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PLA Codes

Laboratory Fee Schedule

2019
2018

Physician Fee Schedule

2019
2018

OPPS Fee Schedule

2019-July
2019-April

ASC Fee Schedule

2019-July
2019-April

APC Codes

2019-July
2019-April

DRG Codes

2019
2018

ASP Drug Pricing Files

July 2019
April 2019


CMS Transmittals



--

2019 Outpatient Prospective Payment System (OPPS)
July 2019 Addendum B


2019 Wage Index Adjustment for OPPS Payments Zip Code:

Procedure
Short Descriptor
Unadjusted 2019 OPPS Fee
Schedule
Status Indicator
APC
0058T
Cryopreservation ovary tiss
$XXX.XX
Q1
5672
0071T
Us leiomyomata ablate <200
$XXX.XX
J1
5414
0072T
Us leiomyomata ablate >200
$XXX.XX
J1
5414
0100T
Prosth retina receive&gen
$XXX.XX
T
1908
0101T
Extracorp shockwv tx hi enrg
$XXX.XX
J1
5113
0102T
Extracorp shockwv tx anesth
$XXX.XX
J1
5113
0106T
Touch quant sensory test
$XXX.XX
Q1
5732
0107T
Vibrate quant sensory test
$XXX.XX
Q1
5732
0108T
Cool quant sensory test
$XXX.XX
Q1
5733
0109T
Heat quant sensory test
$XXX.XX
Q1
5732
0110T
Nos quant sensory test
$XXX.XX
Q1
5734
0126T
Chd risk imt study
$XXX.XX
Q1
5732
0184T
Exc rectal tumor endoscopic
$XXX.XX
J1
5331
0191T
Insert ant segment drain int
$XXX.XX
J1
5492
0198T
Ocular blood flow measure
$XXX.XX
Q1
5734
0200T
Perq sacral augmt unilat inj
$XXX.XX
J1
5114
0201T
Perq sacral augmt bilat inj
$XXX.XX
J1
5114
0206T
Cptr dbs alys car elec dta
$XXX.XX
Q1
5733
0207T
Clear eyelid gland w/heat
$XXX.XX
Q1
5733
0208T
Audiometry air only
$XXX.XX
Q1
5732
0209T
Audiometry air & bone
$XXX.XX
Q1
5732
0210T
Speech audiometry threshold
$XXX.XX
Q1
5732
0211T
Speech audiom thresh & recog
$XXX.XX
Q1
5732
0212T
Compre audiometry evaluation
$XXX.XX
Q1
5721
0213T
Njx paravert w/us cer/thor
$XXX.XX
T
5443
0216T
Njx paravert w/us lumb/sac
$XXX.XX
T
5443
0221T
Plmt post facet implt lumb
$XXX.XX
J1
5114
0228T
Njx tfrml eprl w/us cer/thor
$XXX.XX
T
5443
0230T
Njx tfrml eprl w/us lumb/sac
$XXX.XX
T
5443
0232T
Njx platelet plasma
$XXX.XX
Q1
5735
0234T
Trluml perip athrc renal art
$XXX.XX
J1
5193
0236T
Trluml perip athrc abd aorta
$XXX.XX
J1
5193
0237T
Trluml perip athrc brchiocph
$XXX.XX
J1
5193
0238T
Trluml perip athrc iliac art
$XXX.XX
J1
5194
0249T
Ligation hemorrhoid w/us
$XXX.XX
J1
5313
0253T
Insert aqueous drain device
$XXX.XX
J1
5492
0263T
Im b1 mrw cel ther cmpl
$XXX.XX
S
5243
0264T
Im b1 mrw cel ther xcl hrvst
$XXX.XX
S
5243
0265T
Im b1 mrw cel ther hrvst onl
$XXX.XX
S
5243
0266T
Implt/rpl crtd sns dev total
$XXX.XX
J1
5463
0267T
Implt/rpl crtd sns dev lead
$XXX.XX
T
5461
0268T
Implt/rpl crtd sns dev gen
$XXX.XX
J1
5463
0269T
Rev/remvl crtd sns dev total
$XXX.XX
Q2
5432
0270T
Rev/remvl crtd sns dev lead
$XXX.XX
Q2
5461
0271T
Rev/remvl crtd sns dev gen
$XXX.XX
Q2
5461
0272T
Interrogate crtd sns dev
$XXX.XX
S
5721
0273T
Interrogate crtd sns w/pgrmg
$XXX.XX
S
5721
0274T
Perq lamot/lam crv/thrc
$XXX.XX
J1
5114
0275T
Perq lamot/lam lumbar
$XXX.XX
J1
5114
0278T
Tempr
$XXX.XX
Q1
5721
0296T
Ext ecg recording
$XXX.XX
Q1
5734
0297T
Ext ecg scan w/report
$XXX.XX
Q1
5734
0308T
Insj ocular telescope prosth
$XXX.XX
J1
5494
0312T
Laps impltj nstim vagus
$XXX.XX
J1
5464
0313T
Laps rmvl nstim array vagus
$XXX.XX
T
5461
0314T
Laps rmvl vgl arry&pls gen
$XXX.XX
Q2
5461
0315T
Rmvl vagus nerve pls gen
$XXX.XX
Q2
5461
0316T
Replc vagus nerve pls gen
$XXX.XX
J1
5463
0317T
Elec alys vagus nrv pls gen
$XXX.XX
Q1
5741
0330T
Tear film img uni/bi w/i&r
$XXX.XX
Q1
5732
0331T
Heart symp image plnr
$XXX.XX
S
5593
0332T
Heart symp image plnr spect
$XXX.XX
S
5593
0335T
Insj sinus tarsi implant
$XXX.XX
J1
5114
0338T
Trnscth renal symp denrv unl
$XXX.XX
J1
5192
0339T
Trnscth renal symp denrv bil
$XXX.XX
J1
5192
0342T
Thxp apheresis w/hdl delip
$XXX.XX
S
5243
0347T
Ins bone device for rsa
$XXX.XX
Q1
5733
0348T
Rsa spine exam
$XXX.XX
Q1
5522
0349T
Rsa upper extr exam
$XXX.XX
Q1
5522
0350T
Rsa lower extr exam
$XXX.XX
Q1
5521
0355T
Gi tract capsule endoscopy
$XXX.XX
J1
5302
0356T
Insrt drug device for iop
$XXX.XX
Q1
5733
0357T
Cryopreservation oocyte(s)
$XXX.XX
Q1
5672
0358T
Bia whole body
$XXX.XX
Q1
5732
0362T
Bhv id suprt assmt ea 15 min
$XXX.XX
Q3
5821
0373T
Adapt bhv tx ea 15 min
$XXX.XX
Q3
5821
0377T
Anoscpy inj agent for incont
$XXX.XX
J1
5313
0379T
Vis field assmnt tech suppt
$XXX.XX
Q1
5732
0380T
Comp animat ret imag series
$XXX.XX
Q1
5732
0394T
Hdr elctrnc skn surf brchytx
$XXX.XX
S
5622
0395T
Hdr elctr ntrst/ntrcv brchtx
$XXX.XX
S
5624
0398T
Mrgfus strtctc les abltj
$XXX.XX
S
1575
0402T
Collagen crosslinking cornea
$XXX.XX
J1
5503
0404T
Trnscrv uterin fibroid abltj
$XXX.XX
J1
5416
0408T
Insj/rplc cardiac modulj sys
$XXX.XX
J1
5231
0409T
Insj/rplc car modulj pls gn
$XXX.XX
J1
5231
0410T
Insj/rplc car modulj atr elt
$XXX.XX
J1
5222
0411T
Insj/rplc car modulj vnt elt
$XXX.XX
J1
5222
0412T
Rmvl cardiac modulj pls gen
$XXX.XX
Q2
5221
0413T
Rmvl car modulj tranvns elt
$XXX.XX
Q2
5221
0414T
Rmvl & rpl car modulj pls gn
$XXX.XX
J1
5231
0415T
Repos car modulj tranvns elt
$XXX.XX
T
5181
0416T
Reloc skin pocket pls gen
$XXX.XX
T
5054
0417T
Prgrmg eval cardiac modulj
$XXX.XX
Q1
5741
0418T
Interro eval cardiac modulj
$XXX.XX
Q1
5741
0419T
Dstrj neurofibroma xtnsv
$XXX.XX
T
5053
0420T
Dstrj neurofibroma xtnsv
$XXX.XX
T
5053
0421T
Waterjet prostate abltj cmpl
$XXX.XX
J1
5375
0422T
Tactile breast img uni/bi
$XXX.XX
Q1
5521
0424T
Insj/rplc nstim apnea compl
$XXX.XX
J1
5464
0425T
Insj/rplc nstim apnea sen ld
$XXX.XX
J1
5462
0426T
Insj/rplc nstim apnea stm ld
$XXX.XX
J1
5463
0427T
Insj/rplc nstim apnea pls gn
$XXX.XX
J1
5463
0428T
Rmvl nstim apnea pls gen
$XXX.XX
Q2
5461
0429T
Rmvl nstim apnea sen ld
$XXX.XX
Q2
5461
0430T
Rmvl nstim apnea stimj ld
$XXX.XX
Q2
5461
0431T
Rmvl/rplc nstim apnea pls gn
$XXX.XX
J1
5463
0432T
Repos nstim apnea stimj ld
$XXX.XX
T
5461
0433T
Repos nstim apnea sensing ld
$XXX.XX
T
5461
0434T
Interro eval npgs apnea
$XXX.XX
S
5742
0435T
Prgrmg eval npgs apnea 1 ses
$XXX.XX
S
5742
0436T
Prgrmg eval npgs apnea study
$XXX.XX
S
5724
0440T
Abltj perc uxtr/perph nrv
$XXX.XX
J1
5432
0441T
Abltj perc lxtr/perph nrv
$XXX.XX
J1
5432
0442T
Abltj perc plex/trncl nrv
$XXX.XX
J1
5432
0446T
Insj impltbl glucose sensor
$XXX.XX
T
5053
0447T
Rmvl impltbl glucose sensor
$XXX.XX
Q2
5051
0448T
Remvl insj impltbl gluc sens
$XXX.XX
T
5053
0449T
Insj aqueous drain dev 1st
$XXX.XX
J1
5492
0453T
Insj/rplcmt mech-elec ntrfce
$XXX.XX
J1
5222
0454T
Insj/rplcmt subq electrode
$XXX.XX
J1
5222
0457T
Remvl mech-elec skin ntrfce
$XXX.XX
Q2
5221
0458T
Remvl subq electrode
$XXX.XX
Q2
5221
0460T
Repos aortic ventr dev eltrd
$XXX.XX
T
5221
0462T
Prgrmg eval aortic ventr sys
$XXX.XX
S
5743
0463T
Interrog aortic ventr sys
$XXX.XX
S
5743
0464T
Visual ep test for glaucoma
$XXX.XX
S
5721
0465T
Supchrdl njx rx w/o supply
$XXX.XX
T
5694
0467T
Revj/rplmnt ch respir eltrd
$XXX.XX
Q2
5461
0468T
Rmvl ch wal respir eltrd/ra
$XXX.XX
Q2
5461
0472T
Prgrmg io rta eltrd ra
$XXX.XX
Q1
5743
0473T
Reprgrmg io rta eltrd ra
$XXX.XX
Q1
5742
0476T
Rec ftl car sgl elec tr data
$XXX.XX
Q1
5734
0477T
Rec ftl car sgl xrtj alys
$XXX.XX
Q1
5734
0479T
Fxjl abl lsr 1st 100 sq cm
$XXX.XX
T
5052
0481T
Njx autol wbc concentrate
$XXX.XX
Q1
5735
0485T
Oct mid ear i&r unilateral
$XXX.XX
Q1
5732
0486T
Oct mid ear i&r bilateral
$XXX.XX
Q1
5732
0487T
Trvg biomchn mapg w/reprt
$XXX.XX
Q1
5734
0491T
Abl lsr opn wnd 1st 20 sqcm
$XXX.XX
T
5052
0497T
Xtrnl pt act ecg in-off conn
$XXX.XX
Q1
5741
0499T
Cysto f/urtl strix/stenosis
$XXX.XX
J1
5373
0503T
Cor ffr alys gnrj ffr mdl
$XXX.XX
S
1516
0505T
Ev fempop artl revsc
$XXX.XX
J1
5193
0506T
Mac pgmt opt dns meas hfp
$XXX.XX
Q1
5733
0507T
Near ifr 2img mibmn glnd i&r
$XXX.XX
Q1
5733
0508T
Pls echo us b1 dns meas tib
$XXX.XX
S
5522
0509T
Pattern erg w/i&r
$XXX.XX
S
5721
0510T
Rmvl sinus tarsi implant
$XXX.XX
Q2
5113
0511T
Rmvl&rinsj sinus tarsi implt
$XXX.XX
J1
5114
0512T
Esw integ wnd hlg 1st wnd
$XXX.XX
S
5052
0515T
Insj wcs lv compl sys
$XXX.XX
J1
5231
0516T
Insj wcs lv eltrd only
$XXX.XX
J1
5222
0517T
Insj wcs lv pg compnt
$XXX.XX
J1
5222
0518T
Rmvl pg compnt wcs
$XXX.XX
T
5221
0519T
Rmvl & rplcmt pg compnt wcs
$XXX.XX
T
5221
0520T
Rmvl&rplcmt pg wcs new eltrd
$XXX.XX
J1
5231
0521T
Interrog dev eval wcs ip
$XXX.XX
Q1
5731
0522T
Prgrmg dev eval wcs ip
$XXX.XX
Q1
5741
0524T
Ev cath dir chem abltj w/img
$XXX.XX
T
5183
0525T
Insj/rplcmt compl iims
$XXX.XX
J1
5223
0526T
Insj/rplcmt iims eltrd only
$XXX.XX
J1
5222
0527T
Insj/rplcmt iims implt mntr
$XXX.XX
J1
5222
0528T
Prgrmg dev eval iims ip
$XXX.XX
Q1
5741
0529T
Interrog dev eval iims ip
$XXX.XX
Q1
5741
0530T
Removal complete iims
$XXX.XX
Q2
5221
0531T
Removal iims electrode only
$XXX.XX
Q2
5221
0532T
Removal iims implt mntr only
$XXX.XX
Q2
5221
0534T
Cont rec mvmt do setup&train
$XXX.XX
Q1
5741
0535T
Cont rec mvmt do reprt cnfig
$XXX.XX
Q1
5741
0540T
Car-t cll admn autologous
$XXX.XX
S
5694
0541T
Myocardial imaging mcg
$XXX.XX
S
5722
0548T
Tprnl balo cntnc dev bi
$XXX.XX
J1
5377
0549T
Tprnl balo cntnc dev uni
$XXX.XX
J1
5375
0550T
Tprnl balo cntnc dev rmvl ea
$XXX.XX
J1
5374
0551T
Tprnl balo cntnc dev adjmt
$XXX.XX
T
5371
0555T
B1 str&fx rsk transmis data
$XXX.XX
S
5731
0556T
B1 str & fx rsk assessment
$XXX.XX
S
5523
0558T
Ct scan f/biomchn ct alys
$XXX.XX
S
5521
0559T
Antmc mdl 3d print 1st cmpnt
$XXX.XX
Q1
5733
0561T
Antmc guide 3d print 1st gd
$XXX.XX
Q1
5733
10005
Fna bx w/us gdn 1st les
$XXX.XX
T
5071
10007
Fna bx w/fluor gdn 1st les
$XXX.XX
T
5071
10009
Fna bx w/ct gdn 1st les
$XXX.XX
T
5071
10011
Fna bx w/mr gdn 1st les
$XXX.XX
T
5071
10021
Fna bx w/o img gdn 1st les
$XXX.XX
T
5052
10030
Guide cathet fluid drainage
$XXX.XX
T
5071
10035
Perq dev soft tiss 1st imag
$XXX.XX
T
5071
10040
Acne surgery
$XXX.XX
Q1
5051
10060
Drainage of skin abscess
$XXX.XX
T
5051
10061
Drainage of skin abscess
$XXX.XX
T
5052
10080
Drainage of pilonidal cyst
$XXX.XX
T
5071
10081
Drainage of pilonidal cyst
$XXX.XX
T
5071
10120
Remove foreign body
$XXX.XX
T
5052
10121
Remove foreign body
$XXX.XX
J1
5072
10140
Drainage of hematoma/fluid
$XXX.XX
J1
5072
10160
Puncture drainage of lesion
$XXX.XX
T
5052
10180
Complex drainage wound
$XXX.XX
J1
5073
11000
Debride infected skin
$XXX.XX
T
5053
11010
Debride skin at fx site
$XXX.XX
T
5071
11011
Debride skin musc at fx site
$XXX.XX
T
5071
11012
Deb skin bone at fx site
$XXX.XX
J1
5073
11042
Deb subq tissue 20 sq cm/<
$XXX.XX
T
5052
11043
Deb musc/fascia 20 sq cm/<
$XXX.XX
T
5053
11044
Deb bone 20 sq cm/<
$XXX.XX
J1
5072
11055
Trim skin lesion
$XXX.XX
Q1
5051
11056
Trim skin lesions 2 to 4
$XXX.XX
Q1
5051
11057
Trim skin lesions over 4
$XXX.XX
T
5051
11102
Tangntl bx skin single les
$XXX.XX
T
5051
11104
Punch bx skin single lesion
$XXX.XX
T
5051
11106
Incal bx skn single les
$XXX.XX
T
5052
11200
Removal of skin tags
$XXX.XX
Q1
5051
11300
Shave skin lesion 0.5 cm/<
$XXX.XX
Q1
5051
11301
Shave skin lesion 0.6-1.0 cm
$XXX.XX
Q1
5051
11302
Shave skin lesion 1.1-2.0 cm
$XXX.XX
Q1
5051
11303
Shave skin lesion >2.0 cm
$XXX.XX
Q1
5052
11305
Shave skin lesion 0.5 cm/<
$XXX.XX
Q1
5051
11306
Shave skin lesion 0.6-1.0 cm
$XXX.XX
Q1
5051
11307
Shave skin lesion 1.1-2.0 cm
$XXX.XX
T
5051
11308
Shave skin lesion >2.0 cm
$XXX.XX
Q1
5052
11310
Shave skin lesion 0.5 cm/<
$XXX.XX
T
5051
11311
Shave skin lesion 0.6-1.0 cm
$XXX.XX
T
5051
11312
Shave skin lesion 1.1-2.0 cm
$XXX.XX
T
5052
11313
Shave skin lesion >2.0 cm
$XXX.XX
T
5052
11400
Exc tr-ext b9+marg 0.5 cm<
$XXX.XX
T
5071
11401
Exc tr-ext b9+marg 0.6-1 cm
$XXX.XX
T
5052
11402
Exc tr-ext b9+marg 1.1-2 cm
$XXX.XX
T
5071
11403
Exc tr-ext b9+marg 2.1-3cm
$XXX.XX
T
5071
11404
Exc tr-ext b9+marg 3.1-4 cm
$XXX.XX
J1
5072
11406
Exc tr-ext b9+marg >4.0 cm
$XXX.XX
J1
5072
11420
Exc h-f-nk-sp b9+marg 0.5/<
$XXX.XX
J1
5072
11421
Exc h-f-nk-sp b9+marg 0.6-1
$XXX.XX
T
5071
11422
Exc h-f-nk-sp b9+marg 1.1-2
$XXX.XX
J1
5072
11423
Exc h-f-nk-sp b9+marg 2.1-3
$XXX.XX
J1
5072
11424
Exc h-f-nk-sp b9+marg 3.1-4
$XXX.XX
J1
5072
11426
Exc h-f-nk-sp b9+marg >4 cm
$XXX.XX
J1
5073
11440
Exc face-mm b9+marg 0.5 cm/<
$XXX.XX
T
5071
11441
Exc face-mm b9+marg 0.6-1 cm
$XXX.XX
T
5071
11442
Exc face-mm b9+marg 1.1-2 cm
$XXX.XX
T
5071
11443
Exc face-mm b9+marg 2.1-3 cm
$XXX.XX
J1
5072
11444
Exc face-mm b9+marg 3.1-4 cm
$XXX.XX
J1
5072
11446
Exc face-mm b9+marg >4 cm
$XXX.XX
J1
5073
11450
Removal sweat gland lesion
$XXX.XX
J1
5073
11451
Removal sweat gland lesion
$XXX.XX
J1
5073
11462
Removal sweat gland lesion
$XXX.XX
J1
5073
11463
Removal sweat gland lesion
$XXX.XX
J1
5073
11470
Removal sweat gland lesion
$XXX.XX
J1
5073
11471
Removal sweat gland lesion
$XXX.XX
J1
5073
11600
Exc tr-ext mal+marg 0.5 cm/<
$XXX.XX
T
5071
11601
Exc tr-ext mal+marg 0.6-1 cm
$XXX.XX
T
5071
11602
Exc tr-ext mal+marg 1.1-2 cm
$XXX.XX
T
5052
11603
Exc tr-ext mal+marg 2.1-3 cm
$XXX.XX
T
5071
11604
Exc tr-ext mal+marg 3.1-4 cm
$XXX.XX
T
5071
11606
Exc tr-ext mal+marg >4 cm
$XXX.XX
J1
5072
11620
Exc h-f-nk-sp mal+marg 0.5/<
$XXX.XX
J1
5072
11621
Exc s/n/h/f/g mal+mrg 0.6-1
$XXX.XX
T
5071
11622
Exc s/n/h/f/g mal+mrg 1.1-2
$XXX.XX
T
5071
11623
Exc s/n/h/f/g mal+mrg 2.1-3
$XXX.XX
J1
5072
11624
Exc s/n/h/f/g mal+mrg 3.1-4
$XXX.XX
J1
5072
11626
Exc s/n/h/f/g mal+mrg >4 cm
$XXX.XX
J1
5073
11640
Exc f/e/e/n/l mal+mrg 0.5cm<
$XXX.XX
T
5071
11641
Exc f/e/e/n/l mal+mrg 0.6-1
$XXX.XX
T
5071
11642
Exc f/e/e/n/l mal+mrg 1.1-2
$XXX.XX
T
5071
11643
Exc f/e/e/n/l mal+mrg 2.1-3
$XXX.XX
J1
5072
11644
Exc f/e/e/n/l mal+mrg 3.1-4
$XXX.XX
J1
5072
11646
Exc f/e/e/n/l mal+mrg >4 cm
$XXX.XX
J1
5073
11719
Trim nail(s) any number
$XXX.XX
Q1
5733
11720
Debride nail 1-5
$XXX.XX
Q1
5733
11721
Debride nail 6 or more
$XXX.XX
Q1
5733
11730
Removal of nail plate
$XXX.XX
Q1
5051
11740
Drain blood from under nail
$XXX.XX
Q1
5734
11750
Removal of nail bed
$XXX.XX
T
5052
11755
Biopsy nail unit
$XXX.XX
T
5071
11760
Repair of nail bed
$XXX.XX
T
5053
11762
Reconstruction of nail bed
$XXX.XX
T
5054
11765
Excision of nail fold toe
$XXX.XX
Q1
5052
11770
Remove pilonidal cyst simple
$XXX.XX
J1
5073
11771
Remove pilonidal cyst exten
$XXX.XX
J1
5073
11772
Remove pilonidal cyst compl
$XXX.XX
J1
5073
11900
Inject skin lesions
$XXX.XX
Q1
5051
11901
Inject skin lesions >7
$XXX.XX
Q1
5051
11920
Correct skin color 6.0 cm/<
$XXX.XX
T
5053
11921
Correct skn color 6.1-20.0cm
$XXX.XX
T
5053
11950
Tx contour defects 1 cc/<
$XXX.XX
T
5051
11951
Tx contour defects 1.1-5.0cc
$XXX.XX
T
5053
11952
