CodeMap® 




2017 ICD-10 Diagnosis Code Set Loaded     


7/3/2017 NCD Edits Loaded     


2017 Lab Fee Schedule     


2017-C DME Fee Schedule     


2017-A PEN Fee Schedule-no changes for Q2/2017     


2017 July ASC Fee Schedule Updated     


July 2017 ASP Drug Pricing Updated     


Q3 2017 CCI Edits Loaded     


Q3 2017 MUE Edits Loaded     


LCD Database Current Through 07/17/2017     

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Laboratory Fee Schedule

2017
2016

Physician Fee Schedule

2017
2016

OPPS Fee Schedule

2017
2016

ASC Fee Schedule

2017
2016

APC Codes

2017
2016

DRG Codes

2017

ASP Drug Pricing Files




2016-D Ambulatory Surgical Center (ASC) Payment


2016 Wage Index Adjustment for ASC Payments Zip Code:

Procedure
Short Descriptor
Unadjusted 2016 ASC
Fee Schedule
Payment Indicator
Subject to the
Multiple Procedure Discount
0100T
Prosth retina receive&gen
$7666.92
G2
Y
0101T
Extracorp shockwv tx hi enrg
$813.76
G2
Y
0102T
Extracorp shockwv tx anesth
$1339.58
G2
Y
0171T
Lumbar spine proces distract
$7886.65
J8
Y
0191T
Insert ant segment drain int
$1793.90
G2
Y
0200T
Perq sacral augmt unilat inj
$1339.58
G2
Y
0201T
Perq sacral augmt bilat inj
$1339.58
G2
Y
0213T
Njx paravert w/us cer/thor
$459.71
R2
Y
0216T
Njx paravert w/us lumb/sac
$459.71
R2
Y
0228T
Njx tfrml eprl w/us cer/thor
$327.22
G2
Y
0230T
Njx tfrml eprl w/us lumb/sac
$459.71
G2
Y
0238T
Trluml perip athrc iliac art
$9819.12
J8
Y
0249T
Ligation hemorrhoid w/us
$1301.02
G2
Y
0253T
Insert aqueous drain device
$1793.90
G2
Y
0263T
Im b1 mrw cel ther cmpl
$1685.98
G2
N
0264T
Im b1 mrw cel ther xcl hrvst
$1685.98
G2
N
0265T
Im b1 mrw cel ther hrvst onl
$1685.98
G2
N
0269T
Rev/remvl crtd sns dev total
$1899.43
G2
N
0270T
Rev/remvl crtd sns dev lead
$1223.86
G2
N
0271T
Rev/remvl crtd sns dev gen
$1223.86
G2
N
0274T
Perq lamot/lam crv/thrc
$2486.22
G2
Y
0275T
Perq lamot/lam lumbar
$2486.22
G2
Y
0282T
Periph field stimul trial
$3993.90
J8
N
0283T
Periph field stimul perm
$21258.56
J8
N
0284T
Periph field stimul revise
$1223.86
G2
N
0288T
Anoscopy w/rf delivery
$1301.02
G2
Y
0299T
Esw wound healing init wound
$126.13
R2
Y
0301T
Mw therapy for breast tumor
$1223.47
G2
Y
0302T
Icar ischm mntrng sys compl
$7663.75
J8
Y
0303T
Icar ischm mntrng sys eltrd
$5787.01
J8
Y
0304T
Icar ischm mntrng sys device
$5787.01
J8
Y
0307T
Rmvl icar ischm mntrng dvce
$1392.20
G2
N
0308T
Insj ocular telescope prosth
$17629.47
J8
Y
0313T
Laps rmvl nstim array vagus
$1223.86
G2
Y
0314T
Laps rmvl vgl arry&pls gen
$1223.86
G2
N
0315T
Rmvl vagus nerve pls gen
$1223.86
G2
N
0316T
Replc vagus nerve pls gen
$21258.56
J8
N
0335T
Extraosseous joint stblztion
$1339.58
G2
Y
0336T
Lap ablat uterine fibroids
$3277.62
G2
Y
0338T
Trnscth renal symp denrv unl
$2287.57
G2
N
0339T
Trnscth renal symp denrv bil
$2287.57
G2
N
0340T
Ablate pulm tumors + extnsn
$2302.86
G2
Y
0342T
Thxp apheresis w/hdl delip
$1685.98
G2
N
0377T
Anoscpy inj agent for incont
$1301.02
G2
Y
0387T
Leadless c pm ins/rpl ventr
$9819.12
J8
Y
0388T
Leadless c pm remove ventr
$1256.68
G2
Y
0392T
Lap es sph augment dev place
$3277.62
G2
Y
0393T
Es sph augmnt device removal
$2010.99
G2
N
0402T
Collagen crosslinking cornea
$389.59
R2
Y
0408T
Insj/rplc cardiac modulj sys
$19581.49
J8
Y
0409T
Insj/rplc cardiac modulj pls gn
$19581.49
J8
Y
0410T
Insj/rplc car modulj atr elt
$5787.01
J8
Y
0411T
Insj/rplc car modulj vnt elt
$5787.01
J8
Y
0412T
Rmvl cardiac modulj pls gen
$1392.20
G2
N
0413T
Rmvl car modulj tranvns elt
$1392.20
G2
N
0414T
Rmvl & rpl car modulj pls gn
$19581.49
J8
Y
0415T
Repos car modulj tranvns elt
$482.30
G2
Y
0416T
Reloc skin pocket pls gen
$789.12
G2
Y
0419T
Dstrj neurofibromata xtnsv
$239.70
R2
Y
0420T
Dstrj neurofibromata xtnsv
$239.70
R2
Y
0438T
Tprnl plmt biodegrdabl matrl
$1254.53
G2
Y
0440T
Abltj perc uxtr/perph nrv
$778.70
G2
Y
0441T
Abltj perc lxtr/perph nrv
$778.70
G2
Y
0442T
Abltj perc plex/trncl nrv
$778.70
G2
Y
0443T
R-t spctrl alys prst8 tiss
$842.37
G2
Y
10021
Fna w/o image
$73.40
P3
Y
10022
Fna w/image
$92.73
P3
Y
10030
Guide cathet fluid drainage
$526.74
P2
Y
10060
Drainage of skin abscess
$65.89
P2
Y
10061
Drainage of skin abscess
$110.99
P3
Y
10080
Drainage of pilonidal cyst
$127.65
P2
Y
10081
Drainage of pilonidal cyst
$170.07
P3
Y
10120
Remove foreign body
$105.62
P3
Y
10121
Remove foreign body
$790.85
A2
Y
10140
Drainage of hematoma/fluid
$102.04
P3
Y
10160
Puncture drainage of lesion
$81.99
P3
Y
10180
Complex drainage wound
$790.85
A2
Y
11000
Debride infected skin
$32.22
P3
Y
11010
Debride skin at fx site
$526.74
A2
Y
11011
Debride skin musc at fx site
$127.65
A2
Y
11012
Deb skin bone at fx site
$790.85
A2
Y
11042
Deb subq tissue 20 sq cm/<
$126.13
A2
Y
11043
Deb musc/fascia 20 sq cm/<
$239.70
A2
Y
11044
Deb bone 20 sq cm/<
$526.74
A2
Y
11057
Trim skin lesions over 4
$41.89
P3
Y
11100
Biopsy skin lesion
$71.97
P3
Y
11307
Shave skin lesion 1.1-2.0 cm
$97.39
P3
Y
11310
Shave skin lesion 0.5 cm/<
$82.35
P3
Y
11311
Shave skin lesion 0.6-1.0 cm
$68.03
P3
Y
11312
Shave skin lesion 1.1-2.0 cm
$109.56
P3
Y
11313
Shave skin lesion >2.0 cm
$119.59
P3
Y
11400
Exc tr-ext b9+marg 0.5 cm<
$88.44
P3
Y
11401
Exc tr-ext b9+marg 0.6-1 cm
$98.10
P3
Y
11402
Exc tr-ext b9+marg 1.1-2 cm
$107.77
P3
Y
11403
Exc tr-ext b9+marg 2.1-3cm/<
$117.08
P3
Y
11404
Exc tr-ext b9+marg 3.1-4 cm
$526.74
A2
Y
11406
Exc tr-ext b9+marg >4.0 cm
$790.85
A2
Y
11420
Exc h-f-nk-sp b9+marg 0.5/<
$82.71
P3
Y
11421
Exc h-f-nk-sp b9+marg 0.6-1
$98.82
P3
Y
11422
Exc h-f-nk-sp b9+marg 1.1-2
$108.85
P3
Y
11423
Exc h-f-nk-sp b9+marg 2.1-3
$119.23
P3
Y
11424
Exc h-f-nk-sp b9+marg 3.1-4
$790.85
A2
Y
11426
Exc h-f-nk-sp b9+marg >4 cm
$790.85
A2
Y
11440
Exc face-mm b9+marg 0.5 cm/<
$94.52
P3
Y
11441
Exc face-mm b9+marg 0.6-1 cm
$107.77
P3
Y
11442
Exc face-mm b9+marg 1.1-2 cm
$117.80
P3
Y
11443
Exc face-mm b9+marg 2.1-3 cm
$130.69
P3
Y
11444
Exc face-mm b9+marg 3.1-4 cm
$526.74
A2
Y
11446
Exc face-mm b9+marg >4 cm
$790.85
A2
Y
11450
Removal sweat gland lesion
$790.85
A2
Y
11451
Removal sweat gland lesion
$790.85
A2
Y
11462
Removal sweat gland lesion
$790.85
A2
Y
11463
Removal sweat gland lesion
$790.85
A2
Y
11470
Removal sweat gland lesion
$790.85
A2
Y
11471
Removal sweat gland lesion
$790.85
A2
Y
11600
Exc tr-ext mal+marg 0.5 cm/<
$127.82
P3
Y
11601
Exc tr-ext mal+marg 0.6-1 cm
$146.44
P3
Y
11602
Exc tr-ext mal+marg 1.1-2 cm
$157.90
P3
Y
11603
Exc tr-ext mal+marg 2.1-3 cm
$170.79
P3
Y
11604
Exc tr-ext mal+marg 3.1-4 cm
$526.74
A2
Y
11606
Exc tr-ext mal+marg >4 cm
$790.85
A2
Y
11620
Exc h-f-nk-sp mal+marg 0.5/<
$129.25
P3
Y
11621
Exc s/n/h/f/g mal+mrg 0.6-1
$147.16
P3
Y
11622
Exc s/n/h/f/g mal+mrg 1.1-2
$160.76
P3
Y
11623
Exc s/n/h/f/g mal+mrg 2.1-3
$176.87
P3
Y
11624
Exc s/n/h/f/g mal+mrg 3.1-4
$790.85
A2
Y
11626
Exc s/n/h/f/g mal+mrg >4 cm
$790.85
A2
Y
11640
Exc f/e/e/n/l mal+mrg 0.5cm<
$134.62
P3
Y
11641
Exc f/e/e/n/l mal+mrg 0.6-1
$152.17
P3
Y
11642
Exc f/e/e/n/l mal+mrg 1.1-2
$167.92
P3
Y
11643
Exc f/e/e/n/l mal+mrg 2.1-3
$184.03
P3
Y
11644
Exc f/e/e/n/l mal+mrg 3.1-4
$526.74
A2
Y
11646
Exc f/e/e/n/l mal+mrg >4 cm
$790.85
A2
Y
11750
Removal of nail bed
$122.09
P3
Y
11752
Remove nail bed/tip
$184.75
P3
Y
11755
Biopsy nail unit
$85.21
P3
Y
11760
Repair of nail bed
$239.70
G2
Y
11762
Reconstruction of nail bed
$171.14
P3
Y
11770
Remove pilonidal cyst simple
$790.85
A2
Y
11771
Remove pilonidal cyst exten
$790.85
A2
Y
11772
Remove pilonidal cyst compl
$790.85
A2
Y
11920
Correct skin color 6.0 cm/<
$107.41
P3
Y
11921
Correct skn color 6.1-20.0cm
$122.81
P3
Y
11950
Tx contour defects 1 cc/<
$41.89
P3
Y
11951
Tx contour defects 1.1-5.0cc
$49.05
P3
Y
11952
Tx contour defects 5.1-10cc
$63.73
P3
Y
11954
Tx contour defects >10.0 cc
$84.50
P3
Y
11960
Insert tissue expander(s)
$1195.26
A2
Y
11970
Replace tissue expander
$2486.22
A2
Y
11971
Remove tissue expander(s)
$790.85
A2
N
11976
Remove contraceptive capsule
$73.40
P3
N
12005
Rpr s/n/a/gen/trk12.6-20.0cm
$65.89
A2
N
12006
Rpr s/n/a/gen/trk20.1-30.0cm
$65.89
A2
N
12007
Rpr s/n/ax/gen/trnk >30.0 cm
$126.13
A2
Y
12015
Rpr f/e/e/n/l/m 7.6-12.5 cm
$65.89
G2
N
12016
Rpr fe/e/en/l/m 12.6-20.0 cm
$65.89
A2
N
12017
Rpr fe/e/en/l/m 20.1-30.0 cm
$65.89
A2
N
12018
Rpr f/e/e/n/l/m >30.0 cm
$65.89
A2
N
12020
Closure of split wound
$239.70
A2
Y
12021
Closure of split wound
$239.70
A2
Y
12031
Intmd rpr s/a/t/ext 2.5 cm/<
$126.13
P2
Y
12032
Intmd rpr s/a/t/ext 2.6-7.5
$126.13
P2
Y
12034
Intmd rpr s/tr/ext 7.6-12.5
$126.13
A2
Y
12035
Intmd rpr s/a/t/ext 12.6-20
$126.13
A2
Y
12036
Intmd rpr s/a/t/ext 20.1-30
$239.70
A2
Y
12037
Intmd rpr s/tr/ext >30.0 cm
$789.12
A2
Y
12041
Intmd rpr n-hf/genit 2.5cm/<
$65.89
P2
N
12042
Intmd rpr n-hf/genit2.6-7.5
$126.13
P2
Y
12044
Intmd rpr n-hf/genit7.6-12.5
$126.13
A2
Y
12045
Intmd rpr n-hf/genit12.6-20
$126.13
A2
Y
12046
Intmd rpr n-hf/genit20.1-30
$126.13
A2
Y
12047
Intmd rpr n-hf/genit >30.0cm
$239.70
A2
Y
12051
Intmd rpr face/mm 2.5 cm/<
$126.13
P2
Y
12052
Intmd rpr face/mm 2.6-5.0 cm
$126.13
P2
Y
12053
Intmd rpr face/mm 5.1-7.5 cm
$126.13
P2
Y
12054
Intmd rpr face/mm 7.6-12.5cm
$65.89
A2
N
12055
Intmd rpr face/mm 12.6-20 cm
$126.13
A2
Y
12056
Intmd rpr face/mm 20.1-30.0
$65.89
A2
N
12057
Intmd rpr face/mm >30.0 cm
$126.13
A2
Y
13100
Cmplx rpr trunk 1.1-2.5 cm
$789.12
A2
Y
13101
Cmplx rpr trunk 2.6-7.5 cm
$239.70
A2
Y
13120
Cmplx rpr s/a/l 1.1-2.5 cm
$239.70
A2
Y
13121
Cmplx rpr s/a/l 2.6-7.5 cm
$239.70
A2
Y
13131
Cmplx rpr f/c/c/m/n/ax/g/h/f
$239.70
A2
Y
13132
Cmplx rpr f/c/c/m/n/ax/g/h/f
$239.70
A2
Y
13151
Cmplx rpr e/n/e/l 1.1-2.5 cm
$239.70
A2
Y
13152
Cmplx rpr e/n/e/l 2.6-7.5 cm
$239.70
A2
Y
13160
Late closure of wound
$1195.26
A2
Y
14000
Tis trnfr trunk 10 sq cm/<
$789.12
A2
Y
14001
Tis trnfr trunk 10.1-30sqcm
$789.12
A2
Y
14020
Tis trnfr s/a/l 10 sq cm/<
$789.12
A2
Y
14021
Tis trnfr s/a/l 10.1-30 sqcm
$789.12
A2
Y
14040
Tis trnfr f/c/c/m/n/a/g/h/f
$789.12
A2
Y
14041
Tis trnfr f/c/c/m/n/a/g/h/f
$789.12
A2
Y
14060
Tis trnfr e/n/e/l 10 sq cm/<
$789.12
A2
Y
14061
Tis trnfr e/n/e/l10.1-30sqcm
$789.12
A2
Y
14301
Tis trnfr any 30.1-60 sq cm
$1195.26
G2
Y
14350
Filleted finger/toe flap
$1195.26
A2
Y
15002
Wound prep trk/arm/leg
$789.12
A2
Y
15004
Wound prep f/n/hf/g
$239.70
A2
Y
15040
Harvest cultured skin graft
$239.70
A2
Y
15050
Skin pinch graft
$239.70
A2
Y
15100
Skin splt grft trnk/arm/leg
$1195.26
A2
Y
15110
Epidrm autogrft trnk/arm/leg
$789.12
A2
Y
15115
Epidrm a-grft face/nck/hf/g
$789.12
A2
Y
15120
Skn splt a-grft fac/nck/hf/g
$1195.26
A2
Y
15130
Derm autograft trnk/arm/leg
$789.12
A2
Y
15135
Derm autograft face/nck/hf/g
$789.12
A2
Y
15150
Cult skin grft t/arm/leg
$1195.26
A2
Y
15155
Cult skin graft f/n/hf/g
$789.12
A2
Y
15200
Skin full graft trunk
$1195.26
A2
Y
15220
Skin full graft sclp/arm/leg
$789.12
A2
Y
15240
Skin full grft face/genit/hf
$789.12
A2
Y
15260
Skin full graft een & lips
$789.12
A2
Y
15271
Skin sub graft trnk/arm/leg
$789.12
G2
Y
15273
Skin sub grft t/arm/lg child
$1195.26
G2
Y
15275
Skin sub graft face/nk/hf/g
$789.12
G2
Y
15277
Skn sub grft f/n/hf/g child
$1195.26
G2
Y
15570
Skin pedicle flap trunk
$1195.26
A2
Y
15572
Skin pedicle flap arms/legs
$1195.26
A2
Y
15574
Pedcle fh/ch/ch/m/n/ax/g/h/f
$789.12
A2
Y
15576
Pedicle e/n/e/l/ntroral
$789.12
A2
Y
15600
Delay flap trunk
$1195.26
A2
Y
15610
Delay flap arms/legs
$1195.26
A2
Y
15620
Delay flap f/c/c/n/ax/g/h/f
$1195.26
A2
Y
15630
Delay flap eye/nos/ear/lip
$789.12
A2
Y
15650
Transfer skin pedicle flap
$1195.26
A2
Y
15731
Forehead flap w/vasc pedicle
$1195.26
A2
Y
15732
Muscle-skin graft head/neck
$1195.26
A2
Y
15734
Muscle-skin graft trunk
$1195.26
A2
Y
15736
Muscle-skin graft arm
$789.12
A2
Y
15738
Muscle-skin graft leg
$1195.26
A2
Y
15740
Island pedicle flap graft
$789.12
A2
Y
15750
Neurovascular pedicle flap
$789.12
A2
Y
15760
Composite skin graft
$1195.26
A2
Y
15770
Derma-fat-fascia graft
$1195.26
A2
Y
15775
Hair trnspl 1-15 punch grfts
$126.13
A2
Y
15776
Hair trnspl >15 punch grafts
$126.13
A2
Y
15780
Dermabrasion total face
$500.54
P3
Y
15781
Dermabrasion segmental face
$268.77
P2
Y
15782
Dermabrasion other than face
$472.26
P3
Y
15783
Dermabrasion suprfl any site
$239.70
P2
Y
15789
Chemical peel face dermal
$126.13
P2
Y
15819
Plastic surgery neck
$789.12
G2
Y
15820
Revision of lower eyelid
$789.12
A2
Y
15821
Revision of lower eyelid
$789.12
A2
Y
15822
Revision of upper eyelid
$789.12
A2
Y
15823
Revision of upper eyelid
$789.12
A2
Y
15824
Removal of forehead wrinkles
$1195.26
A2
Y
15825
Removal of neck wrinkles
$1195.26
A2
Y
15826
Removal of brow wrinkles
$789.12
A2
Y
15828
Removal of face wrinkles
$1195.26
A2
Y
15829
Removal of skin wrinkles
$1195.26
A2
Y
15830
Exc skin abd
$2039.38
A2
Y
15832
Excise excessive skin thigh
$790.85
A2
Y
15833
Excise excessive skin leg
$790.85
A2
Y
15834
Excise excessive skin hip
$790.85
A2
Y
15835
Excise excessive skin buttck
$790.85
A2
Y
15836
Excise excessive skin arm
$790.85
A2
Y
15837
Excise excess skin arm/hand
$790.85
G2
Y
15838
Excise excess skin fat pad
$790.85
G2
Y
15839
Excise excess skin & tissue
$790.85
A2
Y
15840
Nerve palsy fascial graft
$1195.26
A2
Y
15841
Nerve palsy muscle graft
$1195.26
A2
Y
15842
Nerve palsy microsurg graft
$789.12
G2
Y
15845
Skin and muscle repair face
$1195.26
A2
Y
15850
Remove sutures same surgeon
$789.12
G2
Y
15851
Remove sutures diff surgeon
$65.88
P3
Y
15876
Suction lipectomy head&neck
$1195.26
A2
Y
15877
Suction lipectomy trunk
$1195.26
A2
Y
15878
Suction lipectomy upr extrem
$1195.26
A2
Y
15879
Suction lipectomy lwr extrem
$1195.26
A2
Y
15920
Removal of tail bone ulcer
$790.85
A2
Y
15922
Removal of tail bone ulcer
$789.12
A2
Y
15931
Remove sacrum pressure sore
$790.85
A2
Y
15933
Remove sacrum pressure sore
$790.85
A2
Y
15934
Remove sacrum pressure sore
$789.12
A2
Y
15935
Remove sacrum pressure sore
$1195.26
A2
Y
15936
Remove sacrum pressure sore
$789.12
A2
Y
15937
Remove sacrum pressure sore
$1195.26
A2
Y
15940
Remove hip pressure sore
$790.85
A2
Y
15941
Remove hip pressure sore
$790.85
A2
Y
15944
Remove hip pressure sore
$1195.26
A2
Y
15945
Remove hip pressure sore
$1195.26
A2
Y
15946
Remove hip pressure sore
$1195.26
A2
Y
15950
Remove thigh pressure sore
$790.85
A2
Y
15951
Remove thigh pressure sore
$790.85
A2
Y
15952
Remove thigh pressure sore
$789.12
A2
Y
15953
Remove thigh pressure sore
$1195.26
A2
Y
15956
Remove thigh pressure sore
$789.12
A2
Y
15958
Remove thigh pressure sore
$789.12
A2
Y
16025
Dress/debrid p-thick burn m
$126.13
A2
Y
16030
Dress/debrid p-thick burn l
$126.13
A2
Y
16035
Incision of burn scab initi
$239.70
G2
Y
17004
Destroy premal lesions 15/>
$96.31
P3
Y
17106
Destruction of skin lesions
$196.92
P3
Y
17107
Destruction of skin lesions
$239.70
P2
Y
17108
Destruction of skin lesions
$341.93
P3
Y
17264
Destruction of skin lesions
$126.13
P2
Y
17266
Destruction of skin lesions
$138.20
P3
Y
17270
Destruction of skin lesions
$96.67
P3
Y
17271
Destruction of skin lesions
$102.40
P3
Y
17273
Destruction of skin lesions
$124.96
P3
Y
17274
Destruction of skin lesions
$141.43
P3
Y
17276
Destruction of skin lesions
$156.11
P3
Y
17281
Destruction of skin lesions
$108.13
P3
Y
17282
Destruction of skin lesions
$121.73
P3
Y
17283
Destruction of skin lesions
$126.13
P2
Y
17284
Destruction of skin lesions
$126.13
P2
Y
17286
Destruction of skin lesions
$126.13
P2
Y
17311
Mohs 1 stage h/n/hf/g
$239.70
P2
Y
17313
Mohs 1 stage t/a/l
$239.70
P2
Y
17380
Hair removal by electrolysis
$239.70
R2
Y
19000
Drainage of breast lesion
$80.92
P3
Y
19020
Incision of breast lesion
$790.85
A2
Y
19081
Bx breast 1st lesion strtctc
$526.74
G2
Y
19083
Bx breast 1st lesion us imag
$526.74
G2
Y
19085
Bx breast 1st lesion mr imag
$790.85
G2
Y
19100
Bx breast percut w/o image
$526.74
A2
Y
19101
Biopsy of breast open
$1223.47
A2
Y
19105
Cryosurg ablate fa each
$2022.94
P3
Y
19110
Nipple exploration
$1223.47
A2
Y
19112
Excise breast duct fistula
$1223.47
A2
Y
19120
Removal of breast lesion
$1223.47
A2
Y
19125
Excision breast lesion
$1223.47
A2
Y
19296
Place po breast cath for rad
$3137.01
J8
Y
19298
Place breast rad tube/caths
$3137.01
J8
Y
19300
Removal of breast tissue
$1223.47
A2
Y
19301
Partial mastectomy
$1223.47
A2
Y
19302
P-mastectomy w/ln removal
$2039.38
A2
Y
19303
Mast simple complete
$2039.38
A2
Y
19304
Mast subq
$1223.47
A2
Y
19316
Suspension of breast
$2039.38
A2
Y
19318
Reduction of large breast
$2039.38
A2
Y
19324
Enlarge breast
$2039.38
A2
Y
19325
Enlarge breast with implant
$3137.01
J8
Y
19328
Removal of breast implant
$1223.47
A2
N
19330
Removal of implant material
$1223.47
A2
N
19340
Immediate breast prosthesis
$2039.38
A2
Y
19342
Delayed breast prosthesis
$3137.01
J8
Y
19350
Breast reconstruction
$1223.47
A2
Y
19355
Correct inverted nipple(s)
$1223.47
A2
Y
19357
Breast reconstruction
$3137.01
J8
Y
19366
Breast reconstruction
$2039.38
A2
Y
19370
Surgery of breast capsule
$2039.38
A2
Y
19371
Removal of breast capsule
$1223.47
A2
Y
19380
Revise breast reconstruction
$2039.38
A2
Y
19396
Design custom breast implant
$1223.47
G2
Y
20005
I&d abscess subfascial
$790.85
G2
Y
20103
Explore wound extremity
$526.74
G2
Y
20150
Excise epiphyseal bar
$1339.58
G2
Y
20200
Muscle biopsy
$790.85
A2
Y
20205
