 944.39 944.39 (34.54) (34.54) 15944 Remove hip pressure sore 895.82 930.08 930.08 (34.26) (34.26) 15945 Remove hip pressure sore 986.45 1,024.90 1,024.90 (38.45) (38.45) 15946 Remove hip pressure sore 1,654.52 1,717.48 1,717.48 (62.96) (62.96) 15950 Remove thigh pressure sore 593.26 621.57 621.57 (28.31) (28.31) 15951 Remove thigh pressure sore 890.19 923.05 923.05 (32.86) (32.86) 15952 Remove thigh pressure sore 923.94 941.53 941.53 (17.59) (17.59) 15953 Remove thigh pressure sore 1,007.84 1,044.32 1,044.32 (36.48) (36.48) 15956 Remove thigh pressure sore 1,170.51 1,210.38 1,210.38 (39.87) (39.87) 15958 Remove thigh pressure sore 1,185.97 1,231.35 1,231.35 (45.38) (45.38) 16000 Initial treatment of burn(s) 45.95 71.69 47.97 (25.74) (2.02) 16020 DRESS/DEBRID P-THICK BURN S 54.52 85.59 56.97 (31.07) (2.45) 16025 Dress/debrid p-thick burn m 112.54 153.91 116.63 (41.37) (4.09) 16030 Dress/debrid p-thick burn l 136.10 194.17 140.33 (58.07) (4.23) 16035 Incision of burn scab initi 198.83 203.82 203.82 (4.99) (4.99) 16036 Escharotomy addl incision 82.07 84.62 84.62 (2.55) (2.55) 17000 DESTRUCT PREMALG LESION 52.51 69.94 56.01 (17.43) (3.50) 17003 Destruct premalg les 2-14 2.45 5.93 2.55 (3.48) (0.10) 17004 Destroy premal lesions 15/> 99.06 157.28 104.94 (58.22) (5.88) 17106 Destruction of skin lesions 271.65 357.13 290.11 (85.48) (18.46) 17107 Destruction of skin lesions 348.95 453.96 364.72 (105.01) (15.77) 17108 Destruction of skin lesions 521.97 668.25 552.65 (146.28) (30.68) 17110 Destruct b9 lesion 1-14 68.86 116.48 73.56 (47.62) (4.70) 17111 DESTRUCT LESION 15 OR MORE 84.58 137.78 90.34 (53.20) (5.76) 17250 CHEMICAL CAUTERY TISSUE 37.26 83.35 38.92 (46.09) (1.66) 17260 DESTRUCTION OF SKIN LESIONS 68.80 98.99 73.76 (30.19) (4.96) 17261 DESTRUCTION OF SKIN LESIONS 91.04 150.42 96.20 (59.38) (5.16) 17262 DESTRUCTION OF SKIN LESIONS 115.51 183.11 122.49 (67.60) (6.98) 17263 DESTRUCTION OF SKIN LESIONS 128.10 200.01 136.00 (71.91) (7.90) 17264 Destruction of skin lesions 137.22 214.40 145.12 (77.18) (7.90) 17266 Destruction of skin lesions 160.62 242.99 169.56 (82.37) (8.94) 17270 Destruction of skin lesions 99.42 157.66 104.94 (58.24) (5.52) 17271 Destruction of skin lesions 110.65 170.51 116.66 (59.86) (6.01) 17272 DESTRUCTION OF SKIN LESIONS 127.06 194.78 134.90 (67.72) (7.84) 17273 Destruction of skin lesions 144.21 217.21 152.07 (73.00) (7.86) 17274 Destruction of skin lesions 174.92 256.41 185.62 (81.49) (10.70) 17276 Destruction of skin lesions 211.33 296.63 222.83 (85.30) (11.50) 17280 DESTRUCTION OF SKIN LESIONS 90.33 147.41 95.45 (57.08) (5.12) 17281 Destruction of skin lesions 124.28 185.85 131.25 (61.57) (6.97) 17282 Destruction of skin lesions 143.51 213.81 151.68 (70.30) (8.17) 17283 Destruction of skin lesions 178.44 255.55 189.28 (77.11) (10.84) 17284 Destruction of skin lesions 208.48 291.82 220.65 (83.34) (12.17) 17286 Destruction of skin lesions 281.20 373.91 295.59 (92.71) (14.39) 17311 Mohs 1 stage h/n/hf/g 374.95 692.36 398.28 (317.41) (23.33) 17312 Mohs addl stage 198.98 407.53 211.72 (208.55) (12.74) 17313 Mohs 1 stage t/a/l 336.50 647.72 357.03 (311.22) (20.53) 17314 Mohs addl stage t/a/l 184.65 391.08 196.40 (206.43) (11.75) 17315 Mohs surg addl block 52.09 83.35 55.86 (31.26) (3.77) 17340 Cryotherapy of skin 49.02 53.48 51.23 (4.46) (2.21) 19000 Drainage of breast lesion 43.88 119.22 45.79 (75.34) (1.91) 19001 Drain breast lesion add-on 21.57 28.18 22.91 (6.61) (1.34) 19020 Incision of breast lesion 303.77 496.89 321.80 (193.12) (18.03) 19030 Injection for breast x-ray 77.12 173.73 81.48 (96.61) (4.36) 19081 Bx breast 1st lesion strtctc 183.02 735.42 178.12 (552.40) 4.90 19082 Bx breast add lesion strtctc 86.79 609.84 89.07 (523.05) (2.28) 19083 Bx breast 1st lesion us imag 171.39 711.38 166.89 (539.99) 4.50 19084 Bx breast add lesion us imag 81.55 586.70 83.63 (505.15) (2.08) 19085 Bx breast 1st lesion mr imag 200.00 1,094.80 195.97 (894.80) 4.03 19086 Bx breast add lesion mr imag 88.31 869.43 97.12 (781.12) (8.81) 19100 Bx breast percut w/o image 69.19 158.35 73.25 (89.16) (4.06) 19101 Biopsy of breast open 219.59 358.48 232.71 (138.89) (13.12) 19105 Cryosurg ablate fa each 189.90 2,280.15 204.22 (2,090.25) (14.32) 19110 Nipple exploration 339.52 509.73 359.86 (170.21) (20.34) 19112 Excise breast duct fistula 310.66 479.83 327.33 (169.17) (16.67) 19120 Removal of breast lesion 410.59 518.10 434.50 (107.51) (23.91) 19125 Excision breast lesion 455.77 574.30 482.79 (118.53) (27.02) 19126 Excision addl breast lesion 160.83 169.67 169.67 (8.84) (8.84) 19260 Removal of chest wall lesion 1,208.03 1,267.10 1,267.10 (59.07) (59.07) 19271 Revision of chest wall 1,626.86 1,718.96 1,718.96 (92.10) (92.10) 19272 Extensive chest wall surgery 1,817.52 1,877.52 1,877.52 (60.00) (60.00) 19281 Perq device breast 1st imag 101.85 252.31 106.59 (150.46) (4.74) 19282 Perq device breast ea imag 48.48 177.34 53.46 (128.86) (4.98) 19283 Perq dev breast 1st strtctc 102.93 284.25 107.27 (181.32) (4.34) 19284 Perq dev breast add strtctc 48.83 215.33 54.16 (166.50) (5.33) 19285 Perq dev breast 1st us imag 87.27 547.30 90.92 (460.03) (3.65) 19286 Perq dev breast add us imag 41.93 481.87 45.82 (439.94) (3.89) 19287 Perq dev breast 1st mr guide 142.77 915.47 136.39 (772.70) 6.38 19288 Perq dev breast add mr guide 62.70 739.80 68.03 (677.10) (5.33) 19296 Place po breast cath for rad 3,708.28 4,216.09 221.64 (507.81) 3,486.64 19297 Place breast cath for rad 93.64 99.70 99.70 (6.06) (6.06) 19298 Place breast rad tube/caths 322.73 1,113.19 343.15 (790.46) (20.42) 19300 Removal of breast tissue 410.06 549.67 434.45 (139.61) (24.39) 19301 Partial mastectomy 647.80 685.64 685.64 (37.84) (37.84) 19302 P-mastectomy w/ln removal 891.99 944.68 944.68 (52.69) (52.69) 19303 Mast simple complete 1,003.06 1,061.43 1,061.43 (58.37) (58.37) 19304 Mast subq 568.06 603.96 603.96 (35.90) (35.90) 19305 Mast radical 1,123.49 1,185.26 1,185.26 (61.77) (61.77) 19306 Mast rad urban type 1,191.07 1,261.38 1,261.38 (70.31) (70.31) 19307 Mast mod rad 1,188.01 1,257.90 1,257.90 (69.89) (69.89) 19316 Suspension of breast 777.50 808.53 808.53 (31.03) (31.03) 19318 Reduction of large breast 1,120.12 1,157.84 1,157.84 (37.72) (37.72) 19324 Enlarge breast 487.24 514.97 514.97 (27.73) (27.73) 19325 Enlarge breast with implant 652.99 673.20 673.20 (20.21) (20.21) 19328 Removal of breast implant 501.15 521.18 521.18 (20.03) (20.03) 19330 Removal of implant material 640.56 667.14 667.14 (26.58) (26.58) 19340 Immediate breast prosthesis 1,018.34 1,055.08 1,055.08 (36.74) (36.74) 19342 Delayed breast prosthesis 935.58 969.90 969.90 (34.32) (34.32) 19350 Breast reconstruction 682.07 864.47 707.82 (182.40) (25.75) 19355 Correct inverted nipple(s) 566.54 738.06 601.00 (171.52) (34.46) 19357 Breast reconstruction 1,525.30 1,586.47 1,586.47 (61.17) (61.17) 19361 Breast reconstr w/lat flap 1,601.69 1,655.13 1,655.13 (53.44) (53.44) 19364 Breast reconstruction 2,804.03 2,895.57 2,895.57 (91.54) (91.54) 19366 Breast reconstruction 1,419.71 1,478.12 1,478.12 (58.41) (58.41) 19367 Breast reconstruction 1,822.69 1,881.49 1,881.49 (58.80) (58.80) 19368 Breast reconstruction 2,241.78 2,313.76 2,313.76 (71.98) (71.98) 19369 Breast reconstruction 2,080.14 2,149.30 2,149.30 (69.16) (69.16) 19370 Surgery of breast capsule 694.56 721.26 721.26 (26.70) (26.70) 19371 Removal of breast capsule 795.04 824.44 824.44 (29.40) (29.40) 19380 Revise breast reconstruction 783.15 812.83 812.83 (29.68) (29.68) 19396 Design custom breast implant 149.72 292.28 147.31 (142.56) 2.41 20005 I&d abscess subfascial 234.24 325.19 245.73 (90.95) (11.49) 20100 Explore wound neck 605.72 638.45 638.45 (32.73) (32.73) 20101 Explore wound chest 207.42 474.38 219.46 (266.96) (12.04) 20102 Explore wound abdomen 255.06 518.36 269.46 (263.30) (14.40) 20103 Explore wound extremity 350.18 613.20 366.18 (263.02) (16.00) 20150 Excise epiphyseal bar 914.92 947.96 947.96 (33.04) (33.04) 20200 Muscle biopsy 95.54 218.84 100.61 (123.30) (5.07) 20205 Deep muscle biopsy 155.33 305.20 164.37 (149.87) (9.04) 20206 Needle biopsy muscle 59.75 251.16 62.51 (191.41) (2.76) 20220 Bone biopsy trocar/needle 72.89 178.35 76.69 (105.46) (3.80) 20225 Bone biopsy trocar/needle 111.12 560.15 114.69 (449.03) (3.57) 20240 BONE BIOPSY OPEN SUPERFICIAL 220.33 162.32 162.32 58.01 58.01 20245 BONE BIOPSY OPEN DEEP 623.63 543.68 543.68 79.95 79.95 20250 Open bone biopsy 389.62 412.33 412.33 (22.71) (22.71) 20251 Open bone biopsy 423.99 447.69 447.69 (23.70) (23.70) 20500 Injection of sinus tract 84.36 109.05 88.72 (24.69) (4.36) 20501 Inject sinus tract for x-ray 38.22 125.10 40.00 (86.88) (1.78) 20520 Removal of foreign body 147.09 214.22 153.98 (67.13) (6.89) 20525 Removal of foreign body 249.12 506.55 261.79 (257.43) (12.67) 20526 Ther injection carp tunnel 56.66 80.52 60.19 (23.86) (3.53) 20527 Inj dupuytren cord w/enzyme 65.19 87.90 69.83 (22.71) (4.64) 20550 Inj tendon sheath/ligament 41.48 61.43 43.73 (19.95) (2.25) 20551 Inj tendon origin/insertion 42.56 62.96 44.51 (20.40) (1.95) 20552 Inj trigger point 1/2 muscl 38.04 57.86 39.78 (19.82) (1.74) 20553 INJECT TRIGGER POINTS 3/> 42.90 66.72 45.26 (23.82) (2.36) 20555 Place ndl musc/tis for rt 332.58 343.17 343.17 (10.59) (10.59) 20600 Drain/inj joint/bursa w/o us 35.53 49.57 37.15 (14.04) (1.62) 20604 Drain/inj joint/bursa w/us 44.80 75.48 47.99 (30.68) (3.19) 20605 Drain/inj joint/bursa w/o us 37.30 52.15 38.97 (14.85) (1.67) 20606 Drain/inj joint/bursa w/us 50.70 83.53 54.91 (32.83) (4.21) 20610 Drain/inj joint/bursa w/o us 46.13 62.79 48.11 (16.66) (1.98) 20611 Drain/inj joint/bursa w/us 59.92 95.69 64.44 (35.77) (4.52) 20612 Aspirate/inj ganglion cyst 41.58 63.39 43.81 (21.81) (2.23) 20615 Treatment of bone cyst 163.16 257.50 172.02 (94.34) (8.86) 20650 Insert and remove bone pin 154.63 217.64 164.55 (63.01) (9.92) 20660 Apply rem fixation device 243.31 258.75 258.75 (15.44) (15.44) 20661 Application of head brace 507.62 536.10 536.10 (28.48) (28.48) 20662 Application of pelvis brace 437.73 455.77 455.77 (18.04) (18.04) 20663 Application of thigh brace 452.02 494.46 494.46 (42.44) (42.44) 20664 Application of halo 873.71 929.88 929.88 (56.17) (56.17) 20665 Removal of fixation device 89.96 110.48 95.04 (20.52) (5.08) 20670 Removal of support implant 148.01 402.28 155.26 (254.27) (7.25) 20680 Removal of support implant 427.06 652.27 446.30 (225.21) (19.24) 20690 Apply bone fixation device 594.09 625.21 625.21 (31.12) (31.12) 20692 Apply bone fixation device 1,122.31 1,177.91 1,177.91 (55.60) (55.60) 20693 Adjust bone fixation device 451.32 469.88 469.88 (18.56) (18.56) 20694 Remove bone fixation device 339.17 448.50 357.00 (109.33) (17.83) 20696 Comp multiplane ext fixation 1,128.81 1,267.55 1,267.55 (138.74) (138.74) 20697 Comp ext fixate strut change 1,864.48 2,118.05 2,118.05 (253.57) (253.57) 20802 Replantation arm complete 2,309.03 2,523.72 2,523.72 (214.69) (214.69) 20805 Replant forearm complete 3,066.65 3,475.57 3,475.57 (408.92) (408.92) 20808 Replantation hand complete 3,984.08 4,232.64 4,232.64 (248.56) (248.56) 20816 Replantation digit complete 1,990.23 2,179.64 2,179.64 (189.41) (189.41) 20822 Replantation digit complete 1,834.08 1,887.21 1,887.21 (53.13) (53.13) 20824 Replantation thumb complete 2,148.50 2,141.62 2,141.62 6.88 6.88 20827 Replantation thumb complete 1,828.87 1,924.34 1,924.34 (95.47) (95.47) 20838 Replantation foot complete 2,604.41 2,549.92 2,549.92 54.49 54.49 20900 Removal of bone for graft 192.55 442.92 200.05 (250.37) (7.50) 20902 Removal of bone for graft 288.17 301.31 301.31 (13.14) (13.14) 20910 Remove cartilage for graft 412.54 433.59 433.59 (21.05) (21.05) 20912 Remove cartilage for graft 485.48 507.14 507.14 (21.66) (21.66) 20920 Removal of fascia for graft 397.10 415.60 415.60 (18.50) (18.50) 20922 Removal of fascia for graft 502.12 640.53 527.94 (138.41) (25.82) 20924 Removal of tendon for graft 506.40 533.05 533.05 (26.65) (26.65) 20926 Removal of tissue for graft 441.21 453.63 453.63 (12.42) (12.42) 20930 Sp bone algrft morsel add-on 95.56 0.00 0.00 95.56 95.56 20931 Sp bone algrft struct add-on 113.59 119.39 119.39 (5.80) (5.80) 20936 Sp bone agrft local add-on 100.63 0.00 0.00 100.63 100.63 20937 Sp bone agrft morsel add-on 169.07 177.73 177.73 (8.66) (8.66) 20938 Sp bone agrft struct add-on 185.41 196.09 196.09 (10.68) (10.68) 20950 Fluid pressure muscle 91.42 267.72 96.39 (176.30) (4.97) 20955 Fibula bone graft microvasc 2,531.68 2,644.01 2,644.01 (112.33) (112.33) 20956 Iliac bone graft microvasc 2,660.26 2,798.19 2,798.19 (137.93) (137.93) 20957 Mt bone graft microvasc 2,292.26 2,581.61 2,581.61 (289.35) (289.35) 20962 Other bone graft microvasc 2,199.34 2,225.00 2,225.00 (25.66) (25.66) 20969 Bone/skin graft microvasc 2,803.66 2,920.06 2,920.06 (116.40) (116.40) 20970 Bone/skin graft iliac crest 2,878.50 3,082.92 3,082.92 (204.42) (204.42) 20972 Bone/skin graft metatarsal 2,189.87 2,486.23 2,486.23 (296.36) (296.36) 20973 Bone/skin graft great toe 2,818.76 2,773.91 2,773.91 44.85 44.85 20974 Electrical bone stimulation 49.67 80.72 53.23 (31.05) (3.56) 20975 Electrical bone stimulation 177.52 188.03 188.03 (10.51) (10.51) 20979 Us bone stimulation 32.75 54.89 33.80 (22.14) (1.05) 20982 Ablate bone tumor(s) perq 380.42 3,222.45 401.70 (2,842.03) (21.28) 20983 Ablate bone tumor(s) perq 397.62 7,761.74 428.40 (7,364.12) (30.78) 20985 Cptr-asst dir ms px 148.10 155.05 155.05 (6.95) (6.95) 21010 Incision of jaw joint 750.81 783.57 783.57 (32.76) (32.76) 21011 Exc face les sc <2 cm 257.00 368.00 274.24 (111.00) (17.24) 21012 Exc face les sbq 2 cm/> 335.20 357.55 357.55 (22.35) (22.35) 21013 Exc face tum deep < 2 cm 397.84 546.74 423.23 (148.90) (25.39) 21014 Exc face tum deep 2 cm/> 518.07 549.76 549.76 (31.69) (31.69) 21015 Resect face/scalp tum < 2 cm 715.60 748.90 748.90 (33.30) (33.30) 21016 Resect face/scalp tum 2 cm/> 1,042.13 1,078.83 1,078.83 (36.70) (36.70) 21025 Excision of bone lower jaw 759.16 951.20 802.46 (192.04) (43.30) 21026 Excision of facial bone(s) 505.05 659.32 532.80 (154.27) (27.75) 21029 Contour of face bone lesion 657.33 812.83 675.76 (155.50) (18.43) 21030 Excise max/zygoma b9 tumor 424.90 555.06 447.37 (130.16) (22.47) 21031 Remove exostosis mandible 296.93 423.57 316.63 (126.64) (19.70) 21032 Remove exostosis maxilla 294.00 430.64 313.53 (136.64) (19.53) 21034 Excise max/zygoma mal tumor 1,169.56 1,394.85 1,227.66 (225.29) (58.10) 21040 Excise mandible lesion 425.60 559.20 448.12 (133.60) (22.52) 21044 Removal of jaw bone lesion 888.91 929.77 929.77 (40.86) (40.86) 21045 Extensive jaw surgery 1,235.02 1,302.45 1,302.45 (67.43) (67.43) 21046 Remove mandible cyst complex 1,122.28 1,194.79 1,194.79 (72.51) (72.51) 21047 Excise lwr jaw cyst w/repair 1,314.24 1,402.89 1,402.89 (88.65) (88.65) 21048 Remove maxilla cyst complex 1,152.72 1,224.67 1,224.67 (71.95) (71.95) 21049 Excis uppr jaw cyst w/repair 1,224.19 1,283.96 1,283.96 (59.77) (59.77) 21050 Removal of jaw joint 873.04 892.32 892.32 (19.28) (19.28) 21060 Remove jaw joint cartilage 838.12 845.10 845.10 (6.98) (6.98) 21070 Remove coronoid process 618.63 647.72 647.72 (29.09) (29.09) 21073 Mnpj of tmj w/anesth 260.49 413.11 269.65 (152.62) (9.16) 21076 Prepare face/oral prosthesis 838.86 1,068.04 893.32 (229.18) (54.46) 21077 Prepare face/oral prosthesis 2,122.21 2,678.74 2,243.83 (556.53) (121.62) 21079 Prepare face/oral prosthesis 1,399.98 1,803.46 1,493.56 (403.48) (93.58) 21080 Prepare face/oral prosthesis 1,562.50 2,024.27 1,662.03 (461.77) (99.53) 21081 Prepare face/oral prosthesis 1,436.83 1,870.15 1,529.37 (433.32) (92.54) 21082 Prepare face/oral prosthesis 1,354.95 1,769.22 1,435.97 (414.27) (81.02) 21083 Prepare face/oral prosthesis 1,218.85 1,687.00 1,333.04 (468.15) (114.19) 21084 Prepare face/oral prosthesis 1,453.22 1,938.64 1,545.89 (485.42) (92.67) 21085 Prepare face/oral prosthesis 650.12 811.72 605.37 (161.60) 44.75 21086 Prepare face/oral prosthesis 1,565.29 1,992.79 1,662.55 (427.50) (97.26) 21087 Prepare face/oral prosthesis 1,565.29 1,989.42 1,658.81 (424.13) (93.52) 21088 Prepare face/oral prosthesis 1,110.25 0.00 0.00 1,110.25 1,110.25 21100 Maxillofacial fixation 383.01 1,102.41 533.06 (719.40) (150.05) 21110 Interdental fixation 682.14 864.59 724.14 (182.45) (42.00) 21116 Injection jaw joint x-ray 42.76 155.06 46.24 (112.30) (3.48) 21120 Reconstruction of chin 536.99 703.76 556.53 (166.77) (19.54) 21121 Reconstruction of chin 637.85 864.97 720.75 (227.12) (82.90) 21122 Reconstruction of chin 696.62 698.53 698.53 (1.91) (1.91) 21123 Reconstruction of chin 880.62 994.71 994.71 (114.09) (114.09) 21125 Augmentation lower jaw bone 816.02 3,277.22 834.15 (2,461.20) (18.13) 21127 Augmentation lower jaw bone 870.59 4,746.27 951.01 (3,875.68) (80.42) 21137 Reduction of forehead 764.38 798.07 798.07 (33.69) (33.69) 21138 Reduction of forehead 919.73 939.60 939.60 (19.87) (19.87) 21139 Reduction of forehead 1,077.85 1,003.06 1,003.06 74.79 74.79 21141 Lefort i-1 piece w/o graft 1,383.70 1,422.64 1,422.64 (38.94) (38.94) 21142 Lefort i-2 piece w/o graft 1,423.23 1,491.69 1,491.69 (68.46) (68.46) 21143 Lefort i-3/> piece w/o graft 1,442.38 1,500.46 1,500.46 (58.08) (58.08) 21145 Lefort i-1 piece w/ graft 1,516.36 1,672.14 1,672.14 (155.78) (155.78) 21146 Lefort i-2 piece w/ graft 1,760.27 1,636.71 1,636.71 123.56 123.56 21147 Lefort i-3/> piece w/ graft 1,515.26 1,852.05 1,852.05 (336.79) (336.79) 21150 Lefort ii anterior intrusion 1,812.33 1,779.49 1,779.49 32.84 32.84 21151 Lefort ii w/bone grafts 2,054.07 2,147.65 2,147.65 (93.58) (93.58) 21154 Lefort iii w/o lefort i 2,237.04 2,207.26 2,207.26 29.78 29.78 21155 Lefort iii w/ lefort i 2,252.76 2,287.81 2,287.81 (35.05) (35.05) 21159 Lefort iii w/fhdw/o lefort i 2,503.99 2,639.04 2,639.04 (135.05) (135.05) 21160 Lefort iii w/fhd w/ lefort i 2,619.61 3,360.88 3,360.88 (741.27) (741.27) 21172 Reconstruct orbit/forehead 1,885.18 1,915.91 1,915.91 (30.73) (30.73) 21175 Reconstruct orbit/forehead 2,164.94 2,269.95 2,269.95 (105.01) (105.01) 21179 Reconstruct entire forehead 1,572.25 1,534.09 1,534.09 38.16 38.16 21180 Reconstruct entire forehead 1,541.18 1,629.01 1,629.01 (87.83) (87.83) 21181 Contour cranial bone lesion 727.23 779.63 779.63 (52.40) (52.40) 21182 Reconstruct cranial bone 1,927.27 2,047.53 2,047.53 (120.26) (120.26) 21183 Reconstruct cranial bone 2,406.72 2,438.43 2,438.43 (31.71) (31.71) 21184 Reconstruct cranial bone 2,228.97 2,245.87 2,245.87 (16.90) (16.90) 21188 Reconstruction of midface 1,582.46 1,710.77 1,710.77 (128.31) (128.31) 21193 Reconst lwr jaw w/o graft 1,310.93 1,285.36 1,285.36 25.57 25.57 21194 Reconst lwr jaw w/graft 1,373.85 1,522.24 1,522.24 (148.39) (148.39) 21195 Reconst lwr jaw w/o fixation 1,344.74 1,422.32 1,422.32 (77.58) (77.58) 21196 Reconst lwr jaw w/fixation 1,491.76 1,577.06 1,577.06 (85.30) (85.30) 21198 Reconstr lwr jaw segment 1,173.98 1,244.39 1,244.39 (70.41) (70.41) 21199 Reconstr lwr jaw w/advance 1,057.18 1,133.42 1,133.42 (76.24) (76.24) 21206 Reconstruct upper jaw bone 1,218.12 1,251.34 1,251.34 (33.22) (33.22) 21208 Augmentation of facial bones 869.99 2,027.62 889.69 (1,157.63) (19.70) 21209 Reduction of facial bones 644.54 864.67 656.44 (220.13) (11.90) 21210 Face bone graft 867.87 2,463.34 925.12 (1,595.47) (57.25) 21215 Lower jaw bone graft 932.67 4,391.27 961.64 (3,458.60) (28.97) 21230 Rib cartilage graft 743.24 752.93 752.93 (9.69) (9.69) 21235 Ear cartilage graft 572.58 769.96 601.26 (197.38) (28.68) 21240 Reconstruction of jaw joint 1,111.69 1,192.79 1,192.79 (81.10) (81.10) 21242 Reconstruction of jaw joint 1,019.72 1,092.67 1,092.67 (72.95) (72.95) 21243 Reconstruction of jaw joint 1,688.65 1,806.74 1,806.74 (118.09) (118.09) 21244 Reconstruction of lower jaw 1,081.55 1,135.78 1,135.78 (54.23) (54.23) 21245 Reconstruction of jaw 894.25 1,179.00 939.13 (284.75) (44.88) 21246 Reconstruction of jaw 826.73 923.20 923.20 (96.47) (96.47) 21247 Reconstruct lower jaw bone 1,599.49 1,642.71 1,642.71 (43.22) (43.22) 21248 Reconstruction of jaw 909.24 1,186.18 967.41 (276.94) (58.17) 21249 Reconstruction of jaw 1,296.20 1,622.50 1,373.97 (326.30) (77.77) 21255 Reconstruct lower jaw bone 1,398.65 1,476.17 1,476.17 (77.52) (77.52) 21256 Reconstruction of orbit 1,239.11 1,270.02 1,270.02 (30.91) (30.91) 21260 Revise eye sockets 1,348.65 1,475.46 1,475.46 (126.81) (126.81) 21261 Revise eye sockets 2,191.29 2,223.27 2,223.27 (31.98) (31.98) 21263 Revise eye sockets 1,881.56 2,054.25 2,054.25 (172.69) (172.69) 21267 Revise eye sockets 1,679.67 1,660.12 1,660.12 19.55 19.55 21268 Revise eye sockets 1,806.16 1,836.53 1,836.53 (30.37) (30.37) 21270 Augmentation cheek bone 737.70 1,016.33 758.77 (278.63) (21.07) 21275 Revision orbitofacial bones 851.50 881.63 881.63 (30.13) (30.13) 21280 Revision of eyelid 594.95 596.91 596.91 (1.96) (1.96) 21282 Revision of eyelid 391.64 400.99 400.99 (9.35) (9.35) 21295 Revision of jaw muscle/bone 207.16 191.25 191.25 15.91 15.91 21296 Revision of jaw muscle/bone 467.60 458.40 458.40 9.20 9.20 21310 Closed tx nose fx w/o manj 27.83 140.43 28.22 (112.60) (0.39) 21315 Closed tx nose fx w/o stablj 154.03 295.30 160.87 (141.27) (6.84) 21320 Closed tx nose fx w/ stablj 136.31 273.35 143.06 (137.04) (6.75) 21325 Open tx nose fx uncomplicatd 476.35 504.34 504.34 (27.99) (27.99) 21330 Open tx nose fx w/skele fixj 567.56 602.76 602.76 (35.20) (35.20) 21335 Open tx nose & septal fx 735.87 771.10 771.10 (35.23) (35.23) 21336 Open tx septal fx w/wo stabj 652.23 684.85 684.85 (32.62) (32.62) 21337 Closed tx septal&nose fx 299.11 429.90 313.17 (130.79) (14.06) 21338 Open nasoethmoid fx w/o fixj 727.49 768.16 768.16 (40.67) (40.67) 21339 Open nasoethmoid fx w/ fixj 783.53 817.89 817.89 (34.36) (34.36) 21340 Perq tx nasoethmoid fx 754.75 796.00 796.00 (41.25) (41.25) 21343 Open tx dprsd front sinus fx 1,233.30 1,276.32 1,276.32 (43.02) (43.02) 21344 Open tx compl front sinus fx 1,577.61 1,473.46 1,473.46 104.15 104.15 21345 Closed tx nose/jaw fx 627.28 859.47 691.91 (232.19) (64.63) 21346 Opn tx nasomax fx w/fixj 917.47 965.20 965.20 (47.73) (47.73) 21347 Opn tx nasomax fx multple 1,114.73 1,204.82 1,204.82 (90.09) (90.09) 21348 Opn tx nasomax fx w/graft 1,188.01 1,273.00 1,273.00 (84.99) (84.99) 21355 Perq tx malar fracture 324.16 455.75 339.77 (131.59) (15.61) 21356 Opn tx dprsd zygomatic arch 380.80 532.35 401.31 (151.55) (20.51) 21360 Opn tx dprsd malar fracture 539.08 570.52 570.52 (31.44) (31.44) 21365 Opn tx complx malar fx 1,128.57 1,175.24 1,175.24 (46.67) (46.67) 21366 Opn tx complx malar w/grft 1,199.92 1,220.28 1,220.28 (20.36) (20.36) 21385 Opn tx orbit fx transantral 688.90 720.91 720.91 (32.01) (32.01) 21386 Opn tx orbit fx periorbital 708.33 732.62 732.62 (24.29) (24.29) 21387 Opn tx orbit fx combined 742.66 753.14 753.14 (10.48) (10.48) 21390 Opn tx orbit periorbtl implt 815.88 838.20 838.20 (22.32) (22.32) 21395 Opn tx orbit periorbt w/grft 990.80 1,056.94 1,056.94 (66.14) (66.14) 21400 Closed tx orbit w/o manipulj 157.83 204.79 166.01 (46.96) (8.18) 21401 Closed tx orbit w/manipulj 313.28 470.37 303.18 (157.09) 10.10 21406 Opn tx orbit fx w/o implant 517.19 548.40 548.40 (31.21) (31.21) 21407 Opn tx orbit fx w/implant 662.89 681.60 681.60 (18.71) (18.71) 21408 Opn tx orbit fx w/bone grft 916.78 923.03 923.03 (6.25) (6.25) 21421 Treat mouth roof fracture 658.38 808.79 681.14 (150.41) (22.76) 21422 Treat mouth roof fracture 673.41 714.90 714.90 (41.49) (41.49) 21423 Treat mouth roof fracture 838.90 866.30 866.30 (27.40) (27.40) 21431 Treat craniofacial fracture 732.73 788.13 788.13 (55.40) (55.40) 21432 Treat craniofacial fracture 665.26 694.96 694.96 (29.70) (29.70) 21433 Treat craniofacial fracture 1,775.02 1,828.27 1,828.27 (53.25) (53.25) 21435 Treat craniofacial fracture 1,271.90 1,332.27 1,332.27 (60.37) (60.37) 21436 Treat craniofacial fracture 2,082.77 2,196.84 2,196.84 (114.07) (114.07) 21440 Treat dental ridge fracture 483.45 622.87 504.25 (139.42) (20.80) 21445 Treat dental ridge fracture 635.76 827.50 671.98 (191.74) (36.22) 21450 Treat lower jaw fracture 499.79 667.89 533.46 (168.10) (33.67) 21451 Treat lower jaw fracture 651.10 819.76 686.84 (168.66) (35.74) 21452 Treat lower jaw fracture 376.26 645.41 378.81 (269.15) (2.55) 21453 Treat lower jaw fracture 797.75 982.32 840.73 (184.57) (42.98) 21454 Treat lower jaw fracture 593.38 630.94 630.94 (37.56) (37.56) 21461 Treat lower jaw fracture 960.03 2,309.14 1,007.40 (1,349.11) (47.37) 21462 Treat lower jaw fracture 1,057.48 2,447.93 1,120.97 (1,390.45) (63.49) 21465 Treat lower jaw fracture 995.26 1,017.82 1,017.82 (22.56) (22.56) 21470 Treat lower jaw fracture 1,230.00 1,278.87 1,278.87 (48.87) (48.87) 21480 Reset dislocated jaw 32.08 105.34 33.41 (73.26) (1.33) 21485 Reset dislocated jaw 597.23 756.04 631.03 (158.81) (33.80) 21490 Repair dislocated jaw 945.97 971.05 971.05 (25.08) (25.08) 21497 Interdental wiring 625.25 792.08 657.65 (166.83) (32.40) 21501 Drain neck/chest lesion 323.91 481.00 340.55 (157.09) (16.64) 21502 Drain chest lesion 533.86 561.49 561.49 (27.63) (27.63) 21510 Drainage of bone lesion 447.77 472.55 472.55 (24.78) (24.78) 21550 Biopsy of neck/chest 158.55 278.90 167.06 (120.35) (8.51) 21552 Exc neck les sc 3 cm/> 444.05 471.07 471.07 (27.02) (27.02) 21554 Exc neck tum deep 5 cm/> 728.42 771.85 771.85 (43.43) (43.43) 21555 Exc neck les sc < 3 cm 307.48 439.17 323.56 (131.69) (16.08) 21556 Exc neck tum deep < 5 cm 534.81 559.49 559.49 (24.68) (24.68) 21557 Resect neck thorax tumor<5cm 964.60 1,010.72 1,010.72 (46.12) (46.12) 21558 Resect neck tumor 5 cm/> 1,349.88 1,420.17 1,420.17 (70.29) (70.29) 21600 Partial removal of rib 565.92 590.10 590.10 (24.18) (24.18) 21610 Partial removal of rib 1,206.90 1,265.09 1,265.09 (58.19) (58.19) 21615 Removal of rib 636.96 652.00 652.00 (15.04) (15.04) 21616 Removal of rib and nerves 858.59 792.31 792.31 66.28 66.28 21620 Partial removal of sternum 512.47 532.33 532.33 (19.86) (19.86) 21627 Sternal debridement 547.31 571.06 571.06 (23.75) (23.75) 21630 Extensive sternum surgery 1,225.33 1,276.46 1,276.46 (51.13) (51.13) 21632 Extensive sternum surgery 1,225.93 1,274.92 1,274.92 (48.99) (48.99) 21685 Hyoid myotomy & suspension 1,009.28 1,059.48 1,059.48 (50.20) (50.20) 21700 Revision of neck muscle 374.02 390.98 390.98 (16.96) (16.96) 21705 Revision of neck muscle/rib 558.39 581.25 581.25 (22.86) (22.86) 21720 Revision of neck muscle 489.74 479.20 479.20 10.54 10.54 21725 Revision of neck muscle 472.09 559.13 559.13 (87.04) (87.04) 21740 Reconstruction of sternum 1,023.76 1,076.72 1,076.72 (52.96) (52.96) 21742 Repair stern/nuss w/o scope 890.88 0.00 0.00 890.88 890.88 21743 Repair sternum/nuss w/scope 1,172.51 0.00 0.00 1,172.51 1,172.51 21750 Repair of sternum separation 694.87 721.06 721.06 (26.19) (26.19) 21811 Optx of rib fx w/fixj scope 547.77 643.31 643.31 (95.54) (95.54) 21812 Treatment of rib fracture 651.41 771.28 771.28 (119.87) (119.87) 21813 Treatment of rib fracture 878.82 1,004.76 1,004.76 (125.94) (125.94) 21820 Treat sternum fracture 146.94 148.54 152.30 (1.60) (5.36) 21825 Treat sternum fracture 552.50 571.41 571.41 (18.91) (18.91) 21920 Biopsy soft tissue of back 162.58 272.47 169.67 (109.89) (7.09) 21925 Biopsy soft tissue of back 353.89 470.83 374.05 (116.94) (20.16) 21930 Exc back les sc < 3 cm 364.97 498.71 384.99 (133.74) (20.02) 21931 Exc back les sc 3 cm/> 468.71 495.36 495.36 (26.65) (26.65) 21932 Exc back tum deep < 5 cm 659.38 697.84 697.84 (38.46) (38.46) 21933 Exc back tum deep 5 cm/> 734.26 776.68 776.68 (42.42) (42.42) 21935 Resect back tum < 5 cm 1,028.51 1,080.51 1,080.51 (52.00) (52.00) 21936 Resect back tum 5 cm/> 1,411.81 1,485.80 1,485.80 (73.99) (73.99) 22010 I&d p-spine c/t/cerv-thor 955.12 1,007.81 1,007.81 (52.69) (52.69) 22015 I&d abscess p-spine l/s/ls 902.91 975.55 975.55 (72.64) (72.64) 22100 Remove part of neck vertebra 883.35 924.66 924.66 (41.31) (41.31) 22101 Remove part thorax vertebra 898.30 901.22 901.22 (2.92) (2.92) 22102 Remove part lumbar vertebra 822.13 834.61 834.61 (12.48) (12.48) 22103 Remove extra spine segment 143.62 147.89 147.89 (4.27) (4.27) 22110 Remove part of neck vertebra 1,094.73 1,109.61 1,109.61 (14.88) (14.88) 22112 Remove part thorax vertebra 1,080.61 1,045.38 1,045.38 35.23 35.23 22114 Remove part lumbar vertebra 998.86 1,049.97 1,049.97 (51.11) (51.11) 22116 Remove extra spine segment 141.07 150.31 150.31 (9.24) (9.24) 22206 Incis spine 3 column thorac 2,369.69 2,585.93 2,585.93 (216.24) (216.24) 22207 Incis spine 3 column lumbar 2,408.98 2,534.49 2,534.49 (125.51) (125.51) 22208 Incis spine 3 column adl seg 593.40 617.74 617.74 (24.34) (24.34) 22210 Incis 1 vertebral seg cerv 1,782.58 1,893.18 1,893.18 (110.60) (110.60) 22212 Incis 1 vertebral seg thorac 1,481.00 1,568.67 1,568.67 (87.67) (87.67) 22214 Incis 1 vertebral seg lumbar 1,492.34 1,574.50 1,574.50 (82.16) (82.16) 22216 Incis addl spine segment 366.65 385.23 385.23 (18.58) (18.58) 22220 Incis w/discectomy cervical 1,628.52 1,691.93 1,691.93 (63.41) (63.41) 22222 Incis w/discectomy thoracic 1,570.14 1,643.76 1,643.76 (73.62) (73.62) 22224 Incis w/discectomy lumbar 1,597.77 1,674.11 1,674.11 (76.34) (76.34) 22226 Revise extra spine segment 368.21 384.45 384.45 (16.24) (16.24) 22310 Closed tx vert fx w/o manj 283.20 323.68 298.07 (40.48) (14.87) 22315 Closed tx vert fx w/manj 777.76 934.91 816.29 (157.15) (38.53) 22318 Treat odontoid fx w/o graft 1,645.77 1,747.01 1,747.01 (101.24) (101.24) 22319 Treat odontoid fx w/graft 1,837.99 1,939.30 1,939.30 (101.31) (101.31) 22325 Treat spine fracture 1,451.61 1,525.20 1,525.20 (73.59) (73.59) 22326 Treat neck spine fracture 1,498.24 1,583.38 1,583.38 (85.14) (85.14) 22327 Treat thorax spine fracture 1,496.86 1,594.68 1,594.68 (97.82) (97.82) 22328 Treat each add spine fx 285.38 300.22 300.22 (14.84) (14.84) 22505 Manipulation of spine 122.72 134.57 134.57 (11.85) (11.85) 22510 Perq cervicothoracic inject 442.43 1,881.56 477.03 (1,439.13) (34.60) 22511 Perq lumbosacral injection 414.68 1,863.04 447.97 (1,448.36) (33.29) 22512 Vertebroplasty addl inject 201.03 1,044.41 221.27 (843.38) (20.24) 22513 Perq vertebral augmentation 505.30 7,838.20 568.88 (7,332.90) (63.58) 22514 Perq vertebral augmentation 472.34 7,829.84 530.40 (7,357.50) (58.06) 22515 Perq vertebral augmentation 210.38 4,743.03 239.48 (4,532.65) (29.10) 22526 Idet single level 341.20 2,542.04 368.59 (2,200.84) (27.39) 22527 Idet 1 or more levels 153.53 2,113.22 167.21 (1,959.69) (13.68) 22532 Lat thorax spine fusion 1,804.74 1,888.32 1,888.32 (83.58) (83.58) 22533 Lat lumbar spine fusion 1,688.24 1,750.45 1,750.45 (62.21) (62.21) 22534 Lat thor/lumb addl seg 365.79 382.58 382.58 (16.79) (16.79) 22548 Neck spine fusion 1,974.80 2,104.74 2,104.74 (129.94) (129.94) 22551 Neck spine fuse&remov bel c2 1,729.36 1,821.28 1,821.28 (91.92) (91.92) 22552 Addl neck spine fusion 397.84 425.39 425.39 (27.55) (27.55) 22554 Neck spine fusion 1,281.83 1,333.94 1,333.94 (52.11) (52.11) 22556 Thorax spine fusion 1,680.57 1,767.82 1,767.82 (87.25) (87.25) 22558 Lumbar spine fusion 1,550.74 1,631.63 1,631.63 (80.89) (80.89) 22585 Additional spinal fusion 338.29 350.07 350.07 (11.78) (11.78) 22586 Prescrl fuse w/ instr l5-s1 1,889.92 1,923.35 1,923.35 (33.43) (33.43) 22590 Spine & skull spinal fusion 1,592.25 1,682.24 1,682.24 (89.99) (89.99) 22595 Neck spinal fusion 1,515.95 1,605.04 1,605.04 (89.09) (89.09) 22600 Neck spine fusion 1,299.71 1,370.58 1,370.58 (70.87) (70.87) 22610 Thorax spine fusion 1,271.14 1,342.15 1,342.15 (71.01) (71.01) 22612 Lumbar spine fusion 1,607.37 1,685.55 1,685.55 (78.18) (78.18) 22614 Spine fusion extra segment 395.08 416.54 416.54 (21.46) (21.46) 22630 Lumbar spine fusion 1,563.05 1,666.29 1,666.29 (103.24) (103.24) 22632 Spine fusion extra segment 322.17 341.91 341.91 (19.74) (19.74) 22633 Lumbar spine fusion combined 1,859.29 1,967.04 1,967.04 (107.75) (107.75) 22634 Spine fusion extra segment 501.15 528.73 528.73 (27.58) (27.58) 22800 Post fusion vert seg 2,430.04 2,567.56 2,567.56 (137.52) (137.52) 22808 Ant fusion 2-3 vert seg 1,838.77 1,946.96 1,946.96 (108.19) (108.19) 22810 Ant fusion 4-7 vert seg 2,058.02 2,148.79 2,148.79 (90.77) (90.77) 22812 Ant fusion 8/> vert seg 2,258.51 2,549.06 2,549.06 (290.55) (290.55) 22818 Kyphectomy 1-2 segments 2,185.12 2,295.08 2,295.08 (109.96) (109.96) 22819 Kyphectomy 3 or more 2,763.16 2,945.35 2,945.35 (182.19) (182.19) 22830 Exploration of spinal fusion 818.31 862.08 862.08 (43.77) (43.77) 22840 Insert spine fixation device 770.60 809.50 809.50 (38.90) (38.90) 22841 Insert spine fixation device 246.52 0.00 0.00 246.52 246.52 22842 Insert spine fixation device 771.17 812.07 812.07 (40.90) (40.90) 22843 Insert spine fixation device 819.93 867.72 867.72 (47.79) (47.79) 22844 Insert spine fixation device 985.67 1,045.34 1,045.34 (59.67) (59.67) 22845 Insert spine fixation device 744.68 778.98 778.98 (34.30) (34.30) 22846 Insert spine fixation device 772.75 809.13 809.13 (36.38) (36.38) 22847 Insert spine fixation device 890.32 879.45 879.45 10.87 10.87 22848 Insert pelv fixation device 360.79 382.00 382.00 (21.21) (21.21) 22849 Reinsert spinal fixation 1,312.67 1,379.05 1,379.05 (66.38) (66.38) 22850 Remove spine fixation device 729.21 767.27 767.27 (38.06) (38.06) 22852 Remove spine fixation device 697.02 735.70 735.70 (38.68) (38.68) 22855 Remove spine fixation device 1,128.51 1,176.63 1,176.63 (48.12) (48.12) 22856 Cerv artific diskectomy 1,673.17 1,721.79 1,721.79 (48.62) (48.62) 22857 Lumbar artif diskectomy 1,839.11 2,082.75 2,082.75 (243.64) (243.64) 22858 Second level cer diskectomy 670.62 533.94 533.94 136.68 136.68 22861 Revise cerv artific disc 2,221.42 2,130.48 2,130.48 90.94 90.94 22862 Revise lumbar artif disc 2,143.16 2,100.65 2,100.65 42.51 42.51 22864 Remove cerv artif disc 1,998.89 2,192.91 2,192.91 (194.02) (194.02) 22865 Remove lumb artif disc 2,061.56 2,165.56 2,165.56 (104.00) (104.00) 22900 Exc abdl tum deep < 5 cm 561.70 594.99 594.99 (33.29) (33.29) 22901 Exc abdl tum deep 5 cm/> 659.96 700.20 700.20 (40.24) (40.24) 22902 Exc abd les sc < 3 cm 323.03 463.17 349.45 (140.14) (26.42) 22903 Exc abd les sc 3 cm/> 431.56 462.50 462.50 (30.94) (30.94) 22904 Radical resect abd tumor<5cm 1,047.04 1,103.85 1,103.85 (56.81) (56.81) 22905 Rad resect abd tumor 5 cm/> 1,333.53 1,399.20 1,399.20 (65.67) (65.67) 23000 Removal of calcium deposits 371.28 618.91 391.47 (247.63) (20.19) 23020 Release shoulder joint 690.98 724.84 724.84 (33.86) (33.86) 23030 Drain shoulder lesion 255.79 466.60 269.67 (210.81) (13.88) 23031 Drain shoulder bursa 219.81 451.20 231.29 (231.39) (11.48) 23035 Drain shoulder bone lesion 685.60 712.44 712.44 (26.84) (26.84) 23040 Exploratory shoulder surgery 720.62 757.42 757.42 (36.80) (36.80) 23044 Exploratory shoulder surgery 568.42 598.87 598.87 (30.45) (30.45) 23065 Biopsy shoulder tissues 167.66 228.76 176.79 (61.10) (9.13) 23066 Biopsy shoulder tissues 356.13 588.28 376.28 (232.15) (20.15) 23071 Exc shoulder les sc 3 cm/> 418.08 442.55 442.55 (24.47) (24.47) 23073 Exc shoulder tum deep 5 cm/> 691.05 730.54 730.54 (39.49) (39.49) 23075 Exc shoulder les sc < 3 cm 326.17 494.99 344.37 (168.82) (18.20) 23076 Exc shoulder tum deep < 5 cm 538.97 569.32 569.32 (30.35) (30.35) 23077 Resect shoulder tumor < 5 cm 1,145.50 1,205.90 1,205.90 (60.40) (60.40) 23078 Resect shoulder tumor 5 cm/> 1,446.29 1,510.95 1,510.95 (64.66) (64.66) 23100 Biopsy of shoulder joint 500.86 524.73 524.73 (23.87) (23.87) 23101 Shoulder joint surgery 456.34 478.65 478.65 (22.31) (22.31) 23105 Remove shoulder joint lining 639.59 671.34 671.34 (31.75) (31.75) 23106 Incision of collarbone joint 496.66 518.10 518.10 (21.44) (21.44) 23107 Explore treat shoulder joint 663.02 693.56 693.56 (30.54) (30.54) 23120 Partial removal collar bone 587.04 615.31 615.31 (28.27) (28.27) 23125 Removal of collar bone 709.30 746.60 746.60 (37.30) (37.30) 23130 Remove shoulder bone part 609.77 642.60 642.60 (32.83) (32.83) 23140 Removal of bone lesion 530.02 561.88 561.88 (31.86) (31.86) 23145 Removal of bone lesion 695.66 731.68 731.68 (36.02) (36.02) 23146 Removal of bone lesion 621.17 652.94 652.94 (31.77) (31.77) 23150 Removal of humerus lesion 660.79 690.91 690.91 (30.12) (30.12) 23155 Removal of humerus lesion 794.01 835.10 835.10 (41.09) (41.09) 23156 Removal of humerus lesion 678.51 711.40 711.40 (32.89) (32.89) 23170 Remove collar bone lesion 560.73 584.26 584.26 (23.53) (23.53) 23172 Remove shoulder blade lesion 567.44 595.86 595.86 (28.42) (28.42) 23174 Remove humerus lesion 758.57 789.61 789.61 (31.04) (31.04) 23180 Remove collar bone lesion 667.26 701.61 701.61 (34.35) (34.35) 23182 Remove shoulder blade lesion 662.38 685.78 685.78 (23.40) (23.40) 23184 Remove humerus lesion 735.78 773.31 773.31 (37.53) (37.53) 23190 Partial removal of scapula 571.13 598.14 598.14 (27.01) (27.01) 23195 Removal of head of humerus 755.95 791.84 791.84 (35.89) (35.89) 23200 Resect clavicle tumor 1,521.53 1,565.84 1,565.84 (44.31) (44.31) 23210 Resect scapula tumor 1,788.71 1,867.92 1,867.92 (79.21) (79.21) 23220 Resect prox humerus tumor 1,961.56 2,043.79 2,043.79 (82.23) (82.23) 23330 Remove shoulder foreign body 151.47 252.16 158.77 (100.69) (7.30) 23333 Remove shoulder fb deep 458.05 476.61 476.61 (18.56) (18.56) 23334 Shoulder prosthesis removal 1,079.24 1,134.03 1,134.03 (54.79) (54.79) 23335 Shoulder prosthesis removal 1,286.14 1,348.32 1,348.32 (62.18) (62.18) 23350 Injection for shoulder x-ray 51.47 137.83 53.48 (86.36) (2.01) 23395 Muscle transfer shoulder/arm 1,291.08 1,353.69 1,353.69 (62.61) (62.61) 23397 Muscle transfers 1,144.18 1,200.57 1,200.57 (56.39) (56.39) 23400 Fixation of shoulder blade 972.95 1,022.53 1,022.53 (49.58) (49.58) 23405 Incision of tendon & muscle 630.86 657.38 657.38 (26.52) (26.52) 23406 Incise tendon(s) & muscle(s) 773.66 808.34 808.34 (34.68) (34.68) 23410 Repair rotator cuff acute 824.03 865.41 865.41 (41.38) (41.38) 23412 Repair rotator cuff chronic 855.51 897.43 897.43 (41.92) (41.92) 23415 Release of shoulder ligament 697.70 733.59 733.59 (35.89) (35.89) 23420 Repair of shoulder 972.32 1,020.46 1,020.46 (48.14) (48.14) 23430 Repair biceps tendon 750.45 785.29 785.29 (34.84) (34.84) 23440 Remove/transplant tendon 758.38 794.79 794.79 (36.41) (36.41) 23450 Repair shoulder capsule 950.23 994.16 994.16 (43.93) (43.93) 23455 Repair shoulder capsule 1,005.80 1,051.71 1,051.71 (45.91) (45.91) 23460 Repair shoulder capsule 1,092.45 1,148.24 1,148.24 (55.79) (55.79) 23462 Repair shoulder capsule 1,075.38 1,115.34 1,115.34 (39.96) (39.96) 23465 Repair shoulder capsule 1,120.43 1,170.79 1,170.79 (50.36) (50.36) 23466 Repair shoulder capsule 1,125.86 1,178.24 1,178.24 (52.38) (52.38) 23470 Reconstruct shoulder joint 1,211.73 1,266.97 1,266.97 (55.24) (55.24) 23472 Reconstruct shoulder joint 1,469.19 1,534.44 1,534.44 (65.25) (65.25) 23473 Revis reconst shoulder joint 1,637.93 1,713.16 1,713.16 (75.23) (75.23) 23474 Revis reconst shoulder joint 1,770.40 1,850.44 1,850.44 (80.04) (80.04) 23480 Revision of collar bone 821.67 864.16 864.16 (42.49) (42.49) 23485 Revision of collar bone 958.12 1,004.31 1,004.31 (46.19) (46.19) 23490 Reinforce clavicle 863.87 886.03 886.03 (22.16) (22.16) 23491 Reinforce shoulder bones 1,016.45 1,065.94 1,065.94 (49.49) (49.49) 23500 Treat clavicle fracture 222.46 229.61 233.75 (7.15) (11.29) 23505 Treat clavicle fracture 333.11 371.07 350.36 (37.96) (17.25) 23515 Treat clavicle fracture 723.56 758.39 758.39 (34.83) (34.83) 23520 Treat clavicle dislocation 233.85 235.75 239.52 (1.90) (5.67) 23525 Treat clavicle dislocation 354.38 395.59 365.46 (41.21) (11.08) 23530 Treat clavicle dislocation 572.91 579.44 579.44 (6.53) (6.53) 23532 Treat clavicle dislocation 624.22 652.61 652.61 (28.39) (28.39) 23540 Treat clavicle dislocation 227.58 235.74 239.88 (8.16) (12.30) 23545 Treat clavicle dislocation 309.57 357.14 324.38 (47.57) (14.81) 23550 Treat clavicle dislocation 573.77 593.27 593.27 (19.50) (19.50) 23552 Treat clavicle dislocation 656.63 689.13 689.13 (32.50) (32.50) 23570 Treat shoulder blade fx 238.39 243.90 251.43 (5.51) (13.04) 23575 Treat shoulder blade fx 374.55 419.79 393.44 (45.24) (18.89) 23585 Treat scapula fracture 984.17 1,032.30 1,032.30 (48.13) (48.13) 23600 Treat humerus fracture 308.17 343.49 323.53 (35.32) (15.36) 23605 Treat humerus fracture 425.71 487.06 446.02 (61.35) (20.31) 23615 Treat humerus fracture 888.38 931.29 931.29 (42.91) (42.91) 23616 Treat humerus fracture 1,247.22 1,307.67 1,307.67 (60.45) (60.45) 23620 Treat humerus fracture 256.44 283.43 269.49 (26.99) (13.05) 23625 Treat humerus fracture 353.90 397.99 370.13 (44.09) (16.23) 23630 Treat humerus fracture 785.44 822.80 822.80 (37.36) (37.36) 23650 Treat shoulder dislocation 287.51 328.35 301.24 (40.84) (13.73) 23655 Treat shoulder dislocation 399.16 421.79 421.79 (22.63) (22.63) 23660 Treat shoulder dislocation 584.80 611.78 611.78 (26.98) (26.98) 23665 Treat dislocation/fracture 396.47 446.12 415.25 (49.65) (18.78) 23670 Treat dislocation/fracture 880.88 921.91 921.91 (41.03) (41.03) 23675 Treat dislocation/fracture 500.34 578.61 526.65 (78.27) (26.31) 23680 Treat dislocation/fracture 931.98 976.96 976.96 (44.98) (44.98) 23700 Fixation of shoulder 195.73 206.85 206.85 (11.12) (11.12) 23800 Fusion of shoulder joint 1,028.77 1,080.54 1,080.54 (51.77) (51.77) 23802 Fusion of shoulder joint 1,287.05 1,329.98 1,329.98 (42.93) (42.93) 23900 Amputation of arm & girdle 1,392.78 1,462.40 1,462.40 (69.62) (69.62) 23920 Amputation at shoulder joint 1,129.88 1,183.47 1,183.47 (53.59) (53.59) 23921 Amputation follow-up surgery 476.48 493.36 493.36 (16.88) (16.88) 23930 Drainage of arm lesion 215.26 372.70 226.98 (157.44) (11.72) 23931 Drainage of arm bursa 160.92 304.15 168.59 (143.23) (7.67) 23935 Drain arm/elbow bone lesion 509.90 532.80 532.80 (22.90) (22.90) 24000 Exploratory elbow surgery 477.65 501.46 501.46 (23.81) (23.81) 24006 Release elbow joint 712.58 742.67 742.67 (30.09) (30.09) 24065 Biopsy arm/elbow soft tissue 167.92 270.91 177.15 (102.99) (9.23) 24066 Biopsy arm/elbow soft tissue 412.06 660.06 438.27 (248.00) (26.21) 24071 Exc arm/elbow les sc 3 cm/> 405.45 428.03 428.03 (22.58) (22.58) 24073 Ex arm/elbow tum deep 5 cm/> 690.28 728.78 728.78 (38.50) (38.50) 24075 Exc arm/elbow les sc < 3 cm 329.32 518.31 348.11 (188.99) (18.79) 24076 Ex arm/elbow tum deep < 5 cm 543.24 572.08 572.08 (28.84) (28.84) 24077 Resect arm/elbow tum < 5 cm 1,038.15 1,090.02 1,090.02 (51.87) (51.87) 24079 Resect arm/elbow tum 5 cm/> 1,329.20 1,392.15 1,392.15 (62.95) (62.95) 24100 Biopsy elbow joint lining 418.21 440.16 440.16 (21.95) (21.95) 24101 Explore/treat elbow joint 499.94 526.55 526.55 (26.61) (26.61) 24102 Remove elbow joint lining 616.46 648.20 648.20 (31.74) (31.74) 24105 Removal of elbow bursa 349.71 369.57 369.57 (19.86) (19.86) 24110 Remove humerus lesion 588.18 610.45 610.45 (22.27) (22.27) 24115 Remove/graft bone lesion 738.01 776.44 776.44 (38.43) (38.43) 24116 Remove/graft bone lesion 863.02 907.84 907.84 (44.82) (44.82) 24120 Remove elbow lesion 528.91 556.37 556.37 (27.46) (27.46) 24125 Remove/graft bone lesion 620.34 645.73 645.73 (25.39) (25.39) 24126 Remove/graft bone lesion 649.44 683.66 683.66 (34.22) (34.22) 24130 Removal of head of radius 507.60 534.56 534.56 (26.96) (26.96) 24134 Removal of arm bone lesion 747.54 785.74 785.74 (38.20) (38.20) 24136 Remove radius bone lesion 637.56 658.75 658.75 (21.19) (21.19) 24138 Remove elbow bone lesion 674.74 708.06 708.06 (33.32) (33.32) 24140 Partial removal of arm bone 699.57 736.53 736.53 (36.96) (36.96) 24145 Partial removal of radius 592.14 623.29 623.29 (31.15) (31.15) 24147 Partial removal of elbow 622.55 654.21 654.21 (31.66) (31.66) 24149 Radical resection of elbow 1,175.48 1,236.89 1,236.89 (61.41) (61.41) 24150 Resect distal humerus tumor 1,562.42 1,641.59 1,641.59 (79.17) (79.17) 24152 Resect radius tumor 1,381.63 1,394.88 1,394.88 (13.25) (13.25) 24155 Removal of elbow joint 854.98 887.93 887.93 (32.95) (32.95) 24160 Remove elbow joint implant 1,263.78 1,331.27 1,331.27 (67.49) (67.49) 24164 Remove radius head implant 730.26 769.18 769.18 (38.92) (38.92) 24200 Removal of arm foreign body 139.38 218.44 147.27 (79.06) (7.89) 24201 Removal of arm foreign body 369.20 576.10 380.29 (206.90) (11.09) 24220 Injection for elbow x-ray 68.51 169.23 72.45 (100.72) (3.94) 24300 Manipulate elbow w/anesth 412.78 441.04 441.04 (28.26) (28.26) 24301 Muscle/tendon transfer 754.12 788.34 788.34 (34.22) (34.22) 24305 Arm tendon lengthening 576.39 606.12 606.12 (29.73) (29.73) 24310 Revision of arm tendon 476.16 495.92 495.92 (19.76) (19.76) 24320 Repair of arm tendon 781.80 822.30 822.30 (40.50) (40.50) 24330 Revision of arm muscles 718.05 755.70 755.70 (37.65) (37.65) 24331 Revision of arm muscles 787.41 827.75 827.75 (40.34) (40.34) 24332 Tenolysis triceps 612.80 644.13 644.13 (31.33) (31.33) 24340 Repair of biceps tendon 616.13 644.38 644.38 (28.25) (28.25) 24341 Repair arm tendon/muscle 749.35 786.33 786.33 (36.98) (36.98) 24342 Repair of ruptured tendon 778.44 815.89 815.89 (37.45) (37.45) 24343 Repr elbow lat ligmnt w/tiss 706.22 743.09 743.09 (36.87) (36.87) 24344 Reconstruct elbow lat ligmnt 1,100.92 1,154.11 1,154.11 (53.19) (53.19) 24345 Repr elbw med ligmnt w/tissu 702.27 740.41 740.41 (38.14) (38.14) 24346 Reconstruct elbow med ligmnt 1,100.92 1,152.17 1,152.17 (51.25) (51.25) 24357 Repair elbow perc 440.90 451.59 451.59 (10.69) (10.69) 24358 Repair elbow w/deb open 523.40 549.23 549.23 (25.83) (25.83) 24359 Repair elbow deb/attch open 660.59 693.08 693.08 (32.49) (32.49) 24360 Reconstruct elbow joint 900.03 931.69 931.69 (31.66) (31.66) 24361 Reconstruct elbow joint 1,008.40 1,049.69 1,049.69 (41.29) (41.29) 24362 Reconstruct elbow joint 1,063.07 1,116.55 1,116.55 (53.48) (53.48) 24363 Replace elbow joint 1,463.30 1,531.91 1,531.91 (68.61) (68.61) 24365 Reconstruct head of radius 639.39 669.45 669.45 (30.06) (30.06) 24366 Reconstruct head of radius 681.95 714.80 714.80 (32.85) (32.85) 24370 Revise reconst elbow joint 1,548.55 1,635.84 1,635.84 (87.29) (87.29) 24371 Revise reconst elbow joint 1,788.11 1,876.49 1,876.49 (88.38) (88.38) 24400 Revision of humerus 819.78 859.18 859.18 (39.40) (39.40) 24410 Revision of humerus 1,059.42 1,113.61 1,113.61 (54.19) (54.19) 24420 Revision of humerus 995.41 1,032.74 1,032.74 (37.33) (37.33) 24430 Repair of humerus 1,061.96 1,111.84 1,111.84 (49.88) (49.88) 24435 Repair humerus with graft 1,082.15 1,134.18 1,134.18 (52.03) (52.03) 24470 Revision of elbow joint 585.80 594.54 594.54 (8.74) (8.74) 24495 Decompression of forearm 651.08 686.49 686.49 (35.41) (35.41) 24498 Reinforce humerus 869.75 911.37 911.37 (41.62) (41.62) 24500 Treat humerus fracture 325.12 376.53 342.64 (51.41) (17.52) 24505 Treat humerus fracture 451.42 524.38 473.92 (72.96) (22.50) 24515 Treat humerus fracture 878.91 922.27 922.27 (43.36) (43.36) 24516 Treat humerus fracture 863.06 905.47 905.47 (42.41) (42.41) 24530 Treat humerus fracture 343.36 399.99 361.96 (56.63) (18.60) 24535 Treat humerus fracture 568.73 644.92 595.21 (76.19) (26.48) 24538 Treat humerus fracture 743.58 782.51 782.51 (38.93) (38.93) 24545 Treat humerus fracture 933.04 978.07 978.07 (45.03) (45.03) 24546 Treat humerus fracture 1,044.19 1,093.70 1,093.70 (49.51) (49.51) 24560 Treat humerus fracture 288.45 336.49 301.09 (48.04) (12.64) 24565 Treat humerus fracture 488.21 556.88 510.94 (68.67) (22.73) 24566 Treat humerus fracture 718.10 755.76 755.76 (37.66) (37.66) 24575 Treat humerus fracture 736.08 768.58 768.58 (32.50) (32.50) 24576 Treat humerus fracture 305.21 357.32 320.80 (52.11) (15.59) 24577 Treat humerus fracture 501.86 571.54 524.09 (69.68) (22.23) 24579 Treat humerus fracture 837.19 879.68 879.68 (42.49) (42.49) 24582 Treat humerus fracture 809.07 848.58 848.58 (39.51) (39.51) 24586 Treat elbow fracture 1,088.45 1,139.76 1,139.76 (51.31) (51.31) 24587 Treat elbow fracture 1,085.35 1,137.33 1,137.33 (51.98) (51.98) 24600 Treat elbow dislocation 334.34 380.82 348.44 (46.48) (14.10) 24605 Treat elbow dislocation 469.35 494.40 494.40 (25.05) (25.05) 24615 Treat elbow dislocation 712.09 749.10 749.10 (37.01) (37.01) 24620 Treat elbow fracture 553.79 576.80 576.80 (23.01) (23.01) 24635 Treat elbow fracture 674.56 708.34 708.34 (33.78) (33.78) 24640 Treat elbow dislocation 94.67 141.66 96.48 (46.99) (1.81) 24650 Treat radius fracture 240.24 274.96 252.36 (34.72) (12.12) 24655 Treat radius fracture 399.38 456.53 415.49 (57.15) (16.11) 24665 Treat radius fracture 652.61 685.99 685.99 (33.38) (33.38) 24666 Treat radius fracture 733.97 771.27 771.27 (37.30) (37.30) 24670 Treat ulnar fracture 262.66 305.76 276.02 (43.10) (13.36) 24675 Treat ulnar fracture 414.41 476.54 434.37 (62.13) (19.96) 24685 Treat ulnar fracture 655.88 688.54 688.54 (32.66) (32.66) 24800 Fusion of elbow joint 830.51 873.46 873.46 (42.95) (42.95) 24802 Fusion/graft of elbow joint 1,003.52 1,029.74 1,029.74 (26.22) (26.22) 24900 Amputation of upper arm 736.14 769.62 769.62 (33.48) (33.48) 24920 Amputation of upper arm 732.97 769.42 769.42 (36.45) (36.45) 24925 Amputation follow-up surgery 565.99 577.25 577.25 (11.26) (11.26) 24930 Amputation follow-up surgery 775.03 808.74 808.74 (33.71) (33.71) 24931 Amputate upper arm & implant 769.65 840.88 840.88 (71.23) (71.23) 24935 Revision of amputation 1,045.53 1,167.20 1,167.20 (121.67) (121.67) 24940 Revision of upper arm 1,143.92 0.00 0.00 1,143.92 1,143.92 25000 Incision of tendon sheath 334.91 354.71 354.71 (19.80) (19.80) 25001 Incise flexor carpi radialis 342.07 359.91 359.91 (17.84) (17.84) 25020 Decompress forearm 1 space 572.64 605.16 605.16 (32.52) (32.52) 25023 Decompress forearm 1 space 1,104.79 1,157.85 1,157.85 (53.06) (53.06) 25024 Decompress forearm 2 spaces 777.22 812.42 812.42 (35.20) (35.20) 25025 Decompress forearm 2 spaces 1,216.00 1,267.56 1,267.56 (51.56) (51.56) 25028 Drainage of forearm lesion 522.13 551.39 551.39 (29.26) (29.26) 25031 Drainage of forearm bursa 363.73 377.62 377.62 (13.89) (13.89) 25035 Treat forearm bone lesion 580.50 608.15 608.15 (27.65) (27.65) 25040 Explore/treat wrist joint 561.17 590.85 590.85 (29.68) (29.68) 25065 Biopsy forearm soft tissues 163.76 268.49 172.47 (104.73) (8.71) 25066 Biopsy forearm soft tissues 356.49 377.96 377.96 (21.47) (21.47) 25071 Exc forearm les sc 3 cm/> 424.47 448.40 448.40 (23.93) (23.93) 25073 Exc forearm tum deep 3 cm/> 530.26 559.71 559.71 (29.45) (29.45) 25075 Exc forearm les sc < 3 cm 316.42 505.06 333.73 (188.64) (17.31) 25076 Exc forearm tum deep < 3 cm 516.83 543.35 543.35 (26.52) (26.52) 25077 Resect forearm/wrist tum<3cm 885.42 931.02 931.02 (45.60) (45.60) 25078 Resect forarm/wrist tum 3cm> 1,171.97 1,223.92 1,223.92 (51.95) (51.95) 25085 Incision of wrist capsule 449.97 472.33 472.33 (22.36) (22.36) 25100 Biopsy of wrist joint 345.79 363.03 363.03 (17.24) (17.24) 25101 Explore/treat wrist joint 403.38 423.63 423.63 (20.25) (20.25) 25105 Remove wrist joint lining 482.31 506.65 506.65 (24.34) (24.34) 25107 Remove wrist joint cartilage 615.02 646.93 646.93 (31.91) (31.91) 25109 Excise tendon forearm/wrist 537.59 564.66 564.66 (27.07) (27.07) 25110 Remove wrist tendon lesion 339.59 360.03 360.03 (20.44) (20.44) 25111 Remove wrist tendon lesion 319.57 337.02 337.02 (17.45) (17.45) 25112 Reremove wrist tendon lesion 386.02 406.17 406.17 (20.15) (20.15) 25115 Remove wrist/forearm lesion 757.50 796.67 796.67 (39.17) (39.17) 25116 Remove wrist/forearm lesion 598.71 629.99 629.99 (31.28) (31.28) 25118 Excise wrist tendon sheath 379.75 400.93 400.93 (21.18) (21.18) 25119 Partial removal of ulna 497.25 519.42 519.42 (22.17) (22.17) 25120 Removal of forearm lesion 497.05 522.25 522.25 (25.20) (25.20) 25125 Remove/graft forearm lesion 592.70 610.13 610.13 (17.43) (17.43) 25126 Remove/graft forearm lesion 596.90 624.60 624.60 (27.70) (27.70) 25130 Removal of wrist lesion 446.95 468.78 468.78 (21.83) (21.83) 25135 Remove & graft wrist lesion 557.69 581.63 581.63 (23.94) (23.94) 25136 Remove & graft wrist lesion 493.05 514.69 514.69 (21.64) (21.64) 25145 Remove forearm bone lesion 516.48 543.96 543.96 (27.48) (27.48) 25150 Partial removal of ulna 563.91 595.02 595.02 (31.11) (31.11) 25151 Partial removal of radius 584.07 613.13 613.13 (29.06) (29.06) 25170 Resect radius/ulnar tumor 1,483.50 1,559.19 1,559.19 (75.69) (75.69) 25210 Removal of wrist bone 486.76 511.80 511.80 (25.04) (25.04) 25215 Removal of wrist bones 614.64 648.29 648.29 (33.65) (33.65) 25230 Partial removal of radius 428.23 454.47 454.47 (26.24) (26.24) 25240 Partial removal of ulna 426.57 449.12 449.12 (22.55) (22.55) 25246 Injection for wrist x-ray 74.75 170.85 78.98 (96.10) (4.23) 25248 Remove forearm foreign body 414.23 437.05 437.05 (22.82) (22.82) 25250 Removal of wrist prosthesis 533.00 550.22 550.22 (17.22) (17.22) 25251 Removal of wrist prosthesis 719.81 754.09 754.09 (34.28) (34.28) 25259 Manipulate wrist w/anesthes 415.30 437.68 437.68 (22.38) (22.38) 25260 Repair forearm tendon/muscle 630.76 661.99 661.99 (31.23) (31.23) 25263 Repair forearm tendon/muscle 625.18 652.65 652.65 (27.47) (27.47) 25265 Repair forearm tendon/muscle 748.07 786.04 786.04 (37.97) (37.97) 25270 Repair forearm tendon/muscle 491.47 513.91 513.91 (22.44) (22.44) 25272 Repair forearm tendon/muscle 552.66 580.48 580.48 (27.82) (27.82) 25274 Repair forearm tendon/muscle 670.52 697.04 697.04 (26.52) (26.52) 25275 Repair forearm tendon sheath 672.63 705.64 705.64 (33.01) (33.01) 25280 Revise wrist/forearm tendon 561.23 591.26 591.26 (30.03) (30.03) 25290 Incise wrist/forearm tendon 435.45 458.51 458.51 (23.06) (23.06) 25295 Release wrist/forearm tendon 521.37 549.56 549.56 (28.19) (28.19) 25300 Fusion of tendons at wrist 686.18 716.11 716.11 (29.93) (29.93) 25301 Fusion of tendons at wrist 641.74 675.47 675.47 (33.73) (33.73) 25310 Transplant forearm tendon 616.89 651.05 651.05 (34.16) (34.16) 25312 Transplant forearm tendon 715.59 750.99 750.99 (35.40) (35.40) 25315 Revise palsy hand tendon(s) 770.93 810.37 810.37 (39.44) (39.44) 25316 Revise palsy hand tendon(s) 881.27 961.74 961.74 (80.47) (80.47) 25320 Repair/revise wrist joint 984.25 1,037.69 1,037.69 (53.44) (53.44) 25332 Revise wrist joint 843.78 883.95 883.95 (40.17) (40.17) 25335 Realignment of hand 883.20 846.25 846.25 36.95 36.95 25337 Reconstruct ulna/radioulnar 884.45 934.43 934.43 (49.98) (49.98) 25350 Revision of radius 672.85 707.66 707.66 (34.81) (34.81) 25355 Revision of radius 766.48 790.55 790.55 (24.07) (24.07) 25360 Revision of ulna 655.25 686.82 686.82 (31.57) (31.57) 25365 Revise radius & ulna 915.87 958.98 958.98 (43.11) (43.11) 25370 Revise radius or ulna 1,007.78 1,058.88 1,058.88 (51.10) (51.10) 25375 Revise radius & ulna 891.88 1,002.52 1,002.52 (110.64) (110.64) 25390 Shorten radius or ulna 766.93 808.19 808.19 (41.26) (41.26) 25391 Lengthen radius or ulna 997.85 1,048.02 1,048.02 (50.17) (50.17) 25392 Shorten radius & ulna 1,015.71 911.68 911.68 104.03 104.03 25393 Lengthen radius & ulna 1,132.64 1,190.66 1,190.66 (58.02) (58.02) 25394 Repair carpal bone shorten 784.69 819.48 819.48 (34.79) (34.79) 25400 Repair radius or ulna 802.09 844.45 844.45 (42.36) (42.36) 25405 Repair/graft radius or ulna 1,036.20 1,089.66 1,089.66 (53.46) (53.46) 25415 Repair radius & ulna 968.37 1,012.30 1,012.30 (43.93) (43.93) 25420 Repair/graft radius & ulna 1,170.34 1,227.17 1,227.17 (56.83) (56.83) 25425 Repair/graft radius or ulna 963.84 1,013.44 1,013.44 (49.60) (49.60) 25426 Repair/graft radius & ulna 1,125.60 1,183.03 1,183.03 (57.43) (57.43) 25430 Vasc graft into carpal bone 706.22 769.81 769.81 (63.59) (63.59) 25431 Repair nonunion carpal bone 789.66 826.64 826.64 (36.98) (36.98) 25440 Repair/graft wrist bone 766.98 804.86 804.86 (37.88) (37.88) 25441 Reconstruct wrist joint 917.24 981.64 981.64 (64.40) (64.40) 25442 Reconstruct wrist joint 784.71 846.61 846.61 (61.90) (61.90) 25443 Reconstruct wrist joint 781.38 822.35 822.35 (40.97) (40.97) 25444 Reconstruct wrist joint 774.55 869.30 869.30 (94.75) (94.75) 25445 Reconstruct wrist joint 719.11 758.51 758.51 (39.40) (39.40) 25446 Wrist replacement 1,169.49 1,229.39 1,229.39 (59.90) (59.90) 25447 Repair wrist joints 825.84 869.42 869.42 (43.58) (43.58) 25449 Remove wrist joint implant 1,040.99 1,085.18 1,085.18 (44.19) (44.19) 25450 Revision of wrist joint 615.45 543.55 543.55 71.90 71.90 25455 Revision of wrist joint 680.90 643.44 643.44 37.46 37.46 25490 Reinforce radius 695.13 756.57 756.57 (61.44) (61.44) 25491 Reinforce ulna 739.39 778.28 778.28 (38.89) (38.89) 25492 Reinforce radius and ulna 904.36 951.72 951.72 (47.36) (47.36) 25500 Treat fracture of radius 249.81 287.18 263.46 (37.37) (13.65) 25505 Treat fracture of radius 459.55 528.17 483.36 (68.62) (23.81) 25515 Treat fracture of radius 669.90 703.82 703.82 (33.92) (33.92) 25520 Treat fracture of radius 537.02 587.07 556.95 (50.05) (19.93) 25525 Treat fracture of radius 786.45 825.16 825.16 (38.71) (38.71) 25526 Treat fracture of radius 956.09 1,000.71 1,000.71 (44.62) (44.62) 25530 Treat fracture of ulna 236.76 275.83 249.84 (39.07) (13.08) 25535 Treat fracture of ulna 452.16 513.56 475.15 (61.40) (22.99) 25545 Treat fracture of ulna 623.44 655.25 655.25 (31.81) (31.81) 25560 Treat fracture radius & ulna 251.68 291.74 263.50 (40.06) (11.82) 25565 Treat fracture radius & ulna 470.05 545.01 492.67 (74.96) (22.62) 25574 Treat fracture radius & ulna 673.90 707.21 707.21 (33.31) (33.31) 25575 Treat fracture radius/ulna 901.94 947.88 947.88 (45.94) (45.94) 25600 Treat fracture radius/ulna 310.28 345.13 326.30 (34.85) (16.02) 25605 Treat fracture radius/ulna 515.81 572.77 538.50 (56.96) (22.69) 25606 Treat fx distal radial 662.43 697.57 697.57 (35.14) (35.14) 25607 Treat fx rad extra-articul 735.53 773.04 773.04 (37.51) (37.51) 25608 Treat fx rad intra-articul 824.37 866.26 866.26 (41.89) (41.89) 25609 Treat fx radial 3+ frag 1,048.04 1,101.04 1,101.04 (53.00) (53.00) 25622 Treat wrist bone fracture 277.24 319.56 290.94 (42.32) (13.70) 25624 Treat wrist bone fracture 432.53 499.67 455.23 (67.14) (22.70) 25628 Treat wrist bone fracture 719.75 757.54 757.54 (37.79) (37.79) 25630 Treat wrist bone fracture 280.10 320.17 294.18 (40.07) (14.08) 25635 Treat wrist bone fracture 394.80 447.33 399.13 (52.53) (4.33) 25645 Treat wrist bone fracture 569.05 596.36 596.36 (27.31) (27.31) 25650 Treat wrist bone fracture 301.32 335.98 314.89 (34.66) (13.57) 25651 Pin ulnar