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PLA Codes

Laboratory Fee Schedule

2023
2022

Physician Fee Schedule

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ASC Fee Schedule

APC Codes

DRG Codes

ASP Drug Pricing Files

July 2023
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CMS Transmittals

Important Notice: Change of Address

2023 (July) Ambulatory Surgical Center (ASC) Payment
Source

Procedure	Short Descriptor	Unadjusted Fee Schedule	Payment Indicator	Subject to the Multiple Procedure Discount
0100T	Prosth retina receive&gen	$XXX.XX	K5	N
0101T	Esw muscskel sys nos	$XXX.XX	R2	Y
0102T	Esw phy anes lat hmrl epcndl	$XXX.XX	G2	Y
0200T	Perq sacral augmt unilat inj	$XXX.XX	J8	Y
0201T	Perq sacral augmt bilat inj	$XXX.XX	G2	Y
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
0232T	Njx platelet plasma	$XXX.XX	N1	N
0238T	Trluml perip athrc iliac art	$XXX.XX	J8	Y
0253T	Insert aqueous drain device	$XXX.XX	J8	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
0266T	Implt/rpl crtd sns dev total	$XXX.XX	G2	Y
0268T	Implt/rpl crtd sns dev gen	$XXX.XX	J8	N
0269T	Rev/remvl crtd sns dev total	$XXX.XX	G2	N
0270T	Rev/remvl crtd sns dev lead	$XXX.XX	G2	Y
0271T	Rev/remvl crtd sns dev gen	$XXX.XX	G2	Y
0274T	Perq lamot/lam crv/thrc	$XXX.XX	G2	Y
0275T	Perq lamot/lam lumbar	$XXX.XX	J8	Y
0278T	Tempr	$XXX.XX	N1	N
0308T	Insj ocular telescope prosth	$XXX.XX	J8	Y
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
0342T	Thxp apheresis w/hdl delip	$XXX.XX	G2	N
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
0379T	Vis field assmnt tech suppt	$XXX.XX	N1	N
0397T	Ercp w/optical endomicroscpy	$XXX.XX	N1	N
0402T	Colgn crs-link crn&pachymtry	$XXX.XX	R2	Y
0404T	Trnscrv uterin fibroid abltj	$XXX.XX	J8	Y
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	J8	Y
0424T	Insj/rplc nstim apnea compl	$XXX.XX	J8	Y
0425T	Insj/rplc nstim apnea sen ld	$XXX.XX	J8	Y
0426T	Insj/rplc nstim apnea stm ld	$XXX.XX	J8	Y
0427T	Insj/rplc nstim apnea pls gn	$XXX.XX	J8	Y
0428T	Rmvl nstim apnea pls gen	$XXX.XX	G2	Y
0429T	Rmvl nstim apnea sen ld	$XXX.XX	G2	Y
0430T	Rmvl nstim apnea stimj ld	$XXX.XX	G2	Y
0431T	Rmvl/rplc nstim apnea pls gn	$XXX.XX	J8	Y
0432T	Repos nstim apnea stimj ld	$XXX.XX	J8	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	J8	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	P2	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
0479T	Fxjl abl lsr 1st 100 sq cm	$XXX.XX	G2	Y
0480T	Fxjl abl lsr ea addl 100sqcm	$XXX.XX	N1	N
0499T	Cysto f/urtl strix/stenosis	$XXX.XX	G2	Y
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
0523T	Ntrapx c ffr w/3d funcjl map	$XXX.XX	N1	N
0524T	Ev cath dir chem abltj w/img	$XXX.XX	J8	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	J8	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
0581T	Abltj mal brst tum perq crtx	$XXX.XX	R2	Y
0583T	Tmpst auto tube dlvr sys	$XXX.XX	J8	Y
0587T	Perq impltj/rplcmt isdns ptn	$XXX.XX	J8	Y
0588T	Revision/removal isdns ptn	$XXX.XX	R2	Y
0594T	Osteot hum xtrnl lngth dev	$XXX.XX	J8	Y
0596T	Temp fml iu vlv-pmp 1st insj	$XXX.XX	R2	Y
0597T	Temp fml iu valve-pmp rplcmt	$XXX.XX	R2	Y
0600T	Ire abltj 1+tum organ perq	$XXX.XX	J8	Y
0601T	Ire abltj 1+tumors open	$XXX.XX	J8	Y
0614T	Rmvl&rplcmt ss impl dfb pg	$XXX.XX	J8	Y
0616T	Insertion of iris prosthesis	$XXX.XX	J8	Y
0617T	Insj iris prosth w/rmvl&insj	$XXX.XX	J8	Y
0618T	Insj iris prosth sec io lens	$XXX.XX	J8	Y
0619T	Cysto w/prst8 commissurotomy	$XXX.XX	J8	Y
0620T	Evasc ven artlz tibl/prnl vn	$XXX.XX	J8	Y
0627T	Perq njx algc fluor lmbr 1st	$XXX.XX	J8	Y
0628T	Perq njx algc fluor lmbr ea	$XXX.XX	N1	N
0629T	Perq njx algc ct lmbr 1st	$XXX.XX	J8	Y
0630T	Perq njx algc ct lmbr ea	$XXX.XX	N1	N
0632T	Perq tcat us abltj nrv p-art	$XXX.XX	J8	Y
0644T	Tcat rmvl/dblk icar mas perq	$XXX.XX	J8	Y