Deep muscle biopsy
$790.85
A2
Y
20206
Needle biopsy muscle
$526.74
A2
Y
20220
Bone biopsy trocar/needle
$526.74
A2
Y
20225
Bone biopsy trocar/needle
$790.85
A2
Y
20240
Bone biopsy excisional
$790.85
A2
Y
20245
Bone biopsy excisional
$790.85
A2
Y
20250
Open bone biopsy
$1339.58
A2
Y
20251
Open bone biopsy
$1339.58
A2
Y
20500
Injection of sinus tract
$55.85
P3
Y
20520
Removal of foreign body
$129.97
P3
Y
20525
Removal of foreign body
$790.85
A2
Y
20526
Ther injection carp tunnel
$39.74
P3
Y
20527
Inj dupuytren cord w/enzyme
$44.40
P3
Y
20550
Inj tendon sheath/ligament
$30.08
P3
Y
20551
Inj tendon origin/insertion
$31.51
P3
Y
20552
Inj trigger point 1/2 muscl
$30.08
P3
Y
20553
Inject trigger points 3/>
$35.09
P3
Y
20555
Place ndl musc/tis for rt
$813.76
R2
Y
20600
Drain/inj joint/bursa w/o us
$22.56
P3
Y
20604
Drain/inj joint/bursa w/us
$38.31
P3
Y
20605
Drain/inj joint/bursa w/o us
$23.99
P3
Y
20606
Drain/inj joint/bursa w/us
$41.53
P3
Y
20610
Drain/inj joint/bursa w/o us
$29.00
P3
Y
20611
Drain/inj joint/bursa w/us
$48.34
P3
Y
20612
Aspirate/inj ganglion cyst
$33.66
P3
Y
20615
Treatment of bone cyst
$155.75
P3
Y
20650
Insert and remove bone pin
$1339.58
A2
Y
20662
Application of pelvis brace
$813.76
R2
Y
20663
Application of thigh brace
$1339.58
R2
Y
20665
Removal of fixation device
$50.98
G2
N
20670
Removal of support implant
$790.85
A2
N
20680
Removal of support implant
$790.85
A2
N
20690
Apply bone fixation device
$2486.22
A2
Y
20692
Apply bone fixation device
$3532.70
A2
Y
20693
Adjust bone fixation device
$1339.58
A2
Y
20694
Remove bone fixation device
$813.76
A2
N
20696
Comp multiplane ext fixation
$7886.65
J8
Y
20697
Comp ext fixate strut change
$613.12
P2
Y
20822
Replantation digit complete
$1339.58
G2
Y
20900
Removal of bone for graft
$1339.58
A2
Y
20902
Removal of bone for graft
$3532.70
A2
Y
20910
Remove cartilage for graft
$239.70
A2
Y
20912
Remove cartilage for graft
$1195.26
A2
Y
20920
Removal of fascia for graft
$789.12
A2
Y
20922
Removal of fascia for graft
$1195.26
A2
Y
20924
Removal of tendon for graft
$1339.58
A2
Y
20926
Removal of tissue for graft
$1195.26
A2
Y
20950
Fluid pressure muscle
$268.77
G2
Y
20972
Bone/skin graft metatarsal
$2486.22
G2
Y
20973
Bone/skin graft great toe
$2486.22
R2
Y
20982
Ablate bone tumor(s) perq
$1339.58
G2
Y
20983
Ablate bone tumor(s) perq
$2302.86
G2
Y
21010
Incision of jaw joint
$1994.21
A2
Y
21011
Exc face les sc <2 cm
$231.30
P3
Y
21012
Exc face les sbq 2 cm/>
$790.85
R2
Y
21013
Exc face tum deep < 2 cm
$305.77
P3
Y
21014
Exc face tum deep 2 cm/>
$790.85
R2
Y
21015
Resect face/scalp tum < 2 cm
$790.85
G2
Y
21016
Resect face/scalp tum 2 cm/>
$790.85
G2
Y
21025
Excision of bone lower jaw
$1994.21
A2
Y
21026
Excision of facial bone(s)
$904.15
A2
Y
21029
Contour of face bone lesion
$904.15
A2
Y
21030
Excise max/zygoma b9 tumor
$334.41
P3
Y
21031
Remove exostosis mandible
$272.83
P3
Y
21032
Remove exostosis maxilla
$277.84
P3
Y
21034
Excise max/zygoma mal tumor
$1994.21
A2
Y
21040
Excise mandible lesion
$904.15
A2
Y
21044
Removal of jaw bone lesion
$1994.21
A2
Y
21046
Remove mandible cyst complex
$1994.21
A2
Y
21047
Excise lwr jaw cyst w/repair
$1994.21
A2
Y
21048
Remove maxilla cyst complex
$1994.21
R2
Y
21050
Removal of jaw joint
$1994.21
A2
Y
21060
Remove jaw joint cartilage
$1994.21
A2
Y
21070
Remove coronoid process
$1994.21
A2
Y
21073
Mnpj of tmj w/anesth
$258.15
P3
Y
21076
Prepare face/oral prosthesis
$385.63
P2
Y
21077
Prepare face/oral prosthesis
$1210.19
P3
Y
21079
Prepare face/oral prosthesis
$830.30
P3
Y
21080
Prepare face/oral prosthesis
$933.78
P3
Y
21081
Prepare face/oral prosthesis
$872.19
P3
Y
21082
Prepare face/oral prosthesis
$855.36
P3
Y
21083
Prepare face/oral prosthesis
$838.89
P3
Y
21084
Prepare face/oral prosthesis
$951.68
P3
Y
21085
Prepare face/oral prosthesis
$385.63
P2
Y
21086
Prepare face/oral prosthesis
$906.92
P3
Y
21087
Prepare face/oral prosthesis
$904.42
P3
Y
21088
Prepare face/oral prosthesis
$1994.21
R2
Y
21100
Maxillofacial fixation
$1994.21
A2
Y
21110
Interdental fixation
$385.63
P2
N
21120
Reconstruction of chin
$1994.21
A2
Y
21121
Reconstruction of chin
$904.15
A2
Y
21122
Reconstruction of chin
$904.15
A2
Y
21123
Reconstruction of chin
$904.15
A2
Y
21125
Augmentation lower jaw bone
$904.15
A2
Y
21127
Augmentation lower jaw bone
$1994.21
A2
Y
21137
Reduction of forehead
$904.15
G2
Y
21138
Reduction of forehead
$1994.21
G2
Y
21139
Reduction of forehead
$1994.21
G2
Y
21150
Lefort ii anterior intrusion
$1994.21
G2
Y
21181
Contour cranial bone lesion
$1994.21
A2
Y
21198
Reconstr lwr jaw segment
$904.15
G2
Y
21199
Reconstr lwr jaw w/advance
$1994.21
G2
Y
21206
Reconstruct upper jaw bone
$1994.21
A2
Y
21208
Augmentation of facial bones
$1994.21
A2
Y
21209
Reduction of facial bones
$1994.21
A2
Y
21210
Face bone graft
$1994.21
A2
Y
21215
Lower jaw bone graft
$1994.21
A2
Y
21230
Rib cartilage graft
$1994.21
A2
Y
21235
Ear cartilage graft
$904.15
A2
Y
21240
Reconstruction of jaw joint
$1994.21
A2
Y
21242
Reconstruction of jaw joint
$1994.21
A2
Y
21243
Reconstruction of jaw joint
$7886.65
J8
Y
21244
Reconstruction of lower jaw
$1994.21
A2
Y
21245
Reconstruction of jaw
$1994.21
A2
Y
21246
Reconstruction of jaw
$1994.21
A2
Y
21248
Reconstruction of jaw
$1994.21
A2
Y
21249
Reconstruction of jaw
$1994.21
A2
Y
21260
Revise eye sockets
$1994.21
G2
Y
21267
Revise eye sockets
$1994.21
A2
Y
21270
Augmentation cheek bone
$1994.21
A2
Y
21275
Revision orbitofacial bones
$1994.21
A2
Y
21280
Revision of eyelid
$1994.21
A2
Y
21282
Revision of eyelid
$904.15
A2
Y
21295
Revision of jaw muscle/bone
$385.63
A2
Y
21296
Revision of jaw muscle/bone
$904.15
A2
Y
21310
Closed tx nose fx w/o manj
$72.30
A2
Y
21315
Closed tx nose fx w/o stablj
$904.15
A2
Y
21320
Closed tx nose fx w/ stablj
$904.15
A2
Y
21325
Open tx nose fx uncomplicatd
$904.15
A2
Y
21330
Open tx nose fx w/skele fixj
$904.15
A2
Y
21335
Open tx nose & septal fx
$904.15
A2
Y
21336
Open tx septal fx w/wo stabj
$1339.58
A2
Y
21337
Closed tx septal&nose fx
$904.15
A2
Y
21338
Open nasoethmoid fx w/o fixj
$1994.21
A2
Y
21339
Open nasoethmoid fx w/ fixj
$904.15
A2
Y
21340
Perq tx nasoethmoid fx
$1994.21
A2
Y
21345
Closed tx nose/jaw fx
$385.63
A2
Y
21355
Perq tx malar fracture
$1994.21
A2
Y
21356
Opn tx dprsd zygomatic arch
$904.15
A2
Y
21360
Opn tx dprsd malar fracture
$1994.21
G2
Y
21390
Opn tx orbit periorbtl implt
$1994.21
G2
Y
21400
Closed tx orbit w/o manipulj
$385.63
A2
Y
21401
Closed tx orbit w/manipulj
$385.63
A2
Y
21406
Opn tx orbit fx w/o implant
$1994.21
G2
Y
21407
Opn tx orbit fx w/implant
$1994.21
G2
Y
21421
Treat mouth roof fracture
$1994.21
A2
Y
21440
Treat dental ridge fracture
$457.58
P3
Y
21445
Treat dental ridge fracture
$1994.21
A2
Y
21450
Treat lower jaw fracture
$174.99
A2
Y
21451
Treat lower jaw fracture
$904.15
A2
Y
21452
Treat lower jaw fracture
$904.15
A2
Y
21453
Treat lower jaw fracture
$1994.21
A2
Y
21454
Treat lower jaw fracture
$1994.21
A2
Y
21461
Treat lower jaw fracture
$1994.21
A2
Y
21462
Treat lower jaw fracture
$1994.21
A2
Y
21465
Treat lower jaw fracture
$1994.21
A2
Y
21480
Reset dislocated jaw
$72.30
A2
Y
21485
Reset dislocated jaw
$385.63
A2
Y
21490
Repair dislocated jaw
$1994.21
A2
Y
21495
Treat hyoid bone fracture
$904.15
G2
Y
21497
Interdental wiring
$385.63
A2
Y
21501
Drain neck/chest lesion
$790.85
A2
Y
21502
Drain chest lesion
$813.76
A2
Y
21550
Biopsy of neck/chest
$526.74
G2
Y
21552
Exc neck les sc 3 cm/>
$790.85
G2
Y
21554
Exc neck tum deep 5 cm/>
$790.85
G2
Y
21555
Exc neck les sc < 3 cm
$790.85
G2
Y
21556
Exc neck tum deep < 5 cm
$790.85
G2
Y
21557
Resect neck thorax tumor<5cm
$790.85
G2
Y
21558
Resect neck tumor 5 cm/>
$790.85
G2
Y
21600
Partial removal of rib
$1339.58
A2
Y
21610
Partial removal of rib
$813.76
A2
Y
21685
Hyoid myotomy & suspension
$904.15
G2
Y
21700
Revision of neck muscle
$813.76
A2
Y
21720
Revision of neck muscle
$813.76
A2
Y
21725
Revision of neck muscle
$127.65
A2
Y
21820
Treat sternum fracture
$96.37
A2
Y
21920
Biopsy soft tissue of back
$176.16
P3
Y
21925
Biopsy soft tissue of back
$790.85
A2
Y
21930
Exc back les sc < 3 cm
$790.85
G2
Y
21931
Exc back les sc 3 cm/>
$790.85
G2
Y
21932
Exc back tum deep < 5 cm
$790.85
G2
Y
21933
Exc back tum deep 5 cm/>
$790.85
G2
Y
21935
Resect back tum < 5 cm
$790.85
G2
Y
21936
Resect back tum 5 cm/>
$790.85
G2
Y
22102
Remove part lumbar vertebra
$1339.58
G2
Y
22305
Closed tx spine process fx
$96.37
A2
Y
22310
Closed tx vert fx w/o manj
$132.80
A2
Y
22315
Closed tx vert fx w/manj
$613.12
A2
Y
22505
Manipulation of spine
$613.12
A2
Y
22510
Perq cervicothoracic inject
$1339.58
G2
Y
22511
Perq lumbosacral injection
$1339.58
G2
Y
22513
Perq vertebral augmentation
$3532.70
G2
Y
22514
Perq vertebral augmentation
$3532.70
G2
Y
22551
Neck spine fuse&remov bel c2
$7886.65
J8
Y
22554
Neck spine fusion
$7886.65
J8
Y
22612
Lumbar spine fusion
$3532.70
G2
Y
22900
Exc abdl tum deep < 5 cm
$790.85
G2
Y
22901
Exc abdl tum deep 5 cm/>
$790.85
G2
Y
22902
Exc abd les sc < 3 cm
$790.85
G2
Y
22903
Exc abd les sc 3 cm/>
$790.85
G2
Y
22904
Radical resect abd tumor<5cm
$790.85
G2
Y
22905
Rad resect abd tumor 5 cm/>
$790.85
G2
Y
23000
Removal of calcium deposits
$790.85
A2
Y
23020
Release shoulder joint
$1339.58
A2
Y
23030
Drain shoulder lesion
$790.85
A2
Y
23031
Drain shoulder bursa
$790.85
A2
Y
23035
Drain shoulder bone lesion
$813.76
A2
Y
23040
Exploratory shoulder surgery
$1339.58
A2
Y
23044
Exploratory shoulder surgery
$1339.58
A2
Y
23065
Biopsy shoulder tissues
$126.03
P3
Y
23066
Biopsy shoulder tissues
$790.85
A2
Y
23071
Exc shoulder les sc 3 cm/>
$790.85
G2
Y
23073
Exc shoulder tum deep 5 cm/>
$790.85
G2
Y
23075
Exc shoulder les sc < 3 cm
$790.85
G2
Y
23076
Exc shoulder tum deep < 5 cm
$790.85
G2
Y
23077
Resect shoulder tumor < 5 cm
$790.85
G2
Y
23078
Resect shoulder tumor 5 cm/>
$790.85
G2
Y
23100
Biopsy of shoulder joint
$813.76
A2
Y
23101
Shoulder joint surgery
$1339.58
A2
Y
23105
Remove shoulder joint lining
$1339.58
A2
Y
23106
Incision of collarbone joint
$1339.58
A2
Y
23107
Explore treat shoulder joint
$1339.58
A2
Y
23120
Partial removal collar bone
$1339.58
A2
Y
23125
Removal of collar bone
$1339.58
A2
Y
23130
Remove shoulder bone part
$1339.58
A2
Y
23140
Removal of bone lesion
$813.76
A2
Y
23145
Removal of bone lesion
$1339.58
A2
Y
23146
Removal of bone lesion
$2486.22
A2
Y
23150
Removal of humerus lesion
$1339.58
A2
Y
23155
Removal of humerus lesion
$1339.58
A2
Y
23156
Removal of humerus lesion
$2486.22
A2
Y
23170
Remove collar bone lesion
$813.76
A2
Y
23172
Remove shoulder blade lesion
$1339.58
A2
Y
23174
Remove humerus lesion
$1339.58
A2
Y
23180
Remove collar bone lesion
$1339.58
A2
Y
23182
Remove shoulder blade lesion
$813.76
A2
Y
23184
Remove humerus lesion
$1339.58
A2
Y
23190
Partial removal of scapula
$1339.58
A2
Y
23195
Removal of head of humerus
$2486.22
A2
Y
23330
Remove shoulder foreign body
$526.74
A2
Y
23333
Remove shoulder fb deep
$790.85
G2
Y
23334
Shoulder prosthesis removal
$790.85
G2
Y
23395
Muscle transfer shoulder/arm
$3532.70
A2
Y
23397
Muscle transfers
$1339.58
A2
Y
23400
Fixation of shoulder blade
$2486.22
A2
Y
23405
Incision of tendon & muscle
$1339.58
A2
Y
23406
Incise tendon(s) & muscle(s)
$1339.58
A2
Y
23410
Repair rotator cuff acute
$2486.22
A2
Y
23412
Repair rotator cuff chronic
$2486.22
A2
Y
23415
Release of shoulder ligament
$1339.58
A2
Y
23420
Repair of shoulder
$2486.22
A2
Y
23430
Repair biceps tendon
$2486.22
A2
Y
23440
Remove/transplant tendon
$1339.58
A2
Y
23450
Repair shoulder capsule
$1339.58
A2
Y
23455
Repair shoulder capsule
$2486.22
A2
Y
23460
Repair shoulder capsule
$1339.58
A2
Y
23462
Repair shoulder capsule
$2486.22
A2
Y
23465
Repair shoulder capsule
$3532.70
G2
Y
23466
Repair shoulder capsule
$2486.22
A2
Y
23480
Revision of collar bone
$1339.58
A2
Y
23485
Revision of collar bone
$3532.70
G2
Y
23490
Reinforce clavicle
$3532.70
A2
Y
23491
Reinforce shoulder bones
$3532.70
G2
Y
23500
Treat clavicle fracture
$96.37
A2
Y
23505
Treat clavicle fracture
$613.12
A2
Y
23515
Treat clavicle fracture
$2486.22
A2
Y
23520
Treat clavicle dislocation
$613.12
A2
Y
23525
Treat clavicle dislocation
$96.37
A2
Y
23530
Treat clavicle dislocation
$1339.58
A2
Y
23532
Treat clavicle dislocation
$2486.22
A2
Y
23540
Treat clavicle dislocation
$96.37
A2
Y
23545
Treat clavicle dislocation
$96.37
A2
Y
23550
Treat clavicle dislocation
$2486.22
A2
Y
23552
Treat clavicle dislocation
$3532.70
G2
Y
23570
Treat shoulder blade fx
$96.37
A2
Y
23575
Treat shoulder blade fx
$613.12
A2
Y
23585
Treat scapula fracture
$3532.70
A2
Y
23600
Treat humerus fracture
$96.37
P2
Y
23605
Treat humerus fracture
$813.76
A2
Y
23615
Treat humerus fracture
$3532.70
G2
Y
23616
Treat humerus fracture
$7886.65
J8
Y
23620
Treat humerus fracture
$132.80
P2
Y
23625
Treat humerus fracture
$613.12
A2
Y
23630
Treat humerus fracture
$2486.22
A2
Y
23650
Treat shoulder dislocation
$96.37
A2
Y
23655
Treat shoulder dislocation
$613.12
A2
Y
23660
Treat shoulder dislocation
$1339.58
A2
Y
23665
Treat dislocation/fracture
$613.12
A2
Y
23670
Treat dislocation/fracture
$2486.22
A2
Y
23675
Treat dislocation/fracture
$613.12
A2
Y
23680
Treat dislocation/fracture
$3532.70
G2
Y
23700
Fixation of shoulder
$613.12
A2
Y
23800
Fusion of shoulder joint
$3532.70
G2
Y
23802
Fusion of shoulder joint
$3532.70
G2
Y
23921
Amputation follow-up surgery
$789.12
A2
Y
23930
Drainage of arm lesion
$790.85
A2
Y
23931
Drainage of arm bursa
$790.85
A2
Y
23935
Drain arm/elbow bone lesion
$813.76
A2
Y
24000
Exploratory elbow surgery
$1339.58
A2
Y
24006
Release elbow joint
$1339.58
A2
Y
24065
Biopsy arm/elbow soft tissue
$173.65
P3
Y
24066
Biopsy arm/elbow soft tissue
$790.85
A2
Y
24071
Exc arm/elbow les sc 3 cm/>
$790.85
G2
Y
24073
Ex arm/elbow tum deep 5 cm/>
$790.85
G2
Y
24075
Exc arm/elbow les sc < 3 cm
$790.85
G2
Y
24076
Ex arm/elbow tum deep < 5 cm
$790.85
G2
Y
24077
Resect arm/elbow tum < 5 cm
$790.85
G2
Y
24079
Resect arm/elbow tum 5 cm/>
$790.85
G2
Y
24100
Biopsy elbow joint lining
$813.76
A2
Y
24101
Explore/treat elbow joint
$1339.58
A2
Y
24102
Remove elbow joint lining
$1339.58
A2
Y
24105
Removal of elbow bursa
$813.76
A2
Y
24110
Remove humerus lesion
$1339.58
A2
Y
24115
Remove/graft bone lesion
$1339.58
A2
Y
24116
Remove/graft bone lesion
$1339.58
A2
Y
24120
Remove elbow lesion
$813.76
A2
Y
24125
Remove/graft bone lesion
$1339.58
A2
Y
24126
Remove/graft bone lesion
$1339.58
A2
Y
24130
Removal of head of radius
$1339.58
A2
Y
24134
Removal of arm bone lesion
$2486.22
A2
Y
24136
Remove radius bone lesion
$1339.58
A2
Y
24138
Remove elbow bone lesion
$1339.58
A2
Y
24140
Partial removal of arm bone
$1339.58
A2
Y
24145
Partial removal of radius
$1339.58
A2
Y
24147
Partial removal of elbow
$1339.58
A2
Y
24149
Radical resection of elbow
$1339.58
G2
Y
24152
Resect radius tumor
$1339.58
G2
Y
24155
Removal of elbow joint
$1339.58
A2
Y
24160
Remove elbow joint implant
$1339.58
A2
N
24164
Remove radius head implant
$1339.58
A2
N
24200
Removal of arm foreign body
$136.06
P3
Y
24201
Removal of arm foreign body
$790.85
A2
Y
24300
Manipulate elbow w/anesth
$613.12
G2
Y
24301
Muscle/tendon transfer
$1339.58
A2
Y
24305
Arm tendon lengthening
$1339.58
A2
Y
24310
Revision of arm tendon
$1339.58
A2
Y
24320
Repair of arm tendon
$1339.58
A2
Y
24330
Revision of arm muscles
$1339.58
A2
Y
24331
Revision of arm muscles
$1339.58
A2
Y
24332
Tenolysis triceps
$813.76
G2
Y
24340
Repair of biceps tendon
$2486.22
A2
Y
24341
Repair arm tendon/muscle
$1339.58
A2
Y
24342
Repair of ruptured tendon
$1339.58
A2
Y
24343
Repr elbow lat ligmnt w/tiss
$1339.58
G2
Y
24344
Reconstruct elbow lat ligmnt
$2486.22
G2
Y
24345
Repr elbw med ligmnt w/tissu
$1339.58
A2
Y
24346
Reconstruct elbow med ligmnt
$3532.70
G2
Y
24357
Repair elbow perc
$813.76
G2
Y
24358
Repair elbow w/deb open
$1339.58
G2
Y
24359
Repair elbow deb/attch open
$1339.58
G2
Y
24360
Reconstruct elbow joint
$2486.22
A2
Y
24361
Reconstruct elbow joint
$7886.65
J8
Y
24362
Reconstruct elbow joint
$7886.65
J8
Y
24363
Replace elbow joint
$7886.65
J8
Y
24365
Reconstruct head of radius
$3532.70
G2
Y
24366
Reconstruct head of radius
$7886.65
J8
Y
24370
Revise reconst elbow joint
$7886.65
J8
Y
24371
Revise reconst elbow joint
$7886.65
J8
Y
24400
Revision of humerus
$2486.22
A2
Y
24410
Revision of humerus
$7886.65
J8
Y
24420
Revision of humerus
$1339.58
A2
Y
24430
Repair of humerus
$3532.70
G2
Y
24435
Repair humerus with graft
$7886.65
J8
Y
24470
Revision of elbow joint
$1339.58
A2
Y
24495
Decompression of forearm
$1339.58
A2
Y
24498
Reinforce humerus
$3532.70
G2
Y
24500
Treat humerus fracture
$132.80
A2
Y
24505
Treat humerus fracture
$613.12
A2
Y
24515
Treat humerus fracture
$3532.70
G2
Y
24516
Treat humerus fracture
$3532.70
G2
Y
24530
Treat humerus fracture
$132.80
A2
Y
24535
Treat humerus fracture
$613.12
A2
Y
24538
Treat humerus fracture
$1339.58
A2
Y
24545
Treat humerus fracture
$7886.65
J8
Y
24546
Treat humerus fracture
$7886.65
J8
Y
24560
Treat humerus fracture
$96.37
A2
Y
24565
Treat humerus fracture
$613.12
A2
Y
24566
Treat humerus fracture
$1339.58
A2
Y
24575
Treat humerus fracture
$3532.70
G2
Y
24576
Treat humerus fracture