styloid fracture 484.83 509.34 509.34 (24.51) (24.51) 25652 Treat fracture ulnar styloid 622.09 656.11 656.11 (34.02) (34.02) 25660 Treat wrist dislocation 404.18 428.00 428.00 (23.82) (23.82) 25670 Treat wrist dislocation 605.56 636.95 636.95 (31.39) (31.39) 25671 Pin radioulnar dislocation 529.53 557.74 557.74 (28.21) (28.21) 25675 Treat wrist dislocation 398.19 454.68 414.39 (56.49) (16.20) 25676 Treat wrist dislocation 628.24 658.74 658.74 (30.50) (30.50) 25680 Treat wrist fracture 471.83 495.98 495.98 (24.15) (24.15) 25685 Treat wrist fracture 735.16 770.24 770.24 (35.08) (35.08) 25690 Treat wrist dislocation 480.42 500.29 500.29 (19.87) (19.87) 25695 Treat wrist dislocation 633.07 666.24 666.24 (33.17) (33.17) 25800 Fusion of wrist joint 730.98 768.83 768.83 (37.85) (37.85) 25805 Fusion/graft of wrist joint 845.09 888.62 888.62 (43.53) (43.53) 25810 Fusion/graft of wrist joint 867.00 911.45 911.45 (44.45) (44.45) 25820 Fusion of hand bones 613.71 646.30 646.30 (32.59) (32.59) 25825 Fuse hand bones with graft 756.26 795.72 795.72 (39.46) (39.46) 25830 Fusion radioulnar jnt/ulna 951.24 995.34 995.34 (44.10) (44.10) 25900 Amputation of forearm 708.15 744.69 744.69 (36.54) (36.54) 25905 Amputation of forearm 634.71 679.22 679.22 (44.51) (44.51) 25907 Amputation follow-up surgery 612.54 611.15 611.15 1.39 1.39 25909 Amputation follow-up surgery 685.40 720.59 720.59 (35.19) (35.19) 25915 Amputation of forearm 1,040.09 1,240.23 1,240.23 (200.14) (200.14) 25920 Amputate hand at wrist 696.58 730.21 730.21 (33.63) (33.63) 25922 Amputate hand at wrist 490.56 602.51 602.51 (111.95) (111.95) 25924 Amputation follow-up surgery 612.86 638.86 638.86 (26.00) (26.00) 25927 Amputation of hand 811.39 856.18 856.18 (44.79) (44.79) 25929 Amputation follow-up surgery 596.43 621.29 621.29 (24.86) (24.86) 25931 Amputation follow-up surgery 672.42 697.75 697.75 (25.33) (25.33) 26010 Drainage of finger abscess 138.27 278.47 144.42 (140.20) (6.15) 26011 Drainage of finger abscess 184.67 411.41 194.52 (226.74) (9.85) 26020 Drain hand tendon sheath 432.41 456.18 456.18 (23.77) (23.77) 26025 Drainage of palm bursa 419.81 444.13 444.13 (24.32) (24.32) 26030 Drainage of palm bursas 492.40 516.69 516.69 (24.29) (24.29) 26034 Treat hand bone lesion 534.54 564.69 564.69 (30.15) (30.15) 26035 Decompress fingers/hand 866.81 897.91 897.91 (31.10) (31.10) 26037 Decompress fingers/hand 567.29 595.56 595.56 (28.27) (28.27) 26040 Release palm contracture 309.11 327.52 327.52 (18.41) (18.41) 26045 Release palm contracture 467.74 492.72 492.72 (24.98) (24.98) 26055 Incise finger tendon sheath 309.39 589.50 326.66 (280.11) (17.27) 26060 Incision of finger tendon 264.48 278.57 278.57 (14.09) (14.09) 26070 Explore/treat hand joint 313.27 329.53 329.53 (16.26) (16.26) 26075 Explore/treat finger joint 328.56 349.52 349.52 (20.96) (20.96) 26080 Explore/treat finger joint 389.12 410.44 410.44 (21.32) (21.32) 26100 Biopsy hand joint lining 334.27 350.73 350.73 (16.46) (16.46) 26105 Biopsy finger joint lining 333.52 350.03 350.03 (16.51) (16.51) 26110 Biopsy finger joint lining 320.01 337.63 337.63 (17.62) (17.62) 26111 Exc hand les sc 1.5 cm/> 416.09 439.28 439.28 (23.19) (23.19) 26113 Exc hand tum deep 1.5 cm/> 547.31 576.20 576.20 (28.89) (28.89) 26115 Exc hand les sc < 1.5 cm 331.77 531.24 350.12 (199.47) (18.35) 26116 Exc hand tum deep < 1.5 cm 525.32 554.02 554.02 (28.70) (28.70) 26117 Rad resect hand tumor < 3 cm 746.02 787.44 787.44 (41.42) (41.42) 26118 Rad resect hand tumor 3 cm/> 1,055.93 1,105.10 1,105.10 (49.17) (49.17) 26121 Release palm contracture 595.65 627.20 627.20 (31.55) (31.55) 26123 Release palm contracture 831.30 876.28 876.28 (44.98) (44.98) 26125 Release palm contracture 274.40 288.17 288.17 (13.77) (13.77) 26130 Remove wrist joint lining 460.41 486.52 486.52 (26.11) (26.11) 26135 Revise finger joint each 549.13 576.67 576.67 (27.54) (27.54) 26140 Revise finger joint each 502.61 529.29 529.29 (26.68) (26.68) 26145 Tendon excision palm/finger 509.95 537.18 537.18 (27.23) (27.23) 26160 Remove tendon sheath lesion 332.38 605.86 351.31 (273.48) (18.93) 26170 Removal of palm tendon each 404.95 425.08 425.08 (20.13) (20.13) 26180 Removal of finger tendon 441.20 464.84 464.84 (23.64) (23.64) 26185 Remove finger bone 550.98 571.49 571.49 (20.51) (20.51) 26200 Remove hand bone lesion 449.13 472.76 472.76 (23.63) (23.63) 26205 Remove/graft bone lesion 602.02 633.93 633.93 (31.91) (31.91) 26210 Removal of finger lesion 440.26 464.39 464.39 (24.13) (24.13) 26215 Remove/graft finger lesion 563.17 592.44 592.44 (29.27) (29.27) 26230 Partial removal of hand bone 497.69 523.43 523.43 (25.74) (25.74) 26235 Partial removal finger bone 491.43 518.06 518.06 (26.63) (26.63) 26236 Partial removal finger bone 439.70 463.71 463.71 (24.01) (24.01) 26250 Extensive hand surgery 1,095.53 1,133.18 1,133.18 (37.65) (37.65) 26260 Resect prox finger tumor 818.30 841.82 841.82 (23.52) (23.52) 26262 Resect distal finger tumor 639.51 657.58 657.58 (18.07) (18.07) 26320 Removal of implant from hand 344.80 364.55 364.55 (19.75) (19.75) 26340 Manipulate finger w/anesth 333.23 352.20 352.20 (18.97) (18.97) 26341 Manipulat palm cord post inj 73.59 103.89 78.66 (30.30) (5.07) 26350 Repair finger/hand tendon 700.66 740.78 740.78 (40.12) (40.12) 26352 Repair/graft hand tendon 807.47 852.83 852.83 (45.36) (45.36) 26356 Repair finger/hand tendon 1,080.94 921.67 921.67 159.27 159.27 26357 Repair finger/hand tendon 860.67 903.70 903.70 (43.03) (43.03) 26358 Repair/graft hand tendon 908.28 1,003.39 1,003.39 (95.11) (95.11) 26370 Repair finger/hand tendon 748.27 787.17 787.17 (38.90) (38.90) 26372 Repair/graft hand tendon 875.41 915.42 915.42 (40.01) (40.01) 26373 Repair finger/hand tendon 839.68 879.68 879.68 (40.00) (40.00) 26390 Revise hand/finger tendon 827.39 871.71 871.71 (44.32) (44.32) 26392 Repair/graft hand tendon 963.65 1,007.02 1,007.02 (43.37) (43.37) 26410 Repair hand tendon 556.38 589.01 589.01 (32.63) (32.63) 26412 Repair/graft hand tendon 670.06 708.55 708.55 (38.49) (38.49) 26415 Excision hand/finger tendon 786.27 798.86 798.86 (12.59) (12.59) 26416 Graft hand or finger tendon 750.35 750.39 750.39 (0.04) (0.04) 26418 Repair finger tendon 569.41 601.72 601.72 (32.31) (32.31) 26420 Repair/graft finger tendon 701.52 735.19 735.19 (33.67) (33.67) 26426 Repair finger/hand tendon 499.78 525.91 525.91 (26.13) (26.13) 26428 Repair/graft finger tendon 748.61 784.82 784.82 (36.21) (36.21) 26432 Repair finger tendon 490.49 519.17 519.17 (28.68) (28.68) 26433 Repair finger tendon 522.74 552.67 552.67 (29.93) (29.93) 26434 Repair/graft finger tendon 639.73 673.07 673.07 (33.34) (33.34) 26437 Realignment of tendons 611.51 647.10 647.10 (35.59) (35.59) 26440 Release palm/finger tendon 608.14 644.02 644.02 (35.88) (35.88) 26442 Release palm & finger tendon 951.18 1,002.62 1,002.62 (51.44) (51.44) 26445 Release hand/finger tendon 566.88 600.28 600.28 (33.40) (33.40) 26449 Release forearm/hand tendon 691.54 729.51 729.51 (37.97) (37.97) 26450 Incision of palm tendon 400.97 424.68 424.68 (23.71) (23.71) 26455 Incision of finger tendon 397.81 418.08 418.08 (20.27) (20.27) 26460 Incise hand/finger tendon 388.34 410.06 410.06 (21.72) (21.72) 26471 Fusion of finger tendons 605.57 637.66 637.66 (32.09) (32.09) 26474 Fusion of finger tendons 593.47 626.09 626.09 (32.62) (32.62) 26476 Tendon lengthening 576.10 601.33 601.33 (25.23) (25.23) 26477 Tendon shortening 574.31 603.42 603.42 (29.11) (29.11) 26478 Lengthening of hand tendon 612.35 644.60 644.60 (32.25) (32.25) 26479 Shortening of hand tendon 610.45 636.36 636.36 (25.91) (25.91) 26480 Transplant hand tendon 741.54 781.01 781.01 (39.47) (39.47) 26483 Transplant/graft hand tendon 831.87 876.48 876.48 (44.61) (44.61) 26485 Transplant palm tendon 793.18 839.36 839.36 (46.18) (46.18) 26489 Transplant/graft palm tendon 919.36 946.53 946.53 (27.17) (27.17) 26490 Revise thumb tendon 783.04 816.56 816.56 (33.52) (33.52) 26492 Tendon transfer with graft 870.20 905.74 905.74 (35.54) (35.54) 26494 Hand tendon/muscle transfer 790.11 820.05 820.05 (29.94) (29.94) 26496 Revise thumb tendon 827.83 890.56 890.56 (62.73) (62.73) 26497 Finger tendon transfer 855.97 902.25 902.25 (46.28) (46.28) 26498 Finger tendon transfer 1,132.20 1,191.30 1,191.30 (59.10) (59.10) 26499 Revision of finger 820.96 864.78 864.78 (43.82) (43.82) 26500 Hand tendon reconstruction 614.30 646.87 646.87 (32.57) (32.57) 26502 Hand tendon reconstruction 697.05 723.13 723.13 (26.08) (26.08) 26508 Release thumb contracture 630.29 668.31 668.31 (38.02) (38.02) 26510 Thumb tendon transfer 588.80 616.94 616.94 (28.14) (28.14) 26516 Fusion of knuckle joint 689.19 726.28 726.28 (37.09) (37.09) 26517 Fusion of knuckle joints 816.08 857.22 857.22 (41.14) (41.14) 26518 Fusion of knuckle joints 824.02 856.17 856.17 (32.15) (32.15) 26520 Release knuckle contracture 640.40 676.85 676.85 (36.45) (36.45) 26525 Release finger contracture 639.55 677.53 677.53 (37.98) (37.98) 26530 Revise knuckle joint 535.15 563.20 563.20 (28.05) (28.05) 26531 Revise knuckle with implant 621.10 655.11 655.11 (34.01) (34.01) 26535 Revise finger joint 416.91 441.92 441.92 (25.01) (25.01) 26536 Revise/implant finger joint 701.82 741.00 741.00 (39.18) (39.18) 26540 Repair hand joint 647.98 682.07 682.07 (34.09) (34.09) 26541 Repair hand joint with graft 787.38 831.78 831.78 (44.40) (44.40) 26542 Repair hand joint with graft 671.15 703.24 703.24 (32.09) (32.09) 26545 Reconstruct finger joint 682.01 716.10 716.10 (34.09) (34.09) 26546 Repair nonunion hand 977.75 1,032.03 1,032.03 (54.28) (54.28) 26548 Reconstruct finger joint 752.16 788.69 788.69 (36.53) (36.53) 26550 Construct thumb replacement 1,632.20 1,609.88 1,609.88 22.32 22.32 26551 Great toe-hand transfer 2,941.51 2,973.36 2,973.36 (31.85) (31.85) 26553 Single transfer toe-hand 3,050.21 3,435.62 3,435.62 (385.41) (385.41) 26554 Double transfer toe-hand 3,163.56 3,457.19 3,457.19 (293.63) (293.63) 26555 Positional change of finger 1,364.14 1,399.63 1,399.63 (35.49) (35.49) 26556 Toe joint transfer 2,712.51 3,570.39 3,570.39 (857.88) (857.88) 26560 Repair of web finger 564.35 582.42 582.42 (18.07) (18.07) 26561 Repair of web finger 936.45 966.96 966.96 (30.51) (30.51) 26562 Repair of web finger 1,262.79 1,402.06 1,402.06 (139.27) (139.27) 26565 Correct metacarpal flaw 672.12 702.88 702.88 (30.76) (30.76) 26567 Correct finger deformity 670.70 706.89 706.89 (36.19) (36.19) 26568 Lengthen metacarpal/finger 890.45 937.69 937.69 (47.24) (47.24) 26580 Repair hand deformity 1,514.85 1,527.18 1,527.18 (12.33) (12.33) 26587 Reconstruct extra finger 939.72 954.27 954.27 (14.55) (14.55) 26590 Repair finger deformity 1,398.03 1,407.76 1,407.76 (9.73) (9.73) 26591 Repair muscles of hand 429.60 453.49 453.49 (23.89) (23.89) 26593 Release muscles of hand 587.82 623.03 623.03 (35.21) (35.21) 26596 Excision constricting tissue 757.82 782.70 782.70 (24.88) (24.88) 26600 Treat metacarpal fracture 277.15 309.02 290.95 (31.87) (13.80) 26605 Treat metacarpal fracture 292.66 337.81 307.69 (45.15) (15.03) 26607 Treat metacarpal fracture 455.22 477.59 477.59 (22.37) (22.37) 26608 Treat metacarpal fracture 476.24 500.77 500.77 (24.53) (24.53) 26615 Treat metacarpal fracture 574.40 605.97 605.97 (31.57) (31.57) 26641 Treat thumb dislocation 339.38 385.08 351.19 (45.70) (11.81) 26645 Treat thumb fracture 390.52 442.51 406.37 (51.99) (15.85) 26650 Treat thumb fracture 476.95 502.28 502.28 (25.33) (25.33) 26665 Treat thumb fracture 628.42 665.17 665.17 (36.75) (36.75) 26670 Treat hand dislocation 307.53 354.80 321.66 (47.27) (14.13) 26675 Treat hand dislocation 416.75 473.86 435.08 (57.11) (18.33) 26676 Pin hand dislocation 499.63 525.96 525.96 (26.33) (26.33) 26685 Treat hand dislocation 579.97 606.02 606.02 (26.05) (26.05) 26686 Treat hand dislocation 623.56 656.03 656.03 (32.47) (32.47) 26700 Treat knuckle dislocation 304.98 336.80 316.09 (31.82) (11.11) 26705 Treat knuckle dislocation 378.21 437.39 400.49 (59.18) (22.28) 26706 Pin knuckle dislocation 438.84 462.15 462.15 (23.31) (23.31) 26715 Treat knuckle dislocation 573.08 601.29 601.29 (28.21) (28.21) 26720 Treat finger fracture each 184.74 208.00 193.32 (23.26) (8.58) 26725 Treat finger fracture each 303.81 353.12 318.10 (49.31) (14.29) 26727 Treat finger fracture each 467.79 492.75 492.75 (24.96) (24.96) 26735 Treat finger fracture each 595.80 627.08 627.08 (31.28) (31.28) 26740 Treat finger fracture each 214.35 241.56 226.88 (27.21) (12.53) 26742 Treat finger fracture each 333.89 385.92 350.15 (52.03) (16.26) 26746 Treat finger fracture each 740.04 779.14 779.14 (39.10) (39.10) 26750 Treat finger fracture each 185.03 192.90 193.28 (7.87) (8.25) 26755 Treat finger fracture each 273.66 328.52 285.22 (54.86) (11.56) 26756 Pin finger fracture each 416.28 438.85 438.85 (22.57) (22.57) 26765 Treat finger fracture each 501.25 526.87 526.87 (25.62) (25.62) 26770 Treat finger dislocation 255.79 287.41 265.94 (31.62) (10.15) 26775 Treat finger dislocation 344.41 401.20 362.79 (56.79) (18.38) 26776 Pin finger dislocation 441.16 465.04 465.04 (23.88) (23.88) 26785 Treat finger dislocation 546.06 575.74 575.74 (29.68) (29.68) 26820 Thumb fusion with graft 778.59 818.62 818.62 (40.03) (40.03) 26841 Fusion of thumb 718.76 754.20 754.20 (35.44) (35.44) 26842 Thumb fusion with graft 778.16 815.76 815.76 (37.60) (37.60) 26843 Fusion of hand joint 729.70 769.08 769.08 (39.38) (39.38) 26844 Fusion/graft of hand joint 806.89 842.26 842.26 (35.37) (35.37) 26850 Fusion of knuckle 681.20 717.89 717.89 (36.69) (36.69) 26852 Fusion of knuckle with graft 781.74 825.29 825.29 (43.55) (43.55) 26860 Fusion of finger joint 553.61 587.32 587.32 (33.71) (33.71) 26861 Fusion of finger jnt add-on 103.96 108.55 108.55 (4.59) (4.59) 26862 Fusion/graft of finger joint 712.49 753.85 753.85 (41.36) (41.36) 26863 Fuse/graft added joint 230.01 242.02 242.02 (12.01) (12.01) 26910 Amputate metacarpal bone 708.43 748.23 748.23 (39.80) (39.80) 26951 Amputation of finger/thumb 644.98 680.41 680.41 (35.43) (35.43) 26952 Amputation of finger/thumb 637.48 670.22 670.22 (32.74) (32.74) 26990 Drainage of pelvis lesion 623.55 657.57 657.57 (34.02) (34.02) 26991 Drainage of pelvis bursa 523.98 740.34 548.30 (216.36) (24.32) 26992 Drainage of bone lesion 965.64 1,008.83 1,008.83 (43.19) (43.19) 27000 Incision of hip tendon 421.03 437.82 437.82 (16.79) (16.79) 27001 Incision of hip tendon 542.52 564.31 564.31 (21.79) (21.79) 27003 Incision of hip tendon 596.09 626.75 626.75 (30.66) (30.66) 27005 Incision of hip tendon 728.38 761.06 761.06 (32.68) (32.68) 27006 Incision of hip tendons 737.26 773.42 773.42 (36.16) (36.16) 27025 Incision of hip/thigh fascia 919.89 962.93 962.93 (43.04) (43.04) 27027 Buttock fasciotomy 845.72 947.30 947.30 (101.58) (101.58) 27030 Drainage of hip joint 919.37 984.86 984.86 (65.49) (65.49) 27033 Exploration of hip joint 977.25 1,023.01 1,023.01 (45.76) (45.76) 27035 Denervation of hip joint 1,180.23 1,208.27 1,208.27 (28.04) (28.04) 27036 Excision of hip joint/muscle 1,014.82 1,062.78 1,062.78 (47.96) (47.96) 27040 Biopsy of soft tissues 201.53 363.42 210.54 (161.89) (9.01) 27041 Biopsy of soft tissues 689.13 724.85 724.85 (35.72) (35.72) 27043 Exc hip pelvis les sc 3 cm/> 467.27 495.31 495.31 (28.04) (28.04) 27045 Exc hip/pelv tum deep 5 cm/> 748.82 789.10 789.10 (40.28) (40.28) 27047 Exc hip/pelvis les sc < 3 cm 363.17 491.88 381.55 (128.71) (18.38) 27048 Exc hip/pelv tum deep < 5 cm 609.72 643.70 643.70 (33.98) (33.98) 27049 Resect hip/pelv tum < 5 cm 1,367.59 1,418.77 1,418.77 (51.18) (51.18) 27050 Biopsy of sacroiliac joint 401.80 404.32 404.32 (2.52) (2.52) 27052 Biopsy of hip joint 578.75 607.23 607.23 (28.48) (28.48) 27054 Removal of hip joint lining 687.32 720.65 720.65 (33.33) (33.33) 27057 Buttock fasciotomy w/dbrdmt 948.80 1,067.32 1,067.32 (118.52) (118.52) 27059 Resect hip/pelv tum 5 cm/> 1,809.18 1,914.87 1,914.87 (105.69) (105.69) 27060 Removal of ischial bursa 465.47 487.44 487.44 (21.97) (21.97) 27062 Remove femur lesion/bursa 456.29 480.89 480.89 (24.60) (24.60) 27065 Remove hip bone les super 513.95 538.47 538.47 (24.52) (24.52) 27066 Remove hip bone les deep 815.01 853.12 853.12 (38.11) (38.11) 27067 Remove/graft hip bone lesion 1,036.65 1,078.47 1,078.47 (41.82) (41.82) 27070 Part remove hip bone super 853.61 891.86 891.86 (38.25) (38.25) 27071 Part removal hip bone deep 920.22 965.26 965.26 (45.04) (45.04) 27075 Resect hip tumor 2,110.37 2,208.54 2,208.54 (98.17) (98.17) 27076 Resect hip tum incl acetabul 2,536.41 2,663.96 2,663.96 (127.55) (127.55) 27077 Resect hip tum w/innom bone 2,851.65 2,994.66 2,994.66 (143.01) (143.01) 27078 Rsect hip tum incl femur 2,080.60 2,175.09 2,175.09 (94.49) (94.49) 27080 Removal of tail bone 512.49 540.28 540.28 (27.79) (27.79) 27086 Remove hip foreign body 165.74 306.90 175.11 (141.16) (9.37) 27087 Remove hip foreign body 628.96 658.94 658.94 (29.98) (29.98) 27090 Removal of hip prosthesis 830.79 873.83 873.83 (43.04) (43.04) 27091 Removal of hip prosthesis 1,608.82 1,683.48 1,683.48 (74.66) (74.66) 27093 Injection for hip x-ray 70.36 198.59 73.57 (128.23) (3.21) 27095 Injection for hip x-ray 82.27 255.75 86.68 (173.48) (4.41) 27096 Inject sacroiliac joint 84.73 170.08 88.74 (85.35) (4.01) 27097 Revision of hip tendon 682.56 708.07 708.07 (25.51) (25.51) 27098 Transfer tendon to pelvis 694.72 703.44 703.44 (8.72) (8.72) 27100 Transfer of abdominal muscle 820.17 861.20 861.20 (41.03) (41.03) 27105 Transfer of spinal muscle 867.23 912.77 912.77 (45.54) (45.54) 27110 Transfer of iliopsoas muscle 970.58 1,018.38 1,018.38 (47.80) (47.80) 27111 Transfer of iliopsoas muscle 900.13 947.70 947.70 (47.57) (47.57) 27120 Reconstruction of hip socket 1,304.14 1,370.18 1,370.18 (66.04) (66.04) 27122 Reconstruction of hip socket 1,103.86 1,157.73 1,157.73 (53.87) (53.87) 27125 Partial hip replacement 1,139.32 1,194.51 1,194.51 (55.19) (55.19) 27130 Total hip arthroplasty 1,366.90 1,428.86 1,428.86 (61.96) (61.96) 27132 Total hip arthroplasty 1,688.66 1,764.67 1,764.67 (76.01) (76.01) 27134 Revise hip joint replacement 1,932.00 2,019.25 2,019.25 (87.25) (87.25) 27137 Revise hip joint replacement 1,483.83 1,552.26 1,552.26 (68.43) (68.43) 27138 Revise hip joint replacement 1,542.67 1,612.67 1,612.67 (70.00) (70.00) 27140 Transplant femur ridge 896.31 941.25 941.25 (44.94) (44.94) 27146 Incision of hip bone 1,289.93 1,356.11 1,356.11 (66.18) (66.18) 27147 Revision of hip bone 1,475.44 1,551.22 1,551.22 (75.78) (75.78) 27151 Incision of hip bones 1,597.69 1,674.02 1,674.02 (76.33) (76.33) 27156 Revision of hip bones 1,722.30 1,809.96 1,809.96 (87.66) (87.66) 27158 Revision of pelvis 1,407.00 1,500.74 1,500.74 (93.74) (93.74) 27161 Incision of neck of femur 1,222.14 1,279.72 1,279.72 (57.58) (57.58) 27165 Incision/fixation of femur 1,385.14 1,448.24 1,448.24 (63.10) (63.10) 27170 Repair/graft femur head/neck 1,182.38 1,238.43 1,238.43 (56.05) (56.05) 27175 Treat slipped epiphysis 590.14 702.75 702.75 (112.61) (112.61) 27176 Treat slipped epiphysis 920.54 947.34 947.34 (26.80) (26.80) 27177 Treat slipped epiphysis 1,116.80 1,174.38 1,174.38 (57.58) (57.58) 27178 Treat slipped epiphysis 920.54 967.36 967.36 (46.82) (46.82) 27179 Revise head/neck of femur 978.17 1,028.34 1,028.34 (50.17) (50.17) 27181 Treat slipped epiphysis 1,021.54 1,012.42 1,012.42 9.12 9.12 27185 Revision of femur epiphysis 585.63 639.14 639.14 (53.51) (53.51) 27187 Reinforce hip bones 996.45 1,044.18 1,044.18 (47.73) (47.73) 27200 Treat tail bone fracture 187.70 189.92 198.20 (2.22) (10.50) 27202 Treat tail bone fracture 534.05 557.60 557.60 (23.55) (23.55) 27215 Treat pelvic fracture(s) 599.21 655.15 655.15 (55.94) (55.94) 27216 Treat pelvic ring fracture 888.89 970.39 970.39 (81.50) (81.50) 27217 Treat pelvic ring fracture 834.37 910.78 910.78 (76.41) (76.41) 27218 Treat pelvic ring fracture 1,151.03 1,257.54 1,257.54 (106.51) (106.51) 27220 Treat hip socket fracture 526.81 558.12 553.22 (31.31) (26.41) 27222 Treat hip socket fracture 977.93 1,027.91 1,027.91 (49.98) (49.98) 27226 Treat hip wall fracture 1,064.12 1,112.92 1,112.92 (48.80) (48.80) 27227 Treat hip fracture(s) 1,670.78 1,748.44 1,748.44 (77.66) (77.66) 27228 Treat hip fracture(s) 1,902.92 1,993.07 1,993.07 (90.15) (90.15) 27230 Treat thigh fracture 472.35 498.99 495.98 (26.64) (23.63) 27232 Treat thigh fracture 762.80 790.45 790.45 (27.65) (27.65) 27235 Treat thigh fracture 912.49 958.19 958.19 (45.70) (45.70) 27236 Treat thigh fracture 1,203.56 1,261.00 1,261.00 (57.44) (57.44) 27238 Treat thigh fracture 460.60 484.02 484.02 (23.42) (23.42) 27240 Treat thigh fracture 959.33 1,007.44 1,007.44 (48.11) (48.11) 27244 Treat thigh fracture 1,237.14 1,297.77 1,297.77 (60.63) (60.63) 27245 Treat thigh fracture 1,237.50 1,297.42 1,297.42 (59.92) (59.92) 27246 Treat thigh fracture 386.91 405.00 407.26 (18.09) (20.35) 27248 Treat thigh fracture 746.72 782.01 782.01 (35.29) (35.29) 27250 Treat hip dislocation 182.96 188.40 188.40 (5.44) (5.44) 27252 Treat hip dislocation 761.38 798.09 798.09 (36.71) (36.71) 27253 Treat hip dislocation 946.07 990.22 990.22 (44.15) (44.15) 27254 Treat hip dislocation 1,272.65 1,335.06 1,335.06 (62.41) (62.41) 27256 Treat hip dislocation 235.39 312.86 244.71 (77.47) (9.32) 27257 Treat hip dislocation 361.58 382.64 382.64 (21.06) (21.06) 27258 Treat hip dislocation 1,113.45 1,170.09 1,170.09 (56.64) (56.64) 27259 Treat hip dislocation 1,558.02 1,638.26 1,638.26 (80.24) (80.24) 27265 Treat hip dislocation 400.52 418.18 418.18 (17.66) (17.66) 27266 Treat hip dislocation 582.11 612.11 612.11 (30.00) (30.00) 27267 Cltx thigh fx 438.37 457.47 457.47 (19.10) (19.10) 27268 Cltx thigh fx w/mnpj 538.60 560.22 560.22 (21.62) (21.62) 27269 Optx thigh fx 1,250.42 1,306.87 1,306.87 (56.45) (56.45) 27275 Manipulation of hip joint 181.65 191.27 191.27 (9.62) (9.62) 27279 Arthrodesis sacroiliac joint 560.88 733.60 733.60 (172.72) (172.72) 27280 Fusion of sacroiliac joint 1,046.01 1,439.29 1,439.29 (393.28) (393.28) 27282 Fusion of pubic bones 855.66 868.66 868.66 (13.00) (13.00) 27284 Fusion of hip joint 1,626.08 1,640.65 1,640.65 (14.57) (14.57) 27286 Fusion of hip joint 1,660.02 1,723.34 1,723.34 (63.32) (63.32) 27290 Amputation of leg at hip 1,631.16 1,696.09 1,696.09 (64.93) (64.93) 27295 Amputation of leg at hip 1,270.71 1,326.33 1,326.33 (55.62) (55.62) 27301 Drain thigh/knee lesion 495.73 707.89 527.90 (212.16) (32.17) 27303 Drainage of bone lesion 640.09 670.61 670.61 (30.52) (30.52) 27305 Incise thigh tendon & fascia 485.10 506.54 506.54 (21.44) (21.44) 27306 Incision of thigh tendon 370.56 373.94 373.94 (3.38) (3.38) 27307 Incision of thigh tendons 480.26 485.37 485.37 (5.11) (5.11) 27310 Exploration of knee joint 733.15 769.71 769.71 (36.56) (36.56) 27323 Biopsy thigh soft tissues 178.43 286.22 187.94 (107.79) (9.51) 27324 Biopsy thigh soft tissues 395.70 420.05 420.05 (24.35) (24.35) 27325 Neurectomy hamstring 557.52 575.48 575.48 (17.96) (17.96) 27326 Neurectomy popliteal 513.72 546.09 546.09 (32.37) (32.37) 27327 Exc thigh/knee les sc < 3 cm 313.98 485.38 331.37 (171.40) (17.39) 27328 Exc thigh/knee tum deep <5cm 619.41 653.59 653.59 (34.18) (34.18) 27329 Resect thigh/knee tum < 5 cm 1,041.02 1,090.95 1,090.95 (49.93) (49.93) 27330 Biopsy knee joint lining 418.03 440.84 440.84 (22.81) (22.81) 27331 Explore/treat knee joint 476.70 499.97 499.97 (23.27) (23.27) 27332 Removal of knee cartilage 641.40 674.33 674.33 (32.93) (32.93) 27333 Removal of knee cartilage 586.08 617.06 617.06 (30.98) (30.98) 27334 Remove knee joint lining 685.93 719.15 719.15 (33.22) (33.22) 27335 Remove knee joint lining 766.45 803.25 803.25 (36.80) (36.80) 27337 Exc thigh/knee les sc 3 cm/> 417.36 441.07 441.07 (23.71) (23.71) 27339 Exc thigh/knee tum dep 5cm/> 749.90 793.90 793.90 (44.00) (44.00) 27340 Removal of kneecap bursa 371.89 392.08 392.08 (20.19) (20.19) 27345 Removal of knee cyst 481.64 506.24 506.24 (24.60) (24.60) 27347 Remove knee cyst 529.84 557.93 557.93 (28.09) (28.09) 27350 Removal of kneecap 655.11 685.27 685.27 (30.16) (30.16) 27355 Remove femur lesion 604.43 633.19 633.19 (28.76) (28.76) 27356 Remove femur lesion/graft 739.47 774.83 774.83 (35.36) (35.36) 27357 Remove femur lesion/graft 815.80 856.77 856.77 (40.97) (40.97) 27358 Remove femur lesion/fixation 279.71 292.68 292.68 (12.97) (12.97) 27360 Partial removal leg bone(s) 854.85 895.77 895.77 (40.92) (40.92) 27364 Resect thigh/knee tum 5 cm/> 1,568.28 1,645.81 1,645.81 (77.53) (77.53) 27365 Resect femur/knee tumor 2,080.99 2,182.27 2,182.27 (101.28) (101.28) 27370 Injection for knee x-ray 51.92 164.20 53.12 (112.28) (1.20) 27372 Removal of foreign body 405.78 640.30 424.91 (234.52) (19.13) 27380 Repair of kneecap tendon 596.28 625.33 625.33 (29.05) (29.05) 27381 Repair/graft kneecap tendon 802.05 838.22 838.22 (36.17) (36.17) 27385 Repair of thigh muscle 576.94 605.75 605.75 (28.81) (28.81) 27386 Repair/graft of thigh muscle 833.07 872.81 872.81 (39.74) (39.74) 27390 Incision of thigh tendon 448.36 471.63 471.63 (23.27) (23.27) 27391 Incision of thigh tendons 577.20 607.42 607.42 (30.22) (30.22) 27392 Incision of thigh tendons 712.54 747.42 747.42 (34.88) (34.88) 27393 Lengthening of thigh tendon 509.94 533.13 533.13 (23.19) (23.19) 27394 Lengthening of thigh tendons 653.09 670.26 670.26 (17.17) (17.17) 27395 Lengthening of thigh tendons 879.52 925.14 925.14 (45.62) (45.62) 27396 Transplant of thigh tendon 616.41 648.53 648.53 (32.12) (32.12) 27397 Transplants of thigh tendons 917.64 950.99 950.99 (33.35) (33.35) 27400 Revise thigh muscles/tendons 695.06 731.10 731.10 (36.04) (36.04) 27403 Repair of knee cartilage 641.86 673.67 673.67 (31.81) (31.81) 27405 Repair of knee ligament 678.57 709.64 709.64 (31.07) (31.07) 27407 Repair of knee ligament 793.31 817.62 817.62 (24.31) (24.31) 27409 Repair of knee ligaments 967.09 1,003.28 1,003.28 (36.19) (36.19) 27412 Autochondrocyte implant knee 1,661.40 1,742.97 1,742.97 (81.57) (81.57) 27415 Osteochondral knee allograft 1,379.46 1,444.78 1,444.78 (65.32) (65.32) 27416 Osteochondral knee autograft 982.92 1,030.39 1,030.39 (47.47) (47.47) 27418 Repair degenerated kneecap 833.41 872.22 872.22 (38.81) (38.81) 27420 Revision of unstable kneecap 736.70 783.11 783.11 (46.41) (46.41) 27422 Revision of unstable kneecap 745.75 780.63 780.63 (34.88) (34.88) 27424 Revision/removal of kneecap 748.22 787.87 787.87 (39.65) (39.65) 27425 Lat retinacular release open 447.85 472.24 472.24 (24.39) (24.39) 27427 Reconstruction knee 716.97 749.22 749.22 (32.25) (32.25) 27428 Reconstruction knee 1,117.25 1,173.48 1,173.48 (56.23) (56.23) 27429 Reconstruction knee 1,256.47 1,312.25 1,312.25 (55.78) (55.78) 27430 Revision of thigh muscles 742.97 778.13 778.13 (35.16) (35.16) 27435 Incision of knee joint 812.66 849.30 849.30 (36.64) (36.64) 27437 Revise kneecap 661.20 695.45 695.45 (34.25) (34.25) 27438 Revise kneecap with implant 845.57 884.77 884.77 (39.20) (39.20) 27440 Revision of knee joint 798.66 840.62 840.62 (41.96) (41.96) 27441 Revision of knee joint 825.26 866.52 866.52 (41.26) (41.26) 27442 Revision of knee joint 873.55 914.96 914.96 (41.41) (41.41) 27443 Revision of knee joint 817.94 849.23 849.23 (31.29) (31.29) 27445 Revision of knee joint 1,259.46 1,314.58 1,314.58 (55.12) (55.12) 27446 Revision of knee joint 1,168.58 1,221.52 1,221.52 (52.94) (52.94) 27447 Total knee arthroplasty 1,366.16 1,428.48 1,428.48 (62.32) (62.32) 27448 Incision of thigh 810.13 815.77 815.77 (5.64) (5.64) 27450 Incision of thigh 1,017.09 1,063.86 1,063.86 (46.77) (46.77) 27454 Realignment of thigh bone 1,303.89 1,370.71 1,370.71 (66.82) (66.82) 27455 Realignment of knee 944.27 991.38 991.38 (47.11) (47.11) 27457 Realignment of knee 960.12 996.08 996.08 (35.96) (35.96) 27465 Shortening of thigh bone 1,258.12 1,301.30 1,301.30 (43.18) (43.18) 27466 Lengthening of thigh bone 1,183.25 1,241.20 1,241.20 (57.95) (57.95) 27468 Shorten/lengthen thighs 1,206.10 1,295.48 1,295.48 (89.38) (89.38) 27470 Repair of thigh 1,182.74 1,238.37 1,238.37 (55.63) (55.63) 27472 Repair/graft of thigh 1,270.84 1,330.22 1,330.22 (59.38) (59.38) 27475 Surgery to stop leg growth 662.64 696.93 696.93 (34.29) (34.29) 27477 Surgery to stop leg growth 733.31 769.78 769.78 (36.47) (36.47) 27479 Surgery to stop leg growth 862.40 828.26 828.26 34.14 34.14 27485 Surgery to stop leg growth 671.67 705.92 705.92 (34.25) (34.25) 27486 Revise/replace knee joint 1,417.63 1,482.60 1,482.60 (64.97) (64.97) 27487 Revise/replace knee joint 1,773.06 1,852.79 1,852.79 (79.73) (79.73) 27488 Removal of knee prosthesis 1,208.96 1,265.26 1,265.26 (56.30) (56.30) 27495 Reinforce thigh 1,133.35 1,187.95 1,187.95 (54.60) (54.60) 27496 Decompression of thigh/knee 543.77 570.55 570.55 (26.78) (26.78) 27497 Decompression of thigh/knee 582.84 609.33 609.33 (26.49) (26.49) 27498 Decompression of thigh/knee 655.11 679.83 679.83 (24.72) (24.72) 27499 Decompression of thigh/knee 701.01 734.47 734.47 (33.46) (33.46) 27500 Treatment of thigh fracture 479.49 545.75 504.71 (66.26) (25.22) 27501 Treatment of thigh fracture 499.39 529.52 525.38 (30.13) (25.99) 27502 Treatment of thigh fracture 773.05 804.02 804.02 (30.97) (30.97) 27503 Treatment of thigh fracture 804.83 844.92 844.92 (40.09) (40.09) 27506 Treatment of thigh fracture 1,345.53 1,409.88 1,409.88 (64.35) (64.35) 27507 Treatment of thigh fracture 978.50 1,024.49 1,024.49 (45.99) (45.99) 27508 Treatment of thigh fracture 496.16 552.42 519.66 (56.26) (23.50) 27509 Treatment of thigh fracture 645.84 676.31 676.31 (30.47) (30.47) 27510 Treatment of thigh fracture 687.08 717.67 717.67 (30.59) (30.59) 27511 Treatment of thigh fracture 1,003.03 1,049.86 1,049.86 (46.83) (46.83) 27513 Treatment of thigh fracture 1,248.13 1,306.81 1,306.81 (58.68) (58.68) 27514 Treatment of thigh fracture 971.82 1,018.19 1,018.19 (46.37) (46.37) 27516 Treat thigh fx growth plate 476.99 535.45 502.69 (58.46) (25.70) 27517 Treat thigh fx growth plate 686.04 710.28 710.28 (24.24) (24.24) 27519 Treat thigh fx growth plate 893.81 939.15 939.15 (45.34) (45.34) 27520 Treat kneecap fracture 295.55 340.03 309.91 (44.48) (14.36) 27524 Treat kneecap fracture 754.86 792.27 792.27 (37.41) (37.41) 27530 Treat knee fracture 280.71 318.21 295.61 (37.50) (14.90) 27532 Treat knee fracture 578.17 646.91 606.99 (68.74) (28.82) 27535 Treat knee fracture 901.81 945.04 945.04 (43.23) (43.23) 27536 Treat knee fracture 1,197.43 1,254.31 1,254.31 (56.88) (56.88) 27538 Treat knee fracture(s) 443.99 497.13 465.50 (53.14) (21.51) 27540 Treat knee fracture 815.94 852.50 852.50 (36.56) (36.56) 27550 Treat knee dislocation 470.89 530.49 491.70 (59.60) (20.81) 27552 Treat knee dislocation 627.13 658.40 658.40 (31.27) (31.27) 27556 Treat knee dislocation 876.25 921.08 921.08 (44.83) (44.83) 27557 Treat knee dislocation 1,051.39 1,104.30 1,104.30 (52.91) (52.91) 27558 Treat knee dislocation 1,198.42 1,253.42 1,253.42 (55.00) (55.00) 27560 Treat kneecap dislocation 334.32 379.62 349.87 (45.30) (15.55) 27562 Treat kneecap dislocation 483.60 493.03 493.03 (9.43) (9.43) 27566 Treat kneecap dislocation 894.61 939.00 939.00 (44.39) (44.39) 27570 Fixation of knee joint 150.96 159.56 159.56 (8.60) (8.60) 27580 Fusion of knee 1,443.52 1,513.79 1,513.79 (70.27) (70.27) 27590 Amputate leg at thigh 817.50 851.74 851.74 (34.24) (34.24) 27591 Amputate leg at thigh 974.54 1,015.69 1,015.69 (41.15) (41.15) 27592 Amputate leg at thigh 691.80 724.08 724.08 (32.28) (32.28) 27594 Amputation follow-up surgery 515.92 538.26 538.26 (22.34) (22.34) 27596 Amputation follow-up surgery 735.49 767.78 767.78 (32.29) (32.29) 27598 Amputate lower leg at knee 737.29 766.54 766.54 (29.25) (29.25) 27600 Decompression of lower leg 417.59 434.69 434.69 (17.10) (17.10) 27601 Decompression of lower leg 444.84 467.79 467.79 (22.95) (22.95) 27602 Decompression of lower leg 504.49 520.88 520.88 (16.39) (16.39) 27603 Drain lower leg lesion 390.27 560.79 410.17 (170.52) (19.90) 27604 Drain lower leg bursa 333.25 524.46 365.55 (191.21) (32.30) 27605 Incision of achilles tendon 185.86 362.36 194.04 (176.50) (8.18) 27606 Incision of achilles tendon 286.87 298.29 298.29 (11.42) (11.42) 27607 Treat lower leg bone lesion 613.34 639.70 639.70 (26.36) (26.36) 27610 Explore/treat ankle joint 657.01 686.15 686.15 (29.14) (29.14) 27612 Exploration of ankle joint 566.46 586.26 586.26 (19.80) (19.80) 27613 Biopsy lower leg soft tissue 163.40 266.72 171.45 (103.32) (8.05) 27614 Biopsy lower leg soft tissue 408.64 611.71 426.45 (203.07) (17.81) 27615 Resect leg/ankle tum < 5 cm 1,026.95 1,077.41 1,077.41 (50.46) (50.46) 27616 Resect leg/ankle tum 5 cm/> 1,270.24 1,338.75 1,338.75 (68.51) (68.51) 27618 Exc leg/ankle tum < 3 cm 306.32 475.04 324.04 (168.72) (17.72) 27619 Exc leg/ankle tum deep <5 cm 473.34 493.86 493.86 (20.52) (20.52) 27620 Explore/treat ankle joint 456.85 478.79 478.79 (21.94) (21.94) 27625 Remove ankle joint lining 581.45 616.83 616.83 (35.38) (35.38) 27626 Remove ankle joint lining 628.51 650.65 650.65 (22.14) (22.14) 27630 Removal of tendon lesion 369.59 595.07 386.46 (225.48) (16.87) 27632 Exc leg/ankle les sc 3 cm/> 413.63 437.17 437.17 (23.54) (23.54) 27634 Exc leg/ankle tum dep 5 cm/> 683.46 723.46 723.46 (40.00) (40.00) 27635 Remove lower leg bone lesion 592.38 619.13 619.13 (26.75) (26.75) 27637 Remove/graft leg bone lesion 755.65 789.40 789.40 (33.75) (33.75) 27638 Remove/graft leg bone lesion 773.70 803.87 803.87 (30.17) (30.17) 27640 Partial removal of tibia 836.80 878.41 878.41 (41.61) (41.61) 27641 Partial removal of fibula 671.93 704.19 704.19 (32.26) (32.26) 27645 Resect tibia tumor 1,788.71 1,870.20 1,870.20 (81.49) (81.49) 27646 Resect fibula tumor 1,550.93 1,621.22 1,621.22 (70.29) (70.29) 27647 Resect talus/calcaneus tum 1,041.50 1,071.74 1,071.74 (30.24) (30.24) 27648 Injection for ankle x-ray 52.28 173.95 55.33 (121.67) (3.05) 27650 Repair achilles tendon 666.71 694.47 694.47 (27.76) (27.76) 27652 Repair/graft achilles tendon 691.11 719.02 719.02 (27.91) (27.91) 27654 Repair of achilles tendon 710.95 745.29 745.29 (34.34) (34.34) 27656 Repair leg fascia defect 396.07 673.66 418.35 (277.59) (22.28) 27658 Repair of leg tendon each 375.72 393.42 393.42 (17.70) (17.70) 27659 Repair of leg tendon each 488.76 507.42 507.42 (18.66) (18.66) 27664 Repair of leg tendon each 363.10 380.91 380.91 (17.81) (17.81) 27665 Repair of leg tendon each 416.34 434.25 434.25 (17.91) (17.91) 27675 Repair lower leg tendons 487.28 512.33 512.33 (25.05) (25.05) 27676 Repair lower leg tendons 618.02 635.12 635.12 (17.10) (17.10) 27680 Release of lower leg tendon 430.67 452.98 452.98 (22.31) (22.31) 27681 Release of lower leg tendons 546.97 573.75 573.75 (26.78) (26.78) 27685 Revision of lower leg tendon 467.83 704.10 489.47 (236.27) (21.64) 27686 Revise lower leg tendons 554.84 587.88 587.88 (33.04) (33.04) 27687 Revision of calf tendon 457.00 478.54 478.54 (21.54) (21.54) 27690 Revise lower leg tendon 634.51 663.38 663.38 (28.87) (28.87) 27691 Revise lower leg tendon 757.16 789.43 789.43 (32.27) (32.27) 27692 Revise additional leg tendon 106.65 110.22 110.22 (3.57) (3.57) 27695 Repair of ankle ligament 481.74 500.93 500.93 (19.19) (19.19) 27696 Repair of ankle ligaments 562.80 585.25 585.25 (22.45) (22.45) 27698 Repair of ankle ligament 644.43 675.29 675.29 (30.86) (30.86) 27700 Revision of ankle joint 593.92 625.21 625.21 (31.29) (31.29) 27702 Reconstruct ankle joint 976.81 1,017.75 1,017.75 (40.94) (40.94) 27703 Reconstruction ankle joint 1,127.10 1,168.20 1,168.20 (41.10) (41.10) 27704 Removal of ankle implant 579.74 607.92 607.92 (28.18) (28.18) 27705 Incision of tibia 762.18 799.90 799.90 (37.72) (37.72) 27707 Incision of fibula 405.98 426.30 426.30 (20.32) (20.32) 27709 Incision of tibia & fibula 1,174.56 1,229.65 1,229.65 (55.09) (55.09) 27712 Realignment of lower leg 1,108.89 1,160.53 1,160.53 (51.64) (51.64) 27715 Revision of lower leg 1,074.30 1,128.28 1,128.28 (53.98) (53.98) 27720 Repair of tibia 880.01 921.80 921.80 (41.79) (41.79) 27722 Repair/graft of tibia 891.75 925.65 925.65 (33.90) (33.90) 27724 Repair/graft of tibia 1,276.02 1,332.04 1,332.04 (56.02) (56.02) 27725 Repair of lower leg 1,224.34 1,271.79 1,271.79 (47.45) (47.45) 27726 Repair fibula nonunion 974.67 1,018.84 1,018.84 (44.17) (44.17) 27727 Repair of lower leg 922.31 1,092.74 1,092.74 (170.43) (170.43) 27730 Repair of tibia epiphysis 586.56 600.72 600.72 (14.16) (14.16) 27732 Repair of fibula epiphysis 383.13 427.36 427.36 (44.23) (44.23) 27734 Repair lower leg epiphyses 616.73 691.12 691.12 (74.39) (74.39) 27740 Repair of leg epiphyses 621.03 745.93 745.93 (124.90) (124.90) 27742 Repair of leg epiphyses 683.38 814.98 814.98 (131.60) (131.60) 27745 Reinforce tibia 760.04 795.49 795.49 (35.45) (35.45) 27750 Treatment of tibia fracture 318.73 364.54 334.42 (45.81) (15.69) 27752 Treatment of tibia fracture 496.76 565.39 521.71 (68.63) (24.95) 27756 Treatment of tibia fracture 576.52 603.24 603.24 (26.72) (26.72) 27758 Treatment of tibia fracture 894.83 938.25 938.25 (43.42) (43.42) 27759 Treatment of tibia fracture 1,003.65 1,052.35 1,052.35 (48.70) (48.70) 27760 Cltx medial ankle fx 306.37 351.10 320.22 (44.73) (13.85) 27762 Cltx med ankle fx w/mnpj 437.94 499.26 454.83 (61.32) (16.89) 27766 Optx medial ankle fx 612.04 644.01 644.01 (31.97) (31.97) 27767 Cltx post ankle fx 285.37 296.10 297.99 (10.73) (12.62) 27768 Cltx post ankle fx w/mnpj 440.72 463.41 463.41 (22.69) (22.69) 27769 Optx post ankle fx 732.59 769.03 769.03 (36.44) (36.44) 27780 Treatment of fibula fracture 279.69 322.80 293.43 (43.11) (13.74) 27781 Treatment of fibula fracture 388.68 444.08 411.32 (55.40) (22.64) 27784 Treatment of fibula fracture 720.71 754.66 754.66 (33.95) (33.95) 27786 Treatment of ankle fracture 287.26 333.01 301.00 (45.75) (13.74) 27788 Treatment of ankle fracture 385.31 442.56 404.16 (57.25) (18.85) 27792 Treatment of ankle fracture 656.69 688.19 688.19 (31.50) (31.50) 27808 Treatment of ankle fracture 302.00 352.15 316.00 (50.15) (14.00) 27810 Treatment of ankle fracture 426.73 490.50 444.94 (63.77) (18.21) 27814 Treatment of ankle fracture 776.68 813.70 813.70 (37.02) (37.02) 27816 Treatment of ankle fracture 286.81 337.04 302.03 (50.23) (15.22) 27818 Treatment of ankle fracture 436.51 508.24 455.15 (71.73) (18.64) 27822 Treatment of ankle fracture 846.89 886.66 886.66 (39.77) (39.77) 27823 Treatment of ankle fracture 961.01 1,006.39 1,006.39 (45.38) (45.38) 27824 Treat lower leg fracture 305.86 330.07 320.66 (24.21) (14.80) 27825 Treat lower leg fracture 495.38 572.55 518.70 (77.17) (23.32) 27826 Treat lower leg fracture 843.11 876.80 876.80 (33.69) (33.69) 27827 Treat lower leg fracture 1,090.00 1,139.15 1,139.15 (49.15) (49.15) 27828 Treat lower leg fracture 1,303.85 1,364.84 1,364.84 (60.99) (60.99) 27829 Treat lower leg joint 689.32 721.27 721.27 (31.95) (31.95) 27830 Treat lower leg dislocation 354.12 400.78 373.29 (46.66) (19.17) 27831 Treat lower leg dislocation 399.27 412.67 412.67 (13.40) (13.40) 27832 Treat lower leg dislocation 757.31 797.42 797.42 (40.11) (40.11) 27840 Treat ankle dislocation 371.41 386.42 386.42 (15.01) (15.01) 27842 Treat ankle dislocation 495.70 521.77 521.77 (26.07) (26.07) 27846 Treat ankle dislocation 735.49 764.62 764.62 (29.13) (29.13) 27848 Treat ankle dislocation 820.32 854.58 854.58 (34.26) (34.26) 27860 Fixation of ankle joint 178.29 184.48 184.48 (6.19) (6.19) 27870 Fusion of ankle joint open 1,041.31 1,085.81 1,085.81 (44.50) (44.50) 27871 Fusion of tibiofibular joint 691.82 720.60 720.60 (28.78) (28.78) 27880 Amputation of lower leg 932.39 974.95 974.95 (42.56) (42.56) 27881 Amputation of lower leg 890.13 924.48 924.48 (34.35) (34.35) 27882 Amputation of lower leg 613.60 639.65 639.65 (26.05) (26.05) 27884 Amputation follow-up surgery 584.12 613.70 613.70 (29.58) (29.58) 27886 Amputation follow-up surgery 668.45 700.95 700.95 (32.50) (32.50) 27888 Amputation of foot at ankle 680.02 723.44 723.44 (43.42) (43.42) 27889 Amputation of foot at ankle 671.66 691.19 691.19 (19.53) (19.53) 27892 Decompression of leg 558.67 583.33 583.33 (24.66) (24.66) 27893 Decompression of leg 614.82 637.00 637.00 (22.18) (22.18) 27894 Decompression of leg 863.37 901.24 901.24 (37.87) (37.87) 28001 Drainage of bursa of foot 169.41 294.61 178.25 (125.20) (8.84) 28002 Treatment of foot infection 322.94 469.69 334.88 (146.75) (11.94) 28003 Treatment of foot infection 573.95 751.24 597.60 (177.29) (23.65) 28005 Treat foot bone lesion 583.25 608.75 608.75 (25.50) (25.50) 28008 Incision of foot fascia 293.84 459.93 308.55 (166.09) (14.71) 28010 Incision of toe tendon 210.78 245.30 220.44 (34.52) (9.66) 28011 Incision of toe tendons 291.68 340.62 303.34 (48.94) (11.66) 28020 Exploration of foot joint 363.98 577.65 382.22 (213.67) (18.24) 28022 Exploration of foot joint 326.25 521.40 343.29 (195.15) (17.04) 28024 Exploration of toe joint 305.12 492.68 321.72 (187.56) (16.60) 28035 Decompression of tibia nerve 359.85 561.15 374.00 (201.30) (14.15) 28039 Exc foot/toe tum sc 1.5 cm/> 351.78 543.74 370.15 (191.96) (18.37) 28041 Exc foot/toe tum dep 1.5cm/> 461.70 486.61 486.61 (24.91) (24.91) 28043 Exc foot/toe tum sc < 1.5 cm 263.01 426.77 276.90 (163.76) (13.89) 28045 Exc foot/toe tum deep <1.5cm 350.33 527.95 366.41 (177.62) (16.08) 28046 Resect foot/toe tumor < 3 cm 738.70 768.40 768.40 (29.70) (29.70) 28047 Resect foot/toe tumor 3 cm/> 1,028.61 1,127.49 1,127.49 (98.88) (98.88) 28050 Biopsy of foot joint lining 282.68 453.30 294.77 (170.62) (12.09) 28052 Biopsy of foot joint lining 283.11 479.05 301.70 (195.94) (18.59) 28054 Biopsy of toe joint lining 236.24 418.90 258.11 (182.66) (21.87) 28055 Neurectomy foot 377.81 394.72 394.72 (16.91) (16.91) 28060 Partial removal foot fascia 357.21 553.09 376.48 (195.88) (19.27) 28062 Removal of foot fascia 408.06 624.31 428.88 (216.25) (20.82) 28070 Removal of foot joint lining 355.74 569.39 375.47 (213.65) (19.73) 28072 Removal of foot joint lining 336.00 540.95 350.42 (204.95) (14.42) 28080 Removal of foot lesion 367.79 559.82 387.74 (192.03) (19.95) 28086 Excise foot tendon sheath 363.06 586.22 382.13 (223.16) (19.07) 28088 Excise foot tendon sheath 295.55 479.21 298.46 (183.66) (2.91) 28090 Removal of foot lesion 309.47 503.12 325.39 (193.65) (15.92) 28092 Removal of toe lesions 270.16 452.65 283.95 (182.49) (13.79) 28100 Removal of ankle/heel lesion 412.80 648.18 435.81 (235.38) (23.01) 28102 Remove/graft foot lesion 573.13 637.84 637.84 (64.71) (64.71) 28103 Remove/graft foot lesion 392.14 412.22 412.22 (20.08) (20.08) 28104 Removal of foot lesion 351.72 563.38 372.47 (211.66) (20.75) 28106 Remove/graft foot lesion 446.65 488.38 488.38 (41.73) (41.73) 28107 Remove/graft foot lesion 366.80 596.57 394.37 (229.77) (27.57) 28108 Removal of toe lesions 289.65 470.97 304.16 (181.32) (14.51) 28110 Part removal of metatarsal 289.85 495.51 305.72 (205.66) (15.87) 28111 Part removal of metatarsal 329.75 526.34 344.09 (196.59) (14.34) 28112 Part removal of metatarsal 315.14 523.22 330.81 (208.08) (15.67) 28113 Part removal of metatarsal 428.21 631.29 449.04 (203.08) (20.83) 28114 Removal of metatarsal heads 842.42 1,143.22 884.16 (300.80) (41.74) 28116 Revision of foot 565.37 802.67 600.84 (237.30) (35.47) 28118 Removal of heel bone 411.87 633.48 435.79 (221.61) (23.92) 28119 Removal of heel spur 362.28 560.80 380.81 (198.52) (18.53) 28120 Part removal of ankle/heel 502.06 722.51 525.96 (220.45) (23.90) 28122 Partial removal of foot bone 442.25 637.86 464.27 (195.61) (22.02) 28124 Partial removal of toe 330.80 508.93 348.14 (178.13) (17.34) 28126 Partial removal of toe 250.24 423.61 262.44 (173.37) (12.20) 28130 Removal of ankle bone 668.93 675.84 675.84 (6.91) (6.91) 28140 Removal of metatarsal 444.37 636.31 464.60 (191.94) (20.23) 28150 Removal of toe 282.31 457.08 296.67 (174.77) (14.36) 28153 Partial removal of toe 266.14 440.26 278.35 (174.12) (12.21) 28160 Partial removal of toe 270.68 450.98 285.30 (180.30) (14.62) 28171 Resect tarsal tumor 848.72 888.57 888.57 (39.85) (39.85) 28173 Resect metatarsal tumor 773.68 801.00 801.00 (27.32) (27.32) 28175 Resect phalanx of toe tumor 489.49 514.46 514.46 (24.97) (24.97) 28190 Removal of foot foreign body 134.51 274.89 141.21 (140.38) (6.70) 28192 Removal of foot foreign body 315.89 503.47 331.76 (187.58) (15.87) 28193 Removal of foot foreign body 371.76 565.14 388.16 (193.38) (16.40) 28200 Repair of foot tendon 319.48 523.42 339.29 (203.94) (19.81) 28202 Repair/graft of foot tendon 426.82 635.64 448.87 (208.82) (22.05) 28208 Repair of foot tendon 312.80 506.53 328.80 (193.73) (16.00) 28210 Repair/graft of foot tendon 404.49 610.16 430.17 (205.67) (25.68) 28220 Release of foot tendon 301.23 480.50 317.83 (179.27) (16.60) 28222 Release of foot tendons 351.09 539.56 367.10 (188.47) (16.01) 28225 Release of foot tendon 259.32 438.37 273.81 (179.05) (14.49) 28226 Release of foot tendons 373.65 649.67 414.33 (276.02) (40.68) 28230 Incision of foot tendon(s) 284.53 464.85 298.41 (180.32) (13.88) 28232 Incision of toe tendon 245.09 414.83 256.68 (169.74) (11.59) 28234 Incision of foot tendon 264.79 437.71 278.80 (172.92) (14.01) 28238 Revision of foot tendon 490.18 713.88 512.80 (223.70) (22.62) 28240 Release of big toe 290.50 472.13 306.07 (181.63) (15.57) 28250 Revision of foot fascia 405.55 620.74 428.32 (215.19) (22.77) 28260 Release of midfoot joint 511.60 730.15 537.36 (218.55) (25.76) 28261 Revision of foot tendon 766.14 1,039.44 815.77 (273.30) (49.63) 28262 Revision of foot and ankle 1,175.87 1,559.49 1,247.70 (383.62) (71.83) 28264 Release of midfoot joint 724.29 1,063.88 804.82 (339.59) (80.53) 28270 Release of foot contracture 335.38 525.04 352.20 (189.66) (16.82) 28272 Release of toe joint each 254.70 422.09 268.46 (167.39) (13.76) 28280 Fusion of toes 353.83 553.18 369.42 (199.35) (15.59) 28285 Repair of hammertoe 377.97 570.47 398.39 (192.50) (20.42) 28286 Repair of hammertoe 301.14 483.14 315.95 (182.00) (14.81) 28288 Partial removal of foot bone 432.04 645.98 454.31 (213.94) (22.27) 28289 CORRJ HALUX RIGDUS W/O IMPLT 551.20 779.61 576.27 (228.41) (25.07) 28292 CORRECTION HALLUX VALGUS 604.17 839.74 634.14 (235.57) (29.97) 28296 CORRECTION HALLUX VALGUS 521.98 758.65 548.53 (236.67) (26.55) 28297 CORRECTION HALLUX VALGUS 587.12 864.07 612.54 (276.95) (25.42) 28298 CORRECTION HALLUX VALGUS 507.12 768.86 532.76 (261.74) (25.64) 28299 CORRECTION HALLUX VALGUS 675.75 951.57 711.71 (275.82) (35.96) 28300 Incision of heel bone 659.46 687.39 687.39 (27.93) (27.93) 28302 Incision of ankle bone 716.70 753.92 753.92 (37.22) (37.22) 28304 Incision of midfoot bones 599.42 879.07 638.84 (279.65) (39.42) 28305 Incise/graft midfoot bones 638.26 701.29 701.29 (63.03) (63.03) 28306 Incision of metatarsal 407.56 655.86 426.16 (248.30) (18.60) 28307 Incision of metatarsal 468.80 727.71 475.05 (258.91) (6.25) 28308 Incision of metatarsal 376.91 604.44 398.09 (227.53) (21.18) 28309 Incision of metatarsals 899.53 953.82 953.82 (54.29) (54.29) 28310 Revision of big toe 356.18 584.79 377.68 (228.61) (21.50) 28312 Revision of toe 321.82 544.99 337.13 (223.17) (15.31) 28313 Repair deformity of toe 363.30 565.30 378.91 (202.00) (15.61) 28315 Removal of sesamoid bone 325.18 514.38 343.05 (189.20) (17.87) 28320 Repair of foot bones 622.41 642.97 642.97 (20.56) (20.56) 28322 Repair of metatarsals 584.68 841.72 610.51 (257.04) (25.83) 28340 Resect enlarged toe tissue 413.95 615.85 434.35 (201.90) (20.40) 28341 Resect enlarged toe 493.14 713.53 516.97 (220.39) (23.83) 28344 Repair extra toe(s) 287.62 500.54 330.34 (212.92) (42.72) 28345 Repair webbed toe(s) 365.11 556.76 383.93 (191.65) (18.82) 28360 Reconstruct cleft foot 892.77 968.60 968.60 (75.83) (75.83) 28400 Treatment of heel fracture 229.38 263.41 240.81 (34.03) (11.43) 28405 Treatment of heel fracture 353.93 415.63 376.47 (61.70) (22.54) 28406 Treatment of heel fracture 532.06 551.90 551.90 (19.84) (19.84) 28415 Treat heel fracture 1,116.05 1,165.81 1,165.81 (49.76) (49.76) 28420 Treat/graft heel fracture 1,259.00 1,323.76 1,323.76 (64.76) (64.76) 28430 Treatment of ankle fracture 210.48 251.15 222.91 (40.67) (12.43) 28435 Treatment of ankle fracture 293.37 336.34 299.82 (42.97) (6.45) 28436 Treatment of ankle fracture 451.14 474.83 474.83 (23.69) (23.69) 28445 Treat ankle fracture 1,066.84 1,119.52 1,119.52 (52.68) (52.68) 28446 Osteochondral talus autogrft 1,229.28 1,275.87 1,275.87 (46.59) (46.59) 28450 Treat midfoot fracture each 193.89 229.02 203.79 (35.13) (9.90) 28455 Treat midfoot fracture each 269.45 306.28 275.03 (36.83) (5.58) 28456 Treat midfoot fracture 320.26 338.75 338.75 (18.49) (18.49) 28465 Treat midfoot fracture each 628.99 657.39 657.39 (28.40) (28.40) 28470 Treat metatarsal fracture 207.58 232.39 216.95 (24.81) (9.37) 28475 Treat metatarsal fracture 227.75 271.64 240.39 (43.89) (12.64) 28476 Treat metatarsal fracture 351.88 373.30 373.30 (21.42) (21.42) 28485 Treat metatarsal fracture 527.20 554.08 554.08 (26.88) (26.88) 28490 Treat big toe fracture 125.57 154.72 132.88 (29.15) (7.31) 28495 Treat big toe fracture 149.83 188.83 158.33 (39.00) (8.50) 28496 Treat big toe fracture 234.42 470.98 248.07 (236.56) (13.65) 28505 Treat big toe fracture 498.44 709.97 526.59 (211.53) (28.15) 28510 Treatment of toe fracture 120.51 131.40 128.01 (10.89) (7.50) 28515 Treatment of toe fracture 142.48 171.38 151.04 (28.90) (8.56) 28525 Treat toe fracture 403.40 604.44 421.06 (201.04) (17.66) 28530 Treat sesamoid bone fracture 102.27 122.54 108.60 (20.27) (6.33) 28531 Treat sesamoid bone fracture 193.95 371.09 194.49 (177.14) (0.54) 28540 Treat foot dislocation 184.83 219.52 197.68 (34.69) (12.85) 28545 Treat foot dislocation 262.83 309.65 274.26 (46.82) (11.43) 28546 Treat foot dislocation 340.63 598.69 349.03 (258.06) (8.40) 28555 Repair foot dislocation 664.28 936.75 705.93 (272.47) (41.65) 28570 Treat foot dislocation 183.29 236.50 199.97 (53.21) (16.68) 28575 Treat foot dislocation 330.43 386.72 349.44 (56.29) (19.01) 28576 Treat foot dislocation 396.62 411.91 411.91 (15.29) (15.29) 28585 Repair foot dislocation 685.33 906.46 705.38 (221.13) (20.05) 28600 Treat foot dislocation 190.30 231.70 198.94 (41.40) (8.64) 28605 Treat foot dislocation 295.43 345.48 310.46 (50.05) (15.03) 28606 Treat foot dislocation 401.36 417.27 417.27 (15.91) (15.91) 28615 Repair foot dislocation 794.74 833.51 833.51 (38.77) (38.77) 28630 Treat toe dislocation 109.91 166.02 115.19 (56.11) (5.28) 28635 Treat toe dislocation 132.84 184.93 138.24 (52.09) (5.40) 28636 Treat toe dislocation 174.00 302.93 192.23 (128.93) (18.23) 28645 Repair toe dislocation 485.67 699.68 511.78 (214.01) (26.11) 28660 Treat toe dislocation 89.53 123.24 93.49 (33.71) (3.96) 28665 Treat toe dislocation 131.78 162.32 137.84 (30.54) (6.06) 28666 Treat toe dislocation 190.95 197.64 197.64 (6.69) (6.69) 28675 Repair of toe dislocation 404.19 623.45 435.17 (219.26) (30.98) 28705 Fusion of foot bones 1,276.81 1,319.24 1,319.24 (42.43) (42.43) 28715 Fusion of foot bones 942.12 989.31 989.31 (47.19) (47.19) 28725 Fusion of foot bones 777.56 820.48 820.48 (42.92) (42.92) 28730 Fusion of foot bones 739.97 772.88 772.88 (32.91) (32.91) 28735 Fusion of foot bones 786.56 823.28 823.28 (36.72) (36.72) 28737 Revision of foot bones 692.77 726.39 726.39 (33.62) (33.62) 28740 Fusion of foot bones 631.84 901.14 657.13 (269.30) (25.29) 28750 Fusion of big toe joint 598.61 867.10 624.23 (268.49) (25.62) 28755 Fusion of big toe joint 332.28 543.83 349.15 (211.55) (16.87) 28760 Fusion of big toe joint 575.58 840.70 608.37 (265.12) (32.79) 28800 Amputation of midfoot 549.38 572.68 572.68 (23.30) (23.30) 28805 Amputation thru metatarsal 750.39 773.12 773.12 (22.73) (22.73) 28810 Amputation toe & metatarsal 440.38 457.35 457.35 (16.97) (16.97) 28820 Amputation of toe 402.54 604.89 419.63 (202.35) (17.09) 28825 Partial amputation of toe 377.00 577.22 393.46 (200.22) (16.46) 28890 Hi enrgy eswt plantar fascia 226.53 343.01 236.07 (116.48) (9.54) 29000 Application of body cast 167.78 305.17 184.29 (137.39) (16.51) 29010 Application of body cast 151.25 251.79 155.40 (100.54) (4.15) 29015 Application of body cast 175.77 301.95 188.61 (126.18) (12.84) 29035 Application of body cast 136.63 206.23 126.40 (69.60) 10.23 29040 Application of body cast 187.99 238.85 153.37 (50.86) 34.62 29044 Application of body cast 160.87 300.49 159.66 (139.62) 1.21 29046 Application of body cast 175.54 256.92 166.54 (81.38) 9.00 29049 Application of figure eight 70.47 88.53 65.57 (18.06) 4.90 29055 Application of shoulder cast 138.77 236.39 146.77 (97.62) (8.00) 29058 Application of shoulder cast 94.20 129.07 97.81 (34.87) (3.61) 29065 Application of long arm cast 68.67 101.72 72.35 (33.05) (3.68) 29075 Application of forearm cast 62.72 91.77 65.79 (29.05) (3.07) 29085 Apply hand/wrist cast 67.56 100.99 71.25 (33.43) (3.69) 29086 Apply finger cast 51.42 83.13 54.13 (31.71) (2.71) 29105 Apply long arm splint 59.66 92.76 62.26 (33.10) (2.60) 29125 Apply forearm splint 39.79 68.29 41.55 (28.50) (1.76) 29126 Apply forearm splint 48.83 81.12 51.00 (32.29) (2.17) 29130 Application of finger splint 28.64 43.06 29.88 (14.42) (1.24) 29131 Application of finger splint 33.23 53.52 34.32 (20.29) (1.09) 29200 Strapping of chest 39.46 30.94 18.89 8.52 20.57 29240 Strapping of shoulder 43.30 30.19 19.27 13.11 24.03 29260 Strapping of elbow or wrist 36.77 30.51 20.35 6.26 16.42 29280 Strapping of hand or finger 35.75 30.89 21.10 4.86 14.65 29305 Application of hip cast 159.56 262.24 168.48 (102.68) (8.92) 29325 Application of hip casts 179.24 288.30 188.14 (109.06) (8.90) 29345 Application of long leg cast 102.00 143.90 106.25 (41.90) (4.25) 29355 Application of long leg cast 108.26 148.54 112.01 (40.28) (3.75) 29358 Apply long leg cast brace 104.85 170.14 109.89 (65.29) (5.04) 29365 Application of long leg cast 88.69 129.68 92.40 (40.99) (3.71) 29405 Apply short leg cast 60.11 86.50 63.15 (26.39) (3.04) 29425 Apply short leg cast 56.87 83.13 59.79 (26.26) (2.92) 29435 Apply short leg cast 83.31 122.95 87.18 (39.64) (3.87) 29440 Addition of walker to cast 30.33 46.03 30.22 (15.70) 0.11 29445 Apply rigid leg cast 105.56 141.54 109.16 (35.98) (3.60) 29450 Application of leg cast 111.79 150.49 117.73 (38.70) (5.94) 29505 Application long leg splint 50.26 88.23 52.46 (37.97) (2.20) 29515 Application lower leg splint 50.17 75.77 52.04 (25.60) (1.87) 29520 Strapping of hip 34.62 32.82 19.27 1.80 15.35 29530 Strapping of knee 36.73 30.16 19.24 6.57 17.49 29540 Strapping of ankle and/or ft 25.90 27.15 18.86 (1.25) 7.04 29550 Strapping of toes 19.30 19.87 11.96 (0.57) 7.34 29580 Application of paste boot 35.73 55.40 37.33 (19.67) (1.60) 29581 Apply multlay comprs lwr leg 12.48 65.46 13.12 (52.98) (0.64) 29582 Apply multlay comprs upr leg 15.53 74.33 16.34 (58.80) (0.81) 29583 Apply multlay comprs upr arm 11.04 46.26 11.61 (35.22) (0.57) 29584 Appl multlay comprs arm/hand 15.53 74.33 16.34 (58.80) (0.81) 29700 Removal/revision of cast 33.95 66.24 34.99 (32.29) (1.04) 29705 Removal/revision of cast 46.90 70.35 49.64 (23.45) (2.74) 29710 Removal/revision of cast 81.65 128.57 87.14 (46.92) (5.49) 29720 Repair of body cast 43.82 90.04 46.73 (46.22) (2.91) 29730 Windowing of cast 45.13 68.13 47.42 (23.00) (2.29) 29740 Wedging of cast 68.97 104.90 74.03 (35.93) (5.06) 29750 Wedging of clubfoot cast 66.34 93.57 70.23 (27.23) (3.89) 29800 Jaw arthroscopy/surgery 523.20 538.21 538.21 (15.01) (15.01) 29804 Jaw arthroscopy/surgery 659.10 681.96 681.96 (22.86) (22.86) 29805 Shoulder arthroscopy dx 473.46 498.38 498.38 (24.92) (24.92) 29806 Shoulder arthroscopy/surgery 1,066.17 1,119.30 1,119.30 (53.13) (53.13) 29807 Shoulder arthroscopy/surgery 1,038.83 1,092.41 1,092.41 (53.58) (53.58) 29819 Shoulder arthroscopy/surgery 588.19 618.12 618.12 (29.93) (29.93) 29820 Shoulder arthroscopy/surgery 542.75 563.36 563.36 (20.61) (20.61) 29821 Shoulder arthroscopy/surgery 593.45 615.46 615.46 (22.01) (22.01) 29822 Shoulder arthroscopy/surgery 577.37 598.06 598.06 (20.69) (20.69) 29823 Shoulder arthroscopy/surgery 630.06 652.62 652.62 (22.56) (22.56) 29824 Shoulder arthroscopy/surgery 680.50 703.69 703.69 (23.19) (23.19) 29825 Shoulder arthroscopy/surgery 588.55 609.33 609.33 (20.78) (20.78) 29826 Shoulder arthroscopy/surgery 177.50 185.26 185.26 (7.76) (7.76) 29827 Arthroscop rotator cuff repr 1,080.24 1,112.97 1,112.97 (32.73) (32.73) 29828 Arthroscopy biceps tenodesis 929.13 960.77 960.77 (31.64) (31.64) 29830 Elbow arthroscopy 456.84 477.91 477.91 (21.07) (21.07) 29834 Elbow arthroscopy/surgery 492.56 512.39 512.39 (19.83) (19.83) 29835 Elbow arthroscopy/surgery 508.45 533.26 533.26 (24.81) (24.81) 29836 Elbow arthroscopy/surgery 579.70 599.75 599.75 (20.05) (20.05) 29837 Elbow arthroscopy/surgery 530.84 551.34 551.34 (20.50) (20.50) 29838 Elbow arthroscopy/surgery 590.50 618.29 618.29 (27.79) (27.79) 29840 Wrist arthroscopy 453.54 477.64 477.64 (24.10) (24.10) 29843 Wrist arthroscopy/surgery 485.14 510.91 510.91 (25.77) (25.77) 29844 Wrist arthroscopy/surgery 499.14 521.98 521.98 (22.84) (22.84) 29845 Wrist arthroscopy/surgery 579.51 606.20 606.20 (26.69) (26.69) 29846 Wrist arthroscopy/surgery 521.49 547.47 547.47 (25.98) (25.98) 29847 Wrist arthroscopy/surgery 546.35 561.73 561.73 (15.38) (15.38) 29848 Wrist endoscopy/surgery 510.83 538.50 538.50 (27.67) (27.67) 29850 Knee arthroscopy/surgery 625.54 651.17 651.17 (25.63) (25.63) 29851 Knee arthroscopy/surgery 935.44 931.46 931.46 3.98 3.98 29855 Tibial arthroscopy/surgery 790.92 824.64 824.64 (33.72) (33.72) 29856 Tibial arthroscopy/surgery 1,000.72 1,051.03 1,051.03 (50.31) (50.31) 29860 Hip arthroscopy dx 669.35 696.62 696.62 (27.27) (27.27) 29861 Hip arthro w/fb removal 729.04 758.32 758.32 (29.28) (29.28) 29862 Hip arthr0 w/debridement 820.79 851.17 851.17 (30.38) (30.38) 29863 Hip arthr0 w/synovectomy 823.32 851.12 851.12 (27.80) (27.80) 29866 Autgrft implnt knee w/scope 1,053.62 1,099.36 1,099.36 (45.74) (45.74) 29867 Allgrft implnt knee w/scope 1,283.87 1,332.27 1,332.27 (48.40) (48.40) 29868 Meniscal trnspl knee w/scpe 1,682.01 1,691.17 1,691.17 (9.16) (9.16) 29870 Knee arthroscopy dx 414.42 618.44 435.44 (204.02) (21.02) 29871 Knee arthroscopy/drainage 516.26 543.26 543.26 (27.00) (27.00) 29873 Knee arthroscopy/surgery 526.99 554.77 554.77 (27.78) (27.78) 29874 Knee arthroscopy/surgery 540.27 566.81 566.81 (26.54) (26.54) 29875 Knee arthroscopy/surgery 497.60 522.79 522.79 (25.19) (25.19) 29876 Knee