CodeMap®
CodeMap® 




2018 ICD-10 Diagnosis Code Set Loaded     


10/01/2017 NCD Edits Loaded     


2017-D October DME Fee Schedule     


2017-A PEN Fee Schedule-no changes for rest of 2017     


2017-D October ASC Fee Schedule Updated     


2017-D October APC Fee Schedule Updated     


October 2017 ASP Drug Pricing Updated     


Q4 2017 CCI Edits Loaded     


Q4 2017 MUE Edits Loaded     


LCD Database Current Through 11/13/2017     

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Laboratory Fee Schedule

2018 Preliminary PAMA
2017
2016

Physician Fee Schedule

2017
2016

OPPS Fee Schedule

2017
2016

ASC Fee Schedule

2017
2016

APC Codes

2017
2016

DRG Codes

2017

ASP Drug Pricing Files




Fall 2017 Webinar Series Announcement-Click here for details

ALERT: Preliminary 2018 PAMA Rates Posted by CMS-Click here for details


2016 Physician Fee Schedule
CMS Updated 1/26/2016

Selected Fee Schedule:
Procedure
Short Descriptor
2016 Physician Fee
Schedule
10021
Fna w/o image
Non-facility: $119.82
Facility: $71.32
10022
Fna w/image
Non-facility: $135.92
Facility: $66.93
10030
Guide cathet fluid drainage
Non-facility: $738.97
Facility: $176.90
10035
Perq dev soft tiss 1st imag
Non-facility: $501.68
Facility: $89.00
10036
Perq dev soft tiss add imag
Non-facility: $433.49
Facility: $44.89
10040
Acne surgery
Non-facility: $99.77
Facility: $87.73
10060
Drainage of skin abscess
Non-facility: $113.63
Facility: $95.40
10061
Drainage of skin abscess
Non-facility: $202.07
Facility: $178.31
10080
Drainage of pilonidal cyst
Non-facility: $171.53
Facility: $101.55
10081
Drainage of pilonidal cyst
Non-facility: $260.13
Facility: $170.30
10120
Remove foreign body
Non-facility: $145.65
Facility: $101.71
10121
Remove foreign body
Non-facility: $266.74
Facility: $186.67
10140
Drainage of hematoma/fluid
Non-facility: $157.97
Facility: $117.62
10160
Puncture drainage of lesion
Non-facility: $126.14
Facility: $95.22
10180
Complex drainage wound
Non-facility: $241.80
Facility: $180.61
11000
Debride infected skin
Non-facility: $52.69
Facility: $29.26
11001
Debride infected skin add-on
Non-facility: $21.20
Facility: $14.69
11004
Debride genitalia & perineum
$605.66
11005
Debride abdom wall
$824.53
11006
Debride genit/per/abdom wall
$735.71
11008
Remove mesh from abd wall
$290.17
11010
Debride skin at fx site
Non-facility: $478.33
Facility: $284.68
11011
Debride skin musc at fx site
Non-facility: $523.19
Facility: $308.71
11012
Deb skin bone at fx site
Non-facility: $701.09
Facility: $440.39
11042
Deb subq tissue 20 sq cm/<
Non-facility: $112.17
Facility: $62.38
11043
Deb musc/fascia 20 sq cm/<
Non-facility: $224.95
Facility: $159.20
11044
Deb bone 20 sq cm/<
Non-facility: $313.10
Facility: $238.24
11045
Deb subq tissue add-on
Non-facility: $40.24
Facility: $26.90
11046
Deb musc/fascia add-on
Non-facility: $73.59
Facility: $57.97
11047
Deb bone add-on
Non-facility: $125.27
Facility: $103.46
11055
Trim skin lesion
Non-facility: $45.00
Facility: $16.36
11056
Trim skin lesions 2 to 4
Non-facility: $55.37
Facility: $23.15
11057
Trim skin lesions over 4
Non-facility: $62.82
Facility: $30.27
11100
Biopsy skin lesion
Non-facility: $99.03
Facility: $49.56
11101
Biopsy skin add-on
Non-facility: $32.34
Facility: $25.51
11200
Removal of skin tags
Non-facility: $85.07
Facility: $72.05
11201
Remove skin tags add-on
Non-facility: $19.01
Facility: $17.06
11300
Shave skin lesion 0.5 cm/<
Non-facility: $92.12
Facility: $35.81
11301
Shave skin lesion 0.6-1.0 cm
Non-facility: $114.42
Facility: $54.53
11302
Shave skin lesion 1.1-2.0 cm
Non-facility: $134.80
Facility: $64.18
11303
Shave skin lesion >2.0 cm
Non-facility: $149.49
Facility: $75.94
11305
Shave skin lesion 0.5 cm/<
Non-facility: $94.60
Facility: $40.25
11306
Shave skin lesion 0.6-1.0 cm
Non-facility: $116.44
Facility: $52.98
11307
Shave skin lesion 1.1-2.0 cm
Non-facility: $137.89
Facility: $68.25
11308
Shave skin lesion >2.0 cm
Non-facility: $145.13
Facility: $75.48
11310
Shave skin lesion 0.5 cm/<
Non-facility: $108.11
Facility: $48.22
11311
Shave skin lesion 0.6-1.0 cm
Non-facility: $108.07
Facility: $67.07
11312
Shave skin lesion 1.1-2.0 cm
Non-facility: $154.01
Facility: $79.80
11313
Shave skin lesion >2.0 cm
Non-facility: $179.42
Facility: $102.61
11400
Exc tr-ext b9+marg 0.5 cm<
Non-facility: $118.44
Facility: $79.06
11401
Exc tr-ext b9+marg 0.6-1 cm
Non-facility: $143.53
Facility: $102.85
11402
Exc tr-ext b9+marg 1.1-2 cm
Non-facility: $159.87
Facility: $113.66
11403
Exc tr-ext b9+marg 2.1-3cm
Non-facility: $186.66
Facility: $147.28
11404
Exc tr-ext b9+marg 3.1-4 cm
Non-facility: $212.49
Facility: $163.02
11406
Exc tr-ext b9+marg >4.0 cm
Non-facility: $309.87
Facility: $250.64
11420
Exc h-f-nk-sp b9+marg 0.5/<
Non-facility: $117.44
Facility: $80.67
11421
Exc h-f-nk-sp b9+marg 0.6-1
Non-facility: $151.43
Facility: $109.45
11422
Exc h-f-nk-sp b9+marg 1.1-2
Non-facility: $169.98
Facility: $134.51
11423
Exc h-f-nk-sp b9+marg 2.1-3
Non-facility: $196.94
Facility: $157.23
11424
Exc h-f-nk-sp b9+marg 3.1-4
Non-facility: $228.71
Facility: $180.87
11426
Exc h-f-nk-sp b9+marg >4 cm
Non-facility: $330.78
Facility: $279.35
11440
Exc face-mm b9+marg 0.5 cm/<
Non-facility: $129.02
Facility: $100.71
11441
Exc face-mm b9+marg 0.6-1 cm
Non-facility: $162.41
Facility: $130.19
11442
Exc face-mm b9+marg 1.1-2 cm
Non-facility: $182.36
Facility: $144.61
11443
Exc face-mm b9+marg 2.1-3 cm
Non-facility: $218.97
Facility: $178.62
11444
Exc face-mm b9+marg 3.1-4 cm
Non-facility: $276.52
Facility: $228.67
11446
Exc face-mm b9+marg >4 cm
Non-facility: $386.18
Facility: $329.23
11450
Removal sweat gland lesion
Non-facility: $370.94
Facility: $254.42
11451
Removal sweat gland lesion
Non-facility: $474.50
Facility: $329.34
11462
Removal sweat gland lesion
Non-facility: $360.90
Facility: $242.10
11463
Removal sweat gland lesion
Non-facility: $479.33
Facility: $329.95
11470
Removal sweat gland lesion
Non-facility: $403.31
Facility: $284.19
11471
Removal sweat gland lesion
Non-facility: $498.29
Facility: $353.13
11600
Exc tr-ext mal+marg 0.5 cm/<
Non-facility: $185.19
Facility: $119.13
11601
Exc tr-ext mal+marg 0.6-1 cm
Non-facility: $221.14
Facility: $149.53
11602
Exc tr-ext mal+marg 1.1-2 cm
Non-facility: $240.06
Facility: $164.23
11603
Exc tr-ext mal+marg 2.1-3 cm
Non-facility: $275.95
Facility: $197.52
11604
Exc tr-ext mal+marg 3.1-4 cm
Non-facility: $307.37
Facility: $218.19
11606
Exc tr-ext mal+marg >4 cm
Non-facility: $444.15
Facility: $327.64
11620
Exc h-f-nk-sp mal+marg 0.5/<
Non-facility: $187.43
Facility: $121.03
11621
Exc s/n/h/f/g mal+mrg 0.6-1
Non-facility: $222.59
Facility: $150.99
11622
Exc s/n/h/f/g mal+mrg 1.1-2
Non-facility: $248.69
Facility: $172.86
11623
Exc s/n/h/f/g mal+mrg 2.1-3
Non-facility: $293.91
Facility: $215.15
11624
Exc s/n/h/f/g mal+mrg 3.1-4
Non-facility: $332.28
Facility: $244.40
11626
Exc s/n/h/f/g mal+mrg >4 cm
Non-facility: $402.65
Facility: $301.44
11640
Exc f/e/e/n/l mal+mrg 0.5cm<
Non-facility: $193.06
Facility: $125.04
11641
Exc f/e/e/n/l mal+mrg 0.6-1
Non-facility: $230.50
Facility: $157.27
11642
Exc f/e/e/n/l mal+mrg 1.1-2
Non-facility: $264.19
Facility: $186.08
11643
Exc f/e/e/n/l mal+mrg 2.1-3
Non-facility: $313.31
Facility: $233.57
11644
Exc f/e/e/n/l mal+mrg 3.1-4
Non-facility: $387.28
Facility: $289.97
11646
Exc f/e/e/n/l mal+mrg >4 cm
Non-facility: $510.01
Facility: $404.56
11719
Trim nail(s) any number
Non-facility: $13.37
Facility: $ 7.84
11720
Debride nail 1-5
Non-facility: $30.91
Facility: $14.96
11721
Debride nail 6 or more
Non-facility: $43.59
Facility: $25.36
11730
Removal of nail plate
Non-facility: $95.70
Facility: $52.09
11732
Remove nail plate add-on
Non-facility: $34.67
Facility: $20.68
11740
Drain blood from under nail
Non-facility: $47.14
Facility: $31.84
11750
Removal of nail bed
Non-facility: $172.94
Facility: $137.14
11755
Biopsy nail unit
Non-facility: $128.52
Facility: $78.08
11760
Repair of nail bed
Non-facility: $186.78
Facility: $116.48
11762
Reconstruction of nail bed
Non-facility: $271.32
Facility: $184.10
11765
Excision of nail fold toe
Non-facility: $159.03
Facility: $92.31
11770
Remove pilonidal cyst simple
Non-facility: $272.48
Facility: $188.83
11771
Remove pilonidal cyst exten
Non-facility: $567.54
Facility: $442.57
11772
Remove pilonidal cyst compl
Non-facility: $687.91
Facility: $582.46
11900
Inject skin lesions
Non-facility: $53.65
Facility: $31.85
11901
Inject skin lesions >7
Non-facility: $68.40
Facility: $49.20
11920
Correct skin color 6.0 cm/<
Non-facility: $164.99
Facility: $114.55
11921
Correct skn color 6.1-20.0cm
Non-facility: $192.81
Facility: $135.86
11922
Correct skin color ea 20.0cm
Non-facility: $59.21
Facility: $30.25
11950
Tx contour defects 1 cc/<
Non-facility: $71.29
Facility: $51.12
11951
Tx contour defects 1.1-5.0cc
Non-facility: $96.29
Facility: $73.51
11952
Tx contour defects 5.1-10cc
Non-facility: $129.33
Facility: $99.06
11954
Tx contour defects >10.0 cc
Non-facility: $155.33
Facility: $116.92
11960
Insert tissue expander(s)
$941.70
11970
Replace tissue expander
$610.70
11971
Remove tissue expander(s)
Non-facility: $450.99
Facility: $314.63
11976
Remove contraceptive capsule
Non-facility: $139.87
Facility: $95.94
11980
Implant hormone pellet(s)
Non-facility: $91.63
Facility: $57.46
11981
Insert drug implant device
Non-facility: $137.56
Facility: $85.16
11982
Remove drug implant device
Non-facility: $156.73
Facility: $103.35
11983
Remove/insert drug implant
Non-facility: $221.54
Facility: $178.58
12001
Rpr s/n/ax/gen/trnk 2.5cm/<
Non-facility: $86.11
Facility: $45.43
12002
Rpr s/n/ax/gen/trnk2.6-7.5cm
Non-facility: $105.48
Facility: $59.91
12004
Rpr s/n/ax/gen/trk7.6-12.5cm
Non-facility: $124.97
Facility: $75.18
12005
Rpr s/n/a/gen/trk12.6-20.0cm
Non-facility: $158.60
Facility: $98.39
12006
Rpr s/n/a/gen/trk20.1-30.0cm
Non-facility: $188.50
Facility: $120.80
12007
Rpr s/n/ax/gen/trnk >30.0 cm
Non-facility: $221.25
Facility: $152.58
12011
Rpr f/e/e/n/l/m 2.5 cm/<
Non-facility: $105.90
Facility: $56.76
12013
Rpr f/e/e/n/l/m 2.6-5.0 cm
Non-facility: $111.19
Facility: $60.10
12014
Rpr f/e/e/n/l/m 5.1-7.5 cm
Non-facility: $130.85
Facility: $77.47
12015
Rpr f/e/e/n/l/m 7.6-12.5 cm
Non-facility: $158.96
Facility: $97.45
12016
Rpr fe/e/en/l/m 12.6-20.0 cm
Non-facility: $202.95
Facility: $133.31
12017
Rpr fe/e/en/l/m 20.1-30.0 cm
$160.17
12018
Rpr f/e/e/n/l/m >30.0 cm
$181.51
12020
Closure of split wound
Non-facility: $283.33
Facility: $197.41
12021
Closure of split wound
Non-facility: $164.94
Facility: $142.16
12031
Intmd rpr s/a/t/ext 2.5 cm/<
Non-facility: $228.39
Facility: $153.21
12032
Intmd rpr s/a/t/ext 2.6-7.5
Non-facility: $292.14
Facility: $195.15
12034
Intmd rpr s/tr/ext 7.6-12.5
Non-facility: $302.65
Facility: $208.91
12035
Intmd rpr s/a/t/ext 12.6-20
Non-facility: $371.59
Facility: $243.69
12036
Intmd rpr s/a/t/ext 20.1-30
Non-facility: $412.44
Facility: $284.86
12037
Intmd rpr s/tr/ext >30.0 cm
Non-facility: $468.75
Facility: $333.68
12041
Intmd rpr n-hf/genit 2.5cm/<
Non-facility: $228.72
Facility: $151.26
12042
Intmd rpr n-hf/genit2.6-7.5
Non-facility: $280.49
Facility: $201.73
12044
Intmd rpr n-hf/genit7.6-12.5
Non-facility: $346.97
Facility: $217.12
12045
Intmd rpr n-hf/genit12.6-20
Non-facility: $391.28
Facility: $272.49
12046
Intmd rpr n-hf/genit20.1-30
Non-facility: $468.10
Facility: $317.09
12047
Intmd rpr n-hf/genit >30.0cm
Non-facility: $507.89
Facility: $352.00
12051
Intmd rpr face/mm 2.5 cm/<
Non-facility: $249.94
Facility: $172.48
12052
Intmd rpr face/mm 2.6-5.0 cm
Non-facility: $285.76
Facility: $205.37
12053
Intmd rpr face/mm 5.1-7.5 cm
Non-facility: $334.22
Facility: $219.98
12054
Intmd rpr face/mm 7.6-12.5cm
Non-facility: $350.23
Facility: $226.23
12055
Intmd rpr face/mm 12.6-20 cm
Non-facility: $454.97
Facility: $310.14
12056
Intmd rpr face/mm 20.1-30.0
Non-facility: $532.25
Facility: $381.88
12057
Intmd rpr face/mm >30.0 cm
Non-facility: $553.80
Facility: $414.83
13100
Cmplx rpr trunk 1.1-2.5 cm
Non-facility: $323.65
Facility: $208.44
13101
Cmplx rpr trunk 2.6-7.5 cm
Non-facility: $382.90
Facility: $255.64
13102
Cmplx rpr trunk addl 5cm/<
Non-facility: $119.03
Facility: $76.72
13120
Cmplx rpr s/a/l 1.1-2.5 cm
Non-facility: $339.21
Facility: $238.00
13121
Cmplx rpr s/a/l 2.6-7.5 cm
Non-facility: $414.35
Facility: $271.48
13122
Cmplx rpr s/a/l addl 5 cm/>
Non-facility: $130.67
Facility: $88.04
13131
Cmplx rpr f/c/c/m/n/ax/g/h/f
Non-facility: $374.13
Facility: $253.38
13132
Cmplx rpr f/c/c/m/n/ax/g/h/f
Non-facility: $463.81
Facility: $319.96
13133
Cmplx rpr f/c/c/m/n/ax/g/h/f
Non-facility: $176.66
Facility: $134.67
13151
Cmplx rpr e/n/e/l 1.1-2.5 cm
Non-facility: $411.52
Facility: $291.75
13152
Cmplx rpr e/n/e/l 2.6-7.5 cm
Non-facility: $495.51
Facility: $354.59
13153
Cmplx rpr e/n/e/l addl 5cm/<
Non-facility: $191.76
Facility: $145.55
13160
Late closure of wound
$820.99
14000
Tis trnfr trunk 10 sq cm/<
Non-facility: $609.19
Facility: $504.07
14001
Tis trnfr trunk 10.1-30sqcm
Non-facility: $787.84
Facility: $659.93
14020
Tis trnfr s/a/l 10 sq cm/<
Non-facility: $681.37
Facility: $569.09
14021
Tis trnfr s/a/l 10.1-30 sqcm
Non-facility: $856.28
Facility: $723.16
14040
Tis trnfr f/c/c/m/n/a/g/h/f
Non-facility: $748.66
Facility: $635.72
14041
Tis trnfr f/c/c/m/n/a/g/h/f
Non-facility: $928.17
Facility: $783.99
14060
Tis trnfr e/n/e/l 10 sq cm/<
Non-facility: $766.01
Facility: $677.16
14061
Tis trnfr e/n/e/l10.1-30sqcm
Non-facility: $997.59
Facility: $838.44
14301
Tis trnfr any 30.1-60 sq cm
Non-facility: $1064.82
Facility: $893.63
14302
Tis trnfr addl 30 sq cm
$228.45
14350
Filleted finger/toe flap
$700.45
15002
Wound prep trk/arm/leg
Non-facility: $341.01
Facility: $232.63
15003
Wound prep addl 100 cm
Non-facility: $74.43
Facility: $47.41
15004
Wound prep f/n/hf/g
Non-facility: $393.71
Facility: $276.22
15005
Wnd prep f/n/hf/g addl cm
Non-facility: $124.32
Facility: $94.38
15040
Harvest cultured skin graft
Non-facility: $248.26
Facility: $131.42
15050
Skin pinch graft
Non-facility: $550.05
Facility: $444.28
15100
Skin splt grft trnk/arm/leg
Non-facility: $851.21
Facility: $725.25
15101
Skin splt grft t/a/l add-on
Non-facility: $182.21
Facility: $114.51
15110
Epidrm autogrft trnk/arm/leg
Non-facility: $801.95
Facility: $708.22
15111
Epidrm autogrft t/a/l add-on
Non-facility: $119.13
Facility: $109.04
15115
Epidrm a-grft face/nck/hf/g
Non-facility: $821.26
Facility: $726.87
15116
Epidrm a-grft f/n/hf/g addl
Non-facility: $158.62
Facility: $144.95
15120
Skn splt a-grft fac/nck/hf/g
Non-facility: $843.50
Facility: $708.11
15121
Skn splt a-grft f/n/hf/g add
Non-facility: $204.32
Facility: $135.97
15130
Derm autograft trnk/arm/leg
Non-facility: $665.73
Facility: $569.72
15131
Derm autograft t/a/l add-on
Non-facility: $100.85
Facility: $93.36
15135
Derm autograft face/nck/hf/g
Non-facility: $838.33
Facility: $744.28
15136
Derm autograft f/n/hf/g add
Non-facility: $96.04
Facility: $90.51
15150
Cult skin grft t/arm/leg
Non-facility: $707.36
Facility: $653.33
15151
Cult skin grft t/a/l addl
Non-facility: $126.42
Facility: $117.96
15152
Cult skin graft t/a/l +%
Non-facility: $155.56
Facility: $146.78
15155
Cult skin graft f/n/hf/g
Non-facility: $721.51
Facility: $672.36
15156
Cult skin grft f/n/hfg add
Non-facility: $163.74
Facility: $156.25
15157
Cult epiderm grft f/n/hfg +%
Non-facility: $177.35
Facility: $166.94
15200
Skin full graft trunk
Non-facility: $818.38
Facility: $678.11
15201
Skin full graft trunk add-on
Non-facility: $143.95
Facility: $81.14
15220
Skin full graft sclp/arm/leg
Non-facility: $755.17
Facility: $617.83
15221
Skin full graft add-on
Non-facility: $132.74
Facility: $73.51
15240
Skin full grft face/genit/hf
Non-facility: $918.59
Facility: $804.02
15241
Skin full graft add-on
Non-facility: $180.75
Facility: $114.68
15260
Skin full graft een & lips
Non-facility: $996.31
Facility: $863.20
15261
Skin full graft add-on
Non-facility: $211.41
Facility: $143.39
15271
Skin sub graft trnk/arm/leg
Non-facility: $137.33
Facility: $86.89
15272
Skin sub graft t/a/l add-on
Non-facility: $26.75
Facility: $17.96
15273
Skin sub grft t/arm/lg child
Non-facility: $294.63
Facility: $209.36
15274
Skn sub grft t/a/l child add
Non-facility: $70.77
Facility: $47.99
15275
Skin sub graft face/nk/hf/g
Non-facility: $145.85
Facility: $97.68
15276
Skin sub graft f/n/hf/g addl
Non-facility: $34.26
Facility: $25.80
15277
Skn sub grft f/n/hf/g child
Non-facility: $319.49
Facility: $232.26
15278
Skn sub grft f/n/hf/g ch add
Non-facility: $84.48
Facility: $59.42
15570
Skin pedicle flap trunk
Non-facility: $902.05
Facility: $744.20
15572
Skin pedicle flap arms/legs
Non-facility: $875.42
Facility: $751.42
15574
Pedcle fh/ch/ch/m/n/ax/g/h/f
Non-facility: $902.69
Facility: $773.81
15576
Pedicle e/n/e/l/ntroral
