Current Fee Schedule 2018 11 01

Current Fee Schedule 2018 11 01

Procedure Procedure Unit Charge in Procedure Description Code Modifier Dollars 10021 PR FINE NEEDLE ASP;W/O IMAGING GUIDANCE 247.00 10022 PR FINE NEEDLE ASP;W/IMAGING GUIDANCE 494.00 10040 PR ACNE SURGERY OF SKIN ABSCESS 203.00 10060 PR DRAIN SKIN ABSCESS SIMPLE 240.00 10061 PR DRAIN SKIN ABSCESS COMPLIC 328.00 10080 PR DRAIN PILONIDAL CYST SIMPL 261.00 10081 PR DRAIN PILONIDAL CYST COMPLIC 1248.00 10120 PR REMOVE FOREIGN BODY SIMPLE 360.00 10121 PR REMOVE FOREIGN BODY COMPLIC 616.00 10140 PR DRAINAGE OF HEMATOMA/FLUID 1343.00 10160 PR PUNCTURE DRAINAGE OF LESION 240.00 10180 PR COMPLEX DRAINAGE, WOUND 505.00 11000 PR DEBRIDEMENT, INFECTED SKIN, UP TO 10% BSA 321.00 11004 PR DEBRIDE NECR SKIN/TISS,SUBQ/MUSC/FASC,GENIT& 1378.00 11005 PR DEBRIDE NECROTIC SKIN/ TISSUE, ABD WALL 1757.00 11006 PR DEBR NEC SKIN/TISS,GEN/PERI/ADB WALL W/WO C 1592.00 11008 PR REMOVE MESH FROM ABD WALL FOR INFECTION 617.00 11010 PR DEBRIDE ASSOC OPEN FX/DISLOC SKIN/SUBQ 1118.00 11011 PR DEBRIDE ASSOC OPEN FX/DISLOC SKIN/MUSCLE 1217.00 11012 PR DEBRIDE ASSOC OPEN FX/DISLO SKIN/MUS/BONE 1632.00 11040 PR DEBRIDEMENT, SKIN, PARTIAL THICKNESS 91.00 11041 PR DEBRIDEMENT, SKIN, FULL THICKNESS 343.00 11042 PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM 322.00 11043 PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,=<20 SQ CM 451.00 11044 PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,BONE,=<20 SQ CM 679.00 11045 PR PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,EACH ADD 20 SQ CM 96.00 11046 PR PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,EACH ADD 20 SQ CM 168.00 11047 PR PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,BONE,EACH ADD 20 SQ CM 281.00 11055 PR TRIM HYPERKERATOTIC SKIN LESION, ONE 145.00 11056 PR TRIM BENIGN HYPERKERATOTIC SKIN LESION,2-4 168.00 11057 PR TRIM BENIGN HYPERKERATOTIC SKIN LESION,>4 189.00 11100 PR BIOPSY OF SKIN LESION 223.00 11101 PR BIOPSY, EACH ADDED LESION 110.00 11200 PR REMOVAL OF SKIN TAGS, UP TO 15 165.00 11201 PR REMOVAL OF SKIN TAGS, EACH ADD 10 121.00 11300 PR SHAV SKIN LES <5MM TRUNK,ARM,LEG 136.00 11301 PR SHAV SKIN LES 6-10MM TRUNK,ARM,LEG 173.00 11302 PR SHAV SKIN LES 11-20MM TRUNK,ARM,LEG 204.00 11303 PR SHAV SKIN LES >21MM TRUNK,ARM,LEG 242.00 11305 PR SHAV SKIN LES <5MM REMAINDR BODY 134.00 11306 PR SHAV SKIN LES 6-10MM REMAINDR BODY 187.00 11307 PR SHAV SKIN LES 11-20MM REMAINDR BODY 228.00 