arthroscopy/surgery 659.82 694.45 694.45 (34.63) (34.63) 29877 Knee arthroscopy/surgery 626.21 656.67 656.67 (30.46) (30.46) 29879 Knee arthroscopy/surgery 666.83 698.87 698.87 (32.04) (32.04) 29880 Knee arthroscopy/surgery 566.56 593.50 593.50 (26.94) (26.94) 29881 Knee arthroscopy/surgery 544.82 572.02 572.02 (27.20) (27.20) 29882 Knee arthroscopy/surgery 703.62 739.19 739.19 (35.57) (35.57) 29883 Knee arthroscopy/surgery 847.17 887.55 887.55 (40.38) (40.38) 29884 Knee arthroscopy/surgery 623.37 648.81 648.81 (25.44) (25.44) 29885 Knee arthroscopy/surgery 755.10 792.96 792.96 (37.86) (37.86) 29886 Knee arthroscopy/surgery 638.49 672.65 672.65 (34.16) (34.16) 29887 Knee arthroscopy/surgery 751.94 787.72 787.72 (35.78) (35.78) 29888 Knee arthroscopy/surgery 994.17 1,039.62 1,039.62 (45.45) (45.45) 29889 Knee arthroscopy/surgery 1,227.89 1,288.77 1,288.77 (60.88) (60.88) 29891 Ankle arthroscopy/surgery 690.88 713.75 713.75 (22.87) (22.87) 29892 Ankle arthroscopy/surgery 623.60 612.34 612.34 11.26 11.26 29893 Scope plantar fasciotomy 427.97 651.18 451.23 (223.21) (23.26) 29894 Ankle arthroscopy/surgery 511.31 528.08 528.08 (16.77) (16.77) 29895 Ankle arthroscopy/surgery 477.09 502.76 502.76 (25.67) (25.67) 29897 Ankle arthroscopy/surgery 514.63 534.43 534.43 (19.80) (19.80) 29898 Ankle arthroscopy/surgery 568.20 596.32 596.32 (28.12) (28.12) 29899 Ankle arthroscopy/surgery 1,041.42 1,091.31 1,091.31 (49.89) (49.89) 29900 Mcp joint arthroscopy dx 469.91 480.68 480.68 (10.77) (10.77) 29901 Mcp joint arthroscopy surg 534.36 562.68 562.68 (28.32) (28.32) 29902 Mcp joint arthroscopy surg 613.76 592.01 592.01 21.75 21.75 29904 Subtalar arthro w/fb rmvl 639.69 673.44 673.44 (33.75) (33.75) 29905 Subtalar arthro w/exc 692.41 723.58 723.58 (31.17) (31.17) 29906 Subtalar arthro w/deb 729.02 760.62 760.62 (31.60) (31.60) 29907 Subtalar arthro w/fusion 879.63 924.89 924.89 (45.26) (45.26) 29914 Hip arthro w/femoroplasty 1,015.92 1,048.71 1,048.71 (32.79) (32.79) 29915 Hip arthro acetabuloplasty 1,036.57 1,066.65 1,066.65 (30.08) (30.08) 29916 Hip arthro w/labral repair 1,036.93 1,068.15 1,068.15 (31.22) (31.22) 30000 Drainage of nose lesion 120.44 244.81 124.69 (124.37) (4.25) 30020 Drainage of nose lesion 120.04 248.18 125.80 (128.14) (5.76) 30100 Intranasal biopsy 69.19 150.26 72.69 (81.07) (3.50) 30110 Removal of nose polyp(s) 131.58 245.16 137.47 (113.58) (5.89) 30115 Removal of nose polyp(s) 432.61 457.65 457.65 (25.04) (25.04) 30117 Removal of intranasal lesion 339.73 938.99 361.36 (599.26) (21.63) 30118 Removal of intranasal lesion 771.34 809.96 809.96 (38.62) (38.62) 30120 Revision of nose 438.14 548.22 461.99 (110.08) (23.85) 30124 Removal of nose lesion 287.78 301.98 301.98 (14.20) (14.20) 30125 Removal of nose lesion 611.44 641.25 641.25 (29.81) (29.81) 30130 Excise inferior turbinate 382.12 403.54 403.54 (21.42) (21.42) 30140 Resect inferior turbinate 444.42 468.04 468.04 (23.62) (23.62) 30150 Partial removal of nose 775.44 811.25 811.25 (35.81) (35.81) 30160 Removal of nose 776.90 812.78 812.78 (35.88) (35.88) 30200 Injection treatment of nose 60.49 121.20 62.83 (60.71) (2.34) 30210 Nasal sinus therapy 100.47 159.28 105.06 (58.81) (4.59) 30220 Insert nasal septal button 126.34 323.66 131.99 (197.32) (5.65) 30300 Remove nasal foreign body 127.83 198.18 111.95 (70.35) 15.88 30310 Remove nasal foreign body 209.29 218.54 218.54 (9.25) (9.25) 30320 Remove nasal foreign body 454.55 469.29 469.29 (14.74) (14.74) 30400 Reconstruction of nose 1,014.61 1,067.91 1,067.91 (53.30) (53.30) 30410 Reconstruction of nose 1,189.05 1,246.94 1,246.94 (57.89) (57.89) 30420 Reconstruction of nose 1,379.34 1,443.86 1,443.86 (64.52) (64.52) 30430 Revision of nose 979.25 1,018.52 1,018.52 (39.27) (39.27) 30435 Revision of nose 1,118.58 1,171.53 1,171.53 (52.95) (52.95) 30450 Revision of nose 1,502.28 1,573.40 1,573.40 (71.12) (71.12) 30460 Revision of nose 755.63 748.15 748.15 7.48 7.48 30462 Revision of nose 1,579.41 1,638.17 1,638.17 (58.76) (58.76) 30465 Repair nasal stenosis 988.75 1,032.44 1,032.44 (43.69) (43.69) 30520 Repair of nasal septum 628.43 658.09 658.09 (29.66) (29.66) 30540 Repair nasal defect 691.24 731.53 731.53 (40.29) (40.29) 30545 Repair nasal defect 920.69 925.45 925.45 (4.76) (4.76) 30560 Release of nasal adhesions 139.35 286.94 145.73 (147.59) (6.38) 30580 Repair upper jaw fistula 508.70 692.25 541.26 (183.55) (32.56) 30600 Repair mouth/nose fistula 442.74 623.42 470.16 (180.68) (27.42) 30620 Intranasal reconstruction 630.32 660.45 660.45 (30.13) (30.13) 30630 Repair nasal septum defect 630.59 656.38 656.38 (25.79) (25.79) 30801 Ablate inf turbinate superf 138.51 244.77 144.98 (106.26) (6.47) 30802 Ablate inf turbinate submuc 191.95 309.12 201.05 (117.17) (9.10) 30901 Control of nosebleed 56.76 100.21 59.17 (43.45) (2.41) 30903 Control of nosebleed 79.77 234.52 84.28 (154.75) (4.51) 30905 Control of nosebleed 101.37 287.49 112.01 (186.12) (10.64) 30906 Repeat control of nosebleed 131.77 370.14 144.21 (238.37) (12.44) 30915 Ligation nasal sinus artery 580.41 606.40 606.40 (25.99) (25.99) 30920 Ligation upper jaw artery 839.73 879.07 879.07 (39.34) (39.34) 30930 Ther fx nasal inf turbinate 124.99 130.32 130.32 (5.33) (5.33) 31000 Irrigation maxillary sinus 105.73 195.67 112.07 (89.94) (6.34) 31002 Irrigation sphenoid sinus 202.92 204.76 204.76 (1.84) (1.84) 31020 Exploration maxillary sinus 360.50 516.13 381.70 (155.63) (21.20) 31030 Exploration maxillary sinus 528.78 734.15 559.80 (205.37) (31.02) 31032 Explore sinus remove polyps 575.83 606.71 606.71 (30.88) (30.88) 31040 Exploration behind upper jaw 767.81 802.70 802.70 (34.89) (34.89) 31050 Exploration sphenoid sinus 486.38 514.44 514.44 (28.06) (28.06) 31051 Sphenoid sinus surgery 647.40 681.32 681.32 (33.92) (33.92) 31070 Exploration of frontal sinus 442.41 465.24 465.24 (22.83) (22.83) 31075 Exploration of frontal sinus 784.16 828.31 828.31 (44.15) (44.15) 31080 Removal of frontal sinus 1,033.47 1,092.56 1,092.56 (59.09) (59.09) 31081 Removal of frontal sinus 1,498.38 1,558.22 1,558.22 (59.84) (59.84) 31084 Removal of frontal sinus 1,156.28 1,219.59 1,219.59 (63.31) (63.31) 31085 Removal of frontal sinus 1,591.38 1,660.33 1,660.33 (68.95) (68.95) 31086 Removal of frontal sinus 1,123.49 1,188.10 1,188.10 (64.61) (64.61) 31087 Removal of frontal sinus 1,082.91 1,139.14 1,139.14 (56.23) (56.23) 31090 Exploration of sinuses 1,033.93 1,082.49 1,082.49 (48.56) (48.56) 31200 Removal of ethmoid sinus 577.73 601.21 601.21 (23.48) (23.48) 31201 Removal of ethmoid sinus 745.84 780.70 780.70 (34.86) (34.86) 31205 Removal of ethmoid sinus 914.94 940.82 940.82 (25.88) (25.88) 31225 Removal of upper jaw 1,878.12 1,972.83 1,972.83 (94.71) (94.71) 31230 Removal of upper jaw 2,080.57 2,187.96 2,187.96 (107.39) (107.39) 31231 Nasal endoscopy dx 64.59 223.75 68.23 (159.16) (3.64) 31233 Nasal/sinus endoscopy dx 138.30 278.81 144.00 (140.51) (5.70) 31235 Nasal/sinus endoscopy dx 163.02 317.44 170.58 (154.42) (7.56) 31237 Nasal/sinus endoscopy surg 162.73 273.82 170.27 (111.09) (7.54) 31238 Nasal/sinus endoscopy surg 170.03 273.17 178.28 (103.14) (8.25) 31239 Nasal/sinus endoscopy surg 626.29 646.21 646.21 (19.92) (19.92) 31240 Nasal/sinus endoscopy surg 162.37 169.86 169.86 (7.49) (7.49) 31254 Revision of ethmoid sinus 274.32 287.42 287.42 (13.10) (13.10) 31255 Removal of ethmoid sinus 401.60 420.99 420.99 (19.39) (19.39) 31256 Exploration maxillary sinus 198.57 208.43 208.43 (9.86) (9.86) 31267 Endoscopy maxillary sinus 318.59 334.36 334.36 (15.77) (15.77) 31276 Sinus endoscopy surgical 507.00 531.28 531.28 (24.28) (24.28) 31287 Nasal/sinus endoscopy surg 233.49 244.46 244.46 (10.97) (10.97) 31288 Nasal/sinus endoscopy surg 270.50 283.04 283.04 (12.54) (12.54) 31290 Nasal/sinus endoscopy surg 1,163.32 1,216.78 1,216.78 (53.46) (53.46) 31291 Nasal/sinus endoscopy surg 1,236.39 1,297.78 1,297.78 (61.39) (61.39) 31292 Nasal/sinus endoscopy surg 1,003.58 1,053.63 1,053.63 (50.05) (50.05) 31293 Nasal/sinus endoscopy surg 1,088.61 1,142.86 1,142.86 (54.25) (54.25) 31294 Nasal/sinus endoscopy surg 1,246.33 1,305.45 1,305.45 (59.12) (59.12) 31295 Sinus endo w/balloon dil 167.95 2,192.52 173.07 (2,024.57) (5.12) 31296 Sinus endo w/balloon dil 200.74 2,234.25 207.27 (2,033.51) (6.53) 31297 Sinus endo w/balloon dil 165.19 2,195.65 169.43 (2,030.46) (4.24) 31300 Removal of larynx lesion 1,264.92 1,384.78 1,384.78 (119.86) (119.86) 31320 Diagnostic incision larynx 661.36 737.09 737.09 (75.73) (75.73) 31360 Removal of larynx 2,090.07 2,237.64 2,237.64 (147.57) (147.57) 31365 Removal of larynx 2,583.71 2,757.45 2,757.45 (173.74) (173.74) 31367 Partial removal of larynx 2,212.46 2,373.60 2,373.60 (161.14) (161.14) 31368 Partial removal of larynx 2,451.71 2,648.16 2,648.16 (196.45) (196.45) 31370 Partial removal of larynx 2,079.37 2,239.00 2,239.00 (159.63) (159.63) 31375 Partial removal of larynx 1,974.10 2,112.96 2,112.96 (138.86) (138.86) 31380 Partial removal of larynx 1,946.19 2,092.07 2,092.07 (145.88) (145.88) 31382 Partial removal of larynx 2,135.59 2,303.25 2,303.25 (167.66) (167.66) 31390 Removal of larynx & pharynx 2,877.26 3,076.99 3,076.99 (199.73) (199.73) 31395 Reconstruct larynx & pharynx 3,016.36 3,254.43 3,254.43 (238.07) (238.07) 31400 Revision of larynx 1,000.86 1,041.64 1,041.64 (40.78) (40.78) 31420 Removal of epiglottis 838.86 880.43 880.43 (41.57) (41.57) 31500 Insert emergency airway 110.42 114.46 114.46 (4.04) (4.04) 31502 Change of windpipe airway 35.19 36.76 36.76 (1.57) (1.57) 31505 Diagnostic laryngoscopy 49.62 88.42 52.27 (38.80) (2.65) 31510 Laryngoscopy with biopsy 122.21 223.58 128.31 (101.37) (6.10) 31511 Remove foreign body larynx 131.19 224.22 137.23 (93.03) (6.04) 31512 Removal of larynx lesion 131.65 216.91 136.70 (85.26) (5.05) 31513 Injection into vocal cord 133.75 139.64 139.64 (5.89) (5.89) 31515 Laryngoscopy for aspiration 112.34 196.14 110.66 (83.80) 1.68 31520 Dx laryngoscopy newborn 159.22 165.49 165.49 (6.27) (6.27) 31525 Dx laryngoscopy excl nb 161.98 268.48 169.82 (106.50) (7.84) 31526 Dx laryngoscopy w/oper scope 159.56 166.93 166.93 (7.37) (7.37) 31527 Laryngoscopy for treatment 197.53 205.80 205.80 (8.27) (8.27) 31528 Laryngoscopy and dilation 146.61 153.41 153.41 (6.80) (6.80) 31529 Laryngoscopy and dilation 164.04 171.60 171.60 (7.56) (7.56) 31530 Laryngoscopy w/fb removal 199.89 209.74 209.74 (9.85) (9.85) 31531 Laryngoscopy w/fb & op scope 214.98 225.52 225.52 (10.54) (10.54) 31535 Laryngoscopy w/biopsy 191.63 201.13 201.13 (9.50) (9.50) 31536 Laryngoscopy w/bx & op scope 213.24 223.71 223.71 (10.47) (10.47) 31540 Laryngoscopy w/exc of tumor 245.01 256.44 256.44 (11.43) (11.43) 31541 Larynscop w/tumr exc + scope 267.34 280.14 280.14 (12.80) (12.80) 31545 Remove vc lesion w/scope 367.48 384.28 384.28 (16.80) (16.80) 31546 Remove vc lesion scope/graft 557.97 584.34 584.34 (26.37) (26.37) 31560 Laryngoscop w/arytenoidectom 316.79 332.13 332.13 (15.34) (15.34) 31561 Larynscop remve cart + scop 347.16 363.78 363.78 (16.62) (16.62) 31570 Laryngoscope w/vc inj 232.20 359.67 243.69 (127.47) (11.49) 31571 Laryngoscop w/vc inj + scope 252.67 265.20 265.20 (12.53) (12.53) 31575 Diagnostic laryngoscopy 76.44 120.95 81.03 (44.51) (4.59) 31576 Laryngoscopy with biopsy 124.96 238.21 130.89 (113.25) (5.93) 31577 LARGSC W/RMVL FOREIGN BDY(S) 151.12 256.39 158.49 (105.27) (7.37) 31578 LARGSC W/REMOVAL LESION 173.08 295.92 182.20 (122.84) (9.12) 31579 LARYNGOSCOPY TELESCOPIC 143.20 222.92 149.12 (79.72) (5.92) 31580 LARYNGOPLASTY LARYNGEAL WEB 1,226.40 1,293.42 1,293.42 (67.02) (67.02) 31584 LARYNGOPLASTY FX RDCTJ FIXJ 1,514.27 1,598.10 1,598.10 (83.83) (83.83) 31587 LARYNGOPLASTY CRICOID SPLIT 1,006.73 1,054.92 1,054.92 (48.19) (48.19) 31590 Reinnervate larynx 894.94 952.96 952.96 (58.02) (58.02) 31595 Larynx nerve surgery 767.30 810.30 810.30 (43.00) (43.00) 31600 Incision of windpipe 398.62 418.21 418.21 (19.59) (19.59) 31601 Incision of windpipe 260.99 266.75 266.75 (5.76) (5.76) 31603 Incision of windpipe 226.21 235.40 235.40 (9.19) (9.19) 31605 Incision of windpipe 185.14 192.83 192.83 (7.69) (7.69) 31610 Incision of windpipe 719.93 756.28 756.28 (36.35) (36.35) 31611 Surgery/speech prosthesis 544.97 572.74 572.74 (27.77) (27.77) 31612 Puncture/clear windpipe 47.71 88.88 51.22 (41.17) (3.51) 31613 Repair windpipe opening 459.66 482.84 482.84 (23.18) (23.18) 31614 Repair windpipe opening 764.52 800.76 800.76 (36.24) (36.24) 31615 Visualization of windpipe 129.80 192.42 135.56 (62.62) (5.76) 31622 Dx bronchoscope/wash 147.34 321.12 151.30 (173.78) (3.96) 31623 Dx bronchoscope/brush 147.02 349.72 153.54 (202.70) (6.52) 31624 Dx bronchoscope/lavage 148.09 330.90 155.05 (182.81) (6.96) 31625 Bronchoscopy w/biopsy(s) 171.00 418.45 177.45 (247.45) (6.45) 31626 Bronchoscopy w/markers 206.51 966.87 221.68 (760.36) (15.17) 31627 Navigational bronchoscopy 94.57 1,509.54 102.00 (1,414.97) (7.43) 31628 Bronchoscopy/lung bx each 189.92 440.34 197.46 (250.42) (7.54) 31629 Bronchoscopy/needle bx each 204.53 526.09 209.03 (321.56) (4.50) 31630 Bronchoscopy dilate/fx repr 202.06 210.21 210.21 (8.15) (8.15) 31631 Bronchoscopy dilate w/stent 231.39 241.74 241.74 (10.35) (10.35) 31632 Bronchoscopy/lung bx addl 48.85 78.31 51.57 (29.46) (2.72) 31633 Bronchoscopy/needle bx addl 63.09 96.59 66.46 (33.50) (3.37) 31634 Bronch w/balloon occlusion 200.73 1,984.50 216.60 (1,783.77) (15.87) 31635 Bronchoscopy w/fb removal 188.86 367.25 197.81 (178.39) (8.95) 31636 Bronchoscopy bronch stents 223.19 232.60 232.60 (9.41) (9.41) 31637 Bronchoscopy stent add-on 73.76 77.68 77.68 (3.92) (3.92) 31638 Bronchoscopy revise stent 256.37 265.68 265.68 (9.31) (9.31) 31640 Bronchoscopy w/tumor excise 256.62 267.16 267.16 (10.54) (10.54) 31641 Bronchoscopy treat blockage 259.60 270.87 270.87 (11.27) (11.27) 31643 Diag bronchoscope/catheter 176.47 185.52 185.52 (9.05) (9.05) 31645 Bronchoscopy clear airways 161.99 341.28 169.20 (179.29) (7.21) 31646 Bronchoscopy reclear airway 140.49 306.33 146.30 (165.84) (5.81) 31647 Bronchial valve init insert 221.23 232.35 232.35 (11.12) (11.12) 31648 Bronchial valve remov init 211.88 214.73 214.73 (2.85) (2.85) 31649 Bronchial valve remov addl 68.26 72.94 72.94 (4.68) (4.68) 31651 Bronchial valve addl insert 79.50 83.08 83.08 (3.58) (3.58) 31652 Bronch ebus samplng 1/2 node 233.04 959.29 245.35 (726.25) (12.31) 31653 Bronch ebus samplng 3/> node 257.18 1,019.34 270.76 (762.16) (13.58) 31654 Bronch ebus ivntj perph les 67.24 151.76 70.80 (84.52) (3.56) 31660 Bronch thermoplsty 1 lobe 211.42 219.99 219.99 (8.57) (8.57) 31661 Bronch thermoplsty 2/> lobes 222.87 230.85 230.85 (7.98) (7.98) 31717 Bronchial brush biopsy 108.74 275.51 113.59 (166.77) (4.85) 31720 Clearance of airways 50.97 53.76 53.76 (2.79) (2.79) 31725 Clearance of airways 91.51 93.47 93.47 (1.96) (1.96) 31730 Intro windpipe wire/tube 146.67 1,313.10 155.58 (1,166.43) (8.91) 31750 Repair of windpipe 1,379.73 1,500.19 1,500.19 (120.46) (120.46) 31755 Repair of windpipe 1,736.22 1,883.52 1,883.52 (147.30) (147.30) 31760 Repair of windpipe 1,388.61 1,469.38 1,469.38 (80.77) (80.77) 31766 Reconstruction of windpipe 1,800.84 1,881.91 1,881.91 (81.07) (81.07) 31770 Repair/graft of bronchus 1,349.04 1,412.47 1,412.47 (63.43) (63.43) 31775 Reconstruct bronchus 1,375.92 1,366.89 1,366.89 9.03 9.03 31780 Reconstruct windpipe 1,187.92 1,245.86 1,245.86 (57.94) (57.94) 31781 Reconstruct windpipe 1,555.05 1,525.89 1,525.89 29.16 29.16 31785 Remove windpipe lesion 1,088.73 1,145.92 1,145.92 (57.19) (57.19) 31786 Remove windpipe lesion 1,461.26 1,515.54 1,515.54 (54.28) (54.28) 31800 Repair of windpipe injury 717.37 781.74 781.74 (64.37) (64.37) 31805 Repair of windpipe injury 826.20 872.34 872.34 (46.14) (46.14) 31820 Closure of windpipe lesion 332.25 460.53 347.19 (128.28) (14.94) 31825 Repair of windpipe defect 485.23 635.30 506.15 (150.07) (20.92) 31830 Revise windpipe scar 344.92 470.59 363.64 (125.67) (18.72) 32035 Thoracostomy w/rib resection 725.01 759.37 759.37 (34.36) (34.36) 32036 Thoracostomy w/flap drainage 787.97 820.02 820.02 (32.05) (32.05) 32096 Open wedge/bx lung infiltr 817.44 849.88 849.88 (32.44) (32.44) 32097 Open wedge/bx lung nodule 817.80 849.55 849.55 (31.75) (31.75) 32098 Open biopsy of lung pleura 771.96 806.17 806.17 (34.21) (34.21) 32100 Exploration of chest 827.15 853.62 853.62 (26.47) (26.47) 32110 Explore/repair chest 1,473.71 1,541.75 1,541.75 (68.04) (68.04) 32120 Re-exploration of chest 884.07 919.29 919.29 (35.22) (35.22) 32124 Explore chest free adhesions 941.82 977.50 977.50 (35.68) (35.68) 32140 Removal of lung lesion(s) 1,005.67 1,052.47 1,052.47 (46.80) (46.80) 32141 Remove/treat lung lesions 1,552.12 1,607.88 1,607.88 (55.76) (55.76) 32150 Removal of lung lesion(s) 1,018.37 1,060.64 1,060.64 (42.27) (42.27) 32151 Remove lung foreign body 1,014.99 1,058.83 1,058.83 (43.84) (43.84) 32160 Open chest heart massage 797.43 832.77 832.77 (35.34) (35.34) 32200 Drain open lung lesion 1,149.48 1,200.27 1,200.27 (50.79) (50.79) 32215 Treat chest lining 811.27 842.18 842.18 (30.91) (30.91) 32220 Release of lung 1,608.92 1,671.91 1,671.91 (62.99) (62.99) 32225 Partial release of lung 1,008.79 1,049.96 1,049.96 (41.17) (41.17) 32310 Removal of chest lining 930.91 961.64 961.64 (30.73) (30.73) 32320 Free/remove chest lining 1,619.36 1,686.08 1,686.08 (66.72) (66.72) 32400 NEEDLE BIOPSY CHEST LINING 87.90 159.37 91.59 (71.47) (3.69) 32405 Percut bx lung/mediastinum 104.46 478.38 109.36 (373.92) (4.90) 32440 Remove lung pneumonectomy 1,588.12 1,652.02 1,652.02 (63.90) (63.90) 32442 Sleeve pneumonectomy 3,259.02 3,379.89 3,379.89 (120.87) (120.87) 32445 Removal of lung extrapleural 3,583.40 3,739.83 3,739.83 (156.43) (156.43) 32480 Partial removal of lung 1,500.19 1,558.90 1,558.90 (58.71) (58.71) 32482 Bilobectomy 1,606.96 1,668.83 1,668.83 (61.87) (61.87) 32484 Segmentectomy 1,454.78 1,515.69 1,515.69 (60.91) (60.91) 32486 Sleeve lobectomy 2,381.23 2,480.17 2,480.17 (98.94) (98.94) 32488 Completion pneumonectomy 2,434.83 2,523.41 2,523.41 (88.58) (88.58) 32491 Lung volume reduction 1,491.61 1,556.16 1,556.16 (64.55) (64.55) 32501 Repair bronchus add-on 248.51 258.45 258.45 (9.94) (9.94) 32503 Resect apical lung tumor 1,841.44 1,907.44 1,907.44 (66.00) (66.00) 32504 Resect apical lung tum/chest 2,099.32 2,175.86 2,175.86 (76.54) (76.54) 32505 Wedge resect of lung initial 943.68 984.37 984.37 (40.69) (40.69) 32506 Wedge resect of lung add-on 159.76 165.41 165.41 (5.65) (5.65) 32507 Wedge resect of lung diag 159.76 165.06 165.06 (5.30) (5.30) 32540 Removal of lung lesion 1,760.38 1,831.83 1,831.83 (71.45) (71.45) 32550 Insert pleural cath 226.15 829.77 233.69 (603.62) (7.54) 32551 Insertion of chest tube 179.37 178.53 178.53 0.84 0.84 32552 Remove lung catheter 168.33 195.19 168.46 (26.86) (0.13) 32553 Ins mark thor for rt perq 214.23 627.39 204.52 (413.16) 9.71 32554 Aspirate pleura w/o imaging 90.28 211.19 94.08 (120.91) (3.80) 32555 Aspirate pleura w/ imaging 113.62 306.42 118.14 (192.80) (4.52) 32556 Insert cath pleura w/o image 124.72 574.05 129.72 (449.33) (5.00) 32557 Insert cath pleura w/ image 167.41 546.92 161.71 (379.51) 5.70 32560 Treat pleurodesis w/agent 79.48 258.92 81.94 (179.44) (2.46) 32561 Lyse chest fibrin init day 71.81 97.10 71.87 (25.29) (0.06) 32562 Lyse chest fibrin subq day 64.17 87.53 64.94 (23.36) (0.77) 32601 Thoracoscopy diagnostic 313.38 325.66 325.66 (12.28) (12.28) 32604 Thoracoscopy wbx sac 487.82 508.78 508.78 (20.96) (20.96) 32606 Thoracoscopy w/bx med space 468.60 487.86 487.86 (19.26) (19.26) 32607 Thoracoscopy w/bx infiltrate 313.74 325.99 325.99 (12.25) (12.25) 32608 Thoracoscopy w/bx nodule 385.07 399.48 399.48 (14.41) (14.41) 32609 Thoracoscopy w/bx pleura 265.96 273.52 273.52 (7.56) (7.56) 32650 Thoracoscopy w/pleurodesis 674.71 703.57 703.57 (28.86) (28.86) 32651 Thoracoscopy remove cortex 1,107.68 1,157.18 1,157.18 (49.50) (49.50) 32652 Thoracoscopy rem totl cortex 1,681.92 1,754.35 1,754.35 (72.43) (72.43) 32653 Thoracoscopy remov fb/fibrin 1,070.78 1,118.02 1,118.02 (47.24) (47.24) 32654 Thoracoscopy contrl bleeding 1,188.72 1,250.18 1,250.18 (61.46) (61.46) 32655 Thoracoscopy resect bullae 968.32 1,009.76 1,009.76 (41.44) (41.44) 32656 Thoracoscopy w/pleurectomy 808.66 848.63 848.63 (39.97) (39.97) 32658 Thoracoscopy w/sac fb remove 723.82 754.47 754.47 (30.65) (30.65) 32659 Thoracoscopy w/sac drainage 741.43 773.27 773.27 (31.84) (31.84) 32661 Thoracoscopy w/pericard exc 809.44 846.40 846.40 (36.96) (36.96) 32662 Thoracoscopy w/mediast exc 906.48 942.74 942.74 (36.26) (36.26) 32663 Thoracoscopy w/lobectomy 1,419.95 1,478.94 1,478.94 (58.99) (58.99) 32664 Thoracoscopy w/ th nrv exc 860.14 900.22 900.22 (40.08) (40.08) 32665 Thoracoscop w/esoph musc exc 1,234.17 1,292.60 1,292.60 (58.43) (58.43) 32666 Thoracoscopy w/wedge resect 882.77 920.45 920.45 (37.68) (37.68) 32667 Thoracoscopy w/w resect addl 160.12 165.79 165.79 (5.67) (5.67) 32668 Thoracoscopy w/w resect diag 160.16 165.41 165.41 (5.25) (5.25) 32669 Thoracoscopy remove segment 1,364.46 1,421.80 1,421.80 (57.34) (57.34) 32670 Thoracoscopy bilobectomy 1,619.96 1,689.58 1,689.58 (69.62) (69.62) 32671 Thoracoscopy pneumonectomy 1,805.63 1,868.51 1,868.51 (62.88) (62.88) 32672 Thoracoscopy for lvrs 1,548.43 1,607.40 1,607.40 (58.97) (58.97) 32673 Thoracoscopy w/thymus resect 1,222.54 1,286.91 1,286.91 (64.37) (64.37) 32674 Thoracoscopy lymph node exc 218.81 227.69 227.69 (8.88) (8.88) 32701 Thorax stereo rad targetw/tx 223.86 228.79 228.79 (4.93) (4.93) 32800 Repair lung hernia 956.46 998.85 998.85 (42.39) (42.39) 32810 Close chest after drainage 914.47 952.75 952.75 (38.28) (38.28) 32815 Close bronchial fistula 2,853.60 2,952.41 2,952.41 (98.81) (98.81) 32820 Reconstruct injured chest 1,349.13 1,410.59 1,410.59 (61.46) (61.46) 32900 Removal of rib(s) 1,424.27 1,481.95 1,481.95 (57.68) (57.68) 32905 Revise & repair chest wall 1,354.78 1,416.22 1,416.22 (61.44) (61.44) 32906 Revise & repair chest wall 1,674.32 1,748.88 1,748.88 (74.56) (74.56) 32940 Revision of lung 1,252.44 1,302.96 1,302.96 (50.52) (50.52) 32960 Therapeutic pneumothorax 104.31 148.63 104.95 (44.32) (0.64) 32997 Total lung lavage 354.67 359.68 359.68 (5.01) (5.01) 32998 Perq rf ablate tx pul tumor 288.92 2,551.06 299.66 (2,262.14) (10.74) 33010 Drainage of heart sac 119.79 126.51 126.51 (6.72) (6.72) 33011 Repeat drainage of heart sac 121.65 127.24 127.24 (5.59) (5.59) 33015 Incision of heart sac 512.44 537.87 537.87 (25.43) (25.43) 33020 Incision of heart sac 890.05 928.59 928.59 (38.54) (38.54) 33025 Incision of heart sac 812.56 842.86 842.86 (30.30) (30.30) 33030 Partial removal of heart sac 2,036.45 2,113.44 2,113.44 (76.99) (76.99) 33031 Partial removal of heart sac 2,526.42 2,607.90 2,607.90 (81.48) (81.48) 33050 Resect heart sac lesion 1,014.94 1,054.59 1,054.59 (39.65) (39.65) 33120 Removal of heart lesion 2,140.76 2,213.42 2,213.42 (72.66) (72.66) 33130 Removal of heart lesion 1,415.94 1,456.49 1,456.49 (40.55) (40.55) 33140 Heart revascularize (tmr) 1,608.58 1,659.05 1,659.05 (50.47) (50.47) 33141 Heart tmr w/other procedure 134.94 138.98 138.98 (4.04) (4.04) 33202 Insert epicard eltrd open 786.75 819.63 819.63 (32.88) (32.88) 33203 Insert epicard eltrd endo 817.51 851.08 851.08 (33.57) (33.57) 33206 Insert heart pm atrial 462.01 487.47 487.47 (25.46) (25.46) 33207 Insert heart pm ventricular 492.28 519.83 519.83 (27.55) (27.55) 33208 Insrt heart pm atrial & vent 532.87 562.65 562.65 (29.78) (29.78) 33210 Insert electrd/pm cath sngl 180.04 188.54 188.54 (8.50) (8.50) 33211 Insert card electrodes dual 184.97 192.86 192.86 (7.89) (7.89) 33212 Insert pulse gen sngl lead 334.08 352.44 352.44 (18.36) (18.36) 33213 Insert pulse gen dual leads 349.14 367.29 367.29 (18.15) (18.15) 33214 Upgrade of pacemaker system 491.84 517.00 517.00 (25.16) (25.16) 33215 Reposition pacing-defib lead 309.44 327.19 327.19 (17.75) (17.75) 33216 Insert 1 electrode pm-defib 382.35 404.56 404.56 (22.21) (22.21) 33217 Insert 2 electrode pm-defib 376.67 396.73 396.73 (20.06) (20.06) 33218 Repair lead pace-defib one 399.65 423.66 423.66 (24.01) (24.01) 33220 Repair lead pace-defib dual 402.39 424.26 424.26 (21.87) (21.87) 33221 Insert pulse gen mult leads 371.37 394.16 394.16 (22.79) (22.79) 33222 Relocation pocket pacemaker 350.15 368.99 368.99 (18.84) (18.84) 33223 Relocate pocket for defib 421.28 443.71 443.71 (22.43) (22.43) 33224 Insert pacing lead & connect 514.88 543.21 543.21 (28.33) (28.33) 33225 L ventric pacing lead add-on 466.72 493.21 493.21 (26.49) (26.49) 33226 Reposition l ventric lead 494.24 520.72 520.72 (26.48) (26.48) 33227 Remove&replace pm gen singl 352.09 370.35 370.35 (18.26) (18.26) 33228 Remv&replc pm gen dual lead 366.76 386.32 386.32 (19.56) (19.56) 33229 Remv&replc pm gen mult leads 385.04 407.17 407.17 (22.13) (22.13) 33230 Insrt pulse gen w/dual leads 400.07 418.93 418.93 (18.86) (18.86) 33231 Insrt pulse gen w/mult leads 412.60 436.06 436.06 (23.46) (23.46) 33233 Removal of pm generator 242.02 256.80 256.80 (14.78) (14.78) 33234 Removal of pacemaker system 496.07 524.27 524.27 (28.20) (28.20) 33235 Removal pacemaker electrode 647.56 683.85 683.85 (36.29) (36.29) 33236 Remove electrode/thoracotomy 800.94 827.86 827.86 (26.92) (26.92) 33237 Remove electrode/thoracotomy 852.14 889.52 889.52 (37.38) (37.38) 33238 Remove electrode/thoracotomy 954.87 985.74 985.74 (30.87) (30.87) 33240 Insrt pulse gen w/singl lead 379.99 399.27 399.27 (19.28) (19.28) 33241 Remove pulse generator 227.81 241.57 241.57 (13.76) (13.76) 33243 Remove eltrd/thoracotomy 1,390.04 1,444.20 1,444.20 (54.16) (54.16) 33244 Remove elctrd transvenously 869.93 917.79 917.79 (47.86) (47.86) 33249 Insj/rplcmt defib w/lead(s) 925.58 978.44 978.44 (52.86) (52.86) 33250 Ablate heart dysrhythm focus 1,499.64 1,547.02 1,547.02 (47.38) (47.38) 33251 Ablate heart dysrhythm focus 1,659.45 1,714.27 1,714.27 (54.82) (54.82) 33254 Ablate atria lmtd 1,393.24 1,449.19 1,449.19 (55.95) (55.95) 33255 Ablate atria w/o bypass ext 1,694.46 1,708.82 1,708.82 (14.36) (14.36) 33256 Ablate atria w/bypass exten 2,001.47 2,062.95 2,062.95 (61.48) (61.48) 33257 Ablate atria lmtd add-on 594.77 615.84 615.84 (21.07) (21.07) 33258 Ablate atria x10sv add-on 668.20 690.86 690.86 (22.66) (22.66) 33259 Ablate atria w/bypass add-on 864.11 892.44 892.44 (28.33) (28.33) 33261 Ablate heart dysrhythm focus 1,681.36 1,731.47 1,731.47 (50.11) (50.11) 33262 Rmvl& replc pulse gen 1 lead 385.72 406.76 406.76 (21.04) (21.04) 33263 Rmvl & rplcmt dfb gen 2 lead 401.13 422.73 422.73 (21.60) (21.60) 33264 Rmvl & rplcmt dfb gen mlt ld 417.97 440.57 440.57 (22.60) (22.60) 33265 Ablate atria lmtd endo 1,390.63 1,436.63 1,436.63 (46.00) (46.00) 33266 Ablate atria x10sv endo 1,886.90 1,949.92 1,949.92 (63.02) (63.02) 33270 Ins/rep subq defibrillator 648.01 625.07 625.07 22.94 22.94 33271 Insj subq impltbl dfb elctrd 489.34 526.60 526.60 (37.26) (37.26) 33272 Rmvl of subq defibrillator 441.79 371.21 371.21 70.58 70.58 33273 Repos prev impltbl subq dfb 393.15 426.68 426.68 (33.53) (33.53) 33282 Implant pat-active ht record 238.66 252.43 252.43 (13.77) (13.77) 33284 Remove pat-active ht record 210.64 223.40 223.40 (12.76) (12.76) 33300 Repair of heart wound 2,491.13 2,585.06 2,585.06 (93.93) (93.93) 33305 Repair of heart wound 4,179.92 4,326.31 4,326.31 (146.39) (146.39) 33310 Exploratory heart surgery 1,182.31 1,242.02 1,242.02 (59.71) (59.71) 33315 Exploratory heart surgery 1,956.90 2,017.14 2,017.14 (60.24) (60.24) 33320 Repair major blood vessel(s) 1,084.05 1,122.41 1,122.41 (38.36) (38.36) 33321 Repair major vessel 1,218.00 1,300.95 1,300.95 (82.95) (82.95) 33322 Repair major blood vessel(s) 1,416.26 1,467.48 1,467.48 (51.22) (51.22) 33330 Insert major vessel graft 1,467.86 1,504.98 1,504.98 (37.12) (37.12) 33335 Insert major vessel graft 1,920.10 1,975.04 1,975.04 (54.94) (54.94) 33361 Replace aortic valve perq 1,369.99 1,433.86 1,433.86 (63.87) (63.87) 33362 Replace aortic valve open 1,498.27 1,567.01 1,567.01 (68.74) (68.74) 33363 Replace aortic valve open 1,550.70 1,628.23 1,628.23 (77.53) (77.53) 33364 Replace aortic valve open 1,631.46 1,706.46 1,706.46 (75.00) (75.00) 33365 Replace aortic valve open 1,800.13 1,878.80 1,878.80 (78.67) (78.67) 33366 Trcath replace aortic valve 1,948.05 2,032.93 2,032.93 (84.88) (84.88) 33367 Replace aortic valve w/byp 628.16 659.52 659.52 (31.36) (31.36) 33368 Replace aortic valve w/byp 761.37 788.38 788.38 (27.01) (27.01) 33369 Replace aortic valve w/byp 1,004.64 1,042.03 1,042.03 (37.39) (37.39) 33404 Prepare heart-aorta conduit 1,784.77 1,858.65 1,858.65 (73.88) (73.88) 33405 REPLACEMENT AORTIC VALVE OPN 2,320.89 2,395.78 2,395.78 (74.89) (74.89) 33406 REPLACEMENT AORTIC VALVE OPN 2,941.04 3,036.98 3,036.98 (95.94) (95.94) 33410 REPLACEMENT AORTIC VALVE OPN 2,595.81 2,675.42 2,675.42 (79.61) (79.61) 33411 Replacement of aortic valve 3,431.53 3,541.78 3,541.78 (110.25) (110.25) 33412 Replacement of aortic valve 3,253.78 3,347.91 3,347.91 (94.13) (94.13) 33413 Replacement of aortic valve 3,293.65 3,432.21 3,432.21 (138.56) (138.56) 33414 Repair of aortic valve 2,197.95 2,283.77 2,283.77 (85.82) (85.82) 33415 Revision subvalvular tissue 2,068.54 2,137.86 2,137.86 (69.32) (69.32) 33416 Revise ventricle muscle 2,077.52 2,146.23 2,146.23 (68.71) (68.71) 33417 Repair of aortic valve 1,696.09 1,771.58 1,771.58 (75.49) (75.49) 33418 Repair tcat mitral valve 1,815.44 1,897.62 1,897.62 (82.18) (82.18) 33419 Repair tcat mitral valve 566.53 446.11 446.11 120.42 120.42 33420 Revision of mitral valve 1,482.70 1,541.25 1,541.25 (58.55) (58.55) 33422 Revision of mitral valve 1,723.65 1,767.42 1,767.42 (43.77) (43.77) 33425 Repair of mitral valve 2,793.57 2,886.38 2,886.38 (92.81) (92.81) 33426 Repair of mitral valve 2,436.24 2,514.65 2,514.65 (78.41) (78.41) 33427 Repair of mitral valve 2,500.44 2,579.79 2,579.79 (79.35) (79.35) 33430 Replacement of mitral valve 2,861.53 2,953.67 2,953.67 (92.14) (92.14) 33460 Revision of tricuspid valve 2,492.71 2,576.86 2,576.86 (84.15) (84.15) 33463 Valvuloplasty tricuspid 3,158.72 3,261.82 3,261.82 (103.10) (103.10) 33464 Valvuloplasty tricuspid 2,502.19 2,577.51 2,577.51 (75.32) (75.32) 33465 Replace tricuspid valve 2,818.88 2,909.80 2,909.80 (90.92) (90.92) 33468 Revision of tricuspid valve 2,506.51 2,603.39 2,603.39 (96.88) (96.88) 33470 Revision of pulmonary valve 1,312.10 1,372.52 1,372.52 (60.42) (60.42) 33471 Valvotomy pulmonary valve 1,416.25 1,467.27 1,467.27 (51.02) (51.02) 33474 Revision of pulmonary valve 2,215.18 2,313.82 2,313.82 (98.64) (98.64) 33475 Replacement pulmonary valve 2,398.33 2,460.16 2,460.16 (61.83) (61.83) 33476 Revision of heart chamber 1,563.34 1,617.70 1,617.70 (54.36) (54.36) 33477 Implant tcat pulm vlv perq 1,295.81 1,364.21 1,364.21 (68.40) (68.40) 33478 Revision of heart chamber 1,606.50 1,671.26 1,671.26 (64.76) (64.76) 33496 Repair prosth valve clot 1,699.37 1,765.19 1,765.19 (65.82) (65.82) 33500 Repair heart vessel fistula 1,617.41 1,655.47 1,655.47 (38.06) (38.06) 33501 Repair heart vessel fistula 1,156.16 1,197.82 1,197.82 (41.66) (41.66) 33502 Coronary artery correction 1,304.69 1,356.78 1,356.78 (52.09) (52.09) 33503 Coronary artery graft 1,337.04 1,410.65 1,410.65 (73.61) (73.61) 33504 Coronary artery graft 1,505.30 1,558.06 1,558.06 (52.76) (52.76) 33505 Repair artery w/tunnel 2,119.98 2,190.67 2,190.67 (70.69) (70.69) 33506 Repair artery translocation 2,089.60 2,182.11 2,182.11 (92.51) (92.51) 33507 Repair art intramural 1,744.16 1,831.29 1,831.29 (87.13) (87.13) 33508 Endoscopic vein harvest 16.42 17.01 17.01 (0.59) (0.59) 33510 Cabg vein single 1,978.12 2,040.12 2,040.12 (62.00) (62.00) 33511 Cabg vein two 2,172.08 2,242.14 2,242.14 (70.06) (70.06) 33512 Cabg vein three 2,469.38 2,548.07 2,548.07 (78.69) (78.69) 33513 Cabg vein four 2,540.69 2,621.45 2,621.45 (80.76) (80.76) 33514 Cabg vein five 2,679.94 2,758.94 2,758.94 (79.00) (79.00) 33516 Cabg vein six or more 2,789.30 2,880.52 2,880.52 (91.22) (91.22) 33517 Cabg artery-vein single 191.56 197.62 197.62 (6.06) (6.06) 33518 Cabg artery-vein two 421.66 434.34 434.34 (12.68) (12.68) 33519 Cabg artery-vein three 557.28 574.41 574.41 (17.13) (17.13) 33521 Cabg artery-vein four 669.58 688.78 688.78 (19.20) (19.20) 33522 Cabg artery-vein five 751.38 772.75 772.75 (21.37) (21.37) 33523 Cabg art-vein six or more 851.96 878.87 878.87 (26.91) (26.91) 33530 Coronary artery bypass/reop 537.66 555.20 555.20 (17.54) (17.54) 33533 Cabg arterial single 1,912.05 1,973.13 1,973.13 (61.08) (61.08) 33534 Cabg arterial two 2,247.56 2,321.43 2,321.43 (73.87) (73.87) 33535 Cabg arterial three 2,505.20 2,587.92 2,587.92 (82.72) (82.72) 33536 Cabg arterial four or more 2,689.61 2,789.67 2,789.67 (100.06) (100.06) 33542 Removal of heart lesion 2,685.60 2,773.19 2,773.19 (87.59) (87.59) 33545 Repair of heart damage 3,159.28 3,271.08 3,271.08 (111.80) (111.80) 33548 Restore/remodel ventricle 3,040.90 3,127.06 3,127.06 (86.16) (86.16) 33572 Open coronary endarterectomy 236.37 243.23 243.23 (6.86) (6.86) 33600 Closure of valve 1,737.44 1,826.23 1,826.23 (88.79) (88.79) 33602 Closure of valve 1,673.92 1,772.66 1,772.66 (98.74) (98.74) 33606 Anastomosis/artery-aorta 1,784.15 1,978.99 1,978.99 (194.84) (194.84) 33608 Repair anomaly w/conduit 1,820.29 1,913.07 1,913.07 (92.78) (92.78) 33610 Repair by enlargement 1,795.50 1,886.65 1,886.65 (91.15) (91.15) 33611 Repair double ventricle 1,995.82 2,183.46 2,183.46 (187.64) (187.64) 33612 Repair double ventricle 2,017.56 2,128.88 2,128.88 (111.32) (111.32) 33615 Repair modified fontan 2,052.57 2,121.36 2,121.36 (68.79) (68.79) 33617 Repair single ventricle 2,188.70 2,298.34 2,298.34 (109.64) (109.64) 33619 Repair single ventricle 2,905.39 2,896.87 2,896.87 8.52 8.52 33620 Apply r&l pulm art bands 1,487.76 1,753.13 1,753.13 (265.37) (265.37) 33621 Transthor cath for stent 892.89 990.27 990.27 (97.38) (97.38) 33622 Redo compl cardiac anomaly 3,513.16 3,855.75 3,855.75 (342.59) (342.59) 33641 Repair heart septum defect 1,671.72 1,742.40 1,742.40 (70.68) (70.68) 33645 Revision of heart veins 1,769.19 1,838.71 1,838.71 (69.52) (69.52) 33647 Repair heart septum defects 1,868.40 1,932.02 1,932.02 (63.62) (63.62) 33660 Repair of heart defects 1,796.45 1,867.24 1,867.24 (70.79) (70.79) 33665 Repair of heart defects 1,968.52 2,034.07 2,034.07 (65.55) (65.55) 33670 Repair of heart chambers 2,028.80 2,096.00 2,096.00 (67.20) (67.20) 33675 Close mult vsd 2,016.81 2,096.01 2,096.01 (79.20) (79.20) 33676 Close mult vsd w/resection 2,192.25 2,265.85 2,265.85 (73.60) (73.60) 33677 Cl mult vsd w/rem pul band 2,277.75 2,353.99 2,353.99 (76.24) (76.24) 33681 Repair heart septum defect 1,873.88 1,954.97 1,954.97 (81.09) (81.09) 33684 Repair heart septum defect 1,931.45 2,113.08 2,113.08 (181.63) (181.63) 33688 Repair heart septum defect 1,927.70 2,001.90 2,001.90 (74.20) (74.20) 33690 Reinforce pulmonary artery 1,213.25 1,276.15 1,276.15 (62.90) (62.90) 33692 Repair of heart defects 2,122.21 2,194.96 2,194.96 (72.75) (72.75) 33694 Repair of heart defects 2,006.23 2,183.46 2,183.46 (177.23) (177.23) 33697 Repair of heart defects 2,103.68 2,184.25 2,184.25 (80.57) (80.57) 33702 Repair of heart defects 1,579.62 1,643.31 1,643.31 (63.69) (63.69) 33710 Repair of heart defects 2,155.80 2,297.00 2,297.00 (141.20) (141.20) 33720 Repair of heart defect 1,573.83 1,644.03 1,644.03 (70.20) (70.20) 33722 Repair of heart defect 1,670.17 1,727.39 1,727.39 (57.22) (57.22) 33724 Repair venous anomaly 1,566.10 1,636.04 1,636.04 (69.94) (69.94) 33726 Repair pul venous stenosis 2,122.86 2,160.79 2,160.79 (37.93) (37.93) 33730 Repair heart-vein defect(s) 2,049.60 2,130.59 2,130.59 (80.99) (80.99) 33732 Repair heart-vein defect 1,779.32 1,751.67 1,751.67 27.65 27.65 33735 Revision of heart chamber 1,324.34 1,377.84 1,377.84 (53.50) (53.50) 33736 Revision of heart chamber 1,435.81 1,495.09 1,495.09 (59.28) (59.28) 33737 Revision of heart chamber 1,375.39 1,438.60 1,438.60 (63.21) (63.21) 33750 Major vessel shunt 1,376.49 1,341.26 1,341.26 35.23 35.23 33755 Major vessel shunt 1,379.97 1,399.90 1,399.90 (19.93) (19.93) 33762 Major vessel shunt 1,378.09 1,425.13 1,425.13 (47.04) (47.04) 33764 Major vessel shunt & graft 1,323.07 1,399.90 1,399.90 (76.83) (76.83) 33766 Major vessel shunt 1,403.30 1,415.43 1,415.43 (12.13) (12.13) 33767 Major vessel shunt 1,461.38 1,510.98 1,510.98 (49.60) (49.60) 33768 Cavopulmonary shunting 454.32 442.24 442.24 12.08 12.08 33770 Repair great vessels defect 2,270.96 2,374.06 2,374.06 (103.10) (103.10) 33771 Repair great vessels defect 2,369.87 2,447.01 2,447.01 (77.14) (77.14) 33774 Repair great vessels defect 1,848.28 1,912.64 1,912.64 (64.36) (64.36) 33775 Repair great vessels defect 1,993.79 2,064.58 2,064.58 (70.79) (70.79) 33776 Repair great vessels defect 2,003.49 2,181.52 2,181.52 (178.03) (178.03) 33777 Repair great vessels defect 2,041.34 2,112.40 2,112.40 (71.06) (71.06) 33778 Repair great vessels defect 2,542.44 2,626.79 2,626.79 (84.35) (84.35) 33779 Repair great vessels defect 2,247.38 2,611.02 2,611.02 (363.64) (363.64) 33780 Repair great vessels defect 2,428.43 2,516.14 2,516.14 (87.71) (87.71) 33781 Repair great vessels defect 2,517.77 2,598.65 2,598.65 (80.88) (80.88) 33782 Nikaidoh proc 3,359.77 3,429.59 3,429.59 (69.82) (69.82) 33783 Nikaidoh proc w/ostia implt 3,749.28 3,919.22 3,919.22 (169.94) (169.94) 33786 Repair arterial trunk 2,344.01 2,417.14 2,417.14 (73.13) (73.13) 33788 Revision of pulmonary artery 1,575.09 1,708.43 1,708.43 (133.34) (133.34) 33800 Aortic suspension 933.07 1,049.95 1,049.95 (116.88) (116.88) 33802 Repair vessel defect 1,113.60 1,152.94 1,152.94 (39.34) (39.34) 33803 Repair vessel defect 1,234.71 1,222.41 1,222.41 12.30 12.30 33813 Repair septal defect 1,261.74 1,372.94 1,372.94 (111.20) (111.20) 33814 Repair septal defect 1,556.16 1,619.58 1,619.58 (63.42) (63.42) 33820 Revise major vessel 996.06 1,030.55 1,030.55 (34.49) (34.49) 33822 Revise major vessel 1,051.01 1,132.96 1,132.96 (81.95) (81.95) 33824 Revise major vessel 1,193.35 1,253.85 1,253.85 (60.50) (60.50) 33840 Remove aorta constriction 1,323.74 1,317.24 1,317.24 6.50 6.50 33845 Remove aorta constriction 1,362.04 1,418.37 1,418.37 (56.33) (56.33) 33851 Remove aorta constriction 1,359.41 1,352.34 1,352.34 7.07 7.07 33852 Repair septal defect 1,436.77 1,486.61 1,486.61 (49.84) (49.84) 33853 Repair septal defect 1,883.11 1,947.81 1,947.81 (64.70) (64.70) 33860 Ascending aortic graft 3,283.66 3,391.47 3,391.47 (107.81) (107.81) 33863 Ascending aortic graft 3,219.25 3,325.54 3,325.54 (106.29) (106.29) 33864 Ascending aortic graft 3,282.99 3,400.75 3,400.75 (117.76) (117.76) 33870 Transverse aortic arch graft 2,574.66 2,659.06 2,659.06 (84.40) (84.40) 33875 Thoracic aortic graft 2,813.57 2,905.54 2,905.54 (91.97) (91.97) 33877 Thoracoabdominal graft 3,728.48 3,852.38 3,852.38 (123.90) (123.90) 33880 Endovasc taa repr incl subcl 1,849.87 1,917.66 1,917.66 (67.79) (67.79) 33881 Endovasc taa repr w/o subcl 1,591.48 1,647.39 1,647.39 (55.91) (55.91) 33883 Insert endovasc prosth taa 1,153.28 1,193.43 1,193.43 (40.15) (40.15) 33884 Endovasc prosth taa add-on 422.47 435.35 435.35 (12.88) (12.88) 33886 Endovasc prosth delayed 1,003.73 1,030.38 1,030.38 (26.65) (26.65) 33889 Artery transpose/endovas taa 821.93 839.12 839.12 (17.19) (17.19) 33891 Car-car bp grft/endovas taa 1,004.93 1,032.13 1,032.13 (27.20) (27.20) 33910 Remove lung artery emboli 2,712.49 2,777.48 2,777.48 (64.99) (64.99) 33915 Remove lung artery emboli 1,295.00 1,343.44 1,343.44 (48.44) (48.44) 33916 Surgery of great vessel 4,304.32 4,448.36 4,448.36 (144.04) (144.04) 33917 Repair pulmonary artery 1,473.97 1,549.01 1,549.01 (75.04) (75.04) 33920 Repair pulmonary atresia 1,859.06 2,021.46 2,021.46 (162.40) (162.40) 33922 Transect pulmonary artery 1,427.02 1,476.48 1,476.48 (49.46) (49.46) 33924 Remove pulmonary shunt 288.99 303.26 303.26 (14.27) (14.27) 33925 Rpr pul art unifocal w/o cpb 1,738.54 1,825.16 1,825.16 (86.62) (86.62) 33926 Repr pul art unifocal w/cpb 2,471.83 2,711.59 2,711.59 (239.76) (239.76) 33946 Ecmo/ecls initiation venous 319.77 322.85 322.85 (3.08) (3.08) 33947 Ecmo/ecls initiation artery 348.05 356.91 356.91 (8.86) (8.86) 33948 Ecmo/ecls daily mgmt-venous 243.56 254.87 254.87 (11.31) (11.31) 33949 Ecmo/ecls daily mgmt artery 237.69 247.98 247.98 (10.29) (10.29) 33951 Ecmo/ecls insj prph cannula 388.49 441.41 441.41 (52.92) (52.92) 33952 Ecmo/ecls insj prph cannula 377.35 453.69 453.69 (76.34) (76.34) 33953 Ecmo/ecls insj prph cannula 432.68 492.96 492.96 (60.28) (60.28) 33954 Ecmo/ecls insj prph cannula 420.11 507.27 507.27 (87.16) (87.16) 33955 Ecmo/ecls insj ctr cannula 903.41 886.63 886.63 16.78 16.78 33956 Ecmo/ecls insj ctr cannula 852.42 885.23 885.23 (32.81) (32.81) 33957 Ecmo/ecls repos perph cnula 306.30 197.12 197.12 109.18 109.18 33958 Ecmo/ecls repos perph cnula 300.20 194.01 194.01 106.19 106.19 33959 Ecmo/ecls repos perph cnula 352.29 250.19 250.19 102.10 102.10 33962 Ecmo/ecls repos perph cnula 335.78 252.31 252.31 83.47 83.47 33963 Ecmo/ecls repos perph cnula 568.72 500.26 500.26 68.46 68.46 33964 Ecmo/ecls repos perph cnula 575.70 520.48 520.48 55.22 55.22 33965 Ecmo/ecls rmvl perph cannula 309.54 197.12 197.12 112.42 112.42 33966 Ecmo/ecls rmvl prph cannula 340.75 248.80 248.80 91.95 91.95 33967 Insert i-aort percut device 262.20 273.95 273.95 (11.75) (11.75) 33968 Remove aortic assist device 34.23 35.53 35.53 (1.30) (1.30) 33969 Ecmo/ecls rmvl perph cannula 348.70 291.26 291.26 57.44 57.44 33970 Aortic circulation assist 361.15 374.82 374.82 (13.67) (13.67) 33971 Aortic circulation assist 723.39 751.87 751.87 (28.48) (28.48) 33973 Insert balloon device 523.73 543.32 543.32 (19.59) (19.59) 33974 Remove intra-aortic balloon 909.74 941.11 941.11 (31.37) (31.37) 33975 Implant ventricular device 1,355.02 1,391.64 1,391.64 (36.62) (36.62) 33976 Implant ventricular device 1,650.40 1,693.98 1,693.98 (43.58) (43.58) 33977 Remove ventricular device 1,152.71 1,195.12 1,195.12 (42.41) (42.41) 33978 Remove ventricular device 1,375.66 1,413.08 1,413.08 (37.42) (37.42) 33979 Insert intracorporeal device 1,995.65 2,064.86 2,064.86 (69.21) (69.21) 33980 Remove intracorporeal device 1,824.83 1,890.33 1,890.33 (65.50) (65.50) 33981 Replace vad pump ext 857.90 883.57 883.57 (25.67) (25.67) 33982 Replace vad intra w/o bp 2,002.67 2,095.17 2,095.17 (92.50) (92.50) 33983 Replace vad intra w/bp 2,360.03 2,450.06 2,450.06 (90.03) (90.03) 33984 Ecmo/ecls rmvl prph cannula 340.00 301.63 301.63 38.37 38.37 33985 Ecmo/ecls rmvl ctr cannula 646.29 549.33 549.33 96.96 96.96 33986 Ecmo/ecls rmvl ctr cannula 614.85 560.28 560.28 54.57 54.57 33987 Artery expos/graft artery 261.06 220.06 220.06 41.00 41.00 33988 Insertion of left heart vent 744.29 820.99 820.99 (76.70) (76.70) 33989 Removal of left heart vent 498.23 531.58 531.58 (33.35) (33.35) 33990 Insert vad artery access 442.99 464.56 464.56 (21.57) (21.57) 33991 Insert vad art&vein access 645.78 676.54 676.54 (30.76) (30.76) 33992 Remove vad different session 209.21 218.97 218.97 (9.76) (9.76) 33993 Reposition vad diff session 183.72 192.21 192.21 (8.49) (8.49) 34001 Removal of artery clot 990.09 1,041.40 1,041.40 (51.31) (51.31) 34051 Removal of artery clot 1,018.23 1,050.29 1,050.29 (32.06) (32.06) 34101 Removal of artery clot 620.99 645.22 645.22 (24.23) (24.23) 34111 Removal of arm artery clot 620.60 643.03 643.03 (22.43) (22.43) 34151 Removal of artery clot 1,448.84 1,498.65 1,498.65 (49.81) (49.81) 34201 Removal of artery clot 1,067.54 1,105.23 1,105.23 (37.69) (37.69) 34203 Removal of leg artery clot 990.91 1,024.87 1,024.87 (33.96) (33.96) 34401 Removal of vein clot 1,496.42 1,547.72 1,547.72 (51.30) (51.30) 34421 Removal of vein clot 750.94 782.72 782.72 (31.78) (31.78) 34451 Removal of vein clot 1,496.43 1,544.44 1,544.44 (48.01) (48.01) 34471 Removal of vein clot 1,105.15 1,155.42 1,155.42 (50.27) (50.27) 34490 Removal of vein clot 624.91 653.16 653.16 (28.25) (28.25) 34501 Repair valve femoral vein 1,019.88 1,045.73 1,045.73 (25.85) (25.85) 34502 Reconstruct vena cava 1,557.15 1,633.69 1,633.69 (76.54) (76.54) 34510 Transposition of vein valve 1,197.39 1,270.49 1,270.49 (73.10) (73.10) 34520 Cross-over vein graft 1,030.16 1,073.61 1,073.61 (43.45) (43.45) 34530 Leg vein fusion 1,113.08 1,169.87 1,169.87 (56.79) (56.79) 34800 Endovas aaa repr w/sm tube 1,160.14 1,210.19 1,210.19 (50.05) (50.05) 34802 Endovas aaa repr w/2-p part 1,281.83 1,335.28 1,335.28 (53.45) (53.45) 34803 Endovas aaa repr w/3-p part 1,326.32 1,379.36 1,379.36 (53.04) (53.04) 34804 Endovas aaa repr w/1-p part 1,280.48 1,333.30 1,333.30 (52.82) (52.82) 34805 Endovas aaa repr w/long tube 1,231.02 1,277.33 1,277.33 (46.31) (46.31) 34806 Aneurysm press sensor add-on 102.17 106.90 106.90 (4.73) (4.73) 34808 Endovas iliac a device addon 211.52 221.24 221.24 (9.72) (9.72) 34812 Xpose for endoprosth femorl 347.83 360.46 360.46 (12.63) (12.63) 34813 Femoral endovas graft add-on 244.73 252.95 252.95 (8.22) (8.22) 34820 Xpose for endoprosth iliac 505.30 525.49 525.49 (20.19) (20.19) 34825 Endovasc extend prosth init 718.22 745.80 745.80 (27.58) (27.58) 34826 Endovasc exten prosth addl 210.77 219.48 219.48 (8.71) (8.71) 34830 Open aortic tube prosth repr 1,836.12 1,887.70 1,887.70 (51.58) (51.58) 34831 Open aortoiliac prosth repr 1,974.73 2,032.90 2,032.90 (58.17) (58.17) 34832 Open aortofemor prosth repr 1,974.73 2,019.85 2,019.85 (45.12) (45.12) 34833 Xpose for endoprosth iliac 630.40 650.82 650.82 (20.42) (20.42) 34834 Xpose endoprosth brachial 282.75 291.68 291.68 (8.93) (8.93) 34900 Endovasc iliac repr w/graft 917.91 959.99 959.99 (42.08) (42.08) 35001 Repair defect of artery 1,161.19 1,200.97 1,200.97 (39.78) (39.78) 35002 Repair artery rupture neck 1,163.84 1,216.20 1,216.20 (52.36) (52.36) 35005 Repair defect of artery 1,184.38 1,160.81 1,160.81 23.57 23.57 35011 Repair defect of artery 1,031.43 1,075.12 1,075.12 (43.69) (43.69) 35013 Repair artery rupture arm 1,293.23 1,344.27 1,344.27 (51.04) (51.04) 35021 Repair defect of artery 1,281.75 1,335.06 1,335.06 (53.31) (53.31) 35022 Repair artery rupture chest 1,475.93 1,487.24 1,487.24 (11.31) (11.31) 35045 Repair defect of arm artery 1,027.80 1,064.61 1,064.61 (36.81) (36.81) 35081 Repair defect of artery 1,812.04 1,872.35 1,872.35 (60.31) (60.31) 35082 Repair artery rupture aorta 2,266.97 2,352.16 2,352.16 (85.19) (85.19) 35091 Repair defect of artery 1,858.95 1,920.58 1,920.58 (61.63) (61.63) 35092 Repair artery rupture aorta 2,705.21 2,783.25 2,783.25 (78.04) (78.04) 35102 Repair defect of artery 1,963.50 2,026.41 2,026.41 (62.91) (62.91) 35103 Repair artery rupture aorta 2,329.70 2,406.81 2,406.81 (77.11) (77.11) 35111 Repair defect of artery 1,545.60 1,632.21 1,632.21 (86.61) (86.61) 35112 Repair artery rupture spleen 1,894.98 1,967.91 1,967.91 (72.93) (72.93) 35121 Repair defect of artery 1,692.06 1,760.35 1,760.35 (68.29) (68.29) 35122 Repair artery rupture belly 2,186.21 2,294.68 2,294.68 (108.47) (108.47) 35131 Repair defect of artery 1,435.99 1,488.73 1,488.73 (52.74) (52.74) 35132 Repair artery rupture groin 1,692.26 1,745.89 1,745.89 (53.63) (53.63) 35141 Repair defect of artery 1,145.58 1,187.16 1,187.16 (41.58) (41.58) 35142 Repair artery rupture thigh 1,372.75 1,418.80 1,418.80 (46.05) (46.05) 35151 Repair defect of artery 1,288.34 1,332.74 1,332.74 (44.40) (44.40) 35152 Repair ruptd popliteal art 1,456.01 1,499.47 1,499.47 (43.46) (43.46) 35180 Repair blood vessel lesion 938.35 997.73 997.73 (59.38) (59.38) 35182 Repair blood vessel lesion 1,782.79 1,898.39 1,898.39 (115.60) (115.60) 35184 Repair blood vessel lesion 1,062.57 1,117.28 1,117.28 (54.71) (54.71) 35188 Repair blood vessel lesion 1,222.51 1,235.74 1,235.74 (13.23) (13.23) 35189 Repair blood vessel lesion 1,586.53 1,639.93 1,639.93 (53.40) (53.40) 35190 Repair blood vessel lesion 780.09 815.48 815.48 (35.39) (35.39) 35201 Repair blood vessel lesion 973.73 1,015.54 1,015.54 (41.81) (41.81) 35206 Repair blood vessel lesion 796.91 830.22 830.22 (33.31) (33.31) 35207 Repair blood vessel lesion 756.52 800.27 800.27 (43.75) (43.75) 35211 Repair blood vessel lesion 1,417.83 1,461.72 1,461.72 (43.89) (43.89) 35216 Repair blood vessel lesion 2,104.05 2,175.04 2,175.04 (70.99) (70.99) 35221 Repair blood vessel lesion 1,479.66 1,550.96 1,550.96 (71.30) (71.30) 35226 Repair blood vessel lesion 861.78 892.00 892.00 (30.22) (30.22) 35231 Repair blood vessel lesion 1,243.08 1,299.88 1,299.88 (56.80) (56.80) 35236 Repair blood vessel lesion 1,010.53 1,049.33 1,049.33 (38.80) (38.80) 35241 Repair blood vessel lesion 1,469.07 1,465.36 1,465.36 3.71 3.71 35246 Repair blood vessel lesion 1,599.17 1,672.68 1,672.68 (73.51) (73.51) 35251 Repair blood vessel lesion 1,726.10 1,814.48 1,814.48 (88.38) (88.38) 35256 Repair blood vessel lesion 1,055.55 1,091.60 1,091.60 (36.05) (36.05) 35261 Repair blood vessel lesion 1,094.99 1,134.38 1,134.38 (39.39) (39.39) 35266 Repair blood vessel lesion 897.59 933.66 933.66 (36.07) (36.07) 35271 Repair blood vessel lesion 1,416.43 1,456.04 1,456.04 (39.61) (39.61) 35276 Repair blood vessel lesion 1,483.98 1,545.30 1,545.30 (61.32) (61.32) 35281 Repair blood vessel lesion 1,674.22 1,730.06 1,730.06 (55.84) (55.84) 35286 Repair blood vessel lesion 970.71 1,003.37 1,003.37 (32.66) (32.66) 35301 Rechanneling of artery 1,172.57 1,214.36 1,214.36 (41.79) (41.79) 35302 Rechanneling of artery 1,169.70 1,207.72 1,207.72 (38.02) (38.02) 35303 Rechanneling of artery 1,291.36 1,336.75 1,336.75 (45.39) (45.39) 35304 Rechanneling of artery 1,335.49 1,377.56 1,377.56 (42.07) (42.07) 35305 Rechanneling of artery 1,282.39 1,319.16 1,319.16 (36.77) (36.77) 35306 Rechanneling of artery 478.57 489.72 489.72 (11.15) (11.15) 35311 Rechanneling of artery 1,486.47 1,558.51 1,558.51 (72.04) (72.04) 35321 Rechanneling of artery 915.49 954.98 954.98 (39.49) (39.49) 35331 Rechanneling of artery 1,503.44 1,554.37 1,554.37 (50.93) (50.93) 35341 Rechanneling of artery 1,427.67 1,465.82 1,465.82 (38.15) (38.15) 35351 Rechanneling of artery 1,329.37 1,373.31 1,373.31 (43.94) (43.94) 35355 Rechanneling of artery 1,077.04 1,111.58 1,111.58 (34.54) (34.54) 35361 Rechanneling of artery 1,586.25 1,646.97 1,646.97 (60.72) (60.72) 35363 Rechanneling of artery 1,801.66 1,874.54 1,874.54 (72.88) (72.88) 35371 Rechanneling of artery 850.99 879.91 879.91 (28.92) (28.92) 35372 Rechanneling of artery 1,017.12 1,053.78 1,053.78 (36.66) (36.66) 35390 Reoperation carotid add-on 164.48 170.29 170.29 (5.81) (5.81) 35400 Angioscopy 153.61 159.38 159.38 (5.77) (5.77) 35500 Harvest vein for bypass 330.70 340.82 340.82 (10.12) (10.12) 35501 Art byp grft ipsilat carotid 1,549.84 1,600.75 1,600.75 (50.91) (50.91) 35506 Art byp grft subclav-carotid 1,329.05 1,365.95 1,365.95 (36.90) (36.90) 35508 Art byp grft carotid-vertbrl 1,397.43 1,453.28 1,453.28 (55.85) (55.85) 35509 Art byp grft contral carotid 1,474.43 1,510.84 1,510.84 (36.41) (36.41) 35510 Art byp grft carotid-brchial 1,282.26 1,318.72 1,318.72 (36.46) (36.46) 35511 Art byp grft subclav-subclav 1,321.69 1,201.18 1,201.18 120.51 120.51 35512 Art byp grft subclav-brchial 1,257.86 1,307.34 1,307.34 (49.48) (49.48) 35515 Art byp grft subclav-vertbrl 1,385.38 1,545.13 1,545.13 (159.75) (159.75) 35516 Art byp grft subclav-axilary 1,272.10 1,308.19 1,308.19 (36.09) (36.09) 35518 Art byp grft axillary-axilry 1,191.07 1,243.00 1,243.00 (51.93) (51.93) 35521 Art byp grft axill-femoral 1,278.70 1,324.52 1,324.52 (45.82) (45.82) 35522 Art byp grft axill-brachial 1,259.25 1,296.45 1,296.45 (37.20) (37.20) 35523 Art byp grft brchl-ulnr-rdl 1,330.33 1,376.97 1,376.97 (46.64) (46.64) 35525 Art byp grft brachial-brchl 1,178.61 1,228.20 1,228.20 (49.59) (49.59) 35526 Art byp grft aor/carot/innom 1,784.65 1,819.03 1,819.03 (34.38) (34.38) 35531 Art byp grft aorcel/aormesen 2,095.25 2,168.53 2,168.53 (73.28) (73.28) 35533 Art byp grft axill/fem/fem 1,569.81 1,604.18 1,604.18 (34.37) (34.37) 35535 Art byp grft hepatorenal 1,754.81 2,052.13 2,052.13 (297.32) (297.32) 35536 Art byp grft splenorenal 1,761.47 1,810.42 1,810.42 (48.95) (48.95) 35537 Art byp grft aortoiliac 2,173.05 2,349.59 2,349.59 (176.54) (176.54) 35538 Art byp grft aortobi-iliac 2,432.76 2,513.85 2,513.85 (81.09) (81.09) 35539 Art byp grft aortofemoral 2,285.47 2,350.59 2,350.59 (65.12) (65.12) 35540 Art byp grft aortbifemoral 2,534.05 2,627.29 2,627.29 (93.24) (93.24) 35556 Art byp grft fem-popliteal 1,457.68 1,505.31 1,505.31 (47.63) (47.63) 35558 Art byp grft fem-femoral 1,284.19 1,324.79 1,324.79 (40.60) (40.60) 35560 Art byp grft aortorenal 1,776.11 1,839.90 1,839.90 (63.79) (63.79) 35563 Art byp grft ilioiliac 1,378.50 1,426.50 1,426.50 (48.00) (48.00) 35565 Art byp grft iliofemoral 1,366.99 1,422.18 1,422.18 (55.19) (55.19) 35566 Art byp fem-ant-post tib/prl 1,739.43 1,795.58 1,795.58 (56.15) (56.15) 35570 Art byp tibial-tib/peroneal 1,407.97 1,632.67 1,632.67 (224.70) (224.70) 35571 Art byp pop-tibl-prl-other 1,383.40 1,429.25 1,429.25 (45.85) (45.85) 35572 Harvest femoropopliteal vein 356.74 369.68 369.68 (12.94) (12.94) 35583 Vein byp grft fem-popliteal 1,503.60 1,555.43 1,555.43 (51.83) (51.83) 35585 Vein byp fem-tibial peroneal 1,743.58 1,804.52 1,804.52 (60.94) (60.94) 35587 Vein byp pop-tibl peroneal 1,423.33 1,467.05 1,467.05 (43.72) (43.72) 35600 Harvest art for cabg add-on 263.66 269.69 269.69 (6.03) (6.03) 35601 Art byp common ipsi carotid 1,457.75 1,505.68 1,505.68 (47.93) (47.93) 35606 Art byp carotid-subclavian 1,220.99 1,260.60 1,260.60 (39.61) (39.61) 35612 Art byp subclav-subclavian 1,088.82 1,152.13 1,152.13 (63.31) (63.31) 35616 Art byp subclav-axillary 1,129.96 1,182.45 1,182.45 (52.49) (52.49) 35621 Art byp axillary-femoral 1,142.56 1,180.53 1,180.53 (37.97) (37.97) 35623 Art byp axillary-pop-tibial 1,368.01 1,409.44 1,409.44 (41.43) (41.43) 35626 Art byp aorsubcl/carot/innom 1,632.80 1,684.39 1,684.39 (51.59) (51.59) 35631 Art byp aor-celiac-msn-renal 1,923.79 1,985.79 1,985.79 (62.00) (62.00) 35632 Art byp ilio-celiac 1,666.70 1,932.85 1,932.85 (266.15) (266.15) 35633 Art byp ilio-mesenteric 1,863.36 2,150.96 2,150.96 (287.60) (287.60) 35634 Art byp iliorenal 1,630.71 1,893.45 1,893.45 (262.74) (262.74) 35636 Art byp spenorenal 1,661.61 1,717.17 1,717.17 (55.56) (55.56) 35637 Art byp aortoiliac 1,798.72 1,853.00 1,853.00 (54.28) (54.28) 35638 Art byp aortobi-iliac 1,834.64 1,893.20 1,893.20 (58.56) (58.56) 35642 Art byp carotid-vertebral 1,028.34 1,058.19 1,058.19 (29.85) (29.85) 35645 Art byp subclav-vertebrl 1,080.11 1,092.29 1,092.29 (12.18) (12.18) 35646 Art byp aortobifemoral 1,784.39 1,844.33 1,844.33 (59.94) (59.94) 35647 Art byp aortofemoral 1,619.01 1,672.13 1,672.13 (53.12) (53.12) 35650 Art byp axillary-axillary 1,116.77 1,160.29 1,160.29 (43.52) (43.52) 35654 Art byp axill-fem-femoral 1,425.75 1,472.01 1,472.01 (46.26) (46.26) 35656 Art byp femoral-popliteal 1,127.51 1,166.34 1,166.34 (38.83) (38.83) 35661 Art byp femoral-femoral 1,128.43 1,166.99 1,166.99 (38.56) (38.56) 35663 Art byp ilioiliac 1,305.55 1,349.16 1,349.16 (43.61) (43.61) 35665 Art byp iliofemoral 1,222.78 1,260.96 1,260.96 (38.18) (38.18) 35666 Art byp fem-ant-post tib/prl 1,321.79 1,363.37 1,363.37 (41.58) (41.58) 35671 Art byp pop-tibl-prl-other 1,167.29 1,202.32 1,202.32 (35.03) (35.03) 35681 Composite byp grft pros&vein 82.77 85.72 85.72 (2.95) (2.95) 35682 Composite byp grft 2 veins 367.30 378.35 378.35 (11.05) (11.05) 35683 Composite byp grft 3/> segmt 425.79 440.93 440.93 (15.14) (15.14) 35685 Bypass graft patency/patch 207.05 212.83 212.83 (5.78) (5.78) 35686 Bypass graft/av fist patency 166.39 172.56 172.56 (6.17) (6.17) 35691 Art trnsposj vertbrl carotid 984.96 1,029.61 1,029.61 (44.65) (44.65) 35693 Art trnsposj subclavian 870.34 875.43 875.43 (5.09) (5.09) 35694 Art trnsposj subclav carotid 1,028.22 1,060.87 1,060.87 (32.65) (32.65) 35695 Art trnsposj carotid subclav 1,067.67 1,126.69 1,126.69 (59.02) (59.02) 35697 Reimplant artery each 153.27 157.90 157.90 (4.63) (4.63) 35700 Reoperation bypass graft 158.54 163.75 163.75 (5.21) (5.21) 35701 Exploration carotid artery 583.94 607.46 607.46 (23.52) (23.52) 35721 Exploration femoral artery 467.70 489.71 489.71 (22.01) (22.01) 35741 Exploration popliteal artery 530.16 553.57 553.57 (23.41) (23.41) 35761 Exploration of artery/vein 400.93 418.19 418.19 (17.26) (17.26) 35800 Explore neck vessels 735.12 762.26 762.26 (27.14) (27.14) 35820 Explore chest vessels 2,057.18 2,125.80 2,125.80 (68.62) (68.62) 35840 Explore abdominal vessels 1,204.84 1,262.27 1,262.27 (57.43) (57.43) 35860 Explore limb vessels 870.78 901.52 901.52 (30.74) (30.74) 35870 Repair vessel graft defect 1,296.83 1,332.64 1,332.64 (35.81) (35.81) 35875 Removal of clot in graft 615.24 639.61 639.61 (24.37) (24.37) 35876 Removal of clot in graft 980.52 1,015.24 1,015.24 (34.72) (34.72) 35879 Revise graft w/vein 961.76 992.06 992.06 (30.30) (30.30) 35881 Revise graft w/vein 1,060.98 1,096.55 1,096.55 (35.57) (35.57) 35883 Revise graft w/nonauto graft 1,256.15 1,298.58 1,298.58 (42.43) (42.43) 35884 Revise graft w/vein 1,292.64 1,327.35 1,327.35 (34.71) (34.71) 35901 Excision graft neck 489.04 508.24 508.24 (19.20) (19.20) 35903 Excision graft extremity 585.00 608.02 608.02 (23.02) (23.02) 35905 Excision graft thorax 1,750.26 1,804.01 1,804.01 (53.75) (53.75) 35907 Excision graft abdomen 1,979.60 2,051.08 2,051.08 (71.48) (71.48) 36000 Place needle in vein 9.77 27.14 9.82 (17.37) (0.05) 36002 Pseudoaneurysm injection trt 108.92 170.80 112.81 (61.88) (3.89) 36005 Injection ext venography 48.74 345.62 51.16 (296.88) (2.42) 36010 Place catheter in vein 122.49 533.47 129.44 (410.98) (6.95) 36011 Place catheter in vein 158.69 888.35 166.12 (729.66) (7.43) 36012 Place catheter in vein 178.97 917.04 184.27 (738.07) (5.30) 36013 Place catheter in artery 132.20 837.38 132.47 (705.18) (0.27) 36014 Place catheter in artery 150.47 863.92 158.64 (713.45) (8.17) 36015 Place catheter in artery 174.40 925.64 181.58 (751.24) (7.18) 36100 Establish access to artery 161.81 531.63 164.12 (369.82) (2.31) 36120 Establish access to artery 101.35 450.27 106.10 (348.92) (4.75) 36140 Establish access to artery 104.31 465.63 109.04 (361.32) (4.73) 36160 Establish access to aorta 129.92 524.94 130.69 (395.02) (0.77) 36200 Place catheter in aorta 154.86 662.95 162.14 (508.09) (7.28) 36215 Place catheter in artery 245.55 1,197.42 248.51 (951.87) (2.96) 36216 Place