Tx contour defects 5.1-10cc
$XXX.XX
T
5053
11954
Tx contour defects >10.0 cc
$XXX.XX
T
5052
11960
Insert tissue expander(s)
$XXX.XX
T
5055
11970
Replace tissue expander
$XXX.XX
J1
5114
11971
Remove tissue expander(s)
$XXX.XX
Q2
5073
11976
Remove contraceptive capsule
$XXX.XX
Q2
5071
11980
Implant hormone pellet(s)
$XXX.XX
Q1
5735
11981
Insert drug implant device
$XXX.XX
Q1
5734
11982
Remove drug implant device
$XXX.XX
Q1
5735
11983
Remove/insert drug implant
$XXX.XX
Q1
5735
12001
Rpr s/n/ax/gen/trnk 2.5cm/<
$XXX.XX
Q1
5051
12002
Rpr s/n/ax/gen/trnk2.6-7.5cm
$XXX.XX
Q1
5051
12004
Rpr s/n/ax/gen/trk7.6-12.5cm
$XXX.XX
Q1
5051
12005
Rpr s/n/a/gen/trk12.6-20.0cm
$XXX.XX
Q1
5052
12006
Rpr s/n/a/gen/trk20.1-30.0cm
$XXX.XX
Q2
5052
12007
Rpr s/n/ax/gen/trnk >30.0 cm
$XXX.XX
T
5051
12011
Rpr f/e/e/n/l/m 2.5 cm/<
$XXX.XX
Q1
5051
12013
Rpr f/e/e/n/l/m 2.6-5.0 cm
$XXX.XX
Q1
5051
12014
Rpr f/e/e/n/l/m 5.1-7.5 cm
$XXX.XX
Q1
5051
12015
Rpr f/e/e/n/l/m 7.6-12.5 cm
$XXX.XX
Q1
5051
12016
Rpr fe/e/en/l/m 12.6-20.0 cm
$XXX.XX
Q1
5052
12017
Rpr fe/e/en/l/m 20.1-30.0 cm
$XXX.XX
Q1
5052
12018
Rpr f/e/e/n/l/m >30.0 cm
$XXX.XX
Q1
5051
12020
Closure of split wound
$XXX.XX
T
5053
12021
Closure of split wound
$XXX.XX
T
5052
12031
Intmd rpr s/a/t/ext 2.5 cm/<
$XXX.XX
T
5052
12032
Intmd rpr s/a/t/ext 2.6-7.5
$XXX.XX
T
5052
12034
Intmd rpr s/tr/ext 7.6-12.5
$XXX.XX
T
5052
12035
Intmd rpr s/a/t/ext 12.6-20
$XXX.XX
T
5052
12036
Intmd rpr s/a/t/ext 20.1-30
$XXX.XX
T
5053
12037
Intmd rpr s/tr/ext >30.0 cm
$XXX.XX
T
5054
12041
Intmd rpr n-hf/genit 2.5cm/<
$XXX.XX
Q2
5052
12042
Intmd rpr n-hf/genit2.6-7.5
$XXX.XX
T
5052
12044
Intmd rpr n-hf/genit7.6-12.5
$XXX.XX
T
5053
12045
Intmd rpr n-hf/genit12.6-20
$XXX.XX
T
5053
12046
Intmd rpr n-hf/genit20.1-30
$XXX.XX
T
5052
12047
Intmd rpr n-hf/genit >30.0cm
$XXX.XX
T
5054
12051
Intmd rpr face/mm 2.5 cm/<
$XXX.XX
T
5052
12052
Intmd rpr face/mm 2.6-5.0 cm
$XXX.XX
T
5052
12053
Intmd rpr face/mm 5.1-7.5 cm
$XXX.XX
T
5052
12054
Intmd rpr face/mm 7.6-12.5cm
$XXX.XX
Q2
5052
12055
Intmd rpr face/mm 12.6-20 cm
$XXX.XX
T
5052
12056
Intmd rpr face/mm 20.1-30.0
$XXX.XX
Q2
5052
12057
Intmd rpr face/mm >30.0 cm
$XXX.XX
T
5052
13100
Cmplx rpr trunk 1.1-2.5 cm
$XXX.XX
T
5053
13101
Cmplx rpr trunk 2.6-7.5 cm
$XXX.XX
T
5053
13120
Cmplx rpr s/a/l 1.1-2.5 cm
$XXX.XX
T
5053
13121
Cmplx rpr s/a/l 2.6-7.5 cm
$XXX.XX
T
5053
13131
Cmplx rpr f/c/c/m/n/ax/g/h/f
$XXX.XX
T
5052
13132
Cmplx rpr f/c/c/m/n/ax/g/h/f
$XXX.XX
T
5053
13151
Cmplx rpr e/n/e/l 1.1-2.5 cm
$XXX.XX
T
5053
13152
Cmplx rpr e/n/e/l 2.6-7.5 cm
$XXX.XX
T
5053
13160
Late closure of wound
$XXX.XX
T
5054
14000
Tis trnfr trunk 10 sq cm/<
$XXX.XX
T
5054
14001
Tis trnfr trunk 10.1-30sqcm
$XXX.XX
T
5054
14020
Tis trnfr s/a/l 10 sq cm/<
$XXX.XX
T
5054
14021
Tis trnfr s/a/l 10.1-30 sqcm
$XXX.XX
T
5054
14040
Tis trnfr f/c/c/m/n/a/g/h/f
$XXX.XX
T
5054
14041
Tis trnfr f/c/c/m/n/a/g/h/f
$XXX.XX
T
5054
14060
Tis trnfr e/n/e/l 10 sq cm/<
$XXX.XX
T
5054
14061
Tis trnfr e/n/e/l10.1-30sqcm
$XXX.XX
T
5054
14301
Tis trnfr any 30.1-60 sq cm
$XXX.XX
T
5055
14350
Filleted finger/toe flap
$XXX.XX
T
5054
15002
Wound prep trk/arm/leg
$XXX.XX
T
5054
15004
Wound prep f/n/hf/g
$XXX.XX
T
5053
15040
Harvest cultured skin graft
$XXX.XX
T
5054
15050
Skin pinch graft
$XXX.XX
T
5053
15100
Skin splt grft trnk/arm/leg
$XXX.XX
T
5054
15110
Epidrm autogrft trnk/arm/leg
$XXX.XX
T
5054
15115
Epidrm a-grft face/nck/hf/g
$XXX.XX
T
5054
15120
Skn splt a-grft fac/nck/hf/g
$XXX.XX
T
5055
15130
Derm autograft trnk/arm/leg
$XXX.XX
T
5054
15135
Derm autograft face/nck/hf/g
$XXX.XX
T
5055
15150
Cult skin grft t/arm/leg
$XXX.XX
T
5054
15155
Cult skin graft f/n/hf/g
$XXX.XX
T
5055
15200
Skin full graft trunk
$XXX.XX
T
5054
15220
Skin full graft sclp/arm/leg
$XXX.XX
T
5054
15240
Skin full grft face/genit/hf
$XXX.XX
T
5054
15260
Skin full graft een & lips
$XXX.XX
T
5054
15271
Skin sub graft trnk/arm/leg
$XXX.XX
T
5054
15273
Skin sub grft t/arm/lg child
$XXX.XX
T
5055
15275
Skin sub graft face/nk/hf/g
$XXX.XX
T
5054
15277
Skn sub grft f/n/hf/g child
$XXX.XX
T
5054
15570
Skin pedicle flap trunk
$XXX.XX
T
5054
15572
Skin pedicle flap arms/legs
$XXX.XX
T
5055
15574
Pedcle fh/ch/ch/m/n/ax/g/h/f
$XXX.XX
T
5054
15576
Pedicle e/n/e/l/ntroral
$XXX.XX
T
5054
15600
Delay flap trunk
$XXX.XX
T
5055
15610
Delay flap arms/legs
$XXX.XX
T
5054
15620
Delay flap f/c/c/n/ax/g/h/f
$XXX.XX
T
5054
15630
Delay flap eye/nos/ear/lip
$XXX.XX
T
5054
15650
Transfer skin pedicle flap
$XXX.XX
T
5054
15730
Mdfc flap w/prsrv vasc pedcl
$XXX.XX
T
5055
15731
Forehead flap w/vasc pedicle
$XXX.XX
T
5055
15733
Musc myoq/fscq flp h&n pedcl
$XXX.XX
T
5055
15734
Muscle-skin graft trunk
$XXX.XX
T
5055
15736
Muscle-skin graft arm
$XXX.XX
T
5054
15738
Muscle-skin graft leg
$XXX.XX
T
5055
15740
Island pedicle flap graft
$XXX.XX
T
5054
15750
Neurovascular pedicle flap
$XXX.XX
T
5055
15760
Composite skin graft
$XXX.XX
T
5054
15770
Derma-fat-fascia graft
$XXX.XX
T
5055
15775
Hair trnspl 1-15 punch grfts
$XXX.XX
T
5052
15776
Hair trnspl >15 punch grafts
$XXX.XX
T
5052
15780
Dermabrasion total face
$XXX.XX
J1
5073
15781
Dermabrasion segmental face
$XXX.XX
T
5071
15782
Dermabrasion other than face
$XXX.XX
J1
5072
15783
Dermabrasion suprfl any site
$XXX.XX
T
5052
15786
Abrasion lesion single
$XXX.XX
Q1
5051
15788
Chemical peel face epiderm
$XXX.XX
Q1
5051
15789
Chemical peel face dermal
$XXX.XX
T
5053
15792
Chemical peel nonfacial
$XXX.XX
Q1
5052
15793
Chemical peel nonfacial
$XXX.XX
Q1
5052
15819
Plastic surgery neck
$XXX.XX
T
5054
15820
Revision of lower eyelid
$XXX.XX
T
5054
15821
Revision of lower eyelid
$XXX.XX
T
5054
15822
Revision of upper eyelid
$XXX.XX
T
5054
15823
Revision of upper eyelid
$XXX.XX
T
5054
15824
Removal of forehead wrinkles
$XXX.XX
T
5054
15825
Removal of neck wrinkles
$XXX.XX
T
5055
15826
Removal of brow wrinkles
$XXX.XX
T
5055
15828
Removal of face wrinkles
$XXX.XX
T
5055
15829
Removal of skin wrinkles
$XXX.XX
T
5055
15830
Exc skin abd
$XXX.XX
J1
5092
15832
Excise excessive skin thigh
$XXX.XX
J1
5073
15833
Excise excessive skin leg
$XXX.XX
J1
5073
15834
Excise excessive skin hip
$XXX.XX
J1
5073
15835
Excise excessive skin buttck
$XXX.XX
J1
5073
15836
Excise excessive skin arm
$XXX.XX
J1
5073
15837
Excise excess skin arm/hand
$XXX.XX
J1
5073
15838
Excise excess skin fat pad
$XXX.XX
J1
5073
15839
Excise excess skin & tissue
$XXX.XX
J1
5073
15840
Nerve palsy fascial graft
$XXX.XX
T
5055
15841
Nerve palsy muscle graft
$XXX.XX
T
5055
15842
Nerve palsy microsurg graft
$XXX.XX
T
5054
15845
Skin and muscle repair face
$XXX.XX
T
5055
15850
Remove sutures same surgeon
$XXX.XX
T
5053
15851
Remove sutures diff surgeon
$XXX.XX
T
5054
15852
Dressing change not for burn
$XXX.XX
Q1
5053
15860
Test for blood flow in graft
$XXX.XX
Q1
5735
15876
Suction lipectomy head&neck
$XXX.XX
T
5055
15877
Suction lipectomy trunk
$XXX.XX
T
5055
15878
Suction lipectomy upr extrem
$XXX.XX
T
5054
15879
Suction lipectomy lwr extrem
$XXX.XX
T
5055
15920
Removal of tail bone ulcer
$XXX.XX
J1
5073
15922
Removal of tail bone ulcer
$XXX.XX
T
5055
15931
Remove sacrum pressure sore
$XXX.XX
J1
5072
15933
Remove sacrum pressure sore
$XXX.XX
J1
5073
15934
Remove sacrum pressure sore
$XXX.XX
T
5055
15935
Remove sacrum pressure sore
$XXX.XX
T
5055
15936
Remove sacrum pressure sore
$XXX.XX
T
5054
15937
Remove sacrum pressure sore
$XXX.XX
T
5054
15940
Remove hip pressure sore
$XXX.XX
J1
5073
15941
Remove hip pressure sore
$XXX.XX
J1
5073
15944
Remove hip pressure sore
$XXX.XX
T
5055
15945
Remove hip pressure sore
$XXX.XX
T
5054
15946
Remove hip pressure sore
$XXX.XX
T
5054
15950
Remove thigh pressure sore
$XXX.XX
J1
5072
15951
Remove thigh pressure sore
$XXX.XX
J1
5073
15952
Remove thigh pressure sore
$XXX.XX
T
5054
15953
Remove thigh pressure sore
$XXX.XX
T
5055
15956
Remove thigh pressure sore
$XXX.XX
T
5054
15958
Remove thigh pressure sore
$XXX.XX
T
5055
15999
Removal of pressure sore
$XXX.XX
T
5071
16000
Initial treatment of burn(s)
$XXX.XX
Q1
5051
16020
Dress/debrid p-thick burn s
$XXX.XX
Q1
5051
16025
Dress/debrid p-thick burn m
$XXX.XX
T
5051
16030
Dress/debrid p-thick burn l
$XXX.XX
T
5052
16035
Incision of burn scab initi
$XXX.XX
T
5052
17000
Destruct premalg lesion
$XXX.XX
Q1
5051
17004
Destroy premal lesions 15/>
$XXX.XX
T
5052
17106
Destruction of skin lesions
$XXX.XX
T
5052
17107
Destruction of skin lesions
$XXX.XX
T
5053
17108
Destruction of skin lesions
$XXX.XX
T
5054
17110
Destruct b9 lesion 1-14
$XXX.XX
Q1
5051
17111
Destruct lesion 15 or more
$XXX.XX
Q1
5051
17250
Chem caut of granltj tissue
$XXX.XX
Q1
5051
17260
Destruction of skin lesions
$XXX.XX
Q1
5051
17261
Destruction of skin lesions
$XXX.XX
Q1
5051
17262
Destruction of skin lesions
$XXX.XX
Q1
5051
17263
Destruction of skin lesions
$XXX.XX
Q1
5051
17264
Destruction of skin lesions
$XXX.XX
T
5052
17266
Destruction of skin lesions
$XXX.XX
T
5052
17270
Destruction of skin lesions
$XXX.XX
T
5051
17271
Destruction of skin lesions
$XXX.XX
T
5051
17272
Destruction of skin lesions
$XXX.XX
Q1
5051
17273
Destruction of skin lesions
$XXX.XX
T
5052
17274
Destruction of skin lesions
$XXX.XX
T
5052
17276
Destruction of skin lesions
$XXX.XX
T
5052
17280
Destruction of skin lesions
$XXX.XX
Q1
5051
17281
Destruction of skin lesions
$XXX.XX
T
5052
17282
Destruction of skin lesions
$XXX.XX
T
5052
17283
Destruction of skin lesions
$XXX.XX
T
5052
17284
Destruction of skin lesions
$XXX.XX
T
5053
17286
Destruction of skin lesions
$XXX.XX
T
5053
17311
Mohs 1 stage h/n/hf/g
$XXX.XX
T
5053
17313
Mohs 1 stage t/a/l
$XXX.XX
T
5053
17340
Cryotherapy of skin
$XXX.XX
Q1
5732
17360
Skin peel therapy
$XXX.XX
Q1
5051
17380
Hair removal by electrolysis
$XXX.XX
T
5053
17999
Skin tissue procedure
$XXX.XX
Q1
5051
19000
Drainage of breast lesion
$XXX.XX
T
5071
19020
Incision of breast lesion
$XXX.XX
J1
5072
19081
Bx breast 1st lesion strtctc
$XXX.XX
J1
5072
19083
Bx breast 1st lesion us imag
$XXX.XX
J1
5072
19085
Bx breast 1st lesion mr imag
$XXX.XX
J1
5072
19100
Bx breast percut w/o image
$XXX.XX
J1
5072
19101
Biopsy of breast open
$XXX.XX
J1
5091
19105
Cryosurg ablate fa each
$XXX.XX
J1
5091
19110
Nipple exploration
$XXX.XX
J1
5091
19112
Excise breast duct fistula
$XXX.XX
J1
5091
19120
Removal of breast lesion
$XXX.XX
J1
5091
19125
Excision breast lesion
$XXX.XX
J1
5091
19260
Removal of chest wall lesion
$XXX.XX
J1
5073
19281
Perq device breast 1st imag
$XXX.XX
Q1
5071
19283
Perq dev breast 1st strtctc
$XXX.XX
Q1
5071
19285
Perq dev breast 1st us imag
$XXX.XX
Q1
5071
19287
Perq dev breast 1st mr guide
$XXX.XX
Q1
5071
19296
Place po breast cath for rad
$XXX.XX
J1
5093
19298
Place breast rad tube/caths
$XXX.XX
J1
5092
19300
Removal of breast tissue
$XXX.XX
J1
5091
19301
Partial mastectomy
$XXX.XX
J1
5091
19302
P-mastectomy w/ln removal
$XXX.XX
J1
5092
19303
Mast simple complete
$XXX.XX
J1
5092
19304
Mast subq
$XXX.XX
J1
5091
19307
Mast mod rad
$XXX.XX
J1
5092
19316
Suspension of breast
$XXX.XX
J1
5092
19318
Reduction of large breast
$XXX.XX
J1
5092
19324
Enlarge breast
$XXX.XX
J1
5093
19325
Enlarge breast with implant
$XXX.XX
J1
5093
19328
Removal of breast implant
$XXX.XX
Q2
5091
19330
Removal of implant material
$XXX.XX
Q2
5091
19340
Immediate breast prosthesis
$XXX.XX
J1
5092
19342
Delayed breast prosthesis
$XXX.XX
J1
5093
19350
Breast reconstruction
$XXX.XX
J1
5091
19355
Correct inverted nipple(s)
$XXX.XX
J1
5091
19357
Breast reconstruction
$XXX.XX
J1
5094
19366
Breast reconstruction
$XXX.XX
J1
5092
19370
Surgery of breast capsule
$XXX.XX
J1
5091
19371
Removal of breast capsule
$XXX.XX
J1
5091
19380
Revise breast reconstruction
$XXX.XX
J1
5092
19396
Design custom breast implant
$XXX.XX
J1
5091
19499
Breast surgery procedure
$XXX.XX
J1
5091
20100
Explore wound neck
$XXX.XX
T
5162
20101
Explore wound chest
$XXX.XX
T
5054
20102
Explore wound abdomen
$XXX.XX
T
5054
20103
Explore wound extremity
$XXX.XX
T
5071
20150
Excise epiphyseal bar
$XXX.XX
J1
5113
20200
Muscle biopsy
$XXX.XX
J1
5072
20205
Deep muscle biopsy
$XXX.XX
J1
5073
20206
Needle biopsy muscle
$XXX.XX
J1
5072
20220
Bone biopsy trocar/needle
$XXX.XX
J1
5072
20225
Bone biopsy trocar/needle
$XXX.XX
J1
5072
20240
Bone biopsy open superficial
$XXX.XX
J1
5073
20245
Bone biopsy open deep
$XXX.XX
J1
5073
20250
Open bone biopsy
$XXX.XX
J1
5113
20251
Open bone biopsy
$XXX.XX
J1
5114
20500
Injection of sinus tract
$XXX.XX
J1
5163
20520
Removal of foreign body
$XXX.XX
J1
5072
20525
Removal of foreign body
$XXX.XX
J1
5073
20526
Ther injection carp tunnel
$XXX.XX
T
5441
20527
Inj dupuytren cord w/enzyme
$XXX.XX
T
5441
20550
Inj tendon sheath/ligament
$XXX.XX
T
5441
20551
Inj tendon origin/insertion
$XXX.XX
T
5441
20552
Inj trigger point 1/2 muscl
$XXX.XX
T
5441
20553
Inject trigger points 3/>
$XXX.XX
T
5441
20555
Place ndl musc/tis for rt
$XXX.XX
J1
5113
20600
Drain/inj joint/bursa w/o us
$XXX.XX
T
5441
20604
Drain/inj joint/bursa w/us
$XXX.XX
T
5441
20605
Drain/inj joint/bursa w/o us
$XXX.XX
T
5441
20606
Drain/inj joint/bursa w/us
$XXX.XX
T
5442
20610
Drain/inj joint/bursa w/o us
$XXX.XX
T
5441
20611
Drain/inj joint/bursa w/us
$XXX.XX
T
5441
20612
Aspirate/inj ganglion cyst
$XXX.XX
T
5441
20615
Treatment of bone cyst
$XXX.XX
T
5071
20650
Insert and remove bone pin
$XXX.XX
J1
5113
20660
Apply rem fixation device
$XXX.XX
Q2
5112
20662
Application of pelvis brace
$XXX.XX
J1
5112
20663
Application of thigh brace
$XXX.XX
J1
5113
20665
Removal of fixation device
$XXX.XX
Q1
5735
20670
Removal of support implant
$XXX.XX
Q2
5072
20680
Removal of support implant
$XXX.XX
Q2
5073
20690
Apply bone fixation device
$XXX.XX
J1
5114
20692
Apply bone fixation device
$XXX.XX
J1
5115
20693
Adjust bone fixation device
$XXX.XX
J1
5114
20694
Remove bone fixation device
$XXX.XX
Q2
5112
20696
Comp multiplane ext fixation
$XXX.XX
J1
5116
20697
Comp ext fixate strut change
$XXX.XX
J1
5112
20822
Replantation digit complete
$XXX.XX
J1
5112
20900
Removal of bone for graft
$XXX.XX
J1
5114
20902
Removal of bone for graft
$XXX.XX
J1
5114
20910
Remove cartilage for graft
$XXX.XX
T
5053
20912
Remove cartilage for graft
$XXX.XX
T
5055
20920
Removal of fascia for graft
$XXX.XX
T
5054
20922
Removal of fascia for graft
$XXX.XX
T
5054
20924
Removal of tendon for graft
$XXX.XX
J1
5114
20926
Removal of tissue for graft
$XXX.XX
T
5055
20950
Fluid pressure muscle
$XXX.XX
T
5071
20972
Bone/skin graft metatarsal
$XXX.XX