0647T	Insj gtube perq mag gastrpxy	$XXX.XX	J8	Y
0651T	Mag ctrld capsule endoscopy	$XXX.XX	J8	Y
0652T	Egd flx transnasal dx br/wa	$XXX.XX	J8	Y
0653T	Egd flx transnasal bx 1/mlt	$XXX.XX	J8	Y
0654T	Egd flx transnasal tube/cath	$XXX.XX	G2	Y
0655T	Tprnl focal abltj mal prst8	$XXX.XX	G2	Y
0671T	Insj ant sgm aq drg dev 1+	$XXX.XX	J8	Y
0673T	Abltj b9 thyr ndul perq lasr	$XXX.XX	G2	Y
0686T	Histotripsy mal hepatcel tis	$XXX.XX	G2	N
0699T	Njx pst chmbr eye medication	$XXX.XX	G2	Y
0707T	Njx b1 sub mtrl sbchdrl dfct	$XXX.XX	J8	Y
0714T	Tprnl lsr ablt b9 prst8 hypr	$XXX.XX	G2	Y
0775T	Arthrd si jt prq iartic impl	$XXX.XX	J8	Y
0793T	Prq tcat thrm ablt nrv p-art	$XXX.XX	J8	Y
0797T	Tcat ins 2chmbr ldls pm rv	$XXX.XX	J8	Y
0800T	Tcat rmvl 2chmbr ldls pm rv	$XXX.XX	J8	Y
0803T	Tcat rmv&rpl2chmb ldls pm rv	$XXX.XX	J8	Y
0809T	Arthrd si jt prq tfx&implt	$XXX.XX	J8	Y
10004	Fna bx w/o img gdn ea addl	$XXX.XX	N1	N
10005	Fna bx w/us gdn 1st les	$XXX.XX	G2	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	G2	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
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
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	P3	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	P3	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	Rplcmt tiss xpndr perm implt	$XXX.XX	J8	Y
11971	Rmvl tis xpndr wo insj implt	$XXX.XX	A2	N
11976	Remove contraceptive capsule	$XXX.XX	P3	N
11980	Implant hormone pellet(s)	$XXX.XX	N1	N
11981	Insertion drug dlvr implant	$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	P3	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	P3	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	P3	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
15769	Grfg autol soft tiss dir exc	$XXX.XX	G2	Y
15770	Derma-fat-fascia graft	$XXX.XX	A2	Y
15771	Grfg autol fat lipo 50 cc/<	$XXX.XX	G2	Y
15773	Grfg autol fat lipo 25 cc/<	$XXX.XX	G2	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
15851	Removal sutr/staple req anes	$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	P3	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	P2	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	Prepj 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	J8	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
19307	Mast mod rad	$XXX.XX	G2	Y
19316	Suspension of breast	$XXX.XX	A2	Y
19318	Breast reduction	$XXX.XX	A2	Y
19325	Breast augmentation w/implt	$XXX.XX	G2	Y
19328	Rmvl intact breast implant	$XXX.XX	A2	N
19330	Rmvl ruptured breast implant	$XXX.XX	A2	N
19340	Insj breast implt sm d mast	$XXX.XX	A2	Y
19342	Insj/rplcmt brst implt sep d	$XXX.XX	A2	Y
19350	Breast reconstruction	$XXX.XX	A2	Y
19355	Correct inverted nipple(s)	$XXX.XX	A2	Y
19357	Tiss xpndr plmt brst rcnstj	$XXX.XX	J8	Y
19370	Revj peri-implt capsule brst	$XXX.XX	A2	Y
19371	Peri-implt capslc brst compl	$XXX.XX	A2	Y
19380	Revj reconstructed breast	$XXX.XX	A2	Y
19396	Design custom breast implant	$XXX.XX	G2	Y
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	J8	Y
20251	Open bone biopsy	$XXX.XX	A2	Y
20500	Injection of sinus tract	$XXX.XX	J8	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	J8	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
20700	Mnl prep&insj dp rx dlvr dev	$XXX.XX	N1	N
20822	Replantation digit complete	$XXX.XX	G2	Y
20900	Removal of bone for graft	$XXX.XX	J8	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	J8	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	J8	Y
20983	Ablate bone tumor(s) perq	$XXX.XX	J8	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	J8	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	J8	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	J8	Y
21181	Contour cranial bone lesion	$XXX.XX	A2	Y
21198	Reconstr lwr jaw segment	$XXX.XX	R2	Y
