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
|
A2
|
Y
|
45392 |
Colonoscopy w/endoscopic fnb
|
$XXX.XX
|
A2
|
Y
|
45393 |
Colonoscopy w/decompression
|
$XXX.XX
|
G2
|
Y
|
45398 |
Colonoscopy w/band ligation
|
$XXX.XX
|
G2
|
Y
|
45500 |
Repair of rectum
|
$XXX.XX
|
A2
|
Y
|
45505 |
Repair of rectum
|
$XXX.XX
|
A2
|
Y
|
45520 |
Treatment of rectal prolapse
|
$XXX.XX
|
N1
|
N
|
45541 |
Correct rectal prolapse
|
$XXX.XX
|
G2
|
Y
|
45560 |
Repair of rectocele
|
$XXX.XX
|
A2
|
Y
|
45900 |
Reduction of rectal prolapse
|
$XXX.XX
|
A2
|
Y
|
45905 |
Dilation of anal sphincter
|
$XXX.XX
|
A2
|
Y
|
45910 |
Dilation of rectal narrowing
|
$XXX.XX
|
A2
|
Y
|
45915 |
Remove rectal obstruction
|
$XXX.XX
|
A2
|
Y
|
45990 |
Surg dx exam anorectal
|
$XXX.XX
|
A2
|
Y
|
46020 |
Placement of seton
|
$XXX.XX
|
A2
|
Y
|
46030 |
Removal of rectal marker
|
$XXX.XX
|
A2
|
Y
|
46040 |
Incision of rectal abscess
|
$XXX.XX
|
A2
|
Y
|
46045 |
Incision of rectal abscess
|
$XXX.XX
|
A2
|
Y
|
46050 |
Incision of anal abscess
|
$XXX.XX
|
A2
|
Y
|
46060 |
Incision of rectal abscess
|
$XXX.XX
|
A2
|
Y
|
46070 |
Incision of anal septum
|
$XXX.XX
|
G2
|
Y
|
46080 |
Incision of anal sphincter
|
$XXX.XX
|
A2
|
Y
|
46083 |
Incise external hemorrhoid
|
$XXX.XX
|
P2
|
Y
|
46200 |
Removal of anal fissure
|
$XXX.XX
|
A2
|
Y
|
46220 |
Excise anal ext tag/papilla
|
$XXX.XX
|
A2
|
Y
|
46221 |
Ligation of hemorrhoid(s)
|
$XXX.XX
|
P3
|
Y
|
46230 |
Removal of anal tags
|
$XXX.XX
|
A2
|
Y
|
46250 |
Remove ext hem groups 2+
|
$XXX.XX
|
A2
|
Y
|
46255 |
Remove int/ext hem 1 group
|
$XXX.XX
|
A2
|
Y
|
46257 |
Remove in/ex hem grp & fiss
|
$XXX.XX
|
A2
|
Y
|
46258 |
Remove in/ex hem grp w/fistu
|
$XXX.XX
|
A2
|
Y
|
46260 |
Remove in/ex hem groups 2+
|
$XXX.XX
|
A2
|
Y
|
46261 |
Remove in/ex hem grps & fiss
|
$XXX.XX
|
A2
|
Y
|
46262 |
Remove in/ex hem grps w/fist
|
$XXX.XX
|
A2
|
Y
|
46270 |
Remove anal fist subq
|
$XXX.XX
|
A2
|
Y
|
46275 |
Remove anal fist inter
|
$XXX.XX
|
A2
|
Y
|
46280 |
Remove anal fist complex
|
$XXX.XX
|
A2
|
Y
|
46285 |
Remove anal fist 2 stage
|
$XXX.XX
|
A2
|
Y
|
46288 |
Repair anal fistula
|
$XXX.XX
|
A2
|
Y
|
46320 |
Removal of hemorrhoid clot
|
$XXX.XX
|
P3
|
Y
|
46500 |
Injection into hemorrhoid(s)
|
$XXX.XX
|
P3
|
Y
|
46505 |
Chemodenervation anal musc
|
$XXX.XX
|
G2
|
Y
|
46600 |
Diagnostic anoscopy spx
|
$XXX.XX
|
N1
|
N
|
46601 |
Diagnostic anoscopy
|
$XXX.XX
|
N1
|
N
|
46604 |
Anoscopy and dilation
|
$XXX.XX
|
P2
|
Y
|
46606 |
Anoscopy and biopsy
|
$XXX.XX
|
P3
|
Y
|
46607 |
Diagnostic anoscopy & biopsy
|
$XXX.XX
|
G2
|
Y
|
46608 |
Anoscopy remove for body
|
$XXX.XX
|
A2
|
Y
|
46610 |
Anoscopy remove lesion
|
$XXX.XX
|
A2
|
Y
|
46611 |
Anoscopy
|
$XXX.XX
|
A2
|
Y
|
46612 |
Anoscopy remove lesions
|
$XXX.XX
|
A2
|
Y
|
46614 |
Anoscopy control bleeding
|
$XXX.XX
|
P3
|
Y
|
46615 |
Anoscopy
|
$XXX.XX
|
A2
|
Y
|
46700 |
Repair of anal stricture
|
$XXX.XX
|
A2
|
Y
|
46706 |
Repr of anal fistula w/glue
|
$XXX.XX
|
J8
|
Y
|
46707 |
Repair anorectal fist w/plug
|
$XXX.XX
|
J8
|
Y
|
46750 |
Repair of anal sphincter
|
$XXX.XX
|
A2
|
Y
|
46753 |
Reconstruction of anus
|
$XXX.XX
|
A2
|
Y
|
46754 |
Removal of suture from anus
|
$XXX.XX
|
A2
|
Y
|
46760 |
Repair of anal sphincter
|
$XXX.XX
|
A2
|
Y
|
46761 |
Repair of anal sphincter
|
$XXX.XX
|
A2
|
Y
|
46900 |
Destruction anal lesion(s)
|
$XXX.XX
|
P3
|
Y
|
46910 |
Destruction anal lesion(s)
|
$XXX.XX
|
P3
|
Y
|
46916 |
Cryosurgery anal lesion(s)
|
$XXX.XX
|
P2
|
Y
|
46917 |
Laser surgery anal lesions
|
$XXX.XX
|
A2
|
Y
|
46922 |
Excision of anal lesion(s)
|
$XXX.XX
|
A2
|
Y
|
46924 |
Destruction anal lesion(s)
|
$XXX.XX
|
A2
|
Y
|
46930 |
Destroy internal hemorrhoids
|
$XXX.XX
|
P3
|
Y
|
46940 |
Treatment of anal fissure
|
$XXX.XX
|
P3
|
Y
|
46942 |
Treatment of anal fissure
|
$XXX.XX
|
P3
|
Y
|
46945 |
Int hrhc lig 1 hroid w/o img
|
$XXX.XX
|
R2
|
Y
|
46946 |
Int hrhc lig 2+hroid w/o img
|
$XXX.XX
|
A2
|
Y
|
46947 |
Hemorrhoidopexy by stapling
|
$XXX.XX
|
A2
|
Y
|
46948 |
Int hrhc tranal dartlzj 2+
|
$XXX.XX
|
G2
|
Y
|
47000 |
Needle biopsy of liver
|
$XXX.XX
|
A2
|
Y
|
47001 |
Needle biopsy liver add-on
|
$XXX.XX
|
N1
|
N
|
47382 |
Percut ablate liver rf
|
$XXX.XX
|
G2
|
Y
|
47383 |
Perq abltj lvr cryoablation
|
$XXX.XX
|
J8
|
Y
|
47531 |
Injection for cholangiogram
|
$XXX.XX
|
N1
|
N
|
47532 |
Injection for cholangiogram
|
$XXX.XX
|
N1
|
N
|
47533 |
Plmt biliary drainage cath
|
$XXX.XX
|
G2
|
Y
|
47534 |
Plmt biliary drainage cath
|
$XXX.XX
|
G2
|
Y
|
47535 |
Conversion ext bil drg cath
|
$XXX.XX
|
G2
|
Y
|
47536 |
Exchange biliary drg cath
|
$XXX.XX
|
G2
|
Y
|
47537 |
Removal biliary drg cath
|
$XXX.XX
|
G2
|
N
|
47538 |
Perq plmt bile duct stent
|
$XXX.XX
|
J8
|
Y
|
47539 |
Perq plmt bile duct stent
|
$XXX.XX
|
J8
|
Y
|
47540 |
Perq plmt bile duct stent
|
$XXX.XX
|
J8
|
Y
|
47541 |
Plmt access bil tree sm bwl
|
$XXX.XX
|
G2
|
Y
|
47542 |
Dilate biliary duct/ampulla
|
$XXX.XX
|
N1
|
N
|
47543 |
Endoluminal bx biliary tree
|
$XXX.XX
|
N1
|
N
|
47544 |
Removal duct glbldr calculi
|
$XXX.XX
|
N1
|
N
|
47552 |
Biliary endo perq dx w/speci
|
$XXX.XX
|
A2
|
Y
|
47553 |
Biliary endoscopy thru skin
|
$XXX.XX
|
J8
|
Y
|
47554 |
Biliary endoscopy thru skin
|
$XXX.XX
|
J8
|
Y
|
47555 |
Biliary endoscopy thru skin
|
$XXX.XX
|
J8
|
Y
|
47556 |
Biliary endoscopy thru skin
|
$XXX.XX
|
J8
|
Y
|
47562 |
Laparoscopic cholecystectomy
|
$XXX.XX
|
G2
|
Y
|
47563 |
Laparo cholecystectomy/graph
|
$XXX.XX
|
G2
|
Y
|
47564 |
Laparo cholecystectomy/explr
|
$XXX.XX
|
G2
|
Y
|
48102 |
Needle biopsy pancreas
|
$XXX.XX
|
A2
|
Y
|
49082 |
Abd paracentesis
|
$XXX.XX
|
G2
|
Y
|
49083 |
Abd paracentesis w/imaging
|
$XXX.XX
|
G2
|
Y
|
49084 |
Peritoneal lavage
|
$XXX.XX
|
G2
|
Y
|
49180 |
Biopsy abdominal mass
|
$XXX.XX
|
A2
|
Y
|
49250 |
Excision of umbilicus
|
$XXX.XX
|
A2
|
Y
|
49320 |
Diag laparo separate proc
|
$XXX.XX
|
A2
|
Y
|
49321 |
Laparoscopy biopsy
|
$XXX.XX
|
A2
|
Y
|
49322 |
Laparoscopy aspiration
|
$XXX.XX
|
A2
|
Y
|
49324 |
Lap insert tunnel ip cath
|
$XXX.XX
|
G2
|
Y
|
49325 |
Lap revision perm ip cath
|
$XXX.XX
|
G2
|
Y
|
49326 |
Lap w/omentopexy add-on
|
$XXX.XX
|
N1
|
N
|
49327 |
Lap ins device for rt
|
$XXX.XX
|
N1
|
N
|
49400 |
Air injection into abdomen
|
$XXX.XX
|
N1
|
N
|
49402 |
Remove foreign body adbomen
|
$XXX.XX
|
A2
|
Y
|
49406 |
Image cath fluid peri/retro
|
$XXX.XX
|
G2
|
Y
|
49407 |
Image cath fluid trns/vgnl
|
$XXX.XX
|
G2
|
Y
|
49411 |
Ins mark abd/pel for rt perq
|
$XXX.XX
|
P3
|
N
|
49418 |
Insert tun ip cath perc
|
$XXX.XX
|
G2
|
Y
|
49419 |
Insert tun ip cath w/port
|
$XXX.XX
|
J8
|
Y
|
49421 |
Ins tun ip cath for dial opn
|
$XXX.XX
|
G2
|
Y
|
49422 |
Remove tunneled ip cath
|
$XXX.XX
|
A2
|
N
|
49423 |
Exchange drainage catheter
|
$XXX.XX
|
G2
|
Y
|
49424 |
Assess cyst contrast inject
|
$XXX.XX
|
N1
|
N
|
49426 |
Revise abdomen-venous shunt
|
$XXX.XX
|
A2
|
Y
|
49427 |
Injection abdominal shunt
|
$XXX.XX
|
N1
|
N
|
49429 |
Removal of shunt
|
$XXX.XX
|
G2
|
N
|
49435 |
Insert subq exten to ip cath
|
$XXX.XX
|
N1
|
N
|
49436 |
Embedded ip cath exit-site
|
$XXX.XX
|
G2
|
Y
|
49440 |
Place gastrostomy tube perc
|
$XXX.XX
|
G2
|
Y
|
49441 |
Place duod/jej tube perc
|
$XXX.XX
|
G2
|
Y
|
49442 |
Place cecostomy tube perc
|
$XXX.XX
|
G2
|
Y
|
49446 |
Change g-tube to g-j perc
|
$XXX.XX
|
G2
|
Y
|
49450 |
Replace g/c tube perc
|
$XXX.XX
|
G2
|
Y
|
49451 |
Replace duod/jej tube perc
|
$XXX.XX
|
G2
|
Y
|
49452 |
Replace g-j tube perc
|
$XXX.XX
|
G2
|
Y
|
49460 |
Fix g/colon tube w/device
|
$XXX.XX
|
G2
|
Y
|
49465 |
Fluoro exam of g/colon tube
|
$XXX.XX
|
G2
|
N
|
49495 |
Rpr ing hernia baby reduc
|
$XXX.XX
|
A2
|
Y
|
49496 |
Rpr ing hernia baby blocked
|
$XXX.XX
|
A2
|
Y
|
49500 |
Rpr ing hernia init reduce
|
$XXX.XX
|
A2
|
Y
|
49501 |
Rpr ing hernia init blocked
|
$XXX.XX
|
A2
|
Y
|
49505 |
Prp i/hern init reduc >5 yr
|
$XXX.XX
|
A2
|
Y
|
49507 |
Prp i/hern init block >5 yr
|
$XXX.XX
|
A2
|
Y
|
49520 |
Rerepair ing hernia reduce
|
$XXX.XX
|
A2
|
Y
|
49521 |
Rerepair ing hernia blocked
|
$XXX.XX
|
A2
|
Y
|
49525 |
Repair ing hernia sliding
|
$XXX.XX
|
A2
|
Y
|
49540 |
Repair lumbar hernia
|
$XXX.XX
|
A2
|
Y
|
49550 |
Rpr rem hernia init reduce
|
$XXX.XX
|
A2
|
Y
|
49553 |
Rpr fem hernia init blocked
|
$XXX.XX
|
A2
|
Y
|
49555 |
Rerepair fem hernia reduce
|
$XXX.XX
|
A2
|
Y
|
49557 |
Rerepair fem hernia blocked
|
$XXX.XX
|
A2
|
Y
|
49591 |
Rpr aa hrn 1st < 3 cm rdc
|
$XXX.XX
|
G2
|
Y
|
49592 |
Rpr aa hrn 1st < 3 ncr/strn
|
$XXX.XX
|
G2
|
Y
|
49593 |
Rpr aa hrn 1st 3-10 rdc
|
$XXX.XX
|
G2
|
Y
|
49594 |
Rpr aa hrn 1st 3-10 ncr/strn
|
$XXX.XX
|
G2
|
Y
|
49595 |
Rpr aa hrn 1st > 10 rdc
|
$XXX.XX
|
G2
|
Y
|
49600 |
Repair umbilical lesion
|
$XXX.XX
|
A2
|
Y
|
49613 |
Rpr aa hrn rcr < 3 rdc
|
$XXX.XX
|
G2
|
Y
|
49614 |
Rpr aa hrn rcr < 3 ncr/strn
|
$XXX.XX
|
G2
|
Y
|
49615 |
Rpr aa hrn rcr 3-10 rdc
|
$XXX.XX
|
G2
|
Y
|
49650 |
Lap ing hernia repair init
|
$XXX.XX
|
A2
|
Y
|
49651 |
Lap ing hernia repair recur
|
$XXX.XX
|
A2
|
Y
|
50080 |
Perq nl/pl lithotrp smpl<2cm
|
$XXX.XX
|
G2
|
Y
|
50081 |
Perq nl/pl lithotrp cplx>2cm
|
$XXX.XX
|
G2
|
Y
|
50200 |
Renal biopsy perq
|
$XXX.XX
|
A2
|
Y
|
50382 |
Change ureter stent percut
|
$XXX.XX
|
G2
|
Y
|
50384 |
Remove ureter stent percut
|
$XXX.XX
|
G2
|
N
|
50385 |
Change stent via transureth
|
$XXX.XX
|
G2
|
Y
|
50386 |
Remove stent via transureth
|
$XXX.XX
|
P3
|
N
|
50387 |
Change nephroureteral cath
|
$XXX.XX
|
G2
|
Y
|
50389 |
Remove renal tube w/fluoro
|
$XXX.XX
|
G2
|
N
|
50390 |
Drainage of kidney lesion
|
$XXX.XX
|
A2
|
Y
|
50391 |
Instll rx agnt into rnal tub
|
$XXX.XX
|
P3
|
Y
|
50396 |
Measure kidney pressure