J1
5114
20973
Bone/skin graft great toe
$XXX.XX
J1
5114
20979
Us bone stimulation
$XXX.XX
Q1
5731
20982
Ablate bone tumor(s) perq
$XXX.XX
J1
5114
20983
Ablate bone tumor(s) perq
$XXX.XX
J1
5114
20999
Musculoskeletal surgery
$XXX.XX
T
5111
21010
Incision of jaw joint
$XXX.XX
J1
5164
21011
Exc face les sc <2 cm
$XXX.XX
J1
5072
21012
Exc face les sbq 2 cm/>
$XXX.XX
J1
5072
21013
Exc face tum deep < 2 cm
$XXX.XX
J1
5072
21014
Exc face tum deep 2 cm/>
$XXX.XX
J1
5073
21015
Resect face/scalp tum < 2 cm
$XXX.XX
J1
5073
21016
Resect face/scalp tum 2 cm/>
$XXX.XX
J1
5073
21025
Excision of bone lower jaw
$XXX.XX
J1
5165
21026
Excision of facial bone(s)
$XXX.XX
J1
5165
21029
Contour of face bone lesion
$XXX.XX
J1
5164
21030
Excise max/zygoma b9 tumor
$XXX.XX
J1
5165
21031
Remove exostosis mandible
$XXX.XX
J1
5164
21032
Remove exostosis maxilla
$XXX.XX
J1
5164
21034
Excise max/zygoma mal tumor
$XXX.XX
J1
5165
21040
Excise mandible lesion
$XXX.XX
J1
5164
21044
Removal of jaw bone lesion
$XXX.XX
J1
5165
21046
Remove mandible cyst complex
$XXX.XX
J1
5165
21047
Excise lwr jaw cyst w/repair
$XXX.XX
J1
5165
21048
Remove maxilla cyst complex
$XXX.XX
J1
5165
21049
Excis uppr jaw cyst w/repair
$XXX.XX
J1
5165
21050
Removal of jaw joint
$XXX.XX
J1
5165
21060
Remove jaw joint cartilage
$XXX.XX
J1
5165
21070
Remove coronoid process
$XXX.XX
J1
5165
21073
Mnpj of tmj w/anesth
$XXX.XX
J1
5163
21076
Prepare face/oral prosthesis
$XXX.XX
J1
5163
21077
Prepare face/oral prosthesis
$XXX.XX
J1
5165
21079
Prepare face/oral prosthesis
$XXX.XX
J1
5164
21080
Prepare face/oral prosthesis
$XXX.XX
J1
5164
21081
Prepare face/oral prosthesis
$XXX.XX
J1
5165
21082
Prepare face/oral prosthesis
$XXX.XX
J1
5164
21083
Prepare face/oral prosthesis
$XXX.XX
J1
5164
21084
Prepare face/oral prosthesis
$XXX.XX
J1
5164
21085
Prepare face/oral prosthesis
$XXX.XX
T
5161
21086
Prepare face/oral prosthesis
$XXX.XX
J1
5164
21087
Prepare face/oral prosthesis
$XXX.XX
J1
5165
21088
Prepare face/oral prosthesis
$XXX.XX
J1
5164
21089
Prepare face/oral prosthesis
$XXX.XX
T
5161
21100
Maxillofacial fixation
$XXX.XX
J1
5165
21110
Interdental fixation
$XXX.XX
Q2
5163
21120
Reconstruction of chin
$XXX.XX
J1
5165
21121
Reconstruction of chin
$XXX.XX
J1
5164
21122
Reconstruction of chin
$XXX.XX
J1
5165
21123
Reconstruction of chin
$XXX.XX
J1
5164
21125
Augmentation lower jaw bone
$XXX.XX
J1
5165
21127
Augmentation lower jaw bone
$XXX.XX
J1
5165
21137
Reduction of forehead
$XXX.XX
J1
5164
21138
Reduction of forehead
$XXX.XX
J1
5165
21139
Reduction of forehead
$XXX.XX
J1
5165
21150
Lefort ii anterior intrusion
$XXX.XX
J1
5165
21172
Reconstruct orbit/forehead
$XXX.XX
J1
5165
21175
Reconstruct orbit/forehead
$XXX.XX
J1
5165
21181
Contour cranial bone lesion
$XXX.XX
J1
5165
21193
Reconst lwr jaw w/o graft
$XXX.XX
J1
5165
21195
Reconst lwr jaw w/o fixation
$XXX.XX
J1
5165
21198
Reconstr lwr jaw segment
$XXX.XX
J1
5165
21199
Reconstr lwr jaw w/advance
$XXX.XX
J1
5165
21206
Reconstruct upper jaw bone
$XXX.XX
J1
5165
21208
Augmentation of facial bones
$XXX.XX
J1
5165
21209
Reduction of facial bones
$XXX.XX
J1
5165
21210
Face bone graft
$XXX.XX
J1
5165
21215
Lower jaw bone graft
$XXX.XX
J1
5165
21230
Rib cartilage graft
$XXX.XX
J1
5165
21235
Ear cartilage graft
$XXX.XX
J1
5165
21240
Reconstruction of jaw joint
$XXX.XX
J1
5165
21242
Reconstruction of jaw joint
$XXX.XX
J1
5165
21243
Reconstruction of jaw joint
$XXX.XX
J1
5116
21244
Reconstruction of lower jaw
$XXX.XX
J1
5165
21245
Reconstruction of jaw
$XXX.XX
J1
5165
21246
Reconstruction of jaw
$XXX.XX
J1
5165
21248
Reconstruction of jaw
$XXX.XX
J1
5165
21249
Reconstruction of jaw
$XXX.XX
J1
5165
21256
Reconstruction of orbit
$XXX.XX
J1
5165
21260
Revise eye sockets
$XXX.XX
J1
5165
21261
Revise eye sockets
$XXX.XX
J1
5165
21263
Revise eye sockets
$XXX.XX
J1
5165
21267
Revise eye sockets
$XXX.XX
J1
5165
21270
Augmentation cheek bone
$XXX.XX
J1
5165
21275
Revision orbitofacial bones
$XXX.XX
J1
5165
21280
Revision of eyelid
$XXX.XX
J1
5164
21282
Revision of eyelid
$XXX.XX
J1
5164
21295
Revision of jaw muscle/bone
$XXX.XX
J1
5163
21296
Revision of jaw muscle/bone
$XXX.XX
J1
5164
21299
Cranio/maxillofacial surgery
$XXX.XX
T
5161
21310
Closed tx nose fx w/o manj
$XXX.XX
T
5111
21315
Closed tx nose fx w/o stablj
$XXX.XX
J1
5163
21320
Closed tx nose fx w/ stablj
$XXX.XX
J1
5164
21325
Open tx nose fx uncomplicatd
$XXX.XX
J1
5164
21330
Open tx nose fx w/skele fixj
$XXX.XX
J1
5165
21335
Open tx nose & septal fx
$XXX.XX
J1
5164
21336
Open tx septal fx w/wo stabj
$XXX.XX
J1
5113
21337
Closed tx septal&nose fx
$XXX.XX
J1
5164
21338
Open nasoethmoid fx w/o fixj
$XXX.XX
J1
5165
21339
Open nasoethmoid fx w/ fixj
$XXX.XX
J1
5165
21340
Perq tx nasoethmoid fx
$XXX.XX
J1
5164
21345
Closed tx nose/jaw fx
$XXX.XX
J1
5163
21346
Opn tx nasomax fx w/fixj
$XXX.XX
J1
5165
21355
Perq tx malar fracture
$XXX.XX
J1
5164
21356
Opn tx dprsd zygomatic arch
$XXX.XX
J1
5165
21360
Opn tx dprsd malar fracture
$XXX.XX
J1
5165
21365
Opn tx complx malar fx
$XXX.XX
J1
5165
21385
Opn tx orbit fx transantral
$XXX.XX
J1
5165
21386
Opn tx orbit fx periorbital
$XXX.XX
J1
5165
21387
Opn tx orbit fx combined
$XXX.XX
J1
5165
21390
Opn tx orbit periorbtl implt
$XXX.XX
J1
5165
21395
Opn tx orbit periorbt w/grft
$XXX.XX
J1
5165
21400
Closed tx orbit w/o manipulj
$XXX.XX
T
5162
21401
Closed tx orbit w/manipulj
$XXX.XX
J1
5163
21406
Opn tx orbit fx w/o implant
$XXX.XX
J1
5165
21407
Opn tx orbit fx w/implant
$XXX.XX
J1
5165
21408
Opn tx orbit fx w/bone grft
$XXX.XX
J1
5165
21421
Treat mouth roof fracture
$XXX.XX
J1
5164
21440
Treat dental ridge fracture
$XXX.XX
J1
5164
21445
Treat dental ridge fracture
$XXX.XX
J1
5165
21450
Treat lower jaw fracture
$XXX.XX
T
5162
21451
Treat lower jaw fracture
$XXX.XX
J1
5163
21452
Treat lower jaw fracture
$XXX.XX
J1
5165
21453
Treat lower jaw fracture
$XXX.XX
J1
5165
21454
Treat lower jaw fracture
$XXX.XX
J1
5165
21461
Treat lower jaw fracture
$XXX.XX
J1
5165
21462
Treat lower jaw fracture
$XXX.XX
J1
5165
21465
Treat lower jaw fracture
$XXX.XX
J1
5165
21470
Treat lower jaw fracture
$XXX.XX
J1
5165
21480
Reset dislocated jaw
$XXX.XX
T
5111
21485
Reset dislocated jaw
$XXX.XX
J1
5163
21490
Repair dislocated jaw
$XXX.XX
J1
5164
21497
Interdental wiring
$XXX.XX
J1
5163
21499
Head surgery procedure
$XXX.XX
T
5161
21501
Drain neck/chest lesion
$XXX.XX
J1
5073
21502
Drain chest lesion
$XXX.XX
J1
5113
21550
Biopsy of neck/chest
$XXX.XX
J1
5072
21552
Exc neck les sc 3 cm/>
$XXX.XX
J1
5073
21554
Exc neck tum deep 5 cm/>
$XXX.XX
J1
5073
21555
Exc neck les sc < 3 cm
$XXX.XX
J1
5072
21556
Exc neck tum deep < 5 cm
$XXX.XX
J1
5073
21557
Resect neck thorax tumor<5cm
$XXX.XX
J1
5073
21558
Resect neck tumor 5 cm/>
$XXX.XX
J1
5073
21600
Partial removal of rib
$XXX.XX
J1
5114
21610
Partial removal of rib
$XXX.XX
J1
5113
21685
Hyoid myotomy & suspension
$XXX.XX
J1
5165
21700
Revision of neck muscle
$XXX.XX
J1
5113
21720
Revision of neck muscle
$XXX.XX
J1
5113
21725
Revision of neck muscle
$XXX.XX
T
5071
21742
Repair stern/nuss w/o scope
$XXX.XX
J1
5113
21743
Repair sternum/nuss w/scope
$XXX.XX
J1
5113
21811
Optx of rib fx w/fixj scope
$XXX.XX
J1
5113
21812
Treatment of rib fracture
$XXX.XX
J1
5113
21813
Treatment of rib fracture
$XXX.XX
J1
5112
21820
Treat sternum fracture
$XXX.XX
T
5111
21899
Neck/chest surgery procedure
$XXX.XX
T
5161
21920
Biopsy soft tissue of back
$XXX.XX
J1
5072
21925
Biopsy soft tissue of back
$XXX.XX
J1
5072
21930
Exc back les sc < 3 cm
$XXX.XX
J1
5072
21931
Exc back les sc 3 cm/>
$XXX.XX
J1
5072
21932
Exc back tum deep < 5 cm
$XXX.XX
J1
5073
21933
Exc back tum deep 5 cm/>
$XXX.XX
J1
5073
21935
Resect back tum < 5 cm
$XXX.XX
J1
5073
21936
Resect back tum 5 cm/>
$XXX.XX
J1
5073
22100
Remove part of neck vertebra
$XXX.XX
J1
5114
22101
Remove part thorax vertebra
$XXX.XX
J1
5113
22102
Remove part lumbar vertebra
$XXX.XX
J1
5114
22310
Closed tx vert fx w/o manj
$XXX.XX
T
5111
22315
Closed tx vert fx w/manj
$XXX.XX
J1
5113
22505
Manipulation of spine
$XXX.XX
J1
5112
22510
Perq cervicothoracic inject
$XXX.XX
J1
5113
22511
Perq lumbosacral injection
$XXX.XX
J1
5113
22513
Perq vertebral augmentation
$XXX.XX
J1
5114
22514
Perq vertebral augmentation
$XXX.XX
J1
5114
22551
Neck spine fuse&remov bel c2
$XXX.XX
J1
5115
22554
Neck spine fusion
$XXX.XX
J1
5115
22612
Lumbar spine fusion
$XXX.XX
J1
5115
22856
Cerv artific diskectomy
$XXX.XX
J1
5116
22867
Insj stablj dev w/dcmprn
$XXX.XX
J1
5116
22869
Insj stablj dev w/o dcmprn
$XXX.XX
J1
5116
22899
Spine surgery procedure
$XXX.XX
T
5111
22900
Exc abdl tum deep < 5 cm
$XXX.XX
J1
5073
22901
Exc abdl tum deep 5 cm/>
$XXX.XX
J1
5073
22902
Exc abd les sc < 3 cm
$XXX.XX
J1
5072
22903
Exc abd les sc 3 cm/>
$XXX.XX
J1
5073
22904
Radical resect abd tumor<5cm
$XXX.XX
J1
5073
22905
Rad resect abd tumor 5 cm/>
$XXX.XX
J1
5073
22999
Abdomen surgery procedure
$XXX.XX
T
5111
23000
Removal of calcium deposits
$XXX.XX
J1
5073
23020
Release shoulder joint
$XXX.XX
J1
5113
23030
Drain shoulder lesion
$XXX.XX
J1
5073
23031
Drain shoulder bursa
$XXX.XX
J1
5072
23035
Drain shoulder bone lesion
$XXX.XX
J1
5112
23040
Exploratory shoulder surgery
$XXX.XX
J1
5113
23044
Exploratory shoulder surgery
$XXX.XX
J1
5113
23065
Biopsy shoulder tissues
$XXX.XX
J1
5072
23066
Biopsy shoulder tissues
$XXX.XX
J1
5073
23071
Exc shoulder les sc 3 cm/>
$XXX.XX
J1
5072
23073
Exc shoulder tum deep 5 cm/>
$XXX.XX
J1
5073
23075
Exc shoulder les sc < 3 cm
$XXX.XX
J1
5072
23076
Exc shoulder tum deep < 5 cm
$XXX.XX
J1
5073
23077
Resect shoulder tumor < 5 cm
$XXX.XX
J1
5073
23078
Resect shoulder tumor 5 cm/>
$XXX.XX
J1
5073
23100
Biopsy of shoulder joint
$XXX.XX
J1
5113
23101
Shoulder joint surgery
$XXX.XX
J1
5113
23105
Remove shoulder joint lining
$XXX.XX
J1
5114
23106
Incision of collarbone joint
$XXX.XX
J1
5113
23107
Explore treat shoulder joint
$XXX.XX
J1
5114
23120
Partial removal collar bone
$XXX.XX
J1
5113
23125
Removal of collar bone
$XXX.XX
J1
5113
23130
Remove shoulder bone part
$XXX.XX
J1
5113
23140
Removal of bone lesion
$XXX.XX
J1
5113
23145
Removal of bone lesion
$XXX.XX
J1
5113
23146
Removal of bone lesion
$XXX.XX
J1
5114
23150
Removal of humerus lesion
$XXX.XX
J1
5113
23155
Removal of humerus lesion
$XXX.XX
J1
5114
23156
Removal of humerus lesion
$XXX.XX
J1
5114
23170
Remove collar bone lesion
$XXX.XX
J1
5113
23172
Remove shoulder blade lesion
$XXX.XX
J1
5113
23174
Remove humerus lesion
$XXX.XX
J1
5113
23180
Remove collar bone lesion
$XXX.XX
J1
5113
23182
Remove shoulder blade lesion
$XXX.XX
J1
5113
23184
Remove humerus lesion
$XXX.XX
J1
5114
23190
Partial removal of scapula
$XXX.XX
J1
5113
23195
Removal of head of humerus
$XXX.XX
J1
5114
23330
Remove shoulder foreign body
$XXX.XX
T
5071
23333
Remove shoulder fb deep
$XXX.XX
J1
5072
23334
Shoulder prosthesis removal
$XXX.XX
J1
5073
23395
Muscle transfer shoulder/arm
$XXX.XX
J1
5114
23397
Muscle transfers
$XXX.XX
J1
5114
23400
Fixation of shoulder blade
$XXX.XX
J1
5114
23405
Incision of tendon & muscle
$XXX.XX
J1
5114
23406
Incise tendon(s) & muscle(s)
$XXX.XX
J1
5113
23410
Repair rotator cuff acute
$XXX.XX
J1
5114
23412
Repair rotator cuff chronic
$XXX.XX
J1
5114
23415
Release of shoulder ligament
$XXX.XX
J1
5114
23420
Repair of shoulder
$XXX.XX
J1
5114
23430
Repair biceps tendon
$XXX.XX
J1
5114
23440
Remove/transplant tendon
$XXX.XX
J1
5113
23450
Repair shoulder capsule
$XXX.XX
J1
5114
23455
Repair shoulder capsule
$XXX.XX
J1
5114
23460
Repair shoulder capsule
$XXX.XX
J1
5114
23462
Repair shoulder capsule
$XXX.XX
J1
5114
23465
Repair shoulder capsule
$XXX.XX
J1
5114
23466
Repair shoulder capsule
$XXX.XX
J1
5114
23470
Reconstruct shoulder joint
$XXX.XX
J1
5115
23473
Revis reconst shoulder joint
$XXX.XX
J1
5115
23480
Revision of collar bone
$XXX.XX
J1
5114
23485
Revision of collar bone
$XXX.XX
J1
5115
23490
Reinforce clavicle
$XXX.XX
J1
5114
23491
Reinforce shoulder bones
$XXX.XX
J1
5115
23500
Treat clavicle fracture
$XXX.XX
T
5111
23505
Treat clavicle fracture
$XXX.XX
J1
5112
23515
Treat clavicle fracture
$XXX.XX
J1
5114
23520
Treat clavicle dislocation
$XXX.XX
J1
5112
23525
Treat clavicle dislocation
$XXX.XX
T
5111
23530
Treat clavicle dislocation
$XXX.XX
J1
5114
23532
Treat clavicle dislocation
$XXX.XX
J1
5114
23540
Treat clavicle dislocation
$XXX.XX
T
5111
23545
Treat clavicle dislocation
$XXX.XX
T
5111
23550
Treat clavicle dislocation
$XXX.XX
J1
5114
23552
Treat clavicle dislocation
$XXX.XX
J1
5114
23570
Treat shoulder blade fx
$XXX.XX
T
5111
23575
Treat shoulder blade fx
$XXX.XX
J1
5112
23585
Treat scapula fracture
$XXX.XX
J1
5114
23600
Treat humerus fracture
$XXX.XX
T
5111
23605
Treat humerus fracture
$XXX.XX
J1
5112
23615
Treat humerus fracture
$XXX.XX
J1
5115
23616
Treat humerus fracture
$XXX.XX
J1
5116
23620
Treat humerus fracture
$XXX.XX
T
5111
23625
Treat humerus fracture
$XXX.XX
J1
5112
23630
Treat humerus fracture
$XXX.XX
J1
5114
23650
Treat shoulder dislocation
$XXX.XX
T
5111
23655
Treat shoulder dislocation
$XXX.XX
J1
5112
23660
Treat shoulder dislocation
$XXX.XX
J1
5114
23665
Treat dislocation/fracture
$XXX.XX
J1
5112
23670
Treat dislocation/fracture
$XXX.XX
J1
5114
23675
Treat dislocation/fracture
$XXX.XX
J1
5112
23680
Treat dislocation/fracture
$XXX.XX
J1
5115
23700
Fixation of shoulder
$XXX.XX
J1
5112
23800
Fusion of shoulder joint
$XXX.XX
J1
5114
23802
Fusion of shoulder joint
$XXX.XX
J1
5115
23921
Amputation follow-up surgery
$XXX.XX
T
5054
23929
Shoulder surgery procedure
$XXX.XX
T
5111
23930
Drainage of arm lesion
$XXX.XX
J1
5072
23931
Drainage of arm bursa
$XXX.XX
J1
5072
23935
Drain arm/elbow bone lesion
$XXX.XX
J1
5113
24000
Exploratory elbow surgery
$XXX.XX
J1
5113
24006
Release elbow joint
$XXX.XX
J1
5113
24065
Biopsy arm/elbow soft tissue
$XXX.XX
J1
5072
24066
Biopsy arm/elbow soft tissue
$XXX.XX
J1
5073
24071
Exc arm/elbow les sc 3 cm/>
$XXX.XX
J1
5073
24073
Ex arm/elbow tum deep 5 cm/>
$XXX.XX
J1
5073
24075
Exc arm/elbow les sc < 3 cm
$XXX.XX
J1
5072
24076
Ex arm/elbow tum deep < 5 cm
$XXX.XX
J1
5073
24077
Resect arm/elbow tum < 5 cm
$XXX.XX
J1
5073
24079
Resect arm/elbow tum 5 cm/>
$XXX.XX
J1
5073
24100
Biopsy elbow joint lining
$XXX.XX
J1
5113
24101
Explore/treat elbow joint
$XXX.XX
J1
5113
24102
Remove elbow joint lining
$XXX.XX
J1
5113
24105
Removal of elbow bursa
$XXX.XX
J1
5113
24110
Remove humerus lesion
$XXX.XX
J1
5113
24115