$132.80
A2
Y
24577
Treat humerus fracture
$613.12
A2
Y
24579
Treat humerus fracture
$3532.70
G2
Y
24582
Treat humerus fracture
$1339.58
A2
Y
24586
Treat elbow fracture
$3532.70
G2
Y
24587
Treat elbow fracture
$7886.65
J8
Y
24600
Treat elbow dislocation
$96.37
A2
Y
24605
Treat elbow dislocation
$613.12
A2
Y
24615
Treat elbow dislocation
$2486.22
A2
Y
24620
Treat elbow fracture
$613.12
A2
Y
24635
Treat elbow fracture
$3532.70
A2
Y
24640
Treat elbow dislocation
$86.65
P3
Y
24650
Treat radius fracture
$96.37
P2
Y
24655
Treat radius fracture
$613.12
A2
Y
24665
Treat radius fracture
$2486.22
A2
Y
24666
Treat radius fracture
$3532.70
G2
Y
24670
Treat ulnar fracture
$96.37
A2
Y
24675
Treat ulnar fracture
$613.12
A2
Y
24685
Treat ulnar fracture
$2486.22
A2
Y
24800
Fusion of elbow joint
$2486.22
A2
Y
24802
Fusion/graft of elbow joint
$3532.70
G2
Y
24925
Amputation follow-up surgery
$1339.58
A2
Y
25000
Incision of tendon sheath
$813.76
A2
Y
25001
Incise flexor carpi radialis
$813.76
G2
Y
25020
Decompress forearm 1 space
$813.76
A2
Y
25023
Decompress forearm 1 space
$1339.58
A2
Y
25024
Decompress forearm 2 spaces
$1339.58
A2
Y
25025
Decompress forearm 2 spaces
$1339.58
A2
Y
25028
Drainage of forearm lesion
$813.76
A2
Y
25031
Drainage of forearm bursa
$813.76
A2
Y
25035
Treat forearm bone lesion
$1339.58
A2
Y
25040
Explore/treat wrist joint
$1339.58
A2
Y
25065
Biopsy forearm soft tissues
$175.44
P3
Y
25066
Biopsy forearm soft tissues
$790.85
A2
Y
25071
Exc forearm les sc 3 cm/>
$790.85
G2
Y
25073
Exc forearm tum deep 3 cm/>
$790.85
G2
Y
25075
Exc forearm les sc < 3 cm
$790.85
G2
Y
25076
Exc forearm tum deep < 3 cm
$790.85
G2
Y
25077
Resect forearm/wrist tum<3cm
$526.74
G2
Y
25078
Resect forarm/wrist tum 3cm>
$790.85
G2
Y
25085
Incision of wrist capsule
$1339.58
A2
Y
25100
Biopsy of wrist joint
$1339.58
A2
Y
25101
Explore/treat wrist joint
$813.76
A2
Y
25105
Remove wrist joint lining
$813.76
A2
Y
25107
Remove wrist joint cartilage
$1339.58
A2
Y
25109
Excise tendon forearm/wrist
$813.76
G2
Y
25110
Remove wrist tendon lesion
$813.76
A2
Y
25111
Remove wrist tendon lesion
$813.76
A2
Y
25112
Reremove wrist tendon lesion
$813.76
A2
Y
25115
Remove wrist/forearm lesion
$813.76
A2
Y
25116
Remove wrist/forearm lesion
$813.76
A2
Y
25118
Excise wrist tendon sheath
$813.76
A2
Y
25119
Partial removal of ulna
$1339.58
A2
Y
25120
Removal of forearm lesion
$1339.58
A2
Y
25125
Remove/graft forearm lesion
$1339.58
A2
Y
25126
Remove/graft forearm lesion
$1339.58
A2
Y
25130
Removal of wrist lesion
$1339.58
A2
Y
25135
Remove & graft wrist lesion
$1339.58
A2
Y
25136
Remove & graft wrist lesion
$1339.58
A2
Y
25145
Remove forearm bone lesion
$1339.58
A2
Y
25150
Partial removal of ulna
$1339.58
A2
Y
25151
Partial removal of radius
$1339.58
A2
Y
25210
Removal of wrist bone
$1339.58
A2
Y
25215
Removal of wrist bones
$1339.58
A2
Y
25230
Partial removal of radius
$1339.58
A2
Y
25240
Partial removal of ulna
$1339.58
A2
Y
25248
Remove forearm foreign body
$813.76
A2
Y
25250
Removal of wrist prosthesis
$813.76
A2
N
25251
Removal of wrist prosthesis
$1339.58
A2
N
25259
Manipulate wrist w/anesthes
$613.12
G2
Y
25260
Repair forearm tendon/muscle
$813.76
A2
Y
25263
Repair forearm tendon/muscle
$1339.58
A2
Y
25265
Repair forearm tendon/muscle
$1339.58
A2
Y
25270
Repair forearm tendon/muscle
$1339.58
A2
Y
25272
Repair forearm tendon/muscle
$1339.58
A2
Y
25274
Repair forearm tendon/muscle
$1339.58
A2
Y
25275
Repair forearm tendon sheath
$1339.58
A2
Y
25280
Revise wrist/forearm tendon
$1339.58
A2
Y
25290
Incise wrist/forearm tendon
$813.76
A2
Y
25295
Release wrist/forearm tendon
$813.76
A2
Y
25300
Fusion of tendons at wrist
$1339.58
A2
Y
25301
Fusion of tendons at wrist
$1339.58
A2
Y
25310
Transplant forearm tendon
$1339.58
A2
Y
25312
Transplant forearm tendon
$1339.58
A2
Y
25315
Revise palsy hand tendon(s)
$1339.58
A2
Y
25316
Revise palsy hand tendon(s)
$2486.22
A2
Y
25320
Repair/revise wrist joint
$1339.58
A2
Y
25332
Revise wrist joint
$1339.58
A2
Y
25335
Realignment of hand
$1339.58
A2
Y
25337
Reconstruct ulna/radioulnar
$1339.58
A2
Y
25350
Revision of radius
$3532.70
A2
Y
25355
Revision of radius
$1339.58
A2
Y
25360
Revision of ulna
$2486.22
A2
Y
25365
Revise radius & ulna
$3532.70
A2
Y
25370
Revise radius or ulna
$1339.58
A2
Y
25375
Revise radius & ulna
$1339.58
A2
Y
25390
Shorten radius or ulna
$2486.22
A2
Y
25391
Lengthen radius or ulna
$3532.70
G2
Y
25392
Shorten radius & ulna
$1339.58
A2
Y
25393
Lengthen radius & ulna
$1339.58
A2
Y
25394
Repair carpal bone shorten
$1339.58
G2
Y
25400
Repair radius or ulna
$2486.22
A2
Y
25405
Repair/graft radius or ulna
$3532.70
A2
Y
25415
Repair radius & ulna
$2486.22
A2
Y
25420
Repair/graft radius & ulna
$3532.70
G2
Y
25425
Repair/graft radius or ulna
$1339.58
A2
Y
25426
Repair/graft radius & ulna
$1339.58
A2
Y
25430
Vasc graft into carpal bone
$1339.58
G2
Y
25431
Repair nonunion carpal bone
$2486.22
G2
Y
25440
Repair/graft wrist bone
$2486.22
A2
Y
25441
Reconstruct wrist joint
$7886.65
J8
Y
25442
Reconstruct wrist joint
$7886.65
J8
Y
25443
Reconstruct wrist joint
$2486.22
A2
Y
25444
Reconstruct wrist joint
$7886.65
J8
Y
25445
Reconstruct wrist joint
$2486.22
A2
Y
25446
Wrist replacement
$7886.65
J8
Y
25447
Repair wrist joints
$1339.58
A2
Y
25449
Remove wrist joint implant
$2486.22
A2
Y
25450
Revision of wrist joint
$1339.58
A2
Y
25455
Revision of wrist joint
$1339.58
A2
Y
25490
Reinforce radius
$1339.58
A2
Y
25491
Reinforce ulna
$3532.70
A2
Y
25492
Reinforce radius and ulna
$1339.58
A2
Y
25500
Treat fracture of radius
$96.37
P2
Y
25505
Treat fracture of radius
$613.12
A2
Y
25515
Treat fracture of radius
$2486.22
A2
Y
25520
Treat fracture of radius
$613.12
A2
Y
25525
Treat fracture of radius
$2486.22
A2
Y
25526
Treat fracture of radius
$3532.70
A2
Y
25530
Treat fracture of ulna
$96.37
P2
Y
25535
Treat fracture of ulna
$132.80
A2
Y
25545
Treat fracture of ulna
$2486.22
A2
Y
25560
Treat fracture radius & ulna
$96.37
P2
Y
25565
Treat fracture radius & ulna
$613.12
A2
Y
25574
Treat fracture radius & ulna
$2486.22
A2
Y
25575
Treat fracture radius/ulna
$3532.70
G2
Y
25600
Treat fracture radius/ulna
$132.80
P2
Y
25605
Treat fracture radius/ulna
$613.12
A2
Y
25606
Treat fx distal radial
$1339.58
A2
Y
25607
Treat fx rad extra-articul
$2486.22
A2
Y
25608
Treat fx rad intra-articul
$2486.22
A2
Y
25609
Treat fx radial 3+ frag
$2486.22
A2
Y
25622
Treat wrist bone fracture
$96.37
P2
Y
25624
Treat wrist bone fracture
$613.12
A2
Y
25628
Treat wrist bone fracture
$1339.58
A2
Y
25630
Treat wrist bone fracture
$96.37
P2
Y
25635
Treat wrist bone fracture
$613.12
A2
Y
25645
Treat wrist bone fracture
$1339.58
A2
Y
25650
Treat wrist bone fracture
$132.80
P2
Y
25651
Pin ulnar styloid fracture
$1339.58
G2
Y
25652
Treat fracture ulnar styloid
$2486.22
G2
Y
25660
Treat wrist dislocation
$132.80
A2
Y
25670
Treat wrist dislocation
$813.76
A2
Y
25671
Pin radioulnar dislocation
$813.76
A2
Y
25675
Treat wrist dislocation
$132.80
A2
Y
25676
Treat wrist dislocation
$2486.22
A2
Y
25680
Treat wrist fracture
$132.80
A2
Y
25685
Treat wrist fracture
$813.76
A2
Y
25690
Treat wrist dislocation
$613.12
A2
Y
25695
Treat wrist dislocation
$1339.58
A2
Y
25800
Fusion of wrist joint
$3532.70
G2
Y
25805
Fusion/graft of wrist joint
$3532.70
A2
Y
25810
Fusion/graft of wrist joint
$3532.70
G2
Y
25820
Fusion of hand bones
$2486.22
A2
Y
25825
Fuse hand bones with graft
$2486.22
A2
Y
25830
Fusion radioulnar jnt/ulna
$2486.22
A2
Y
25907
Amputation follow-up surgery
$813.76
A2
Y
25922
Amputate hand at wrist
$813.76
A2
Y
25929
Amputation follow-up surgery
$789.12
A2
Y
25931
Amputation follow-up surgery
$813.76
G2
Y
26010
Drainage of finger abscess
$127.65
P2
Y
26011
Drainage of finger abscess
$526.74
A2
Y
26020
Drain hand tendon sheath
$813.76
A2
Y
26025
Drainage of palm bursa
$813.76
A2
Y
26030
Drainage of palm bursas
$813.76
A2
Y
26034
Treat hand bone lesion
$813.76
A2
Y
26035
Decompress fingers/hand
$813.76
G2
Y
26037
Decompress fingers/hand
$813.76
G2
Y
26040
Release palm contracture
$813.76
A2
Y
26045
Release palm contracture
$813.76
A2
Y
26055
Incise finger tendon sheath
$813.76
A2
Y
26060
Incision of finger tendon
$813.76
A2
Y
26070
Explore/treat hand joint
$813.76
A2
Y
26075
Explore/treat finger joint
$813.76
A2
Y
26080
Explore/treat finger joint
$813.76
A2
Y
26100
Biopsy hand joint lining
$1339.58
A2
Y
26105
Biopsy finger joint lining
$813.76
A2
Y
26110
Biopsy finger joint lining
$813.76
A2
Y
26111
Exc hand les sc 1.5 cm/>
$790.85
G2
Y
26113
Exc hand tum deep 1.5 cm/>
$790.85
G2
Y
26115
Exc hand les sc < 1.5 cm
$790.85
G2
Y
26116
Exc hand tum deep < 1.5 cm
$790.85
G2
Y
26117
Rad resect hand tumor < 3 cm
$790.85
G2
Y
26118
Rad resect hand tumor 3 cm/>
$790.85
G2
Y
26121
Release palm contracture
$813.76
A2
Y
26123
Release palm contracture
$1339.58
A2
Y
26130
Remove wrist joint lining
$813.76
A2
Y
26135
Revise finger joint each
$813.76
A2
Y
26140
Revise finger joint each
$813.76
A2
Y
26145
Tendon excision palm/finger
$813.76
A2
Y
26160
Remove tendon sheath lesion
$813.76
A2
Y
26170
Removal of palm tendon each
$813.76
A2
Y
26180
Removal of finger tendon
$813.76
A2
Y
26185
Remove finger bone
$813.76
A2
Y
26200
Remove hand bone lesion
$813.76
A2
Y
26205
Remove/graft bone lesion
$1339.58
A2
Y
26210
Removal of finger lesion
$813.76
A2
Y
26215
Remove/graft finger lesion
$1339.58
A2
Y
26230
Partial removal of hand bone
$813.76
A2
Y
26235
Partial removal finger bone
$813.76
A2
Y
26236
Partial removal finger bone
$813.76
A2
Y
26250
Extensive hand surgery
$813.76
A2
Y
26260
Resect prox finger tumor
$1339.58
A2
Y
26262
Resect distal finger tumor
$813.76
A2
Y
26320
Removal of implant from hand
$790.85
A2
N
26340
Manipulate finger w/anesth
$613.12
G2
Y
26341
Manipulat palm cord post inj
$63.37
P3
Y
26350
Repair finger/hand tendon
$1339.58
A2
Y
26352
Repair/graft hand tendon
$1339.58
A2
Y
26356
Repair finger/hand tendon
$1339.58
A2
Y
26357
Repair finger/hand tendon
$1339.58
A2
Y
26358
Repair/graft hand tendon
$1339.58
A2
Y
26370
Repair finger/hand tendon
$1339.58
A2
Y
26372
Repair/graft hand tendon
$1339.58
A2
Y
26373
Repair finger/hand tendon
$1339.58
A2
Y
26390
Revise hand/finger tendon
$2486.22
A2
Y
26392
Repair/graft hand tendon
$2486.22
A2
Y
26410
Repair hand tendon
$813.76
A2
Y
26412
Repair/graft hand tendon
$1339.58
A2
Y
26415
Excision hand/finger tendon
$813.76
A2
Y
26416
Graft hand or finger tendon
$1339.58
A2
Y
26418
Repair finger tendon
$813.76
A2
Y
26420
Repair/graft finger tendon
$1339.58
A2
Y
26426
Repair finger/hand tendon
$1339.58
A2
Y
26428
Repair/graft finger tendon
$1339.58
A2
Y
26432
Repair finger tendon
$813.76
A2
Y
26433
Repair finger tendon
$813.76
A2
Y
26434
Repair/graft finger tendon
$1339.58
A2
Y
26437
Realignment of tendons
$813.76
A2
Y
26440
Release palm/finger tendon
$813.76
A2
Y
26442
Release palm & finger tendon
$813.76
A2
Y
26445
Release hand/finger tendon
$813.76
A2
Y
26449
Release forearm/hand tendon
$813.76
A2
Y
26450
Incision of palm tendon
$1339.58
A2
Y
26455
Incision of finger tendon
$813.76
A2
Y
26460
Incise hand/finger tendon
$813.76
A2
Y
26471
Fusion of finger tendons
$1339.58
A2
Y
26474
Fusion of finger tendons
$813.76
A2
Y
26476
Tendon lengthening
$813.76
A2
Y
26477
Tendon shortening
$1339.58
A2
Y
26478
Lengthening of hand tendon
$813.76
A2
Y
26479
Shortening of hand tendon
$813.76
A2
Y
26480
Transplant hand tendon
$813.76
A2
Y
26483
Transplant/graft hand tendon
$1339.58
A2
Y
26485
Transplant palm tendon
$813.76
A2
Y
26489
Transplant/graft palm tendon
$1339.58
A2
Y
26490
Revise thumb tendon
$1339.58
A2
Y
26492
Tendon transfer with graft
$1339.58
A2
Y
26494
Hand tendon/muscle transfer
$1339.58
A2
Y
26496
Revise thumb tendon
$1339.58
A2
Y
26497
Finger tendon transfer
$1339.58
A2
Y
26498
Finger tendon transfer
$1339.58
A2
Y
26499
Revision of finger
$1339.58
A2
Y
26500
Hand tendon reconstruction
$1339.58
A2
Y
26502
Hand tendon reconstruction
$1339.58
A2
Y
26508
Release thumb contracture
$813.76
A2
Y
26510
Thumb tendon transfer
$813.76
A2
Y
26516
Fusion of knuckle joint
$813.76
A2
Y
26517
Fusion of knuckle joints
$1339.58
A2
Y
26518
Fusion of knuckle joints
$1339.58
A2
Y
26520
Release knuckle contracture
$813.76
A2
Y
26525
Release finger contracture
$813.76
A2
Y
26530
Revise knuckle joint
$1339.58
A2
Y
26531
Revise knuckle with implant
$2486.22
A2
Y
26535
Revise finger joint
$1339.58
A2
Y
26536
Revise/implant finger joint
$2486.22
A2
Y
26540
Repair hand joint
$1339.58
A2
Y
26541
Repair hand joint with graft
$1339.58
A2
Y
26542
Repair hand joint with graft
$1339.58
A2
Y
26545
Reconstruct finger joint
$1339.58
A2
Y
26546
Repair nonunion hand
$1339.58
A2
Y
26548
Reconstruct finger joint
$1339.58
A2
Y
26550
Construct thumb replacement
$1339.58
A2
Y
26555
Positional change of finger
$1339.58
A2
Y
26560
Repair of web finger
$813.76
A2
Y
26561
Repair of web finger
$1339.58
A2
Y
26562
Repair of web finger
$1339.58
A2
Y
26565
Correct metacarpal flaw
$1339.58
A2
Y
26567
Correct finger deformity
$1339.58
A2
Y
26568
Lengthen metacarpal/finger
$1339.58
A2
Y
26580
Repair hand deformity
$813.76
A2
Y
26587
Reconstruct extra finger
$1339.58
A2
Y
26590
Repair finger deformity
$813.76
A2
Y
26591
Repair muscles of hand
$1339.58
A2
Y
26593
Release muscles of hand
$1339.58
A2
Y
26596
Excision constricting tissue
$1339.58
A2
Y
26600
Treat metacarpal fracture
$96.37
P2
Y
26605
Treat metacarpal fracture
$132.80
A2
Y
26607
Treat metacarpal fracture
$613.12
A2
Y
26608
Treat metacarpal fracture
$813.76
A2
Y
26615
Treat metacarpal fracture
$1339.58
A2
Y
26641
Treat thumb dislocation
$132.80
P2
Y
26645
Treat thumb fracture
$613.12
A2
Y
26650
Treat thumb fracture
$813.76
A2
Y
26665
Treat thumb fracture
$1339.58
A2
Y
26670
Treat hand dislocation
$132.80
P2
Y
26675
Treat hand dislocation
$613.12
A2
Y
26676
Pin hand dislocation
$813.76
A2
Y
26685
Treat hand dislocation
$1339.58
A2
Y
26686
Treat hand dislocation
$1339.58
A2
Y
26700
Treat knuckle dislocation
$132.80
P2
Y
26705
Treat knuckle dislocation
$613.12
A2
Y
26706
Pin knuckle dislocation
$613.12
A2
Y
26715
Treat knuckle dislocation
$1339.58
A2
Y
26720
Treat finger fracture each
$96.37
P2
Y
26725
Treat finger fracture each
$132.80
P2
Y
26727
Treat finger fracture each
$813.76
A2
Y
26735
Treat finger fracture each
$1339.58
A2
Y
26740
Treat finger fracture each
$132.80
P2
Y
26742
Treat finger fracture each
$613.12
A2
Y
26746
Treat finger fracture each
$1339.58
A2
Y
26750
Treat finger fracture each
$96.37
P2
Y
26755
Treat finger fracture each
$132.80
G2
Y
26756
Pin finger fracture each
$813.76
A2
Y
26765
Treat finger fracture each
$813.76
A2
Y
26770
Treat finger dislocation
$96.37
G2
Y
26775
Treat finger dislocation
$116.24
P2
N
26776
Pin finger dislocation
$813.76
A2
Y
26785
Treat finger dislocation
$1339.58
A2
Y
26820
Thumb fusion with graft
$1339.58
A2
Y
26841
Fusion of thumb
$1339.58
A2
Y
26842
Thumb fusion with graft
$2486.22
A2
Y
26843
Fusion of hand joint
$2486.22
A2
Y
26844
Fusion/graft of hand joint
$2486.22
A2
Y
26850
Fusion of knuckle
$1339.58
A2
Y
26852
Fusion of knuckle with graft
$1339.58
A2
Y
26860
Fusion of finger joint
$1339.58
A2
Y
26862
Fusion/graft of finger joint
$1339.58
A2
Y
26910
Amputate metacarpal bone
$1339.58
A2
Y
26951
Amputation of finger/thumb
$813.76
A2
Y
26952
Amputation of finger/thumb
$813.76
A2
Y
26990
Drainage of pelvis lesion
$1339.58
A2
Y
26991
Drainage of pelvis bursa
$1339.58
A2
Y
27000
Incision of hip tendon
$813.76
A2
Y
27001
Incision of hip tendon
$1339.58
A2
Y
27003
Incision of hip tendon
$1339.58
A2
Y
27033
Exploration of hip joint
$1339.58
A2
Y
27035
Denervation of hip joint
$813.76
A2
Y
27040
Biopsy of soft tissues
$526.74
A2
Y
27041
Biopsy of soft tissues
$526.74
A2
Y
27043
Exc hip pelvis les sc 3 cm/>
$790.85
G2
Y
27045
Exc hip/pelv tum deep 5 cm/>
$790.85
G2
Y
27047
Exc hip/pelvis les sc < 3 cm
$790.85
G2
Y
27048
Exc hip/pelv tum deep < 5 cm
$790.85
G2
Y
27049
Resect hip/pelv tum < 5 cm
$790.85
G2
Y
27050
Biopsy of sacroiliac joint
$813.76
A2
Y
27052
Biopsy of hip joint
$813.76
A2
Y
27059
Resect hip/pelv tum 5 cm/>
$790.85
G2
Y
27060
Removal of ischial bursa
$813.76
A2
Y
27062
Remove femur lesion/bursa
$1339.58
A2
Y
27065
Remove hip bone les super
$1339.58
A2
Y
27066
Remove hip bone les deep
$1339.58
A2
Y
27067
Remove/graft hip bone lesion
$1339.58
A2
Y
27080
Removal of tail bone
$1339.58
A2
Y
27086
Remove hip foreign body
$790.85
A2
Y
27087
Remove hip foreign body
$1339.58
A2
Y
27097
Revision of hip tendon
$1339.58
A2
Y
27098
Transfer tendon to pelvis
$813.76
A2
Y
27100
Transfer of abdominal muscle
$2486.22
A2
Y
27105
Transfer of spinal muscle
$1339.58
A2
Y
27110
Transfer of iliopsoas muscle
$1339.58
A2
Y
27111
Transfer of iliopsoas muscle
$1339.58
A2
Y
27193
Treat pelvic ring fracture
$132.80
A2
Y
27194
Treat pelvic ring fracture
$132.80
A2
Y
27200
Treat tail bone fracture
$96.37
P2
Y
27202
Treat tail bone fracture
$1339.58
A2
Y
27220
Treat hip socket fracture
$132.80
G2
Y
27230
Treat thigh fracture
$96.37
A2
Y
27238
Treat thigh fracture
$613.12
A2
Y
27246
Treat thigh fracture
$132.80
A2
Y
27250
Treat hip dislocation
$96.37
A2
Y
27252
Treat hip dislocation
