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Laboratory Fee Schedule

2019
2018

Physician Fee Schedule

2019
2018

OPPS Fee Schedule

2019-July
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July 2019
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CMS Transmittals



--

2019A Ambulatory Surgical Center (ASC) Payment


2019 Wage Index Adjustment for ASC Payments Zip Code:

Procedure
Short Descriptor
Unadjusted 2019A ASC
Fee Schedule
Payment Indicator
Subject to the
Multiple Procedure Discount
0100T
Prosth retina receive&gen
$XXX.XX
J8
Y
0101T
Extracorp shockwv tx hi enrg
$XXX.XX
G2
Y
0102T
Extracorp shockwv tx anesth
$XXX.XX
G2
Y
0190T
Place intraoc radiation src
$XXX.XX
D5
0191T
Insert ant segment drain int
$XXX.XX
J8
Y
0200T
Perq sacral augmt unilat inj
$XXX.XX
G2
Y
0201T
Perq sacral augmt bilat inj
$XXX.XX
G2
Y
0205T
Inirs each vessel add-on
$XXX.XX
N1
N
0206T
Cptr dbs alys car elec dta
$XXX.XX
N1
N
0213T
Njx paravert w/us cer/thor
$XXX.XX
R2
Y
0214T
Njx paravert w/us cer/thor
$XXX.XX
N1
N
0215T
Njx paravert w/us cer/thor
$XXX.XX
N1
N
0216T
Njx paravert w/us lumb/sac
$XXX.XX
R2
Y
0217T
Njx paravert w/us lumb/sac
$XXX.XX
N1
N
0218T
Njx paravert w/us lumb/sac
$XXX.XX
N1
N
0228T
Njx tfrml eprl w/us cer/thor
$XXX.XX
G2
Y
0229T
Njx tfrml eprl w/us cer/thor
$XXX.XX
N1
N
0230T
Njx tfrml eprl w/us lumb/sac
$XXX.XX
G2
Y
0231T
Njx tfrml eprl w/us lumb/sac
$XXX.XX
N1
N
0232T
Njx platelet plasma
$XXX.XX
N1
N
0238T
Trluml perip athrc iliac art
$XXX.XX
G2
Y
0249T
Ligation hemorrhoid w/us
$XXX.XX
G2
Y
0253T
Insert aqueous drain device
$XXX.XX
G2
Y
0263T
Im b1 mrw cel ther cmpl
$XXX.XX
G2
N
0264T
Im b1 mrw cel ther xcl hrvst
$XXX.XX
G2
N
0265T
Im b1 mrw cel ther hrvst onl
$XXX.XX
G2
N
0269T
Rev/remvl crtd sns dev total
$XXX.XX
G2
N
0270T
Rev/remvl crtd sns dev lead
$XXX.XX
G2
N
0271T
Rev/remvl crtd sns dev gen
$XXX.XX
G2
N
0274T
Perq lamot/lam crv/thrc
$XXX.XX
G2
Y
0275T
Perq lamot/lam lumbar
$XXX.XX
G2
Y
0278T
Tempr
$XXX.XX
N1
N
0290T
Laser inc for pkp/lkp recip
$XXX.XX
N1
N
0308T
Insj ocular telescope prosth
$XXX.XX
J8
Y
0313T
Laps rmvl nstim array vagus
$XXX.XX
G2
Y
0314T
Laps rmvl vgl arry&pls gen
$XXX.XX
G2
N
0315T
Rmvl vagus nerve pls gen
$XXX.XX
G2
N
0316T
Replc vagus nerve pls gen
$XXX.XX
J8
N
0330T
Tear film img uni/bi w/i&r
$XXX.XX
N1
N
0335T
Insj sinus tarsi implant
$XXX.XX
J8
Y
0338T
Trnscth renal symp denrv unl
$XXX.XX
G2
N
0339T
Trnscth renal symp denrv bil
$XXX.XX
G2
N
0341T
Quant pupillometry w/rprt
$XXX.XX
N1
N
0342T
Thxp apheresis w/hdl delip
$XXX.XX
G2
N
0346T
Ultrasound elastography
$XXX.XX
D5
0347T
Ins bone device for rsa
$XXX.XX
N1
N
0348T
Rsa spine exam
$XXX.XX
N1
N
0349T
Rsa upper extr exam
$XXX.XX
N1
N
0350T
Rsa lower extr exam
$XXX.XX
N1
N
0351T
Intraop oct brst/node spec
$XXX.XX
N1
N
0353T
Intraop oct breast cavity
$XXX.XX
N1
N
0356T
Insrt drug device for iop
$XXX.XX
N1
N
0357T
Cryopreservation oocyte(s)
$XXX.XX
N1
N
0376T
Insert ant segment drain int
$XXX.XX
N1
N
0377T
Anoscpy inj agent for incont
$XXX.XX
R2
Y
0379T
Vis field assmnt tech suppt
$XXX.XX
N1
N
0380T
Comp animat ret imag series
$XXX.XX
N1
N
0387T
Leadless c pm ins/rpl ventr
$XXX.XX
D5
0388T
Leadless c pm remove ventr
$XXX.XX
D5
0390T
Periproc eval inper ledls pm
$XXX.XX
D5
0396T
Intraop kinetic balnce sensr
$XXX.XX
N1
N
0397T
Ercp w/optical endomicroscpy
$XXX.XX
N1
N
0399T
Myocardial strain imaging
$XXX.XX
N1
N
0400T
Mltispectrl digital les alys
$XXX.XX
N1
N
0401T
Mltispectrl digital les alys
$XXX.XX
N1
N
0402T
Collagen crosslinking cornea
$XXX.XX
R2
Y
0406T
Sin ndsc plmt drg elut mplnt
$XXX.XX
D5
0407T
Sin ndsc plmt drg elut mplnt
$XXX.XX
D5
0408T
Insj/rplc cardiac modulj sys
$XXX.XX
J8
Y
0409T
Insj/rplc car modulj pls gn
$XXX.XX
J8
Y
0410T
Insj/rplc car modulj atr elt
$XXX.XX
J8
Y
0411T
Insj/rplc car modulj vnt elt
$XXX.XX
J8
Y
0412T
Rmvl cardiac modulj pls gen
$XXX.XX
G2
N
0413T
Rmvl car modulj tranvns elt
$XXX.XX
G2
N
0414T
Rmvl & rpl car modulj pls gn
$XXX.XX
J8
Y
0415T
Repos car modulj tranvns elt
$XXX.XX
G2
Y
0416T
Reloc skin pocket pls gen
$XXX.XX
G2
Y
0419T
Dstrj neurofibroma xtnsv
$XXX.XX
R2
Y
0420T
Dstrj neurofibroma xtnsv
$XXX.XX
R2
Y
0421T
Waterjet prostate abltj cmpl
$XXX.XX
G2
Y
0424T
Insj/rplc nstim apnea compl
$XXX.XX
J8
Y
0425T
Insj/rplc nstim apnea sen ld
$XXX.XX
G2
Y
0426T
Insj/rplc nstim apnea stm ld
$XXX.XX
G2
Y
0427T
Insj/rplc nstim apnea pls gn
$XXX.XX
G2
Y
0428T
Rmvl nstim apnea pls gen
$XXX.XX
G2
N
0429T
Rmvl nstim apnea sen ld
$XXX.XX
G2
N
0430T
Rmvl nstim apnea stimj ld
$XXX.XX
G2
N
0431T
Rmvl/rplc nstim apnea pls gn
$XXX.XX
G2
Y
0432T
Repos nstim apnea stimj ld
$XXX.XX
G2
Y
0433T
Repos nstim apnea sensing ld
$XXX.XX
G2
Y
0434T
Interro eval npgs apnea
$XXX.XX
G2
N
0437T
Impltj synth rnfcmt abdl wal
$XXX.XX
N1
N
0439T
Myocrd contrast prfuj echo
$XXX.XX
N1
N
0440T
Abltj perc uxtr/perph nrv
$XXX.XX
G2
Y
0441T
Abltj perc lxtr/perph nrv
$XXX.XX
G2
Y
0442T
Abltj perc plex/trncl nrv
$XXX.XX
G2
Y
0443T
R-t spctrl alys prst8 tiss
$XXX.XX
N1
N
0444T
1st plmt drug elut oc ins
$XXX.XX
N1
N
0445T
Sbsqt plmt drug elut oc ins
$XXX.XX
N1
N
0446T
Insj impltbl glucose sensor
$XXX.XX
G2
Y
0447T
Rmvl impltbl glucose sensor
$XXX.XX
G2
N
0448T
Remvl insj impltbl gluc sens
$XXX.XX
G2
Y
0449T
Insj aqueous drain dev 1st
$XXX.XX
J8
Y
0450T
Insj aqueous drain dev each
$XXX.XX
N1
N
0465T
Supchrdl njx rx w/o supply
$XXX.XX
R2
Y
0466T
Insj ch wal respir eltrd/ra
$XXX.XX
N1
N
0467T
Revj/rplmnt ch respir eltrd
$XXX.XX
N1
N
0468T
Rmvl ch wal respir eltrd/ra
$XXX.XX
N1
N
0471T
Oct skn img acquisj i&r addl
$XXX.XX
N1
N
0479T
Fxjl abl lsr 1st 100 sq cm
$XXX.XX
G2
Y
0480T
Fxjl abl lsr ea addl 100sqcm
$XXX.XX
N1
N
0482T
Absl quan myocrd bld flo pet
$XXX.XX
N1
N
0487T
Trvg biomchn mapg w/reprt
$XXX.XX
N1
N
0491T
Abl lsr opn wnd 1st 20 sqcm
$XXX.XX
G2
Y
0492T
Abl lsr opn wnd addl 20 sqcm
$XXX.XX
N1
N
0493T
Near ifr spectrsc of wounds
$XXX.XX
N1
N
0502T
Cor ffr data prep & transmis
$XXX.XX
N1
N
0503T
Cor ffr alys gnrj ffr mdl
$XXX.XX
N1
N
0510T
Rmvl sinus tarsi implant
$XXX.XX
G2
N
0511T
Rmvl&rinsj sinus tarsi implt
$XXX.XX
J8
Y
0512T
Esw integ wnd hlg 1st wnd
$XXX.XX
R2
N
0513T
Esw integ wnd hlg ea addl
$XXX.XX
N1
N
0514T
Intraop vis axis id pt fixj
$XXX.XX
N1
N
0523T
Ntrapx c ffr w/3d funcjl map
$XXX.XX
N1
N
0524T
Ev cath dir chem abltj w/img
$XXX.XX
G2
Y
0525T
Insj/rplcmt compl iims
$XXX.XX
J8
Y
0526T
Insj/rplcmt iims eltrd only
$XXX.XX
J8
Y
0527T
Insj/rplcmt iims implt mntr
$XXX.XX
G2
Y
0530T
Removal complete iims
$XXX.XX
G2
N
0531T
Removal iims electrode only
$XXX.XX
G2
N
0532T
Removal iims implt mntr only
$XXX.XX
G2
N
10004
Fna bx w/o img gdn ea addl
$XXX.XX
N1
N
10005
Fna bx w/us gdn 1st les
$XXX.XX
P3
Y
10006
Fna bx w/us gdn ea addl
$XXX.XX
N1
N
10007
Fna bx w/fluor gdn 1st les
$XXX.XX
P3
Y
10008
Fna bx w/fluor gdn ea addl
$XXX.XX
N1
N
10009
Fna bx w/ct gdn 1st les
$XXX.XX
P2
Y
10010
Fna bx w/ct gdn ea addl
$XXX.XX
N1
N
10011
Fna bx w/mr gdn 1st les
$XXX.XX
R2
Y
10012
Fna bx w/mr gdn ea addl
$XXX.XX
N1
N
10021
Fna bx w/o img gdn 1st les
$XXX.XX
P3
Y
10022
Fna w/image
$XXX.XX
D5
10030
Guide cathet fluid drainage
$XXX.XX
G2
Y
10035
Perq dev soft tiss 1st imag
$XXX.XX
N1
Y
10036
Perq dev soft tiss add imag
$XXX.XX
N1
N
10040
Acne surgery
$XXX.XX
N1
N
10060
Drainage of skin abscess
$XXX.XX
P3
Y
10061
Drainage of skin abscess
$XXX.XX
P3
Y
10080
Drainage of pilonidal cyst
$XXX.XX
P3
Y
10081
Drainage of pilonidal cyst
$XXX.XX
P3
Y
10120
Remove foreign body
$XXX.XX
P3
Y
10121
Remove foreign body
$XXX.XX
A2
Y
10140
Drainage of hematoma/fluid
$XXX.XX
P3
Y
10160
Puncture drainage of lesion
$XXX.XX
P3
Y
10180
Complex drainage wound
$XXX.XX
A2
Y
11000
Debride infected skin
$XXX.XX
P3
Y
11001
Debride infected skin add-on
$XXX.XX
N1
N
11010
Debride skin at fx site
$XXX.XX
A2
Y
11011
Debride skin musc at fx site
$XXX.XX
A2
Y
11012
Deb skin bone at fx site
$XXX.XX
A2
Y
11042
Deb subq tissue 20 sq cm/<
$XXX.XX
A2
Y
11043
Deb musc/fascia 20 sq cm/<
$XXX.XX
A2
Y
11044
Deb bone 20 sq cm/<
$XXX.XX
A2
Y
11045
Deb subq tissue add-on
$XXX.XX
N1
N
11046
Deb musc/fascia add-on
$XXX.XX
N1
N
11047
Deb bone add-on
$XXX.XX
N1
N
11055
Trim skin lesion
$XXX.XX
N1
N
11056
Trim skin lesions 2 to 4
$XXX.XX
N1
N
11057
Trim skin lesions over 4
$XXX.XX
P3
Y
11100
Biopsy skin lesion
$XXX.XX
D5
11101
Biopsy skin add-on
$XXX.XX
D5
11102
Tangntl bx skin single les
$XXX.XX
P3
Y
11103
Tangntl bx skin ea sep/addl
$XXX.XX
N1
N
11104
Punch bx skin single lesion
$XXX.XX
P2
Y
11105
Punch bx skin ea sep/addl
$XXX.XX
N1
N
11106
Incal bx skn single les
$XXX.XX
P3
Y
11107
Incal bx skn ea sep/addl
$XXX.XX
N1
N
11200
Removal of skin tags
$XXX.XX
N1
N
11201
Remove skin tags add-on
$XXX.XX
N1
N
11300
Shave skin lesion 0.5 cm/<
$XXX.XX
N1
N
11301
Shave skin lesion 0.6-1.0 cm
$XXX.XX
N1
N
11302
Shave skin lesion 1.1-2.0 cm
$XXX.XX
N1
N
11303
Shave skin lesion >2.0 cm
$XXX.XX
N1
N
11305
Shave skin lesion 0.5 cm/<
$XXX.XX
N1
N
11306
Shave skin lesion 0.6-1.0 cm
$XXX.XX
N1
N
11307
Shave skin lesion 1.1-2.0 cm
$XXX.XX
P2
Y
11308
Shave skin lesion >2.0 cm
$XXX.XX
N1
N
11310
Shave skin lesion 0.5 cm/<
$XXX.XX
P3
Y
11311
Shave skin lesion 0.6-1.0 cm
$XXX.XX
P2
Y
11312
Shave skin lesion 1.1-2.0 cm
$XXX.XX
P3
Y
11313
Shave skin lesion >2.0 cm
$XXX.XX
P3
Y
11400
Exc tr-ext b9+marg 0.5 cm<
$XXX.XX
P3
Y
11401
Exc tr-ext b9+marg 0.6-1 cm
$XXX.XX
P3
Y
11402
Exc tr-ext b9+marg 1.1-2 cm
$XXX.XX
P3
Y
11403
Exc tr-ext b9+marg 2.1-3cm
$XXX.XX
P3
Y
11404
Exc tr-ext b9+marg 3.1-4 cm
$XXX.XX
A2
Y
11406
Exc tr-ext b9+marg >4.0 cm
$XXX.XX
A2
Y
11420
Exc h-f-nk-sp b9+marg 0.5/<
$XXX.XX
P3
Y
11421
Exc h-f-nk-sp b9+marg 0.6-1
$XXX.XX
P3
Y
11422
Exc h-f-nk-sp b9+marg 1.1-2
$XXX.XX
P3
Y
11423
Exc h-f-nk-sp b9+marg 2.1-3
$XXX.XX
P3
Y
11424
Exc h-f-nk-sp b9+marg 3.1-4
$XXX.XX
A2
Y
11426
Exc h-f-nk-sp b9+marg >4 cm
$XXX.XX
A2
Y
11440
Exc face-mm b9+marg 0.5 cm/<
$XXX.XX
P3
Y
11441
Exc face-mm b9+marg 0.6-1 cm
$XXX.XX
P3
Y
11442
Exc face-mm b9+marg 1.1-2 cm
$XXX.XX
P3
Y
11443
Exc face-mm b9+marg 2.1-3 cm
$XXX.XX
P3
Y
11444
Exc face-mm b9+marg 3.1-4 cm
$XXX.XX
A2
Y
11446
Exc face-mm b9+marg >4 cm
$XXX.XX
A2
Y
11450
Removal sweat gland lesion
$XXX.XX
A2
Y
11451
Removal sweat gland lesion
$XXX.XX
A2
Y
11462
Removal sweat gland lesion
$XXX.XX
A2
Y
11463
Removal sweat gland lesion
$XXX.XX
A2
Y
11470
Removal sweat gland lesion
$XXX.XX
A2
Y
11471
Removal sweat gland lesion
$XXX.XX
A2
Y
11600
Exc tr-ext mal+marg 0.5 cm/<
$XXX.XX
P3
Y
11601
Exc tr-ext mal+marg 0.6-1 cm
$XXX.XX
P3
Y
11602
Exc tr-ext mal+marg 1.1-2 cm
$XXX.XX
P3
Y
11603
Exc tr-ext mal+marg 2.1-3 cm
$XXX.XX
P3
Y
11604
Exc tr-ext mal+marg 3.1-4 cm
$XXX.XX
A2
Y
11606
Exc tr-ext mal+marg >4 cm
$XXX.XX
A2
Y
11620
Exc h-f-nk-sp mal+marg 0.5/<
$XXX.XX
P3
Y
11621
Exc s/n/h/f/g mal+mrg 0.6-1
$XXX.XX
P3
Y
11622
Exc s/n/h/f/g mal+mrg 1.1-2
$XXX.XX
P3
Y
11623
Exc s/n/h/f/g mal+mrg 2.1-3
$XXX.XX
P3
Y
11624
Exc s/n/h/f/g mal+mrg 3.1-4
$XXX.XX
A2
Y
11626
Exc s/n/h/f/g mal+mrg >4 cm
$XXX.XX
A2
Y
11640
Exc f/e/e/n/l mal+mrg 0.5cm<
$XXX.XX
P3
Y
11641
Exc f/e/e/n/l mal+mrg 0.6-1
$XXX.XX
P3
Y
11642
Exc f/e/e/n/l mal+mrg 1.1-2
$XXX.XX
P3
Y
11643
Exc f/e/e/n/l mal+mrg 2.1-3
$XXX.XX
P3
Y
11644
Exc f/e/e/n/l mal+mrg 3.1-4
$XXX.XX
A2
Y
11646
Exc f/e/e/n/l mal+mrg >4 cm
$XXX.XX
A2
Y
11719
Trim nail(s) any number
$XXX.XX
N1
N
11720
Debride nail 1-5
$XXX.XX
N1
N
11721
Debride nail 6 or more
$XXX.XX
N1
N
11730
Removal of nail plate
$XXX.XX
N1
N
11732
Remove nail plate add-on
$XXX.XX
N1
N
11740
Drain blood from under nail
$XXX.XX
N1
N
11750
Removal of nail bed
$XXX.XX
P3
Y
11755
Biopsy nail unit
$XXX.XX
P3
Y
11760
Repair of nail bed
$XXX.XX
G2
Y
11762
Reconstruction of nail bed
$XXX.XX
P3
Y
11765
Excision of nail fold toe
$XXX.XX
N1
N
11770
Remove pilonidal cyst simple
$XXX.XX
A2
Y
11771
Remove pilonidal cyst exten
$XXX.XX
A2
Y
11772
Remove pilonidal cyst compl
$XXX.XX
A2
Y
11900
Inject skin lesions
$XXX.XX
N1
N
11901
Inject skin lesions >7
$XXX.XX
N1
N
11920
Correct skin color 6.0 cm/<
$XXX.XX
P3
Y
11921
Correct skn color 6.1-20.0cm
$XXX.XX
P3
Y
11922
Correct skin color ea 20.0cm
$XXX.XX
N1
N
11950
Tx contour defects 1 cc/<
$XXX.XX
P3
Y
11951
Tx contour defects 1.1-5.0cc
$XXX.XX
P3
Y
11952
Tx contour defects 5.1-10cc
$XXX.XX
P3
Y
11954
Tx contour defects >10.0 cc
$XXX.XX
P3
Y
11960
Insert tissue expander(s)
$XXX.XX
A2
Y
11970
Replace tissue expander
$XXX.XX
A2
Y
11971
Remove tissue expander(s)
$XXX.XX
A2
N
11976
Remove contraceptive capsule
$XXX.XX
P3
N
11980
Implant hormone pellet(s)
$XXX.XX
N1
N
11981
Insert drug implant device
$XXX.XX
N1
N
11982
Remove drug implant device
$XXX.XX
N1
N
11983
Remove/insert drug implant
$XXX.XX
N1
N
12001
Rpr s/n/ax/gen/trnk 2.5cm/<
$XXX.XX
N1
N
12002
Rpr s/n/ax/gen/trnk2.6-7.5cm
$XXX.XX
N1
N
12004
Rpr s/n/ax/gen/trk7.6-12.5cm
$XXX.XX
N1
N
12005
Rpr s/n/a/gen/trk12.6-20.0cm
$XXX.XX
A2
N
12006
Rpr s/n/a/gen/trk20.1-30.0cm
$XXX.XX
A2
N
12007
Rpr s/n/ax/gen/trnk >30.0 cm
$XXX.XX
A2
Y
12011
Rpr f/e/e/n/l/m 2.5 cm/<
$XXX.XX
N1
N
12013
Rpr f/e/e/n/l/m 2.6-5.0 cm
$XXX.XX
N1
N
12014
Rpr f/e/e/n/l/m 5.1-7.5 cm
$XXX.XX
N1
N
12015
Rpr f/e/e/n/l/m 7.6-12.5 cm
$XXX.XX
G2
N
12016
Rpr fe/e/en/l/m 12.6-20.0 cm
$XXX.XX
A2
N
12017
Rpr fe/e/en/l/m 20.1-30.0 cm
$XXX.XX
A2
N
12018
Rpr f/e/e/n/l/m >30.0 cm
$XXX.XX
A2
N
12020
Closure of split wound
$XXX.XX
A2
Y
12021
Closure of split wound
$XXX.XX
A2
Y
12031
Intmd rpr s/a/t/ext 2.5 cm/<
$XXX.XX
P2
Y
12032
Intmd rpr s/a/t/ext 2.6-7.5
$XXX.XX
P2
Y
12034
Intmd rpr s/tr/ext 7.6-12.5
$XXX.XX
A2
Y
12035
Intmd rpr s/a/t/ext 12.6-20
$XXX.XX
A2
Y
12036
Intmd rpr s/a/t/ext 20.1-30
$XXX.XX
A2
Y
12037
Intmd rpr s/tr/ext >30.0 cm
$XXX.XX
A2
Y
12041
Intmd rpr n-hf/genit 2.5cm/<
$XXX.XX
P2
N
12042
Intmd rpr n-hf/genit2.6-7.5
$XXX.XX
P2
Y
12044
Intmd rpr n-hf/genit7.6-12.5
$XXX.XX
A2
Y
12045
Intmd rpr n-hf/genit12.6-20
$XXX.XX
A2
Y
12046
Intmd rpr n-hf/genit20.1-30
$XXX.XX
A2
Y
12047
Intmd rpr n-hf/genit >30.0cm
$XXX.XX
A2
Y
12051
Intmd rpr face/mm 2.5 cm/<
$XXX.XX
P2
Y
12052
Intmd rpr face/mm 2.6-5.0 cm
$XXX.XX
P2
Y
12053
Intmd rpr face/mm 5.1-7.5 cm
$XXX.XX
P2
Y
12054
Intmd rpr face/mm 7.6-12.5cm
$XXX.XX
A2
N
12055
Intmd rpr face/mm 12.6-20 cm
$XXX.XX
A2
Y
12056
Intmd rpr face/mm 20.1-30.0
$XXX.XX
A2
N
12057
Intmd rpr face/mm >30.0 cm
$XXX.XX
A2
Y
13100
Cmplx rpr trunk 1.1-2.5 cm
$XXX.XX
A2
Y
13101
Cmplx rpr trunk 2.6-7.5 cm
$XXX.XX
A2
Y
13102
Cmplx rpr trunk addl 5cm/<
$XXX.XX
N1
N
13120
Cmplx rpr s/a/l 1.1-2.5 cm
$XXX.XX
A2
Y
13121
Cmplx rpr s/a/l 2.6-7.5 cm
$XXX.XX
A2
Y
13122
Cmplx rpr s/a/l addl 5 cm/>
$XXX.XX
N1
N
13131
Cmplx rpr f/c/c/m/n/ax/g/h/f
$XXX.XX
A2
Y
13132
Cmplx rpr f/c/c/m/n/ax/g/h/f
$XXX.XX
A2
Y
13133
Cmplx rpr f/c/c/m/n/ax/g/h/f
$XXX.XX
N1
N
13151
Cmplx rpr e/n/e/l 1.1-2.5 cm
$XXX.XX
A2
Y
13152
Cmplx rpr e/n/e/l 2.6-7.5 cm
$XXX.XX
A2
Y
13153
Cmplx rpr e/n/e/l addl 5cm/<
$XXX.XX
N1
N
13160
Late closure of wound
$XXX.XX
A2
Y
14000
Tis trnfr trunk 10 sq cm/<
$XXX.XX
A2
Y
14001
Tis trnfr trunk 10.1-30sqcm
$XXX.XX
A2
Y
14020