Remove/graft bone lesion
$XXX.XX
J1
5114
24116
Remove/graft bone lesion
$XXX.XX
J1
5114
24120
Remove elbow lesion
$XXX.XX
J1
5113
24125
Remove/graft bone lesion
$XXX.XX
J1
5113
24126
Remove/graft bone lesion
$XXX.XX
J1
5114
24130
Removal of head of radius
$XXX.XX
J1
5113
24134
Removal of arm bone lesion
$XXX.XX
J1
5114
24136
Remove radius bone lesion
$XXX.XX
J1
5113
24138
Remove elbow bone lesion
$XXX.XX
J1
5114
24140
Partial removal of arm bone
$XXX.XX
J1
5113
24145
Partial removal of radius
$XXX.XX
J1
5114
24147
Partial removal of elbow
$XXX.XX
J1
5113
24149
Radical resection of elbow
$XXX.XX
J1
5114
24150
Resect distal humerus tumor
$XXX.XX
J1
5114
24152
Resect radius tumor
$XXX.XX
J1
5114
24155
Removal of elbow joint
$XXX.XX
J1
5113
24160
Remove elbow joint implant
$XXX.XX
Q2
5113
24164
Remove radius head implant
$XXX.XX
Q2
5113
24200
Removal of arm foreign body
$XXX.XX
J1
5072
24201
Removal of arm foreign body
$XXX.XX
J1
5073
24300
Manipulate elbow w/anesth
$XXX.XX
J1
5112
24301
Muscle/tendon transfer
$XXX.XX
J1
5114
24305
Arm tendon lengthening
$XXX.XX
J1
5113
24310
Revision of arm tendon
$XXX.XX
J1
5113
24320
Repair of arm tendon
$XXX.XX
J1
5114
24330
Revision of arm muscles
$XXX.XX
J1
5113
24331
Revision of arm muscles
$XXX.XX
J1
5114
24332
Tenolysis triceps
$XXX.XX
J1
5113
24340
Repair of biceps tendon
$XXX.XX
J1
5114
24341
Repair arm tendon/muscle
$XXX.XX
J1
5114
24342
Repair of ruptured tendon
$XXX.XX
J1
5114
24343
Repr elbow lat ligmnt w/tiss
$XXX.XX
J1
5113
24344
Reconstruct elbow lat ligmnt
$XXX.XX
J1
5114
24345
Repr elbw med ligmnt w/tissu
$XXX.XX
J1
5114
24346
Reconstruct elbow med ligmnt
$XXX.XX
J1
5115
24357
Repair elbow perc
$XXX.XX
J1
5113
24358
Repair elbow w/deb open
$XXX.XX
J1
5113
24359
Repair elbow deb/attch open
$XXX.XX
J1
5113
24360
Reconstruct elbow joint
$XXX.XX
J1
5114
24361
Reconstruct elbow joint
$XXX.XX
J1
5116
24362
Reconstruct elbow joint
$XXX.XX
J1
5115
24363
Replace elbow joint
$XXX.XX
J1
5116
24365
Reconstruct head of radius
$XXX.XX
J1
5115
24366
Reconstruct head of radius
$XXX.XX
J1
5115
24370
Revise reconst elbow joint
$XXX.XX
J1
5115
24371
Revise reconst elbow joint
$XXX.XX
J1
5116
24400
Revision of humerus
$XXX.XX
J1
5114
24410
Revision of humerus
$XXX.XX
J1
5115
24420
Revision of humerus
$XXX.XX
J1
5114
24430
Repair of humerus
$XXX.XX
J1
5115
24435
Repair humerus with graft
$XXX.XX
J1
5115
24470
Revision of elbow joint
$XXX.XX
J1
5113
24495
Decompression of forearm
$XXX.XX
J1
5114
24498
Reinforce humerus
$XXX.XX
J1
5115
24500
Treat humerus fracture
$XXX.XX
T
5111
24505
Treat humerus fracture
$XXX.XX
J1
5112
24515
Treat humerus fracture
$XXX.XX
J1
5115
24516
Treat humerus fracture
$XXX.XX
J1
5115
24530
Treat humerus fracture
$XXX.XX
T
5111
24535
Treat humerus fracture
$XXX.XX
J1
5112
24538
Treat humerus fracture
$XXX.XX
J1
5114
24545
Treat humerus fracture
$XXX.XX
J1
5115
24546
Treat humerus fracture
$XXX.XX
J1
5116
24560
Treat humerus fracture
$XXX.XX
T
5111
24565
Treat humerus fracture
$XXX.XX
J1
5112
24566
Treat humerus fracture
$XXX.XX
J1
5112
24575
Treat humerus fracture
$XXX.XX
J1
5115
24576
Treat humerus fracture
$XXX.XX
T
5111
24577
Treat humerus fracture
$XXX.XX
J1
5112
24579
Treat humerus fracture
$XXX.XX
J1
5115
24582
Treat humerus fracture
$XXX.XX
J1
5113
24586
Treat elbow fracture
$XXX.XX
J1
5115
24587
Treat elbow fracture
$XXX.XX
J1
5115
24600
Treat elbow dislocation
$XXX.XX
T
5111
24605
Treat elbow dislocation
$XXX.XX
J1
5112
24615
Treat elbow dislocation
$XXX.XX
J1
5114
24620
Treat elbow fracture
$XXX.XX
J1
5112
24635
Treat elbow fracture
$XXX.XX
J1
5114
24640
Treat elbow dislocation
$XXX.XX
T
5111
24650
Treat radius fracture
$XXX.XX
T
5111
24655
Treat radius fracture
$XXX.XX
J1
5112
24665
Treat radius fracture
$XXX.XX
J1
5114
24666
Treat radius fracture
$XXX.XX
J1
5115
24670
Treat ulnar fracture
$XXX.XX
T
5111
24675
Treat ulnar fracture
$XXX.XX
J1
5112
24685
Treat ulnar fracture
$XXX.XX
J1
5114
24800
Fusion of elbow joint
$XXX.XX
J1
5114
24802
Fusion/graft of elbow joint
$XXX.XX
J1
5115
24925
Amputation follow-up surgery
$XXX.XX
J1
5113
24935
Revision of amputation
$XXX.XX
J1
5114
24999
Upper arm/elbow surgery
$XXX.XX
T
5111
25000
Incision of tendon sheath
$XXX.XX
J1
5112
25001
Incise flexor carpi radialis
$XXX.XX
J1
5113
25020
Decompress forearm 1 space
$XXX.XX
J1
5112
25023
Decompress forearm 1 space
$XXX.XX
J1
5113
25024
Decompress forearm 2 spaces
$XXX.XX
J1
5113
25025
Decompress forearm 2 spaces
$XXX.XX
J1
5112
25028
Drainage of forearm lesion
$XXX.XX
J1
5113
25031
Drainage of forearm bursa
$XXX.XX
J1
5112
25035
Treat forearm bone lesion
$XXX.XX
J1
5114
25040
Explore/treat wrist joint
$XXX.XX
J1
5113
25065
Biopsy forearm soft tissues
$XXX.XX
J1
5072
25066
Biopsy forearm soft tissues
$XXX.XX
J1
5073
25071
Exc forearm les sc 3 cm/>
$XXX.XX
J1
5072
25073
Exc forearm tum deep 3 cm/>
$XXX.XX
J1
5073
25075
Exc forearm les sc < 3 cm
$XXX.XX
J1
5072
25076
Exc forearm tum deep < 3 cm
$XXX.XX
J1
5072
25077
Resect forearm/wrist tum<3cm
$XXX.XX
J1
5072
25078
Resect forarm/wrist tum 3cm>
$XXX.XX
J1
5073
25085
Incision of wrist capsule
$XXX.XX
J1
5113
25100
Biopsy of wrist joint
$XXX.XX
J1
5113
25101
Explore/treat wrist joint
$XXX.XX
J1
5113
25105
Remove wrist joint lining
$XXX.XX
J1
5113
25107
Remove wrist joint cartilage
$XXX.XX
J1
5113
25109
Excise tendon forearm/wrist
$XXX.XX
J1
5113
25110
Remove wrist tendon lesion
$XXX.XX
J1
5112
25111
Remove wrist tendon lesion
$XXX.XX
J1
5112
25112
Reremove wrist tendon lesion
$XXX.XX
J1
5112
25115
Remove wrist/forearm lesion
$XXX.XX
J1
5112
25116
Remove wrist/forearm lesion
$XXX.XX
J1
5113
25118
Excise wrist tendon sheath
$XXX.XX
J1
5112
25119
Partial removal of ulna
$XXX.XX
J1
5113
25120
Removal of forearm lesion
$XXX.XX
J1
5113
25125
Remove/graft forearm lesion
$XXX.XX
J1
5112
25126
Remove/graft forearm lesion
$XXX.XX
J1
5113
25130
Removal of wrist lesion
$XXX.XX
J1
5113
25135
Remove & graft wrist lesion
$XXX.XX
J1
5113
25136
Remove & graft wrist lesion
$XXX.XX
J1
5114
25145
Remove forearm bone lesion
$XXX.XX
J1
5113
25150
Partial removal of ulna
$XXX.XX
J1
5113
25151
Partial removal of radius
$XXX.XX
J1
5113
25170
Resect radius/ulnar tumor
$XXX.XX
J1
5114
25210
Removal of wrist bone
$XXX.XX
J1
5113
25215
Removal of wrist bones
$XXX.XX
J1
5113
25230
Partial removal of radius
$XXX.XX
J1
5113
25240
Partial removal of ulna
$XXX.XX
J1
5113
25248
Remove forearm foreign body
$XXX.XX
J1
5112
25250
Removal of wrist prosthesis
$XXX.XX
Q2
5112
25251
Removal of wrist prosthesis
$XXX.XX
Q2
5113
25259
Manipulate wrist w/anesthes
$XXX.XX
J1
5112
25260
Repair forearm tendon/muscle
$XXX.XX
J1
5113
25263
Repair forearm tendon/muscle
$XXX.XX
J1
5113
25265
Repair forearm tendon/muscle
$XXX.XX
J1
5113
25270
Repair forearm tendon/muscle
$XXX.XX
J1
5113
25272
Repair forearm tendon/muscle
$XXX.XX
J1
5113
25274
Repair forearm tendon/muscle
$XXX.XX
J1
5113
25275
Repair forearm tendon sheath
$XXX.XX
J1
5113
25280
Revise wrist/forearm tendon
$XXX.XX
J1
5113
25290
Incise wrist/forearm tendon
$XXX.XX
J1
5113
25295
Release wrist/forearm tendon
$XXX.XX
J1
5113
25300
Fusion of tendons at wrist
$XXX.XX
J1
5113
25301
Fusion of tendons at wrist
$XXX.XX
J1
5113
25310
Transplant forearm tendon
$XXX.XX
J1
5113
25312
Transplant forearm tendon
$XXX.XX
J1
5113
25315
Revise palsy hand tendon(s)
$XXX.XX
J1
5114
25316
Revise palsy hand tendon(s)
$XXX.XX
J1
5114
25320
Repair/revise wrist joint
$XXX.XX
J1
5114
25332
Revise wrist joint
$XXX.XX
J1
5113
25335
Realignment of hand
$XXX.XX
J1
5113
25337
Reconstruct ulna/radioulnar
$XXX.XX
J1
5114
25350
Revision of radius
$XXX.XX
J1
5114
25355
Revision of radius
$XXX.XX
J1
5113
25360
Revision of ulna
$XXX.XX
J1
5114
25365
Revise radius & ulna
$XXX.XX
J1
5115
25370
Revise radius or ulna
$XXX.XX
J1
5113
25375
Revise radius & ulna
$XXX.XX
J1
5113
25390
Shorten radius or ulna
$XXX.XX
J1
5114
25391
Lengthen radius or ulna
$XXX.XX
J1
5115
25392
Shorten radius & ulna
$XXX.XX
J1
5113
25393
Lengthen radius & ulna
$XXX.XX
J1
5113
25394
Repair carpal bone shorten
$XXX.XX
J1
5113
25400
Repair radius or ulna
$XXX.XX
J1
5114
25405
Repair/graft radius or ulna
$XXX.XX
J1
5114
25415
Repair radius & ulna
$XXX.XX
J1
5114
25420
Repair/graft radius & ulna
$XXX.XX
J1
5114
25425
Repair/graft radius or ulna
$XXX.XX
J1
5114
25426
Repair/graft radius & ulna
$XXX.XX
J1
5113
25430
Vasc graft into carpal bone
$XXX.XX
J1
5113
25431
Repair nonunion carpal bone
$XXX.XX
J1
5114
25440
Repair/graft wrist bone
$XXX.XX
J1
5114
25441
Reconstruct wrist joint
$XXX.XX
J1
5115
25442
Reconstruct wrist joint
$XXX.XX
J1
5116
25443
Reconstruct wrist joint
$XXX.XX
J1
5114
25444
Reconstruct wrist joint
$XXX.XX
J1
5115
25445
Reconstruct wrist joint
$XXX.XX
J1
5114
25446
Wrist replacement
$XXX.XX
J1
5116
25447
Repair wrist joints
$XXX.XX
J1
5113
25449
Remove wrist joint implant
$XXX.XX
J1
5114
25450
Revision of wrist joint
$XXX.XX
J1
5113
25455
Revision of wrist joint
$XXX.XX
J1
5113
25490
Reinforce radius
$XXX.XX
J1
5114
25491
Reinforce ulna
$XXX.XX
J1
5115
25492
Reinforce radius and ulna
$XXX.XX
J1
5113
25500
Treat fracture of radius
$XXX.XX
T
5111
25505
Treat fracture of radius
$XXX.XX
J1
5112
25515
Treat fracture of radius
$XXX.XX
J1
5114
25520
Treat fracture of radius
$XXX.XX
J1
5112
25525
Treat fracture of radius
$XXX.XX
J1
5114
25526
Treat fracture of radius
$XXX.XX
J1
5114
25530
Treat fracture of ulna
$XXX.XX
T
5111
25535
Treat fracture of ulna
$XXX.XX
T
5111
25545
Treat fracture of ulna
$XXX.XX
J1
5114
25560
Treat fracture radius & ulna
$XXX.XX
T
5111
25565
Treat fracture radius & ulna
$XXX.XX
J1
5112
25574
Treat fracture radius & ulna
$XXX.XX
J1
5114
25575
Treat fracture radius/ulna
$XXX.XX
J1
5114
25600
Treat fracture radius/ulna
$XXX.XX
T
5111
25605
Treat fracture radius/ulna
$XXX.XX
J1
5112
25606
Treat fx distal radial
$XXX.XX
J1
5113
25607
Treat fx rad extra-articul
$XXX.XX
J1
5114
25608
Treat fx rad intra-articul
$XXX.XX
J1
5114
25609
Treat fx radial 3+ frag
$XXX.XX
J1
5114
25622
Treat wrist bone fracture
$XXX.XX
T
5111
25624
Treat wrist bone fracture
$XXX.XX
J1
5112
25628
Treat wrist bone fracture
$XXX.XX
J1
5114
25630
Treat wrist bone fracture
$XXX.XX
T
5111
25635
Treat wrist bone fracture
$XXX.XX
J1
5112
25645
Treat wrist bone fracture
$XXX.XX
J1
5113
25650
Treat wrist bone fracture
$XXX.XX
T
5111
25651
Pin ulnar styloid fracture
$XXX.XX
J1
5113
25652
Treat fracture ulnar styloid
$XXX.XX
J1
5114
25660
Treat wrist dislocation
$XXX.XX
T
5111
25670
Treat wrist dislocation
$XXX.XX
J1
5113
25671
Pin radioulnar dislocation
$XXX.XX
J1
5113
25675
Treat wrist dislocation
$XXX.XX
T
5111
25676
Treat wrist dislocation
$XXX.XX
J1
5114
25680
Treat wrist fracture
$XXX.XX
T
5111
25685
Treat wrist fracture
$XXX.XX
J1
5113
25690
Treat wrist dislocation
$XXX.XX
J1
5112
25695
Treat wrist dislocation
$XXX.XX
J1
5114
25800
Fusion of wrist joint
$XXX.XX
J1
5114
25805
Fusion/graft of wrist joint
$XXX.XX
J1
5114
25810
Fusion/graft of wrist joint
$XXX.XX
J1
5115
25820
Fusion of hand bones
$XXX.XX
J1
5114
25825
Fuse hand bones with graft
$XXX.XX
J1
5114
25830
Fusion radioulnar jnt/ulna
$XXX.XX
J1
5114
25907
Amputation follow-up surgery
$XXX.XX
J1
5113
25909
Amputation follow-up surgery
$XXX.XX
J1
5113
25922
Amputate hand at wrist
$XXX.XX
J1
5112
25929
Amputation follow-up surgery
$XXX.XX
T
5054
25931
Amputation follow-up surgery
$XXX.XX
J1
5113
25999
Forearm or wrist surgery
$XXX.XX
T
5111
26010
Drainage of finger abscess
$XXX.XX
T
5051
26011
Drainage of finger abscess
$XXX.XX
J1
5072
26020
Drain hand tendon sheath
$XXX.XX
J1
5113
26025
Drainage of palm bursa
$XXX.XX
J1
5113
26030
Drainage of palm bursas
$XXX.XX
J1
5113
26034
Treat hand bone lesion
$XXX.XX
J1
5112
26035
Decompress fingers/hand
$XXX.XX
J1
5113
26037
Decompress fingers/hand
$XXX.XX
J1
5113
26040
Release palm contracture
$XXX.XX
J1
5112
26045
Release palm contracture
$XXX.XX
J1
5113
26055
Incise finger tendon sheath
$XXX.XX
J1
5112
26060
Incision of finger tendon
$XXX.XX
J1
5112
26070
Explore/treat hand joint
$XXX.XX
J1
5112
26075
Explore/treat finger joint
$XXX.XX
J1
5113
26080
Explore/treat finger joint
$XXX.XX
J1
5112
26100
Biopsy hand joint lining
$XXX.XX
J1
5113
26105
Biopsy finger joint lining
$XXX.XX
J1
5113
26110
Biopsy finger joint lining
$XXX.XX
J1
5112
26111
Exc hand les sc 1.5 cm/>
$XXX.XX
J1
5072
26113
Exc hand tum deep 1.5 cm/>
$XXX.XX
J1
5072
26115
Exc hand les sc < 1.5 cm
$XXX.XX
J1
5072
26116
Exc hand tum deep < 1.5 cm
$XXX.XX
J1
5072
26117
Rad resect hand tumor < 3 cm
$XXX.XX
J1
5073
26118
Rad resect hand tumor 3 cm/>
$XXX.XX
J1
5073
26121
Release palm contracture
$XXX.XX
J1
5113
26123
Release palm contracture
$XXX.XX
J1
5113
26130
Remove wrist joint lining
$XXX.XX
J1
5113
26135
Revise finger joint each
$XXX.XX
J1
5113
26140
Revise finger joint each
$XXX.XX
J1
5112
26145
Tendon excision palm/finger
$XXX.XX
J1
5112
26160
Remove tendon sheath lesion
$XXX.XX
J1
5112
26170
Removal of palm tendon each
$XXX.XX
J1
5112
26180
Removal of finger tendon
$XXX.XX
J1
5112
26185
Remove finger bone
$XXX.XX
J1
5112
26200
Remove hand bone lesion
$XXX.XX
J1
5112
26205
Remove/graft bone lesion
$XXX.XX
J1
5114
26210
Removal of finger lesion
$XXX.XX
J1
5112
26215
Remove/graft finger lesion
$XXX.XX
J1
5113
26230
Partial removal of hand bone
$XXX.XX
J1
5113
26235
Partial removal finger bone
$XXX.XX
J1
5112
26236
Partial removal finger bone
$XXX.XX
J1
5112
26250
Extensive hand surgery
$XXX.XX
J1
5113
26260
Resect prox finger tumor
$XXX.XX
J1
5113
26262
Resect distal finger tumor
$XXX.XX
J1
5112
26320
Removal of implant from hand
$XXX.XX
Q2
5072
26340
Manipulate finger w/anesth
$XXX.XX
J1
5112
26341
Manipulat palm cord post inj
$XXX.XX
T
5111
26350
Repair finger/hand tendon
$XXX.XX
J1
5113
26352
Repair/graft hand tendon
$XXX.XX
J1
5113
26356
Repair finger/hand tendon
$XXX.XX
J1
5113
26357
Repair finger/hand tendon
$XXX.XX
J1
5113
26358
Repair/graft hand tendon
$XXX.XX
J1
5113
26370
Repair finger/hand tendon
$XXX.XX
J1
5113
26372
Repair/graft hand tendon
$XXX.XX
J1
5114
26373
Repair finger/hand tendon
$XXX.XX
J1
5113
26390
Revise hand/finger tendon
$XXX.XX
J1
5114
26392
Repair/graft hand tendon
$XXX.XX
J1
5114
26410
Repair hand tendon
$XXX.XX
J1
5112
26412
Repair/graft hand tendon
$XXX.XX
J1
5113
26415
Excision hand/finger tendon
$XXX.XX
J1
5113
26416
Graft hand or finger tendon