$613.12
A2
Y
27256
Treat hip dislocation
$96.37
G2
Y
27257
Treat hip dislocation
$613.12
A2
Y
27265
Treat hip dislocation
$132.80
A2
Y
27266
Treat hip dislocation
$613.12
A2
Y
27267
Cltx thigh fx
$613.12
G2
Y
27275
Manipulation of hip joint
$613.12
A2
Y
27279
Arthrodesis sacroiliac joint
$7886.65
J8
Y
27301
Drain thigh/knee lesion
$790.85
A2
Y
27305
Incise thigh tendon & fascia
$1339.58
A2
Y
27306
Incision of thigh tendon
$813.76
A2
Y
27307
Incision of thigh tendons
$1339.58
A2
Y
27310
Exploration of knee joint
$1339.58
A2
Y
27323
Biopsy thigh soft tissues
$790.85
A2
Y
27324
Biopsy thigh soft tissues
$790.85
A2
Y
27325
Neurectomy hamstring
$778.70
A2
Y
27326
Neurectomy popliteal
$778.70
A2
Y
27327
Exc thigh/knee les sc < 3 cm
$790.85
G2
Y
27328
Exc thigh/knee tum deep <5cm
$790.85
G2
Y
27329
Resect thigh/knee tum < 5 cm
$790.85
G2
Y
27330
Biopsy knee joint lining
$1339.58
A2
Y
27331
Explore/treat knee joint
$1339.58
A2
Y
27332
Removal of knee cartilage
$1339.58
A2
Y
27333
Removal of knee cartilage
$1339.58
A2
Y
27334
Remove knee joint lining
$1339.58
A2
Y
27335
Remove knee joint lining
$2486.22
A2
Y
27337
Exc thigh/knee les sc 3 cm/>
$790.85
G2
Y
27339
Exc thigh/knee tum dep 5cm/>
$790.85
G2
Y
27340
Removal of kneecap bursa
$1339.58
A2
Y
27345
Removal of knee cyst
$1339.58
A2
Y
27347
Remove knee cyst
$1339.58
A2
Y
27350
Removal of kneecap
$1339.58
A2
Y
27355
Remove femur lesion
$1339.58
A2
Y
27356
Remove femur lesion/graft
$7886.65
J8
Y
27357
Remove femur lesion/graft
$2486.22
A2
Y
27360
Partial removal leg bone(s)
$1339.58
A2
Y
27364
Resect thigh/knee tum 5 cm/>
$790.85
G2
Y
27372
Removal of foreign body
$790.85
A2
Y
27380
Repair of kneecap tendon
$1339.58
A2
Y
27381
Repair/graft kneecap tendon
$2486.22
A2
Y
27385
Repair of thigh muscle
$1339.58
A2
Y
27386
Repair/graft of thigh muscle
$2486.22
A2
Y
27390
Incision of thigh tendon
$1339.58
A2
Y
27391
Incision of thigh tendons
$1339.58
A2
Y
27392
Incision of thigh tendons
$1339.58
A2
Y
27393
Lengthening of thigh tendon
$1339.58
A2
Y
27394
Lengthening of thigh tendons
$1339.58
A2
Y
27395
Lengthening of thigh tendons
$1339.58
A2
Y
27396
Transplant of thigh tendon
$1339.58
A2
Y
27397
Transplants of thigh tendons
$1339.58
A2
Y
27400
Revise thigh muscles/tendons
$1339.58
A2
Y
27403
Repair of knee cartilage
$813.76
A2
Y
27405
Repair of knee ligament
$1339.58
A2
Y
27407
Repair of knee ligament
$2486.22
A2
Y
27409
Repair of knee ligaments
$1339.58
A2
Y
27415
Osteochondral knee allograft
$3532.70
G2
Y
27416
Osteochondral knee autograft
$2486.22
G2
Y
27418
Repair degenerated kneecap
$2486.22
A2
Y
27420
Revision of unstable kneecap
$2486.22
A2
Y
27422
Revision of unstable kneecap
$1339.58
A2
Y
27424
Revision/removal of kneecap
$1339.58
A2
Y
27425
Lat retinacular release open
$1339.58
A2
Y
27427
Reconstruction knee
$2486.22
A2
Y
27428
Reconstruction knee
$3532.70
G2
Y
27429
Reconstruction knee
$3532.70
G2
Y
27430
Revision of thigh muscles
$1339.58
A2
Y
27435
Incision of knee joint
$1339.58
A2
Y
27437
Revise kneecap
$3532.70
A2
Y
27438
Revise kneecap with implant
$7886.65
J8
Y
27440
Revision of knee joint
$7886.65
J8
Y
27441
Revision of knee joint
$7886.65
J8
Y
27442
Revision of knee joint
$7886.65
J8
Y
27443
Revision of knee joint
$3532.70
G2
Y
27446
Revision of knee joint
$7886.65
J8
Y
27475
Surgery to stop leg growth
$1339.58
G2
Y
27479
Surgery to stop leg growth
$1339.58
G2
Y
27496
Decompression of thigh/knee
$1339.58
A2
Y
27497
Decompression of thigh/knee
$813.76
A2
Y
27498
Decompression of thigh/knee
$813.76
A2
Y
27499
Decompression of thigh/knee
$1339.58
A2
Y
27500
Treatment of thigh fracture
$132.80
A2
Y
27501
Treatment of thigh fracture
$132.80
A2
Y
27502
Treatment of thigh fracture
$613.12
A2
Y
27503
Treatment of thigh fracture
$613.12
A2
Y
27508
Treatment of thigh fracture
$132.80
A2
Y
27509
Treatment of thigh fracture
$2486.22
A2
Y
27510
Treatment of thigh fracture
$613.12
A2
Y
27516
Treat thigh fx growth plate
$96.37
A2
Y
27517
Treat thigh fx growth plate
$613.12
A2
Y
27520
Treat kneecap fracture
$96.37
A2
Y
27524
Treat kneecap fracture
$1339.58
G2
Y
27530
Treat knee fracture
$96.37
A2
Y
27532
Treat knee fracture
$613.12
A2
Y
27538
Treat knee fracture(s)
$132.80
A2
Y
27550
Treat knee dislocation
$132.80
A2
Y
27552
Treat knee dislocation
$613.12
A2
Y
27560
Treat kneecap dislocation
$96.37
A2
Y
27562
Treat kneecap dislocation
$132.80
A2
Y
27566
Treat kneecap dislocation
$1339.58
A2
Y
27570
Fixation of knee joint
$613.12
A2
Y
27594
Amputation follow-up surgery
$1339.58
A2
Y
27600
Decompression of lower leg
$1339.58
A2
Y
27601
Decompression of lower leg
$1339.58
A2
Y
27602
Decompression of lower leg
$813.76
A2
Y
27603
Drain lower leg lesion
$790.85
A2
Y
27604
Drain lower leg bursa
$1339.58
A2
Y
27605
Incision of achilles tendon
$813.76
A2
Y
27606
Incision of achilles tendon
$1339.58
A2
Y
27607
Treat lower leg bone lesion
$1339.58
A2
Y
27610
Explore/treat ankle joint
$1339.58
A2
Y
27612
Exploration of ankle joint
$1339.58
A2
Y
27613
Biopsy lower leg soft tissue
$167.92
P3
Y
27614
Biopsy lower leg soft tissue
$790.85
A2
Y
27615
Resect leg/ankle tum < 5 cm
$790.85
G2
Y
27616
Resect leg/ankle tum 5 cm/>
$790.85
G2
Y
27618
Exc leg/ankle tum < 3 cm
$790.85
G2
Y
27619
Exc leg/ankle tum deep <5 cm
$790.85
G2
Y
27620
Explore/treat ankle joint
$1339.58
A2
Y
27625
Remove ankle joint lining
$1339.58
A2
Y
27626
Remove ankle joint lining
$1339.58
A2
Y
27630
Removal of tendon lesion
$813.76
A2
Y
27632
Exc leg/ankle les sc 3 cm/>
$790.85
G2
Y
27634
Exc leg/ankle tum dep 5 cm/>
$790.85
G2
Y
27635
Remove lower leg bone lesion
$1339.58
A2
Y
27637
Remove/graft leg bone lesion
$2486.22
A2
Y
27638
Remove/graft leg bone lesion
$2486.22
A2
Y
27640
Partial removal of tibia
$1339.58
A2
Y
27641
Partial removal of fibula
$1339.58
A2
Y
27647
Resect talus/calcaneus tum
$813.76
A2
Y
27650
Repair achilles tendon
$1339.58
A2
Y
27652
Repair/graft achilles tendon
$2486.22
A2
Y
27654
Repair of achilles tendon
$2486.22
A2
Y
27656
Repair leg fascia defect
$1339.58
A2
Y
27658
Repair of leg tendon each
$1339.58
A2
Y
27659
Repair of leg tendon each
$1339.58
A2
Y
27664
Repair of leg tendon each
$1339.58
A2
Y
27665
Repair of leg tendon each
$2486.22
A2
Y
27675
Repair lower leg tendons
$1339.58
A2
Y
27676
Repair lower leg tendons
$1339.58
A2
Y
27680
Release of lower leg tendon
$1339.58
A2
Y
27681
Release of lower leg tendons
$1339.58
A2
Y
27685
Revision of lower leg tendon
$1339.58
A2
Y
27686
Revise lower leg tendons
$1339.58
A2
Y
27687
Revision of calf tendon
$1339.58
A2
Y
27690
Revise lower leg tendon
$1339.58
A2
Y
27691
Revise lower leg tendon
$1339.58
A2
Y
27695
Repair of ankle ligament
$1339.58
A2
Y
27696
Repair of ankle ligaments
$1339.58
A2
Y
27698
Repair of ankle ligament
$1339.58
A2
Y
27700
Revision of ankle joint
$2486.22
A2
Y
27704
Removal of ankle implant
$1339.58
A2
N
27705
Incision of tibia
$1339.58
A2
Y
27707
Incision of fibula
$1339.58
A2
Y
27709
Incision of tibia & fibula
$3532.70
A2
Y
27720
Repair of tibia
$2486.22
G2
Y
27726
Repair fibula nonunion
$2486.22
G2
Y
27730
Repair of tibia epiphysis
$1339.58
A2
Y
27732
Repair of fibula epiphysis
$1339.58
A2
Y
27734
Repair lower leg epiphyses
$1339.58
A2
Y
27740
Repair of leg epiphyses
$1339.58
A2
Y
27742
Repair of leg epiphyses
$1339.58
A2
Y
27745
Reinforce tibia
$3532.70
G2
Y
27750
Treatment of tibia fracture
$132.80
A2
Y
27752
Treatment of tibia fracture
$613.12
A2
Y
27756
Treatment of tibia fracture
$2486.22
A2
Y
27758
Treatment of tibia fracture
$3532.70
G2
Y
27759
Treatment of tibia fracture
$3532.70
G2
Y
27760
Cltx medial ankle fx
$96.37
A2
Y
27762
Cltx med ankle fx w/mnpj
$613.12
A2
Y
27766
Optx medial ankle fx
$1339.58
A2
Y
27767
Cltx post ankle fx
$132.80
P2
Y
27768
Cltx post ankle fx w/mnpj
$613.12
G2
Y
27769
Optx post ankle fx
$2486.22
G2
Y
27780
Treatment of fibula fracture
$96.37
A2
Y
27781
Treatment of fibula fracture
$613.12
A2
Y
27784
Treatment of fibula fracture
$2486.22
A2
Y
27786
Treatment of ankle fracture
$132.80
A2
Y
27788
Treatment of ankle fracture
$132.80
A2
Y
27792
Treatment of ankle fracture
$2486.22
A2
Y
27808
Treatment of ankle fracture
$96.37
A2
Y
27810
Treatment of ankle fracture
$613.12
A2
Y
27814
Treatment of ankle fracture
$2486.22
A2
Y
27816
Treatment of ankle fracture
$132.80
A2
Y
27818
Treatment of ankle fracture
$613.12
A2
Y
27822
Treatment of ankle fracture
$2486.22
A2
Y
27823
Treatment of ankle fracture
$3532.70
G2
Y
27824
Treat lower leg fracture
$132.80
A2
Y
27825
Treat lower leg fracture
$613.12
A2
Y
27826
Treat lower leg fracture
$2486.22
A2
Y
27827
Treat lower leg fracture
$3532.70
G2
Y
27828
Treat lower leg fracture
$3532.70
G2
Y
27829
Treat lower leg joint
$1339.58
A2
Y
27830
Treat lower leg dislocation
$96.37
A2
Y
27831
Treat lower leg dislocation
$613.12
A2
Y
27832
Treat lower leg dislocation
$2486.22
A2
Y
27840
Treat ankle dislocation
$96.37
A2
Y
27842
Treat ankle dislocation
$613.12
A2
Y
27846
Treat ankle dislocation
$1339.58
A2
Y
27848
Treat ankle dislocation
$1339.58
A2
Y
27860
Fixation of ankle joint
$613.12
A2
Y
27870
Fusion of ankle joint open
$7886.65
J8
Y
27871
Fusion of tibiofibular joint
$3532.70
G2
Y
27884
Amputation follow-up surgery
$1339.58
A2
Y
27889
Amputation of foot at ankle
$1339.58
A2
Y
27892
Decompression of leg
$1339.58
A2
Y
27893
Decompression of leg
$1339.58
A2
Y
27894
Decompression of leg
$813.76
A2
Y
28001
Drainage of bursa of foot
$178.31
P3
Y
28002
Treatment of foot infection
$813.76
A2
Y
28003
Treatment of foot infection
$813.76
A2
Y
28005
Treat foot bone lesion
$1339.58
A2
Y
28008
Incision of foot fascia
$813.76
A2
Y
28010
Incision of toe tendon
$122.81
P3
Y
28011
Incision of toe tendons
$813.76
A2
Y
28020
Exploration of foot joint
$1339.58
A2
Y
28022
Exploration of foot joint
$1339.58
A2
Y
28024
Exploration of toe joint
$813.76
A2
Y
28035
Decompression of tibia nerve
$778.70
A2
Y
28039
Exc foot/toe tum sc 1.5 cm/>
$790.85
G2
Y
28041
Exc foot/toe tum dep 1.5cm/>
$790.85
G2
Y
28043
Exc foot/toe tum sc < 1.5 cm
$790.85
G2
Y
28045
Exc foot/toe tum deep <1.5cm
$790.85
G2
Y
28046
Resect foot/toe tumor < 3 cm
$790.85
G2
Y
28047
Resect foot/toe tumor 3 cm/>
$790.85
G2
Y
28050
Biopsy of foot joint lining
$813.76
A2
Y
28052
Biopsy of foot joint lining
$813.76
A2
Y
28054
Biopsy of toe joint lining
$813.76
A2
Y
28055
Neurectomy foot
$778.70
A2
Y
28060
Partial removal foot fascia
$813.76
A2
Y
28062
Removal of foot fascia
$1339.58
A2
Y
28070
Removal of foot joint lining
$813.76
A2
Y
28072
Removal of foot joint lining
$813.76
A2
Y
28080
Removal of foot lesion
$813.76
A2
Y
28086
Excise foot tendon sheath
$1339.58
A2
Y
28088
Excise foot tendon sheath
$813.76
A2
Y
28090
Removal of foot lesion
$813.76
A2
Y
28092
Removal of toe lesions
$813.76
A2
Y
28100
Removal of ankle/heel lesion
$1339.58
A2
Y
28102
Remove/graft foot lesion
$2486.22
A2
Y
28103
Remove/graft foot lesion
$2486.22
A2
Y
28104
Removal of foot lesion
$813.76
A2
Y
28106
Remove/graft foot lesion
$1339.58
A2
Y
28107
Remove/graft foot lesion
$2486.22
A2
Y
28108
Removal of toe lesions
$813.76
A2
Y
28110
Part removal of metatarsal
$813.76
A2
Y
28111
Part removal of metatarsal
$813.76
A2
Y
28112
Part removal of metatarsal
$813.76
A2
Y
28113
Part removal of metatarsal
$813.76
A2
Y
28114
Removal of metatarsal heads
$1339.58
A2
Y
28116
Revision of foot
$813.76
A2
Y
28118
Removal of heel bone
$1339.58
A2
Y
28119
Removal of heel spur
$1339.58
A2
Y
28120
Part removal of ankle/heel
$1339.58
A2
Y
28122
Partial removal of foot bone
$813.76
A2
Y
28124
Partial removal of toe
$300.04
P3
Y
28126
Partial removal of toe
$813.76
A2
Y
28130
Removal of ankle bone
$1339.58
A2
Y
28140
Removal of metatarsal
$813.76
A2
Y
28150
Removal of toe
$813.76
A2
Y
28153
Partial removal of toe
$813.76
A2
Y
28160
Partial removal of toe
$813.76
A2
Y
28171
Resect tarsal tumor
$813.76
A2
Y
28173
Resect metatarsal tumor
$813.76
A2
Y
28175
Resect phalanx of toe tumor
$813.76
A2
Y
28190
Removal of foot foreign body
$187.26
P3
Y
28192
Removal of foot foreign body
$790.85
A2
Y
28193
Removal of foot foreign body
$790.85
A2
Y
28200
Repair of foot tendon
$1339.58
A2
Y
28202
Repair/graft of foot tendon
$2486.22
A2
Y
28208
Repair of foot tendon
$1339.58
A2
Y
28210
Repair/graft of foot tendon
$2486.22
A2
Y
28220
Release of foot tendon
$282.14
P3
Y
28222
Release of foot tendons
$813.76
A2
Y
28225
Release of foot tendon
$813.76
A2
Y
28226
Release of foot tendons
$813.76
A2
Y
28230
Incision of foot tendon(s)
$276.05
P3
Y
28232
Incision of toe tendon
$260.66
P3
Y
28234
Incision of foot tendon
$813.76
A2
Y
28238
Revision of foot tendon
$1339.58
A2
Y
28240
Release of big toe
$813.76
A2
Y
28250
Revision of foot fascia
$1339.58
A2
Y
28260
Release of midfoot joint
$813.76
A2
Y
28261
Revision of foot tendon
$1339.58
A2
Y
28262
Revision of foot and ankle
$2486.22
A2
Y
28264
Release of midfoot joint
$813.76
A2
Y
28270
Release of foot contracture
$813.76
A2
Y
28272
Release of toe joint each
$257.43
P3
Y
28280
Fusion of toes
$813.76
A2
Y
28285
Repair of hammertoe
$813.76
A2
Y
28286
Repair of hammertoe
$813.76
A2
Y
28288
Partial removal of foot bone
$813.76
A2
Y
28289
Repair hallux rigidus
$1339.58
A2
Y
28290
Correction of bunion
$1339.58
A2
Y
28292
Correction of bunion
$1339.58
A2
Y
28293
Correction of bunion
$2486.22
A2
Y
28294
Correction of bunion
$1339.58
A2
Y
28296
Correction of bunion
$1339.58
A2
Y
28297
Correction of bunion
$3532.70
A2
Y
28298
Correction of bunion
$1339.58
A2
Y
28299
Correction of bunion
$1339.58
A2
Y
28300
Incision of heel bone
$2486.22
A2
Y
28302
Incision of ankle bone
$1339.58
A2
Y
28304
Incision of midfoot bones
$2486.22
A2
Y
28305
Incise/graft midfoot bones
$2486.22
A2
Y
28306
Incision of metatarsal
$1339.58
A2
Y
28307
Incision of metatarsal
$1339.58
A2
Y
28308
Incision of metatarsal
$1339.58
A2
Y
28309
Incision of metatarsals
$2486.22
A2
Y
28310
Revision of big toe
$1339.58
A2
Y
28312
Revision of toe
$1339.58
A2
Y
28313
Repair deformity of toe
$813.76
A2
Y
28315
Removal of sesamoid bone
$813.76
A2
Y
28320
Repair of foot bones
$3532.70
G2
Y
28322
Repair of metatarsals
$2486.22
A2
Y
28340
Resect enlarged toe tissue
$813.76
A2
Y
28341
Resect enlarged toe
$813.76
A2
Y
28344
Repair extra toe(s)
$1339.58
A2
Y
28345
Repair webbed toe(s)
$813.76
A2
Y
28400
Treatment of heel fracture
$132.80
A2
Y
28405
Treatment of heel fracture
$132.80
A2
Y
28406
Treatment of heel fracture
$1339.58
A2
Y
28415
Treat heel fracture
$3532.70
A2
Y
28420
Treat/graft heel fracture
$7886.65
J8
Y
28430
Treatment of ankle fracture
$96.37
P2
Y
28435
Treatment of ankle fracture
$613.12
A2
Y
28436
Treatment of ankle fracture
$1339.58
A2
Y
28445
Treat ankle fracture
$2486.22
A2
Y
28446
Osteochondral talus autogrft
$2486.22
G2
Y
28450
Treat midfoot fracture each
$132.80
P2
Y
28455
Treat midfoot fracture each
$167.56
P3
Y
28456
Treat midfoot fracture
$3532.70
A2
Y
28465
Treat midfoot fracture each
$2486.22
A2
Y
28470
Treat metatarsal fracture
$96.37
P2
Y
28475
Treat metatarsal fracture
$96.37
P2
Y
28476
Treat metatarsal fracture
$1339.58
A2
Y
28485
Treat metatarsal fracture
$1339.58
A2
Y
28490
Treat big toe fracture
$96.37
P2
Y
28495
Treat big toe fracture
$96.37
P2
Y
28496
Treat big toe fracture
$1339.58
A2
Y
28505
Treat big toe fracture
$1339.58
A2
Y
28510
Treatment of toe fracture
$79.84
P3
Y
28515
Treatment of toe fracture
$103.83
P3
Y
28525
Treat toe fracture
$1339.58
A2
Y
28530
Treat sesamoid bone fracture
$75.19
P3
Y
28531
Treat sesamoid bone fracture
$1339.58
A2
Y
28540
Treat foot dislocation
$96.37
P2
Y
28545
Treat foot dislocation
$1339.58
A2
Y
28546
Treat foot dislocation
$813.76
A2
Y
28555
Repair foot dislocation
$3532.70
A2
Y
28570
Treat foot dislocation
$96.37
P2
Y
28575
Treat foot dislocation
$613.12
A2
Y
28576
Treat foot dislocation
$813.76
A2
Y
28585
Repair foot dislocation
$1339.58
A2
Y
28600
Treat foot dislocation
$132.80
P2
Y
28605
Treat foot dislocation
$96.37
A2
Y
28606
Treat foot dislocation
$1339.58
A2
Y
28615
Repair foot dislocation
$2486.22
A2
Y
28630
Treat toe dislocation
$90.58
P3
Y
28635
Treat toe dislocation
$613.12
A2
Y
28636
Treat toe dislocation
$1339.58
A2
Y
28645
Repair toe dislocation
$1339.58
A2
Y
28660
Treat toe dislocation
$67.31
P3
Y
28665
Treat toe dislocation
$116.24
A2
N
28666
Treat toe dislocation
$1339.58
A2
Y
28675
Repair of toe dislocation
$813.76
A2
Y
28705
Fusion of foot bones
$7886.65
J8
Y
28715
Fusion of foot bones
$7886.65
J8
Y
28725
Fusion of foot bones
$3532.70
G2
Y
28730
Fusion of foot bones
$3532.70
G2
Y
28735
Fusion of foot bones
$7886.65
J8
Y
28737
Revision of foot bones
$3532.70
G2
Y
28740
Fusion of foot bones
$3532.70
G2
Y
28750
Fusion of big toe joint
$2486.22
A2
Y
28755
Fusion of big toe joint
$1339.58
A2
Y
28760
Fusion of big toe joint
$2486.22
A2
Y
28810
Amputation toe & metatarsal
$813.76
A2
Y
28820
Amputation of toe
$813.76
A2
Y
28825
Partial amputation of toe
$813.76
A2
Y
28890
Hi enrgy eswt plantar fascia
$199.07
P3
Y
29000
Application of body cast
$116.24
G2
N
29010
Application of body cast
$116.24
P2
N
29015
Application of body cast
$116.24
P2
N
29035
Application of body cast
$116.24
P2
N
29040
Application of body cast