Tis trnfr s/a/l 10 sq cm/<
$XXX.XX
A2
Y
14021
Tis trnfr s/a/l 10.1-30 sqcm
$XXX.XX
A2
Y
14040
Tis trnfr f/c/c/m/n/a/g/h/f
$XXX.XX
A2
Y
14041
Tis trnfr f/c/c/m/n/a/g/h/f
$XXX.XX
A2
Y
14060
Tis trnfr e/n/e/l 10 sq cm/<
$XXX.XX
A2
Y
14061
Tis trnfr e/n/e/l10.1-30sqcm
$XXX.XX
A2
Y
14301
Tis trnfr any 30.1-60 sq cm
$XXX.XX
G2
Y
14302
Tis trnfr addl 30 sq cm
$XXX.XX
N1
N
14350
Filleted finger/toe flap
$XXX.XX
A2
Y
15002
Wound prep trk/arm/leg
$XXX.XX
A2
Y
15003
Wound prep addl 100 cm
$XXX.XX
N1
N
15004
Wound prep f/n/hf/g
$XXX.XX
A2
Y
15005
Wnd prep f/n/hf/g addl cm
$XXX.XX
N1
N
15040
Harvest cultured skin graft
$XXX.XX
A2
Y
15050
Skin pinch graft
$XXX.XX
A2
Y
15100
Skin splt grft trnk/arm/leg
$XXX.XX
A2
Y
15101
Skin splt grft t/a/l add-on
$XXX.XX
N1
N
15110
Epidrm autogrft trnk/arm/leg
$XXX.XX
A2
Y
15111
Epidrm autogrft t/a/l add-on
$XXX.XX
N1
N
15115
Epidrm a-grft face/nck/hf/g
$XXX.XX
A2
Y
15116
Epidrm a-grft f/n/hf/g addl
$XXX.XX
N1
N
15120
Skn splt a-grft fac/nck/hf/g
$XXX.XX
A2
Y
15121
Skn splt a-grft f/n/hf/g add
$XXX.XX
N1
N
15130
Derm autograft trnk/arm/leg
$XXX.XX
A2
Y
15131
Derm autograft t/a/l add-on
$XXX.XX
N1
N
15135
Derm autograft face/nck/hf/g
$XXX.XX
A2
Y
15136
Derm autograft f/n/hf/g add
$XXX.XX
N1
N
15150
Cult skin grft t/arm/leg
$XXX.XX
A2
Y
15151
Cult skin grft t/a/l addl
$XXX.XX
N1
N
15152
Cult skin graft t/a/l +%
$XXX.XX
N1
N
15155
Cult skin graft f/n/hf/g
$XXX.XX
A2
Y
15156
Cult skin grft f/n/hfg add
$XXX.XX
N1
N
15157
Cult epiderm grft f/n/hfg +%
$XXX.XX
N1
N
15200
Skin full graft trunk
$XXX.XX
A2
Y
15201
Skin full graft trunk add-on
$XXX.XX
N1
N
15220
Skin full graft sclp/arm/leg
$XXX.XX
A2
Y
15221
Skin full graft add-on
$XXX.XX
N1
N
15240
Skin full grft face/genit/hf
$XXX.XX
A2
Y
15241
Skin full graft add-on
$XXX.XX
N1
N
15260
Skin full graft een & lips
$XXX.XX
A2
Y
15261
Skin full graft add-on
$XXX.XX
N1
N
15271
Skin sub graft trnk/arm/leg
$XXX.XX
G2
Y
15272
Skin sub graft t/a/l add-on
$XXX.XX
N1
N
15273
Skin sub grft t/arm/lg child
$XXX.XX
G2
Y
15274
Skn sub grft t/a/l child add
$XXX.XX
N1
N
15275
Skin sub graft face/nk/hf/g
$XXX.XX
G2
Y
15276
Skin sub graft f/n/hf/g addl
$XXX.XX
N1
N
15277
Skn sub grft f/n/hf/g child
$XXX.XX
G2
Y
15278
Skn sub grft f/n/hf/g ch add
$XXX.XX
N1
N
15570
Skin pedicle flap trunk
$XXX.XX
A2
Y
15572
Skin pedicle flap arms/legs
$XXX.XX
A2
Y
15574
Pedcle fh/ch/ch/m/n/ax/g/h/f
$XXX.XX
A2
Y
15576
Pedicle e/n/e/l/ntroral
$XXX.XX
A2
Y
15600
Delay flap trunk
$XXX.XX
A2
Y
15610
Delay flap arms/legs
$XXX.XX
A2
Y
15620
Delay flap f/c/c/n/ax/g/h/f
$XXX.XX
A2
Y
15630
Delay flap eye/nos/ear/lip
$XXX.XX
A2
Y
15650
Transfer skin pedicle flap
$XXX.XX
A2
Y
15730
Mdfc flap w/prsrv vasc pedcl
$XXX.XX
G2
Y
15731
Forehead flap w/vasc pedicle
$XXX.XX
A2
Y
15733
Musc myoq/fscq flp h&n pedcl
$XXX.XX
A2
Y
15734
Muscle-skin graft trunk
$XXX.XX
A2
Y
15736
Muscle-skin graft arm
$XXX.XX
A2
Y
15738
Muscle-skin graft leg
$XXX.XX
A2
Y
15740
Island pedicle flap graft
$XXX.XX
A2
Y
15750
Neurovascular pedicle flap
$XXX.XX
A2
Y
15760
Composite skin graft
$XXX.XX
A2
Y
15770
Derma-fat-fascia graft
$XXX.XX
A2
Y
15775
Hair trnspl 1-15 punch grfts
$XXX.XX
A2
Y
15776
Hair trnspl >15 punch grafts
$XXX.XX
A2
Y
15777
Acellular derm matrix implt
$XXX.XX
N1
N
15780
Dermabrasion total face
$XXX.XX
P3
Y
15781
Dermabrasion segmental face
$XXX.XX
P2
Y
15782
Dermabrasion other than face
$XXX.XX
P3
Y
15783
Dermabrasion suprfl any site
$XXX.XX
P2
Y
15786
Abrasion lesion single
$XXX.XX
N1
N
15787
Abrasion lesions add-on
$XXX.XX
N1
N
15788
Chemical peel face epiderm
$XXX.XX
N1
N
15789
Chemical peel face dermal
$XXX.XX
P2
Y
15792
Chemical peel nonfacial
$XXX.XX
N1
N
15793
Chemical peel nonfacial
$XXX.XX
N1
N
15819
Plastic surgery neck
$XXX.XX
G2
Y
15820
Revision of lower eyelid
$XXX.XX
A2
Y
15821
Revision of lower eyelid
$XXX.XX
A2
Y
15822
Revision of upper eyelid
$XXX.XX
A2
Y
15823
Revision of upper eyelid
$XXX.XX
A2
Y
15824
Removal of forehead wrinkles
$XXX.XX
A2
Y
15825
Removal of neck wrinkles
$XXX.XX
A2
Y
15826
Removal of brow wrinkles
$XXX.XX
A2
Y
15828
Removal of face wrinkles
$XXX.XX
A2
Y
15829
Removal of skin wrinkles
$XXX.XX
A2
Y
15830
Exc skin abd
$XXX.XX
A2
Y
15832
Excise excessive skin thigh
$XXX.XX
A2
Y
15833
Excise excessive skin leg
$XXX.XX
A2
Y
15834
Excise excessive skin hip
$XXX.XX
A2
Y
15835
Excise excessive skin buttck
$XXX.XX
A2
Y
15836
Excise excessive skin arm
$XXX.XX
A2
Y
15837
Excise excess skin arm/hand
$XXX.XX
G2
Y
15838
Excise excess skin fat pad
$XXX.XX
G2
Y
15839
Excise excess skin & tissue
$XXX.XX
A2
Y
15840
Nerve palsy fascial graft
$XXX.XX
A2
Y
15841
Nerve palsy muscle graft
$XXX.XX
A2
Y
15842
Nerve palsy microsurg graft
$XXX.XX
G2
Y
15845
Skin and muscle repair face
$XXX.XX
A2
Y
15847
Exc skin abd add-on
$XXX.XX
N1
N
15850
Remove sutures same surgeon
$XXX.XX
G2
Y
15851
Remove sutures diff surgeon
$XXX.XX
P3
Y
15852
Dressing change not for burn
$XXX.XX
N1
N
15860
Test for blood flow in graft
$XXX.XX
N1
N
15876
Suction lipectomy head&neck
$XXX.XX
A2
Y
15877
Suction lipectomy trunk
$XXX.XX
A2
Y
15878
Suction lipectomy upr extrem
$XXX.XX
A2
Y
15879
Suction lipectomy lwr extrem
$XXX.XX
A2
Y
15920
Removal of tail bone ulcer
$XXX.XX
A2
Y
15922
Removal of tail bone ulcer
$XXX.XX
A2
Y
15931
Remove sacrum pressure sore
$XXX.XX
A2
Y
15933
Remove sacrum pressure sore
$XXX.XX
A2
Y
15934
Remove sacrum pressure sore
$XXX.XX
A2
Y
15935
Remove sacrum pressure sore
$XXX.XX
A2
Y
15936
Remove sacrum pressure sore
$XXX.XX
A2
Y
15937
Remove sacrum pressure sore
$XXX.XX
A2
Y
15940
Remove hip pressure sore
$XXX.XX
A2
Y
15941
Remove hip pressure sore
$XXX.XX
A2
Y
15944
Remove hip pressure sore
$XXX.XX
A2
Y
15945
Remove hip pressure sore
$XXX.XX
A2
Y
15946
Remove hip pressure sore
$XXX.XX
A2
Y
15950
Remove thigh pressure sore
$XXX.XX
A2
Y
15951
Remove thigh pressure sore
$XXX.XX
A2
Y
15952
Remove thigh pressure sore
$XXX.XX
A2
Y
15953
Remove thigh pressure sore
$XXX.XX
A2
Y
15956
Remove thigh pressure sore
$XXX.XX
A2
Y
15958
Remove thigh pressure sore
$XXX.XX
A2
Y
16000
Initial treatment of burn(s)
$XXX.XX
N1
N
16020
Dress/debrid p-thick burn s
$XXX.XX
N1
N
16025
Dress/debrid p-thick burn m
$XXX.XX
A2
Y
16030
Dress/debrid p-thick burn l
$XXX.XX
A2
Y
16035
Incision of burn scab initi
$XXX.XX
G2
Y
17000
Destruct premalg lesion
$XXX.XX
N1
N
17003
Destruct premalg les 2-14
$XXX.XX
N1
N
17004
Destroy premal lesions 15/>
$XXX.XX
P3
Y
17106
Destruction of skin lesions
$XXX.XX
P2
Y
17107
Destruction of skin lesions
$XXX.XX
P2
Y
17108
Destruction of skin lesions
$XXX.XX
P3
Y
17110
Destruct b9 lesion 1-14
$XXX.XX
N1
N
17111
Destruct lesion 15 or more
$XXX.XX
N1
N
17250
Chem caut of granltj tissue
$XXX.XX
N1
N
17260
Destruction of skin lesions
$XXX.XX
N1
N
17261
Destruction of skin lesions
$XXX.XX
N1
N
17262
Destruction of skin lesions
$XXX.XX
N1
N
17263
Destruction of skin lesions
$XXX.XX
N1
N
17264
Destruction of skin lesions
$XXX.XX
P3
Y
17266
Destruction of skin lesions
$XXX.XX
P3
Y
17270
Destruction of skin lesions
$XXX.XX
P2
Y
17271
Destruction of skin lesions
$XXX.XX
P2
Y
17272
Destruction of skin lesions
$XXX.XX
N1
N
17273
Destruction of skin lesions
$XXX.XX
P3
Y
17274
Destruction of skin lesions
$XXX.XX
P3
Y
17276
Destruction of skin lesions
$XXX.XX
P3
Y
17280
Destruction of skin lesions
$XXX.XX
N1
N
17281
Destruction of skin lesions
$XXX.XX
P3
Y
17282
Destruction of skin lesions
$XXX.XX
P3
Y
17283
Destruction of skin lesions
$XXX.XX
P3
Y
17284
Destruction of skin lesions
$XXX.XX
P3
Y
17286
Destruction of skin lesions
$XXX.XX
P3
Y
17311
Mohs 1 stage h/n/hf/g
$XXX.XX
P2
Y
17312
Mohs addl stage
$XXX.XX
N1
N
17313
Mohs 1 stage t/a/l
$XXX.XX
P2
Y
17314
Mohs addl stage t/a/l
$XXX.XX
N1
N
17315
Mohs surg addl block
$XXX.XX
N1
N
17340
Cryotherapy of skin
$XXX.XX
N1
N
17360
Skin peel therapy
$XXX.XX
N1
N
17380
Hair removal by electrolysis
$XXX.XX
R2
Y
19000
Drainage of breast lesion
$XXX.XX
P3
Y
19001
Drain breast lesion add-on
$XXX.XX
N1
N
19020
Incision of breast lesion
$XXX.XX
A2
Y
19030
Injection for breast x-ray
$XXX.XX
N1
N
19081
Bx breast 1st lesion strtctc
$XXX.XX
G2
Y
19082
Bx breast add lesion strtctc
$XXX.XX
N1
N
19083
Bx breast 1st lesion us imag
$XXX.XX
G2
Y
19084
Bx breast add lesion us imag
$XXX.XX
N1
N
19085
Bx breast 1st lesion mr imag
$XXX.XX
G2
Y
19086
Bx breast add lesion mr imag
$XXX.XX
N1
N
19100
Bx breast percut w/o image
$XXX.XX
A2
Y
19101
Biopsy of breast open
$XXX.XX
A2
Y
19105
Cryosurg ablate fa each
$XXX.XX
J8
Y
19110
Nipple exploration
$XXX.XX
A2
Y
19112
Excise breast duct fistula
$XXX.XX
A2
Y
19120
Removal of breast lesion
$XXX.XX
A2
Y
19125
Excision breast lesion
$XXX.XX
A2
Y
19126
Excision addl breast lesion
$XXX.XX
N1
N
19281
Perq device breast 1st imag
$XXX.XX
N1
N
19282
Perq device breast ea imag
$XXX.XX
N1
N
19283
Perq dev breast 1st strtctc
$XXX.XX
N1
N
19284
Perq dev breast add strtctc
$XXX.XX
N1
N
19285
Perq dev breast 1st us imag
$XXX.XX
N1
N
19286
Perq dev breast add us imag
$XXX.XX
N1
N
19287
Perq dev breast 1st mr guide
$XXX.XX
N1
N
19288
Perq dev breast add mr guide
$XXX.XX
N1
N
19294
Prep tum cav iort prtl mast
$XXX.XX
N1
N
19296
Place po breast cath for rad
$XXX.XX
J8
Y
19297
Place breast cath for rad
$XXX.XX
N1
N
19298
Place breast rad tube/caths
$XXX.XX
G2
Y
19300
Removal of breast tissue
$XXX.XX
A2
Y
19301
Partial mastectomy
$XXX.XX
A2
Y
19302
P-mastectomy w/ln removal
$XXX.XX
A2
Y
19303
Mast simple complete
$XXX.XX
A2
Y
19304
Mast subq
$XXX.XX
A2
Y
19316
Suspension of breast
$XXX.XX
A2
Y
19318
Reduction of large breast
$XXX.XX
A2
Y
19324
Enlarge breast
$XXX.XX
A2
Y
19325
Enlarge breast with implant
$XXX.XX
G2
Y
19328
Removal of breast implant
$XXX.XX
A2
N
19330
Removal of implant material
$XXX.XX
A2
N
19340
Immediate breast prosthesis
$XXX.XX
A2
Y
19342
Delayed breast prosthesis
$XXX.XX
A2
Y
19350
Breast reconstruction
$XXX.XX
A2
Y
19355
Correct inverted nipple(s)
$XXX.XX
A2
Y
19357
Breast reconstruction
$XXX.XX
J8
Y
19366
Breast reconstruction
$XXX.XX
A2
Y
19370
Surgery of breast capsule
$XXX.XX
A2
Y
19371
Removal of breast capsule
$XXX.XX
A2
Y
19380
Revise breast reconstruction
$XXX.XX
A2
Y
19396
Design custom breast implant
$XXX.XX
G2
Y
20005
I&d abscess subfascial
$XXX.XX
D5
20103
Explore wound extremity
$XXX.XX
G2
Y
20150
Excise epiphyseal bar
$XXX.XX
G2
Y
20200
Muscle biopsy
$XXX.XX
A2
Y
20205
Deep muscle biopsy
$XXX.XX
A2
Y
20206
Needle biopsy muscle
$XXX.XX
A2
Y
20220
Bone biopsy trocar/needle
$XXX.XX
A2
Y
20225
Bone biopsy trocar/needle
$XXX.XX
A2
Y
20240
Bone biopsy open superficial
$XXX.XX
A2
Y
20245
Bone biopsy open deep
$XXX.XX
A2
Y
20250
Open bone biopsy
$XXX.XX
A2
Y
20251
Open bone biopsy
$XXX.XX
A2
Y
20500
Injection of sinus tract
$XXX.XX
P3
Y
20501
Inject sinus tract for x-ray
$XXX.XX
N1
N
20520
Removal of foreign body
$XXX.XX
P3
Y
20525
Removal of foreign body
$XXX.XX
A2
Y
20526
Ther injection carp tunnel
$XXX.XX
P3
Y
20527
Inj dupuytren cord w/enzyme
$XXX.XX
P3
Y
20550
Inj tendon sheath/ligament
$XXX.XX
P3
Y
20551
Inj tendon origin/insertion
$XXX.XX
P3
Y
20552
Inj trigger point 1/2 muscl
$XXX.XX
P3
Y
20553
Inject trigger points 3/>
$XXX.XX
P3
Y
20555
Place ndl musc/tis for rt
$XXX.XX
R2
Y
20600
Drain/inj joint/bursa w/o us
$XXX.XX
P3
Y
20604
Drain/inj joint/bursa w/us
$XXX.XX
P3
Y
20605
Drain/inj joint/bursa w/o us
$XXX.XX
P3
Y
20606
Drain/inj joint/bursa w/us
$XXX.XX
P3
Y
20610
Drain/inj joint/bursa w/o us
$XXX.XX
P3
Y
20611
Drain/inj joint/bursa w/us
$XXX.XX
P3
Y
20612
Aspirate/inj ganglion cyst
$XXX.XX
P3
Y
20615
Treatment of bone cyst
$XXX.XX
P3
Y
20650
Insert and remove bone pin
$XXX.XX
A2
Y
20662
Application of pelvis brace
$XXX.XX
R2
Y
20663
Application of thigh brace
$XXX.XX
R2
Y
20665
Removal of fixation device
$XXX.XX
G2
N
20670
Removal of support implant
$XXX.XX
A2
N
20680
Removal of support implant
$XXX.XX
A2
N
20690
Apply bone fixation device
$XXX.XX
J8
Y
20692
Apply bone fixation device
$XXX.XX
J8
Y
20693
Adjust bone fixation device
$XXX.XX
A2
Y
20694
Remove bone fixation device
$XXX.XX
A2
N
20696
Comp multiplane ext fixation
$XXX.XX
J8
Y
20697
Comp ext fixate strut change
$XXX.XX
P2
Y
20822
Replantation digit complete
$XXX.XX
G2
Y
20900
Removal of bone for graft
$XXX.XX
A2
Y
20902
Removal of bone for graft
$XXX.XX
A2
Y
20910
Remove cartilage for graft
$XXX.XX
A2
Y
20912
Remove cartilage for graft
$XXX.XX
A2
Y
20920
Removal of fascia for graft
$XXX.XX
A2
Y
20922
Removal of fascia for graft
$XXX.XX
A2
Y
20924
Removal of tendon for graft
$XXX.XX
A2
Y
20926
Removal of tissue for graft
$XXX.XX
A2
Y
20930
Sp bone algrft morsel add-on
$XXX.XX
N1
N
20931
Sp bone algrft struct add-on
$XXX.XX
N1
N
20932
Osteoart algrft w/surf & b1
$XXX.XX
N1
N
20933
Hemicrt intrclry algrft prtl
$XXX.XX
N1
N
20934
Intercalary algrft compl
$XXX.XX
N1
N
20936
Sp bone agrft local add-on
$XXX.XX
N1
N
20937
Sp bone agrft morsel add-on
$XXX.XX
N1
N
20938
Sp bone agrft struct add-on
$XXX.XX
N1
N
20939
Bone marrow aspir bone grfg
$XXX.XX
N1
N
20950
Fluid pressure muscle
$XXX.XX
G2
Y
20972
Bone/skin graft metatarsal
$XXX.XX
G2
Y
20973
Bone/skin graft great toe
$XXX.XX
R2
Y
20975
Electrical bone stimulation
$XXX.XX
N1
N
20979
Us bone stimulation
$XXX.XX
N1
N
20982
Ablate bone tumor(s) perq
$XXX.XX
G2
Y
20983
Ablate bone tumor(s) perq
$XXX.XX
G2
Y
20985
Cptr-asst dir ms px
$XXX.XX
N1
N
21010
Incision of jaw joint
$XXX.XX
A2
Y
21011
Exc face les sc <2 cm
$XXX.XX
P3
Y
21012
Exc face les sbq 2 cm/>
$XXX.XX
R2
Y
21013
Exc face tum deep < 2 cm
$XXX.XX
P3
Y
21014
Exc face tum deep 2 cm/>
$XXX.XX
R2
Y
21015
Resect face/scalp tum < 2 cm
$XXX.XX
G2
Y
21016
Resect face/scalp tum 2 cm/>
$XXX.XX
G2
Y
21025
Excision of bone lower jaw
$XXX.XX
A2
Y
21026
Excision of facial bone(s)
$XXX.XX
A2
Y
21029
Contour of face bone lesion
$XXX.XX
A2
Y
21030
Excise max/zygoma b9 tumor
$XXX.XX
P3
Y
21031
Remove exostosis mandible
$XXX.XX
P3
Y
21032
Remove exostosis maxilla
$XXX.XX
P3
Y
21034
Excise max/zygoma mal tumor
$XXX.XX
A2
Y
21040
Excise mandible lesion
$XXX.XX
A2
Y
21044
Removal of jaw bone lesion
$XXX.XX
A2
Y
21046
Remove mandible cyst complex
$XXX.XX
A2
Y
21047
Excise lwr jaw cyst w/repair
$XXX.XX
A2
Y
21048
Remove maxilla cyst complex
$XXX.XX
R2
Y
21050
Removal of jaw joint
$XXX.XX
A2
Y
21060
Remove jaw joint cartilage
$XXX.XX
A2
Y
21070
Remove coronoid process
$XXX.XX
A2
Y
21073
Mnpj of tmj w/anesth
$XXX.XX
P3
Y
21076
Prepare face/oral prosthesis
$XXX.XX
P3
Y
21077
Prepare face/oral prosthesis
$XXX.XX
P3
Y
21079
Prepare face/oral prosthesis
$XXX.XX
P3
Y
21080
Prepare face/oral prosthesis
$XXX.XX
P3
Y
21081
Prepare face/oral prosthesis
$XXX.XX
P3
Y
21082
Prepare face/oral prosthesis
$XXX.XX
P3
Y
21083
Prepare face/oral prosthesis
$XXX.XX
P3
Y
21084
Prepare face/oral prosthesis
$XXX.XX
P3
Y
21085
Prepare face/oral prosthesis
$XXX.XX
P2
Y
21086
Prepare face/oral prosthesis
$XXX.XX
P3
Y
21087
Prepare face/oral prosthesis
$XXX.XX
P3
Y
21088
Prepare face/oral prosthesis
$XXX.XX
R2
Y
21100
Maxillofacial fixation