11308 PR SHAV SKIN LES >21MM REMAINDR BODY 264.00 11310 PR SHAV SKIN LES <5MM FACE,FACIAL 167.00 11311 PR SHAV SKIN LES 6-10MM FACE,FACIAL 204.00 11312 PR SHAV SKIN LES 11-20MM FACE,FACIAL 230.00 11313 PR SHAV SKIN LES >21MM FACE,FACIAL 361.00 11400 PR EXC SKIN BENIG <5MM TRUNK,ARM,LEG 498.00 11401 PR EXC SKIN BENIG 0.6-1CM TRUNK,ARM,LEG 525.00 11402 PR EXC SKIN BENIG 1.1-2CM TRUNK,ARM,LEG 536.00 11403 PR EXC SKIN BENIG 2.1-3CM TRUNK,ARM,LEG 927.00 11404 PR EXC SKIN BENIG 3.1-4CM TRUNK,ARM,LEG 1748.00 11406 PR EXC SKIN BENIG >4CM TRUNK,ARM,LEG 1836.00 11420 PR EXC SKIN BENIG <5MM REMAINDR BODY 856.00 11421 PR EXC SKIN BENIG 0.6-1CM REMAINDR BODY 888.00 11422 PR EXC SKIN BENIG 1.1-2CM REMAINDR BODY 915.00 11423 PR EXC SKIN BENIG 2.1-3CM REMAINDR BODY 1744.00 11424 PR EXC SKIN BENIG 3.1-4CM REMAINDR BODY 1768.00 11426 PR EXC SKIN BENIG >4CM REMAINDR BODY 632.00 11440 PR EXC SKIN BENIG <5MM FACE,FACIAL 525.00 11441 PR EXC SKIN BENIG 0.6-1CM FACE,FACIAL 556.00 11442 PR EXC SKIN BENIG 1.1-2CM FACE,FACIAL 927.00 11443 PR EXC SKIN BENIG 2.1-3CM FACE,FACIAL 964.00 11444 PR EXC SKIN BENIG 3.1-4CM FACE,FACIAL 1057.00 11446 PR EXC SKIN BENIG >4CM FACE,FACIAL 940.00 11450 PR EXC SWEAT GLAND LESN AXILL,SIMPL 907.00 11451 PR EXC SWEAT GLAND LESN AXILL,COMPLX 1176.00 11462 PR EXC SWEAT GLAND LESN INGUIN,SIMPL 880.00 11470 PR EXC SWEAT GLAND LESN PERINEAL,SIMPL 1012 11471 PR EXC SWEAT GLAND LESN PERINEAL,COMPLX 1233.00 11600 PR EXC SKIN MALIG <5MM TRUNK,ARM,LEG 896.00 11601 PR EXC SKIN MALIG 0.6-1CM TRUNK,ARM,LEG 575.00 11602 PR EXC SKIN MALIG 1.1-2CM TRUNK,ARM,LEG 592.00 11603 PR EXC SKIN MALIG 2.1-3CM TRUNK,ARM,LEG 981.00 11604 PR EXC SKIN MALIG 3.1-4CM TRUNK,ARM,LEG 1041.00 11606 PR EXC SKIN MALIG >4CM TRUNK,ARM,LEG 1917.00 11620 PR EXC SKIN MALIG <5MM REMAINDR BODY 898.00 11621 PR EXC SKIN MALIG 0.6-1CM REMAINDR BODY 633.00 11622 PR EXC SKIN MALIG 1.1-2CM REMAINDR BODY 957.00 11623 PR EXC SKIN MALIG 2.1-3CM REMAINDR BODY 1805.00 11624 PR EXC SKIN MALIG 3.1-4CM REMAINDR BODY 1897.00 11626 PR EXC SKIN MALIG >4CM REMAINDR BODY 934.00 11640 PR EXC SKIN MALIG <5MM FACE,FACIAL 605.00 11641 PR EXC SKIN MALIG 0.6-1CM FACE,FACIAL 585.00 11642 PR EXC SKIN MALIG 1.1-2CM FACE,FACIAL 616.00 11643 PR EXC SKIN MALIG 2.1-3CM FACE,FACIAL 742.00 11644 PR EXC SKIN MALIG 3.1-4CM FACE,FACIAL 936.00 11646 PR EXC SKIN MALIG >4CM FACE,FACIAL 1187.00 11719 PR TRIM NAIL(S) 55.00 11720 PR DEBRIDEMENT OF NAIL(S), 1-5 56.00 11721 PR DEBRIDEMENT OF NAILS, 