$XXX.XX
J1
5113
26418
Repair finger tendon
$XXX.XX
J1
5112
26420
Repair/graft finger tendon
$XXX.XX
J1
5113
26426
Repair finger/hand tendon
$XXX.XX
J1
5113
26428
Repair/graft finger tendon
$XXX.XX
J1
5113
26432
Repair finger tendon
$XXX.XX
J1
5112
26433
Repair finger tendon
$XXX.XX
J1
5113
26434
Repair/graft finger tendon
$XXX.XX
J1
5113
26437
Realignment of tendons
$XXX.XX
J1
5113
26440
Release palm/finger tendon
$XXX.XX
J1
5112
26442
Release palm & finger tendon
$XXX.XX
J1
5113
26445
Release hand/finger tendon
$XXX.XX
J1
5113
26449
Release forearm/hand tendon
$XXX.XX
J1
5113
26450
Incision of palm tendon
$XXX.XX
J1
5113
26455
Incision of finger tendon
$XXX.XX
J1
5112
26460
Incise hand/finger tendon
$XXX.XX
J1
5112
26471
Fusion of finger tendons
$XXX.XX
J1
5113
26474
Fusion of finger tendons
$XXX.XX
J1
5112
26476
Tendon lengthening
$XXX.XX
J1
5113
26477
Tendon shortening
$XXX.XX
J1
5113
26478
Lengthening of hand tendon
$XXX.XX
J1
5113
26479
Shortening of hand tendon
$XXX.XX
J1
5113
26480
Transplant hand tendon
$XXX.XX
J1
5113
26483
Transplant/graft hand tendon
$XXX.XX
J1
5113
26485
Transplant palm tendon
$XXX.XX
J1
5113
26489
Transplant/graft palm tendon
$XXX.XX
J1
5113
26490
Revise thumb tendon
$XXX.XX
J1
5113
26492
Tendon transfer with graft
$XXX.XX
J1
5113
26494
Hand tendon/muscle transfer
$XXX.XX
J1
5113
26496
Revise thumb tendon
$XXX.XX
J1
5113
26497
Finger tendon transfer
$XXX.XX
J1
5113
26498
Finger tendon transfer
$XXX.XX
J1
5113
26499
Revision of finger
$XXX.XX
J1
5113
26500
Hand tendon reconstruction
$XXX.XX
J1
5114
26502
Hand tendon reconstruction
$XXX.XX
J1
5113
26508
Release thumb contracture
$XXX.XX
J1
5113
26510
Thumb tendon transfer
$XXX.XX
J1
5113
26516
Fusion of knuckle joint
$XXX.XX
J1
5113
26517
Fusion of knuckle joints
$XXX.XX
J1
5113
26518
Fusion of knuckle joints
$XXX.XX
J1
5113
26520
Release knuckle contracture
$XXX.XX
J1
5113
26525
Release finger contracture
$XXX.XX
J1
5112
26530
Revise knuckle joint
$XXX.XX
J1
5113
26531
Revise knuckle with implant
$XXX.XX
J1
5114
26535
Revise finger joint
$XXX.XX
J1
5113
26536
Revise/implant finger joint
$XXX.XX
J1
5114
26540
Repair hand joint
$XXX.XX
J1
5113
26541
Repair hand joint with graft
$XXX.XX
J1
5113
26542
Repair hand joint with graft
$XXX.XX
J1
5113
26545
Reconstruct finger joint
$XXX.XX
J1
5113
26546
Repair nonunion hand
$XXX.XX
J1
5114
26548
Reconstruct finger joint
$XXX.XX
J1
5113
26550
Construct thumb replacement
$XXX.XX
J1
5113
26555
Positional change of finger
$XXX.XX
J1
5114
26560
Repair of web finger
$XXX.XX
J1
5112
26561
Repair of web finger
$XXX.XX
J1
5113
26562
Repair of web finger
$XXX.XX
J1
5113
26565
Correct metacarpal flaw
$XXX.XX
J1
5113
26567
Correct finger deformity
$XXX.XX
J1
5113
26568
Lengthen metacarpal/finger
$XXX.XX
J1
5114
26580
Repair hand deformity
$XXX.XX
J1
5113
26587
Reconstruct extra finger
$XXX.XX
J1
5113
26590
Repair finger deformity
$XXX.XX
J1
5112
26591
Repair muscles of hand
$XXX.XX
J1
5113
26593
Release muscles of hand
$XXX.XX
J1
5113
26596
Excision constricting tissue
$XXX.XX
J1
5113
26600
Treat metacarpal fracture
$XXX.XX
T
5111
26605
Treat metacarpal fracture
$XXX.XX
T
5111
26607
Treat metacarpal fracture
$XXX.XX
J1
5113
26608
Treat metacarpal fracture
$XXX.XX
J1
5113
26615
Treat metacarpal fracture
$XXX.XX
J1
5113
26641
Treat thumb dislocation
$XXX.XX
T
5111
26645
Treat thumb fracture
$XXX.XX
J1
5112
26650
Treat thumb fracture
$XXX.XX
J1
5113
26665
Treat thumb fracture
$XXX.XX
J1
5113
26670
Treat hand dislocation
$XXX.XX
T
5111
26675
Treat hand dislocation
$XXX.XX
J1
5112
26676
Pin hand dislocation
$XXX.XX
J1
5113
26685
Treat hand dislocation
$XXX.XX
J1
5113
26686
Treat hand dislocation
$XXX.XX
J1
5113
26700
Treat knuckle dislocation
$XXX.XX
T
5111
26705
Treat knuckle dislocation
$XXX.XX
J1
5112
26706
Pin knuckle dislocation
$XXX.XX
J1
5113
26715
Treat knuckle dislocation
$XXX.XX
J1
5113
26720
Treat finger fracture each
$XXX.XX
T
5111
26725
Treat finger fracture each
$XXX.XX
T
5111
26727
Treat finger fracture each
$XXX.XX
J1
5113
26735
Treat finger fracture each
$XXX.XX
J1
5113
26740
Treat finger fracture each
$XXX.XX
T
5111
26742
Treat finger fracture each
$XXX.XX
J1
5112
26746
Treat finger fracture each
$XXX.XX
J1
5113
26750
Treat finger fracture each
$XXX.XX
T
5111
26755
Treat finger fracture each
$XXX.XX
T
5111
26756
Pin finger fracture each
$XXX.XX
J1
5113
26765
Treat finger fracture each
$XXX.XX
J1
5113
26770
Treat finger dislocation
$XXX.XX
T
5111
26775
Treat finger dislocation
$XXX.XX
T
5102
26776
Pin finger dislocation
$XXX.XX
J1
5113
26785
Treat finger dislocation
$XXX.XX
J1
5113
26820
Thumb fusion with graft
$XXX.XX
J1
5114
26841
Fusion of thumb
$XXX.XX
J1
5114
26842
Thumb fusion with graft
$XXX.XX
J1
5114
26843
Fusion of hand joint
$XXX.XX
J1
5114
26844
Fusion/graft of hand joint
$XXX.XX
J1
5114
26850
Fusion of knuckle
$XXX.XX
J1
5114
26852
Fusion of knuckle with graft
$XXX.XX
J1
5114
26860
Fusion of finger joint
$XXX.XX
J1
5113
26862
Fusion/graft of finger joint
$XXX.XX
J1
5113
26910
Amputate metacarpal bone
$XXX.XX
J1
5113
26951
Amputation of finger/thumb
$XXX.XX
J1
5113
26952
Amputation of finger/thumb
$XXX.XX
J1
5113
26989
Hand/finger surgery
$XXX.XX
T
5111
26990
Drainage of pelvis lesion
$XXX.XX
J1
5113
26991
Drainage of pelvis bursa
$XXX.XX
J1
5112
27000
Incision of hip tendon
$XXX.XX
J1
5112
27001
Incision of hip tendon
$XXX.XX
J1
5113
27003
Incision of hip tendon
$XXX.XX
J1
5114
27006
Incision of hip tendons
$XXX.XX
J1
5113
27027
Buttock fasciotomy
$XXX.XX
J1
5114
27033
Exploration of hip joint
$XXX.XX
J1
5113
27035
Denervation of hip joint
$XXX.XX
J1
5113
27040
Biopsy of soft tissues
$XXX.XX
J1
5072
27041
Biopsy of soft tissues
$XXX.XX
J1
5072
27043
Exc hip pelvis les sc 3 cm/>
$XXX.XX
J1
5073
27045
Exc hip/pelv tum deep 5 cm/>
$XXX.XX
J1
5073
27047
Exc hip/pelvis les sc < 3 cm
$XXX.XX
J1
5073
27048
Exc hip/pelv tum deep < 5 cm
$XXX.XX
J1
5073
27049
Resect hip/pelv tum < 5 cm
$XXX.XX
J1
5073
27050
Biopsy of sacroiliac joint
$XXX.XX
J1
5112
27052
Biopsy of hip joint
$XXX.XX
J1
5112
27057
Buttock fasciotomy w/dbrdmt
$XXX.XX
J1
5112
27059
Resect hip/pelv tum 5 cm/>
$XXX.XX
J1
5073
27060
Removal of ischial bursa
$XXX.XX
J1
5113
27062
Remove femur lesion/bursa
$XXX.XX
J1
5113
27065
Remove hip bone les super
$XXX.XX
J1
5113
27066
Remove hip bone les deep
$XXX.XX
J1
5113
27067
Remove/graft hip bone lesion
$XXX.XX
J1
5114
27080
Removal of tail bone
$XXX.XX
J1
5113
27086
Remove hip foreign body
$XXX.XX
J1
5072
27087
Remove hip foreign body
$XXX.XX
J1
5113
27097
Revision of hip tendon
$XXX.XX
J1
5113
27098
Transfer tendon to pelvis
$XXX.XX
J1
5113
27100
Transfer of abdominal muscle
$XXX.XX
J1
5114
27105
Transfer of spinal muscle
$XXX.XX
J1
5113
27110
Transfer of iliopsoas muscle
$XXX.XX
J1
5114
27111
Transfer of iliopsoas muscle
$XXX.XX
J1
5113
27179
Revise head/neck of femur
$XXX.XX
J1
5114
27197
Clsd tx pelvic ring fx
$XXX.XX
T
5111
27198
Clsd tx pelvic ring fx
$XXX.XX
T
5111
27200
Treat tail bone fracture
$XXX.XX
T
5111
27202
Treat tail bone fracture
$XXX.XX
J1
5113
27220
Treat hip socket fracture
$XXX.XX
T
5111
27230
Treat thigh fracture
$XXX.XX
T
5111
27235
Treat thigh fracture
$XXX.XX
J1
5114
27238
Treat thigh fracture
$XXX.XX
J1
5112
27246
Treat thigh fracture
$XXX.XX
T
5111
27250
Treat hip dislocation
$XXX.XX
T
5111
27252
Treat hip dislocation
$XXX.XX
J1
5112
27256
Treat hip dislocation
$XXX.XX
T
5111
27257
Treat hip dislocation
$XXX.XX
J1
5112
27265
Treat hip dislocation
$XXX.XX
T
5111
27266
Treat hip dislocation
$XXX.XX
J1
5112
27267
Cltx thigh fx
$XXX.XX
J1
5113
27275
Manipulation of hip joint
$XXX.XX
J1
5112
27279
Arthrodesis sacroiliac joint
$XXX.XX
J1
5116
27299
Pelvis/hip joint surgery
$XXX.XX
T
5111
27301
Drain thigh/knee lesion
$XXX.XX
J1
5073
27305
Incise thigh tendon & fascia
$XXX.XX
J1
5113
27306
Incision of thigh tendon
$XXX.XX
J1
5113
27307
Incision of thigh tendons
$XXX.XX
J1
5113
27310
Exploration of knee joint
$XXX.XX
J1
5113
27323
Biopsy thigh soft tissues
$XXX.XX
J1
5072
27324
Biopsy thigh soft tissues
$XXX.XX
J1
5073
27325
Neurectomy hamstring
$XXX.XX
J1
5431
27326
Neurectomy popliteal
$XXX.XX
J1
5431
27327
Exc thigh/knee les sc < 3 cm
$XXX.XX
J1
5072
27328
Exc thigh/knee tum deep <5cm
$XXX.XX
J1
5073
27329
Resect thigh/knee tum < 5 cm
$XXX.XX
J1
5073
27330
Biopsy knee joint lining
$XXX.XX
J1
5113
27331
Explore/treat knee joint
$XXX.XX
J1
5113
27332
Removal of knee cartilage
$XXX.XX
J1
5113
27333
Removal of knee cartilage
$XXX.XX
J1
5113
27334
Remove knee joint lining
$XXX.XX
J1
5113
27335
Remove knee joint lining
$XXX.XX
J1
5114
27337
Exc thigh/knee les sc 3 cm/>
$XXX.XX
J1
5073
27339
Exc thigh/knee tum dep 5cm/>
$XXX.XX
J1
5073
27340
Removal of kneecap bursa
$XXX.XX
J1
5113
27345
Removal of knee cyst
$XXX.XX
J1
5113
27347
Remove knee cyst
$XXX.XX
J1
5113
27350
Removal of kneecap
$XXX.XX
J1
5113
27355
Remove femur lesion
$XXX.XX
J1
5113
27356
Remove femur lesion/graft
$XXX.XX
J1
5115
27357
Remove femur lesion/graft
$XXX.XX
J1
5114
27360
Partial removal leg bone(s)
$XXX.XX
J1
5113
27364
Resect thigh/knee tum 5 cm/>
$XXX.XX
J1
5073
27372
Removal of foreign body
$XXX.XX
J1
5073
27380
Repair of kneecap tendon
$XXX.XX
J1
5114
27381
Repair/graft kneecap tendon
$XXX.XX
J1
5114
27385
Repair of thigh muscle
$XXX.XX
J1
5114
27386
Repair/graft of thigh muscle
$XXX.XX
J1
5114
27390
Incision of thigh tendon
$XXX.XX
J1
5113
27391
Incision of thigh tendons
$XXX.XX
J1
5113
27392
Incision of thigh tendons
$XXX.XX
J1
5113
27393
Lengthening of thigh tendon
$XXX.XX
J1
5113
27394
Lengthening of thigh tendons
$XXX.XX
J1
5114
27395
Lengthening of thigh tendons
$XXX.XX
J1
5113
27396
Transplant of thigh tendon
$XXX.XX
J1
5114
27397
Transplants of thigh tendons
$XXX.XX
J1
5114
27400
Revise thigh muscles/tendons
$XXX.XX
J1
5114
27403
Repair of knee cartilage
$XXX.XX
J1
5113
27405
Repair of knee ligament
$XXX.XX
J1
5114
27407
Repair of knee ligament
$XXX.XX
J1
5114
27409
Repair of knee ligaments
$XXX.XX
J1
5114
27412
Autochondrocyte implant knee
$XXX.XX
J1
5114
27415
Osteochondral knee allograft
$XXX.XX
J1
5115
27416
Osteochondral knee autograft
$XXX.XX
J1
5114
27418
Repair degenerated kneecap
$XXX.XX
J1
5114
27420
Revision of unstable kneecap
$XXX.XX
J1
5114
27422
Revision of unstable kneecap
$XXX.XX
J1
5114
27424
Revision/removal of kneecap
$XXX.XX
J1
5114
27425
Lat retinacular release open
$XXX.XX
J1
5113
27427
Reconstruction knee
$XXX.XX
J1
5114
27428
Reconstruction knee
$XXX.XX
J1
5115
27429
Reconstruction knee
$XXX.XX
J1
5115
27430
Revision of thigh muscles
$XXX.XX
J1
5114
27435
Incision of knee joint
$XXX.XX
J1
5113
27437
Revise kneecap
$XXX.XX
J1
5114
27438
Revise kneecap with implant
$XXX.XX
J1
5115
27440
Revision of knee joint
$XXX.XX
J1
5115
27441
Revision of knee joint
$XXX.XX
J1
5115
27442
Revision of knee joint
$XXX.XX
J1
5115
27443
Revision of knee joint
$XXX.XX
J1
5115
27446
Revision of knee joint
$XXX.XX
J1
5115
27447
Total knee arthroplasty
$XXX.XX
J1
5115
27475
Surgery to stop leg growth
$XXX.XX
J1
5114
27477
Surgery to stop leg growth
$XXX.XX
J1
5113
27479
Surgery to stop leg growth
$XXX.XX
J1
5114
27485
Surgery to stop leg growth
$XXX.XX
J1
5113
27496
Decompression of thigh/knee
$XXX.XX
J1
5113
27497
Decompression of thigh/knee
$XXX.XX
J1
5113
27498
Decompression of thigh/knee
$XXX.XX
J1
5112
27499
Decompression of thigh/knee
$XXX.XX
J1
5113
27500
Treatment of thigh fracture
$XXX.XX
T
5111
27501
Treatment of thigh fracture
$XXX.XX
T
5111
27502
Treatment of thigh fracture
$XXX.XX
J1
5112
27503
Treatment of thigh fracture
$XXX.XX
J1
5112
27508
Treatment of thigh fracture
$XXX.XX
T
5111
27509
Treatment of thigh fracture
$XXX.XX
J1
5114
27510
Treatment of thigh fracture
$XXX.XX
J1
5112
27516
Treat thigh fx growth plate
$XXX.XX
T
5111
27517
Treat thigh fx growth plate
$XXX.XX
J1
5112
27520
Treat kneecap fracture
$XXX.XX
T
5111
27524
Treat kneecap fracture
$XXX.XX
J1
5114
27530
Treat knee fracture
$XXX.XX
T
5111
27532
Treat knee fracture
$XXX.XX
J1
5113
27538
Treat knee fracture(s)
$XXX.XX
T
5111
27550
Treat knee dislocation
$XXX.XX
T
5111
27552
Treat knee dislocation
$XXX.XX
J1
5112
27560
Treat kneecap dislocation
$XXX.XX
T
5111
27562
Treat kneecap dislocation
$XXX.XX
T
5111
27566
Treat kneecap dislocation
$XXX.XX
J1
5114
27570
Fixation of knee joint
$XXX.XX
J1
5112
27594
Amputation follow-up surgery
$XXX.XX
J1
5113
27599
Leg surgery procedure
$XXX.XX
T
5111
27600
Decompression of lower leg
$XXX.XX
J1
5113
27601
Decompression of lower leg
$XXX.XX
J1
5113
27602
Decompression of lower leg
$XXX.XX
J1
5113
27603
Drain lower leg lesion
$XXX.XX
J1
5073
27604
Drain lower leg bursa
$XXX.XX
J1
5113
27605
Incision of achilles tendon
$XXX.XX
J1
5112
27606
Incision of achilles tendon
$XXX.XX
J1
5113
27607
Treat lower leg bone lesion
$XXX.XX
J1
5113
27610
Explore/treat ankle joint
$XXX.XX
J1
5113
27612
Exploration of ankle joint
$XXX.XX
J1
5113
27613
Biopsy lower leg soft tissue
$XXX.XX
J1
5072
27614
Biopsy lower leg soft tissue
$XXX.XX
J1
5073
27615
Resect leg/ankle tum < 5 cm
$XXX.XX
J1
5073
27616
Resect leg/ankle tum 5 cm/>
$XXX.XX
J1
5073
27618
Exc leg/ankle tum < 3 cm
$XXX.XX
J1
5072
27619
Exc leg/ankle tum deep <5 cm
$XXX.XX
J1
5073
27620
Explore/treat ankle joint
$XXX.XX
J1
5113
27625
Remove ankle joint lining
$XXX.XX
J1
5113
27626
Remove ankle joint lining
$XXX.XX
J1
5113
27630
Removal of tendon lesion
$XXX.XX
J1
5113
27632
Exc leg/ankle les sc 3 cm/>
$XXX.XX
J1
5073
27634
Exc leg/ankle tum dep 5 cm/>
$XXX.XX
J1
5073
27635
Remove lower leg bone lesion
$XXX.XX
J1
5113
27637
Remove/graft leg bone lesion
$XXX.XX
J1
5114
27638
Remove/graft leg bone lesion
$XXX.XX
J1
5114
27640
Partial removal of tibia
$XXX.XX
J1
5113
27641
Partial removal of fibula
$XXX.XX
J1
5113
27647
Resect talus/calcaneus tum
$XXX.XX
J1
5113
27650
Repair achilles tendon
$XXX.XX
J1
5113
27652
Repair/graft achilles tendon
$XXX.XX
J1
5114
27654
Repair of achilles tendon
$XXX.XX
J1
5114
27656
Repair leg fascia defect
$XXX.XX
J1
5113
27658
Repair of leg tendon each
$XXX.XX
J1
5113
27659
Repair of leg tendon each
$XXX.XX
J1
5114
27664
Repair of leg tendon each
$XXX.XX
J1
5114
27665
Repair of leg tendon each
$XXX.XX
J1
5114
27675
Repair lower leg tendons
$XXX.XX
J1
5113
27676
Repair lower leg tendons
$XXX.XX
J1
5114
27680
Release of lower leg tendon
$XXX.XX
J1