$XXX.XX
A2
Y
21110
Interdental fixation
$XXX.XX
P2
N
21116
Injection jaw joint x-ray
$XXX.XX
N1
N
21120
Reconstruction of chin
$XXX.XX
G2
Y
21121
Reconstruction of chin
$XXX.XX
A2
Y
21122
Reconstruction of chin
$XXX.XX
A2
Y
21123
Reconstruction of chin
$XXX.XX
A2
Y
21125
Augmentation lower jaw bone
$XXX.XX
A2
Y
21127
Augmentation lower jaw bone
$XXX.XX
A2
Y
21137
Reduction of forehead
$XXX.XX
G2
Y
21138
Reduction of forehead
$XXX.XX
G2
Y
21139
Reduction of forehead
$XXX.XX
G2
Y
21150
Lefort ii anterior intrusion
$XXX.XX
G2
Y
21181
Contour cranial bone lesion
$XXX.XX
A2
Y
21198
Reconstr lwr jaw segment
$XXX.XX
G2
Y
21199
Reconstr lwr jaw w/advance
$XXX.XX
G2
Y
21206
Reconstruct upper jaw bone
$XXX.XX
A2
Y
21208
Augmentation of facial bones
$XXX.XX
A2
Y
21209
Reduction of facial bones
$XXX.XX
A2
Y
21210
Face bone graft
$XXX.XX
A2
Y
21215
Lower jaw bone graft
$XXX.XX
A2
Y
21230
Rib cartilage graft
$XXX.XX
A2
Y
21235
Ear cartilage graft
$XXX.XX
A2
Y
21240
Reconstruction of jaw joint
$XXX.XX
A2
Y
21242
Reconstruction of jaw joint
$XXX.XX
A2
Y
21243
Reconstruction of jaw joint
$XXX.XX
J8
Y
21244
Reconstruction of lower jaw
$XXX.XX
J8
Y
21245
Reconstruction of jaw
$XXX.XX
A2
Y
21246
Reconstruction of jaw
$XXX.XX
A2
Y
21248
Reconstruction of jaw
$XXX.XX
A2
Y
21249
Reconstruction of jaw
$XXX.XX
A2
Y
21260
Revise eye sockets
$XXX.XX
G2
Y
21267
Revise eye sockets
$XXX.XX
A2
Y
21270
Augmentation cheek bone
$XXX.XX
A2
Y
21275
Revision orbitofacial bones
$XXX.XX
G2
Y
21280
Revision of eyelid
$XXX.XX
A2
Y
21282
Revision of eyelid
$XXX.XX
A2
Y
21295
Revision of jaw muscle/bone
$XXX.XX
A2
Y
21296
Revision of jaw muscle/bone
$XXX.XX
A2
Y
21310
Closed tx nose fx w/o manj
$XXX.XX
A2
Y
21315
Closed tx nose fx w/o stablj
$XXX.XX
A2
Y
21320
Closed tx nose fx w/ stablj
$XXX.XX
A2
Y
21325
Open tx nose fx uncomplicatd
$XXX.XX
A2
Y
21330
Open tx nose fx w/skele fixj
$XXX.XX
A2
Y
21335
Open tx nose & septal fx
$XXX.XX
A2
Y
21336
Open tx septal fx w/wo stabj
$XXX.XX
A2
Y
21337
Closed tx septal&nose fx
$XXX.XX
A2
Y
21338
Open nasoethmoid fx w/o fixj
$XXX.XX
J8
Y
21339
Open nasoethmoid fx w/ fixj
$XXX.XX
A2
Y
21340
Perq tx nasoethmoid fx
$XXX.XX
A2
Y
21345
Closed tx nose/jaw fx
$XXX.XX
A2
Y
21355
Perq tx malar fracture
$XXX.XX
A2
Y
21356
Opn tx dprsd zygomatic arch
$XXX.XX
A2
Y
21360
Opn tx dprsd malar fracture
$XXX.XX
G2
Y
21390
Opn tx orbit periorbtl implt
$XXX.XX
G2
Y
21400
Closed tx orbit w/o manipulj
$XXX.XX
A2
Y
21401
Closed tx orbit w/manipulj
$XXX.XX
A2
Y
21406
Opn tx orbit fx w/o implant
$XXX.XX
G2
Y
21407
Opn tx orbit fx w/implant
$XXX.XX
G2
Y
21421
Treat mouth roof fracture
$XXX.XX
A2
Y
21440
Treat dental ridge fracture
$XXX.XX
P3
Y
21445
Treat dental ridge fracture
$XXX.XX
A2
Y
21450
Treat lower jaw fracture
$XXX.XX
A2
Y
21451
Treat lower jaw fracture
$XXX.XX
A2
Y
21452
Treat lower jaw fracture
$XXX.XX
A2
Y
21453
Treat lower jaw fracture
$XXX.XX
A2
Y
21454
Treat lower jaw fracture
$XXX.XX
J8
Y
21461
Treat lower jaw fracture
$XXX.XX
J8
Y
21462
Treat lower jaw fracture
$XXX.XX
J8
Y
21465
Treat lower jaw fracture
$XXX.XX
A2
Y
21480
Reset dislocated jaw
$XXX.XX
A2
Y
21485
Reset dislocated jaw
$XXX.XX
A2
Y
21490
Repair dislocated jaw
$XXX.XX
A2
Y
21497
Interdental wiring
$XXX.XX
A2
Y
21501
Drain neck/chest lesion
$XXX.XX
A2
Y
21502
Drain chest lesion
$XXX.XX
A2
Y
21550
Biopsy of neck/chest
$XXX.XX
G2
Y
21552
Exc neck les sc 3 cm/>
$XXX.XX
G2
Y
21554
Exc neck tum deep 5 cm/>
$XXX.XX
G2
Y
21555
Exc neck les sc < 3 cm
$XXX.XX
G2
Y
21556
Exc neck tum deep < 5 cm
$XXX.XX
G2
Y
21557
Resect neck thorax tumor<5cm
$XXX.XX
G2
Y
21558
Resect neck tumor 5 cm/>
$XXX.XX
G2
Y
21600
Partial removal of rib
$XXX.XX
A2
Y
21610
Partial removal of rib
$XXX.XX
A2
Y
21685
Hyoid myotomy & suspension
$XXX.XX
G2
Y
21700
Revision of neck muscle
$XXX.XX
A2
Y
21720
Revision of neck muscle
$XXX.XX
A2
Y
21725
Revision of neck muscle
$XXX.XX
A2
Y
21820
Treat sternum fracture
$XXX.XX
A2
Y
21920
Biopsy soft tissue of back
$XXX.XX
P3
Y
21925
Biopsy soft tissue of back
$XXX.XX
A2
Y
21930
Exc back les sc < 3 cm
$XXX.XX
G2
Y
21931
Exc back les sc 3 cm/>
$XXX.XX
G2
Y
21932
Exc back tum deep < 5 cm
$XXX.XX
G2
Y
21933
Exc back tum deep 5 cm/>
$XXX.XX
G2
Y
21935
Resect back tum < 5 cm
$XXX.XX
G2
Y
21936
Resect back tum 5 cm/>
$XXX.XX
G2
Y
22102
Remove part lumbar vertebra
$XXX.XX
G2
Y
22103
Remove extra spine segment
$XXX.XX
N1
N
22310
Closed tx vert fx w/o manj
$XXX.XX
A2
Y
22315
Closed tx vert fx w/manj
$XXX.XX
A2
Y
22505
Manipulation of spine
$XXX.XX
A2
Y
22510
Perq cervicothoracic inject
$XXX.XX
G2
Y
22511
Perq lumbosacral injection
$XXX.XX
G2
Y
22512
Vertebroplasty addl inject
$XXX.XX
N1
N
22513
Perq vertebral augmentation
$XXX.XX
G2
Y
22514
Perq vertebral augmentation
$XXX.XX
G2
Y
22515
Perq vertebral augmentation
$XXX.XX
N1
N
22551
Neck spine fuse&remov bel c2
$XXX.XX
J8
Y
22552
Addl neck spine fusion
$XXX.XX
N1
N
22554
Neck spine fusion
$XXX.XX
J8
Y
22585
Additional spinal fusion
$XXX.XX
N1
N
22612
Lumbar spine fusion
$XXX.XX
G2
Y
22614
Spine fusion extra segment
$XXX.XX
N1
N
22840
Insert spine fixation device
$XXX.XX
N1
N
22842
Insert spine fixation device
$XXX.XX
N1
N
22845
Insert spine fixation device
$XXX.XX
N1
N
22853
Insj biomechanical device
$XXX.XX
N1
N
22854
Insj biomechanical device
$XXX.XX
N1
N
22856
Cerv artific diskectomy
$XXX.XX
J8
Y
22858
Second level cer diskectomy
$XXX.XX
N1
N
22859
Insj biomechanical device
$XXX.XX
N1
N
22867
Insj stablj dev w/dcmprn
$XXX.XX
J8
Y
22868
Insj stablj dev w/dcmprn
$XXX.XX
N1
N
22869
Insj stablj dev w/o dcmprn
$XXX.XX
J8
Y
22870
Insj stablj dev w/o dcmprn
$XXX.XX
N1
N
22900
Exc abdl tum deep < 5 cm
$XXX.XX
G2
Y
22901
Exc abdl tum deep 5 cm/>
$XXX.XX
G2
Y
22902
Exc abd les sc < 3 cm
$XXX.XX
G2
Y
22903
Exc abd les sc 3 cm/>
$XXX.XX
G2
Y
22904
Radical resect abd tumor<5cm
$XXX.XX
G2
Y
22905
Rad resect abd tumor 5 cm/>
$XXX.XX
G2
Y
23000
Removal of calcium deposits
$XXX.XX
A2
Y
23020
Release shoulder joint
$XXX.XX
A2
Y
23030
Drain shoulder lesion
$XXX.XX
A2
Y
23031
Drain shoulder bursa
$XXX.XX
A2
Y
23035
Drain shoulder bone lesion
$XXX.XX
A2
Y
23040
Exploratory shoulder surgery
$XXX.XX
A2
Y
23044
Exploratory shoulder surgery
$XXX.XX
A2
Y
23065
Biopsy shoulder tissues
$XXX.XX
P3
Y
23066
Biopsy shoulder tissues
$XXX.XX
A2
Y
23071
Exc shoulder les sc 3 cm/>
$XXX.XX
G2
Y
23073
Exc shoulder tum deep 5 cm/>
$XXX.XX
G2
Y
23075
Exc shoulder les sc < 3 cm
$XXX.XX
G2
Y
23076
Exc shoulder tum deep < 5 cm
$XXX.XX
G2
Y
23077
Resect shoulder tumor < 5 cm
$XXX.XX
G2
Y
23078
Resect shoulder tumor 5 cm/>
$XXX.XX
G2
Y
23100
Biopsy of shoulder joint
$XXX.XX
A2
Y
23101
Shoulder joint surgery
$XXX.XX
A2
Y
23105
Remove shoulder joint lining
$XXX.XX
A2
Y
23106
Incision of collarbone joint
$XXX.XX
A2
Y
23107
Explore treat shoulder joint
$XXX.XX
A2
Y
23120
Partial removal collar bone
$XXX.XX
A2
Y
23125
Removal of collar bone
$XXX.XX
A2
Y
23130
Remove shoulder bone part
$XXX.XX
A2
Y
23140
Removal of bone lesion
$XXX.XX
A2
Y
23145
Removal of bone lesion
$XXX.XX
A2
Y
23146
Removal of bone lesion
$XXX.XX
A2
Y
23150
Removal of humerus lesion
$XXX.XX
A2
Y
23155
Removal of humerus lesion
$XXX.XX
A2
Y
23156
Removal of humerus lesion
$XXX.XX
A2
Y
23170
Remove collar bone lesion
$XXX.XX
A2
Y
23172
Remove shoulder blade lesion
$XXX.XX
A2
Y
23174
Remove humerus lesion
$XXX.XX
A2
Y
23180
Remove collar bone lesion
$XXX.XX
A2
Y
23182
Remove shoulder blade lesion
$XXX.XX
A2
Y
23184
Remove humerus lesion
$XXX.XX
A2
Y
23190
Partial removal of scapula
$XXX.XX
A2
Y
23195
Removal of head of humerus
$XXX.XX
A2
Y
23330
Remove shoulder foreign body
$XXX.XX
A2
Y
23333
Remove shoulder fb deep
$XXX.XX
G2
Y
23334
Shoulder prosthesis removal
$XXX.XX
G2
Y
23350
Injection for shoulder x-ray
$XXX.XX
N1
N
23395
Muscle transfer shoulder/arm
$XXX.XX
A2
Y
23397
Muscle transfers
$XXX.XX
A2
Y
23400
Fixation of shoulder blade
$XXX.XX
A2
Y
23405
Incision of tendon & muscle
$XXX.XX
A2
Y
23406
Incise tendon(s) & muscle(s)
$XXX.XX
A2
Y
23410
Repair rotator cuff acute
$XXX.XX
A2
Y
23412
Repair rotator cuff chronic
$XXX.XX
A2
Y
23415
Release of shoulder ligament
$XXX.XX
A2
Y
23420
Repair of shoulder
$XXX.XX
A2
Y
23430
Repair biceps tendon
$XXX.XX
A2
Y
23440
Remove/transplant tendon
$XXX.XX
A2
Y
23450
Repair shoulder capsule
$XXX.XX
A2
Y
23455
Repair shoulder capsule
$XXX.XX
A2
Y
23460
Repair shoulder capsule
$XXX.XX
A2
Y
23462
Repair shoulder capsule
$XXX.XX
A2
Y
23465
Repair shoulder capsule
$XXX.XX
G2
Y
23466
Repair shoulder capsule
$XXX.XX
A2
Y
23480
Revision of collar bone
$XXX.XX
A2
Y
23485
Revision of collar bone
$XXX.XX
J8
Y
23490
Reinforce clavicle
$XXX.XX
A2
Y
23491
Reinforce shoulder bones
$XXX.XX
A2
Y
23500
Treat clavicle fracture
$XXX.XX
A2
Y
23505
Treat clavicle fracture
$XXX.XX
A2
Y
23515
Treat clavicle fracture
$XXX.XX
J8
Y
23520
Treat clavicle dislocation
$XXX.XX
A2
Y
23525
Treat clavicle dislocation
$XXX.XX
A2
Y
23530
Treat clavicle dislocation
$XXX.XX
A2
Y
23532
Treat clavicle dislocation
$XXX.XX
A2
Y
23540
Treat clavicle dislocation
$XXX.XX
A2
Y
23545
Treat clavicle dislocation
$XXX.XX
A2
Y
23550
Treat clavicle dislocation
$XXX.XX
A2
Y
23552
Treat clavicle dislocation
$XXX.XX
J8
Y
23570
Treat shoulder blade fx
$XXX.XX
A2
Y
23575
Treat shoulder blade fx
$XXX.XX
A2
Y
23585
Treat scapula fracture
$XXX.XX
A2
Y
23600
Treat humerus fracture
$XXX.XX
P2
Y
23605
Treat humerus fracture
$XXX.XX
A2
Y
23615
Treat humerus fracture
$XXX.XX
J8
Y
23616
Treat humerus fracture
$XXX.XX
J8
Y
23620
Treat humerus fracture
$XXX.XX
P2
Y
23625
Treat humerus fracture
$XXX.XX
A2
Y
23630
Treat humerus fracture
$XXX.XX
A2
Y
23650
Treat shoulder dislocation
$XXX.XX
A2
Y
23655
Treat shoulder dislocation
$XXX.XX
A2
Y
23660
Treat shoulder dislocation
$XXX.XX
A2
Y
23665
Treat dislocation/fracture
$XXX.XX
A2
Y
23670
Treat dislocation/fracture
$XXX.XX
A2
Y
23675
Treat dislocation/fracture
$XXX.XX
A2
Y
23680
Treat dislocation/fracture
$XXX.XX
J8
Y
23700
Fixation of shoulder
$XXX.XX
A2
Y
23800
Fusion of shoulder joint
$XXX.XX
G2
Y
23802
Fusion of shoulder joint
$XXX.XX
G2
Y
23921
Amputation follow-up surgery
$XXX.XX
A2
Y
23930
Drainage of arm lesion
$XXX.XX
A2
Y
23931
Drainage of arm bursa
$XXX.XX
A2
Y
23935
Drain arm/elbow bone lesion
$XXX.XX
A2
Y
24000
Exploratory elbow surgery
$XXX.XX
A2
Y
24006
Release elbow joint
$XXX.XX
A2
Y
24065
Biopsy arm/elbow soft tissue
$XXX.XX
P3
Y
24066
Biopsy arm/elbow soft tissue
$XXX.XX
A2
Y
24071
Exc arm/elbow les sc 3 cm/>
$XXX.XX
G2
Y
24073
Ex arm/elbow tum deep 5 cm/>
$XXX.XX
G2
Y
24075
Exc arm/elbow les sc < 3 cm
$XXX.XX
G2
Y
24076
Ex arm/elbow tum deep < 5 cm
$XXX.XX
G2
Y
24077
Resect arm/elbow tum < 5 cm
$XXX.XX
G2
Y
24079
Resect arm/elbow tum 5 cm/>
$XXX.XX
G2
Y
24100
Biopsy elbow joint lining
$XXX.XX
A2
Y
24101
Explore/treat elbow joint
$XXX.XX
A2
Y
24102
Remove elbow joint lining
$XXX.XX
A2
Y
24105
Removal of elbow bursa
$XXX.XX
A2
Y
24110
Remove humerus lesion
$XXX.XX
A2
Y
24115
Remove/graft bone lesion
$XXX.XX
J8
Y
24116
Remove/graft bone lesion
$XXX.XX
A2
Y
24120
Remove elbow lesion
$XXX.XX
A2
Y
24125
Remove/graft bone lesion
$XXX.XX
A2
Y
24126
Remove/graft bone lesion
$XXX.XX
J8
Y
24130
Removal of head of radius
$XXX.XX
A2
Y
24134
Removal of arm bone lesion
$XXX.XX
A2
Y
24136
Remove radius bone lesion
$XXX.XX
A2
Y
24138
Remove elbow bone lesion
$XXX.XX
A2
Y
24140
Partial removal of arm bone
$XXX.XX
A2
Y
24145
Partial removal of radius
$XXX.XX
A2
Y
24147
Partial removal of elbow
$XXX.XX
A2
Y
24149
Radical resection of elbow
$XXX.XX
G2
Y
24152
Resect radius tumor
$XXX.XX
G2
Y
24155
Removal of elbow joint
$XXX.XX
A2
Y
24160
Remove elbow joint implant
$XXX.XX
A2
N
24164
Remove radius head implant
$XXX.XX
A2
N
24200
Removal of arm foreign body
$XXX.XX
P3
Y
24201
Removal of arm foreign body
$XXX.XX
A2
Y
24220
Injection for elbow x-ray
$XXX.XX
N1
N
24300
Manipulate elbow w/anesth
$XXX.XX
G2
Y
24301
Muscle/tendon transfer
$XXX.XX
A2
Y
24305
Arm tendon lengthening
$XXX.XX
A2
Y
24310
Revision of arm tendon
$XXX.XX
A2
Y
24320
Repair of arm tendon
$XXX.XX
A2
Y
24330
Revision of arm muscles
$XXX.XX
A2
Y
24331
Revision of arm muscles
$XXX.XX
A2
Y
24332
Tenolysis triceps
$XXX.XX
G2
Y
24340
Repair of biceps tendon
$XXX.XX
A2
Y
24341
Repair arm tendon/muscle
$XXX.XX
A2
Y
24342
Repair of ruptured tendon
$XXX.XX
A2
Y
24343
Repr elbow lat ligmnt w/tiss
$XXX.XX
G2
Y
24344
Reconstruct elbow lat ligmnt
$XXX.XX
J8
Y
24345
Repr elbw med ligmnt w/tissu
$XXX.XX
A2
Y
24346
Reconstruct elbow med ligmnt
$XXX.XX
G2
Y
24357
Repair elbow perc
$XXX.XX
G2
Y
24358
Repair elbow w/deb open
$XXX.XX
G2
Y
24359
Repair elbow deb/attch open
$XXX.XX
G2
Y
24360
Reconstruct elbow joint
$XXX.XX
A2
Y
24361
Reconstruct elbow joint
$XXX.XX
J8
Y
24362
Reconstruct elbow joint
$XXX.XX
J8
Y
24363
Replace elbow joint
$XXX.XX
J8
Y
24365
Reconstruct head of radius
$XXX.XX
G2
Y
24366
Reconstruct head of radius
$XXX.XX
J8
Y
24370
Revise reconst elbow joint
$XXX.XX
J8
Y
24371
Revise reconst elbow joint
$XXX.XX
J8
Y
24400
Revision of humerus
$XXX.XX
A2
Y
24410
Revision of humerus
$XXX.XX
G2
Y
24420
Revision of humerus
$XXX.XX
A2
Y
24430
Repair of humerus
$XXX.XX
J8
Y
24435
Repair humerus with graft
$XXX.XX
J8
Y
24470
Revision of elbow joint
$XXX.XX
A2
Y
24495
Decompression of forearm
$XXX.XX
A2
Y
24498
Reinforce humerus
$XXX.XX
J8
Y
24500
Treat humerus fracture
$XXX.XX
A2
Y
24505
Treat humerus fracture
$XXX.XX
A2
Y
24515
Treat humerus fracture
$XXX.XX
J8
Y
24516
Treat humerus fracture
$XXX.XX
J8
Y
24530
Treat humerus fracture
$XXX.XX
A2
Y
24535
Treat humerus fracture
$XXX.XX
A2
Y
24538
Treat humerus fracture
$XXX.XX
A2
Y
24545
Treat humerus fracture
$XXX.XX
J8
Y
24546
Treat humerus fracture
$XXX.XX
J8
Y
24560
Treat humerus fracture
$XXX.XX
A2
Y
24565
Treat humerus fracture
$XXX.XX
A2
Y
24566
Treat humerus fracture
$XXX.XX
A2
Y
24575
Treat humerus fracture
$XXX.XX
A2
Y
24576
Treat humerus fracture
$XXX.XX
A2
Y
24577
Treat humerus fracture
$XXX.XX
A2
Y
24579
Treat humerus fracture
$XXX.XX
J8
Y
24582
Treat humerus fracture
$XXX.XX
A2
Y
24586
Treat elbow fracture
$XXX.XX
G2
Y
24587
Treat elbow fracture
$XXX.XX
J8
Y
24600
Treat elbow dislocation
$XXX.XX
A2
Y
24605
Treat elbow dislocation
$XXX.XX
A2
Y
24615
Treat elbow dislocation
$XXX.XX
A2
Y
24620
Treat elbow fracture
$XXX.XX
A2
Y
24635
Treat elbow fracture
$XXX.XX
J8
Y
24640
Treat elbow dislocation
$XXX.XX
P3
Y
24650
Treat radius fracture
$XXX.XX
P2
Y
24655
Treat radius fracture
$XXX.XX
A2
Y
24665
Treat radius fracture
$XXX.XX
A2
Y
24666
Treat radius fracture
$XXX.XX
J8
Y
24670
Treat ulnar fracture
$XXX.XX
A2
Y
24675
Treat ulnar fracture
$XXX.XX
A2
Y
24685
Treat ulnar fracture
$XXX.XX
J8
Y
24800
Fusion of elbow joint
$XXX.XX
A2
Y
24802
Fusion/graft of elbow joint
$XXX.XX
G2
Y
24925
Amputation follow-up surgery
$XXX.XX
A2
Y
25000
Incision of tendon sheath
$XXX.XX
A2
Y
25001
Incise flexor carpi radialis
$XXX.XX
G2
Y
25020
Decompress forearm 1 space
$XXX.XX
A2
Y
25023