$116.24
G2
N
29044
Application of body cast
$66.68
P2
N
29046
Application of body cast
$116.24
G2
N
29049
Application of figure eight
$49.05
P3
N
29055
Application of shoulder cast
$116.24
P2
N
29058
Application of shoulder cast
$70.89
P3
N
29065
Application of long arm cast
$62.66
P3
N
29075
Application of forearm cast
$57.29
P3
N
29085
Apply hand/wrist cast
$62.30
P3
N
29086
Apply finger cast
$55.50
P3
N
29105
Apply long arm splint
$54.42
P3
N
29200
Strapping of chest
$15.40
P3
N
29305
Application of hip cast
$116.24
P2
N
29325
Application of hip casts
$116.24
P2
N
29345
Application of long leg cast
$80.92
P3
N
29355
Application of long leg cast
$79.84
P3
N
29358
Apply long leg cast brace
$103.83
P3
N
29365
Application of long leg cast
$76.26
P3
N
29405
Apply short leg cast
$51.20
P3
N
29425
Apply short leg cast
$48.34
P3
N
29435
Apply short leg cast
$70.18
P3
N
29440
Addition of walker to cast
$22.91
P3
N
29445
Apply rigid leg cast
$67.31
P3
N
29450
Application of leg cast
$65.88
P3
N
29505
Application long leg splint
$56.93
P3
N
29515
Application lower leg splint
$44.04
P3
N
29540
Strapping of ankle and/or ft
$11.46
P3
N
29580
Application of paste boot
$31.51
P3
N
29581
Apply multlay comprs lwr leg
$53.35
P3
N
29582
Apply multlay comprs upr leg
$58.36
P3
N
29583
Apply multlay comprs upr arm
$34.73
P3
N
29584
Appl multlay comprs arm/hand
$58.36
P3
N
29700
Removal/revision of cast
$40.46
P3
N
29705
Removal/revision of cast
$36.88
P3
N
29710
Removal/revision of cast
$68.03
P3
N
29720
Repair of body cast
$58.36
P3
N
29730
Windowing of cast
$35.45
P3
N
29740
Wedging of cast
$54.06
P3
N
29750
Wedging of clubfoot cast
$41.17
P3
N
29800
Jaw arthroscopy/surgery
$1339.58
A2
Y
29804
Jaw arthroscopy/surgery
$1339.58
A2
Y
29805
Shoulder arthroscopy dx
$1339.58
A2
Y
29806
Shoulder arthroscopy/surgery
$2486.22
A2
Y
29807
Shoulder arthroscopy/surgery
$2486.22
A2
Y
29819
Shoulder arthroscopy/surgery
$1339.58
A2
Y
29820
Shoulder arthroscopy/surgery
$1339.58
A2
Y
29821
Shoulder arthroscopy/surgery
$1339.58
A2
Y
29822
Shoulder arthroscopy/surgery
$1339.58
A2
Y
29823
Shoulder arthroscopy/surgery
$1339.58
A2
Y
29824
Shoulder arthroscopy/surgery
$1339.58
A2
Y
29825
Shoulder arthroscopy/surgery
$1339.58
A2
Y
29827
Arthroscop rotator cuff repr
$2486.22
A2
Y
29828
Arthroscopy biceps tenodesis
$2486.22
G2
Y
29830
Elbow arthroscopy
$813.76
A2
Y
29834
Elbow arthroscopy/surgery
$1339.58
A2
Y
29835
Elbow arthroscopy/surgery
$1339.58
A2
Y
29836
Elbow arthroscopy/surgery
$1339.58
A2
Y
29837
Elbow arthroscopy/surgery
$1339.58
A2
Y
29838
Elbow arthroscopy/surgery
$1339.58
A2
Y
29840
Wrist arthroscopy
$1339.58
A2
Y
29843
Wrist arthroscopy/surgery
$1339.58
A2
Y
29844
Wrist arthroscopy/surgery
$1339.58
A2
Y
29845
Wrist arthroscopy/surgery
$1339.58
A2
Y
29846
Wrist arthroscopy/surgery
$1339.58
A2
Y
29847
Wrist arthroscopy/surgery
$1339.58
A2
Y
29848
Wrist endoscopy/surgery
$813.76
A2
Y
29850
Knee arthroscopy/surgery
$813.76
A2
Y
29851
Knee arthroscopy/surgery
$813.76
A2
Y
29855
Tibial arthroscopy/surgery
$3532.70
A2
Y
29856
Tibial arthroscopy/surgery
$3532.70
A2
Y
29860
Hip arthroscopy dx
$1339.58
A2
Y
29861
Hip arthro w/fb removal
$1339.58
A2
Y
29862
Hip arthr0 w/debridement
$2486.22
A2
Y
29863
Hip arthr0 w/synovectomy
$1339.58
A2
Y
29866
Autgrft implnt knee w/scope
$2486.22
G2
Y
29870
Knee arthroscopy dx
$1339.58
A2
Y
29871
Knee arthroscopy/drainage
$1339.58
A2
Y
29873
Knee arthroscopy/surgery
$1339.58
A2
Y
29874
Knee arthroscopy/surgery
$1339.58
A2
Y
29875
Knee arthroscopy/surgery
$1339.58
A2
Y
29876
Knee arthroscopy/surgery
$1339.58
A2
Y
29877
Knee arthroscopy/surgery
$1339.58
A2
Y
29879
Knee arthroscopy/surgery
$1339.58
A2
Y
29880
Knee arthroscopy/surgery
$1339.58
A2
Y
29881
Knee arthroscopy/surgery
$1339.58
A2
Y
29882
Knee arthroscopy/surgery
$1339.58
A2
Y
29883
Knee arthroscopy/surgery
$1339.58
A2
Y
29884
Knee arthroscopy/surgery
$1339.58
A2
Y
29885
Knee arthroscopy/surgery
$2486.22
A2
Y
29886
Knee arthroscopy/surgery
$1339.58
A2
Y
29887
Knee arthroscopy/surgery
$1339.58
A2
Y
29888
Knee arthroscopy/surgery
$3532.70
A2
Y
29889
Knee arthroscopy/surgery
$7886.65
J8
Y
29891
Ankle arthroscopy/surgery
$1339.58
A2
Y
29892
Ankle arthroscopy/surgery
$1339.58
A2
Y
29893
Scope plantar fasciotomy
$813.76
A2
Y
29894
Ankle arthroscopy/surgery
$1339.58
A2
Y
29895
Ankle arthroscopy/surgery
$1339.58
A2
Y
29897
Ankle arthroscopy/surgery
$1339.58
A2
Y
29898
Ankle arthroscopy/surgery
$1339.58
A2
Y
29899
Ankle arthroscopy/surgery
$3532.70
G2
Y
29900
Mcp joint arthroscopy dx
$1339.58
A2
Y
29901
Mcp joint arthroscopy surg
$1339.58
A2
Y
29902
Mcp joint arthroscopy surg
$813.76
A2
Y
29904
Subtalar arthro w/fb rmvl
$1339.58
G2
Y
29905
Subtalar arthro w/exc
$1339.58
G2
Y
29906
Subtalar arthro w/deb
$813.76
G2
Y
29907
Subtalar arthro w/fusion
$3532.70
G2
Y
29914
Hip arthro w/femoroplasty
$2486.22
G2
Y
29915
Hip arthro acetabuloplasty
$3532.70
G2
Y
29916
Hip arthro w/labral repair
$3532.70
G2
Y
30000
Drainage of nose lesion
$72.30
P2
Y
30020
Drainage of nose lesion
$174.99
P2
Y
30100
Intranasal biopsy
$106.34
P3
Y
30110
Removal of nose polyp(s)
$167.92
P3
Y
30115
Removal of nose polyp(s)
$904.15
A2
Y
30117
Removal of intranasal lesion
$904.15
A2
Y
30118
Removal of intranasal lesion
$904.15
A2
Y
30120
Revision of nose
$904.15
A2
Y
30124
Removal of nose lesion
$904.15
R2
Y
30125
Removal of nose lesion
$1994.21
A2
Y
30130
Excise inferior turbinate
$904.15
A2
Y
30140
Resect inferior turbinate
$904.15
A2
Y
30150
Partial removal of nose
$1994.21
A2
Y
30160
Removal of nose
$1994.21
A2
Y
30200
Injection treatment of nose
$84.86
P3
Y
30210
Nasal sinus therapy
$107.41
P3
Y
30220
Insert nasal septal button
$385.63
A2
Y
30310
Remove nasal foreign body
$904.15
A2
Y
30320
Remove nasal foreign body
$385.63
A2
Y
30400
Reconstruction of nose
$904.15
A2
Y
30410
Reconstruction of nose
$1994.21
A2
Y
30420
Reconstruction of nose
$1994.21
A2
Y
30430
Revision of nose
$904.15
A2
Y
30435
Revision of nose
$1994.21
A2
Y
30450
Revision of nose
$1994.21
A2
Y
30460
Revision of nose
$1994.21
A2
Y
30462
Revision of nose
$1994.21
A2
Y
30465
Repair nasal stenosis
$1994.21
A2
Y
30520
Repair of nasal septum
$904.15
A2
Y
30540
Repair nasal defect
$1994.21
A2
Y
30545
Repair nasal defect
$1994.21
A2
Y
30560
Release of nasal adhesions
$174.99
A2
Y
30580
Repair upper jaw fistula
$1994.21
A2
Y
30600
Repair mouth/nose fistula
$1994.21
A2
Y
30620
Intranasal reconstruction
$1994.21
A2
Y
30630
Repair nasal septum defect
$904.15
A2
Y
30801
Ablate inf turbinate superf
$385.63
A2
Y
30802
Ablate inf turbinate submuc
$904.15
A2
Y
30903
Control of nosebleed
$72.30
A2
Y
30905
Control of nosebleed
$72.30
A2
Y
30906
Repeat control of nosebleed
$72.30
A2
Y
30915
Ligation nasal sinus artery
$1256.68
A2
Y
30920
Ligation upper jaw artery
$1256.68
A2
Y
30930
Ther fx nasal inf turbinate
$904.15
A2
Y
31000
Irrigation maxillary sinus
$139.28
P3
Y
31002
Irrigation sphenoid sinus
$385.63
R2
Y
31020
Exploration maxillary sinus
$904.15
A2
Y
31030
Exploration maxillary sinus
$1994.21
A2
Y
31032
Explore sinus remove polyps
$1994.21
A2
Y
31040
Exploration behind upper jaw
$904.15
R2
Y
31050
Exploration sphenoid sinus
$1994.21
A2
Y
31051
Sphenoid sinus surgery
$1994.21
A2
Y
31070
Exploration of frontal sinus
$1994.21
A2
Y
31075
Exploration of frontal sinus
$1994.21
A2
Y
31080
Removal of frontal sinus
$1994.21
A2
Y
31081
Removal of frontal sinus
$1994.21
A2
Y
31084
Removal of frontal sinus
$1994.21
A2
Y
31085
Removal of frontal sinus
$1994.21
A2
Y
31086
Removal of frontal sinus
$1994.21
A2
Y
31087
Removal of frontal sinus
$1994.21
A2
Y
31090
Exploration of sinuses
$1994.21
A2
Y
31200
Removal of ethmoid sinus
$1994.21
A2
Y
31201
Removal of ethmoid sinus
$904.15
A2
Y
31205
Removal of ethmoid sinus
$904.15
A2
Y
31231
Nasal endoscopy dx
$79.02
P2
Y
31233
Nasal/sinus endoscopy dx
$209.77
A2
Y
31235
Nasal/sinus endoscopy dx
$580.15
A2
Y
31237
Nasal/sinus endoscopy surg
$580.15
A2
Y
31238
Nasal/sinus endoscopy surg
$580.15
A2
Y
31239
Nasal/sinus endoscopy surg
$1113.86
A2
Y
31240
Nasal/sinus endoscopy surg
$580.15
A2
Y
31254
Revision of ethmoid sinus
$1714.73
A2
Y
31255
Removal of ethmoid sinus
$1714.73
A2
Y
31256
Exploration maxillary sinus
$1113.86
A2
Y
31267
Endoscopy maxillary sinus
$1714.73
A2
Y
31276
Sinus endoscopy surgical
$1714.73
A2
Y
31287
Nasal/sinus endoscopy surg
$1714.73
A2
Y
31288
Nasal/sinus endoscopy surg
$1714.73
A2
Y
31295
Sinus endo w/balloon dil
$1714.73
P2
Y
31296
Sinus endo w/balloon dil
$1714.73
P2
Y
31297
Sinus endo w/balloon dil
$1714.73
P2
Y
31300
Removal of larynx lesion
$904.15
A2
Y
31320
Diagnostic incision larynx
$1994.21
A2
Y
31400
Revision of larynx
$1994.21
A2
Y
31420
Removal of epiglottis
$1994.21
A2
Y
31500
Insert emergency airway
$72.30
G2
Y
31502
Change of windpipe airway
$72.30
G2
Y
31505
Diagnostic laryngoscopy
$60.51
P3
Y
31510
Laryngoscopy with biopsy
$1113.86
A2
Y
31511
Remove foreign body larynx
$79.02
A2
Y
31512
Removal of larynx lesion
$1113.86
A2
Y
31513
Injection into vocal cord
$580.15
A2
Y
31515
Laryngoscopy for aspiration
$209.77
A2
Y
31520
Dx laryngoscopy newborn
$209.77
G2
Y
31525
Dx laryngoscopy excl nb
$580.15
A2
Y
31526
Dx laryngoscopy w/oper scope
$580.15
A2
Y
31527
Laryngoscopy for treatment
$1113.86
A2
Y
31528
Laryngoscopy and dilation
$1113.86
A2
Y
31529
Laryngoscopy and dilation
$1113.86
A2
Y
31530
Laryngoscopy w/fb removal
$580.15
A2
Y
31531
Laryngoscopy w/fb & op scope
$1113.86
A2
Y
31535
Laryngoscopy w/biopsy
$1113.86
A2
Y
31536
Laryngoscopy w/bx & op scope
$1113.86
A2
Y
31540
Laryngoscopy w/exc of tumor
$1113.86
A2
Y
31541
Larynscop w/tumr exc + scope
$1113.86
A2
Y
31545
Remove vc lesion w/scope
$1113.86
A2
Y
31546
Remove vc lesion scope/graft
$1714.73
A2
Y
31560
Laryngoscop w/arytenoidectom
$1714.73
A2
Y
31561
Larynscop remve cart + scop
$1113.86
A2
Y
31570
Laryngoscope w/vc inj
$1113.86
A2
Y
31571
Laryngoscop w/vc inj + scope
$1113.86
A2
Y
31575
Diagnostic laryngoscopy
$72.32
P3
Y
31576
Laryngoscopy with biopsy
$580.15
A2
Y
31577
Remove foreign body larynx
$209.77
A2
Y
31578
Removal of larynx lesion
$1113.86
A2
Y
31579
Diagnostic laryngoscopy
$123.88
P3
Y
31580
Revision of larynx
$1994.21
A2
Y
31582
Revision of larynx
$1994.21
A2
Y
31588
Revision of larynx
$1994.21
A2
Y
31590
Reinnervate larynx
$1994.21
A2
Y
31595
Larynx nerve surgery
$1994.21
A2
Y
31603
Incision of windpipe
$385.63
A2
Y
31605
Incision of windpipe
$385.63
G2
Y
31611
Surgery/speech prosthesis
$904.15
A2
Y
31612
Puncture/clear windpipe
$1994.21
A2
Y
31613
Repair windpipe opening
$904.15
A2
Y
31614
Repair windpipe opening
$1994.21
A2
Y
31615
Visualization of windpipe
$385.63
A2
Y
31622
Dx bronchoscope/wash
$580.15
A2
Y
31623
Dx bronchoscope/brush
$580.15
A2
Y
31624
Dx bronchoscope/lavage
$580.15
A2
Y
31625
Bronchoscopy w/biopsy(s)
$580.15
A2
Y
31626
Bronchoscopy w/markers
$1714.73
G2
Y
31628
Bronchoscopy/lung bx each
$1113.86
A2
Y
31629
Bronchoscopy/needle bx each
$1113.86
A2
Y
31630
Bronchoscopy dilate/fx repr
$1113.86
A2
Y
31631
Bronchoscopy dilate w/stent
$1714.73
A2
Y
31634
Bronch w/balloon occlusion
$1714.73
G2
Y
31635
Bronchoscopy w/fb removal
$580.15
A2
Y
31636
Bronchoscopy bronch stents
$1714.73
A2
Y
31638
Bronchoscopy revise stent
$1714.73
A2
Y
31640
Bronchoscopy w/tumor excise
$1113.86
A2
Y
31641
Bronchoscopy treat blockage
$1113.86
A2
Y
31643
Diag bronchoscope/catheter
$580.15
A2
Y
31645
Bronchoscopy clear airways
$580.15
A2
Y
31646
Bronchoscopy reclear airway
$209.77
A2
Y
31647
Bronchial valve init insert
$1714.73
G2
Y
31648
Bronchial valve remov init
$1113.86
G2
Y
31649
Bronchial valve remov addl
$580.15
G2
N
31652
Bronch ebus samplng 1/2 node
$1113.86
G2
Y
31653
Bronch ebus samplng 3/> node
$1113.86
G2
Y
31717
Bronchial brush biopsy
$209.77
A2
Y
31730
Intro windpipe wire/tube
$580.15
A2
Y
31750
Repair of windpipe
$1994.21
A2
Y
31755
Repair of windpipe
$1994.21
A2
Y
31820
Closure of windpipe lesion
$904.15
A2
Y
31825
Repair of windpipe defect
$904.15
A2
Y
31830
Revise windpipe scar
$904.15
A2
Y
32400
Needle biopsy chest lining
$526.74
A2
Y
32405
Percut bx lung/mediastinum
$526.74
A2
Y
32550
Insert pleural cath
$1217.41
G2
Y
32552
Remove lung catheter
$269.99
G2
N
32553
Ins mark thor for rt perq
$574.18
G2
N
32554
Aspirate pleura w/o imaging
$269.99
G2
Y
32555
Aspirate pleura w/ imaging
$269.99
G2
Y
32556
Insert cath pleura w/o image
$675.36
G2
Y
32557
Insert cath pleura w/ image
$269.99
G2
Y
32960
Therapeutic pneumothorax
$269.99
G2
Y
32998
Perq rf ablate tx pul tumor
$2302.86
G2
Y
33010
Drainage of heart sac
$269.99
A2
Y
33011
Repeat drainage of heart sac
$269.99
A2
Y
33206
Insert heart pm atrial
$7663.75
J8
Y
33207
Insert heart pm ventricular
$7663.75
J8
Y
33208
Insrt heart pm atrial & vent
$7663.75
J8
Y
33210
Insert electrd/pm cath sngl
$5787.01
J8
Y
33211
Insert card electrodes dual
$5787.01
J8
Y
33212
Insert pulse gen sngl lead
$5787.01
J8
Y
33213
Insert pulse gen dual leads
$7663.75
J8
Y
33214
Upgrade of pacemaker system
$7663.75
J8
Y
33215
Reposition pacing-defib lead
$482.30
G2
Y
33216
Insert 1 electrode pm-defib
$5787.01
J8
Y
33217
Insert 2 electrode pm-defib
$5787.01
J8
Y
33218
Repair lead pace-defib one
$1392.20
G2
Y
33220
Repair lead pace-defib dual
$1392.20
G2
Y
33221
Insert pulse gen mult leads
$12615.66
J8
Y
33222
Relocation pocket pacemaker
$789.12
A2
Y
33223
Relocate pocket for defib
$789.12
A2
Y
33224
Insert pacing lead & connect
$7663.75
J8
Y
33226
Reposition l ventric lead
$1256.68
G2
Y
33227
Remove&replace pm gen singl
$5787.01
J8
Y
33228
Remv&replc pm gen dual lead
$7663.75
J8
Y
33229
Remv&replc pm gen mult leads
$12615.66
J8
Y
33230
Insrt pulse gen w/dual leads
$19581.49
J8
Y
33231
Insrt pulse gen w/mult leads
$26657.76
J8
Y
33233
Removal of pm generator
$5787.01
J8
N
33234
Removal of pacemaker system
$1392.20
G2
N
33235
Removal pacemaker electrode
$1392.20
G2
N
33240
Insrt pulse gen w/singl lead
$19581.49
J8
Y
33241
Remove pulse generator
$1392.20
G2
N
33249
Insj/rplcmt defib w/lead(s)
$26657.76
J8
N
33262
Rmvl& replc pulse gen 1 lead
$19581.49
J8
Y
33263
Rmvl & rplcmt dfb gen 2 lead
$19581.49
J8
Y
33264
Rmvl & rplcmt dfb gen mlt ld
$26657.76
J8
Y
33270
Ins/rep subq defibrillator
$26657.76
J8
Y
33271
Insj subq impltbl dfb elctrd
$5787.01
J8
Y
33273
Repos prev impltbl subq dfb
$1392.20
G2
Y
33282
Implant pat-active ht record
$5787.01
J8
N
33284
Remove pat-active ht record
$526.74
G2
N
34490
Removal of vein clot
$1256.68
G2
Y
35188
Repair blood vessel lesion
$1256.68
A2
Y
35207
Repair blood vessel lesion
$1256.68
A2
Y
35460
Repair venous blockage
$2287.57
G2
Y
35475
Repair arterial blockage
$1314.38
P3
Y
35476
Repair venous blockage
$1243.84
P3
Y
35761
Exploration of artery/vein
$1256.68
G2
Y
35875
Removal of clot in graft
$2122.27
A2
Y
35876
Removal of clot in graft
$2122.27
A2
Y
36002
Pseudoaneurysm injection trt
$233.07
G2
N
36147
Access av dial grft for eval
$482.30
P2
Y
36260
Insertion of infusion pump
$1256.68
A2
Y
36261
Revision of infusion pump
$1392.20
G2
Y
36262
Removal of infusion pump
$1392.20
G2
N
36430
Blood transfusion service
$34.37
P3
N
36440
Bl push transfuse 2 yr/<
$195.24
R2
N
36450
Bl exchange/transfuse nb
$195.24
R2
N
36455
Bl exchange/transfuse non-nb
$195.24
G2
N
36470
Injection therapy of vein
$105.98
P3
Y
36471
Injection therapy of veins
$108.49
P3
Y
36475
Endovenous rf 1st vein
$1256.68
A2
Y
36478
Endovenous laser 1st vein
$1256.68
A2
Y
36511
Apheresis wbc
$585.89
G2
N
36512
Apheresis rbc
$585.89
G2
N
36513
Apheresis platelets
$585.89
G2
N
36514
Apheresis plasma
$585.89
G2
N
36515
Apheresis adsorp/reinfuse
$1685.98
P2
N
36516
Apheresis selective
$1685.98
P2
N
36522
Photopheresis
$1685.98
G2
N
36555
Insert non-tunnel cv cath
$482.30
A2
Y
36556
Insert non-tunnel cv cath
$482.30
A2
Y
36557
Insert tunneled cv cath
$1256.68
A2
Y
36558
Insert tunneled cv cath
$1256.68
A2
Y
36560
Insert tunneled cv cath
$1256.68
A2
Y
36561
Insert tunneled cv cath
$1256.68
A2
Y
36563
Insert tunneled cv cath
$2122.27
A2
Y
36565
Insert tunneled cv cath
$1256.68
A2
Y
36566
Insert tunneled cv cath
$2122.27
A2
Y
36568
Insert picc cath
$482.30
A2
Y
36569
Insert picc cath
$482.30
A2
Y
36570
Insert picvad cath
$1256.68
A2
Y
36571
Insert picvad cath
$1256.68
A2
Y
36575
Repair tunneled cv cath
$269.99
A2
Y
36576
Repair tunneled cv cath
$482.30
A2
Y
36578
Replace tunneled cv cath
$1256.68
A2
Y
36580
Replace cvad cath
$482.30
A2
Y
36581
Replace tunneled cv cath
$1256.68
A2
Y
36582
Replace tunneled cv cath
$1256.68
A2
Y
36583
Replace tunneled cv cath
$2122.27
A2
Y
36584
Replace picc cath
$482.30
A2
Y
36585
Replace picvad cath
$1256.68
A2
Y
36589
Removal tunneled cv cath
$269.99
A2
N
36590
Removal tunneled cv cath
$482.30
A2
N
36593
Declot vascular device
$30.79
P3
Y
36595
Mech remov tunneled cv cath
$452.92
P3
Y
36596
Mech remov tunneled cv cath
$482.30
G2
Y
36597
Reposition venous catheter
$482.30
G2
Y
36598
Inj w/fluor eval cv device
$83.42
P3
Y
36640
Insertion catheter artery
$1256.68
A2
Y
36800
Insertion of cannula
$1256.68
A2
Y
36810
Insertion of cannula
$2122.27
A2
Y
36815
Insertion of cannula
$1256.68
A2
Y
36818
Av fuse uppr arm cephalic
$1256.68
A2
Y