5113
27681
Release of lower leg tendons
$XXX.XX
J1
5113
27685
Revision of lower leg tendon
$XXX.XX
J1
5113
27686
Revise lower leg tendons
$XXX.XX
J1
5113
27687
Revision of calf tendon
$XXX.XX
J1
5113
27690
Revise lower leg tendon
$XXX.XX
J1
5114
27691
Revise lower leg tendon
$XXX.XX
J1
5114
27695
Repair of ankle ligament
$XXX.XX
J1
5114
27696
Repair of ankle ligaments
$XXX.XX
J1
5114
27698
Repair of ankle ligament
$XXX.XX
J1
5114
27700
Revision of ankle joint
$XXX.XX
J1
5114
27704
Removal of ankle implant
$XXX.XX
Q2
5113
27705
Incision of tibia
$XXX.XX
J1
5114
27707
Incision of fibula
$XXX.XX
J1
5113
27709
Incision of tibia & fibula
$XXX.XX
J1
5115
27720
Repair of tibia
$XXX.XX
J1
5114
27722
Repair/graft of tibia
$XXX.XX
J1
5114
27726
Repair fibula nonunion
$XXX.XX
J1
5114
27730
Repair of tibia epiphysis
$XXX.XX
J1
5113
27732
Repair of fibula epiphysis
$XXX.XX
J1
5113
27734
Repair lower leg epiphyses
$XXX.XX
J1
5113
27740
Repair of leg epiphyses
$XXX.XX
J1
5113
27742
Repair of leg epiphyses
$XXX.XX
J1
5113
27745
Reinforce tibia
$XXX.XX
J1
5114
27750
Treatment of tibia fracture
$XXX.XX
T
5111
27752
Treatment of tibia fracture
$XXX.XX
J1
5112
27756
Treatment of tibia fracture
$XXX.XX
J1
5114
27758
Treatment of tibia fracture
$XXX.XX
J1
5115
27759
Treatment of tibia fracture
$XXX.XX
J1
5115
27760
Cltx medial ankle fx
$XXX.XX
T
5111
27762
Cltx med ankle fx w/mnpj
$XXX.XX
J1
5112
27766
Optx medial ankle fx
$XXX.XX
J1
5114
27767
Cltx post ankle fx
$XXX.XX
T
5111
27768
Cltx post ankle fx w/mnpj
$XXX.XX
J1
5112
27769
Optx post ankle fx
$XXX.XX
J1
5114
27780
Treatment of fibula fracture
$XXX.XX
T
5111
27781
Treatment of fibula fracture
$XXX.XX
J1
5112
27784
Treatment of fibula fracture
$XXX.XX
J1
5114
27786
Treatment of ankle fracture
$XXX.XX
T
5111
27788
Treatment of ankle fracture
$XXX.XX
T
5111
27792
Treatment of ankle fracture
$XXX.XX
J1
5114
27808
Treatment of ankle fracture
$XXX.XX
T
5111
27810
Treatment of ankle fracture
$XXX.XX
J1
5112
27814
Treatment of ankle fracture
$XXX.XX
J1
5114
27816
Treatment of ankle fracture
$XXX.XX
T
5111
27818
Treatment of ankle fracture
$XXX.XX
J1
5112
27822
Treatment of ankle fracture
$XXX.XX
J1
5114
27823
Treatment of ankle fracture
$XXX.XX
J1
5114
27824
Treat lower leg fracture
$XXX.XX
T
5111
27825
Treat lower leg fracture
$XXX.XX
J1
5112
27826
Treat lower leg fracture
$XXX.XX
J1
5114
27827
Treat lower leg fracture
$XXX.XX
J1
5115
27828
Treat lower leg fracture
$XXX.XX
J1
5115
27829
Treat lower leg joint
$XXX.XX
J1
5114
27830
Treat lower leg dislocation
$XXX.XX
T
5111
27831
Treat lower leg dislocation
$XXX.XX
J1
5113
27832
Treat lower leg dislocation
$XXX.XX
J1
5114
27840
Treat ankle dislocation
$XXX.XX
T
5111
27842
Treat ankle dislocation
$XXX.XX
J1
5112
27846
Treat ankle dislocation
$XXX.XX
J1
5114
27848
Treat ankle dislocation
$XXX.XX
J1
5114
27860
Fixation of ankle joint
$XXX.XX
J1
5113
27870
Fusion of ankle joint open
$XXX.XX
J1
5115
27871
Fusion of tibiofibular joint
$XXX.XX
J1
5115
27884
Amputation follow-up surgery
$XXX.XX
J1
5113
27889
Amputation of foot at ankle
$XXX.XX
J1
5114
27892
Decompression of leg
$XXX.XX
J1
5113
27893
Decompression of leg
$XXX.XX
J1
5114
27894
Decompression of leg
$XXX.XX
J1
5113
27899
Leg/ankle surgery procedure
$XXX.XX
T
5111
28001
Drainage of bursa of foot
$XXX.XX
J1
5072
28002
Treatment of foot infection
$XXX.XX
J1
5112
28003
Treatment of foot infection
$XXX.XX
J1
5113
28005
Treat foot bone lesion
$XXX.XX
J1
5113
28008
Incision of foot fascia
$XXX.XX
J1
5113
28010
Incision of toe tendon
$XXX.XX
J1
5112
28011
Incision of toe tendons
$XXX.XX
J1
5112
28020
Exploration of foot joint
$XXX.XX
J1
5113
28022
Exploration of foot joint
$XXX.XX
J1
5113
28024
Exploration of toe joint
$XXX.XX
J1
5112
28035
Decompression of tibia nerve
$XXX.XX
J1
5431
28039
Exc foot/toe tum sc 1.5 cm/>
$XXX.XX
J1
5073
28041
Exc foot/toe tum dep 1.5cm/>
$XXX.XX
J1
5073
28043
Exc foot/toe tum sc < 1.5 cm
$XXX.XX
J1
5072
28045
Exc foot/toe tum deep <1.5cm
$XXX.XX
J1
5073
28046
Resect foot/toe tumor < 3 cm
$XXX.XX
J1
5073
28047
Resect foot/toe tumor 3 cm/>
$XXX.XX
J1
5073
28050
Biopsy of foot joint lining
$XXX.XX
J1
5113
28052
Biopsy of foot joint lining
$XXX.XX
J1
5113
28054
Biopsy of toe joint lining
$XXX.XX
J1
5113
28055
Neurectomy foot
$XXX.XX
J1
5431
28060
Partial removal foot fascia
$XXX.XX
J1
5113
28062
Removal of foot fascia
$XXX.XX
J1
5113
28070
Removal of foot joint lining
$XXX.XX
J1
5113
28072
Removal of foot joint lining
$XXX.XX
J1
5113
28080
Removal of foot lesion
$XXX.XX
J1
5112
28086
Excise foot tendon sheath
$XXX.XX
J1
5113
28088
Excise foot tendon sheath
$XXX.XX
J1
5113
28090
Removal of foot lesion
$XXX.XX
J1
5112
28092
Removal of toe lesions
$XXX.XX
J1
5112
28100
Removal of ankle/heel lesion
$XXX.XX
J1
5113
28102
Remove/graft foot lesion
$XXX.XX
J1
5114
28103
Remove/graft foot lesion
$XXX.XX
J1
5114
28104
Removal of foot lesion
$XXX.XX
J1
5113
28106
Remove/graft foot lesion
$XXX.XX
J1
5114
28107
Remove/graft foot lesion
$XXX.XX
J1
5114
28108
Removal of toe lesions
$XXX.XX
J1
5112
28110
Part removal of metatarsal
$XXX.XX
J1
5113
28111
Part removal of metatarsal
$XXX.XX
J1
5113
28112
Part removal of metatarsal
$XXX.XX
J1
5113
28113
Part removal of metatarsal
$XXX.XX
J1
5113
28114
Removal of metatarsal heads
$XXX.XX
J1
5113
28116
Revision of foot
$XXX.XX
J1
5113
28118
Removal of heel bone
$XXX.XX
J1
5113
28119
Removal of heel spur
$XXX.XX
J1
5113
28120
Part removal of ankle/heel
$XXX.XX
J1
5113
28122
Partial removal of foot bone
$XXX.XX
J1
5113
28124
Partial removal of toe
$XXX.XX
J1
5113
28126
Partial removal of toe
$XXX.XX
J1
5113
28130
Removal of ankle bone
$XXX.XX
J1
5113
28140
Removal of metatarsal
$XXX.XX
J1
5113
28150
Removal of toe
$XXX.XX
J1
5113
28153
Partial removal of toe
$XXX.XX
J1
5113
28160
Partial removal of toe
$XXX.XX
J1
5113
28171
Resect tarsal tumor
$XXX.XX
J1
5113
28173
Resect metatarsal tumor
$XXX.XX
J1
5113
28175
Resect phalanx of toe tumor
$XXX.XX
J1
5112
28190
Removal of foot foreign body
$XXX.XX
T
5071
28192
Removal of foot foreign body
$XXX.XX
J1
5072
28193
Removal of foot foreign body
$XXX.XX
J1
5072
28200
Repair of foot tendon
$XXX.XX
J1
5113
28202
Repair/graft of foot tendon
$XXX.XX
J1
5114
28208
Repair of foot tendon
$XXX.XX
J1
5113
28210
Repair/graft of foot tendon
$XXX.XX
J1
5114
28220
Release of foot tendon
$XXX.XX
J1
5112
28222
Release of foot tendons
$XXX.XX
J1
5113
28225
Release of foot tendon
$XXX.XX
J1
5113
28226
Release of foot tendons
$XXX.XX
J1
5113
28230
Incision of foot tendon(s)
$XXX.XX
J1
5112
28232
Incision of toe tendon
$XXX.XX
J1
5112
28234
Incision of foot tendon
$XXX.XX
J1
5112
28238
Revision of foot tendon
$XXX.XX
J1
5114
28240
Release of big toe
$XXX.XX
J1
5113
28250
Revision of foot fascia
$XXX.XX
J1
5113
28260
Release of midfoot joint
$XXX.XX
J1
5113
28261
Revision of foot tendon
$XXX.XX
J1
5112
28262
Revision of foot and ankle
$XXX.XX
J1
5114
28264
Release of midfoot joint
$XXX.XX
J1
5112
28270
Release of foot contracture
$XXX.XX
J1
5113
28272
Release of toe joint each
$XXX.XX
J1
5112
28280
Fusion of toes
$XXX.XX
J1
5113
28285
Repair of hammertoe
$XXX.XX
J1
5113
28286
Repair of hammertoe
$XXX.XX
J1
5113
28288
Partial removal of foot bone
$XXX.XX
J1
5113
28289
Corrj halux rigdus w/o implt
$XXX.XX
J1
5113
28291
Corrj halux rigdus w/implt
$XXX.XX
J1
5114
28292
Correction hallux valgus
$XXX.XX
J1
5113
28295
Correction hallux valgus
$XXX.XX
J1
5113
28296
Correction hallux valgus
$XXX.XX
J1
5113
28297
Correction hallux valgus
$XXX.XX
J1
5114
28298
Correction hallux valgus
$XXX.XX
J1
5114
28299
Correction hallux valgus
$XXX.XX
J1
5113
28300
Incision of heel bone
$XXX.XX
J1
5114
28302
Incision of ankle bone
$XXX.XX
J1
5114
28304
Incision of midfoot bones
$XXX.XX
J1
5114
28305
Incise/graft midfoot bones
$XXX.XX
J1
5114
28306
Incision of metatarsal
$XXX.XX
J1
5114
28307
Incision of metatarsal
$XXX.XX
J1
5113
28308
Incision of metatarsal
$XXX.XX
J1
5113
28309
Incision of metatarsals
$XXX.XX
J1
5114
28310
Revision of big toe
$XXX.XX
J1
5113
28312
Revision of toe
$XXX.XX
J1
5113
28313
Repair deformity of toe
$XXX.XX
J1
5113
28315
Removal of sesamoid bone
$XXX.XX
J1
5113
28320
Repair of foot bones
$XXX.XX
J1
5115
28322
Repair of metatarsals
$XXX.XX
J1
5114
28340
Resect enlarged toe tissue
$XXX.XX
J1
5113
28341
Resect enlarged toe
$XXX.XX
J1
5113
28344
Repair extra toe(s)
$XXX.XX
J1
5113
28345
Repair webbed toe(s)
$XXX.XX
J1
5112
28360
Reconstruct cleft foot
$XXX.XX
J1
5114
28400
Treatment of heel fracture
$XXX.XX
T
5111
28405
Treatment of heel fracture
$XXX.XX
T
5111
28406
Treatment of heel fracture
$XXX.XX
J1
5114
28415
Treat heel fracture
$XXX.XX
J1
5114
28420
Treat/graft heel fracture
$XXX.XX
J1
5115
28430
Treatment of ankle fracture
$XXX.XX
T
5111
28435
Treatment of ankle fracture
$XXX.XX
J1
5112
28436
Treatment of ankle fracture
$XXX.XX
J1
5114
28445
Treat ankle fracture
$XXX.XX
J1
5114
28446
Osteochondral talus autogrft
$XXX.XX
J1
5114
28450
Treat midfoot fracture each
$XXX.XX
T
5111
28455
Treat midfoot fracture each
$XXX.XX
J1
5112
28456
Treat midfoot fracture
$XXX.XX
J1
5114
28465
Treat midfoot fracture each
$XXX.XX
J1
5114
28470
Treat metatarsal fracture
$XXX.XX
T
5111
28475
Treat metatarsal fracture
$XXX.XX
T
5111
28476
Treat metatarsal fracture
$XXX.XX
J1
5113
28485
Treat metatarsal fracture
$XXX.XX
J1
5114
28490
Treat big toe fracture
$XXX.XX
T
5111
28495
Treat big toe fracture
$XXX.XX
T
5111
28496
Treat big toe fracture
$XXX.XX
J1
5113
28505
Treat big toe fracture
$XXX.XX
J1
5113
28510
Treatment of toe fracture
$XXX.XX
T
5111
28515
Treatment of toe fracture
$XXX.XX
T
5111
28525
Treat toe fracture
$XXX.XX
J1
5113
28530
Treat sesamoid bone fracture
$XXX.XX
T
5111
28531
Treat sesamoid bone fracture
$XXX.XX
J1
5114
28540
Treat foot dislocation
$XXX.XX
T
5111
28545
Treat foot dislocation
$XXX.XX
J1
5113
28546
Treat foot dislocation
$XXX.XX
J1
5112
28555
Repair foot dislocation
$XXX.XX
J1
5114
28570
Treat foot dislocation
$XXX.XX
T
5111
28575
Treat foot dislocation
$XXX.XX
J1
5113
28576
Treat foot dislocation
$XXX.XX
J1
5113
28585
Repair foot dislocation
$XXX.XX
J1
5114
28600
Treat foot dislocation
$XXX.XX
T
5111
28605
Treat foot dislocation
$XXX.XX
T
5111
28606
Treat foot dislocation
$XXX.XX
J1
5113
28615
Repair foot dislocation
$XXX.XX
J1
5114
28630
Treat toe dislocation
$XXX.XX
T
5111
28635
Treat toe dislocation
$XXX.XX
J1
5112
28636
Treat toe dislocation
$XXX.XX
J1
5113
28645
Repair toe dislocation
$XXX.XX
J1
5113
28660
Treat toe dislocation
$XXX.XX
T
5111
28665
Treat toe dislocation
$XXX.XX
T
5102
28666
Treat toe dislocation
$XXX.XX
J1
5113
28675
Repair of toe dislocation
$XXX.XX
J1
5113
28705
Fusion of foot bones
$XXX.XX
J1
5116
28715
Fusion of foot bones
$XXX.XX
J1
5115
28725
Fusion of foot bones
$XXX.XX
J1
5115
28730
Fusion of foot bones
$XXX.XX
J1
5115
28735
Fusion of foot bones
$XXX.XX
J1
5115
28737
Revision of foot bones
$XXX.XX
J1
5115
28740
Fusion of foot bones
$XXX.XX
J1
5114
28750
Fusion of big toe joint
$XXX.XX
J1
5114
28755
Fusion of big toe joint
$XXX.XX
J1
5114
28760
Fusion of big toe joint
$XXX.XX
J1
5114
28805
Amputation thru metatarsal
$XXX.XX
J1
5113
28810
Amputation toe & metatarsal
$XXX.XX
J1
5113
28820
Amputation of toe
$XXX.XX
J1
5113
28825
Partial amputation of toe
$XXX.XX
J1
5113
28890
Hi enrgy eswt plantar fascia
$XXX.XX
J1
5112
28899
Foot/toes surgery procedure
$XXX.XX
T
5111
29000
Application of body cast
$XXX.XX
T
5102
29010
Application of body cast
$XXX.XX
T
5102
29015
Application of body cast
$XXX.XX
T
5102
29035
Application of body cast
$XXX.XX
T
5102
29040
Application of body cast
$XXX.XX
T
5102
29044
Application of body cast
$XXX.XX
T
5101
29046
Application of body cast
$XXX.XX
T
5102
29049
Application of figure eight
$XXX.XX
T
5102
29055
Application of shoulder cast
$XXX.XX
T
5102
29058
Application of shoulder cast
$XXX.XX
T
5102
29065
Application of long arm cast
$XXX.XX
T
5102
29075
Application of forearm cast
$XXX.XX
T
5102
29085
Apply hand/wrist cast
$XXX.XX
T
5101
29086
Apply finger cast
$XXX.XX
T
5101
29105
Apply long arm splint
$XXX.XX
T
5101
29125
Apply forearm splint
$XXX.XX
Q1
5734
29126
Apply forearm splint
$XXX.XX
Q1
5734
29130
Application of finger splint
$XXX.XX
Q1
5733
29131
Application of finger splint
$XXX.XX
Q1
5733
29200
Strapping of chest
$XXX.XX
T
5101
29240
Strapping of shoulder
$XXX.XX
Q1
5734
29260
Strapping of elbow or wrist
$XXX.XX
Q1
5732
29280
Strapping of hand or finger
$XXX.XX
Q1
5732
29305
Application of hip cast
$XXX.XX
T
5102
29325
Application of hip casts
$XXX.XX
T
5102
29345
Application of long leg cast
$XXX.XX
T
5102
29355
Application of long leg cast
$XXX.XX
T
5102
29358
Apply long leg cast brace
$XXX.XX
T
5102
29365
Application of long leg cast
$XXX.XX
T
5102
29405
Apply short leg cast
$XXX.XX
T
5102
29425
Apply short leg cast
$XXX.XX
T
5102
29435
Apply short leg cast
$XXX.XX
T
5102
29440
Addition of walker to cast
$XXX.XX
T
5101
29445
Apply rigid leg cast
$XXX.XX
T
5102
29450
Application of leg cast
$XXX.XX
T
5101
29505
Application long leg splint
$XXX.XX
T
5101
29515
Application lower leg splint
$XXX.XX
T
5101
29520
Strapping of hip
$XXX.XX
Q1
5733
29530
Strapping of knee
$XXX.XX
Q1
5734
29540
Strapping of ankle and/or ft
$XXX.XX
T
5101
29550
Strapping of toes
$XXX.XX
Q1
5733
29580
Application of paste boot
$XXX.XX
T
5101
29581
Apply multlay comprs lwr leg
$XXX.XX
T
5101
29584
Appl multlay comprs arm/hand
$XXX.XX
T
5101
29700
Removal/revision of cast
$XXX.XX
T
5102
29705
Removal/revision of cast
$XXX.XX
T
5102
29710
Removal/revision of cast
$XXX.XX
T
5102
29720
Repair of body cast
$XXX.XX
T
5101
29730
Windowing of cast
$XXX.XX
T
5101
29740
Wedging of cast
$XXX.XX
T
5102
29750
Wedging of clubfoot cast
$XXX.XX
T
5102
29799
Casting/strapping procedure
$XXX.XX
T
5101
29800
Jaw arthroscopy/surgery
$XXX.XX
J1
5113
29804
Jaw arthroscopy/surgery
$XXX.XX
J1
5113
29805
Shoulder arthroscopy dx
$XXX.XX
J1
5113
29806
Shoulder arthroscopy/surgery
$XXX.XX
J1
5114
29807
Shoulder arthroscopy/surgery
$XXX.XX
J1
5114
29819
Shoulder arthroscopy/surgery
$XXX.XX
J1
5113
29820
Shoulder arthroscopy/surgery
$XXX.XX
J1
5114
29821
Shoulder arthroscopy/surgery
$XXX.XX
J1
5113
29822
Shoulder arthroscopy/surgery
$XXX.XX
J1
5113
29823
Shoulder arthroscopy/surgery
$XXX.XX
J1
5113
29824
Shoulder arthroscopy/surgery
$XXX.XX