|
$XXX.XX
|
A2
|
Y
|
50430 |
Njx px nfrosgrm &/urtrgrm
|
$XXX.XX
|
N1
|
N
|
50431 |
Njx px nfrosgrm &/urtrgrm
|
$XXX.XX
|
N1
|
N
|
50432 |
Plmt nephrostomy catheter
|
$XXX.XX
|
G2
|
Y
|
50433 |
Plmt nephroureteral catheter
|
$XXX.XX
|
G2
|
Y
|
50434 |
Convert nephrostomy catheter
|
$XXX.XX
|
J8
|
Y
|
50435 |
Exchange nephrostomy cath
|
$XXX.XX
|
G2
|
Y
|
50436 |
Dilat xst trc ndurlgc px
|
$XXX.XX
|
G2
|
Y
|
50437 |
Dilat xst trc new access rcs
|
$XXX.XX
|
G2
|
Y
|
50551 |
Kidney endoscopy
|
$XXX.XX
|
A2
|
Y
|
50553 |
Kidney endoscopy
|
$XXX.XX
|
J8
|
Y
|
50555 |
Kidney endoscopy & biopsy
|
$XXX.XX
|
A2
|
Y
|
50557 |
Kidney endoscopy & treatment
|
$XXX.XX
|
A2
|
Y
|
50561 |
Kidney endoscopy & treatment
|
$XXX.XX
|
A2
|
Y
|
50562 |
Renal scope w/tumor resect
|
$XXX.XX
|
G2
|
Y
|
50570 |
Kidney endoscopy
|
$XXX.XX
|
J8
|
Y
|
50572 |
Kidney endoscopy
|
$XXX.XX
|
G2
|
Y
|
50574 |
Kidney endoscopy & biopsy
|
$XXX.XX
|
G2
|
Y
|
50575 |
Kidney endoscopy
|
$XXX.XX
|
G2
|
Y
|
50576 |
Kidney endoscopy & treatment
|
$XXX.XX
|
G2
|
Y
|
50580 |
Kidney endoscopy & treatment
|
$XXX.XX
|
G2
|
Y
|
50590 |
Fragmenting of kidney stone
|
$XXX.XX
|
G2
|
Y
|
50592 |
Perc rf ablate renal tumor
|
$XXX.XX
|
G2
|
Y
|
50593 |
Perc cryo ablate renal tum
|
$XXX.XX
|
J8
|
Y
|
50606 |
Endoluminal bx urtr rnl plvs
|
$XXX.XX
|
N1
|
N
|
50684 |
Injection for ureter x-ray
|
$XXX.XX
|
N1
|
N
|
50686 |
Measure ureter pressure
|
$XXX.XX
|
P2
|
N
|
50688 |
Change of ureter tube/stent
|
$XXX.XX
|
A2
|
Y
|
50690 |
Injection for ureter x-ray
|
$XXX.XX
|
N1
|
N
|
50693 |
Plmt ureteral stent prq
|
$XXX.XX
|
G2
|
Y
|
50694 |
Plmt ureteral stent prq
|
$XXX.XX
|
G2
|
Y
|
50695 |
Plmt ureteral stent prq
|
$XXX.XX
|
G2
|
Y
|
50705 |
Ureteral embolization/occl
|
$XXX.XX
|
N1
|
N
|
50706 |
Balloon dilate urtrl strix
|
$XXX.XX
|
N1
|
N
|
50727 |
Revise ureter
|
$XXX.XX
|
G2
|
Y
|
50947 |
Laparo new ureter/bladder
|
$XXX.XX
|
A2
|
Y
|
50948 |
Laparo new ureter/bladder
|
$XXX.XX
|
A2
|
Y
|
50951 |
Endoscopy of ureter
|
$XXX.XX
|
A2
|
Y
|
50953 |
Endoscopy of ureter
|
$XXX.XX
|
A2
|
Y
|
50955 |
Ureter endoscopy & biopsy
|
$XXX.XX
|
A2
|
Y
|
50957 |
Ureter endoscopy & treatment
|
$XXX.XX
|
A2
|
Y
|
50961 |
Ureter endoscopy & treatment
|
$XXX.XX
|
A2
|
Y
|
50970 |
Ureter endoscopy
|
$XXX.XX
|
A2
|
Y
|
50972 |
Ureter endoscopy & catheter
|
$XXX.XX
|
A2
|
Y
|
50974 |
Ureter endoscopy & biopsy
|
$XXX.XX
|
A2
|
Y
|
50976 |
Ureter endoscopy & treatment
|
$XXX.XX
|
A2
|
Y
|
50980 |
Ureter endoscopy & treatment
|
$XXX.XX
|
A2
|
Y
|
51020 |
Incise & treat bladder
|
$XXX.XX
|
A2
|
Y
|
51030 |
Incise & treat bladder
|
$XXX.XX
|
A2
|
Y
|
51040 |
Incise & drain bladder
|
$XXX.XX
|
A2
|
Y
|
51045 |
Incise bladder/drain ureter
|
$XXX.XX
|
A2
|
Y
|
51050 |
Removal of bladder stone
|
$XXX.XX
|
A2
|
Y
|
51065 |
Remove ureter calculus
|
$XXX.XX
|
A2
|
Y
|
51080 |
Drainage of bladder abscess
|
$XXX.XX
|
A2
|
Y
|
51100 |
Drain bladder by needle
|
$XXX.XX
|
P3
|
Y
|
51101 |
Drain bladder by trocar/cath
|
$XXX.XX
|
P3
|
N
|
51102 |
Drain bl w/cath insertion
|
$XXX.XX
|
A2
|
Y
|
51500 |
Removal of bladder cyst
|
$XXX.XX
|
A2
|
Y
|
51520 |
Removal of bladder lesion
|
$XXX.XX
|
A2
|
Y
|
51535 |
Repair of ureter lesion
|
$XXX.XX
|
G2
|
Y
|
51600 |
Injection for bladder x-ray
|
$XXX.XX
|
N1
|
N
|
51605 |
Preparation for bladder xray
|
$XXX.XX
|
N1
|
N
|
51610 |
Injection for bladder x-ray
|
$XXX.XX
|
N1
|
N
|
51700 |
Irrigation of bladder
|
$XXX.XX
|
P3
|
Y
|
51701 |
Insert bladder catheter
|
$XXX.XX
|
N1
|
N
|
51702 |
Insert temp bladder cath
|
$XXX.XX
|
N1
|
N
|
51703 |
Insert bladder cath complex
|
$XXX.XX
|
P2
|
N
|
51705 |
Change of bladder tube
|
$XXX.XX
|
P3
|
Y
|
51710 |
Change of bladder tube
|
$XXX.XX
|
A2
|
Y
|
51715 |
Endoscopic injection/implant
|
$XXX.XX
|
J8
|
Y
|
51720 |
Treatment of bladder lesion
|
$XXX.XX
|
P3
|
Y
|
51725 |
Simple cystometrogram
|
$XXX.XX
|
P2
|
Y
|
51726 |
Complex cystometrogram
|
$XXX.XX
|
A2
|
Y
|
51727 |
Cystometrogram w/up
|
$XXX.XX
|
P3
|
Y
|
51728 |
Cystometrogram w/vp
|
$XXX.XX
|
P3
|
Y
|
51729 |
Cystometrogram w/vp&up
|
$XXX.XX
|
P3
|
Y
|
51736 |
Urine flow measurement
|
$XXX.XX
|
N1
|
N
|
51741 |
Electro-uroflowmetry first
|
$XXX.XX
|
N1
|
N
|
51784 |
Anal/urinary muscle study
|
$XXX.XX
|
P3
|
N
|
51785 |
Anal/urinary muscle study
|
$XXX.XX
|
A2
|
Y
|
51792 |
Urinary reflex study
|
$XXX.XX
|
N1
|
N
|
51797 |
Intraabdominal pressure test
|
$XXX.XX
|
N1
|
N
|
51798 |
Us urine capacity measure
|
$XXX.XX
|
N1
|
N
|
51880 |
Repair of bladder opening
|
$XXX.XX
|
A2
|
Y
|
51992 |
Laparo sling operation
|
$XXX.XX
|
J8
|
Y
|
52000 |
Cystoscopy
|
$XXX.XX
|
A2
|
Y
|
52001 |
Cystoscopy removal of clots
|
$XXX.XX
|
A2
|
Y
|
52005 |
Cystoscopy & ureter catheter
|
$XXX.XX
|
A2
|
Y
|
52007 |
Cystoscopy and biopsy
|
$XXX.XX
|
A2
|
Y
|
52010 |
Cystoscopy & duct catheter
|
$XXX.XX
|
A2
|
Y
|
52204 |
Cystoscopy w/biopsy(s)
|
$XXX.XX
|
A2
|
Y
|
52214 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52224 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52234 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52235 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52240 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52250 |
Cystoscopy and radiotracer
|
$XXX.XX
|
A2
|
Y
|
52260 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52265 |
Cystoscopy and treatment
|
$XXX.XX
|
P3
|
Y
|
52270 |
Cystoscopy & revise urethra
|
$XXX.XX
|
A2
|
Y
|
52275 |
Cystoscopy & revise urethra
|
$XXX.XX
|
A2
|
Y
|
52276 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52277 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52281 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52282 |
Cystoscopy implant stent
|
$XXX.XX
|
A2
|
Y
|
52283 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52285 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52287 |
Cystoscopy chemodenervation
|
$XXX.XX
|
G2
|
Y
|
52290 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52300 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52301 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52305 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52310 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52315 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52317 |
Remove bladder stone
|
$XXX.XX
|
A2
|
Y
|
52318 |
Remove bladder stone
|
$XXX.XX
|
A2
|
Y
|
52320 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52325 |
Cystoscopy stone removal
|
$XXX.XX
|
A2
|
Y
|
52327 |
Cystoscopy inject material
|
$XXX.XX
|
J8
|
Y
|
52330 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52332 |
Cystoscopy and treatment
|
$XXX.XX
|
A2
|
Y
|
52334 |
Create passage to kidney
|
$XXX.XX
|
A2
|
Y
|
52341 |
Cysto w/ureter stricture tx
|
$XXX.XX
|
A2
|
Y
|
52342 |
Cysto w/up stricture tx
|
$XXX.XX
|
A2
|
Y
|
52343 |
Cysto w/renal stricture tx
|
$XXX.XX
|
A2
|
Y
|
52344 |
Cysto/uretero stricture tx
|
$XXX.XX
|
A2
|
Y
|
52345 |
Cysto/uretero w/up stricture
|
$XXX.XX
|
A2
|
Y
|
52346 |
Cystouretero w/renal strict
|
$XXX.XX
|
A2
|
Y
|
52351 |
Cystouretero & or pyeloscope
|
$XXX.XX
|
A2
|
Y
|
52352 |
Cystouretero w/stone remove
|
$XXX.XX
|
A2
|
Y
|
52353 |
Cystouretero w/lithotripsy
|
$XXX.XX
|
A2
|
Y
|
52354 |
Cystouretero w/biopsy
|
$XXX.XX
|
A2
|
Y
|
52355 |
Cystouretero w/excise tumor
|
$XXX.XX
|
A2
|
Y
|
52356 |
Cysto/uretero w/lithotripsy
|
$XXX.XX
|
G2
|
Y
|
52400 |
Cystouretero w/congen repr
|
$XXX.XX
|
A2
|
Y
|
52402 |
Cystourethro cut ejacul duct
|
$XXX.XX
|
A2
|
Y
|
52450 |
Incision of prostate
|
$XXX.XX
|
A2
|
Y
|
52500 |
Revision of bladder neck
|
$XXX.XX
|
A2
|
Y
|
52601 |
Prostatectomy (turp)
|
$XXX.XX
|
A2
|
Y
|
52630 |
Remove prostate regrowth
|
$XXX.XX
|
A2
|
Y
|
52640 |
Relieve bladder contracture
|
$XXX.XX
|
A2
|
Y
|
52647 |
Laser surgery of prostate
|
$XXX.XX
|
A2
|
Y
|
52648 |
Laser surgery of prostate
|
$XXX.XX
|
A2
|
Y
|
52649 |
Prostate laser enucleation
|
$XXX.XX
|
G2
|
Y
|
52700 |
Drainage of prostate abscess
|
$XXX.XX
|
A2
|
Y
|
53000 |
Incision of urethra
|
$XXX.XX
|
A2
|
Y
|
53010 |
Incision of urethra
|
$XXX.XX
|
A2
|
Y
|
53020 |
Incision of urethra
|
$XXX.XX
|
A2
|
Y
|
53025 |
Incision of urethra
|
$XXX.XX
|
R2
|
Y
|
53040 |
Drainage of urethra abscess
|
$XXX.XX
|
A2
|
Y
|
53060 |
Drainage of urethra abscess
|
$XXX.XX
|
P3
|
Y
|
53080 |
Drainage of urinary leakage
|
$XXX.XX
|
A2
|
Y
|
53085 |
Drainage of urinary leakage
|
$XXX.XX
|
G2
|
Y
|
53200 |
Biopsy of urethra
|
$XXX.XX
|
A2
|
Y
|
53210 |
Removal of urethra
|
$XXX.XX
|
A2
|
Y
|
53215 |
Removal of urethra
|
$XXX.XX
|
A2
|
Y
|
53220 |
Treatment of urethra lesion
|
$XXX.XX
|
A2
|
Y
|
53230 |
Removal of urethra lesion
|
$XXX.XX
|
A2
|
Y
|
53235 |
Removal of urethra lesion
|
$XXX.XX
|
A2
|
Y
|
53240 |
Surgery for urethra pouch
|
$XXX.XX
|
A2
|
Y
|
53250 |
Removal of urethra gland
|
$XXX.XX
|
A2
|
Y
|
53260 |
Treatment of urethra lesion
|
$XXX.XX
|
A2
|
Y
|
53265 |
Treatment of urethra lesion
|
$XXX.XX
|
A2
|
Y
|
53270 |
Removal of urethra gland
|
$XXX.XX
|
A2
|
Y
|
53275 |
Repair of urethra defect
|
$XXX.XX
|
A2
|
Y
|
53400 |
Revise urethra stage 1
|
$XXX.XX
|
A2
|
Y
|
53405 |
Revise urethra stage 2
|
$XXX.XX
|
A2
|
Y
|
53410 |
Reconstruction of urethra
|
$XXX.XX
|
A2
|
Y
|
53420 |
Reconstruct urethra stage 1
|
$XXX.XX
|
A2
|
Y
|
53425 |
Reconstruct urethra stage 2
|
$XXX.XX
|
A2
|
Y
|
53430 |
Reconstruction of urethra
|
$XXX.XX
|
A2
|
Y
|
53431 |
Reconstruct urethra/bladder
|
$XXX.XX
|
A2
|
Y
|
53440 |
Male sling procedure
|
$XXX.XX
|
J8
|
Y
|
53442 |
Remove/revise male sling
|
$XXX.XX
|
A2
|
Y
|
53444 |
Insert tandem cuff
|
$XXX.XX
|
J8
|
Y
|
53445 |