Decompress forearm 1 space
$XXX.XX
A2
Y
25024
Decompress forearm 2 spaces
$XXX.XX
A2
Y
25025
Decompress forearm 2 spaces
$XXX.XX
A2
Y
25028
Drainage of forearm lesion
$XXX.XX
A2
Y
25031
Drainage of forearm bursa
$XXX.XX
A2
Y
25035
Treat forearm bone lesion
$XXX.XX
A2
Y
25040
Explore/treat wrist joint
$XXX.XX
A2
Y
25065
Biopsy forearm soft tissues
$XXX.XX
P3
Y
25066
Biopsy forearm soft tissues
$XXX.XX
A2
Y
25071
Exc forearm les sc 3 cm/>
$XXX.XX
G2
Y
25073
Exc forearm tum deep 3 cm/>
$XXX.XX
G2
Y
25075
Exc forearm les sc < 3 cm
$XXX.XX
G2
Y
25076
Exc forearm tum deep < 3 cm
$XXX.XX
G2
Y
25077
Resect forearm/wrist tum<3cm
$XXX.XX
G2
Y
25078
Resect forarm/wrist tum 3cm>
$XXX.XX
G2
Y
25085
Incision of wrist capsule
$XXX.XX
A2
Y
25100
Biopsy of wrist joint
$XXX.XX
A2
Y
25101
Explore/treat wrist joint
$XXX.XX
A2
Y
25105
Remove wrist joint lining
$XXX.XX
A2
Y
25107
Remove wrist joint cartilage
$XXX.XX
A2
Y
25109
Excise tendon forearm/wrist
$XXX.XX
G2
Y
25110
Remove wrist tendon lesion
$XXX.XX
A2
Y
25111
Remove wrist tendon lesion
$XXX.XX
A2
Y
25112
Reremove wrist tendon lesion
$XXX.XX
A2
Y
25115
Remove wrist/forearm lesion
$XXX.XX
A2
Y
25116
Remove wrist/forearm lesion
$XXX.XX
A2
Y
25118
Excise wrist tendon sheath
$XXX.XX
A2
Y
25119
Partial removal of ulna
$XXX.XX
A2
Y
25120
Removal of forearm lesion
$XXX.XX
A2
Y
25125
Remove/graft forearm lesion
$XXX.XX
A2
Y
25126
Remove/graft forearm lesion
$XXX.XX
J8
Y
25130
Removal of wrist lesion
$XXX.XX
A2
Y
25135
Remove & graft wrist lesion
$XXX.XX
A2
Y
25136
Remove & graft wrist lesion
$XXX.XX
A2
Y
25145
Remove forearm bone lesion
$XXX.XX
A2
Y
25150
Partial removal of ulna
$XXX.XX
A2
Y
25151
Partial removal of radius
$XXX.XX
A2
Y
25210
Removal of wrist bone
$XXX.XX
A2
Y
25215
Removal of wrist bones
$XXX.XX
A2
Y
25230
Partial removal of radius
$XXX.XX
A2
Y
25240
Partial removal of ulna
$XXX.XX
A2
Y
25246
Injection for wrist x-ray
$XXX.XX
N1
N
25248
Remove forearm foreign body
$XXX.XX
A2
Y
25250
Removal of wrist prosthesis
$XXX.XX
A2
N
25251
Removal of wrist prosthesis
$XXX.XX
A2
N
25259
Manipulate wrist w/anesthes
$XXX.XX
G2
Y
25260
Repair forearm tendon/muscle
$XXX.XX
A2
Y
25263
Repair forearm tendon/muscle
$XXX.XX
A2
Y
25265
Repair forearm tendon/muscle
$XXX.XX
A2
Y
25270
Repair forearm tendon/muscle
$XXX.XX
A2
Y
25272
Repair forearm tendon/muscle
$XXX.XX
A2
Y
25274
Repair forearm tendon/muscle
$XXX.XX
A2
Y
25275
Repair forearm tendon sheath
$XXX.XX
A2
Y
25280
Revise wrist/forearm tendon
$XXX.XX
A2
Y
25290
Incise wrist/forearm tendon
$XXX.XX
A2
Y
25295
Release wrist/forearm tendon
$XXX.XX
A2
Y
25300
Fusion of tendons at wrist
$XXX.XX
A2
Y
25301
Fusion of tendons at wrist
$XXX.XX
A2
Y
25310
Transplant forearm tendon
$XXX.XX
A2
Y
25312
Transplant forearm tendon
$XXX.XX
A2
Y
25315
Revise palsy hand tendon(s)
$XXX.XX
A2
Y
25316
Revise palsy hand tendon(s)
$XXX.XX
A2
Y
25320
Repair/revise wrist joint
$XXX.XX
A2
Y
25332
Revise wrist joint
$XXX.XX
A2
Y
25335
Realignment of hand
$XXX.XX
A2
Y
25337
Reconstruct ulna/radioulnar
$XXX.XX
A2
Y
25350
Revision of radius
$XXX.XX
A2
Y
25355
Revision of radius
$XXX.XX
A2
Y
25360
Revision of ulna
$XXX.XX
A2
Y
25365
Revise radius & ulna
$XXX.XX
A2
Y
25370
Revise radius or ulna
$XXX.XX
A2
Y
25375
Revise radius & ulna
$XXX.XX
A2
Y
25390
Shorten radius or ulna
$XXX.XX
J8
Y
25391
Lengthen radius or ulna
$XXX.XX
J8
Y
25392
Shorten radius & ulna
$XXX.XX
A2
Y
25393
Lengthen radius & ulna
$XXX.XX
A2
Y
25394
Repair carpal bone shorten
$XXX.XX
G2
Y
25400
Repair radius or ulna
$XXX.XX
J8
Y
25405
Repair/graft radius or ulna
$XXX.XX
J8
Y
25415
Repair radius & ulna
$XXX.XX
J8
Y
25420
Repair/graft radius & ulna
$XXX.XX
J8
Y
25425
Repair/graft radius or ulna
$XXX.XX
A2
Y
25426
Repair/graft radius & ulna
$XXX.XX
G2
Y
25430
Vasc graft into carpal bone
$XXX.XX
G2
Y
25431
Repair nonunion carpal bone
$XXX.XX
G2
Y
25440
Repair/graft wrist bone
$XXX.XX
A2
Y
25441
Reconstruct wrist joint
$XXX.XX
J8
Y
25442
Reconstruct wrist joint
$XXX.XX
J8
Y
25443
Reconstruct wrist joint
$XXX.XX
A2
Y
25444
Reconstruct wrist joint
$XXX.XX
J8
Y
25445
Reconstruct wrist joint
$XXX.XX
J8
Y
25446
Wrist replacement
$XXX.XX
J8
Y
25447
Repair wrist joints
$XXX.XX
A2
Y
25449
Remove wrist joint implant
$XXX.XX
A2
Y
25450
Revision of wrist joint
$XXX.XX
A2
Y
25455
Revision of wrist joint
$XXX.XX
A2
Y
25490
Reinforce radius
$XXX.XX
A2
Y
25491
Reinforce ulna
$XXX.XX
A2
Y
25492
Reinforce radius and ulna
$XXX.XX
A2
Y
25500
Treat fracture of radius
$XXX.XX
P2
Y
25505
Treat fracture of radius
$XXX.XX
A2
Y
25515
Treat fracture of radius
$XXX.XX
J8
Y
25520
Treat fracture of radius
$XXX.XX
A2
Y
25525
Treat fracture of radius
$XXX.XX
J8
Y
25526
Treat fracture of radius
$XXX.XX
A2
Y
25530
Treat fracture of ulna
$XXX.XX
P2
Y
25535
Treat fracture of ulna
$XXX.XX
A2
Y
25545
Treat fracture of ulna
$XXX.XX
A2
Y
25560
Treat fracture radius & ulna
$XXX.XX
P2
Y
25565
Treat fracture radius & ulna
$XXX.XX
A2
Y
25574
Treat fracture radius & ulna
$XXX.XX
J8
Y
25575
Treat fracture radius/ulna
$XXX.XX
J8
Y
25600
Treat fracture radius/ulna
$XXX.XX
P2
Y
25605
Treat fracture radius/ulna
$XXX.XX
A2
Y
25606
Treat fx distal radial
$XXX.XX
A2
Y
25607
Treat fx rad extra-articul
$XXX.XX
J8
Y
25608
Treat fx rad intra-articul
$XXX.XX
J8
Y
25609
Treat fx radial 3+ frag
$XXX.XX
J8
Y
25622
Treat wrist bone fracture
$XXX.XX
P2
Y
25624
Treat wrist bone fracture
$XXX.XX
A2
Y
25628
Treat wrist bone fracture
$XXX.XX
A2
Y
25630
Treat wrist bone fracture
$XXX.XX
P2
Y
25635
Treat wrist bone fracture
$XXX.XX
A2
Y
25645
Treat wrist bone fracture
$XXX.XX
A2
Y
25650
Treat wrist bone fracture
$XXX.XX
P2
Y
25651
Pin ulnar styloid fracture
$XXX.XX
G2
Y
25652
Treat fracture ulnar styloid
$XXX.XX
G2
Y
25660
Treat wrist dislocation
$XXX.XX
A2
Y
25670
Treat wrist dislocation
$XXX.XX
A2
Y
25671
Pin radioulnar dislocation
$XXX.XX
A2
Y
25675
Treat wrist dislocation
$XXX.XX
A2
Y
25676
Treat wrist dislocation
$XXX.XX
A2
Y
25680
Treat wrist fracture
$XXX.XX
A2
Y
25685
Treat wrist fracture
$XXX.XX
A2
Y
25690
Treat wrist dislocation
$XXX.XX
A2
Y
25695
Treat wrist dislocation
$XXX.XX
A2
Y
25800
Fusion of wrist joint
$XXX.XX
G2
Y
25805
Fusion/graft of wrist joint
$XXX.XX
J8
Y
25810
Fusion/graft of wrist joint
$XXX.XX
J8
Y
25820
Fusion of hand bones
$XXX.XX
J8
Y
25825
Fuse hand bones with graft
$XXX.XX
J8
Y
25830
Fusion radioulnar jnt/ulna
$XXX.XX
J8
Y
25907
Amputation follow-up surgery
$XXX.XX
A2
Y
25922
Amputate hand at wrist
$XXX.XX
A2
Y
25929
Amputation follow-up surgery
$XXX.XX
A2
Y
25931
Amputation follow-up surgery
$XXX.XX
G2
Y
26010
Drainage of finger abscess
$XXX.XX
P2
Y
26011
Drainage of finger abscess
$XXX.XX
A2
Y
26020
Drain hand tendon sheath
$XXX.XX
A2
Y
26025
Drainage of palm bursa
$XXX.XX
A2
Y
26030
Drainage of palm bursas
$XXX.XX
A2
Y
26034
Treat hand bone lesion
$XXX.XX
A2
Y
26035
Decompress fingers/hand
$XXX.XX
G2
Y
26037
Decompress fingers/hand
$XXX.XX
G2
Y
26040
Release palm contracture
$XXX.XX
A2
Y
26045
Release palm contracture
$XXX.XX
A2
Y
26055
Incise finger tendon sheath
$XXX.XX
A2
Y
26060
Incision of finger tendon
$XXX.XX
A2
Y
26070
Explore/treat hand joint
$XXX.XX
A2
Y
26075
Explore/treat finger joint
$XXX.XX
A2
Y
26080
Explore/treat finger joint
$XXX.XX
A2
Y
26100
Biopsy hand joint lining
$XXX.XX
A2
Y
26105
Biopsy finger joint lining
$XXX.XX
A2
Y
26110
Biopsy finger joint lining
$XXX.XX
A2
Y
26111
Exc hand les sc 1.5 cm/>
$XXX.XX
G2
Y
26113
Exc hand tum deep 1.5 cm/>
$XXX.XX
G2
Y
26115
Exc hand les sc < 1.5 cm
$XXX.XX
G2
Y
26116
Exc hand tum deep < 1.5 cm
$XXX.XX
G2
Y
26117
Rad resect hand tumor < 3 cm
$XXX.XX
G2
Y
26118
Rad resect hand tumor 3 cm/>
$XXX.XX
G2
Y
26121
Release palm contracture
$XXX.XX
A2
Y
26123
Release palm contracture
$XXX.XX
A2
Y
26125
Release palm contracture
$XXX.XX
N1
N
26130
Remove wrist joint lining
$XXX.XX
A2
Y
26135
Revise finger joint each
$XXX.XX
A2
Y
26140
Revise finger joint each
$XXX.XX
A2
Y
26145
Tendon excision palm/finger
$XXX.XX
A2
Y
26160
Remove tendon sheath lesion
$XXX.XX
A2
Y
26170
Removal of palm tendon each
$XXX.XX
A2
Y
26180
Removal of finger tendon
$XXX.XX
A2
Y
26185
Remove finger bone
$XXX.XX
A2
Y
26200
Remove hand bone lesion
$XXX.XX
A2
Y
26205
Remove/graft bone lesion
$XXX.XX
A2
Y
26210
Removal of finger lesion
$XXX.XX
A2
Y
26215
Remove/graft finger lesion
$XXX.XX
A2
Y
26230
Partial removal of hand bone
$XXX.XX
A2
Y
26235
Partial removal finger bone
$XXX.XX
A2
Y
26236
Partial removal finger bone
$XXX.XX
A2
Y
26250
Extensive hand surgery
$XXX.XX
A2
Y
26260
Resect prox finger tumor
$XXX.XX
A2
Y
26262
Resect distal finger tumor
$XXX.XX
A2
Y
26320
Removal of implant from hand
$XXX.XX
A2
N
26340
Manipulate finger w/anesth
$XXX.XX
G2
Y
26341
Manipulat palm cord post inj
$XXX.XX
P3
Y
26350
Repair finger/hand tendon
$XXX.XX
A2
Y
26352
Repair/graft hand tendon
$XXX.XX
A2
Y
26356
Repair finger/hand tendon
$XXX.XX
A2
Y
26357
Repair finger/hand tendon
$XXX.XX
A2
Y
26358
Repair/graft hand tendon
$XXX.XX
A2
Y
26370
Repair finger/hand tendon
$XXX.XX
A2
Y
26372
Repair/graft hand tendon
$XXX.XX
A2
Y
26373
Repair finger/hand tendon
$XXX.XX
A2
Y
26390
Revise hand/finger tendon
$XXX.XX
A2
Y
26392
Repair/graft hand tendon
$XXX.XX
A2
Y
26410
Repair hand tendon
$XXX.XX
A2
Y
26412
Repair/graft hand tendon
$XXX.XX
A2
Y
26415
Excision hand/finger tendon
$XXX.XX
A2
Y
26416
Graft hand or finger tendon
$XXX.XX
A2
Y
26418
Repair finger tendon
$XXX.XX
A2
Y
26420
Repair/graft finger tendon
$XXX.XX
A2
Y
26426
Repair finger/hand tendon
$XXX.XX
A2
Y
26428
Repair/graft finger tendon
$XXX.XX
A2
Y
26432
Repair finger tendon
$XXX.XX
A2
Y
26433
Repair finger tendon
$XXX.XX
A2
Y
26434
Repair/graft finger tendon
$XXX.XX
A2
Y
26437
Realignment of tendons
$XXX.XX
A2
Y
26440
Release palm/finger tendon
$XXX.XX
A2
Y
26442
Release palm & finger tendon
$XXX.XX
A2
Y
26445
Release hand/finger tendon
$XXX.XX
A2
Y
26449
Release forearm/hand tendon
$XXX.XX
A2
Y
26450
Incision of palm tendon
$XXX.XX
A2
Y
26455
Incision of finger tendon
$XXX.XX
A2
Y
26460
Incise hand/finger tendon
$XXX.XX
A2
Y
26471
Fusion of finger tendons
$XXX.XX
A2
Y
26474
Fusion of finger tendons
$XXX.XX
A2
Y
26476
Tendon lengthening
$XXX.XX
A2
Y
26477
Tendon shortening
$XXX.XX
A2
Y
26478
Lengthening of hand tendon
$XXX.XX
A2
Y
26479
Shortening of hand tendon
$XXX.XX
A2
Y
26480
Transplant hand tendon
$XXX.XX
A2
Y
26483
Transplant/graft hand tendon
$XXX.XX
A2
Y
26485
Transplant palm tendon
$XXX.XX
A2
Y
26489
Transplant/graft palm tendon
$XXX.XX
A2
Y
26490
Revise thumb tendon
$XXX.XX
A2
Y
26492
Tendon transfer with graft
$XXX.XX
A2
Y
26494
Hand tendon/muscle transfer
$XXX.XX
A2
Y
26496
Revise thumb tendon
$XXX.XX
A2
Y
26497
Finger tendon transfer
$XXX.XX
A2
Y
26498
Finger tendon transfer
$XXX.XX
A2
Y
26499
Revision of finger
$XXX.XX
A2
Y
26500
Hand tendon reconstruction
$XXX.XX
A2
Y
26502
Hand tendon reconstruction
$XXX.XX
A2
Y
26508
Release thumb contracture
$XXX.XX
A2
Y
26510
Thumb tendon transfer
$XXX.XX
A2
Y
26516
Fusion of knuckle joint
$XXX.XX
A2
Y
26517
Fusion of knuckle joints
$XXX.XX
A2
Y
26518
Fusion of knuckle joints
$XXX.XX
A2
Y
26520
Release knuckle contracture
$XXX.XX
A2
Y
26525
Release finger contracture
$XXX.XX
A2
Y
26530
Revise knuckle joint
$XXX.XX
A2
Y
26531
Revise knuckle with implant
$XXX.XX
J8
Y
26535
Revise finger joint
$XXX.XX
A2
Y
26536
Revise/implant finger joint
$XXX.XX
J8
Y
26540
Repair hand joint
$XXX.XX
A2
Y
26541
Repair hand joint with graft
$XXX.XX
A2
Y
26542
Repair hand joint with graft
$XXX.XX
A2
Y
26545
Reconstruct finger joint
$XXX.XX
A2
Y
26546
Repair nonunion hand
$XXX.XX
A2
Y
26548
Reconstruct finger joint
$XXX.XX
A2
Y
26550
Construct thumb replacement
$XXX.XX
A2
Y
26555
Positional change of finger
$XXX.XX
A2
Y
26560
Repair of web finger
$XXX.XX
A2
Y
26561
Repair of web finger
$XXX.XX
A2
Y
26562
Repair of web finger
$XXX.XX
A2
Y
26565
Correct metacarpal flaw
$XXX.XX
A2
Y
26567
Correct finger deformity
$XXX.XX
A2
Y
26568
Lengthen metacarpal/finger
$XXX.XX
A2
Y
26580
Repair hand deformity
$XXX.XX
A2
Y
26587
Reconstruct extra finger
$XXX.XX
A2
Y
26590
Repair finger deformity
$XXX.XX
A2
Y
26591
Repair muscles of hand
$XXX.XX
A2
Y
26593
Release muscles of hand
$XXX.XX
A2
Y
26596
Excision constricting tissue
$XXX.XX
A2
Y
26600
Treat metacarpal fracture
$XXX.XX
P2
Y
26605
Treat metacarpal fracture
$XXX.XX
A2
Y
26607
Treat metacarpal fracture
$XXX.XX
A2
Y
26608
Treat metacarpal fracture
$XXX.XX
A2
Y
26615
Treat metacarpal fracture
$XXX.XX
A2
Y
26641
Treat thumb dislocation
$XXX.XX
P2
Y
26645
Treat thumb fracture
$XXX.XX
A2
Y
26650
Treat thumb fracture
$XXX.XX
A2
Y
26665
Treat thumb fracture
$XXX.XX
A2
Y
26670
Treat hand dislocation
$XXX.XX
P2
Y
26675
Treat hand dislocation
$XXX.XX
A2
Y
26676
Pin hand dislocation
$XXX.XX
A2
Y
26685
Treat hand dislocation
$XXX.XX
A2
Y
26686
Treat hand dislocation
$XXX.XX
A2
Y
26700
Treat knuckle dislocation
$XXX.XX
P2
Y
26705
Treat knuckle dislocation
$XXX.XX
A2
Y
26706
Pin knuckle dislocation
$XXX.XX
A2
Y
26715
Treat knuckle dislocation
$XXX.XX
A2
Y
26720
Treat finger fracture each
$XXX.XX
P2
Y
26725
Treat finger fracture each
$XXX.XX
P2
Y
26727
Treat finger fracture each
$XXX.XX
A2
Y
26735
Treat finger fracture each
$XXX.XX
A2
Y
26740
Treat finger fracture each
$XXX.XX
P2
Y
26742
Treat finger fracture each
$XXX.XX
A2
Y
26746
Treat finger fracture each
$XXX.XX
A2
Y
26750
Treat finger fracture each
$XXX.XX
P3
Y
26755
Treat finger fracture each
$XXX.XX
G2
Y
26756
Pin finger fracture each
$XXX.XX
A2
Y
26765
Treat finger fracture each
$XXX.XX
A2
Y
26770
Treat finger dislocation
$XXX.XX
G2
Y
26775
Treat finger dislocation
$XXX.XX
P2
Y
26776
Pin finger dislocation
$XXX.XX
A2
Y
26785
Treat finger dislocation
$XXX.XX
A2
Y
26820
Thumb fusion with graft
$XXX.XX
J8
Y
26841
Fusion of thumb
$XXX.XX
A2
Y
26842
Thumb fusion with graft
$XXX.XX
A2
Y
26843
Fusion of hand joint
$XXX.XX
A2
Y
26844
Fusion/graft of hand joint
$XXX.XX
J8
Y
26850
Fusion of knuckle
$XXX.XX
A2
Y
26852
Fusion of knuckle with graft
$XXX.XX
A2
Y
26860
Fusion of finger joint
$XXX.XX
A2
Y
26861
Fusion of finger jnt add-on
$XXX.XX
N1
N
26862
Fusion/graft of finger joint
$XXX.XX
A2
Y
26863
Fuse/graft added joint
$XXX.XX
N1
N
26910
Amputate metacarpal bone
$XXX.XX
A2
Y
26951
Amputation of finger/thumb
$XXX.XX
A2
Y
26952
Amputation of finger/thumb
$XXX.XX
A2
Y
26990
Drainage of pelvis lesion
$XXX.XX
A2
Y
26991
Drainage of pelvis bursa
$XXX.XX
A2
Y
27000
Incision of hip tendon
$XXX.XX
A2
Y
27001
Incision of hip tendon
$XXX.XX
A2
Y
27003
Incision of hip tendon
$XXX.XX
A2
Y
27033
Exploration of hip joint
$XXX.XX
A2
Y
27035
Denervation of hip joint
$XXX.XX
A2
Y
27040
Biopsy of soft tissues
$XXX.XX
A2
Y
27041
Biopsy of soft tissues
$XXX.XX
A2
Y
27043
Exc hip pelvis les sc 3 cm/>
$XXX.XX
G2
Y
27045
Exc hip/pelv tum deep 5 cm/>
$XXX.XX
G2
Y
27047
Exc hip/pelvis les sc < 3 cm
$XXX.XX
G2
Y
27048
Exc hip/pelv tum deep < 5 cm
$XXX.XX
G2
Y
27049
Resect hip/pelv tum < 5 cm
$XXX.XX
G2
Y
27050