6 OR MORE 110.00 11730 PR REMOVAL OF NAIL PLATE 191.00 11732 PR REMOVE ADDITIONAL NAIL PLATE 68.00 11740 PR DRAIN BLOOD FROM UNDER NAIL 95.00 11750 PR REMOVAL OF NAIL BED 603.00 11752 PR REMOVE NAIL BED/FINGER TIP 782.00 11755 PR BIOPSY, NAIL UNIT (SEP PROC) 328.00 11760 PR RECONSTRUC OF NAIL BED 263.00 11765 PR EXCISION OF NAIL FOLD, TOE 203.00 11770 PR REMV PILONIDAL LESION SIMPLE 453.00 11771 PR REMV PILONIDAL LESION EXTENS 1320.00 11772 PR REMV PILONIDAL LESION COMPLIC 1602.00 11900 PR INJECTION INTO SKIN LESIONS, UP TO 7 156.00 11901 PR INJECTION INTO SKIN LESIONS, 8 OR MORE 182.00 11952 PR FILL CONTOUR DEFCT 5.1-10CC 301.00 11975 PR INSERT CONTRACEPTIVE CAPSUL 383.00 11976 PR REMOVAL OF CONTRACEPTIVE CAPSUL 514.00 11977 PR REMOVAL/REINSERT CONTRA CAP 709.00 11980 PR IMPLANT,HORMONE,SUBCUTANEOUS 246.00 11981 PR INSERTION DRUG IMPLANT DEVICE 383.00 11982 PR REMOVAL DRUG IMPLANT DEVICE 448.00 11983 PR REMOVAL W/ REINSERT DRUG IMPLANT DEVICE 762.00 12001 PR REPR SUPERF WND BODY <2.5CM 333.00 12002 PR REPR SUP NPTERF WND BODY 2.6-7.5 361.00 12004 PR REPR SUPERF WND BODY 7.6-12.5 418.00 12005 PR REPR SUPERF WND BODY 12.6-20 517.00 12006 PR REPR SUPERF WND BODY 20.1-30 486.00 12011 PR REPR SUPERF WND FACE <2.5CM 358.00 12013 PR REPR SUPERF WND FACE 2.6-5 396.00 12014 PR REPR SUPERF WND FACE 5.1-7.5 418.00 12015 PR REPR SUPERF WND FACE 7.6-12.5 416.00 12020 PR CLOSURE SUPERF WND DEHIS SIMPLE 546.00 12021 PR CLOSURE SUPERF WND DEHIS W PACKING 459.00 12031 PR LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM 473.00 12032 PR LAYR CLOS WND TRUNK,ARM,LEG 2.6-7.5 CM 522.00 12034 PR LAYR CLOS WND TRUNK,ARM,LEG 7.6-12.5 CM 552.00 12035 PR LAYR CLOS WND TRUNK,ARM,LEG 12.6-20 CM 612.00 12036 PR LAYR CLOS WND TRUNK,ARM,LEG 20.1-30 CM 689.00 12037 PR LAYR CLOS WND TRUNK,ARM,LEG >30 CM 1168.00 12041 PR LAYR CLOS WND REST BODY <2.5 CM 339.00 12042 PR LAYR CLOS WND REST BODY 2.6-7.5 CM 421.00 12044 PR LAYR CLOS WND REST BODY 7.6-12.5 CM 807.00 12045 PR LAYR CLOS WND REST BODY 12.6-20 CM 973.00 12046 PR LAYR CLOS WND REST BODY 20.1-30 CM 1147.00 12051 PR LAYR CLOS WND FACE,FACIAL <2.5 CM 541.00 12052 PR LAYR CLOS WND FACE,FACIAL 2.5-5 CM 579.00 12053 PR LAYR CLOS WND FACE,FACIAL 5.1-7.5 CM 793.00 13100 PR REPR CMPL WND TRUNK 1.1-2.5CM 732.00 13101 PR REPR CMPL WND TRUNK 2.6-7.5CM 650.00 13102 PR REP,SKIN,TRUNK,CMPLX,+5CM/< 296.00 13120 PR REPR CMPL WND SCALP,EXTR 1.1-2.5 858.00 13121 PR REPR CMPL WND SCALP,EXTR 2.6-7.5 1039.00 