catheter in artery 280.55 1,268.67 291.52 (988.12) (10.97) 36217 Place catheter in artery 336.33 2,093.07 346.63 (1,756.74) (10.30) 36218 Place catheter in artery 53.34 204.59 56.23 (151.25) (2.89) 36221 Place cath thoracic aorta 217.41 1,168.85 227.85 (951.44) (10.44) 36222 Place cath carotid/inom art 295.60 1,400.41 312.56 (1,104.81) (16.96) 36223 Place cath carotid/inom art 318.91 1,638.88 341.66 (1,319.97) (22.75) 36224 Place cath carotd art 348.94 1,932.05 380.66 (1,583.11) (31.72) 36225 Place cath subclavian art 317.46 1,601.75 336.54 (1,284.29) (19.08) 36226 Place cath vertebral art 350.02 1,961.37 381.74 (1,611.35) (31.72) 36227 Place cath xtrnl carotid 110.89 266.16 120.43 (155.27) (9.54) 36228 Place cath intracranial art 225.25 1,296.15 246.33 (1,070.90) (21.08) 36245 Ins cath abd/l-ext art 1st 259.65 1,459.88 267.72 (1,200.23) (8.07) 36246 Ins cath abd/l-ext art 2nd 272.74 945.99 284.76 (673.25) (12.02) 36247 Ins cath abd/l-ext art 3rd 326.13 1,681.37 336.71 (1,355.24) (10.58) 36248 Ins cath abd/l-ext art addl 51.90 162.59 52.64 (110.69) (0.74) 36251 Ins cath ren art 1st unilat 284.47 1,518.09 298.06 (1,233.62) (13.59) 36252 Ins cath ren art 1st bilat 372.43 1,644.11 396.97 (1,271.68) (24.54) 36253 Ins cath ren art 2nd+ unilat 398.89 2,418.13 399.82 (2,019.24) (0.93) 36254 Ins cath ren art 2nd+ bilat 432.79 2,347.26 461.12 (1,914.47) (28.33) 36260 Insertion of infusion pump 625.17 663.86 663.86 (38.69) (38.69) 36261 Revision of infusion pump 364.21 424.13 424.13 (59.92) (59.92) 36262 Removal of infusion pump 306.27 324.43 324.43 (18.16) (18.16) 36400 Bl draw < 3 yrs fem/jugular 20.57 31.26 21.09 (10.69) (0.52) 36405 Bl draw <3 yrs scalp vein 17.11 27.66 17.11 (10.55) (0.00) 36406 Bl draw <3 yrs other vein 9.41 17.35 8.69 (7.94) 0.72 36410 Non-routine bl draw 3/> yrs 9.77 17.73 9.82 (7.96) (0.05) 36420 Vein access cutdown < 1 yr 48.60 54.85 54.85 (6.25) (6.25) 36425 Vein access cutdown > 1 yr 40.44 41.80 41.80 (1.36) (1.36) 36430 Blood transfusion service 34.12 36.85 36.85 (2.73) (2.73) 36440 Bl push transfuse 2 yr/< 58.11 60.19 60.19 (2.08) (2.08) 36450 Bl exchange/transfuse nb 107.39 122.51 122.51 (15.12) (15.12) 36455 Bl exchange/transfuse non-nb 112.45 132.23 132.23 (19.78) (19.78) 36460 Transfusion service fetal 368.34 361.62 361.62 6.72 6.72 36468 INJECTION(S) SPIDER VEINS 25.70 0.00 0.00 25.70 25.70 36470 Injection therapy of vein 86.31 158.48 88.82 (72.17) (2.51) 36471 Injection therapy of veins 102.73 184.44 106.12 (81.71) (3.39) 36475 Endovenous rf 1st vein 361.65 1,637.84 297.69 (1,276.19) 63.96 36476 ENDOVENOUS RF VEIN ADD-ON 177.39 314.69 144.12 (137.30) 33.27 36478 Endovenous laser 1st vein 1,595.91 1,283.63 295.94 312.28 1,299.97 36479 ENDOVENOUS LASER VEIN ADDON 454.09 326.84 144.21 127.25 309.88 36481 Insertion of catheter vein 359.18 2,172.72 368.66 (1,813.54) (9.48) 36500 Insertion of catheter vein 182.22 192.35 192.35 (10.13) (10.13) 36510 Insertion of catheter vein 62.67 95.11 58.20 (32.44) 4.47 36511 Apheresis wbc 95.63 98.13 98.13 (2.50) (2.50) 36512 Apheresis rbc 94.00 98.88 98.88 (4.88) (4.88) 36513 Apheresis platelets 100.07 101.95 101.95 (1.88) (1.88) 36514 Apheresis plasma 94.91 573.59 97.63 (478.68) (2.72) 36515 Apheresis adsorp/reinfuse 87.68 2,208.07 91.86 (2,120.39) (4.18) 36516 Apheresis selective 71.58 2,225.30 72.93 (2,153.72) (1.35) 36522 Photopheresis 102.03 1,494.87 107.28 (1,392.84) (5.25) 36555 Insert non-tunnel cv cath 117.51 271.05 123.44 (153.54) (5.93) 36556 Insert non-tunnel cv cath 121.95 245.95 126.58 (124.00) (4.63) 36557 Insert tunneled cv cath 329.88 1,071.12 348.14 (741.24) (18.26) 36558 Insert tunneled cv cath 282.42 830.85 293.14 (548.43) (10.72) 36560 Insert tunneled cv cath 365.69 1,430.52 412.33 (1,064.83) (46.64) 36561 Insert tunneled cv cath 360.56 1,250.00 374.90 (889.44) (14.34) 36563 Insert tunneled cv cath 382.80 1,413.64 404.48 (1,030.84) (21.68) 36565 Insert tunneled cv cath 355.13 1,033.17 370.06 (678.04) (14.93) 36566 Insert tunneled cv cath 389.36 5,827.05 407.72 (5,437.69) (18.36) 36568 Insert picc cath 98.73 319.50 102.23 (220.77) (3.50) 36569 Insert picc cath 92.45 265.09 96.39 (172.64) (3.94) 36570 Insert picvad cath 311.95 1,232.30 329.33 (920.35) (17.38) 36571 Insert picvad cath 327.25 1,388.65 342.21 (1,061.40) (14.96) 36575 Repair tunneled cv cath 35.92 177.54 37.08 (141.62) (1.16) 36576 Repair tunneled cv cath 198.93 411.48 209.64 (212.55) (10.71) 36578 Replace tunneled cv cath 219.15 551.23 229.28 (332.08) (10.13) 36580 Replace cvad cath 67.86 228.30 70.52 (160.44) (2.66) 36581 Replace tunneled cv cath 199.35 819.00 207.86 (619.65) (8.51) 36582 Replace tunneled cv cath 310.32 1,171.86 324.25 (861.54) (13.93) 36583 Replace tunneled cv cath 339.03 1,455.51 359.00 (1,116.48) (19.97) 36584 Replace picc cath 67.28 217.66 70.42 (150.38) (3.14) 36585 Replace picvad cath 284.85 1,226.34 301.15 (941.49) (16.30) 36589 Removal tunneled cv cath 140.40 173.54 145.67 (33.14) (5.27) 36590 Removal tunneled cv cath 208.17 309.63 216.99 (101.46) (8.82) 36591 Draw blood off venous device 23.35 24.83 24.83 (1.48) (1.48) 36592 Collect blood from picc 26.22 27.84 27.84 (1.62) (1.62) 36593 Declot vascular device 30.89 33.09 33.09 (2.20) (2.20) 36595 Mech remov tunneled cv cath 186.49 621.96 194.57 (435.47) (8.08) 36596 Mech remov tunneled cv cath 45.83 141.61 47.47 (95.78) (1.64) 36597 Reposition venous catheter 61.52 134.40 64.74 (72.88) (3.22) 36598 Inj w/fluor eval cv device 37.18 117.22 38.90 (80.04) (1.72) 36600 Withdrawal of arterial blood 15.62 33.29 16.34 (17.67) (0.72) 36620 Insertion catheter artery 50.84 53.21 53.21 (2.37) (2.37) 36625 Insertion catheter artery 107.05 109.38 109.38 (2.33) (2.33) 36640 Insertion catheter artery 131.48 124.92 124.92 6.56 6.56 36660 Insertion catheter artery 68.74 67.08 67.08 1.66 1.66 36680 Insert needle bone cavity 60.27 61.21 61.21 (0.94) (0.94) 36800 Insertion of cannula 126.57 130.26 130.26 (3.69) (3.69) 36810 Insertion of cannula 220.51 228.92 228.92 (8.41) (8.41) 36815 Insertion of cannula 149.08 154.96 154.96 (5.88) (5.88) 36818 Av fuse uppr arm cephalic 687.76 744.39 744.39 (56.63) (56.63) 36819 Av fuse uppr arm basilic 755.05 786.44 786.44 (31.39) (31.39) 36820 Av fusion/forearm vein 825.49 784.65 784.65 40.84 40.84 36821 Av fusion direct any site 711.16 713.11 713.11 (1.95) (1.95) 36823 Insertion of cannula(s) 1,357.50 1,425.18 1,425.18 (67.68) (67.68) 36825 Artery-vein autograft 816.58 860.19 860.19 (43.61) (43.61) 36830 Artery-vein nonautograft 673.61 717.34 717.34 (43.73) (43.73) 36831 Open thrombect av fistula 465.78 663.10 663.10 (197.32) (197.32) 36832 Av fistula revision open 593.89 813.84 813.84 (219.95) (219.95) 36833 Av fistula revision 673.31 872.60 872.60 (199.29) (199.29) 36835 Artery to vein shunt 512.67 526.86 526.86 (14.19) (14.19) 36838 Dist revas ligation hemo 1,183.10 1,226.09 1,226.09 (42.99) (42.99) 36860 External cannula declotting 114.87 219.94 116.39 (105.07) (1.52) 36861 Cannula declotting 132.61 139.48 139.48 (6.87) (6.87) 37140 Revision of circulation 2,308.04 2,425.33 2,425.33 (117.29) (117.29) 37145 Revision of circulation 2,146.90 2,270.90 2,270.90 (124.00) (124.00) 37160 Revision of circulation 2,199.36 2,332.67 2,332.67 (133.31) (133.31) 37180 Revision of circulation 2,115.76 2,152.50 2,152.50 (36.74) (36.74) 37181 Splice spleen/kidney veins 2,307.66 2,456.11 2,456.11 (148.45) (148.45) 37182 Insert hepatic shunt (tips) 848.67 881.51 881.51 (32.84) (32.84) 37183 Remove hepatic shunt (tips) 399.08 6,332.63 416.25 (5,933.55) (17.17) 37184 PRIM ART M-THRMBC 1ST VSL 460.91 2,427.81 488.94 (1,966.90) (28.03) 37185 PRIM ART M-THROMBECT ADD-ON 169.48 769.31 178.13 (599.83) (8.65) 37186 SEC ART M-THROMBECT ADD-ON 256.45 1,471.17 264.70 (1,214.72) (8.25) 37187 Venous mech thrombectomy 410.45 2,200.28 432.38 (1,789.83) (21.93) 37188 Venous m-thrombectomy add-on 294.41 1,897.68 311.27 (1,603.27) (16.86) 37191 Ins endovas vena cava filtr 242.75 2,816.57 253.01 (2,573.82) (10.26) 37192 Redo endovas vena cava filtr 365.66 1,649.86 389.16 (1,284.20) (23.50) 37193 Rem endovas vena cava filter 373.91 1,705.03 387.85 (1,331.12) (13.94) 37195 Thrombolytic therapy stroke 304.44 0.00 0.00 304.44 304.44 37197 Remove intrvas foreign body 306.80 1,620.64 335.09 (1,313.84) (28.29) 37200 Transcatheter biopsy 223.92 232.51 232.51 (8.59) (8.59) 37211 THROMBOLYTIC ART THERAPY 407.72 423.62 423.62 (15.90) (15.90) 37212 Thrombolytic venous therapy 359.99 372.59 372.59 (12.60) (12.60) 37213 Thromblytic art/ven therapy 250.78 261.85 261.85 (11.07) (11.07) 37214 Cessj therapy cath removal 148.36 143.61 143.61 4.75 4.75 37215 Transcath stent cca w/eps 1,100.81 1,067.89 1,067.89 32.92 32.92 37216 Transcath stent cca w/o eps 1,019.39 0.00 0.00 1,019.39 1,019.39 37217 Stent placemt retro carotid 1,136.75 1,167.83 1,167.83 (31.08) (31.08) 37218 Stent placemt ante carotid 878.29 873.75 873.75 4.54 4.54 37220 Iliac revasc 424.08 3,374.99 442.41 (2,950.91) (18.33) 37221 Iliac revasc w/stent 516.55 4,980.03 543.88 (4,463.48) (27.33) 37222 Iliac revasc add-on 190.82 944.90 199.33 (754.08) (8.51) 37223 Iliac revasc w/stent add-on 218.36 2,772.33 228.73 (2,553.97) (10.37) 37224 Fem/popl revas w/tla 469.06 4,097.08 487.08 (3,628.02) (18.02) 37225 Fem/popl revas w/ather 633.14 11,799.34 660.58 (11,166.20) (27.44) 37226 Fem/popl revasc w/stent 517.14 9,702.71 572.48 (9,185.57) (55.34) 37227 Fem/popl revasc stnt & ather 762.65 15,939.71 794.07 (15,177.06) (31.42) 37228 Tib/per revasc w/tla 572.06 5,825.13 594.83 (5,253.07) (22.77) 37229 Tib/per revasc w/ather 740.37 11,626.98 770.25 (10,886.61) (29.88) 37230 Tib/per revasc w/stent 716.87 8,881.30 758.71 (8,164.43) (41.84) 37231 Tib/per revasc stent & ather 785.43 14,310.86 825.43 (13,525.43) (40.00) 37232 Tib/per revasc add-on 207.29 1,293.82 216.13 (1,086.53) (8.84) 37233 Tibper revasc w/ather add-on 338.99 1,559.46 351.86 (1,220.47) (12.87) 37234 Revsc opn/prq tib/pero stent 287.21 4,151.09 303.12 (3,863.88) (15.91) 37235 Tib/per revasc stnt & ather 416.97 4,367.70 431.61 (3,950.73) (14.64) 37236 Open/perq place stent 1st 469.58 4,400.92 482.15 (3,931.34) (12.57) 37237 Open/perq place stent ea add 219.43 2,633.15 226.99 (2,413.72) (7.56) 37238 Open/perq place stent same 329.00 4,494.15 334.01 (4,165.15) (5.01) 37239 Open/perq place stent ea add 153.14 2,174.28 158.98 (2,021.14) (5.84) 37241 VASC EMBOLIZE/OCCLUDE VENOUS 450.26 5,108.45 478.75 (4,658.19) (28.49) 37242 VASC EMBOLIZE/OCCLUDE ARTERY 502.78 8,214.42 524.11 (7,711.64) (21.33) 37243 VASC EMBOLIZE/OCCLUDE ORGAN 599.43 10,434.48 618.92 (9,835.05) (19.49) 37244 Vasc embolize/occlude bleed 699.19 7,259.21 724.54 (6,560.02) (25.35) 37252 Intrvasc us noncoronary 1st 92.81 1,495.47 97.71 (1,402.66) (4.90) 37253 Intrvasc us noncoronary addl 74.22 229.90 78.15 (155.68) (3.93) 37500 Endoscopy ligate perf veins 777.91 811.65 811.65 (33.74) (33.74) 37565 Ligation of neck vein 745.15 771.29 771.29 (26.14) (26.14) 37600 Ligation of neck artery 726.13 753.92 753.92 (27.79) (27.79) 37605 Ligation of neck artery 820.34 849.79 849.79 (29.45) (29.45) 37606 Ligation of neck artery 581.19 617.96 617.96 (36.77) (36.77) 37607 Ligation of a-v fistula 386.84 402.98 402.98 (16.14) (16.14) 37609 Temporal artery procedure 211.25 329.30 220.48 (118.05) (9.23) 37615 Ligation of neck artery 539.22 543.73 543.73 (4.51) (4.51) 37616 Ligation of chest artery 1,107.27 1,166.99 1,166.99 (59.72) (59.72) 37617 Ligation of abdomen artery 1,353.51 1,417.32 1,417.32 (63.81) (63.81) 37618 Ligation of extremity artery 395.77 409.59 409.59 (13.82) (13.82) 37619 Ligation of inf vena cava 1,672.35 1,737.35 1,737.35 (65.00) (65.00) 37650 Revision of major vein 521.82 542.58 542.58 (20.76) (20.76) 37660 Revision of major vein 1,152.62 1,232.53 1,232.53 (79.91) (79.91) 37700 Revise leg vein 257.56 267.54 267.54 (9.98) (9.98) 37718 Ligate/strip short leg vein 446.60 467.99 467.99 (21.39) (21.39) 37722 Ligate/strip long leg vein 493.94 513.50 513.50 (19.56) (19.56) 37735 Removal of leg veins/lesion 698.51 735.04 735.04 (36.53) (36.53) 37760 Ligate leg veins radical 629.60 658.77 658.77 (29.17) (29.17) 37761 Ligate leg veins open 564.57 590.55 590.55 (25.98) (25.98) 37765 Stab phleb veins xtr 10-20 460.97 694.64 480.39 (233.67) (19.42) 37766 Phleb veins - extrem 20+ 566.92 825.27 586.54 (258.35) (19.62) 37780 Revision of leg vein 262.42 272.56 272.56 (10.14) (10.14) 37785 Ligate/divide/excise vein 268.17 379.17 280.89 (111.00) (12.72) 37788 Revascularization penis 1,345.67 1,356.31 1,356.31 (10.64) (10.64) 37790 Penile venous occlusion 481.71 529.11 529.11 (47.40) (47.40) 38100 Removal of spleen total 1,150.76 1,217.55 1,217.55 (66.79) (66.79) 38101 Removal of spleen partial 1,159.87 1,221.61 1,221.61 (61.74) (61.74) 38102 Removal of spleen total 261.79 276.34 276.34 (14.55) (14.55) 38115 Repair of ruptured spleen 1,266.03 1,335.90 1,335.90 (69.87) (69.87) 38120 Laparoscopy splenectomy 1,051.11 1,112.22 1,112.22 (61.11) (61.11) 38200 Injection for spleen x-ray 133.00 121.98 121.98 11.02 11.02 38204 Bl donor search management 100.67 110.13 110.13 (9.46) (9.46) 38205 Harvest allogeneic stem cell 80.68 86.90 86.90 (6.22) (6.22) 38206 Harvest auto stem cells 82.17 87.28 87.28 (5.11) (5.11) 38207 Cryopreserve stem cells 44.40 49.07 49.07 (4.67) (4.67) 38208 Thaw preserved stem cells 28.48 30.89 30.89 (2.41) (2.41) 38209 Wash harvest stem cells 11.78 13.09 13.09 (1.31) (1.31) 38210 T-cell depletion of harvest 78.79 86.51 86.51 (7.72) (7.72) 38211 Tumor cell deplete of harvst 71.88 78.15 78.15 (6.27) (6.27) 38212 Rbc depletion of harvest 46.83 51.98 51.98 (5.15) (5.15) 38213 Platelet deplete of harvest 11.78 13.09 13.09 (1.31) (1.31) 38214 Volume deplete of harvest 40.60 44.71 44.71 (4.11) (4.11) 38215 Harvest stem cell concentrte 46.83 51.98 51.98 (5.15) (5.15) 38220 Bone marrow aspiration 60.68 174.10 64.52 (113.42) (3.84) 38221 Bone marrow biopsy 74.81 176.76 78.48 (101.95) (3.67) 38230 Bone marrow harvest allogen 211.41 208.53 208.53 2.88 2.88 38232 Bone marrow harvest autolog 209.61 207.78 207.78 1.83 1.83 38240 Transplt allo hct/donor 224.34 234.89 234.89 (10.55) (10.55) 38241 Transplt autol hct/donor 167.50 176.08 176.08 (8.58) (8.58) 38242 Transplt allo lymphocytes 116.95 123.48 123.48 (6.53) (6.53) 38243 Transplj hematopoietic boost 117.99 123.07 123.07 (5.08) (5.08) 38300 Drainage lymph node lesion 183.76 292.80 195.65 (109.04) (11.89) 38305 Drainage lymph node lesion 477.53 503.32 503.32 (25.79) (25.79) 38308 Incision of lymph channels 448.44 470.65 470.65 (22.21) (22.21) 38380 Thoracic duct procedure 576.90 602.80 602.80 (25.90) (25.90) 38381 Thoracic duct procedure 810.80 846.87 846.87 (36.07) (36.07) 38382 Thoracic duct procedure 602.14 649.76 649.76 (47.62) (47.62) 38500 Biopsy/removal lymph nodes 253.58 350.06 268.34 (96.48) (14.76) 38505 Needle biopsy lymph nodes 72.06 134.16 75.42 (62.10) (3.36) 38510 Biopsy/removal lymph nodes 422.66 548.95 444.27 (126.29) (21.61) 38520 Biopsy/removal lymph nodes 467.72 490.04 490.04 (22.32) (22.32) 38525 Biopsy/removal lymph nodes 434.96 461.16 461.16 (26.20) (26.20) 38530 Biopsy/removal lymph nodes 553.23 580.15 580.15 (26.92) (26.92) 38542 Explore deep node(s) neck 524.03 548.29 548.29 (24.26) (24.26) 38550 Removal neck/armpit lesion 506.50 534.97 534.97 (28.47) (28.47) 38555 Removal neck/armpit lesion 1,002.77 1,059.34 1,059.34 (56.57) (56.57) 38562 Removal pelvic lymph nodes 699.61 739.33 739.33 (39.72) (39.72) 38564 Removal abdomen lymph nodes 700.24 741.70 741.70 (41.46) (41.46) 38570 Laparoscopy lymph node biop 531.60 529.95 529.95 1.65 1.65 38571 Laparoscopy lymphadenectomy 783.21 700.83 700.83 82.38 82.38 38572 Laparoscopy lymphadenectomy 956.69 978.85 978.85 (22.16) (22.16) 38700 Removal of lymph nodes neck 814.56 852.89 852.89 (38.33) (38.33) 38720 Removal of lymph nodes neck 1,360.60 1,422.85 1,422.85 (62.25) (62.25) 38724 Removal of lymph nodes neck 1,469.59 1,538.22 1,538.22 (68.63) (68.63) 38740 Remove armpit lymph nodes 691.81 732.55 732.55 (40.74) (40.74) 38745 Remove armpit lymph nodes 873.85 923.97 923.97 (50.12) (50.12) 38746 Remove thoracic lymph nodes 218.81 226.96 226.96 (8.15) (8.15) 38747 Remove abdominal lymph nodes 266.00 281.34 281.34 (15.34) (15.34) 38760 Remove groin lymph nodes 841.73 887.04 887.04 (45.31) (45.31) 38765 Remove groin lymph nodes 1,287.07 1,359.69 1,359.69 (72.62) (72.62) 38770 Remove pelvis lymph nodes 797.18 848.55 848.55 (51.37) (51.37) 38780 Remove abdomen lymph nodes 1,023.41 1,075.96 1,075.96 (52.55) (52.55) 38790 Inject for lymphatic x-ray 84.56 87.70 87.70 (3.14) (3.14) 38792 Ra tracer id of sentinl node 40.83 42.27 42.27 (1.44) (1.44) 38794 Access thoracic lymph duct 299.90 316.69 316.69 (16.79) (16.79) 38900 Io map of sent lymph node 137.40 145.39 145.39 (7.99) (7.99) 39000 Exploration of chest 504.13 526.76 526.76 (22.63) (22.63) 39010 Exploration of chest 801.08 831.94 831.94 (30.86) (30.86) 39200 Resect mediastinal cyst 887.70 930.80 930.80 (43.10) (43.10) 39220 Resect mediastinal tumor 1,160.35 1,202.28 1,202.28 (41.93) (41.93) 39401 Mediastinoscpy w/medstnl bx 312.14 328.62 328.62 (16.48) (16.48) 39402 Mediastinoscpy w/lmph nod bx 407.38 428.88 428.88 (21.50) (21.50) 39501 Repair diaphragm laceration 853.18 895.11 895.11 (41.93) (41.93) 39503 Repair of diaphragm hernia 6,122.98 6,469.18 6,469.18 (346.20) (346.20) 39540 Repair of diaphragm hernia 867.46 912.95 912.95 (45.49) (45.49) 39541 Repair of diaphragm hernia 945.12 995.92 995.92 (50.80) (50.80) 39545 Revision of diaphragm 905.49 944.57 944.57 (39.08) (39.08) 39560 Resect diaphragm simple 801.83 840.21 840.21 (38.38) (38.38) 39561 Resect diaphragm complex 1,251.35 1,307.88 1,307.88 (56.53) (56.53) 40490 Biopsy of lip 73.81 136.14 77.40 (62.33) (3.59) 40500 Partial excision of lip 369.54 539.91 388.92 (170.37) (19.38) 40510 Partial excision of lip 362.86 516.57 380.64 (153.71) (17.78) 40520 Partial excision of lip 365.14 521.89 382.57 (156.75) (17.43) 40525 Reconstruct lip with flap 562.76 586.69 586.69 (23.93) (23.93) 40527 Reconstruct lip with flap 627.21 656.84 656.84 (29.63) (29.63) 40530 Partial removal of lip 408.82 574.93 429.96 (166.11) (21.14) 40650 Repair lip 304.35 470.96 319.21 (166.61) (14.86) 40652 Repair lip 356.13 519.27 374.67 (163.14) (18.54) 40654 Repair lip 430.96 606.29 452.65 (175.33) (21.69) 40700 Repair cleft lip/nasal 915.55 959.27 959.27 (43.72) (43.72) 40701 Repair cleft lip/nasal 1,017.91 1,073.58 1,073.58 (55.67) (55.67) 40702 Repair cleft lip/nasal 897.15 905.42 905.42 (8.27) (8.27) 40720 Repair cleft lip/nasal 1,053.17 1,082.60 1,082.60 (29.43) (29.43) 40761 Repair cleft lip/nasal 1,111.08 1,144.67 1,144.67 (33.59) (33.59) 40800 Drainage of mouth lesion 135.55 230.94 143.20 (95.39) (7.65) 40801 Drainage of mouth lesion 227.00 341.76 240.84 (114.76) (13.84) 40804 Removal foreign body mouth 137.18 206.37 126.54 (69.19) 10.64 40805 Removal foreign body mouth 241.03 398.39 240.62 (157.36) 0.41 40806 Incision of lip fold 36.12 123.30 34.81 (87.18) 1.31 40808 Biopsy of mouth lesion 110.71 203.16 118.06 (92.45) (7.35) 40810 Excision of mouth lesion 131.36 224.30 138.45 (92.94) (7.09) 40812 Excise/repair mouth lesion 202.26 312.94 214.28 (110.68) (12.02) 40814 Excise/repair mouth lesion 314.24 417.51 331.28 (103.27) (17.04) 40816 Excision of mouth lesion 326.78 435.88 343.63 (109.10) (16.85) 40818 Excise oral mucosa for graft 280.49 387.57 294.93 (107.08) (14.44) 40819 Excise lip or cheek fold 242.96 343.49 261.40 (100.53) (18.44) 40820 Treatment of mouth lesion 177.35 289.12 187.83 (111.77) (10.48) 40830 Repair mouth laceration 171.31 287.81 178.61 (116.50) (7.30) 40831 Repair mouth laceration 231.87 364.93 242.92 (133.06) (11.05) 40840 Reconstruction of mouth 633.95 870.35 673.04 (236.40) (39.09) 40842 Reconstruction of mouth 611.33 836.38 644.34 (225.05) (33.01) 40843 Reconstruction of mouth 898.81 1,159.74 909.34 (260.93) (10.53) 40844 Reconstruction of mouth 1,105.69 1,389.06 1,118.70 (283.37) (13.01) 40845 Reconstruction of mouth 1,237.08 1,558.56 1,305.14 (321.48) (68.06) 41000 Drainage of mouth lesion 114.86 175.74 121.52 (60.88) (6.66) 41005 Drainage of mouth lesion 128.90 247.02 135.57 (118.12) (6.67) 41006 Drainage of mouth lesion 257.38 386.78 271.56 (129.40) (14.18) 41007 Drainage of mouth lesion 250.08 378.45 261.72 (128.37) (11.64) 41008 Drainage of mouth lesion 275.86 410.11 291.87 (134.25) (16.01) 41009 Drainage of mouth lesion 298.45 435.20 316.59 (136.75) (18.14) 41010 Incision of tongue fold 111.64 220.32 117.14 (108.68) (5.50) 41015 Drainage of mouth lesion 354.93 489.37 379.79 (134.44) (24.86) 41016 Drainage of mouth lesion 358.69 477.52 381.50 (118.83) (22.81) 41017 Drainage of mouth lesion 360.49 482.01 383.35 (121.52) (22.86) 41018 Drainage of mouth lesion 419.14 546.92 447.51 (127.78) (28.37) 41019 Place needles h&n for rt 465.36 493.20 493.20 (27.84) (27.84) 41100 Biopsy of tongue 110.82 181.63 116.11 (70.81) (5.29) 41105 Biopsy of tongue 114.32 184.53 120.14 (70.21) (5.82) 41108 Biopsy of floor of mouth 92.63 160.44 97.93 (67.81) (5.30) 41110 Excision of tongue lesion 135.73 229.95 142.21 (94.22) (6.48) 41112 Excision of tongue lesion 260.02 362.87 274.75 (102.85) (14.73) 41113 Excision of tongue lesion 286.91 396.55 303.92 (109.64) (17.01) 41114 Excision of tongue lesion 647.83 682.44 682.44 (34.61) (34.61) 41115 Excision of tongue fold 156.51 268.55 165.38 (112.04) (8.87) 41116 Excision of mouth lesion 227.17 359.76 238.89 (132.59) (11.72) 41120 Partial removal of tongue 1,067.04 1,173.46 1,173.46 (106.42) (106.42) 41130 Partial removal of tongue 1,319.53 1,439.13 1,439.13 (119.60) (119.60) 41135 Tongue and neck surgery 2,185.35 2,349.53 2,349.53 (164.18) (164.18) 41140 Removal of tongue 2,205.38 2,374.45 2,374.45 (169.07) (169.07) 41145 Tongue removal neck surgery 2,787.47 3,012.83 3,012.83 (225.36) (225.36) 41150 Tongue mouth jaw surgery 2,215.90 2,387.87 2,387.87 (171.97) (171.97) 41153 Tongue mouth neck surgery 2,407.27 2,597.71 2,597.71 (190.44) (190.44) 41155 Tongue jaw & neck surgery 3,032.81 3,250.39 3,250.39 (217.58) (217.58) 41250 REPAIR TONGUE LACERATION 158.52 289.06 164.80 (130.54) (6.28) 41251 Repair tongue laceration 184.02 314.58 196.34 (130.56) (12.32) 41252 Repair tongue laceration 215.71 338.81 225.46 (123.10) (9.75) 41500 Fixation of tongue 381.24 448.60 448.60 (67.36) (67.36) 41510 Tongue to lip surgery 451.34 458.82 458.82 (7.48) (7.48) 41512 Tongue suspension 634.12 719.02 719.02 (84.90) (84.90) 41520 Reconstruction tongue fold 263.94 384.26 280.70 (120.32) (16.76) 41530 Tongue base vol reduction 412.67 408.68 408.68 3.99 3.99 41800 DRAINAGE OF GUM LESION 151.70 294.94 159.38 (143.24) (7.68) 41805 Removal foreign body gum 180.58 281.17 190.80 (100.59) (10.22) 41806 Removal foreign body jawbone 274.40 385.08 283.41 (110.68) (9.01) 41820 Excision gum each quadrant 196.56 0.00 0.00 196.56 196.56 41821 Excision of gum flap 44.52 0.00 0.00 44.52 44.52 41822 Excision of gum lesion 188.18 318.10 197.60 (129.92) (9.42) 41823 Excision of gum lesion 332.81 464.78 351.81 (131.97) (19.00) 41825 Excision of gum lesion 125.92 230.19 132.67 (104.27) (6.75) 41826 Excision of gum lesion 217.98 342.97 231.51 (124.99) (13.53) 41827 Excision of gum lesion 313.69 478.28 333.31 (164.59) (19.62) 41828 Excision of gum lesion 217.84 334.65 229.96 (116.81) (12.12) 41830 Removal of gum tissue 291.68 428.15 309.91 (136.47) (18.23) 41850 Treatment of gum lesion 98.46 0.00 0.00 98.46 98.46 41870 Gum graft 245.79 0.00 0.00 245.79 245.79 41872 Repair gum 265.82 397.94 278.95 (132.12) (13.13) 41874 Repair tooth socket 260.83 409.12 278.46 (148.29) (17.63) 42000 Drainage mouth roof lesion 105.62 171.76 111.89 (66.14) (6.27) 42100 Biopsy roof of mouth 112.33 162.17 118.49 (49.84) (6.16) 42104 Excision lesion mouth roof 143.05 233.80 150.58 (90.75) (7.53) 42106 Excision lesion mouth roof 183.24 297.21 193.66 (113.97) (10.42) 42107 Excision lesion mouth roof 354.15 499.07 374.44 (144.92) (20.29) 42120 Remove palate/lesion 1,011.28 1,102.37 1,102.37 (91.09) (91.09) 42140 Excision of uvula 159.54 274.48 167.16 (114.94) (7.62) 42145 Repair palate pharynx/uvula 717.29 752.70 752.70 (35.41) (35.41) 42160 Treatment mouth roof lesion 150.67 251.18 158.55 (100.51) (7.88) 42180 Repair palate 187.96 262.61 197.47 (74.65) (9.51) 42182 Repair palate 260.48 343.16 273.50 (82.68) (13.02) 42200 Reconstruct cleft palate 865.07 907.59 907.59 (42.52) (42.52) 42205 Reconstruct cleft palate 902.40 944.50 944.50 (42.10) (42.10) 42210 Reconstruct cleft palate 1,041.58 1,054.91 1,054.91 (13.33) (13.33) 42215 Reconstruct cleft palate 679.42 701.84 701.84 (22.42) (22.42) 42220 Reconstruct cleft palate 526.60 531.02 531.02 (4.42) (4.42) 42225 Reconstruct cleft palate 893.96 944.38 944.38 (50.42) (50.42) 42226 Lengthening of palate 908.79 965.02 965.02 (56.23) (56.23) 42227 Lengthening of palate 852.45 914.21 914.21 (61.76) (61.76) 42235 Repair palate 747.82 790.23 790.23 (42.41) (42.41) 42260 Repair nose to lip fistula 670.26 871.50 708.45 (201.24) (38.19) 42280 Preparation palate mold 116.14 178.59 118.34 (62.45) (2.20) 42281 Insertion palate prosthesis 154.77 220.82 162.08 (66.05) (7.31) 42300 Drainage of salivary gland 156.23 225.72 163.96 (69.49) (7.73) 42305 Drainage of salivary gland 437.92 460.53 460.53 (22.61) (22.61) 42310 Drainage of salivary gland 127.38 173.00 132.71 (45.62) (5.33) 42320 Drainage of salivary gland 179.58 268.93 187.97 (89.35) (8.39) 42330 Removal of salivary stone 168.69 250.01 176.96 (81.32) (8.27) 42335 Removal of salivary stone 263.35 404.31 277.04 (140.96) (13.69) 42340 Removal of salivary stone 342.76 498.88 359.18 (156.12) (16.42) 42400 Biopsy of salivary gland 56.15 114.09 58.74 (57.94) (2.59) 42405 Biopsy of salivary gland 229.73 319.75 241.43 (90.02) (11.70) 42408 Excision of salivary cyst 332.45 485.45 348.39 (153.00) (15.94) 42409 Drainage of salivary cyst 226.84 358.32 237.44 (131.48) (10.60) 42410 Excise parotid gland/lesion 632.19 661.58 661.58 (29.39) (29.39) 42415 Excise parotid gland/lesion 1,070.62 1,121.08 1,121.08 (50.46) (50.46) 42420 Excise parotid gland/lesion 1,201.49 1,258.62 1,258.62 (57.13) (57.13) 42425 Excise parotid gland/lesion 848.39 887.58 887.58 (39.19) (39.19) 42426 Excise parotid gland/lesion 1,368.17 1,430.00 1,430.00 (61.83) (61.83) 42440 Excise submaxillary gland 418.78 439.09 439.09 (20.31) (20.31) 42450 Excise sublingual gland 367.20 485.22 383.93 (118.02) (16.73) 42500 Repair salivary duct 351.56 466.29 367.64 (114.73) (16.08) 42505 Repair salivary duct 464.03 595.79 485.46 (131.76) (21.43) 42507 Parotid duct diversion 524.83 552.83 552.83 (28.00) (28.00) 42509 Parotid duct diversion 890.27 902.36 902.36 (12.09) (12.09) 42510 Parotid duct diversion 640.99 687.98 687.98 (46.99) (46.99) 42550 Injection for salivary x-ray 63.24 143.39 66.58 (80.15) (3.34) 42600 Closure of salivary fistula 354.98 513.89 371.93 (158.91) (16.95) 42650 Dilation of salivary duct 60.51 89.96 62.85 (29.45) (2.34) 42660 Dilation of salivary duct 84.68 137.37 95.58 (52.69) (10.90) 42665 Ligation of salivary duct 211.88 332.82 219.48 (120.94) (7.60) 42700 Drainage of tonsil abscess 139.49 204.13 145.39 (64.64) (5.90) 42720 Drainage of throat abscess 398.02 484.35 417.70 (86.33) (19.68) 42725 Drainage of throat abscess 824.33 871.75 871.75 (47.42) (47.42) 42800 Biopsy of throat 115.09 170.70 119.86 (55.61) (4.77) 42804 Biopsy of upper nose/throat 115.65 211.29 121.67 (95.64) (6.02) 42806 Biopsy of upper nose/throat 134.88 236.96 141.69 (102.08) (6.81) 42808 Excise pharynx lesion 164.94 243.81 173.40 (78.87) (8.46) 42809 Remove pharynx foreign body 135.27 217.30 130.32 (82.03) 4.95 42810 Excision of neck cyst 296.44 417.21 310.27 (120.77) (13.83) 42815 Excision of neck cyst 569.91 598.28 598.28 (28.37) (28.37) 42820 Remove tonsils and adenoids 295.09 309.72 309.72 (14.63) (14.63) 42821 Remove tonsils and adenoids 306.73 321.49 321.49 (14.76) (14.76) 42825 Removal of tonsils 266.79 280.26 280.26 (13.47) (13.47) 42826 Removal of tonsils 256.13 268.71 268.71 (12.58) (12.58) 42830 Removal of adenoids 212.21 221.75 221.75 (9.54) (9.54) 42831 Removal of adenoids 228.07 239.87 239.87 (11.80) (11.80) 42835 Removal of adenoids 181.76 206.11 206.11 (24.35) (24.35) 42836 Removal of adenoids 245.30 257.43 257.43 (12.13) (12.13) 42842 Extensive surgery of throat 1,012.06 1,099.83 1,099.83 (87.77) (87.77) 42844 Extensive surgery of throat 1,387.55 1,505.24 1,505.24 (117.69) (117.69) 42845 Extensive surgery of throat 2,246.49 2,416.24 2,416.24 (169.75) (169.75) 42860 Excision of tonsil tags 192.67 201.74 201.74 (9.07) (9.07) 42870 Excision of lingual tonsil 591.00 652.06 652.06 (61.06) (61.06) 42890 Partial removal of pharynx 1,436.48 1,551.45 1,551.45 (114.97) (114.97) 42892 Revision of pharyngeal walls 1,907.14 2,047.61 2,047.61 (140.47) (140.47) 42894 Revision of pharyngeal walls 2,395.91 2,569.75 2,569.75 (173.84) (173.84) 42900 Repair throat wound 344.35 359.20 359.20 (14.85) (14.85) 42950 Reconstruction of throat 809.63 890.11 890.11 (80.48) (80.48) 42953 Repair throat esophagus 968.95 1,072.54 1,072.54 (103.59) (103.59) 42955 Surgical opening of throat 767.21 840.66 840.66 (73.45) (73.45) 42960 Control throat bleeding 173.51 181.61 181.61 (8.10) (8.10) 42961 Control throat bleeding 429.73 453.03 453.03 (23.30) (23.30) 42962 Control throat bleeding 526.92 553.37 553.37 (26.45) (26.45) 42970 Control nose/throat bleeding 418.68 431.00 431.00 (12.32) (12.32) 42971 Control nose/throat bleeding 465.36 487.11 487.11 (21.75) (21.75) 42972 Control nose/throat bleeding 520.88 545.06 545.06 (24.18) (24.18) 43020 Incision of esophagus 500.08 560.09 560.09 (60.01) (60.01) 43030 Throat muscle surgery 526.92 551.93 551.93 (25.01) (25.01) 43045 Incision of esophagus 1,320.22 1,381.18 1,381.18 (60.96) (60.96) 43100 Excision of esophagus lesion 636.71 663.58 663.58 (26.87) (26.87) 43101 Excision of esophagus lesion 1,021.27 1,075.72 1,075.72 (54.45) (54.45) 43107 Removal of esophagus 2,566.87 2,700.94 2,700.94 (134.07) (134.07) 43108 Removal of esophagus 4,681.85 4,845.32 4,845.32 (163.47) (163.47) 43112 Removal of esophagus 2,714.92 2,849.77 2,849.77 (134.85) (134.85) 43116 Partial removal of esophagus 5,283.65 5,347.89 5,347.89 (64.24) (64.24) 43117 Partial removal of esophagus 2,491.01 2,610.30 2,610.30 (119.29) (119.29) 43118 Partial removal of esophagus 3,637.06 3,899.65 3,899.65 (262.59) (262.59) 43121 Partial removal of esophagus 2,901.87 3,036.62 3,036.62 (134.75) (134.75) 43122 Partial removal of esophagus 2,579.05 2,714.69 2,714.69 (135.64) (135.64) 43123 Partial removal of esophagus 4,744.65 4,997.96 4,997.96 (253.31) (253.31) 43124 Removal of esophagus 3,867.37 4,047.55 4,047.55 (180.18) (180.18) 43130 Removal of esophagus pouch 800.36 835.56 835.56 (35.20) (35.20) 43135 Removal of esophagus pouch 1,512.32 1,570.79 1,570.79 (58.47) (58.47) 43180 Esophagoscopy rigid trnso 587.38 584.01 584.01 3.37 3.37 43191 Esophagoscopy rigid trnso dx 127.38 163.68 163.68 (36.30) (36.30) 43192 Esophagoscp rig trnso inject 151.77 180.81 180.81 (29.04) (29.04) 43193 Esophagoscp rig trnso biopsy 180.67 180.00 180.00 0.67 0.67 43194 Esophagoscp rig trnso rem fb 163.44 204.38 204.38 (40.94) (40.94) 43195 Esophagoscopy rigid balloon 181.03 195.66 195.66 (14.63) (14.63) 43196 Esophagoscp guide wire dilat 198.61 209.42 209.42 (10.81) (10.81) 43197 Esophagoscopy flex dx brush 80.48 200.64 87.68 (120.16) (7.20) 43198 Esophagosc flex trnsn biopsy 95.78 222.62 105.13 (126.84) (9.35) 43200 Esophagoscopy flexible brush 94.91 288.38 99.72 (193.47) (4.81) 43201 Esoph scope w/submucous inj 111.30 292.33 116.10 (181.03) (4.80) 43202 Esophagoscopy flex biopsy 111.70 384.56 116.08 (272.86) (4.38) 43204 Esoph scope w/sclerosis inj 147.02 150.37 150.37 (3.35) (3.35) 43205 Esophagus endoscopy/ligation 151.82 156.54 156.54 (4.72) (4.72) 43206 Esoph optical endomicroscopy 151.46 349.18 149.98 (197.72) 1.48 43210 Egd esophagogastrc fndoplsty 429.05 451.70 451.70 (22.65) (22.65) 43211 Esophagoscop mucosal resect 246.74 257.75 257.75 (11.01) (11.01) 43212 Esophagoscop stent placement 194.74 208.51 208.51 (13.77) (13.77) 43213 Esophagoscopy retro balloon 274.33 1,299.14 281.70 (1,024.81) (7.37) 43214 Esophagosc dilate balloon 30 198.56 210.72 210.72 (12.16) (12.16) 43215 Esophagoscopy flex remove fb 150.08 443.27 157.47 (293.19) (7.39) 43216 Esophagoscopy lesion removal 145.89 438.10 148.91 (292.21) (3.02) 43217 Esophagoscopy snare les remv 173.94 472.35 177.51 (298.41) (3.57) 43220 Esophagoscopy balloon <30mm 128.07 1,206.41 132.11 (1,078.34) (4.04) 43226 Esoph endoscopy dilation 141.00 402.68 145.50 (261.68) (4.50) 43227 Esophagoscopy control bleed 178.37 736.99 182.71 (558.62) (4.34) 43229 Esophagoscopy lesion ablate 209.87 764.80 216.92 (554.93) (7.05) 43231 Esophagoscop ultrasound exam 173.85 423.20 177.31 (249.35) (3.46) 43232 Esophagoscopy w/us needle bx 206.98 504.56 217.63 (297.58) (10.65) 43233 Egd balloon dil esoph30 mm/> 235.55 249.25 249.25 (13.70) (13.70) 43235 Egd diagnostic brush wash 133.02 328.52 136.86 (195.50) (3.84) 43236 Uppr gi scope w/submuc inj 149.37 409.29 154.36 (259.92) (4.99) 43237 Endoscopic us exam esoph 210.13 215.14 215.14 (5.01) (5.01) 43238 Egd us fine needle bx/aspir 239.77 254.83 254.83 (15.06) (15.06) 43239 Egd biopsy single/multiple 148.65 419.81 154.34 (271.16) (5.69) 43240 Egd w/transmural drain cyst 417.20 425.92 425.92 (8.72) (8.72) 43241 Egd tube/cath insertion 153.87 158.26 158.26 (4.39) (4.39) 43242 Egd us fine needle bx/aspir 273.33 287.63 287.63 (14.30) (14.30) 43243 Egd injection varices 253.36 259.47 259.47 (6.11) (6.11) 43244 Egd varices ligation 262.46 268.69 268.69 (6.23) (6.23) 43245 Egd dilate stricture 188.16 649.52 193.90 (461.36) (5.74) 43246 Egd place gastrostomy tube 215.93 219.64 219.64 (3.71) (3.71) 43247 Egd remove foreign body 188.50 438.68 195.43 (250.18) (6.93) 43248 Egd guide wire insertion 179.37 430.87 183.86 (251.50) (4.49) 43249 Esoph egd dilation <30 mm 165.40 1,141.50 169.99 (976.10) (4.59) 43250 Egd cautery tumor polyp 182.26 481.04 187.70 (298.78) (5.44) 43251 Egd remove lesion snare 210.85 526.13 215.85 (315.28) (5.00) 43252 Egd optical endomicroscopy 191.92 386.64 185.56 (194.72) 6.36 43253 Egd us transmural injxn/mark 273.33 286.90 286.90 (13.57) (13.57) 43254 Egd endo mucosal resection 283.82 295.59 295.59 (11.77) (11.77) 43255 Egd control bleeding any 216.07 772.64 220.62 (556.57) (4.55) 43257 Egd w/thrml txmnt gerd 241.54 255.17 255.17 (13.63) (13.63) 43259 Egd us exam duodenum/jejunum 242.57 247.95 247.95 (5.38) (5.38) 43260 Ercp w/specimen collection 343.82 350.96 350.96 (7.14) (7.14) 43261 Endo cholangiopancreatograph 360.57 368.42 368.42 (7.85) (7.85) 43262 Endo cholangiopancreatograph 380.50 388.45 388.45 (7.95) (7.95) 43263 Ercp sphincter pressure meas 380.88 388.80 388.80 (7.92) (7.92) 43264 Ercp remove duct calculi 387.84 395.74 395.74 (7.90) (7.90) 43265 Ercp lithotripsy calculi 460.46 469.62 469.62 (9.16) (9.16) 43266 Egd endoscopic stent place 234.88 247.72 247.72 (12.84) (12.84) 43270 Egd lesion ablation 246.80 794.80 254.83 (548.00) (8.03) 43273 Endoscopic pancreatoscopy 125.34 127.76 127.76 (2.42) (2.42) 43274 Ercp duct stent placement 485.95 501.30 501.30 (15.35) (15.35) 43275 Ercp remove forgn body duct 400.77 409.20 409.20 (8.43) (8.43) 43276 Ercp stent exchange w/dilate 505.47 522.05 522.05 (16.58) (16.58) 43277 Ercp ea duct/ampulla dilate 403.21 411.39 411.39 (8.18) (8.18) 43278 Ercp lesion ablate w/dilate 458.36 469.26 469.26 (10.90) (10.90) 43279 Lap myotomy heller 1,289.67 1,364.95 1,364.95 (75.28) (75.28) 43280 Laparoscopy fundoplasty 1,080.51 1,141.96 1,141.96 (61.45) (61.45) 43281 Lap paraesophag hern repair 1,541.51 1,630.57 1,630.57 (89.06) (89.06) 43282 Lap paraesoph her rpr w/mesh 1,733.05 1,832.57 1,832.57 (99.52) (99.52) 43283 Lap esoph lengthening 156.79 167.37 167.37 (10.58) (10.58) 43300 Repair of esophagus 625.40 656.07 656.07 (30.67) (30.67) 43305 Repair esophagus and fistula 1,105.55 1,164.55 1,164.55 (59.00) (59.00) 43310 Repair of esophagus 1,505.25 1,572.09 1,572.09 (66.84) (66.84) 43312 Repair esophagus and fistula 1,621.26 1,707.74 1,707.74 (86.48) (86.48) 43313 Esophagoplasty congenital 2,915.89 2,863.45 2,863.45 52.44 52.44 43314 Tracheo-esophagoplasty cong 2,930.75 3,268.84 3,268.84 (338.09) (338.09) 43320 Fuse esophagus & stomach 1,391.31 1,470.11 1,470.11 (78.80) (78.80) 43325 Revise esophagus & stomach 1,342.46 1,414.48 1,414.48 (72.02) (72.02) 43327 Esoph fundoplasty lap 820.41 867.11 867.11 (46.70) (46.70) 43328 Esoph fundoplasty thor 1,167.41 1,199.42 1,199.42 (32.01) (32.01) 43330 Esophagomyotomy abdominal 1,331.63 1,403.19 1,403.19 (71.56) (71.56) 43331 Esophagomyotomy thoracic 1,360.88 1,422.16 1,422.16 (61.28) (61.28) 43332 Transab esoph hiat hern rpr 1,161.22 1,226.28 1,226.28 (65.06) (65.06) 43333 Transab esoph hiat hern rpr 1,263.29 1,336.23 1,336.23 (72.94) (72.94) 43334 Transthor diaphrag hern rpr 1,252.29 1,324.00 1,324.00 (71.71) (71.71) 43335 Transthor diaphrag hern rpr 1,341.44 1,418.47 1,418.47 (77.03) (77.03) 43336 Thorabd diaphr hern repair 1,523.18 1,599.03 1,599.03 (75.85) (75.85) 43337 Thorabd diaphr hern repair 1,644.75 1,723.65 1,723.65 (78.90) (78.90) 43338 Esoph lengthening 117.42 122.72 122.72 (5.30) (5.30) 43340 Fuse esophagus & intestine 1,373.82 1,439.78 1,439.78 (65.96) (65.96) 43341 Fuse esophagus & intestine 1,415.21 1,487.00 1,487.00 (71.79) (71.79) 43351 Surgical opening esophagus 1,335.76 1,363.13 1,363.13 (27.37) (27.37) 43352 Surgical opening esophagus 1,082.65 1,132.54 1,132.54 (49.89) (49.89) 43360 Gastrointestinal repair 2,405.88 2,501.18 2,501.18 (95.30) (95.30) 43361 Gastrointestinal repair 2,552.75 2,699.22 2,699.22 (146.47) (146.47) 43400 Ligate esophagus veins 1,540.16 1,572.51 1,572.51 (32.35) (32.35) 43401 Esophagus surgery for veins 1,560.01 1,645.02 1,645.02 (85.01) (85.01) 43405 Ligate/staple esophagus 1,459.58 1,545.00 1,545.00 (85.42) (85.42) 43410 Repair esophagus wound 1,063.49 1,113.28 1,113.28 (49.79) (49.79) 43415 Repair esophagus wound 2,606.43 2,721.25 2,721.25 (114.82) (114.82) 43420 Repair esophagus opening 1,031.60 1,078.39 1,078.39 (46.79) (46.79) 43425 Repair esophagus opening 1,447.64 1,522.93 1,522.93 (75.29) (75.29) 43450 Dilate esophagus 1/mult pass 89.03 223.59 90.67 (134.56) (1.64) 43453 Dilate esophagus 95.98 1,031.05 97.58 (935.07) (1.60) 43460 Pressure treatment esophagus 222.65 227.89 227.89 (5.24) (5.24) 43496 Free jejunum flap microvasc 5,602.67 0.00 0.00 5,602.67 5,602.67 43500 Surgical opening of stomach 786.75 827.28 827.28 (40.53) (40.53) 43501 Surgical repair of stomach 1,344.52 1,418.55 1,418.55 (74.03) (74.03) 43502 Surgical repair of stomach 1,518.81 1,606.09 1,606.09 (87.28) (87.28) 43510 Surgical opening of stomach 905.46 995.44 995.44 (89.98) (89.98) 43520 Incision of pyloric muscle 687.54 725.28 725.28 (37.74) (37.74) 43605 Biopsy of stomach 829.82 882.24 882.24 (52.42) (52.42) 43610 Excision of stomach lesion 979.32 1,033.76 1,033.76 (54.44) (54.44) 43611 Excision of stomach lesion 1,219.25 1,290.50 1,290.50 (71.25) (71.25) 43620 Removal of stomach 1,959.22 2,062.93 2,062.93 (103.71) (103.71) 43621 Removal of stomach 2,261.30 2,394.89 2,394.89 (133.59) (133.59) 43622 Removal of stomach 2,304.07 2,443.31 2,443.31 (139.24) (139.24) 43631 Removal of stomach partial 1,446.92 1,529.09 1,529.09 (82.17) (82.17) 43632 Removal of stomach partial 2,024.99 2,143.50 2,143.50 (118.51) (118.51) 43633 Removal of stomach partial 1,913.77 2,025.27 2,025.27 (111.50) (111.50) 43634 Removal of stomach partial 2,118.04 2,231.51 2,231.51 (113.47) (113.47) 43635 Removal of stomach partial 111.45 118.53 118.53 (7.08) (7.08) 43640 Vagotomy & pylorus repair 1,178.45 1,244.15 1,244.15 (65.70) (65.70) 43641 Vagotomy & pylorus repair 1,197.56 1,254.19 1,254.19 (56.63) (56.63) 43644 Lap gastric bypass/roux-en-y 1,728.69 1,828.44 1,828.44 (99.75) (99.75) 43645 Lap gastr bypass incl smll i 1,848.09 1,953.81 1,953.81 (105.72) (105.72) 43651 Laparoscopy vagus nerve 652.85 689.33 689.33 (36.48) (36.48) 43652 Laparoscopy vagus nerve 762.27 808.63 808.63 (46.36) (46.36) 43653 Laparoscopy gastrostomy 572.34 605.73 605.73 (33.39) (33.39) 43752 Nasal/orogastric w/tube plmt 41.01 42.90 42.90 (1.89) (1.89) 43753 Tx gastro intub w/asp 20.76 22.83 22.83 (2.07) (2.07) 43754 Dx gastr intub w/asp spec 33.35 112.90 34.96 (79.55) (1.61) 43755 Dx gastr intub w/asp specs 58.01 148.58 64.98 (90.57) (6.97) 43756 Dx duod intub w/asp spec 51.09 218.39 54.21 (167.30) (3.12) 43757 Dx duod intub w/asp specs 77.17 308.18 82.25 (231.01) (5.08) 43760 Change gastrostomy tube 47.76 519.34 49.41 (471.58) (1.65) 43761 Reposition gastrostomy tube 104.42 122.31 108.00 (17.89) (3.58) 43770 Lap place gastr adj device 1,115.09 1,182.04 1,182.04 (66.95) (66.95) 43771 Lap revise gastr adj device 1,274.40 1,344.48 1,344.48 (70.08) (70.08) 43772 Lap rmvl gastr adj device 952.32 1,001.37 1,001.37 (49.05) (49.05) 43773 Lap replace gastr adj device 1,267.94 1,339.93 1,339.93 (71.99) (71.99) 43774 Lap rmvl gastr adj all parts 959.39 1,012.80 1,012.80 (53.41) (53.41) 43775 Lap sleeve gastrectomy 1,318.38 1,160.88 1,160.88 157.50 157.50 43800 Reconstruction of pylorus 929.41 980.40 980.40 (50.99) (50.99) 43810 Fusion of stomach and bowel 1,013.73 1,073.49 1,073.49 (59.76) (59.76) 43820 Fusion of stomach and bowel 1,338.15 1,414.88 1,414.88 (76.73) (76.73) 43825 Fusion of stomach and bowel 1,304.55 1,377.58 1,377.58 (73.03) (73.03) 43830 Place gastrostomy tube 697.94 739.16 739.16 (41.22) (41.22) 43831 Place gastrostomy tube 593.86 616.53 616.53 (22.67) (22.67) 43832 Place gastrostomy tube 1,040.51 1,097.59 1,097.59 (57.08) (57.08) 43840 Repair of stomach lesion 1,355.66 1,433.44 1,433.44 (77.78) (77.78) 43842 V-band gastroplasty 1,149.05 1,256.19 1,256.19 (107.14) (107.14) 43845 Gastroplasty duodenal switch 1,954.15 2,071.86 2,071.86 (117.71) (117.71) 43846 Gastric bypass for obesity 1,608.13 1,701.17 1,701.17 (93.04) (93.04) 43850 Revise stomach-bowel fusion 1,622.30 1,712.89 1,712.89 (90.59) (90.59) 43855 Revise stomach-bowel fusion 1,682.76 1,735.83 1,735.83 (53.07) (53.07) 43860 Revise stomach-bowel fusion 1,632.50 1,725.03 1,725.03 (92.53) (92.53) 43865 Revise stomach-bowel fusion 1,702.71 1,796.03 1,796.03 (93.32) (93.32) 43870 Repair stomach opening 710.00 751.44 751.44 (41.44) (41.44) 43880 Repair stomach-bowel fistula 1,595.09 1,685.93 1,685.93 (90.84) (90.84) 43886 Revise gastric port open 363.67 383.51 383.51 (19.84) (19.84) 43887 Remove gastric port open 326.42 342.76 342.76 (16.34) (16.34) 43888 Change gastric port open 460.09 484.94 484.94 (24.85) (24.85) 44005 Freeing of bowel adhesion 1,091.32 1,153.79 1,153.79 (62.47) (62.47) 44010 Incision of small bowel 871.44 911.21 911.21 (39.77) (39.77) 44015 Insert needle cath bowel 142.62 150.04 150.04 (7.42) (7.42) 44020 Explore small intestine 969.74 1,028.41 1,028.41 (58.67) (58.67) 44021 Decompress small bowel 980.06 1,028.11 1,028.11 (48.05) (48.05) 44025 Incision of large bowel 988.65 1,040.08 1,040.08 (51.43) (51.43) 44050 Reduce bowel obstruction 933.79 987.78 987.78 (53.99) (53.99) 44055 Correct malrotation of bowel 1,492.98 1,572.96 1,572.96 (79.98) (79.98) 44100 Biopsy of bowel 112.80 115.01 115.01 (2.21) (2.21) 44110 Excise intestine lesion(s) 851.55 899.38 899.38 (47.83) (47.83) 44111 Excision of bowel lesion(s) 985.06 1,039.23 1,039.23 (54.17) (54.17) 44120 Removal of small intestine 1,221.37 1,290.53 1,290.53 (69.16) (69.16) 44121 Removal of small intestine 241.45 255.63 255.63 (14.18) (14.18) 44125 Removal of small intestine 1,181.09 1,246.68 1,246.68 (65.59) (65.59) 44126 Enterectomy w/o taper cong 2,457.33 2,601.34 2,601.34 (144.01) (144.01) 44127 Enterectomy w/taper cong 2,840.74 2,987.29 2,987.29 (146.55) (146.55) 44128 Enterectomy cong add-on 242.58 258.12 258.12 (15.54) (15.54) 44130 Bowel to bowel fusion 1,312.74 1,385.38 1,385.38 (72.64) (72.64) 44137 Remove intestinal allograft 381.97 0.00 0.00 381.97 381.97 44139 Mobilization of colon 120.87 128.01 128.01 (7.14) (7.14) 44140 Partial removal of colon 1,340.00 1,415.53 1,415.53 (75.53) (75.53) 44141 Partial removal of colon 1,827.13 1,929.14 1,929.14 (102.01) (102.01) 44143 Partial removal of colon 1,664.77 1,757.97 1,757.97 (93.20) (93.20) 44144 Partial removal of colon 1,771.48 1,869.65 1,869.65 (98.17) (98.17) 44145 Partial removal of colon 1,661.38 1,749.56 1,749.56 (88.18) (88.18) 44146 Partial removal of colon 2,123.57 2,237.84 2,237.84 (114.27) (114.27) 44147 Partial removal of colon 1,946.50 2,051.34 2,051.34 (104.84) (104.84) 44150 Removal of colon 1,876.44 1,976.91 1,976.91 (100.47) (100.47) 44151 Removal of colon/ileostomy 2,150.38 2,260.33 2,260.33 (109.95) (109.95) 44155 Removal of colon/ileostomy 2,091.83 2,201.02 2,201.02 (109.19) (109.19) 44156 Removal of colon/ileostomy 2,308.63 2,428.01 2,428.01 (119.38) (119.38) 44157 Colectomy w/ileoanal anast 2,184.07 2,274.89 2,274.89 (90.82) (90.82) 44158 Colectomy w/neo-rectum pouch 2,251.52 2,249.74 2,249.74 1.78 1.78 44160 Removal of colon 1,241.58 1,310.62 1,310.62 (69.04) (69.04) 44180 Lap enterolysis 917.96 969.36 969.36 (51.40) (51.40) 44186 Lap jejunostomy 651.40 689.22 689.22 (37.82) (37.82) 44187 Lap ileo/jejuno-stomy 1,114.28 1,169.42 1,169.42 (55.14) (55.14) 44188 Lap colostomy 1,231.50 1,296.37 1,296.37 (64.87) (64.87) 44202 Lap enterectomy 1,386.64 1,464.17 1,464.17 (77.53) (77.53) 44203 Lap resect s/intestine addl 241.86 254.57 254.57 (12.71) (12.71) 44204 Laparo partial colectomy 1,543.27 1,623.72 1,623.72 (80.45) (80.45) 44205 Lap colectomy part w/ileum 1,343.04 1,412.26 1,412.26 (69.22) (69.22) 44206 Lap part colectomy w/stoma 1,761.10 1,851.81 1,851.81 (90.71) (90.71) 44207 L colectomy/coloproctostomy 1,834.57 1,921.02 1,921.02 (86.45) (86.45) 44208 L colectomy/coloproctostomy 1,997.73 2,098.19 2,098.19 (100.46) (100.46) 44210 Laparo total proctocolectomy 1,808.95 1,881.59 1,881.59 (72.64) (72.64) 44211 Lap colectomy w/proctectomy 2,254.56 2,305.05 2,305.05 (50.49) (50.49) 44212 Laparo total proctocolectomy 2,082.04 2,163.09 2,163.09 (81.05) (81.05) 44213 Lap mobil splenic fl add-on 189.29 198.43 198.43 (9.14) (9.14) 44227 Lap close enterostomy 1,671.30 1,759.99 1,759.99 (88.69) (88.69) 44300 Open bowel to skin 841.69 888.92 888.92 (47.23) (47.23) 44310 Ileostomy/jejunostomy 1,046.32 1,101.86 1,101.86 (55.54) (55.54) 44312 Revision of ileostomy 590.18 622.71 622.71 (32.53) (32.53) 44314 Revision of ileostomy 1,010.03 1,058.76 1,058.76 (48.73) (48.73) 44316 Devise bowel pouch 1,409.57 1,494.53 1,494.53 (84.96) (84.96) 44320 Colostomy 1,204.29 1,268.11 1,268.11 (63.82) (63.82) 44322 Colostomy with biopsies 1,001.78 1,060.25 1,060.25 (58.47) (58.47) 44340 Revision of colostomy 626.28 661.50 661.50 (35.22) (35.22) 44345 Revision of colostomy 1,055.58 1,110.53 1,110.53 (54.95) (54.95) 44346 Revision of colostomy 1,185.82 1,248.79 1,248.79 (62.97) (62.97) 44360 Small bowel endoscopy 156.36 159.47 159.47 (3.11) (3.11) 44361 Small bowel endoscopy/biopsy 171.70 175.85 175.85 (4.15) (4.15) 44363 Small bowel endoscopy 205.58 210.73 210.73 (5.15) (5.15) 44364 Small bowel endoscopy 219.17 224.27 224.27 (5.10) (5.10) 44365 Small bowel endoscopy 194.73 197.42 197.42 (2.69) (2.69) 44366 Small bowel endoscopy 257.24 263.23 263.23 (5.99) (5.99) 44369 Small bowel endoscopy 263.52 269.05 269.05 (5.53) (5.53) 44370 Small bowel endoscopy/stent 284.25 291.72 291.72 (7.47) (7.47) 44372 Small bowel endoscopy 256.25 262.71 262.71 (6.46) (6.46) 44373 Small bowel endoscopy 204.88 211.41 211.41 (6.53) (6.53) 44376 Small bowel endoscopy 303.01 309.69 309.69 (6.68) (6.68) 44377 Small bowel endoscopy/biopsy 319.03 326.84 326.84 (7.81) (7.81) 44378 Small bowel endoscopy 409.47 417.94 417.94 (8.47) (8.47) 44379 S bowel endoscope w/stent 435.12 444.70 444.70 (9.58) (9.58) 44380 Small bowel endoscopy br/wa 67.95 233.80 66.24 (165.85) 1.71 44381 Small bowel endoscopy br/wa 72.44 1,065.27 96.40 (992.83) (23.96) 44382 Small bowel endoscopy 82.01 339.02 84.09 (257.01) (2.08) 44384 Small bowel endoscopy 168.47 167.11 167.11 1.36 1.36 44385 Endoscopy of bowel pouch 108.03 257.23 81.76 (149.20) 26.27 44386 Endoscopy bowel pouch/biop 128.43 362.45 100.37 (234.02) 28.06 44388 Colonoscopy thru stoma spx 166.83 371.92 172.73 (205.09) (5.90) 44389 Colonoscopy with biopsy 185.00 469.71 189.55 (284.71) (4.55) 44390 Colonoscopy for foreign body 225.15 467.64 231.17 (242.49) (6.02) 44391 Colonoscopy for bleeding 250.96 811.39 252.59 (560.43) (1.63) 44392 Colonoscopy & polypectomy 220.61 440.38 217.84 (219.77) 2.77 44394 Colonoscopy w/snare 256.57 495.16 247.39 (238.59) 9.18 44401 Colonoscopy with ablation 251.50 3,470.36 264.78 (3,218.86) (13.28) 44402 Colonoscopy w/stent plcmt 272.28 286.66 286.66 (14.38) (14.38) 44403 Colonoscopy w/resection 176.39 329.20 329.20 (152.81) (152.81) 44404 Colonoscopy w/injection 176.39 449.67 189.85 (273.28) (13.46) 44405 Colonoscopy w/dilation 176.39 647.32 201.86 (470.93) (25.47) 44406 Colonoscopy w/ultrasound 176.39 251.32 251.32 (74.93) (74.93) 44407 Colonoscopy w/ndl aspir/bx 176.39 300.76 300.76 (124.37) (124.37) 44408 Colonoscopy w/decompression 176.39 253.86 253.86 (77.47) (77.47) 44500 Intro gastrointestinal tube 24.66 25.83 25.83 (1.17) (1.17) 44602 Suture small intestine 1,409.39 1,489.03 1,489.03 (79.64) (79.64) 44603 Suture small intestine 1,616.01 1,707.99 1,707.99 (91.98) (91.98) 44604 Suture large intestine 1,055.77 1,115.17 1,115.17 (59.40) (59.40) 44605 Repair of bowel lesion 1,306.33 1,377.65 1,377.65 (71.32) (71.32) 44615 Intestinal stricturoplasty 1,076.61 1,135.88 1,135.88 (59.27) (59.27) 44620 Repair bowel opening 870.11 916.71 916.71 (46.60) (46.60) 44625 Repair bowel opening 1,023.38 1,073.19 1,073.19 (49.81) (49.81) 44626 Repair bowel opening 1,605.97 1,691.49 1,691.49 (85.52) (85.52) 44640 Repair bowel-skin fistula 1,404.25 1,479.50 1,479.50 (75.25) (75.25) 44650 Repair bowel fistula 1,451.67 1,529.58 1,529.58 (77.91) (77.91) 44660 Repair bowel-bladder fistula 1,330.85 1,401.64 1,401.64 (70.79) (70.79) 44661 Repair bowel-bladder fistula 1,553.92 1,635.66 1,635.66 (81.74) (81.74) 44680 Surgical revision intestine 1,069.26 1,124.94 1,124.94 (55.68) (55.68) 44700 Suspend bowel w/prosthesis 1,023.56 1,076.37 1,076.37 (52.81) (52.81) 44701 Intraop colon lavage add-on 167.27 177.72 177.72 (10.45) (10.45) 44800 Excision of bowel pouch 762.51 806.37 806.37 (43.86) (43.86) 44820 Excision of mesentery lesion 840.88 885.91 885.91 (45.03) (45.03) 44850 Repair of mesentery 749.62 793.62 793.62 (44.00) (44.00) 44900 Drain appendix abscess open 773.38 815.21 815.21 (41.83) (41.83) 44950 Appendectomy 640.24 678.24 678.24 (38.00) (38.00) 44955 Appendectomy add-on 83.88 88.52 88.52 (4.64) (4.64) 44960 Appendectomy 872.20 922.56 922.56 (50.36) (50.36) 44970 Laparoscopy appendectomy 598.47 634.84 634.84 (36.37) (36.37) 45000 Drainage of pelvic abscess 427.20 446.82 446.82 (19.62) (19.62) 45005 Drainage of rectal abscess 157.77 291.18 171.06 (133.41) (13.29) 45020 Drainage of rectal abscess 570.80 603.48 603.48 (32.68) (32.68) 45100 Biopsy of rectum 301.48 316.75 316.75 (15.27) (15.27) 45108 Removal of anorectal lesion 368.33 387.36 387.36 (19.03) (19.03) 45110 Removal of rectum 1,861.97 1,950.21 1,950.21 (88.24) (88.24) 45111 Partial removal of rectum 1,093.80 1,146.08 1,146.08 (52.28) (52.28) 45112 Removal of rectum 1,894.91 1,980.34 1,980.34 (85.43) (85.43) 45113 Partial proctectomy 2,005.32 1,998.02 1,998.02 7.30 7.30 45114 Partial removal of rectum 1,810.73 1,916.47 1,916.47 (105.74) (105.74) 45116 Partial removal of rectum 1,572.13 1,735.77 1,735.77 (163.64) (163.64) 45119 Remove rectum w/reservoir 1,965.09 2,054.27 2,054.27 (89.18) (89.18) 45120 Removal of rectum 1,593.17 1,586.55 1,586.55 6.62 6.62 45121 Removal of rectum and colon 1,731.38 1,832.98 1,832.98 (101.60) (101.60) 45123 Partial proctectomy 1,126.79 1,181.69 1,181.69 (54.90) (54.90) 45126 Pelvic exenteration 2,883.76 2,944.06 2,944.06 (60.30) (60.30) 45130 Excision of rectal prolapse 1,100.45 1,147.31 1,147.31 (46.86) (46.86) 45135 Excision of rectal prolapse 1,372.21 1,445.08 1,445.08 (72.87) (72.87) 45136 Excise ileoanal reservior 1,836.83 1,911.79 1,911.79 (74.96) (74.96) 45150 Excision of rectal stricture 396.71 412.63 412.63 (15.92) (15.92) 45160 Excision of rectal lesion 1,019.23 1,078.41 1,078.41 (59.18) (59.18) 45171 Exc rect tum transanal part 604.06 637.02 637.02 (32.96) (32.96) 45172 Exc rect tum transanal full 818.38 855.22 855.22 (36.84) (36.84) 45190 Destruction rectal tumor 698.83 733.24 733.24 (34.41) (34.41) 45300 Proctosigmoidoscopy dx 54.37 130.15 57.10 (75.78) (2.73) 45303 Proctosigmoidoscopy dilate 92.82 1,024.07 97.37 (931.25) (4.55) 45305 Proctosigmoidoscopy w/bx 79.95 206.73 83.22 (126.78) (3.27) 45307 Proctosigmoidoscopy fb 104.79 246.97 112.16 (142.18) (7.37) 45308 Proctosigmoidoscopy removal 88.34 228.48 94.05 (140.14) (5.71) 45309 Proctosigmoidoscopy removal 93.20 239.16 100.21 (145.96) (7.01) 45315 Proctosigmoidoscopy removal 112.50 239.16 110.76 (126.66) 1.74 45317 Proctosigmoidoscopy bleed 119.68 256.84 123.92 (137.16) (4.24) 45320 Proctosigmoidoscopy ablate 107.84 257.35 116.52 (149.51) (8.68) 45321 Proctosigmoidoscopy volvul 108.65 113.36 113.36 (4.71) (4.71) 45327 Proctosigmoidoscopy w/stent 121.97 128.87 128.87 (6.90) (6.90) 45330 Diagnostic sigmoidoscopy 63.45 176.80 59.70 (113.35) 3.75 45331 Sigmoidoscopy and biopsy 75.73 271.50 76.83 (195.77) (1.10) 45332 Sigmoidoscopy w/fb removal 111.73 328.36 118.24 (216.63) (6.51) 45333 Sigmoidoscopy & polypectomy 110.66 369.45 105.86 (258.79) 4.80 45334 Sigmoidoscopy for bleeding 162.94 646.90 131.78 (483.96) 31.16 45335 Sigmoidoscopy w/submuc inj 92.49 306.50 76.80 (214.01) 15.69 45337 Sigmoidoscopy & decompress 142.78 128.51 128.51 14.27 14.27 45338 Sigmoidoscopy w/tumr remove 141.33 342.52 134.29 (201.19) 7.04 45340 Sig w/tndsc balloon dilation 116.23 520.69 88.78 (404.46) 27.45 45341 Sigmoidoscopy w/ultrasound 156.34 138.34 138.34 18.00 18.00 45342 Sigmoidoscopy w/us guide bx 237.70 187.51 187.51 50.19 50.19 45346 Sigmoidoscopy w/ablation 168.33 3,324.81 177.22 (3,156.48) (8.89) 45347 Sigmoidoscopy w/plcmt stent 162.44 171.02 171.02 (8.58) (8.58) 45349 Sigmoidoscopy w/resection 206.61 217.52 217.52 (10.91) (10.91) 45350 Sgmdsc w/band ligation 107.48 619.99 113.15 (512.51) (5.67) 45378 Diagnostic colonoscopy 216.45 398.82 203.39 (182.37) 13.06 45379 Colonoscopy w/fb removal 271.59 502.63 261.64 (231.04) 9.95 45380 Colonoscopy and biopsy 258.31 493.95 220.57 (235.64) 37.74 45381 Colonoscopy submucous njx 245.04 474.77 220.59 (229.73) 24.45 45382 Colonoscopy w/control bleed 328.11 838.62 283.58 (510.51) 44.53 45384 Colonoscopy w/lesion removal 270.51 541.71 249.88 (271.20) 20.63 45385 Colonoscopy w/lesion removal 306.85 516.41 278.43 (209.56) 28.42 45386 Colonoscopy w/balloon dilat 265.68 692.65 232.50 (426.97) 33.18 45388 Colonoscopy w/ablation 280.60 3,489.33 295.42 (3,208.73) (14.82) 45389 Colonoscopy w/stent plcmt 300.36 316.22 316.22 (15.86) (15.86) 45390 Colonoscopy w/resection 342.72 360.82 360.82 (18.10) (18.10) 45391 Colonoscopy w/endoscope us 293.83 281.75 281.75 12.08 12.08 45392 Colonoscopy w/endoscopic fnb 378.19 331.60 331.60 46.59 46.59 45393 Colonoscopy w/decompression 262.01 275.84 275.84 (13.83) (13.83) 45395 Lap removal of rectum 1,999.22 2,089.15 2,089.15 (89.93) (89.93) 45397 Lap remove rectum w/pouch 2,167.33 2,275.18 2,275.18 (107.85) (107.85) 45398 Colonoscopy w/band ligation 244.23 774.13 257.13 (529.90) (12.90) 45400 Laparoscopic proc 1,160.50 1,202.50 1,202.50 (42.00) (42.00) 45402 Lap proctopexy w/sig resect 1,542.06 1,602.00 1,602.00 (59.94) (59.94) 45500 Repair of rectum 532.86 550.82 550.82 (17.96) (17.96) 45505 Repair of rectum 595.38 627.25 627.25 (31.87) (31.87) 45520 TREATMENT OF RECTAL PROLAPSE 41.12 167.24 42.60 (126.12) (1.48) 45540 Correct rectal prolapse 1,064.51 1,116.11 1,116.11 (51.60) (51.60) 45541 Correct rectal prolapse 931.77 995.92 995.92 (64.15) (64.15) 45550 Repair rectum/remove sigmoid 1,475.68 1,539.26 1,539.26 (63.58) (63.58) 45560 Repair of rectocele 701.05 723.31 723.31 (22.26) (22.26) 45562 Exploration/repair of rectum 1,119.78 1,181.88 1,181.88 (62.10) (62.10) 45563 Exploration/repair of rectum 1,641.68 1,741.47 1,741.47 (99.79) (99.79) 45800 Repair rect/bladder fistula 1,201.33 1,268.08 1,268.08 (66.75) (66.75) 45805 Repair fistula w/colostomy 1,456.27 1,545.23 1,545.23 (88.96) (88.96) 45820 Repair rectourethral fistula 1,175.46 1,256.76 1,256.76 (81.30) (81.30) 45825 Repair fistula w/colostomy 1,382.13 1,459.37 1,459.37 (77.24) (77.24) 45900 Reduction of rectal prolapse 204.77 214.27 214.27 (9.50) (9.50) 45905 Dilation of anal sphincter 169.42 179.15 179.15 (9.73) (9.73) 45910 Dilation of rectal narrowing 196.27 205.31 205.31 (9.04) (9.04) 45915 Remove rectal obstruction 227.31 350.48 239.39 (123.17) (12.08) 45990 Surg dx exam anorectal 107.80 113.30 113.30 (5.50) (5.50) 46020 Placement of seton 235.95 291.85 248.17 (55.90) (12.22) 46030 Removal of rectal marker 91.42 147.22 95.26 (55.80) (3.84) 46040 Incision of rectal abscess 413.40 565.61 438.34 (152.21) (24.94) 46045 Incision of rectal abscess 433.16 458.33 458.33 (25.17) (25.17) 46050 Incision of anal abscess 98.65 213.53 102.82 (114.88) (4.17) 46060 Incision of rectal abscess 476.78 503.79 503.79 (27.01) (27.01) 46070 Incision of anal septum 240.78 240.35 240.35 0.43 0.43 46080 Incision of anal sphincter 160.27 261.54 167.77 (101.27) (7.50) 46083 Incise external hemorrhoid 106.88 186.05 112.24 (79.17) (5.36) 46200 Removal of anal fissure 325.85 471.02 344.88 (145.17) (19.03) 46220 Excise anal ext tag/papilla 119.98 217.99 125.36 (98.01) (5.38) 46221 Ligation of hemorrhoid(s) 192.38 283.26 201.17 (90.88) (8.79) 46230 Removal of anal tags 174.43 288.21 181.64 (113.78) (7.21) 46250 Remove ext hem groups 2+ 314.54 490.50 333.48 (175.96) (18.94) 46255 Remove int/ext hem 1 group 353.68 535.33 373.79 (181.65) (20.11) 46257 Remove in/ex hem grp & fiss 421.00 445.60 445.60 (24.60) (24.60) 46258 Remove in/ex hem grp w/fistu 464.46 492.79 492.79 (28.33) (28.33) 46260 Remove in/ex hem groups 2+ 474.82 502.15 502.15 (27.33) (27.33) 46261 Remove in/ex hem grps & fiss 525.92 550.74 550.74 (24.82) (24.82) 46262 Remove in/ex hem grps w/fist 554.10 582.47 582.47 (28.37) (28.37) 46270 Remove anal fist subq 392.58 537.23 414.85 (144.65) (22.27) 46275 Remove anal fist inter 416.08 567.73 437.07 (151.65) (20.99) 46280 Remove anal fist