J1
5113
29825
Shoulder arthroscopy/surgery
$XXX.XX
J1
5113
29827
Arthroscop rotator cuff repr
$XXX.XX
J1
5114
29828
Arthroscopy biceps tenodesis
$XXX.XX
J1
5114
29830
Elbow arthroscopy
$XXX.XX
J1
5113
29834
Elbow arthroscopy/surgery
$XXX.XX
J1
5113
29835
Elbow arthroscopy/surgery
$XXX.XX
J1
5113
29836
Elbow arthroscopy/surgery
$XXX.XX
J1
5114
29837
Elbow arthroscopy/surgery
$XXX.XX
J1
5113
29838
Elbow arthroscopy/surgery
$XXX.XX
J1
5113
29840
Wrist arthroscopy
$XXX.XX
J1
5113
29843
Wrist arthroscopy/surgery
$XXX.XX
J1
5113
29844
Wrist arthroscopy/surgery
$XXX.XX
J1
5113
29845
Wrist arthroscopy/surgery
$XXX.XX
J1
5113
29846
Wrist arthroscopy/surgery
$XXX.XX
J1
5113
29847
Wrist arthroscopy/surgery
$XXX.XX
J1
5114
29848
Wrist endoscopy/surgery
$XXX.XX
J1
5112
29850
Knee arthroscopy/surgery
$XXX.XX
J1
5112
29851
Knee arthroscopy/surgery
$XXX.XX
J1
5112
29855
Tibial arthroscopy/surgery
$XXX.XX
J1
5114
29856
Tibial arthroscopy/surgery
$XXX.XX
J1
5115
29860
Hip arthroscopy dx
$XXX.XX
J1
5114
29861
Hip arthro w/fb removal
$XXX.XX
J1
5113
29862
Hip arthr0 w/debridement
$XXX.XX
J1
5114
29863
Hip arthr0 w/synovectomy
$XXX.XX
J1
5113
29866
Autgrft implnt knee w/scope
$XXX.XX
J1
5114
29867
Allgrft implnt knee w/scope
$XXX.XX
J1
5115
29868
Meniscal trnspl knee w/scpe
$XXX.XX
J1
5114
29870
Knee arthroscopy dx
$XXX.XX
J1
5113
29871
Knee arthroscopy/drainage
$XXX.XX
J1
5113
29873
Knee arthroscopy/surgery
$XXX.XX
J1
5113
29874
Knee arthroscopy/surgery
$XXX.XX
J1
5113
29875
Knee arthroscopy/surgery
$XXX.XX
J1
5113
29876
Knee arthroscopy/surgery
$XXX.XX
J1
5113
29877
Knee arthroscopy/surgery
$XXX.XX
J1
5113
29879
Knee arthroscopy/surgery
$XXX.XX
J1
5113
29880
Knee arthroscopy/surgery
$XXX.XX
J1
5113
29881
Knee arthroscopy/surgery
$XXX.XX
J1
5113
29882
Knee arthroscopy/surgery
$XXX.XX
J1
5113
29883
Knee arthroscopy/surgery
$XXX.XX
J1
5113
29884
Knee arthroscopy/surgery
$XXX.XX
J1
5113
29885
Knee arthroscopy/surgery
$XXX.XX
J1
5114
29886
Knee arthroscopy/surgery
$XXX.XX
J1
5113
29887
Knee arthroscopy/surgery
$XXX.XX
J1
5114
29888
Knee arthroscopy/surgery
$XXX.XX
J1
5114
29889
Knee arthroscopy/surgery
$XXX.XX
J1
5115
29891
Ankle arthroscopy/surgery
$XXX.XX
J1
5113
29892
Ankle arthroscopy/surgery
$XXX.XX
J1
5114
29893
Scope plantar fasciotomy
$XXX.XX
J1
5113
29894
Ankle arthroscopy/surgery
$XXX.XX
J1
5113
29895
Ankle arthroscopy/surgery
$XXX.XX
J1
5113
29897
Ankle arthroscopy/surgery
$XXX.XX
J1
5113
29898
Ankle arthroscopy/surgery
$XXX.XX
J1
5113
29899
Ankle arthroscopy/surgery
$XXX.XX
J1
5114
29900
Mcp joint arthroscopy dx
$XXX.XX
J1
5113
29901
Mcp joint arthroscopy surg
$XXX.XX
J1
5113
29902
Mcp joint arthroscopy surg
$XXX.XX
J1
5112
29904
Subtalar arthro w/fb rmvl
$XXX.XX
J1
5113
29905
Subtalar arthro w/exc
$XXX.XX
J1
5113
29906
Subtalar arthro w/deb
$XXX.XX
J1
5113
29907
Subtalar arthro w/fusion
$XXX.XX
J1
5115
29914
Hip arthro w/femoroplasty
$XXX.XX
J1
5114
29915
Hip arthro acetabuloplasty
$XXX.XX
J1
5114
29916
Hip arthro w/labral repair
$XXX.XX
J1
5114
29999
Arthroscopy of joint
$XXX.XX
T
5111
30000
Drainage of nose lesion
$XXX.XX
T
5161
30020
Drainage of nose lesion
$XXX.XX
T
5162
30100
Intranasal biopsy
$XXX.XX
J1
5163
30110
Removal of nose polyp(s)
$XXX.XX
J1
5163
30115
Removal of nose polyp(s)
$XXX.XX
J1
5164
30117
Removal of intranasal lesion
$XXX.XX
J1
5164
30118
Removal of intranasal lesion
$XXX.XX
J1
5164
30120
Revision of nose
$XXX.XX
J1
5164
30124
Removal of nose lesion
$XXX.XX
J1
5163
30125
Removal of nose lesion
$XXX.XX
J1
5165
30130
Excise inferior turbinate
$XXX.XX
J1
5164
30140
Resect inferior turbinate
$XXX.XX
J1
5164
30150
Partial removal of nose
$XXX.XX
J1
5165
30160
Removal of nose
$XXX.XX
J1
5165
30200
Injection treatment of nose
$XXX.XX
T
5162
30210
Nasal sinus therapy
$XXX.XX
J1
5163
30220
Insert nasal septal button
$XXX.XX
J1
5163
30300
Remove nasal foreign body
$XXX.XX
Q1
5734
30310
Remove nasal foreign body
$XXX.XX
J1
5164
30320
Remove nasal foreign body
$XXX.XX
J1
5163
30400
Reconstruction of nose
$XXX.XX
J1
5165
30410
Reconstruction of nose
$XXX.XX
J1
5165
30420
Reconstruction of nose
$XXX.XX
J1
5165
30430
Revision of nose
$XXX.XX
J1
5165
30435
Revision of nose
$XXX.XX
J1
5165
30450
Revision of nose
$XXX.XX
J1
5165
30460
Revision of nose
$XXX.XX
J1
5165
30462
Revision of nose
$XXX.XX
J1
5165
30465
Repair nasal stenosis
$XXX.XX
J1
5165
30520
Repair of nasal septum
$XXX.XX
J1
5164
30540
Repair nasal defect
$XXX.XX
J1
5165
30545
Repair nasal defect
$XXX.XX
J1
5165
30560
Release of nasal adhesions
$XXX.XX
T
5162
30580
Repair upper jaw fistula
$XXX.XX
J1
5165
30600
Repair mouth/nose fistula
$XXX.XX
J1
5165
30620
Intranasal reconstruction
$XXX.XX
J1
5165
30630
Repair nasal septum defect
$XXX.XX
J1
5164
30801
Ablate inf turbinate superf
$XXX.XX
J1
5163
30802
Ablate inf turbinate submuc
$XXX.XX
J1
5163
30901
Control of nosebleed
$XXX.XX
Q1
5734
30903
Control of nosebleed
$XXX.XX
T
5734
30905
Control of nosebleed
$XXX.XX
T
5734
30906
Repeat control of nosebleed
$XXX.XX
T
5161
30915
Ligation nasal sinus artery
$XXX.XX
J1
5183
30920
Ligation upper jaw artery
$XXX.XX
J1
5183
30930
Ther fx nasal inf turbinate
$XXX.XX
J1
5164
30999
Nasal surgery procedure
$XXX.XX
T
5161
31000
Irrigation maxillary sinus
$XXX.XX
T
5161
31002
Irrigation sphenoid sinus
$XXX.XX
J1
5163
31020
Exploration maxillary sinus
$XXX.XX
J1
5164
31030
Exploration maxillary sinus
$XXX.XX
J1
5165
31032
Explore sinus remove polyps
$XXX.XX
J1
5165
31040
Exploration behind upper jaw
$XXX.XX
J1
5165
31050
Exploration sphenoid sinus
$XXX.XX
J1
5165
31051
Sphenoid sinus surgery
$XXX.XX
J1
5165
31070
Exploration of frontal sinus
$XXX.XX
J1
5165
31075
Exploration of frontal sinus
$XXX.XX
J1
5165
31080
Removal of frontal sinus
$XXX.XX
J1
5165
31081
Removal of frontal sinus
$XXX.XX
J1
5165
31084
Removal of frontal sinus
$XXX.XX
J1
5165
31085
Removal of frontal sinus
$XXX.XX
J1
5165
31086
Removal of frontal sinus
$XXX.XX
J1
5165
31087
Removal of frontal sinus
$XXX.XX
J1
5165
31090
Exploration of sinuses
$XXX.XX
J1
5165
31200
Removal of ethmoid sinus
$XXX.XX
J1
5165
31201
Removal of ethmoid sinus
$XXX.XX
J1
5164
31205
Removal of ethmoid sinus
$XXX.XX
J1
5164
31231
Nasal endoscopy dx
$XXX.XX
T
5151
31233
Nasal/sinus endoscopy dx
$XXX.XX
T
5152
31235
Nasal/sinus endoscopy dx
$XXX.XX
J1
5153
31237
Nasal/sinus endoscopy surg
$XXX.XX
J1
5153
31238
Nasal/sinus endoscopy surg
$XXX.XX
J1
5153
31239
Nasal/sinus endoscopy surg
$XXX.XX
J1
5154
31240
Nasal/sinus endoscopy surg
$XXX.XX
J1
5153
31241
Nsl/sins ndsc w/artery lig
$XXX.XX
J1
5153
31253
Nsl/sins ndsc total
$XXX.XX
J1
5155
31254
Nsl/sins ndsc w/prtl ethmdct
$XXX.XX
J1
5155
31255
Nsl/sins ndsc w/tot ethmdct
$XXX.XX
J1
5155
31256
Exploration maxillary sinus
$XXX.XX
J1
5154
31257
Nsl/sins ndsc tot w/sphendt
$XXX.XX
J1
5155
31259
Nsl/sins ndsc sphn tiss rmvl
$XXX.XX
J1
5155
31267
Endoscopy maxillary sinus
$XXX.XX
J1
5155
31276
Nsl/sins ndsc frnt tiss rmvl
$XXX.XX
J1
5155
31287
Nasal/sinus endoscopy surg
$XXX.XX
J1
5155
31288
Nasal/sinus endoscopy surg
$XXX.XX
J1
5155
31292
Nasal/sinus endoscopy surg
$XXX.XX
J1
5155
31293
Nasal/sinus endoscopy surg
$XXX.XX
J1
5155
31294
Nasal/sinus endoscopy surg
$XXX.XX
J1
5155
31295
Sinus endo w/balloon dil
$XXX.XX
J1
5155
31296
Sinus endo w/balloon dil
$XXX.XX
J1
5155
31297
Sinus endo w/balloon dil
$XXX.XX
J1
5155
31298
Nsl/sins ndsc w/sins dilat
$XXX.XX
J1
5155
31299
Sinus surgery procedure
$XXX.XX
T
5161
31300
Removal of larynx lesion
$XXX.XX
J1
5164
31400
Revision of larynx
$XXX.XX
J1
5165
31420
Removal of epiglottis
$XXX.XX
J1
5165
31500
Insert emergency airway
$XXX.XX
T
5161
31502
Change of windpipe airway
$XXX.XX
T
5161
31505
Diagnostic laryngoscopy
$XXX.XX
T
5151
31510
Laryngoscopy with biopsy
$XXX.XX
J1
5154
31511
Remove foreign body larynx
$XXX.XX
T
5151
31512
Removal of larynx lesion
$XXX.XX
J1
5154
31513
Injection into vocal cord
$XXX.XX
T
5152
31515
Laryngoscopy for aspiration
$XXX.XX
T
5152
31520
Dx laryngoscopy newborn
$XXX.XX
T
5152
31525
Dx laryngoscopy excl nb
$XXX.XX
J1
5153
31526
Dx laryngoscopy w/oper scope
$XXX.XX
J1
5153
31527
Laryngoscopy for treatment
$XXX.XX
J1
5154
31528
Laryngoscopy and dilation
$XXX.XX
J1
5154
31529
Laryngoscopy and dilation
$XXX.XX
J1
5154
31530
Laryngoscopy w/fb removal
$XXX.XX
J1
5153
31531
Laryngoscopy w/fb & op scope
$XXX.XX
J1
5154
31535
Laryngoscopy w/biopsy
$XXX.XX
J1
5154
31536
Laryngoscopy w/bx & op scope
$XXX.XX
J1
5154
31540
Laryngoscopy w/exc of tumor
$XXX.XX
J1
5154
31541
Larynscop w/tumr exc + scope
$XXX.XX
J1
5154
31545
Remove vc lesion w/scope
$XXX.XX
J1
5154
31546
Remove vc lesion scope/graft
$XXX.XX
J1
5155
31551
Laryngoplasty laryngeal sten
$XXX.XX
J1
5165
31552
Laryngoplasty laryngeal sten
$XXX.XX
J1
5165
31553
Laryngoplasty laryngeal sten
$XXX.XX
J1
5165
31554
Laryngoplasty laryngeal sten
$XXX.XX
J1
5165
31560
Laryngoscop w/arytenoidectom
$XXX.XX
J1
5155
31561
Larynscop remve cart + scop
$XXX.XX
J1
5155
31570
Laryngoscope w/vc inj
$XXX.XX
J1
5154
31571
Laryngoscop w/vc inj + scope
$XXX.XX
J1
5154
31572
Largsc w/laser dstrj les
$XXX.XX
J1
5154
31573
Largsc w/ther injection
$XXX.XX
J1
5153
31574
Largsc w/njx augmentation
$XXX.XX
J1
5153
31575
Diagnostic laryngoscopy
$XXX.XX
T
5151
31576
Laryngoscopy with biopsy
$XXX.XX
J1
5153
31577
Largsc w/rmvl foreign bdy(s)
$XXX.XX
T
5152
31578
Largsc w/removal lesion
$XXX.XX
J1
5154
31579
Laryngoscopy telescopic
$XXX.XX
T
5152
31580
Laryngoplasty laryngeal web
$XXX.XX
J1
5165
31584
Laryngoplasty fx rdctj fixj
$XXX.XX
J1
5165
31587
Laryngoplasty cricoid split
$XXX.XX
J1
5165
31590
Reinnervate larynx
$XXX.XX
J1
5165
31591
Laryngoplasty medialization
$XXX.XX
J1
5165
31592
Cricotracheal resection
$XXX.XX
J1
5165
31599
Larynx surgery procedure
$XXX.XX
T
5161
31600
Incision of windpipe
$XXX.XX
J1
5164
31601
Incision of windpipe
$XXX.XX
J1
5165
31603
Incision of windpipe
$XXX.XX
J1
5163
31605
Incision of windpipe
$XXX.XX
T
5161
31610
Incision of windpipe
$XXX.XX
J1
5165
31611
Surgery/speech prosthesis
$XXX.XX
J1
5164
31612
Puncture/clear windpipe
$XXX.XX
J1
5164
31613
Repair windpipe opening
$XXX.XX
J1
5164
31614
Repair windpipe opening
$XXX.XX
J1
5165
31615
Visualization of windpipe
$XXX.XX
T
5162
31622
Dx bronchoscope/wash
$XXX.XX
J1
5153
31623
Dx bronchoscope/brush
$XXX.XX
J1
5153
31624
Dx bronchoscope/lavage
$XXX.XX
J1
5153
31625
Bronchoscopy w/biopsy(s)
$XXX.XX
J1
5153
31626
Bronchoscopy w/markers
$XXX.XX
J1
5155
31628
Bronchoscopy/lung bx each
$XXX.XX
J1
5154
31629
Bronchoscopy/needle bx each
$XXX.XX
J1
5154
31630
Bronchoscopy dilate/fx repr
$XXX.XX
J1
5154
31631
Bronchoscopy dilate w/stent
$XXX.XX
J1
5155
31634
Bronch w/balloon occlusion
$XXX.XX
J1
5155
31635
Bronchoscopy w/fb removal
$XXX.XX
J1
5153
31636
Bronchoscopy bronch stents
$XXX.XX
J1
5155
31638
Bronchoscopy revise stent
$XXX.XX
J1
5155
31640
Bronchoscopy w/tumor excise
$XXX.XX
J1
5154
31641
Bronchoscopy treat blockage
$XXX.XX
J1
5154
31643
Diag bronchoscope/catheter
$XXX.XX
J1
5153
31645
Brnchsc w/ther aspir 1st
$XXX.XX
J1
5153
31646
Brnchsc w/ther aspir sbsq
$XXX.XX
T
5152
31647
Bronchial valve init insert
$XXX.XX
J1
5155
31648
Bronchial valve remov init
$XXX.XX
J1
5154
31649
Bronchial valve remov addl
$XXX.XX
Q2
5153
31652
Bronch ebus samplng 1/2 node
$XXX.XX
J1
5154
31653
Bronch ebus samplng 3/> node
$XXX.XX
J1
5154
31660
Bronch thermoplsty 1 lobe
$XXX.XX
J1
5155
31661
Bronch thermoplsty 2/> lobes
$XXX.XX
J1
5155
31717
Bronchial brush biopsy
$XXX.XX
T
5152
31720
Clearance of airways
$XXX.XX
Q1
5791
31730
Intro windpipe wire/tube
$XXX.XX
J1
5153
31750
Repair of windpipe
$XXX.XX
J1
5165
31755
Repair of windpipe
$XXX.XX
J1
5165
31785
Remove windpipe lesion
$XXX.XX
J1
5165
31820
Closure of windpipe lesion
$XXX.XX
J1
5164
31825
Repair of windpipe defect
$XXX.XX
J1
5164
31830
Revise windpipe scar
$XXX.XX
J1
5164
31899
Airways surgical procedure
$XXX.XX
T
5151
32400
Needle biopsy chest lining
$XXX.XX
J1
5072
32405
Percut bx lung/mediastinum
$XXX.XX
J1
5072
32550
Insert pleural cath
$XXX.XX
J1
5341
32551
Insertion of chest tube
$XXX.XX
T
5182
32552
Remove lung catheter
$XXX.XX
Q2
5181
32553
Ins mark thor for rt perq
$XXX.XX
S
5613
32554
Aspirate pleura w/o imaging
$XXX.XX
T
5181
32555
Aspirate pleura w/ imaging
$XXX.XX
T
5181
32556
Insert cath pleura w/o image
$XXX.XX
J1
5302
32557
Insert cath pleura w/ image
$XXX.XX
T
5182
32560
Treat pleurodesis w/agent
$XXX.XX
T
5181
32561
Lyse chest fibrin init day
$XXX.XX
T
5181
32562
Lyse chest fibrin subq day
$XXX.XX
T
5181
32601
Thoracoscopy diagnostic
$XXX.XX
J1
5361
32604
Thoracoscopy wbx sac
$XXX.XX
J1
5361
32606
Thoracoscopy w/bx med space
$XXX.XX
J1
5361
32607
Thoracoscopy w/bx infiltrate
$XXX.XX
J1
5361
32608
Thoracoscopy w/bx nodule
$XXX.XX
J1
5361
32609
Thoracoscopy w/bx pleura
$XXX.XX
J1
5361
32960
Therapeutic pneumothorax
$XXX.XX
T
5181
32994
Ablate pulm tumor perq crybl
$XXX.XX
J1
5361
32998
Ablate pulm tumor perq rf
$XXX.XX
J1
5361
32999
Chest surgery procedure
$XXX.XX
T
5181
33010
Drainage of heart sac
$XXX.XX
T
5182
33011
Repeat drainage of heart sac
$XXX.XX
T
5182
33206
Insert heart pm atrial
$XXX.XX
J1
5223
33207
Insert heart pm ventricular
$XXX.XX
J1
5223
33208
Insrt heart pm atrial & vent
$XXX.XX
J1
5223
33210
Insert electrd/pm cath sngl
$XXX.XX
J1
5222
33211
Insert card electrodes dual
$XXX.XX
J1
5222
33212
Insert pulse gen sngl lead
$XXX.XX
J1
5222
33213
Insert pulse gen dual leads
$XXX.XX
J1
5223
33214
Upgrade of pacemaker system
$XXX.XX
J1
5223
33215
Reposition pacing-defib lead
$XXX.XX
J1
5183
33216
Insert 1 electrode pm-defib
$XXX.XX
J1
5222
33217
Insert 2 electrode pm-defib
$XXX.XX
J1
5222
33218
Repair lead pace-defib one
$XXX.XX
T
5221
33220
Repair lead pace-defib dual
$XXX.XX
T
5221
33221
Insert pulse gen mult leads
$XXX.XX
J1
5224
33222
Relocation pocket pacemaker
$XXX.XX
T
5054
33223
Relocate pocket for defib
$XXX.XX
T
5054
33224
Insert pacing lead & connect
$XXX.XX
J1
5223
33226
Reposition l ventric lead
$XXX.XX
J1
5183
33227
Remove&replace pm gen singl
$XXX.XX
J1
5222
33228
Remv&replc pm gen dual lead
$XXX.XX
J1
5223
33229
Remv&replc pm gen mult leads
$XXX.XX
J1
5224
33230
Insrt pulse gen w/dual leads
$XXX.XX
J1
5231
33231
Insrt pulse gen w/mult leads
$XXX.XX
J1
5232
33233
Removal of pm generator
$XXX.XX
Q2
5222
33234
Removal of pacemaker system
$XXX.XX
Q2
5221
33235
Removal pacemaker electrode
$XXX.XX