Insert uro/ves nck sphincter
|
$XXX.XX
|
J8
|
Y
|
53446 |
Remove uro sphincter
|
$XXX.XX
|
A2
|
N
|
53447 |
Remove/replace ur sphincter
|
$XXX.XX
|
J8
|
Y
|
53449 |
Repair uro sphincter
|
$XXX.XX
|
A2
|
Y
|
53450 |
Revision of urethra
|
$XXX.XX
|
A2
|
Y
|
53451 |
Tprnl balo cntnc dev bi
|
$XXX.XX
|
J8
|
Y
|
53452 |
Tprnl balo cntnc dev uni
|
$XXX.XX
|
J8
|
Y
|
53453 |
Tprnl balo cntnc dev rmvl ea
|
$XXX.XX
|
G2
|
Y
|
53454 |
Tprnl balo cntnc dev adjmt
|
$XXX.XX
|
R2
|
Y
|
53460 |
Revision of urethra
|
$XXX.XX
|
A2
|
Y
|
53502 |
Repair of urethra injury
|
$XXX.XX
|
A2
|
Y
|
53505 |
Repair of urethra injury
|
$XXX.XX
|
A2
|
Y
|
53510 |
Repair of urethra injury
|
$XXX.XX
|
A2
|
Y
|
53515 |
Repair of urethra injury
|
$XXX.XX
|
A2
|
Y
|
53520 |
Repair of urethra defect
|
$XXX.XX
|
A2
|
Y
|
53600 |
Dilate urethra stricture
|
$XXX.XX
|
P3
|
Y
|
53601 |
Dilate urethra stricture
|
$XXX.XX
|
N1
|
N
|
53605 |
Dilate urethra stricture
|
$XXX.XX
|
A2
|
Y
|
53620 |
Dilate urethra stricture
|
$XXX.XX
|
P3
|
Y
|
53621 |
Dilate urethra stricture
|
$XXX.XX
|
P2
|
Y
|
53660 |
Dilation of urethra
|
$XXX.XX
|
P3
|
N
|
53661 |
Dilation of urethra
|
$XXX.XX
|
N1
|
N
|
53665 |
Dilation of urethra
|
$XXX.XX
|
A2
|
Y
|
53850 |
Prostatic microwave thermotx
|
$XXX.XX
|
P3
|
Y
|
53852 |
Prostatic rf thermotx
|
$XXX.XX
|
P3
|
Y
|
53854 |
Trurl dstrj prst8 tiss rf wv
|
$XXX.XX
|
P3
|
Y
|
53855 |
Insert prost urethral stent
|
$XXX.XX
|
P3
|
Y
|
53860 |
Transurethral rf treatment
|
$XXX.XX
|
P2
|
Y
|
54000 |
Slitting of prepuce
|
$XXX.XX
|
A2
|
Y
|
54001 |
Slitting of prepuce
|
$XXX.XX
|
A2
|
Y
|
54015 |
Drain penis lesion
|
$XXX.XX
|
A2
|
Y
|
54050 |
Destruction penis lesion(s)
|
$XXX.XX
|
N1
|
N
|
54055 |
Destruction penis lesion(s)
|
$XXX.XX
|
P3
|
Y
|
54056 |
Cryosurgery penis lesion(s)
|
$XXX.XX
|
N1
|
N
|
54057 |
Laser surg penis lesion(s)
|
$XXX.XX
|
A2
|
Y
|
54060 |
Excision of penis lesion(s)
|
$XXX.XX
|
A2
|
Y
|
54065 |
Destruction penis lesion(s)
|
$XXX.XX
|
A2
|
Y
|
54100 |
Biopsy of penis
|
$XXX.XX
|
A2
|
Y
|
54105 |
Biopsy of penis
|
$XXX.XX
|
A2
|
Y
|
54110 |
Treatment of penis lesion
|
$XXX.XX
|
A2
|
Y
|
54111 |
Treat penis lesion graft
|
$XXX.XX
|
A2
|
Y
|
54112 |
Treat penis lesion graft
|
$XXX.XX
|
A2
|
Y
|
54115 |
Treatment of penis lesion
|
$XXX.XX
|
A2
|
Y
|
54120 |
Partial removal of penis
|
$XXX.XX
|
A2
|
Y
|
54150 |
Circumcision w/regionl block
|
$XXX.XX
|
A2
|
Y
|
54160 |
Circumcision neonate
|
$XXX.XX
|
A2
|
Y
|
54161 |
Circum 28 days or older
|
$XXX.XX
|
A2
|
Y
|
54162 |
Lysis penil circumic lesion
|
$XXX.XX
|
A2
|
Y
|
54163 |
Repair of circumcision
|
$XXX.XX
|
A2
|
Y
|
54164 |
Frenulotomy of penis
|
$XXX.XX
|
A2
|
Y
|
54200 |
Treatment of penis lesion
|
$XXX.XX
|
P3
|
Y
|
54205 |
Treatment of penis lesion
|
$XXX.XX
|
A2
|
Y
|
54220 |
Treatment of penis lesion
|
$XXX.XX
|
A2
|
Y
|
54230 |
Prepare penis study
|
$XXX.XX
|
N1
|
N
|
54231 |
Dynamic cavernosometry
|
$XXX.XX
|
P3
|
Y
|
54235 |
Penile injection
|
$XXX.XX
|
P3
|
Y
|
54240 |
Penis study
|
$XXX.XX
|
P3
|
N
|
54250 |
Penis study
|
$XXX.XX
|
P3
|
Y
|
54300 |
Revision of penis
|
$XXX.XX
|
A2
|
Y
|
54304 |
Revision of penis
|
$XXX.XX
|
A2
|
Y
|
54308 |
Reconstruction of urethra
|
$XXX.XX
|
A2
|
Y
|
54312 |
Reconstruction of urethra
|
$XXX.XX
|
A2
|
Y
|
54316 |
Reconstruction of urethra
|
$XXX.XX
|
A2
|
Y
|
54318 |
Reconstruction of urethra
|
$XXX.XX
|
A2
|
Y
|
54322 |
Reconstruction of urethra
|
$XXX.XX
|
A2
|
Y
|
54324 |
Reconstruction of urethra
|
$XXX.XX
|
A2
|
Y
|
54326 |
Reconstruction of urethra
|
$XXX.XX
|
A2
|
Y
|
54328 |
Revise penis/urethra
|
$XXX.XX
|
A2
|
Y
|
54340 |
Rpr hypspad comp simple
|
$XXX.XX
|
A2
|
Y
|
54344 |
Rrp hypspad comp moblj&urtp
|
$XXX.XX
|
A2
|
Y
|
54348 |
Rpr hypspad comp dsj & urtp
|
$XXX.XX
|
A2
|
Y
|
54352 |
Revj prior hypspad repair
|
$XXX.XX
|
A2
|
Y
|
54360 |
Penis plastic surgery
|
$XXX.XX
|
A2
|
Y
|
54380 |
Repair penis
|
$XXX.XX
|
A2
|
Y
|
54385 |
Repair penis
|
$XXX.XX
|
A2
|
Y
|
54400 |
Insert semi-rigid prosthesis
|
$XXX.XX
|
J8
|
N
|
54401 |
Insert self-contd prosthesis
|
$XXX.XX
|
J8
|
N
|
54405 |
Insert multi-comp penis pros
|
$XXX.XX
|
J8
|
N
|
54406 |
Remove muti-comp penis pros
|
$XXX.XX
|
A2
|
N
|
54408 |
Repair multi-comp penis pros
|
$XXX.XX
|
A2
|
Y
|
54410 |
Remove/replace penis prosth
|
$XXX.XX
|
J8
|
N
|
54415 |
Remove self-contd penis pros
|
$XXX.XX
|
A2
|
N
|
54416 |
Remv/repl penis contain pros
|
$XXX.XX
|
J8
|
N
|
54420 |
Revision of penis
|
$XXX.XX
|
A2
|
Y
|
54435 |
Revision of penis
|
$XXX.XX
|
J8
|
Y
|
54437 |
Repair corporeal tear
|
$XXX.XX
|
G2
|
Y
|
54440 |
Repair of penis
|
$XXX.XX
|
A2
|
Y
|
54450 |
Preputial stretching
|
$XXX.XX
|
A2
|
Y
|
54500 |
Biopsy of testis
|
$XXX.XX
|
A2
|
Y
|
54505 |
Biopsy of testis
|
$XXX.XX
|
A2
|
Y
|
54512 |
Excise lesion testis
|
$XXX.XX
|
A2
|
Y
|
54520 |
Removal of testis
|
$XXX.XX
|
A2
|
Y
|
54522 |
Orchiectomy partial
|
$XXX.XX
|
A2
|
Y
|
54530 |
Removal of testis
|
$XXX.XX
|
A2
|
Y
|
54550 |
Exploration for testis
|
$XXX.XX
|
A2
|
Y
|
54560 |
Exploration for testis
|
$XXX.XX
|
G2
|
Y
|
54600 |
Reduce testis torsion
|
$XXX.XX
|
A2
|
Y
|
54620 |
Suspension of testis
|
$XXX.XX
|
A2
|
Y
|
54640 |
Orchiopexy ingun/scrot appr
|
$XXX.XX
|
A2
|
Y
|
54650 |
Orchiopexy (fowler-stephens)
|
$XXX.XX
|
G2
|
Y
|
54660 |
Revision of testis
|
$XXX.XX
|
J8
|
Y
|
54670 |
Repair testis injury
|
$XXX.XX
|
A2
|
Y
|
54680 |
Relocation of testis(es)
|
$XXX.XX
|
A2
|
Y
|
54690 |
Laparoscopy orchiectomy
|
$XXX.XX
|
A2
|
Y
|
54692 |
Laparoscopy orchiopexy
|
$XXX.XX
|
G2
|
Y
|
54700 |
Drainage of scrotum
|
$XXX.XX
|
A2
|
Y
|
54800 |
Biopsy of epididymis
|
$XXX.XX
|
A2
|
Y
|
54830 |
Remove epididymis lesion
|
$XXX.XX
|
A2
|
Y
|
54840 |
Remove epididymis lesion
|
$XXX.XX
|
A2
|
Y
|
54860 |
Removal of epididymis
|
$XXX.XX
|
A2
|
Y
|
54861 |
Removal of epididymis
|
$XXX.XX
|
A2
|
Y
|
54865 |
Explore epididymis
|
$XXX.XX
|
A2
|
Y
|
54900 |
Fusion of spermatic ducts
|
$XXX.XX
|
A2
|
Y
|
54901 |
Fusion of spermatic ducts
|
$XXX.XX
|
A2
|
Y
|
55000 |
Drainage of hydrocele
|
$XXX.XX
|
P3
|
Y
|
55040 |
Removal of hydrocele
|
$XXX.XX
|
A2
|
Y
|
55041 |
Removal of hydroceles
|
$XXX.XX
|
A2
|
Y
|
55060 |
Repair of hydrocele
|
$XXX.XX
|
A2
|
Y
|
55100 |
Drainage of scrotum abscess
|
$XXX.XX
|
A2
|
Y
|
55110 |
Explore scrotum
|
$XXX.XX
|
A2
|
Y
|
55120 |
Removal of scrotum lesion
|
$XXX.XX
|
A2
|
Y
|
55150 |
Removal of scrotum
|
$XXX.XX
|
A2
|
Y
|
55175 |
Revision of scrotum
|
$XXX.XX
|
A2
|
Y
|
55180 |
Revision of scrotum
|
$XXX.XX
|
A2
|
Y
|
55200 |
Incision of sperm duct
|
$XXX.XX
|
A2
|
Y
|
55250 |
Removal of sperm duct(s)
|
$XXX.XX
|
A2
|
Y
|
55300 |
Prepare sperm duct x-ray
|
$XXX.XX
|
N1
|
N
|
55400 |
Repair of sperm duct
|
$XXX.XX
|
A2
|
Y
|
55500 |
Removal of hydrocele
|
$XXX.XX
|
A2
|
Y
|
55520 |
Removal of sperm cord lesion
|
$XXX.XX
|
A2
|
Y
|
55530 |
Revise spermatic cord veins
|
$XXX.XX
|
A2
|
Y
|
55535 |
Revise spermatic cord veins
|
$XXX.XX
|
A2
|
Y
|
55540 |
Revise hernia & sperm veins
|
$XXX.XX
|
A2
|
Y
|
55550 |
Laparo ligate spermatic vein
|
$XXX.XX
|
A2
|
Y
|
55600 |
Incise sperm duct pouch
|
$XXX.XX
|
R2
|
Y
|
55680 |
Remove sperm pouch lesion
|
$XXX.XX
|
A2
|
Y
|
55700 |
Biopsy of prostate
|
$XXX.XX
|
A2
|
Y
|
55705 |
Biopsy of prostate
|
$XXX.XX
|
A2
|
Y
|
55706 |
Prostate saturation sampling
|
$XXX.XX
|
G2
|
Y
|
55720 |
Drainage of prostate abscess
|
$XXX.XX
|
A2
|
Y
|
55725 |
Drainage of prostate abscess
|
$XXX.XX
|
A2
|
Y
|
55860 |
Surgical exposure prostate
|
$XXX.XX
|
G2
|
Y
|
55870 |
Electroejaculation
|
$XXX.XX
|
P3
|
Y
|
55873 |
Cryoablate prostate
|
$XXX.XX
|
J8
|
Y
|
55874 |
Tprnl plmt biodegrdabl matrl
|
$XXX.XX
|
J8
|
Y
|
55875 |
Transperi needle place pros
|
$XXX.XX
|
A2
|
Y
|
55876 |
Place rt device/marker pros
|
$XXX.XX
|
J8
|
N
|
55880 |
Abltj mal prst8 tiss hifu
|
$XXX.XX
|
G2
|
Y
|
55920 |
Place needles pelvic for rt
|
$XXX.XX
|
G2
|
Y
|
56405 |
I & d of vulva/perineum
|
$XXX.XX
|
P3
|
Y
|
56420 |
Drainage of gland abscess
|
$XXX.XX
|
P2
|
Y
|
56440 |
Surgery for vulva lesion
|
$XXX.XX
|
A2
|
Y
|
56441 |
Lysis of labial lesion(s)
|
$XXX.XX
|
A2
|
Y
|
56442 |
Hymenotomy
|
$XXX.XX
|
A2
|
Y
|
56501 |
Destroy vulva lesions sim
|
$XXX.XX
|
P3
|
Y
|
56515 |
Destroy vulva lesion/s compl
|
$XXX.XX
|
A2
|
Y
|
56605 |
Biopsy of vulva/perineum
|
$XXX.XX
|
P3
|
Y
|
56606 |
Biopsy of vulva/perineum
|
$XXX.XX
|
N1
|
N
|
56620 |
Partial removal of vulva
|
$XXX.XX
|
A2
|
Y
|
56625 |
Complete removal of vulva
|
$XXX.XX
|
A2
|
Y
|
56700 |
Partial removal of hymen
|
$XXX.XX
|
A2
|
Y
|
56740 |
Remove vagina gland lesion
|
$XXX.XX
|
A2
|
Y
|
56800 |
Repair of vagina
|
$XXX.XX
|
A2
|
Y
|
56805 |
Repair clitoris
|
$XXX.XX
|
G2
|
Y
|
56810 |
Repair of perineum
|
$XXX.XX
|
A2
|
Y
|
56820 |
Exam of vulva w/scope
|
$XXX.XX
|
P3
|
Y
|
56821 |
Exam/biopsy of vulva w/scope
|
$XXX.XX
|
P3
|
Y
|
57000 |
Exploration of vagina
|
$XXX.XX
|
A2
|
Y
|
57010 |
Drainage of pelvic abscess
|
$XXX.XX
|
A2
|
Y
|
57020 |
Drainage of pelvic fluid
|
$XXX.XX
|
A2
|
Y
|
57022 |
I & d vaginal hematoma pp
|
$XXX.XX
|
R2
|
Y
|
57023 |
I & d vag hematoma non-ob
|
$XXX.XX
|
A2
|
Y
|
57061 |
Destroy vag lesions simple
|
$XXX.XX
|
P3
|
Y
|
57065 |
Destroy vag lesions complex
|
$XXX.XX
|
A2
|
Y
|
57100 |
Biopsy of vagina
|
$XXX.XX
|
P3
|
Y
|
57105 |
Biopsy of vagina
|
$XXX.XX
|
A2
|
Y
|
57120 |
Closure of vagina
|
$XXX.XX
|
G2
|
Y
|
57130 |
Remove vagina lesion
|
$XXX.XX
|
A2
|
Y
|
57135 |
Remove vagina lesion
|
$XXX.XX
|
A2
|
Y
|
57150 |
Treat vagina infection
|
$XXX.XX
|
N1
|
N
|
57155 |
Insert uteri tandem/ovoids
|
$XXX.XX
|
A2
|
Y
|
57156 |
Ins vag brachytx device
|
$XXX.XX
|
G2
|
Y