Biopsy of sacroiliac joint
$XXX.XX
A2
Y
27052
Biopsy of hip joint
$XXX.XX
A2
Y
27059
Resect hip/pelv tum 5 cm/>
$XXX.XX
G2
Y
27060
Removal of ischial bursa
$XXX.XX
A2
Y
27062
Remove femur lesion/bursa
$XXX.XX
A2
Y
27065
Remove hip bone les super
$XXX.XX
A2
Y
27066
Remove hip bone les deep
$XXX.XX
A2
Y
27067
Remove/graft hip bone lesion
$XXX.XX
A2
Y
27080
Removal of tail bone
$XXX.XX
A2
Y
27086
Remove hip foreign body
$XXX.XX
A2
Y
27087
Remove hip foreign body
$XXX.XX
A2
Y
27093
Injection for hip x-ray
$XXX.XX
N1
N
27095
Injection for hip x-ray
$XXX.XX
N1
N
27097
Revision of hip tendon
$XXX.XX
A2
Y
27098
Transfer tendon to pelvis
$XXX.XX
A2
Y
27100
Transfer of abdominal muscle
$XXX.XX
A2
Y
27105
Transfer of spinal muscle
$XXX.XX
A2
Y
27110
Transfer of iliopsoas muscle
$XXX.XX
A2
Y
27111
Transfer of iliopsoas muscle
$XXX.XX
A2
Y
27197
Clsd tx pelvic ring fx
$XXX.XX
G2
Y
27198
Clsd tx pelvic ring fx
$XXX.XX
G2
Y
27200
Treat tail bone fracture
$XXX.XX
P3
Y
27202
Treat tail bone fracture
$XXX.XX
A2
Y
27220
Treat hip socket fracture
$XXX.XX
G2
Y
27230
Treat thigh fracture
$XXX.XX
A2
Y
27238
Treat thigh fracture
$XXX.XX
A2
Y
27246
Treat thigh fracture
$XXX.XX
A2
Y
27250
Treat hip dislocation
$XXX.XX
A2
Y
27252
Treat hip dislocation
$XXX.XX
A2
Y
27256
Treat hip dislocation
$XXX.XX
G2
Y
27257
Treat hip dislocation
$XXX.XX
A2
Y
27265
Treat hip dislocation
$XXX.XX
A2
Y
27266
Treat hip dislocation
$XXX.XX
A2
Y
27267
Cltx thigh fx
$XXX.XX
G2
Y
27275
Manipulation of hip joint
$XXX.XX
A2
Y
27279
Arthrodesis sacroiliac joint
$XXX.XX
J8
Y
27301
Drain thigh/knee lesion
$XXX.XX
A2
Y
27305
Incise thigh tendon & fascia
$XXX.XX
A2
Y
27306
Incision of thigh tendon
$XXX.XX
A2
Y
27307
Incision of thigh tendons
$XXX.XX
A2
Y
27310
Exploration of knee joint
$XXX.XX
A2
Y
27323
Biopsy thigh soft tissues
$XXX.XX
A2
Y
27324
Biopsy thigh soft tissues
$XXX.XX
A2
Y
27325
Neurectomy hamstring
$XXX.XX
A2
Y
27326
Neurectomy popliteal
$XXX.XX
A2
Y
27327
Exc thigh/knee les sc < 3 cm
$XXX.XX
G2
Y
27328
Exc thigh/knee tum deep <5cm
$XXX.XX
G2
Y
27329
Resect thigh/knee tum < 5 cm
$XXX.XX
G2
Y
27330
Biopsy knee joint lining
$XXX.XX
A2
Y
27331
Explore/treat knee joint
$XXX.XX
A2
Y
27332
Removal of knee cartilage
$XXX.XX
A2
Y
27333
Removal of knee cartilage
$XXX.XX
A2
Y
27334
Remove knee joint lining
$XXX.XX
A2
Y
27335
Remove knee joint lining
$XXX.XX
A2
Y
27337
Exc thigh/knee les sc 3 cm/>
$XXX.XX
G2
Y
27339
Exc thigh/knee tum dep 5cm/>
$XXX.XX
G2
Y
27340
Removal of kneecap bursa
$XXX.XX
A2
Y
27345
Removal of knee cyst
$XXX.XX
A2
Y
27347
Remove knee cyst
$XXX.XX
A2
Y
27350
Removal of kneecap
$XXX.XX
A2
Y
27355
Remove femur lesion
$XXX.XX
A2
Y
27356
Remove femur lesion/graft
$XXX.XX
G2
Y
27357
Remove femur lesion/graft
$XXX.XX
A2
Y
27358
Remove femur lesion/fixation
$XXX.XX
N1
N
27360
Partial removal leg bone(s)
$XXX.XX
A2
Y
27364
Resect thigh/knee tum 5 cm/>
$XXX.XX
G2
Y
27369
Njx cntrst kne arthg/ct/mri
$XXX.XX
N1
N
27370
Injection for knee x-ray
$XXX.XX
D5
27372
Removal of foreign body
$XXX.XX
A2
Y
27380
Repair of kneecap tendon
$XXX.XX
A2
Y
27381
Repair/graft kneecap tendon
$XXX.XX
A2
Y
27385
Repair of thigh muscle
$XXX.XX
A2
Y
27386
Repair/graft of thigh muscle
$XXX.XX
A2
Y
27390
Incision of thigh tendon
$XXX.XX
A2
Y
27391
Incision of thigh tendons
$XXX.XX
A2
Y
27392
Incision of thigh tendons
$XXX.XX
A2
Y
27393
Lengthening of thigh tendon
$XXX.XX
A2
Y
27394
Lengthening of thigh tendons
$XXX.XX
A2
Y
27395
Lengthening of thigh tendons
$XXX.XX
A2
Y
27396
Transplant of thigh tendon
$XXX.XX
J8
Y
27397
Transplants of thigh tendons
$XXX.XX
G2
Y
27400
Revise thigh muscles/tendons
$XXX.XX
A2
Y
27403
Repair of knee cartilage
$XXX.XX
J8
Y
27405
Repair of knee ligament
$XXX.XX
A2
Y
27407
Repair of knee ligament
$XXX.XX
A2
Y
27409
Repair of knee ligaments
$XXX.XX
A2
Y
27415
Osteochondral knee allograft
$XXX.XX
J8
Y
27416
Osteochondral knee autograft
$XXX.XX
J8
Y
27418
Repair degenerated kneecap
$XXX.XX
A2
Y
27420
Revision of unstable kneecap
$XXX.XX
A2
Y
27422
Revision of unstable kneecap
$XXX.XX
A2
Y
27424
Revision/removal of kneecap
$XXX.XX
A2
Y
27425
Lat retinacular release open
$XXX.XX
A2
Y
27427
Reconstruction knee
$XXX.XX
A2
Y
27428
Reconstruction knee
$XXX.XX
A2
Y
27429
Reconstruction knee
$XXX.XX
J8
Y
27430
Revision of thigh muscles
$XXX.XX
A2
Y
27435
Incision of knee joint
$XXX.XX
A2
Y
27437
Revise kneecap
$XXX.XX
A2
Y
27438
Revise kneecap with implant
$XXX.XX
J8
Y
27440
Revision of knee joint
$XXX.XX
J8
Y
27441
Revision of knee joint
$XXX.XX
G2
Y
27442
Revision of knee joint
$XXX.XX
J8
Y
27443
Revision of knee joint
$XXX.XX
A2
Y
27446
Revision of knee joint
$XXX.XX
J8
Y
27475
Surgery to stop leg growth
$XXX.XX
G2
Y
27479
Surgery to stop leg growth
$XXX.XX
G2
Y
27496
Decompression of thigh/knee
$XXX.XX
A2
Y
27497
Decompression of thigh/knee
$XXX.XX
A2
Y
27498
Decompression of thigh/knee
$XXX.XX
A2
Y
27499
Decompression of thigh/knee
$XXX.XX
A2
Y
27500
Treatment of thigh fracture
$XXX.XX
A2
Y
27501
Treatment of thigh fracture
$XXX.XX
A2
Y
27502
Treatment of thigh fracture
$XXX.XX
A2
Y
27503
Treatment of thigh fracture
$XXX.XX
A2
Y
27508
Treatment of thigh fracture
$XXX.XX
A2
Y
27509
Treatment of thigh fracture
$XXX.XX
J8
Y
27510
Treatment of thigh fracture
$XXX.XX
A2
Y
27516
Treat thigh fx growth plate
$XXX.XX
A2
Y
27517
Treat thigh fx growth plate
$XXX.XX
A2
Y
27520
Treat kneecap fracture
$XXX.XX
A2
Y
27524
Treat kneecap fracture
$XXX.XX
G2
Y
27530
Treat knee fracture
$XXX.XX
A2
Y
27532
Treat knee fracture
$XXX.XX
A2
Y
27538
Treat knee fracture(s)
$XXX.XX
A2
Y
27550
Treat knee dislocation
$XXX.XX
A2
Y
27552
Treat knee dislocation
$XXX.XX
A2
Y
27560
Treat kneecap dislocation
$XXX.XX
A2
Y
27562
Treat kneecap dislocation
$XXX.XX
A2
Y
27566
Treat kneecap dislocation
$XXX.XX
A2
Y
27570
Fixation of knee joint
$XXX.XX
A2
Y
27594
Amputation follow-up surgery
$XXX.XX
A2
Y
27600
Decompression of lower leg
$XXX.XX
A2
Y
27601
Decompression of lower leg
$XXX.XX
A2
Y
27602
Decompression of lower leg
$XXX.XX
A2
Y
27603
Drain lower leg lesion
$XXX.XX
A2
Y
27604
Drain lower leg bursa
$XXX.XX
A2
Y
27605
Incision of achilles tendon
$XXX.XX
A2
Y
27606
Incision of achilles tendon
$XXX.XX
A2
Y
27607
Treat lower leg bone lesion
$XXX.XX
A2
Y
27610
Explore/treat ankle joint
$XXX.XX
A2
Y
27612
Exploration of ankle joint
$XXX.XX
A2
Y
27613
Biopsy lower leg soft tissue
$XXX.XX
P3
Y
27614
Biopsy lower leg soft tissue
$XXX.XX
A2
Y
27615
Resect leg/ankle tum < 5 cm
$XXX.XX
G2
Y
27616
Resect leg/ankle tum 5 cm/>
$XXX.XX
G2
Y
27618
Exc leg/ankle tum < 3 cm
$XXX.XX
G2
Y
27619
Exc leg/ankle tum deep <5 cm
$XXX.XX
G2
Y
27620
Explore/treat ankle joint
$XXX.XX
A2
Y
27625
Remove ankle joint lining
$XXX.XX
A2
Y
27626
Remove ankle joint lining
$XXX.XX
A2
Y
27630
Removal of tendon lesion
$XXX.XX
A2
Y
27632
Exc leg/ankle les sc 3 cm/>
$XXX.XX
G2
Y
27634
Exc leg/ankle tum dep 5 cm/>
$XXX.XX
G2
Y
27635
Remove lower leg bone lesion
$XXX.XX
A2
Y
27637
Remove/graft leg bone lesion
$XXX.XX
A2
Y
27638
Remove/graft leg bone lesion
$XXX.XX
A2
Y
27640
Partial removal of tibia
$XXX.XX
A2
Y
27641
Partial removal of fibula
$XXX.XX
A2
Y
27647
Resect talus/calcaneus tum
$XXX.XX
A2
Y
27648
Injection for ankle x-ray
$XXX.XX
N1
N
27650
Repair achilles tendon
$XXX.XX
A2
Y
27652
Repair/graft achilles tendon
$XXX.XX
A2
Y
27654
Repair of achilles tendon
$XXX.XX
A2
Y
27656
Repair leg fascia defect
$XXX.XX
A2
Y
27658
Repair of leg tendon each
$XXX.XX
A2
Y
27659
Repair of leg tendon each
$XXX.XX
A2
Y
27664
Repair of leg tendon each
$XXX.XX
A2
Y
27665
Repair of leg tendon each
$XXX.XX
A2
Y
27675
Repair lower leg tendons
$XXX.XX
A2
Y
27676
Repair lower leg tendons
$XXX.XX
A2
Y
27680
Release of lower leg tendon
$XXX.XX
A2
Y
27681
Release of lower leg tendons
$XXX.XX
A2
Y
27685
Revision of lower leg tendon
$XXX.XX
A2
Y
27686
Revise lower leg tendons
$XXX.XX
A2
Y
27687
Revision of calf tendon
$XXX.XX
A2
Y
27690
Revise lower leg tendon
$XXX.XX
A2
Y
27691
Revise lower leg tendon
$XXX.XX
A2
Y
27692
Revise additional leg tendon
$XXX.XX
N1
N
27695
Repair of ankle ligament
$XXX.XX
A2
Y
27696
Repair of ankle ligaments
$XXX.XX
J8
Y
27698
Repair of ankle ligament
$XXX.XX
A2
Y
27700
Revision of ankle joint
$XXX.XX
A2
Y
27704
Removal of ankle implant
$XXX.XX
A2
N
27705
Incision of tibia
$XXX.XX
J8
Y
27707
Incision of fibula
$XXX.XX
A2
Y
27709
Incision of tibia & fibula
$XXX.XX
J8
Y
27720
Repair of tibia
$XXX.XX
J8
Y
27726
Repair fibula nonunion
$XXX.XX
J8
Y
27730
Repair of tibia epiphysis
$XXX.XX
A2
Y
27732
Repair of fibula epiphysis
$XXX.XX
A2
Y
27734
Repair lower leg epiphyses
$XXX.XX
A2
Y
27740
Repair of leg epiphyses
$XXX.XX
G2
Y
27742
Repair of leg epiphyses
$XXX.XX
A2
Y
27745
Reinforce tibia
$XXX.XX
J8
Y
27750
Treatment of tibia fracture
$XXX.XX
A2
Y
27752
Treatment of tibia fracture
$XXX.XX
A2
Y
27756
Treatment of tibia fracture
$XXX.XX
J8
Y
27758
Treatment of tibia fracture
$XXX.XX
J8
Y
27759
Treatment of tibia fracture
$XXX.XX
J8
Y
27760
Cltx medial ankle fx
$XXX.XX
A2
Y
27762
Cltx med ankle fx w/mnpj
$XXX.XX
A2
Y
27766
Optx medial ankle fx
$XXX.XX
A2
Y
27767
Cltx post ankle fx
$XXX.XX
P2
Y
27768
Cltx post ankle fx w/mnpj
$XXX.XX
G2
Y
27769
Optx post ankle fx
$XXX.XX
G2
Y
27780
Treatment of fibula fracture
$XXX.XX
A2
Y
27781
Treatment of fibula fracture
$XXX.XX
A2
Y
27784
Treatment of fibula fracture
$XXX.XX
A2
Y
27786
Treatment of ankle fracture
$XXX.XX
A2
Y
27788
Treatment of ankle fracture
$XXX.XX
A2
Y
27792
Treatment of ankle fracture
$XXX.XX
J8
Y
27808
Treatment of ankle fracture
$XXX.XX
A2
Y
27810
Treatment of ankle fracture
$XXX.XX
A2
Y
27814
Treatment of ankle fracture
$XXX.XX
J8
Y
27816
Treatment of ankle fracture
$XXX.XX
A2
Y
27818
Treatment of ankle fracture
$XXX.XX
A2
Y
27822
Treatment of ankle fracture
$XXX.XX
J8
Y
27823
Treatment of ankle fracture
$XXX.XX
J8
Y
27824
Treat lower leg fracture
$XXX.XX
A2
Y
27825
Treat lower leg fracture
$XXX.XX
A2
Y
27826
Treat lower leg fracture
$XXX.XX
A2
Y
27827
Treat lower leg fracture
$XXX.XX
J8
Y
27828
Treat lower leg fracture
$XXX.XX
J8
Y
27829
Treat lower leg joint
$XXX.XX
A2
Y
27830
Treat lower leg dislocation
$XXX.XX
A2
Y
27831
Treat lower leg dislocation
$XXX.XX
A2
Y
27832
Treat lower leg dislocation
$XXX.XX
A2
Y
27840
Treat ankle dislocation
$XXX.XX
A2
Y
27842
Treat ankle dislocation
$XXX.XX
A2
Y
27846
Treat ankle dislocation
$XXX.XX
A2
Y
27848
Treat ankle dislocation
$XXX.XX
A2
Y
27860
Fixation of ankle joint
$XXX.XX
A2
Y
27870
Fusion of ankle joint open
$XXX.XX
J8
Y
27871
Fusion of tibiofibular joint
$XXX.XX
J8
Y
27884
Amputation follow-up surgery
$XXX.XX
A2
Y
27889
Amputation of foot at ankle
$XXX.XX
A2
Y
27892
Decompression of leg
$XXX.XX
A2
Y
27893
Decompression of leg
$XXX.XX
A2
Y
27894
Decompression of leg
$XXX.XX
A2
Y
28001
Drainage of bursa of foot
$XXX.XX
P3
Y
28002
Treatment of foot infection
$XXX.XX
A2
Y
28003
Treatment of foot infection
$XXX.XX
A2
Y
28005
Treat foot bone lesion
$XXX.XX
A2
Y
28008
Incision of foot fascia
$XXX.XX
A2
Y
28010
Incision of toe tendon
$XXX.XX
P3
Y
28011
Incision of toe tendons
$XXX.XX
A2
Y
28020
Exploration of foot joint
$XXX.XX
A2
Y
28022
Exploration of foot joint
$XXX.XX
A2
Y
28024
Exploration of toe joint
$XXX.XX
A2
Y
28035
Decompression of tibia nerve
$XXX.XX
A2
Y
28039
Exc foot/toe tum sc 1.5 cm/>
$XXX.XX
G2
Y
28041
Exc foot/toe tum dep 1.5cm/>
$XXX.XX
G2
Y
28043
Exc foot/toe tum sc < 1.5 cm
$XXX.XX
G2
Y
28045
Exc foot/toe tum deep <1.5cm
$XXX.XX
G2
Y
28046
Resect foot/toe tumor < 3 cm
$XXX.XX
G2
Y
28047
Resect foot/toe tumor 3 cm/>
$XXX.XX
G2
Y
28050
Biopsy of foot joint lining
$XXX.XX
A2
Y
28052
Biopsy of foot joint lining
$XXX.XX
A2
Y
28054
Biopsy of toe joint lining
$XXX.XX
A2
Y
28055
Neurectomy foot
$XXX.XX
A2
Y
28060
Partial removal foot fascia
$XXX.XX
A2
Y
28062
Removal of foot fascia
$XXX.XX
A2
Y
28070
Removal of foot joint lining
$XXX.XX
A2
Y
28072
Removal of foot joint lining
$XXX.XX
A2
Y
28080
Removal of foot lesion
$XXX.XX
A2
Y
28086
Excise foot tendon sheath
$XXX.XX
A2
Y
28088
Excise foot tendon sheath
$XXX.XX
A2
Y
28090
Removal of foot lesion
$XXX.XX
A2
Y
28092
Removal of toe lesions
$XXX.XX
A2
Y
28100
Removal of ankle/heel lesion
$XXX.XX
A2
Y
28102
Remove/graft foot lesion
$XXX.XX
J8
Y
28103
Remove/graft foot lesion
$XXX.XX
A2
Y
28104
Removal of foot lesion
$XXX.XX
A2
Y
28106
Remove/graft foot lesion
$XXX.XX
A2
Y
28107
Remove/graft foot lesion
$XXX.XX
A2
Y
28108
Removal of toe lesions
$XXX.XX
A2
Y
28110
Part removal of metatarsal
$XXX.XX
A2
Y
28111
Part removal of metatarsal
$XXX.XX
A2
Y
28112
Part removal of metatarsal
$XXX.XX
A2
Y
28113
Part removal of metatarsal
$XXX.XX
A2
Y
28114
Removal of metatarsal heads
$XXX.XX
A2
Y
28116
Revision of foot
$XXX.XX
A2
Y
28118
Removal of heel bone
$XXX.XX
A2
Y
28119
Removal of heel spur
$XXX.XX
A2
Y
28120
Part removal of ankle/heel
$XXX.XX
A2
Y
28122
Partial removal of foot bone
$XXX.XX
A2
Y
28124
Partial removal of toe
$XXX.XX
P3
Y
28126
Partial removal of toe
$XXX.XX
A2
Y
28130
Removal of ankle bone
$XXX.XX
A2
Y
28140
Removal of metatarsal
$XXX.XX
A2
Y
28150
Removal of toe
$XXX.XX
A2
Y
28153
Partial removal of toe
$XXX.XX
A2
Y
28160
Partial removal of toe
$XXX.XX
A2
Y
28171
Resect tarsal tumor
$XXX.XX
A2
Y
28173
Resect metatarsal tumor
$XXX.XX
A2
Y
28175
Resect phalanx of toe tumor
$XXX.XX
A2
Y
28190
Removal of foot foreign body
$XXX.XX
P3
Y
28192
Removal of foot foreign body
$XXX.XX
A2
Y
28193
Removal of foot foreign body
$XXX.XX
A2
Y
28200
Repair of foot tendon
$XXX.XX
A2
Y
28202
Repair/graft of foot tendon
$XXX.XX
A2
Y
28208
Repair of foot tendon
$XXX.XX
A2
Y
28210
Repair/graft of foot tendon
$XXX.XX
A2
Y
28220
Release of foot tendon
$XXX.XX
P3
Y
28222
Release of foot tendons
$XXX.XX
A2
Y
28225
Release of foot tendon
$XXX.XX
A2
Y
28226
Release of foot tendons
$XXX.XX
A2
Y
28230
Incision of foot tendon(s)
$XXX.XX
P3
Y
28232
Incision of toe tendon
$XXX.XX
P3
Y
28234
Incision of foot tendon
$XXX.XX
A2
Y
28238
Revision of foot tendon
$XXX.XX
A2
Y
28240
Release of big toe
$XXX.XX
A2
Y
28250
Revision of foot fascia
$XXX.XX
A2
Y
28260
Release of midfoot joint
$XXX.XX
A2
Y
28261
Revision of foot tendon
$XXX.XX
A2
Y
28262
Revision of foot and ankle
$XXX.XX
J8
Y
28264
Release of midfoot joint
$XXX.XX
A2
Y
28270
Release of foot contracture
$XXX.XX
A2
Y
28272
Release of toe joint each
$XXX.XX
P3
Y
28280
Fusion of toes
$XXX.XX
A2
Y
28285
Repair of hammertoe
$XXX.XX
A2
Y
28286
Repair of hammertoe
$XXX.XX
A2
Y
28288
Partial removal of foot bone
$XXX.XX
A2
Y
28289
Corrj halux rigdus w/o implt
$XXX.XX
A2
Y
28291
Corrj halux rigdus w/implt
$XXX.XX
J8
Y
28292
Correction hallux valgus
$XXX.XX
A2
Y
28295
Correction hallux valgus
$XXX.XX
G2
Y
28296
Correction hallux valgus
$XXX.XX
A2
Y
28297
Correction hallux valgus
$XXX.XX
J8
Y
28298
Correction hallux valgus
$XXX.XX
A2
Y
28299
Correction hallux valgus
$XXX.XX
A2
Y
28300
Incision of heel bone
$XXX.XX
J8
Y
28302
Incision of ankle bone
$XXX.XX
A2
Y
28304