complex 471.63 495.70 495.70 (24.07) (24.07) 46285 Remove anal fist 2 stage 415.23 562.53 435.64 (147.30) (20.41) 46288 Repair anal fistula 551.57 580.80 580.80 (29.23) (29.23) 46320 Removal of hemorrhoid clot 112.03 193.87 116.68 (81.84) (4.65) 46500 Injection into hemorrhoid(s) 130.95 206.08 130.39 (75.13) 0.56 46505 Chemodenervation anal musc 242.16 300.97 252.39 (58.81) (10.23) 46600 Diagnostic anoscopy spx 41.13 93.76 43.30 (52.63) (2.17) 46601 Diagnostic anoscopy 93.78 143.92 98.74 (50.14) (4.96) 46604 Anoscopy and dilation 66.94 659.86 70.18 (592.92) (3.24) 46606 Anoscopy and biopsy 77.88 239.65 80.37 (161.77) (2.49) 46608 Anoscopy remove for body 80.95 246.14 85.35 (165.19) (4.40) 46610 Anoscopy remove lesion 81.35 239.75 85.36 (158.40) (4.01) 46611 Anoscopy 82.73 185.97 85.80 (103.24) (3.07) 46612 Anoscopy remove lesions 94.71 273.13 98.41 (178.42) (3.70) 46614 Anoscopy control bleeding 64.45 135.77 68.37 (71.32) (3.92) 46615 Anoscopy 94.31 151.60 97.75 (57.29) (3.44) 46700 Repair of anal stricture 657.56 689.78 689.78 (32.22) (32.22) 46705 Repair of anal stricture 483.41 528.97 528.97 (45.56) (45.56) 46706 Repr of anal fistula w/glue 170.71 175.10 175.10 (4.39) (4.39) 46707 Repair anorectal fist w/plug 463.34 503.56 503.56 (40.22) (40.22) 46710 Repr per/vag pouch sngl proc 1,102.07 1,109.49 1,109.49 (7.42) (7.42) 46712 Repr per/vag pouch dbl proc 2,042.06 2,252.74 2,252.74 (210.68) (210.68) 46715 Rep perf anoper fistu 497.80 572.52 572.52 (74.72) (74.72) 46716 Rep perf anoper/vestib fistu 1,071.02 1,169.75 1,169.75 (98.73) (98.73) 46730 Construction of absent anus 1,757.24 1,920.92 1,920.92 (163.68) (163.68) 46735 Construction of absent anus 2,033.97 2,223.68 2,223.68 (189.71) (189.71) 46740 Construction of absent anus 2,138.60 2,266.21 2,266.21 (127.61) (127.61) 46742 Repair of imperforated anus 2,441.39 2,564.42 2,564.42 (123.03) (123.03) 46744 Repair of cloacal anomaly 3,353.73 3,719.06 3,719.06 (365.33) (365.33) 46746 Repair of cloacal anomaly 3,514.91 3,846.76 3,846.76 (331.85) (331.85) 46748 Repair of cloacal anomaly 3,816.67 4,177.16 4,177.16 (360.49) (360.49) 46750 Repair of anal sphincter 766.56 794.12 794.12 (27.56) (27.56) 46751 Repair of anal sphincter 608.12 629.20 629.20 (21.08) (21.08) 46753 Reconstruction of anus 591.54 644.97 644.97 (53.43) (53.43) 46754 Removal of suture from anus 227.83 308.82 240.67 (80.99) (12.84) 46760 Repair of anal sphincter 1,104.51 1,150.92 1,150.92 (46.41) (46.41) 46761 Repair of anal sphincter 935.68 972.27 972.27 (36.59) (36.59) 46762 Implant artificial sphincter 932.10 976.13 976.13 (44.03) (44.03) 46900 Destruction anal lesion(s) 138.82 256.36 144.90 (117.54) (6.08) 46910 Destruction anal lesion(s) 136.02 271.65 141.36 (135.63) (5.34) 46916 Cryosurgery anal lesion(s) 142.71 242.47 151.35 (99.76) (8.64) 46917 Laser surgery anal lesions 134.92 478.57 138.92 (343.65) (4.00) 46922 Excision of anal lesion(s) 136.02 282.49 142.79 (146.47) (6.77) 46924 Destruction anal lesion(s) 185.16 565.46 193.43 (380.30) (8.27) 46930 Destroy internal hemorrhoids 148.27 217.46 155.71 (69.19) (7.44) 46940 Treatment of anal fissure 147.45 240.70 154.09 (93.25) (6.64) 46942 Treatment of anal fissure 133.55 227.75 138.13 (94.20) (4.58) 46945 Remove by ligat int hem grp 224.92 327.44 239.70 (102.52) (14.78) 46946 Remove by ligat int hem grps 224.97 331.89 238.51 (106.92) (13.54) 46947 Hemorrhoidopexy by stapling 382.95 403.57 403.57 (20.62) (20.62) 47000 Needle biopsy of liver 104.55 385.43 108.66 (280.88) (4.11) 47001 Needle biopsy liver add-on 102.70 109.47 109.47 (6.77) (6.77) 47010 Open drainage liver lesion 1,201.46 1,271.59 1,271.59 (70.13) (70.13) 47015 Inject/aspirate liver cyst 1,146.33 1,209.20 1,209.20 (62.87) (62.87) 47100 Wedge biopsy of liver 841.78 891.88 891.88 (50.10) (50.10) 47120 Partial removal of liver 2,320.17 2,457.43 2,457.43 (137.26) (137.26) 47122 Extensive removal of liver 3,416.26 3,621.42 3,621.42 (205.16) (205.16) 47125 Partial removal of liver 3,060.51 3,238.67 3,238.67 (178.16) (178.16) 47130 Partial removal of liver 3,287.67 3,478.26 3,478.26 (190.59) (190.59) 47135 Transplantation of liver 4,876.53 5,666.84 5,666.84 (790.31) (790.31) 47140 Partial removal donor liver 3,554.68 3,771.12 3,771.12 (216.44) (216.44) 47141 Partial removal donor liver 3,881.51 4,506.40 4,506.40 (624.89) (624.89) 47142 Partial removal donor liver 4,681.51 4,967.14 4,967.14 (285.63) (285.63) 47146 Prep donor liver/venous 327.90 347.24 347.24 (19.34) (19.34) 47147 Prep donor liver/arterial 382.43 404.21 404.21 (21.78) (21.78) 47300 Surgery for liver lesion 1,124.93 1,194.64 1,194.64 (69.71) (69.71) 47350 Repair liver wound 1,367.20 1,445.69 1,445.69 (78.49) (78.49) 47360 Repair liver wound 1,859.14 1,961.64 1,961.64 (102.50) (102.50) 47361 Repair liver wound 3,001.95 3,186.15 3,186.15 (184.20) (184.20) 47362 Repair liver wound 1,441.79 1,530.13 1,530.13 (88.34) (88.34) 47370 Laparo ablate liver tumor rf 1,235.23 1,315.49 1,315.49 (80.26) (80.26) 47371 Laparo ablate liver cryosurg 1,223.76 1,192.57 1,192.57 31.19 31.19 47380 Open ablate liver tumor rf 1,435.99 1,520.47 1,520.47 (84.48) (84.48) 47381 Open ablate liver tumor cryo 1,448.23 1,409.40 1,409.40 38.83 38.83 47382 Percut ablate liver rf 781.65 5,342.71 813.17 (4,561.06) (31.52) 47383 Perq abltj lvr cryoablation 503.87 8,056.88 516.82 (7,553.01) (12.95) 47400 Incision of liver duct 2,145.71 2,269.72 2,269.72 (124.01) (124.01) 47420 Incision of bile duct 1,338.93 1,416.30 1,416.30 (77.37) (77.37) 47425 Incision of bile duct 1,362.25 1,428.49 1,428.49 (66.24) (66.24) 47460 Incise bile duct sphincter 1,264.00 1,322.70 1,322.70 (58.70) (58.70) 47480 Incision of gallbladder 873.58 925.08 925.08 (51.50) (51.50) 47490 Incision of gallbladder 335.59 352.61 352.61 (17.02) (17.02) 47531 Injection for cholangiogram 96.21 395.38 101.29 (299.17) (5.08) 47532 Injection for cholangiogram 216.57 869.65 228.01 (653.08) (11.44) 47533 Plmt biliary drainage cath 306.55 1,420.38 322.73 (1,113.83) (16.18) 47534 Plmt biliary drainage cath 406.56 1,749.34 428.02 (1,342.78) (21.46) 47535 Conversion ext bil drg cath 234.09 1,175.03 246.45 (940.94) (12.36) 47536 Exchange biliary drg cath 147.96 868.21 155.77 (720.25) (7.81) 47537 Removal biliary drg cath 99.93 428.29 105.21 (328.36) (5.28) 47538 Perq plmt bile duct stent 329.88 4,808.67 347.30 (4,478.79) (17.42) 47539 Perq plmt bile duct stent 445.81 5,251.54 469.34 (4,805.73) (23.53) 47540 Perq plmt bile duct stent 532.13 5,457.27 560.22 (4,925.14) (28.09) 47541 Plmt access bil tree sm bwl 283.50 1,253.78 298.47 (970.28) (14.97) 47542 Dilate biliary duct/ampulla 133.47 547.95 140.52 (414.48) (7.05) 47543 Endoluminal bx biliary tree 168.02 1,412.73 176.89 (1,244.71) (8.87) 47544 Removal duct glbldr calculi 215.53 865.55 226.91 (650.02) (11.38) 47550 Bile duct endoscopy add-on 164.61 174.74 174.74 (10.13) (10.13) 47552 Biliary endo perq dx w/speci 317.06 329.08 329.08 (12.02) (12.02) 47553 Biliary endoscopy thru skin 314.69 324.05 324.05 (9.36) (9.36) 47554 Biliary endoscopy thru skin 490.35 504.20 504.20 (13.85) (13.85) 47555 Biliary endoscopy thru skin 373.29 388.08 388.08 (14.79) (14.79) 47556 Biliary endoscopy thru skin 424.03 441.56 441.56 (17.53) (17.53) 47562 Laparoscopic cholecystectomy 655.52 694.32 694.32 (38.80) (38.80) 47563 Laparo cholecystectomy/graph 712.22 754.19 754.19 (41.97) (41.97) 47564 Laparo cholecystectomy/explr 1,110.47 1,175.24 1,175.24 (64.77) (64.77) 47570 Laparo cholecystoenterostomy 772.02 807.57 807.57 (35.55) (35.55) 47600 Removal of gallbladder 1,065.60 1,126.41 1,126.41 (60.81) (60.81) 47605 Removal of gallbladder 1,121.24 1,185.87 1,185.87 (64.63) (64.63) 47610 Removal of gallbladder 1,250.12 1,323.51 1,323.51 (73.39) (73.39) 47612 Removal of gallbladder 1,265.46 1,340.15 1,340.15 (74.69) (74.69) 47620 Removal of gallbladder 1,374.08 1,451.48 1,451.48 (77.40) (77.40) 47700 Exploration of bile ducts 1,049.15 1,097.31 1,097.31 (48.16) (48.16) 47701 Bile duct revision 1,727.57 1,790.87 1,790.87 (63.30) (63.30) 47711 Excision of bile duct tumor 1,555.78 1,640.38 1,640.38 (84.60) (84.60) 47712 Excision of bile duct tumor 1,991.69 2,097.67 2,097.67 (105.98) (105.98) 47715 Excision of bile duct cyst 1,326.05 1,406.12 1,406.12 (80.07) (80.07) 47720 Fuse gallbladder & bowel 1,149.05 1,215.07 1,215.07 (66.02) (66.02) 47721 Fuse upper gi structures 1,350.17 1,431.86 1,431.86 (81.69) (81.69) 47740 Fuse gallbladder & bowel 1,308.18 1,374.38 1,374.38 (66.20) (66.20) 47741 Fuse gallbladder & bowel 1,470.74 1,550.47 1,550.47 (79.73) (79.73) 47760 Fuse bile ducts and bowel 2,248.30 2,382.02 2,382.02 (133.72) (133.72) 47765 Fuse liver ducts & bowel 3,027.12 3,198.46 3,198.46 (171.34) (171.34) 47780 Fuse bile ducts and bowel 2,466.10 2,606.08 2,606.08 (139.98) (139.98) 47785 Fuse bile ducts and bowel 3,239.89 3,423.19 3,423.19 (183.30) (183.30) 47800 Reconstruction of bile ducts 1,577.38 1,661.55 1,661.55 (84.17) (84.17) 47801 Placement bile duct support 1,010.82 1,053.67 1,053.67 (42.85) (42.85) 47802 Fuse liver duct & intestine 1,521.04 1,594.22 1,594.22 (73.18) (73.18) 47900 Suture bile duct injury 1,367.69 1,445.53 1,445.53 (77.84) (77.84) 48000 Drainage of abdomen 1,848.16 1,972.62 1,972.62 (124.46) (124.46) 48001 Placement of drain pancreas 2,300.62 2,412.57 2,412.57 (111.95) (111.95) 48020 Removal of pancreatic stone 1,173.50 1,236.53 1,236.53 (63.03) (63.03) 48100 Biopsy of pancreas open 885.04 935.65 935.65 (50.61) (50.61) 48102 Needle biopsy pancreas 244.14 564.33 255.93 (320.19) (11.79) 48105 Resect/debride pancreas 2,838.67 3,005.82 3,005.82 (167.15) (167.15) 48120 Removal of pancreas lesion 1,105.53 1,168.81 1,168.81 (63.28) (63.28) 48140 Partial removal of pancreas 1,558.06 1,648.45 1,648.45 (90.39) (90.39) 48145 Partial removal of pancreas 1,626.89 1,715.28 1,715.28 (88.39) (88.39) 48146 Pancreatectomy 1,873.12 1,981.79 1,981.79 (108.67) (108.67) 48148 Removal of pancreatic duct 1,244.08 1,314.93 1,314.93 (70.85) (70.85) 48150 Partial removal of pancreas 3,098.27 3,282.88 3,282.88 (184.61) (184.61) 48152 Pancreatectomy 2,876.19 3,028.64 3,028.64 (152.45) (152.45) 48153 Pancreatectomy 3,087.20 3,264.83 3,264.83 (177.63) (177.63) 48154 Pancreatectomy 2,888.41 3,064.68 3,064.68 (176.27) (176.27) 48155 Removal of pancreas 1,812.34 1,920.42 1,920.42 (108.08) (108.08) 48160 Pancreas removal/transplant 2,507.57 0.00 0.00 2,507.57 2,507.57 48400 Injection intraop add-on 109.64 111.39 111.39 (1.75) (1.75) 48500 Surgery of pancreatic cyst 1,147.57 1,190.24 1,190.24 (42.67) (42.67) 48510 Drain pancreatic pseudocyst 1,087.84 1,150.10 1,150.10 (62.26) (62.26) 48520 Fuse pancreas cyst and bowel 1,088.65 1,153.55 1,153.55 (64.90) (64.90) 48540 Fuse pancreas cyst and bowel 1,305.71 1,370.53 1,370.53 (64.82) (64.82) 48545 Pancreatorrhaphy 1,340.84 1,406.61 1,406.61 (65.77) (65.77) 48547 Duodenal exclusion 1,785.82 1,887.56 1,887.56 (101.74) (101.74) 48548 Fuse pancreas and bowel 1,659.22 1,754.50 1,754.50 (95.28) (95.28) 49000 Exploration of abdomen 770.10 813.50 813.50 (43.40) (43.40) 49002 Reopening of abdomen 1,045.15 1,103.06 1,103.06 (57.91) (57.91) 49010 Exploration behind abdomen 934.16 984.20 984.20 (50.04) (50.04) 49020 Drainage abdom abscess open 1,586.93 1,678.47 1,678.47 (91.54) (91.54) 49040 Drain open abdom abscess 998.26 1,054.75 1,054.75 (56.49) (56.49) 49060 Drain open retroperi abscess 1,099.56 1,160.15 1,160.15 (60.59) (60.59) 49062 Drain to peritoneal cavity 732.80 775.34 775.34 (42.54) (42.54) 49082 Abd paracentesis 74.03 203.16 78.52 (129.13) (4.49) 49083 Abd paracentesis w/imaging 109.36 311.06 114.87 (201.70) (5.51) 49084 Peritoneal lavage 100.74 114.25 114.25 (13.51) (13.51) 49180 Biopsy abdominal mass 86.48 172.25 90.16 (85.77) (3.68) 49185 Sclerotx fluid collection 123.44 1,060.04 129.96 (936.60) (6.52) 49203 Exc abd tum 5 cm or less 1,195.40 1,262.30 1,262.30 (66.90) (66.90) 49204 Exc abd tum over 5 cm 1,526.32 1,614.03 1,614.03 (87.71) (87.71) 49205 Exc abd tum over 10 cm 1,754.31 1,852.61 1,852.61 (98.30) (98.30) 49215 Excise sacral spine tumor 2,220.62 2,339.21 2,339.21 (118.59) (118.59) 49220 Multiple surgery abdomen 953.64 938.37 938.37 15.27 15.27 49250 Excision of umbilicus 582.55 619.82 619.82 (37.27) (37.27) 49255 Removal of omentum 792.65 834.80 834.80 (42.15) (42.15) 49320 Diag laparo separate proc 328.00 343.27 343.27 (15.27) (15.27) 49321 Laparoscopy biopsy 347.35 364.32 364.32 (16.97) (16.97) 49322 Laparoscopy aspiration 371.13 387.53 387.53 (16.40) (16.40) 49323 Laparo drain lymphocele 645.80 671.68 671.68 (25.88) (25.88) 49324 Lap insert tunnel ip cath 391.31 411.90 411.90 (20.59) (20.59) 49325 Lap revision perm ip cath 419.36 439.02 439.02 (19.66) (19.66) 49326 Lap w/omentopexy add-on 188.68 199.66 199.66 (10.98) (10.98) 49327 Lap ins device for rt 129.28 138.11 138.11 (8.83) (8.83) 49400 Air injection into abdomen 95.32 142.84 98.78 (47.52) (3.46) 49402 Remove foreign body adbomen 852.89 903.32 903.32 (50.43) (50.43) 49405 Image cath fluid colxn visc 213.65 930.07 223.28 (716.42) (9.63) 49406 IMAGE CATH FLUID PERI/RETRO 214.00 930.45 223.28 (716.45) (9.28) 49407 IMAGE CATH FLUID TRNS/VGNL 227.96 774.65 239.57 (546.69) (11.61) 49411 Ins mark abd/pel for rt perq 198.57 580.28 208.63 (381.71) (10.06) 49412 Ins device for rt guide open 81.41 87.36 87.36 (5.95) (5.95) 49418 Insert tun ip cath perc 227.41 1,532.07 230.71 (1,304.66) (3.30) 49419 Insert tun ip cath w/port 443.59 469.44 469.44 (25.85) (25.85) 49421 Ins tun ip cath for dial opn 229.18 242.98 242.98 (13.80) (13.80) 49422 Remove tunneled ip cath 380.52 401.46 401.46 (20.94) (20.94) 49423 Exchange drainage catheter 72.54 586.20 75.97 (513.66) (3.43) 49424 Assess cyst contrast inject 38.93 155.60 40.37 (116.67) (1.44) 49425 Insert abdomen-venous drain 751.10 772.80 772.80 (21.70) (21.70) 49426 Revise abdomen-venous shunt 617.35 644.96 644.96 (27.61) (27.61) 49427 Injection abdominal shunt 45.57 48.69 48.69 (3.12) (3.12) 49428 Ligation of shunt 430.76 455.64 455.64 (24.88) (24.88) 49429 Removal of shunt 457.55 483.70 483.70 (26.15) (26.15) 49435 Insert subq exten to ip cath 119.41 126.75 126.75 (7.34) (7.34) 49436 Embedded ip cath exit-site 186.63 197.65 197.65 (11.02) (11.02) 49440 Place gastrostomy tube perc 226.86 1,107.47 234.24 (880.61) (7.38) 49441 Place duod/jej tube perc 257.48 1,248.34 271.19 (990.86) (13.71) 49442 Place cecostomy tube perc 222.69 1,029.92 234.64 (807.23) (11.95) 49446 Change g-tube to g-j perc 164.63 1,066.97 171.54 (902.34) (6.91) 49450 Replace g/c tube perc 67.34 713.64 70.86 (646.30) (3.52) 49451 Replace duod/jej tube perc 92.45 777.87 95.93 (685.42) (3.48) 49452 Replace g-j tube perc 142.04 960.52 147.55 (818.48) (5.51) 49460 Fix g/colon tube w/device 48.67 785.92 50.89 (737.25) (2.22) 49465 Fluoro exam of g/colon tube 30.90 173.57 32.74 (142.67) (1.84) 49491 Rpr hern preemie reduc 790.03 838.25 838.25 (48.22) (48.22) 49492 Rpr ing hern premie blocked 940.50 1,010.20 1,010.20 (69.70) (69.70) 49495 Rpr ing hernia baby reduc 397.62 402.47 402.47 (4.85) (4.85) 49496 Rpr ing hernia baby blocked 608.97 649.05 649.05 (40.08) (40.08) 49500 Rpr ing hernia init reduce 379.13 379.83 379.83 (0.70) (0.70) 49501 Rpr ing hernia init blocked 602.26 614.99 614.99 (12.73) (12.73) 49505 Prp i/hern init reduc >5 yr 518.47 549.70 549.70 (31.23) (31.23) 49507 Prp i/hern init block >5 yr 583.62 617.58 617.58 (33.96) (33.96) 49520 Rerepair ing hernia reduce 628.94 666.77 666.77 (37.83) (37.83) 49521 Rerepair ing hernia blocked 712.53 755.32 755.32 (42.79) (42.79) 49525 Repair ing hernia sliding 570.52 604.41 604.41 (33.89) (33.89) 49540 Repair lumbar hernia 670.19 707.81 707.81 (37.62) (37.62) 49550 Rpr rem hernia init reduce 572.62 606.90 606.90 (34.28) (34.28) 49553 Rpr fem hernia init blocked 629.07 665.80 665.80 (36.73) (36.73) 49555 Rerepair fem hernia reduce 592.83 630.82 630.82 (37.99) (37.99) 49557 Rerepair fem hernia blocked 720.24 763.25 763.25 (43.01) (43.01) 49560 Rpr ventral hern init reduc 734.46 777.80 777.80 (43.34) (43.34) 49561 Rpr ventral hern init block 926.86 980.51 980.51 (53.65) (53.65) 49565 Rerepair ventrl hern reduce 766.88 809.97 809.97 (43.09) (43.09) 49566 Rerepair ventrl hern block 937.09 989.63 989.63 (52.54) (52.54) 49568 Hernia repair w/mesh 266.72 281.72 281.72 (15.00) (15.00) 49570 Rpr epigastric hern reduce 415.77 439.89 439.89 (24.12) (24.12) 49572 Rpr epigastric hern blocked 513.95 544.62 544.62 (30.67) (30.67) 49580 Rpr umbil hern reduc < 5 yr 331.96 351.80 351.80 (19.84) (19.84) 49582 Rpr umbil hern block < 5 yr 480.98 510.37 510.37 (29.39) (29.39) 49585 Rpr umbil hern reduc > 5 yr 442.94 469.55 469.55 (26.61) (26.61) 49587 Rpr umbil hern block > 5 yr 474.19 502.31 502.31 (28.12) (28.12) 49590 Repair spigelian hernia 571.69 604.11 604.11 (32.42) (32.42) 49600 Repair umbilical lesion 726.83 740.91 740.91 (14.08) (14.08) 49605 Repair umbilical lesion 4,913.67 5,212.74 5,212.74 (299.07) (299.07) 49606 Repair umbilical lesion 1,127.32 1,177.53 1,177.53 (50.21) (50.21) 49610 Repair umbilical lesion 683.97 726.66 726.66 (42.69) (42.69) 49611 Repair umbilical lesion 554.43 639.82 639.82 (85.39) (85.39) 49650 Lap ing hernia repair init 427.14 452.36 452.36 (25.22) (25.22) 49651 Lap ing hernia repair recur 555.60 587.54 587.54 (31.94) (31.94) 49652 Lap vent/abd hernia repair 681.04 785.25 785.25 (104.21) (104.21) 49653 Lap vent/abd hern proc comp 850.75 979.20 979.20 (128.45) (128.45) 49654 Lap inc hernia repair 773.41 891.84 891.84 (118.43) (118.43) 49655 Lap inc hern repair comp 944.41 1,089.05 1,089.05 (144.64) (144.64) 49656 Lap inc hernia repair recur 839.74 968.73 968.73 (128.99) (128.99) 49657 Lap inc hern recur comp 1,204.63 1,391.39 1,391.39 (186.76) (186.76) 49900 Repair of abdominal wall 814.47 860.13 860.13 (45.66) (45.66) 49904 Omental flap extra-abdom 1,449.77 1,505.17 1,505.17 (55.40) (55.40) 49905 Omental flap intra-abdom 352.35 372.13 372.13 (19.78) (19.78) 49906 Free omental flap microvasc 3,585.61 0.00 0.00 3,585.61 3,585.61 50010 Exploration of kidney 737.32 776.27 776.27 (38.95) (38.95) 50020 Renal abscess open drain 1,023.17 1,066.42 1,066.42 (43.25) (43.25) 50040 Drainage of kidney 915.75 970.29 970.29 (54.54) (54.54) 50045 Exploration of kidney 920.40 1,008.69 1,008.69 (88.29) (88.29) 50060 Removal of kidney stone 1,124.93 1,197.26 1,197.26 (72.33) (72.33) 50065 Incision of kidney 1,194.13 1,265.60 1,265.60 (71.47) (71.47) 50070 Incision of kidney 1,170.86 1,241.27 1,241.27 (70.41) (70.41) 50075 Removal of kidney stone 1,439.99 1,525.66 1,525.66 (85.67) (85.67) 50080 Removal of kidney stone 859.78 911.09 911.09 (51.31) (51.31) 50081 Removal of kidney stone 1,261.50 1,336.74 1,336.74 (75.24) (75.24) 50100 Revise kidney blood vessels 1,074.32 1,113.50 1,113.50 (39.18) (39.18) 50120 Exploration of kidney 937.34 994.50 994.50 (57.16) (57.16) 50125 Explore and drain kidney 970.06 1,081.83 1,081.83 (111.77) (111.77) 50130 Removal of kidney stone 1,019.74 1,081.42 1,081.42 (61.68) (61.68) 50135 Exploration of kidney 1,107.61 1,192.37 1,192.37 (84.76) (84.76) 50200 Renal biopsy perq 144.69 653.61 149.79 (508.92) (5.10) 50205 Renal biopsy open 751.25 793.90 793.90 (42.65) (42.65) 50220 Remove kidney open 1,034.37 1,097.38 1,097.38 (63.01) (63.01) 50225 Removal kidney open complex 1,185.61 1,261.01 1,261.01 (75.40) (75.40) 50230 Removal kidney open radical 1,265.83 1,341.76 1,341.76 (75.93) (75.93) 50234 Removal of kidney & ureter 1,285.12 1,361.77 1,361.77 (76.65) (76.65) 50236 Removal of kidney & ureter 1,447.81 1,537.01 1,537.01 (89.20) (89.20) 50240 Partial removal of kidney 1,308.12 1,386.78 1,386.78 (78.66) (78.66) 50250 Cryoablate renal mass open 1,201.87 1,274.47 1,274.47 (72.60) (72.60) 50280 Removal of kidney lesion 944.36 999.60 999.60 (55.24) (55.24) 50290 Removal of kidney lesion 887.43 941.19 941.19 (53.76) (53.76) 50300 Remove cadaver donor kidney 1,541.58 0.00 0.00 1,541.58 1,541.58 50320 Remove kidney living donor 1,420.15 1,529.50 1,529.50 (109.35) (109.35) 50327 Prep renal graft/venous 214.78 228.41 228.41 (13.63) (13.63) 50328 Prep renal graft/arterial 188.21 200.51 200.51 (12.30) (12.30) 50329 Prep renal graft/ureteral 173.47 187.52 187.52 (14.05) (14.05) 50340 Removal of kidney 945.45 988.58 988.58 (43.13) (43.13) 50360 Transplantation of kidney 2,405.17 2,551.18 2,551.18 (146.01) (146.01) 50365 Transplantation of kidney 2,825.69 2,984.82 2,984.82 (159.13) (159.13) 50370 Remove transplanted kidney 1,193.46 1,265.81 1,265.81 (72.35) (72.35) 50380 Reimplantation of kidney 1,994.82 2,097.83 2,097.83 (103.01) (103.01) 50382 Change ureter stent percut 272.97 1,262.82 284.92 (989.85) (11.95) 50384 Remove ureter stent percut 249.77 1,006.18 258.73 (756.41) (8.96) 50385 Change stent via transureth 230.58 1,215.74 244.24 (985.16) (13.66) 50386 Remove stent via transureth 175.06 791.58 185.71 (616.52) (10.65) 50387 CHANGE NEPHROURETERAL CATH 99.34 580.31 102.47 (480.97) (3.13) 50389 Remove renal tube w/fluoro 54.88 316.13 57.06 (261.25) (2.18) 50390 Drainage of kidney lesion 97.22 101.78 101.78 (4.56) (4.56) 50391 Instll rx agnt into rnal tub 97.62 127.32 102.46 (29.70) (4.84) 50395 Create passage to kidney 180.35 188.33 188.33 (7.98) (7.98) 50396 Measure kidney pressure 118.56 124.51 124.51 (5.95) (5.95) 50400 Revision of kidney/ureter 1,143.17 1,213.51 1,213.51 (70.34) (70.34) 50405 Revision of kidney/ureter 1,378.12 1,463.14 1,463.14 (85.02) (85.02) 50430 Njx px nfrosgrm &/urtrgrm 167.52 552.17 176.37 (384.65) (8.85) 50431 Njx px nfrosgrm &/urtrgrm 66.71 171.53 70.24 (104.82) (3.53) 50432 Plmt nephrostomy catheter 221.38 896.93 233.07 (675.55) (11.69) 50433 Plmt nephroureteral catheter 272.80 1,207.87 287.20 (935.07) (14.40) 50434 Convert nephrostomy catheter 209.28 956.11 220.33 (746.83) (11.05) 50435 Exchange nephrostomy cath 101.93 502.31 107.31 (400.38) (5.38) 50500 Repair of kidney wound 1,279.84 1,341.61 1,341.61 (61.77) (61.77) 50520 Close kidney-skin fistula 1,073.52 1,186.78 1,186.78 (113.26) (113.26) 50525 REPAIR RENAL-ABDOMEN FISTULA 1,469.04 1,499.90 1,499.90 (30.86) (30.86) 50526 REPAIR RENAL-ABDOMEN FISTULA 1,423.96 1,557.12 1,557.12 (133.16) (133.16) 50540 Revision of horseshoe kidney 1,132.59 1,205.87 1,205.87 (73.28) (73.28) 50541 Laparo ablate renal cyst 909.69 963.07 963.07 (53.38) (53.38) 50542 Laparo ablate renal mass 1,152.34 1,222.17 1,222.17 (69.83) (69.83) 50543 Laparo partial nephrectomy 1,471.14 1,557.39 1,557.39 (86.25) (86.25) 50544 Laparoscopy pyeloplasty 1,230.86 1,303.13 1,303.13 (72.27) (72.27) 50545 Laparo radical nephrectomy 1,326.18 1,402.91 1,402.91 (76.73) (76.73) 50546 Laparoscopic nephrectomy 1,188.36 1,260.62 1,260.62 (72.26) (72.26) 50548 Laparo remove w/ureter 1,330.93 1,410.62 1,410.62 (79.69) (79.69) 50551 Kidney endoscopy 291.51 377.10 308.95 (85.59) (17.44) 50553 Kidney endoscopy 311.80 400.51 326.33 (88.71) (14.53) 50555 Kidney endoscopy & biopsy 337.70 430.30 356.49 (92.60) (18.79) 50557 Kidney endoscopy & treatment 341.86 439.51 363.07 (97.65) (21.21) 50561 Kidney endoscopy & treatment 390.89 498.65 414.30 (107.76) (23.41) 50562 Renal scope w/tumor resect 574.88 609.01 609.01 (34.13) (34.13) 50570 Kidney endoscopy 485.59 515.25 515.25 (29.66) (29.66) 50572 Kidney endoscopy 526.31 557.39 557.39 (31.08) (31.08) 50574 Kidney endoscopy & biopsy 559.65 592.63 592.63 (32.98) (32.98) 50575 Kidney endoscopy 706.92 748.48 748.48 (41.56) (41.56) 50576 Kidney endoscopy & treatment 557.51 592.23 592.23 (34.72) (34.72) 50580 Kidney endoscopy & treatment 602.05 638.02 638.02 (35.97) (35.97) 50590 Fragmenting of kidney stone 561.34 754.26 595.74 (192.92) (34.40) 50592 Perc rf ablate renal tumor 364.85 2,710.88 381.16 (2,346.03) (16.31) 50593 Perc cryo ablate renal tum 482.65 4,947.75 505.20 (4,465.10) (22.55) 50600 Exploration of ureter 927.36 988.04 988.04 (60.68) (60.68) 50605 Insert ureteral support 968.86 1,033.87 1,033.87 (65.01) (65.01) 50606 Endoluminal bx urtr rnl plvs 157.33 559.51 165.63 (402.18) (8.30) 50610 Removal of ureter stone 933.68 1,024.85 1,024.85 (91.17) (91.17) 50620 Removal of ureter stone 893.05 950.62 950.62 (57.57) (57.57) 50630 Removal of ureter stone 881.93 933.46 933.46 (51.53) (51.53) 50650 Removal of ureter 1,023.10 1,084.99 1,084.99 (61.89) (61.89) 50660 Removal of ureter 1,129.15 1,203.68 1,203.68 (74.53) (74.53) 50684 Injection for ureter x-ray 50.42 112.27 53.15 (61.85) (2.73) 50686 Measure ureter pressure 93.81 150.72 92.74 (56.91) 1.07 50688 Change of ureter tube/stent 80.20 84.36 84.36 (4.16) (4.16) 50690 Injection for ureter x-ray 70.57 103.63 74.26 (33.06) (3.69) 50693 Plmt ureteral stent prq 218.94 1,125.57 230.50 (906.63) (11.56) 50694 Plmt ureteral stent prq 282.81 1,237.99 297.74 (955.18) (14.93) 50695 Plmt ureteral stent prq 358.77 1,508.87 377.71 (1,150.10) (18.94) 50700 Revision of ureter 917.76 975.98 975.98 (58.22) (58.22) 50705 Ureteral embolization/occl 201.46 1,816.96 212.10 (1,615.50) (10.64) 50706 Balloon dilate urtrl strix 187.42 811.47 197.31 (624.05) (9.89) 50715 Release of ureter 1,197.21 1,280.02 1,280.02 (82.81) (82.81) 50722 Release of ureter 1,056.10 1,070.71 1,070.71 (14.61) (14.61) 50725 Release/revise ureter 1,088.15 1,182.57 1,182.57 (94.42) (94.42) 50727 Revise ureter 500.33 532.49 532.49 (32.16) (32.16) 50728 Revise ureter 690.14 734.89 734.89 (44.75) (44.75) 50740 Fusion of ureter & kidney 1,217.65 1,290.46 1,290.46 (72.81) (72.81) 50750 Fusion of ureter & kidney 1,138.85 1,207.84 1,207.84 (68.99) (68.99) 50760 Fusion of ureters 1,119.41 1,184.85 1,184.85 (65.44) (65.44) 50770 Splicing of ureters 1,138.85 1,205.66 1,205.66 (66.81) (66.81) 50780 Reimplant ureter in bladder 1,096.41 1,161.44 1,161.44 (65.03) (65.03) 50782 Reimplant ureter in bladder 1,040.52 1,099.47 1,099.47 (58.95) (58.95) 50783 Reimplant ureter in bladder 1,113.17 1,186.21 1,186.21 (73.04) (73.04) 50785 Reimplant ureter in bladder 1,195.87 1,271.00 1,271.00 (75.13) (75.13) 50800 Implant ureter in bowel 915.60 968.63 968.63 (53.03) (53.03) 50810 Fusion of ureter & bowel 1,328.44 1,321.37 1,321.37 7.07 7.07 50815 Urine shunt to intestine 1,207.88 1,282.87 1,282.87 (74.99) (74.99) 50820 Construct bowel bladder 1,303.74 1,377.30 1,377.30 (73.56) (73.56) 50825 Construct bowel bladder 1,637.51 1,735.51 1,735.51 (98.00) (98.00) 50830 Revise urine flow 1,780.69 1,896.76 1,896.76 (116.07) (116.07) 50840 Replace ureter by bowel 1,214.12 1,290.52 1,290.52 (76.40) (76.40) 50845 Appendico-vesicostomy 1,233.74 1,310.05 1,310.05 (76.31) (76.31) 50860 Transplant ureter to skin 933.61 990.24 990.24 (56.63) (56.63) 50900 Repair of ureter 840.84 902.36 902.36 (61.52) (61.52) 50920 Closure ureter/skin fistula 870.77 925.50 925.50 (54.73) (54.73) 50930 Closure ureter/bowel fistula 1,223.55 1,235.08 1,235.08 (11.53) (11.53) 50940 Release of ureter 876.67 929.35 929.35 (52.68) (52.68) 50945 Laparoscopy ureterolithotomy 961.20 1,018.35 1,018.35 (57.15) (57.15) 50947 Laparo new ureter/bladder 1,370.01 1,455.57 1,455.57 (85.56) (85.56) 50948 Laparo new ureter/bladder 1,259.10 1,336.76 1,336.76 (77.66) (77.66) 50951 Endoscopy of ureter 303.31 393.58 321.66 (90.27) (18.35) 50953 Endoscopy of ureter 322.76 415.44 340.88 (92.68) (18.12) 50955 Ureter endoscopy & biopsy 348.82 445.30 369.61 (96.48) (20.79) 50957 Ureter endoscopy & treatment 350.54 449.38 371.81 (98.84) (21.27) 50961 Ureter endoscopy & treatment 313.73 405.23 332.93 (91.50) (19.20) 50970 Ureter endoscopy 366.46 390.34 390.34 (23.88) (23.88) 50972 Ureter endoscopy & catheter 354.34 379.65 379.65 (25.31) (25.31) 50974 Ureter endoscopy & biopsy 467.55 496.00 496.00 (28.45) (28.45) 50976 Ureter endoscopy & treatment 460.95 488.03 488.03 (27.08) (27.08) 50980 Ureter endoscopy & treatment 351.86 371.33 371.33 (19.47) (19.47) 51020 Incise & treat bladder 465.06 492.77 492.77 (27.71) (27.71) 51030 Incise & treat bladder 465.15 499.85 499.85 (34.70) (34.70) 51040 Incise & drain bladder 285.82 303.88 303.88 (18.06) (18.06) 51045 Incise bladder/drain ureter 487.56 515.93 515.93 (28.37) (28.37) 51050 Removal of bladder stone 467.06 495.27 495.27 (28.21) (28.21) 51060 Removal of ureter stone 574.70 612.01 612.01 (37.31) (37.31) 51065 Remove ureter calculus 571.83 606.31 606.31 (34.48) (34.48) 51080 Drainage of bladder abscess 403.80 430.21 430.21 (26.41) (26.41) 51100 Drain bladder by needle 38.91 64.01 41.04 (25.10) (2.13) 51101 Drain bladder by trocar/cath 52.17 130.94 54.50 (78.77) (2.33) 51102 Drain bl w/cath insertion 144.89 238.09 151.86 (93.20) (6.97) 51500 Removal of bladder cyst 628.85 669.19 669.19 (40.34) (40.34) 51520 Removal of bladder lesion 586.81 627.40 627.40 (40.59) (40.59) 51525 Removal of bladder lesion 850.35 900.29 900.29 (49.94) (49.94) 51530 Removal of bladder lesion 785.42 834.81 834.81 (49.39) (49.39) 51535 Repair of ureter lesion 769.09 816.73 816.73 (47.64) (47.64) 51550 Partial removal of bladder 958.23 1,010.59 1,010.59 (52.36) (52.36) 51555 Partial removal of bladder 1,256.12 1,328.74 1,328.74 (72.62) (72.62) 51565 Revise bladder & ureter(s) 1,278.22 1,362.11 1,362.11 (83.89) (83.89) 51570 Removal of bladder 1,461.50 1,547.90 1,547.90 (86.40) (86.40) 51575 Removal of bladder & nodes 1,797.61 1,908.74 1,908.74 (111.13) (111.13) 51580 Remove bladder/revise tract 1,872.42 1,984.55 1,984.55 (112.13) (112.13) 51585 Removal of bladder & nodes 2,084.27 2,207.43 2,207.43 (123.16) (123.16) 51590 Remove bladder/revise tract 1,910.54 2,025.25 2,025.25 (114.71) (114.71) 51595 Remove bladder/revise tract 2,163.49 2,291.17 2,291.17 (127.68) (127.68) 51596 Remove bladder/create pouch 2,322.91 2,462.14 2,462.14 (139.23) (139.23) 51597 Removal of pelvic structures 2,273.74 2,406.06 2,406.06 (132.32) (132.32) 51600 Injection for bladder x-ray 44.12 194.51 46.53 (150.39) (2.41) 51605 Preparation for bladder xray 37.68 40.19 40.19 (2.51) (2.51) 51610 Injection for bladder x-ray 64.30 112.12 67.68 (47.82) (3.38) 51700 Irrigation of bladder 44.12 87.17 46.88 (43.05) (2.76) 51701 Insert bladder catheter 27.53 57.39 29.15 (29.86) (1.62) 51702 Insert temp bladder cath 30.04 73.96 31.79 (43.92) (1.75) 51703 Insert bladder cath complex 80.46 135.75 85.29 (55.29) (4.83) 51705 Change of bladder tube 51.64 95.42 54.38 (43.78) (2.74) 51710 Change of bladder tube 78.49 134.85 84.01 (56.36) (5.52) 51715 Endoscopic injection/implant 198.44 304.22 209.33 (105.78) (10.89) 51720 Treatment of bladder lesion 78.97 113.86 83.74 (34.89) (4.77) 51725 Simple cystometrogram 184.85 196.74 196.74 (11.89) (11.89) 51726 Complex cystometrogram 261.03 276.94 276.94 (15.91) (15.91) 51727 Cystometrogram w/up 311.02 327.77 327.77 (16.75) (16.75) 51728 Cystometrogram w/vp 311.67 330.81 330.81 (19.14) (19.14) 51729 Cystometrogram w/vp&up 337.97 357.16 357.16 (19.19) (19.19) 51736 Urine flow measurement 15.16 16.24 16.24 (1.08) (1.08) 51741 ELECTRO-UROFLOWMETRY FIRST 15.52 16.62 16.62 (1.10) (1.10) 51784 Anal/urinary muscle study 189.84 201.95 201.95 (12.11) (12.11) 51785 Anal/urinary muscle study 254.82 278.17 278.17 (23.35) (23.35) 51792 URINARY REFLEX STUDY 209.28 223.07 223.07 (13.79) (13.79) 51797 Intraabdominal pressure test 110.29 117.50 117.50 (7.21) (7.21) 51798 Us urine capacity measure 19.04 20.28 20.28 (1.24) (1.24) 51800 Revision of bladder/urethra 1,031.31 1,090.57 1,090.57 (59.26) (59.26) 51820 Revision of urinary tract 1,069.43 1,164.15 1,164.15 (94.72) (94.72) 51840 Attach bladder/urethra 660.58 687.76 687.76 (27.18) (27.18) 51841 Attach bladder/urethra 784.36 816.05 816.05 (31.69) (31.69) 51845 Repair bladder neck 587.63 614.44 614.44 (26.81) (26.81) 51860 Repair of bladder wound 745.79 782.31 782.31 (36.52) (36.52) 51865 Repair of bladder wound 889.03 938.11 938.11 (49.08) (49.08) 51880 Repair of bladder opening 467.60 491.72 491.72 (24.12) (24.12) 51900 Repair bladder/vagina lesion 821.04 875.94 875.94 (54.90) (54.90) 51920 Close bladder-uterus fistula 800.07 908.93 908.93 (108.86) (108.86) 51925 Hysterectomy/bladder repair 1,049.55 1,143.30 1,143.30 (93.75) (93.75) 51940 Correction of bladder defect 1,609.23 1,729.99 1,729.99 (120.76) (120.76) 51960 Revision of bladder & bowel 1,377.41 1,458.76 1,458.76 (81.35) (81.35) 51980 Construct bladder opening 704.57 747.02 747.02 (42.45) (42.45) 51990 Laparo urethral suspension 758.26 784.94 784.94 (26.68) (26.68) 51992 Laparo sling operation 856.43 880.49 880.49 (24.06) (24.06) 52000 Cystoscopy 125.18 214.11 132.39 (88.93) (7.21) 52001 Cystoscopy removal of clots 284.23 388.29 301.31 (104.06) (17.08) 52005 Cystoscopy & ureter catheter 132.12 278.97 139.65 (146.85) (7.53) 52007 Cystoscopy and biopsy 164.42 466.38 173.80 (301.96) (9.38) 52010 Cystoscopy & duct catheter 164.42 390.99 175.23 (226.57) (10.81) 52204 Cystoscopy w/biopsy(s) 140.37 387.76 148.65 (247.39) (8.28) 52214 Cystoscopy and treatment 174.01 695.16 184.56 (521.15) (10.55) 52224 Cystoscopy and treatment 201.82 726.86 213.25 (525.04) (11.43) 52234 Cystoscopy and treatment 242.85 258.08 258.08 (15.23) (15.23) 52235 Cystoscopy and treatment 285.31 302.82 302.82 (17.51) (17.51) 52240 Cystoscopy and treatment 387.77 411.07 411.07 (23.30) (23.30) 52250 Cystoscopy and radiotracer 237.37 251.54 251.54 (14.17) (14.17) 52260 Cystoscopy and treatment 208.53 220.66 220.66 (12.13) (12.13) 52265 Cystoscopy and treatment 163.20 384.42 170.92 (221.22) (7.72) 52270 Cystoscopy & revise urethra 180.37 372.73 190.48 (192.36) (10.11) 52275 Cystoscopy & revise urethra 245.62 502.34 260.60 (256.72) (14.98) 52276 Cystoscopy and treatment 262.01 277.70 277.70 (15.69) (15.69) 52277 Cystoscopy and treatment 319.64 339.09 339.09 (19.45) (19.45) 52281 Cystoscopy and treatment 151.62 285.40 159.63 (133.78) (8.01) 52282 Cystoscopy implant stent 333.30 352.92 352.92 (19.62) (19.62) 52283 Cystoscopy and treatment 199.49 289.16 211.21 (89.67) (11.72) 52285 Cystoscopy and treatment 194.34 292.04 205.43 (97.70) (11.09) 52287 Cystoscopy chemodenervation 167.74 326.33 177.22 (158.59) (9.48) 52290 Cystoscopy and treatment 241.13 255.91 255.91 (14.78) (14.78) 52300 Cystoscopy and treatment 279.87 294.44 294.44 (14.57) (14.57) 52301 Cystoscopy and treatment 286.99 304.22 304.22 (17.23) (17.23) 52305 Cystoscopy and treatment 275.85 292.53 292.53 (16.68) (16.68) 52310 Cystoscopy and treatment 150.43 254.77 159.13 (104.34) (8.70) 52315 Cystoscopy and treatment 270.98 431.69 287.85 (160.71) (16.87) 52317 Remove bladder stone 343.49 843.36 364.39 (499.87) (20.90) 52318 Remove bladder stone 467.87 496.69 496.69 (28.82) (28.82) 52320 Cystoscopy and treatment 243.46 258.71 258.71 (15.25) (15.25) 52325 Cystoscopy stone removal 316.78 336.82 336.82 (20.04) (20.04) 52327 Cystoscopy inject material 259.20 274.33 274.33 (15.13) (15.13) 52330 Cystoscopy and treatment 260.86 517.12 276.50 (256.26) (15.64) 52332 Cystoscopy and treatment 154.34 514.58 163.26 (360.24) (8.92) 52334 Create passage to kidney 253.69 268.99 268.99 (15.30) (15.30) 52341 Cysto w/ureter stricture tx 280.79 298.09 298.09 (17.30) (17.30) 52342 Cysto w/up stricture tx 305.43 324.26 324.26 (18.83) (18.83) 52343 Cysto w/renal stricture tx 340.53 360.94 360.94 (20.41) (20.41) 52344 Cysto/uretero stricture tx 365.18 387.81 387.81 (22.63) (22.63) 52345 Cysto/uretero w/up stricture 389.82 413.97 413.97 (24.15) (24.15) 52346 Cystouretero w/renal strict 441.60 467.76 467.76 (26.16) (26.16) 52351 Cystouretero & or pyeloscope 299.14 317.67 317.67 (18.53) (18.53) 52352 Cystouretero w/stone remove 350.61 371.48 371.48 (20.87) (20.87) 52353 Cystouretero w/lithotripsy 387.40 411.07 411.07 (23.67) (23.67) 52354 Cystouretero w/biopsy 412.42 437.23 437.23 (24.81) (24.81) 52355 Cystouretero w/excise tumor 462.46 489.91 489.91 (27.45) (27.45) 52356 Cysto/uretero w/lithotripsy 411.34 436.10 436.10 (24.76) (24.76) 52400 Cystouretero w/congen repr 472.29 501.04 501.04 (28.75) (28.75) 52402 Cystourethro cut ejacul duct 263.31 279.42 279.42 (16.11) (16.11) 52441 Cystourethro w/implant 234.99 1,314.42 238.99 (1,079.43) (4.00) 52442 Cystourethro w/addl implant 82.71 1,009.47 63.57 (926.76) 19.14 52450 Incision of prostate 464.49 493.37 493.37 (28.88) (28.88) 52500 Revision of bladder neck 482.55 512.26 512.26 (29.71) (29.71) 52601 Prostatectomy (turp) 835.45 886.02 886.02 (50.57) (50.57) 52630 Remove prostate regrowth 395.82 419.68 419.68 (23.86) (23.86) 52640 Relieve bladder contracture 311.49 331.20 331.20 (19.71) (19.71) 52647 Laser surgery of prostate 639.56 1,873.44 678.65 (1,233.88) (39.09) 52648 Laser surgery of prostate 682.69 1,927.90 723.69 (1,245.21) (41.00) 52649 Prostate laser enucleation 812.54 862.54 862.54 (50.00) (50.00) 52700 Drainage of prostate abscess 435.53 462.32 462.32 (26.79) (26.79) 53000 Incision of urethra 146.91 155.55 155.55 (8.64) (8.64) 53010 Incision of urethra 290.88 310.75 310.75 (19.87) (19.87) 53020 Incision of urethra 96.14 101.65 101.65 (5.51) (5.51) 53025 Incision of urethra 66.62 75.71 75.71 (9.09) (9.09) 53040 Drainage of urethra abscess 388.28 411.42 411.42 (23.14) (23.14) 53060 Drainage of urethra abscess 169.23 191.75 172.17 (22.52) (2.94) 53080 Drainage of urinary leakage 415.30 440.81 440.81 (25.51) (25.51) 53085 Drainage of urinary leakage 654.76 701.79 701.79 (47.03) (47.03) 53200 Biopsy of urethra 140.75 163.28 148.97 (22.53) (8.22) 53210 Removal of urethra 760.06 806.91 806.91 (46.85) (46.85) 53215 Removal of urethra 916.77 973.63 973.63 (56.86) (56.86) 53220 Treatment of urethra lesion 447.85 477.35 477.35 (29.50) (29.50) 53230 Removal of urethra lesion 603.20 634.72 634.72 (31.52) (31.52) 53235 Removal of urethra lesion 624.62 663.07 663.07 (38.45) (38.45) 53240 Surgery for urethra pouch 419.69 448.64 448.64 (28.95) (28.95) 53250 Removal of urethra gland 419.47 433.72 433.72 (14.25) (14.25) 53260 Treatment of urethra lesion 179.55 211.01 189.17 (31.46) (9.62) 53265 Treatment of urethra lesion 184.68 228.10 194.96 (43.42) (10.28) 53270 Removal of urethra gland 189.36 217.91 194.94 (28.55) (5.58) 53275 Repair of urethra defect 259.48 275.13 275.13 (15.65) (15.65) 53400 Revise urethra stage 1 792.52 839.93 839.93 (47.41) (47.41) 53405 Revise urethra stage 2 862.75 915.03 915.03 (52.28) (52.28) 53410 Reconstruction of urethra 967.80 1,024.48 1,024.48 (56.68) (56.68) 53415 Reconstruction of urethra 1,116.83 1,183.56 1,183.56 (66.73) (66.73) 53420 Reconstruct urethra stage 1 830.93 894.78 894.78 (63.85) (63.85) 53425 Reconstruct urethra stage 2 925.02 980.85 980.85 (55.83) (55.83) 53430 Reconstruction of urethra 961.87 1,009.00 1,009.00 (47.13) (47.13) 53431 Reconstruct urethra/bladder 1,139.28 1,212.55 1,212.55 (73.27) (73.27) 53440 Male sling procedure 743.83 788.43 788.43 (44.60) (44.60) 53442 Remove/revise male sling 773.04 820.55 820.55 (47.51) (47.51) 53444 Insert tandem cuff 782.99 830.16 830.16 (47.17) (47.17) 53445 Insert uro/ves nck sphincter 744.44 789.09 789.09 (44.65) (44.65) 53446 Remove uro sphincter 634.67 673.51 673.51 (38.84) (38.84) 53447 Remove/replace ur sphincter 799.03 846.89 846.89 (47.86) (47.86) 53448 Remov/replc ur sphinctr comp 1,264.03 1,346.68 1,346.68 (82.65) (82.65) 53449 Repair uro sphincter 604.56 640.90 640.90 (36.34) (36.34) 53450 Revision of urethra 403.69 429.39 429.39 (25.70) (25.70) 53460 Revision of urethra 451.94 479.89 479.89 (27.95) (27.95) 53500 Urethrlys transvag w/ scope 745.89 784.08 784.08 (38.19) (38.19) 53502 Repair of urethra injury 481.29 510.15 510.15 (28.86) (28.86) 53505 Repair of urethra injury 480.57 511.61 511.61 (31.04) (31.04) 53510 Repair of urethra injury 623.23 661.96 661.96 (38.73) (38.73) 53515 Repair of urethra injury 785.44 833.08 833.08 (47.64) (47.64) 53520 Repair of urethra defect 549.59 583.51 583.51 (33.92) (33.92) 53600 Dilate urethra stricture 62.95 86.93 66.59 (23.98) (3.64) 53601 DILATE URETHRA STRICTURE 52.55 84.72 56.10 (32.17) (3.55) 53605 Dilate urethra stricture 63.54 67.56 67.56 (4.02) (4.02) 53620 Dilate urethra stricture 86.32 121.15 91.40 (34.83) (5.08) 53621 Dilate urethra stricture 70.59 114.51 75.73 (43.92) (5.14) 53660 Dilation of urethra 41.18 73.94 43.82 (32.76) (2.64) 53661 DILATION OF URETHRA 40.08 72.42 42.30 (32.34) (2.22) 53665 Dilation of urethra 38.59 40.32 40.32 (1.73) (1.73) 53850 Prostatic microwave thermotx 600.33 2,185.30 636.92 (1,584.97) (36.59) 53852 Prostatic rf thermotx 614.86 2,011.41 652.43 (1,396.55) (37.57) 53855 Insert prost urethral stent 81.62 821.12 86.47 (739.50) (4.85) 53860 Transurethral rf treatment 234.04 1,635.61 237.48 (1,401.57) (3.44) 54000 Slitting of prepuce 106.45 155.46 113.67 (49.01) (7.22) 54001 Slitting of prepuce 137.73 193.38 145.18 (55.65) (7.45) 54015 Drain penis lesion 305.97 325.09 325.09 (19.12) (19.12) 54050 DESTRUCTION PENIS LESION(S) 103.80 138.66 110.80 (34.86) (7.00) 54055 Destruction penis lesion(s) 90.92 124.44 97.33 (33.52) (6.41) 54056 Cryosurgery penis lesion(s) 110.66 149.56 117.17 (38.90) (6.51) 54057 Laser surg penis lesion(s) 93.32 142.48 99.93 (49.16) (6.61) 54060 Excision of penis lesion(s) 129.21 188.21 137.00 (59.00) (7.79) 54065 Destruction penis lesion(s) 172.63 229.70 182.26 (57.07) (9.63) 54100 Biopsy of penis 124.37 208.60 132.54 (84.23) (8.17) 54105 Biopsy of penis 210.57 276.72 223.63 (66.15) (13.06) 54110 Treatment of penis lesion 616.49 662.61 662.61 (46.12) (46.12) 54111 Treat penis lesion graft 790.87 838.35 838.35 (47.48) (47.48) 54112 Treat penis lesion graft 925.86 984.28 984.28 (58.42) (58.42) 54115 Treatment of penis lesion 419.20 474.23 445.99 (55.03) (26.79) 54120 Partial removal of penis 624.63 662.25 662.25 (37.62) (37.62) 54125 Removal of penis 803.32 850.72 850.72 (47.40) (47.40) 54130 Remove penis & nodes 1,178.78 1,247.11 1,247.11 (68.33) (68.33) 54135 Remove penis & nodes 1,493.12 1,571.09 1,571.09 (77.97) (77.97) 54150 Circumcision w/regionl block 97.78 161.23 102.11 (63.45) (4.33) 54160 Circumcision neonate 142.24 233.82 152.86 (91.58) (10.62) 54161 Circum 28 days or older 194.82 206.34 206.34 (11.52) (11.52) 54162 Lysis penil circumic lesion 196.96 269.60 208.98 (72.64) (12.02) 54163 Repair of circumcision 216.34 230.06 230.06 (13.72) (13.72) 54164 Frenulotomy of penis 192.06 203.17 203.17 (11.11) (11.11) 54200 Treatment of penis lesion 83.22 112.35 88.25 (29.13) (5.03) 54205 Treatment of penis lesion 525.67 558.49 558.49 (32.82) (32.82) 54220 Treatment of penis lesion 132.78 214.05 140.62 (81.27) (7.84) 54230 Prepare penis study 78.51 101.35 83.65 (22.84) (5.14) 54231 Dynamic cavernosometry 115.06 146.69 121.84 (31.63) (6.78) 54235 Penile injection 73.04 94.49 77.17 (21.45) (4.13) 54240 Penis study 98.28 106.97 106.97 (8.69) (8.69) 54250 Penis study 118.23 126.16 126.16 (7.93) (7.93) 54300 Revision of penis 633.26 671.71 671.71 (38.45) (38.45) 54304 Revision of penis 740.34 785.92 785.92 (45.58) (45.58) 54308 Reconstruction of urethra 706.64 749.55 749.55 (42.91) (42.91) 54312 Reconstruction of urethra 808.30 902.03 902.03 (93.73) (93.73) 54316 Reconstruction of urethra 985.47 1,099.07 1,099.07 (113.60) (113.60) 54318 Reconstruction of urethra 690.23 784.52 784.52 (94.29) (94.29) 54322 Reconstruction of urethra 771.51 804.85 804.85 (33.34) (33.34) 54324 Reconstruction of urethra 956.88 1,046.63 1,046.63 (89.75) (89.75) 54326 Reconstruction of urethra 934.44 990.74 990.74 (56.30) (56.30) 54328 Revise penis/urethra 928.18 984.58 984.58 (56.40) (56.40) 54332 Revise penis/urethra 1,001.47 1,121.51 1,121.51 (120.04) (120.04) 54336 Revise penis/urethra 1,175.20 1,310.00 1,310.00 (134.80) (134.80) 54340 Secondary urethral surgery 562.85 597.74 597.74 (34.89) (34.89) 54344 Secondary urethral surgery 986.43 1,089.15 1,089.15 (102.72) (102.72) 54348 Secondary urethral surgery 983.85 1,062.03 1,062.03 (78.18) (78.18) 54352 Reconstruct urethra/penis 1,399.97 1,483.43 1,483.43 (83.46) (83.46) 54360 Penis plastic surgery 712.48 754.89 754.89 (42.41) (42.41) 54380 Repair penis 789.47 837.66 837.66 (48.19) (48.19) 54385 Repair penis 981.10 1,022.95 1,022.95 (41.85) (41.85) 54390 Repair penis and bladder 1,270.55 1,365.35 1,365.35 (94.80) (94.80) 54400 Insert semi-rigid prosthesis 522.82 555.45 555.45 (32.63) (32.63) 54401 Insert self-contd prosthesis 648.93 689.68 689.68 (40.75) (40.75) 54405 Insert multi-comp penis pros 798.98 846.82 846.82 (47.84) (47.84) 54406 Remove muti-comp penis pros 721.27 765.58 765.58 (44.31) (44.31) 54408 Repair multi-comp penis pros 780.99 828.01 828.01 (47.02) (47.02) 54410 Remove/replace penis prosth 849.58 900.51 900.51 (50.93) (50.93) 54411 Remov/replc penis pros comp 1,013.35 1,074.06 1,074.06 (60.71) (60.71) 54415 Remove self-contd penis pros 522.24 554.12 554.12 (31.88) (31.88) 54416 Remv/repl penis contain pros 702.17 744.57 744.57 (42.40) (42.40) 54417 Remv/replc penis pros compl 888.24 940.97 940.97 (52.73) (52.73) 54420 Revision of penis 696.63 738.68 738.68 (42.05) (42.05) 54430 Revision of penis 632.78 671.21 671.21 (38.43) (38.43) 54435 Revision of penis 411.88 436.52 436.52 (24.64) (24.64) 54437 Repair corporeal tear 678.96 714.80 714.80 (35.84) (35.84) 54438 Replantation of penis 1,365.51 1,437.59 1,437.59 (72.08) (72.08) 54440 Repair of penis 623.36 0.00 0.00 623.36 623.36 54450 Preputial stretching 56.64 73.14 60.34 (16.50) (3.70) 54500 Biopsy of testis 73.54 78.08 78.08 (4.54) (4.54) 54505 Biopsy of testis 207.41 220.70 220.70 (13.29) (13.29) 54512 Excise lesion testis 533.75 565.96 565.96 (32.21) (32.21) 54520 Removal of testis 323.75 342.46 342.46 (18.71) (18.71) 54522 Orchiectomy partial 596.11 650.34 650.34 (54.23) (54.23) 54530 Removal of testis 500.77 530.39 530.39 (29.62) (29.62) 54535 Extensive testis surgery 735.12 779.37 779.37 (44.25) (44.25) 54550 Exploration for testis 486.41 517.69 517.69 (31.28) (31.28) 54560 Exploration for testis 678.80 720.03 720.03 (41.23) (41.23) 54600 Reduce testis torsion 447.83 478.19 478.19 (30.36) (30.36) 54620 Suspension of testis 296.09 316.42 316.42 (20.33) (20.33) 54640 Suspension of testis 474.11 503.73 503.73 (29.62) (29.62) 54650 Orchiopexy (fowler-stephens) 703.45 744.08 744.08 (40.63) (40.63) 54660 Revision of testis 352.99 375.30 375.30 (22.31) (22.31) 54670 Repair testis injury 400.67 424.81 424.81 (24.14) (24.14) 54680 Relocation of testis(es) 777.50 829.96 829.96 (52.46) (52.46) 54690 Laparoscopy orchiectomy 735.22 776.75 776.75 (41.53) (41.53) 54692 Laparoscopy orchiopexy 788.03 897.65 897.65 (109.62) (109.62) 54700 Drainage of scrotum 211.49 225.12 225.12 (13.63) (13.63) 54800 Biopsy of epididymis 128.40 133.69 133.69 (5.29) (5.29) 54830 Remove epididymis lesion 369.15 391.65 391.65 (22.50) (22.50) 54840 Remove epididymis lesion 317.92 337.39 337.39 (19.47) (19.47) 54860 Removal of epididymis 414.19 439.61 439.61 (25.42) (25.42) 54861 Removal of epididymis 558.92 593.99 593.99 (35.07) (35.07) 54865 Explore epididymis 355.13 376.76 376.76 (21.63) (21.63) 54900 Fusion of spermatic ducts 778.07 882.68 882.68 (104.61) (104.61) 54901 Fusion of spermatic ducts 1,064.76 1,163.27 1,163.27 (98.51) (98.51) 55000 Drainage of hydrocele 83.77 122.99 89.48 (39.22) (5.71) 55040 Removal of hydrocele 336.04 355.39 355.39 (19.35) (19.35) 55041 Removal of hydroceles 505.35 534.75 534.75 (29.40) (29.40) 55060 Repair of hydrocele 377.94 400.01 400.01 (22.07) (22.07) 55100 Drainage of scrotum abscess 166.19 227.13 175.16 (60.94) (8.97) 55110 Explore scrotum 384.81 407.17 407.17 (22.36) (22.36) 55120 Removal of scrotum lesion 355.65 374.86 374.86 (19.21) (19.21) 55150 Removal of scrotum 487.70 516.20 516.20 (28.50) (28.50) 55175 Revision of scrotum 359.30 380.68 380.68 (21.38) (21.38) 55180 Revision of scrotum 688.90 726.46 726.46 (37.56) (37.56) 55200 Incision of sperm duct 277.09 457.79 292.48 (180.70) (15.39) 55250 Removal of sperm duct(s) 225.23 404.32 239.02 (179.09) (13.79) 55300 Prepare sperm duct x-ray 185.51 196.23 196.23 (10.72) (10.72) 55400 Repair of sperm duct 525.56 534.89 534.89 (9.33) (9.33) 55450 Ligation of sperm duct 253.94 375.95 269.76 (122.01) (15.82) 55500 Removal of hydrocele 395.40 417.07 417.07 (21.67) (21.67) 55520 Removal of sperm cord lesion 452.49 477.84 477.84 (25.35) (25.35) 55530 Revise spermatic cord veins 349.88 369.18 369.18 (19.30) (19.30) 55535 Revise spermatic cord veins 425.25 451.59 451.59 (26.34) (26.34) 55540 Revise hernia & sperm veins 540.09 570.70 570.70 (30.61) (30.61) 55550 Laparo ligate spermatic vein 423.44 450.80 450.80 (27.36) (27.36) 55600 Incise sperm duct pouch 416.95 442.52 442.52 (25.57) (25.57) 55605 Incise sperm duct pouch 536.07 576.42 576.42 (40.35) (40.35) 55650 Remove sperm duct pouch 709.09 753.19 753.19 (44.10) (44.10) 55680 Remove sperm pouch lesion 342.35 373.38 373.38 (31.03) (31.03) 55700 Biopsy of prostate 138.23 228.12 146.03 (89.89) (7.80) 55705 Biopsy of prostate 262.64 279.18 279.18 (16.54) (16.54) 55706 Prostate saturation sampling 362.95 391.93 391.93 (28.98) (28.98) 55720 Drainage of prostate abscess 446.23 475.40 475.40 (29.17) (29.17) 55725 Drainage of prostate abscess 586.73 622.31 622.31 (35.58) (35.58) 55801 Removal of prostate 1,080.23 1,152.87 1,152.87 (72.64) (72.64) 55810 Extensive prostate surgery 1,301.98 1,381.79 1,381.79 (79.81) (79.81) 55812 Extensive prostate surgery 1,589.33 1,685.19 1,685.19 (95.86) (95.86) 55815 Extensive prostate surgery 1,741.46 1,854.35 1,854.35 (112.89) (112.89) 55821 Removal of prostate 863.70 915.55 915.55 (51.85) (51.85) 55831 Removal of prostate 933.79 990.39 990.39 (56.60) (56.60) 55840 Extensive prostate surgery 1,321.34 1,227.82 1,227.82 93.52 93.52 55842 Extensive prostate surgery 1,415.19 1,227.11 1,227.11 188.08 188.08 55845 Extensive prostate surgery 1,615.42 1,429.09 1,429.09 186.33 186.33 55860 Surgical exposure prostate 863.86 917.30 917.30 (53.44) (53.44) 55862 Extensive prostate surgery 1,083.04 1,207.34 1,207.34 (124.30) (124.30) 55865 Extensive prostate surgery 1,317.82 1,397.21 1,397.21 (79.39) (79.39) 55866 Laparo radical prostatectomy 1,715.78 1,476.44 1,476.44 239.34 239.34 55870 Electroejaculation 141.10 183.68 149.42 (42.58) (8.32) 55873 Cryoablate prostate 756.77 7,525.39 804.70 (6,768.62) (47.93) 55875 Transperi needle place pros 754.03 799.68 799.68 (45.65) (45.65) 55876 Place rt device/marker pros 99.41 142.05 105.53 (42.64) (6.12) 55920 Place needles pelvic for rt 443.50 469.70 469.70 (26.20) (26.20) 56405 I & d of vulva/perineum 110.08 113.43 112.68 (3.35) (2.60) 56420 Drainage of gland abscess 92.54 126.72 94.71 (34.18) (2.17) 56440 Surgery for vulva lesion 185.09 189.02 189.02 (3.93) (3.93) 56441 Lysis of labial lesion(s) 139.31 149.71 144.06 (10.40) (4.75) 56442 Hymenotomy 48.85 49.89 49.89 (1.04) (1.04) 56501 Destroy vulva lesions sim 116.39 136.23 119.66 (19.84) (3.27) 56515 Destroy vulva lesion/s compl 201.99 235.58 209.60 (33.59) (7.61) 56605 Biopsy of vulva/perineum 61.11 85.58 62.61 (24.47) (1.50) 56606 Biopsy of vulva/perineum 29.64 39.19 30.90 (9.55) (1.26) 56620 Partial removal of vulva 516.08 544.11 544.11 (28.03) (28.03) 56625 Complete removal of vulva 619.00 657.17 657.17 (38.17) (38.17) 56630 Extensive vulva surgery 912.78 970.42 970.42 (57.64) (57.64) 56631 Extensive vulva surgery 1,160.73 1,239.72 1,239.72 (78.99) (78.99) 56632 Extensive vulva surgery 1,347.29 1,439.77 1,439.77 (92.48) (92.48) 56633 Extensive vulva surgery 1,189.19 1,269.69 1,269.69 (80.50) (80.50) 56634 Extensive vulva surgery 1,264.07 1,371.58 1,371.58 (107.51) (107.51) 56637 Extensive vulva surgery 1,474.56 1,579.21 1,579.21 (104.65) (104.65) 56640 Extensive vulva surgery 1,477.02 1,590.30 1,590.30 (113.28) (113.28) 56700 Partial removal of hymen 189.83 193.32 193.32 (3.49) (3.49) 56740 Remove vagina gland lesion 302.27 312.53 312.53 (10.26) (10.26) 56800 Repair of vagina 242.66 249.85 249.85 (7.19) (7.19) 56805 Repair clitoris 1,164.40 1,205.95 1,205.95 (41.55) (41.55) 56810 Repair of perineum 262.55 269.87 269.87 (7.32) (7.32) 56820 Exam of vulva w/scope 87.08 117.05 90.32 (29.97) (3.24) 56821 Exam/biopsy of vulva w/scope 116.73 154.03 120.14 (37.30) (3.41) 57000 Exploration of vagina 191.69 195.24 195.24 (3.55) (3.55) 57010 Drainage of pelvic abscess 441.05 449.46 449.46 (8.41) (8.41) 57020 Drainage of pelvic fluid 83.13 96.12 83.69 (12.99) (0.56) 57022 I & d vaginal hematoma pp 175.26 176.16 176.16 (0.90) (0.90) 57023 I & d vag hematoma non-ob 315.08 320.94 320.94 (5.86) (5.86) 57061 Destroy vag lesions simple 99.58 118.69 102.50 (19.11) (2.92) 57065 Destroy vag lesions complex 174.29 202.84 181.75 (28.55) (7.46) 57100 Biopsy of vagina 67.06 92.84 69.50 (25.78) (2.44) 57105 Biopsy of vagina 126.90 142.21 131.67 (15.31) (4.77) 57106 Remove vagina wall partial 490.91 515.49 515.49 (24.58) (24.58) 57107 Remove vagina tissue part 1,439.67 1,516.23 1,516.23 (76.56) (76.56) 57109 Vaginectomy partial w/nodes 1,689.34 1,814.01 1,814.01 (124.67) (124.67) 57110 Remove vagina wall complete 910.14 923.72 923.72 (13.58) (13.58) 57111 Remove vagina tissue compl 1,630.82 1,668.00 1,668.00 (37.18) (37.18) 57112 Vaginectomy w/nodes compl 1,709.42 1,936.67 1,936.67 (227.25) (227.25) 57120 CLOSURE OF VAGINA 517.01 527.65 527.65 (10.64) (10.64) 57130 Remove vagina lesion 160.96 183.50 164.68 (22.54) (3.72) 57135 Remove vagina lesion 174.22 199.50 179.92 (25.28) (5.70) 57150 TREAT VAGINA INFECTION 29.64 46.77 29.82 (17.13) (0.18) 57155 Insert uteri tandem/ovoids 285.65 451.19 303.20 (165.54) (17.55) 57156 Ins vag brachytx device 144.80 206.69 152.85 (61.89) (8.05) 57160 Insert pessary/other device 47.78 79.24 48.37 (31.46) (0.59) 57170 Fitting of diaphragm/cap 48.82 63.00 50.19 (14.18) (1.37) 57180 Treat vaginal bleeding 106.97 146.31 109.41 (39.34) (2.44) 57200 Repair of vagina 302.56 314.59 314.59 (12.03) (12.03) 57210 Repair vagina/perineum 370.54 381.15 381.15 (10.61) (10.61) 57220 Revision of urethra 323.47 330.98 330.98 (7.51) (7.51) 57230 Repair of urethral lesion 400.94 409.10 409.10 (8.16) (8.16) 57240 Repair bladder & vagina 673.12 695.04 695.04 (21.92) (21.92) 57250 Repair rectum & vagina 685.36 699.13 699.13 (13.77) (13.77) 57260 Repair of vagina 844.49 860.99 860.99 (16.50) (16.50) 57265 Extensive repair of vagina 924.70 942.44 942.44 (17.74) (17.74) 57267 Insert mesh/pelvic flr addon 258.65 265.05 265.05 (6.40) (6.40) 57268 Repair of bowel bulge 488.29 502.16 502.16 (13.87) (13.87) 57270 Repair of bowel pouch 810.56 828.55 828.55 (17.99) (17.99) 57280 Suspension of vagina 964.25 986.73 986.73 (22.48) (22.48) 57282 Colpopexy extraperitoneal 505.54 519.24 519.24 (13.70) (13.70) 57283 Colpopexy intraperitoneal 699.17 712.70 712.70 (13.53) (13.53) 57284 Repair paravag defect open 823.93 843.92 843.92 (19.99) (19.99) 57285 Repair paravag defect vag 680.04 695.98 695.98 (15.94) (15.94) 57287 Revise/remove sling repair 679.60 706.71 706.71 (27.11) (27.11) 57288 Repair bladder defect 714.26 742.45 742.45 (28.19) (28.19) 57289 Repair bladder & vagina 719.98 763.21 763.21 (43.23) (43.23) 57291 Construction of vagina 632.16 639.51 639.51 (7.35) (7.35) 57292 Construct vagina with graft 829.48 851.48 851.48 (22.00) (22.00) 57295 Revise vag graft via vagina 482.41 495.06 495.06 (12.65) (12.65) 57296 Revise vag graft open abd 964.50 979.91 979.91 (15.41) (15.41) 57300 Repair rectum-vagina fistula 564.60 586.10 586.10 (21.50) (21.50) 57305 Repair rectum-vagina fistula 937.95 975.51 975.51 (37.56) (37.56) 57307 Fistula repair & colostomy 1,066.48 1,128.80 1,128.80 (62.32) (62.32) 57308 Fistula repair transperine 674.00 685.55 685.55 (11.55) (11.55) 57310 REPAIR URETHROVAGINAL LESION 454.64 482.72 482.72 (28.08) (28.08) 57311 Repair urethrovaginal lesion 517.52 551.36 551.36 (33.84) (33.84) 57320 Repair bladder-vagina lesion 529.74 557.31 557.31 (27.57) (27.57) 57330 Repair bladder-vagina lesion 729.70 772.96 772.96 (43.26) (43.26) 57335 Repair vagina 1,139.39 1,178.01 1,178.01 (38.62) (38.62) 57400 Dilation of vagina 135.77 140.01 140.01 (4.24) (4.24) 57410 Pelvic examination 108.93 112.12 112.12 (3.19) (3.19) 57415 Remove vaginal foreign body 160.84 166.49 166.49 (5.65) (5.65) 57420 Exam of vagina w/scope 91.92 122.51 95.40 (30.59) (3.48) 57421 Exam/biopsy of vag w/scope 125.11 164.23 129.59 (39.12) (4.48) 57423 Repair paravag defect lap 930.79 942.84 942.84 (12.05) (12.05) 57425 Laparoscopy surg colpopexy 981.02 1,002.78 1,002.78 (21.76) (21.76) 57426 Revise prosth vag graft lap 859.21 873.29 873.29 (14.08) (14.08) 57452 Exam of cervix w/scope 93.15 113.39 96.07 (20.24) (2.92) 57454 Bx/curett of cervix w/scope 138.17 158.51 140.82 (20.34) (2.65) 57455 Biopsy of cervix w/scope 112.87 148.23 114.72 (35.36) (1.85) 57456 Endocerv curettage w/scope 105.20 139.85 106.71 (34.65) (1.51) 57460 Bx of cervix w/scope leep 166.15 295.34 168.81 (129.19) (2.66) 57461 Conz of cervix w/scope leep 191.43 333.31 194.36 (141.88) (2.93) 57500 Biopsy of cervix 77.11 133.59 78.99 (56.48) (1.88) 57505 Endocervical curettage 92.93 106.47 96.30 (13.54) (3.37) 57510 Cauterization of cervix 117.67 136.00 119.81 (18.33) (2.14) 57511 Cryocautery of cervix 134.49 150.60 137.05 (16.11) (2.56) 57513 Laser surgery of cervix 135.21 150.86 139.56 (15.65) (4.35) 57520 Conization of cervix 276.51 319.74 286.61 (43.23) (10.10) 57522 Conization of cervix 246.71 273.32 252.99 (26.61) (6.28) 57530 Removal of cervix 349.02 361.14 361.14 (12.12) (12.12) 57531 Removal of cervix radical 1,783.88 1,911.20 1,911.20 (127.32) (127.32) 57540 Removal of residual cervix 790.76 809.74 809.74 (18.98) (18.98) 57545 Remove cervix/repair pelvis 834.36 876.05 876.05 (41.69) (41.69) 57550 Removal of residual cervix 413.83 421.53 421.53 (7.70) (7.70) 57555 Remove cervix/repair vagina 609.62 620.11 620.11 (10.49) (10.49) 57556 Remove cervix repair bowel 573.37 587.30 587.30 (13.93) (13.93) 57558 D&c of cervical stump 115.45 129.22 117.54 (13.77) (2.09) 57700 Revision of cervix 314.56 330.85 330.85 (16.29) (16.29) 57720 Revision of cervix 311.28 318.29 318.29 (7.01) (7.01) 57800 Dilation of cervical canal 49.04 62.87 50.45 (13.83) (1.41) 58100 Biopsy of uterus lining 89.54 113.36 90.77 (23.82) (1.23) 58110 Bx done w/colposcopy add-on 41.50 49.72 42.19 (8.22) (0.69) 58120 Dilation and curettage 221.33 268.53 227.11 (47.20) (5.78) 58140 Myomectomy abdom method 933.98 955.40 955.40 (21.42) (21.42) 58145 Myomectomy vag method 552.35 568.61 568.61 (16.26) (16.26) 58146 Myomectomy abdom complex 1,172.28 1,187.00 1,187.00 (14.72) (14.72) 58150 Total hysterectomy 1,016.87 1,051.67 1,051.67 (34.80) (34.80) 58152 Total hysterectomy 1,265.14 1,291.45 1,291.45 (26.31) (26.31) 58180 Partial hysterectomy 973.78 997.65 997.65 (23.87) (23.87) 58200 Extensive hysterectomy 1,348.56 1,427.44 1,427.44 (78.88) (78.88) 58210 Extensive hysterectomy 1,810.11 1,927.53 1,927.53 (117.42) (117.42) 58240 Removal of