|
57160 |
Insert pessary/other device
|
$XXX.XX
|
P3
|
Y
|
57170 |
Fitting of diaphragm/cap
|
$XXX.XX
|
P3
|
Y
|
57180 |
Treat vaginal bleeding
|
$XXX.XX
|
A2
|
Y
|
57200 |
Repair of vagina
|
$XXX.XX
|
A2
|
Y
|
57210 |
Repair vagina/perineum
|
$XXX.XX
|
A2
|
Y
|
57220 |
Revision of urethra
|
$XXX.XX
|
A2
|
Y
|
57230 |
Repair of urethral lesion
|
$XXX.XX
|
A2
|
Y
|
57240 |
Anterior colporrhaphy
|
$XXX.XX
|
A2
|
Y
|
57250 |
Repair rectum & vagina
|
$XXX.XX
|
A2
|
Y
|
57260 |
Cmbn ant pst colprhy
|
$XXX.XX
|
A2
|
Y
|
57265 |
Cmbn ap colprhy w/ntrcl rpr
|
$XXX.XX
|
A2
|
Y
|
57267 |
Insert mesh/pelvic flr addon
|
$XXX.XX
|
N1
|
N
|
57268 |
Repair of bowel bulge
|
$XXX.XX
|
A2
|
Y
|
57282 |
Colpopexy extraperitoneal
|
$XXX.XX
|
G2
|
Y
|
57283 |
Colpopexy intraperitoneal
|
$XXX.XX
|
G2
|
Y
|
57287 |
Revise/remove sling repair
|
$XXX.XX
|
G2
|
N
|
57288 |
Repair bladder defect
|
$XXX.XX
|
J8
|
Y
|
57289 |
Repair bladder & vagina
|
$XXX.XX
|
A2
|
Y
|
57291 |
Construction of vagina
|
$XXX.XX
|
A2
|
Y
|
57295 |
Revise vag graft via vagina
|
$XXX.XX
|
G2
|
Y
|
57300 |
Repair rectum-vagina fistula
|
$XXX.XX
|
A2
|
Y
|
57310 |
Repair urethrovaginal lesion
|
$XXX.XX
|
G2
|
Y
|
57320 |
Repair bladder-vagina lesion
|
$XXX.XX
|
G2
|
Y
|
57400 |
Dilation of vagina
|
$XXX.XX
|
A2
|
Y
|
57410 |
Pelvic examination
|
$XXX.XX
|
A2
|
Y
|
57415 |
Remove vaginal foreign body
|
$XXX.XX
|
A2
|
Y
|
57420 |
Exam of vagina w/scope
|
$XXX.XX
|
P3
|
Y
|
57421 |
Exam/biopsy of vag w/scope
|
$XXX.XX
|
P3
|
Y
|
57425 |
Laparoscopy surg colpopexy
|
$XXX.XX
|
G2
|
Y
|
57426 |
Revise prosth vag graft lap
|
$XXX.XX
|
G2
|
Y
|
57452 |
Exam of cervix w/scope
|
$XXX.XX
|
P3
|
Y
|
57454 |
Bx/curett of cervix w/scope
|
$XXX.XX
|
P3
|
Y
|
57455 |
Biopsy of cervix w/scope
|
$XXX.XX
|
P3
|
Y
|
57456 |
Endocerv curettage w/scope
|
$XXX.XX
|
P3
|
Y
|
57460 |
Bx of cervix w/scope leep
|
$XXX.XX
|
P3
|
Y
|
57461 |
Conz of cervix w/scope leep
|
$XXX.XX
|
P3
|
Y
|
57500 |
Biopsy of cervix
|
$XXX.XX
|
P3
|
Y
|
57505 |
Endocervical curettage
|
$XXX.XX
|
P3
|
Y
|
57510 |
Cauterization of cervix
|
$XXX.XX
|
P3
|
Y
|
57511 |
Cryocautery of cervix
|
$XXX.XX
|
P3
|
Y
|
57513 |
Laser surgery of cervix
|
$XXX.XX
|
A2
|
Y
|
57520 |
Conization of cervix
|
$XXX.XX
|
A2
|
Y
|
57522 |
Conization of cervix
|
$XXX.XX
|
A2
|
Y
|
57530 |
Removal of cervix
|
$XXX.XX
|
A2
|
Y
|
57550 |
Removal of residual cervix
|
$XXX.XX
|
A2
|
Y
|
57556 |
Remove cervix repair bowel
|
$XXX.XX
|
A2
|
Y
|
57558 |
D&c of cervical stump
|
$XXX.XX
|
A2
|
Y
|
57700 |
Revision of cervix
|
$XXX.XX
|
A2
|
Y
|
57720 |
Revision of cervix
|
$XXX.XX
|
A2
|
Y
|
57800 |
Dilation of cervical canal
|
$XXX.XX
|
P3
|
Y
|
58100 |
Biopsy of uterus lining
|
$XXX.XX
|
P3
|
Y
|
58110 |
Bx done w/colposcopy add-on
|
$XXX.XX
|
N1
|
N
|
58120 |
Dilation and curettage
|
$XXX.XX
|
A2
|
Y
|
58145 |
Myomectomy vag method
|
$XXX.XX
|
A2
|
Y
|
58260 |
Vaginal hysterectomy
|
$XXX.XX
|
G2
|
Y
|
58262 |
Vag hyst including t/o
|
$XXX.XX
|
G2
|
Y
|
58301 |
Remove intrauterine device
|
$XXX.XX
|
P3
|
N
|
58321 |
Artificial insemination
|
$XXX.XX
|
P3
|
Y
|
58322 |
Artificial insemination
|
$XXX.XX
|
P3
|
Y
|
58323 |
Sperm washing
|
$XXX.XX
|
P3
|
Y
|
58340 |
Catheter for hysterography
|
$XXX.XX
|
N1
|
N
|
58345 |
Reopen fallopian tube
|
$XXX.XX
|
R2
|
Y
|
58346 |
Insert heyman uteri capsule
|
$XXX.XX
|
A2
|
Y
|
58350 |
Reopen fallopian tube
|
$XXX.XX
|
A2
|
Y
|
58353 |
Endometr ablate thermal
|
$XXX.XX
|
A2
|
Y
|
58356 |
Endometrial cryoablation
|
$XXX.XX
|
P3
|
Y
|
58541 |
Lsh uterus 250 g or less
|
$XXX.XX
|
G2
|
Y
|
58542 |
Lsh w/t/o ut 250 g or less
|
$XXX.XX
|
G2
|
Y
|
58543 |
Lsh uterus above 250 g
|
$XXX.XX
|
G2
|
Y
|
58544 |
Lsh w/t/o uterus above 250 g
|
$XXX.XX
|
G2
|
Y
|
58545 |
Laparoscopic myomectomy
|
$XXX.XX
|
A2
|
Y
|
58546 |
Laparo-myomectomy complex
|
$XXX.XX
|
A2
|
Y
|
58550 |
Laparo-asst vag hysterectomy
|
$XXX.XX
|
A2
|
Y
|
58552 |
Laparo-vag hyst incl t/o
|
$XXX.XX
|
G2
|
Y
|
58553 |
Laparo-vag hyst complex
|
$XXX.XX
|
G2
|
Y
|
58554 |
Laparo-vag hyst w/t/o compl
|
$XXX.XX
|
G2
|
Y
|
58555 |
Hysteroscopy dx sep proc
|
$XXX.XX
|
A2
|
Y
|
58558 |
Hysteroscopy biopsy
|
$XXX.XX
|
A2
|
Y
|
58559 |
Hysteroscopy lysis
|
$XXX.XX
|
A2
|
Y
|
58560 |
Hysteroscopy resect septum
|
$XXX.XX
|
A2
|
Y
|
58561 |
Hysteroscopy remove myoma
|
$XXX.XX
|
A2
|
Y
|
58562 |
Hysteroscopy remove fb
|
$XXX.XX
|
A2
|
Y
|
58563 |
Hysteroscopy ablation
|
$XXX.XX
|
A2
|
Y
|
58565 |
Hysteroscopy sterilization
|
$XXX.XX
|
J8
|
Y
|
58570 |
Tlh uterus 250 g or less
|
$XXX.XX
|
G2
|
Y
|
58571 |
Tlh w/t/o 250 g or less
|
$XXX.XX
|
G2
|
Y
|
58572 |
Tlh uterus over 250 g
|
$XXX.XX
|
G2
|
Y
|
58573 |
Tlh w/t/o uterus over 250 g
|
$XXX.XX
|
G2
|
Y
|
58600 |
Division of fallopian tube
|
$XXX.XX
|
G2
|
Y
|
58615 |
Occlude fallopian tube(s)
|
$XXX.XX
|
G2
|
Y
|
58660 |
Laparoscopy lysis
|
$XXX.XX
|
A2
|
Y
|
58661 |
Laparoscopy remove adnexa
|
$XXX.XX
|
A2
|
Y
|
58662 |
Laparoscopy excise lesions
|
$XXX.XX
|
A2
|
Y
|
58670 |
Laparoscopy tubal cautery
|
$XXX.XX
|
A2
|
Y
|
58671 |
Laparoscopy tubal block
|
$XXX.XX
|
A2
|
Y
|
58672 |
Laparoscopy fimbrioplasty
|
$XXX.XX
|
A2
|
Y
|
58673 |
Laparoscopy salpingostomy
|
$XXX.XX
|
A2
|
Y
|
58674 |
Laps abltj uterine fibroids
|
$XXX.XX
|
G2
|
Y
|
58800 |
Drainage of ovarian cyst(s)
|
$XXX.XX
|
A2
|
Y
|
58805 |
Drainage of ovarian cyst(s)
|
$XXX.XX
|
G2
|
Y
|
58820 |
Drain ovary abscess open
|
$XXX.XX
|
A2
|
Y
|
58900 |
Biopsy of ovary(s)
|
$XXX.XX
|
A2
|
Y
|
58970 |
Retrieval of oocyte
|
$XXX.XX
|
A2
|
Y
|
58974 |
Transfer of embryo
|
$XXX.XX
|
A2
|
Y
|
58976 |
Transfer of embryo
|
$XXX.XX
|
A2
|
Y
|
59000 |
Amniocentesis diagnostic
|
$XXX.XX
|
P3
|
Y
|
59001 |
Amniocentesis therapeutic
|
$XXX.XX
|
R2
|
Y
|
59012 |
Fetal cord puncture prenatal
|
$XXX.XX
|
G2
|
Y
|
59015 |
Chorion biopsy
|
$XXX.XX
|
P3
|
Y
|
59020 |
Fetal contract stress test
|
$XXX.XX
|
P3
|
Y
|
59025 |
Fetal non-stress test
|
$XXX.XX
|
P3
|
Y
|
59070 |
Transabdom amnioinfus w/us
|
$XXX.XX
|
G2
|
Y
|
59072 |
Umbilical cord occlud w/us
|
$XXX.XX
|
J8
|
Y
|
59074 |
Fetal fluid drainage w/us
|
$XXX.XX
|
G2
|
Y
|
59076 |
Fetal shunt placement w/us
|
$XXX.XX
|
G2
|
Y
|
59100 |
Remove uterus lesion
|
$XXX.XX
|
R2
|
Y
|
59150 |
Treat ectopic pregnancy
|
$XXX.XX
|
G2
|
Y
|
59151 |
Treat ectopic pregnancy
|
$XXX.XX
|
G2
|
Y
|
59160 |
D & c after delivery
|
$XXX.XX
|
A2
|
Y
|
59200 |
Insert cervical dilator
|
$XXX.XX
|
P3
|
Y
|
59300 |
Episiotomy or vaginal repair
|
$XXX.XX
|
P3
|
Y
|
59320 |
Revision of cervix
|
$XXX.XX
|
A2
|
Y
|
59412 |
Antepartum manipulation
|
$XXX.XX
|
G2
|
Y
|
59414 |
Deliver placenta
|
$XXX.XX
|
G2
|
Y
|
59812 |
Treatment of miscarriage
|
$XXX.XX
|
A2
|
Y
|
59820 |
Care of miscarriage
|
$XXX.XX
|
A2
|
Y
|
59821 |
Treatment of miscarriage
|
$XXX.XX
|
A2
|
Y
|
59840 |
Abortion
|
$XXX.XX
|
A2
|
Y
|
59841 |
Abortion
|
$XXX.XX
|
A2
|
Y
|
59866 |
Abortion (mpr)
|
$XXX.XX
|
G2
|
Y
|
59870 |
Evacuate mole of uterus
|
$XXX.XX
|
A2
|
Y
|
59871 |
Remove cerclage suture
|
$XXX.XX
|
A2
|
N
|
60000 |
Drain thyroid/tongue cyst
|
$XXX.XX
|
A2
|
Y
|
60100 |
Biopsy of thyroid
|
$XXX.XX
|
P3
|
Y
|
60200 |
Remove thyroid lesion
|
$XXX.XX
|
A2
|
Y
|
60210 |
Partial thyroid excision
|
$XXX.XX
|
G2
|
Y
|
60212 |
Partial thyroid excision
|
$XXX.XX
|
G2
|
Y
|
60220 |
Partial removal of thyroid
|
$XXX.XX
|
G2
|
Y
|
60225 |
Partial removal of thyroid
|
$XXX.XX
|
G2
|
Y
|
60240 |
Removal of thyroid
|
$XXX.XX
|
G2
|
Y
|
60280 |
Remove thyroid duct lesion
|
$XXX.XX
|
A2
|
Y
|
60281 |
Remove thyroid duct lesion
|
$XXX.XX
|
A2
|
Y
|
60300 |
Aspir/inj thyroid cyst
|
$XXX.XX
|
P3
|
Y
|
60500 |
Explore parathyroid glands
|
$XXX.XX
|
G2
|
Y
|
60512 |
Autotransplant parathyroid
|
$XXX.XX
|
N1
|
N
|
61000 |
Remove cranial cavity fluid
|
$XXX.XX
|
R2
|
Y
|
61001 |
Remove cranial cavity fluid
|
$XXX.XX
|
R2
|
Y
|
61020 |
Remove brain cavity fluid
|
$XXX.XX
|
A2
|
Y
|
61026 |
Injection into brain canal
|
$XXX.XX
|
A2
|
Y
|
61050 |
Remove brain canal fluid
|
$XXX.XX
|
A2
|
Y
|
61055 |
Injection into brain canal
|
$XXX.XX
|
A2
|
Y
|
61070 |
Brain canal shunt procedure
|
$XXX.XX
|
A2
|
Y
|
61215 |
Insert brain-fluid device
|
$XXX.XX
|
A2
|
Y
|
61330 |
Decompress eye socket
|
$XXX.XX
|
G2
|
Y
|
61770 |
Incise skull for treatment
|
$XXX.XX
|
G2
|
Y
|
61781 |
Scan proc cranial intra
|
$XXX.XX
|
N1
|
N
|
61782 |
Scan proc cranial extra
|
$XXX.XX
|
N1
|
N
|
61783 |
Scan proc spinal
|
$XXX.XX
|
N1
|
N
|
61790 |
Treat trigeminal nerve
|
$XXX.XX
|
A2
|
Y
|
61791 |
Treat trigeminal tract
|
$XXX.XX
|
A2
|
Y
|
61880 |
Revise/remove neuroelectrode
|
$XXX.XX
|
G2
|
Y
|
61885 |
Insrt/redo neurostim 1 array
|
$XXX.XX
|
J8
|
N
|
61886 |
Implant neurostim arrays
|
$XXX.XX
|
J8
|
N
|
61888 |
Revise/remove neuroreceiver
|
$XXX.XX
|
J8
|
Y
|
62160 |
Neuroendoscopy add-on
|
$XXX.XX
|
N1
|
N
|
62194 |
Replace/irrigate catheter
|
$XXX.XX
|
A2
|
Y
|
62225 |
Replace/irrigate catheter
|
$XXX.XX
|
A2
|
Y
|
62230 |
Replace/revise brain shunt
|
$XXX.XX
|
J8
|
Y
|
62252 |
Csf shunt reprogram
|
$XXX.XX
|
P3
|
N
|
62263 |
Epidural lysis mult sessions
|
$XXX.XX
|
A2
|
Y
|
62264 |
Epidural lysis on single day
|
$XXX.XX
|
A2
|
Y
|
62267 |
Interdiscal perq aspir dx
|
$XXX.XX
|
G2
|
Y
|
62268 |
Drain spinal cord cyst
|
$XXX.XX
|
A2
|
Y
|
62269 |
Needle biopsy spinal cord
|
$XXX.XX
|
A2
|
Y
|
62270 |
Dx lmbr spi pnxr
|
$XXX.XX
|
A2
|
Y
|
62272 |
Ther spi pnxr drg csf
|
$XXX.XX
|
A2
|
Y
|
62273 |
Inject epidural patch
|
$XXX.XX
|
A2
|
Y
|
62280 |
Treat spinal cord lesion
|
$XXX.XX
|
A2
|
Y
|
62281 |
Treat spinal cord lesion
|
$XXX.XX
|
A2
|
Y
|
62282 |
Treat spinal canal lesion
|
$XXX.XX