13122 PR REP,SKIN,SCALP/EXTREM+5CM/< 276.00 13131 PR REPR CMPL WND HEAD,FAC,HAND 1.1-2.5 786.00 13132 PR REPR CMPL WND HEAD,FAC,HAND 2.6-7.5 1357.00 13133 PR REP,FACE,GENITAL,HAND,FT+5CM/< 390.00 13150 REPR CMPL WND LID,NOS,EAR <1CM 833.00 13151 PR REPR CMPL WND LID,NOS,EAR 1.1-2.5 950.00 13152 PR REPR CMPL WND LID,NOS,EAR 2.5-7.5 1169.00 13153 PR REP,EYELID,NOSE,EAR,LIP+5CM 429.00 13160 PR SECD CLOS SURG WND EXTEN/COMPLIC 1639.00 14020 PR ADJ TISS XFER SCALP,EXTREM <10SQCM 2193.00 14021 PR ADJ TISS XFER SCALP,EXTREM 10.1-30 2081.00 14040 PR ADJ TISS XFER HEAD,FAC,HAND <10SQCM 1797.00 14041 PR ADJ TISS XFER HEAD,FAC,HAND 10.1-30 2256.00 14060 PR ADJ TISS XFER LID,NOS,EAR <10SQCM 1821.00 14061 PR ADJ TISS XFER LID,NOS,EAR 10.1-30 2390.00 14301 PR ADJ TISS XFER ANY AREA,30.1-60 SQCM 2587.00 14302 PR ADJ TISS XFER ANY AREA,EA ADD 30.0 SQCM 528.00 15002 PR WOUND PREP, PED, TRK/ARM/LG 1ST 100 CM 780.00 15004 PR WND PREP PED, FACE/NCK/HND/FT/GEN 972.00 15100 PR SPLIT GRFT TRUNK,ARM,LEG <100SQCM 2037.00 15101 PR SPLIT GRFT,TRUNK,ARM,LEG EA 100SQCM 447.00 15110 PR EPIDRM AUTOGRFT TRNK/ARM/LEG 1929.00 15115 PR EPIDRM A-GRFT FACE/NCK/HF/G 2066.00 15120 PR SPLIT GRFT,HEAD,FAC,HAND,FEET <100SQCM 2201.00 15121 PR SPLIT GRFT,HEAD,FAC,HAND,FEET EA 100SQCM 315.00 15220 PR FULL THICK GRFT SCALP,ARM,LEG <20SQC 1842.00 15240 PR FULL THICK GRFT HEAD,FAC,HAND <20SQC 2165.00 15241 PR FULL THICK GRFT HEAD,FAC,HA ADD 20SQ 451.00 15260 PR FULL THICK GRFT NOS,EAR,LID <20SQCM 2350.00 15261 PR FULL THICK GRFT NOS,EAR,LID ADD 20SQ 519.00 15271 PR APP SKN SUB GRFT T/A/L AREA/<100SCM /<1ST 25 SCM 343.00 15272 PR APP SKN SUB GRFT T/A/L AREA/<100SCM EA ADL 25SCM 65.00 15275 PR SUB GRFT F/S/N/H/F/G/M/D /<100SCM /<1ST 25 SCM 366.00 15276 PR SUB GRFT F/S/N/H/F/G/M/D /<100SCM EA ADL 25SCM 83.00 15630 PR DELAY/SECTN FLAP LID,NOS,EAR,LIP 1122.00 15731 PR FOREHEAD FLAP W/VASC PEDICLE 2720.00 15732 PR MUSCLE-SKIN FLAP,HEAD/NECK 3118.00 15732 PR MUSCLE-SKIN FLAP,HEAD/NECK 50M 4677.00 15733 PR MUSC MYOQ/FSCQ FLAP HEAD&NECK W/NAMED VASC PEDCL 2541.00 15734 PR MUSCLE-SKIN FLAP,TRUNK 80M 713.00 15734 PR MUSCLE-SKIN FLAP,TRUNK 3563.00 15760 PR COMPOSITE SKIN GRAFT 1983.00 15780 PR DERMABRAS RX SKIN TOTAL FACE 2248.00 15781 PR DERMABRAS RX SKIN SGMENT FACE 1279.00 15823 PR REV UPPER EYELID W EXCESS SKIN 1416.00 15823 PR REV UPPER EYELID W EXCESS SKIN 50M 2125.00 15830 PR EXCISE EXCESS SKIN TISSUE,ABDOMEN

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