36819
Av fuse uppr arm basilic
$2122.27
A2
Y
36820
Av fusion/forearm vein
$1256.68
A2
Y
36821
Av fusion direct any site
$1256.68
A2
Y
36825
Artery-vein autograft
$2122.27
A2
Y
36830
Artery-vein nonautograft
$2122.27
A2
Y
36831
Open thrombect av fistula
$1256.68
A2
Y
36832
Av fistula revision open
$2122.27
A2
Y
36833
Av fistula revision
$2122.27
A2
Y
36835
Artery to vein shunt
$1256.68
A2
Y
36860
External cannula declotting
$482.30
A2
Y
36861
Cannula declotting
$2122.27
A2
Y
36870
Percut thrombect av fistula
$2287.57
A2
Y
37184
Prim art m-thrmbc 1st vsl
$2122.27
G2
Y
37187
Venous mech thrombectomy
$2122.27
G2
Y
37188
Venous m-thrombectomy add-on
$1256.68
G2
Y
37197
Remove intrvas foreign body
$1256.68
G2
Y
37200
Transcatheter biopsy
$2122.27
G2
Y
37211
Thrombolytic art therapy
$2122.27
G2
Y
37212
Thrombolytic venous therapy
$482.30
G2
Y
37220
Iliac revasc
$2287.57
G2
Y
37221
Iliac revasc w/stent
$5984.06
J8
Y
37224
Fem/popl revas w/tla
$2287.57
G2
Y
37225
Fem/popl revas w/ather
$5984.06
J8
Y
37226
Fem/popl revasc w/stent
$5984.06
J8
Y
37227
Fem/popl revasc stnt & ather
$9819.12
J8
Y
37228
Tib/per revasc w/tla
$5984.06
J8
Y
37229
Tib/per revasc w/ather
$9819.12
J8
Y
37230
Tib/per revasc w/stent
$9819.12
J8
Y
37231
Tib/per revasc stent & ather
$9819.12
J8
Y
37236
Open/perq place stent 1st
$5984.06
J8
Y
37238
Open/perq place stent same
$5984.06
J8
Y
37241
Vasc embolize/occlude venous
$5984.06
J8
Y
37242
Vasc embolize/occlude artery
$5984.06
J8
Y
37243
Vasc embolize/occlude organ
$5984.06
J8
Y
37500
Endoscopy ligate perf veins
$2122.27
A2
Y
37607
Ligation of a-v fistula
$1256.68
A2
Y
37609
Temporal artery procedure
$790.85
A2
Y
37650
Revision of major vein
$1256.68
A2
Y
37700
Revise leg vein
$1256.68
A2
Y
37718
Ligate/strip short leg vein
$1256.68
A2
Y
37722
Ligate/strip long leg vein
$1256.68
A2
Y
37735
Removal of leg veins/lesion
$1256.68
A2
Y
37760
Ligate leg veins radical
$1256.68
A2
Y
37761
Ligate leg veins open
$1256.68
R2
Y
37765
Stab phleb veins xtr 10-20
$341.93
P3
Y
37766
Phleb veins - extrem 20+
$385.61
P3
Y
37780
Revision of leg vein
$1256.68
A2
Y
37785
Ligate/divide/excise vein
$1256.68
A2
Y
37790
Penile venous occlusion
$1254.53
A2
Y
38206
Harvest auto stem cells
$585.89
G2
N
38220
Bone marrow aspiration
$123.88
P3
Y
38221
Bone marrow biopsy
$117.80
P3
Y
38230
Bone marrow harvest allogen
$1685.98
G2
N
38232
Bone marrow harvest autolog
$1685.98
G2
N
38241
Transplt autol hct/donor
$1685.98
G2
N
38242
Transplt allo lymphocytes
$585.89
R2
N
38243
Transplj hematopoietic boost
$585.89
R2
N
38300
Drainage lymph node lesion
$790.85
A2
Y
38305
Drainage lymph node lesion
$790.85
A2
Y
38308
Incision of lymph channels
$1223.47
A2
Y
38500
Biopsy/removal lymph nodes
$1223.47
A2
Y
38505
Needle biopsy lymph nodes
$526.74
A2
Y
38510
Biopsy/removal lymph nodes
$1223.47
A2
Y
38520
Biopsy/removal lymph nodes
$1223.47
A2
Y
38525
Biopsy/removal lymph nodes
$1223.47
A2
Y
38530
Biopsy/removal lymph nodes
$1223.47
A2
Y
38542
Explore deep node(s) neck
$2010.99
A2
Y
38550
Removal neck/armpit lesion
$1223.47
A2
Y
38555
Removal neck/armpit lesion
$2039.38
A2
Y
38570
Laparoscopy lymph node biop
$2010.99
A2
Y
38571
Laparoscopy lymphadenectomy
$3277.62
A2
Y
38572
Laparoscopy lymphadenectomy
$3277.62
A2
Y
38700
Removal of lymph nodes neck
$2039.38
G2
Y
38740
Remove armpit lymph nodes
$2010.99
A2
Y
38745
Remove armpit lymph nodes
$2010.99
A2
Y
38760
Remove groin lymph nodes
$1223.47
A2
Y
40490
Biopsy of lip
$82.35
P3
Y
40500
Partial excision of lip
$904.15
A2
Y
40510
Partial excision of lip
$904.15
A2
Y
40520
Partial excision of lip
$904.15
A2
Y
40525
Reconstruct lip with flap
$904.15
A2
Y
40527
Reconstruct lip with flap
$1994.21
A2
Y
40530
Partial removal of lip
$904.15
A2
Y
40650
Repair lip
$385.63
A2
Y
40652
Repair lip
$385.63
A2
Y
40654
Repair lip
$385.63
A2
Y
40700
Repair cleft lip/nasal
$1994.21
A2
Y
40701
Repair cleft lip/nasal
$1994.21
A2
Y
40702
Repair cleft lip/nasal
$1994.21
R2
Y
40720
Repair cleft lip/nasal
$1994.21
A2
Y
40761
Repair cleft lip/nasal
$1994.21
A2
Y
40800
Drainage of mouth lesion
$127.65
P2
Y
40801
Drainage of mouth lesion
$385.63
A2
Y
40805
Removal foreign body mouth
$277.13
P3
Y
40806
Incision of lip fold
$104.91
P3
Y
40808
Biopsy of mouth lesion
$153.96
P3
Y
40810
Excision of mouth lesion
$160.40
P3
Y
40812
Excise/repair mouth lesion
$204.80
P3
Y
40814
Excise/repair mouth lesion
$904.15
A2
Y
40816
Excision of mouth lesion
$904.15
A2
Y
40818
Excise oral mucosa for graft
$174.99
A2
Y
40819
Excise lip or cheek fold
$904.15
A2
Y
40820
Treatment of mouth lesion
$223.42
P3
Y
40830
Repair mouth laceration
$174.99
G2
Y
40831
Repair mouth laceration
$385.63
A2
Y
40840
Reconstruction of mouth
$904.15
A2
Y
40842
Reconstruction of mouth
$1994.21
A2
Y
40843
Reconstruction of mouth
$904.15
A2
Y
40844
Reconstruction of mouth
$1994.21
A2
Y
40845
Reconstruction of mouth
$1994.21
A2
Y
41000
Drainage of mouth lesion
$114.57
P3
Y
41005
Drainage of mouth lesion
$174.99
A2
Y
41006
Drainage of mouth lesion
$385.63
A2
Y
41007
Drainage of mouth lesion
$385.63
A2
Y
41008
Drainage of mouth lesion
$904.15
A2
Y
41009
Drainage of mouth lesion
$174.99
A2
Y
41010
Incision of tongue fold
$385.63
A2
Y
41015
Drainage of mouth lesion
$174.99
A2
Y
41016
Drainage of mouth lesion
$904.15
A2
Y
41017
Drainage of mouth lesion
$904.15
A2
Y
41018
Drainage of mouth lesion
$385.63
A2
Y
41019
Place needles h&n for rt
$904.15
G2
Y
41100
Biopsy of tongue
$117.08
P3
Y
41105
Biopsy of tongue
$118.15
P3
Y
41108
Biopsy of floor of mouth
$109.56
P3
Y
41110
Excision of tongue lesion
$157.90
P3
Y
41112
Excision of tongue lesion
$904.15
A2
Y
41113
Excision of tongue lesion
$904.15
A2
Y
41114
Excision of tongue lesion
$904.15
A2
Y
41115
Excision of tongue fold
$185.11
P3
Y
41116
Excision of mouth lesion
$904.15
A2
Y
41120
Partial removal of tongue
$1994.21
A2
Y
41251
Repair tongue laceration
$174.99
A2
Y
41252
Repair tongue laceration
$385.63
A2
Y
41500
Fixation of tongue
$904.15
A2
Y
41510
Tongue to lip surgery
$904.15
A2
Y
41512
Tongue suspension
$1994.21
G2
Y
41520
Reconstruction tongue fold
$1994.21
A2
Y
41530
Tongue base vol reduction
$904.15
R2
Y
41805
Removal foreign body gum
$215.54
P3
Y
41806
Removal foreign body jawbone
$256.00
P3
Y
41820
Excision gum each quadrant
$904.15
R2
Y
41821
Excision of gum flap
$385.63
G2
Y
41822
Excision of gum lesion
$207.66
P3
Y
41823
Excision of gum lesion
$292.88
P3
Y
41825
Excision of gum lesion
$164.34
P3
Y
41826
Excision of gum lesion
$232.01
P3
Y
41827
Excision of gum lesion
$1994.21
A2
Y
41828
Excision of gum lesion
$193.70
P3
Y
41830
Removal of gum tissue
$270.68
P3
Y
41850
Treatment of gum lesion
$904.15
R2
Y
41870
Gum graft
$1994.21
G2
Y
41872
Repair gum
$261.73
P3
Y
41874
Repair tooth socket
$263.52
P3
Y
42000
Drainage mouth roof lesion
$174.99
A2
Y
42100
Biopsy roof of mouth
$101.33
P3
Y
42104
Excision lesion mouth roof
$156.46
P3
Y
42106
Excision lesion mouth roof
$198.71
P3
Y
42107
Excision lesion mouth roof
$1994.21
A2
Y
42120
Remove palate/lesion
$904.15
A2
Y
42140
Excision of uvula
$904.15
A2
Y
42145
Repair palate pharynx/uvula
$1994.21
A2
Y
42160
Treatment mouth roof lesion
$166.49
P3
Y
42180
Repair palate
$174.99
A2
Y
42182
Repair palate
$904.15
A2
Y
42200
Reconstruct cleft palate
$1994.21
A2
Y
42205
Reconstruct cleft palate
$1994.21
A2
Y
42210
Reconstruct cleft palate
$1994.21
A2
Y
42215
Reconstruct cleft palate
$1994.21
A2
Y
42220
Reconstruct cleft palate
$1994.21
A2
Y
42225
Reconstruct cleft palate
$1994.21
G2
Y
42226
Lengthening of palate
$1994.21
A2
Y
42227
Lengthening of palate
$1994.21
G2
Y
42235
Repair palate
$1994.21
A2
Y
42260
Repair nose to lip fistula
$904.15
A2
Y
42280
Preparation palate mold
$107.05
P3
Y
42281
Insertion palate prosthesis
$904.15
G2
Y
42300
Drainage of salivary gland
$385.63
A2
Y
42305
Drainage of salivary gland
$904.15
A2
Y
42310
Drainage of salivary gland
$174.99
A2
Y
42320
Drainage of salivary gland
$174.99
A2
Y
42330
Removal of salivary stone
$149.66
P3
Y
42335
Removal of salivary stone
$251.35
P3
Y
42340
Removal of salivary stone
$904.15
A2
Y
42400
Biopsy of salivary gland
$78.41
P3
Y
42405
Biopsy of salivary gland
$904.15
A2
Y
42408
Excision of salivary cyst
$904.15
A2
Y
42409
Drainage of salivary cyst
$904.15
A2
Y
42410
Excise parotid gland/lesion
$1994.21
A2
Y
42415
Excise parotid gland/lesion
$1994.21
A2
Y
42420
Excise parotid gland/lesion
$1994.21
A2
Y
42425
Excise parotid gland/lesion
$1994.21
A2
Y
42440
Excise submaxillary gland
$1994.21
A2
Y
42450
Excise sublingual gland
$1994.21
A2
Y
42500
Repair salivary duct
$904.15
A2
Y
42505
Repair salivary duct
$1994.21
A2
Y
42507
Parotid duct diversion
$1994.21
A2
Y
42509
Parotid duct diversion
$1994.21
A2
Y
42510
Parotid duct diversion
$1994.21
A2
Y
42600
Closure of salivary fistula
$904.15
A2
Y
42650
Dilation of salivary duct
$55.50
P3
Y
42660
Dilation of salivary duct
$80.56
P3
Y
42665
Ligation of salivary duct
$1994.21
A2
Y
42700
Drainage of tonsil abscess
$174.99
A2
Y
42720
Drainage of throat abscess
$904.15
A2
Y
42725
Drainage of throat abscess
$1994.21
A2
Y
42800
Biopsy of throat
$105.98
P3
Y
42804
Biopsy of upper nose/throat
$904.15
A2
Y
42806
Biopsy of upper nose/throat
$904.15
A2
Y
42808
Excise pharynx lesion
$904.15
A2
Y
42810
Excision of neck cyst
$904.15
A2
Y
42815
Excision of neck cyst
$1994.21
A2
Y
42820
Remove tonsils and adenoids
$904.15
A2
Y
42821
Remove tonsils and adenoids
$904.15
A2
Y
42825
Removal of tonsils
$1994.21
A2
Y
42826
Removal of tonsils
$904.15
A2
Y
42830
Removal of adenoids
$1994.21
A2
Y
42831
Removal of adenoids
$904.15
A2
Y
42835
Removal of adenoids
$904.15
A2
Y
42836
Removal of adenoids
$904.15
A2
Y
42860
Excision of tonsil tags
$1994.21
A2
Y
42870
Excision of lingual tonsil
$904.15
A2
Y
42890
Partial removal of pharynx
$1994.21
A2
Y
42892
Revision of pharyngeal walls
$1994.21
A2
Y
42900
Repair throat wound
$385.63
A2
Y
42950
Reconstruction of throat
$1994.21
A2
Y
42955
Surgical opening of throat
$385.63
A2
Y
42960
Control throat bleeding
$72.30
A2
Y
42962
Control throat bleeding
$904.15
A2
Y
42970
Control nose/throat bleeding
$72.30
R2
Y
42972
Control nose/throat bleeding
$904.15
A2
Y
43030
Throat muscle surgery
$1994.21
G2
Y
43130
Removal of esophagus pouch
$1994.21
G2
Y
43180
Esophagoscopy rigid trnso
$904.15
G2
Y
43191
Esophagoscopy rigid trnso dx
$416.80
G2
Y
43192
Esophagoscp rig trnso inject
$608.39
G2
Y
43193
Esophagoscp rig trnso biopsy
$608.39
G2
Y
43194
Esophagoscp rig trnso rem fb
$608.39
G2
Y
43195
Esophagoscopy rigid balloon
$608.39
G2
Y
43196
Esophagoscp guide wire dilat
$608.39
G2
Y
43197
Esophagoscopy flex dx brush
$131.40
P3
Y
43198
Esophagosc flex trnsn biopsy
$139.99
P3
Y
43200
Esophagoscopy flexible brush
$416.80
A2
Y
43201
Esoph scope w/submucous inj
$608.39
A2
Y
43202
Esophagoscopy flex biopsy
$416.80
A2
Y
43204
Esoph scope w/sclerosis inj
$416.80
A2
Y
43205
Esophagus endoscopy/ligation
$608.39
A2
Y
43206
Esoph optical endomicroscopy
$608.39
G2
Y
43210
Egd esophagogastrc fndoplsty
$1679.99
G2
Y
43211
Esophagoscop mucosal resect
$608.39
G2
Y
43212
Esophagoscop stent placement
$1679.99
G2
Y
43213
Esophagoscopy retro balloon
$608.39
G2
Y
43214
Esophagosc dilate balloon 30
$608.39
G2
Y
43215
Esophagoscopy flex remove fb
$608.39
A2
Y
43216
Esophagoscopy lesion removal
$1107.43
A2
Y
43217
Esophagoscopy snare les remv
$608.39
A2
Y
43220
Esophagoscopy balloon <30mm
$608.39
A2
Y
43226
Esoph endoscopy dilation
$608.39
A2
Y
43227
Esophagoscopy control bleed
$608.39
A2
Y
43229
Esophagoscopy lesion ablate
$1107.43
G2
Y
43231
Esophagoscop ultrasound exam
$608.39
A2
Y
43232
Esophagoscopy w/us needle bx
$608.39
A2
Y
43233
Egd balloon dil esoph30 mm/>
$608.39
G2
Y
43235
Egd diagnostic brush wash
$416.80
A2
Y
43236
Uppr gi scope w/submuc inj
$416.80
A2
Y
43237
Endoscopic us exam esoph
$608.39
A2
Y
43238
Egd us fine needle bx/aspir
$608.39
A2
Y
43239
Egd biopsy single/multiple
$416.80
A2
Y
43240
Egd w/transmural drain cyst
$1107.43
A2
Y
43241
Egd tube/cath insertion
$416.80
A2
Y
43242
Egd us fine needle bx/aspir
$608.39
A2
Y
43243
Egd injection varices
$416.80
A2
Y
43244
Egd varices ligation
$608.39
A2
Y
43245
Egd dilate stricture
$608.39
A2
Y
43246
Egd place gastrostomy tube
$608.39
A2
Y
43247
Egd remove foreign body
$416.80
A2
Y
43248
Egd guide wire insertion
$416.80
A2
Y
43249
Esoph egd dilation <30 mm
$608.39
A2
Y
43250
Egd cautery tumor polyp
$608.39
A2
Y
43251
Egd remove lesion snare
$608.39
A2
Y
43252
Egd optical endomicroscopy
$608.39
G2
Y
43253
Egd us transmural injxn/mark
$608.39
G2
Y
43254
Egd endo mucosal resection
$608.39
G2
Y
43255
Egd control bleeding any
$608.39
A2
Y
43257
Egd w/thrml txmnt gerd
$1107.43
A2
Y
43259
Egd us exam duodenum/jejunum
$608.39
A2
Y
43260
Ercp w/specimen collection
$1107.43
A2
Y
43261
Endo cholangiopancreatograph
$1107.43
A2
Y
43262
Endo cholangiopancreatograph
$1107.43
A2
Y
43263
Ercp sphincter pressure meas
$1107.43
A2
Y
43264
Ercp remove duct calculi
$1107.43
A2
Y
43265
Ercp lithotripsy calculi
$1107.43
A2
Y
43266
Egd endoscopic stent place
$1679.99
G2
Y
43270
Egd lesion ablation
$608.39
G2
Y
43274
Ercp duct stent placement
$1679.99
G2
Y
43275
Ercp remove forgn body duct
$1107.43
G2
Y
43276
Ercp stent exchange w/dilate
$1679.99
G2
Y
43277
Ercp ea duct/ampulla dilate
$1107.43
G2
Y
43278
Ercp lesion ablate w/dilate
$1107.43
G2
Y
43450
Dilate esophagus 1/mult pass
$416.80
A2
Y
43453
Dilate esophagus
$608.39
A2
Y
43653
Laparoscopy gastrostomy
$2010.99
A2
Y
43752
Nasal/orogastric w/tube plmt
$107.35
G2
N
43755
Dx gastr intub w/asp specs
$72.55
G2
N
43756
Dx duod intub w/asp spec
$56.31
G2
N
43757
Dx duod intub w/asp specs
$416.80
G2
Y
43760
Change gastrostomy tube
$111.73
A2
Y
43761
Reposition gastrostomy tube
$416.80
A2
Y
43870
Repair stomach opening
$1107.43
A2
Y
43886
Revise gastric port open
$1195.26
G2
Y
43887
Remove gastric port open
$1195.26
G2
N
43888
Change gastric port open
$1195.26
G2
Y
44100
Biopsy of bowel
$608.39
A2
Y
44312
Revision of ileostomy
$1195.26
A2
Y
44340
Revision of colostomy
$1195.26
A2
Y
44360
Small bowel endoscopy
$416.80
A2
Y
44361
Small bowel endoscopy/biopsy
$608.39
A2
Y
44363
Small bowel endoscopy
$608.39
A2
Y
44364
Small bowel endoscopy
$608.39
A2
Y
44365
Small bowel endoscopy
$608.39
A2
Y
44366
Small bowel endoscopy
$608.39
A2
Y
44369
Small bowel endoscopy
$608.39
A2
Y
44370
Small bowel endoscopy/stent
$1679.99
A2
Y
44372
Small bowel endoscopy
$608.39
A2
Y
44373
Small bowel endoscopy
$608.39
A2
Y
44376
Small bowel endoscopy
$608.39
A2
Y
44377
Small bowel endoscopy/biopsy
$608.39
A2
Y
44378
Small bowel endoscopy
$608.39
A2
Y
44379
S bowel endoscope w/stent
$1679.99
A2
Y
44380
Small bowel endoscopy br/wa
$416.80
A2
Y
44381
Small bowel endoscopy br/wa
$416.80
G2
Y
44382
Small bowel endoscopy
$416.80
A2
Y
44384
Small bowel endoscopy
$1679.99
G2
Y
44385
Endoscopy of bowel pouch
$420.93
A2
Y
44386
Endoscopy bowel pouch/biop
$420.93
A2
Y
44388
Colonoscopy thru stoma spx
$420.93
A2
Y
44389
Colonoscopy with biopsy
$420.93
A2
Y
44390
Colonoscopy for foreign body
$420.93
A2
Y
44391
Colonoscopy for bleeding
$420.93
A2
Y
44392
Colonoscopy & polypectomy
$420.93
A2
Y
44394
Colonoscopy w/snare
$420.93
A2
Y
44401
Colonoscopy with ablation
$420.93
G2
Y
44402
Colonoscopy w/stent plcmt
$1679.99
G2
Y
44403
Colonoscopy w/resection
$420.93
G2
Y
44404
Colonoscopy w/injection
$420.93
G2
Y
44405
Colonoscopy w/dilation
$420.93
G2
Y
44406
Colonoscopy w/ultrasound
$420.93
G2
Y
44407
Colonoscopy w/ndl aspir/bx
$420.93
G2
Y
44408
Colonoscopy w/decompression
$420.93
G2
Y
44500
Intro gastrointestinal tube
$269.99
G2
Y
45000
Drainage of pelvic abscess
$929.09
A2
Y
45005
Drainage of rectal abscess
$929.09
A2
Y
45020
Drainage of rectal abscess
$929.09
A2
Y
45100
Biopsy of rectum
$929.09
A2
Y
45108
Removal of anorectal lesion
$1301.02
A2
Y
45150
Excision of rectal stricture
$929.09
A2
Y
45160
Excision of rectal lesion
$929.09
A2
Y
45171
Exc rect tum transanal part
$1301.02
G2
Y
45172
Exc rect tum transanal full
$1301.02
G2
Y
45190
Destruction rectal tumor
$929.09
A2
Y
45300
Proctosigmoidoscopy dx
$92.38
P3
Y
45303
Proctosigmoidoscopy dilate
$420.93
P2
Y
45305
Proctosigmoidoscopy w/bx
$929.09
A2
Y
45307
Proctosigmoidoscopy fb
$929.09
A2
Y
45308
Proctosigmoidoscopy removal
$929.09
A2
Y
45309
Proctosigmoidoscopy removal
$929.09
A2
Y
45315
Proctosigmoidoscopy removal
$929.09
A2
Y
45317
Proctosigmoidoscopy bleed
$420.93
A2
Y
45320
Proctosigmoidoscopy ablate
$1301.02
A2
Y
45321
Proctosigmoidoscopy volvul
$929.09
A2
Y
45327
Proctosigmoidoscopy w/stent
$1679.99
A2
Y
45330
Diagnostic sigmoidoscopy
$135.70
P3
Y
45331
Sigmoidoscopy and biopsy
$275.37
A2
Y
45332
Sigmoidoscopy w/fb removal
$420.93
A2
Y
45333
Sigmoidoscopy & polypectomy
$275.37
A2
Y
45334
Sigmoidoscopy for bleeding
$420.93
A2
Y
45335
Sigmoidoscopy w/submuc inj
$275.37
A2
Y
45337
Sigmoidoscopy & decompress
$420.93
A2
Y
45338
Sigmoidoscopy w/tumr remove
$420.93
A2
Y
45340
Sig w/tndsc balloon dilation
$420.93
A2
Y
45341
Sigmoidoscopy w/ultrasound
$420.93
A2
Y
45342
Sigmoidoscopy w/us guide bx
$929.09
A2
Y
45346
Sigmoidoscopy w/ablation
$420.93
G2
Y
45347
Sigmoidoscopy w/plcmt stent