|
A2
|
Y
|
62284 |
Injection for myelogram
|
$XXX.XX
|
N1
|
N
|
62287 |
Dcmprn px perq 1/mlt lumbar
|
$XXX.XX
|
A2
|
Y
|
62290 |
Njx px discography lumbar
|
$XXX.XX
|
N1
|
N
|
62291 |
Njx px discography crv/thrc
|
$XXX.XX
|
N1
|
N
|
62292 |
Njx chemonucleolysis lmbr
|
$XXX.XX
|
R2
|
Y
|
62294 |
Injection into spinal artery
|
$XXX.XX
|
A2
|
Y
|
62302 |
Myelography lumbar injection
|
$XXX.XX
|
N1
|
N
|
62303 |
Myelography lumbar injection
|
$XXX.XX
|
N1
|
N
|
62304 |
Myelography lumbar injection
|
$XXX.XX
|
N1
|
N
|
62305 |
Myelography lumbar injection
|
$XXX.XX
|
N1
|
N
|
62320 |
Njx interlaminar crv/thrc
|
$XXX.XX
|
G2
|
Y
|
62321 |
Njx interlaminar crv/thrc
|
$XXX.XX
|
G2
|
Y
|
62322 |
Njx interlaminar lmbr/sac
|
$XXX.XX
|
G2
|
Y
|
62323 |
Njx interlaminar lmbr/sac
|
$XXX.XX
|
G2
|
Y
|
62324 |
Njx interlaminar crv/thrc
|
$XXX.XX
|
G2
|
Y
|
62325 |
Njx interlaminar crv/thrc
|
$XXX.XX
|
G2
|
Y
|
62326 |
Njx interlaminar lmbr/sac
|
$XXX.XX
|
G2
|
Y
|
62327 |
Njx interlaminar lmbr/sac
|
$XXX.XX
|
G2
|
Y
|
62328 |
Dx lmbr spi pnxr w/fluor/ct
|
$XXX.XX
|
G2
|
Y
|
62329 |
Ther spi pnxr csf fluor/ct
|
$XXX.XX
|
G2
|
Y
|
62350 |
Implant spinal canal cath
|
$XXX.XX
|
J8
|
Y
|
62355 |
Remove spinal canal catheter
|
$XXX.XX
|
A2
|
N
|
62360 |
Insert spine infusion device
|
$XXX.XX
|
J8
|
Y
|
62361 |
Implant spine infusion pump
|
$XXX.XX
|
J8
|
Y
|
62362 |
Implant spine infusion pump
|
$XXX.XX
|
J8
|
Y
|
62365 |
Remove spine infusion device
|
$XXX.XX
|
A2
|
N
|
62367 |
Analyze spine infus pump
|
$XXX.XX
|
P3
|
N
|
62368 |
Analyze sp inf pump w/reprog
|
$XXX.XX
|
P3
|
N
|
62369 |
Anal sp inf pmp w/reprg&fill
|
$XXX.XX
|
P3
|
N
|
62370 |
Anl sp inf pmp w/mdreprg&fil
|
$XXX.XX
|
P3
|
N
|
62380 |
Ndsc dcmprn 1 ntrspc lumbar
|
$XXX.XX
|
G2
|
Y
|
63001 |
Remove spine lamina 1/2 crvl
|
$XXX.XX
|
G2
|
Y
|
63003 |
Remove spine lamina 1/2 thrc
|
$XXX.XX
|
G2
|
Y
|
63005 |
Remove spine lamina 1/2 lmbr
|
$XXX.XX
|
G2
|
Y
|
63020 |
Neck spine disk surgery
|
$XXX.XX
|
G2
|
Y
|
63030 |
Low back disk surgery
|
$XXX.XX
|
G2
|
Y
|
63042 |
Laminotomy single lumbar
|
$XXX.XX
|
G2
|
Y
|
63044 |
Laminotomy addl lumbar
|
$XXX.XX
|
N1
|
N
|
63045 |
Lam facetec & foramot crv
|
$XXX.XX
|
G2
|
Y
|
63046 |
Lam facetec & foramot thrc
|
$XXX.XX
|
G2
|
Y
|
63047 |
Lam facetec & foramot lumbar
|
$XXX.XX
|
G2
|
Y
|
63055 |
Decompress spinal cord thrc
|
$XXX.XX
|
G2
|
Y
|
63056 |
Decompress spinal cord lmbr
|
$XXX.XX
|
G2
|
Y
|
63600 |
Remove spinal cord lesion
|
$XXX.XX
|
A2
|
Y
|
63610 |
Stimulation of spinal cord
|
$XXX.XX
|
J8
|
Y
|
63650 |
Implant neuroelectrodes
|
$XXX.XX
|
J8
|
N
|
63655 |
Implant neuroelectrodes
|
$XXX.XX
|
J8
|
N
|
63661 |
Remove spine eltrd perq aray
|
$XXX.XX
|
G2
|
N
|
63662 |
Remove spine eltrd plate
|
$XXX.XX
|
G2
|
Y
|
63663 |
Revise spine eltrd perq aray
|
$XXX.XX
|
J8
|
N
|
63664 |
Revise spine eltrd plate
|
$XXX.XX
|
J8
|
N
|
63685 |
Insrt/redo spine n generator
|
$XXX.XX
|
J8
|
N
|
63688 |
Revise/remove neuroreceiver
|
$XXX.XX
|
A2
|
Y
|
63744 |
Revision of spinal shunt
|
$XXX.XX
|
J8
|
Y
|
63746 |
Removal of spinal shunt
|
$XXX.XX
|
A2
|
N
|
64400 |
Njx aa&/strd trigeminal nrv
|
$XXX.XX
|
P3
|
Y
|
64405 |
Njx aa&/strd gr ocpl nrv
|
$XXX.XX
|
P3
|
Y
|
64408 |
Njx aa&/strd vagus nrv
|
$XXX.XX
|
P3
|
Y
|
64415 |
Njx aa&/strd brch plxs img
|
$XXX.XX
|
A2
|
Y
|
64416 |
Njx aa&/strd brch pl nfs img
|
$XXX.XX
|
G2
|
Y
|
64417 |
Njx aa&/strd ax nerve img
|
$XXX.XX
|
A2
|
Y
|
64418 |
Njx aa&/strd sprscap nrv
|
$XXX.XX
|
P3
|
Y
|
64420 |
Njx aa&/strd ntrcost nrv 1
|
$XXX.XX
|
A2
|
Y
|
64421 |
Njx aa&/strd ntrcost nrv ea
|
$XXX.XX
|
A2
|
Y
|
64425 |
Njx aa&/strd ii ih nerves
|
$XXX.XX
|
P3
|
Y
|
64430 |
Njx aa&/strd pudendal nerve
|
$XXX.XX
|
A2
|
Y
|
64435 |
Njx aa&/strd paracrv nrv
|
$XXX.XX
|
P3
|
Y
|
64445 |
Njx aa&/strd sciatic nrv img
|
$XXX.XX
|
P3
|
Y
|
64446 |
Njx aa&/strd sc nrv nfs img
|
$XXX.XX
|
G2
|
Y
|
64447 |
Njx aa&/strd femoral nrv img
|
$XXX.XX
|
P3
|
Y
|
64448 |
Njx aa&/strd fem nrv nfs img
|
$XXX.XX
|
J8
|
Y
|
64449 |
Njx aa&/strd lmbr plex nfs
|
$XXX.XX
|
G2
|
Y
|
64450 |
Njx aa&/strd other pn/branch
|
$XXX.XX
|
P3
|
Y
|
64451 |
Njx aa&/strd nrv nrvtg si jt
|
$XXX.XX
|
G2
|
Y
|
64454 |
Njx aa&/strd gnclr nrv brnch
|
$XXX.XX
|
P3
|
Y
|
64455 |
Njx aa&/strd pltr com dg nrv
|
$XXX.XX
|
P3
|
Y
|
64461 |
Pvb thoracic single inj site
|
$XXX.XX
|
G2
|
Y
|
64462 |
Pvb thoracic 2nd+ inj site
|
$XXX.XX
|
N1
|
N
|
64463 |
Pvb thoracic cont infusion
|
$XXX.XX
|
G2
|
Y
|
64479 |
Njx aa&/strd tfrm epi c/t 1
|
$XXX.XX
|
A2
|
Y
|
64480 |
Njx aa&/strd tfrm epi c/t ea
|
$XXX.XX
|
N1
|
N
|
64483 |
Njx aa&/strd tfrm epi l/s 1
|
$XXX.XX
|
A2
|
Y
|
64484 |
Njx aa&/strd tfrm epi l/s ea
|
$XXX.XX
|
N1
|
N
|
64486 |
Tap block unil by injection
|
$XXX.XX
|
N1
|
N
|
64487 |
Tap block uni by infusion
|
$XXX.XX
|
N1
|
N
|
64488 |
Tap block bi injection
|
$XXX.XX
|
N1
|
N
|
64489 |
Tap block bi by infusion
|
$XXX.XX
|
N1
|
N
|
64490 |
Inj paravert f jnt c/t 1 lev
|
$XXX.XX
|
G2
|
Y
|
64491 |
Inj paravert f jnt c/t 2 lev
|
$XXX.XX
|
N1
|
N
|
64492 |
Inj paravert f jnt c/t 3 lev
|
$XXX.XX
|
N1
|
N
|
64493 |
Inj paravert f jnt l/s 1 lev
|
$XXX.XX
|
G2
|
Y
|
64494 |
Inj paravert f jnt l/s 2 lev
|
$XXX.XX
|
N1
|
N
|
64495 |
Inj paravert f jnt l/s 3 lev
|
$XXX.XX
|
N1
|
N
|
64505 |
N block spenopalatine gangl
|
$XXX.XX
|
P3
|
Y
|
64510 |
N block stellate ganglion
|
$XXX.XX
|
A2
|
Y
|
64517 |
N block inj hypogas plxs
|
$XXX.XX
|
A2
|
Y
|
64520 |
N block lumbar/thoracic
|
$XXX.XX
|
A2
|
Y
|
64530 |
N block inj celiac pelus
|
$XXX.XX
|
A2
|
Y
|
64553 |
Implant neuroelectrodes
|
$XXX.XX
|
J8
|
N
|
64555 |
Implant neuroelectrodes
|
$XXX.XX
|
J8
|
N
|
64561 |
Implant neuroelectrodes
|
$XXX.XX
|
J8
|
N
|
64566 |
Neuroeltrd stim post tibial
|
$XXX.XX
|
P3
|
Y
|
64568 |
Opn impltj crnl nrv nea&pg
|
$XXX.XX
|
J8
|
N
|
64569 |
Revise/repl vagus n eltrd
|
$XXX.XX
|
J8
|
N
|
64570 |
Remove vagus n eltrd
|
$XXX.XX
|
G2
|
N
|
64575 |
Opn impltj nea perph nerve
|
$XXX.XX
|
J8
|
N
|
64580 |
Opn impltj nea neuromuscular
|
$XXX.XX
|
J8
|
N
|
64581 |
Opn impltj nea sacral nerve
|
$XXX.XX
|
J8
|
N
|
64582 |
Opn mpltj hpglsl nstm ary pg
|
$XXX.XX
|
J8
|
N
|
64583 |
Rev/rplct hpglsl nstm ary pg
|
$XXX.XX
|
J8
|
Y
|
64584 |
Rmvl hpglsl nstim ary pg
|
$XXX.XX
|
G2
|
N
|
64585 |
Revise/remove neuroelectrode
|
$XXX.XX
|
A2
|
Y
|
64590 |
Insrt/redo pn/gastr stimul
|
$XXX.XX
|
J8
|
N
|
64595 |
Revise/rmv pn/gastr stimul
|
$XXX.XX
|
J8
|
Y
|
64600 |
Injection treatment of nerve
|
$XXX.XX
|
A2
|
Y
|
64605 |
Injection treatment of nerve
|
$XXX.XX
|
A2
|
Y
|
64610 |
Injection treatment of nerve
|
$XXX.XX
|
A2
|
Y
|
64611 |
Chemodenerv saliv glands
|
$XXX.XX
|
P3
|
Y
|
64612 |
Destroy nerve face muscle
|
$XXX.XX
|
P3
|
Y
|
64615 |
Chemodenerv musc migraine
|
$XXX.XX
|
P3
|
Y
|
64616 |
Chemodenerv musc neck dyston
|
$XXX.XX
|
P3
|
Y
|
64617 |
Chemodener muscle larynx emg
|
$XXX.XX
|
P3
|
Y
|
64620 |
Injection treatment of nerve
|
$XXX.XX
|
A2
|
Y
|
64624 |
Dstrj nulyt agt gnclr nrv
|
$XXX.XX
|
G2
|
Y
|
64625 |
Rf abltj nrv nrvtg si jt
|
$XXX.XX
|
G2
|
Y
|
64628 |
Trml dstrj ios bvn 1st 2 l/s
|
$XXX.XX
|
J8
|
Y
|
64630 |
Injection treatment of nerve
|
$XXX.XX
|
A2
|
Y
|
64632 |
N block inj common digit
|
$XXX.XX
|
P3
|
Y
|
64633 |
Destroy cerv/thor facet jnt
|
$XXX.XX
|
G2
|
Y
|
64634 |
Destroy c/th facet jnt addl
|
$XXX.XX
|
N1
|
N
|
64635 |
Destroy lumb/sac facet jnt
|
$XXX.XX
|
G2
|
Y
|
64636 |
Destroy l/s facet jnt addl
|
$XXX.XX
|
N1
|
N
|
64640 |
Injection treatment of nerve
|
$XXX.XX
|
P3
|
Y
|
64642 |
Chemodenerv 1 extremity 1-4
|
$XXX.XX
|
P3
|
Y
|
64643 |
Chemodenerv 1 extrem 1-4 ea
|
$XXX.XX
|
N1
|
N
|
64644 |
Chemodenerv 1 extrem 5/> mus
|
$XXX.XX
|
P3
|
Y
|
64645 |
Chemodenerv 1 extrem 5/> ea
|
$XXX.XX
|
N1
|
N
|
64646 |
Chemodenerv trunk musc 1-5
|
$XXX.XX
|
P3
|
Y
|
64647 |
Chemodenerv trunk musc 6/>
|
$XXX.XX
|
P3
|
Y
|
64650 |
Chemodenerv eccrine glands
|
$XXX.XX
|
P3
|
Y
|
64653 |
Chemodenerv eccrine glands
|
$XXX.XX
|
P3
|
Y
|
64680 |
Injection treatment of nerve
|
$XXX.XX
|
A2
|
Y
|
64681 |
Injection treatment of nerve
|
$XXX.XX
|
A2
|
Y
|
64702 |
Revise finger/toe nerve
|
$XXX.XX
|
A2
|
Y
|
64704 |
Revise hand/foot nerve
|
$XXX.XX
|
A2
|
Y
|
64708 |
Revise arm/leg nerve
|
$XXX.XX
|
G2
|
Y
|
64712 |
Revision of sciatic nerve
|
$XXX.XX
|
G2
|
Y
|
64713 |
Revision of arm nerve(s)
|
$XXX.XX
|
G2
|
Y
|
64714 |
Revise low back nerve(s)
|
$XXX.XX
|
G2
|
Y
|
64716 |
Revision of cranial nerve
|
$XXX.XX
|
J8
|
Y
|
64718 |
Revise ulnar nerve at elbow
|
$XXX.XX
|
A2
|
Y
|
64719 |
Revise ulnar nerve at wrist
|
$XXX.XX
|
A2
|
Y
|
64721 |
Carpal tunnel surgery
|
$XXX.XX
|
A2
|
Y
|
64722 |
Relieve pressure on nerve(s)
|
$XXX.XX
|
A2
|
Y
|
64726 |
Release foot/toe nerve
|
$XXX.XX
|
A2
|
Y
|
64727 |
Internal nerve revision
|
$XXX.XX
|
N1
|
N
|
64732 |
Incision of brow nerve
|
$XXX.XX
|
A2
|
Y
|
64734 |
Incision of cheek nerve
|
$XXX.XX
|
A2
|
Y
|
64736 |
Incision of chin nerve
|
$XXX.XX
|
A2
|
Y
|
64738 |
Incision of jaw nerve
|
$XXX.XX
|
A2
|
Y
|
64740 |
Incision of tongue nerve
|
$XXX.XX
|
A2
|
Y
|
64742 |
Incision of facial nerve
|
$XXX.XX
|
A2
|
Y
|
64744 |
Incise nerve back of head
|
$XXX.XX
|
A2
|
Y
|
64746 |
Incise diaphragm nerve
|
$XXX.XX
|
A2
|
Y
|
64763 |
Incise hip/thigh nerve
|
$XXX.XX
|
G2
|
Y
|
64766 |
Incise hip/thigh nerve
|
$XXX.XX
|
G2
|
Y
|
64771 |
Sever cranial nerve
|
$XXX.XX
|
A2
|
Y
|
64772 |
Incision of spinal nerve
|
$XXX.XX
|
A2
|
Y
|
64774 |
Remove skin nerve lesion
|
$XXX.XX
|
A2
|
Y
|
64776 |
Remove digit nerve lesion
|
$XXX.XX
|
A2
|
Y
|
64778 |
Digit nerve surgery add-on
|
$XXX.XX
|
N1
|
N
|
64782 |