21199	Reconstr lwr jaw w/advance	$XXX.XX	J8	Y
21206	Reconstruct upper jaw bone	$XXX.XX	A2	Y
21208	Augmentation of facial bones	$XXX.XX	P3	Y
21209	Reduction of facial bones	$XXX.XX	A2	Y
21210	Face bone graft	$XXX.XX	J8	Y
21215	Lower jaw bone graft	$XXX.XX	J8	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	J8	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	J8	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
21315	Clsd tx nsl fx mnpj wo stblj	$XXX.XX	A2	Y
21320	Clsd tx nsl fx w/mnpj&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
21365	Opn tx complx malar fx	$XXX.XX	J8	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	J8	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	J8	Y
21450	Treat lower jaw fracture	$XXX.XX	J8	Y
21451	Treat lower jaw fracture	$XXX.XX	A2	Y
21452	Treat lower jaw fracture	$XXX.XX	J8	Y
21453	Treat lower jaw fracture	$XXX.XX	J8	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	J8	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	Arthrd ant ntrbdy cervical	$XXX.XX	J8	Y
22552	Arthrd ant ntrbd cervical ea	$XXX.XX	N1	N
22554	Arthrd ant ntrbd min dsc crv	$XXX.XX	J8	Y
22585	Arthrd ant ntrbd min dsc ea	$XXX.XX	N1	N
22612	Arthrd pst tq 1ntrspc lumbar	$XXX.XX	J8	Y
22614	Arthrd pst tq 1ntrspc ea add	$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	Tot disc arthrp 1ntrspc crv	$XXX.XX	J8	Y
22858	Tot disc arthrp 2nd lvl crv	$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	R2	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	J8	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	J8	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	J8	Y
23440	Remove/transplant tendon	$XXX.XX	A2	Y
23450	Repair shoulder capsule	$XXX.XX	J8	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	J8	Y
23500	Cltx clavicular fx w/o mnpj	$XXX.XX	A2	Y
23505	Cltx clavicular fx w/mnpj	$XXX.XX	A2	Y
23515	Optx clavicular fx w/int fix	$XXX.XX	J8	Y
23520	Cltx strnclav dislc w/o mnpj	$XXX.XX	A2	Y
23525	Cltx strnclav dislc w/mnpj	$XXX.XX	A2	Y
23530	Optx strnclav dislc aqt/chrn	$XXX.XX	A2	Y
23532	Optx strclv dslc aq/chrn grf	$XXX.XX	A2	Y
23540	Cltx acromclav dislc wo mnpj	$XXX.XX	A2	Y
23545	Cltx acromclav dislc w/mnpj	$XXX.XX	A2	Y
23550	Optx acromclv dislc aqt/chrn	$XXX.XX	J8	Y
23552	Optx acrclv dslc aq/chrn grf	$XXX.XX	J8	Y
23570	Cltx scapular fx w/o mnpj	$XXX.XX	A2	Y
23575	Cltx scap fx w/mnpj +-tractj	$XXX.XX	A2	Y
23585	Optx scapular fx w/int fixj	$XXX.XX	J8	Y
23600	Cltx prox humrl fx w/o mnpj	$XXX.XX	P2	Y
23605	Cltx prx hmrl fx mnpj+-tract	$XXX.XX	A2	Y
23615	Optx prox humrl fx w/int fix	$XXX.XX	J8	Y
23616	Optx prx hmrl fx fix rpr rpl	$XXX.XX	J8	Y
23620	Cltx gr hmrl tbrs fx wo mnpj	$XXX.XX	P2	Y
23625	Cltx gr hmrl tbrs fx w/mnpj	$XXX.XX	A2	Y
23630	Optx gr hmrl tbrs fx int fix	$XXX.XX	J8	Y
23650	Cltx sho dslc w/mnpj wo anes	$XXX.XX	A2	Y
23655	Cltx sho dslc w/mnpj w/anes	$XXX.XX	A2	Y
23660	Optx acute shoulder dislc	$XXX.XX	A2	Y
23665	Cltx sho dslc fx gr hmrl tbr	$XXX.XX	A2	Y
23670	Optx sho dislc fx	$XXX.XX	J8	Y
23675	Cltx sho dislc neck fx mnpj	$XXX.XX	A2	Y
23680	Optx sho dislc neck fx fixj	$XXX.XX	J8	Y
23700	Mnpj anes sho jt fixj aprats	$XXX.XX	A2	Y
23800	Arthrodesis glenohumeral jt	$XXX.XX	G2	Y
23802	Arthrd glenohumeral jt w/grf	$XXX.XX	G2	Y
23921	Disarticulation sho sec clsr	$XXX.XX	A2	Y
23930	I&d upr a/e dp absc/hmtma	$XXX.XX	A2	Y
23931	I&d upr a/e bursa	$XXX.XX	A2	Y
23935	Inc dp opn b1 crtx hum/elbw	$XXX.XX	A2	Y
24000	Arthrt elbw expl drg/rmvl fb	$XXX.XX	A2	Y
24006	Arthrt elbw capsl exc rls	$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	Rad rescj tum tiss a/e <5cm	$XXX.XX	G2	Y
24079	Rad rescj tum tiss a/e 5 cm+	$XXX.XX	G2	Y
24100	Arthrt elbw synovial bx only	$XXX.XX	A2	Y
24101	Arthrt elbw jt expl bx rmvl	$XXX.XX	A2	Y
24102	Arthrt elbow w/synovectomy	$XXX.XX	A2	Y