$1679.99
G2
Y
45349
Sigmoidoscopy w/resection
$420.93
G2
Y
45350
Sgmdsc w/band ligation
$420.93
G2
Y
45378
Diagnostic colonoscopy
$420.93
A2
Y
45379
Colonoscopy w/fb removal
$420.93
A2
Y
45380
Colonoscopy and biopsy
$420.93
A2
Y
45381
Colonoscopy submucous njx
$420.93
A2
Y
45382
Colonoscopy w/control bleed
$420.93
A2
Y
45384
Colonoscopy w/lesion removal
$420.93
A2
Y
45385
Colonoscopy w/lesion removal
$420.93
A2
Y
45386
Colonoscopy w/balloon dilat
$420.93
A2
Y
45388
Colonoscopy w/ablation
$420.93
G2
Y
45389
Colonoscopy w/stent plcmt
$1679.99
G2
Y
45390
Colonoscopy w/resection
$420.93
G2
Y
45391
Colonoscopy w/endoscope us
$420.93
A2
Y
45392
Colonoscopy w/endoscopic fnb
$929.09
A2
Y
45393
Colonoscopy w/decompression
$420.93
G2
Y
45398
Colonoscopy w/band ligation
$420.93
G2
Y
45500
Repair of rectum
$929.09
A2
Y
45505
Repair of rectum
$1301.02
A2
Y
45541
Correct rectal prolapse
$1301.02
G2
Y
45560
Repair of rectocele
$1301.02
A2
Y
45900
Reduction of rectal prolapse
$275.37
A2
Y
45905
Dilation of anal sphincter
$929.09
A2
Y
45910
Dilation of rectal narrowing
$929.09
A2
Y
45915
Remove rectal obstruction
$929.09
A2
Y
45990
Surg dx exam anorectal
$929.09
A2
Y
46020
Placement of seton
$929.09
A2
Y
46030
Removal of rectal marker
$420.93
A2
Y
46040
Incision of rectal abscess
$929.09
A2
Y
46045
Incision of rectal abscess
$929.09
A2
Y
46050
Incision of anal abscess
$275.37
A2
Y
46060
Incision of rectal abscess
$929.09
A2
Y
46070
Incision of anal septum
$929.09
G2
Y
46080
Incision of anal sphincter
$929.09
A2
Y
46083
Incise external hemorrhoid
$115.54
P2
Y
46200
Removal of anal fissure
$929.09
A2
Y
46220
Excise anal ext tag/papilla
$929.09
A2
Y
46221
Ligation of hemorrhoid(s)
$176.52
P3
Y
46230
Removal of anal tags
$929.09
A2
Y
46250
Remove ext hem groups 2+
$929.09
A2
Y
46255
Remove int/ext hem 1 group
$929.09
A2
Y
46257
Remove in/ex hem grp & fiss
$929.09
A2
Y
46258
Remove in/ex hem grp w/fistu
$1301.02
A2
Y
46260
Remove in/ex hem groups 2+
$1301.02
A2
Y
46261
Remove in/ex hem grps & fiss
$1301.02
A2
Y
46262
Remove in/ex hem grps w/fist
$1301.02
A2
Y
46270
Remove anal fist subq
$929.09
A2
Y
46275
Remove anal fist inter
$929.09
A2
Y
46280
Remove anal fist complex
$929.09
A2
Y
46285
Remove anal fist 2 stage
$929.09
A2
Y
46288
Repair anal fistula
$1301.02
A2
Y
46320
Removal of hemorrhoid clot
$118.15
P3
Y
46500
Injection into hemorrhoid(s)
$139.64
P3
Y
46505
Chemodenervation anal musc
$929.09
G2
Y
46604
Anoscopy and dilation
$587.55
P3
Y
46606
Anoscopy and biopsy
$180.10
P3
Y
46607
Diagnostic anoscopy & biopsy
$420.93
G2
Y
46608
Anoscopy remove for body
$420.93
A2
Y
46610
Anoscopy remove lesion
$929.09
A2
Y
46611
Anoscopy
$420.93
A2
Y
46612
Anoscopy remove lesions
$929.09
A2
Y
46614
Anoscopy control bleeding
$89.51
P3
Y
46615
Anoscopy
$929.09
A2
Y
46700
Repair of anal stricture
$929.09
A2
Y
46706
Repr of anal fistula w/glue
$1301.02
A2
Y
46707
Repair anorectal fist w/plug
$1301.02
G2
Y
46750
Repair of anal sphincter
$1301.02
A2
Y
46753
Reconstruction of anus
$1301.02
A2
Y
46754
Removal of suture from anus
$929.09
A2
Y
46760
Repair of anal sphincter
$1301.02
A2
Y
46761
Repair of anal sphincter
$1301.02
A2
Y
46762
Implant artificial sphincter
$1679.99
A2
Y
46900
Destruction anal lesion(s)
$126.13
P2
Y
46910
Destruction anal lesion(s)
$181.53
P3
Y
46916
Cryosurgery anal lesion(s)
$126.13
P2
Y
46917
Laser surgery anal lesions
$929.09
A2
Y
46922
Excision of anal lesion(s)
$929.09
A2
Y
46924
Destruction anal lesion(s)
$929.09
A2
Y
46930
Destroy internal hemorrhoids
$144.29
P3
Y
46940
Treatment of anal fissure
$136.06
P3
Y
46942
Treatment of anal fissure
$135.34
P3
Y
46945
Remove by ligat int hem grp
$221.99
P3
Y
46946
Remove by ligat int hem grps
$929.09
A2
Y
46947
Hemorrhoidopexy by stapling
$1301.02
A2
Y
47000
Needle biopsy of liver
$526.74
A2
Y
47382
Percut ablate liver rf
$2302.86
G2
Y
47383
Perq abltj lvr cryoablation
$2302.86
G2
Y
47533
Plmt biliary drainage cath
$1217.41
G2
Y
47534
Plmt biliary drainage cath
$1217.41
G2
Y
47535
Conversion ext bil drg cath
$1217.41
G2
Y
47536
Exchange biliary drg cath
$1217.41
G2
Y
47537
Removal biliary drg cath
$269.99
G2
N
47538
Perq plmt bile duct stent
$2302.86
G2
Y
47539
Perq plmt bile duct stent
$2302.86
G2
Y
47540
Perq plmt bile duct stent
$2302.86
G2
Y
47541
Plmt access bil tree sm bwl
$1217.41
G2
Y
47552
Biliary endo perq dx w/speci
$1217.41
A2
Y
47553
Biliary endoscopy thru skin
$2302.86
A2
Y
47554
Biliary endoscopy thru skin
$2302.86
A2
Y
47555
Biliary endoscopy thru skin
$1217.41
A2
Y
47556
Biliary endoscopy thru skin
$2302.86
A2
Y
47562
Laparoscopic cholecystectomy
$2010.99
G2
Y
47563
Laparo cholecystectomy/graph
$2010.99
G2
Y
47564
Laparo cholecystectomy/explr
$2010.99
G2
Y
48102
Needle biopsy pancreas
$526.74
A2
Y
49082
Abd paracentesis
$269.99
G2
Y
49083
Abd paracentesis w/imaging
$269.99
G2
Y
49084
Peritoneal lavage
$269.99
G2
Y
49180
Biopsy abdominal mass
$526.74
A2
Y
49250
Excision of umbilicus
$1460.91
A2
Y
49320
Diag laparo separate proc
$2010.99
A2
Y
49321
Laparoscopy biopsy
$2010.99
A2
Y
49322
Laparoscopy aspiration
$2010.99
A2
Y
49324
Lap insert tunnel ip cath
$2010.99
G2
Y
49325
Lap revision perm ip cath
$2010.99
G2
Y
49402
Remove foreign body adbomen
$1460.91
A2
Y
49406
Image cath fluid peri/retro
$790.85
G2
Y
49407
Image cath fluid trns/vgnl
$526.74
G2
Y
49411
Ins mark abd/pel for rt perq
$408.17
P3
N
49418
Insert tun ip cath perc
$1217.41
G2
Y
49419
Insert tun ip cath w/port
$1256.68
A2
Y
49421
Ins tun ip cath for dial opn
$1460.91
G2
Y
49422
Remove tunneled ip cath
$1256.68
A2
N
49423
Exchange drainage catheter
$675.36
G2
Y
49426
Revise abdomen-venous shunt
$1460.91
A2
Y
49429
Removal of shunt
$1256.68
G2
N
49436
Embedded ip cath exit-site
$675.36
G2
Y
49440
Place gastrostomy tube perc
$608.39
G2
Y
49441
Place duod/jej tube perc
$608.39
G2
Y
49442
Place cecostomy tube perc
$929.09
G2
Y
49446
Change g-tube to g-j perc
$608.39
G2
Y
49450
Replace g/c tube perc
$269.99
G2
Y
49451
Replace duod/jej tube perc
$269.99
G2
Y
49452
Replace g-j tube perc
$269.99
G2
Y
49460
Fix g/colon tube w/device
$269.99
G2
Y
49465
Fluoro exam of g/colon tube
$56.31
G2
N
49495
Rpr ing hernia baby reduc
$1460.91
A2
Y
49496
Rpr ing hernia baby blocked
$1460.91
A2
Y
49500
Rpr ing hernia init reduce
$1460.91
A2
Y
49501
Rpr ing hernia init blocked
$1460.91
A2
Y
49505
Prp i/hern init reduc >5 yr
$1460.91
A2
Y
49507
Prp i/hern init block >5 yr
$1460.91
A2
Y
49520
Rerepair ing hernia reduce
$1460.91
A2
Y
49521
Rerepair ing hernia blocked
$1460.91
A2
Y
49525
Repair ing hernia sliding
$1460.91
A2
Y
49540
Repair lumbar hernia
$1460.91
A2
Y
49550
Rpr rem hernia init reduce
$1460.91
A2
Y
49553
Rpr fem hernia init blocked
$1460.91
A2
Y
49555
Rerepair fem hernia reduce
$1460.91
A2
Y
49557
Rerepair fem hernia blocked
$1460.91
A2
Y
49560
Rpr ventral hern init reduc
$1460.91
A2
Y
49561
Rpr ventral hern init block
$1460.91
A2
Y
49565
Rerepair ventrl hern reduce
$1460.91
A2
Y
49566
Rerepair ventrl hern block
$1460.91
A2
Y
49570
Rpr epigastric hern reduce
$1460.91
A2
Y
49572
Rpr epigastric hern blocked
$1460.91
A2
Y
49580
Rpr umbil hern reduc < 5 yr
$1460.91
A2
Y
49582
Rpr umbil hern block < 5 yr
$1460.91
A2
Y
49585
Rpr umbil hern reduc > 5 yr
$1460.91
A2
Y
49587
Rpr umbil hern block > 5 yr
$1460.91
A2
Y
49590
Repair spigelian hernia
$1460.91
A2
Y
49600
Repair umbilical lesion
$1460.91
A2
Y
49650
Lap ing hernia repair init
$2010.99
A2
Y
49651
Lap ing hernia repair recur
$2010.99
A2
Y
49652
Lap vent/abd hernia repair
$2010.99
G2
Y
49653
Lap vent/abd hern proc comp
$2010.99
G2
Y
49654
Lap inc hernia repair
$3277.62
G2
Y
49655
Lap inc hern repair comp
$3277.62
G2
Y
49656
Lap inc hernia repair recur
$3277.62
G2
Y
49657
Lap inc hern recur comp
$3277.62
G2
Y
50080
Removal of kidney stone
$5926.16
J8
Y
50081
Removal of kidney stone
$5926.16
J8
Y
50200
Renal biopsy perq
$790.85
A2
Y
50382
Change ureter stent percut
$842.37
G2
Y
50384
Remove ureter stent percut
$842.37
G2
N
50385
Change stent via transureth
$842.37
G2
Y
50386
Remove stent via transureth
$626.22
P3
N
50387
Change nephroureteral cath
$675.36
G2
Y
50389
Remove renal tube w/fluoro
$293.28
G2
N
50390
Drainage of kidney lesion
$526.74
A2
Y
50391
Instll rx agnt into rnal tub
$46.90
P3
Y
50395
Create passage to kidney
$1254.53
A2
Y
50396
Measure kidney pressure
$293.28
A2
Y
50432
Plmt nephrostomy catheter
$842.37
G2
Y
50433
Plmt nephroureteral catheter
$842.37
G2
Y
50434
Convert nephrostomy catheter
$293.28
G2
Y
50435
Exchange nephrostomy cath
$293.28
G2
Y
50551
Kidney endoscopy
$1254.53
A2
Y
50553
Kidney endoscopy
$1744.29
A2
Y
50555
Kidney endoscopy & biopsy
$1254.53
A2
Y
50557
Kidney endoscopy & treatment
$5926.16
J8
Y
50561
Kidney endoscopy & treatment
$1744.29
A2
Y
50562
Renal scope w/tumor resect
$1254.53
G2
Y
50570
Kidney endoscopy
$842.37
G2
Y
50572
Kidney endoscopy
$293.28
G2
Y
50574
Kidney endoscopy & biopsy
$293.28
G2
Y
50575
Kidney endoscopy
$1744.29
G2
Y
50576
Kidney endoscopy & treatment
$842.37
G2
Y
50580
Kidney endoscopy & treatment
$842.37
G2
Y
50590
Fragmenting of kidney stone
$1744.29
G2
Y
50592
Perc rf ablate renal tumor
$2302.86
G2
Y
50593
Perc cryo ablate renal tum
$2302.86
G2
Y
50686
Measure ureter pressure
$72.55
P2
N
50688
Change of ureter tube/stent
$675.36
A2
Y
50693
Plmt ureteral stent prq
$1254.53
G2
Y
50694
Plmt ureteral stent prq
$1254.53
G2
Y
50695
Plmt ureteral stent prq
$1254.53
G2
Y
50727
Revise ureter
$1254.53
G2
Y
50947
Laparo new ureter/bladder
$2010.99
A2
Y
50948
Laparo new ureter/bladder
$3277.62
A2
Y
50951
Endoscopy of ureter
$842.37
A2
Y
50953
Endoscopy of ureter
$1254.53
A2
Y
50955
Ureter endoscopy & biopsy
$1254.53
A2
Y
50957
Ureter endoscopy & treatment
$1744.29
A2
Y
50961
Ureter endoscopy & treatment
$842.37
A2
Y
50970
Ureter endoscopy
$293.28
A2
Y
50972
Ureter endoscopy & catheter
$293.28
A2
Y
50974
Ureter endoscopy & biopsy
$1744.29
A2
Y
50976
Ureter endoscopy & treatment
$1744.29
A2
Y
50980
Ureter endoscopy & treatment
$1254.53
A2
Y
51020
Incise & treat bladder
$1254.53
A2
Y
51030
Incise & treat bladder
$1254.53
A2
Y
51040
Incise & drain bladder
$842.37
A2
Y
51045
Incise bladder/drain ureter
$842.37
A2
Y
51050
Removal of bladder stone
$1744.29
A2
Y
51065
Remove ureter calculus
$1744.29
A2
Y
51080
Drainage of bladder abscess
$526.74
A2
Y
51100
Drain bladder by needle
$31.15
P3
Y
51101
Drain bladder by trocar/cath
$85.57
P3
N
51102
Drain bl w/cath insertion
$842.37
A2
Y
51500
Removal of bladder cyst
$1460.91
A2
Y
51520
Removal of bladder lesion
$1254.53
A2
Y
51535
Repair of ureter lesion
$1254.53
G2
Y
51700
Irrigation of bladder
$49.41
P3
Y
51703
Insert bladder cath complex
$72.55
P2
N
51705
Change of bladder tube
$56.57
P3
Y
51710
Change of bladder tube
$269.99
A2
Y
51715
Endoscopic injection/implant
$1254.53
A2
Y
51720
Treatment of bladder lesion
$51.20
P3
Y
51725
Simple cystometrogram
$110.64
P3
Y
51726
Complex cystometrogram
$293.28
A2
Y
51727
Cystometrogram w/up
$205.16
P3
Y
51728
Cystometrogram w/vp
$209.81
P3
Y
51729
Cystometrogram w/vp&up
$213.39
P3
Y
51784
Anal/urinary muscle study
$72.55
P2
N
51785
Anal/urinary muscle study
$115.54
A2
Y
51880
Repair of bladder opening
$842.37
A2
Y
51992
Laparo sling operation
$2010.99
A2
Y
52000
Cystoscopy
$293.28
A2
Y
52001
Cystoscopy removal of clots
$842.37
A2
Y
52005
Cystoscopy & ureter catheter
$842.37
A2
Y
52007
Cystoscopy and biopsy
$1254.53
A2
Y
52010
Cystoscopy & duct catheter
$293.28
A2
Y
52204
Cystoscopy w/biopsy(s)
$842.37
A2
Y
52214
Cystoscopy and treatment
$842.37
A2
Y
52224
Cystoscopy and treatment
$842.37
A2
Y
52234
Cystoscopy and treatment
$1254.53
A2
Y
52235
Cystoscopy and treatment
$1254.53
A2
Y
52240
Cystoscopy and treatment
$1254.53
A2
Y
52250
Cystoscopy and radiotracer
$1254.53
A2
Y
52260
Cystoscopy and treatment
$842.37
A2
Y
52265
Cystoscopy and treatment
$253.14
P3
Y
52270
Cystoscopy & revise urethra
$842.37
A2
Y
52275
Cystoscopy & revise urethra
$842.37
A2
Y
52276
Cystoscopy and treatment
$842.37
A2
Y
52277
Cystoscopy and treatment
$1254.53
A2
Y
52281
Cystoscopy and treatment
$842.37
A2
Y
52282
Cystoscopy implant stent
$1254.53
A2
Y
52283
Cystoscopy and treatment
$842.37
A2
Y
52285
Cystoscopy and treatment
$842.37
A2
Y
52287
Cystoscopy chemodenervation
$842.37
G2
Y
52290
Cystoscopy and treatment
$842.37
A2
Y
52300
Cystoscopy and treatment
$842.37
A2
Y
52301
Cystoscopy and treatment
$1254.53
A2
Y
52305
Cystoscopy and treatment
$1744.29
A2
Y
52310
Cystoscopy and treatment
$842.37
A2
Y
52315
Cystoscopy and treatment
$842.37
A2
Y
52317
Remove bladder stone
$1254.53
A2
Y
52318
Remove bladder stone
$1744.29
A2
Y
52320
Cystoscopy and treatment
$1254.53
A2
Y
52325
Cystoscopy stone removal
$1254.53
A2
Y
52327
Cystoscopy inject material
$1254.53
A2
Y
52330
Cystoscopy and treatment
$1254.53
A2
Y
52332
Cystoscopy and treatment
$1254.53
A2
Y
52334
Create passage to kidney
$1254.53
A2
Y
52341
Cysto w/ureter stricture tx
$1254.53
A2
Y
52342
Cysto w/up stricture tx
$1254.53
A2
Y
52343
Cysto w/renal stricture tx
$842.37
A2
Y
52344
Cysto/uretero stricture tx
$1254.53
A2
Y
52345
Cysto/uretero w/up stricture
$1254.53
A2
Y
52346
Cystouretero w/renal strict
$1744.29
A2
Y
52351
Cystouretero & or pyeloscope
$1254.53
A2
Y
52352
Cystouretero w/stone remove
$1254.53
A2
Y
52353
Cystouretero w/lithotripsy
$1744.29
A2
Y
52354
Cystouretero w/biopsy
$1254.53
A2
Y
52355
Cystouretero w/excise tumor
$1744.29
A2
Y
52356
Cysto/uretero w/lithotripsy
$1744.29
G2
Y
52400
Cystouretero w/congen repr
$1254.53
A2
Y
52402
Cystourethro cut ejacul duct
$1254.53
A2
Y
52450
Incision of prostate
$1254.53
A2
Y
52500
Revision of bladder neck
$1254.53
A2
Y
52601
Prostatectomy (turp)
$1744.29
A2
Y
52630
Remove prostate regrowth
$1744.29
A2
Y
52640
Relieve bladder contracture
$1254.53
A2
Y
52647
Laser surgery of prostate
$1744.29
A2
Y
52648
Laser surgery of prostate
$1744.29
A2
Y
52649
Prostate laser enucleation
$1744.29
G2
Y
52700
Drainage of prostate abscess
$1254.53
A2
Y
53000
Incision of urethra
$1254.53
A2
Y
53010
Incision of urethra
$1744.29
A2
Y
53020
Incision of urethra
$842.37
A2
Y
53025
Incision of urethra
$842.37
R2
Y
53040
Drainage of urethra abscess
$1254.53
A2
Y
53060
Drainage of urethra abscess
$80.56
P3
Y
53080
Drainage of urinary leakage
$842.37
A2
Y
53085
Drainage of urinary leakage
$842.37
G2
Y
53200
Biopsy of urethra
$1254.53
A2
Y
53210
Removal of urethra
$1744.29
A2
Y
53215
Removal of urethra
$1744.29
A2
Y
53220
Treatment of urethra lesion
$1254.53
A2
Y
53230
Removal of urethra lesion
$1254.53
A2
Y
53235
Removal of urethra lesion
$1744.29
A2
Y
53240
Surgery for urethra pouch
$1744.29
A2
Y
53250
Removal of urethra gland
$842.37
A2
Y
53260
Treatment of urethra lesion
$842.37
A2
Y
53265
Treatment of urethra lesion
$842.37
A2
Y
53270
Removal of urethra gland
$1254.53
A2
Y
53275
Repair of urethra defect
$1254.53
A2
Y
53400
Revise urethra stage 1
$1744.29
A2
Y
53405
Revise urethra stage 2
$1744.29
A2
Y
53410
Reconstruction of urethra
$1744.29
A2
Y
53420
Reconstruct urethra stage 1
$1744.29
A2
Y
53425
Reconstruct urethra stage 2
$1744.29
A2
Y
53430
Reconstruction of urethra
$1254.53
A2
Y
53431
Reconstruct urethra/bladder
$1744.29
A2
Y
53440
Male sling procedure
$5926.16
J8
N
53442
Remove/revise male sling
$1744.29
A2
Y
53444
Insert tandem cuff
$5926.16
J8
N
53445
Insert uro/ves nck sphincter
$11836.71
J8
N
53446
Remove uro sphincter
$1744.29
A2
N
53447
Remove/replace ur sphincter
$11836.71
J8
N
53449
Repair uro sphincter
$1744.29
A2
Y
53450
Revision of urethra
$1254.53
A2
Y
53460
Revision of urethra
$1254.53
A2
Y
53502
Repair of urethra injury
$1254.53
A2
Y
53505
Repair of urethra injury
$1744.29
A2
Y
53510
Repair of urethra injury
$1744.29
A2
Y
53515
Repair of urethra injury
$1744.29
A2
Y
53520
Repair of urethra defect
$1744.29
A2
Y
53600
Dilate urethra stricture
$36.52
P3
Y
53605
Dilate urethra stricture
$842.37
A2
Y
53620
Dilate urethra stricture
$53.71
P3
Y
53621
Dilate urethra stricture
$57.29
P3
Y
53660
Dilation of urethra
$43.32
P3
N
53665
Dilation of urethra
$842.37
A2
Y
53850
Prostatic microwave thermotx
$842.37
P2
Y
53852
Prostatic rf thermotx
$1498.77
P3
Y
53855
Insert prost urethral stent
$293.28
P2
Y
53860
Transurethral rf treatment
$842.37
P2
Y
54000
Slitting of prepuce
$842.37
A2
Y
54001
Slitting of prepuce
$842.37
A2
Y
54015
Drain penis lesion
$526.74
A2
Y
54055
Destruction penis lesion(s)
$70.18
P3
Y
54057
Laser surg penis lesion(s)
$789.12
A2
Y
54060
Excision of penis lesion(s)
$789.12
A2
Y
54065
Destruction penis lesion(s)
$789.12
A2
Y
54100
Biopsy of penis
$526.74
A2
Y
54105
Biopsy of penis
$790.85
A2
Y
54110
Treatment of penis lesion
$1254.53
A2
Y
54111
Treat penis lesion graft
$1744.29
A2
Y
54112
Treat penis lesion graft
$5926.16
J8
Y
54115
Treatment of penis lesion
$790.85
A2
Y
54120
Partial removal of penis
$1254.53
A2
Y
54150
Circumcision w/regionl block
$842.37
A2
Y
54160
Circumcision neonate
$842.37
A2
Y
54161
Circum 28 days or older
$842.37
A2
Y
54162
Lysis penil circumic lesion
$842.37
A2
Y
54163
Repair of circumcision
$842.37
A2
Y
54164
Frenulotomy of penis
$842.37
A2
Y
54200
Treatment of penis lesion
$64.81
P3
Y
54205
Treatment of penis lesion