pelvis contents 2,875.06 3,041.86 3,041.86 (166.80) (166.80) 58260 VAGINAL HYSTERECTOMY 839.71 853.23 853.23 (13.52) (13.52) 58262 VAG HYST INCLUDING T/O 936.74 952.46 952.46 (15.72) (15.72) 58263 Vag hyst w/t/o & vag repair 1,005.83 1,021.21 1,021.21 (15.38) (15.38) 58267 Vag hyst w/urinary repair 1,071.61 1,088.54 1,088.54 (16.93) (16.93) 58270 Vag hyst w/enterocele repair 895.36 910.06 910.06 (14.70) (14.70) 58275 Hysterectomy/revise vagina 999.36 1,016.87 1,016.87 (17.51) (17.51) 58280 Hysterectomy/revise vagina 1,068.02 1,082.46 1,082.46 (14.44) (14.44) 58285 Extensive hysterectomy 1,331.60 1,385.20 1,385.20 (53.60) (53.60) 58290 Vag hyst complex 1,169.16 1,187.24 1,187.24 (18.08) (18.08) 58291 Vag hyst incl t/o complex 1,265.83 1,281.19 1,281.19 (15.36) (15.36) 58292 Vag hyst t/o & repair compl 1,335.25 1,352.83 1,352.83 (17.58) (17.58) 58293 Vag hyst w/uro repair compl 1,389.04 1,405.59 1,405.59 (16.55) (16.55) 58294 Vag hyst w/enterocele compl 1,238.28 1,258.26 1,258.26 (19.98) (19.98) 58300 Insert intrauterine device 51.04 75.56 55.98 (24.52) (4.94) 58301 Remove intrauterine device 69.12 98.45 69.83 (29.33) (0.71) 58340 Catheter for hysterography 58.17 124.82 60.81 (66.65) (2.64) 58345 Reopen fallopian tube 282.78 281.26 281.26 1.52 1.52 58346 Insert heyman uteri capsule 439.55 465.18 465.18 (25.63) (25.63) 58350 Reopen fallopian tube 79.49 100.00 81.55 (20.51) (2.06) 58353 Endometr ablate thermal 222.39 1,060.53 226.47 (838.14) (4.08) 58356 Endometrial cryoablation 351.59 1,984.74 356.53 (1,633.15) (4.94) 58400 Suspension of uterus 443.23 456.39 456.39 (13.16) (13.16) 58410 Suspension of uterus 816.17 846.24 846.24 (30.07) (30.07) 58520 Repair of ruptured uterus 837.86 883.11 883.11 (45.25) (45.25) 58540 Revision of uterus 922.73 935.79 935.79 (13.06) (13.06) 58541 Lsh uterus 250 g or less 876.52 740.56 740.56 135.96 135.96 58542 LSH W/T/O UT 250 G OR LESS 979.96 846.71 846.71 133.25 133.25 58543 LSH UTERUS ABOVE 250 G 994.93 856.20 856.20 138.73 138.73 58544 LSH W/T/O UTERUS ABOVE 250 G 1,080.92 934.27 934.27 146.65 146.65 58545 Laparoscopic myomectomy 910.14 934.79 934.79 (24.65) (24.65) 58546 Laparo-myomectomy complex 1,144.20 1,157.66 1,157.66 (13.46) (13.46) 58548 Lap radical hyst 1,862.01 1,987.05 1,987.05 (125.04) (125.04) 58550 Laparo-asst vag hysterectomy 896.79 911.21 911.21 (14.42) (14.42) 58552 Laparo-vag hyst incl t/o 996.66 1,022.92 1,022.92 (26.26) (26.26) 58553 LAPARO-VAG HYST COMPLEX 1,153.34 1,173.86 1,173.86 (20.52) (20.52) 58554 LAPARO-VAG HYST W/T/O COMPL 1,339.28 1,375.59 1,375.59 (36.31) (36.31) 58555 Hysteroscopy dx sep proc 193.38 324.89 195.73 (131.51) (2.35) 58558 Hysteroscopy biopsy 270.90 421.50 275.40 (150.60) (4.50) 58559 Hysteroscopy lysis 347.68 352.50 352.50 (4.82) (4.82) 58560 Hysteroscopy resect septum 393.06 397.65 397.65 (4.59) (4.59) 58561 Hysteroscopy remove myoma 556.05 563.47 563.47 (7.42) (7.42) 58562 Hysteroscopy remove fb 294.21 435.33 299.02 (141.12) (4.81) 58563 Hysteroscopy ablation 348.04 1,758.21 352.17 (1,410.17) (4.13) 58565 Hysteroscopy sterilization 440.25 1,966.47 447.46 (1,526.22) (7.21) 58570 Tlh uterus 250 g or less 943.67 805.25 805.25 138.42 138.42 58571 Tlh w/t/o 250 g or less 1,056.87 932.12 932.12 124.75 124.75 58572 Tlh uterus over 250 g 1,175.90 1,055.32 1,055.32 120.58 120.58 58573 TLH W/T/O UTERUS OVER 250 G 1,354.65 1,260.75 1,260.75 93.90 93.90 58600 Division of fallopian tube 370.35 376.05 376.05 (5.70) (5.70) 58605 Division of fallopian tube 333.94 340.76 340.76 (6.82) (6.82) 58611 Ligate oviduct(s) add-on 78.88 79.65 79.65 (0.77) (0.77) 58615 Occlude fallopian tube(s) 247.37 251.44 251.44 (4.07) (4.07) 58660 Laparoscopy lysis 682.26 697.31 697.31 (15.05) (15.05) 58661 Laparoscopy remove adnexa 654.16 672.75 672.75 (18.59) (18.59) 58662 Laparoscopy excise lesions 716.11 734.25 734.25 (18.14) (18.14) 58670 Laparoscopy tubal cautery 370.71 377.83 377.83 (7.12) (7.12) 58671 Laparoscopy tubal block 371.07 377.11 377.11 (6.04) (6.04) 58672 Laparoscopy fimbrioplasty 746.85 756.71 756.71 (9.86) (9.86) 58673 Laparoscopy salpingostomy 811.85 822.61 822.61 (10.76) (10.76) 58700 Removal of fallopian tube 786.30 810.92 810.92 (24.62) (24.62) 58720 Removal of ovary/tube(s) 736.70 765.32 765.32 (28.62) (28.62) 58740 Adhesiolysis tube ovary 887.94 915.78 915.78 (27.84) (27.84) 58750 Repair oviduct 928.23 1,010.86 1,010.86 (82.63) (82.63) 58752 Revise ovarian tube(s) 860.28 958.40 958.40 (98.12) (98.12) 58760 Fimbrioplasty 822.09 849.46 849.46 (27.37) (27.37) 58770 Create new tubal opening 877.86 958.22 958.22 (80.36) (80.36) 58800 Drainage of ovarian cyst(s) 301.92 328.82 308.48 (26.90) (6.56) 58805 Drainage of ovarian cyst(s) 410.47 417.59 417.59 (7.12) (7.12) 58820 Drain ovary abscess open 316.53 323.01 323.01 (6.48) (6.48) 58822 Drain ovary abscess percut 749.45 780.93 780.93 (31.48) (31.48) 58825 Transposition ovary(s) 704.77 720.31 720.31 (15.54) (15.54) 58900 Biopsy of ovary(s) 452.69 475.40 475.40 (22.71) (22.71) 58920 Partial removal of ovary(s) 726.05 794.57 794.57 (68.52) (68.52) 58925 Removal of ovarian cyst(s) 751.41 774.94 774.94 (23.53) (23.53) 58940 Removal of ovary(s) 527.12 547.70 547.70 (20.58) (20.58) 58943 Removal of ovary(s) 1,163.16 1,227.77 1,227.77 (64.61) (64.61) 58950 Resect ovarian malignancy 1,113.47 1,179.98 1,179.98 (66.51) (66.51) 58951 Resect ovarian malignancy 1,428.43 1,517.22 1,517.22 (88.79) (88.79) 58952 Resect ovarian malignancy 1,613.01 1,716.42 1,716.42 (103.41) (103.41) 58953 Tah rad dissect for debulk 1,994.43 2,122.72 2,122.72 (128.29) (128.29) 58954 Tah rad debulk/lymph remove 2,162.79 2,306.96 2,306.96 (144.17) (144.17) 58956 Bso omentectomy w/tah 1,362.93 1,441.89 1,441.89 (78.96) (78.96) 58957 Resect recurrent gyn mal 1,564.10 1,659.71 1,659.71 (95.61) (95.61) 58958 RESECT RECUR GYN MAL W/LYM 1,714.63 1,822.90 1,822.90 (108.27) (108.27) 58960 Exploration of abdomen 954.38 1,017.10 1,017.10 (62.72) (62.72) 59000 Amniocentesis diagnostic 127.48 132.60 85.15 (5.12) 42.33 59001 Amniocentesis therapeutic 184.78 189.31 189.31 (4.53) (4.53) 59012 Fetal cord puncture prenatal 208.98 213.54 213.54 (4.56) (4.56) 59015 Chorion biopsy 159.30 163.68 138.83 (4.38) 20.47 59020 Fetal contract stress test 71.23 74.96 74.96 (3.73) (3.73) 59025 Fetal non-stress test 48.06 50.77 50.77 (2.71) (2.71) 59030 Fetal scalp blood sample 99.58 105.55 105.55 (5.97) (5.97) 59050 Fetal monitor w/report 52.30 53.32 53.32 (1.02) (1.02) 59051 Fetal monitor/interpret only 43.53 44.25 44.25 (0.72) (0.72) 59070 Transabdom amnioinfus w/us 418.73 419.85 317.80 (1.12) 100.93 59072 Umbilical cord occlud w/us 538.26 492.27 492.27 45.99 45.99 59074 Fetal fluid drainage w/us 397.90 401.97 314.99 (4.07) 82.91 59076 Fetal shunt placement w/us 540.42 492.27 492.27 48.15 48.15 59100 Remove uterus lesion 856.17 834.08 834.08 22.09 22.09 59120 Treat ectopic pregnancy 815.86 833.44 833.44 (17.58) (17.58) 59121 Treat ectopic pregnancy 816.11 835.81 835.81 (19.70) (19.70) 59130 Treat ectopic pregnancy 835.79 976.17 976.17 (140.38) (140.38) 59135 Treat ectopic pregnancy 828.86 872.30 872.30 (43.44) (43.44) 59136 Treat ectopic pregnancy 906.33 889.93 889.93 16.40 16.40 59140 Treat ectopic pregnancy 378.60 420.77 420.77 (42.17) (42.17) 59150 Treat ectopic pregnancy 790.16 809.33 809.33 (19.17) (19.17) 59151 Treat ectopic pregnancy 768.48 784.70 784.70 (16.22) (16.22) 59160 D & c after delivery 207.72 214.36 181.97 (6.64) 25.75 59200 Insert cervical dilator 73.61 75.42 46.80 (1.81) 26.81 59300 Episiotomy or vaginal repair 196.34 203.48 156.41 (7.14) 39.93 59320 Revision of cervix 156.38 160.41 160.41 (4.03) (4.03) 59325 Revision of cervix 218.14 255.43 255.43 (37.29) (37.29) 59350 Repair of uterus 288.09 278.47 278.47 9.62 9.62 59400 Obstetrical care 2,144.73 2,193.47 2,193.47 (48.74) (48.74) 59409 Obstetrical care 840.57 854.59 854.59 (14.02) (14.02) 59410 Obstetrical care 1,070.75 1,090.72 1,090.72 (19.97) (19.97) 59412 Antepartum manipulation 106.47 109.06 109.06 (2.59) (2.59) 59414 Deliver placenta 94.40 96.47 96.47 (2.07) (2.07) 59425 Antepartum care only 465.62 477.34 373.04 (11.72) 92.58 59426 Antepartum care only 832.98 853.80 657.99 (20.82) 174.99 59430 Care after delivery 188.31 193.72 145.89 (5.41) 42.42 59510 CESAREAN DELIVERY 2,371.93 2,433.68 2,433.68 (61.75) (61.75) 59514 Cesarean delivery only 945.68 962.87 962.87 (17.19) (17.19) 59515 Cesarean delivery 1,297.11 1,325.55 1,325.55 (28.44) (28.44) 59525 Remove uterus after cesarean 499.71 507.52 507.52 (7.81) (7.81) 59610 Vbac delivery 2,249.19 2,306.54 2,306.54 (57.35) (57.35) 59612 Vbac delivery only 943.69 963.69 963.69 (20.00) (20.00) 59614 Vbac care after delivery 1,173.20 1,199.00 1,199.00 (25.80) (25.80) 59618 Attempted vbac delivery 2,404.43 2,466.52 2,466.52 (62.09) (62.09) 59620 ATTEMPTED VBAC DELIVERY ONLY 977.03 987.58 987.58 (10.55) (10.55) 59622 Attempted vbac after care 1,332.81 1,362.12 1,362.12 (29.31) (29.31) 59812 Treatment of miscarriage 324.63 334.43 310.71 (9.80) 13.92 59820 Care of miscarriage 386.96 399.02 374.92 (12.06) 12.04 59821 Treatment of miscarriage 390.59 402.23 375.87 (11.64) 14.72 59830 Treat uterus infection 447.06 459.01 459.01 (11.95) (11.95) 59840 Abortion 219.50 228.46 219.04 (8.96) 0.46 59841 Abortion 390.88 402.04 379.45 (11.16) 11.43 59850 Abortion 343.13 366.14 366.14 (23.01) (23.01) 59851 Abortion 408.10 389.08 389.08 19.02 19.02 59852 Abortion 502.87 530.20 530.20 (27.33) (27.33) 59855 Abortion 425.74 436.41 436.41 (10.67) (10.67) 59856 Abortion 499.99 512.75 512.75 (12.76) (12.76) 59857 Abortion 513.88 543.25 543.25 (29.37) (29.37) 59866 Abortion (mpr) 216.12 227.30 227.30 (11.18) (11.18) 59870 Evacuate mole of uterus 482.64 497.08 497.08 (14.44) (14.44) 59871 Remove cerclage suture 137.49 140.50 140.50 (3.01) (3.01) 60000 Drain thyroid/tongue cyst 156.13 181.24 162.79 (25.11) (6.66) 60100 Biopsy of thyroid 79.25 118.31 82.91 (39.06) (3.66) 60200 Remove thyroid lesion 663.40 696.97 696.97 (33.57) (33.57) 60210 Partial thyroid excision 709.19 746.43 746.43 (37.24) (37.24) 60212 Partial thyroid excision 1,010.44 1,061.10 1,061.10 (50.66) (50.66) 60220 Partial removal of thyroid 712.64 746.82 746.82 (34.18) (34.18) 60225 Partial removal of thyroid 934.46 983.66 983.66 (49.20) (49.20) 60240 Removal of thyroid 923.41 969.87 969.87 (46.46) (46.46) 60252 Removal of thyroid 1,322.90 1,393.35 1,393.35 (70.45) (70.45) 60254 Extensive thyroid surgery 1,671.97 1,765.50 1,765.50 (93.53) (93.53) 60260 Repeat thyroid surgery 1,098.38 1,153.24 1,153.24 (54.86) (54.86) 60270 Removal of thyroid 1,371.83 1,441.08 1,441.08 (69.25) (69.25) 60271 Removal of thyroid 1,060.23 1,115.70 1,115.70 (55.47) (55.47) 60280 Remove thyroid duct lesion 446.78 469.84 469.84 (23.06) (23.06) 60281 Remove thyroid duct lesion 594.64 621.66 621.66 (27.02) (27.02) 60300 Aspir/inj thyroid cyst 50.11 125.40 52.35 (75.29) (2.24) 60500 Explore parathyroid glands 968.08 1,017.61 1,017.61 (49.53) (49.53) 60502 Re-explore parathyroids 1,289.40 1,356.37 1,356.37 (66.97) (66.97) 60505 Explore parathyroid glands 1,389.95 1,460.42 1,460.42 (70.47) (70.47) 60512 Autotransplant parathyroid 243.12 256.63 256.63 (13.51) (13.51) 60520 Removal of thymus gland 1,042.82 1,099.59 1,099.59 (56.77) (56.77) 60521 Removal of thymus gland 1,138.91 1,184.37 1,184.37 (45.46) (45.46) 60522 Removal of thymus gland 1,379.24 1,432.07 1,432.07 (52.83) (52.83) 60540 Explore adrenal gland 1,054.16 1,115.55 1,115.55 (61.39) (61.39) 60545 Explore adrenal gland 1,212.91 1,279.17 1,279.17 (66.26) (66.26) 60600 Remove carotid body lesion 1,434.20 1,470.48 1,470.48 (36.28) (36.28) 60605 Remove carotid body lesion 1,581.82 1,814.95 1,814.95 (233.13) (233.13) 60650 Laparoscopy adrenalectomy 1,187.51 1,255.41 1,255.41 (67.90) (67.90) 61000 Remove cranial cavity fluid 88.52 122.66 122.66 (34.14) (34.14) 61001 Remove cranial cavity fluid 109.10 89.30 89.30 19.80 19.80 61020 Remove brain cavity fluid 106.50 107.15 107.15 (0.65) (0.65) 61026 Injection into brain canal 107.75 108.78 108.78 (1.03) (1.03) 61050 Remove brain canal fluid 85.74 90.12 90.12 (4.38) (4.38) 61055 Injection into brain canal 118.34 127.09 127.09 (8.75) (8.75) 61070 Brain canal shunt procedure 60.09 61.02 61.02 (0.93) (0.93) 61105 Twist drill hole 467.16 487.65 487.65 (20.49) (20.49) 61107 Drill skull for implantation 318.40 337.78 337.78 (19.38) (19.38) 61108 Drill skull for drainage 916.23 970.67 970.67 (54.44) (54.44) 61120 Burr hole for puncture 754.75 797.23 797.23 (42.48) (42.48) 61140 Pierce skull for biopsy 1,272.98 1,353.33 1,353.33 (80.35) (80.35) 61150 Pierce skull for drainage 1,365.83 1,431.66 1,431.66 (65.83) (65.83) 61151 Pierce skull for drainage 1,003.07 1,068.30 1,068.30 (65.23) (65.23) 61154 Pierce skull & remove clot 1,283.31 1,359.09 1,359.09 (75.78) (75.78) 61156 Pierce skull for drainage 1,253.82 1,331.59 1,331.59 (77.77) (77.77) 61210 Pierce skull implant device 371.94 395.70 395.70 (23.76) (23.76) 61215 Insert brain-fluid device 509.40 542.85 542.85 (33.45) (33.45) 61250 Pierce skull & explore 874.82 864.54 864.54 10.28 10.28 61253 Pierce skull & explore 824.71 864.62 864.62 (39.91) (39.91) 61304 Open skull for exploration 1,653.91 1,759.38 1,759.38 (105.47) (105.47) 61305 Open skull for exploration 2,026.33 2,143.82 2,143.82 (117.49) (117.49) 61312 Open skull for drainage 2,099.78 2,225.51 2,225.51 (125.73) (125.73) 61313 Open skull for drainage 2,002.14 2,124.05 2,124.05 (121.91) (121.91) 61314 Open skull for drainage 1,847.28 1,949.91 1,949.91 (102.63) (102.63) 61315 Open skull for drainage 2,089.74 2,212.48 2,212.48 (122.74) (122.74) 61316 Implt cran bone flap to abdo 88.75 94.20 94.20 (5.45) (5.45) 61320 Open skull for drainage 1,920.59 2,034.27 2,034.27 (113.68) (113.68) 61321 Open skull for drainage 2,147.53 2,245.22 2,245.22 (97.69) (97.69) 61322 Decompressive craniotomy 2,395.96 2,544.33 2,544.33 (148.37) (148.37) 61323 Decompressive lobectomy 2,404.18 2,574.16 2,574.16 (169.98) (169.98) 61330 Decompress eye socket 1,874.63 1,712.49 1,712.49 162.14 162.14 61332 Explore/biopsy eye socket 2,092.43 1,882.79 1,882.79 209.64 209.64 61333 Explore orbit/remove lesion 2,139.74 1,941.07 1,941.07 198.67 198.67 61340 Subtemporal decompression 1,458.44 1,525.52 1,525.52 (67.08) (67.08) 61343 Incise skull (press relief) 2,218.97 2,347.59 2,347.59 (128.62) (128.62) 61345 Relieve cranial pressure 2,056.48 2,176.04 2,176.04 (119.56) (119.56) 61450 Incise skull for surgery 1,938.83 2,057.41 2,057.41 (118.58) (118.58) 61458 Incise skull for brain wound 2,025.19 2,146.25 2,146.25 (121.06) (121.06) 61460 Incise skull for surgery 2,121.30 2,261.91 2,261.91 (140.61) (140.61) 61480 Incise skull for surgery 1,491.31 1,705.03 1,705.03 (213.72) (213.72) 61500 Removal of skull lesion 1,344.97 1,406.77 1,406.77 (61.80) (61.80) 61501 Remove infected skull bone 1,165.18 1,228.32 1,228.32 (63.14) (63.14) 61510 Removal of brain lesion 2,207.73 2,336.82 2,336.82 (129.09) (129.09) 61512 Remove brain lining lesion 2,573.73 2,724.00 2,724.00 (150.27) (150.27) 61514 Removal of brain abscess 1,925.30 2,030.48 2,030.48 (105.18) (105.18) 61516 Removal of brain lesion 1,876.12 1,982.21 1,982.21 (106.09) (106.09) 61517 Implt brain chemotx add-on 88.05 94.22 94.22 (6.17) (6.17) 61518 Removal of brain lesion 2,786.91 2,946.45 2,946.45 (159.54) (159.54) 61519 Remove brain lining lesion 2,977.00 3,130.34 3,130.34 (153.34) (153.34) 61520 Removal of brain lesion 3,773.63 4,022.55 4,022.55 (248.92) (248.92) 61521 Removal of brain lesion 3,209.38 3,366.00 3,366.00 (156.62) (156.62) 61522 Removal of brain abscess 2,204.80 2,318.71 2,318.71 (113.91) (113.91) 61524 Removal of brain lesion 2,099.49 2,213.67 2,213.67 (114.18) (114.18) 61526 Removal of brain lesion 3,679.26 3,923.79 3,923.79 (244.53) (244.53) 61530 Removal of brain lesion 3,102.03 3,307.24 3,307.24 (205.21) (205.21) 61531 Implant brain electrodes 1,232.83 1,302.21 1,302.21 (69.38) (69.38) 61533 Implant brain electrodes 1,535.72 1,625.96 1,625.96 (90.24) (90.24) 61534 Removal of brain lesion 1,658.79 1,737.80 1,737.80 (79.01) (79.01) 61535 Remove brain electrodes 1,008.49 1,065.16 1,065.16 (56.67) (56.67) 61536 Removal of brain lesion 2,600.03 2,772.43 2,772.43 (172.40) (172.40) 61537 Removal of brain tissue 2,485.50 2,631.15 2,631.15 (145.65) (145.65) 61538 Removal of brain tissue 2,691.64 2,862.57 2,862.57 (170.93) (170.93) 61539 Removal of brain tissue 2,379.85 2,510.19 2,510.19 (130.34) (130.34) 61540 Removal of brain tissue 2,200.63 2,346.45 2,346.45 (145.82) (145.82) 61541 Incision of brain tissue 2,166.04 2,309.37 2,309.37 (143.33) (143.33) 61543 Removal of brain tissue 2,189.63 2,262.98 2,262.98 (73.35) (73.35) 61544 Remove & treat brain lesion 1,918.06 2,044.45 2,044.45 (126.39) (126.39) 61545 Excision of brain tumor 3,210.07 3,422.78 3,422.78 (212.71) (212.71) 61546 Removal of pituitary gland 2,325.95 2,480.04 2,480.04 (154.09) (154.09) 61548 Removal of pituitary gland 1,567.48 1,675.98 1,675.98 (108.50) (108.50) 61550 Release of skull seams 881.56 1,019.70 1,019.70 (138.14) (138.14) 61552 Release of skull seams 1,119.64 1,223.19 1,223.19 (103.55) (103.55) 61556 Incise skull/sutures 1,718.15 1,679.91 1,679.91 38.24 38.24 61557 Incise skull/sutures 1,694.68 1,707.89 1,707.89 (13.21) (13.21) 61558 Excision of skull/sutures 1,706.54 2,018.14 2,018.14 (311.60) (311.60) 61559 Excision of skull/sutures 1,751.08 2,235.22 2,235.22 (484.14) (484.14) 61563 Excision of skull tumor 1,996.06 2,037.54 2,037.54 (41.48) (41.48) 61564 Excision of skull tumor 2,425.59 2,463.88 2,463.88 (38.29) (38.29) 61566 Removal of brain tissue 2,265.77 2,403.34 2,403.34 (137.57) (137.57) 61567 Incision of brain tissue 2,584.07 2,754.41 2,754.41 (170.34) (170.34) 61570 Remove foreign body brain 1,882.45 1,995.92 1,995.92 (113.47) (113.47) 61571 Incise skull for brain wound 2,004.68 2,126.58 2,126.58 (121.90) (121.90) 61575 Skull base/brainstem surgery 2,433.07 2,270.56 2,270.56 162.51 162.51 61576 Skull base/brainstem surgery 3,450.80 3,848.20 3,848.20 (397.40) (397.40) 61580 Craniofacial approach skull 2,502.86 2,666.09 2,666.09 (163.23) (163.23) 61581 Craniofacial approach skull 2,705.49 2,822.86 2,822.86 (117.37) (117.37) 61582 Craniofacial approach skull 2,974.82 3,098.80 3,098.80 (123.98) (123.98) 61583 Craniofacial approach skull 2,930.76 3,090.97 3,090.97 (160.21) (160.21) 61584 Orbitocranial approach/skull 2,880.85 3,051.71 3,051.71 (170.86) (170.86) 61585 Orbitocranial approach/skull 3,266.53 3,454.56 3,454.56 (188.03) (188.03) 61586 Resect nasopharynx skull 2,471.18 2,579.88 2,579.88 (108.70) (108.70) 61590 Infratemporal approach/skull 3,075.14 3,230.88 3,230.88 (155.74) (155.74) 61591 Infratemporal approach/skull 3,127.03 3,295.34 3,295.34 (168.31) (168.31) 61592 Orbitocranial approach/skull 3,205.78 3,391.56 3,391.56 (185.78) (185.78) 61595 Transtemporal approach/skull 2,390.09 2,512.99 2,512.99 (122.90) (122.90) 61596 Transcochlear approach/skull 2,475.55 2,580.78 2,580.78 (105.23) (105.23) 61597 Transcondylar approach/skull 2,875.56 3,003.52 3,003.52 (127.96) (127.96) 61598 Transpetrosal approach/skull 2,861.44 3,037.32 3,037.32 (175.88) (175.88) 61600 Resect/excise cranial lesion 2,162.00 2,273.82 2,273.82 (111.82) (111.82) 61601 Resect/excise cranial lesion 2,434.09 2,585.17 2,585.17 (151.08) (151.08) 61605 Resect/excise cranial lesion 2,204.32 2,308.31 2,308.31 (103.99) (103.99) 61606 Resect/excise cranial lesion 3,029.25 3,183.01 3,183.01 (153.76) (153.76) 61607 Resect/excise cranial lesion 2,915.62 2,888.06 2,888.06 27.56 27.56 61608 Resect/excise cranial lesion 3,270.94 3,470.77 3,470.77 (199.83) (199.83) 61610 Transect artery sinus 1,776.32 1,635.26 1,635.26 141.06 141.06 61611 Transect artery sinus 395.13 408.91 408.91 (13.78) (13.78) 61612 Transect artery sinus 1,401.92 1,536.76 1,536.76 (134.84) (134.84) 61613 Remove aneurysm sinus 3,310.90 3,446.57 3,446.57 (135.67) (135.67) 61615 Resect/excise lesion skull 2,278.64 2,413.42 2,413.42 (134.78) (134.78) 61616 Resect/excise lesion skull 3,355.05 3,559.03 3,559.03 (203.98) (203.98) 61618 Repair dura 1,315.31 1,383.69 1,383.69 (68.38) (68.38) 61619 Repair dura 1,493.11 1,535.64 1,535.64 (42.53) (42.53) 61623 Endovasc tempory vessel occl 556.42 600.99 600.99 (44.57) (44.57) 61624 Transcath occlusion cns 1,110.78 1,206.90 1,206.90 (96.12) (96.12) 61626 Transcath occlusion non-cns 859.21 907.79 907.79 (48.58) (48.58) 61630 Intracranial angioplasty 1,279.50 1,407.42 1,407.42 (127.92) (127.92) 61635 Intracran angioplsty w/stent 1,395.88 1,510.74 1,510.74 (114.86) (114.86) 61640 Dilate ic vasospasm init 620.78 680.42 680.42 (59.64) (59.64) 61641 Dilate ic vasospasm add-on 218.40 238.80 238.80 (20.40) (20.40) 61642 Dilate ic vasospasm add-on 436.05 477.98 477.98 (41.93) (41.93) 61645 Perq art m-thrombect &/nfs 777.36 818.39 818.39 (41.03) (41.03) 61650 Evasc prlng admn rx agnt 1st 519.10 546.51 546.51 (27.41) (27.41) 61651 Evasc prlng admn rx agnt add 220.44 232.08 232.08 (11.64) (11.64) 61680 Intracranial vessel surgery 2,272.12 2,396.51 2,396.51 (124.39) (124.39) 61682 Intracranial vessel surgery 4,216.04 4,446.52 4,446.52 (230.48) (230.48) 61684 Intracranial vessel surgery 2,867.71 3,057.54 3,057.54 (189.83) (189.83) 61686 Intracranial vessel surgery 4,538.10 4,797.32 4,797.32 (259.22) (259.22) 61690 Intracranial vessel surgery 2,204.35 2,317.83 2,317.83 (113.48) (113.48) 61692 Intracranial vessel surgery 3,691.56 3,899.95 3,899.95 (208.39) (208.39) 61697 Brain aneurysm repr complx 4,258.37 4,519.53 4,519.53 (261.16) (261.16) 61698 Brain aneurysm repr complx 4,674.04 4,955.87 4,955.87 (281.83) (281.83) 61700 Brain aneurysm repr simple 3,446.37 3,636.14 3,636.14 (189.77) (189.77) 61702 Inner skull vessel surgery 4,060.39 4,293.85 4,293.85 (233.46) (233.46) 61703 Clamp neck artery 1,370.29 1,460.36 1,460.36 (90.07) (90.07) 61705 Revise circulation to head 2,624.34 2,744.99 2,744.99 (120.65) (120.65) 61708 Revise circulation to head 1,953.55 2,236.79 2,236.79 (283.24) (283.24) 61710 Revise circulation to head 1,999.31 2,312.57 2,312.57 (313.26) (313.26) 61711 Fusion of skull arteries 2,629.56 2,773.81 2,773.81 (144.25) (144.25) 61720 Incise skull/brain surgery 1,280.54 1,364.88 1,364.88 (84.34) (84.34) 61735 Incise skull/brain surgery 1,602.87 1,686.41 1,686.41 (83.54) (83.54) 61750 Incise skull/brain biopsy 1,418.10 1,505.39 1,505.39 (87.29) (87.29) 61751 Brain biopsy w/ct/mr guide 1,386.73 1,480.81 1,480.81 (94.08) (94.08) 61760 Implant brain electrodes 1,593.12 1,698.53 1,698.53 (105.41) (105.41) 61770 Incise skull for treatment 1,632.13 1,733.27 1,733.27 (101.14) (101.14) 61781 Scan proc cranial intra 236.14 252.27 252.27 (16.13) (16.13) 61782 Scan proc cranial extra 193.09 185.97 185.97 7.12 7.12 61783 Scan proc spinal 236.86 248.47 248.47 (11.61) (11.61) 61790 Treat trigeminal nerve 881.71 944.31 944.31 (62.60) (62.60) 61791 Treat trigeminal tract 1,121.84 1,142.43 1,142.43 (20.59) (20.59) 61796 Srs cranial lesion simple 1,011.59 1,087.71 1,087.71 (76.12) (76.12) 61797 Srs cran les simple addl 219.60 236.97 236.97 (17.37) (17.37) 61798 Srs cranial lesion complex 1,381.38 1,481.98 1,481.98 (100.60) (100.60) 61799 Srs cran les complex addl 302.61 326.48 326.48 (23.87) (23.87) 61800 Apply srs headframe add-on 153.64 165.72 165.72 (12.08) (12.08) 61850 Implant neuroelectrodes 990.33 1,054.41 1,054.41 (64.08) (64.08) 61860 Implant neuroelectrodes 1,577.49 1,681.55 1,681.55 (104.06) (104.06) 61863 Implant neuroelectrode 1,516.52 1,607.93 1,607.93 (91.41) (91.41) 61864 Implant neuroelectrde addl 287.08 305.48 305.48 (18.40) (18.40) 61867 Implant neuroelectrode 2,300.57 2,438.19 2,438.19 (137.62) (137.62) 61868 Implant neuroelectrde addl 505.49 535.62 535.62 (30.13) (30.13) 61870 Implant neuroelectrodes 1,193.43 1,225.79 1,225.79 (32.36) (32.36) 61880 Revise/remove neuroelectrode 577.68 611.29 611.29 (33.61) (33.61) 61885 Insrt/redo neurostim 1 array 523.03 551.50 551.50 (28.47) (28.47) 61886 Implant neurostim arrays 854.42 904.35 904.35 (49.93) (49.93) 61888 Revise/remove neuroreceiver 394.69 423.46 423.46 (28.77) (28.77) 62000 Treat skull fracture 1,039.51 1,106.67 1,106.67 (67.16) (67.16) 62005 Treat skull fracture 1,281.24 1,328.02 1,328.02 (46.78) (46.78) 62010 Treatment of head injury 1,544.03 1,636.27 1,636.27 (92.24) (92.24) 62100 Repair brain fluid leakage 1,623.17 1,702.73 1,702.73 (79.56) (79.56) 62115 Reduction of skull defect 1,261.78 1,379.00 1,379.00 (117.22) (117.22) 62117 Reduction of skull defect 1,567.95 1,724.02 1,724.02 (156.07) (156.07) 62120 Repair skull cavity lesion 1,685.33 1,770.10 1,770.10 (84.77) (84.77) 62121 Incise skull repair 1,722.68 1,699.30 1,699.30 23.38 23.38 62140 Repair of skull defect 1,047.62 1,102.23 1,102.23 (54.61) (54.61) 62141 Repair of skull defect 1,152.78 1,213.87 1,213.87 (61.09) (61.09) 62142 Remove skull plate/flap 896.74 947.91 947.91 (51.17) (51.17) 62143 Replace skull plate/flap 1,051.67 1,109.56 1,109.56 (57.89) (57.89) 62145 Repair of skull & brain 1,435.84 1,507.13 1,507.13 (71.29) (71.29) 62146 Repair of skull with graft 1,259.07 1,329.13 1,329.13 (70.06) (70.06) 62147 Repair of skull with graft 1,468.48 1,512.43 1,512.43 (43.95) (43.95) 62148 Retr bone flap to fix skull 127.85 136.61 136.61 (8.76) (8.76) 62160 Neuroendoscopy add-on 191.98 204.37 204.37 (12.39) (12.39) 62161 Dissect brain w/scope 1,530.65 1,627.61 1,627.61 (96.96) (96.96) 62162 Remove colloid cyst w/scope 1,905.43 2,021.03 2,021.03 (115.60) (115.60) 62163 Zneuroendoscopy w/fb removal 1,234.10 1,187.00 1,187.00 47.10 47.10 62164 Remove brain tumor w/scope 2,106.88 2,223.76 2,223.76 (116.88) (116.88) 62165 Remove pituit tumor w/scope 1,561.12 1,646.03 1,646.03 (84.91) (84.91) 62180 Establish brain cavity shunt 1,614.45 1,708.25 1,708.25 (93.80) (93.80) 62190 Establish brain cavity shunt 932.16 942.48 942.48 (10.32) (10.32) 62192 Establish brain cavity shunt 983.57 1,042.86 1,042.86 (59.29) (59.29) 62194 Replace/irrigate catheter 432.46 494.81 494.81 (62.35) (62.35) 62200 Establish brain cavity shunt 1,387.64 1,473.64 1,473.64 (86.00) (86.00) 62201 Brain cavity shunt w/scope 1,212.78 1,293.13 1,293.13 (80.35) (80.35) 62220 Establish brain cavity shunt 1,028.84 1,100.28 1,100.28 (71.44) (71.44) 62223 Establish brain cavity shunt 1,063.44 1,120.71 1,120.71 (57.27) (57.27) 62225 Replace/irrigate catheter 528.37 561.93 561.93 (33.56) (33.56) 62230 Replace/revise brain shunt 850.63 900.62 900.62 (49.99) (49.99) 62252 Csf shunt reprogram 85.59 91.07 91.07 (5.48) (5.48) 62256 Remove brain cavity shunt 605.92 639.86 639.86 (33.94) (33.94) 62258 Replace brain cavity shunt 1,136.53 1,203.34 1,203.34 (66.81) (66.81) 62263 Epidural lysis mult sessions 353.03 691.53 359.04 (338.50) (6.01) 62264 Epidural lysis on single day 238.75 445.90 250.84 (207.15) (12.09) 62267 Interdiscal perq aspir dx 161.23 262.12 167.98 (100.89) (6.75) 62268 Drain spinal cord cyst 262.42 272.73 272.73 (10.31) (10.31) 62269 Needle biopsy spinal cord 268.92 284.77 284.77 (15.85) (15.85) 62270 Spinal fluid tap diagnostic 79.37 168.23 82.00 (88.86) (2.63) 62272 Drain cerebro spinal fluid 86.04 213.93 88.16 (127.89) (2.12) 62273 Inject epidural patch 113.78 182.38 119.50 (68.60) (5.72) 62280 Treat spinal cord lesion 173.73 323.58 169.95 (149.85) 3.78 62281 Treat spinal cord lesion 160.36 253.84 165.35 (93.48) (4.99) 62282 Treat spinal canal lesion 145.57 310.24 153.22 (164.67) (7.65) 62284 Injection for myelogram 86.87 192.87 90.45 (106.00) (3.58) 62287 Percutaneous diskectomy 564.62 599.04 599.04 (34.42) (34.42) 62290 Inject for spine disk x-ray 174.87 353.19 181.86 (178.32) (6.99) 62291 Inject for spine disk x-ray 171.03 350.05 180.23 (179.02) (9.20) 62292 Injection into disk lesion 586.39 614.42 614.42 (28.03) (28.03) 62294 Injection into spinal artery 717.69 829.18 829.18 (111.49) (111.49) 62302 Myelography lumbar injection 122.48 254.77 129.01 (132.29) (6.53) 62303 Myelography lumbar injection 124.27 264.94 131.27 (140.67) (7.00) 62304 Myelography lumbar injection 120.40 252.20 127.19 (131.80) (6.79) 62305 Myelography lumbar injection 125.60 275.01 132.67 (149.41) (7.07) 62350 Implant spinal canal cath 404.97 424.76 424.76 (19.79) (19.79) 62351 Implant spinal canal cath 885.48 924.53 924.53 (39.05) (39.05) 62355 Remove spinal canal catheter 268.06 286.01 286.01 (17.95) (17.95) 62360 Insert spine infusion device 314.84 330.89 330.89 (16.05) (16.05) 62361 Implant spine infusion pump 351.85 381.73 381.73 (29.88) (29.88) 62362 Implant spine infusion pump 389.41 410.22 410.22 (20.81) (20.81) 62365 Remove spine infusion device 294.90 315.43 315.43 (20.53) (20.53) 62367 Analyze spine infus pump 25.41 43.52 26.57 (18.11) (1.16) 62368 Analyze sp inf pump w/reprog 34.38 59.72 37.13 (25.34) (2.75) 62369 Anal sp inf pmp w/reprg&fill 35.10 127.88 37.51 (92.78) (2.41) 62370 Anl sp inf pmp w/mdreprg&fil 46.20 134.23 49.13 (88.03) (2.93) 63001 Remove spine lamina 1/2 crvl 1,248.96 1,323.57 1,323.57 (74.61) (74.61) 63003 Remove spine lamina 1/2 thrc 1,247.54 1,316.56 1,316.56 (69.02) (69.02) 63005 Remove spine lamina 1/2 lmbr 1,194.45 1,257.83 1,257.83 (63.38) (63.38) 63011 Remove spine lamina 1/2 scrl 1,101.31 1,161.64 1,161.64 (60.33) (60.33) 63012 Remove lamina/facets lumbar 1,203.77 1,266.75 1,266.75 (62.98) (62.98) 63015 Remove spine lamina >2 crvcl 1,498.35 1,583.04 1,583.04 (84.69) (84.69) 63016 Remove spine lamina >2 thrc 1,530.62 1,617.04 1,617.04 (86.42) (86.42) 63017 Remove spine lamina >2 lmbr 1,261.84 1,335.42 1,335.42 (73.58) (73.58) 63020 Neck spine disk surgery 1,182.27 1,234.62 1,234.62 (52.35) (52.35) 63030 Low back disk surgery 980.44 1,029.69 1,029.69 (49.25) (49.25) 63035 Spinal disk surgery add-on 194.24 203.73 203.73 (9.49) (9.49) 63040 Laminotomy single cervical 1,420.91 1,479.65 1,479.65 (58.74) (58.74) 63042 Laminotomy single lumbar 1,313.15 1,375.68 1,375.68 (62.53) (62.53) 63043 Laminotomy addl cervical 535.76 0.00 0.00 535.76 535.76 63044 Laminotomy addl lumbar 508.97 0.00 0.00 508.97 508.97 63045 Remove spine lamina 1 crvl 1,285.38 1,373.31 1,373.31 (87.93) (87.93) 63046 REMOVE SPINE LAMINA 1 THRC 1,223.21 1,298.67 1,298.67 (75.46) (75.46) 63047 Remove spine lamina 1 lmbr 1,113.76 1,172.74 1,172.74 (58.98) (58.98) 63048 Remove spinal lamina add-on 215.42 225.12 225.12 (9.70) (9.70) 63050 Cervical laminoplsty 2/> seg 1,575.65 1,583.27 1,583.27 (7.62) (7.62) 63051 C-laminoplasty w/graft/plate 1,731.09 1,817.31 1,817.31 (86.22) (86.22) 63055 DECOMPRESS SPINAL CORD THRC 1,642.43 1,734.94 1,734.94 (92.51) (92.51) 63056 Decompress spinal cord lmbr 1,494.76 1,575.49 1,575.49 (80.73) (80.73) 63057 Decompress spine cord add-on 324.64 340.60 340.60 (15.96) (15.96) 63064 Decompress spinal cord thrc 1,789.15 1,881.90 1,881.90 (92.75) (92.75) 63066 Decompress spine cord add-on 208.89 222.47 222.47 (13.58) (13.58) 63075 Neck spine disk surgery 1,381.36 1,441.88 1,441.88 (60.52) (60.52) 63076 Neck spine disk surgery 251.76 262.78 262.78 (11.02) (11.02) 63077 Spine disk surgery thorax 1,508.49 1,592.08 1,592.08 (83.59) (83.59) 63078 Spine disk surgery thorax 196.30 205.72 205.72 (9.42) (9.42) 63081 Remove vert body dcmprn crvl 1,788.21 1,868.87 1,868.87 (80.66) (80.66) 63082 Remove vertebral body add-on 271.01 283.54 283.54 (12.53) (12.53) 63085 Remove vert body dcmprn thrc 1,915.63 2,028.15 2,028.15 (112.52) (112.52) 63086 Remove vertebral body add-on 191.99 202.16 202.16 (10.17) (10.17) 63087 Remov vertbr dcmprn thrclmbr 2,410.47 2,553.74 2,553.74 (143.27) (143.27) 63088 Remove vertebral body add-on 259.17 275.64 275.64 (16.47) (16.47) 63090 Remove vert body dcmprn lmbr 1,982.09 2,069.54 2,069.54 (87.45) (87.45) 63091 Remove vertebral body add-on 179.76 187.58 187.58 (7.82) (7.82) 63101 Remove vert body dcmprn thrc 2,341.47 2,462.79 2,462.79 (121.32) (121.32) 63102 Remove vert body dcmprn lmbr 2,261.18 2,413.08 2,413.08 (151.90) (151.90) 63103 Remove vertebral body add-on 294.18 311.93 311.93 (17.75) (17.75) 63170 Incise spinal cord tract(s) 1,605.93 1,711.80 1,711.80 (105.87) (105.87) 63172 Drainage of spinal cyst 1,422.93 1,480.69 1,480.69 (57.76) (57.76) 63173 Drainage of spinal cyst 1,741.25 1,831.77 1,831.77 (90.52) (90.52) 63180 Revise spinal cord ligaments 1,498.47 1,596.93 1,596.93 (98.46) (98.46) 63182 Revise spinal cord ligaments 1,476.63 1,473.09 1,473.09 3.54 3.54 63185 Incise spine nrv half segmnt 1,210.48 1,204.42 1,204.42 6.06 6.06 63190 Incise spine nrv >2 segmnts 1,275.83 1,336.03 1,336.03 (60.20) (60.20) 63191 Incise spine accessory nerve 1,280.24 1,448.43 1,448.43 (168.19) (168.19) 63194 Incise spine & cord cervical 1,255.64 1,717.00 1,717.00 (461.36) (461.36) 63195 Incise spine & cord thoracic 1,549.89 1,651.96 1,651.96 (102.07) (102.07) 63196 Incise spine&cord 2 trx crvl 1,360.78 1,488.39 1,488.39 (127.61) (127.61) 63197 Incise spine&cord 2 trx thrc 1,554.09 1,839.34 1,839.34 (285.25) (285.25) 63198 Incise spin&cord 2 stgs crvl 1,602.35 1,752.58 1,752.58 (150.23) (150.23) 63199 Incise spin&cord 2 stgs thrc 1,681.14 1,839.09 1,839.09 (157.95) (157.95) 63200 Release spinal cord lumbar 1,553.89 1,638.33 1,638.33 (84.44) (84.44) 63250 Revise spinal cord vsls crvl 2,992.81 2,993.35 2,993.35 (0.54) (0.54) 63251 Revise spinal cord vsls thrc 3,059.71 3,252.05 3,252.05 (192.34) (192.34) 63252 Revise spine cord vsl thrlmb 3,059.01 3,248.10 3,248.10 (189.09) (189.09) 63265 Excise intraspinl lesion crv 1,686.80 1,781.86 1,781.86 (95.06) (95.06) 63266 Excise intrspinl lesion thrc 1,741.04 1,831.54 1,831.54 (90.50) (90.50) 63267 Excise intrspinl lesion lmbr 1,390.88 1,458.54 1,458.54 (67.66) (67.66) 63268 Excise intrspinl lesion scrl 1,467.88 1,531.75 1,531.75 (63.87) (63.87) 63270 Excise intrspinl lesion crvl 2,093.50 2,226.91 2,226.91 (133.41) (133.41) 63271 Excise intrspinl lesion thrc 2,091.26 2,206.43 2,206.43 (115.17) (115.17) 63272 Excise intrspinl lesion lmbr 1,923.66 2,012.71 2,012.71 (89.05) (89.05) 63273 Excise intrspinl lesion scrl 1,880.37 1,993.37 1,993.37 (113.00) (113.00) 63275 Bx/exc xdrl spine lesn crvl 1,820.01 1,918.46 1,918.46 (98.45) (98.45) 63276 Bx/exc xdrl spine lesn thrc 1,802.55 1,903.72 1,903.72 (101.17) (101.17) 63277 Bx/exc xdrl spine lesn lmbr 1,567.67 1,650.82 1,650.82 (83.15) (83.15) 63278 Bx/exc xdrl spine lesn scrl 1,602.09 1,707.53 1,707.53 (105.44) (105.44) 63280 Bx/exc idrl spine lesn crvl 2,136.97 2,257.32 2,257.32 (120.35) (120.35) 63281 Bx/exc idrl spine lesn thrc 2,110.31 2,229.21 2,229.21 (118.90) (118.90) 63282 Bx/exc idrl spine lesn lmbr 1,994.73 2,098.48 2,098.48 (103.75) (103.75) 63283 Bx/exc idrl spine lesn scrl 1,915.54 2,019.25 2,019.25 (103.71) (103.71) 63285 Bx/exc idrl imed lesn cervl 2,637.68 2,804.87 2,804.87 (167.19) (167.19) 63286 Bx/exc idrl imed lesn thrc 2,597.12 2,762.13 2,762.13 (165.01) (165.01) 63287 Bx/exc idrl imed lesn thrlmb 2,768.41 2,951.39 2,951.39 (182.98) (182.98) 63290 Bx/exc xdrl/idrl lsn any lvl 2,810.57 2,947.69 2,947.69 (137.12) (137.12) 63295 Repair laminectomy defect 335.69 356.94 356.94 (21.25) (21.25) 63300 Remove vert xdrl body crvcl 1,855.39 1,957.97 1,957.97 (102.58) (102.58) 63301 Remove vert xdrl body thrc 2,223.43 2,359.27 2,359.27 (135.84) (135.84) 63302 Remove vert xdrl body thrlmb 2,195.92 2,322.95 2,322.95 (127.03) (127.03) 63303 Remov vert xdrl bdy lmbr/sac 2,332.62 2,470.18 2,470.18 (137.56) (137.56) 63304 Remove vert idrl body crvcl 2,368.89 2,494.32 2,494.32 (125.43) (125.43) 63305 Remove vert idrl body thrc 2,522.14 2,589.26 2,589.26 (67.12) (67.12) 63306 Remov vert idrl bdy thrclmbr 2,184.80 2,455.44 2,455.44 (270.64) (270.64) 63307 Remov vert idrl bdy lmbr/sac 2,426.80 2,460.02 2,460.02 (33.22) (33.22) 63308 Remove vertebral body add-on 323.69 345.67 345.67 (21.98) (21.98) 63600 Remove spinal cord lesion 915.55 957.66 957.66 (42.11) (42.11) 63610 Stimulation of spinal cord 388.67 448.61 448.61 (59.94) (59.94) 63615 Remove lesion of spinal cord 1,247.50 1,028.22 1,028.22 219.28 219.28 63620 Srs spinal lesion 1,115.37 1,196.79 1,196.79 (81.42) (81.42) 63621 Srs spinal lesion addl 251.58 272.50 272.50 (20.92) (20.92) 63650 Implant neuroelectrodes 416.26 1,412.94 435.79 (996.68) (19.53) 63655 Implant neuroelectrodes 834.83 879.72 879.72 (44.89) (44.89) 63661 Remove spine eltrd perq aray 322.17 614.12 339.61 (291.95) (17.44) 63662 Remove spine eltrd plate 775.86 887.44 887.44 (111.58) (111.58) 63663 Revise spine eltrd perq aray 462.95 837.37 477.76 (374.42) (14.81) 63664 Revise spine eltrd plate 803.02 914.20 914.20 (111.18) (111.18) 63685 Insrt/redo spine n generator 366.16 389.28 389.28 (23.12) (23.12) 63688 Revise/remove neuroreceiver 370.03 392.13 392.13 (22.10) (22.10) 63700 Repair of spinal herniation 1,276.76 1,234.88 1,234.88 41.88 41.88 63702 Repair of spinal herniation 1,403.65 1,347.06 1,347.06 56.59 56.59 63704 Repair of spinal herniation 1,662.72 1,772.22 1,772.22 (109.50) (109.50) 63706 Repair of spinal herniation 1,817.51 1,801.04 1,801.04 16.47 16.47 63707 Repair spinal fluid leakage 924.06 977.41 977.41 (53.35) (53.35) 63709 Repair spinal fluid leakage 1,112.67 1,170.29 1,170.29 (57.62) (57.62) 63710 Graft repair of spine defect 1,116.27 1,151.97 1,151.97 (35.70) (35.70) 63740 Install spinal shunt 953.38 1,006.52 1,006.52 (53.14) (53.14) 63741 Install spinal shunt 656.53 720.62 720.62 (64.09) (64.09) 63744 Revision of spinal shunt 690.30 717.15 717.15 (26.85) (26.85) 63746 Removal of spinal shunt 605.65 644.62 644.62 (38.97) (38.97) 64400 N block inj trigeminal 69.34 134.31 74.44 (64.97) (5.10) 64402 N block inj facial 74.83 137.00 82.40 (62.17) (7.57) 64405 N block inj occipital 63.21 106.43 66.51 (43.22) (3.30) 64408 N block inj vagus 73.43 106.96 77.96 (33.53) (4.53) 64410 N block inj phrenic 76.20 128.41 72.68 (52.21) 3.52 64413 N block inj cervical plexus 81.05 133.16 84.96 (52.11) (3.91) 64415 N block inj brachial plexus 64.61 123.79 67.68 (59.18) (3.07) 64416 N block cont infuse b plex 78.04 81.77 81.77 (3.73) (3.73) 64417 N block inj axillary 70.07 135.88 74.12 (65.81) (4.05) 64418 N block inj suprascapular 75.32 153.37 79.94 (78.05) (4.62) 64420 N block inj intercost sng 68.75 118.28 71.59 (49.53) (2.84) 64421 N block inj intercost mlt 94.54 158.43 96.29 (63.89) (1.75) 64425 N block inj ilio-ing/hypogi 94.77 138.25 97.59 (43.48) (2.82) 64430 N block inj pudendal 81.91 145.58 86.09 (63.67) (4.18) 64435 N block inj paracervical 85.34 142.92 87.19 (57.58) (1.85) 64445 N block inj sciatic sng 71.86 142.89 75.49 (71.03) (3.63) 64446 N blk inj sciatic cont inf 78.40 82.15 82.15 (3.75) (3.75) 64447 N block inj fem single 65.29 125.64 68.78 (60.35) (3.49) 64448 N block inj fem cont inf 70.08 73.81 73.81 (3.73) (3.73) 64449 N block inj lumbar plexus 81.99 87.35 87.35 (5.36) (5.36) 64450 N block other peripheral 45.76 84.07 47.92 (38.31) (2.16) 64455 N block inj plantar digit 35.38 49.83 36.27 (14.45) (0.89) 64461 Pvb thoracic single inj site 85.94 155.62 90.48 (69.68) (4.54) 64462 Pvb thoracic 2nd+ inj site 54.19 87.94 57.06 (33.75) (2.87) 64463 Pvb thoracic cont infusion 83.03 169.51 87.42 (86.48) (4.39) 64479 Inj foramen epidural c/t 135.91 248.77 139.20 (112.86) (3.29) 64480 Inj foramen epidural add-on 65.95 119.00 66.28 (53.05) (0.33) 64483 Inj foramen epidural l/s 113.45 232.19 118.85 (118.74) (5.40) 64484 Inj foramen epidural add-on 52.51 92.29 54.64 (39.78) (2.13) 64486 Tap block unil by injection 63.20 130.91 66.14 (67.71) (2.94) 64487 Tap block uni by infusion 72.52 161.37 77.40 (88.85) (4.88) 64488 Tap block bi injection 78.39 161.52 83.57 (83.13) (5.18) 64489 Tap block bi by infusion 87.38 225.53 94.12 (138.15) (6.74) 64490 Inj paravert f jnt c/t 1 lev 109.01 201.07 112.21 (92.06) (3.20) 64491 Inj paravert f jnt c/t 2 lev 61.25 98.76 63.36 (37.51) (2.11) 64492 Inj paravert f jnt c/t 3 lev 61.97 99.13 64.11 (37.16) (2.14) 64493 Inj paravert f jnt l/s 1 lev 92.22 182.79 96.18 (90.57) (3.96) 64494 Inj paravert f jnt l/s 2 lev 52.15 91.14 54.61 (38.99) (2.46) 64495 Inj paravert f jnt l/s 3 lev 52.87 91.51 55.37 (38.64) (2.50) 64505 N block spenopalatine gangl 86.00 109.60 91.53 (23.60) (5.53) 64508 N block carotid sinus s/p 78.77 64.83 77.26 13.94 1.51 64510 N block stellate ganglion 74.05 134.05 77.57 (60.00) (3.52) 64517 N block inj hypogas plxs 120.12 191.38 128.50 (71.26) (8.38) 64520 N block lumbar/thoracic 80.65 197.05 85.21 (116.40) (4.56) 64530 N block inj celiac pelus 92.82 201.54 96.86 (108.72) (4.04) 64550 Apply neurostimulator 9.02 16.62 9.09 (7.60) (0.07) 64553 Implant neuroelectrodes 156.07 219.64 164.29 (63.57) (8.22) 64555 Implant neuroelectrodes 150.20 221.89 161.27 (71.69) (11.07) 64561 Implant neuroelectrodes 396.76 863.85 316.72 (467.09) 80.04 64565 Implant neuroelectrodes 131.35 199.41 138.78 (68.06) (7.43) 64566 Neuroeltrd stim post tibial 29.86 134.40 31.97 (104.54) (2.11) 64568 Inc for vagus n elect impl 614.97 697.31 697.31 (82.34) (82.34) 64569 Revise/repl vagus n eltrd 785.77 831.98 831.98 (46.21) (46.21) 64570 Remove vagus n eltrd 698.98 690.24 690.24 8.74 8.74 64575 Implant neuroelectrodes 308.21 336.64 336.64 (28.43) (28.43) 64580 Implant neuroelectrodes 298.60 318.98 318.98 (20.38) (20.38) 64581 Implant neuroelectrodes 666.00 693.69 693.69 (27.69) (27.69) 64585 Revise/remove neuroelectrode 143.78 257.96 150.64 (114.18) (6.86) 64590 Insrt/redo pn/gastr stimul 159.71 278.74 168.79 (119.03) (9.08) 64595 Revise/rmv pn/gastr stimul 126.35 259.33 133.19 (132.98) (6.84) 64600 Injection treatment of nerve 215.29 412.17 230.67 (196.88) (15.38) 64605 Injection treatment of nerve 365.55 792.65 434.93 (427.10) (69.38) 64610 Injection treatment of nerve 488.03 786.06 517.96 (298.03) (29.93) 64611 Chemodenerv saliv glands 99.13 123.48 108.04 (24.35) (8.91) 64612 Destroy nerve face muscle 124.20 138.87 123.81 (14.67) 0.39 64615 Chemodenerv musc migraine 127.57 151.31 130.98 (23.74) (3.41) 64616 Chemodenerv musc neck dyston 108.17 132.53 114.83 (24.36) (6.66) 64617 Chemodener muscle larynx emg 113.96 206.66 130.59 (92.70) (16.63) 64620 Injection treatment of nerve 173.62 213.80 180.28 (40.18) (6.66) 64630 Injection treatment of nerve 189.21 243.87 202.82 (54.66) (13.61) 64632 N block inj common digit 69.36 89.28 71.96 (19.92) (2.60) 64633 Destroy cerv/thor facet jnt 229.75 447.03 239.17 (217.28) (9.42) 64634 Destroy c/th facet jnt addl 69.21 201.64 72.11 (132.43) (2.90) 64635 Destroy lumb/sac facet jnt 226.25 441.88 235.90 (215.63) (9.65) 64636 Destroy l/s facet jnt addl 60.49 183.51 63.01 (123.02) (2.52) 64640 Injection treatment of nerve 94.15 140.44 98.26 (46.29) (4.11) 64642 Chemodenerv 1 extremity 1-4 107.38 148.84 114.20 (41.46) (6.82) 64643 Chemodenerv 1 extrem 1-4 ea 71.74 97.51 76.42 (25.77) (4.68) 64644 Chemodenerv 1 extrem 5/> mus 117.15 171.08 125.14 (53.93) (7.99) 64645 Chemodenerv 1 extrem 5/> ea 82.27 120.05 87.67 (37.78) (5.40) 64646 Chemodenerv trunk musc 1-5 116.11 157.89 123.24 (41.78) (7.13) 64647 Chemodenerv trunk musc 6/> 133.94 186.55 144.00 (52.61) (10.06) 64650 Chemodenerv eccrine glands 41.27 81.37 44.09 (40.10) (2.82) 64653 Chemodenerv eccrine glands 54.44 101.86 57.05 (47.42) (2.61) 64680 Injection treatment of nerve 169.01 327.08 174.95 (158.07) (5.94) 64681 Injection treatment of nerve 189.24 360.54 199.00 (171.30) (9.76) 64702 Revise finger/toe nerve 497.59 525.86 525.86 (28.27) (28.27) 64704 Revise hand/foot nerve 319.02 334.45 334.45 (15.43) (15.43) 64708 Revise arm/leg nerve 496.87 523.87 523.87 (27.00) (27.00) 64712 Revision of sciatic nerve 563.66 604.58 604.58 (40.92) (40.92) 64713 Revision of arm nerve(s) 727.65 762.59 762.59 (34.94) (34.94) 64714 Revise low back nerve(s) 634.80 672.64 672.64 (37.84) (37.84) 64716 Revision of cranial nerve 542.69 567.71 567.71 (25.02) (25.02) 64718 Revise ulnar nerve at elbow 594.86 623.78 623.78 (28.92) (28.92) 64719 Revise ulnar nerve at wrist 399.22 421.67 421.67 (22.45) (22.45) 64721 Carpal tunnel surgery 426.60 452.82 449.81 (26.22) (23.21) 64722 Relieve pressure on nerve(s) 368.82 389.61 389.61 (20.79) (20.79) 64726 Release foot/toe nerve 271.77 288.37 288.37 (16.60) (16.60) 64727 Internal nerve revision 184.16 193.99 193.99 (9.83) (9.83) 64732 Incision of brow nerve 415.86 395.29 395.29 20.57 20.57 64734 Incision of cheek nerve 389.53 436.14 436.14 (46.61) (46.61) 64736 Incision of chin nerve 440.57 419.65 419.65 20.92 20.92 64738 Incision of jaw nerve 486.54 445.93 445.93 40.61 40.61 64740 Incision of tongue nerve 461.70 483.44 483.44 (21.74) (21.74) 64742 Incision of facial nerve 505.88 512.14 512.14 (6.26) (6.26) 64744 Incise nerve back of head 496.30 522.55 522.55 (26.25) (26.25) 64746 Incise diaphragm nerve 435.74 473.75 473.75 (38.01) (38.01) 64755 Incision of stomach nerves 914.85 970.76 970.76 (55.91) (55.91) 64760 Incision of vagus nerve 511.53 532.07 532.07 (20.54) (20.54) 64763 Incise hip/thigh nerve 506.55 533.30 533.30 (26.75) (26.75) 64766 Incise hip/thigh nerve 560.38 632.79 632.79 (72.41) (72.41) 64771 Sever cranial nerve 586.73 631.05 631.05 (44.32) (44.32) 64772 Incision of spinal nerve 561.31 590.83 590.83 (29.52) (29.52) 64774 Remove skin nerve lesion 418.00 438.88 438.88 (20.88) (20.88) 64776 Remove digit nerve lesion 392.52 412.34 412.34 (19.82) (19.82) 64778 Digit nerve surgery add-on 155.08 149.80 149.80 5.28 5.28 64782 Remove limb nerve lesion 451.36 475.96 475.96 (24.60) (24.60) 64783 Limb nerve surgery add-on 216.90 232.67 232.67 (15.77) (15.77) 64784 Remove nerve lesion 739.63 769.26 769.26 (29.63) (29.63) 64786 Remove sciatic nerve lesion 1,085.70 1,130.09 1,130.09 (44.39) (44.39) 64787 Implant nerve end 243.51 255.61 255.61 (12.10) (12.10) 64788 Remove skin nerve lesion 398.97 421.18 421.18 (22.21) (22.21) 64790 Removal of nerve lesion 829.02 885.53 885.53 (56.51) (56.51) 64792 Removal of nerve lesion 1,198.68 1,274.42 1,274.42 (75.74) (75.74) 64795 Biopsy of nerve 195.47 203.20 203.20 (7.73) (7.73) 64802 Sympathectomy cervical 677.41 702.40 702.40 (24.99) (24.99) 64804 Remove sympathetic nerves 1,030.61 1,053.08 1,053.08 (22.47) (22.47) 64809 Remove sympathetic nerves 712.04 1,075.35 1,075.35 (363.31) (363.31) 64818 Remove sympathetic nerves 646.15 643.85 643.85 2.30 2.30 64820 Sympathectomy digital artery 729.57 762.08 762.08 (32.51) (32.51) 64821 Remove sympathetic nerves 701.88 724.98 724.98 (23.10) (23.10) 64822 Remove sympathetic nerves 701.88 724.98 724.98 (23.10) (23.10) 64823 Sympathectomy supfc palmar 800.34 824.46 824.46 (24.12) (24.12) 64831 Repair of digit nerve 686.76 722.23 722.23 (35.47) (35.47) 64832 Repair nerve add-on 339.95 355.71 355.71 (15.76) (15.76) 64834 Repair of hand or foot nerve 744.41 779.89 779.89 (35.48) (35.48) 64835 Repair of hand or foot nerve 816.73 850.39 850.39 (33.66) (33.66) 64836 Repair of hand or foot nerve 816.73 853.35 853.35 (36.62) (36.62) 64837 Repair nerve add-on 365.71 392.02 392.02 (26.31) (26.31) 64840 Repair of leg nerve 927.85 1,070.86 1,070.86 (143.01) (143.01) 64856 Repair/transpose nerve 1,014.00 1,068.76 1,068.76 (54.76) (54.76) 64857 Repair arm/leg nerve 1,061.56 1,111.00 1,111.00 (49.44) (49.44) 64858 Repair sciatic nerve 1,073.63 1,192.73 1,192.73 (119.10) (119.10) 64859 Nerve surgery 259.63 266.57 266.57 (6.94) (6.94) 64861 Repair of arm nerves 1,376.71 1,395.45 1,395.45 (18.74) (18.74) 64862 Repair of low back nerves 1,371.41 1,634.23 1,634.23 (262.82) (262.82) 64864 Repair of facial nerve 877.98 928.85 928.85 (50.87) (50.87) 64865 Repair of facial nerve 1,122.07 1,193.88 1,193.88 (71.81) (71.81) 64866 Fusion of facial/other nerve 1,164.00 1,219.04 1,219.04 (55.04) (55.04) 64868 Fusion of facial/other nerve 1,027.82 1,074.23 1,074.23 (46.41) (46.41) 64872 Subsequent repair of nerve 119.57 127.67 127.67 (8.10) (8.10) 64874 Repair & revise nerve add-on 168.91 180.90 180.90 (11.99) (11.99) 64876 Repair nerve/shorten bone 184.83 186.10 186.10 (1.27) (1.27) 64885 Nerve graft head/neck 4 cm 1,306.16 1,376.39 1,376.39 (70.23) (70.23) 64890 Nerve graft hand/foot 4 cm 1,190.32 1,229.28 1,229.28 (38.96) (38.96) 64892 Nerve graft arm/leg <4 cm 1,086.48 1,100.37 1,100.37 (13.89) (13.89) 64893 Nerve graft arm/leg >4 cm 1,160.55 1,196.47 1,196.47 (35.92) (35.92) 64895 Nerve graft hand/foot 4 cm 1,600.50 1,514.43 1,514.43 86.07 86.07 64897 Nerve graft arm/leg 4 cm 1,381.62 1,439.05 1,439.05 (57.43) (57.43) 64901 Nerve graft add-on 589.96 589.24 589.24 0.72 0.72 64902 Nerve graft add-on 682.68 694.22 694.22 (11.54) (11.54) 64905 Nerve pedicle transfer 1,046.83 1,084.14 1,084.14 (37.31) (37.31) 64907 Nerve pedicle transfer 1,218.26 1,450.61 1,450.61 (232.35) (232.35) 64910 Nerve repair w/allograft 827.56 869.34 869.34 (41.78) (41.78) 64911 Neurorraphy w/vein autograft 1,036.08 1,067.29 1,067.29 (31.21) (31.21) 65091 Revise eye 663.36 662.63 662.63 0.73 0.73 65093 Revise eye with implant 654.70 655.47 655.47 (0.77) (0.77) 65101 Removal of eye 768.76 769.92 769.92 (1.16) (1.16) 65103 Remove eye/insert implant 802.77 803.60 803.60 (0.83) (0.83) 65105 Remove eye/attach implant 886.57 885.55 885.55 1.02 1.02 65110 Removal of eye 1,242.63 1,273.90 1,273.90 (31.27) (31.27) 65112 Remove eye/revise socket 1,441.64 1,480.05 1,480.05 (38.41) (38.41) 65114 Remove eye/revise socket 1,512.35 1,554.04 1,554.04 (41.69) (41.69) 65125 Revise ocular implant 305.27 480.07 305.73 (174.80) (0.46) 65130 Insert ocular implant 763.91 763.32 763.32 0.59 0.59 65135 Insert ocular implant 775.10 774.65 774.65 0.45 0.45 65140 Attach ocular implant 820.51 841.99 841.99 (21.48) (21.48) 65150 Revise ocular implant 572.73 597.55 597.55 (24.82) (24.82) 65155 Reinsert ocular implant 883.78 881.86 881.86 1.92 1.92 65175 Removal of ocular implant 667.30 686.08 686.08 (18.78) (18.78) 65205 Remove foreign body from eye 45.90 58.23 45.80 (12.33) 0.10 65210 Remove foreign body from eye 55.01 71.54 55.35 (16.53) (0.34) 65220 Remove foreign body from eye 43.05 60.39 43.82 (17.34) (0.77) 65222 Remove foreign body from eye 54.67 69.28 54.22 (14.61) 0.45 65235 Remove foreign body from eye 724.08 741.89 741.89 (17.81) (17.81) 65260 Remove foreign body from eye 949.98 1,000.93 1,000.93 (50.95) (50.95) 65265 Remove foreign body from eye 1,145.36 1,127.52 1,127.52 17.84 17.84 65270 Repair of eye wound 144.43 279.96 146.28 (135.53) (1.85) 65272 Repair of eye wound 348.95 525.87 366.21 (176.92) (17.26) 65273 Repair of eye wound 377.81 397.23 397.23 (19.42) (19.42) 65275 Repair of eye wound 473.51 603.78 481.78 (130.27) (8.27) 65280 Repair of eye wound 707.97 699.57 699.57 8.40 8.40 65285 Repair of eye wound 1,158.29 1,154.66 1,154.66 3.63 3.63 65286 Repair of eye wound 507.78 736.85 516.94 (229.07) (9.16) 65290 Repair of eye socket wound 515.78 509.55 509.55 6.23 6.23 65400 Removal of eye lesion 616.99 710.01 629.81 (93.02) (12.82) 65410 Biopsy of cornea 111.28 149.43 108.76 (38.15) 2.52 65420 Removal of eye lesion 380.34 541.03 394.93 (160.69) (14.59) 65426 Removal of eye lesion 489.69 682.55 499.54 (192.86) (9.85) 65430 Corneal smear 107.17 118.96 107.66 (11.79) (0.49) 65435 Curette/treat cornea 72.53 83.06 72.52 (10.53) 0.01 65436 Curette/treat cornea 386.77 404.27 388.08 (17.50) (1.31) 65450 Treatment of corneal lesion 328.33 339.69 336.68 (11.36) (8.35) 65600 Revision of cornea 352.32 412.19 359.47 (59.87) (7.15) 65710 Corneal transplant 1,131.42 1,153.32 1,153.32 (21.90) (21.90) 65730 Corneal transplant 1,255.83 1,278.63 1,278.63 (22.80) (22.80) 65750 Corneal transplant 1,259.02 1,284.78 1,284.78 (25.76) (25.76) 65755 Corneal transplant 1,256.92 1,277.83 1,277.83 (20.91) (20.91) 65756 Corneal trnspl endothelial 1,174.92 1,233.29 1,233.29 (58.37) (58.37) 65760 Revision of cornea 1,291.97 0.00 0.00 1,291.97 1,291.97 65765 Revision of cornea 1,498.68 0.00 0.00 1,498.68 1,498.68 65767 Corneal tissue transplant 1,394.78 0.00 0.00 1,394.78 1,394.78 65770 Revise cornea with implant 1,599.25 1,461.85 1,461.85 137.40 137.40 65771 Radial keratotomy 759.47 0.00 0.00 759.47 759.47 65772 Correction of astigmatism 413.96 471.18 424.48 (57.22) (10.52) 65775 Correction of astigmatism 547.50 575.55 575.55 (28.05) (28.05) 65778 Cover eye w/membrane 73.87 1,524.72 60.69 (1,450.85) 13.18 65779 Cover eye w/membrane suture 292.10 1,274.96 158.10 (982.86) 134.00 65780 Ocular reconst transplant 906.07 752.38 752.38 153.69 153.69 65781 Ocular reconst transplant 1,322.74 1,389.07 1,389.07 (66.33) (66.33) 65782 Ocular reconst transplant 1,212.62 1,198.58 1,198.58 14.04 14.04 65785 Impltj ntrstrml crnl rng seg 384.33 2,243.70 404.62 (1,859.37) (20.29) 65800 Drainage of eye 94.85 124.10 95.11 (29.25) (0.26) 65810 Drainage of eye 476.85 485.64 485.64 (8.79) (8.79) 65815 Drainage of eye 496.99 667.57 498.50 (170.58) (1.51) 65820 Relieve inner eye pressure 744.04 782.00 782.00 (37.96) (37.96) 65850 Incision of eye 876.06 874.62 874.62 1.44 1.44 65855 TRABECULOPLASTY LASER SURG 307.88 286.22 251.58 21.66 56.30 65860 Incise inner eye adhesions 289.68 322.17 263.80 (32.49) 25.88 65865 Incise inner eye adhesions 468.64 493.65 493.65 (25.01) (25.01) 65870 Incise inner eye adhesions 614.39 616.46 616.46 (2.07) (2.07) 65875 Incise inner eye adhesions 644.14 657.49 657.49 (13.35) (13.35) 65880 Incise inner eye adhesions 658.47 689.59 689.59 (31.12) (31.12) 65900 Remove eye lesion 955.78 1,000.62 1,000.62 (44.84) (44.84) 65920 Remove implant of eye 803.49 822.57 822.57 (19.08) (19.08) 65930 Remove blood clot from eye 664.23 664.34 664.34 (0.11) (0.11) 66020 Injection treatment of eye 130.38 195.44 137.45 (65.06) (7.07) 66030 Injection treatment of eye 112.80 173.84 115.85 (61.04) (3.05) 66130 Remove eye lesion 604.52 725.96 592.29 (121.44) 12.23 66150 Glaucoma surgery 869.77 914.97 914.97 (45.20) (45.20) 66155 Glaucoma surgery 869.07 914.23 914.23 (45.16) (45.16) 66160 Glaucoma surgery 980.40 1,030.19 1,030.19 (49.79) (49.79) 66170 Glaucoma surgery 1,222.93 1,014.16 1,014.16 208.77 208.77 66172 Incision of eye 1,541.97 1,282.14 1,282.14 259.83 259.83 66174 Translum dil eye canal 988.39 986.79 986.79 1.60 1.60 66175 Trnslum dil eye canal w/stnt 1,125.34 1,033.62 1,033.62 91.72 91.72 66179 Aqueous shunt eye w/o graft 1,073.69 1,123.26 1,123.26 (49.57) (49.57) 66180 Aqueous shunt eye w/graft 1,190.40 1,185.46 1,185.46 4.94 4.94 66183 Insert ant drainage device 1,071.83 1,074.27 1,074.27 (2.44) (2.44) 66184 Revision of aqueous shunt 784.00 819.18 819.18 (35.18) (35.18) 66185 Revise aqueous shunt eye 780.48 881.75 881.75 (101.27) (101.27) 66220 Repair eye lesion 761.08 778.82 778.82 (17.74) (17.74) 66225 Repair/graft eye lesion 981.61 969.83 969.83 11.78 11.78 66250 Follow-up surgery of eye 586.03 783.80 581.59 (197.77) 4.44 66500 Incision of iris 351.73 369.92 369.92 (18.19) (18.19) 66505 Incision of iris 385.54 405.73 405.73 (20.19) (20.19) 66600 Remove iris and lesion 828.21 867.87 867.87 (39.66) (39.66) 66605 Removal of iris 1,048.39 1,100.63 1,100.63 (52.24) (52.24) 66625 Removal of iris 438.83 448.19 448.19 (9.36) (9.36) 66630 Removal of iris 590.79 593.69 593.69 (2.90) (2.90) 66635 Removal of iris 570.77 599.54 599.54 (28.77) (28.77) 66680 Repair iris & ciliary body 546.34 540.33 540.33 6.01 6.01 66682 Repair iris & ciliary body 667.22 665.88 665.88 1.34 1.34 66700 Destruction ciliary body 394.94 469.96 410.09 (75.02) (15.15) 66710 Ciliary transsleral therapy 414.15 459.04 409.72 (44.89) 4.43 66711 Ciliary endoscopic ablation 638.02 670.09 670.09 (32.07) (32.07) 66720 Destruction ciliary body 429.62 495.78 442.68 (66.16) (13.06) 66740 Destruction ciliary body 389.66 456.41 410.09 (66.75) (20.43) 66761 Revision of iris 242.62 310.06 246.42 (67.44) (3.80) 66762 Revision of iris 433.59 495.88 445.04 (62.29) (11.45) 66770 Removal of inner eye lesion 479.88 550.60 504.66 (70.72) (24.78) 66820 Incision secondary cataract 404.85 411.40 411.40 (6.55) (6.55) 66821 After cataract laser surgery 319.90 345.07 325.49 (25.17) (5.59) 66825 Reposition intraocular lens 773.86 793.48 793.48 (19.62) (19.62) 66830 Removal of lens lesion 707.18 741.84 741.84 (34.66) (34.66) 66840 Removal of lens material 733.34 726.15 726.15 7.19 7.19 66850 Removal of lens material 812.45 826.07 826.07 (13.62) (13.62) 66852 Removal of lens material 881.07 879.85 879.85 1.22 1.22 66920 Extraction of lens 748.04 785.79 785.79 (37.75) (37.75) 66930 Extraction of lens 849.98 892.65 892.65 (42.67) (42.67) 66940 Extraction of lens 812.53 815.47 815.47 (2.94) (2.94) 66982 Cataract surgery complex 822.32 827.75 827.75 (5.43) (5.43) 66983 Cataract surg w/iol 1 stage 743.38 769.40 769.40 (26.02) (26.02) 66984 Cataract surg w/iol 1 stage 661.23 666.38 666.38 (5.15) (5.15) 66985 Insert lens prosthesis 785.91 803.03 803.03 (17.12) (17.12) 66986 Exchange lens prosthesis 926.53 946.46 946.46 (19.93) (19.93) 66990 Ophthalmic endoscope add-on 89.67 94.01 94.01 (4.34) (4.34) 67005 Partial removal of eye fluid 499.33 493.43 493.43 5.90 5.90 67010 Partial removal of eye fluid 555.96 565.84 565.84 (9.88) (9.88) 67015 Release of eye fluid 593.53 605.24 605.24 (11.71) (11.71) 67025 Replace eye fluid 659.29 758.24 659.96 (98.95) (0.67) 67027 Implant eye drug system 888.99 888.12 888.12 0.87 0.87 67028 Injection eye drug 102.88 106.18 104.30 (3.30) (1.42) 67030 Incise inner eye strands 528.38 555.90 555.90 (27.52) (27.52) 67031 Laser surgery eye strands 363.65 405.65 372.51 (42.00) (8.86) 67036 Removal of inner eye fluid 982.45 939.52 939.52 42.93 42.93 67039 Laser treatment of retina 1,287.96 1,005.74 1,005.74 282.22 282.22 67040 Laser treatment of retina 1,454.19 1,086.57 1,086.57 367.62 367.62 67041 Vit for macular pucker 1,358.90 1,199.96 1,199.96 158.94 158.94 67042 Vit for macular hole 1,553.19 1,200.34 1,200.34 352.85 352.85 67043 Vit for membrane dissect 1,665.33 1,266.91 1,266.91 398.42 398.42 67101 REPAIR DETACHED RETINA CRTX 702.36 818.35 702.75 (115.99) (0.39) 67105 REPAIR DETACHED RETINA PC 659.85 750.31 671.24 (90.46) (11.39) 67107 REPAIR DETACHED RETINA 1,268.95 1,059.50 1,059.50 209.45 209.45 67108 REPAIR DETACHED RETINA 1,645.67 1,356.05 1,356.05 289.62 289.62 67110 Repair detached retina 790.12 794.76 727.73 (4.64) 62.39 67113 REPAIR RETINAL DETACH CPLX 1,790.02 1,469.57 1,469.57 320.45 320.45 67115 Release encircling material 508.54 521.64 521.64 (13.10) (13.10) 67120 Remove eye implant material 587.11 686.27 582.34 (99.16) 4.77 67121 Remove eye implant material 948.02 946.48 946.48 1.54 1.54 67141 Treatment of retina 507.90 546.80 509.15 (38.90) (1.25) 67145 Treatment of retina 509.35 549.88 519.76 (40.53) (10.41) 67208 Treatment of retinal lesion 573.86 624.64 603.18 (50.78) (29.32) 67210 Treatment of retinal lesion 514.45 540.41 521.95 (25.96) (7.50) 67218 Treatment of retinal lesion 1,371.75 1,439.24 1,439.24 (67.49) (67.49) 67220 