24105	Excision olecranon bursa	$XXX.XX	A2	Y
24110	Exc/curtg b1 cst/b9 tum hum	$XXX.XX	A2	Y
24115	Exc/crtg b1 cst/tum hum agrf	$XXX.XX	A2	Y
24116	Exc/crtg b1 cst/tum hum algr	$XXX.XX	A2	Y
24120	Exc/crtg b1 cst/b9 tum rds	$XXX.XX	A2	Y
24125	Exc/crtg b1 cst/tum rds agrf	$XXX.XX	A2	Y
24126	Exc/crtg b1 cst/tum rds algr	$XXX.XX	J8	Y
24130	Excision radial head	$XXX.XX	A2	Y
24134	Sequestrectomy shft/dstl hum	$XXX.XX	A2	Y
24136	Sequestrectomy radial h/n	$XXX.XX	A2	Y
24138	Sequestrectomy olecrn proces	$XXX.XX	A2	Y
24140	Partial exc bone humerus	$XXX.XX	A2	Y
24145	Prtl exc bone radial h/n	$XXX.XX	A2	Y
24147	Prtl exc bone olecrn process	$XXX.XX	A2	Y
24149	Radical resection of elbow	$XXX.XX	G2	Y
24152	Rad resection tum radial h/n	$XXX.XX	G2	Y
24155	Resection of elbow joint	$XXX.XX	A2	Y
24160	Rmvl prosthhumrl&ulnar cmpnt	$XXX.XX	A2	N
24164	Removal prosth radial head	$XXX.XX	A2	N
24200	Rmvl fb upper arm/elbw subq	$XXX.XX	P3	Y
24201	Rmvl fb upper arm/elbw deep	$XXX.XX	A2	Y
24220	Injection px for elbow arthg	$XXX.XX	N1	N
24300	Mnpj elbow under anes	$XXX.XX	G2	Y
24301	Musc/tdn transfer upr a/e 1	$XXX.XX	A2	Y
24305	Tendon lngth upr a/e ea tdn	$XXX.XX	A2	Y
24310	Tnot opn elbw to sho ea tdn	$XXX.XX	A2	Y
24320	Tenoplasty elbow to sho 1	$XXX.XX	A2	Y
24330	Flexor-plasty elbow	$XXX.XX	A2	Y
24331	Flexor-plasty elbw w/advmnt	$XXX.XX	A2	Y
24332	Tenolysis triceps	$XXX.XX	G2	Y
24340	Tenodesis biceps tdn at elbw	$XXX.XX	J8	Y
24341	Rpr tdn/musc upr a/e each	$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	J8	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	J8	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	J8	Y
24410	Revision of humerus	$XXX.XX	G2	Y
24420	Revision of humerus	$XXX.XX	J8	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	J8	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	J8	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	J8	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	J8	Y
25335	Realignment of hand	$XXX.XX	A2	Y
25337	Reconstruct ulna/radioulnar	$XXX.XX	A2	Y
25350	Revision of radius	$XXX.XX	J8	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	J8	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	J8	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	J8	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	J8	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	J8	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	J8	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	J8	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	A2	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	J8	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	J8	Y
26520	Release knuckle contracture	$XXX.XX	A2	Y
26525	Release finger contracture	$XXX.XX	A2	Y
26530	Revise knuckle joint	$XXX.XX	J8	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	J8	Y
26542	Repair hand joint with graft	$XXX.XX	A2	Y
26545	Reconstruct finger joint	$XXX.XX	J8	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	J8	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	P2	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	J8	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	J8	Y
27111	Transfer of iliopsoas muscle	$XXX.XX	A2	Y
27130	Total hip arthroplasty	$XXX.XX	J8	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	P2	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	Arthrd si jt perq/min nvas	$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	J8	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
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	J8	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
27412	Autochondrocyte implant knee	$XXX.XX	J8	Y
27415	Osteochondral knee allograft	$XXX.XX	J8	Y
27416	Osteochondral knee autograft	$XXX.XX	G2	Y