Non-facility: $794.26
Facility: $675.14
15600
Delay flap trunk
Non-facility: $307.88
Facility: $203.41
15610
Delay flap arms/legs
Non-facility: $340.92
Facility: $238.07
15620
Delay flap f/c/c/n/ax/g/h/f
Non-facility: $425.46
Facility: $323.91
15630
Delay flap eye/nos/ear/lip
Non-facility: $445.25
Facility: $344.68
15650
Transfer skin pedicle flap
Non-facility: $489.99
Facility: $381.61
15731
Forehead flap w/vasc pedicle
Non-facility: $1121.37
Facility: $1018.20
15732
Muscle-skin graft head/neck
Non-facility: $1274.10
Facility: $1125.04
15734
Muscle-skin graft trunk
Non-facility: $1512.31
Facility: $1349.26
15736
Muscle-skin graft arm
Non-facility: $1320.81
Facility: $1160.36
15738
Muscle-skin graft leg
Non-facility: $1409.59
Facility: $1258.90
15740
Island pedicle flap graft
Non-facility: $1004.95
Facility: $860.12
15750
Neurovascular pedicle flap
$928.63
15756
Free myo/skin flap microvasc
$2376.81
15757
Free skin flap microvasc
$2348.17
15758
Free fascial flap microvasc
$2351.72
15760
Composite skin graft
Non-facility: $840.98
Facility: $713.40
15770
Derma-fat-fascia graft
$674.91
15775
Hair trnspl 1-15 punch grfts
Non-facility: $298.12
Facility: $228.47
15776
Hair trnspl >15 punch grafts
Non-facility: $488.25
Facility: $363.27
15777
Acellular derm matrix implt
$220.87
15780
Dermabrasion total face
Non-facility: $821.36
Facility: $633.57
15781
Dermabrasion segmental face
Non-facility: $539.95
Facility: $431.58
15782
Dermabrasion other than face
Non-facility: $609.97
Facility: $438.78
15783
Dermabrasion suprfl any site
Non-facility: $453.53
Facility: $359.15
15786
Abrasion lesion single
Non-facility: $235.28
Facility: $136.34
15787
Abrasion lesions add-on
Non-facility: $46.68
Facility: $17.72
15788
Chemical peel face epiderm
Non-facility: $435.56
Facility: $240.61
15789
Chemical peel face dermal
Non-facility: $533.12
Facility: $411.72
15792
Chemical peel nonfacial
Non-facility: $419.11
Facility: $255.07
15793
Chemical peel nonfacial
Non-facility: $475.61
Facility: $362.68
15819
Plastic surgery neck
$741.82
15820
Revision of lower eyelid
Non-facility: $545.94
Facility: $495.82
15821
Revision of lower eyelid
Non-facility: $589.64
Facility: $533.66
15822
Revision of upper eyelid
Non-facility: $431.70
Facility: $382.23
15823
Revision of upper eyelid
Non-facility: $588.55
Facility: $531.60
15830
Exc skin abd
$1190.74
15832
Excise excessive skin thigh
$926.64
15833
Excise excessive skin leg
$867.83
15834
Excise excessive skin hip
$893.24
15835
Excise excessive skin buttck
$937.48
15836
Excise excessive skin arm
$770.46
15837
Excise excess skin arm/hand
Non-facility: $802.67
Facility: $681.93
15838
Excise excess skin fat pad
$577.09
15839
Excise excess skin & tissue
Non-facility: $876.59
Facility: $746.08
15840
Nerve palsy fascial graft
$1019.77
15841
Nerve palsy muscle graft
$1654.51
15842
Nerve palsy microsurg graft
$2684.68
15845
Skin and muscle repair face
$999.56
15851
Remove sutures diff surgeon
Non-facility: $95.04
Facility: $46.55
15852
Dressing change not for burn
$48.46
15860
Test for blood flow in graft
$114.49
15920
Removal of tail bone ulcer
$613.28
15922
Removal of tail bone ulcer
$783.35
15931
Remove sacrum pressure sore
$702.66
15933
Remove sacrum pressure sore
$860.33
15934
Remove sacrum pressure sore
$946.95
15935
Remove sacrum pressure sore
$1112.08
15936
Remove sacrum pressure sore
$908.13
15937
Remove sacrum pressure sore
$1051.06
15940
Remove hip pressure sore
$714.17
15941
Remove hip pressure sore
$908.91
15944
Remove hip pressure sore
$896.39
15945
Remove hip pressure sore
$987.67
15946
Remove hip pressure sore
$1662.01
15950
Remove thigh pressure sore
$599.41
15951
Remove thigh pressure sore
$880.65
15952
Remove thigh pressure sore
$901.63
15953
Remove thigh pressure sore
$999.70
15956
Remove thigh pressure sore
$1171.32
15958
Remove thigh pressure sore
$1188.10
16000
Initial treatment of burn(s)
Non-facility: $67.72
Facility: $47.22
16020
Dress/debrid p-thick burn s
Non-facility: $78.60
Facility: $53.87
16025
Dress/debrid p-thick burn m
Non-facility: $144.79
Facility: $112.57
16030
Dress/debrid p-thick burn l
Non-facility: $182.48
Facility: $135.94
16035
Incision of burn scab initi
$201.05
16036
Escharotomy addl incision
$83.92
17000
Destruct premalg lesion
Non-facility: $64.61
Facility: $52.57
17003
Destruct premalg les 2-14
Non-facility: $ 5.46
Facility: $ 2.53
17004
Destroy premal lesions 15/>
Non-facility: $145.25
Facility: $100.01
17106
Destruction of skin lesions
Non-facility: $333.47
Facility: $275.54
17107
Destruction of skin lesions
Non-facility: $424.62
Facility: $347.49
17108
Destruction of skin lesions
Non-facility: $629.28
Facility: $529.36
17110
Destruct b9 lesion 1-14
Non-facility: $105.26
Facility: $68.16
17111
Destruct lesion 15 or more
Non-facility: $125.51
Facility: $84.50
17250
Chemical cautery tissue
Non-facility: $75.39
Facility: $36.99
17260
Destruction of skin lesions
Non-facility: $92.08
Facility: $70.27
17261
Destruction of skin lesions
Non-facility: $138.33
Facility: $91.46
17262
Destruction of skin lesions
Non-facility: $169.37
Facility: $116.97
17263
Destruction of skin lesions
Non-facility: $185.40
Facility: $130.07
17264
Destruction of skin lesions
Non-facility: $198.82
Facility: $138.94
17266
Destruction of skin lesions
Non-facility: $226.13
Facility: $162.66
17270
Destruction of skin lesions
Non-facility: $145.57
Facility: $100.01
17271
Destruction of skin lesions
Non-facility: $157.76
Facility: $111.22
17272
Destruction of skin lesions
Non-facility: $180.77
Facility: $129.03
17273
Destruction of skin lesions
Non-facility: $201.91
Facility: $145.60
17274
Destruction of skin lesions
Non-facility: $239.48
Facility: $178.29
17276
Destruction of skin lesions
Non-facility: $278.25
Facility: $214.46
17280
Destruction of skin lesions
Non-facility: $135.73
Facility: $90.81
17281
Destruction of skin lesions
Non-facility: $172.68
Facility: $125.48
17282
Destruction of skin lesions
Non-facility: $199.07
Facility: $145.37
17283
Destruction of skin lesions
Non-facility: $239.11
Facility: $181.83
17284
Destruction of skin lesions
Non-facility: $273.86
Facility: $212.34
17286
Destruction of skin lesions
Non-facility: $353.84
Facility: $286.15
17311
Mohs 1 stage h/n/hf/g
Non-facility: $641.04
Facility: $386.86
17312
Mohs addl stage
Non-facility: $374.92
Facility: $205.68
17313
Mohs 1 stage t/a/l
Non-facility: $598.02
Facility: $346.76
17314
Mohs addl stage t/a/l
Non-facility: $359.00
Facility: $190.73
17315
Mohs surg addl block
Non-facility: $77.99
Facility: $54.23
17340
Cryotherapy of skin
Non-facility: $51.13
Facility: $49.18
17360
Skin peel therapy
Non-facility: $126.14
Facility: $99.12
19000
Drainage of breast lesion
Non-facility: $108.56
Facility: $45.10
19001
Drain breast lesion add-on
Non-facility: $27.04
Facility: $22.49
19020
Incision of breast lesion
Non-facility: $459.84
Facility: $308.50
19030
Injection for breast x-ray
Non-facility: $159.35
Facility: $79.61
19081
Bx breast 1st lesion strtctc
Non-facility: $656.68
Facility: $175.00
19082
Bx breast add lesion strtctc
Non-facility: $537.57
Facility: $87.45
19083
Bx breast 1st lesion us imag
Non-facility: $634.29
Facility: $163.67
19084
Bx breast add lesion us imag
Non-facility: $516.82
Facility: $82.00
19085
Bx breast 1st lesion mr imag
Non-facility: $969.09
Facility: $192.21
19086
Bx breast add lesion mr imag
Non-facility: $762.44
Facility: $94.92
19100
Bx breast percut w/o image
Non-facility: $147.01
Facility: $73.45
19101
Biopsy of breast open
Non-facility: $335.66
Facility: $226.96
19105
Cryosurg ablate fa each
Non-facility: $1993.55
Facility: $199.29
19110
Nipple exploration
Non-facility: $476.54
Facility: $347.00
19112
Excise breast duct fistula
Non-facility: $445.87
Facility: $314.06
19120
Removal of breast lesion
Non-facility: $495.76
Facility: $423.51
19125
Excision breast lesion
Non-facility: $550.97
Facility: $471.89
19126
Excision addl breast lesion
$170.48
19260
Removal of chest wall lesion
$1238.27
19271
Revision of chest wall
$1664.22
19272
Extensive chest wall surgery
$1823.75
19281
Perq device breast 1st imag
Non-facility: $230.05
Facility: $104.09
19282
Perq device breast ea imag
Non-facility: $159.41
Facility: $52.33
19283
Perq dev breast 1st strtctc
Non-facility: $258.08
Facility: $105.11
19284
Perq dev breast add strtctc
Non-facility: $192.53
Facility: $53.23
19285
Perq dev breast 1st us imag
Non-facility: $483.46
Facility: $89.00
19286
Perq dev breast add us imag
Non-facility: $421.77
Facility: $44.89
19287
Perq dev breast 1st mr guide
Non-facility: $806.81
Facility: $133.44
19288
Perq dev breast add mr guide
Non-facility: $647.01
Facility: $66.39
19296
Place po breast cath for rad
Non-facility: $3673.20
Facility: $220.70
19297
Place breast cath for rad
$100.16
19298
Place breast rad tube/caths
Non-facility: $1002.25
Facility: $336.68
19300
Removal of breast tissue
Non-facility: $517.59
Facility: $418.00
19301
Partial mastectomy
$674.88
19302
P-mastectomy w/ln removal
$930.44
19303
Mast simple complete
$1046.27
19304
Mast subq
$586.27
19305
Mast radical
$1165.46
19306
Mast rad urban type
$1238.59
19307
Mast mod rad
$1235.61
19316
Suspension of breast
$779.96
19318
Reduction of large breast
$1115.41
19324
Enlarge breast
$500.36
19325
Enlarge breast with implant
$642.98
19328
Removal of breast implant
$497.43
19330
Removal of implant material
$638.44
19340
Immediate breast prosthesis
$1012.27
19342
Delayed breast prosthesis
$928.23
19350
Breast reconstruction
Non-facility: $812.67
Facility: $677.28
19355
Correct inverted nipple(s)
Non-facility: $707.88
Facility: $589.41
19357
Breast reconstruction
$1503.81
19361
Breast reconstr w/lat flap
$1597.76
19364
Breast reconstruction
$2807.60
19366
Breast reconstruction
$1439.25
19367
Breast reconstruction
$1817.90
19368
Breast reconstruction
$2242.26
19369
Breast reconstruction
$2083.79
19370
Surgery of breast capsule
$689.32
19371
Removal of breast capsule
$788.90
19380
Revise breast reconstruction
$777.31
19396
Design custom breast implant
Non-facility: $267.84
Facility: $142.54
20005
I&d abscess subfascial
Non-facility: $306.07
Facility: $237.39
20100
Explore wound neck
$631.36
20101
Explore wound chest
Non-facility: $436.27
Facility: $215.94
20102
Explore wound abdomen
Non-facility: $479.82
Facility: $264.69
20103
Explore wound extremity
Non-facility: $568.59
Facility: $355.09
20150
Excise epiphyseal bar
$921.36
20200
Muscle biopsy
Non-facility: $201.34
Facility: $99.14
20205
Deep muscle biopsy
Non-facility: $284.04
Facility: $162.32
20206
Needle biopsy muscle
Non-facility: $223.17
Facility: $60.11
20220
Bone biopsy trocar/needle
Non-facility: $161.84
Facility: $73.96
20225
Bone biopsy trocar/needle
Non-facility: $495.65
Facility: $110.63
20240
Bone biopsy open superficial
$158.01
20245
Bone biopsy open deep
$533.80
20250
Open bone biopsy
$401.07
20251
Open bone biopsy
$435.85
20500
Injection of sinus tract
Non-facility: $101.98
Facility: $84.41
20501
Inject sinus tract for x-ray
Non-facility: $112.69
Facility: $39.14
20520
Removal of foreign body
Non-facility: $197.96
Facility: $145.88
20525
Removal of foreign body
Non-facility: $463.79
Facility: $252.24
20526
Ther injection carp tunnel
Non-facility: $76.31
Facility: $58.73
20527
Inj dupuytren cord w/enzyme
Non-facility: $83.26
Facility: $67.64
20550
Inj tendon sheath/ligament
Non-facility: $57.90
Facility: $42.61
20551
Inj tendon origin/insertion
Non-facility: $59.08
Facility: $43.14
20552
Inj trigger point 1/2 muscl
Non-facility: $54.11
Facility: $38.49
20553
Inject trigger points 3/>
Non-facility: $62.34
Facility: $43.79
20555
Place ndl musc/tis for rt
$336.56
20600
Drain/inj joint/bursa w/o us
Non-facility: $46.95
Facility: $36.21
20604
Drain/inj joint/bursa w/us
Non-facility: $70.85
Facility: $47.09
20605
Drain/inj joint/bursa w/o us
Non-facility: $49.42
Facility: $38.03
20606
Drain/inj joint/bursa w/us
Non-facility: $78.62
Facility: $53.88
20610
Drain/inj joint/bursa w/o us
Non-facility: $59.71
Facility: $47.01
20611
Drain/inj joint/bursa w/us
Non-facility: $90.17
Facility: $63.16
20612
Aspirate/inj ganglion cyst
Non-facility: $59.37
Facility: $42.44
20615
Treatment of bone cyst
Non-facility: $237.81
Facility: $163.93
20650
Insert and remove bone pin
Non-facility: $203.27
Facility: $157.38
20660
Apply rem fixation device
$260.73
20661
Application of head brace
$515.02
20662
Application of pelvis brace
$429.73
20663
Application of thigh brace
$471.31
20664
Application of halo
$911.38
20665
Removal of fixation device
Non-facility: $103.30
Facility: $89.96
20670
Removal of support implant
Non-facility: $360.13
Facility: $146.63
20680
Removal of support implant
Non-facility: $606.42
Facility: $428.39
20690
Apply bone fixation device
$606.21
20692
Apply bone fixation device
$1135.32
20693
Adjust bone fixation device
$449.10
20694
Remove bone fixation device
Non-facility: $419.11
Facility: $340.02
20696
Comp multiplane ext fixation
$1226.07
20697
Comp ext fixate strut change
$1830.96
20802
Replantation arm complete
$2465.14
20805
Replant forearm complete
$3391.97
20808
Replantation hand complete
$4124.05
20816
Replantation digit complete
$2127.61
20822
Replantation digit complete
$1818.72
20824
Replantation thumb complete
$2092.44
20827
Replantation thumb complete
$1871.85
20838
Replantation foot complete
$2489.59
20900
Removal of bone for graft
Non-facility: $404.82
Facility: $194.90
20902
Removal of bone for graft
$294.59
20910
Remove cartilage for graft
$412.36
20912
Remove cartilage for graft
$483.41
20920
Removal of fascia for graft
$396.43
20922
Removal of fascia for graft
Non-facility: $609.49
Facility: $512.17
20924
Removal of tendon for graft
$509.93
20926
Removal of tissue for graft
$434.52
20931
Sp bone algrft struct add-on
$120.49
20937
Sp bone agrft morsel add-on
$177.23
20938
Sp bone agrft struct add-on
$196.92
20950
Fluid pressure muscle
Non-facility: $240.62
Facility: $92.53
20955
Fibula bone graft microvasc
$2568.76
20956
Iliac bone graft microvasc
$2736.10
20957
Mt bone graft microvasc
$2511.37
20962
Other bone graft microvasc
$2160.63
20969
Bone/skin graft microvasc
$2838.79
20970
Bone/skin graft iliac crest
$3031.07
20972
Bone/skin graft metatarsal
$2420.20
20973
Bone/skin graft great toe
$2712.42
20974
Electrical bone stimulation
Non-facility: $74.69
Facility: $50.94
20975
Electrical bone stimulation
$184.09
20979
Us bone stimulation
Non-facility: $51.50
Facility: $33.27
20982
Ablate bone tumor(s) perq
Non-facility: $2831.12
Facility: $393.10
20983
Ablate bone tumor(s) perq
Non-facility: $6757.63
Facility: $419.28
20985
Cptr-asst dir ms px
$152.95
21010
Incision of jaw joint
$752.66
21011
Exc face les sc <2 cm
Non-facility: $340.02
Facility: $258.98
21012
Exc face les sbq 2 cm/>
$343.03
21013
Exc face tum deep < 2 cm
Non-facility: $511.82
Facility: $405.07
21014
Exc face tum deep 2 cm/>
$527.93
21015
Resect face/scalp tum < 2 cm
$719.76
21016
Resect face/scalp tum 2 cm/>
$1043.95
21025
Excision of bone lower jaw
Non-facility: $893.39
Facility: $764.83
21026
Excision of facial bone(s)
Non-facility: $610.00
Facility: $500.64
21029
Contour of face bone lesion
Non-facility: $760.91
Facility: $642.44
21030
Excise max/zygoma b9 tumor
Non-facility: $514.74
Facility: $421.66
21031
Remove exostosis mandible
Non-facility: $389.65
Facility: $297.22
21032
Remove exostosis maxilla
Non-facility: $396.09
Facility: $294.87
21034
Excise max/zygoma mal tumor
Non-facility: $1325.86
Facility: $1181.36
21040
Excise mandible lesion
Non-facility: $518.32
Facility: $422.31
21044
Removal of jaw bone lesion
$891.74
21045
Extensive jaw surgery
$1252.95
21046
Remove mandible cyst complex
$1134.06
21047
Excise lwr jaw cyst w/repair
$1353.93
21048
Remove maxilla cyst complex
$1163.24
21049
Excis uppr jaw cyst w/repair
$1241.27
21050
Removal of jaw joint
$852.33
21060
Remove jaw joint cartilage
$806.99
21070
Remove coronoid process
$618.12
21073
Mnpj of tmj w/anesth
Non-facility: $381.60
Facility: $257.60
21076
Prepare face/oral prosthesis
Non-facility: $1018.83
Facility: $867.82
21077
Prepare face/oral prosthesis
Non-facility: $2555.92
Facility: $2180.01
21079
Prepare face/oral prosthesis
Non-facility: $1718.16
Facility: $1450.30
21080
Prepare face/oral prosthesis
Non-facility: $1927.52
Facility: $1614.43
21081
Prepare face/oral prosthesis
Non-facility: $1779.49
Facility: $1484.94
21082
Prepare face/oral prosthesis
Non-facility: $1678.07
Facility: $1390.04
21083
Prepare face/oral prosthesis
Non-facility: $1595.75
Facility: $1289.82
21084
Prepare face/oral prosthesis
Non-facility: $1836.37
Facility: $1496.92
21085
Prepare face/oral prosthesis
Non-facility: $765.65
Facility: $587.30
21086
Prepare face/oral prosthesis
Non-facility: $1900.34
Facility: $1614.91
21087
Prepare face/oral prosthesis