Q2
5221
33240
Insrt pulse gen w/singl lead
$XXX.XX
J1
5231
33241
Remove pulse generator
$XXX.XX
Q2
5221
33244
Remove elctrd transvenously
$XXX.XX
Q2
5221
33249
Insj/rplcmt defib w/lead(s)
$XXX.XX
J1
5232
33262
Rmvl& replc pulse gen 1 lead
$XXX.XX
J1
5231
33263
Rmvl & rplcmt dfb gen 2 lead
$XXX.XX
J1
5231
33264
Rmvl & rplcmt dfb gen mlt ld
$XXX.XX
J1
5232
33270
Ins/rep subq defibrillator
$XXX.XX
J1
5232
33271
Insj subq impltbl dfb elctrd
$XXX.XX
J1
5222
33272
Rmvl of subq defibrillator
$XXX.XX
Q2
5221
33273
Repos prev impltbl subq dfb
$XXX.XX
T
5221
33274
Tcat insj/rpl perm ldls pm
$XXX.XX
J1
5194
33275
Tcat rmvl perm ldls pm
$XXX.XX
T
5183
33285
Insj subq car rhythm mntr
$XXX.XX
J1
5222
33286
Rmvl subq car rhythm mntr
$XXX.XX
Q2
5071
33289
Tcat impl wrls p-art prs snr
$XXX.XX
J1
5200
33999
Cardiac surgery procedure
$XXX.XX
T
5181
34101
Removal of artery clot
$XXX.XX
J1
5184
34111
Removal of arm artery clot
$XXX.XX
J1
5184
34201
Removal of artery clot
$XXX.XX
J1
5184
34203
Removal of leg artery clot
$XXX.XX
J1
5184
34421
Removal of vein clot
$XXX.XX
J1
5183
34471
Removal of vein clot
$XXX.XX
T
5181
34490
Removal of vein clot
$XXX.XX
J1
5183
34501
Repair valve femoral vein
$XXX.XX
J1
5184
34510
Transposition of vein valve
$XXX.XX
J1
5184
34520
Cross-over vein graft
$XXX.XX
J1
5184
34530
Leg vein fusion
$XXX.XX
J1
5183
35011
Repair defect of artery
$XXX.XX
J1
5184
35045
Repair defect of arm artery
$XXX.XX
J1
5184
35180
Repair blood vessel lesion
$XXX.XX
T
5181
35184
Repair blood vessel lesion
$XXX.XX
J1
5183
35188
Repair blood vessel lesion
$XXX.XX
J1
5184
35190
Repair blood vessel lesion
$XXX.XX
J1
5184
35201
Repair blood vessel lesion
$XXX.XX
J1
5184
35206
Repair blood vessel lesion
$XXX.XX
J1
5183
35207
Repair blood vessel lesion
$XXX.XX
J1
5183
35226
Repair blood vessel lesion
$XXX.XX
T
5071
35231
Repair blood vessel lesion
$XXX.XX
J1
5183
35236
Repair blood vessel lesion
$XXX.XX
J1
5184
35256
Repair blood vessel lesion
$XXX.XX
J1
5184
35261
Repair blood vessel lesion
$XXX.XX
J1
5183
35266
Repair blood vessel lesion
$XXX.XX
J1
5184
35286
Repair blood vessel lesion
$XXX.XX
J1
5184
35321
Rechanneling of artery
$XXX.XX
J1
5184
35761
Exploration of artery/vein
$XXX.XX
J1
5183
35860
Explore limb vessels
$XXX.XX
J1
5183
35875
Removal of clot in graft
$XXX.XX
J1
5184
35876
Removal of clot in graft
$XXX.XX
J1
5184
35879
Revise graft w/vein
$XXX.XX
J1
5184
35881
Revise graft w/vein
$XXX.XX
J1
5184
35883
Revise graft w/nonauto graft
$XXX.XX
J1
5184
35884
Revise graft w/vein
$XXX.XX
J1
5184
35903
Excision graft extremity
$XXX.XX
J1
5183
36002
Pseudoaneurysm injection trt
$XXX.XX
T
5181
36221
Place cath thoracic aorta
$XXX.XX
Q2
5183
36222
Place cath carotid/inom art
$XXX.XX
Q2
5183
36223
Place cath carotid/inom art
$XXX.XX
Q2
5184
36224
Place cath carotd art
$XXX.XX
Q2
5184
36225
Place cath subclavian art
$XXX.XX
Q2
5183
36226
Place cath vertebral art
$XXX.XX
Q2
5184
36251
Ins cath ren art 1st unilat
$XXX.XX
Q2
5183
36252
Ins cath ren art 1st bilat
$XXX.XX
Q2
5183
36253
Ins cath ren art 2nd+ unilat
$XXX.XX
Q2
5184
36254
Ins cath ren art 2nd+ bilat
$XXX.XX
Q2
5183
36260
Insertion of infusion pump
$XXX.XX
J1
5184
36261
Revision of infusion pump
$XXX.XX
T
5221
36262
Removal of infusion pump
$XXX.XX
Q2
5221
36420
Vein access cutdown < 1 yr
$XXX.XX
Q1
5733
36425
Vein access cutdown > 1 yr
$XXX.XX
Q1
5735
36430
Blood transfusion service
$XXX.XX
S
5241
36440
Bl push transfuse 2 yr/<
$XXX.XX
S
5241
36450
Bl exchange/transfuse nb
$XXX.XX
S
5241
36455
Bl exchange/transfuse non-nb
$XXX.XX
S
5241
36456
Prtl exchange transfuse nb
$XXX.XX
S
5241
36460
Transfusion service fetal
$XXX.XX
S
5241
36465
Njx noncmpnd sclrsnt 1 vein
$XXX.XX
T
5054
36466
Njx noncmpnd sclrsnt mlt vn
$XXX.XX
T
5054
36468
Njx sclrsnt spider veins
$XXX.XX
Q1
5051
36470
Njx sclrsnt 1 incmptnt vein
$XXX.XX
T
5052
36471
Njx sclrsnt mlt incmptnt vn
$XXX.XX
T
5052
36473
Endovenous mchnchem 1st vein
$XXX.XX
J1
5183
36475
Endovenous rf 1st vein
$XXX.XX
J1
5183
36478
Endovenous laser 1st vein
$XXX.XX
J1
5183
36482
Endoven ther chem adhes 1st
$XXX.XX
J1
5184
36511
Apheresis wbc
$XXX.XX
S
5242
36512
Apheresis rbc
$XXX.XX
S
5242
36513
Apheresis platelets
$XXX.XX
S
5241
36514
Apheresis plasma
$XXX.XX
S
5242
36516
Apheresis immunoads slctv
$XXX.XX
S
5243
36522
Photopheresis
$XXX.XX
S
5243
36555
Insert non-tunnel cv cath
$XXX.XX
T
5182
36556
Insert non-tunnel cv cath
$XXX.XX
T
5182
36557
Insert tunneled cv cath
$XXX.XX
J1
5184
36558
Insert tunneled cv cath
$XXX.XX
J1
5183
36560
Insert tunneled cv cath
$XXX.XX
J1
5183
36561
Insert tunneled cv cath
$XXX.XX
J1
5183
36563
Insert tunneled cv cath
$XXX.XX
J1
5184
36565
Insert tunneled cv cath
$XXX.XX
J1
5183
36566
Insert tunneled cv cath
$XXX.XX
J1
5184
36568
Insj picc <5 yr w/o imaging
$XXX.XX
T
5181
36569
Insj picc 5 yr+ w/o imaging
$XXX.XX
T
5182
36570
Insert picvad cath
$XXX.XX
J1
5183
36571
Insert picvad cath
$XXX.XX
J1
5183
36572
Insj picc rs&i <5 yr
$XXX.XX
T
5181
36573
Insj picc rs&i 5 yr+
$XXX.XX
T
5182
36575
Repair tunneled cv cath
$XXX.XX
T
5181
36576
Repair tunneled cv cath
$XXX.XX
T
5182
36578
Replace tunneled cv cath
$XXX.XX
J1
5183
36580
Replace cvad cath
$XXX.XX
T
5182
36581
Replace tunneled cv cath
$XXX.XX
J1
5183
36582
Replace tunneled cv cath
$XXX.XX
J1
5183
36583
Replace tunneled cv cath
$XXX.XX
J1
5184
36584
Compl rplcmt picc rs&i
$XXX.XX
T
5182
36585
Replace picvad cath
$XXX.XX
J1
5183
36589
Removal tunneled cv cath
$XXX.XX
Q2
5181
36590
Removal tunneled cv cath
$XXX.XX
Q2
5181
36591
Draw blood off venous device
$XXX.XX
Q1
5734
36592
Collect blood from picc
$XXX.XX
Q1
5734
36593
Declot vascular device
$XXX.XX
T
5694
36595
Mech remov tunneled cv cath
$XXX.XX
J1
5183
36596
Mech remov tunneled cv cath
$XXX.XX
T
5182
36597
Reposition venous catheter
$XXX.XX
T
5182
36598
Inj w/fluor eval cv device
$XXX.XX
T
5693
36600
Withdrawal of arterial blood
$XXX.XX
Q1
5734
36640
Insertion catheter artery
$XXX.XX
J1
5183
36680
Insert needle bone cavity
$XXX.XX
Q1
5735
36800
Insertion of cannula
$XXX.XX
J1
5184
36810
Insertion of cannula
$XXX.XX
J1
5183
36815
Insertion of cannula
$XXX.XX
J1
5184
36818
Av fuse uppr arm cephalic
$XXX.XX
J1
5184
36819
Av fuse uppr arm basilic
$XXX.XX
J1
5184
36820
Av fusion/forearm vein
$XXX.XX
J1
5184
36821
Av fusion direct any site
$XXX.XX
J1
5183
36825
Artery-vein autograft
$XXX.XX
J1
5184
36830
Artery-vein nonautograft
$XXX.XX
J1
5184
36831
Open thrombect av fistula
$XXX.XX
J1
5184
36832
Av fistula revision open
$XXX.XX
J1
5184
36833
Av fistula revision
$XXX.XX
J1
5184
36835
Artery to vein shunt
$XXX.XX
J1
5183
36838
Dist revas ligation hemo
$XXX.XX
J1
5184
36860
External cannula declotting
$XXX.XX
T
5181
36861
Cannula declotting
$XXX.XX
J1
5184
36901
Intro cath dialysis circuit
$XXX.XX
T
5182
36902
Intro cath dialysis circuit
$XXX.XX
J1
5192
36903
Intro cath dialysis circuit
$XXX.XX
J1
5193
36904
Thrmbc/nfs dialysis circuit
$XXX.XX
J1
5192
36905
Thrmbc/nfs dialysis circuit
$XXX.XX
J1
5193
36906
Thrmbc/nfs dialysis circuit
$XXX.XX
J1
5194
37183
Remove hepatic shunt (tips)
$XXX.XX
J1
5192
37184
Prim art m-thrmbc 1st vsl
$XXX.XX
J1
5192
37187
Venous mech thrombectomy
$XXX.XX
J1
5192
37188
Ven mechnl thrmbc repeat tx
$XXX.XX
J1
5183
37191
Ins endovas vena cava filtr
$XXX.XX
J1
5184
37192
Redo endovas vena cava filtr
$XXX.XX
J1
5183
37193
Rem endovas vena cava filter
$XXX.XX
J1
5183
37195
Thrombolytic therapy stroke
$XXX.XX
T
5694
37197
Remove intrvas foreign body
$XXX.XX
J1
5183
37200
Transcatheter biopsy
$XXX.XX
J1
5184
37211
Thrombolytic art therapy
$XXX.XX
J1
5184
37212
Thrombolytic venous therapy
$XXX.XX
J1
5183
37213
Thromblytic art/ven therapy
$XXX.XX
T
5182
37214
Cessj therapy cath removal
$XXX.XX
T
5182
37220
Iliac revasc
$XXX.XX
J1
5192
37221
Iliac revasc w/stent
$XXX.XX
J1
5193
37224
Fem/popl revas w/tla
$XXX.XX
J1
5192
37225
Fem/popl revas w/ather
$XXX.XX
J1
5193
37226
Fem/popl revasc w/stent
$XXX.XX
J1
5193
37227
Fem/popl revasc stnt & ather
$XXX.XX
J1
5194
37228
Tib/per revasc w/tla
$XXX.XX
J1
5193
37229
Tib/per revasc w/ather
$XXX.XX
J1
5194
37230
Tib/per revasc w/stent
$XXX.XX
J1
5194
37231
Tib/per revasc stent & ather
$XXX.XX
J1
5194
37236
Open/perq place stent 1st
$XXX.XX
J1
5193
37238
Open/perq place stent same
$XXX.XX
J1
5193
37241
Vasc embolize/occlude venous
$XXX.XX
J1
5193
37242
Vasc embolize/occlude artery
$XXX.XX
J1
5193
37243
Vasc embolize/occlude organ
$XXX.XX
J1
5193
37244
Vasc embolize/occlude bleed
$XXX.XX
J1
5193
37246
Trluml balo angiop 1st art
$XXX.XX
J1
5192
37248
Trluml balo angiop 1st vein
$XXX.XX
J1
5192
37500
Endoscopy ligate perf veins
$XXX.XX
J1
5184
37501
Vascular endoscopy procedure
$XXX.XX
T
5181
37565
Ligation of neck vein
$XXX.XX
T
5182
37600
Ligation of neck artery
$XXX.XX
J1
5183
37605
Ligation of neck artery
$XXX.XX
J1
5183
37606
Ligation of neck artery
$XXX.XX
J1
5183
37607
Ligation of a-v fistula
$XXX.XX
J1
5183
37609
Temporal artery procedure
$XXX.XX
J1
5072
37615
Ligation of neck artery
$XXX.XX
T
5182
37619
Ligation of inf vena cava
$XXX.XX
J1
5184
37650
Revision of major vein
$XXX.XX
J1
5183
37700
Revise leg vein
$XXX.XX
J1
5183
37718
Ligate/strip short leg vein
$XXX.XX
J1
5183
37722
Ligate/strip long leg vein
$XXX.XX
J1
5183
37735
Removal of leg veins/lesion
$XXX.XX
J1
5183
37760
Ligate leg veins radical
$XXX.XX
J1
5183
37761
Ligate leg veins open
$XXX.XX
T
5182
37765
Stab phleb veins xtr 10-20
$XXX.XX
J1
5183
37766
Phleb veins - extrem 20+
$XXX.XX
J1
5183
37780
Revision of leg vein
$XXX.XX
T
5182
37785
Ligate/divide/excise vein
$XXX.XX
J1
5183
37790
Penile venous occlusion
$XXX.XX
J1
5374
37799
Vascular surgery procedure
$XXX.XX
T
5181
38120
Laparoscopy splenectomy
$XXX.XX
J1
5362
38129
Laparoscope proc spleen
$XXX.XX
J1
5361
38206
Harvest auto stem cells
$XXX.XX
S
5242
38207
Cryopreserve stem cells
$XXX.XX
S
5241
38208
Thaw preserved stem cells
$XXX.XX
S
5241
38209
Wash harvest stem cells
$XXX.XX
S
5241
38210
T-cell depletion of harvest
$XXX.XX
S
5241
38211
Tumor cell deplete of harvst
$XXX.XX
S
5241
38212
Rbc depletion of harvest
$XXX.XX
S
5241
38213
Platelet deplete of harvest
$XXX.XX
S
5241
38214
Volume deplete of harvest
$XXX.XX
S
5241
38215
Harvest stem cell concentrte
$XXX.XX
S
5241
38220
Dx bone marrow aspirations
$XXX.XX
J1
5072
38221
Dx bone marrow biopsies
$XXX.XX
J1
5072
38222
Dx bone marrow bx & aspir
$XXX.XX
J1
5072
38230
Bone marrow harvest allogen
$XXX.XX
S
5242
38232
Bone marrow harvest autolog
$XXX.XX
S
5243
38240
Transplt allo hct/donor
$XXX.XX
J1
5244
38241
Transplt autol hct/donor
$XXX.XX
S
5242
38242
Transplt allo lymphocytes
$XXX.XX
S
5242
38243
Transplj hematopoietic boost
$XXX.XX
S
5242
38300
Drainage lymph node lesion
$XXX.XX
J1
5072
38305
Drainage lymph node lesion
$XXX.XX
J1
5072
38308
Incision of lymph channels
$XXX.XX
J1
5091
38500
Biopsy/removal lymph nodes
$XXX.XX
J1
5091
38505
Needle biopsy lymph nodes
$XXX.XX
J1
5072
38510
Biopsy/removal lymph nodes
$XXX.XX
J1
5091
38520
Biopsy/removal lymph nodes
$XXX.XX
J1
5091
38525
Biopsy/removal lymph nodes
$XXX.XX
J1
5091
38530
Biopsy/removal lymph nodes
$XXX.XX
J1
5091
38531
Open bx/exc inguinofem nodes
$XXX.XX
J1
5091
38542
Explore deep node(s) neck
$XXX.XX
J1
5361
38550
Removal neck/armpit lesion
$XXX.XX
J1
5091
38555
Removal neck/armpit lesion
$XXX.XX
J1
5092
38570
Laparoscopy lymph node biop
$XXX.XX
J1
5361
38571
Laparoscopy lymphadenectomy
$XXX.XX
J1
5362
38572
Laparoscopy lymphadenectomy
$XXX.XX
J1
5362
38573
Laps pelvic lymphadec
$XXX.XX
J1
5362
38589
Laparoscope proc lymphatic
$XXX.XX
J1
5361
38700
Removal of lymph nodes neck
$XXX.XX
J1
5092
38720
Removal of lymph nodes neck
$XXX.XX
J1
5093
38740
Remove armpit lymph nodes
$XXX.XX
J1
5361
38745
Remove armpit lymph nodes
$XXX.XX
J1
5361
38760
Remove groin lymph nodes
$XXX.XX
J1
5092
38792
Ra tracer id of sentinl node
$XXX.XX
Q1
5591
38999
Blood/lymph system procedure
$XXX.XX
S
5241
39401
Mediastinoscpy w/medstnl bx
$XXX.XX
J1
5361
39402
Mediastinoscpy w/lmph nod bx
$XXX.XX
J1
5361
40490
Biopsy of lip
$XXX.XX
T
5161
40500
Partial excision of lip
$XXX.XX
J1
5164
40510
Partial excision of lip
$XXX.XX
J1
5164
40520
Partial excision of lip
$XXX.XX
J1
5164
40525
Reconstruct lip with flap
$XXX.XX
J1
5164
40527
Reconstruct lip with flap
$XXX.XX
J1
5165
40530
Partial removal of lip
$XXX.XX
J1
5164
40650
Repair lip
$XXX.XX
T
5162
40652
Repair lip
$XXX.XX
T
5162
40654
Repair lip
$XXX.XX
J1
5163
40700
Repair cleft lip/nasal
$XXX.XX
J1
5165
40701
Repair cleft lip/nasal
$XXX.XX
J1
5165
40702
Repair cleft lip/nasal
$XXX.XX
J1
5165
40720
Repair cleft lip/nasal
$XXX.XX
J1
5164
40761
Repair cleft lip/nasal
$XXX.XX
J1
5165
40799
Lip surgery procedure
$XXX.XX
T
5161
40800
Drainage of mouth lesion
$XXX.XX
T
5071
40801
Drainage of mouth lesion
$XXX.XX
T
5162
40804
Removal foreign body mouth
$XXX.XX
Q1
5301
40805
Removal foreign body mouth
$XXX.XX
T
5162
40806
Incision of lip fold
$XXX.XX
T
5162
40808
Biopsy of mouth lesion
$XXX.XX
T
5162
40810
Excision of mouth lesion
$XXX.XX
J1
5164
40812
Excise/repair mouth lesion
$XXX.XX
J1
5164
40814
Excise/repair mouth lesion
$XXX.XX
J1
5164
40816
Excision of mouth lesion
$XXX.XX
J1
5164
40818
Excise oral mucosa for graft
$XXX.XX
T
5162
40819
Excise lip or cheek fold
$XXX.XX
J1
5163
40820
Treatment of mouth lesion
$XXX.XX
J1
5164
40830
Repair mouth laceration
$XXX.XX
T
5161
40831
Repair mouth laceration
$XXX.XX
T
5162
40840
Reconstruction of mouth
$XXX.XX
J1
5165
40842
Reconstruction of mouth
$XXX.XX
J1
5165
40843
Reconstruction of mouth
$XXX.XX
J1
5165
40844
Reconstruction of mouth
$XXX.XX
J1
5165
40845
Reconstruction of mouth
$XXX.XX
J1
5165
40899
Mouth surgery procedure
$XXX.XX
T
5161
41000
Drainage of mouth lesion
$XXX.XX
T
5162
41005
Drainage of mouth lesion
$XXX.XX
T
5161
41006
Drainage of mouth lesion
$XXX.XX
J1
5163
41007
Drainage of mouth lesion
$XXX.XX
J1
5163
41008
Drainage of mouth lesion
$XXX.XX
J1
5164
41009
Drainage of mouth lesion
$XXX.XX
T
5162
41010
Incision of tongue fold
$XXX.XX
J1
5163
41015
Drainage of mouth lesion
$XXX.XX
T
5162
41016
Drainage of mouth lesion
$XXX.XX
J1
5165
41017
Drainage of mouth lesion
$XXX.XX
J1
5164
41018
Drainage of mouth lesion
$XXX.XX
J1
5163
41019
Place needles h&n for rt
$XXX.XX
J1
5165
41100
Biopsy of tongue
$XXX.XX
T
5162
41105
Biopsy of tongue
$XXX.XX
J1
5164
41108
Biopsy of floor of mouth
$XXX.XX