27418	Repair degenerated kneecap	$XXX.XX	J8	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	J8	Y
27428	Reconstruction knee	$XXX.XX	J8	Y
27429	Reconstruction knee	$XXX.XX	J8	Y
27430	Revision of thigh muscles	$XXX.XX	J8	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	J8	Y
27446	Revision of knee joint	$XXX.XX	J8	Y
27447	Total knee arthroplasty	$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	J8	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	J8	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	J8	Y
27654	Repair of achilles tendon	$XXX.XX	J8	Y
27656	Repair leg fascia defect	$XXX.XX	J8	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	J8	Y
27696	Repair of ankle ligaments	$XXX.XX	J8	Y
27698	Repair of ankle ligament	$XXX.XX	J8	Y
27700	Revision of ankle joint	$XXX.XX	J8	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	J8	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	J8	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	J8	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	J8	Y
27840	Treat ankle dislocation	$XXX.XX	A2	Y
27842	Treat ankle dislocation	$XXX.XX	A2	Y
27846	Treat ankle dislocation	$XXX.XX	J8	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	J8	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	J8	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	J8	Y
28208	Repair of foot tendon	$XXX.XX	A2	Y
28210	Repair/graft of foot tendon	$XXX.XX	J8	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	J8	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	J8	Y
28299	Correction hallux valgus	$XXX.XX	J8	Y
28300	Incision of heel bone	$XXX.XX	J8	Y
28302	Incision of ankle bone	$XXX.XX	J8	Y
28304	Incision of midfoot bones	$XXX.XX	A2	Y
28305	Incise/graft midfoot bones	$XXX.XX	J8	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	J8	Y
28310	Revision of big toe	$XXX.XX	J8	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	J8	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	J8	Y
28445	Treat ankle fracture	$XXX.XX	J8	Y
28446	Osteochondral talus autogrft	$XXX.XX	J8	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	A2	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	P2	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	P3	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	Sho arthrs dx +- synovial bx	$XXX.XX	A2	Y
29806	Sho arthrs srg capsulorraphy	$XXX.XX	A2	Y
29807	Sho arthrs srg rpr slap les	$XXX.XX	A2	Y
29819	Sho arthrs srg rmvl loose/fb	$XXX.XX	A2	Y
29820	Sho arthrs srg prtl synvct	$XXX.XX	A2	Y
29821	Sho arthrs srg compl synvct	$XXX.XX	A2	Y
29822	Sho arthrs srg lmtd dbrdmt	$XXX.XX	A2	Y
29823	Sho arthrs srg xtnsv dbrdmt	$XXX.XX	A2	Y
29824	Sho arthrs srg dstl claviclc	$XXX.XX	A2	Y
29825	Sho arthrs srg lss&rescj ads	$XXX.XX	A2	Y
29826	Sho arthrs srg decompression	$XXX.XX	N1	N
29827	Sho arthrs srg rt8tr cuf rpr	$XXX.XX	A2	Y
29828	Sho arthrs srg bicp tenodsis	$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
29867	Allgrft implnt knee w/scope	$XXX.XX	J8	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	J8	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	J8	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	J8	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
30468	Rpr nsl vlv collapse w/implt	$XXX.XX	J8	Y
30469	Rpr nsl vlv collapse w/rmdlg	$XXX.XX	J8	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	J8	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	Nsl/sins ndsc dx max sinusc	$XXX.XX	A2	Y
31235	Nsl/sins ndsc dx sphn sinusc	$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	Nsl/sins ndsc surg max sins	$XXX.XX	P3	Y
31296	Nsl/sins ndsc surg frnt sins	$XXX.XX	P3	Y
31297	Nsl/sins ndsc surg sphn sins	$XXX.XX	P3	Y
31298	Nsl/sins ndsc surg frnt&sphn	$XXX.XX	P2	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	P2	Y