Treatment of choroid lesion 521.23 557.35 521.95 (36.12) (0.72) 67221 Ocular photodynamic ther 220.30 299.08 221.89 (78.78) (1.59) 67225 Eye photodynamic ther add-on 27.91 30.78 28.90 (2.87) (0.99) 67227 DSTRJ EXTENSIVE RETINOPATHY 566.90 302.01 267.74 264.89 299.16 67228 TREATMENT X10SV RETINOPATHY 979.86 354.97 319.95 624.89 659.91 67229 TR RETINAL LES PRETERM INF 1,099.75 1,161.39 1,161.39 (61.64) (61.64) 67250 Reinforce eye wall 809.06 814.61 814.61 (5.55) (5.55) 67255 Reinforce/graft eye wall 881.18 712.93 712.93 168.25 168.25 67311 Revise eye muscle 621.26 623.66 623.66 (2.40) (2.40) 67312 Revise two eye muscles 750.94 741.83 741.83 9.11 9.11 67314 Revise eye muscle 699.04 702.01 702.01 (2.97) (2.97) 67316 Revise two eye muscles 844.16 834.78 834.78 9.38 9.38 67318 Revise eye muscle(s) 699.87 734.18 734.18 (34.31) (34.31) 67320 Revise eye muscle(s) add-on 319.22 335.41 335.41 (16.19) (16.19) 67331 Eye surgery follow-up add-on 321.25 318.21 318.21 3.04 3.04 67332 Rerevise eye muscles add-on 348.95 345.29 345.29 3.66 3.66 67334 Revise eye muscle w/suture 298.99 313.84 313.84 (14.85) (14.85) 67335 Eye suture during surgery 156.24 154.36 154.36 1.88 1.88 67340 Revise eye muscle add-on 355.53 373.11 373.11 (17.58) (17.58) 67343 Release eye tissue 686.64 681.86 681.86 4.78 4.78 67345 Destroy nerve of eye muscle 231.35 253.44 227.84 (22.09) 3.51 67346 Biopsy eye muscle 207.22 201.78 201.78 5.44 5.44 67400 Explore/biopsy eye socket 968.11 970.15 970.15 (2.04) (2.04) 67405 Explore/drain eye socket 803.69 829.77 829.77 (26.08) (26.08) 67412 Explore/treat eye socket 883.96 887.81 887.81 (3.85) (3.85) 67413 Explore/treat eye socket 890.76 893.05 893.05 (2.29) (2.29) 67414 Explr/decompress eye socket 1,349.23 1,380.14 1,380.14 (30.91) (30.91) 67415 Aspiration orbital contents 107.75 108.61 108.61 (0.86) (0.86) 67420 Explore/treat eye socket 1,692.97 1,685.39 1,685.39 7.58 7.58 67430 Explore/treat eye socket 1,237.54 1,293.10 1,293.10 (55.56) (55.56) 67440 Explore/drain eye socket 1,227.55 1,255.29 1,255.29 (27.74) (27.74) 67445 Explr/decompress eye socket 1,472.37 1,459.59 1,459.59 12.78 12.78 67450 Explore/biopsy eye socket 1,268.60 1,308.83 1,308.83 (40.23) (40.23) 67500 Inject/treat eye socket 71.50 80.95 74.55 (9.45) (3.05) 67505 Inject/treat eye socket 87.14 92.58 84.67 (5.44) 2.47 67515 Inject/treat eye socket 94.44 100.62 92.71 (6.18) 1.73 67550 Insert eye socket implant 1,004.07 1,005.96 1,005.96 (1.89) (1.89) 67560 Revise eye socket implant 1,004.23 1,030.77 1,030.77 (26.54) (26.54) 67570 Decompress optic nerve 1,278.73 1,212.13 1,212.13 66.60 66.60 67700 Drainage of eyelid abscess 119.88 282.09 121.68 (162.21) (1.80) 67710 Incision of eyelid 102.16 235.27 101.97 (133.11) 0.19 67715 Incision of eyelid fold 113.71 250.65 113.59 (136.94) 0.12 67800 Remove eyelid lesion 108.03 132.61 107.76 (24.58) 0.27 67801 Remove eyelid lesions 140.72 168.97 139.22 (28.25) 1.50 67805 Remove eyelid lesions 173.21 210.47 171.69 (37.26) 1.52 67808 Remove eyelid lesion(s) 385.85 385.40 385.40 0.45 0.45 67810 Biopsy eyelid & lid margin 72.09 180.69 74.88 (108.60) (2.79) 67820 Revise eyelashes 55.61 51.82 55.59 3.79 0.02 67825 Revise eyelashes 126.72 134.08 126.93 (7.36) (0.21) 67830 Revise eyelashes 144.57 279.56 144.38 (134.99) 0.19 67835 Revise eyelashes 461.77 456.87 456.87 4.90 4.90 67840 Remove eyelid lesion 163.69 288.36 165.23 (124.67) (1.54) 67850 Treat eyelid lesion 136.51 224.85 142.39 (88.34) (5.88) 67875 Closure of eyelid by suture 101.68 179.75 101.43 (78.07) 0.25 67880 Revision of eyelid 382.83 479.19 384.67 (96.36) (1.84) 67882 Revision of eyelid 495.73 588.44 492.79 (92.71) 2.94 67900 Repair brow defect 529.16 668.46 531.39 (139.30) (2.23) 67901 Repair eyelid defect 605.40 790.32 601.67 (184.92) 3.73 67902 Repair eyelid defect 760.38 753.74 753.74 6.64 6.64 67903 Repair eyelid defect 507.90 619.09 504.24 (111.19) 3.66 67904 Repair eyelid defect 625.92 764.02 622.81 (138.10) 3.11 67906 Repair eyelid defect 504.38 528.37 528.37 (23.99) (23.99) 67908 Repair eyelid defect 445.48 515.21 443.29 (69.73) 2.19 67909 Revise eyelid defect 458.00 559.43 457.76 (101.43) 0.24 67911 Revise eyelid defect 588.53 586.43 586.43 2.10 2.10 67912 Correction eyelid w/implant 500.79 925.95 512.50 (425.16) (11.71) 67914 Repair eyelid defect 339.64 491.66 342.54 (152.02) (2.90) 67915 Repair eyelid defect 201.75 306.94 207.53 (105.19) (5.78) 67916 Repair eyelid defect 447.15 619.10 450.03 (171.95) (2.88) 67917 Repair eyelid defect 478.90 629.60 478.23 (150.70) 0.67 67921 Repair eyelid defect 324.36 482.40 325.00 (158.04) (0.64) 67922 Repair eyelid defect 201.37 304.30 207.15 (102.93) (5.78) 67923 Repair eyelid defect 450.15 618.42 449.72 (168.27) 0.43 67924 Repair eyelid defect 479.65 659.00 478.25 (179.35) 1.40 67930 Repair eyelid wound 252.28 380.01 249.72 (127.73) 2.56 67935 Repair eyelid wound 464.36 619.96 461.06 (155.60) 3.30 67938 Remove eyelid foreign body 119.18 254.31 121.01 (135.13) (1.83) 67950 Revision of eyelid 482.36 597.78 483.68 (115.42) (1.32) 67961 Revision of eyelid 475.42 600.00 474.60 (124.58) 0.82 67966 Revision of eyelid 689.38 801.33 685.35 (111.95) 4.03 67971 Reconstruction of eyelid 761.50 753.91 753.91 7.59 7.59 67973 Reconstruction of eyelid 981.24 969.23 969.23 12.01 12.01 67974 Reconstruction of eyelid 980.22 967.40 967.40 12.82 12.82 67975 Reconstruction of eyelid 719.79 713.30 713.30 6.49 6.49 68020 Incise/drain eyelid lining 113.69 124.69 115.27 (11.00) (1.58) 68040 Treatment of eyelid lesions 55.43 65.13 52.70 (9.70) 2.73 68100 Biopsy of eyelid lining 100.18 177.90 101.46 (77.72) (1.28) 68110 Remove eyelid lining lesion 155.57 236.17 155.21 (80.60) 0.36 68115 Remove eyelid lining lesion 187.82 326.57 192.14 (138.75) (4.32) 68130 Remove eyelid lining lesion 408.76 563.04 430.49 (154.28) (21.73) 68135 Remove eyelid lining lesion 154.58 163.35 157.70 (8.77) (3.12) 68200 Treat eyelid by injection 36.22 43.15 36.37 (6.93) (0.15) 68320 Revise/graft eyelid lining 564.78 757.87 563.19 (193.09) 1.59 68325 Revise/graft eyelid lining 691.79 687.12 687.12 4.67 4.67 68326 Revise/graft eyelid lining 678.46 673.65 673.65 4.81 4.81 68328 Revise/graft eyelid lining 744.42 738.36 738.36 6.06 6.06 68330 Revise eyelid lining 483.90 631.81 481.56 (147.91) 2.34 68335 Revise/graft eyelid lining 681.27 675.50 675.50 5.77 5.77 68340 Separate eyelid adhesions 419.43 570.03 417.15 (150.60) 2.28 68360 Revise eyelid lining 432.04 556.05 430.65 (124.01) 1.39 68362 Revise eyelid lining 691.10 684.64 684.64 6.46 6.46 68371 Harvest eye tissue alograft 409.50 431.26 431.26 (21.76) (21.76) 68400 Incise/drain tear gland 138.48 298.05 137.64 (159.57) 0.84 68420 Incise/drain tear sac 171.76 337.19 175.65 (165.43) (3.89) 68440 Incise tear duct opening 102.99 107.02 104.01 (4.03) (1.02) 68500 Removal of tear gland 1,043.25 1,016.69 1,016.69 26.56 26.56 68505 Partial removal tear gland 1,020.27 1,010.40 1,010.40 9.87 9.87 68510 Biopsy of tear gland 311.89 465.26 304.09 (153.37) 7.80 68520 Removal of tear sac 699.91 717.65 717.65 (17.74) (17.74) 68525 Biopsy of tear sac 280.91 273.89 273.89 7.02 7.02 68530 Clearance of tear duct 271.95 447.71 268.47 (175.76) 3.48 68540 Remove tear gland lesion 947.50 970.22 970.22 (22.72) (22.72) 68550 Remove tear gland lesion 1,160.94 1,152.36 1,152.36 8.58 8.58 68700 Repair tear ducts 634.39 629.85 629.85 4.54 4.54 68705 Revise tear duct opening 174.17 247.29 173.86 (73.12) 0.31 68720 Create tear sac drain 784.43 788.66 788.66 (4.23) (4.23) 68745 Create tear duct drain 799.38 792.24 792.24 7.14 7.14 68750 Create tear duct drain 824.18 820.38 820.38 3.80 3.80 68760 Close tear duct opening 153.13 210.63 152.64 (57.50) 0.49 68761 Close tear duct opening 123.08 154.48 124.35 (31.40) (1.27) 68770 Close tear system fistula 661.41 655.49 655.49 5.92 5.92 68801 Dilate tear duct opening 110.08 105.47 91.16 4.61 18.92 68810 Probe nasolacrimal duct 194.53 204.67 159.11 (10.14) 35.42 68811 Probe nasolacrimal duct 215.68 174.54 174.54 41.14 41.14 68815 Probe nasolacrimal duct 268.15 417.14 231.88 (148.99) 36.27 68816 Probe nl duct w/balloon 261.78 681.09 211.91 (419.31) 49.87 68840 Explore/irrigate tear ducts 121.88 133.57 122.27 (11.69) (0.39) 68850 Injection for tear sac x-ray 55.02 63.65 58.38 (8.63) (3.36) 69000 Drain external ear lesion 121.12 198.51 125.84 (77.39) (4.72) 69005 Drain external ear lesion 158.80 227.63 166.25 (68.83) (7.45) 69020 Drain outer ear canal lesion 144.36 248.09 151.32 (103.73) (6.96) 69100 Biopsy of external ear 48.97 105.71 51.49 (56.74) (2.52) 69105 Biopsy of external ear canal 64.31 149.68 67.59 (85.37) (3.28) 69110 Remove external ear partial 326.52 486.46 344.12 (159.94) (17.60) 69120 Removal of external ear 411.67 431.58 431.58 (19.91) (19.91) 69140 Remove ear canal lesion(s) 888.34 936.37 936.37 (48.03) (48.03) 69145 Remove ear canal lesion(s) 253.76 423.85 266.08 (170.09) (12.32) 69150 Extensive ear canal surgery 1,060.40 1,110.39 1,110.39 (49.99) (49.99) 69155 Extensive ear/neck surgery 1,685.54 1,767.66 1,767.66 (82.12) (82.12) 69200 Clear outer ear canal 58.72 105.05 49.69 (46.33) 9.03 69205 Clear outer ear canal 102.87 107.92 107.92 (5.05) (5.05) 69209 Remove impacted ear wax uni 12.85 13.53 13.53 (0.68) (0.68) 69210 Remove impacted ear wax uni 33.11 51.54 34.22 (18.43) (1.11) 69220 Clean out mastoid cavity 62.91 117.70 54.82 (54.79) 8.09 69222 Clean out mastoid cavity 138.73 234.32 145.83 (95.59) (7.10) 69300 Revise external ear 480.67 781.60 505.59 (300.93) (24.92) 69310 Rebuild outer ear canal 1,104.26 1,164.73 1,164.73 (60.47) (60.47) 69320 Rebuild outer ear canal 1,543.99 1,646.01 1,646.01 (102.02) (102.02) 69420 Incision of eardrum 122.34 204.33 128.27 (81.99) (5.93) 69421 Incision of eardrum 150.78 158.34 158.34 (7.56) (7.56) 69424 Remove ventilating tube 62.88 136.12 66.08 (73.24) (3.20) 69433 Create eardrum opening 134.99 215.62 141.06 (80.63) (6.07) 69436 Create eardrum opening 162.62 170.31 170.31 (7.69) (7.69) 69440 Exploration of middle ear 701.27 734.61 734.61 (33.34) (33.34) 69450 Eardrum revision 553.72 581.26 581.26 (27.54) (27.54) 69501 Mastoidectomy 742.63 779.77 779.77 (37.14) (37.14) 69502 Mastoidectomy 986.51 1,032.84 1,032.84 (46.33) (46.33) 69505 Remove mastoid structures 1,217.70 1,282.09 1,282.09 (64.39) (64.39) 69511 Extensive mastoid surgery 1,246.99 1,309.33 1,309.33 (62.34) (62.34) 69530 Extensive mastoid surgery 1,669.51 1,760.87 1,760.87 (91.36) (91.36) 69535 Remove part of temporal bone 2,708.95 2,846.11 2,846.11 (137.16) (137.16) 69540 Remove ear lesion 129.01 223.43 135.69 (94.42) (6.68) 69550 Remove ear lesion 1,053.66 1,110.71 1,110.71 (57.05) (57.05) 69552 Remove ear lesion 1,585.36 1,661.92 1,661.92 (76.56) (76.56) 69554 Remove ear lesion 2,543.26 2,578.61 2,578.61 (35.35) (35.35) 69601 Mastoid surgery revision 1,061.39 1,111.73 1,111.73 (50.34) (50.34) 69602 Mastoid surgery revision 1,104.35 1,156.66 1,156.66 (52.31) (52.31) 69603 Mastoid surgery revision 1,274.17 1,356.52 1,356.52 (82.35) (82.35) 69604 Mastoid surgery revision 1,128.40 1,182.14 1,182.14 (53.74) (53.74) 69605 Mastoid surgery revision 1,576.04 1,661.15 1,661.15 (85.11) (85.11) 69610 Repair of eardrum 294.36 407.14 307.73 (112.78) (13.37) 69620 Repair of eardrum 493.57 740.24 520.33 (246.67) (26.76) 69631 Repair eardrum structures 898.52 941.92 941.92 (43.40) (43.40) 69632 Rebuild eardrum structures 1,095.23 1,145.47 1,145.47 (50.24) (50.24) 69633 Rebuild eardrum structures 1,059.68 1,112.40 1,112.40 (52.72) (52.72) 69635 Repair eardrum structures 1,246.93 1,318.03 1,318.03 (71.10) (71.10) 69636 Rebuild eardrum structures 1,394.95 1,473.40 1,473.40 (78.45) (78.45) 69637 Rebuild eardrum structures 1,390.53 1,465.33 1,465.33 (74.80) (74.80) 69641 Revise middle ear & mastoid 1,057.32 1,107.58 1,107.58 (50.26) (50.26) 69642 Revise middle ear & mastoid 1,356.42 1,419.64 1,419.64 (63.22) (63.22) 69643 Revise middle ear & mastoid 1,241.76 1,301.28 1,301.28 (59.52) (59.52) 69644 Revise middle ear & mastoid 1,494.03 1,574.10 1,574.10 (80.07) (80.07) 69645 Revise middle ear & mastoid 1,469.78 1,548.67 1,548.67 (78.89) (78.89) 69646 Revise middle ear & mastoid 1,558.58 1,644.07 1,644.07 (85.49) (85.49) 69650 Release middle ear bone 815.99 857.38 857.38 (41.39) (41.39) 69660 Revise middle ear bone 939.49 985.38 985.38 (45.89) (45.89) 69661 Revise middle ear bone 1,223.20 1,284.05 1,284.05 (60.85) (60.85) 69662 Revise middle ear bone 1,170.65 1,230.40 1,230.40 (59.75) (59.75) 69666 Repair middle ear structures 820.89 860.17 860.17 (39.28) (39.28) 69667 Repair middle ear structures 822.31 860.53 860.53 (38.22) (38.22) 69670 Remove mastoid air cells 957.92 1,007.74 1,007.74 (49.82) (49.82) 69676 Remove middle ear nerve 844.90 884.67 884.67 (39.77) (39.77) 69700 Close mastoid fistula 696.25 729.16 729.16 (32.91) (32.91) 69710 Implant/replace hearing aid 2,758.07 0.00 0.00 2,758.07 2,758.07 69711 Remove/repair hearing aid 875.34 919.39 919.39 (44.05) (44.05) 69714 Implant temple bone w/stimul 1,090.31 1,144.63 1,144.63 (54.32) (54.32) 69715 Temple bne implnt w/stimulat 1,344.70 1,409.44 1,409.44 (64.74) (64.74) 69717 Temple bone implant revision 1,143.98 1,201.48 1,201.48 (57.50) (57.50) 69718 Revise temple bone implant 1,358.65 1,423.64 1,423.64 (64.99) (64.99) 69720 Release facial nerve 1,211.60 1,294.79 1,294.79 (83.19) (83.19) 69725 Release facial nerve 1,902.60 1,993.02 1,993.02 (90.42) (90.42) 69740 Repair facial nerve 1,182.48 1,238.61 1,238.61 (56.13) (56.13) 69745 Repair facial nerve 1,258.10 1,480.47 1,480.47 (222.37) (222.37) 69801 INCISE INNER EAR 127.36 207.86 132.93 (80.50) (5.57) 69805 Explore inner ear 1,067.99 1,118.62 1,118.62 (50.63) (50.63) 69806 Explore inner ear 960.07 1,004.18 1,004.18 (44.11) (44.11) 69820 Establish inner ear window 870.49 911.62 911.62 (41.13) (41.13) 69840 Revise inner ear window 898.66 961.65 961.65 (62.99) (62.99) 69905 Remove inner ear 932.50 976.03 976.03 (43.53) (43.53) 69910 Remove inner ear & mastoid 1,031.24 1,079.92 1,079.92 (48.68) (48.68) 69915 Incise inner ear nerve 1,558.36 1,630.75 1,630.75 (72.39) (72.39) 69930 Implant cochlear device 1,239.36 1,298.55 1,298.55 (59.19) (59.19) 69950 Incise inner ear nerve 1,801.37 1,887.23 1,887.23 (85.86) (85.86) 69955 Release facial nerve 2,001.68 2,114.29 2,114.29 (112.61) (112.61) 69960 Release inner ear canal 1,946.03 2,032.09 2,032.09 (86.06) (86.06) 69970 Remove inner ear lesion 2,167.03 2,271.55 2,271.55 (104.52) (104.52) 69990 Microsurgery add-on 218.56 233.79 233.79 (15.23) (15.23) 70010 Contrast x-ray of brain 67.62 63.69 63.69 3.93 3.93 70015 Contrast x-ray of brain 161.11 160.36 160.36 0.75 0.75 70030 X-ray eye for foreign body 31.45 29.04 29.04 2.41 2.41 70100 X-ray exam of jaw <4views 37.10 34.30 34.30 2.80 2.80 70110 X-ray exam of jaw 4/> views 42.63 39.45 39.45 3.18 3.18 70120 X-ray exam of mastoids 38.61 35.43 35.43 3.18 3.18 70130 X-ray exam of mastoids 61.73 56.98 56.98 4.75 4.75 70134 X-ray exam of middle ear 59.09 53.61 53.61 5.48 5.48 70140 X-ray exam of facial bones 32.17 30.89 30.89 1.28 1.28 70150 X-ray exam of facial bones 45.64 43.20 43.20 2.44 2.44 70160 X-ray exam of nasal bones 36.36 33.94 33.94 2.42 2.42 70170 X-ray exam of tear duct 51.40 0.00 0.00 51.40 51.40 70190 X-ray exam of eye sockets 38.93 37.26 37.26 1.67 1.67 70200 X-ray exam of eye sockets 46.73 43.92 43.92 2.81 2.81 70210 X-ray exam of sinuses 32.96 30.92 30.92 2.04 2.04 70220 X-ray exam of sinuses 41.50 39.08 39.08 2.42 2.42 70240 X-ray exam pituitary saddle 32.92 31.27 31.27 1.65 1.65 70250 X-ray exam of skull 40.01 37.59 37.59 2.42 2.42 70260 X-ray exam of skull 50.77 47.56 47.56 3.21 3.21 70300 X-ray exam of teeth 16.09 15.60 15.60 0.49 0.49 70310 X-ray exam of teeth 40.92 38.47 38.47 2.45 2.45 70320 Full mouth x-ray of teeth 56.67 54.94 54.94 1.73 1.73 70328 X-ray exam of jaw joint 34.08 32.04 32.04 2.04 2.04 70330 X-ray exam of jaw joints 52.48 49.26 49.26 3.22 3.22 70332 X-ray exam of jaw joint 88.59 84.84 84.84 3.75 3.75 70336 Magnetic image jaw joint 342.73 336.96 336.96 5.77 5.77 70350 X-ray head for orthodontia 22.76 20.73 20.73 2.03 2.03 70355 Panoramic x-ray of jaws 21.94 21.44 21.44 0.50 0.50 70360 X-ray exam of neck 31.07 29.42 29.42 1.65 1.65 70370 THROAT X-RAY & FLUOROSCOPY 85.96 82.62 82.62 3.34 3.34 70371 SPEECH EVALUATION COMPLEX 97.84 95.24 95.24 2.60 2.60 70380 X-ray exam of salivary gland 40.90 37.70 37.70 3.20 3.20 70390 X-ray exam of salivary duct 108.18 98.71 98.71 9.47 9.47 70450 Ct head/brain w/o dye 130.34 121.58 121.58 8.76 8.76 70460 Ct head/brain w/dye 178.19 169.30 169.30 8.89 8.89 70470 Ct head/brain w/o & w/dye 214.24 201.05 201.05 13.19 13.19 70480 Ct orbit/ear/fossa w/o dye 265.24 245.09 245.09 20.15 20.15 70481 Ct orbit/ear/fossa w/dye 309.29 290.08 290.08 19.21 19.21 70482 Ct orbit/ear/fossa w/o&w/dye 342.03 316.68 316.68 25.35 25.35 70486 Ct maxillofacial w/o dye 218.24 146.81 146.81 71.43 71.43 70487 Ct maxillofacial w/dye 264.45 176.45 176.45 88.00 88.00 70488 Ct maxillofacial w/o & w/dye 316.77 214.98 214.98 101.79 101.79 70490 Ct soft tissue neck w/o dye 215.73 202.16 202.16 13.57 13.57 70491 Ct soft tissue neck w/dye 259.00 247.16 247.16 11.84 11.84 70492 Ct sft tsue nck w/o & w/dye 308.02 291.85 291.85 16.17 16.17 70496 Ct angiography head 472.63 308.60 308.60 164.03 164.03 70498 Ct angiography neck 490.77 307.47 307.47 183.30 183.30 70540 Mri orbit/face/neck w/o dye 382.66 377.84 377.84 4.82 4.82 70542 Mri orbit/face/neck w/dye 436.98 422.56 422.56 14.42 14.42 70543 Mri orbt/fac/nck w/o &w/dye 534.61 516.88 516.88 17.73 17.73 70544 Mr angiography head w/o dye 429.42 412.76 412.76 16.66 16.66 70545 Mr angiography head w/dye 423.37 407.49 407.49 15.88 15.88 70546 Mr angiograph head w/o&w/dye 645.64 630.47 630.47 15.17 15.17 70547 Mr angiography neck w/o dye 430.55 414.27 414.27 16.28 16.28 70548 Mr angiography neck w/dye 452.10 434.98 434.98 17.12 17.12 70549 Mr angiograph neck w/o&w/dye 649.78 634.24 634.24 15.54 15.54 70551 Mri brain stem w/o dye 258.45 241.34 241.34 17.11 17.11 70552 Mri brain stem w/dye 352.03 335.29 335.29 16.74 16.74 70553 Mri brain stem w/o & w/dye 414.95 395.75 395.75 19.20 19.20 71010 Chest x-ray 1 view frontal 25.01 23.38 23.38 1.63 1.63 71015 Chest x-ray stereo frontal 32.13 28.98 28.98 3.15 3.15 71020 Chest x-ray 2vw frontal&latl 32.49 28.96 28.96 3.53 3.53 71021 Chest x-ray frnt lat lordotc 39.95 35.28 35.28 4.67 4.67 71022 Chest x-ray frnt lat oblique 49.70 43.50 43.50 6.20 6.20 71023 Chest x-ray and fluoroscopy 70.35 66.33 66.33 4.02 4.02 71030 Chest x-ray 4/> views 49.32 43.47 43.47 5.85 5.85 71034 CHEST X-RAY&FLUORO 4/> VIEWS 92.87 87.23 87.23 5.64 5.64 71035 Chest x-ray special views 38.99 34.30 34.30 4.69 4.69 71100 X-ray exam ribs uni 2 views 35.13 34.23 34.23 0.90 0.90 71101 X-ray exam unilat ribs/chest 42.59 37.89 37.89 4.70 4.70 71110 X-ray exam ribs bil 3 views 43.73 39.04 39.04 4.69 4.69 71111 X-ray exam ribs/chest4/> vws 57.24 49.86 49.86 7.38 7.38 71120 X-ray exam breastbone 2/>vws 34.04 30.87 30.87 3.17 3.17 71130 X-ray strenoclavic jt 3/>vws 40.05 37.62 37.62 2.43 2.43 71250 Ct thorax w/o dye 201.84 189.43 189.43 12.41 12.41 71260 Ct thorax w/dye 252.85 240.63 240.63 12.22 12.22 71270 Ct thorax w/o & w/dye 305.11 288.95 288.95 16.16 16.16 71275 Ct angiography chest 394.47 314.14 314.14 80.33 80.33 71550 Mri chest w/o dye 440.65 435.65 435.65 5.00 5.00 71551 Mri chest w/dye 498.37 481.85 481.85 16.52 16.52 71552 Mri chest w/o & w/dye 626.99 609.66 609.66 17.33 17.33 71555 Mri angio chest w or w/o dye 439.26 417.35 417.35 21.91 21.91 72020 X-ray exam of spine 1 view 24.69 23.05 23.05 1.64 1.64 72040 X-ray exam neck spine 2-3 vw 38.57 34.61 34.61 3.96 3.96 72050 X-ray exam neck spine 4/5vws 52.00 46.86 46.86 5.14 5.14 72052 X-ray exam neck spine 6/>vws 66.64 58.83 58.83 7.81 7.81 72070 X-ray exam thorac spine 2vws 35.89 35.36 35.36 0.53 0.53 72072 X-ray exam thorac spine 3vws 40.05 36.11 36.11 3.94 3.94 72074 X-ray exam thorac spine4/>vw 47.60 41.01 41.01 6.59 6.59 72080 X-RAY EXAM THORACOLMB 2/> VW 38.95 31.97 31.97 6.98 6.98 72081 X-ray exam entire spi 1 vw 40.53 40.54 40.54 (0.01) (0.01) 72082 X-ray exam entire spi 2/3 vw 65.30 65.31 65.31 (0.01) (0.01) 72083 X-ray exam entire spi 4/5 vw 70.88 70.89 70.89 (0.01) (0.01) 72084 X-ray exam entire spi 6/> vw 84.71 84.73 84.73 (0.02) (0.02) 72100 X-ray exam l-s spine 2/3 vws 38.57 36.49 36.49 2.08 2.08 72110 X-ray exam l-2 spine 4/>vws 52.76 51.00 51.00 1.76 1.76 72114 X-ray exam l-s spine bending 69.01 65.29 65.29 3.72 3.72 72120 X-ray bend only l-s spine 43.48 42.14 42.14 1.34 1.34 72125 Ct neck spine w/o dye 206.28 193.49 193.49 12.79 12.79 72126 Ct neck spine w/dye 252.89 240.29 240.29 12.60 12.60 72127 Ct neck spine w/o & w/dye 301.17 284.64 284.64 16.53 16.53 72128 Ct chest spine w/o dye 202.25 189.09 189.09 13.16 13.16 72129 Ct chest spine w/dye 252.89 240.67 240.67 12.22 12.22 72130 Ct chest spine w/o & w/dye 304.57 286.52 286.52 18.05 18.05 72131 Ct lumbar spine w/o dye 201.50 188.34 188.34 13.16 13.16 72132 Ct lumbar spine w/dye 252.13 239.91 239.91 12.22 12.22 72133 Ct lumbar spine w/o & w/dye 301.54 284.24 284.24 17.30 17.30 72141 Mri neck spine w/o dye 256.58 234.54 234.54 22.04 22.04 72142 Mri neck spine w/dye 353.15 340.91 340.91 12.24 12.24 72146 Mri chest spine w/o dye 256.58 234.54 234.54 22.04 22.04 72147 Mri chest spine w/dye 349.74 337.17 337.17 12.57 12.57 72148 Mri lumbar spine w/o dye 256.98 233.41 233.41 23.57 23.57 72149 Mri lumbar spine w/dye 348.63 336.77 336.77 11.86 11.86 72156 Mri neck spine w/o & w/dye 415.33 397.64 397.64 17.69 17.69 72157 Mri chest spine w/o & w/dye 415.71 398.39 398.39 17.32 17.32 72158 Mri lumbar spine w/o & w/dye 414.23 396.88 396.88 17.35 17.35 72159 Mr angio spine w/o&w/dye 457.74 438.05 438.05 19.69 19.69 72170 X-ray exam of pelvis 31.11 33.18 33.18 (2.07) (2.07) 72190 X-ray exam of pelvis 46.15 39.90 39.90 6.25 6.25 72191 Ct angiograph pelv w/o&w/dye 410.55 320.15 320.15 90.40 90.40 72192 Ct pelvis w/o dye 159.00 152.79 152.79 6.21 6.21 72193 Ct pelvis w/dye 248.85 237.38 237.38 11.47 11.47 72194 Ct pelvis w/o & w/dye 291.44 273.80 273.80 17.64 17.64 72195 Mri pelvis w/o dye 400.25 394.23 394.23 6.02 6.02 72196 Mri pelvis w/dye 448.86 432.52 432.52 16.34 16.34 72197 Mri pelvis w/o & w/dye 547.63 531.36 531.36 16.27 16.27 72198 Mr angio pelvis w/o & w/dye 444.57 421.11 421.11 23.46 23.46 72200 X-ray exam si joints 31.83 29.79 29.79 2.04 2.04 72202 X-ray exam si joints 3/> vws 37.46 34.28 34.28 3.18 3.18 72220 X-ray exam sacrum tailbone 31.07 29.42 29.42 1.65 1.65 72240 Myelography neck spine 137.42 101.90 101.90 35.52 35.52 72255 Myelography thoracic spine 130.60 101.50 101.50 29.10 29.10 72265 Myelography l-s spine 134.16 96.01 96.01 38.15 38.15 72270 Myelogphy 2/> spine regions 208.46 132.39 132.39 76.07 76.07 72275 Epidurography 123.34 121.00 121.00 2.34 2.34 72285 Discography cerv/thor spine 121.07 118.76 118.76 2.31 2.31 72295 X-ray of lower spine disk 105.06 103.14 103.14 1.92 1.92 73000 X-ray exam of collar bone 31.09 28.68 28.68 2.41 2.41 73010 X-ray exam of shoulder blade 34.51 31.30 31.30 3.21 3.21 73020 X-ray exam of shoulder 25.44 23.80 23.80 1.64 1.64 73030 X-ray exam of shoulder 33.36 30.15 30.15 3.21 3.21 73040 Contrast x-ray of shoulder 112.42 104.82 104.82 7.60 7.60 73050 X-ray exam of shoulders 42.77 36.90 36.90 5.87 5.87 73060 X-ray exam of humerus 31.07 30.19 30.19 0.88 0.88 73070 X-ray exam of elbow 30.35 28.32 28.32 2.03 2.03 73080 X-ray exam of elbow 35.98 32.43 32.43 3.55 3.55 73085 Contrast x-ray of elbow 108.62 101.78 101.78 6.84 6.84 73090 X-ray exam of forearm 29.96 26.80 26.80 3.16 3.16 73092 X-ray exam of arm infant 30.34 28.30 28.30 2.04 2.04 73100 X-ray exam of wrist 33.77 30.19 30.19 3.58 3.58 73110 X-ray exam of wrist 40.52 36.95 36.95 3.57 3.57 73115 Contrast x-ray of wrist 118.47 111.95 111.95 6.52 6.52 73120 X-ray exam of hand 29.58 27.18 27.18 2.40 2.40 73130 X-ray exam of hand 35.23 32.05 32.05 3.18 3.18 73140 X-ray exam of finger(s) 35.68 32.87 32.87 2.81 2.81 73200 Ct upper extremity w/o dye 201.91 187.96 187.96 13.95 13.95 73201 Ct upper extremity w/dye 246.96 233.99 233.99 12.97 12.97 73202 Ct uppr extremity w/o&w/dye 315.25 291.88 291.88 23.37 23.37 73206 Ct angio upr extrm w/o&w/dye 353.81 343.52 343.52 10.29 10.29 73218 Mri upper extremity w/o dye 389.07 383.49 383.49 5.58 5.58 73219 Mri upper extremity w/dye 442.27 425.20 425.20 17.07 17.07 73220 Mri uppr extremity w/o&w/dye 542.17 525.16 525.16 17.01 17.01 73221 Mri joint upr extrem w/o dye 268.94 247.56 247.56 21.38 21.38 73222 Mri joint upr extrem w/dye 412.79 397.33 397.33 15.46 15.46 73223 Mri joint upr extr w/o&w/dye 511.18 492.41 492.41 18.77 18.77 73225 Mr angio upr extr w/o&w/dye 451.45 425.74 425.74 25.71 25.71 73501 X-ray exam hip uni 1 view 30.90 30.91 30.91 (0.01) (0.01) 73502 X-ray exam hip uni 2-3 views 43.26 43.27 43.27 (0.01) (0.01) 73503 X-ray exam hip uni 4/> views 54.07 54.08 54.08 (0.01) (0.01) 73521 X-ray exam hips bi 2 views 41.37 41.39 41.39 (0.02) (0.02) 73522 X-ray exam hips bi 3-4 views 51.02 51.04 51.04 (0.02) (0.02) 73523 X-ray exam hips bi 5/> views 59.27 59.29 59.29 (0.02) (0.02) 73525 Contrast x-ray of hip 110.16 106.30 106.30 3.86 3.86 73551 X-ray exam of femur 1 29.05 29.06 29.06 (0.01) (0.01) 73552 X-ray exam of femur 2/> 33.91 33.92 33.92 (0.01) (0.01) 73560 X-ray exam of knee 1 or 2 33.00 32.45 32.45 0.55 0.55 73562 X-ray exam of knee 3 40.16 37.31 37.31 2.85 2.85 73564 X-ray exam knee 4 or more 46.51 41.01 41.01 5.50 5.50 73565 X-ray exam of knees 38.29 37.34 37.34 0.95 0.95 73580 Contrast x-ray of knee joint 135.50 120.99 120.99 14.51 14.51 73590 X-ray exam of lower leg 29.56 29.81 29.81 (0.25) (0.25) 73592 X-ray exam of leg infant 30.34 29.06 29.06 1.28 1.28 73600 X-ray exam of ankle 30.71 31.32 31.32 (0.61) (0.61) 73610 X-ray exam of ankle 35.98 32.43 32.43 3.55 3.55 73615 Contrast x-ray of ankle 110.16 109.72 109.72 0.44 0.44 73620 X-ray exam of foot 29.20 27.18 27.18 2.02 2.02 73630 X-ray exam of foot 33.72 30.17 30.17 3.55 3.55 73650 X-ray exam of heel 30.34 28.30 28.30 2.04 2.04 73660 X-ray exam of toe(s) 32.66 29.48 29.48 3.18 3.18 73700 Ct lower extremity w/o dye 201.91 187.96 187.96 13.95 13.95 73701 Ct lower extremity w/dye 249.98 237.38 237.38 12.60 12.60 73702 Ct lwr extremity w/o&w/dye 312.60 288.49 288.49 24.11 24.11 73706 Ct angio lwr extr w/o&w/dye 393.75 369.68 369.68 24.07 24.07 73718 Mri lower extremity w/o dye 389.09 383.49 383.49 5.60 5.60 73719 Mri lower extremity w/dye 443.78 424.82 424.82 18.96 18.96 73720 Mri lwr extremity w/o&w/dye 545.19 528.18 528.18 17.01 17.01 73721 Mri jnt of lwr extre w/o dye 269.32 247.93 247.93 21.39 21.39 73722 Mri joint of lwr extr w/dye 418.48 401.10 401.10 17.38 17.38 73723 Mri joint lwr extr w/o&w/dye 512.69 494.29 494.29 18.40 18.40 73725 Mr ang lwr ext w or w/o dye 445.66 421.83 421.83 23.83 23.83 74000 X-ray exam of abdomen 26.14 24.51 24.51 1.63 1.63 74010 X-ray exam of abdomen 41.54 36.85 36.85 4.69 4.69 74020 X-ray exam of abdomen 43.35 39.02 39.02 4.33 4.33 74022 X-ray exam series abdomen 52.32 46.47 46.47 5.85 5.85 74150 Ct abdomen w/o dye 162.62 156.37 156.37 6.25 6.25 74160 Ct abdomen w/dye 253.55 242.09 242.09 11.46 11.46 74170 Ct abdomen w/o & w/dye 293.00 275.36 275.36 17.64 17.64 74174 Ct angio abd&pelv w/o&w/dye 574.61 407.57 407.57 167.04 167.04 74175 Ct angio abdom w/o & w/dye 408.49 321.67 321.67 86.82 86.82 74176 Ct abd & pelvis w/o contrast 227.75 209.24 209.24 18.51 18.51 74177 Ct abd & pelv w/contrast 342.11 326.21 326.21 15.90 15.90 74178 Ct abd & pelv 1/> regns 398.45 370.28 370.28 28.17 28.17 74181 Mri abdomen w/o dye 356.37 350.18 350.18 6.19 6.19 74182 Mri abdomen w/dye 491.56 477.33 477.33 14.23 14.23 74183 Mri abdomen w/o & w/dye 549.51 532.11 532.11 17.40 17.40 74185 Mri angio abdom w orw/o dye 445.70 423.37 423.37 22.33 22.33 74190 X-ray exam of peritoneum 73.84 0.00 0.00 73.84 73.84 74210 CONTRST X-RAY EXAM OF THROAT 83.99 81.42 81.42 2.57 2.57 74220 CONTRAST X-RAY ESOPHAGUS 98.20 92.90 92.90 5.30 5.30 74230 CINE/VID X-RAY THROAT/ESOPH 98.06 134.59 134.59 (36.53) (36.53) 74235 Remove esophagus obstruction 159.64 0.00 0.00 159.64 159.64 74240 X-RAY UPPER GI DELAY W/O KUB 122.71 118.48 118.48 4.23 4.23 74241 X-RAY UPPER GI DELAY W/KUB 127.61 123.38 123.38 4.23 4.23 74245 X-RAY UPPER GI&SMALL INTEST 191.09 179.85 179.85 11.24 11.24 74246 CONTRST X-RAY UPPR GI TRACT 138.21 133.54 133.54 4.67 4.67 74247 CONTRST X-RAY UPPR GI TRACT 153.70 147.85 147.85 5.85 5.85 74249 Contrst x-ray uppr gi tract 206.21 193.03 193.03 13.18 13.18 74250 X-RAY EXAM OF SMALL BOWEL 116.32 109.08 109.08 7.24 7.24 74251 X-RAY EXAM OF SMALL BOWEL 445.85 441.56 441.56 4.29 4.29 74260 X-RAY EXAM OF SMALL BOWEL 369.85 372.62 372.62 (2.77) (2.77) 74261 Ct colonography dx 507.67 510.02 510.02 (2.35) (2.35) 74262 Ct colonography dx w/dye 557.78 567.47 567.47 (9.69) (9.69) 74270 CONTRAST X-RAY EXAM OF COLON 169.20 158.02 158.02 11.18 11.18 74280 Contrast x-ray exam of colon 236.29 223.37 223.37 12.92 12.92 74283 Contrast x-ray exam of colon 215.40 214.00 214.00 1.40 1.40 74290 CONTRAST X-RAY GALLBLADDER 75.00 73.58 73.58 1.42 1.42 74300 X-ray bile ducts/pancreas 52.85 0.00 0.00 52.85 52.85 74301 X-rays at surgery add-on 30.77 0.00 0.00 30.77 30.77 74328 X-ray bile duct endoscopy 154.93 0.00 0.00 154.93 154.93 74329 X-ray for pancreas endoscopy 154.93 0.00 0.00 154.93 154.93 74330 X-ray bile/panc endoscopy 165.07 0.00 0.00 165.07 165.07 74340 X-ray guide for gi tube 126.70 0.00 0.00 126.70 126.70 74355 X-ray guide intestinal tube 137.56 0.00 0.00 137.56 137.56 74360 X-ray guide gi dilation 146.24 0.00 0.00 146.24 146.24 74363 X-ray bile duct dilation 275.12 0.00 0.00 275.12 275.12 74400 Contrst x-ray urinary tract 121.19 115.45 115.45 5.74 5.74 74410 Contrst x-ray urinary tract 118.93 113.57 113.57 5.36 5.36 74415 Contrst x-ray urinary tract 148.03 143.69 143.69 4.34 4.34 74420 Contrst x-ray urinary tract 117.65 0.00 0.00 117.65 117.65 74425 Contrst x-ray urinary tract 68.05 0.00 0.00 68.05 68.05 74430 Contrast x-ray bladder 43.63 39.31 39.31 4.32 4.32 74440 X-ray male genital tract 87.77 85.18 85.18 2.59 2.59 74445 X-ray exam of penis 100.63 0.00 0.00 100.63 100.63 74450 X-ray urethra/bladder 72.76 0.00 0.00 72.76 72.76 74455 X-ray urethra/bladder 89.34 85.61 85.61 3.73 3.73 74470 X-ray exam of kidney lesion 74.57 0.00 0.00 74.57 74.57 74485 X-ray guide gu dilation 102.58 96.56 96.56 6.02 6.02 74710 X-ray measurement of pelvis 39.44 38.15 38.15 1.29 1.29 74712 Mri fetal sngl/1st gestation 504.74 504.81 504.81 (0.07) (0.07) 74713 Mri fetal ea addl gestation 242.27 242.31 242.31 (0.04) (0.04) 74740 X-ray female genital tract 82.44 78.38 78.38 4.06 4.06 74742 X-ray fallopian tube 150.59 0.00 0.00 150.59 150.59 74775 X-ray exam of perineum 87.96 0.00 0.00 87.96 87.96 75557 Cardiac mri for morph 345.62 332.84 332.84 12.78 12.78 75559 Cardiac mri w/stress img 467.68 456.49 456.49 11.19 11.19 75561 Cardiac mri for morph w/dye 456.26 443.46 443.46 12.80 12.80 75563 Card mri w/stress img & dye 538.26 526.02 526.02 12.24 12.24 75565 Card mri veloc flow mapping 58.88 57.55 57.55 1.33 1.33 75571 Ct hrt w/o dye w/ca test 111.16 105.13 105.13 6.03 6.03 75572 Ct hrt w/3d image 303.22 297.71 297.71 5.51 5.51 75573 Ct hrt w/3d image congen 416.24 409.63 409.63 6.61 6.61 75574 Ct angio hrt w/3d image 442.61 439.25 439.25 3.36 3.36 75600 Contrast exam thoracic aorta 222.86 208.78 208.78 14.08 14.08 75605 Contrast exam thoracic aorta 159.69 145.46 145.46 14.23 14.23 75625 Contrast exam abdominl aorta 159.37 145.01 145.01 14.36 14.36 75630 X-ray aorta leg arteries 190.24 178.45 178.45 11.79 11.79 75635 Ct angio abdominal arteries 440.82 398.91 398.91 41.91 41.91 75658 Artery x-rays arm 185.46 175.53 175.53 9.93 9.93 75705 Artery x-rays spine 259.34 255.46 255.46 3.88 3.88 75710 Artery x-rays arm/leg 184.22 172.09 172.09 12.13 12.13 75716 Artery x-rays arms/legs 220.68 197.37 197.37 23.31 23.31 75726 Artery x-rays abdomen 172.18 157.18 157.18 15.00 15.00 75731 Artery x-rays adrenal gland 191.01 181.30 181.30 9.71 9.71 75733 Artery x-rays adrenals 213.77 193.45 193.45 20.32 20.32 75736 Artery x-rays pelvis 181.20 169.16 169.16 12.04 12.04 75741 Artery x-rays lung 170.34 158.78 158.78 11.56 11.56 75743 Artery x-rays lungs 196.91 177.71 177.71 19.20 19.20 75746 Artery x-rays lung 177.08 159.82 159.82 17.26 17.26 75756 Artery x-rays chest 193.59 175.83 175.83 17.76 17.76 75774 Artery x-ray each vessel 104.06 92.69 92.69 11.37 11.37 75801 Lymph vessel x-ray arm/leg 246.16 0.00 0.00 246.16 246.16 75803 Lymph vessel x-ray arms/legs 263.89 0.00 0.00 263.89 263.89 75805 Lymph vessel x-ray trunk 271.86 0.00 0.00 271.86 271.86 75807 Lymph vessel x-ray trunk 289.60 0.00 0.00 289.60 289.60 75809 Nonvascular shunt x-ray 109.52 104.56 104.56 4.96 4.96 75810 Vein x-ray spleen/liver 532.50 0.00 0.00 532.50 532.50 75820 Vein x-ray arm/leg 131.77 121.43 121.43 10.34 10.34 75822 Vein x-ray arms/legs 164.01 144.48 144.48 19.53 19.53 75825 Vein x-ray trunk 153.66 143.12 143.12 10.54 10.54 75827 Vein x-ray chest 155.54 145.73 145.73 9.81 9.81 75831 Vein x-ray kidney 166.42 148.09 148.09 18.33 18.33 75833 Vein x-ray kidneys 188.51 172.52 172.52 15.99 15.99 75840 Vein x-ray adrenal gland 172.46 156.10 156.10 16.36 16.36 75842 Vein x-ray adrenal glands 205.52 189.34 189.34 16.18 16.18 75860 Vein x-ray neck 161.60 150.38 150.38 11.22 11.22 75870 Vein x-ray skull 165.36 155.35 155.35 10.01 10.01 75872 Vein x-ray skull epidural 158.56 147.39 147.39 11.17 11.17 75880 Vein x-ray eye socket 143.48 150.47 150.47 (6.99) (6.99) 75885 Vein x-ray liver w/hemodynam 177.65 166.07 166.07 11.58 11.58 75887 Vein x-ray liver w/o hemodyn 176.46 167.23 167.23 9.23 9.23 75889 Vein x-ray liver w/hemodynam 163.47 151.56 151.56 11.91 11.91 75891 Vein x-ray liver 164.61 152.69 152.69 11.92 11.92 75893 Venous sampling by catheter 133.91 125.16 125.16 8.75 8.75 75894 X-rays transcath therapy 975.95 0.00 0.00 975.95 975.95 75898 Follow-up angiography 125.61 0.00 0.00 125.61 125.61 75901 Remove cva device obstruct 188.09 187.37 187.37 0.72 0.72 75902 Remove cva lumen obstruct 79.45 75.70 75.70 3.75 3.75 75952 Endovasc repair abdom aorta 2,593.00 0.00 0.00 2,593.00 2,593.00 75953 Abdom aneurysm endovas rpr 991.88 0.00 0.00 991.88 991.88 75954 Iliac aneurysm endovas rpr 973.05 0.00 0.00 973.05 973.05 75970 Vascular biopsy 477.47 0.00 0.00 477.47 477.47 75984 Xray control catheter change 117.37 111.66 111.66 5.71 5.71 75989 Abscess drainage under x-ray 131.59 126.24 126.24 5.35 5.35 76000 Fluoroscope examination 53.75 49.73 49.73 4.02 4.02 76001 Fluoroscope exam extensive 133.57 0.00 0.00 133.57 133.57 76010 X-ray nose to rectum 29.16 27.14 27.14 2.02 2.02 76080 X-ray exam of fistula 64.03 57.75 57.75 6.28 6.28 76098 X-ray exam breast specimen 20.13 17.38 17.38 2.75 2.75 76100 X-ray exam of body section 107.07 96.80 96.80 10.27 10.27 76101 Complex body section x-ray 159.66 138.27 138.27 21.39 21.39 76102 Complex body section x-rays 214.12 183.41 183.41 30.71 30.71 76120 CINE/VIDEO X-RAYS 98.73 87.79 87.79 10.94 10.94 76125 Cine/video x-rays add-on 43.44 0.00 0.00 43.44 43.44 76140 X-ray consultation 69.86 0.00 0.00 69.86 69.86 76376 3d render w/intrp postproces 30.26 24.10 24.10 6.16 6.16 76377 3d render w/intrp postproces 87.37 74.24 74.24 13.13 13.13 76380 Cat scan follow-up study 159.57 153.35 153.35 6.22 6.22 76390 Mr spectroscopy 469.81 467.88 467.88 1.93 1.93 76506 ECHO EXAM OF HEAD 130.77 125.33 125.33 5.44 5.44 76510 Ophth us b & quant a 187.58 178.49 178.49 9.09 9.09 76511 OPHTH US QUANT A ONLY 107.44 106.10 106.10 1.34 1.34 76512 OPHTH US B W/NON-QUANT A 98.42 97.06 97.06 1.36 1.36 76513 ECHO EXAM OF EYE WATER BATH 101.17 100.16 100.16 1.01 1.01 76514 Echo exam of eye thickness 15.95 15.86 15.86 0.09 0.09 76516 Echo exam of eye 82.51 82.65 82.65 (0.14) (0.14) 76519 Echo exam of eye 89.35 88.30 88.30 1.05 1.05 76529 ECHO EXAM OF EYE 84.38 83.36 83.36 1.02 1.02 76536 US EXAM OF HEAD AND NECK 129.37 122.86 122.86 6.51 6.51 76604 US EXAM CHEST 93.49 92.76 92.76 0.73 0.73 76641 Ultrasound breast complete 112.77 113.14 113.14 (0.37) (0.37) 76642 Ultrasound breast limited 92.46 92.89 92.89 (0.43) (0.43) 76700 Us exam abdom complete 149.32 129.20 129.20 20.12 20.12 76705 Echo exam of abdomen 114.95 96.46 96.46 18.49 18.49 76770 Us exam abdo back wall comp 140.76 119.53 119.53 21.23 21.23 76775 US EXAM ABDO BACK WALL LIM 68.86 60.70 60.70 8.16 8.16 76776 Us exam k transpl w/doppler 163.77 165.81 165.81 (2.04) (2.04) 76800 Us exam spinal canal 146.05 148.34 148.34 (2.29) (2.29) 76801 Ob us < 14 wks single fetus 133.08 129.61 129.61 3.47 3.47 76802 Ob us < 14 wks addl fetus 70.27 67.77 67.77 2.50 2.50 76805 Ob us >/= 14 wks sngl fetus 154.24 149.92 149.92 4.32 4.32 76810 Ob us >/= 14 wks addl fetus 101.73 98.00 98.00 3.73 3.73 76811 Ob us detailed sngl fetus 194.09 191.10 191.10 2.99 2.99 76812 Ob us detailed addl fetus 220.78 217.71 217.71 3.07 3.07 76813 OB US NUCHAL MEAS 1 GEST 127.06 127.32 127.32 (0.26) (0.26) 76814 Ob us nuchal meas add-on 83.19 85.10 85.10 (1.91) (1.91) 76815 OB US LIMITED FETUS(S) 95.15 88.80 88.80 6.35 6.35 76816 Ob us follow-up per fetus 122.76 121.53 121.53 1.23 1.23 76817 TRANSVAGINAL US OBSTETRIC 107.08 102.54 102.54 4.54 4.54 76818 Fetal biophys profile w/nst 128.42 128.28 128.28 0.14 0.14 76819 Fetal biophys profil w/o nst 94.20 93.45 93.45 0.75 0.75 76820 Umbilical artery echo 51.22 49.51 49.51 1.71 1.71 76821 Middle cerebral artery echo 99.24 98.08 98.08 1.16 1.16 76825 Echo exam of fetal heart 289.00 292.17 292.17 (3.17) (3.17) 76826 Echo exam of fetal heart 173.45 172.85 172.85 0.60 0.60 76827 Echo exam of fetal heart 79.41 79.90 79.90 (0.49) (0.49) 76828 Echo exam of fetal heart 55.26 56.19 56.19 (0.93) (0.93) 76830 Transvaginal us non-ob 133.66 129.03 129.03 4.63 4.63 76831 Echo exam uterus 130.95 125.19 125.19 5.76 5.76 76856 Us exam pelvic complete 131.39 115.85 115.85 15.54 15.54 76857 Us exam pelvic limited 56.78 49.91 49.91 6.87 6.87 76870 US EXAM SCROTUM 77.84 70.74 70.74 7.10 7.10 76872 Us transrectal 97.77 98.95 98.95 (1.18) (1.18) 76873 Echograp trans r pros study 180.46 176.13 176.13 4.33 4.33 76881 Us xtr non-vasc complete 125.48 120.87 120.87 4.61 4.61 76882 Us xtr non-vasc lmtd 37.31 37.50 37.50 (0.19) (0.19) 76885 Us exam infant hips dynamic 157.39 154.17 154.17 3.22 3.22 76886 Us exam infant hips static 112.97 111.84 111.84 1.13 1.13 76930 Echo guide cardiocentesis 87.93 0.00 0.00 87.93 87.93 76932 Echo guide for heart biopsy 93.03 0.00 0.00 93.03 93.03 76936 Echo guide for artery repair 286.82 286.35 286.35 0.47 0.47 76937 Us guide vascular access 38.04 32.97 32.97 5.07 5.07 76940 Us guide tissue ablation 177.08 0.00 0.00 177.08 177.08 76941 Echo guide for transfusion 128.87 0.00 0.00 128.87 128.87 76942 Echo guide for biopsy 77.02 63.54 63.54 13.48 13.48 76945 Echo guide villus sampling 92.31 0.00 0.00 92.31 92.31 76946 Echo guide for amniocentesis 33.69 34.29 34.29 (0.60) (0.60) 76948 Echo guide ova aspiration 34.48 62.49 62.49 (28.01) (28.01) 76965 Echo guidance radiotherapy 94.70 93.69 93.69 1.01 1.01 76970 Ultrasound exam follow-up 100.22 98.30 98.30 1.92 1.92 76975 Gi endoscopic ultrasound 99.18 0.00 0.00 99.18 99.18 76977 Us bone density measure 7.49 7.40 7.40 0.09 0.09 77001 Fluoroguide for vein device 83.61 73.86 73.86 9.75 9.75 77002 Needle localization by xray 107.87 97.64 97.64 10.23 10.23 77003 FLUOROGUIDE FOR SPINE INJECT 94.90 89.66 89.66 5.24 5.24 77011 Ct scan for localization 236.22 234.28 234.28 1.94 1.94 77012 Ct scan for needle biopsy 134.28 130.44 130.44 3.84 3.84 77013 Ct guide for tissue ablation 652.83 0.00 0.00 652.83 652.83 77014 Ct scan for therapy guide 129.21 123.49 123.49 5.72 5.72 77021 Mr guidance for needle place 418.71 424.67 424.67 (5.96) (5.96) 77022 Mri for tissue ablation 799.67 0.00 0.00 799.67 799.67 77053 X-ray of mammary duct 62.83 61.09 61.09 1.74 1.74 77054 X-ray of mammary ducts 84.99 80.49 80.49 4.50 4.50 77058 Mri one breast 581.33 567.12 567.12 14.21 14.21 77059 Mri both breasts 579.06 564.10 564.10 14.96 14.96 77063 Breast tomosynthesis bi 58.64 57.68 57.68 0.96 0.96 77071 X-ray stress view 53.75 50.36 50.36 3.39 3.39 77072 X-rays for bone age 24.99 24.11 24.11 0.88 0.88 77073 X-rays bone length studies 40.38 37.51 37.51 2.87 2.87 77074 X-rays bone survey limited 75.54 67.32 67.32 8.22 8.22 77075 X-RAYS BONE SURVEY COMPLETE 113.16 91.64 91.64 21.52 21.52 77076 X-rays bone survey infant 113.62 100.39 100.39 13.23 13.23 77077 Joint survey single view 42.57 38.95 38.95 3.62 3.62 77078 CT BONE DENSITY AXIAL 120.11 120.03 120.03 0.08 0.08 77080 Dxa bone density axial 51.80 43.30 43.30 8.50 8.50 77081 Dxa bone density/peripheral 29.09 29.34 29.34 (0.25) (0.25) 77084 Magnetic image bone marrow 416.61 410.54 410.54 6.07 6.07 77085 Dxa bone density study 59.16 59.30 59.30 (0.14) (0.14) 77086 Fracture assessment via dxa 37.50 37.33 37.33 0.17 0.17 77261 Radiation therapy planning 76.86 78.07 78.07 (1.21) (1.21) 77262 Radiation therapy planning 115.28 116.65 116.65 (1.37) (1.37) 77263 Radiation therapy planning 170.12 170.48 170.48 (0.36) (0.36) 77280 Set radiation therapy field 285.19 289.07 289.07 (3.88) (3.88) 77285 Set radiation therapy field 444.41 456.01 456.01 (11.60) (11.60) 77290 Set radiation therapy field 532.28 544.74 544.74 (12.46) (12.46) 77293 Respirator motion mgmt simul 452.49 491.97 491.97 (39.48) (39.48) 77295 3-d radiotherapy plan 503.88 513.88 513.88 (10.00) (10.00) 77300 Radiation therapy dose plan 69.92 69.67 69.67 0.25 0.25 77301 Radiotherapy dose plan imrt 2,053.31 2,062.43 2,062.43 (9.12) (9.12) 77306 Telethx isodose plan simple 149.65 156.40 156.40 (6.75) (6.75) 77307 Telethx isodose plan cplx 291.55 301.74 301.74 (10.19) (10.19) 77316 Brachytx isodose plan simple 192.75 198.17 198.17 (5.42) (5.42) 77317 Brachytx isodose intermed 252.43 258.01 258.01 (5.58) (5.58) 77318 Brachytx isodose complex 363.39 371.70 371.70 (8.31) (8.31) 77321 Special teletx port plan 95.00 96.97 96.97 (1.97) (1.97) 77331 Special radiation dosimetry 65.68 66.22 66.22 (0.54) (0.54) 77332 Radiation treatment aid(s) 84.06 87.15 87.15 (3.09) (3.09) 77333 Radiation treatment aid(s) 54.40 54.97 54.97 (0.57) (0.57) 77334 Radiation treatment aid(s) 156.44 160.10 160.10 (3.66) (3.66) 77336 Radiation physics consult 79.00 84.17 84.17 (5.17) (5.17) 77338 Design mlc device for imrt 521.66 532.31 532.31 (10.65) (10.65) 77370 Radiation physics consult 121.01 129.24 129.24 (8.23) (8.23) 77371 Srs multisource 1,149.24 0.00 0.00 1,149.24 1,149.24 77372 Srs linear based 1,102.89 1,139.43 1,139.43 (36.54) (36.54) 77373 Sbrt delivery 1,320.61 1,448.47 1,448.47 (127.86) (127.86) 77401 Radiation treatment delivery 21.18 25.58 25.58 (4.40) (4.40) 77402 Radiation treatment delivery 147.78 0.00 0.00 147.78 147.78 77407 Radiation treatment delivery 268.34 0.00 0.00 268.34 268.34 77412 Radiation treatment delivery 254.74 0.00 0.00 254.74 254.74 77417 RADIOLOGY PORT IMAGES(S) 14.75 11.65 11.65 3.10 3.10 77422 Neutron beam tx simple 44.23 0.00 0.00 44.23 44.23 77423 Neutron beam tx complex 52.55 0.00 0.00 52.55 52.55 77427 Radiation tx management x5 190.48 191.17 191.17 (0.69) (0.69) 77431 Radiation therapy management 104.45 105.14 105.14 (0.69) (0.69) 77432 Stereotactic radiation trmt 428.39 430.22 430.22 (1.83) (1.83) 77435 Sbrt management 647.36 648.95 648.95 (1.59) (1.59) 77469 Io radiation tx management 320.40 332.25 332.25 (11.85) (11.85) 77470 Special radiation treatment 159.80 162.34 162.34 (2.54) (2.54) 77600 Hyperthermia treatment 417.04 444.48 444.48 (27.44) (27.44) 77605 Hyperthermia treatment 758.96 844.66 844.66 (85.70) (85.70) 77610 Hyperthermia treatment 1,049.70 1,052.04 1,052.04 (2.34) (2.34) 77615 Hyperthermia treatment 1,049.18 1,125.76 1,125.76 (76.58) (76.58) 77620 Hyperthermia treatment 382.62 405.34 405.34 (22.72) (22.72) 77750 Infuse radioactive materials 380.11 386.14 386.14 (6.03) (6.03) 77761 Apply intrcav radiat simple 401.52 407.27 407.27 (5.75) (5.75) 77762 Apply intrcav radiat interm 530.30 541.01 541.01 (10.71) (10.71) 77763 Apply intrcav radiat compl 751.35 765.18 765.18 (13.83) (13.83) 77767 Hdr rdncl skn surf brachytx 237.14 237.18 237.18 (0.04) (0.04) 77768 Hdr rdncl skn surf brachytx 372.03 372.09 372.09 (0.06) (0.06) 77770 Hdr rdncl ntrstl/icav brchtx 337.59 337.64 337.64 (0.05) (0.05) 77771 Hdr rdncl ntrstl/icav brchtx 627.94 628.03 628.03 (0.09) (0.09) 77772 Hdr rdncl ntrstl/icav brchtx 960.09 960.23 960.23 (0.14) (0.14) 77778 APPLY INTERSTIT RADIAT COMPL 898.81 815.60 815.60 83.21 83.21 77789 APPLY SURF LDR RADIONUCLIDE 122.62 125.25 125.25 (2.63) (2.63) 77790 Radiation handling 99.34 15.79 15.79 83.55 83.55 78012 Thyroid uptake measurement 82.43 86.22 86.22 (3.79) (3.79) 78013 Thyroid imaging w/blood flow 207.97 208.63 208.63 (0.66) (0.66) 78014 Thyroid imaging w/blood flow 251.98 264.12 264.12 (12.14) (12.14) 78015 Thyroid met imaging 233.52 240.12 240.12 (6.60) (6.60) 78016 Thyroid met imaging/studies 300.86 304.66 304.66 (3.80) (3.80) 78018 Thyroid met imaging body 335.58 341.42 341.42 (5.84) (5.84) 78020 Thyroid met uptake 88.10 90.41 90.41 (2.31) (2.31) 78070 Parathyroid planar imaging 319.44 327.24 327.24 (7.80) (7.80) 78071 Parathyrd planar w/wo subtrj 374.64 390.52 390.52 (15.88) (15.88) 78072 Parathyrd planar w/spect&ct 79.36 450.46 450.46 (371.10) (371.10) 78075 Adrenal cortex & medulla img 456.76 467.77 467.77 (11.01) (11.01) 78102 Bone marrow imaging ltd 181.21 184.96 184.96 (3.75) (3.75) 78103 Bone marrow imaging mult 240.55 242.60 242.60 (2.05) (2.05) 78104 Bone marrow imaging body 260.11 267.37 267.37 (7.26) (7.26) 78110 Plasma volume single 100.99 102.39 102.39 (1.40) (1.40) 78111 Plasma volume multiple 105.84 104.97 104.97 0.87 0.87 78120 Red cell mass single 102.04 102.32 102.32 (0.28) (0.28) 78121 Red cell mass multiple 107.54 111.18 111.18 (3.64) (3.64) 78122 Blood volume 105.02 106.08 106.08 (1.06) (1.06) 78130 Red cell survival study 182.26 182.98 182.98 (0.72) (0.72) 78135 Red cell survival kinetics 376.06 385.11 385.11 (9.05) (9.05) 78140 Red cell sequestration 145.20 148.34 148.34 (3.14) (3.14) 78185 Spleen imaging 226.05 231.55 231.55 (5.50) (5.50) 78190 Platelet survival kinetics 425.08 428.43 428.43 (3.35) (3.35) 78191 Platelet survival 182.26 182.98 182.98 (0.72) (0.72) 78195 Lymph system imaging 382.22 388.23 388.23 (6.01) (6.01) 78201 Liver imaging 200.71 205.12 205.12 (4.41) (4.41) 78202 Liver imaging with flow 217.53 220.45 220.45 (2.92) (2.92) 78205 Liver imaging (3d) 228.53 230.64 230.64 (2.11) (2.11) 78206 Liver image (3d) with flow 363.73 373.99 373.99 (10.26) (10.26) 78215 Liver and spleen imaging 208.91 212.55 212.55 (3.64) (3.64) 78216 Liver & spleen image/flow 131.28 136.73 136.73 (5.45) (5.45) 78226 Hepatobiliary system imaging 355.84 362.71 362.71 (6.87) (6.87) 78227 Hepatobil syst image w/drug 482.15 492.30 492.30 (10.15) (10.15) 78230 Salivary gland imaging 146.63 153.92 153.92 (7.29) (7.29) 78231 Serial salivary imaging 138.14 141.71 141.71 (3.57) (3.57) 78232 Salivary gland function exam 106.15 107.20 107.20 (1.05) (1.05) 78258 Esophageal motility study 236.77 241.86 241.86 (5.09) (5.09) 78261 Gastric mucosa imaging 271.28 271.31 271.31 (0.03) (0.03) 78262 Gastroesophageal reflux exam 261.42 266.84 266.84 (5.42) (5.42) 78264 GASTRIC EMPTYING IMAG STUDY 308.86 365.72 365.72 (56.86) (56.86) 78265 Gastric emptying imag study 436.00 436.07 436.07 (0.07) (0.07) 78266 Gastric emptying imag study 517.51 517.59 517.59 (0.08) (0.08) 78270 Vit b-12 absorption exam 96.40 110.28 110.28 (13.88) (13.88) 78271 Vit b-12 absrp exam int fac 96.40 98.23 98.23 (1.83) (1.83) 78272 Vit b-12 absorp combined 109.53 105.27 105.27 4.26 4.26 78278 Acute gi blood loss imaging 374.27 381.10 381.10 (6.83) (6.83) 78282 Gi protein loss exam 79.64 0.00 0.00 79.64 79.64 78290 Meckels divert exam 358.98 365.07 365.07 (6.09) (6.09) 78291 Leveen/shunt patency exam 269.04 274.77 274.77 (5.73) (5.73) 78300 Bone imaging limited area 193.92 197.25 197.25 (3.33) (3.33) 78305 Bone imaging multiple areas 247.20 251.85 251.85 (4.65) (4.65) 78306 Bone imaging whole body 269.06 275.15 275.15 (6.09) (6.09) 78315 Bone imaging 3 phase 373.46 378.79 378.79 (5.33) (5.33) 78320 Bone imaging (3d) 243.41 248.12 248.12 (4.71) (4.71) 78350 Bone mineral single photon 34.38 34.61 34.61 (0.23) (0.23) 78351 BONE MINERAL DUAL PHOTON 15.68 15.65 15.65 0.03 0.03 78414 Non-imaging heart function 77.46 0.00 0.00 77.46 77.46 78428 Cardiac shunt imaging 195.50 196.26 196.26 (0.76) (0.76) 78445 Vascular flow imaging 183.93 191.11 191.11 (7.18) (7.18) 78451 Ht muscle image spect sing 367.47 371.77 371.77 (4.30) (4.30) 78452 Ht muscle image spect mult 510.26 515.52 515.52 (5.26) (5.26) 78453 Ht muscle image planar sing 328.52 331.75 331.75 (3.23) (3.23) 78454 Ht musc image planar mult 467.72 477.22 477.22 (9.50) (9.50) 78456 Acute venous thrombus image 343.22 344.58 344.58 (1.36) (1.36) 78457 Venous thrombosis imaging 208.39 204.83 204.83 3.56 3.56 78458 Ven thrombosis images bilat 173.38 181.77 181.77 (8.39) (8.39) 78459 Heart muscle imaging (pet) 261.72 0.00 0.00 261.72 261.72 78466 Heart infarct image 195.67 207.70 207.70 (12.03) (12.03) 78468 Heart infarct image (ef) 210.58 215.43 215.43 (4.85) (4.85) 78469 Heart infarct image (3d) 241.34 246.46 246.46 (5.12) (5.12) 78472 Gated heart planar single 245.77 249.72 249.72 (3.95) (3.95) 78473 Gated heart multiple 310.23 314.01 314.01 (3.78) (3.78) 78481 Heart first pass single 188.27 189.15 189.15 (0.88) (0.88) 78483 Heart first pass multiple 256.56 261.69 261.69 (5.13) (5.13) 78491 Heart image (pet) single 264.62 0.00 0.00 264.62 264.62 78492 Heart image (pet) multiple 329.42 0.00 0.00 329.42 329.42 78494 Heart image spect 242.34 244.11 244.11 (1.77) (1.77) 78496 Heart first pass add-on 47.06 47.30 47.30 (0.24) (0.24) 78579 Lung ventilation imaging 200.20 203.91 203.91 (3.71) (3.71) 78580 Lung perfusion imaging 256.42 261.44 261.44 (5.02) (5.02) 78582 Lung ventilat&perfus imaging 359.75 365.88 365.88 (6.13) (6.13) 78597 Lung perfusion differential 216.31 220.40 220.40 (4.09) (4.09) 78598 Lung perf&ventilat diferentl 329.53 335.41 335.41 (5.88) (5.88) 78600 Brain image < 4 views 196.50 202.46 202.46 (5.96) (5.96) 78601 Brain image w/flow < 4 views 232.30 233.60 233.60 (1.30) (1.30) 78605 Brain image 4+ views 212.61 217.38 217.38 (4.77) (4.77) 78606 Brain image w/flow 4 + views 353.71 362.14 362.14 (8.43) (8.43) 78607 Brain imaging (3d) 373.43 382.56 382.56 (9.13) (9.13) 78608 Brain imaging (pet) 1,740.13 0.00 0.00 1,740.13 1,740.13 78609 Brain imaging (pet) 79.67 76.88 76.88 2.79 2.79 78610 Brain flow imaging only 187.32 191.42 191.42 (4.10) (4.10) 78630 Cerebrospinal fluid scan 362.74 370.34 370.34 (7.60) (7.60) 78635 Csf ventriculography 363.97 370.85 370.85 (6.88) (6.88) 78645 Csf shunt evaluation 347.08 353.22 353.22 (6.14) (6.14) 78647 Cerebrospinal fluid scan 375.96 382.38 382.38 (6.42) (6.42) 78650 Csf leakage imaging 361.00 360.31 360.31 0.69 0.69 78660 Nuclear exam of tear flow 199.76 196.67 196.67 3.09 3.09 78700 Kidney imaging morphol 186.69 187.79 187.79 (1.10) (1.10) 78701 Kidney imaging with flow 229.70 230.27 230.27 (0.57) (0.57) 78707 K flow/funct image w/o drug 247.70 253.15 253.15 (5.45) (5.45) 78708 K flow/funct image w/drug 184.12 188.29 188.29 (4.17) (4.17) 78709 K flow/funct image multiple 391.64 396.17 396.17 (4.53) (4.53) 78710 Kidney imaging (3d) 213.08 218.29 218.29 (5.21) (5.21) 78725 Kidney function study 116.49 118.24 118.24 (1.75) (1.75) 78730 Urinary bladder retention 81.38 83.30 83.30 (1.92) (1.92) 78740 Ureteral reflux study 235.97 238.05 238.05 (2.08) (2.08) 78761 Testicular imaging w/flow 225.51 227.60 227.60 (2.09) (2.09) 78800 Tumor imaging limited area 204.06 208.43 208.43 (4.37) (4.37) 78801 Tumor imaging mult areas 268.44 284.63 284.63 (16.19) (16.19) 78802 Tumor imaging whole body 345.40 354.98 354.98 (9.58) (9.58) 78803 Tumor imaging (3d) 363.87 371.14 371.14 (7.27) (7.27) 78804 Tumor imaging whole body 609.23 620.38 620.38 (11.15) (11.15) 78805 Abscess imaging ltd area 195.62 198.57 198.57 (2.95) (2.95) 78806 Abscess imaging whole body 354.47 364.02 364.02 (9.55) (9.55) 78807 Nuclear localization/abscess 362.34 371.14 371.14 (8.80) (8.80) 78808 Iv inj ra drug dx study 49.59 48.96 48.96 0.63 0.63 78811 Pet image ltd area 690.65 0.00 0.00 690.65 690.65 78812 Pet image skull-thigh 857.85 0.00 0.00 857.85 857.85 78813 Pet image full body 889.05 0.00 0.00 889.05 889.05 78814 Pet image w/ct lmtd 972.65 0.00 0.00 972.65 972.65 78815 Pet image w/ct skull-thigh 1,074.82 0.00 0.00 1,074.82 1,074.82 78816 Pet image w/ct full body 1,102.71 0.00 0.00 1,102.71 1,102.71 79005 Nuclear rx oral admin 141.79 143.26 143.26 (1.47) (1.47) 79101 Nuclear rx iv admin 149.79 149.43 149.43 0.36 0.36 79200 Nuclear rx intracav admin 164.93 167.43 167.43 (2.50) (2.50) 79300 Nuclr rx interstit colloid 139.37 0.00 0.00 139.37 139.37 79403 Hematopoietic nuclear tx 202.25 202.32 202.32 (0.07) (0.07) 79440 Nuclear rx intra-articular 151.59 151.66 151.66 (0.07) (0.07) 79445 Nuclear rx intra-arterial 227.68 0.00 0.00 227.68 227.68 80500 Lab pathology consultation 20.55 22.69 20.05 (2.14) 0.50 80502 Lab pathology consultation 66.25 73.72 71.09 (7.47) (4.84) 85060 Blood smear interpretation 23.99 25.94 25.94 (1.95) (1.95) 85097 Bone marrow interpretation 84.88 93.97 51.80 (9.09) 33.08 85396 Clotting assay whole blood 19.83 21.56 21.56 (1.73) (1.73) 86077 Phys blood bank serv xmatch 53.29 58.58 54.06 (5.29) (0.77) 86078 Phys blood bank serv reactj 53.29 58.20 54.06 (4.91) (0.77) 86490 Coccidioidomycosis skin test 5.04 74.16 74.16 (69.12) (69.12) 86510 Histoplasmosis skin test 6.48 6.38 6.38 0.10 0.10 86580 Tb intradermal test 7.91 8.26 8.26 (0.35) (0.35) 88104 Cytopath fl nongyn smears 73.32 79.61 79.61 (6.29) (6.29) 88106 Cytopath fl nongyn filter 84.08 78.79 78.79 5.29 5.29 88108 Cytopath concentrate tech 78.21 76.04 76.04 2.17 2.17 88112 Cytopath cell enhance tech 62.19 75.09 75.09 (12.90) (12.90) 88120 Cytp urne 3-5 probes ea spec 617.95 670.80 670.80 (52.85) (52.85) 88121 Cytp urine 3-5 probes cmptr 534.62 585.70 585.70 (51.08) (51.08) 88125 Forensic cytopathology 21.81 24.35 24.35 (2.54) (2.54) 88141 Cytopath c/v interpret 31.23 33.90 33.90 (2.67) (2.67) 88160 Cytopath smear other source 63.74 75.94 75.94 (12.20) (12.20) 88161 Cytopath smear other source 57.99 68.04 68.04 (10.05) (10.05) 88162 Cytopath smear other source 95.25 109.73 109.73 (14.48) (14.48) 88172 Cytp dx eval fna 1st ea site 53.34 59.79 59.79 (6.45) (6.45) 88173 Cytopath eval fna report 144.73 161.01 161.01 (16.28) (16.28) 88177 Cytp fna eval ea addl 29.06 31.67 31.67 (2.61) (2.61) 88182 Cell marker study 108.91 117.62 117.62 (8.71) (8.71) 88184 Flowcytometry/ tc 1 marker 87.98 80.18 80.18 7.80 7.80 88185 Flowcytometry/tc add-on 53.87 48.95 48.95 4.92 4.92 88187 Flowcytometry/read 2-8 69.44 74.40 74.40 (4.96) (4.96) 88188 Flowcytometry/read 9-15 87.54 94.90 94.90 (7.36) (7.36) 88189 Flowcytometry/read 16 & > 107.03 116.20 116.20 (9.17) (9.17) 88291 Cyto/molecular report 30.33 32.98 32.98 (2.65) (2.65) 88300 Surgical path gross 14.60 16.01 16.01 (1.41) (1.41) 88302 Tissue exam by pathologist 29.95 34.38 34.38 (4.43) (4.43) 88304 Tissue exam by pathologist 43.07 48.16 48.16 (5.09) (5.09) 88305 Tissue exam by pathologist 69.38 76.64 76.64 (7.26) (7.26) 88307 Tissue exam by pathologist 286.18 325.58 325.58 (39.40) (39.40) 88309 Tissue exam by pathologist 434.86 493.69 493.69 (58.83) (58.83) 88311 Decalcify tissue 20.05 22.52 22.52 (2.47) (2.47) 88312 Special stains group 1 93.82 102.99 102.99 (9.17) (9.17) 88313 Special stains group 2 65.65 72.23 72.23 (6.58) (6.58) 88314 Histochemical stains add-on 77.47 80.92 80.92 (3.45) (3.45) 88319 Enzyme histochemistry 85.26 93.59 93.59 (8.33) (8.33) 88321 Microslide consultation 92.68 105.94 89.37 (13.26) 3.31 88323 Microslide consultation 144.64 144.87 144.87 (0.23) (0.23) 88325 Comprehensive review of data 208.86 179.34 140.93 29.52 67.93 88329 Path consult introp 56.28 52.64 38.71 3.64 17.57 88331 Path consult intraop 1 bloc 96.94 99.99 99.99 (3.05) (3.05) 88332 Path consult intraop addl 42.75 52.83 52.83 (10.08) (10.08) 88333 Intraop cyto path consult 1 102.72 104.86 104.86 (2.14) (2.14) 88334 Intraop cyto path consult 2 64.07 64.62 64.62 (0.55) (0.55) 88341 IMMUNOHISTO ANTB ADDL SLIDE 70.77 93.99 93.99 (23.22) (23.22) 88342 IMMUNOHISTO ANTIBODY STAIN 69.75 111.74 111.74 (41.99) (41.99) 88344 Immunohisto antibody slide 123.07 181.66 181.66 (58.59) (58.59) 88346 IMMUNOFLUORESCENT STUDY 105.08 97.36 97.36 7.72 7.72 88348 Electron microscopy 701.50 364.07 364.07 337.43 337.43 88355 Analysis skeletal muscle 173.35 163.34 163.34 10.01 10.01 88356 Analysis nerve 275.15 212.86 212.86 62.29 62.29 88358 Analysis tumor 81.97 88.73 88.73 (6.76) (6.76) 88360 Tumor immunohistochem/manual 128.37 126.14 126.14 2.23 2.23 88361 Tumor immunohistochem/comput 156.25 155.35 155.35 0.90 0.90 88362 Nerve teasing preparations 305.02 271.11 271.11 33.91 33.91 88363 Xm archive tissue molec anal 21.63 23.82 20.43 (2.19) 1.20 88364 Insitu hybridization (fish) 102.55 141.16 141.16 (38.61) (38.61) 88365 Insitu hybridization (fish) 175.58 186.00 186.00 (10.42) (10.42) 88366 Insitu hybridization (fish) 156.53 274.62 274.62 (118.09) (118.09) 88367 Insitu hybridization auto 254.06 111.34 111.34 142.72 142.72 88368 Insitu hybridization manual 230.52 119.00 119.00 111.52 111.52 88369 M/phmtrc alysishquant/semiq 77.44 112.94 112.94 (35.50) (35.50) 88373 M/phmtrc alys ishquant/semiq 63.15 78.34 78.34 (15.19) (15.19) 88374 M/phmtrc alys ishquant/semiq 216.40 362.14 362.14 (145.74) (145.74) 88375 Optical endomicroscpy interp 23.96 51.09 51.09 (27.13) (27.13) 88377 M/phmtrc alys ishquant/semiq 225.51 431.00 431.00 (205.49) (205.49) 88381 MICRODISSECTION MANUAL 159.10 123.31 123.31 35.79 35.79 88387 Tiss exam molecular study 34.79 43.71 43.71 (8.92) (8.92) 88388 Tiss ex molecul study add-on 32.23 36.11 36.11 (3.88) (3.88) 89220 Sputum specimen collection 17.25 17.30 17.30 (0.05) (0.05) 89230 Collect sweat for test 5.04 5.62 5.62 (0.58) (0.58) 90460 Im admin 1st/only component 22.22 26.43 26.43 (4.21) (4.21) 90471 Immunization admin 22.22 26.43 26.43 (4.21) (4.21) 90472 Immunization admin each add 11.01 12.91 12.91 (1.90) (1.90) 90473 Immune admin oral/nasal 22.22 26.43 26.43 (4.21) (4.21) 90474 Immune admin oral/nasal addl 11.01 12.91 12.91 (1.90) (1.90) 90581 ANTHRAX VACCINE SC OR IM 113.17 0.00 0.00 113.17 113.17 