Non-facility: $1897.29
Facility: $1611.53
21100
Maxillofacial fixation
Non-facility: $996.23
Facility: $504.13
21110
Interdental fixation
Non-facility: $790.08
Facility: $668.68
21116
Injection jaw joint x-ray
Non-facility: $139.26
Facility: $45.20
21120
Reconstruction of chin
Non-facility: $644.73
Facility: $517.48
21121
Reconstruction of chin
Non-facility: $803.41
Facility: $678.76
21122
Reconstruction of chin
$661.74
21123
Reconstruction of chin
$940.89
21125
Augmentation lower jaw bone
Non-facility: $2908.43
Facility: $796.84
21127
Augmentation lower jaw bone
Non-facility: $4191.33
Facility: $911.01
21137
Reduction of forehead
$772.43
21138
Reduction of forehead
$893.05
21139
Reduction of forehead
$966.93
21141
Lefort i-1 piece w/o graft
$1368.09
21142
Lefort i-2 piece w/o graft
$1434.42
21143
Lefort i-3/> piece w/o graft
$1444.16
21145
Lefort i-1 piece w/ graft
$1620.24
21146
Lefort i-2 piece w/ graft
$1582.99
21147
Lefort i-3/> piece w/ graft
$1787.88
21150
Lefort ii anterior intrusion
$1713.81
21151
Lefort ii w/bone grafts
$2050.54
21154
Lefort iii w/o lefort i
$2138.56
21155
Lefort iii w/ lefort i
$2197.69
21159
Lefort iii w/fhdw/o lefort i
$2568.26
21160
Lefort iii w/fhd w/ lefort i
$3242.63
21172
Reconstruct orbit/forehead
$1817.79
21175
Reconstruct orbit/forehead
$2178.23
21179
Reconstruct entire forehead
$1460.20
21180
Reconstruct entire forehead
$1578.21
21181
Contour cranial bone lesion
$747.43
21182
Reconstruct cranial bone
$1996.72
21183
Reconstruct cranial bone
$2362.93
21184
Reconstruct cranial bone
$2198.31
21188
Reconstruction of midface
$1643.00
21193
Reconst lwr jaw w/o graft
$1242.97
21194
Reconst lwr jaw w/graft
$1468.32
21195
Reconst lwr jaw w/o fixation
$1358.52
21196
Reconst lwr jaw w/fixation
$1508.32
21198
Reconstr lwr jaw segment
$1185.54
21199
Reconstr lwr jaw w/advance
$1099.32
21206
Reconstruct upper jaw bone
$1191.13
21208
Augmentation of facial bones
Non-facility: $1830.85
Facility: $847.31
21209
Reduction of facial bones
Non-facility: $800.45
Facility: $620.47
21210
Face bone graft
Non-facility: $2212.47
Facility: $882.96
21215
Lower jaw bone graft
Non-facility: $3882.80
Facility: $918.50
21230
Rib cartilage graft
$726.35
21235
Ear cartilage graft
Non-facility: $716.94
Facility: $571.13
21240
Reconstruction of jaw joint
$1145.81
21242
Reconstruction of jaw joint
$1048.73
21243
Reconstruction of jaw joint
$1737.03
21244
Reconstruction of lower jaw
$1076.53
21245
Reconstruction of jaw
Non-facility: $1108.07
Facility: $900.75
21246
Reconstruction of jaw
$888.65
21247
Reconstruct lower jaw bone
$1586.41
21248
Reconstruction of jaw
Non-facility: $1115.97
Facility: $926.88
21249
Reconstruction of jaw
Non-facility: $1536.50
Facility: $1321.70
21255
Reconstruct lower jaw bone
$1406.27
21256
Reconstruction of orbit
$1206.70
21260
Revise eye sockets
$1401.58
21261
Revise eye sockets
$2148.51
21263
Revise eye sockets
$1982.03
21267
Revise eye sockets
$1555.32
21268
Revise eye sockets
$1767.59
21270
Augmentation cheek bone
Non-facility: $944.55
Facility: $721.93
21275
Revision orbitofacial bones
$846.13
21280
Revision of eyelid
$559.43
21282
Revision of eyelid
$374.09
21295
Revision of jaw muscle/bone
$178.10
21296
Revision of jaw muscle/bone
$428.99
21310
Closed tx nose fx w/o manj
Non-facility: $125.25
Facility: $28.26
21315
Closed tx nose fx w/o stablj
Non-facility: $267.70
Facility: $151.51
21320
Closed tx nose fx w/ stablj
Non-facility: $249.11
Facility: $136.50
21325
Open tx nose fx uncomplicatd
$465.03
21330
Open tx nose fx w/skele fixj
$561.10
21335
Open tx nose & septal fx
$727.94
21336
Open tx septal fx w/wo stabj
$638.23
21337
Closed tx septal&nose fx
Non-facility: $395.11
Facility: $294.22
21338
Open nasoethmoid fx w/o fixj
$713.60
21339
Open nasoethmoid fx w/ fixj
$763.78
21340
Perq tx nasoethmoid fx
$763.34
21343
Open tx dprsd front sinus fx
$1205.04
21344
Open tx compl front sinus fx
$1419.79
21345
Closed tx nose/jaw fx
Non-facility: $804.80
Facility: $659.97
21346
Opn tx nasomax fx w/fixj
$911.27
21347
Opn tx nasomax fx multple
$1138.09
21348
Opn tx nasomax fx w/graft
$1225.54
21355
Perq tx malar fracture
Non-facility: $424.00
Facility: $323.76
21356
Opn tx dprsd zygomatic arch
Non-facility: $494.01
Facility: $380.75
21360
Opn tx dprsd malar fracture
$543.11
21365
Opn tx complx malar fx
$1132.91
21366
Opn tx complx malar w/grft
$1181.27
21385
Opn tx orbit fx transantral
$686.85
21386
Opn tx orbit fx periorbital
$701.16
21387
Opn tx orbit fx combined
$719.54
21390
Opn tx orbit periorbtl implt
$798.74
21395
Opn tx orbit periorbt w/grft
$1017.06
21400
Closed tx orbit w/o manipulj
Non-facility: $187.50
Facility: $153.98
21401
Closed tx orbit w/manipulj
Non-facility: $432.02
Facility: $287.52
21406
Opn tx orbit fx w/o implant
$524.49
21407
Opn tx orbit fx w/implant
$649.86
21408
Opn tx orbit fx w/bone grft
$887.99
21421
Treat mouth roof fracture
Non-facility: $742.13
Facility: $631.80
21422
Treat mouth roof fracture
$679.16
21423
Treat mouth roof fracture
$825.73
21431
Treat craniofacial fracture
$736.69
21432
Treat craniofacial fracture
$661.34
21433
Treat craniofacial fracture
$1766.34
21435
Treat craniofacial fracture
$1288.73
21436
Treat craniofacial fracture
$2153.54
21440
Treat dental ridge fracture
Non-facility: $562.85
Facility: $460.33
21445
Treat dental ridge fracture
Non-facility: $760.00
Facility: $625.59
21450
Treat lower jaw fracture
Non-facility: $603.60
Facility: $487.41
21451
Treat lower jaw fracture
Non-facility: $748.73
Facility: $633.84
21452
Treat lower jaw fracture
Non-facility: $574.57
Facility: $344.14
21453
Treat lower jaw fracture
Non-facility: $896.03
Facility: $773.65
21454
Treat lower jaw fracture
$597.87
21461
Treat lower jaw fracture
Non-facility: $2061.26
Facility: $936.14
21462
Treat lower jaw fracture
Non-facility: $2193.52
Facility: $1046.59
21465
Treat lower jaw fracture
$973.25
21470
Treat lower jaw fracture
$1229.25
21480
Reset dislocated jaw
Non-facility: $95.20
Facility: $33.04
21485
Reset dislocated jaw
Non-facility: $687.51
Facility: $579.45
21490
Repair dislocated jaw
$931.89
21497
Interdental wiring
Non-facility: $717.75
Facility: $601.57
21501
Drain neck/chest lesion
Non-facility: $445.80
Facility: $324.40
21502
Drain chest lesion
$546.68
21510
Drainage of bone lesion
$459.29
21550
Biopsy of neck/chest
Non-facility: $255.56
Facility: $158.90
21552
Exc neck les sc 3 cm/>
$458.65
21554
Exc neck tum deep 5 cm/>
$753.36
21555
Exc neck les sc < 3 cm
Non-facility: $409.98
Facility: $310.06
21556
Exc neck tum deep < 5 cm
$540.69
21557
Resect neck thorax tumor<5cm
$985.15
21558
Resect neck tumor 5 cm/>
$1392.42
21600
Partial removal of rib
$566.29
21610
Partial removal of rib
$1259.72
21615
Removal of rib
$647.16
21616
Removal of rib and nerves
$782.39
21620
Partial removal of sternum
$517.17
21627
Sternal debridement
$550.89
21630
Extensive sternum surgery
$1250.75
21632
Extensive sternum surgery
$1258.12
21685
Hyoid myotomy & suspension
$1019.27
21700
Revision of neck muscle
$387.43
21705
Revision of neck muscle/rib
$581.79
21720
Revision of neck muscle
$458.98
21725
Revision of neck muscle
$544.83
21740
Reconstruction of sternum
$1067.25
21750
Repair of sternum separation
$714.48
21811
Optx of rib fx w/fixj scope
$642.54
21812
Treatment of rib fracture
$771.16
21813
Treatment of rib fracture
$1007.26
21820
Treat sternum fracture
Non-facility: $138.22
Facility: $141.48
21825
Treat sternum fracture
$555.66
21920
Biopsy soft tissue of back
Non-facility: $250.15
Facility: $161.30
21925
Biopsy soft tissue of back
Non-facility: $442.65
Facility: $359.00
21930
Exc back les sc < 3 cm
Non-facility: $469.50
Facility: $371.21
21931
Exc back les sc 3 cm/>
$483.20
21932
Exc back tum deep < 5 cm
$681.66
21933
Exc back tum deep 5 cm/>
$760.13
21935
Resect back tum < 5 cm
$1057.52
21936
Resect back tum 5 cm/>
$1461.34
22010
I&d p-spine c/t/cerv-thor
$983.10
22015
I&d abscess p-spine l/s/ls
$950.65
22100
Remove part of neck vertebra
$901.88
22101
Remove part thorax vertebra
$875.20
22102
Remove part lumbar vertebra
$806.36
22103
Remove extra spine segment
$147.60
22110
Remove part of neck vertebra
$1088.36
22112
Remove part thorax vertebra
$1011.77
22114
Remove part lumbar vertebra
$1015.31
22116
Remove extra spine segment
$151.04
22206
Incis spine 3 column thorac
$2560.79
22207
Incis spine 3 column lumbar
$2504.74
22208
Incis spine 3 column adl seg
$617.03
22210
Incis 1 vertebral seg cerv
$1865.73
22212
Incis 1 vertebral seg thorac
$1533.91
22214
Incis 1 vertebral seg lumbar
$1539.95
22216
Incis addl spine segment
$384.47
22220
Incis w/discectomy cervical
$1660.85
22222
Incis w/discectomy thoracic
$1598.52
22224
Incis w/discectomy lumbar
$1636.61
22226
Revise extra spine segment
$383.94
22310
Closed tx vert fx w/o manj
Non-facility: $309.83
Facility: $287.70
22315
Closed tx vert fx w/manj
Non-facility: $892.69
Facility: $790.17
22318
Treat odontoid fx w/o graft
$1741.97
22319
Treat odontoid fx w/graft
$1942.22
22325
Treat spine fracture
$1498.46
22326
Treat neck spine fracture
$1567.02
22327
Treat thorax spine fracture
$1570.53
22328
Treat each add spine fx
$302.13
22505
Manipulation of spine
$130.42
22510
Perq cervicothoracic inject
Non-facility: $1678.75
Facility: $464.78
22511
Perq lumbosacral injection
Non-facility: $1659.35
Facility: $436.27
22512
Vertebroplasty addl inject
Non-facility: $929.96
Facility: $218.51
22513
Perq vertebral augmentation
Non-facility: $6841.25
Facility: $558.23
22514
Perq vertebral augmentation
Non-facility: $6828.92
Facility: $519.85
22515
Perq vertebral augmentation
Non-facility: $4130.37
Facility: $237.86
22532
Lat thorax spine fusion
$1867.13
22533
Lat lumbar spine fusion
$1714.60
22534
Lat thor/lumb addl seg
$382.43
22548
Neck spine fusion
$2108.91
22551
Neck spine fuse&remov bel c2
$1809.76
22552
Addl neck spine fusion
$428.61
22554
Neck spine fusion
$1315.14
22556
Thorax spine fusion
$1747.40
22558
Lumbar spine fusion
$1608.31
22585
Additional spinal fusion
$350.82
22586
Prescrl fuse w/ instr l5-s1
$1880.21
22590
Spine & skull spinal fusion
$1668.77
22595
Neck spinal fusion
$1590.01
22600
Neck spine fusion
$1349.79
22610
Thorax spine fusion
$1318.14
22612
Lumbar spine fusion
$1661.13
22614
Spine fusion extra segment
$418.03
22630
Lumbar spine fusion
$1649.74
22632
Spine fusion extra segment
$344.53
22633
Lumbar spine fusion combined
$1948.33
22634
Spine fusion extra segment
$530.76
22800
Post fusion
$1402.19
22802
Post fusion 7-12 vert seg
$2185.41
22804
Post fusion 13/> vert seg
$2531.82
22808
Ant fusion 2-3 vert seg
$1924.07
22810
Ant fusion 4-7 vert seg
$2125.00
22812
Ant fusion 8/> vert seg
$2554.23
22818
Kyphectomy 1-2 segments
$2247.35
22819
Kyphectomy 3 or more
$2967.31
22830
Exploration of spinal fusion
$842.75
22840
Insert spine fixation device
$812.06
22842
Insert spine fixation device
$814.47
22843
Insert spine fixation device
$869.72
22844
Insert spine fixation device
$1042.12
22845
Insert spine fixation device
$784.27
22846
Insert spine fixation device
$814.51
22847
Insert spine fixation device
$877.84
22848
Insert pelv fixation device
$380.91
22849
Reinsert spinal fixation
$1360.48
22850
Remove spine fixation device
$749.62
22852
Remove spine fixation device
$717.63
22855
Remove spine fixation device
$1161.35
22856
Cerv artific diskectomy
$1704.72
22857
Lumbar artif diskectomy
$2079.40
22858
Second level cer diskectomy
$538.84
22861
Revise cerv artific disc
$2096.93
22862
Revise lumbar artif disc
$2121.49
22864
Remove cerv artif disc
$2197.39
22865
Remove lumb artif disc
$2115.08
22900
Exc abdl tum deep < 5 cm
$580.69
22901
Exc abdl tum deep 5 cm/>
$686.07
22902
Exc abd les sc < 3 cm
Non-facility: $435.62
Facility: $337.33
22903
Exc abd les sc 3 cm/>
$451.21
22904
Radical resect abd tumor<5cm
$1086.14
22905
Rad resect abd tumor 5 cm/>
$1380.22
23000
Removal of calcium deposits
Non-facility: $568.63
Facility: $372.05
23020
Release shoulder joint
$696.92
23030
Drain shoulder lesion
Non-facility: $429.81
Facility: $259.59
23031
Drain shoulder bursa
Non-facility: $410.85
Facility: $220.78
23035
Drain shoulder bone lesion
$684.83
23040
Exploratory shoulder surgery
$728.64
23044
Exploratory shoulder surgery
$575.99
23065
Biopsy shoulder tissues
Non-facility: $213.84
Facility: $168.92
23066
Biopsy shoulder tissues
Non-facility: $541.60
Facility: $358.37
23071
Exc shoulder les sc 3 cm/>
$429.69
23073
Exc shoulder tum deep 5 cm/>
$710.95
23075
Exc shoulder les sc < 3 cm
Non-facility: $460.84
Facility: $330.66
23076
Exc shoulder tum deep < 5 cm
$550.19
23077
Resect shoulder tumor < 5 cm
$1180.48
23078
Resect shoulder tumor 5 cm/>
$1481.35
23100
Biopsy of shoulder joint
$500.93
23101
Shoulder joint surgery
$457.69
23105
Remove shoulder joint lining
$644.24
23106
Incision of collarbone joint
$494.72
23107
Explore treat shoulder joint
$665.86
23120
Partial removal collar bone
$587.53
23125
Removal of collar bone
$719.21
23130
Remove shoulder bone part
$614.78
23140
Removal of bone lesion
$540.24
23145
Removal of bone lesion
$704.47
23146
Removal of bone lesion
$625.60
23150
Removal of humerus lesion
$663.46
23155
Removal of humerus lesion
$805.02
23156
Removal of humerus lesion
$683.70
23170
Remove collar bone lesion
$560.43
23172
Remove shoulder blade lesion
$570.35
23174
Remove humerus lesion
$758.30
23180
Remove collar bone lesion
$675.83
23182
Remove shoulder blade lesion
$657.48
23184
Remove humerus lesion
$743.37
23190
Partial removal of scapula
$573.64
23195
Removal of head of humerus
$763.27
23200
Resect clavicle tumor
$1530.70
23210
Resect scapula tumor
$1821.83
23220
Resect prox humerus tumor
$1994.09
23330
Remove shoulder foreign body
Non-facility: $231.32
Facility: $150.61
23333
Remove shoulder fb deep
$455.50
23334
Shoulder prosthesis removal
$1097.98
23335
Shoulder prosthesis removal
$1309.70
23350
Injection for shoulder x-ray
Non-facility: $125.11
Facility: $52.21
23395
Muscle transfer shoulder/arm
$1309.45
23397
Muscle transfers
$1165.30
23400
Fixation of shoulder blade
$990.08
23405
Incision of tendon & muscle
$632.02
23406
Incise tendon(s) & muscle(s)
$779.12
23410
Repair rotator cuff acute
$834.13
23412
Repair rotator cuff chronic
$865.64
23415
Release of shoulder ligament
$704.60
23420
Repair of shoulder
$984.43
23430
Repair biceps tendon
$754.99
23440
Remove/transplant tendon
$766.99
23450
Repair shoulder capsule
$962.74
23455
Repair shoulder capsule
$1019.05
23460
Repair shoulder capsule
$1113.64
23462
Repair shoulder capsule
$1082.14
23465
Repair shoulder capsule
$1133.21
23466
Repair shoulder capsule
$1136.01
23470
Reconstruct shoulder joint
$1229.57
23472
Reconstruct shoulder joint
$1491.88
23473
Revis reconst shoulder joint
$1668.17
23474
Revis reconst shoulder joint
$1803.25
23480
Revision of collar bone
$835.20
23485
Revision of collar bone
$972.79
23490
Reinforce clavicle
$855.27
23491
Reinforce shoulder bones
$1032.47
23500
Treat clavicle fracture
Non-facility: $214.44
Facility: $218.02
23505
Treat clavicle fracture
Non-facility: $349.21
Facility: $331.31
23515
Treat clavicle fracture
$728.48
23520
Treat clavicle dislocation
Non-facility: $220.85
Facility: $224.10
23525
Treat clavicle dislocation
Non-facility: $370.36
Facility: $344.32
23530
Treat clavicle dislocation
$556.66
23532
Treat clavicle dislocation
$624.43
23540
Treat clavicle dislocation
Non-facility: $220.59
Facility: $224.17
23545
Treat clavicle dislocation
Non-facility: $332.55
Facility: $304.23
23550
Treat clavicle dislocation
$568.69
23552
Treat clavicle dislocation
$661.79
23570
Treat shoulder blade fx
Non-facility: $228.36
Facility: $234.87
23575
Treat shoulder blade fx
Non-facility: $395.07
Facility: $372.29
23585
Treat scapula fracture
$999.06
23600
Treat humerus fracture
Non-facility: $319.03
Facility: $301.78
23605
Treat humerus fracture
Non-facility: $458.69
Facility: $423.22
23615
Treat humerus fracture
$897.65
23616
Treat humerus fracture
$1268.74
23620
Treat humerus fracture
Non-facility: $263.85
Facility: $251.81
23625
Treat humerus fracture
Non-facility: $374.46
Facility: $350.38
23630
Treat humerus fracture
$790.72
23650
Treat shoulder dislocation
Non-facility: $308.14
Facility: $284.71
23655
Treat shoulder dislocation
$400.14
23660
Treat shoulder dislocation
$586.18
23665
Treat dislocation/fracture
Non-facility: $420.28
Facility: $393.59
23670
Treat dislocation/fracture
$889.45
23675
Treat dislocation/fracture
Non-facility: $546.96
Facility: $502.04
23680
Treat dislocation/fracture
$943.28
23700
Fixation of shoulder
$198.34
23800
Fusion of shoulder joint
$1046.85
23802
Fusion of shoulder joint
$1287.24
23900
Amputation of arm & girdle
$1421.86
23920
Amputation at shoulder joint
$1147.46
23921
Amputation follow-up surgery
$470.26
23930
Drainage of arm lesion
Non-facility: $345.24
Facility: $219.29