Incision of midfoot bones
$XXX.XX
A2
Y
28305
Incise/graft midfoot bones
$XXX.XX
G2
Y
28306
Incision of metatarsal
$XXX.XX
A2
Y
28307
Incision of metatarsal
$XXX.XX
A2
Y
28308
Incision of metatarsal
$XXX.XX
A2
Y
28309
Incision of metatarsals
$XXX.XX
A2
Y
28310
Revision of big toe
$XXX.XX
A2
Y
28312
Revision of toe
$XXX.XX
A2
Y
28313
Repair deformity of toe
$XXX.XX
A2
Y
28315
Removal of sesamoid bone
$XXX.XX
A2
Y
28320
Repair of foot bones
$XXX.XX
J8
Y
28322
Repair of metatarsals
$XXX.XX
J8
Y
28340
Resect enlarged toe tissue
$XXX.XX
A2
Y
28341
Resect enlarged toe
$XXX.XX
A2
Y
28344
Repair extra toe(s)
$XXX.XX
A2
Y
28345
Repair webbed toe(s)
$XXX.XX
A2
Y
28400
Treatment of heel fracture
$XXX.XX
A2
Y
28405
Treatment of heel fracture
$XXX.XX
A2
Y
28406
Treatment of heel fracture
$XXX.XX
A2
Y
28415
Treat heel fracture
$XXX.XX
J8
Y
28420
Treat/graft heel fracture
$XXX.XX
J8
Y
28430
Treatment of ankle fracture
$XXX.XX
P2
Y
28435
Treatment of ankle fracture
$XXX.XX
A2
Y
28436
Treatment of ankle fracture
$XXX.XX
G2
Y
28445
Treat ankle fracture
$XXX.XX
A2
Y
28446
Osteochondral talus autogrft
$XXX.XX
G2
Y
28450
Treat midfoot fracture each
$XXX.XX
P2
Y
28455
Treat midfoot fracture each
$XXX.XX
P3
Y
28456
Treat midfoot fracture
$XXX.XX
A2
Y
28465
Treat midfoot fracture each
$XXX.XX
J8
Y
28470
Treat metatarsal fracture
$XXX.XX
P2
Y
28475
Treat metatarsal fracture
$XXX.XX
P2
Y
28476
Treat metatarsal fracture
$XXX.XX
A2
Y
28485
Treat metatarsal fracture
$XXX.XX
J8
Y
28490
Treat big toe fracture
$XXX.XX
P3
Y
28495
Treat big toe fracture
$XXX.XX
P2
Y
28496
Treat big toe fracture
$XXX.XX
A2
Y
28505
Treat big toe fracture
$XXX.XX
A2
Y
28510
Treatment of toe fracture
$XXX.XX
P3
Y
28515
Treatment of toe fracture
$XXX.XX
P3
Y
28525
Treat toe fracture
$XXX.XX
A2
Y
28530
Treat sesamoid bone fracture
$XXX.XX
P3
Y
28531
Treat sesamoid bone fracture
$XXX.XX
A2
Y
28540
Treat foot dislocation
$XXX.XX
P2
Y
28545
Treat foot dislocation
$XXX.XX
G2
Y
28546
Treat foot dislocation
$XXX.XX
A2
Y
28555
Repair foot dislocation
$XXX.XX
J8
Y
28570
Treat foot dislocation
$XXX.XX
P2
Y
28575
Treat foot dislocation
$XXX.XX
A2
Y
28576
Treat foot dislocation
$XXX.XX
A2
Y
28585
Repair foot dislocation
$XXX.XX
J8
Y
28600
Treat foot dislocation
$XXX.XX
P2
Y
28605
Treat foot dislocation
$XXX.XX
A2
Y
28606
Treat foot dislocation
$XXX.XX
A2
Y
28615
Repair foot dislocation
$XXX.XX
J8
Y
28630
Treat toe dislocation
$XXX.XX
P3
Y
28635
Treat toe dislocation
$XXX.XX
A2
Y
28636
Treat toe dislocation
$XXX.XX
A2
Y
28645
Repair toe dislocation
$XXX.XX
A2
Y
28660
Treat toe dislocation
$XXX.XX
P3
Y
28665
Treat toe dislocation
$XXX.XX
A2
Y
28666
Treat toe dislocation
$XXX.XX
A2
Y
28675
Repair of toe dislocation
$XXX.XX
A2
Y
28705
Fusion of foot bones
$XXX.XX
J8
Y
28715
Fusion of foot bones
$XXX.XX
J8
Y
28725
Fusion of foot bones
$XXX.XX
J8
Y
28730
Fusion of foot bones
$XXX.XX
J8
Y
28735
Fusion of foot bones
$XXX.XX
J8
Y
28737
Revision of foot bones
$XXX.XX
J8
Y
28740
Fusion of foot bones
$XXX.XX
J8
Y
28750
Fusion of big toe joint
$XXX.XX
J8
Y
28755
Fusion of big toe joint
$XXX.XX
A2
Y
28760
Fusion of big toe joint
$XXX.XX
A2
Y
28810
Amputation toe & metatarsal
$XXX.XX
A2
Y
28820
Amputation of toe
$XXX.XX
A2
Y
28825
Partial amputation of toe
$XXX.XX
A2
Y
28890
Hi enrgy eswt plantar fascia
$XXX.XX
P3
Y
29000
Application of body cast
$XXX.XX
G2
Y
29010
Application of body cast
$XXX.XX
P2
Y
29015
Application of body cast
$XXX.XX
P2
Y
29035
Application of body cast
$XXX.XX
P2
Y
29040
Application of body cast
$XXX.XX
G2
Y
29044
Application of body cast
$XXX.XX
P2
Y
29046
Application of body cast
$XXX.XX
G2
Y
29049
Application of figure eight
$XXX.XX
P3
Y
29055
Application of shoulder cast
$XXX.XX
P2
Y
29058
Application of shoulder cast
$XXX.XX
P3
Y
29065
Application of long arm cast
$XXX.XX
P3
Y
29075
Application of forearm cast
$XXX.XX
P3
Y
29085
Apply hand/wrist cast
$XXX.XX
P3
Y
29086
Apply finger cast
$XXX.XX
P3
Y
29105
Apply long arm splint
$XXX.XX
P3
Y
29125
Apply forearm splint
$XXX.XX
N1
N
29126
Apply forearm splint
$XXX.XX
N1
N
29130
Application of finger splint
$XXX.XX
N1
N
29131
Application of finger splint
$XXX.XX
N1
N
29200
Strapping of chest
$XXX.XX
P3
Y
29240
Strapping of shoulder
$XXX.XX
N1
N
29260
Strapping of elbow or wrist
$XXX.XX
N1
N
29280
Strapping of hand or finger
$XXX.XX
N1
N
29305
Application of hip cast
$XXX.XX
P2
Y
29325
Application of hip casts
$XXX.XX
P2
Y
29345
Application of long leg cast
$XXX.XX
P3
Y
29355
Application of long leg cast
$XXX.XX
P3
Y
29358
Apply long leg cast brace
$XXX.XX
P3
Y
29365
Application of long leg cast
$XXX.XX
P3
Y
29405
Apply short leg cast
$XXX.XX
P3
Y
29425
Apply short leg cast
$XXX.XX
P3
Y
29435
Apply short leg cast
$XXX.XX
P3
Y
29440
Addition of walker to cast
$XXX.XX
P3
Y
29445
Apply rigid leg cast
$XXX.XX
P3
Y
29450
Application of leg cast
$XXX.XX
P3
Y
29505
Application long leg splint
$XXX.XX
P3
Y
29515
Application lower leg splint
$XXX.XX
P3
Y
29520
Strapping of hip
$XXX.XX
N1
N
29530
Strapping of knee
$XXX.XX
N1
N
29540
Strapping of ankle and/or ft
$XXX.XX
P3
Y
29550
Strapping of toes
$XXX.XX
N1
N
29580
Application of paste boot
$XXX.XX
P3
Y
29581
Apply multlay comprs lwr leg
$XXX.XX
P3
Y
29584
Appl multlay comprs arm/hand
$XXX.XX
P2
Y
29700
Removal/revision of cast
$XXX.XX
P3
Y
29705
Removal/revision of cast
$XXX.XX
P3
Y
29710
Removal/revision of cast
$XXX.XX
P3
Y
29720
Repair of body cast
$XXX.XX
P3
Y
29730
Windowing of cast
$XXX.XX
P3
Y
29740
Wedging of cast
$XXX.XX
P3
Y
29750
Wedging of clubfoot cast
$XXX.XX
P3
Y
29800
Jaw arthroscopy/surgery
$XXX.XX
A2
Y
29804
Jaw arthroscopy/surgery
$XXX.XX
A2
Y
29805
Shoulder arthroscopy dx
$XXX.XX
A2
Y
29806
Shoulder arthroscopy/surgery
$XXX.XX
A2
Y
29807
Shoulder arthroscopy/surgery
$XXX.XX
A2
Y
29819
Shoulder arthroscopy/surgery
$XXX.XX
A2
Y
29820
Shoulder arthroscopy/surgery
$XXX.XX
A2
Y
29821
Shoulder arthroscopy/surgery
$XXX.XX
A2
Y
29822
Shoulder arthroscopy/surgery
$XXX.XX
A2
Y
29823
Shoulder arthroscopy/surgery
$XXX.XX
A2
Y
29824
Shoulder arthroscopy/surgery
$XXX.XX
A2
Y
29825
Shoulder arthroscopy/surgery
$XXX.XX
A2
Y
29826
Shoulder arthroscopy/surgery
$XXX.XX
N1
N
29827
Arthroscop rotator cuff repr
$XXX.XX
A2
Y
29828
Arthroscopy biceps tenodesis
$XXX.XX
G2
Y
29830
Elbow arthroscopy
$XXX.XX
A2
Y
29834
Elbow arthroscopy/surgery
$XXX.XX
A2
Y
29835
Elbow arthroscopy/surgery
$XXX.XX
A2
Y
29836
Elbow arthroscopy/surgery
$XXX.XX
A2
Y
29837
Elbow arthroscopy/surgery
$XXX.XX
A2
Y
29838
Elbow arthroscopy/surgery
$XXX.XX
A2
Y
29840
Wrist arthroscopy
$XXX.XX
A2
Y
29843
Wrist arthroscopy/surgery
$XXX.XX
A2
Y
29844
Wrist arthroscopy/surgery
$XXX.XX
A2
Y
29845
Wrist arthroscopy/surgery
$XXX.XX
A2
Y
29846
Wrist arthroscopy/surgery
$XXX.XX
A2
Y
29847
Wrist arthroscopy/surgery
$XXX.XX
A2
Y
29848
Wrist endoscopy/surgery
$XXX.XX
A2
Y
29850
Knee arthroscopy/surgery
$XXX.XX
A2
Y
29851
Knee arthroscopy/surgery
$XXX.XX
A2
Y
29855
Tibial arthroscopy/surgery
$XXX.XX
J8
Y
29856
Tibial arthroscopy/surgery
$XXX.XX
J8
Y
29860
Hip arthroscopy dx
$XXX.XX
A2
Y
29861
Hip arthro w/fb removal
$XXX.XX
A2
Y
29862
Hip arthr0 w/debridement
$XXX.XX
A2
Y
29863
Hip arthr0 w/synovectomy
$XXX.XX
A2
Y
29866
Autgrft implnt knee w/scope
$XXX.XX
G2
Y
29870
Knee arthroscopy dx
$XXX.XX
A2
Y
29871
Knee arthroscopy/drainage
$XXX.XX
A2
Y
29873
Knee arthroscopy/surgery
$XXX.XX
A2
Y
29874
Knee arthroscopy/surgery
$XXX.XX
A2
Y
29875
Knee arthroscopy/surgery
$XXX.XX
A2
Y
29876
Knee arthroscopy/surgery
$XXX.XX
A2
Y
29877
Knee arthroscopy/surgery
$XXX.XX
A2
Y
29879
Knee arthroscopy/surgery
$XXX.XX
A2
Y
29880
Knee arthroscopy/surgery
$XXX.XX
A2
Y
29881
Knee arthroscopy/surgery
$XXX.XX
A2
Y
29882
Knee arthroscopy/surgery
$XXX.XX
A2
Y
29883
Knee arthroscopy/surgery
$XXX.XX
A2
Y
29884
Knee arthroscopy/surgery
$XXX.XX
A2
Y
29885
Knee arthroscopy/surgery
$XXX.XX
A2
Y
29886
Knee arthroscopy/surgery
$XXX.XX
A2
Y
29887
Knee arthroscopy/surgery
$XXX.XX
A2
Y
29888
Knee arthroscopy/surgery
$XXX.XX
J8
Y
29889
Knee arthroscopy/surgery
$XXX.XX
A2
Y
29891
Ankle arthroscopy/surgery
$XXX.XX
A2
Y
29892
Ankle arthroscopy/surgery
$XXX.XX
A2
Y
29893
Scope plantar fasciotomy
$XXX.XX
A2
Y
29894
Ankle arthroscopy/surgery
$XXX.XX
A2
Y
29895
Ankle arthroscopy/surgery
$XXX.XX
A2
Y
29897
Ankle arthroscopy/surgery
$XXX.XX
A2
Y
29898
Ankle arthroscopy/surgery
$XXX.XX
A2
Y
29899
Ankle arthroscopy/surgery
$XXX.XX
J8
Y
29900
Mcp joint arthroscopy dx
$XXX.XX
A2
Y
29901
Mcp joint arthroscopy surg
$XXX.XX
A2
Y
29902
Mcp joint arthroscopy surg
$XXX.XX
A2
Y
29904
Subtalar arthro w/fb rmvl
$XXX.XX
G2
Y
29905
Subtalar arthro w/exc
$XXX.XX
G2
Y
29906
Subtalar arthro w/deb
$XXX.XX
G2
Y
29907
Subtalar arthro w/fusion
$XXX.XX
J8
Y
29914
Hip arthro w/femoroplasty
$XXX.XX
G2
Y
29915
Hip arthro acetabuloplasty
$XXX.XX
G2
Y
29916
Hip arthro w/labral repair
$XXX.XX
G2
Y
30000
Drainage of nose lesion
$XXX.XX
P2
Y
30020
Drainage of nose lesion
$XXX.XX
P3
Y
30100
Intranasal biopsy
$XXX.XX
P3
Y
30110
Removal of nose polyp(s)
$XXX.XX
P3
Y
30115
Removal of nose polyp(s)
$XXX.XX
A2
Y
30117
Removal of intranasal lesion
$XXX.XX
A2
Y
30118
Removal of intranasal lesion
$XXX.XX
A2
Y
30120
Revision of nose
$XXX.XX
A2
Y
30124
Removal of nose lesion
$XXX.XX
R2
Y
30125
Removal of nose lesion
$XXX.XX
A2
Y
30130
Excise inferior turbinate
$XXX.XX
A2
Y
30140
Resect inferior turbinate
$XXX.XX
A2
Y
30150
Partial removal of nose
$XXX.XX
A2
Y
30160
Removal of nose
$XXX.XX
A2
Y
30200
Injection treatment of nose
$XXX.XX
P3
Y
30210
Nasal sinus therapy
$XXX.XX
P3
Y
30220
Insert nasal septal button
$XXX.XX
A2
Y
30300
Remove nasal foreign body
$XXX.XX
N1
N
30310
Remove nasal foreign body
$XXX.XX
A2
Y
30320
Remove nasal foreign body
$XXX.XX
A2
Y
30400
Reconstruction of nose
$XXX.XX
A2
Y
30410
Reconstruction of nose
$XXX.XX
A2
Y
30420
Reconstruction of nose
$XXX.XX
A2
Y
30430
Revision of nose
$XXX.XX
A2
Y
30435
Revision of nose
$XXX.XX
A2
Y
30450
Revision of nose
$XXX.XX
A2
Y
30460
Revision of nose
$XXX.XX
A2
Y
30462
Revision of nose
$XXX.XX
A2
Y
30465
Repair nasal stenosis
$XXX.XX
A2
Y
30520
Repair of nasal septum
$XXX.XX
A2
Y
30540
Repair nasal defect
$XXX.XX
A2
Y
30545
Repair nasal defect
$XXX.XX
A2
Y
30560
Release of nasal adhesions
$XXX.XX
A2
Y
30580
Repair upper jaw fistula
$XXX.XX
A2
Y
30600
Repair mouth/nose fistula
$XXX.XX
A2
Y
30620
Intranasal reconstruction
$XXX.XX
A2
Y
30630
Repair nasal septum defect
$XXX.XX
A2
Y
30801
Ablate inf turbinate superf
$XXX.XX
A2
Y
30802
Ablate inf turbinate submuc
$XXX.XX
A2
Y
30901
Control of nosebleed
$XXX.XX
N1
N
30903
Control of nosebleed
$XXX.XX
A2
Y
30905
Control of nosebleed
$XXX.XX
A2
Y
30906
Repeat control of nosebleed
$XXX.XX
A2
Y
30915
Ligation nasal sinus artery
$XXX.XX
A2
Y
30920
Ligation upper jaw artery
$XXX.XX
A2
Y
30930
Ther fx nasal inf turbinate
$XXX.XX
A2
Y
31000
Irrigation maxillary sinus
$XXX.XX
P2
Y
31002
Irrigation sphenoid sinus
$XXX.XX
R2
Y
31020
Exploration maxillary sinus
$XXX.XX
A2
Y
31030
Exploration maxillary sinus
$XXX.XX
A2
Y
31032
Explore sinus remove polyps
$XXX.XX
A2
Y
31040
Exploration behind upper jaw
$XXX.XX
R2
Y
31050
Exploration sphenoid sinus
$XXX.XX
A2
Y
31051
Sphenoid sinus surgery
$XXX.XX
A2
Y
31070
Exploration of frontal sinus
$XXX.XX
A2
Y
31075
Exploration of frontal sinus
$XXX.XX
A2
Y
31080
Removal of frontal sinus
$XXX.XX
A2
Y
31081
Removal of frontal sinus
$XXX.XX
A2
Y
31084
Removal of frontal sinus
$XXX.XX
A2
Y
31085
Removal of frontal sinus
$XXX.XX
A2
Y
31086
Removal of frontal sinus
$XXX.XX
A2
Y
31087
Removal of frontal sinus
$XXX.XX
A2
Y
31090
Exploration of sinuses
$XXX.XX
A2
Y
31200
Removal of ethmoid sinus
$XXX.XX
A2
Y
31201
Removal of ethmoid sinus
$XXX.XX
A2
Y
31205
Removal of ethmoid sinus
$XXX.XX
A2
Y
31231
Nasal endoscopy dx
$XXX.XX
P2
Y
31233
Nasal/sinus endoscopy dx
$XXX.XX
A2
Y
31235
Nasal/sinus endoscopy dx
$XXX.XX
A2
Y
31237
Nasal/sinus endoscopy surg
$XXX.XX
A2
Y
31238
Nasal/sinus endoscopy surg
$XXX.XX
A2
Y
31239
Nasal/sinus endoscopy surg
$XXX.XX
A2
Y
31240
Nasal/sinus endoscopy surg
$XXX.XX
A2
Y
31253
Nsl/sins ndsc total
$XXX.XX
G2
Y
31254
Nsl/sins ndsc w/prtl ethmdct
$XXX.XX
A2
Y
31255
Nsl/sins ndsc w/tot ethmdct
$XXX.XX
A2
Y
31256
Exploration maxillary sinus
$XXX.XX
A2
Y
31257
Nsl/sins ndsc tot w/sphendt
$XXX.XX
G2
Y
31259
Nsl/sins ndsc sphn tiss rmvl
$XXX.XX
G2
Y
31267
Endoscopy maxillary sinus
$XXX.XX
A2
Y
31276
Nsl/sins ndsc frnt tiss rmvl
$XXX.XX
A2
Y
31287
Nasal/sinus endoscopy surg
$XXX.XX
A2
Y
31288
Nasal/sinus endoscopy surg
$XXX.XX
A2
Y
31295
Sinus endo w/balloon dil
$XXX.XX
P2
Y
31296
Sinus endo w/balloon dil
$XXX.XX
P2
Y
31297
Sinus endo w/balloon dil
$XXX.XX
P2
Y
31298
Nsl/sins ndsc w/sins dilat
$XXX.XX
G2
Y
31300
Removal of larynx lesion
$XXX.XX
A2
Y
31400
Revision of larynx
$XXX.XX
A2
Y
31420
Removal of epiglottis
$XXX.XX
A2
Y
31500
Insert emergency airway
$XXX.XX
G2
Y
31502
Change of windpipe airway
$XXX.XX
G2
Y
31505
Diagnostic laryngoscopy
$XXX.XX
P3
Y
31510
Laryngoscopy with biopsy
$XXX.XX
A2
Y
31511
Remove foreign body larynx
$XXX.XX
A2
Y
31512
Removal of larynx lesion
$XXX.XX
A2
Y
31513
Injection into vocal cord
$XXX.XX
A2
Y
31515
Laryngoscopy for aspiration
$XXX.XX
A2
Y
31520
Dx laryngoscopy newborn
$XXX.XX
G2
Y
31525
Dx laryngoscopy excl nb
$XXX.XX
A2
Y
31526
Dx laryngoscopy w/oper scope
$XXX.XX
A2
Y
31527
Laryngoscopy for treatment
$XXX.XX
A2
Y
31528
Laryngoscopy and dilation
$XXX.XX
A2
Y
31529
Laryngoscopy and dilation
$XXX.XX
A2
Y
31530
Laryngoscopy w/fb removal
$XXX.XX
A2
Y
31531
Laryngoscopy w/fb & op scope
$XXX.XX
A2
Y
31535
Laryngoscopy w/biopsy
$XXX.XX
A2
Y
31536
Laryngoscopy w/bx & op scope
$XXX.XX
A2
Y
31540
Laryngoscopy w/exc of tumor
$XXX.XX
A2
Y
31541
Larynscop w/tumr exc + scope
$XXX.XX
A2
Y
31545
Remove vc lesion w/scope
$XXX.XX
A2
Y
31546
Remove vc lesion scope/graft
$XXX.XX
A2
Y
31551
Laryngoplasty laryngeal sten
$XXX.XX
G2
Y
31552
Laryngoplasty laryngeal sten
$XXX.XX
G2
Y
31553
Laryngoplasty laryngeal sten
$XXX.XX
G2
Y
31554
Laryngoplasty laryngeal sten
$XXX.XX
G2
Y
31560
Laryngoscop w/arytenoidectom
$XXX.XX
A2
Y
31561
Larynscop remve cart + scop
$XXX.XX
A2
Y
31570
Laryngoscope w/vc inj
$XXX.XX
A2
Y
31571
Laryngoscop w/vc inj + scope
$XXX.XX
A2
Y
31572
Largsc w/laser dstrj les
$XXX.XX
G2
Y
31573
Largsc w/ther injection
$XXX.XX
P3
Y
31574
Largsc w/njx augmentation
$XXX.XX
G2
Y
31575
Diagnostic laryngoscopy
$XXX.XX
P3
Y
31576
Laryngoscopy with biopsy
$XXX.XX
A2
Y
31577
Largsc w/rmvl foreign bdy(s)
$XXX.XX
A2
Y
31578
Largsc w/removal lesion
$XXX.XX
A2
Y
31579
Laryngoscopy telescopic
$XXX.XX
P3
Y
31580
Laryngoplasty laryngeal web
$XXX.XX
A2
Y
31590
Reinnervate larynx
$XXX.XX
A2
Y
31591
Laryngoplasty medialization
$XXX.XX
G2
Y
31592
Cricotracheal resection
$XXX.XX
G2
Y
31595
Larynx nerve surgery
$XXX.XX
D5
31603
Incision of windpipe
$XXX.XX
A2
Y
31605
Incision of windpipe
$XXX.XX
G2
Y
31611
Surgery/speech prosthesis
$XXX.XX
A2
Y
31612
Puncture/clear windpipe
$XXX.XX