Remove limb nerve lesion
|
$XXX.XX
|
A2
|
Y
|
64783 |
Limb nerve surgery add-on
|
$XXX.XX
|
N1
|
N
|
64784 |
Remove nerve lesion
|
$XXX.XX
|
A2
|
Y
|
64786 |
Remove sciatic nerve lesion
|
$XXX.XX
|
A2
|
Y
|
64787 |
Implant nerve end
|
$XXX.XX
|
N1
|
N
|
64788 |
Remove skin nerve lesion
|
$XXX.XX
|
A2
|
Y
|
64790 |
Removal of nerve lesion
|
$XXX.XX
|
A2
|
Y
|
64792 |
Removal of nerve lesion
|
$XXX.XX
|
A2
|
Y
|
64795 |
Biopsy of nerve
|
$XXX.XX
|
A2
|
Y
|
64802 |
Sympathectomy cervical
|
$XXX.XX
|
J8
|
Y
|
64820 |
Sympathectomy digital artery
|
$XXX.XX
|
G2
|
Y
|
64821 |
Remove sympathetic nerves
|
$XXX.XX
|
A2
|
Y
|
64822 |
Remove sympathetic nerves
|
$XXX.XX
|
G2
|
Y
|
64823 |
Sympathectomy supfc palmar
|
$XXX.XX
|
G2
|
Y
|
64831 |
Repair of digit nerve
|
$XXX.XX
|
A2
|
Y
|
64832 |
Repair nerve add-on
|
$XXX.XX
|
N1
|
N
|
64834 |
Repair of hand or foot nerve
|
$XXX.XX
|
A2
|
Y
|
64835 |
Repair of hand or foot nerve
|
$XXX.XX
|
A2
|
Y
|
64836 |
Repair of hand or foot nerve
|
$XXX.XX
|
A2
|
Y
|
64837 |
Repair nerve add-on
|
$XXX.XX
|
N1
|
N
|
64840 |
Repair of leg nerve
|
$XXX.XX
|
A2
|
Y
|
64856 |
Repair/transpose nerve
|
$XXX.XX
|
A2
|
Y
|
64857 |
Repair arm/leg nerve
|
$XXX.XX
|
A2
|
Y
|
64858 |
Repair sciatic nerve
|
$XXX.XX
|
J8
|
Y
|
64859 |
Nerve surgery
|
$XXX.XX
|
N1
|
N
|
64861 |
Repair of arm nerves
|
$XXX.XX
|
A2
|
Y
|
64862 |
Repair of low back nerves
|
$XXX.XX
|
A2
|
Y
|
64864 |
Repair of facial nerve
|
$XXX.XX
|
A2
|
Y
|
64865 |
Repair of facial nerve
|
$XXX.XX
|
J8
|
Y
|
64872 |
Subsequent repair of nerve
|
$XXX.XX
|
N1
|
N
|
64874 |
Repair & revise nerve add-on
|
$XXX.XX
|
N1
|
N
|
64876 |
Repair nerve/shorten bone
|
$XXX.XX
|
N1
|
N
|
64885 |
Nerve graft head/neck 4 cm
|
$XXX.XX
|
A2
|
Y
|
64886 |
Nerve graft head/neck >4 cm
|
$XXX.XX
|
J8
|
Y
|
64890 |
Nerve graft hand/foot 4 cm
|
$XXX.XX
|
A2
|
Y
|
64891 |
Nerve graft hand/foot >4 cm
|
$XXX.XX
|
J8
|
Y
|
64892 |
Nerve graft arm/leg <4 cm
|
$XXX.XX
|
J8
|
Y
|
64893 |
Nerve graft arm/leg >4 cm
|
$XXX.XX
|
J8
|
Y
|
64895 |
Nerve graft hand/foot 4 cm
|
$XXX.XX
|
A2
|
Y
|
64896 |
Nerve graft hand/foot >4 cm
|
$XXX.XX
|
A2
|
Y
|
64897 |
Nerve graft arm/leg 4 cm
|
$XXX.XX
|
J8
|
Y
|
64898 |
Nerve graft arm/leg >4 cm
|
$XXX.XX
|
A2
|
Y
|
64901 |
Nerve graft add-on
|
$XXX.XX
|
N1
|
N
|
64902 |
Nerve graft add-on
|
$XXX.XX
|
N1
|
N
|
64905 |
Nerve pedicle transfer
|
$XXX.XX
|
A2
|
Y
|
64907 |
Nerve pedicle transfer
|
$XXX.XX
|
A2
|
Y
|
64910 |
Nerve repair w/allograft
|
$XXX.XX
|
J8
|
Y
|
64912 |
Nrv rpr w/nrv algrft 1st
|
$XXX.XX
|
J8
|
Y
|
64913 |
Nrv rpr w/nrv algrft ea addl
|
$XXX.XX
|
N1
|
N
|
65091 |
Revise eye
|
$XXX.XX
|
A2
|
Y
|
65093 |
Revise eye with implant
|
$XXX.XX
|
A2
|
Y
|
65101 |
Removal of eye
|
$XXX.XX
|
A2
|
Y
|
65103 |
Remove eye/insert implant
|
$XXX.XX
|
A2
|
Y
|
65105 |
Remove eye/attach implant
|
$XXX.XX
|
A2
|
Y
|
65110 |
Removal of eye
|
$XXX.XX
|
A2
|
Y
|
65112 |
Remove eye/revise socket
|
$XXX.XX
|
A2
|
Y
|
65114 |
Remove eye/revise socket
|
$XXX.XX
|
A2
|
Y
|
65125 |
Revise ocular implant
|
$XXX.XX
|
G2
|
Y
|
65130 |
Insert ocular implant
|
$XXX.XX
|
A2
|
Y
|
65135 |
Insert ocular implant
|
$XXX.XX
|
A2
|
Y
|
65140 |
Attach ocular implant
|
$XXX.XX
|
A2
|
Y
|
65150 |
Revise ocular implant
|
$XXX.XX
|
A2
|
Y
|
65155 |
Reinsert ocular implant
|
$XXX.XX
|
A2
|
Y
|
65175 |
Removal of ocular implant
|
$XXX.XX
|
A2
|
Y
|
65205 |
Remove foreign body from eye
|
$XXX.XX
|
N1
|
N
|
65210 |
Remove foreign body from eye
|
$XXX.XX
|
N1
|
N
|
65220 |
Remove foreign body from eye
|
$XXX.XX
|
N1
|
N
|
65222 |
Remove foreign body from eye
|
$XXX.XX
|
N1
|
N
|
65235 |
Remove foreign body from eye
|
$XXX.XX
|
A2
|
Y
|
65260 |
Remove foreign body from eye
|
$XXX.XX
|
A2
|
Y
|
65265 |
Remove foreign body from eye
|
$XXX.XX
|
A2
|
Y
|
65270 |
Repair of eye wound
|
$XXX.XX
|
A2
|
Y
|
65272 |
Repair of eye wound
|
$XXX.XX
|
A2
|
Y
|
65275 |
Repair of eye wound
|
$XXX.XX
|
A2
|
Y
|
65280 |
Repair of eye wound
|
$XXX.XX
|
A2
|
Y
|
65285 |
Repair of eye wound
|
$XXX.XX
|
A2
|
Y
|
65286 |
Repair of eye wound
|
$XXX.XX
|
P3
|
Y
|
65290 |
Repair of eye socket wound
|
$XXX.XX
|
A2
|
Y
|
65400 |
Removal of eye lesion
|
$XXX.XX
|
A2
|
Y
|
65410 |
Biopsy of cornea
|
$XXX.XX
|
A2
|
Y
|
65420 |
Removal of eye lesion
|
$XXX.XX
|
A2
|
Y
|
65426 |
Removal of eye lesion
|
$XXX.XX
|
A2
|
Y
|
65430 |
Corneal smear
|
$XXX.XX
|
N1
|
N
|
65435 |
Curette/treat cornea
|
$XXX.XX
|
P3
|
Y
|
65436 |
Curette/treat cornea
|
$XXX.XX
|
P3
|
Y
|
65450 |
Treatment of corneal lesion
|
$XXX.XX
|
G2
|
Y
|
65600 |
Revision of cornea
|
$XXX.XX
|
P3
|
Y
|
65710 |
Corneal transplant
|
$XXX.XX
|
A2
|
Y
|
65730 |
Corneal transplant
|
$XXX.XX
|
A2
|
Y
|
65750 |
Corneal transplant
|
$XXX.XX
|
A2
|
Y
|
65755 |
Corneal transplant
|
$XXX.XX
|
A2
|
Y
|
65756 |
Corneal trnspl endothelial
|
$XXX.XX
|
G2
|
Y
|
65757 |
Prep corneal endo allograft
|
$XXX.XX
|
N1
|
N
|
65770 |
Revise cornea with implant
|
$XXX.XX
|
J8
|
Y
|
65772 |
Correction of astigmatism
|
$XXX.XX
|
A2
|
Y
|
65775 |
Correction of astigmatism
|
$XXX.XX
|
A2
|
Y
|
65778 |
Cover eye w/membrane
|
$XXX.XX
|
N1
|
N
|
65779 |
Cover eye w/membrane suture
|
$XXX.XX
|
N1
|
N
|
65780 |
Ocular reconst transplant
|
$XXX.XX
|
J8
|
Y
|
65781 |
Ocular reconst transplant
|
$XXX.XX
|
J8
|
Y
|
65782 |
Ocular reconst transplant
|
$XXX.XX
|
A2
|
Y
|
65785 |
Impltj ntrstrml crnl rng seg
|
$XXX.XX
|
P2
|
Y
|
65800 |
Drainage of eye
|
$XXX.XX
|
A2
|
Y
|
65810 |
Drainage of eye
|
$XXX.XX
|
A2
|
Y
|
65815 |
Drainage of eye
|
$XXX.XX
|
A2
|
Y
|
65820 |
Relieve inner eye pressure
|
$XXX.XX
|
A2
|
Y
|
65850 |
Incision of eye
|
$XXX.XX
|
A2
|
Y
|
65855 |
Trabeculoplasty laser surg
|
$XXX.XX
|
P3
|
Y
|
65860 |
Incise inner eye adhesions
|
$XXX.XX
|
P3
|
Y
|
65865 |
Incise inner eye adhesions
|
$XXX.XX
|
A2
|
Y
|
65870 |
Incise inner eye adhesions
|
$XXX.XX
|
A2
|
Y
|
65875 |
Incise inner eye adhesions
|
$XXX.XX
|
A2
|
Y
|
65880 |
Incise inner eye adhesions
|
$XXX.XX
|
A2
|
Y
|
65900 |
Remove eye lesion
|
$XXX.XX
|
A2
|
Y
|
65920 |
Remove implant of eye
|
$XXX.XX
|
A2
|
Y
|
65930 |
Remove blood clot from eye
|
$XXX.XX
|
A2
|
Y
|
66020 |
Injection treatment of eye
|
$XXX.XX
|
A2
|
Y
|
66030 |
Injection treatment of eye
|
$XXX.XX
|
A2
|
Y
|
66130 |
Remove eye lesion
|
$XXX.XX
|
A2
|
Y
|
66150 |
Glaucoma surgery
|
$XXX.XX
|
A2
|
Y
|
66155 |
Glaucoma surgery
|
$XXX.XX
|
J8
|
Y
|
66160 |
Glaucoma surgery
|
$XXX.XX
|
A2
|
Y
|
66170 |
Glaucoma surgery
|
$XXX.XX
|
A2
|
Y
|
66172 |
Incision of eye
|
$XXX.XX
|
A2
|
Y
|
66174 |
Trluml dil aq o/f can w/o st
|
$XXX.XX
|
A2
|
Y
|
66175 |
Trluml dil aq o/f can w/st
|
$XXX.XX
|
J8
|
Y
|
66179 |
Aqueous shunt eye w/o graft
|
$XXX.XX
|
J8
|
Y
|
66180 |
Aqueous shunt eye w/graft
|
$XXX.XX
|
J8
|
Y
|
66183 |
Insert ant drainage device
|
$XXX.XX
|
J8
|
Y
|
66184 |
Revision of aqueous shunt
|
$XXX.XX
|
G2
|
Y
|
66185 |
Revise aqueous shunt eye
|
$XXX.XX
|
A2
|
Y
|
66225 |
Repair/graft eye lesion
|
$XXX.XX
|
A2
|
Y
|
66250 |
Follow-up surgery of eye
|
$XXX.XX
|
A2
|
Y
|
66500 |
Incision of iris
|
$XXX.XX
|
A2
|
Y
|
66505 |
Incision of iris
|
$XXX.XX
|
A2
|
Y
|
66600 |
Remove iris and lesion
|
$XXX.XX
|
A2
|
Y
|
66605 |
Removal of iris
|
$XXX.XX
|
A2
|
Y
|
66625 |
Removal of iris
|
$XXX.XX
|
A2
|
Y
|
66630 |
Removal of iris
|
$XXX.XX
|
A2
|
Y
|
66635 |
Removal of iris
|
$XXX.XX
|
A2
|
Y
|
66680 |
Repair iris & ciliary body
|
$XXX.XX
|
A2
|
Y
|
66682 |
Repair iris & ciliary body
|
$XXX.XX
|
A2
|
Y
|
66700 |
Destruction ciliary body
|
$XXX.XX
|
A2
|
Y
|
66710 |
Ciliary transsleral therapy
|
$XXX.XX
|
A2
|
Y
|
66711 |
Ecp ciliary body destruction
|
$XXX.XX
|
A2
|
Y
|
66720 |
Destruction ciliary body
|
$XXX.XX
|
A2
|
Y
|
66740 |
Destruction ciliary body
|
$XXX.XX
|
A2
|
Y
|
66761 |
Revision of iris
|
$XXX.XX
|
P3
|
Y
|
66762 |
Revision of iris
|
$XXX.XX
|
P2
|
Y
|
66770 |
Removal of inner eye lesion
|
$XXX.XX
|
P2
|
Y
|
66820 |
Incision secondary cataract
|
$XXX.XX
|
G2
|
Y
|
66821 |
After cataract laser surgery
|
$XXX.XX
|
A2
|
Y
|
66825 |
Reposition intraocular lens
|
$XXX.XX
|
A2
|
Y
|
66830 |
Removal of lens lesion
|
$XXX.XX
|
A2
|
Y
|
66840 |
Removal of lens material
|
$XXX.XX
|
A2
|
Y
|
66850 |
Removal of lens material
|
$XXX.XX
|
A2
|
Y
|
66852 |
Removal of lens material
|
$XXX.XX
|
A2
|
Y
|
66920 |
Extraction of lens
|
$XXX.XX
|
A2
|
Y
|
66930 |
Extraction of lens
|
$XXX.XX
|
A2
|
Y
|
66940 |
Extraction of lens
|
$XXX.XX
|
A2
|
Y
|
66982 |
Xcapsl ctrc rmvl cplx wo ecp
|
$XXX.XX
|
A2
|
Y
|
66983 |
Cataract surg w/iol 1 stage
|
$XXX.XX
|
A2
|
Y
|
66984 |
Xcapsl ctrc rmvl w/o ecp
|
$XXX.XX
|
A2
|
Y
|
66985 |
Insert lens prosthesis
|
$XXX.XX
|
A2
|
Y
|
66986 |
Exchange lens prosthesis
|
$XXX.XX
|
A2
|
Y
|
66987 |
Xcapsl ctrc rmvl cplx w/ecp
|
$XXX.XX
|
G2
|
Y
|
66988 |
Xcapsl ctrc rmvl w/ecp
|
$XXX.XX
|
G2
|
Y
|
66989 |
Xcpsl ctrc rmvl cplx insj 1+
|
$XXX.XX
|
J8
|
Y
|
66990 |
Ophthalmic endoscope add-on
|
$XXX.XX
|
N1
|
N
|
66991 |
Xcapsl ctrc rmvl insj 1+
|
$XXX.XX
|
J8
|
Y
|
67005 |
Partial removal of eye fluid
|
$XXX.XX
|
A2
|
Y
|
67010 |
Partial removal of eye fluid
|
$XXX.XX
|
A2
|
Y
|
67015 |
Release of eye fluid
|
$XXX.XX
|
A2
|
Y
|
67025 |
Replace eye fluid
|
$XXX.XX
|
A2
|
Y
|
67027 |
Implant eye drug system
|
$XXX.XX
|
A2
|
Y
|
67028 |
Injection eye drug
|
$XXX.XX
|
P3
|
N
|
67030 |
Incise inner eye strands
|
$XXX.XX
|
A2
|
Y
|
67031 |
Laser surgery eye strands
|
$XXX.XX
|
A2
|
Y
|
67036 |
Removal of inner eye fluid
|
$XXX.XX
|
A2
|
Y
|
67039 |
Laser treatment of retina
|
$XXX.XX
|
A2
|
Y
|
67040 |
Laser treatment of retina
|
$XXX.XX
|
A2
|
Y
|
67041 |
Vit for macular pucker
|
$XXX.XX
|
G2