23931
Drainage of arm bursa
Non-facility: $276.41
Facility: $159.24
23935
Drain arm/elbow bone lesion
$508.30
24000
Exploratory elbow surgery
$478.80
24006
Release elbow joint
$714.11
24065
Biopsy arm/elbow soft tissue
Non-facility: $249.04
Facility: $168.00
24066
Biopsy arm/elbow soft tissue
Non-facility: $612.46
Facility: $420.77
24071
Exc arm/elbow les sc 3 cm/>
$415.00
24073
Ex arm/elbow tum deep 5 cm/>
$708.70
24075
Exc arm/elbow les sc < 3 cm
Non-facility: $480.99
Facility: $333.89
24076
Ex arm/elbow tum deep < 5 cm
$551.85
24077
Resect arm/elbow tum < 5 cm
$1065.17
24079
Resect arm/elbow tum 5 cm/>
$1362.93
24100
Biopsy elbow joint lining
$419.35
24101
Explore/treat elbow joint
$502.39
24102
Remove elbow joint lining
$621.91
24105
Removal of elbow bursa
$348.11
24110
Remove humerus lesion
$584.37
24115
Remove/graft bone lesion
$748.69
24116
Remove/graft bone lesion
$878.35
24120
Remove elbow lesion
$531.75
24125
Remove/graft bone lesion
$617.19
24126
Remove/graft bone lesion
$656.99
24130
Removal of head of radius
$510.31
24134
Removal of arm bone lesion
$756.91
24136
Remove radius bone lesion
$628.08
24138
Remove elbow bone lesion
$676.94
24140
Partial removal of arm bone
$708.20
24145
Partial removal of radius
$598.56
24147
Partial removal of elbow
$624.85
24149
Radical resection of elbow
$1189.54
24150
Resect distal humerus tumor
$1598.67
24152
Resect radius tumor
$1345.77
24155
Removal of elbow joint
$859.34
24160
Remove elbow joint implant
$1290.78
24164
Remove radius head implant
$741.42
24200
Removal of arm foreign body
Non-facility: $201.61
Facility: $140.10
24201
Removal of arm foreign body
Non-facility: $534.25
Facility: $365.01
24220
Injection for elbow x-ray
Non-facility: $154.28
Facility: $70.64
24300
Manipulate elbow w/anesth
$411.25
24301
Muscle/tendon transfer
$758.60
24305
Arm tendon lengthening
$579.36
24310
Revision of arm tendon
$473.19
24320
Repair of arm tendon
$793.96
24330
Revision of arm muscles
$728.20
24331
Revision of arm muscles
$799.38
24332
Tenolysis triceps
$617.48
24340
Repair of biceps tendon
$617.62
24341
Repair arm tendon/muscle
$750.97
24342
Repair of ruptured tendon
$786.25
24343
Repr elbow lat ligmnt w/tiss
$710.46
24344
Reconstruct elbow lat ligmnt
$1113.84
24345
Repr elbw med ligmnt w/tissu
$708.43
24346
Reconstruct elbow med ligmnt
$1110.28
24357
Repair elbow perc
$428.80
24358
Repair elbow w/deb open
$524.11
24359
Repair elbow deb/attch open
$665.52
24360
Reconstruct elbow joint
$900.45
24361
Reconstruct elbow joint
$1017.23
24362
Reconstruct elbow joint
$1082.47
24363
Replace elbow joint
$1487.50
24365
Reconstruct head of radius
$644.13
24366
Reconstruct head of radius
$687.52
24370
Revise reconst elbow joint
$1593.84
24371
Revise reconst elbow joint
$1826.11
24400
Revision of humerus
$828.04
24410
Revision of humerus
$1078.36
24420
Revision of humerus
$992.76
24430
Repair of humerus
$1075.47
24435
Repair humerus with graft
$1093.13
24470
Revision of elbow joint
$573.32
24495
Decompression of forearm
$659.33
24498
Reinforce humerus
$880.34
24500
Treat humerus fracture
Non-facility: $350.51
Facility: $321.22
24505
Treat humerus fracture
Non-facility: $493.50
Facility: $449.89
24515
Treat humerus fracture
$888.44
24516
Treat humerus fracture
$874.96
24530
Treat humerus fracture
Non-facility: $373.12
Facility: $340.25
24535
Treat humerus fracture
Non-facility: $610.94
Facility: $567.98
24538
Treat humerus fracture
$751.00
24545
Treat humerus fracture
$944.38
24546
Treat humerus fracture
$1057.47
24560
Treat humerus fracture
Non-facility: $312.16
Facility: $281.57
24565
Treat humerus fracture
Non-facility: $525.59
Facility: $485.88
24566
Treat humerus fracture
$722.68
24575
Treat humerus fracture
$737.08
24576
Treat humerus fracture
Non-facility: $331.26
Facility: $299.69
24577
Treat humerus fracture
Non-facility: $539.48
Facility: $498.47
24579
Treat humerus fracture
$846.42
24582
Treat humerus fracture
$809.69
24586
Treat elbow fracture
$1103.24
24587
Treat elbow fracture
$1099.89
24600
Treat elbow dislocation
Non-facility: $359.59
Facility: $331.60
24605
Treat elbow dislocation
$469.92
24615
Treat elbow dislocation
$721.24
24620
Treat elbow fracture
$551.28
24635
Treat elbow fracture
$678.45
24640
Treat elbow dislocation
Non-facility: $131.19
Facility: $92.13
24650
Treat radius fracture
Non-facility: $254.39
Facility: $234.87
24655
Treat radius fracture
Non-facility: $428.07
Facility: $392.60
24665
Treat radius fracture
$655.48
24666
Treat radius fracture
$740.54
24670
Treat ulnar fracture
Non-facility: $283.96
Facility: $258.24
24675
Treat ulnar fracture
Non-facility: $448.03
Facility: $411.58
24685
Treat ulnar fracture
$658.16
24800
Fusion of elbow joint
$842.34
24802
Fusion/graft of elbow joint
$995.96
24900
Amputation of upper arm
$742.78
24920
Amputation of upper arm
$741.80
24925
Amputation follow-up surgery
$555.23
24930
Amputation follow-up surgery
$782.39
24931
Amputate upper arm & implant
$816.32
24935
Revision of amputation
$1139.34
25000
Incision of tendon sheath
$333.04
25001
Incise flexor carpi radialis
$338.95
25020
Decompress forearm 1 space
$567.62
25023
Decompress forearm 1 space
$1104.25
25024
Decompress forearm 2 spaces
$784.08
25025
Decompress forearm 2 spaces
$1228.58
25028
Drainage of forearm lesion
$517.43
25031
Drainage of forearm bursa
$358.47
25035
Treat forearm bone lesion
$582.28
25040
Explore/treat wrist joint
$565.75
25065
Biopsy forearm soft tissues
Non-facility: $246.10
Facility: $163.11
25066
Biopsy forearm soft tissues
$358.96
25071
Exc forearm les sc 3 cm/>
$433.59
25073
Exc forearm tum deep 3 cm/>
$537.82
25075
Exc forearm les sc < 3 cm
Non-facility: $466.93
Facility: $318.85
25076
Exc forearm tum deep < 3 cm
$519.98
25077
Resect forearm/wrist tum<3cm
$904.70
25078
Resect forarm/wrist tum 3cm>
$1194.03
25085
Incision of wrist capsule
$449.97
25100
Biopsy of wrist joint
$344.30
25101
Explore/treat wrist joint
$401.63
25105
Remove wrist joint lining
$481.85
25107
Remove wrist joint cartilage
$615.59
25109
Excise tendon forearm/wrist
$538.32
25110
Remove wrist tendon lesion
$341.52
25111
Remove wrist tendon lesion
$317.80
25112
Reremove wrist tendon lesion
$385.94
25115
Remove wrist/forearm lesion
$762.56
25116
Remove wrist/forearm lesion
$599.43
25118
Excise wrist tendon sheath
$379.79
25119
Partial removal of ulna
$494.35
25120
Removal of forearm lesion
$497.52
25125
Remove/graft forearm lesion
$585.53
25126
Remove/graft forearm lesion
$598.94
25130
Removal of wrist lesion
$444.48
25135
Remove & graft wrist lesion
$556.54
25136
Remove & graft wrist lesion
$491.82
25145
Remove forearm bone lesion
$520.15
25150
Partial removal of ulna
$569.80
25151
Partial removal of radius
$588.16
25170
Resect radius/ulnar tumor
$1517.84
25210
Removal of wrist bone
$486.49
25215
Removal of wrist bones
$619.84
25230
Partial removal of radius
$432.41
25240
Partial removal of ulna
$426.35
25246
Injection for wrist x-ray
Non-facility: $156.49
Facility: $77.07
25248
Remove forearm foreign body
$418.23
25250
Removal of wrist prosthesis
$523.02
25251
Removal of wrist prosthesis
$727.25
25259
Manipulate wrist w/anesthes
$408.20
25260
Repair forearm tendon/muscle
$631.35
25263
Repair forearm tendon/muscle
$622.85
25265
Repair forearm tendon/muscle
$756.02
25270
Repair forearm tendon/muscle
$488.97
25272
Repair forearm tendon/muscle
$555.00
25274
Repair forearm tendon/muscle
$668.03
25275
Repair forearm tendon sheath
$675.70
25280
Revise wrist/forearm tendon
$564.28
25290
Incise wrist/forearm tendon
$436.18
25295
Release wrist/forearm tendon
$524.38
25300
Fusion of tendons at wrist
$684.89
25301
Fusion of tendons at wrist
$647.32
25310
Transplant forearm tendon
$621.80
25312
Transplant forearm tendon
$720.67
25315
Revise palsy hand tendon(s)
$781.65
25316
Revise palsy hand tendon(s)
$930.10
25320
Repair/revise wrist joint
$990.56
25332
Revise wrist joint
$850.07
25335
Realignment of hand
$820.59
25337
Reconstruct ulna/radioulnar
$893.65
25350
Revision of radius
$678.20
25355
Revision of radius
$762.23
25360
Revision of ulna
$658.26
25365
Revise radius & ulna
$926.18
25370
Revise radius or ulna
$1021.41
25375
Revise radius & ulna
$970.28
25390
Shorten radius or ulna
$776.97
25391
Lengthen radius or ulna
$1015.18
25392
Shorten radius & ulna
$885.02
25393
Lengthen radius & ulna
$1147.41
25394
Repair carpal bone shorten
$790.46
25400
Repair radius or ulna
$813.62
25405
Repair/graft radius or ulna
$1052.86
25415
Repair radius & ulna
$979.75
25420
Repair/graft radius & ulna
$1189.89
25425
Repair/graft radius or ulna
$981.09
25426
Repair/graft radius & ulna
$1148.54
25430
Vasc graft into carpal bone
$739.74
25431
Repair nonunion carpal bone
$796.41
25440
Repair/graft wrist bone
$773.85
25441
Reconstruct wrist joint
$941.32
25442
Reconstruct wrist joint
$812.43
25443
Reconstruct wrist joint
$792.49
25444
Reconstruct wrist joint
$838.80
25445
Reconstruct wrist joint
$729.17
25446
Wrist replacement
$1188.55
25447
Repair wrist joints
$832.97
25449
Remove wrist joint implant
$1046.92
25450
Revision of wrist joint
$523.44
25455
Revision of wrist joint
$620.83
25490
Reinforce radius
$728.54
25491
Reinforce ulna
$750.42
25492
Reinforce radius and ulna
$919.59
25500
Treat fracture of radius
Non-facility: $266.90
Facility: $246.39
25505
Treat fracture of radius
Non-facility: $496.34
Facility: $457.61
25515
Treat fracture of radius
$674.54
25520
Treat fracture of radius
Non-facility: $556.50
Facility: $530.47
25525
Treat fracture of radius
$792.24
25526
Treat fracture of radius
$963.66
25530
Treat fracture of ulna
Non-facility: $254.82
Facility: $232.36
25535
Treat fracture of ulna
Non-facility: $483.72
Facility: $450.52
25545
Treat fracture of ulna
$625.79
25560
Treat fracture radius & ulna
Non-facility: $270.65
Facility: $246.24
25565
Treat fracture radius & ulna
Non-facility: $513.92
Facility: $468.68
25574
Treat fracture radius & ulna
$677.47
25575
Treat fracture radius/ulna
$911.94
25600
Treat fracture radius/ulna
Non-facility: $318.55
Facility: $302.27
25605
Treat fracture radius/ulna
Non-facility: $540.95
Facility: $511.33
25606
Treat fx distal radial
$666.27
25607
Treat fx rad extra-articul
$739.80
25608
Treat fx rad intra-articul
$831.49
25609
Treat fx radial 3+ frag
$1058.73
25622
Treat wrist bone fracture
Non-facility: $296.20
Facility: $271.47
25624
Treat wrist bone fracture
Non-facility: $467.79
Facility: $429.39
25628
Treat wrist bone fracture
$726.20
25630
Treat wrist bone fracture
Non-facility: $298.57
Facility: $276.12
25635
Treat wrist bone fracture
Non-facility: $418.92
Facility: $377.26
25645
Treat wrist bone fracture
$571.73
25650
Treat wrist bone fracture
Non-facility: $313.47
Facility: $295.24
25651
Pin ulnar styloid fracture
$482.66
25652
Treat fracture ulnar styloid
$627.52
25660
Treat wrist dislocation
$405.53
25670
Treat wrist dislocation
$610.53
25671
Pin radioulnar dislocation
$531.11
25675
Treat wrist dislocation
Non-facility: $427.16
Facility: $392.33
25676
Treat wrist dislocation
$630.88
25680
Treat wrist fracture
$472.31
25685
Treat wrist fracture
$742.32
25690
Treat wrist dislocation
$475.38
25695
Treat wrist dislocation
$640.85
25800
Fusion of wrist joint
$738.41
25805
Fusion/graft of wrist joint
$857.67
25810
Fusion/graft of wrist joint
$874.96
25820
Fusion of hand bones
$614.62
25825
Fuse hand bones with graft
$758.28
25830
Fusion radioulnar jnt/ulna
$940.01
25900
Amputation of forearm
$715.68
25905
Amputation of forearm
$665.50
25907
Amputation follow-up surgery
$589.38
25909
Amputation follow-up surgery
$694.16
25915
Amputation of forearm
$1201.69
25920
Amputate hand at wrist
$700.45
25922
Amputate hand at wrist
$579.57
25924
Amputation follow-up surgery
$617.28
25927
Amputation of hand
$810.04
25929
Amputation follow-up surgery
$597.46
25931
Amputation follow-up surgery
$668.91
26010
Drainage of finger abscess
Non-facility: $251.46
Facility: $135.59
26011
Drainage of finger abscess
Non-facility: $371.86
Facility: $184.39
26020
Drain hand tendon sheath
$431.95
26025
Drainage of palm bursa
$421.53
26030
Drainage of palm bursas
$492.33
26034
Treat hand bone lesion
$537.48
26035
Decompress fingers/hand
$857.22
26037
Decompress fingers/hand
$570.58
26040
Release palm contracture
$308.24
26045
Release palm contracture
$469.03
26055
Incise finger tendon sheath
Non-facility: $532.60
Facility: $305.43
26060
Incision of finger tendon
$262.06
26070
Explore/treat hand joint
$311.91
26075
Explore/treat finger joint
$330.67
26080
Explore/treat finger joint
$387.68
26100
Biopsy hand joint lining
$331.87
26105
Biopsy finger joint lining
$330.74
26110
Biopsy finger joint lining
$318.59
26111
Exc hand les sc 1.5 cm/>
$419.80
26113
Exc hand tum deep 1.5 cm/>
$550.34
26115
Exc hand les sc < 1.5 cm
Non-facility: $488.40
Facility: $331.86
26116
Exc hand tum deep < 1.5 cm
$528.48
26117
Rad resect hand tumor < 3 cm
$755.50
26118
Rad resect hand tumor 3 cm/>
$1064.98
26121
Release palm contracture
$599.26
26123
Release palm contracture
$837.53
26125
Release palm contracture
$282.90
26130
Remove wrist joint lining
$463.16
26135
Revise finger joint each
$550.17
26140
Revise finger joint each
$503.93
26145
Tendon excision palm/finger
$512.32
26160
Remove tendon sheath lesion
Non-facility: $550.06
Facility: $330.05
26170
Removal of palm tendon each
$402.82
26180
Removal of finger tendon
$440.27
26185
Remove finger bone
$539.37
26200
Remove hand bone lesion
$449.96
26205
Remove/graft bone lesion
$608.76
26210
Removal of finger lesion
$440.46
26215
Remove/graft finger lesion
$567.78
26230
Partial removal of hand bone
$499.48
26235
Partial removal finger bone
$493.89
26236
Partial removal finger bone
$440.96
26250
Extensive hand surgery
$1088.23
26260
Resect prox finger tumor
$807.47
26262
Resect distal finger tumor
$625.68
26320
Removal of implant from hand
$345.13
26340
Manipulate finger w/anesth
$325.04
26341
Manipulat palm cord post inj
Non-facility: $96.51
Facility: $74.71
26350
Repair finger/hand tendon
$685.97
26352
Repair/graft hand tendon
$797.53
26356
Repair finger/hand tendon
$866.68
26357
Repair finger/hand tendon
$861.18
26358
Repair/graft hand tendon
$959.75
26370
Repair finger/hand tendon
$733.54
26372
Repair/graft hand tendon
$858.70
26373
Repair finger/hand tendon
$823.99
26390
Revise hand/finger tendon
$825.64
26392
Repair/graft hand tendon
$949.76
26410
Repair hand tendon
$544.44
26412
Repair/graft hand tendon
$660.25
26415
Excision hand/finger tendon
$752.87
26416
Graft hand or finger tendon
$716.18
26418
Repair finger tendon
$553.01
26420
Repair/graft finger tendon
$686.00
26426
Repair finger/hand tendon
$501.06
26428
Repair/graft finger tendon
$733.65
26432
Repair finger tendon
$479.33
26433
Repair finger tendon
$512.27
26434
Repair/graft finger tendon
$628.98
26437
Realignment of tendons
$603.40
26440
Release palm/finger tendon
$594.24
26442
Release palm & finger tendon
$937.97
26445
Release hand/finger tendon
$551.52
26449
Release forearm/hand tendon
$692.87
26450
Incision of palm tendon
$394.93
26455
Incision of finger tendon
$388.35
26460
Incise hand/finger tendon
$380.73
26471
Fusion of finger tendons
$593.66
26474
Fusion of finger tendons
$582.89
26476
Tendon lengthening
$557.22
26477
Tendon shortening
$560.19
26478
Lengthening of hand tendon
$600.56
26479
Shortening of hand tendon
$591.28
26480
Transplant hand tendon
$724.27
26483
Transplant/graft hand tendon
$819.81
26485
Transplant palm tendon
$783.09
26489
Transplant/graft palm tendon
$886.68
26490
Revise thumb tendon
$767.72
26492
Tendon transfer with graft
$852.20
26494
Hand tendon/muscle transfer
$772.03
26496
Revise thumb tendon
$840.09
26497
Finger tendon transfer
$854.59
26498
Finger tendon transfer
$1138.26
26499
Revision of finger
$817.42
26500
Hand tendon reconstruction
$603.85
26502
Hand tendon reconstruction
$676.01
26508
Release thumb contracture
$624.49
26510
Thumb tendon transfer
$572.89
26516
Fusion of knuckle joint
$680.08
26517
Fusion of knuckle joints
$809.30
26518
Fusion of knuckle joints
$804.80
26520
Release knuckle contracture
$625.08
26525
Release finger contracture
$625.95
26530
Revise knuckle joint
$537.07
26531
Revise knuckle with implant
$625.54
26535
Revise finger joint
$419.87
26536
Revise/implant finger joint
$687.52
26540
Repair hand joint
$637.49
26541
Repair hand joint with graft
$783.30
26542
Repair hand joint with graft
$658.00
26545
Reconstruct finger joint
$670.16
26546
Repair nonunion hand
$971.04
26548
Reconstruct finger joint
$741.13
26550
Construct thumb replacement
$1543.13
26551
Great toe-hand transfer
$2892.78
26553
Single transfer toe-hand
$3338.71
26554
Double transfer toe-hand
$3367.96
26555
Positional change of finger
$1334.37
26556
Toe joint transfer
$3467.37
26560
Repair of web finger
$542.69
26561
Repair of web finger