A2
Y
31613
Repair windpipe opening
$XXX.XX
A2
Y
31614
Repair windpipe opening
$XXX.XX
A2
Y
31615
Visualization of windpipe
$XXX.XX
A2
Y
31622
Dx bronchoscope/wash
$XXX.XX
A2
Y
31623
Dx bronchoscope/brush
$XXX.XX
A2
Y
31624
Dx bronchoscope/lavage
$XXX.XX
A2
Y
31625
Bronchoscopy w/biopsy(s)
$XXX.XX
A2
Y
31626
Bronchoscopy w/markers
$XXX.XX
G2
Y
31627
Navigational bronchoscopy
$XXX.XX
N1
N
31628
Bronchoscopy/lung bx each
$XXX.XX
A2
Y
31629
Bronchoscopy/needle bx each
$XXX.XX
A2
Y
31630
Bronchoscopy dilate/fx repr
$XXX.XX
A2
Y
31631
Bronchoscopy dilate w/stent
$XXX.XX
A2
Y
31632
Bronchoscopy/lung bx addl
$XXX.XX
N1
N
31633
Bronchoscopy/needle bx addl
$XXX.XX
N1
N
31634
Bronch w/balloon occlusion
$XXX.XX
G2
Y
31635
Bronchoscopy w/fb removal
$XXX.XX
A2
Y
31636
Bronchoscopy bronch stents
$XXX.XX
J8
Y
31637
Bronchoscopy stent add-on
$XXX.XX
N1
N
31638
Bronchoscopy revise stent
$XXX.XX
A2
Y
31640
Bronchoscopy w/tumor excise
$XXX.XX
A2
Y
31641
Bronchoscopy treat blockage
$XXX.XX
A2
Y
31643
Diag bronchoscope/catheter
$XXX.XX
A2
Y
31645
Brnchsc w/ther aspir 1st
$XXX.XX
A2
Y
31646
Brnchsc w/ther aspir sbsq
$XXX.XX
A2
Y
31647
Bronchial valve init insert
$XXX.XX
G2
Y
31648
Bronchial valve remov init
$XXX.XX
G2
Y
31649
Bronchial valve remov addl
$XXX.XX
G2
N
31651
Bronchial valve addl insert
$XXX.XX
N1
N
31652
Bronch ebus samplng 1/2 node
$XXX.XX
G2
Y
31653
Bronch ebus samplng 3/> node
$XXX.XX
G2
Y
31654
Bronch ebus ivntj perph les
$XXX.XX
N1
N
31717
Bronchial brush biopsy
$XXX.XX
A2
Y
31720
Clearance of airways
$XXX.XX
N1
N
31730
Intro windpipe wire/tube
$XXX.XX
A2
Y
31750
Repair of windpipe
$XXX.XX
A2
Y
31755
Repair of windpipe
$XXX.XX
A2
Y
31820
Closure of windpipe lesion
$XXX.XX
A2
Y
31825
Repair of windpipe defect
$XXX.XX
A2
Y
31830
Revise windpipe scar
$XXX.XX
A2
Y
32400
Needle biopsy chest lining
$XXX.XX
A2
Y
32405
Percut bx lung/mediastinum
$XXX.XX
A2
Y
32550
Insert pleural cath
$XXX.XX
G2
Y
32552
Remove lung catheter
$XXX.XX
G2
N
32553
Ins mark thor for rt perq
$XXX.XX
G2
N
32554
Aspirate pleura w/o imaging
$XXX.XX
G2
Y
32555
Aspirate pleura w/ imaging
$XXX.XX
G2
Y
32556
Insert cath pleura w/o image
$XXX.XX
G2
Y
32557
Insert cath pleura w/ image
$XXX.XX
G2
Y
32960
Therapeutic pneumothorax
$XXX.XX
G2
Y
32994
Ablate pulm tumor perq crybl
$XXX.XX
G2
Y
32998
Ablate pulm tumor perq rf
$XXX.XX
G2
Y
33010
Drainage of heart sac
$XXX.XX
A2
Y
33011
Repeat drainage of heart sac
$XXX.XX
A2
Y
33206
Insert heart pm atrial
$XXX.XX
J8
Y
33207
Insert heart pm ventricular
$XXX.XX
J8
Y
33208
Insrt heart pm atrial & vent
$XXX.XX
J8
Y
33210
Insert electrd/pm cath sngl
$XXX.XX
G2
Y
33211
Insert card electrodes dual
$XXX.XX
J8
Y
33212
Insert pulse gen sngl lead
$XXX.XX
J8
Y
33213
Insert pulse gen dual leads
$XXX.XX
J8
Y
33214
Upgrade of pacemaker system
$XXX.XX
J8
Y
33215
Reposition pacing-defib lead
$XXX.XX
G2
Y
33216
Insert 1 electrode pm-defib
$XXX.XX
J8
Y
33217
Insert 2 electrode pm-defib
$XXX.XX
J8
Y
33218
Repair lead pace-defib one
$XXX.XX
G2
Y
33220
Repair lead pace-defib dual
$XXX.XX
G2
Y
33221
Insert pulse gen mult leads
$XXX.XX
J8
Y
33222
Relocation pocket pacemaker
$XXX.XX
A2
Y
33223
Relocate pocket for defib
$XXX.XX
A2
Y
33224
Insert pacing lead & connect
$XXX.XX
J8
Y
33225
L ventric pacing lead add-on
$XXX.XX
N1
N
33226
Reposition l ventric lead
$XXX.XX
G2
Y
33227
Remove&replace pm gen singl
$XXX.XX
J8
Y
33228
Remv&replc pm gen dual lead
$XXX.XX
J8
Y
33229
Remv&replc pm gen mult leads
$XXX.XX
J8
Y
33230
Insrt pulse gen w/dual leads
$XXX.XX
J8
Y
33231
Insrt pulse gen w/mult leads
$XXX.XX
J8
Y
33233
Removal of pm generator
$XXX.XX
G2
N
33234
Removal of pacemaker system
$XXX.XX
G2
N
33235
Removal pacemaker electrode
$XXX.XX
G2
N
33240
Insrt pulse gen w/singl lead
$XXX.XX
J8
Y
33241
Remove pulse generator
$XXX.XX
G2
N
33249
Insj/rplcmt defib w/lead(s)
$XXX.XX
J8
Y
33262
Rmvl& replc pulse gen 1 lead
$XXX.XX
J8
Y
33263
Rmvl & rplcmt dfb gen 2 lead
$XXX.XX
J8
Y
33264
Rmvl & rplcmt dfb gen mlt ld
$XXX.XX
J8
Y
33270
Ins/rep subq defibrillator
$XXX.XX
J8
Y
33271
Insj subq impltbl dfb elctrd
$XXX.XX
J8
Y
33273
Repos prev impltbl subq dfb
$XXX.XX
G2
Y
33274
Tcat insj/rpl perm ldls pm
$XXX.XX
J8
Y
33275
Tcat rmvl perm ldls pm
$XXX.XX
G2
Y
33282
Implant pat-active ht record
$XXX.XX
D5
33284
Remove pat-active ht record
$XXX.XX
D5
33285
Insj subq car rhythm mntr
$XXX.XX
J8
Y
33286
Rmvl subq car rhythm mntr
$XXX.XX
G2
N
33419
Repair tcat mitral valve
$XXX.XX
N1
N
33508
Endoscopic vein harvest
$XXX.XX
N1
N
33866
Aortic hemiarch graft
$XXX.XX
N1
N
34490
Removal of vein clot
$XXX.XX
G2
Y
34713
Perq access & clsr fem art
$XXX.XX
N1
N
34714
Opn fem art expos cndt crtj
$XXX.XX
N1
N
34715
Opn ax/subcla art expos
$XXX.XX
N1
N
34716
Opn ax/subcla art expos cndt
$XXX.XX
N1
N
35188
Repair blood vessel lesion
$XXX.XX
A2
Y
35207
Repair blood vessel lesion
$XXX.XX
A2
Y
35572
Harvest femoropopliteal vein
$XXX.XX
N1
N
35761
Exploration of artery/vein
$XXX.XX
G2
Y
35875
Removal of clot in graft
$XXX.XX
A2
Y
35876
Removal of clot in graft
$XXX.XX
A2
Y
36000
Place needle in vein
$XXX.XX
N1
N
36002
Pseudoaneurysm injection trt
$XXX.XX
G2
Y
36005
Injection ext venography
$XXX.XX
N1
N
36010
Place catheter in vein
$XXX.XX
N1
N
36011
Place catheter in vein
$XXX.XX
N1
N
36012
Place catheter in vein
$XXX.XX
N1
N
36013
Place catheter in artery
$XXX.XX
N1
N
36014
Place catheter in artery
$XXX.XX
N1
N
36015
Place catheter in artery
$XXX.XX
N1
N
36100
Establish access to artery
$XXX.XX
N1
N
36140
Intro ndl icath upr/lxtr art
$XXX.XX
N1
N
36160
Establish access to aorta
$XXX.XX
N1
N
36200
Place catheter in aorta
$XXX.XX
N1
N
36215
Place catheter in artery
$XXX.XX
N1
N
36216
Place catheter in artery
$XXX.XX
N1
N
36217
Place catheter in artery
$XXX.XX
N1
N
36218
Place catheter in artery
$XXX.XX
N1
N
36221
Place cath thoracic aorta
$XXX.XX
N1
N
36222
Place cath carotid/inom art
$XXX.XX
N1
N
36223
Place cath carotid/inom art
$XXX.XX
N1
N
36224
Place cath carotd art
$XXX.XX
N1
N
36225
Place cath subclavian art
$XXX.XX
N1
N
36226
Place cath vertebral art
$XXX.XX
N1
N
36227
Place cath xtrnl carotid
$XXX.XX
N1
N
36228
Place cath intracranial art
$XXX.XX
N1
N
36245
Ins cath abd/l-ext art 1st
$XXX.XX
N1
N
36246
Ins cath abd/l-ext art 2nd
$XXX.XX
N1
N
36247
Ins cath abd/l-ext art 3rd
$XXX.XX
N1
N
36248
Ins cath abd/l-ext art addl
$XXX.XX
N1
N
36251
Ins cath ren art 1st unilat
$XXX.XX
N1
N
36252
Ins cath ren art 1st bilat
$XXX.XX
N1
N
36253
Ins cath ren art 2nd+ unilat
$XXX.XX
N1
N
36254
Ins cath ren art 2nd+ bilat
$XXX.XX
N1
N
36260
Insertion of infusion pump
$XXX.XX
J8
Y
36261
Revision of infusion pump
$XXX.XX
J8
Y
36262
Removal of infusion pump
$XXX.XX
G2
N
36400
Bl draw < 3 yrs fem/jugular
$XXX.XX
N1
N
36405
Bl draw <3 yrs scalp vein
$XXX.XX
N1
N
36406
Bl draw <3 yrs other vein
$XXX.XX
N1
N
36410
Non-routine bl draw 3/> yrs
$XXX.XX
N1
N
36416
Capillary blood draw
$XXX.XX
N1
N
36420
Vein access cutdown < 1 yr
$XXX.XX
N1
N
36425
Vein access cutdown > 1 yr
$XXX.XX
N1
N
36430
Blood transfusion service
$XXX.XX
P3
N
36440
Bl push transfuse 2 yr/<
$XXX.XX
R2
N
36450
Bl exchange/transfuse nb
$XXX.XX
R2
N
36455
Bl exchange/transfuse non-nb
$XXX.XX
G2
N
36465
Njx noncmpnd sclrsnt 1 vein
$XXX.XX
G2
Y
36466
Njx noncmpnd sclrsnt mlt vn
$XXX.XX
G2
Y
36468
Njx sclrsnt spider veins
$XXX.XX
N1
N
36470
Njx sclrsnt 1 incmptnt vein
$XXX.XX
P3
Y
36471
Njx sclrsnt mlt incmptnt vn
$XXX.XX
P3
Y
36473
Endovenous mchnchem 1st vein
$XXX.XX
P2
Y
36474
Endovenous mchnchem add-on
$XXX.XX
N1
N
36475
Endovenous rf 1st vein
$XXX.XX
A2
Y
36476
Endovenous rf vein add-on
$XXX.XX
N1
N
36478
Endovenous laser 1st vein
$XXX.XX
A2
Y
36479
Endovenous laser vein addon
$XXX.XX
N1
N
36481
Insertion of catheter vein
$XXX.XX
N1
N
36482
Endoven ther chem adhes 1st
$XXX.XX
G2
Y
36483
Endoven ther chem adhes sbsq
$XXX.XX
N1
N
36500
Insertion of catheter vein
$XXX.XX
N1
N
36510
Insertion of catheter vein
$XXX.XX
N1
N
36511
Apheresis wbc
$XXX.XX
G2
N
36512
Apheresis rbc
$XXX.XX
G2
N
36513
Apheresis platelets
$XXX.XX
R2
N
36514
Apheresis plasma
$XXX.XX
G2
N
36516
Apheresis immunoads slctv
$XXX.XX
P3
N
36522
Photopheresis
$XXX.XX
G2
N
36555
Insert non-tunnel cv cath
$XXX.XX
A2
Y
36556
Insert non-tunnel cv cath
$XXX.XX
A2
Y
36557
Insert tunneled cv cath
$XXX.XX
A2
Y
36558
Insert tunneled cv cath
$XXX.XX
A2
Y
36560
Insert tunneled cv cath
$XXX.XX
G2
Y
36561
Insert tunneled cv cath
$XXX.XX
A2
Y
36563
Insert tunneled cv cath
$XXX.XX
A2
Y
36565
Insert tunneled cv cath
$XXX.XX
A2
Y
36566
Insert tunneled cv cath
$XXX.XX
A2
Y
36568
Insj picc <5 yr w/o imaging
$XXX.XX
A2
Y
36569
Insj picc 5 yr+ w/o imaging
$XXX.XX
A2
Y
36570
Insert picvad cath
$XXX.XX
A2
Y
36571
Insert picvad cath
$XXX.XX
A2
Y
36572
Insj picc rs&i <5 yr
$XXX.XX
G2
Y
36573
Insj picc rs&i 5 yr+
$XXX.XX
G2
Y
36575
Repair tunneled cv cath
$XXX.XX
A2
Y
36576
Repair tunneled cv cath
$XXX.XX
A2
Y
36578
Replace tunneled cv cath
$XXX.XX
A2
Y
36580
Replace cvad cath
$XXX.XX
J8
Y
36581
Replace tunneled cv cath
$XXX.XX
J8
Y
36582
Replace tunneled cv cath
$XXX.XX
A2
Y
36583
Replace tunneled cv cath
$XXX.XX
A2
Y
36584
Compl rplcmt picc rs&i
$XXX.XX
A2
Y
36585
Replace picvad cath
$XXX.XX
A2
Y
36589
Removal tunneled cv cath
$XXX.XX
A2
N
36590
Removal tunneled cv cath
$XXX.XX
A2
N
36591
Draw blood off venous device
$XXX.XX
N1
N
36592
Collect blood from picc
$XXX.XX
N1
N
36593
Declot vascular device
$XXX.XX
P3
Y
36595
Mech remov tunneled cv cath
$XXX.XX
J8
Y
36596
Mech remov tunneled cv cath
$XXX.XX
G2
Y
36597
Reposition venous catheter
$XXX.XX
G2
Y
36598
Inj w/fluor eval cv device
$XXX.XX
P3
Y
36600
Withdrawal of arterial blood
$XXX.XX
N1
N
36620
Insertion catheter artery
$XXX.XX
N1
N
36625
Insertion catheter artery
$XXX.XX
N1
N
36640
Insertion catheter artery
$XXX.XX
A2
Y
36680
Insert needle bone cavity
$XXX.XX
N1
N
36800
Insertion of cannula
$XXX.XX
G2
Y
36810
Insertion of cannula
$XXX.XX
A2
Y
36815
Insertion of cannula
$XXX.XX
A2
Y
36818
Av fuse uppr arm cephalic
$XXX.XX
A2
Y
36819
Av fuse uppr arm basilic
$XXX.XX
A2
Y
36820
Av fusion/forearm vein
$XXX.XX
A2
Y
36821
Av fusion direct any site
$XXX.XX
A2
Y
36825
Artery-vein autograft
$XXX.XX
A2
Y
36830
Artery-vein nonautograft
$XXX.XX
A2
Y
36831
Open thrombect av fistula
$XXX.XX
A2
Y
36832
Av fistula revision open
$XXX.XX
A2
Y
36833
Av fistula revision
$XXX.XX
A2
Y
36835
Artery to vein shunt
$XXX.XX
A2
Y
36860
External cannula declotting
$XXX.XX
A2
Y
36861
Cannula declotting
$XXX.XX
A2
Y
36901
Intro cath dialysis circuit
$XXX.XX
P3
Y
36902
Intro cath dialysis circuit
$XXX.XX
G2
Y
36903
Intro cath dialysis circuit
$XXX.XX
J8
Y
36904
Thrmbc/nfs dialysis circuit
$XXX.XX
G2
Y
36905
Thrmbc/nfs dialysis circuit
$XXX.XX
G2
Y
36906
Thrmbc/nfs dialysis circuit
$XXX.XX
J8
Y
36907
Balo angiop ctr dialysis seg
$XXX.XX
N1
N
36908
Stent plmt ctr dialysis seg
$XXX.XX
N1
N
36909
Dialysis circuit embolj
$XXX.XX
N1
N
37184
Prim art m-thrmbc 1st vsl
$XXX.XX
J8
Y
37185
Prim art m-thrmbc sbsq vsl
$XXX.XX
N1
N
37186
Sec art thrombectomy add-on
$XXX.XX
N1
N
37187
Venous mech thrombectomy
$XXX.XX
J8
Y
37188
Ven mechnl thrmbc repeat tx
$XXX.XX
G2
Y
37197
Remove intrvas foreign body
$XXX.XX
G2
Y
37200
Transcatheter biopsy
$XXX.XX
G2
Y
37211
Thrombolytic art therapy
$XXX.XX
G2
Y
37212
Thrombolytic venous therapy
$XXX.XX
G2
Y
37220
Iliac revasc
$XXX.XX
G2
Y
37221
Iliac revasc w/stent
$XXX.XX
J8
Y
37222
Iliac revasc add-on
$XXX.XX
N1
N
37223
Iliac revasc w/stent add-on
$XXX.XX
N1
N
37224
Fem/popl revas w/tla
$XXX.XX
J8
Y
37225
Fem/popl revas w/ather
$XXX.XX
J8
Y
37226
Fem/popl revasc w/stent
$XXX.XX
J8
Y
37227
Fem/popl revasc stnt & ather
$XXX.XX
J8
Y
37228
Tib/per revasc w/tla
$XXX.XX
J8
Y
37229
Tib/per revasc w/ather
$XXX.XX
J8
Y
37230
Tib/per revasc w/stent
$XXX.XX
J8
Y
37231
Tib/per revasc stent & ather
$XXX.XX
J8
Y
37232
Tib/per revasc add-on
$XXX.XX
N1
N
37233
Tibper revasc w/ather add-on
$XXX.XX
N1
N
37234
Revsc opn/prq tib/pero stent
$XXX.XX
N1
N
37235
Tib/per revasc stnt & ather
$XXX.XX
N1
N
37236
Open/perq place stent 1st
$XXX.XX
J8
Y
37237
Open/perq place stent ea add
$XXX.XX
N1
N
37238
Open/perq place stent same
$XXX.XX
J8
Y
37239
Open/perq place stent ea add
$XXX.XX
N1
N
37241
Vasc embolize/occlude venous
$XXX.XX
P2
Y
37242
Vasc embolize/occlude artery
$XXX.XX
J8
Y
37243
Vasc embolize/occlude organ
$XXX.XX
G2
Y
37246
Trluml balo angiop 1st art
$XXX.XX
G2
Y
37247
Trluml balo angiop addl art
$XXX.XX
N1
N
37248
Trluml balo angiop 1st vein
$XXX.XX
G2
Y
37249
Trluml balo angiop addl vein
$XXX.XX
N1
N
37252
Intrvasc us noncoronary 1st
$XXX.XX
N1
N
37253
Intrvasc us noncoronary addl
$XXX.XX
N1
N
37500
Endoscopy ligate perf veins
$XXX.XX
A2
Y
37607
Ligation of a-v fistula
$XXX.XX
A2
Y
37609
Temporal artery procedure
$XXX.XX
A2
Y
37650
Revision of major vein
$XXX.XX
A2
Y
37700
Revise leg vein
$XXX.XX
A2
Y
37718
Ligate/strip short leg vein
$XXX.XX
A2
Y
37722
Ligate/strip long leg vein
$XXX.XX
A2
Y
37735
Removal of leg veins/lesion
$XXX.XX
A2
Y
37760
Ligate leg veins radical
$XXX.XX
A2
Y
37761
Ligate leg veins open
$XXX.XX
R2
Y
37765
Stab phleb veins xtr 10-20
$XXX.XX
P3
Y
37766
Phleb veins - extrem 20+
$XXX.XX
P3
Y
37780
Revision of leg vein
$XXX.XX
A2
Y
37785
Ligate/divide/excise vein
$XXX.XX
A2
Y
37790
Penile venous occlusion
$XXX.XX
A2
Y
38200
Injection for spleen x-ray
$XXX.XX
N1
N
38204
Bl donor search management
$XXX.XX
N1
N
38206
Harvest auto stem cells
$XXX.XX
G2
N
38220
Dx bone marrow aspirations
$XXX.XX
P3
Y
38221
Dx bone marrow biopsies
$XXX.XX
P3
Y
38222
Dx bone marrow bx & aspir
$XXX.XX
P3
Y
38230
Bone marrow harvest allogen
$XXX.XX
G2
N
38232
Bone marrow harvest autolog
$XXX.XX
G2
N
38241
Transplt autol hct/donor
$XXX.XX
G2
N
38242
Transplt allo lymphocytes
$XXX.XX
R2
N
38243
Transplj hematopoietic boost
$XXX.XX
R2
N
38300
Drainage lymph node lesion
$XXX.XX
A2
Y
38305
Drainage lymph node lesion
$XXX.XX
A2
Y
38308
Incision of lymph channels
$XXX.XX
A2
Y
38500
Biopsy/removal lymph nodes
$XXX.XX
A2
Y
38505
Needle biopsy lymph nodes
$XXX.XX
A2
Y
38510
Biopsy/removal lymph nodes
$XXX.XX
A2
Y
38520
Biopsy/removal lymph nodes
$XXX.XX
A2
Y
38525
Biopsy/removal lymph nodes
$XXX.XX
A2
Y
38530
Biopsy/removal lymph nodes
$XXX.XX
A2
Y
38542
Explore deep node(s) neck
$XXX.XX
A2
Y
38550
Removal neck/armpit lesion
$XXX.XX
A2
Y
38555
Removal neck/armpit lesion
$XXX.XX
A2
Y
38570
Laparoscopy lymph node biop
$XXX.XX
A2
Y
38571
Laparoscopy lymphadenectomy
$XXX.XX
A2
Y
38572
Laparoscopy lymphadenectomy
$XXX.XX
A2
Y
38573
Laps pelvic lymphadec
$XXX.XX
G2
Y
38700
Removal of lymph nodes neck
$XXX.XX
G2
Y
38740
Remove armpit lymph nodes
$XXX.XX
A2
Y
38745
Remove armpit lymph nodes
$XXX.XX
A2
Y
38760
Remove groin lymph nodes
$XXX.XX
A2
Y
38790
Inject for lymphatic x-ray
$XXX.XX
N1
N
38792
Ra tracer id of sentinl node
$XXX.XX
N1
N
38794
Access thoracic lymph duct
$XXX.XX
N1
N
38900
Io map of sent lymph node
$XXX.XX
N1
N
40490
Biopsy of lip
$XXX.XX
P3
Y
40500
Partial excision of lip
$XXX.XX