31575	Diagnostic laryngoscopy	$XXX.XX	P2	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
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	J8	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
32408	Core ndl bx lng/med perq	$XXX.XX	G2	Y
32550	Insert pleural cath	$XXX.XX	J8	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	J8	Y
32998	Ablate pulm tumor perq rf	$XXX.XX	G2	Y
33016	Pericardiocentesis w/imaging	$XXX.XX	G2	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	J8	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	J8	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	J8	N
33234	Removal of pacemaker system	$XXX.XX	J8	N
33235	Removal pacemaker electrode	$XXX.XX	J8	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 w/img	$XXX.XX	J8	Y
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
33900	Perq p-art revsc 1 nm nt uni	$XXX.XX	J8	Y
33901	Perq p-art revsc 1 nm nt bi	$XXX.XX	J8	Y
33902	Perq p-art revsc 1 abnor uni	$XXX.XX	J8	Y
33903	Perq p-art revsc 1 abnor bi	$XXX.XX	J8	Y
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
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	A2	Y
36261	Revision of infusion pump	$XXX.XX	G2	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	P2	Y
36466	Njx noncmpnd sclrsnt mlt vn	$XXX.XX	P2	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	P3	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	P3	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	J8	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	J8	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	P3	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	J8	Y
36836	Prq av fstl crtj uxtr 1 acs	$XXX.XX	J8	Y
36837	Prq av fstl crt uxtr sep acs	$XXX.XX	J8	Y
36860	External cannula declotting	$XXX.XX	A2	Y
36861	Cannula declotting	$XXX.XX	J8	Y
36901	Intro cath dialysis circuit	$XXX.XX	P2	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	J8	Y
36905	Thrmbc/nfs dialysis circuit	$XXX.XX	J8	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	J8	Y
37193	Rem endovas vena cava filter	$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	J8	Y
37212	Thrombolytic venous therapy	$XXX.XX	G2	Y
37220	Iliac revasc	$XXX.XX	J8	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	J8	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	J8	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	G2	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
38531	Open bx/exc inguinofem nodes	$XXX.XX	G2	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	P2	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
41510	Tongue to lip surgery	$XXX.XX	A2	Y
41512	Tongue suspension	$XXX.XX	J8	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	J8	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
42975	Dise eval slp do brth flx dx	$XXX.XX	R2	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	J8	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	J8	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	J8	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	J8	Y
43273	Endoscopic pancreatoscopy	$XXX.XX	N1	N
43274	Ercp duct stent placement	$XXX.XX	J8	Y
43275	Ercp remove forgn body duct	$XXX.XX	G2	Y
43276	Ercp stent exchange w/dilate	$XXX.XX	J8	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
43290	Egd flx trnsorl dplmnt balo	$XXX.XX	G2	Y
43291	Egd flx trnsorl rmvl balo	$XXX.XX	G2	Y
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
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
43774	Lap rmvl gastr adj all parts	$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	J8	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	J8	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	R2	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	J8	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