$915.20
26562
Repair of web finger
$1339.65
26565
Correct metacarpal flaw
$657.79
26567
Correct finger deformity
$661.63
26568
Lengthen metacarpal/finger
$880.76
26580
Repair hand deformity
$1460.58
26587
Reconstruct extra finger
$924.20
26590
Repair finger deformity
$1360.84
26591
Repair muscles of hand
$416.32
26593
Release muscles of hand
$578.27
26596
Excision constricting tissue
$739.97
26600
Treat metacarpal fracture
Non-facility: $285.77
Facility: $270.15
26605
Treat metacarpal fracture
Non-facility: $314.12
Facility: $288.08
26607
Treat metacarpal fracture
$453.19
26608
Treat metacarpal fracture
$473.84
26615
Treat metacarpal fracture
$576.23
26641
Treat thumb dislocation
Non-facility: $361.57
Facility: $332.28
26645
Treat thumb fracture
Non-facility: $416.64
Facility: $385.40
26650
Treat thumb fracture
$473.92
26665
Treat thumb fracture
$635.80
26670
Treat hand dislocation
Non-facility: $333.41
Facility: $304.77
26675
Treat hand dislocation
Non-facility: $446.35
Facility: $412.83
26676
Pin hand dislocation
$497.09
26685
Treat hand dislocation
$575.98
26686
Treat hand dislocation
$629.56
26700
Treat knuckle dislocation
Non-facility: $317.42
Facility: $299.52
26705
Treat knuckle dislocation
Non-facility: $410.12
Facility: $378.23
26706
Pin knuckle dislocation
$438.48
26715
Treat knuckle dislocation
$571.12
26720
Treat finger fracture each
Non-facility: $192.22
Facility: $179.52
26725
Treat finger fracture each
Non-facility: $330.32
Facility: $300.05
26727
Treat finger fracture each
$466.01
26735
Treat finger fracture each
$596.98
26740
Treat finger fracture each
Non-facility: $223.83
Facility: $211.13
26742
Treat finger fracture each
Non-facility: $362.50
Facility: $331.58
26746
Treat finger fracture each
$745.63
26750
Treat finger fracture each
Non-facility: $179.20
Facility: $179.53
26755
Treat finger fracture each
Non-facility: $306.59
Facility: $269.16
26756
Pin finger fracture each
$412.89
26765
Treat finger fracture each
$498.58
26770
Treat finger dislocation
Non-facility: $269.67
Facility: $251.11
26775
Treat finger dislocation
Non-facility: $374.86
Facility: $341.66
26776
Pin finger dislocation
$438.89
26785
Treat finger dislocation
$546.45
26820
Thumb fusion with graft
$771.40
26841
Fusion of thumb
$705.94
26842
Thumb fusion with graft
$767.82
26843
Fusion of hand joint
$724.29
26844
Fusion/graft of hand joint
$791.86
26850
Fusion of knuckle
$672.13
26852
Fusion of knuckle with graft
$776.50
26860
Fusion of finger joint
$543.49
26861
Fusion of finger jnt add-on
$106.60
26862
Fusion/graft of finger joint
$706.63
26863
Fuse/graft added joint
$238.96
26910
Amputate metacarpal bone
$704.87
26951
Amputation of finger/thumb
$633.14
26952
Amputation of finger/thumb
$626.68
26990
Drainage of pelvis lesion
$629.57
26991
Drainage of pelvis bursa
Non-facility: $692.75
Facility: $526.77
26992
Drainage of bone lesion
$972.22
27000
Incision of hip tendon
$418.88
27001
Incision of hip tendon
$541.27
27003
Incision of hip tendon
$601.12
27005
Incision of hip tendon
$733.14
27006
Incision of hip tendons
$744.01
27025
Incision of hip/thigh fascia
$928.63
27027
Buttock fasciotomy
$917.70
27030
Drainage of hip joint
$954.32
27033
Exploration of hip joint
$990.90
27035
Denervation of hip joint
$1172.35
27036
Excision of hip joint/muscle
$1026.97
27040
Biopsy of soft tissues
Non-facility: $334.58
Facility: $202.44
27041
Biopsy of soft tissues
$701.63
27043
Exc hip pelvis les sc 3 cm/>
$483.45
27045
Exc hip/pelv tum deep 5 cm/>
$768.70
27047
Exc hip/pelvis les sc < 3 cm
Non-facility: $463.89
Facility: $368.53
27048
Exc hip/pelv tum deep < 5 cm
$625.99
27049
Resect hip/pelv tum < 5 cm
$1392.95
27050
Biopsy of sacroiliac joint
$383.80
27052
Biopsy of hip joint
$581.41
27054
Removal of hip joint lining
$692.16
27057
Buttock fasciotomy w/dbrdmt
$1036.98
27059
Resect hip/pelv tum 5 cm/>
$1881.10
27060
Removal of ischial bursa
$465.99
27062
Remove femur lesion/bursa
$459.62
27065
Remove hip bone les super
$514.43
27066
Remove hip bone les deep
$821.46
27067
Remove/graft hip bone lesion
$1041.83
27070
Part remove hip bone super
$857.80
27071
Part removal hip bone deep
$928.30
27075
Resect hip tumor
$2158.17
27076
Resect hip tum incl acetabul
$2608.31
27077
Resect hip tum w/innom bone
$2934.90
27078
Rsect hip tum incl femur
$2124.75
27080
Removal of tail bone
$521.35
27086
Remove hip foreign body
Non-facility: $279.89
Facility: $165.98
27087
Remove hip foreign body
$636.03
27090
Removal of hip prosthesis
$843.54
27091
Removal of hip prosthesis
$1638.75
27093
Injection for hip x-ray
Non-facility: $179.76
Facility: $71.70
27095
Injection for hip x-ray
Non-facility: $230.82
Facility: $84.69
27096
Inject sacroiliac joint
Non-facility: $155.81
Facility: $85.51
27097
Revision of hip tendon
$681.86
27098
Transfer tendon to pelvis
$676.07
27100
Transfer of abdominal muscle
$828.87
27105
Transfer of spinal muscle
$881.15
27110
Transfer of iliopsoas muscle
$984.86
27111
Transfer of iliopsoas muscle
$915.70
27120
Reconstruction of hip socket
$1331.65
27122
Reconstruction of hip socket
$1122.25
27125
Partial hip replacement
$1158.64
27130
Total hip arthroplasty
$1390.84
27132
Total hip arthroplasty
$1718.53
27134
Revise hip joint replacement
$1972.92
27137
Revise hip joint replacement
$1512.55
27138
Revise hip joint replacement
$1572.05
27140
Transplant femur ridge
$909.52
27146
Incision of hip bone
$1317.51
27147
Revision of hip bone
$1509.86
27151
Incision of hip bones
$1629.79
27156
Revision of hip bones
$1765.41
27158
Revision of pelvis
$1467.04
27161
Incision of neck of femur
$1240.88
27165
Incision/fixation of femur
$1404.28
27170
Repair/graft femur head/neck
$1203.60
27175
Treat slipped epiphysis
$679.22
27176
Treat slipped epiphysis
$915.88
27177
Treat slipped epiphysis
$1138.37
27178
Treat slipped epiphysis
$935.05
27179
Revise head/neck of femur
$995.86
27181
Treat slipped epiphysis
$982.77
27185
Revision of femur epiphysis
$617.63
27187
Reinforce hip bones
$1010.33
27200
Treat tail bone fracture
Non-facility: $178.06
Facility: $185.22
27202
Treat tail bone fracture
$536.41
27220
Treat hip socket fracture
Non-facility: $534.03
Facility: $529.80
27222
Treat hip socket fracture
$995.13
27226
Treat hip wall fracture
$1079.49
27227
Treat hip fracture(s)
$1703.91
27228
Treat hip fracture(s)
$1945.13
27230
Treat thigh fracture
Non-facility: $474.82
Facility: $472.22
27232
Treat thigh fracture
$770.03
27235
Treat thigh fracture
$927.50
27236
Treat thigh fracture
$1223.25
27238
Treat thigh fracture
$461.61
27240
Treat thigh fracture
$975.31
27244
Treat thigh fracture
$1259.58
27245
Treat thigh fracture
$1259.13
27246
Treat thigh fracture
Non-facility: $386.54
Facility: $388.50
27248
Treat thigh fracture
$757.32
27250
Treat hip dislocation
$189.40
27252
Treat hip dislocation
$772.82
27253
Treat hip dislocation
$958.77
27254
Treat hip dislocation
$1296.81
27256
Treat hip dislocation
Non-facility: $300.14
Facility: $241.23
27257
Treat hip dislocation
$371.96
27258
Treat hip dislocation
$1135.08
27259
Treat hip dislocation
$1594.27
27265
Treat hip dislocation
$398.12
27266
Treat hip dislocation
$588.33
27267
Cltx thigh fx
$436.62
27268
Cltx thigh fx w/mnpj
$537.50
27269
Optx thigh fx
$1272.36
27275
Manipulation of hip joint
$182.54
27279
Arthrodesis sacroiliac joint
$712.19
27280
Fusion of sacroiliac joint
$1417.30
27282
Fusion of pubic bones
$837.66
27284
Fusion of hip joint
$1602.03
27286
Fusion of hip joint
$1673.87
27290
Amputation of leg at hip
$1654.20
27295
Amputation of leg at hip
$1297.11
27301
Drain thigh/knee lesion
Non-facility: $664.26
Facility: $508.69
27303
Drainage of bone lesion
$644.90
27305
Incise thigh tendon & fascia
$483.81
27306
Incision of thigh tendon
$354.65
27307
Incision of thigh tendons
$464.37
27310
Exploration of knee joint
$741.01
27323
Biopsy thigh soft tissues
Non-facility: $264.22
Facility: $179.28
27324
Biopsy thigh soft tissues
$402.99
27325
Neurectomy hamstring
$551.35
27326
Neurectomy popliteal
$523.10
27327
Exc thigh/knee les sc < 3 cm
Non-facility: $450.50
Facility: $317.39
27328
Exc thigh/knee tum deep <5cm
$633.96
27329
Resect thigh/knee tum < 5 cm
$1064.96
27330
Biopsy knee joint lining
$420.14
27331
Explore/treat knee joint
$477.67
27332
Removal of knee cartilage
$647.03
27333
Removal of knee cartilage
$591.24
27334
Remove knee joint lining
$690.91
27335
Remove knee joint lining
$773.73
27337
Exc thigh/knee les sc 3 cm/>
$428.27
27339
Exc thigh/knee tum dep 5cm/>
$773.42
27340
Removal of kneecap bursa
$371.98
27345
Removal of knee cyst
$483.56
27347
Remove knee cyst
$533.26
27350
Removal of kneecap
$657.56
27355
Remove femur lesion
$607.72
27356
Remove femur lesion/graft
$745.86
27357
Remove femur lesion/graft
$825.45
27358
Remove femur lesion/fixation
$288.41
27360
Partial removal leg bone(s)
$860.85
27364
Resect thigh/knee tum 5 cm/>
$1612.20
27365
Resect femur/knee tumor
$2130.81
27370
Injection for knee x-ray
Non-facility: $148.01
Facility: $52.00
27372
Removal of foreign body
Non-facility: $592.71
Facility: $406.55
27380
Repair of kneecap tendon
$596.76
27381
Repair/graft kneecap tendon
$805.38
27385
Repair of thigh muscle
$575.81
27386
Repair/graft of thigh muscle
$838.16
27390
Incision of thigh tendon
$449.58
27391
Incision of thigh tendons
$582.34
27392
Incision of thigh tendons
$717.41
27393
Lengthening of thigh tendon
$510.01
27394
Lengthening of thigh tendons
$639.27
27395
Lengthening of thigh tendons
$893.36
27396
Transplant of thigh tendon
$622.99
27397
Transplants of thigh tendons
$918.82
27400
Revise thigh muscles/tendons
$703.34
27403
Repair of knee cartilage
$647.34
27405
Repair of knee ligament
$681.60
27407
Repair of knee ligament
$788.71
27409
Repair of knee ligaments
$970.09
27412
Autochondrocyte implant knee
$1694.89
27415
Osteochondral knee allograft
$1400.94
27416
Osteochondral knee autograft
$997.94
27418
Repair degenerated kneecap
$841.00
27420
Revision of unstable kneecap
$754.39
27422
Revision of unstable kneecap
$751.58
27424
Revision/removal of kneecap
$759.42
27425
Lat retinacular release open
$449.45
27427
Reconstruction knee
$720.87
27428
Reconstruction knee
$1132.17
27429
Reconstruction knee
$1265.48
27430
Revision of thigh muscles
$748.89
27435
Incision of knee joint
$815.65
27437
Revise kneecap
$669.36
27438
Revise kneecap with implant
$854.08
27440
Revision of knee joint
$811.60
27441
Revision of knee joint
$836.66
27442
Revision of knee joint
$884.01
27443
Revision of knee joint
$819.96
27445
Revision of knee joint
$1276.93
27446
Revision of knee joint
$1187.22
27447
Total knee arthroplasty
$1390.52
27448
Incision of thigh
$787.59
27450
Incision of thigh
$1029.27
27454
Realignment of thigh bone
$1331.59
27455
Realignment of knee
$958.46
27457
Realignment of knee
$964.78
27465
Shortening of thigh bone
$1264.16
27466
Lengthening of thigh bone
$1202.42
27468
Shorten/lengthen thighs
$1259.91
27470
Repair of thigh
$1199.61
27472
Repair/graft of thigh
$1291.16
27475
Surgery to stop leg growth
$670.79
27477
Surgery to stop leg growth
$742.16
27479
Surgery to stop leg growth
$803.52
27485
Surgery to stop leg growth
$680.07
27486
Revise/replace knee joint
$1440.32
27487
Revise/replace knee joint
$1805.24
27488
Removal of knee prosthesis
$1226.30
27495
Reinforce thigh
$1152.20
27496
Decompression of thigh/knee
$544.98
27497
Decompression of thigh/knee
$584.53
27498
Decompression of thigh/knee
$653.87
27499
Decompression of thigh/knee
$705.86
27500
Treatment of thigh fracture
Non-facility: $518.99
Facility: $483.51
27501
Treatment of thigh fracture
Non-facility: $506.67
Facility: $503.09
27502
Treatment of thigh fracture
$779.06
27503
Treatment of thigh fracture
$815.72
27506
Treatment of thigh fracture
$1367.41
27507
Treatment of thigh fracture
$994.92
27508
Treatment of thigh fracture
Non-facility: $523.70
Facility: $495.39
27509
Treatment of thigh fracture
$645.36
27510
Treatment of thigh fracture
$693.07
27511
Treatment of thigh fracture
$1021.68
27513
Treatment of thigh fracture
$1275.29
27514
Treatment of thigh fracture
$990.47
27516
Treat thigh fx growth plate
Non-facility: $505.60
Facility: $477.28
27517
Treat thigh fx growth plate
$684.80
27519
Treat thigh fx growth plate
$913.23
27520
Treat kneecap fracture
Non-facility: $316.23
Facility: $290.19
27524
Treat kneecap fracture
$763.26
27530
Treat knee fracture
Non-facility: $294.81
Facility: $275.28
27532
Treat knee fracture
Non-facility: $616.46
Facility: $581.96
27535
Treat knee fracture
$918.34
27536
Treat knee fracture
$1215.85
27538
Treat knee fracture(s)
Non-facility: $467.82
Facility: $440.49
27540
Treat knee fracture
$821.83
27550
Treat knee dislocation
Non-facility: $501.98
Facility: $468.46
27552
Treat knee dislocation
$630.93
27556
Treat knee dislocation
$894.42
27557
Treat knee dislocation
$1076.77
27558
Treat knee dislocation
$1221.94
27560
Treat kneecap dislocation
Non-facility: $356.48
Facility: $330.77
27562
Treat kneecap dislocation
$470.62
27566
Treat kneecap dislocation
$907.83
27570
Fixation of knee joint
$151.64
27580
Fusion of knee
$1467.76
27590
Amputate leg at thigh
$843.48
27591
Amputate leg at thigh
$984.20
27592
Amputate leg at thigh
$712.52
27594
Amputation follow-up surgery
$522.78
27596
Amputation follow-up surgery
$753.04
27598
Amputate lower leg at knee
$750.77
27600
Decompression of lower leg
$422.02
27601
Decompression of lower leg
$450.72
27602
Decompression of lower leg
$512.12
27603
Drain lower leg lesion
Non-facility: $524.23
Facility: $394.04
27604
Drain lower leg bursa
Non-facility: $486.07
Facility: $348.72
27605
Incision of achilles tendon
Non-facility: $331.06
Facility: $185.58
27606
Incision of achilles tendon
$287.37
27607
Treat lower leg bone lesion
$616.25
27610
Explore/treat ankle joint
$659.66
27612
Exploration of ankle joint
$561.21
27613
Biopsy lower leg soft tissue
Non-facility: $245.26
Facility: $162.92
27614
Biopsy lower leg soft tissue
Non-facility: $569.32
Facility: $409.19
27615
Resect leg/ankle tum < 5 cm
$1050.94
27616
Resect leg/ankle tum 5 cm/>
$1308.00
27618
Exc leg/ankle tum < 3 cm
Non-facility: $440.40
Facility: $309.89
27619
Exc leg/ankle tum deep <5 cm
$475.11
27620
Explore/treat ankle joint
$457.08
27625
Remove ankle joint lining
$592.12
27626
Remove ankle joint lining
$625.36
27630
Removal of tendon lesion
Non-facility: $548.60
Facility: $368.29
27632
Exc leg/ankle les sc 3 cm/>
$423.45
27634
Exc leg/ankle tum dep 5 cm/>
$702.22
27635
Remove lower leg bone lesion
$593.97
27637
Remove/graft leg bone lesion
$758.04
27638
Remove/graft leg bone lesion
$775.03
27640
Partial removal of tibia
$848.78
27641
Partial removal of fibula
$678.57
27645
Resect tibia tumor
$1823.66
27646
Resect fibula tumor
$1580.33
27647
Resect talus/calcaneus tum
$1041.29
27648
Injection for ankle x-ray
Non-facility: $156.72
Facility: $54.20
27650
Repair achilles tendon
$664.04
27652
Repair/graft achilles tendon
$692.47
27654
Repair of achilles tendon
$714.73
27656
Repair leg fascia defect
Non-facility: $618.33
Facility: $397.67
27658
Repair of leg tendon each
$374.57
27659
Repair of leg tendon each
$485.84
27664
Repair of leg tendon each
$361.78
27665
Repair of leg tendon each
$413.27
27675
Repair lower leg tendons
$490.97
27676
Repair lower leg tendons
$609.91
27680
Release of lower leg tendon
$432.93
27681
Release of lower leg tendons
$549.73
27685
Revision of lower leg tendon
Non-facility: $652.76
Facility: $467.25
27686
Revise lower leg tendons
$563.92
27687
Revision of calf tendon
$457.07
27690
Revise lower leg tendon
$634.23
27691
Revise lower leg tendon
$757.02
27692
Revise additional leg tendon
$108.65
27695
Repair of ankle ligament
$478.36
27696
Repair of ankle ligaments
$561.92
27698
Repair of ankle ligament
$649.77
27700
Revision of ankle joint
$601.81
27702
Reconstruct ankle joint
$984.76
27703
Reconstruction ankle joint
$1131.95
27704
Removal of ankle implant
$582.67
27705
Incision of tibia
$771.27
27707
Incision of fibula
$403.99
27709
Incision of tibia & fibula
$1192.94
27712
Realignment of lower leg
$1122.62
27715
Revision of lower leg
$1093.59
27720
Repair of tibia
$889.59
27722
Repair/graft of tibia
$894.20
27724
Repair/graft of tibia
$1296.80
27725
Repair of lower leg
$1229.90
27726
Repair fibula nonunion
$988.52
27727
Repair of lower leg
$1058.19
27730
Repair of tibia epiphysis
$577.24
27732
Repair of fibula epiphysis
$408.53
27734
Repair lower leg epiphyses
$665.01
27740
Repair of leg epiphyses
$718.34
27742
Repair of leg epiphyses
$778.75
27745
Reinforce tibia
$766.45
27750
Treatment of tibia fracture
Non-facility: $339.97
Facility: $313.93
27752
Treatment of tibia fracture
Non-facility: $535.81
Facility: $498.06
27756
Treatment of tibia fracture
$576.94
27758
Treatment of tibia fracture
$905.81
27759
Treatment of tibia fracture
$1019.15