|
Y
|
67042 |
Vit for macular hole
|
$XXX.XX
|
G2
|
Y
|
67043 |
Vit for membrane dissect
|
$XXX.XX
|
G2
|
Y
|
67101 |
Repair detached retina crtx
|
$XXX.XX
|
P3
|
Y
|
67105 |
Repair detached retina pc
|
$XXX.XX
|
P3
|
Y
|
67107 |
Repair detached retina
|
$XXX.XX
|
G2
|
Y
|
67108 |
Repair detached retina
|
$XXX.XX
|
G2
|
Y
|
67110 |
Repair detached retina
|
$XXX.XX
|
P3
|
Y
|
67113 |
Repair retinal detach cplx
|
$XXX.XX
|
G2
|
Y
|
67115 |
Release encircling material
|
$XXX.XX
|
A2
|
Y
|
67120 |
Remove eye implant material
|
$XXX.XX
|
A2
|
Y
|
67121 |
Remove eye implant material
|
$XXX.XX
|
A2
|
Y
|
67141 |
Proph rta dtchmnt crtx dthrm
|
$XXX.XX
|
A2
|
Y
|
67145 |
Proph rta dtchmnt pc
|
$XXX.XX
|
P3
|
Y
|
67208 |
Treatment of retinal lesion
|
$XXX.XX
|
P2
|
Y
|
67210 |
Treatment of retinal lesion
|
$XXX.XX
|
P2
|
Y
|
67218 |
Treatment of retinal lesion
|
$XXX.XX
|
A2
|
Y
|
67220 |
Treatment of choroid lesion
|
$XXX.XX
|
P2
|
Y
|
67221 |
Ocular photodynamic ther
|
$XXX.XX
|
P3
|
Y
|
67225 |
Eye photodynamic ther add-on
|
$XXX.XX
|
N1
|
N
|
67227 |
Dstrj extensive retinopathy
|
$XXX.XX
|
P3
|
Y
|
67228 |
Treatment x10sv retinopathy
|
$XXX.XX
|
P3
|
Y
|
67229 |
Tr retinal les preterm inf
|
$XXX.XX
|
R2
|
Y
|
67250 |
Reinforce eye wall
|
$XXX.XX
|
A2
|
Y
|
67255 |
Reinforce/graft eye wall
|
$XXX.XX
|
A2
|
Y
|
67311 |
Revise eye muscle
|
$XXX.XX
|
A2
|
Y
|
67312 |
Revise two eye muscles
|
$XXX.XX
|
A2
|
Y
|
67314 |
Revise eye muscle
|
$XXX.XX
|
A2
|
Y
|
67316 |
Revise two eye muscles
|
$XXX.XX
|
A2
|
Y
|
67318 |
Revise eye muscle(s)
|
$XXX.XX
|
A2
|
Y
|
67320 |
Revise eye muscle(s) add-on
|
$XXX.XX
|
N1
|
N
|
67331 |
Eye surgery follow-up add-on
|
$XXX.XX
|
N1
|
N
|
67332 |
Rerevise eye muscles add-on
|
$XXX.XX
|
N1
|
N
|
67334 |
Revise eye muscle w/suture
|
$XXX.XX
|
N1
|
N
|
67335 |
Eye suture during surgery
|
$XXX.XX
|
N1
|
N
|
67340 |
Revise eye muscle add-on
|
$XXX.XX
|
N1
|
N
|
67343 |
Release eye tissue
|
$XXX.XX
|
A2
|
Y
|
67345 |
Destroy nerve of eye muscle
|
$XXX.XX
|
P3
|
Y
|
67346 |
Biopsy eye muscle
|
$XXX.XX
|
A2
|
Y
|
67400 |
Explore/biopsy eye socket
|
$XXX.XX
|
A2
|
Y
|
67405 |
Explore/drain eye socket
|
$XXX.XX
|
A2
|
Y
|
67412 |
Explore/treat eye socket
|
$XXX.XX
|
A2
|
Y
|
67413 |
Explore/treat eye socket
|
$XXX.XX
|
A2
|
Y
|
67414 |
Explr/decompress eye socket
|
$XXX.XX
|
G2
|
Y
|
67415 |
Aspiration orbital contents
|
$XXX.XX
|
A2
|
Y
|
67420 |
Explore/treat eye socket
|
$XXX.XX
|
A2
|
Y
|
67430 |
Explore/treat eye socket
|
$XXX.XX
|
A2
|
Y
|
67440 |
Explore/drain eye socket
|
$XXX.XX
|
A2
|
Y
|
67445 |
Explr/decompress eye socket
|
$XXX.XX
|
A2
|
Y
|
67450 |
Explore/biopsy eye socket
|
$XXX.XX
|
A2
|
Y
|
67500 |
Inject/treat eye socket
|
$XXX.XX
|
P3
|
Y
|
67505 |
Inject/treat eye socket
|
$XXX.XX
|
P3
|
Y
|
67515 |
Inject/treat eye socket
|
$XXX.XX
|
P3
|
Y
|
67550 |
Insert eye socket implant
|
$XXX.XX
|
A2
|
Y
|
67560 |
Revise eye socket implant
|
$XXX.XX
|
A2
|
Y
|
67570 |
Decompress optic nerve
|
$XXX.XX
|
A2
|
Y
|
67700 |
Drainage of eyelid abscess
|
$XXX.XX
|
P2
|
Y
|
67710 |
Incision of eyelid
|
$XXX.XX
|
P3
|
Y
|
67715 |
Incision of eyelid fold
|
$XXX.XX
|
A2
|
Y
|
67800 |
Remove eyelid lesion
|
$XXX.XX
|
P3
|
Y
|
67801 |
Remove eyelid lesions
|
$XXX.XX
|
P3
|
Y
|
67805 |
Remove eyelid lesions
|
$XXX.XX
|
P3
|
Y
|
67808 |
Remove eyelid lesion(s)
|
$XXX.XX
|
A2
|
Y
|
67810 |
Biopsy eyelid & lid margin
|
$XXX.XX
|
P2
|
Y
|
67820 |
Revise eyelashes
|
$XXX.XX
|
N1
|
N
|
67825 |
Revise eyelashes
|
$XXX.XX
|
P3
|
Y
|
67830 |
Revise eyelashes
|
$XXX.XX
|
A2
|
Y
|
67835 |
Revise eyelashes
|
$XXX.XX
|
A2
|
Y
|
67840 |
Remove eyelid lesion
|
$XXX.XX
|
P3
|
Y
|
67850 |
Treat eyelid lesion
|
$XXX.XX
|
P3
|
Y
|
67875 |
Closure of eyelid by suture
|
$XXX.XX
|
G2
|
Y
|
67880 |
Revision of eyelid
|
$XXX.XX
|
A2
|
Y
|
67882 |
Revision of eyelid
|
$XXX.XX
|
A2
|
Y
|
67900 |
Repair brow defect
|
$XXX.XX
|
A2
|
Y
|
67901 |
Repair eyelid defect
|
$XXX.XX
|
A2
|
Y
|
67902 |
Repair eyelid defect
|
$XXX.XX
|
A2
|
Y
|
67903 |
Repair eyelid defect
|
$XXX.XX
|
A2
|
Y
|
67904 |
Repair eyelid defect
|
$XXX.XX
|
A2
|
Y
|
67906 |
Repair eyelid defect
|
$XXX.XX
|
A2
|
Y
|
67908 |
Repair eyelid defect
|
$XXX.XX
|
A2
|
Y
|
67909 |
Revise eyelid defect
|
$XXX.XX
|
A2
|
Y
|
67911 |
Revise eyelid defect
|
$XXX.XX
|
A2
|
Y
|
67912 |
Correction eyelid w/implant
|
$XXX.XX
|
A2
|
Y
|
67914 |
Repair eyelid defect
|
$XXX.XX
|
A2
|
Y
|
67915 |
Repair eyelid defect
|
$XXX.XX
|
P3
|
Y
|
67916 |
Repair eyelid defect
|
$XXX.XX
|
A2
|
Y
|
67917 |
Repair eyelid defect
|
$XXX.XX
|
A2
|
Y
|
67921 |
Repair eyelid defect
|
$XXX.XX
|
A2
|
Y
|
67922 |
Repair eyelid defect
|
$XXX.XX
|
P3
|
Y
|
67923 |
Repair eyelid defect
|
$XXX.XX
|
A2
|
Y
|
67924 |
Repair eyelid defect
|
$XXX.XX
|
A2
|
Y
|
67930 |
Repair eyelid wound
|
$XXX.XX
|
P3
|
Y
|
67935 |
Repair eyelid wound
|
$XXX.XX
|
A2
|
Y
|
67938 |
Remove eyelid foreign body
|
$XXX.XX
|
P2
|
Y
|
67950 |
Revision of eyelid
|
$XXX.XX
|
A2
|
Y
|
67961 |
Revision of eyelid
|
$XXX.XX
|
A2
|
Y
|
67966 |
Revision of eyelid
|
$XXX.XX
|
A2
|
Y
|
67971 |
Reconstruction of eyelid
|
$XXX.XX
|
A2
|
Y
|
67973 |
Reconstruction of eyelid
|
$XXX.XX
|
A2
|
Y
|
67974 |
Reconstruction of eyelid
|
$XXX.XX
|
A2
|
Y
|
67975 |
Reconstruction of eyelid
|
$XXX.XX
|
A2
|
Y
|
68020 |
Incise/drain eyelid lining
|
$XXX.XX
|
P3
|
Y
|
68040 |
Treatment of eyelid lesions
|
$XXX.XX
|
P3
|
Y
|
68100 |
Biopsy of eyelid lining
|
$XXX.XX
|
P3
|
Y
|
68110 |
Remove eyelid lining lesion
|
$XXX.XX
|
P3
|
Y
|
68115 |
Remove eyelid lining lesion
|
$XXX.XX
|
A2
|
Y
|
68130 |
Remove eyelid lining lesion
|
$XXX.XX
|
A2
|
Y
|
68135 |
Remove eyelid lining lesion
|
$XXX.XX
|
P3
|
Y
|
68200 |
Treat eyelid by injection
|
$XXX.XX
|
N1
|
N
|
68320 |
Revise/graft eyelid lining
|
$XXX.XX
|
A2
|
Y
|
68325 |
Revise/graft eyelid lining
|
$XXX.XX
|
A2
|
Y
|
68326 |
Revise/graft eyelid lining
|
$XXX.XX
|
A2
|
Y
|
68328 |
Revise/graft eyelid lining
|
$XXX.XX
|
A2
|
Y
|
68330 |
Revise eyelid lining
|
$XXX.XX
|
A2
|
Y
|
68335 |
Revise/graft eyelid lining
|
$XXX.XX
|
A2
|
Y
|
68340 |
Separate eyelid adhesions
|
$XXX.XX
|
A2
|
Y
|
68360 |
Revise eyelid lining
|
$XXX.XX
|
A2
|
Y
|
68362 |
Revise eyelid lining
|
$XXX.XX
|
A2
|
Y
|
68371 |
Harvest eye tissue alograft
|
$XXX.XX
|
A2
|
Y
|
68400 |
Incise/drain tear gland
|
$XXX.XX
|
P3
|
Y
|
68420 |
Incise/drain tear sac
|
$XXX.XX
|
P3
|
Y
|
68440 |
Incise tear duct opening
|
$XXX.XX
|
P3
|
Y
|
68500 |
Removal of tear gland
|
$XXX.XX
|
A2
|
Y
|
68505 |
Partial removal tear gland
|
$XXX.XX
|
A2
|
Y
|
68510 |
Biopsy of tear gland
|
$XXX.XX
|
A2
|
Y
|
68520 |
Removal of tear sac
|
$XXX.XX
|
A2
|
Y
|
68525 |
Biopsy of tear sac
|
$XXX.XX
|
A2
|
Y
|
68530 |
Clearance of tear duct
|
$XXX.XX
|
P2
|
Y
|
68540 |
Remove tear gland lesion
|
$XXX.XX
|
A2
|
Y
|
68550 |
Remove tear gland lesion
|
$XXX.XX
|
A2
|
Y
|
68700 |
Repair tear ducts
|
$XXX.XX
|
A2
|
Y
|
68705 |
Revise tear duct opening
|
$XXX.XX
|
P2
|
Y
|
68720 |
Create tear sac drain
|
$XXX.XX
|
A2
|
Y
|
68745 |
Create tear duct drain
|
$XXX.XX
|
A2
|
Y
|
68750 |
Create tear duct drain
|
$XXX.XX
|
A2
|
Y
|
68760 |
Close tear duct opening
|
$XXX.XX
|
P2
|
Y
|
68761 |
Close tear duct opening
|
$XXX.XX
|
P3
|
Y
|
68770 |
Close tear system fistula
|
$XXX.XX
|
A2
|
Y
|
68801 |
Dilate tear duct opening
|
$XXX.XX
|
N1
|
N
|
68810 |
Probe nasolacrimal duct
|
$XXX.XX
|
A2
|
Y
|
68811 |
Probe nasolacrimal duct
|
$XXX.XX
|
A2
|
Y
|
68815 |
Probe nasolacrimal duct
|
$XXX.XX
|
A2
|
Y
|
68816 |
Probe nl duct w/balloon
|
$XXX.XX
|
G2
|
Y
|
68840 |
Explore/irrigate tear ducts
|
$XXX.XX
|
P3
|
Y
|
68850 |
Injection for tear sac x-ray
|
$XXX.XX
|
N1
|
N
|
69000 |
Drain external ear lesion
|
$XXX.XX
|
P3
|
Y
|
69005 |
Drain external ear lesion
|
$XXX.XX
|
P3
|
Y
|
69020 |
Drain outer ear canal lesion
|
$XXX.XX
|
P3
|
Y
|
69100 |
Biopsy of external ear
|
$XXX.XX
|
P3
|
Y
|
69105 |
Biopsy of external ear canal
|
$XXX.XX
|
P3
|
Y
|
69110 |
Remove external ear partial
|
$XXX.XX
|
A2
|
Y
|
69120 |
Removal of external ear
|
$XXX.XX
|
A2
|
Y
|
69140 |
Remove ear canal lesion(s)
|
$XXX.XX
|
A2
|
Y
|
69145 |
Remove ear canal lesion(s)
|
$XXX.XX
|
A2
|
Y
|
69150 |
Extensive ear canal surgery
|
$XXX.XX
|
A2
|
Y
|
69200 |
Clear outer ear canal
|
$XXX.XX
|
N1
|
N
|
69205 |
Clear outer ear canal
|
$XXX.XX
|
A2
|
Y
|
69209 |
Remove impacted ear wax uni
|
$XXX.XX
|
N1
|
N
|
69210 |
Remove impacted ear wax uni
|
$XXX.XX
|
N1
|
N
|
69220 |
Clean out mastoid cavity
|
$XXX.XX
|
N1
|
N
|
69222 |
Clean out mastoid cavity
|
$XXX.XX
|
P3
|
Y
|
69300 |
Revise external ear
|
$XXX.XX
|
A2
|
Y
|
69310 |
Rebuild outer ear canal
|
$XXX.XX
|
A2
|
Y
|
69320 |
Rebuild outer ear canal
|
$XXX.XX
|
A2
|
Y
|
69420 |
Incision of eardrum
|
$XXX.XX
|
P2
|
Y
|
69421 |
Incision of eardrum
|
$XXX.XX
|
A2
|
Y
|
69424 |
Remove ventilating tube
|
$XXX.XX
|
P3
|
N
|
69433 |
Create eardrum opening
|
$XXX.XX
|
P3
|
Y
|
69436 |
Create eardrum opening
|
$XXX.XX
|
A2
|
Y
|
69440 |
Exploration of middle ear
|
$XXX.XX
|
A2
|
Y
|
69450 |
Eardrum revision
|
$XXX.XX
|
A2
|
Y
|
69501 |
Mastoidectomy
|
$XXX.XX
|
A2
|
Y
|
69502 |
Mastoidectomy
|
$XXX.XX
|
A2
|
Y
|
69505 |
Remove mastoid structures
|
$XXX.XX
|
A2
|
Y
|
69511 |
Extensive mastoid surgery
|
$XXX.XX
|
A2
|
Y
|
69530 |
Extensive mastoid surgery
|
$XXX.XX
|
A2
|
Y
|
69540 |
Remove ear lesion
|
$XXX.XX
|
P3
|
Y
|
69550 |
Remove ear lesion
|
$XXX.XX
|
A2
|
Y
|
69552 |
Remove ear lesion
|
$XXX.XX
|
A2
|
Y
|
69601 |
Mastoid surgery revision
|
$XXX.XX
|
A2
|
Y
|
69602 |
Mastoid surgery revision
|
$XXX.XX
|
A2
|
Y
|
69603 |
Mastoid surgery revision
|
$XXX.XX