$1744.29
A2
Y
54220
Treatment of penis lesion
$115.54
A2
Y
54231
Dynamic cavernosometry
$61.58
P3
Y
54235
Penile injection
$44.76
P3
Y
54240
Penis study
$34.73
P3
N
54250
Penis study
$10.38
P3
Y
54300
Revision of penis
$1254.53
A2
Y
54304
Revision of penis
$1254.53
A2
Y
54308
Reconstruction of urethra
$1744.29
A2
Y
54312
Reconstruction of urethra
$1254.53
A2
Y
54316
Reconstruction of urethra
$1744.29
A2
Y
54318
Reconstruction of urethra
$1254.53
A2
Y
54322
Reconstruction of urethra
$1254.53
A2
Y
54324
Reconstruction of urethra
$1254.53
A2
Y
54326
Reconstruction of urethra
$1744.29
A2
Y
54328
Revise penis/urethra
$1254.53
A2
Y
54340
Secondary urethral surgery
$1254.53
A2
Y
54344
Secondary urethral surgery
$1744.29
A2
Y
54348
Secondary urethral surgery
$1254.53
A2
Y
54352
Reconstruct urethra/penis
$1744.29
A2
Y
54360
Penis plastic surgery
$1254.53
A2
Y
54380
Repair penis
$1254.53
A2
Y
54385
Repair penis
$1254.53
A2
Y
54400
Insert semi-rigid prosthesis
$5926.16
J8
N
54401
Insert self-contd prosthesis
$11836.71
J8
N
54405
Insert multi-comp penis pros
$11836.71
J8
N
54406
Remove muti-comp penis pros
$1254.53
A2
N
54408
Repair multi-comp penis pros
$1744.29
A2
Y
54410
Remove/replace penis prosth
$11836.71
J8
N
54415
Remove self-contd penis pros
$1254.53
A2
N
54416
Remv/repl penis contain pros
$11836.71
J8
N
54420
Revision of penis
$842.37
A2
Y
54435
Revision of penis
$842.37
A2
Y
54437
Repair corporeal tear
$842.37
G2
Y
54440
Repair of penis
$1254.53
A2
Y
54450
Preputial stretching
$115.54
A2
Y
54500
Biopsy of testis
$790.85
A2
Y
54505
Biopsy of testis
$1254.53
A2
Y
54512
Excise lesion testis
$1254.53
A2
Y
54520
Removal of testis
$1254.53
A2
Y
54522
Orchiectomy partial
$1254.53
A2
Y
54530
Removal of testis
$1460.91
A2
Y
54550
Exploration for testis
$1460.91
A2
Y
54560
Exploration for testis
$842.37
G2
Y
54600
Reduce testis torsion
$1254.53
A2
Y
54620
Suspension of testis
$842.37
A2
Y
54640
Suspension of testis
$1460.91
A2
Y
54660
Revision of testis
$1744.29
A2
Y
54670
Repair testis injury
$842.37
A2
Y
54680
Relocation of testis(es)
$842.37
A2
Y
54690
Laparoscopy orchiectomy
$2010.99
A2
Y
54692
Laparoscopy orchiopexy
$2010.99
G2
Y
54700
Drainage of scrotum
$842.37
A2
Y
54800
Biopsy of epididymis
$790.85
A2
Y
54830
Remove epididymis lesion
$1254.53
A2
Y
54840
Remove epididymis lesion
$1254.53
A2
Y
54860
Removal of epididymis
$1254.53
A2
Y
54861
Removal of epididymis
$1254.53
A2
Y
54865
Explore epididymis
$1254.53
A2
Y
54900
Fusion of spermatic ducts
$842.37
A2
Y
54901
Fusion of spermatic ducts
$1254.53
A2
Y
55000
Drainage of hydrocele
$61.94
P3
Y
55040
Removal of hydrocele
$1460.91
A2
Y
55041
Removal of hydroceles
$1460.91
A2
Y
55060
Repair of hydrocele
$1254.53
A2
Y
55100
Drainage of scrotum abscess
$526.74
A2
Y
55110
Explore scrotum
$1254.53
A2
Y
55120
Removal of scrotum lesion
$842.37
A2
Y
55150
Removal of scrotum
$1254.53
A2
Y
55175
Revision of scrotum
$1254.53
A2
Y
55180
Revision of scrotum
$1744.29
A2
Y
55200
Incision of sperm duct
$842.37
A2
Y
55250
Removal of sperm duct(s)
$842.37
A2
Y
55400
Repair of sperm duct
$1254.53
A2
Y
55450
Ligation of sperm duct
$189.05
P3
Y
55500
Removal of hydrocele
$1254.53
A2
Y
55520
Removal of sperm cord lesion
$1254.53
A2
Y
55530
Revise spermatic cord veins
$1254.53
A2
Y
55535
Revise spermatic cord veins
$1460.91
A2
Y
55540
Revise hernia & sperm veins
$1460.91
A2
Y
55550
Laparo ligate spermatic vein
$2010.99
A2
Y
55600
Incise sperm duct pouch
$842.37
R2
Y
55680
Remove sperm pouch lesion
$842.37
A2
Y
55700
Biopsy of prostate
$842.37
A2
Y
55705
Biopsy of prostate
$1254.53
A2
Y
55706
Prostate saturation sampling
$1254.53
G2
Y
55720
Drainage of prostate abscess
$842.37
A2
Y
55725
Drainage of prostate abscess
$1254.53
A2
Y
55860
Surgical exposure prostate
$1254.53
G2
Y
55870
Electroejaculation
$76.62
P3
Y
55873
Cryoablate prostate
$5926.16
J8
Y
55875
Transperi needle place pros
$1254.53
A2
N
55876
Place rt device/marker pros
$69.82
P3
N
55920
Place needles pelvic for rt
$1460.91
G2
Y
56405
I & d of vulva/perineum
$50.84
P3
Y
56420
Drainage of gland abscess
$65.16
P3
Y
56440
Surgery for vulva lesion
$1040.74
A2
Y
56441
Lysis of labial lesion(s)
$1040.74
A2
Y
56442
Hymenotomy
$1040.74
A2
Y
56501
Destroy vulva lesions sim
$69.10
P3
Y
56515
Destroy vulva lesion/s compl
$1195.26
A2
Y
56605
Biopsy of vulva/perineum
$39.03
P3
Y
56620
Partial removal of vulva
$1040.74
A2
Y
56625
Complete removal of vulva
$1040.74
A2
Y
56700
Partial removal of hymen
$1040.74
A2
Y
56740
Remove vagina gland lesion
$1040.74
A2
Y
56800
Repair of vagina
$1040.74
A2
Y
56805
Repair clitoris
$1040.74
G2
Y
56810
Repair of perineum
$1040.74
A2
Y
56820
Exam of vulva w/scope
$51.92
P3
Y
56821
Exam/biopsy of vulva w/scope
$66.24
P3
Y
57000
Exploration of vagina
$1040.74
A2
Y
57010
Drainage of pelvic abscess
$1040.74
A2
Y
57020
Drainage of pelvic fluid
$1040.74
A2
Y
57022
I & d vaginal hematoma pp
$790.85
R2
Y
57023
I & d vag hematoma non-ob
$790.85
A2
Y
57061
Destroy vag lesions simple
$62.66
P3
Y
57065
Destroy vag lesions complex
$1040.74
A2
Y
57100
Biopsy of vagina
$41.17
P3
Y
57105
Biopsy of vagina
$1040.74
A2
Y
57120
Closure of vagina
$1809.89
G2
Y
57130
Remove vagina lesion
$1040.74
A2
Y
57135
Remove vagina lesion
$1040.74
A2
Y
57155
Insert uteri tandem/ovoids
$1040.74
A2
Y
57156
Ins vag brachytx device
$140.30
G2
Y
57160
Insert pessary/other device
$41.89
P3
Y
57170
Fitting of diaphragm/cap
$25.06
P3
Y
57180
Treat vaginal bleeding
$78.61
A2
Y
57200
Repair of vagina
$1040.74
A2
Y
57210
Repair vagina/perineum
$1040.74
A2
Y
57220
Revision of urethra
$1809.89
A2
Y
57230
Repair of urethral lesion
$1040.74
A2
Y
57240
Repair bladder & vagina
$1809.89
A2
Y
57250
Repair rectum & vagina
$1809.89
A2
Y
57260
Repair of vagina
$1809.89
A2
Y
57265
Extensive repair of vagina
$1809.89
A2
Y
57268
Repair of bowel bulge
$1040.74
A2
Y
57287
Revise/remove sling repair
$1040.74
G2
N
57288
Repair bladder defect
$1809.89
A2
Y
57289
Repair bladder & vagina
$2476.18
A2
Y
57291
Construction of vagina
$1040.74
A2
Y
57295
Revise vag graft via vagina
$1040.74
G2
Y
57300
Repair rectum-vagina fistula
$1040.74
A2
Y
57310
Repair urethrovaginal lesion
$2476.18
G2
Y
57320
Repair bladder-vagina lesion
$1809.89
G2
Y
57400
Dilation of vagina
$1040.74
A2
Y
57410
Pelvic examination
$1040.74
A2
Y
57415
Remove vaginal foreign body
$1040.74
A2
Y
57420
Exam of vagina w/scope
$53.35
P3
Y
57421
Exam/biopsy of vag w/scope
$69.82
P3
Y
57426
Revise prosth vag graft lap
$2476.18
G2
Y
57452
Exam of cervix w/scope
$49.77
P3
Y
57454
Bx/curett of cervix w/scope
$61.58
P3
Y
57455
Biopsy of cervix w/scope
$64.81
P3
Y
57456
Endocerv curettage w/scope
$61.94
P3
Y
57460
Bx of cervix w/scope leep
$172.58
P3
Y
57461
Conz of cervix w/scope leep
$185.82
P3
Y
57500
Biopsy of cervix
$81.28
P3
Y
57505
Endocervical curettage
$55.14
P3
Y
57510
Cauterization of cervix
$56.57
P3
Y
57511
Cryocautery of cervix
$68.74
P3
Y
57513
Laser surgery of cervix
$1040.74
A2
Y
57520
Conization of cervix
$1040.74
A2
Y
57522
Conization of cervix
$1040.74
A2
Y
57530
Removal of cervix
$1040.74
A2
Y
57550
Removal of residual cervix
$1040.74
A2
Y
57556
Remove cervix repair bowel
$1809.89
A2
Y
57558
D&c of cervical stump
$1040.74
A2
Y
57700
Revision of cervix
$1040.74
A2
Y
57720
Revision of cervix
$1040.74
A2
Y
57800
Dilation of cervical canal
$30.08
P3
Y
58100
Biopsy of uterus lining
$49.05
P3
Y
58120
Dilation and curettage
$1040.74
A2
Y
58145
Myomectomy vag method
$1040.74
A2
Y
58260
Vaginal hysterectomy
$1809.89
G2
Y
58262
Vag hyst including t/o
$1809.89
G2
Y
58301
Remove intrauterine device
$45.11
P3
N
58321
Artificial insemination
$41.17
P3
Y
58322
Artificial insemination
$42.61
P3
Y
58323
Sperm washing
$6.44
P3
Y
58345
Reopen fallopian tube
$1040.74
R2
Y
58346
Insert heyman uteri capsule
$1040.74
A2
Y
58350
Reopen fallopian tube
$1809.89
A2
Y
58353
Endometr ablate thermal
$1809.89
A2
Y
58356
Endometrial cryoablation
$1644.13
P3
Y
58541
Lsh uterus 250 g or less
$2010.99
G2
Y
58542
Lsh w/t/o ut 250 g or less
$3277.62
G2
Y
58543
Lsh uterus above 250 g
$3277.62
G2
Y
58544
Lsh w/t/o uterus above 250 g
$3277.62
G2
Y
58545
Laparoscopic myomectomy
$2010.99
A2
Y
58546
Laparo-myomectomy complex
$3277.62
A2
Y
58550
Laparo-asst vag hysterectomy
$2010.99
A2
Y
58552
Laparo-vag hyst incl t/o
$3277.62
G2
Y
58553
Laparo-vag hyst complex
$3277.62
G2
Y
58554
Laparo-vag hyst w/t/o compl
$3277.62
G2
Y
58555
Hysteroscopy dx sep proc
$1040.74
A2
Y
58558
Hysteroscopy biopsy
$1040.74
A2
Y
58559
Hysteroscopy lysis
$1809.89
A2
Y
58560
Hysteroscopy resect septum
$1809.89
A2
Y
58561
Hysteroscopy remove myoma
$1809.89
A2
Y
58562
Hysteroscopy remove fb
$1040.74
A2
Y
58563
Hysteroscopy ablation
$1809.89
A2
Y
58565
Hysteroscopy sterilization
$1809.89
A2
Y
58570
Tlh uterus 250 g or less
$3277.62
G2
Y
58571
Tlh w/t/o 250 g or less
$3277.62
G2
Y
58573
Tlh w/t/o uterus over 250 g
$3277.62
G2
Y
58600
Division of fallopian tube
$1040.74
G2
Y
58615
Occlude fallopian tube(s)
$1040.74
G2
Y
58660
Laparoscopy lysis
$2010.99
A2
Y
58661
Laparoscopy remove adnexa
$2010.99
A2
Y
58662
Laparoscopy excise lesions
$2010.99
A2
Y
58670
Laparoscopy tubal cautery
$2010.99
A2
Y
58671
Laparoscopy tubal block
$2010.99
A2
Y
58672
Laparoscopy fimbrioplasty
$2010.99
A2
Y
58673
Laparoscopy salpingostomy
$2010.99
A2
Y
58800
Drainage of ovarian cyst(s)
$1040.74
A2
Y
58805
Drainage of ovarian cyst(s)
$1040.74
G2
Y
58820
Drain ovary abscess open
$1040.74
A2
Y
58900
Biopsy of ovary(s)
$1040.74
A2
Y
58970
Retrieval of oocyte
$356.12
A2
Y
58974
Transfer of embryo
$140.30
A2
Y
58976
Transfer of embryo
$140.30
A2
Y
59000
Amniocentesis diagnostic
$70.53
P3
Y
59001
Amniocentesis therapeutic
$140.30
R2
Y
59012
Fetal cord puncture prenatal
$140.30
G2
Y
59015
Chorion biopsy
$61.58
P3
Y
59020
Fetal contract stress test
$34.01
P3
Y
59025
Fetal non-stress test
$18.26
P3
Y
59070
Transabdom amnioinfus w/us
$140.30
G2
Y
59072
Umbilical cord occlud w/us
$140.30
G2
Y
59074
Fetal fluid drainage w/us
$140.30
G2
Y
59076
Fetal shunt placement w/us
$140.30
G2
Y
59100
Remove uterus lesion
$1040.74
R2
Y
59150
Treat ectopic pregnancy
$2010.99
G2
Y
59151
Treat ectopic pregnancy
$2010.99
G2
Y
59160
D & c after delivery
$1040.74
A2
Y
59200
Insert cervical dilator
$38.31
P3
Y
59300
Episiotomy or vaginal repair
$90.58
P3
Y
59320
Revision of cervix
$1040.74
A2
Y
59412
Antepartum manipulation
$1040.74
G2
Y
59414
Deliver placenta
$1040.74
G2
Y
59812
Treatment of miscarriage
$1040.74
A2
Y
59820
Care of miscarriage
$1040.74
A2
Y
59821
Treatment of miscarriage
$1040.74
A2
Y
59840
Abortion
$1040.74
A2
Y
59841
Abortion
$1040.74
A2
Y
59866
Abortion (mpr)
$140.30
G2
Y
59870
Evacuate mole of uterus
$1040.74
A2
Y
59871
Remove cerclage suture
$1040.74
A2
N
60000
Drain thyroid/tongue cyst
$385.63
A2
Y
60100
Biopsy of thyroid
$54.06
P3
Y
60200
Remove thyroid lesion
$2010.99
A2
Y
60210
Partial thyroid excision
$2010.99
G2
Y
60212
Partial thyroid excision
$2010.99
G2
Y
60220
Partial removal of thyroid
$2010.99
G2
Y
60225
Partial removal of thyroid
$2010.99
G2
Y
60240
Removal of thyroid
$2010.99
G2
Y
60280
Remove thyroid duct lesion
$2010.99
A2
Y
60281
Remove thyroid duct lesion
$2010.99
A2
Y
60300
Aspir/inj thyroid cyst
$81.99
P3
Y
60500
Explore parathyroid glands
$1994.21
G2
Y
61000
Remove cranial cavity fluid
$327.22
R2
Y
61001
Remove cranial cavity fluid
$327.22
R2
Y
61020
Remove brain cavity fluid
$327.22
A2
Y
61026
Injection into brain canal
$125.12
A2
Y
61050
Remove brain canal fluid
$327.22
A2
Y
61055
Injection into brain canal
$327.22
A2
Y
61070
Brain canal shunt procedure
$269.99
A2
Y
61215
Insert brain-fluid device
$1899.43
A2
Y
61330
Decompress eye socket
$1994.21
G2
Y
61770
Incise skull for treatment
$1899.43
G2
Y
61790
Treat trigeminal nerve
$778.70
A2
Y
61791
Treat trigeminal tract
$778.70
A2
Y
61880
Revise/remove neuroelectrode
$1223.86
G2
N
61885
Insrt/redo neurostim 1 array
$14797.32
J8
N
61886
Implant neurostim arrays
$21258.56
J8
N
61888
Revise/remove neuroreceiver
$3993.90
J8
N
62194
Replace/irrigate catheter
$778.70
A2
Y
62225
Replace/irrigate catheter
$675.36
A2
Y
62230
Replace/revise brain shunt
$1899.43
A2
Y
62252
Csf shunt reprogram
$39.03
P3
N
62263
Epidural lysis mult sessions
$459.71
A2
Y
62264
Epidural lysis on single day
$459.71
A2
Y
62267
Interdiscal perq aspir dx
$526.74
G2
Y
62268
Drain spinal cord cyst
$327.22
A2
Y
62269
Needle biopsy spinal cord
$526.74
A2
Y
62270
Spinal fluid tap diagnostic
$327.22
A2
Y
62272
Drain cerebro spinal fluid
$327.22
A2
Y
62273
Inject epidural patch
$327.22
A2
Y
62280
Treat spinal cord lesion
$459.71
A2
Y
62281
Treat spinal cord lesion
$459.71
A2
Y
62282
Treat spinal canal lesion
$459.71
A2
Y
62287
Percutaneous diskectomy
$1899.43
A2
Y
62292
Injection into disk lesion
$778.70
R2
Y
62294
Injection into spinal artery
$327.22
A2
Y
62310
Inject spine cerv/thoracic
$327.22
A2
Y
62311
Inject spine lumbar/sacral
$327.22
A2
Y
62318
Inject spine w/cath crv/thrc
$459.71
A2
Y
62319
Inject spine w/cath lmb/scrl
$459.71
A2
Y
62350
Implant spinal canal cath
$1899.43
A2
Y
62355
Remove spinal canal catheter
$778.70
A2
N
62360
Insert spine infusion device
$12887.49
J8
Y
62361
Implant spine infusion pump
$12887.49
J8
Y
62362
Implant spine infusion pump
$12887.49
J8
Y
62365
Remove spine infusion device
$1899.43
A2
N
62367
Analyze spine infus pump
$23.27
P3
N
62368
Analyze sp inf pump w/reprog
$31.87
P3
N
62369
Anal sp inf pmp w/reprg&fill
$97.03
P3
N
62370
Anl sp inf pmp w/mdreprg&fil
$95.24
P3
N
63001
Remove spine lamina 1/2 crvl
$2486.22
G2
Y
63003
Remove spine lamina 1/2 thrc
$2486.22
G2
Y
63005
Remove spine lamina 1/2 lmbr
$2486.22
G2
Y
63020
Neck spine disk surgery
$2486.22
G2
Y
63030
Low back disk surgery
$2486.22
G2
Y
63042
Laminotomy single lumbar
$2486.22
G2
Y
63045
Remove spine lamina 1 crvl
$2486.22
G2
Y
63046
Remove spine lamina 1 thrc
$2486.22
G2
Y
63047
Remove spine lamina 1 lmbr
$2486.22
G2
Y
63055
Decompress spinal cord thrc
$2486.22
G2
Y
63056
Decompress spinal cord lmbr
$2486.22
G2
Y
63600
Remove spinal cord lesion
$778.70
A2
Y
63610
Stimulation of spinal cord
$778.70
A2
Y
63615
Remove lesion of spinal cord
$778.70
R2
Y
63650
Implant neuroelectrodes
$3993.90
J8
N
63655
Implant neuroelectrodes
$14797.32
J8
N
63661
Remove spine eltrd perq aray
$778.70
G2
N
63662
Remove spine eltrd plate
$1223.86
G2
N
63663
Revise spine eltrd perq aray
$3993.90
J8
N
63664
Revise spine eltrd plate
$3993.90
J8
N
63685
Insrt/redo spine n generator
$21258.56
J8
N
63688
Revise/remove neuroreceiver
$1223.86
A2
N
63744
Revision of spinal shunt
$1899.43
A2
Y
63746
Removal of spinal shunt
$778.70
A2
N
64400
N block inj trigeminal
$82.71
P3
Y
64405
N block inj occipital
$63.02
P3
Y
64408
N block inj vagus
$52.27
P3
Y
64410
N block inj phrenic
$327.22
A2
Y
64413
N block inj cervical plexus
$73.04
P3
Y
64415
N block inj brachial plexus
$459.71
A2
Y
64416
N block cont infuse b plex
$459.71
G2
Y
64417
N block inj axillary
$327.22
A2
Y
64418
N block inj suprascapular
$97.03
P3
Y
64420
N block inj intercost sng
$327.22
A2
Y
64421
N block inj intercost mlt
$327.22
A2
Y
64425
N block inj ilio-ing/hypogi
$67.31
P3
Y
64430
N block inj pudendal
$327.22
A2
Y
64435
N block inj paracervical
$80.92
P3
Y
64445
N block inj sciatic sng
$81.99
P3
Y
64446
N blk inj sciatic cont inf
$459.71
G2
Y
64447
N block inj fem single
$68.39
P3
Y
64448
N block inj fem cont inf
$459.71
G2
Y
64449
N block inj lumbar plexus
$459.71
G2
Y
64450
N block other peripheral
$52.27
P3
Y
64455
N block inj plantar digit
$19.69
P3
Y
64461
Pvb thoracic single inj site
$83.42
P3
Y
64463
Pvb thoracic cont infusion
$98.10
P3
Y
64479
Inj foramen epidural c/t
$327.22
A2
Y
64483
Inj foramen epidural l/s
$327.22
A2
Y
64490
Inj paravert f jnt c/t 1 lev
$459.71
G2
Y
64493
Inj paravert f jnt l/s 1 lev
$459.71
G2
Y
64505
N block spenopalatine gangl
$52.99
P3
Y
64508
N block carotid sinus s/p
$18.62
P3
Y
64510
N block stellate ganglion
$327.22
A2
Y
64517
N block inj hypogas plxs
$459.71
A2
Y
64520
N block lumbar/thoracic
$327.22
A2
Y
64530
N block inj celiac pelus
$459.71
A2
Y
64553
Implant neuroelectrodes
$3993.90
J8
N
64555
Implant neuroelectrodes
$3993.90
J8
N
64561
Implant neuroelectrodes
$3993.90
J8
N
64565
Implant neuroelectrodes
$3993.90
J8
N
64566
Neuroeltrd stim post tibial
$104.91
P3
Y
64568
Inc for vagus n elect impl
$21258.56
J8
N
64569
Revise/repl vagus n eltrd
$3993.90
J8
N
64570
Remove vagus n eltrd
$1899.43
G2
N
64575
Implant neuroelectrodes
$3993.90
J8
N
64580
Implant neuroelectrodes
$14797.32
J8
N
64581
Implant neuroelectrodes
$3993.90
J8
N
64585
Revise/remove neuroelectrode
$1223.86
A2
N
64590
Insrt/redo pn/gastr stimul
$14797.32
J8
N
64595
Revise/rmv pn/gastr stimul
$1223.86
A2
N
64600
Injection treatment of nerve
$459.71
A2
Y
64605
Injection treatment of nerve
$778.70
A2
Y
64610
Injection treatment of nerve
$778.70
A2
Y
64611
Chemodenerv saliv glands
$68.74
P3
Y
64612
Destroy nerve face muscle
$73.40
P3
Y
64615
Chemodenerv musc migraine
$59.44
P3
Y
64616
Chemodenerv musc neck dyston
$56.57
P3
Y
64617
Chemodener muscle larynx emg
$111.35
P3
Y
64620
Injection treatment of nerve
$459.71
A2
Y