27760
Cltx medial ankle fx
Non-facility: $326.30
Facility: $299.61
27762
Cltx med ankle fx w/mnpj
Non-facility: $470.73
Facility: $432.32
27766
Optx medial ankle fx
$615.98
27767
Cltx post ankle fx
Non-facility: $275.08
Facility: $276.71
27768
Cltx post ankle fx w/mnpj
$439.64
27769
Optx post ankle fx
$741.51
27780
Treatment of fibula fracture
Non-facility: $299.63
Facility: $274.24
27781
Treatment of fibula fracture
Non-facility: $417.60
Facility: $389.29
27784
Treatment of fibula fracture
$725.16
27786
Treatment of ankle fracture
Non-facility: $309.48
Facility: $281.82
27788
Treatment of ankle fracture
Non-facility: $416.10
Facility: $382.90
27792
Treatment of ankle fracture
$660.21
27808
Treatment of ankle fracture
Non-facility: $326.36
Facility: $295.12
27810
Treatment of ankle fracture
Non-facility: $462.30
Facility: $422.92
27814
Treatment of ankle fracture
$782.95
27816
Treatment of ankle fracture
Non-facility: $313.35
Facility: $283.08
27818
Treatment of ankle fracture
Non-facility: $479.95
Facility: $434.06
27822
Treatment of ankle fracture
$850.22
27823
Treatment of ankle fracture
$968.33
27824
Treat lower leg fracture
Non-facility: $309.46
Facility: $301.33
27825
Treat lower leg fracture
Non-facility: $544.26
Facility: $497.72
27826
Treat lower leg fracture
$840.45
27827
Treat lower leg fracture
$1095.77
27828
Treat lower leg fracture
$1318.28
27829
Treat lower leg joint
$688.90
27830
Treat lower leg dislocation
Non-facility: $376.66
Facility: $352.90
27831
Treat lower leg dislocation
$392.85
27832
Treat lower leg dislocation
$767.20
27840
Treat ankle dislocation
$367.16
27842
Treat ankle dislocation
$499.00
27846
Treat ankle dislocation
$736.34
27848
Treat ankle dislocation
$824.98
27860
Fixation of ankle joint
$176.42
27870
Fusion of ankle joint open
$1050.25
27871
Fusion of tibiofibular joint
$692.94
27880
Amputation of lower leg
$964.36
27881
Amputation of lower leg
$903.75
27882
Amputation of lower leg
$630.50
27884
Amputation follow-up surgery
$599.78
27886
Amputation follow-up surgery
$685.00
27888
Amputation of foot at ankle
$703.33
27889
Amputation of foot at ankle
$683.24
27892
Decompression of leg
$563.62
27893
Decompression of leg
$611.26
27894
Decompression of leg
$876.01
28001
Drainage of bursa of foot
Non-facility: $270.83
Facility: $170.27
28002
Treatment of foot infection
Non-facility: $438.19
Facility: $321.68
28003
Treatment of foot infection
Non-facility: $705.61
Facility: $572.82
28005
Treat foot bone lesion
$583.66
28008
Incision of foot fascia
Non-facility: $424.51
Facility: $293.67
28010
Incision of toe tendon
Non-facility: $229.39
Facility: $207.91
28011
Incision of toe tendons
Non-facility: $320.37
Facility: $288.15
28020
Exploration of foot joint
Non-facility: $533.08
Facility: $364.16
28022
Exploration of foot joint
Non-facility: $480.40
Facility: $326.46
28024
Exploration of toe joint
Non-facility: $453.21
Facility: $305.45
28035
Decompression of tibia nerve
Non-facility: $518.03
Facility: $356.28
28039
Exc foot/toe tum sc 1.5 cm/>
Non-facility: $504.74
Facility: $354.71
28041
Exc foot/toe tum dep 1.5cm/>
$466.11
28043
Exc foot/toe tum sc < 1.5 cm
Non-facility: $392.47
Facility: $262.94
28045
Exc foot/toe tum deep <1.5cm
Non-facility: $488.63
Facility: $349.01
28046
Resect foot/toe tumor < 3 cm
$742.35
28047
Resect foot/toe tumor 3 cm/>
$1096.69
28050
Biopsy of foot joint lining
Non-facility: $416.69
Facility: $279.67
28052
Biopsy of foot joint lining
Non-facility: $439.72
Facility: $286.42
28054
Biopsy of toe joint lining
Non-facility: $382.97
Facility: $244.00
28055
Neurectomy foot
$377.70
28060
Partial removal foot fascia
Non-facility: $511.14
Facility: $358.49
28062
Removal of foot fascia
Non-facility: $579.17
Facility: $410.26
28070
Removal of foot joint lining
Non-facility: $525.35
Facility: $357.74
28072
Removal of foot joint lining
Non-facility: $497.90
Facility: $333.21
28080
Removal of foot lesion
Non-facility: $513.27
Facility: $364.54
28086
Excise foot tendon sheath
Non-facility: $539.98
Facility: $363.58
28088
Excise foot tendon sheath
Non-facility: $439.33
Facility: $283.11
28090
Removal of foot lesion
Non-facility: $462.67
Facility: $309.05
28092
Removal of toe lesions
Non-facility: $414.14
Facility: $268.33
28100
Removal of ankle/heel lesion
Non-facility: $598.81
Facility: $415.25
28102
Remove/graft foot lesion
$611.37
28103
Remove/graft foot lesion
$394.32
28104
Removal of foot lesion
Non-facility: $519.96
Facility: $354.95
28106
Remove/graft foot lesion
$467.23
28107
Remove/graft foot lesion
Non-facility: $550.41
Facility: $375.64
28108
Removal of toe lesions
Non-facility: $432.55
Facility: $288.37
28110
Part removal of metatarsal
Non-facility: $453.82
Facility: $289.79
28111
Part removal of metatarsal
Non-facility: $487.13
Facility: $329.61
28112
Part removal of metatarsal
Non-facility: $481.00
Facility: $314.69
28113
Part removal of metatarsal
Non-facility: $582.49
Facility: $424.97
28114
Removal of metatarsal heads
Non-facility: $1067.29
Facility: $843.37
28116
Revision of foot
Non-facility: $750.58
Facility: $576.13
28118
Removal of heel bone
Non-facility: $586.93
Facility: $416.06
28119
Removal of heel spur
Non-facility: $518.12
Facility: $362.55
28120
Part removal of ankle/heel
Non-facility: $672.45
Facility: $502.55
28122
Partial removal of foot bone
Non-facility: $592.80
Facility: $442.76
28124
Partial removal of toe
Non-facility: $468.93
Facility: $329.96
28126
Partial removal of toe
Non-facility: $387.80
Facility: $248.51
28130
Removal of ankle bone
$647.56
28140
Removal of metatarsal
Non-facility: $596.42
Facility: $448.01
28150
Removal of toe
Non-facility: $420.65
Facility: $282.01
28153
Partial removal of toe
Non-facility: $403.09
Facility: $263.15
28160
Partial removal of toe
Non-facility: $413.16
Facility: $269.96
28171
Resect tarsal tumor
$861.18
28173
Resect metatarsal tumor
$775.83
28175
Resect phalanx of toe tumor
$493.31
28190
Removal of foot foreign body
Non-facility: $249.61
Facility: $134.07
28192
Removal of foot foreign body
Non-facility: $464.19
Facility: $315.78
28193
Removal of foot foreign body
Non-facility: $523.46
Facility: $370.49
28200
Repair of foot tendon
Non-facility: $481.68
Facility: $322.53
28202
Repair/graft of foot tendon
Non-facility: $591.32
Facility: $429.89
28208
Repair of foot tendon
Non-facility: $465.71
Facility: $312.10
28210
Repair/graft of foot tendon
Non-facility: $566.87
Facility: $411.30
28220
Release of foot tendon
Non-facility: $442.67
Facility: $302.07
28222
Release of foot tendons
Non-facility: $499.69
Facility: $350.62
28225
Release of foot tendon
Non-facility: $401.65
Facility: $259.42
28226
Release of foot tendons
Non-facility: $597.12
Facility: $393.71
28230
Incision of foot tendon(s)
Non-facility: $427.54
Facility: $283.69
28232
Incision of toe tendon
Non-facility: $379.32
Facility: $242.63
28234
Incision of foot tendon
Non-facility: $399.52
Facility: $262.17
28238
Revision of foot tendon
Non-facility: $666.00
Facility: $492.21
28240
Release of big toe
Non-facility: $434.69
Facility: $291.16
28250
Revision of foot fascia
Non-facility: $575.88
Facility: $409.57
28260
Release of midfoot joint
Non-facility: $682.88
Facility: $516.24
28261
Revision of foot tendon
Non-facility: $980.04
Facility: $786.71
28262
Revision of foot and ankle
Non-facility: $1479.51
Facility: $1210.02
28264
Release of midfoot joint
Non-facility: $1000.34
Facility: $776.42
28270
Release of foot contracture
Non-facility: $483.68
Facility: $334.29
28272
Release of toe joint each
Non-facility: $387.37
Facility: $254.58
28280
Fusion of toes
Non-facility: $511.03
Facility: $352.21
28285
Repair of hammertoe
Non-facility: $526.90
Facility: $378.17
28286
Repair of hammertoe
Non-facility: $444.80
Facility: $300.29
28288
Partial removal of foot bone
Non-facility: $595.63
Facility: $429.97
28289
Corrj halux rigdus w/o implt
Non-facility: $726.48
Facility: $550.73
28292
Correction hallux valgus
Non-facility: $779.89
Facility: $602.19
28296
Correction hallux valgus
Non-facility: $705.22
Facility: $523.61
28297
Correction hallux valgus
Non-facility: $806.46
Facility: $589.05
28298
Correction hallux valgus
Non-facility: $714.89
Facility: $510.83
28299
Correction hallux valgus
Non-facility: $892.69
Facility: $685.37
28300
Incision of heel bone
$661.52
28302
Incision of ankle bone
$726.29
28304
Incision of midfoot bones
Non-facility: $822.08
Facility: $614.43
28305
Incise/graft midfoot bones
$675.21
28306
Incision of metatarsal
Non-facility: $605.95
Facility: $407.42
28307
Incision of metatarsal
Non-facility: $672.57
Facility: $454.18
28308
Incision of metatarsal
Non-facility: $556.48
Facility: $378.12
28309
Incision of metatarsals
$921.50
28310
Revision of big toe
Non-facility: $539.48
Facility: $360.47
28312
Revision of toe
Non-facility: $499.95
Facility: $320.29
28313
Repair deformity of toe
Non-facility: $521.97
Facility: $360.86
28315
Removal of sesamoid bone
Non-facility: $474.80
Facility: $326.71
28320
Repair of foot bones
$618.25
28322
Repair of metatarsals
Non-facility: $785.81
Facility: $585.98
28340
Resect enlarged toe tissue
Non-facility: $572.85
Facility: $415.98
28341
Resect enlarged toe
Non-facility: $666.22
Facility: $496.33
28344
Repair extra toe(s)
Non-facility: $463.06
Facility: $315.95
28345
Repair webbed toe(s)
Non-facility: $515.81
Facility: $366.42
28360
Reconstruct cleft foot
$936.54
28400
Treatment of heel fracture
Non-facility: $243.69
Facility: $224.16
28405
Treatment of heel fracture
Non-facility: $391.26
Facility: $357.42
28406
Treatment of heel fracture
$524.50
28415
Treat heel fracture
$1123.34
28420
Treat/graft heel fracture
$1278.66
28430
Treatment of ankle fracture
Non-facility: $232.53
Facility: $208.12
28435
Treatment of ankle fracture
Non-facility: $314.51
Facility: $282.94
28436
Treatment of ankle fracture
$447.80
28445
Treat ankle fracture
$1080.88
28446
Osteochondral talus autogrft
$1236.71
28450
Treat midfoot fracture each
Non-facility: $211.65
Facility: $189.84
28455
Treat midfoot fracture each
Non-facility: $285.25
Facility: $258.23
28456
Treat midfoot fracture
$314.71
28465
Treat midfoot fracture each
$628.48
28470
Treat metatarsal fracture
Non-facility: $214.70
Facility: $201.35
28475
Treat metatarsal fracture
Non-facility: $254.23
Facility: $227.22
28476
Treat metatarsal fracture
$348.04
28485
Treat metatarsal fracture
$526.90
28490
Treat big toe fracture
Non-facility: $141.38
Facility: $122.50
28495
Treat big toe fracture
Non-facility: $173.68
Facility: $147.31
28496
Treat big toe fracture
Non-facility: $423.90
Facility: $231.22
28505
Treat big toe fracture
Non-facility: $661.64
Facility: $503.14
28510
Treatment of toe fracture
Non-facility: $121.08
Facility: $118.15
28515
Treatment of toe fracture
Non-facility: $157.74
Facility: $140.17
28525
Treat toe fracture
Non-facility: $558.00
Facility: $399.50
28530
Treat sesamoid bone fracture
Non-facility: $112.70
Facility: $100.66
28531
Treat sesamoid bone fracture
Non-facility: $335.52
Facility: $182.88
28540
Treat foot dislocation
Non-facility: $203.17
Facility: $184.29
28545
Treat foot dislocation
Non-facility: $287.04
Facility: $256.45
28546
Treat foot dislocation
Non-facility: $542.63
Facility: $326.85
28555
Repair foot dislocation
Non-facility: $876.96
Facility: $677.45
28570
Treat foot dislocation
Non-facility: $217.57
Facility: $186.00
28575
Treat foot dislocation
Non-facility: $361.00
Facility: $328.78
28576
Treat foot dislocation
$390.71
28585
Repair foot dislocation
Non-facility: $851.05
Facility: $677.26
28600
Treat foot dislocation
Non-facility: $213.77
Facility: $185.45
28605
Treat foot dislocation
Non-facility: $320.66
Facility: $290.40
28606
Treat foot dislocation
$396.78
28615
Repair foot dislocation
$796.11
28630
Treat toe dislocation
Non-facility: $154.87
Facility: $110.93
28635
Treat toe dislocation
Non-facility: $171.91
Facility: $131.55
28636
Treat toe dislocation
Non-facility: $277.84
Facility: $182.15
28645
Repair toe dislocation
Non-facility: $651.29
Facility: $488.89
28660
Treat toe dislocation
Non-facility: $114.97
Facility: $89.26
28665
Treat toe dislocation
Non-facility: $152.41
Facility: $131.26
28666
Treat toe dislocation
$188.77
28675
Repair of toe dislocation
Non-facility: $575.58
Facility: $412.85
28705
Fusion of foot bones
$1280.68
28715
Fusion of foot bones
$950.88
28725
Fusion of foot bones
$788.01
28730
Fusion of foot bones
$741.54
28735
Fusion of foot bones
$793.28
28737
Revision of foot bones
$698.56
28740
Fusion of foot bones
Non-facility: $840.44
Facility: $629.54
28750
Fusion of big toe joint
Non-facility: $806.64
Facility: $596.72
28755
Fusion of big toe joint
Non-facility: $500.41
Facility: $332.14
28760
Fusion of big toe joint
Non-facility: $783.45
Facility: $582.64
28800
Amputation of midfoot
$553.05
28805
Amputation thru metatarsal
$754.62
28810
Amputation toe & metatarsal
$442.58
28820
Amputation of toe
Non-facility: $561.35
Facility: $401.22
28825
Partial amputation of toe
Non-facility: $534.16
Facility: $375.34
28890
Hi enrgy eswt plantar fascia
Non-facility: $316.96
Facility: $224.53
29000
Application of body cast
Non-facility: $284.70
Facility: $180.23
29010
Application of body cast
Non-facility: $232.34
Facility: $149.02
29015
Application of body cast
Non-facility: $277.91
Facility: $179.94
29035
Application of body cast
Non-facility: $190.00
Facility: $121.01
29040
Application of body cast
Non-facility: $221.18
Facility: $147.30
29044
Application of body cast
Non-facility: $273.41
Facility: $151.69
29046
Application of body cast
Non-facility: $238.11
Facility: $160.00
29049
Application of figure eight
Non-facility: $82.86
Facility: $63.00
29055
Application of shoulder cast
Non-facility: $218.00
Facility: $140.54
29058
Application of shoulder cast
Non-facility: $121.01
Facility: $94.00
29065
Application of long arm cast
Non-facility: $94.31
Facility: $68.92
29075
Application of forearm cast
Non-facility: $84.95
Facility: $62.49
29085
Apply hand/wrist cast
Non-facility: $93.53
Facility: $67.82
29086
Apply finger cast
Non-facility: $75.91
Facility: $50.85
29105
Apply long arm splint
Non-facility: $86.13
Facility: $59.76
29125
Apply forearm splint
Non-facility: $62.38
Facility: $39.27
29126
Apply forearm splint
Non-facility: $74.60
Facility: $48.56
29130
Application of finger splint
Non-facility: $40.57
Facility: $29.18
29131
Application of finger splint
Non-facility: $49.85
Facility: $33.25
29200
Strapping of chest
Non-facility: $28.86
Facility: $18.44
29240
Strapping of shoulder
Non-facility: $28.20
Facility: $18.77
29260
Strapping of elbow or wrist
Non-facility: $28.78
Facility: $19.99
29280
Strapping of hand or finger
Non-facility: $29.10
Facility: $20.64
29305
Application of hip cast
Non-facility: $242.09
Facility: $161.05
29325
Application of hip casts
Non-facility: $267.13
Facility: $180.56
29345
Application of long leg cast
Non-facility: $134.69
Facility: $102.15
29355
Application of long leg cast
Non-facility: $139.59
Facility: $108.02
29358
Apply long leg cast brace
Non-facility: $157.94
Facility: $105.87
29365
Application of long leg cast
Non-facility: $120.79
Facility: $88.57
29405
Apply short leg cast
Non-facility: $80.24
Facility: $60.06
29425
Apply short leg cast
Non-facility: $77.19
Facility: $57.01
29435
Apply short leg cast
Non-facility: $114.69
Facility: $83.77
29440
Addition of walker to cast
Non-facility: $43.03
Facility: $29.36
29445
Apply rigid leg cast
Non-facility: $133.57
Facility: $105.58
29450
Application of leg cast
Non-facility: $142.56
Facility: $114.24
29505
Application long leg splint
Non-facility: $80.94
Facility: $50.02
29515
Application lower leg splint
Non-facility: $70.21
Facility: $49.70
29520
Strapping of hip
Non-facility: $30.48
Facility: $18.77
29530
Strapping of knee
Non-facility: $28.33
Facility: $18.89
29540
Strapping of ankle and/or ft
Non-facility: $25.72
Facility: $18.56
29550
Strapping of toes
Non-facility: $18.64
Facility: $11.80
29580
Application of paste boot
Non-facility: $51.47
Facility: $35.85
29581
Apply multlay comprs lwr leg
Non-facility: $57.89
Facility: $12.65
29582
Apply multlay comprs upr leg
Non-facility: $66.03
Facility: $15.91
29583
Apply multlay comprs upr arm
Non-facility: $41.29
Facility: $11.35
29584
Appl multlay comprs arm/hand
Non-facility: $66.03
Facility: $15.91
29700
Removal/revision of cast
Non-facility: $61.22
Facility: $34.21
29705
Removal/revision of cast
Non-facility: $66.24
Facility: $48.34
29710
Removal/revision of cast
Non-facility: $121.15
Facility: $85.35
29720
Repair of body cast
Non-facility: $83.03
Facility: $45.60
29730
Windowing of cast
Non-facility: $64.13
Facility: $46.23
29740
Wedging of cast
Non-facility: $99.24
Facility: $72.55
29750
Wedging of clubfoot cast
Non-facility: $88.95
Facility: $68.77