A2
Y
40510
Partial excision of lip
$XXX.XX
A2
Y
40520
Partial excision of lip
$XXX.XX
A2
Y
40525
Reconstruct lip with flap
$XXX.XX
A2
Y
40527
Reconstruct lip with flap
$XXX.XX
A2
Y
40530
Partial removal of lip
$XXX.XX
A2
Y
40650
Repair lip
$XXX.XX
A2
Y
40652
Repair lip
$XXX.XX
A2
Y
40654
Repair lip
$XXX.XX
A2
Y
40700
Repair cleft lip/nasal
$XXX.XX
A2
Y
40701
Repair cleft lip/nasal
$XXX.XX
A2
Y
40702
Repair cleft lip/nasal
$XXX.XX
R2
Y
40720
Repair cleft lip/nasal
$XXX.XX
A2
Y
40761
Repair cleft lip/nasal
$XXX.XX
A2
Y
40800
Drainage of mouth lesion
$XXX.XX
P3
Y
40801
Drainage of mouth lesion
$XXX.XX
A2
Y
40804
Removal foreign body mouth
$XXX.XX
N1
N
40805
Removal foreign body mouth
$XXX.XX
P3
Y
40806
Incision of lip fold
$XXX.XX
P3
Y
40808
Biopsy of mouth lesion
$XXX.XX
P3
Y
40810
Excision of mouth lesion
$XXX.XX
P3
Y
40812
Excise/repair mouth lesion
$XXX.XX
P3
Y
40814
Excise/repair mouth lesion
$XXX.XX
A2
Y
40816
Excision of mouth lesion
$XXX.XX
A2
Y
40818
Excise oral mucosa for graft
$XXX.XX
A2
Y
40819
Excise lip or cheek fold
$XXX.XX
A2
Y
40820
Treatment of mouth lesion
$XXX.XX
P3
Y
40830
Repair mouth laceration
$XXX.XX
G2
Y
40831
Repair mouth laceration
$XXX.XX
A2
Y
40840
Reconstruction of mouth
$XXX.XX
A2
Y
40842
Reconstruction of mouth
$XXX.XX
A2
Y
40843
Reconstruction of mouth
$XXX.XX
A2
Y
40844
Reconstruction of mouth
$XXX.XX
A2
Y
40845
Reconstruction of mouth
$XXX.XX
A2
Y
41000
Drainage of mouth lesion
$XXX.XX
P3
Y
41005
Drainage of mouth lesion
$XXX.XX
A2
Y
41006
Drainage of mouth lesion
$XXX.XX
A2
Y
41007
Drainage of mouth lesion
$XXX.XX
A2
Y
41008
Drainage of mouth lesion
$XXX.XX
A2
Y
41009
Drainage of mouth lesion
$XXX.XX
A2
Y
41010
Incision of tongue fold
$XXX.XX
A2
Y
41015
Drainage of mouth lesion
$XXX.XX
A2
Y
41016
Drainage of mouth lesion
$XXX.XX
A2
Y
41017
Drainage of mouth lesion
$XXX.XX
A2
Y
41018
Drainage of mouth lesion
$XXX.XX
A2
Y
41019
Place needles h&n for rt
$XXX.XX
G2
Y
41100
Biopsy of tongue
$XXX.XX
P3
Y
41105
Biopsy of tongue
$XXX.XX
P3
Y
41108
Biopsy of floor of mouth
$XXX.XX
P3
Y
41110
Excision of tongue lesion
$XXX.XX
P3
Y
41112
Excision of tongue lesion
$XXX.XX
A2
Y
41113
Excision of tongue lesion
$XXX.XX
A2
Y
41114
Excision of tongue lesion
$XXX.XX
A2
Y
41115
Excision of tongue fold
$XXX.XX
P3
Y
41116
Excision of mouth lesion
$XXX.XX
A2
Y
41120
Partial removal of tongue
$XXX.XX
A2
Y
41250
Repair tongue laceration
$XXX.XX
N1
N
41251
Repair tongue laceration
$XXX.XX
A2
Y
41252
Repair tongue laceration
$XXX.XX
A2
Y
41500
Fixation of tongue
$XXX.XX
D5
41510
Tongue to lip surgery
$XXX.XX
A2
Y
41512
Tongue suspension
$XXX.XX
G2
Y
41520
Reconstruction tongue fold
$XXX.XX
A2
Y
41530
Tongue base vol reduction
$XXX.XX
P3
Y
41800
Drainage of gum lesion
$XXX.XX
N1
N
41805
Removal foreign body gum
$XXX.XX
P3
Y
41806
Removal foreign body jawbone
$XXX.XX
P3
Y
41820
Excision gum each quadrant
$XXX.XX
R2
Y
41821
Excision of gum flap
$XXX.XX
G2
Y
41822
Excision of gum lesion
$XXX.XX
P3
Y
41823
Excision of gum lesion
$XXX.XX
P3
Y
41825
Excision of gum lesion
$XXX.XX
P3
Y
41826
Excision of gum lesion
$XXX.XX
P3
Y
41827
Excision of gum lesion
$XXX.XX
A2
Y
41828
Excision of gum lesion
$XXX.XX
P3
Y
41830
Removal of gum tissue
$XXX.XX
P3
Y
41850
Treatment of gum lesion
$XXX.XX
R2
Y
41870
Gum graft
$XXX.XX
G2
Y
41872
Repair gum
$XXX.XX
P3
Y
41874
Repair tooth socket
$XXX.XX
P3
Y
42000
Drainage mouth roof lesion
$XXX.XX
A2
Y
42100
Biopsy roof of mouth
$XXX.XX
P3
Y
42104
Excision lesion mouth roof
$XXX.XX
P3
Y
42106
Excision lesion mouth roof
$XXX.XX
P3
Y
42107
Excision lesion mouth roof
$XXX.XX
A2
Y
42120
Remove palate/lesion
$XXX.XX
A2
Y
42140
Excision of uvula
$XXX.XX
A2
Y
42145
Repair palate pharynx/uvula
$XXX.XX
A2
Y
42160
Treatment mouth roof lesion
$XXX.XX
P3
Y
42180
Repair palate
$XXX.XX
A2
Y
42182
Repair palate
$XXX.XX
A2
Y
42200
Reconstruct cleft palate
$XXX.XX
A2
Y
42205
Reconstruct cleft palate
$XXX.XX
A2
Y
42210
Reconstruct cleft palate
$XXX.XX
A2
Y
42215
Reconstruct cleft palate
$XXX.XX
A2
Y
42220
Reconstruct cleft palate
$XXX.XX
A2
Y
42225
Reconstruct cleft palate
$XXX.XX
G2
Y
42226
Lengthening of palate
$XXX.XX
A2
Y
42227
Lengthening of palate
$XXX.XX
G2
Y
42235
Repair palate
$XXX.XX
A2
Y
42260
Repair nose to lip fistula
$XXX.XX
A2
Y
42280
Preparation palate mold
$XXX.XX
P3
Y
42281
Insertion palate prosthesis
$XXX.XX
G2
Y
42300
Drainage of salivary gland
$XXX.XX
A2
Y
42305
Drainage of salivary gland
$XXX.XX
A2
Y
42310
Drainage of salivary gland
$XXX.XX
A2
Y
42320
Drainage of salivary gland
$XXX.XX
A2
Y
42330
Removal of salivary stone
$XXX.XX
P3
Y
42335
Removal of salivary stone
$XXX.XX
P3
Y
42340
Removal of salivary stone
$XXX.XX
A2
Y
42400
Biopsy of salivary gland
$XXX.XX
P3
Y
42405
Biopsy of salivary gland
$XXX.XX
A2
Y
42408
Excision of salivary cyst
$XXX.XX
A2
Y
42409
Drainage of salivary cyst
$XXX.XX
A2
Y
42410
Excise parotid gland/lesion
$XXX.XX
A2
Y
42415
Excise parotid gland/lesion
$XXX.XX
A2
Y
42420
Excise parotid gland/lesion
$XXX.XX
A2
Y
42425
Excise parotid gland/lesion
$XXX.XX
A2
Y
42440
Excise submaxillary gland
$XXX.XX
A2
Y
42450
Excise sublingual gland
$XXX.XX
A2
Y
42500
Repair salivary duct
$XXX.XX
A2
Y
42505
Repair salivary duct
$XXX.XX
A2
Y
42507
Parotid duct diversion
$XXX.XX
A2
Y
42509
Parotid duct diversion
$XXX.XX
A2
Y
42510
Parotid duct diversion
$XXX.XX
A2
Y
42550
Injection for salivary x-ray
$XXX.XX
N1
N
42600
Closure of salivary fistula
$XXX.XX
A2
Y
42650
Dilation of salivary duct
$XXX.XX
P3
Y
42660
Dilation of salivary duct
$XXX.XX
P3
Y
42665
Ligation of salivary duct
$XXX.XX
A2
Y
42700
Drainage of tonsil abscess
$XXX.XX
A2
Y
42720
Drainage of throat abscess
$XXX.XX
A2
Y
42725
Drainage of throat abscess
$XXX.XX
A2
Y
42800
Biopsy of throat
$XXX.XX
P3
Y
42804
Biopsy of upper nose/throat
$XXX.XX
A2
Y
42806
Biopsy of upper nose/throat
$XXX.XX
A2
Y
42808
Excise pharynx lesion
$XXX.XX
A2
Y
42809
Remove pharynx foreign body
$XXX.XX
N1
N
42810
Excision of neck cyst
$XXX.XX
A2
Y
42815
Excision of neck cyst
$XXX.XX
A2
Y
42820
Remove tonsils and adenoids
$XXX.XX
A2
Y
42821
Remove tonsils and adenoids
$XXX.XX
A2
Y
42825
Removal of tonsils
$XXX.XX
A2
Y
42826
Removal of tonsils
$XXX.XX
A2
Y
42830
Removal of adenoids
$XXX.XX
A2
Y
42831
Removal of adenoids
$XXX.XX
A2
Y
42835
Removal of adenoids
$XXX.XX
A2
Y
42836
Removal of adenoids
$XXX.XX
A2
Y
42860
Excision of tonsil tags
$XXX.XX
A2
Y
42870
Excision of lingual tonsil
$XXX.XX
A2
Y
42890
Partial removal of pharynx
$XXX.XX
A2
Y
42892
Revision of pharyngeal walls
$XXX.XX
A2
Y
42900
Repair throat wound
$XXX.XX
A2
Y
42950
Reconstruction of throat
$XXX.XX
A2
Y
42955
Surgical opening of throat
$XXX.XX
A2
Y
42960
Control throat bleeding
$XXX.XX
A2
Y
42962
Control throat bleeding
$XXX.XX
A2
Y
42970
Control nose/throat bleeding
$XXX.XX
R2
Y
42972
Control nose/throat bleeding
$XXX.XX
A2
Y
43030
Throat muscle surgery
$XXX.XX
G2
Y
43130
Removal of esophagus pouch
$XXX.XX
G2
Y
43180
Esophagoscopy rigid trnso
$XXX.XX
G2
Y
43191
Esophagoscopy rigid trnso dx
$XXX.XX
G2
Y
43192
Esophagoscp rig trnso inject
$XXX.XX
G2
Y
43193
Esophagoscp rig trnso biopsy
$XXX.XX
G2
Y
43194
Esophagoscp rig trnso rem fb
$XXX.XX
G2
Y
43195
Esophagoscopy rigid balloon
$XXX.XX
G2
Y
43196
Esophagoscp guide wire dilat
$XXX.XX
G2
Y
43197
Esophagoscopy flex dx brush
$XXX.XX
P3
Y
43198
Esophagosc flex trnsn biopsy
$XXX.XX
P3
Y
43200
Esophagoscopy flexible brush
$XXX.XX
A2
Y
43201
Esoph scope w/submucous inj
$XXX.XX
A2
Y
43202
Esophagoscopy flex biopsy
$XXX.XX
A2
Y
43204
Esoph scope w/sclerosis inj
$XXX.XX
A2
Y
43205
Esophagus endoscopy/ligation
$XXX.XX
A2
Y
43206
Esoph optical endomicroscopy
$XXX.XX
G2
Y
43210
Egd esophagogastrc fndoplsty
$XXX.XX
G2
Y
43211
Esophagoscop mucosal resect
$XXX.XX
G2
Y
43212
Esophagoscop stent placement
$XXX.XX
J8
Y
43213
Esophagoscopy retro balloon
$XXX.XX
G2
Y
43214
Esophagosc dilate balloon 30
$XXX.XX
G2
Y
43215
Esophagoscopy flex remove fb
$XXX.XX
A2
Y
43216
Esophagoscopy lesion removal
$XXX.XX
A2
Y
43217
Esophagoscopy snare les remv
$XXX.XX
A2
Y
43220
Esophagoscopy balloon <30mm
$XXX.XX
A2
Y
43226
Esoph endoscopy dilation
$XXX.XX
A2
Y
43227
Esophagoscopy control bleed
$XXX.XX
A2
Y
43229
Esophagoscopy lesion ablate
$XXX.XX
G2
Y
43231
Esophagoscop ultrasound exam
$XXX.XX
A2
Y
43232
Esophagoscopy w/us needle bx
$XXX.XX
A2
Y
43233
Egd balloon dil esoph30 mm/>
$XXX.XX
G2
Y
43235
Egd diagnostic brush wash
$XXX.XX
A2
Y
43236
Uppr gi scope w/submuc inj
$XXX.XX
A2
Y
43237
Endoscopic us exam esoph
$XXX.XX
A2
Y
43238
Egd us fine needle bx/aspir
$XXX.XX
A2
Y
43239
Egd biopsy single/multiple
$XXX.XX
A2
Y
43240
Egd w/transmural drain cyst
$XXX.XX
J8
Y
43241
Egd tube/cath insertion
$XXX.XX
A2
Y
43242
Egd us fine needle bx/aspir
$XXX.XX
A2
Y
43243
Egd injection varices
$XXX.XX
A2
Y
43244
Egd varices ligation
$XXX.XX
A2
Y
43245
Egd dilate stricture
$XXX.XX
A2
Y
43246
Egd place gastrostomy tube
$XXX.XX
A2
Y
43247
Egd remove foreign body
$XXX.XX
A2
Y
43248
Egd guide wire insertion
$XXX.XX
A2
Y
43249
Esoph egd dilation <30 mm
$XXX.XX
A2
Y
43250
Egd cautery tumor polyp
$XXX.XX
A2
Y
43251
Egd remove lesion snare
$XXX.XX
A2
Y
43252
Egd optical endomicroscopy
$XXX.XX
G2
Y
43253
Egd us transmural injxn/mark
$XXX.XX
G2
Y
43254
Egd endo mucosal resection
$XXX.XX
G2
Y
43255
Egd control bleeding any
$XXX.XX
A2
Y
43257
Egd w/thrml txmnt gerd
$XXX.XX
A2
Y
43259
Egd us exam duodenum/jejunum
$XXX.XX
A2
Y
43260
Ercp w/specimen collection
$XXX.XX
A2
Y
43261
Endo cholangiopancreatograph
$XXX.XX
A2
Y
43262
Endo cholangiopancreatograph
$XXX.XX
A2
Y
43263
Ercp sphincter pressure meas
$XXX.XX
A2
Y
43264
Ercp remove duct calculi
$XXX.XX
A2
Y
43265
Ercp lithotripsy calculi
$XXX.XX
A2
Y
43266
Egd endoscopic stent place
$XXX.XX
J8
Y
43270
Egd lesion ablation
$XXX.XX
G2
Y
43273
Endoscopic pancreatoscopy
$XXX.XX
N1
N
43274
Ercp duct stent placement
$XXX.XX
G2
Y
43275
Ercp remove forgn body duct
$XXX.XX
G2
Y
43276
Ercp stent exchange w/dilate
$XXX.XX
G2
Y
43277
Ercp ea duct/ampulla dilate
$XXX.XX
G2
Y
43278
Ercp lesion ablate w/dilate
$XXX.XX
G2
Y
43284
Laps esophgl sphnctr agmntj
$XXX.XX
J8
Y
43285
Rmvl esophgl sphnctr dev
$XXX.XX
G2
N
43450
Dilate esophagus 1/mult pass
$XXX.XX
A2
Y
43453
Dilate esophagus
$XXX.XX
A2
Y
43653
Laparoscopy gastrostomy
$XXX.XX
A2
Y
43752
Nasal/orogastric w/tube plmt
$XXX.XX
G2
N
43753
Tx gastro intub w/asp
$XXX.XX
N1
N
43754
Dx gastr intub w/asp spec
$XXX.XX
N1
N
43755
Dx gastr intub w/asp specs
$XXX.XX
G2
N
43756
Dx duod intub w/asp spec
$XXX.XX
G2
N
43757
Dx duod intub w/asp specs
$XXX.XX
G2
Y
43760
Change gastrostomy tube
$XXX.XX
D5
43761
Reposition gastrostomy tube
$XXX.XX
A2
Y
43762
Rplc gtube no revj trc
$XXX.XX
G2
Y
43763
Rplc gtube revj gstrst trc
$XXX.XX
G2
Y
43870
Repair stomach opening
$XXX.XX
A2
Y
43886
Revise gastric port open
$XXX.XX
G2
Y
43887
Remove gastric port open
$XXX.XX
G2
N
43888
Change gastric port open
$XXX.XX
G2
Y
44100
Biopsy of bowel
$XXX.XX
A2
Y
44312
Revision of ileostomy
$XXX.XX
A2
Y
44340
Revision of colostomy
$XXX.XX
A2
Y
44360
Small bowel endoscopy
$XXX.XX
A2
Y
44361
Small bowel endoscopy/biopsy
$XXX.XX
A2
Y
44363
Small bowel endoscopy
$XXX.XX
A2
Y
44364
Small bowel endoscopy
$XXX.XX
A2
Y
44365
Small bowel endoscopy
$XXX.XX
A2
Y
44366
Small bowel endoscopy
$XXX.XX
A2
Y
44369
Small bowel endoscopy
$XXX.XX
A2
Y
44370
Small bowel endoscopy/stent
$XXX.XX
J8
Y
44372
Small bowel endoscopy
$XXX.XX
A2
Y
44373
Small bowel endoscopy
$XXX.XX
A2
Y
44376
Small bowel endoscopy
$XXX.XX
A2
Y
44377
Small bowel endoscopy/biopsy
$XXX.XX
A2
Y
44378
Small bowel endoscopy
$XXX.XX
A2
Y
44379
S bowel endoscope w/stent
$XXX.XX
A2
Y
44380
Small bowel endoscopy br/wa
$XXX.XX
A2
Y
44381
Small bowel endoscopy br/wa
$XXX.XX
G2
Y
44382
Small bowel endoscopy
$XXX.XX
A2
Y
44384
Small bowel endoscopy
$XXX.XX
G2
Y
44385
Endoscopy of bowel pouch
$XXX.XX
A2
Y
44386
Endoscopy bowel pouch/biop
$XXX.XX
A2
Y
44388
Colonoscopy thru stoma spx
$XXX.XX
A2
Y
44389
Colonoscopy with biopsy
$XXX.XX
A2
Y
44390
Colonoscopy for foreign body
$XXX.XX
A2
Y
44391
Colonoscopy for bleeding
$XXX.XX
A2
Y
44392
Colonoscopy & polypectomy
$XXX.XX
A2
Y
44394
Colonoscopy w/snare
$XXX.XX
A2
Y
44401
Colonoscopy with ablation
$XXX.XX
G2
Y
44402
Colonoscopy w/stent plcmt
$XXX.XX
J8
Y
44403
Colonoscopy w/resection
$XXX.XX
G2
Y
44404
Colonoscopy w/injection
$XXX.XX
G2
Y
44405
Colonoscopy w/dilation
$XXX.XX
G2
Y
44406
Colonoscopy w/ultrasound
$XXX.XX
G2
Y
44407
Colonoscopy w/ndl aspir/bx
$XXX.XX
G2
Y
44408
Colonoscopy w/decompression
$XXX.XX
G2
Y
44500
Intro gastrointestinal tube
$XXX.XX
G2
Y
44701
Intraop colon lavage add-on
$XXX.XX
N1
N
45000
Drainage of pelvic abscess
$XXX.XX
A2
Y
45005
Drainage of rectal abscess
$XXX.XX
A2
Y
45020
Drainage of rectal abscess
$XXX.XX
A2
Y
45100
Biopsy of rectum
$XXX.XX
A2
Y
45108
Removal of anorectal lesion
$XXX.XX
A2
Y
45150
Excision of rectal stricture
$XXX.XX
A2
Y
45160
Excision of rectal lesion
$XXX.XX
A2
Y
45171
Exc rect tum transanal part
$XXX.XX
G2
Y
45172
Exc rect tum transanal full
$XXX.XX
G2
Y
45190
Destruction rectal tumor
$XXX.XX
A2
Y
45300
Proctosigmoidoscopy dx
$XXX.XX
P3
Y
45303
Proctosigmoidoscopy dilate
$XXX.XX
P2
Y
45305
Proctosigmoidoscopy w/bx
$XXX.XX
A2
Y
45307
Proctosigmoidoscopy fb
$XXX.XX
A2
Y
45308
Proctosigmoidoscopy removal
$XXX.XX
A2
Y
45309
Proctosigmoidoscopy removal
$XXX.XX
A2
Y
45315
Proctosigmoidoscopy removal
$XXX.XX
A2
Y
45317
Proctosigmoidoscopy bleed
$XXX.XX
A2
Y
45320
Proctosigmoidoscopy ablate
$XXX.XX
A2
Y
45321
Proctosigmoidoscopy volvul
$XXX.XX
A2
Y
45327
Proctosigmoidoscopy w/stent
$XXX.XX
A2
Y
45330
Diagnostic sigmoidoscopy
$XXX.XX
P3
Y
45331
Sigmoidoscopy and biopsy
$XXX.XX
A2
Y
45332
Sigmoidoscopy w/fb removal
$XXX.XX
A2
Y
45333
Sigmoidoscopy & polypectomy
$XXX.XX
A2
Y
45334
Sigmoidoscopy for bleeding
$XXX.XX
A2
Y
45335
Sigmoidoscopy w/submuc inj
$XXX.XX
A2
Y
45337
Sigmoidoscopy & decompress
$XXX.XX
A2
Y
45338
Sigmoidoscopy w/tumr remove
$XXX.XX
A2
Y
45340
Sig w/tndsc balloon dilation
$XXX.XX
A2
Y
45341
Sigmoidoscopy w/ultrasound
$XXX.XX
A2
Y
45342
Sigmoidoscopy w/us guide bx
$XXX.XX
A2
Y
45346
Sigmoidoscopy w/ablation
$XXX.XX
G2
Y
45347
Sigmoidoscopy w/plcmt stent
$XXX.XX
J8
Y
45349
Sigmoidoscopy w/resection
$XXX.XX
G2
Y
45350
Sgmdsc w/band ligation
$XXX.XX
G2
Y
45378
Diagnostic colonoscopy
$XXX.XX
A2
Y
45379
Colonoscopy w/fb removal
$XXX.XX
A2
Y
45380
Colonoscopy and biopsy
$XXX.XX
A2
Y
45381
Colonoscopy submucous njx
$XXX.XX
A2
Y
45382
Colonoscopy w/control bleed
$XXX.XX
A2
Y
45384
Colonoscopy w/lesion removal
$XXX.XX
A2
Y
45385
Colonoscopy w/lesion removal
$XXX.XX
A2
Y
45386
Colonoscopy w/balloon dilat
$XXX.XX
A2
Y
45388
Colonoscopy w/ablation
$XXX.XX
G2
Y
45389
Colonoscopy w/stent plcmt
$XXX.XX
J8
Y
45390
Colonoscopy w/resection
$XXX.XX
G2
Y
45391
Colonoscopy w/endoscope us
$XXX.XX
A2
Y
45392
Colonoscopy w/endoscopic fnb
$XXX.XX
A2
Y
45393
Colonoscopy w/decompression
$XXX.XX
G2
Y
45398
Colonoscopy w/band ligati