90585 Bcg vaccine percut 161.54 0.00 0.00 161.54 161.54 90586 Bcg vaccine intravesical 148.66 0.00 0.00 148.66 148.66 90632 HEPA VACCINE ADULT IM 56.31 0.00 0.00 56.31 56.31 90633 HEP A VACC PED/ADOL 2 DOSE 27.39 0.00 0.00 27.39 27.39 90634 HEP A VACC PED/ADOL 3 DOSE 27.39 0.00 0.00 27.39 27.39 90636 Hep a/hep b vacc adult im 62.71 0.00 0.00 62.71 62.71 90647 HIB PRP-OMP VACC 3 DOSE IM 20.92 0.00 0.00 20.92 20.92 90648 HIB PRP-T VACCINE 4 DOSE IM 21.10 0.00 0.00 21.10 21.10 90649 4VHPV VACCINE 3 DOSE IM 124.80 0.00 0.00 124.80 124.80 90650 2VHPV VACCINE 3 DOSE IM 124.80 0.00 0.00 124.80 124.80 90654 Flu vacc iiv3 no preserv id 18.60 0.00 0.00 18.60 18.60 90655 IIV3 VACC NO PRSV 0.25 ML IM 17.46 0.00 0.00 17.46 17.46 90656 IIV3 VACC NO PRSV 0.5 ML IM 13.48 0.00 0.00 13.48 13.48 90657 IIV3 VACCINE SPLT 0.25 ML IM 7.03 0.00 0.00 7.03 7.03 90658 IIV3 VACCINE SPLT 0.5 ML IM 13.74 0.00 0.00 13.74 13.74 90660 LAIV3 VACCINE INTRANASAL 9.34 0.00 0.00 9.34 9.34 90670 PCV13 VACCINE IM 139.49 0.00 0.00 139.49 139.49 90672 LAIV4 VACCINE INTRANASAL 9.34 0.00 0.00 9.34 9.34 90673 RIV3 VACCINE NO PRESERV IM 33.11 0.00 0.00 33.11 33.11 90675 Rabies vaccine im 129.23 0.00 0.00 129.23 129.23 90676 Rabies vaccine id 67.39 0.00 0.00 67.39 67.39 90680 RV5 VACC 3 DOSE LIVE ORAL 55.71 0.00 0.00 55.71 55.71 90681 RV1 VACC 2 DOSE LIVE ORAL 49.23 0.00 0.00 49.23 49.23 90685 IIV4 VACC NO PRSV 0.25 ML IM 15.15 0.00 0.00 15.15 15.15 90686 IIV4 VACC NO PRSV 0.5 ML IM 15.15 0.00 0.00 15.15 15.15 90687 IIV4 VACCINE SPLT 0.25 ML IM 13.74 0.00 0.00 13.74 13.74 90688 IIV4 VACCINE SPLT 0.5 ML IM 13.74 0.00 0.00 13.74 13.74 90690 Typhoid vaccine oral 27.08 0.00 0.00 27.08 27.08 90691 Typhoid vaccine im 37.85 0.00 0.00 37.85 37.85 90698 DTAP-HIB-IP VACCINE IM 55.71 0.00 0.00 55.71 55.71 90700 Dtap vaccine < 7 yrs im 12.75 0.00 0.00 12.75 12.75 90702 DT VACCINE < 7 YRS IM 8.62 0.00 0.00 8.62 8.62 90707 Mmr vaccine sc 33.23 0.00 0.00 33.23 33.23 90710 Mmrv vaccine sc 99.16 0.00 0.00 99.16 99.16 90713 Poliovirus ipv sc/im 9.96 0.00 0.00 9.96 9.96 90714 TD VACCINE NO PRSRV 7/> IM 20.43 0.00 0.00 20.43 20.43 90715 Tdap vaccine 7 yrs/> im 35.65 0.00 0.00 35.65 35.65 90716 VAR VACCINE LIVE SUBQ 57.23 0.00 0.00 57.23 57.23 90717 YELLOW FEVER VACCINE SUBQ 52.92 0.00 0.00 52.92 52.92 90723 Dtap-hep b-ipv vaccine im 32.75 0.00 0.00 32.75 32.75 90732 PNEUMOCOCCAL VACC 23 VAL IM 11.12 0.00 0.00 11.12 11.12 90733 MPSV4 VACCINE SUBQ 60.62 0.00 0.00 60.62 60.62 90734 MCV4 MENACWY VACCINE IM 70.57 0.00 0.00 70.57 70.57 90736 HZV VACCINE LIVE SUBQ 117.01 0.00 0.00 117.01 117.01 90740 HEPB VACC 3 DOSE IMMUNSUP IM 102.77 0.00 0.00 102.77 102.77 90743 HEPB VACC 2 DOSE ADOLESC IM 22.46 0.00 0.00 22.46 22.46 90744 HEPB VACC 3 DOSE PED/ADOL IM 22.46 0.00 0.00 22.46 22.46 90746 HEPB VACCINE 3 DOSE ADULT IM 51.08 0.00 0.00 51.08 51.08 90747 HEPB VACC 4 DOSE IMMUNSUP IM 102.77 0.00 0.00 102.77 102.77 90748 HIB-HEPB VACCINE IM 45.54 0.00 0.00 45.54 45.54 90785 Psytx complex interactive 12.32 14.12 14.12 (1.80) (1.80) 90791 Psych diagnostic evaluation 115.38 134.11 129.59 (18.73) (14.21) 90792 Psych diag eval w/med srvcs 124.29 148.31 143.79 (24.02) (19.50) 90832 PSYTX W PT 30 MINUTES 55.77 64.81 64.43 (9.04) (8.66) 90833 PSYTX W PT W E/M 30 MIN 57.05 67.04 66.29 (9.99) (9.24) 90834 PSYTX W PT 45 MINUTES 73.93 86.15 85.77 (12.22) (11.84) 90836 PSYTX W PT W E/M 45 MIN 72.15 85.16 84.41 (13.01) (12.26) 90837 PSYTX W PT 60 MINUTES 110.56 129.59 128.46 (19.03) (17.90) 90838 PSYTX W PT W E/M 60 MIN 95.31 112.34 111.59 (17.03) (16.28) 90839 Psytx crisis initial 60 min 115.49 135.02 134.27 (19.53) (18.78) 90840 Psytx crisis ea addl 30 min 55.45 64.43 64.05 (8.98) (8.60) 90845 Psychoanalysis 79.87 93.11 92.74 (13.24) (12.87) 90847 FAMILY PSYTX W/PT 50 MIN 92.40 108.25 107.49 (15.85) (15.09) 90853 Group psychotherapy 22.84 26.09 25.71 (3.25) (2.87) 90863 Pharmacologic mgmt w/psytx 44.31 0.00 0.00 44.31 44.31 90867 Tcranial magn stim tx plan 353.92 0.00 0.00 353.92 353.92 90868 Tcranial magn stim tx deli 172.76 0.00 0.00 172.76 172.76 90869 Tcran magn stim redetemine 439.37 0.00 0.00 439.37 439.37 90870 Electroconvulsive therapy 156.04 183.91 113.12 (27.87) 42.92 90875 Psychophysiological therapy 54.37 62.99 62.99 (8.62) (8.62) 90876 Psychophysiological therapy 94.70 111.07 99.77 (16.37) (5.07) 90901 Biofeedback train any meth 35.32 39.57 20.36 (4.25) 14.96 90911 Biofeedback peri/uro/rectal 75.42 87.63 45.83 (12.21) 29.59 90935 Hemodialysis one evaluation 63.54 74.56 74.56 (11.02) (11.02) 90937 Hemodialysis repeated eval 91.14 106.93 106.93 (15.79) (15.79) 90940 Hemodialysis access study 70.97 0.00 0.00 70.97 70.97 90945 Dialysis one evaluation 75.30 88.71 88.71 (13.41) (13.41) 90947 Dialysis repeated eval 108.83 127.65 127.65 (18.82) (18.82) 90951 Esrd serv 4 visits p mo <2yr 816.70 969.07 969.07 (152.37) (152.37) 90952 Esrd serv 2-3 vsts p mo <2yr 617.16 0.00 0.00 617.16 617.16 90953 Esrd serv 1 visit p mo <2yrs 411.33 0.00 0.00 411.33 411.33 90954 Esrd serv 4 vsts p mo 2-11 708.80 838.39 838.39 (129.59) (129.59) 90955 Esrd srv 2-3 vsts p mo 2-11 400.04 470.36 470.36 (70.32) (70.32) 90956 Esrd srv 1 visit p mo 2-11 278.89 328.22 328.22 (49.33) (49.33) 90957 Esrd srv 4 vsts p mo 12-19 564.20 663.56 663.56 (99.36) (99.36) 90958 Esrd srv 2-3 vsts p mo 12-19 381.82 448.95 448.95 (67.13) (67.13) 90959 Esrd serv 1 vst p mo 12-19 258.70 305.32 305.32 (46.62) (46.62) 90960 Esrd srv 4 visits p mo 20+ 249.27 292.72 292.72 (43.45) (43.45) 90961 Esrd srv 2-3 vsts p mo 20+ 209.90 246.16 246.16 (36.26) (36.26) 90962 Esrd serv 1 visit p mo 20+ 162.16 190.17 190.17 (28.01) (28.01) 90963 Esrd home pt serv p mo <2yrs 478.25 559.80 559.80 (81.55) (81.55) 90964 Esrd home pt serv p mo 2-11 416.86 489.64 489.64 (72.78) (72.78) 90965 Esrd home pt serv p mo 12-19 395.39 466.00 466.00 (70.61) (70.61) 90966 Esrd home pt serv p mo 20+ 209.58 245.43 245.43 (35.85) (35.85) 90967 Esrd home pt serv p day <2 15.50 18.58 18.58 (3.08) (3.08) 90968 Esrd home pt srv p day 2-11 13.33 16.02 16.02 (2.69) (2.69) 90969 Esrd home pt srv p day 12-19 13.03 15.66 15.66 (2.63) (2.63) 90970 Esrd home pt serv p day 20+ 6.85 8.03 8.03 (1.18) (1.18) 90989 Dialysis training complete 462.17 0.00 0.00 462.17 462.17 90993 Dialysis training incompl 78.16 0.00 0.00 78.16 78.16 90997 Hemoperfusion 80.97 96.11 96.11 (15.14) (15.14) 91010 Esophagus motility study 157.67 184.81 184.81 (27.14) (27.14) 91013 Esophgl motil w/stim/perfus 21.25 24.15 24.15 (2.90) (2.90) 91020 Gastric motility studies 209.77 245.93 245.93 (36.16) (36.16) 91022 Duodenal motility study 150.63 175.19 175.19 (24.56) (24.56) 91030 Acid perfusion of esophagus 123.22 142.97 142.97 (19.75) (19.75) 91034 Gastroesophageal reflux test 170.02 199.66 199.66 (29.64) (29.64) 91035 G-esoph reflx tst w/electrod 433.75 506.91 506.91 (73.16) (73.16) 91037 Esoph imped function test 145.01 168.45 168.45 (23.44) (23.44) 91038 Esoph imped funct test > 1hr 407.22 474.73 474.73 (67.51) (67.51) 91040 Esoph balloon distension tst 360.18 459.58 459.58 (99.40) (99.40) 91065 Breath hydrogen/methane test 74.23 82.46 82.46 (8.23) (8.23) 91110 Gi tract capsule endoscopy 801.22 930.06 930.06 (128.84) (128.84) 91111 Esophageal capsule endoscopy 658.58 766.74 766.74 (108.16) (108.16) 91112 Gi wireless capsule measure 967.49 1,142.84 1,142.84 (175.35) (175.35) 91117 Colon motility 6 hr study 132.42 143.55 143.55 (11.13) (11.13) 91120 Rectal sensation test 359.94 449.31 449.31 (89.37) (89.37) 91122 Anal pressure record 198.03 238.08 238.08 (40.05) (40.05) 91200 LIVER ELASTOGRAPHY 32.31 33.02 33.02 (0.71) (0.71) 92002 Eye exam new patient 73.19 84.33 49.31 (11.14) 23.88 92004 Eye exam new patient 132.74 154.23 103.01 (21.49) 29.73 92012 Eye exam establish patient 76.65 88.76 54.49 (12.11) 22.16 92014 Eye exam&tx estab pt 1/>vst 110.90 128.55 82.61 (17.65) 28.29 92015 Determine refractive state 17.73 20.41 20.03 (2.68) (2.30) 92018 New eye exam & treatment 131.04 150.40 150.40 (19.36) (19.36) 92019 Eye exam & treatment 63.49 74.16 74.16 (10.67) (10.67) 92020 Special eye evaluation 24.49 27.61 21.58 (3.12) 2.91 92025 Corneal topography 33.82 39.66 39.66 (5.84) (5.84) 92060 Special eye evaluation 58.35 67.72 67.72 (9.37) (9.37) 92065 Orthoptic/pleoptic training 47.60 55.82 55.82 (8.22) (8.22) 92071 Contact lens fitting for tx 33.73 39.24 34.72 (5.51) (0.99) 92072 Fit contac lens for managmnt 122.21 140.05 106.53 (17.84) 15.68 92081 Visual field examination(s) 30.73 35.23 35.23 (4.50) (4.50) 92082 Visual field examination(s) 44.07 50.13 50.13 (6.06) (6.06) 92083 Visual field examination(s) 57.70 67.28 67.28 (9.58) (9.58) 92100 Serial tonometry exam(s) 71.64 83.67 35.09 (12.03) 36.55 92132 Cmptr ophth dx img ant segmt 31.93 36.28 36.28 (4.35) (4.35) 92133 Cmptr ophth img optic nerve 39.71 45.82 45.82 (6.11) (6.11) 92134 Cptr ophth dx img post segmt 40.68 46.95 46.95 (6.27) (6.27) 92136 Ophthalmic biometry 80.41 94.70 94.70 (14.29) (14.29) 92145 Corneal hysteresis deter 13.88 15.86 15.86 (1.98) (1.98) 92225 Special eye exam initial 24.47 27.97 21.94 (3.50) 2.53 92226 Special eye exam subsequent 21.96 25.79 19.77 (3.83) 2.19 92227 Remote dx retinal imaging 12.86 15.41 15.41 (2.55) (2.55) 92228 Remote retinal imaging mgmt 31.22 35.87 35.87 (4.65) (4.65) 92230 Eye exam with photos 52.72 60.69 34.71 (7.97) 18.01 92235 FLUORESCEIN ANGRPH UNI/BI 97.99 114.97 114.97 (16.98) (16.98) 92240 ICG ANGIOGRAPHY UNI/BI 227.62 268.85 268.85 (41.23) (41.23) 92250 Eye exam with photos 70.30 82.82 82.82 (12.52) (12.52) 92260 Ophthalmoscopy/dynamometry 16.71 19.23 11.32 (2.52) 5.39 92265 Eye muscle evaluation 68.08 82.54 82.54 (14.46) (14.46) 92270 Electro-oculography 80.32 95.72 95.72 (15.40) (15.40) 92275 Electroretinography 142.33 155.66 155.66 (13.33) (13.33) 92283 Color vision examination 49.54 58.41 58.41 (8.87) (8.87) 92284 Dark adaptation eye exam 54.24 64.70 64.70 (10.46) (10.46) 92285 Eye photography 18.58 21.71 21.71 (3.13) (3.13) 92286 Internal eye photography 34.06 39.96 39.96 (5.90) (5.90) 92287 Internal eye photography 123.05 144.69 144.69 (21.64) (21.64) 92310 Contact lens fitting 84.93 99.57 61.54 (14.64) 23.39 92311 Contact lens fitting 91.18 105.44 57.62 (14.26) 33.56 92312 Contact lens fitting 102.73 121.33 65.60 (18.60) 37.13 92313 Contact lens fitting 87.55 101.21 48.87 (13.66) 38.68 92314 Prescription of contact lens 70.56 83.11 36.04 (12.55) 34.52 92315 Rx cntact lens aphakia 1 eye 65.82 76.40 22.56 (10.58) 43.26 92316 Rx cntact lens aphakia 2 eye 81.82 95.98 33.85 (14.16) 47.97 92317 Rx corneoscleral cntact lens 67.70 79.79 22.93 (12.09) 44.77 92325 Modification of contact lens 37.27 44.41 44.41 (7.14) (7.14) 92326 Replacement of contact lens 32.13 37.25 37.25 (5.12) (5.12) 92340 Fit spectacles monofocal 31.56 37.00 19.30 (5.44) 12.26 92341 Fit spectacles bifocal 35.89 42.08 24.76 (6.19) 11.13 92342 Fit spectacles multifocal 38.70 45.37 27.67 (6.67) 11.03 92352 Fit aphakia spectcl monofocl 36.06 42.27 19.30 (6.21) 16.76 92353 Fit aphakia spectcl multifoc 41.62 49.18 26.21 (7.56) 15.41 92354 Fit spectacles single system 12.22 14.28 14.28 (2.06) (2.06) 92355 Fit spectacles compound lens 18.64 22.19 22.19 (3.55) (3.55) 92358 Aphakia prosth service temp 10.29 12.02 12.02 (1.73) (1.73) 92370 Repair & adjust spectacles 27.46 32.18 16.74 (4.72) 10.72 92371 Repair & adjust spectacles 10.29 12.40 12.40 (2.11) (2.11) 92502 Ear and throat examination 85.96 101.54 101.54 (15.58) (15.58) 92504 Ear microscopy examination 27.02 31.69 9.85 (4.67) 17.17 92507 Speech/hearing therapy 70.25 81.70 81.70 (11.45) (11.45) 92508 Speech/hearing therapy 20.67 24.28 24.28 (3.61) (3.61) 92511 Nasopharyngoscopy 123.04 118.64 41.07 4.40 81.97 92512 Nasal function studies 54.39 63.76 29.87 (9.37) 24.52 92516 Facial nerve function test 62.62 74.15 24.07 (11.53) 38.55 92520 Laryngeal function studies 66.29 79.20 43.05 (12.91) 23.24 92521 Evaluation of speech fluency 99.66 114.78 114.78 (15.12) (15.12) 92522 Evaluate speech production 80.78 95.63 95.63 (14.85) (14.85) 92523 Speech sound lang comprehen 168.00 200.71 200.71 (32.71) (32.71) 92524 Behavral qualit analys voice 84.39 92.62 92.62 (8.23) (8.23) 92531 Spontaneous nystagmus study 24.31 0.00 0.00 24.31 24.31 92532 Positional nystagmus test 28.00 0.00 0.00 28.00 28.00 92533 Caloric vestibular test 44.62 0.00 0.00 44.62 44.62 92534 Optokinetic nystagmus test 19.69 0.00 0.00 19.69 19.69 92537 Caloric vstblr test w/rec 35.57 41.86 41.86 (6.29) (6.29) 92538 Caloric vstblr test w/rec 18.09 21.30 21.30 (3.21) (3.21) 92540 Basic vestibular evaluation 89.48 105.45 105.45 (15.97) (15.97) 92541 Spontaneous nystagmus test 27.00 24.90 24.90 2.10 2.10 92542 Positional nystagmus test 23.26 28.88 28.88 (5.62) (5.62) 92544 Optokinetic nystagmus test 21.12 17.20 17.20 3.92 3.92 92545 Oscillating tracking test 18.28 15.73 15.73 2.55 2.55 92546 Sinusoidal rotational test 92.39 109.02 109.02 (16.63) (16.63) 92547 Supplemental electrical test 5.47 6.40 6.40 (0.93) (0.93) 92548 Posturography 93.01 107.93 107.93 (14.92) (14.92) 92550 Tympanometry & reflex thresh 18.39 21.97 21.97 (3.58) (3.58) 92551 Pure tone hearing test air 10.61 12.78 12.78 (2.17) (2.17) 92552 Pure tone audiometry air 27.64 33.11 33.11 (5.47) (5.47) 92553 Audiometry air & bone 33.10 39.51 39.51 (6.41) (6.41) 92555 Speech threshold audiometry 20.57 24.83 24.83 (4.26) (4.26) 92556 Speech audiometry complete 32.78 39.51 39.51 (6.73) (6.73) 92557 Comprehensive hearing test 33.11 38.85 33.96 (5.74) (0.85) 92559 Group audiometric testing 27.69 0.00 0.00 27.69 27.69 92560 Bekesy audiometry screen 16.62 0.00 0.00 16.62 16.62 92561 Bekesy audiometry diagnosis 33.74 40.24 40.24 (6.50) (6.50) 92562 Loudness balance test 41.45 49.30 49.30 (7.85) (7.85) 92563 Tone decay hearing test 27.32 32.74 32.74 (5.42) (5.42) 92564 Sisi hearing test 25.39 29.72 29.72 (4.33) (4.33) 92565 Stenger test pure tone 14.79 16.92 16.92 (2.13) (2.13) 92567 Tympanometry 12.85 15.08 11.32 (2.23) 1.53 92568 Acoustic refl threshold tst 13.67 16.42 16.04 (2.75) (2.37) 92570 Acoustic immitance testing 28.37 33.29 31.03 (4.92) (2.66) 92571 Filtered speech hearing test 24.10 28.97 28.97 (4.87) (4.87) 92572 Staggered spondaic word test 45.95 38.01 38.01 7.94 7.94 92575 Sensorineural acuity test 67.15 76.77 76.77 (9.62) (9.62) 92576 Synthetic sentence test 31.17 38.01 38.01 (6.84) (6.84) 92577 Stenger test speech 17.36 17.67 17.67 (0.31) (0.31) 92579 Visual audiometry (vra) 37.12 43.53 38.64 (6.41) (1.52) 92582 Conditioning play audiometry 61.37 71.87 71.87 (10.50) (10.50) 92583 Select picture audiometry 46.59 55.70 55.70 (9.11) (9.11) 92584 Electrocochleography 63.30 77.90 77.90 (14.60) (14.60) 92585 Auditor evoke potent compre 117.10 143.30 143.30 (26.20) (26.20) 92586 Auditor evoke potent limit 75.50 90.70 90.70 (15.20) (15.20) 92587 Evoked auditory test limited 19.40 22.34 22.34 (2.94) (2.94) 92588 Evoked auditory tst complete 29.33 34.06 34.06 (4.73) (4.73) 92590 Hearing aid exam one ear 33.23 0.00 0.00 33.23 33.23 92591 Hearing aid exam both ears 48.92 0.00 0.00 48.92 48.92 92592 Hearing aid check one ear 15.08 0.00 0.00 15.08 15.08 92593 Hearing aid check both ears 21.54 0.00 0.00 21.54 21.54 92594 Electro hearng aid test one 16.00 0.00 0.00 16.00 16.00 92595 Electro hearng aid tst both 24.31 0.00 0.00 24.31 24.31 92596 Ear protector evaluation 38.24 44.76 44.76 (6.52) (6.52) 92597 Oral speech device eval 63.89 74.57 74.57 (10.68) (10.68) 92601 Cochlear implt f/up exam <7 122.64 146.48 123.89 (23.84) (1.25) 92602 Reprogram cochlear implt 7/> 72.50 92.95 71.49 (20.45) 1.01 92603 Cochlear implt f/up exam 7/> 129.78 157.21 126.71 (27.43) 3.07 92604 Reprogram cochlear implt 7/> 78.33 93.08 70.11 (14.75) 8.22 92605 Ex for nonspeech device rx 81.75 95.90 91.76 (14.15) (10.01) 92606 Non-speech device service 72.65 85.98 73.56 (13.33) (0.91) 92607 Ex for speech device rx 1hr 113.72 131.18 131.18 (17.46) (17.46) 92608 Ex for speech device rx addl 47.09 54.88 54.88 (7.79) (7.79) 92609 Use of speech device service 98.51 114.89 114.89 (16.38) (16.38) 92610 Evaluate swallowing function 75.07 88.46 75.28 (13.39) (0.21) 92611 Motion fluoroscopy/swallow 80.48 90.20 90.20 (9.72) (9.72) 92612 ENDOSCOPY SWALLOW (FEES) VID 158.64 196.15 70.76 (37.51) 87.88 92613 ENDOSCOPY SWALLOW (FEES) I&R 33.26 39.73 39.73 (6.47) (6.47) 92614 LARYNGOSCOPIC SENSORY VID 133.90 153.22 70.38 (19.32) 63.52 92615 LARYNGOSCOPIC SENSORY I&R 29.85 35.01 34.64 (5.16) (4.79) 92616 Fees w/laryngeal sense test 188.52 218.77 105.05 (30.25) 83.47 92617 FEES W/LARYNGEAL SENSE I&R 36.99 43.38 43.38 (6.39) (6.39) 92620 Auditory function 60 min 82.77 97.54 85.49 (14.77) (2.72) 92621 Auditory function + 15 min 19.67 23.12 19.73 (3.45) (0.06) 92625 Tinnitus assessment 61.47 72.54 64.63 (11.07) (3.16) 92920 Prq cardiac angioplast 1 art 490.08 575.21 575.21 (85.13) (85.13) 92924 Prq card angio/athrect 1 art 583.03 683.22 683.22 (100.19) (100.19) 92928 Prq card stent w/angio 1 vsl 544.23 638.61 638.61 (94.38) (94.38) 92933 Prq card stent/ath/angio 608.98 714.35 714.35 (105.37) (105.37) 92937 Prq revasc byp graft 1 vsl 543.92 638.25 638.25 (94.33) (94.33) 92941 Prq card revasc mi 1 vsl 610.25 715.79 715.79 (105.54) (105.54) 92943 Prq card revasc chronic 1vsl 610.25 715.44 715.44 (105.19) (105.19) 92950 Heart/lung resuscitation cpr 267.61 316.73 193.22 (49.12) 74.39 92953 Temporary external pacing 9.59 11.62 11.62 (2.03) (2.03) 92960 Cardioversion electric ext 181.21 215.45 126.96 (34.24) 54.25 92961 Cardioversion electric int 215.09 273.93 273.93 (58.84) (58.84) 92970 Cardioassist internal 154.89 196.50 196.50 (41.61) (41.61) 92971 Cardioassist external 81.75 106.40 106.40 (24.65) (24.65) 92973 Prq coronary mech thrombect 159.19 186.66 186.66 (27.47) (27.47) 92974 Cath place cardio brachytx 145.42 170.35 170.35 (24.93) (24.93) 92975 Dissolve clot heart vessel 351.23 411.37 411.37 (60.14) (60.14) 92977 Dissolve clot heart vessel 113.76 65.58 65.58 48.18 48.18 92978 ENDOLUMINL IVUS OCT C 1ST 228.01 0.00 0.00 228.01 228.01 92979 ENDOLUMINL IVUS OCT C EA 138.47 0.00 0.00 138.47 138.47 92986 Revision of aortic valve 1,199.03 1,406.97 1,406.97 (207.94) (207.94) 92987 Revision of mitral valve 1,238.15 1,451.05 1,451.05 (212.90) (212.90) 92990 Revision of pulmonary valve 974.10 1,145.54 1,145.54 (171.44) (171.44) 92992 Revision of heart chamber 953.87 0.00 0.00 953.87 953.87 92993 Revision of heart chamber 668.02 0.00 0.00 668.02 668.02 92997 Pul art balloon repr percut 586.90 690.99 690.99 (104.09) (104.09) 92998 Pul art balloon repr percut 290.24 340.37 340.37 (50.13) (50.13) 93000 Electrocardiogram complete 14.85 17.74 17.74 (2.89) (2.89) 93005 Electrocardiogram tracing 7.40 9.01 9.01 (1.61) (1.61) 93010 Electrocardiogram report 7.44 8.73 8.73 (1.29) (1.29) 93015 Cardiovascular stress test 66.91 79.62 79.62 (12.71) (12.71) 93016 Cardiovascular stress test 19.19 22.93 22.93 (3.74) (3.74) 93017 Cardiovascular stress test 35.03 41.77 41.77 (6.74) (6.74) 93018 Cardiovascular stress test 12.69 14.92 14.92 (2.23) (2.23) 93024 Cardiac drug stress test 98.70 116.91 116.91 (18.21) (18.21) 93025 Microvolt t-wave assess 146.27 168.11 168.11 (21.84) (21.84) 93040 Rhythm ecg with report 11.34 13.26 13.26 (1.92) (1.92) 93041 Rhythm ecg tracing 5.15 6.00 6.00 (0.85) (0.85) 93042 Rhythm ecg report 6.19 7.26 7.26 (1.07) (1.07) 93050 Art pressure waveform analys 15.40 18.12 18.12 (2.72) (2.72) 93224 Ecg monit/reprt up to 48 hrs 81.43 95.82 95.82 (14.39) (14.39) 93225 Ecg monit/reprt up to 48 hrs 24.10 28.22 28.22 (4.12) (4.12) 93226 Ecg monit/reprt up to 48 hrs 34.06 40.27 40.27 (6.21) (6.21) 93227 Ecg monit/reprt up to 48 hrs 23.25 27.33 27.33 (4.08) (4.08) 93228 Remote 30 day ecg rev/report 22.96 26.93 26.93 (3.97) (3.97) 93229 Remote 30 day ecg tech supp 600.09 771.78 771.78 (171.69) (171.69) 93260 Prgrmg dev eval impltbl sys 58.08 69.67 69.67 (11.59) (11.59) 93261 Interrogate subq defib 53.13 63.10 63.10 (9.97) (9.97) 93268 Ecg record/review 183.26 217.07 217.07 (33.81) (33.81) 93270 Remote 30 day ecg rev/report 8.36 9.77 9.77 (1.41) (1.41) 93271 Ecg/monitoring and analysis 152.92 181.10 181.10 (28.18) (28.18) 93272 Ecg/review interpret only 21.96 26.21 26.21 (4.25) (4.25) 93278 Ecg/signal-averaged 26.92 31.55 31.55 (4.63) (4.63) 93279 Pm device progr eval sngl 43.96 51.57 51.57 (7.61) (7.61) 93280 Pm device progr eval dual 51.48 60.39 60.39 (8.91) (8.91) 93281 Pm device progr eval multi 59.94 70.72 70.72 (10.78) (10.78) 93282 Prgrmg eval implantable dfb 55.20 65.15 65.15 (9.95) (9.95) 93283 Prgrmg eval implantable dfb 71.75 84.59 84.59 (12.84) (12.84) 93284 Prgrmg eval implantable dfb 78.97 93.44 93.44 (14.47) (14.47) 93285 Ilr device eval progr 36.76 43.88 43.88 (7.12) (7.12) 93286 Peri-px pacemaker device evl 23.95 28.45 28.45 (4.50) (4.50) 93287 Peri-px device eval & prgr 31.41 37.59 37.59 (6.18) (6.18) 93288 Pm device eval in person 32.41 38.38 38.38 (5.97) (5.97) 93289 Interrog device eval heart 57.33 67.67 67.67 (10.34) (10.34) 93290 Icm device eval 26.95 32.35 32.35 (5.40) (5.40) 93291 Ilr device interrogate 31.76 37.63 37.63 (5.87) (5.87) 93292 Wcd device interrogate 27.91 33.86 33.86 (5.95) (5.95) 93293 Pm phone r-strip device eval 47.69 55.91 55.91 (8.22) (8.22) 93294 Pm device interrogate remote 29.51 34.98 34.98 (5.47) (5.47) 93295 Dev interrog remote 1/2/mlt 58.72 69.57 69.57 (10.85) (10.85) 93296 Pm/icd remote tech serv 23.14 27.46 27.46 (4.32) (4.32) 93297 Icm device interrogat remote 22.96 27.31 27.31 (4.35) (4.35) 93298 Ilr device interrogat remote 23.28 27.31 27.31 (4.03) (4.03) 93303 Echo transthoracic 212.53 251.10 251.10 (38.57) (38.57) 93304 Echo transthoracic 141.13 164.35 164.35 (23.22) (23.22) 93306 Tte w/doppler complete 203.53 239.81 239.81 (36.28) (36.28) 93307 Tte w/o doppler complete 117.40 136.96 136.96 (19.56) (19.56) 93308 Tte f-up or lmtd 109.98 131.60 131.60 (21.62) (21.62) 93312 Echo transesophageal 295.61 320.82 320.82 (25.21) (25.21) 93313 Echo transesophageal 36.77 23.16 23.16 13.61 13.61 93314 Echo transesophageal 275.28 314.96 314.96 (39.68) (39.68) 93315 Echo transesophageal 248.93 0.00 0.00 248.93 248.93 93316 Echo transesophageal 37.41 39.47 39.47 (2.06) (2.06) 93317 Echo transesophageal 205.54 0.00 0.00 205.54 205.54 93318 Echo transesophageal intraop 322.78 0.00 0.00 322.78 322.78 93320 Doppler echo exam heart 48.55 56.96 56.96 (8.41) (8.41) 93321 Doppler echo exam heart 27.73 28.72 28.72 (0.99) (0.99) 93325 Doppler color flow add-on 23.36 27.00 27.00 (3.64) (3.64) 93350 Stress tte only 214.85 253.48 253.48 (38.63) (38.63) 93351 Stress tte complete 249.74 284.96 284.96 (35.22) (35.22) 93352 Admin ecg contrast agent 29.90 35.79 35.79 (5.89) (5.89) 93355 Echo transesophageal (tee) 198.21 233.65 233.65 (35.44) (35.44) 93451 Right heart cath 704.47 830.48 830.48 (126.01) (126.01) 93452 Left hrt cath w/ventrclgrphy 788.90 932.36 932.36 (143.46) (143.46) 93453 R&l hrt cath w/ventriclgrphy 1,022.09 1,202.76 1,202.76 (180.67) (180.67) 93454 Coronary artery angio s&i 803.94 946.45 946.45 (142.51) (142.51) 93455 Coronary art/grft angio s&i 935.95 1,101.84 1,101.84 (165.89) (165.89) 93456 R hrt coronary artery angio 1,007.08 1,185.64 1,185.64 (178.56) (178.56) 93457 R hrt art/grft angio 1,138.47 1,340.29 1,340.29 (201.82) (201.82) 93458 L hrt artery/ventricle angio 964.14 1,135.42 1,135.42 (171.28) (171.28) 93459 L hrt art/grft angio 1,064.64 1,254.31 1,254.31 (189.67) (189.67) 93460 R&l hrt art/ventricle angio 1,141.39 1,344.96 1,344.96 (203.57) (203.57) 93461 R&l hrt art/ventricle angio 1,306.20 1,538.73 1,538.73 (232.53) (232.53) 93462 L hrt cath trnsptl puncture 187.50 220.29 220.29 (32.79) (32.79) 93463 Drug admin & hemodynmic meas 95.27 102.19 102.19 (6.92) (6.92) 93464 Exercise w/hemodynamic meas 252.64 289.01 289.01 (36.37) (36.37) 93503 Insert/place heart catheter 115.12 133.91 133.91 (18.79) (18.79) 93505 Biopsy of heart lining 679.64 805.81 805.81 (126.17) (126.17) 93530 Rt heart cath congenital 734.48 0.00 0.00 734.48 734.48 93531 R & l heart cath congenital 1,932.36 0.00 0.00 1,932.36 1,932.36 93532 R & l heart cath congenital 1,972.05 0.00 0.00 1,972.05 1,972.05 93533 R & l heart cath congenital 1,816.35 0.00 0.00 1,816.35 1,816.35 93561 Cardiac output measurement 39.39 0.00 0.00 39.39 39.39 93562 Card output measure subsq 17.23 0.00 0.00 17.23 17.23 93563 Inject congenital card cath 49.41 61.67 61.67 (12.26) (12.26) 93564 Inject hrt congntl art/grft 50.67 64.52 64.52 (13.85) (13.85) 93565 Inject l ventr/atrial angio 38.54 48.24 48.24 (9.70) (9.70) 93566 Inject r ventr/atrial angio 153.55 181.12 48.57 (27.57) 104.98 93567 Inject suprvlv aortography 126.06 148.85 55.09 (22.79) 70.97 93568 Inject pulm art hrt cath 137.13 162.26 49.67 (25.13) 87.46 93571 Heart flow reserve measure 228.93 0.00 0.00 228.93 228.93 93572 Heart flow reserve measure 141.23 0.00 0.00 141.23 141.23 93580 Transcath closure of asd 883.57 1,030.02 1,030.02 (146.45) (146.45) 93581 Transcath closure of vsd 1,192.84 1,404.65 1,404.65 (211.81) (211.81) 93582 Perq transcath closure pda 608.95 703.79 703.79 (94.84) (94.84) 93583 Perq transcath septal reduxn 677.73 795.11 795.11 (117.38) (117.38) 93600 Bundle of his recording 161.23 0.00 0.00 161.23 161.23 93602 Intra-atrial recording 134.16 0.00 0.00 134.16 134.16 93603 Right ventricular recording 151.70 0.00 0.00 151.70 151.70 93609 Map tachycardia add-on 320.01 0.00 0.00 320.01 320.01 93610 Intra-atrial pacing 183.39 0.00 0.00 183.39 183.39 93612 Intraventricular pacing 191.39 0.00 0.00 191.39 191.39 93613 Electrophys map 3d add-on 352.19 418.64 418.64 (66.45) (66.45) 93615 Esophageal recording 53.54 0.00 0.00 53.54 53.54 93616 Esophageal recording 74.77 0.00 0.00 74.77 74.77 93618 Heart rhythm pacing 324.62 0.00 0.00 324.62 324.62 93619 Electrophysiology evaluation 584.94 0.00 0.00 584.94 584.94 93620 Electrophysiology evaluation 823.41 0.00 0.00 823.41 823.41 93621 Electrophysiology evaluation 177.24 0.00 0.00 177.24 177.24 93622 Electrophysiology evaluation 291.39 0.00 0.00 291.39 291.39 93623 Stimulation pacing heart 235.70 0.00 0.00 235.70 235.70 93624 Electrophysiologic study 285.85 0.00 0.00 285.85 285.85 93631 Heart pacing mapping 555.09 0.00 0.00 555.09 555.09 93640 Evaluation heart device 392.93 0.00 0.00 392.93 392.93 93641 Electrophysiology evaluation 504.63 0.00 0.00 504.63 504.63 93642 Electrophysiology evaluation 351.11 446.52 446.52 (95.41) (95.41) 93644 Electrophysiology evaluation 276.27 291.00 291.00 (14.73) (14.73) 93650 Ablate heart dysrhythm focus 538.40 635.67 635.67 (97.27) (97.27) 93653 Ep & ablate supravent arrhyt 756.08 893.74 893.74 (137.66) (137.66) 93654 Ep & ablate ventric tachy 1,006.82 1,190.63 1,190.63 (183.81) (183.81) 93655 Ablate arrhythmia add on 377.87 446.87 446.87 (69.00) (69.00) 93656 Tx atrial fib pulm vein isol 1,008.08 1,191.35 1,191.35 (183.27) (183.27) 93657 Tx l/r atrial fib addl 378.21 446.85 446.85 (68.64) (68.64) 93660 Tilt table evaluation 138.68 164.60 164.60 (25.92) (25.92) 93662 Intracardiac ecg (ice) 248.01 0.00 0.00 248.01 248.01 93701 Bioimpedance cv analysis 21.53 25.58 25.58 (4.05) (4.05) 93702 Bis xtracell fluid analysis 103.13 114.82 114.82 (11.69) (11.69) 93724 Analyze pacemaker system 237.68 279.93 279.93 (42.25) (42.25) 93740 Temperature gradient studies 7.81 8.37 8.37 (0.56) (0.56) 93750 Interrogation vad in person 47.71 57.73 47.94 (10.02) (0.23) 93770 Measure venous pressure 7.81 8.37 8.37 (0.56) (0.56) 93784 Ambulatory bp monitoring 47.93 56.54 56.54 (8.61) (8.61) 93786 Ambulatory bp recording 26.67 31.61 31.61 (4.94) (4.94) 93788 Ambulatory bp analysis 4.83 5.62 5.62 (0.79) (0.79) 93790 Review/report bp recording 16.41 19.31 19.31 (2.90) (2.90) 93880 Extracranial bilat study 171.27 215.35 215.35 (44.08) (44.08) 93882 Extracranial uni/ltd study 110.90 137.55 137.55 (26.65) (26.65) 93886 Intracranial complete study 322.66 299.52 299.52 23.14 23.14 93888 Intracranial limited study 188.59 157.20 157.20 31.39 31.39 93890 Tcd vasoreactivity study 259.60 307.30 307.30 (47.70) (47.70) 93892 Tcd emboli detect w/o inj 302.41 356.26 356.26 (53.85) (53.85) 93893 Tcd emboli detect w/inj 312.37 372.15 372.15 (59.78) (59.78) 93922 Upr/l xtremity art 2 levels 79.60 94.76 94.76 (15.16) (15.16) 93923 Upr/lxtr art stdy 3+ lvls 124.94 147.45 147.45 (22.51) (22.51) 93924 Lwr xtr vasc stdy bilat 156.98 185.02 185.02 (28.04) (28.04) 93925 Lower extremity study 221.12 277.13 277.13 (56.01) (56.01) 93926 Lower extremity study 126.82 163.18 163.18 (36.36) (36.36) 93930 Upper extremity study 206.84 222.48 222.48 (15.64) (15.64) 93931 Upper extremity study 141.54 137.60 137.60 3.94 3.94 93970 Extremity study 168.26 209.89 209.89 (41.63) (41.63) 93971 Extremity study 102.13 128.29 128.29 (26.16) (26.16) 93975 Vascular study 321.74 300.54 300.54 21.20 21.20 93976 Vascular study 189.61 173.25 173.25 16.36 16.36 93978 Vascular study 202.40 204.01 204.01 (1.61) (1.61) 93979 Vascular study 140.05 127.78 127.78 12.27 12.27 93980 Penile vascular study 108.89 126.57 126.57 (17.68) (17.68) 93981 Penile vascular study 66.47 77.45 77.45 (10.98) (10.98) 93982 Aneurysm pressure sens study 38.77 45.35 45.35 (6.58) (6.58) 93990 Doppler flow testing 175.38 172.52 172.52 2.86 2.86 94002 Vent mgmt inpat init day 81.77 95.73 95.73 (13.96) (13.96) 94003 Vent mgmt inpat subq day 58.94 69.01 69.01 (10.07) (10.07) 94010 Breathing capacity test 32.19 38.08 38.08 (5.89) (5.89) 94011 Spirometry up to 2 yrs old 90.07 105.96 105.96 (15.89) (15.89) 94012 Spirmtry w/brnchdil inf-2 yr 141.09 162.06 162.06 (20.97) (20.97) 94013 Meas lung vol thru 2 yrs 27.88 35.54 35.54 (7.66) (7.66) 94014 Patient recorded spirometry 46.07 58.94 58.94 (12.87) (12.87) 94015 Patient recorded spirometry 24.10 32.74 32.74 (8.64) (8.64) 94016 Review patient spirometry 21.96 26.21 26.21 (4.25) (4.25) 94060 EVALUATION OF WHEEZING 54.19 64.27 64.27 (10.08) (10.08) 94070 Evaluation of wheezing 53.04 62.55 62.55 (9.51) (9.51) 94150 Vital capacity test 22.72 26.57 26.57 (3.85) (3.85) 94200 Lung function test (mbc/mvv) 22.01 26.50 26.50 (4.49) (4.49) 94250 Expired gas collection 23.62 27.63 27.63 (4.01) (4.01) 94375 Respiratory flow volume loop 34.85 41.24 41.24 (6.39) (6.39) 94400 Co2 breathing response curve 49.80 58.76 58.76 (8.96) (8.96) 94450 Hypoxia response curve 60.73 71.94 71.94 (11.21) (11.21) 94452 Hast w/report 51.56 60.82 60.82 (9.26) (9.26) 94453 Hast w/oxygen titrate 71.65 84.37 84.37 (12.72) (12.72) 94610 Surfactant admin thru tube 52.49 61.55 61.55 (9.06) (9.06) 94620 Pulmonary stress test/simple 49.44 58.72 58.72 (9.28) (9.28) 94621 Pulm stress test/complex 145.53 171.43 171.43 (25.90) (25.90) 94640 Airway inhalation treatment 16.39 19.56 19.56 (3.17) (3.17) 94642 Aerosol inhalation treatment 64.92 0.00 0.00 64.92 64.92 94644 Cbt 1st hour 39.52 46.67 46.67 (7.15) (7.15) 94645 Cbt each addl hour 12.86 15.04 15.04 (2.18) (2.18) 94660 Pos airway pressure cpap 55.68 66.00 39.27 (10.32) 16.41 94662 Neg press ventilation cnp 35.45 38.49 38.49 (3.04) (3.04) 94664 Evaluate pt use of inhaler 15.43 18.43 18.43 (3.00) (3.00) 94667 Chest wall manipulation 22.82 27.82 27.82 (5.00) (5.00) 94668 Chest wall manipulation 26.35 30.83 30.83 (4.48) (4.48) 94669 Mechanical chest wall oscill 31.81 34.97 34.97 (3.16) (3.16) 94680 Exhaled air analysis o2 51.64 60.52 60.52 (8.88) (8.88) 94681 Exhaled air analysis o2/co2 45.64 55.73 55.73 (10.09) (10.09) 94690 Exhaled air analysis 43.92 52.93 52.93 (9.01) (9.01) 94726 Pulm funct tst plethysmograp 47.48 55.63 55.63 (8.15) (8.15) 94727 Pulm function test by gas 37.51 44.33 44.33 (6.82) (6.82) 94728 Pulm funct test oscillometry 35.90 42.45 42.45 (6.55) (6.55) 94729 Co/membane diffuse capacity 48.54 57.63 57.63 (9.09) (9.09) 94750 Pulmonary compliance study 72.89 85.43 85.43 (12.54) (12.54) 94760 Measure blood oxygen level 2.90 3.36 3.36 (0.46) (0.46) 94761 Measure blood oxygen level 4.51 5.25 5.25 (0.74) (0.74) 94762 Measure blood oxygen level 22.18 25.96 25.96 (3.78) (3.78) 94770 Exhaled carbon dioxide test 7.18 7.64 7.64 (0.46) (0.46) 94780 Car seat/bed test 60 min 45.83 58.98 23.59 (13.15) 22.24 94781 Car seat/bed test + 30 min 18.04 24.17 8.73 (6.13) 9.31 95004 Percut allergy skin tests 5.78 7.11 7.11 (1.33) (1.33) 95012 Exhaled nitric oxide meas 17.36 20.31 20.31 (2.95) (2.95) 95017 Perq & icut allg test venoms 7.28 8.14 3.63 (0.86) 3.65 95018 Perq&ic allg test drugs/biol 17.77 21.58 7.28 (3.81) 10.49 95024 Icut allergy test drug/bug 7.06 8.24 1.09 (1.18) 5.97 95027 Icut allergy titrate-airborn 4.17 4.85 4.85 (0.68) (0.68) 95028 Icut allergy test-delayed 12.22 14.28 14.28 (2.06) (2.06) 95044 Allergy patch tests 4.83 6.00 6.00 (1.17) (1.17) 95052 Photo patch test 5.79 7.13 7.13 (1.34) (1.34) 95056 Photosensitivity tests 38.88 47.02 47.02 (8.14) (8.14) 95060 Eye allergy tests 30.21 37.25 37.25 (7.04) (7.04) 95065 Nose allergy test 23.78 27.09 27.09 (3.31) (3.31) 95070 Bronchial allergy tests 26.35 32.33 32.33 (5.98) (5.98) 95071 Bronchial allergy tests 31.49 37.23 37.23 (5.74) (5.74) 95076 INGEST CHALLENGE INI 120 MIN 102.97 121.26 75.70 (18.29) 27.27 95079 Ingest challenge addl 60 min 73.30 85.72 69.15 (12.42) 4.15 95115 Immunotherapy one injection 8.04 9.39 9.39 (1.35) (1.35) 95117 Immunotherapy injections 9.33 10.90 10.90 (1.57) (1.57) 95120 Immunotherapy one injection 16.31 0.00 0.00 16.31 16.31 95125 Immunotherapy 2/> injections 20.00 0.00 0.00 20.00 20.00 95130 Immntx 1 sting insect 28.00 0.00 0.00 28.00 28.00 95131 Immntx 2 sting insects 35.69 0.00 0.00 35.69 35.69 95132 Immntx 3 sting insects 43.08 0.00 0.00 43.08 43.08 95133 Immntx 4 sting insects 52.00 0.00 0.00 52.00 52.00 95134 Immntx 5 sting insects 62.16 0.00 0.00 62.16 62.16 95144 Antigen therapy services 11.16 13.06 3.27 (1.90) 7.89 95145 Antigen therapy services 19.51 22.85 3.27 (3.34) 16.24 95146 Antigen therapy services 34.93 41.30 3.27 (6.37) 31.66 95147 Antigen therapy services 31.39 37.15 3.27 (5.76) 28.12 95148 Antigen therapy services 47.13 55.23 3.27 (8.10) 43.86 95149 Antigen therapy services 62.88 74.43 3.27 (11.55) 59.61 95165 Antigen therapy services 11.48 13.43 3.27 (1.95) 8.21 95170 Antigen therapy services 8.59 10.04 3.27 (1.45) 5.32 95180 Rapid desensitization 118.23 138.83 104.56 (20.60) 13.67 95250 Glucose monitoring cont 141.04 167.84 167.84 (26.80) (26.80) 95251 Gluc monitor cont phys i&r 38.17 44.79 44.79 (6.62) (6.62) 95782 Polysom <6 yrs 4/> paramtrs 916.52 1,088.50 1,088.50 (171.98) (171.98) 95783 Polysom <6 yrs cpap/bilvl 976.90 1,140.89 1,140.89 (163.99) (163.99) 95800 Slp stdy unattended 159.29 187.93 187.93 (28.64) (28.64) 95801 Slp stdy unatnd w/anal 83.88 94.60 94.60 (10.72) (10.72) 95805 Multiple sleep latency test 377.53 452.98 452.98 (75.45) (75.45) 95806 Sleep study unatt&resp efft 153.23 177.03 177.03 (23.80) (23.80) 95807 Sleep study attended 425.38 507.04 507.04 (81.66) (81.66) 95808 Polysom any age 1-3> param 570.18 668.50 668.50 (98.32) (98.32) 95810 Polysom 6/> yrs 4/> param 553.25 659.25 659.25 (106.00) (106.00) 95811 Polysom 6/>yrs cpap 4/> parm 580.41 692.92 692.92 (112.51) (112.51) 95812 Eeg 41-60 minutes 387.35 369.28 369.28 18.07 18.07 95813 Eeg over 1 hour 452.52 446.83 446.83 5.69 5.69 95816 Eeg awake and drowsy 316.37 383.59 383.59 (67.22) (67.22) 95819 Eeg awake and asleep 361.33 438.91 438.91 (77.58) (77.58) 95822 Eeg coma or sleep only 321.82 395.26 395.26 (73.44) (73.44) 95824 Eeg cerebral death only 87.69 0.00 0.00 87.69 87.69 95827 Eeg all night recording 697.45 740.74 740.74 (43.29) (43.29) 95829 Surgery electrocorticogram 1,656.07 1,993.48 1,993.48 (337.41) (337.41) 95830 Insert electrodes for eeg 224.84 258.56 95.51 (33.72) 129.33 95857 Cholinesterase challenge 48.98 56.64 30.66 (7.66) 18.32 95860 Muscle test one limb 107.70 128.20 128.20 (20.50) (20.50) 95861 Muscle test 2 limbs 148.86 179.84 179.84 (30.98) (30.98) 95863 Muscle test 3 limbs 181.12 223.35 223.35 (42.23) (42.23) 95864 Muscle test 4 limbs 208.87 252.40 252.40 (43.53) (43.53) 95865 Muscle test larynx 120.53 150.75 150.75 (30.22) (30.22) 95866 Muscle test hemidiaphragm 116.89 140.13 140.13 (23.24) (23.24) 95867 Muscle test cran nerv unilat 82.92 99.11 99.11 (16.19) (16.19) 95868 Muscle test cran nerve bilat 115.39 139.06 139.06 (23.67) (23.67) 95869 Muscle test thor paraspinal 67.20 98.35 98.35 (31.15) (31.15) 95870 Muscle test nonparaspinal 78.44 98.35 98.35 (19.91) (19.91) 95872 Muscle test one fiber 179.52 203.82 203.82 (24.30) (24.30) 95873 Guide nerv destr elec stim 66.56 77.69 77.69 (11.13) (11.13) 95874 Guide nerv destr needle emg 64.31 77.29 77.29 (12.98) (12.98) 95875 Limb exercise test 112.64 130.91 130.91 (18.27) (18.27) 95885 Musc tst done w/nerv tst lim 52.13 61.88 61.88 (9.75) (9.75) 95886 Musc test done w/n test comp 81.20 95.63 95.63 (14.43) (14.43) 95887 Musc tst done w/n tst nonext 76.62 84.96 84.96 (8.34) (8.34) 95905 Motor &/ sens nrve cndj test 61.30 74.43 74.43 (13.13) (13.13) 95907 Nvr cndj tst 1-2 studies 83.90 99.87 99.87 (15.97) (15.97) 95908 Nrv cndj tst 3-4 studies 103.42 123.91 123.91 (20.49) (20.49) 95909 Nrv cndj tst 5-6 studies 124.56 150.96 150.96 (26.40) (26.40) 95910 Nrv cndj test 7-8 studies 163.62 201.28 201.28 (37.66) (37.66) 95911 Nrv cndj test 9-10 studies 198.82 242.95 242.95 (44.13) (44.13) 95912 Nrv cndj test 11-12 studies 233.71 271.43 271.43 (37.72) (37.72) 95913 Nrv cndj test 13/> studies 270.42 310.34 310.34 (39.92) (39.92) 95921 Autonomic nrv parasym inervj 79.23 90.27 90.27 (11.04) (11.04) 95922 Autonomic nrv adrenrg inervj 95.19 105.61 105.61 (10.42) (10.42) 95923 Autonomic nrv syst funj test 184.59 173.06 173.06 11.53 11.53 95924 Ans parasymp & symp w/tilt 128.68 155.38 155.38 (26.70) (26.70) 95925 Somatosensory testing 155.58 164.67 164.67 (9.09) (9.09) 95926 Somatosensory testing 129.92 145.46 145.46 (15.54) (15.54) 95927 Somatosensory testing 144.98 150.34 150.34 (5.36) (5.36) 95928 C motor evoked uppr limbs 225.45 236.42 236.42 (10.97) (10.97) 95929 C motor evoked lwr limbs 219.66 238.25 238.25 (18.59) (18.59) 95930 Visual evoked potential test 119.60 137.17 137.17 (17.57) (17.57) 95933 Blink reflex test 73.94 78.76 78.76 (4.82) (4.82) 95937 Neuromuscular junction test 72.25 85.44 85.44 (13.19) (13.19) 95938 Somatosensory testing 302.26 362.13 362.13 (59.87) (59.87) 95939 C motor evoked upr&lwr limbs 440.17 529.09 529.09 (88.92) (88.92) 95940 Ionm in operatng room 15 min 28.29 33.91 33.91 (5.62) (5.62) 95950 Ambulatory eeg monitoring 298.35 349.69 349.69 (51.34) (51.34) 95951 Eeg monitoring/videorecord 1,476.96 0.00 0.00 1,476.96 1,476.96 95953 Eeg monitoring/computer 384.54 444.01 444.01 (59.47) (59.47) 95954 Eeg monitoring/giving drugs 391.33 475.62 475.62 (84.29) (84.29) 95955 Eeg during surgery 204.33 228.61 228.61 (24.28) (24.28) 95956 Eeg monitor technol attended 1,491.52 1,742.17 1,742.17 (250.65) (250.65) 95957 Eeg digital analysis 393.97 331.92 331.92 62.05 62.05 95958 Eeg monitoring/function test 502.59 602.14 602.14 (99.55) (99.55) 95961 Electrode stimulation brain 252.97 308.03 308.03 (55.06) (55.06) 95962 Electrode stim brain add-on 222.06 273.52 273.52 (51.46) (51.46) 95965 Meg spontaneous 1,791.74 0.00 0.00 1,791.74 1,791.74 95966 Meg evoked single 894.18 0.00 0.00 894.18 894.18 95967 Meg evoked each addl 752.02 0.00 0.00 752.02 752.02 95970 Analyze neurostim no prog 61.32 71.46 24.76 (10.14) 36.56 95971 Analyze neurostim simple 53.43 52.01 42.22 1.42 11.21 95972 Analyze neurostim complex 96.36 60.61 43.29 35.75 53.07 95974 Cranial neurostim complex 183.06 216.13 169.81 (33.07) 13.25 95975 Cranial neurostim complex 97.60 116.19 96.24 (18.59) 1.36 95978 Analyze neurostim brain/1h 221.28 259.56 200.07 (38.28) 21.21 95979 Analyz neurostim brain addon 95.48 112.53 92.95 (17.05) 2.53 95980 Io anal gast n-stim init 39.71 47.97 47.97 (8.26) (8.26) 95981 Io anal gast n-stim subsq 28.46 33.30 18.61 (4.84) 9.85 95982 Io ga n-stim subsq w/reprog 45.59 54.81 37.87 (9.22) 7.72 95990 Spin/brain pump refil & main 83.24 97.45 97.45 (14.21) (14.21) 95991 Spin/brain pump refil & main 108.35 127.74 41.13 (19.39) 67.22 95992 Canalith repositioning proc 38.35 44.60 38.58 (6.25) (0.23) 96000 Motion analysis video/3d 83.30 98.41 98.41 (15.11) (15.11) 96001 Motion test w/ft press meas 86.26 110.38 110.38 (24.12) (24.12) 96002 Dynamic surface emg 18.64 22.60 22.60 (3.96) (3.96) 96003 Dynamic fine wire emg 17.42 17.82 17.82 (0.40) (0.40) 96004 Phys review of motion tests 103.01 121.09 121.09 (18.08) (18.08) 96101 Psycho testing by psych/phys 69.65 81.49 81.11 (11.84) (11.46) 96102 Psycho testing by technician 58.65 66.50 23.95 (7.85) 34.70 96103 Psycho testing admin by comp 24.26 28.43 27.68 (4.17) (3.42) 96110 Developmental screen w/score 7.40 9.39 9.39 (1.99) (1.99) 96111 Developmental test extend 112.57 132.83 126.06 (20.26) (13.49) 96116 Neurobehavioral status exam 82.22 95.34 89.32 (13.12) (7.10) 96118 Neuropsych tst by psych/phys 86.03 100.69 80.36 (14.66) 5.67 96119 Neuropsych testing by tec 72.03 84.14 24.27 (12.11) 47.76 96120 Neuropsych tst admin w/comp 42.25 50.27 26.93 (8.02) 15.32 96125 Cognitive test by hc pro 75.73 121.66 121.66 (45.93) (45.93) 96127 Brief emotional/behav assmt 4.82 5.62 5.62 (0.80) (0.80) 96150 Assess hlth/behave init 18.46 22.10 21.72 (3.64) (3.26) 96151 Assess hlth/behave subseq 17.85 21.00 20.62 (3.15) (2.77) 96152 Intervene hlth/behave indiv 16.92 20.28 19.90 (3.36) (2.98) 96153 Intervene hlth/behave group 4.02 4.71 4.71 (0.69) (0.69) 96154 Interv hlth/behav fam w/pt 16.62 19.92 19.54 (3.30) (2.92) 96360 Hydration iv infusion init 50.84 60.27 60.27 (9.43) (9.43) 96361 Hydrate iv infusion add-on 13.35 16.02 16.02 (2.67) (2.67) 96365 Ther/proph/diag iv inf init 61.38 72.98 72.98 (11.60) (11.60) 96366 Ther/proph/diag iv inf addon 16.42 19.64 19.64 (3.22) (3.22) 96367 Tx/proph/dg addl seq iv inf 26.68 32.02 32.02 (5.34) (5.34) 96368 Ther/diag concurrent inf 18.04 21.54 21.54 (3.50) (3.50) 96369 Sc ther infusion up to 1 hr 174.45 203.67 203.67 (29.22) (29.22) 96370 Sc ther infusion addl hr 13.53 15.49 15.49 (1.96) (1.96) 96371 Sc ther infusion reset pump 81.61 77.19 77.19 4.42 4.42 96372 Ther/proph/diag inj sc/im 22.22 26.43 26.43 (4.21) (4.21) 96373 Ther/proph/diag inj ia 17.08 20.41 20.41 (3.33) (3.33) 96374 Ther/proph/diag inj iv push 50.18 59.85 59.85 (9.67) (9.67) 96375 Tx/pro/dx inj new drug addon 19.76 23.53 23.53 (3.77) (3.77) 96376 Tx/pro/dx inj same drug adon 11.60 0.00 0.00 11.60 11.60 96401 Chemo anti-neopl sq/im 65.89 78.61 78.61 (12.72) (12.72) 96402 Chemo hormon antineopl sq/im 28.29 33.90 33.90 (5.61) (5.61) 96405 Chemo intralesional up to 7 72.11 86.05 31.08 (13.94) 41.03 96406 Chemo intralesional over 7 100.58 122.44 48.26 (21.86) 52.32 96409 Chemo iv push sngl drug 97.34 116.92 116.92 (19.58) (19.58) 96411 Chemo iv push addl drug 54.65 65.47 65.47 (10.82) (10.82) 96413 Chemo iv infusion 1 hr 119.12 142.81 142.81 (23.69) (23.69) 96415 Chemo iv infusion addl hr 24.76 29.76 29.76 (5.00) (5.00) 96416 Chemo prolong infuse w/pump 124.40 148.57 148.57 (24.17) (24.17) 96417 Chemo iv infus each addl seq 55.27 65.83 65.83 (10.56) (10.56) 96420 Chemo ia push tecnique 93.32 111.38 111.38 (18.06) (18.06) 96422 Chemo ia infusion up to 1 hr 150.18 179.46 179.46 (29.28) (29.28) 96423 Chemo ia infuse each addl hr 69.17 82.81 82.81 (13.64) (13.64) 96425 Chemotherapy infusion method 161.78 191.84 191.84 (30.06) (30.06) 96440 Chemotherapy intracavitary 763.40 893.91 145.71 (130.51) 617.69 96446 Chemotx admn prtl cavity 172.97 211.85 29.60 (38.88) 143.37 96450 Chemotherapy into cns 160.84 190.73 83.79 (29.89) 77.05 96521 Refill/maint portable pump 120.84 145.96 145.96 (25.12) (25.12) 96522 Refill/maint pump/resvr syst 99.31 119.58 119.58 (20.27) (20.27) 96523 Irrig drug delivery device 22.11 26.27 26.27 (4.16) (4.16) 96542 Chemotherapy injection 105.16 127.40 43.80 (22.24) 61.36 96567 Photodynamic tx skin 118.55 143.42 143.42 (24.87) (24.87) 96570 Photodynmc tx 30 min add-on 50.50 59.82 59.82 (9.32) (9.32) 96571 Photodynamic tx addl 15 min 23.25 27.96 27.96 (4.71) (4.71) 96900 Ultraviolet light therapy 18.32 21.82 21.82 (3.50) (3.50) 96902 Trichogram 19.29 22.24 21.49 (2.95) (2.20) 96904 Whole body photography 60.08 66.60 66.60 (6.52) (6.52) 96910 Photochemotherapy with uv-b 62.33 75.66 75.66 (13.33) (13.33) 96912 Photochemotherapy with uv-a 80.32 96.75 96.75 (16.43) (16.43) 96913 Photochemotherapy uv-a or b 113.09 138.87 138.87 (25.78) (25.78) 96920 Laser tx skin < 250 sq cm 135.66 163.26 69.50 (27.60) 66.16 96921 Laser tx skin 250-500 sq cm 149.55 179.58 78.67 (30.03) 70.88 96922 Laser tx skin >500 sq cm 207.08 248.56 126.93 (41.48) 80.15 97010 Hot or cold packs therapy 5.37 6.28 6.28 (0.91) (0.91) 97012 Mechanical traction therapy 14.06 16.51 16.51 (2.45) (2.45) 97014 Electric stimulation therapy 14.18 16.62 16.62 (2.44) (2.44) 97016 Vasopneumatic device therapy 17.07 20.01 20.01 (2.94) (2.94) 97018 Paraffin bath therapy 9.88 11.55 11.55 (1.67) (1.67) 97022 Whirlpool therapy 20.93 24.55 24.55 (3.62) (3.62) 97024 Diathermy eg microwave 5.70 6.65 6.65 (0.95) (0.95) 97026 Infrared therapy 5.38 6.28 6.28 (0.90) (0.90) 97028 Ultraviolet therapy 6.63 7.75 7.75 (1.12) (1.12) 97032 Electrical stimulation 16.95 19.90 19.90 (2.95) (2.95) 97035 Ultrasound therapy 11.23 13.19 13.19 (1.96) (1.96) 97110 Therapeutic exercises 28.18 33.48 33.48 (5.30) (5.30) 97112 Neuromuscular reeducation 29.47 34.98 34.98 (5.51) (5.51) 97116 Gait training therapy 25.05 29.44 29.44 (4.39) (4.39) 97150 Group therapeutic procedures 15.27 17.95 17.95 (2.68) (2.68) 97535 Self care mngment training 30.75 36.49 36.49 (5.74) (5.74) 97597 Rmvl devital tis 20 cm/< 68.30 78.94 23.96 (10.64) 44.34 97598 Rmvl devital tis addl 20cm/< 22.46 25.56 11.25 (3.10) 11.21 97602 Wound(s) care non-selective 14.46 0.00 0.00 14.46 14.46 97605 Neg press wound tx 50 cm 40.29 50.55 27.96 (10.26) 12.33 97607 Neg press wnd tx 50 cm 35.27 0.00 0.00 35.27 35.27 97610 Low frequency non-thermal us 110.28 126.30 16.34 (16.02) 93.94 97760 Orthotic mgmt and training 34.00 39.50 39.50 (5.50) (5.50) 97761 Prosthetic training 29.50 34.23 34.23 (4.73) (4.73) 97762 C/o for orthotic/prosth use 42.65 50.02 50.02 (7.37) (7.37) 98925 Osteopath manj 1-2 regions 27.56 32.68 24.40 (5.12) 3.16 98926 Osteopath manj 3-4 regions 39.67 47.31 37.14 (7.64) 2.53 98927 Osteopath manj 5-6 regions 51.81 61.18 48.75 (9.37) 3.06 98928 Osteopath manj 7-8 regions 63.95 75.05 61.49 (11.10) 2.46 98929 Osteopath manj 9-10 regions 76.76 89.68 73.86 (12.92) 2.90 98940 Chiropract manj 1-2 regions 24.63 29.32 23.29 (4.69) 1.34 98941 Chiropract manj 3-4 regions 36.14 42.08 35.68 (5.94) 0.46 98942 Chiropractic manj 5 regions 46.65 54.83 48.05 (8.18) (1.40) 98960 Self-mgmt educ & train 1 pt 24.75 29.70 29.70 (4.95) (4.95) 98961 Self-mgmt educ/train 2-4 pt 11.90 14.28 14.28 (2.38) (2.38) 98962 Self-mgmt educ/train 5-8 pt 8.68 10.52 10.52 (1.84) (1.84) 99050 Medical services after hrs 15.08 0.00 0.00 15.08 15.08 99058 Office emergency care 19.69 0.00 0.00 19.69 19.69 99060 Out of office emerg med serv 19.69 0.00 0.00 19.69 19.69 99070 Special supplies phys/qhp 15.50 0.00 0.00 15.50 15.50 99090 Computer data analysis 85.92 0.00 0.00 85.92 85.92 99170 Anogenital exam child w imag 153.74 181.35 92.11 (27.61) 61.63 99175 Induction of vomiting 15.11 18.05 18.05 (2.94) (2.94) 99183 Hyperbaric oxygen therapy 189.29 113.77 113.77 75.52 75.52 99188 App topical fluoride varnish 12.30 0.00 0.00 12.30 12.30 99195 Phlebotomy 88.74 106.04 106.04 (17.30) (17.30) 99201 Office/outpatient visit new 42.63 45.40 27.33 (2.77) 15.30 99202 Office/outpatient visit new 73.09 77.35 51.74 (4.26) 21.35 99203 Office/outpatient visit new 106.04 111.76 79.00 (5.72) 27.04 99204 Office/outpatient visit new 162.51 170.17 133.65 (7.66) 28.86 99205 Office/outpatient visit new 202.15 213.21 173.67 (11.06) 28.48 99211 Office/outpatient visit est 19.79 20.77 9.47 (0.98) 10.32 99212 Office/outpatient visit est 42.99 45.05 25.85 (2.06) 17.14 99213 Office/outpatient visit est 71.58 75.42 52.45 (3.84) 19.13 99214 Office/outpatient visit est 105.48 111.00 80.50 (5.52) 24.98 99215 Office/outpatient visit est 141.04 149.41 114.01 (8.37) 27.03 99217 Observation care discharge 70.67 74.86 74.86 (4.19) (4.19) 99218 Initial observation care 96.47 102.28 102.28 (5.81) (5.81) 99219 Initial observation care 131.93 139.11 139.11 (7.18) (7.18) 99220 Initial observation care 180.56 190.10 190.10 (9.54) (9.54) 99221 Initial hospital care 99.09 104.06 104.06 (4.97) (4.97) 99222 Initial hospital care 134.52 140.53 140.53 (6.01) (6.01) 99223 Initial hospital care 198.05 207.93 207.93 (9.88) (9.88) 99224 Subsequent observation care 38.92 40.77 40.77 (1.85) (1.85) 99225 Subsequent observation care 70.45 74.68 74.68 (4.23) (4.23) 99226 Subsequent observation care 101.71 107.84 107.84 (6.13) (6.13) 99231 Subsequent hospital care 38.18 40.40 40.40 (2.22) (2.22) 99232 Subsequent hospital care 70.11 73.93 73.93 (3.82) (3.82) 99233 Subsequent hospital care 100.99 106.69 106.69 (5.70) (5.70) 99234 Observ/hosp same date 131.74 137.25 137.25 (5.51) (5.51) 99235 OBSERV/HOSP SAME DATE 164.59 173.33 173.33 (8.74) (8.74) 99236 Observ/hosp same date 212.50 223.19 223.19 (10.69) (10.69) 99238 Hospital discharge day 70.65 74.51 74.51 (3.86) (3.86) 99239 Hospital discharge day 104.41 110.29 110.29 (5.88) (5.88) 99241 Office consultation 48.13 49.30 33.49 (1.17) 14.64 99242 Office consultation 90.03 92.48 70.27 (2.45) 19.76 99243 Office consultation 122.86 126.54 98.30 (3.68) 24.56 99244 Office consultation 181.16 188.88 158.00 (7.72) 23.16 99245 Office consultation 221.55 230.09 195.45 (8.54) 26.10 99251 Inpatient consultation 48.19 50.17 50.17 (1.98) (1.98) 99252 Inpatient consultation 73.91 76.76 76.76 (2.85) (2.85) 99253 Inpatient consultation 112.76 117.94 117.94 (5.18) (5.18) 99254 Inpatient consultation 162.64 171.46 171.46 (8.82) (8.82) 99255 Inpatient consultation 196.62 206.70 206.70 (10.08) (10.08) 99281 Emergency dept visit 20.40 21.75 21.75 (1.35) (1.35) 99282 Emergency dept visit 40.15 42.41 42.41 (2.26) (2.26) 99283 Emergency dept visit 59.82 63.39 63.39 (3.57) (3.57) 99284 Emergency dept visit 114.14 120.23 120.23 (6.09) (6.09) 99285 Emergency dept visit 167.66 177.38 177.38 (9.72) (9.72) 99291 Critical care first hour 267.69 283.45 229.22 (15.76) 38.47 99292 Critical care addl 30 min 119.67 126.11 114.81 (6.44) 4.86 99304 Nursing facility care init 90.92 94.18 94.18 (3.26) (3.26) 99305 Nursing facility care init 129.57 133.95 133.95 (4.38) (4.38) 99306 Nursing facility care init 163.87 170.71 170.71 (6.84) (6.84) 99307 Nursing fac care subseq 43.55 46.07 46.07 (2.52) (2.52) 99308 Nursing fac care subseq 67.28 71.32 71.32 (4.04) (4.04) 99309 Nursing fac care subseq 88.48 93.97 93.97 (5.49) (5.49) 99310 Nursing fac care subseq 131.62 139.57 139.57 (7.95) (7.95) 99315 Nursing fac discharge day 71.39 75.26 75.26 (3.87) (3.87) 99316 Nursing fac discharge day 102.24 108.76 108.76 (6.52) (6.52) 99318 Annual nursing fac assessmnt 93.61 98.58 98.58 (4.97) (4.97) 99324 Domicil/r-home visit new pat 54.27 56.90 56.90 (2.63) (2.63) 99325 Domicil/r-home visit new pat 78.88 82.72 82.72 (3.84) (3.84) 99326 Domicil/r-home visit new pat 135.81 142.85 142.85 (7.04) (7.04) 99327 Domicil/r-home visit new pat 181.42 190.69 190.69 (9.27) (9.27) 99328 Domicil/r-home visit new pat 210.10 222.69 222.69 (12.59) (12.59) 99334 Domicil/r-home visit est pat 59.19 62.08 62.08 (2.89) (2.89) 99335 Domicil/r-home visit est pat 92.51 97.81 97.81 (5.30) (5.30) 99336 Domicil/r-home visit est pat 130.34 138.26 138.26 (7.92) (7.92) 99337 Domicil/r-home visit est pat 188.04 197.97 197.97 (9.93) (9.93) 99341 Home visit new patient 53.91 56.53 56.53 (2.62) (2.62) 99342 Home visit new patient 77.82 81.22 81.22 (3.40) (3.40) 99343 Home visit new patient 127.05 133.23 133.23 (6.18) (6.18) 99344 Home visit new patient 177.62 187.03 187.03 (9.41) (9.41) 99345 Home visit new patient 214.09 226.76 226.76 (12.67) (12.67) 99347 Home visit est patient 54.29 56.92 56.92 (2.63) (2.63) 99348 Home visit est patient 82.04 86.40 86.40 (4.36) (4.36) 99349 Home visit est patient 124.12 131.70 131.70 (7.58) (7.58) 99350 Home visit est patient 173.14 182.68 182.68 (9.54) (9.54) 99354 PROLONG E&M/PSYCTX SERV O/P 97.47 102.95 95.42 (5.48) 2.05 99355 PROLONG E&M/PSYCTX SERV O/P 95.31 99.96 92.43 (4.65) 2.88 99356 Prolonged service inpatient 89.68 94.44 94.44 (4.76) (4.76) 99357 Prolonged service inpatient 88.96 93.68 93.68 (4.72) (4.72) 99360 Physician standby services 60.40 62.99 62.99 (2.59) (2.59) 99374 Home health care supervision 68.83 72.19 57.89 (3.36) 10.94 99375 Home health care supervision 103.28 107.98 90.66 (4.70) 12.62 99377 Hospice care supervision 68.83 72.19 57.89 (3.36) 10.94 99378 Hospice care supervision 103.28 107.98 90.66 (4.70) 12.62 99379 Nursing fac care supervision 68.83 72.19 57.89 (3.36) 10.94 99380 Nursing fac care supervision 103.28 107.98 90.66 (4.70) 12.62 99381 Init pm e/m new pat infant 108.72 114.04 78.64 (5.32) 30.08 99382 Init pm e/m new pat 1-4 yrs 113.18 119.14 83.75 (5.96) 29.43 99383 Prev visit new age 5-11 118.04 124.23 89.21 (6.19) 28.83 99384 Prev visit new age 12-17 133.32 140.25 104.85 (6.93) 28.47 99385 Prev visit new age 18-39 129.52 135.51 100.49 (5.99) 29.03 99391 Per pm reeval est pat infant 97.81 102.60 71.72 (4.79) 26.09 99392 Prev visit est age 1-4 104.41 109.52 78.64 (5.11) 25.77 99393 Prev visit est age 5-11 104.05 109.14 78.64 (5.09) 25.41 99394 Prev visit est age 12-17 113.73 119.71 89.21 (5.98) 24.52 99395 Prev visit est age 18-39 116.16 122.26 91.76 (6.10) 24.40 99406 Behav chng smoking 3-10 min 12.46 14.62 12.73 (2.16) (0.27) 99407 Behav chng smoking > 10 min 24.32 28.45 26.57 (4.13) (2.25) 99415 Prolong clincl staff svc 8.91 9.39 9.39 (0.48) (0.48) 99416 Prolong clincl staff svc add 4.98 5.25 5.25 (0.27) (0.27) 99460 Init nb em per day hosp 91.75 98.96 98.96 (7.21) (7.21) 99461 Init nb em per day non-fac 96.56 94.88 64.75 1.68 31.81 99462 Sbsq nb em per day hosp 40.91 42.93 42.93 (2.02) (2.02) 99463 Same day nb discharge 111.53 122.66 122.66 (11.13) (11.13) 99464 Attendance at delivery 68.81 73.32 73.32 (4.51) (4.51) 99465 Nb resuscitation 143.62 156.99 156.99 (13.37) (13.37) 99466 Ped crit care transport 257.89 236.02 236.02 21.87 21.87 99467 Ped crit care transport addl 119.68 119.61 119.61 0.07 0.07 99468 Neonate crit care initial 907.87 968.88 968.88 (61.01) (61.01) 99469 Neonate crit care subsq 384.19 408.81 408.81 (24.62) (24.62) 99471 Ped critical care initial 831.62 901.50 901.50 (69.88) (69.88) 99472 Ped critical care subsq 390.76 420.62 420.62 (29.86) (29.86) 99475 Ped crit care age 2-5 init 560.97 591.98 591.98 (31.01) (31.01) 99476 Ped crit care age 2-5 subsq 339.25 356.21 356.21 (16.96) (16.96) 99477 Init day hosp neonate care 337.11 367.39 367.39 (30.28) (30.28) 99478 Ic lbw inf < 1500 gm subsq 133.83 140.37 140.37 (6.54) (6.54) 99479 Ic lbw inf 1500-2500 g subsq 121.33 128.03 128.03 (6.70) (6.70) 99480 Ic inf pbw 2501-5000 g subsq 116.84 122.57 122.57 (5.73) (5.73) 99490 Chron care mgmt srvc 20 min 41.66 41.82 32.03 (0.16) 9.63 99495 Trans care mgmt 14 day disch 160.79 170.17 113.31 (9.38) 47.48 99496 Trans care mgmt 7 day disch 227.02 239.64 163.95 (12.62) 63.07 G0101 Ca screen;pelvic/breast exam 35.99 39.80 28.88 (3.81) 7.11 G0102 Prostate ca screening; dre 16.42 20.41 9.11 (3.99) 7.31 G0108 Diab manage trn per indiv 30.89 54.50 54.50 (23.61) (23.61) G0109 Diab manage trn ind/group 17.82 14.63 14.63 3.19 3.19 G0166 Extrnl counterpulse, per tx 135.85 146.26 146.26 (10.41) (10.41) G0202 SCR MAMMO BI INCL CAD 140.54 140.68 140.68 (0.14) (0.14) G0204 DX MAMMO INCL CAD BI 147.80 172.01 172.01 (24.21) (24.21) G0206 DX MAMMO INCL CAD UNI 119.58 135.03 135.03 (15.45) (15.45) G0277 Hbot, full body chamber, 30m 42.64 47.42 47.42 (4.78) (4.78) G0279 Tomosynthesis, mammo screen 58.98 57.68 57.68 1.30 1.30 G0372 Md service required for pmd 8.82 9.11 9.11 (0.29) (0.29) G0398 Home sleep test/type 2 porta 163.02 0.00 0.00 163.02 163.02 G0399 Home sleep test/type 3 porta 157.72 0.00 0.00 157.72 157.72 G0400 Home sleep test/type 4 porta 152.41 0.00 0.00 152.41 152.41 G0438 Ppps, initial visit 113.85 177.12 177.12 (63.27) (63.27) G0439 Ppps, subseq visit 68.62 120.41 120.41 (51.79) (51.79) G0442 Annual alcohol screen 15 min 16.33 18.88 9.85 (2.55) 6.48 G0443 Brief alcohol misuse counsel 23.44 26.67 24.41 (3.23) (0.97) G0444 Depression screen annual 16.33 18.88 9.47 (2.55) 6.86 G0445 High inten beh couns std 30m 23.44 27.80 24.41 (4.36) (0.97) G0446 Intens behave ther cardio dx 23.44 26.67 24.41 (3.23) (0.97) G0447 Behavior counsel obesity 15m 23.44 26.67 24.41 (3.23) (0.97) G6002 Stereoscopic x-ray guidance 78.81 79.11 79.11 (0.30) (0.30) G6003 Radiation treatment delivery 172.32 198.04 198.04 (25.72) (25.72) G6004 Radiation treatment delivery 133.13 153.23 153.23 (20.10) (20.10) G6005 Radiation treatment delivery 149.11 152.86 152.86 (3.75) (3.75) G6006 Radiation treatment delivery 148.35 152.48 152.48 (4.13) (4.13) G6007 Radiation treatment delivery 273.90 318.54 318.54 (44.64) (44.64) G6008 Radiation treatment delivery 184.49 211.97 211.97 (27.48) (27.48) G6009 Radiation treatment delivery 204.27 209.71 209.71 (5.44) (5.44) G6010 Radiation treatment delivery 204.27 209.34 209.34 (5.07) (5.07) G6011 Radiation treatment delivery 292.92 340.38 340.38 (47.46) (47.46) G6012 Radiation treatment delivery 242.32 279.38 279.38 (37.06) (37.06) G6013 Radiation treatment delivery 273.14 279.75 279.75 (6.61) (6.61) G6014 Radiation treatment delivery 272.76 279.75 279.75 (6.99) (6.99) G6015 Radiation tx delivery imrt 425.32 365.16 365.16 60.16 60.16 G6016 Delivery comp imrt 425.32 364.10 364.10 61.22 61.22 Q0091 Obtaining screen pap smear 19.74 47.11 20.38 (27.37) (0.64) Q3014 TELEHEALTH FACILITY FEE 24.24 0.00 0.00 24.24 24.24

Footnotes: (1) Nevada Medicaid calculates rates for services billed by Physicians using the 2014 Medicare Physician Fee Schedule conversion factor and the RVU rate for the year the code was set in MMIS. All Physician Rates for the code groups listed below were rebased effective 7/1/2015. a. Surgical codes 10000 - 58999 and 60000 - 69999 will be reimbursed at 95% of the Medicare Facility b. Radiology codes 70000 - 79999 will be reimbursed at 100% of the Medicare Facility rate. c. Medicine codes 90000 - 99199 will be reimbursed at 85% of the Medicare Non-Facility Rate. d. Evaluation and Management codes 99201 - 99499 will be reimbursed at 95% of the Medicare Non- e. Obstetrical services codes 59000 - 59999 will be reimbursed at 95% of the Medicare Non-Facility rate.