29800
Jaw arthroscopy/surgery
$514.27
29804
Jaw arthroscopy/surgery
$653.23
29805
Shoulder arthroscopy dx
$476.77
29806
Shoulder arthroscopy/surgery
$1082.85
29807
Shoulder arthroscopy/surgery
$1056.25
29819
Shoulder arthroscopy/surgery
$593.57
29820
Shoulder arthroscopy/surgery
$539.04
29821
Shoulder arthroscopy/surgery
$588.70
29822
Shoulder arthroscopy/surgery
$571.15
29823
Shoulder arthroscopy/surgery
$623.60
29824
Shoulder arthroscopy/surgery
$672.09
29825
Shoulder arthroscopy/surgery
$582.35
29826
Shoulder arthroscopy/surgery
$182.70
29827
Arthroscop rotator cuff repr
$1072.55
29828
Arthroscopy biceps tenodesis
$924.85
29830
Elbow arthroscopy
$456.21
29834
Elbow arthroscopy/surgery
$488.69
29835
Elbow arthroscopy/surgery
$511.42
29836
Elbow arthroscopy/surgery
$573.17
29837
Elbow arthroscopy/surgery
$527.28
29838
Elbow arthroscopy/surgery
$592.26
29840
Wrist arthroscopy
$456.34
29843
Wrist arthroscopy/surgery
$488.60
29844
Wrist arthroscopy/surgery
$497.69
29845
Wrist arthroscopy/surgery
$578.61
29846
Wrist arthroscopy/surgery
$522.94
29847
Wrist arthroscopy/surgery
$536.09
29848
Wrist endoscopy/surgery
$512.85
29850
Knee arthroscopy/surgery
$624.67
29851
Knee arthroscopy/surgery
$900.85
29855
Tibial arthroscopy/surgery
$793.78
29856
Tibial arthroscopy/surgery
$1017.79
29860
Hip arthroscopy dx
$669.83
29861
Hip arthro w/fb removal
$729.03
29862
Hip arthr0 w/debridement
$815.89
29863
Hip arthr0 w/synovectomy
$816.13
29866
Autgrft implnt knee w/scope
$1061.25
29867
Allgrft implnt knee w/scope
$1291.39
29868
Meniscal trnspl knee w/scpe
$1647.33
29870
Knee arthroscopy dx
Non-facility: $574.01
Facility: $415.84
29871
Knee arthroscopy/drainage
$520.68
29873
Knee arthroscopy/surgery
$527.22
29874
Knee arthroscopy/surgery
$543.96
29875
Knee arthroscopy/surgery
$500.56
29876
Knee arthroscopy/surgery
$668.07
29877
Knee arthroscopy/surgery
$630.14
29879
Knee arthroscopy/surgery
$671.87
29880
Knee arthroscopy/surgery
$568.53
29881
Knee arthroscopy/surgery
$547.42
29882
Knee arthroscopy/surgery
$712.32
29883
Knee arthroscopy/surgery
$856.21
29884
Knee arthroscopy/surgery
$620.95
29885
Knee arthroscopy/surgery
$762.81
29886
Knee arthroscopy/surgery
$646.44
29887
Knee arthroscopy/surgery
$758.34
29888
Knee arthroscopy/surgery
$1006.29
29889
Knee arthroscopy/surgery
$1246.60
29891
Ankle arthroscopy/surgery
$684.60
29892
Ankle arthroscopy/surgery
$588.05
29893
Scope plantar fasciotomy
Non-facility: $599.07
Facility: $426.25
29894
Ankle arthroscopy/surgery
$507.18
29895
Ankle arthroscopy/surgery
$482.53
29897
Ankle arthroscopy/surgery
$513.11
29898
Ankle arthroscopy/surgery
$573.23
29899
Ankle arthroscopy/surgery
$1055.87
29900
Mcp joint arthroscopy dx
$451.23
29901
Mcp joint arthroscopy surg
$536.71
29902
Mcp joint arthroscopy surg
$561.69
29904
Subtalar arthro w/fb rmvl
$648.30
29905
Subtalar arthro w/exc
$695.28
29906
Subtalar arthro w/deb
$730.79
29907
Subtalar arthro w/fusion
$892.71
29914
Hip arthro w/femoroplasty
$1011.98
29915
Hip arthro acetabuloplasty
$1028.88
29916
Hip arthro w/labral repair
$1030.18
30000
Drainage of nose lesion
Non-facility: $221.56
Facility: $117.74
30020
Drainage of nose lesion
Non-facility: $224.61
Facility: $118.84
30100
Intranasal biopsy
Non-facility: $136.15
Facility: $69.11
30110
Removal of nose polyp(s)
Non-facility: $223.23
Facility: $130.15
30115
Removal of nose polyp(s)
$425.60
30117
Removal of intranasal lesion
Non-facility: $833.64
Facility: $334.39
30118
Removal of intranasal lesion
$767.62
30120
Revision of nose
Non-facility: $511.22
Facility: $436.69
30124
Removal of nose lesion
$282.64
30125
Removal of nose lesion
$604.04
30130
Excise inferior turbinate
$371.97
30140
Resect inferior turbinate
$428.77
30150
Partial removal of nose
$767.43
30160
Removal of nose
$770.82
30200
Injection treatment of nose
Non-facility: $110.00
Facility: $59.55
30210
Nasal sinus therapy
Non-facility: $145.28
Facility: $98.41
30220
Insert nasal septal button
Non-facility: $290.51
Facility: $124.85
30300
Remove nasal foreign body
Non-facility: $178.42
Facility: $103.89
30310
Remove nasal foreign body
$202.35
30320
Remove nasal foreign body
$437.03
30400
Reconstruction of nose
$996.85
30410
Reconstruction of nose
$1172.51
30420
Reconstruction of nose
$1363.66
30430
Revision of nose
$938.86
30435
Revision of nose
$1098.78
30450
Revision of nose
$1492.74
30460
Revision of nose
$714.76
30462
Revision of nose
$1561.02
30465
Repair nasal stenosis
$976.83
30520
Repair of nasal septum
$616.23
30540
Repair nasal defect
$686.13
30545
Repair nasal defect
$877.28
30560
Release of nasal adhesions
Non-facility: $256.89
Facility: $134.84
30580
Repair upper jaw fistula
Non-facility: $647.02
Facility: $516.51
30600
Repair mouth/nose fistula
Non-facility: $581.84
Facility: $449.38
30620
Intranasal reconstruction
$613.12
30630
Repair nasal septum defect
$616.78
30801
Ablate inf turbinate superf
Non-facility: $219.06
Facility: $132.82
30802
Ablate inf turbinate submuc
Non-facility: $281.26
Facility: $187.85
30901
Control of nosebleed
Non-facility: $94.08
Facility: $58.60
30903
Control of nosebleed
Non-facility: $213.09
Facility: $83.23
30905
Control of nosebleed
Non-facility: $261.90
Facility: $110.23
30906
Repeat control of nosebleed
Non-facility: $336.45
Facility: $141.18
30915
Ligation nasal sinus artery
$574.43
30920
Ligation upper jaw artery
$835.53
30930
Ther fx nasal inf turbinate
$121.37
31000
Irrigation maxillary sinus
Non-facility: $177.20
Facility: $104.94
31002
Irrigation sphenoid sinus
$189.77
31020
Exploration maxillary sinus
Non-facility: $466.84
Facility: $350.65
31030
Exploration maxillary sinus
Non-facility: $675.98
Facility: $525.29
31032
Explore sinus remove polyps
$570.03
31040
Exploration behind upper jaw
$760.50
31050
Exploration sphenoid sinus
$481.49
31051
Sphenoid sinus surgery
$638.01
31070
Exploration of frontal sinus
$431.97
31075
Exploration of frontal sinus
$781.70
31080
Removal of frontal sinus
$1029.85
31081
Removal of frontal sinus
$1494.19
31084
Removal of frontal sinus
$1154.33
31085
Removal of frontal sinus
$1599.07
31086
Removal of frontal sinus
$1122.62
31087
Removal of frontal sinus
$1085.91
31090
Exploration of sinuses
$1010.76
31200
Removal of ethmoid sinus
$550.06
31201
Removal of ethmoid sinus
$732.82
31205
Removal of ethmoid sinus
$876.30
31225
Removal of upper jaw
$1887.28
31230
Removal of upper jaw
$2102.77
31231
Nasal endoscopy dx
Non-facility: $200.71
Facility: $66.29
31233
Nasal/sinus endoscopy dx
Non-facility: $255.67
Facility: $139.15
31235
Nasal/sinus endoscopy dx
Non-facility: $292.08
Facility: $165.15
31237
Nasal/sinus endoscopy surg
Non-facility: $254.20
Facility: $164.69
31238
Nasal/sinus endoscopy surg
Non-facility: $254.57
Facility: $172.56
31239
Nasal/sinus endoscopy surg
$614.74
31240
Nasal/sinus endoscopy surg
$164.52
31254
Revision of ethmoid sinus
$279.83
31255
Removal of ethmoid sinus
$410.87
31256
Exploration maxillary sinus
$202.35
31267
Endoscopy maxillary sinus
$325.94
31276
Sinus endoscopy surgical
$519.09
31287
Nasal/sinus endoscopy surg
$237.70
31288
Nasal/sinus endoscopy surg
$275.58
31290
Nasal/sinus endoscopy surg
$1181.04
31291
Nasal/sinus endoscopy surg
$1263.73
31292
Nasal/sinus endoscopy surg
$1018.81
31293
Nasal/sinus endoscopy surg
$1105.88
31294
Nasal/sinus endoscopy surg
$1265.79
31295
Sinus endo w/balloon dil
Non-facility: $1913.32
Facility: $167.87
31296
Sinus endo w/balloon dil
Non-facility: $1953.45
Facility: $201.49
31297
Sinus endo w/balloon dil
Non-facility: $1915.60
Facility: $164.30
31300
Removal of larynx lesion
$1306.23
31320
Diagnostic incision larynx
$675.91
31360
Removal of larynx
$2137.12
31365
Removal of larynx
$2647.01
31367
Partial removal of larynx
$2257.86
31368
Partial removal of larynx
$2520.94
31370
Partial removal of larynx
$2122.13
31375
Partial removal of larynx
$2004.58
31380
Partial removal of larynx
$1981.29
31382
Partial removal of larynx
$2184.52
31390
Removal of larynx & pharynx
$2947.60
31395
Reconstruct larynx & pharynx
$3109.47
31400
Revision of larynx
$978.77
31420
Removal of epiglottis
$838.34
31500
Insert emergency airway
$113.89
31502
Change of windpipe airway
$35.97
31505
Diagnostic laryngoscopy
Non-facility: $80.43
Facility: $49.19
31510
Laryngoscopy with biopsy
Non-facility: $206.28
Facility: $123.94
31511
Remove foreign body larynx
Non-facility: $208.53
Facility: $133.35
31512
Removal of larynx lesion
Non-facility: $201.36
Facility: $132.04
31513
Injection into vocal cord
$134.86
31515
Laryngoscopy for aspiration
Non-facility: $180.70
Facility: $106.82
31520
Dx laryngoscopy newborn
$160.09
31525
Dx laryngoscopy excl nb
Non-facility: $249.86
Facility: $164.59
31526
Dx laryngoscopy w/oper scope
$161.67
31527
Laryngoscopy for treatment
$200.13
31528
Laryngoscopy and dilation
$148.60
31529
Laryngoscopy and dilation
$166.50
31530
Laryngoscopy w/fb removal
$204.19
31531
Laryngoscopy w/fb & op scope
$219.20
31535
Laryngoscopy w/biopsy
$195.29
31536
Laryngoscopy w/bx & op scope
$217.36
31540
Laryngoscopy w/exc of tumor
$249.61
31541
Larynscop w/tumr exc + scope
$272.69
31545
Remove vc lesion w/scope
$374.65
31546
Remove vc lesion scope/graft
$571.72
31560
Laryngoscop w/arytenoidectom
$323.86
31561
Larynscop remve cart + scop
$355.04
31570
Laryngoscope w/vc inj
Non-facility: $337.62
Facility: $237.37
31571
Laryngoscop w/vc inj + scope
$258.13
31575
Diagnostic laryngoscopy
Non-facility: $111.86
Facility: $77.36
31576
Laryngoscopy with biopsy
Non-facility: $219.02
Facility: $126.26
31577
Largsc w/rmvl foreign bdy(s)
Non-facility: $238.23
Facility: $153.61
31578
Largsc w/removal lesion
Non-facility: $275.00
Facility: $176.71
31579
Laryngoscopy telescopic
Non-facility: $207.88
Facility: $144.09
31580
Laryngoplasty laryngeal web
$1217.22
31584
Laryngoplasty fx rdctj fixj
$1521.93
31587
Laryngoplasty cricoid split
$1015.52
31590
Reinnervate larynx
$877.77
31595
Larynx nerve surgery
$760.26
31600
Incision of windpipe
$414.84
31601
Incision of windpipe
$258.29
31603
Incision of windpipe
$233.26
31605
Incision of windpipe
$192.78
31610
Incision of windpipe
$718.55
31611
Surgery/speech prosthesis
$535.71
31612
Puncture/clear windpipe
Non-facility: $83.25
Facility: $50.70
31613
Repair windpipe opening
$450.66
31614
Repair windpipe opening
$751.60
31615
Visualization of windpipe
Non-facility: $180.15
Facility: $131.00
31622
Dx bronchoscope/wash
Non-facility: $295.05
Facility: $148.27
31623
Dx bronchoscope/brush
Non-facility: $319.37
Facility: $149.81
31624
Dx bronchoscope/lavage
Non-facility: $303.10
Facility: $151.11
31625
Bronchoscopy w/biopsy(s)
Non-facility: $381.89
Facility: $173.59
31626
Bronchoscopy w/markers
Non-facility: $861.96
Facility: $217.87
31627
Navigational bronchoscopy
Non-facility: $1317.13
Facility: $100.56
31628
Bronchoscopy/lung bx each
Non-facility: $402.72
Facility: $192.80
31629
Bronchoscopy/needle bx each
Non-facility: $478.65
Facility: $204.61
31630
Bronchoscopy dilate/fx repr
$206.32
31631
Bronchoscopy dilate w/stent
$238.03
31632
Bronchoscopy/lung bx addl
Non-facility: $73.66
Facility: $50.56
31633
Bronchoscopy/needle bx addl
Non-facility: $91.25
Facility: $65.22
31634
Bronch w/balloon occlusion
Non-facility: $1741.21
Facility: $213.17
31635
Bronchoscopy w/fb removal
Non-facility: $340.39
Facility: $193.94
31636
Bronchoscopy bronch stents
$228.83
31637
Bronchoscopy stent add-on
$76.27
31638
Bronchoscopy revise stent
$261.45
31640
Bronchoscopy w/tumor excise
$262.67
31641
Bronchoscopy treat blockage
$265.72
31643
Diag bronchoscope/catheter
$181.17
31645
Bronchoscopy clear airways
Non-facility: $313.82
Facility: $165.08
31646
Bronchoscopy reclear airway
Non-facility: $280.97
Facility: $142.65
31647
Bronchial valve init insert
$227.36
31648
Bronchial valve remov init
$210.47
31649
Bronchial valve remov addl
$71.96
31651
Bronchial valve addl insert
$82.39
31652
Bronch ebus samplng 1/2 node
Non-facility: $857.40
Facility: $240.33
31653
Bronch ebus samplng 3/> node
Non-facility: $912.37
Facility: $265.36
31654
Bronch ebus ivntj perph les
Non-facility: $139.60
Facility: $69.63
31660
Bronch thermoplsty 1 lobe
$214.82
31661
Bronch thermoplsty 2/> lobes
$225.52
31717
Bronchial brush biopsy
Non-facility: $250.37
Facility: $110.42
31720
Clearance of airways
$52.73
31725
Clearance of airways
$92.57
31730
Intro windpipe wire/tube
Non-facility: $1155.66
Facility: $155.19
31750
Repair of windpipe
$1405.28
31755
Repair of windpipe
$1747.97
31760
Repair of windpipe
$1461.48
31766
Reconstruction of windpipe
$1884.14
31770
Repair/graft of bronchus
$1412.29
31775
Reconstruct bronchus
$1330.40
31780
Reconstruct windpipe
$1221.61
31781
Reconstruct windpipe
$1490.15
31785
Remove windpipe lesion
$1119.29
31786
Remove windpipe lesion
$1512.49
31800
Repair of windpipe injury
$731.90
31805
Repair of windpipe injury
$862.20
31820
Closure of windpipe lesion
Non-facility: $430.04
Facility: $332.07
31825
Repair of windpipe defect
Non-facility: $597.39
Facility: $485.76
31830
Revise windpipe scar
Non-facility: $439.50
Facility: $347.07
32035
Thoracostomy w/rib resection
$746.50
32036
Thoracostomy w/flap drainage
$806.97
32096
Open wedge/bx lung infiltr
$844.77
32097
Open wedge/bx lung nodule
$844.20
32098
Open biopsy of lung pleura
$800.31
32100
Exploration of chest
$848.15
32110
Explore/repair chest
$1534.49
32120
Re-exploration of chest
$909.65
32124
Explore chest free adhesions
$968.82
32140
Removal of lung lesion(s)
$1045.06
32141
Remove/treat lung lesions
$1607.33
32150
Removal of lung lesion(s)
$1052.01
32151
Remove lung foreign body
$1049.41
32160
Open chest heart massage
$823.18
32200
Drain open lung lesion
$1185.88
32215
Treat chest lining
$829.35
32220
Release of lung
$1658.60
32225
Partial release of lung
$1041.72
32310
Removal of chest lining
$951.86
32320
Free/remove chest lining
$1675.25
32400
Needle biopsy chest lining
Non-facility: $148.30
Facility: $89.72
32405
Percut bx lung/mediastinum
Non-facility: $424.97
Facility: $106.02
32440
Remove lung pneumonectomy
$1646.68
32442
Sleeve pneumonectomy
$3383.75
32445
Removal of lung extrapleural
$3740.06
32480
Partial removal of lung
$1554.29
32482
Bilobectomy
$1661.23
32484
Segmentectomy
$1514.16
32486
Sleeve lobectomy
$2489.28
32488
Completion pneumonectomy
$2524.28
32491
Lung volume reduction
$1548.78
32501
Repair bronchus add-on
$261.05
32503
Resect apical lung tumor
$1904.08
32504
Resect apical lung tum/chest
$2174.31
32505
Wedge resect of lung initial
$977.17
32506
Wedge resect of lung add-on
$167.13
32507
Wedge resect of lung diag
$166.68
32540
Removal of lung lesion
$1827.59
32550
Insert pleural cath
Non-facility: $745.82
Facility: $230.62
32551
Insertion of chest tube
$177.37
32552
Remove lung catheter
Non-facility: $186.19
Facility: $163.08
32553
Ins mark thor for rt perq
Non-facility: $564.97
Facility: $199.48
32554
Aspirate pleura w/o imaging
Non-facility: $193.66
Facility: $92.44
32555
Aspirate pleura w/ imaging
Non-facility: $278.36
Facility: $115.63
32556
Insert cath pleura w/o image
Non-facility: $511.34
Facility: $127.29
32557
Insert cath pleura w/ image
Non-facility: $491.51
Facility: $158.57
32560
Treat pleurodesis w/agent
Non-facility: $234.62
Facility: $81.65
32561
Lyse chest fibrin init day
Non-facility: $92.75
Facility: $70.94
32562
Lyse chest fibrin subq day
Non-facility: $83.92
Facility: $64.39
32601
Thoracoscopy diagnostic
$325.01
32604
Thoracoscopy wbx sac
$510.45
32606
Thoracoscopy w/bx med space
$488.85
32607
Thoracoscopy w/bx infiltrate
$325.58
32608
Thoracoscopy w/bx nodule
$399.71
32609
Thoracoscopy w/bx pleura
$272.31
32650
Thoracoscopy w/pleurodesis
$694.38
32651
Thoracoscopy remove cortex
$1151.28
32652
Thoracoscopy rem totl cortex
$1750.72
32653
Thoracoscopy remov fb/fibrin
$1111.68
32654
Thoracoscopy contrl bleeding
$1247.32
32655
Thoracoscopy resect bullae
$1002.68
32656
Thoracoscopy w/pleurectomy
$840.24
32658
Thoracoscopy w/sac fb remove
$746.83
32659
Thoracoscopy w/sac drainage
$764.30
32661
Thoracoscopy w/pericard exc
$839.95
32662
Thoracoscopy w/mediast exc
$935.17
32663
Thoracoscopy w/lobectomy
$1476.34
32664
Thoracoscopy w/ th nrv exc
$892.93
32665
Thoracoscop w/esoph musc exc
$1288.57
32666
Thoracoscopy w/wedge resect
$912.17
32667
Thoracoscopy w/w resect addl
$167.46
32668
Thoracoscopy w/w resect diag
$167.13
32669
Thoracoscopy remove segment
$1418.71
32670
Thoracoscopy bilobectomy
$1688.99
32671
Thoracoscopy pneumonectomy
$1870.41
32672
Thoracoscopy for lvrs
$1606.22
32673
Thoracoscopy w/thymus resect
$1281.49
32674
Thoracoscopy lymph node exc
$229.96
32701
Thorax stereo rad targetw/tx
$230.77
32800
Repair lung hernia
$991.09
32810
Close chest after drainage
$944.94
32815
Close bronchial fistula
$2952.03
32820
Reconstruct injured chest
$1400.34
32851
Lung transplant single
$3489.16
32852
Lung transplant with bypass