|
A2
|
Y
|
69604 |
Mastoid surgery revision
|
$XXX.XX
|
A2
|
Y
|
69610 |
Repair of eardrum
|
$XXX.XX
|
P3
|
Y
|
69620 |
Repair of eardrum
|
$XXX.XX
|
A2
|
Y
|
69631 |
Repair eardrum structures
|
$XXX.XX
|
A2
|
Y
|
69632 |
Rebuild eardrum structures
|
$XXX.XX
|
A2
|
Y
|
69633 |
Rebuild eardrum structures
|
$XXX.XX
|
A2
|
Y
|
69635 |
Repair eardrum structures
|
$XXX.XX
|
A2
|
Y
|
69636 |
Rebuild eardrum structures
|
$XXX.XX
|
A2
|
Y
|
69637 |
Rebuild eardrum structures
|
$XXX.XX
|
A2
|
Y
|
69641 |
Revise middle ear & mastoid
|
$XXX.XX
|
A2
|
Y
|
69642 |
Revise middle ear & mastoid
|
$XXX.XX
|
A2
|
Y
|
69643 |
Revise middle ear & mastoid
|
$XXX.XX
|
A2
|
Y
|
69644 |
Revise middle ear & mastoid
|
$XXX.XX
|
A2
|
Y
|
69645 |
Revise middle ear & mastoid
|
$XXX.XX
|
A2
|
Y
|
69646 |
Revise middle ear & mastoid
|
$XXX.XX
|
A2
|
Y
|
69650 |
Release middle ear bone
|
$XXX.XX
|
A2
|
Y
|
69660 |
Revise middle ear bone
|
$XXX.XX
|
A2
|
Y
|
69661 |
Revise middle ear bone
|
$XXX.XX
|
A2
|
Y
|
69662 |
Revise middle ear bone
|
$XXX.XX
|
A2
|
Y
|
69666 |
Repair middle ear structures
|
$XXX.XX
|
A2
|
Y
|
69667 |
Repair middle ear structures
|
$XXX.XX
|
A2
|
Y
|
69670 |
Remove mastoid air cells
|
$XXX.XX
|
A2
|
Y
|
69676 |
Remove middle ear nerve
|
$XXX.XX
|
A2
|
Y
|
69700 |
Close mastoid fistula
|
$XXX.XX
|
A2
|
Y
|
69705 |
Nps surg dilat eust tube uni
|
$XXX.XX
|
J8
|
Y
|
69706 |
Nps surg dilat eust tube bi
|
$XXX.XX
|
J8
|
Y
|
69711 |
Remove/repair hearing aid
|
$XXX.XX
|
A2
|
Y
|
69714 |
Impl oi implt skull perq esp
|
$XXX.XX
|
J8
|
Y
|
69716 |
Impl oi implt sk tc esp<100
|
$XXX.XX
|
J8
|
Y
|
69717 |
Rplcmt oi implt skl prq esp
|
$XXX.XX
|
J8
|
Y
|
69719 |
Rplcm oi implt sk tc esp<100
|
$XXX.XX
|
J8
|
Y
|
69720 |
Release facial nerve
|
$XXX.XX
|
A2
|
Y
|
69726 |
Rmv ntr oi implt skl prq esp
|
$XXX.XX
|
G2
|
Y
|
69727 |
Rmv ntr oi imp sk tc esp<100
|
$XXX.XX
|
G2
|
Y
|
69728 |
Rmv ntr oi imp sktc esp>=100
|
$XXX.XX
|
G2
|
Y
|
69729 |
Impl oi implt sk tc esp>=100
|
$XXX.XX
|
J8
|
Y
|
69730 |
Rplc oi implt sk tc esp>=100
|
$XXX.XX
|
J8
|
Y
|
69740 |
Repair facial nerve
|
$XXX.XX
|
A2
|
Y
|
69745 |
Repair facial nerve
|
$XXX.XX
|
A2
|
Y
|
69801 |
Incise inner ear
|
$XXX.XX
|
P3
|
Y
|
69805 |
Explore inner ear
|
$XXX.XX
|
A2
|
Y
|
69806 |
Explore inner ear
|
$XXX.XX
|
A2
|
Y
|
69905 |
Remove inner ear
|
$XXX.XX
|
A2
|
Y
|
69910 |
Remove inner ear & mastoid
|
$XXX.XX
|
A2
|
Y
|
69915 |
Incise inner ear nerve
|
$XXX.XX
|
A2
|
Y
|
69930 |
Implant cochlear device
|
$XXX.XX
|
J8
|
Y
|
69990 |
Microsurgery add-on
|
$XXX.XX
|
N1
|
N
|
92920 |
Prq cardiac angioplast 1 art
|
$XXX.XX
|
J8
|
Y
|
92921 |
Prq cardiac angio addl art
|
$XXX.XX
|
N1
|
N
|
92928 |
Prq card stent w/angio 1 vsl
|
$XXX.XX
|
J8
|
Y
|
92929 |
Prq card stent w/angio addl
|
$XXX.XX
|
N1
|
N
|
92978 |
Endoluminl ivus oct c 1st
|
$XXX.XX
|
N1
|
N
|
93451 |
Right heart cath
|
$XXX.XX
|
G2
|
Y
|
93452 |
Left hrt cath w/ventrclgrphy
|
$XXX.XX
|
G2
|
Y
|
93453 |
R&l hrt cath w/ventriclgrphy
|
$XXX.XX
|
G2
|
Y
|
93454 |
Coronary artery angio s&i
|
$XXX.XX
|
G2
|
Y
|
93455 |
Coronary art/grft angio s&i
|
$XXX.XX
|
G2
|
Y
|
93456 |
R hrt coronary artery angio
|
$XXX.XX
|
G2
|
Y
|
93457 |
R hrt art/grft angio
|
$XXX.XX
|
G2
|
Y
|
93458 |
L hrt artery/ventricle angio
|
$XXX.XX
|
G2
|
Y
|
93459 |
L hrt art/grft angio
|
$XXX.XX
|
G2
|
Y
|
93460 |
R&l hrt art/ventricle angio
|
$XXX.XX
|
G2
|
Y
|
93461 |
R&l hrt art/ventricle angio
|
$XXX.XX
|
G2
|
Y
|
93462 |
L hrt cath trnsptl puncture
|
$XXX.XX
|
N1
|
N
|
93463 |
Drug admin & hemodynmic meas
|
$XXX.XX
|
N1
|
N
|
93566 |
Njx car cth slctv rv/ra ang
|
$XXX.XX
|
N1
|
N
|
93567 |
Njx car cth sprvlv aortgrphy
|
$XXX.XX
|
N1
|
N
|
93568 |
Njx car cth nslc p-art angrp
|
$XXX.XX
|
N1
|
N
|
93571 |
Heart flow reserve measure
|
$XXX.XX
|
N1
|
N
|
93572 |
Heart flow reserve measure
|
$XXX.XX
|
N1
|
N
|
93985 |
Dup-scan hemo compl bi std
|
$XXX.XX
|
P2
|
N
|
93986 |
Dup-scan hemo compl uni std
|
$XXX.XX
|
P2
|
N
|
C5271 |
Low cost skin substitute app
|
$XXX.XX
|
G2
|
Y
|
C5272 |
Low cost skin substitute app
|
$XXX.XX
|
N1
|
N
|
C5273 |
Low cost skin substitute app
|
$XXX.XX
|
G2
|
Y
|
C5274 |
Low cost skin substitute app
|
$XXX.XX
|
N1
|
N
|
C5275 |
Low cost skin substitute app
|
$XXX.XX
|
G2
|
Y
|
C5276 |
Low cost skin substitute app
|
$XXX.XX
|
N1
|
N
|
C5277 |
Low cost skin substitute app
|
$XXX.XX
|
G2
|
Y
|
C5278 |
Low cost skin substitute app
|
$XXX.XX
|
N1
|
N
|
C7500 |
Deb bone 20 cm2 w/drug dev
|
$XXX.XX
|
G2
|
Y
|
C7501 |
Perc bx breast lesions stero
|
$XXX.XX
|
G2
|
Y
|
C7502 |
Perc bx breast lesions MR
|
$XXX.XX
|
G2
|
Y
|
C7503 |
Open exc cerv node(s) w/ id
|
$XXX.XX
|
G2
|
Y
|
C7504 |
Perq cvt&ls inj vert bodies
|
$XXX.XX
|
G2
|
Y
|
C7505 |
Perq ls&cvt inj vert bodies
|
$XXX.XX
|
G2
|
Y
|
C7506 |
Fusion of finger joints
|
$XXX.XX
|
G2
|
Y
|
C7507 |
Perq thor&lumb vert aug
|
$XXX.XX
|
G2
|
Y
|
C7508 |
Perq lumb&thor vert aug
|
$XXX.XX
|
G2
|
Y
|
C7509 |
Dx bronch w/ navigation
|
$XXX.XX
|
G2
|
Y
|
C7510 |
Bronch/lavag w/ navigation
|
$XXX.XX
|
G2
|
Y
|
C7511 |
Bronch/bpsy(s) w/ navigation
|
$XXX.XX
|
G2
|
Y
|
C7512 |
Bronch/bpsy(s) w/ ebus
|
$XXX.XX
|
G2
|
Y
|
C7513 |
Cath/angio dialcir w/aplasty
|
$XXX.XX
|
R2
|
Y
|
C7514 |
Cath/angio dial cir w/stents
|
$XXX.XX
|
R2
|
Y
|
C7515 |
Cath/angio dial cir w/embol
|
$XXX.XX
|
R2
|
Y
|
C7516 |
Cor angio w/ ivus or oct
|
$XXX.XX
|
G2
|
Y
|
C7517 |
Cor angio w/ilic/fem angio
|
$XXX.XX
|
G2
|
Y
|
C7518 |
Cor/gft angio w/ ivus or oct
|
$XXX.XX
|
G2
|
Y
|
C7519 |
Cor/gft angio w/ flow resrv
|
$XXX.XX
|
G2
|
Y
|
C7520 |
Cor/gft angio w/ilic/fem ang
|
$XXX.XX
|
G2
|
Y
|
C7521 |
R hrt angio w/ ivus or oct
|
$XXX.XX
|
G2
|
Y
|
C7522 |
R hrt angio w/flow resrv
|
$XXX.XX
|
G2
|
Y
|
C7523 |
L hrt angio w/ ivus or oct
|
$XXX.XX
|
G2
|
Y
|
C7524 |
L hrt angio w/flow resrv
|
$XXX.XX
|
G2
|
Y
|
C7525 |
L hrt gft ang w/ ivus or oct
|
$XXX.XX
|
G2
|
Y
|
C7526 |
L hrt gft ang w/flow resrv
|
$XXX.XX
|
G2
|
Y
|
C7527 |
R&L hrt angio w/ ivus or oct
|
$XXX.XX
|
G2
|
Y
|
C7528 |
R&L hrt angio w/flow resrv
|
$XXX.XX
|
G2
|
Y
|
C7529 |
R&L hrt gft ang w/flow resrv
|
$XXX.XX
|
G2
|
Y
|
C7530 |
Cath/aplasty dial cir w/stnt
|
$XXX.XX
|
G2
|
Y
|
C7531 |
Angio fem/pop w/ us
|
$XXX.XX
|
J8
|
Y
|
C7532 |
Angio w/ us non-coronary
|
$XXX.XX
|
J8
|
Y
|
C7533 |
PTCA w/ plcmt brachytx dev
|
$XXX.XX
|
J8
|
Y
|
C7534 |
Fem/pop revasc w/arthr & us
|
$XXX.XX
|
J8
|
Y
|
C7535 |
Fem/pop revasc w/stent & us
|
$XXX.XX
|
J8
|
Y
|
C7537 |
Insrt atril pm w/L vent lead
|
$XXX.XX
|
J8
|
Y
|
C7538 |
Insrt vent pm w/L vent lead
|
$XXX.XX
|
J8
|
Y
|
C7539 |
Insrt a & v pm w/L vent lead
|
$XXX.XX
|
J8
|
Y
|
C7540 |
Rmv&rplc pm dul w/L vnt lead
|
$XXX.XX
|
J8
|
Y
|
C7541 |
ERCP w/ pancreatoscopy
|
$XXX.XX
|
G2
|
Y
|
C7542 |
ERCP w/bx & pancreatoscopy
|
$XXX.XX
|
G2
|
Y
|
C7543 |
ERCP w/otomy, pancreatoscopy
|
$XXX.XX
|
G2
|
Y
|
C7544 |
ERCP rmv calc pancreatoscopy
|
$XXX.XX
|
G2
|
Y
|
C7545 |
Exch bil cath w/ rmv calculi
|
$XXX.XX
|
G2
|
Y
|
C7546 |
Rep nph/urt cath w/dil stric
|
$XXX.XX
|
G2
|
Y
|
C7547 |
Cnvrt neph cath w/ dil stric
|
$XXX.XX
|
J8
|
Y
|
C7548 |
Exch neph cath w/ dil stric
|
$XXX.XX
|
G2
|
Y
|
C7549 |
Chge urtr stent w/ dil stric
|
$XXX.XX
|
G2
|
Y
|
C7550 |
Cysto w/ bx(s) w/ blue light
|
$XXX.XX
|
G2
|
Y
|
C7551 |
Exc neuroma w/ implnt nv end
|
$XXX.XX
|
G2
|
Y
|
C7552 |
R hrt art/grft ang hrt flow
|
$XXX.XX
|
G2
|
Y
|
C7553 |
R&l hrt art/vent ang drg ad
|
$XXX.XX
|
G2
|
Y
|
C7554 |
Cystureth blu li cyst fl img
|
$XXX.XX
|
G2
|
Y
|
C7555 |
Rmvl thyrd w/autotran parath
|
$XXX.XX
|
G2
|
Y
|
C9600 |
Perc drug-el cor stent sing
|
$XXX.XX
|
J8
|
Y
|
C9601 |
Perc drug-el cor stent bran
|
$XXX.XX
|
N1
|
N
|
C9725 |
Place endorectal app
|
$XXX.XX
|
G2
|
Y
|
C9726 |
Rxt breast appl place/remov
|
$XXX.XX
|
N1
|
N
|
C9727 |
Insert palate implants
|
$XXX.XX
|
G2
|
Y
|
C9728 |
Place device/marker, non pro
|
$XXX.XX
|
J8
|
N
|
C9739 |
Cystoscopy prostatic imp 1-3
|
$XXX.XX
|
J8
|
Y
|
C9740 |
Cysto impl 4 or more
|
$XXX.XX
|
J8
|
Y
|
C9757 |
Spine/lumbar disk surgery
|
$XXX.XX
|
J8
|
Y
|
C9759 |
Transcath intraop microinf
|
$XXX.XX
|
N1
|
N
|
C9761 |
Cysto, litho, vacuum kidney
|
$XXX.XX
|
G2
|
Y
|
C9764 |
Revasc intravasc lithotripsy
|
$XXX.XX
|
J8
|
Y
|
C9765 |
Revasc intra lithotrip-stent
|
$XXX.XX
|
J8
|
Y
|
C9766 |
Revasc intra lithotrip-ather
|
$XXX.XX
|
J8
|
Y
|
C9767 |
Revasc lithotrip-stent-ather
|
$XXX.XX
|
J8
|
Y
|
C9769 |
Cysto w/temp pros implant
|
$XXX.XX
|
J8
|
Y
|
C9770 |
Vitrec/mech pars, subret inj
|
$XXX.XX
|
G2
|
Y
|
C9771 |
Nsl/sins cryo post nasal tis
|
$XXX.XX
|
J8
|
Y
|
C9772 |
Revasc lithotrip tibi/perone
|
$XXX.XX
|
J8
|
Y
|
C9773 |
Revasc lithotr-stent tib/per
|
$XXX.XX
|
J8
|
Y
|
C9774 |
Revasc lithotr-ather tib/per
|
$XXX.XX
|
J8
|
Y
|
C9775 |
Revasc lith-sten-ath tib/per
|
$XXX.XX
|
J8
|
Y
|
C9777 |
Esophag muc integ w/eso egd
|
$XXX.XX
|
J8
|
Y
|
C9778 |
Colpopexy, min/inv, ex-perit
|
$XXX.XX
|
J8
|
Y
|
C9781 |
Arthro/shoul surg; w/spacer
|
$XXX.XX
|
J8
|
Y
|
G0104 |
Ca screen;flexi sigmoidscope
|
$XXX.XX
|
P3
|
Y
|
G0105 |
Colorectal scrn; hi risk ind
|
$XXX.XX
|
A2
|
Y
|
G0121 |
Colon ca scrn not hi rsk ind
|
$XXX.XX
|
A2
|
Y
|
G0186 |
Dstry eye lesn,fdr vssl tech
|
$XXX.XX
|
R2
|
Y
|
G0260 |
Inj for sacroiliac jt anesth
|
$XXX.XX
|
A2
|
Y
|
G0276 |
Pild/placebo control clin tr
|
$XXX.XX
|
G2
|
Y
|
G0278 |
Iliac art angio,cardiac cath
|
$XXX.XX
|
N1
|
N
|
G0429 |
Dermal filler injection(s)
|
$XXX.XX
|
P3
|
Y
|
G0516 |
Insert drug del implant, >=4
|
$XXX.XX
|
N1
|
N
|
G0517 |
Remove drug implant
|
$XXX.XX
|
N1
|
N
|
G0518 |
Remove w insert drug implant
|
$XXX.XX
|
N1
|
N
|