$3820.21
32853
Lung transplant double
$4868.35
32854
Lung transplant with bypass
$5175.55
32900
Removal of rib(s)
$1469.85
32905
Revise & repair chest wall
$1412.47
32906
Revise & repair chest wall
$1748.52
32940
Revision of lung
$1299.53
32960
Therapeutic pneumothorax
Non-facility: $141.99
Facility: $104.24
32997
Total lung lavage
$353.49
32998
Perq rf ablate tx pul tumor
Non-facility: $2238.90
Facility: $292.97
33010
Drainage of heart sac
$126.92
33011
Repeat drainage of heart sac
$127.69
33015
Incision of heart sac
$529.65
33020
Incision of heart sac
$922.18
33025
Incision of heart sac
$838.18
33030
Partial removal of heart sac
$2115.95
33031
Partial removal of heart sac
$2612.93
33050
Resect heart sac lesion
$1046.18
33120
Removal of heart lesion
$2219.91
33130
Removal of heart lesion
$1451.84
33140
Heart revascularize (tmr)
$1663.64
33141
Heart tmr w/other procedure
$140.40
33202
Insert epicard eltrd open
$815.47
33203
Insert epicard eltrd endo
$848.72
33206
Insert heart pm atrial
$480.36
33207
Insert heart pm ventricular
$514.02
33208
Insrt heart pm atrial & vent
$556.86
33210
Insert electrd/pm cath sngl
$189.11
33211
Insert card electrodes dual
$193.55
33212
Insert pulse gen sngl lead
$346.89
33213
Insert pulse gen dual leads
$361.85
33214
Upgrade of pacemaker system
$509.30
33215
Reposition pacing-defib lead
$322.46
33216
Insert 1 electrode pm-defib
$396.81
33217
Insert 2 electrode pm-defib
$389.76
33218
Repair lead pace-defib one
$415.13
33220
Repair lead pace-defib dual
$416.16
33221
Insert pulse gen mult leads
$387.35
33222
Relocation pocket pacemaker
$359.87
33223
Relocate pocket for defib
$436.15
33224
Insert pacing lead & connect
$542.33
33225
L ventric pacing lead add-on
$493.34
33226
Reposition l ventric lead
$519.63
33227
Remove&replace pm gen singl
$364.35
33228
Remv&replc pm gen dual lead
$380.29
33229
Remv&replc pm gen mult leads
$400.59
33230
Insrt pulse gen w/dual leads
$413.22
33231
Insrt pulse gen w/mult leads
$430.02
33233
Removal of pm generator
$249.25
33234
Removal of pacemaker system
$516.77
33235
Removal pacemaker electrode
$672.70
33236
Remove electrode/thoracotomy
$818.65
33237
Remove electrode/thoracotomy
$880.18
33238
Remove electrode/thoracotomy
$974.26
33240
Insrt pulse gen w/singl lead
$393.66
33241
Remove pulse generator
$235.33
33243
Remove eltrd/thoracotomy
$1436.81
33244
Remove elctrd transvenously
$905.90
33249
Insj/rplcmt defib w/lead(s)
$967.74
33250
Ablate heart dysrhythm focus
$1547.00
33251
Ablate heart dysrhythm focus
$1711.48
33254
Ablate atria lmtd
$1444.24
33255
Ablate atria w/o bypass ext
$1705.02
33256
Ablate atria w/bypass exten
$2064.71
33257
Ablate atria lmtd add-on
$609.03
33258
Ablate atria x10sv add-on
$684.19
33259
Ablate atria w/bypass add-on
$883.96
33261
Ablate heart dysrhythm focus
$1729.24
33262
Rmvl& replc pulse gen 1 lead
$400.33
33263
Rmvl & rplcmt dfb gen 2 lead
$416.26
33264
Rmvl & rplcmt dfb gen mlt ld
$433.95
33265
Ablate atria lmtd endo
$1429.77
33266
Ablate atria x10sv endo
$1950.21
33270
Ins/rep subq defibrillator
$614.09
33271
Insj subq impltbl dfb elctrd
$516.00
33272
Rmvl of subq defibrillator
$364.87
33273
Repos prev impltbl subq dfb
$413.39
33282
Implant pat-active ht record
$246.27
33284
Remove pat-active ht record
$217.25
33300
Repair of heart wound
$2594.78
33305
Repair of heart wound
$4354.94
33310
Exploratory heart surgery
$1238.27
33315
Exploratory heart surgery
$2021.68
33320
Repair major blood vessel(s)
$1118.80
33321
Repair major vessel
$1294.58
33322
Repair major blood vessel(s)
$1464.10
33330
Insert major vessel graft
$1501.89
33335
Insert major vessel graft
$1972.66
33361
Replace aortic valve perq
$1440.96
33362
Replace aortic valve open
$1575.91
33363
Replace aortic valve open
$1635.87
33364
Replace aortic valve open
$1716.44
33365
Replace aortic valve open
$1890.27
33366
Trcath replace aortic valve
$2046.53
33367
Replace aortic valve w/byp
$664.26
33368
Replace aortic valve w/byp
$797.94
33369
Replace aortic valve w/byp
$1054.66
33404
Prepare heart-aorta conduit
$1860.61
33405
Replacement aortic valve opn
$2400.08
33406
Replacement aortic valve opn
$3045.92
33410
Replacement aortic valve opn
$2679.04
33411
Replacement of aortic valve
$3555.53
33412
Replacement of aortic valve
$3372.01
33413
Replacement of aortic valve
$3451.83
33414
Repair of aortic valve
$2294.13
33415
Revision subvalvular tissue
$2137.66
33416
Revise ventricle muscle
$2147.93
33417
Repair of aortic valve
$1769.58
33418
Repair tcat mitral valve
$1891.04
33419
Repair tcat mitral valve
$445.98
33420
Revision of mitral valve
$1541.07
33422
Revision of mitral valve
$1764.10
33425
Repair of mitral valve
$2893.90
33426
Repair of mitral valve
$2518.06
33427
Repair of mitral valve
$2586.53
33430
Replacement of mitral valve
$2958.92
33460
Revision of tricuspid valve
$2590.76
33463
Valvuloplasty tricuspid
$3273.28
33464
Valvuloplasty tricuspid
$2581.27
33465
Replace tricuspid valve
$2918.72
33468
Revision of tricuspid valve
$2617.15
33470
Revision of pulmonary valve
$1361.45
33471
Valvotomy pulmonary valve
$1454.76
33474
Revision of pulmonary valve
$2320.39
33475
Replacement pulmonary valve
$2463.66
33476
Revision of heart chamber
$1614.26
33477
Implant tcat pulm vlv perq
$1350.52
33478
Revision of heart chamber
$1668.42
33496
Repair prosth valve clot
$1765.87
33500
Repair heart vessel fistula
$1650.44
33501
Repair heart vessel fistula
$1194.01
33502
Coronary artery correction
$1350.31
33503
Coronary artery graft
$1402.27
33504
Coronary artery graft
$1553.62
33505
Repair artery w/tunnel
$2205.80
33506
Repair artery translocation
$2193.94
33507
Repair art intramural
$1838.26
33508
Endoscopic vein harvest
$17.17
33510
Cabg vein single
$2041.59
33511
Cabg vein two
$2244.15
33512
Cabg vein three
$2552.83
33513
Cabg vein four
$2627.24
33514
Cabg vein five
$2765.41
33516
Cabg vein six or more
$2893.25
33517
Cabg artery-vein single
$199.56
33518
Cabg artery-vein two
$438.56
33519
Cabg artery-vein three
$580.00
33521
Cabg artery-vein four
$695.48
33522
Cabg artery-vein five
$780.22
33523
Cabg art-vein six or more
$886.95
33530
Coronary artery bypass/reop
$560.84
33533
Cabg arterial single
$1974.17
33534
Cabg arterial two
$2324.15
33535
Cabg arterial three
$2592.61
33536
Cabg arterial four or more
$2795.49
33542
Removal of heart lesion
$2781.81
33545
Repair of heart damage
$3286.69
33548
Restore/remodel ventricle
$3133.65
33572
Open coronary endarterectomy
$245.62
33600
Closure of valve
$1824.87
33602
Closure of valve
$1770.71
33606
Anastomosis/artery-aorta
$1966.96
33608
Repair anomaly w/conduit
$1912.78
33610
Repair by enlargement
$1886.10
33611
Repair double ventricle
$2176.48
33612
Repair double ventricle
$2137.46
33615
Repair modified fontan
$2125.46
33617
Repair single ventricle
$2304.40
33619
Repair single ventricle
$2900.39
33620
Apply r&l pulm art bands
$1759.09
33621
Transthor cath for stent
$987.47
33622
Redo compl cardiac anomaly
$3853.00
33641
Repair heart septum defect
$1746.40
33645
Revision of heart veins
$1843.63
33647
Repair heart septum defects
$1938.31
33660
Repair of heart defects
$1872.79
33665
Repair of heart defects
$2041.53
33670
Repair of heart chambers
$2109.46
33675
Close mult vsd
$2103.97
33676
Close mult vsd w/resection
$2258.92
33677
Cl mult vsd w/rem pul band
$2347.33
33681
Repair heart septum defect
$1952.74
33684
Repair heart septum defect
$2105.99
33688
Repair heart septum defect
$2012.97
33690
Reinforce pulmonary artery
$1268.44
33692
Repair of heart defects
$2191.16
33694
Repair of heart defects
$2176.48
33697
Repair of heart defects
$2193.47
33702
Repair of heart defects
$1641.85
33710
Repair of heart defects
$2290.31
33720
Repair of heart defect
$1642.56
33722
Repair of heart defect
$1730.54
33724
Repair venous anomaly
$1638.69
33726
Repair pul venous stenosis
$2169.49
33730
Repair heart-vein defect(s)
$2135.48
33732
Repair heart-vein defect
$1749.49
33735
Revision of heart chamber
$1371.31
33736
Revision of heart chamber
$1489.95
33737
Revision of heart chamber
$1426.10
33750
Major vessel shunt
$1339.93
33755
Major vessel shunt
$1393.70
33762
Major vessel shunt
$1415.50
33764
Major vessel shunt & graft
$1393.70
33766
Major vessel shunt
$1414.99
33767
Major vessel shunt
$1511.60
33768
Cavopulmonary shunting
$447.30
33770
Repair great vessels defect
$2369.75
33771
Repair great vessels defect
$2445.46
33774
Repair great vessels defect
$1911.27
33775
Repair great vessels defect
$2052.84
33776
Repair great vessels defect
$2168.22
33777
Repair great vessels defect
$2103.74
33778
Repair great vessels defect
$2618.00
33779
Repair great vessels defect
$2608.35
33780
Repair great vessels defect
$2531.79
33781
Repair great vessels defect
$2597.42
33782
Nikaidoh proc
$3452.86
33783
Nikaidoh proc w/ostia implt
$3916.67
33786
Repair arterial trunk
$2429.64
33788
Revision of pulmonary artery
$1699.56
33800
Aortic suspension
$1047.95
33802
Repair vessel defect
$1145.84
33803
Repair vessel defect
$1221.61
33813
Repair septal defect
$1360.25
33814
Repair septal defect
$1615.89
33820
Revise major vessel
$1026.41
33822
Revise major vessel
$1123.16
33824
Revise major vessel
$1248.12
33840
Remove aorta constriction
$1312.02
33845
Remove aorta constriction
$1412.36
33851
Remove aorta constriction
$1347.52
33852
Repair septal defect
$1483.33
33853
Repair septal defect
$1947.93
33860
Ascending aortic graft
$3405.88
33863
Ascending aortic graft
$3343.60
33864
Ascending aortic graft
$3420.42
33870
Transverse aortic arch graft
$2665.43
33875
Thoracic aortic graft
$2917.93
33877
Thoracoabdominal graft
$3884.48
33880
Endovasc taa repr incl subcl
$1931.56
33881
Endovasc taa repr w/o subcl
$1658.36
33883
Insert endovasc prosth taa
$1197.04
33884
Endovasc prosth taa add-on
$440.99
33886
Endovasc prosth delayed
$1033.54
33889
Artery transpose/endovas taa
$852.42
33891
Car-car bp grft/endovas taa
$1052.81
33910
Remove lung artery emboli
$2784.65
33915
Remove lung artery emboli
$1357.35
33916
Surgery of great vessel
$4479.04
33917
Repair pulmonary artery
$1544.47
33920
Repair pulmonary atresia
$2013.53
33922
Transect pulmonary artery
$1473.10
33924
Remove pulmonary shunt
$306.76
33925
Rpr pul art unifocal w/o cpb
$1831.91
33926
Repr pul art unifocal w/cpb
$2707.50
33935
Transplantation heart/lung
$5297.04
33945
Transplantation of heart
$5154.33
33946
Ecmo/ecls initiation venous
$323.33
33947
Ecmo/ecls initiation artery
$357.45
33948
Ecmo/ecls daily mgmt-venous
$254.43
33949
Ecmo/ecls daily mgmt artery
$247.58
33951
Ecmo/ecls insj prph cannula
$437.46
33952
Ecmo/ecls insj prph cannula
$457.76
33953
Ecmo/ecls insj prph cannula
$488.53
33954
Ecmo/ecls insj prph cannula
$511.89
33955
Ecmo/ecls insj ctr cannula
$872.90
33956
Ecmo/ecls insj ctr cannula
$893.09
33957
Ecmo/ecls repos perph cnula
$193.75
33958
Ecmo/ecls repos perph cnula
$191.64
33959
Ecmo/ecls repos perph cnula
$245.99
33962
Ecmo/ecls repos perph cnula
$253.03
33963
Ecmo/ecls repos perph cnula
$492.31
33964
Ecmo/ecls repos perph cnula
$514.58
33965
Ecmo/ecls rmvl perph cannula
$193.75
33966
Ecmo/ecls rmvl prph cannula
$250.57
33967
Insert i-aort percut device
$275.49
33968
Remove aortic assist device
$35.58
33969
Ecmo/ecls rmvl perph cannula
$286.45
33970
Aortic circulation assist
$377.78
33971
Aortic circulation assist
$745.17
33973
Insert balloon device
$547.06
33974
Remove intra-aortic balloon
$932.08
33975
Implant ventricular device
$1403.15
33976
Implant ventricular device
$1711.04
33977
Remove ventricular device
$1200.75
33978
Remove ventricular device
$1421.82
33979
Insert intracorporeal device
$2086.34
33980
Remove intracorporeal device
$1903.60
33981
Replace vad pump ext
$894.19
33982
Replace vad intra w/o bp
$2111.90
33983
Replace vad intra w/bp
$2474.78
33984
Ecmo/ecls rmvl prph cannula
$304.05
33985
Ecmo/ecls rmvl ctr cannula
$540.62
33986
Ecmo/ecls rmvl ctr cannula
$562.60
33987
Artery expos/graft artery
$222.13
33988
Insertion of left heart vent
$828.40
33989
Removal of left heart vent
$534.15
33990
Insert vad artery access
$467.44
33991
Insert vad art&vein access
$680.71
33992
Remove vad different session
$221.14
33993
Reposition vad diff session
$193.99
34001
Removal of artery clot
$1043.52
34051
Removal of artery clot
$1045.45
34101
Removal of artery clot
$645.57
34111
Removal of arm artery clot
$643.24
34151
Removal of artery clot
$1507.52
34201
Removal of artery clot
$1111.67
34203
Removal of leg artery clot
$1029.14
34401
Removal of vein clot
$1544.87
34421
Removal of vein clot
$782.78
34451
Removal of vein clot
$1560.08
34471
Removal of vein clot
$1168.33
34490
Removal of vein clot
$652.34
34501
Repair valve femoral vein
$1040.27
34502
Reconstruct vena cava
$1632.80
34510
Transposition of vein valve
$1261.44
34520
Cross-over vein graft
$1081.35
34530
Leg vein fusion
$1153.93
34800
Endovas aaa repr w/sm tube
$1216.96
34802
Endovas aaa repr w/2-p part
$1342.11
34803
Endovas aaa repr w/3-p part
$1388.21
34804
Endovas aaa repr w/1-p part
$1340.98
34805
Endovas aaa repr w/long tube
$1286.35
34806
Aneurysm press sensor add-on
$108.84
34808
Endovas iliac a device addon
$224.68
34812
Xpose for endoprosth femorl
$365.66
34813
Femoral endovas graft add-on
$257.10
34820
Xpose for endoprosth iliac
$532.47
34825
Endovasc extend prosth init
$745.01
34826
Endovasc exten prosth addl
$222.43
34830
Open aortic tube prosth repr
$1910.30
34831
Open aortoiliac prosth repr
$2062.69
34832
Open aortofemor prosth repr
$2044.04
34833
Xpose for endoprosth iliac
$658.65
34834
Xpose endoprosth brachial
$294.75
34900
Endovasc iliac repr w/graft
$963.28
35001
Repair defect of artery
$1204.85
35002
Repair artery rupture neck
$1229.86
35005
Repair defect of artery
$1146.11
35011
Repair defect of artery
$1078.98
35013
Repair artery rupture arm
$1348.56
35021
Repair defect of artery
$1333.62
35022
Repair artery rupture chest
$1478.21
35045
Repair defect of arm artery
$1063.76
35081
Repair defect of artery
$1887.34
35082
Repair artery rupture aorta
$2371.46
35091
Repair defect of artery
$1944.05
35092
Repair artery rupture aorta
$2812.68
35102
Repair defect of artery
$2044.95
35103
Repair artery rupture aorta
$2430.63
35111
Repair defect of artery
$1624.87
35112
Repair artery rupture spleen
$1959.79
35121
Repair defect of artery
$1775.05
35122
Repair artery rupture belly
$2288.96
35131
Repair defect of artery
$1498.10
35132
Repair artery rupture groin
$1767.03
35141
Repair defect of artery
$1193.95
35142
Repair artery rupture thigh
$1427.80
35151
Repair defect of artery
$1341.90
35152
Repair ruptd popliteal art
$1517.62
35180
Repair blood vessel lesion
$971.08
35182
Repair blood vessel lesion
$1898.72
35184
Repair blood vessel lesion
$1118.72
35188
Repair blood vessel lesion
$1197.46
35189
Repair blood vessel lesion
$1656.10
35190
Repair blood vessel lesion
$813.06
35201
Repair blood vessel lesion
$1011.95
35206
Repair blood vessel lesion
$827.77
35207
Repair blood vessel lesion
$771.24
35211
Repair blood vessel lesion
$1459.00
35216
Repair blood vessel lesion
$2173.64
35221
Repair blood vessel lesion
$1554.64
35226
Repair blood vessel lesion
$893.64
35231
Repair blood vessel lesion
$1280.55
35236
Repair blood vessel lesion
$1049.58
35241
Repair blood vessel lesion
$1446.89
35246
Repair blood vessel lesion
$1671.15
35251
Repair blood vessel lesion
$1824.82
35256
Repair blood vessel lesion
$1095.77
35261
Repair blood vessel lesion
$1134.14
35266
Repair blood vessel lesion
$934.44
35271
Repair blood vessel lesion
$1452.06
35276
Repair blood vessel lesion
$1544.90
35281
Repair blood vessel lesion
$1737.26
35286
Repair blood vessel lesion
$1005.25
35301
Rechanneling of artery
$1220.08
35302
Rechanneling of artery
$1214.80
35303
Rechanneling of artery
$1344.52
35304
Rechanneling of artery
$1387.22
35305
Rechanneling of artery
$1328.73
35306
Rechanneling of artery
$497.37
35311
Rechanneling of artery
$1577.67
35321
Rechanneling of artery
$958.74
35331
Rechanneling of artery
$1565.20
35341
Rechanneling of artery
$1476.68
35351
Rechanneling of artery
$1384.17
35355
Rechanneling of artery
$1119.96
35361
Rechanneling of artery
$1666.00
35363
Rechanneling of artery
$1882.26
35371
Rechanneling of artery
$883.38
35372
Rechanneling of artery
$1059.82
35390
Reoperation carotid add-on
$172.68
35400
Angioscopy
$161.92
35500
Harvest vein for bypass
$346.12
35501
Art byp grft ipsilat carotid
$1615.75
35506
Art byp grft subclav-carotid
$1384.22
35508
Art byp grft carotid-vertbrl
$1469.33
35509
Art byp grft contral carotid
$1529.31
35510
Art byp grft carotid-brchial
$1335.81
35511
Art byp grft subclav-subclav
$1216.74
35512
Art byp grft subclav-brchial
$1322.33
35515
Art byp grft subclav-vertbrl
$1509.26
35516
Art byp grft subclav-axilary
$1325.29
35518
Art byp grft axillary-axilry
$1257.16
35521
Art byp grft axill-femoral
$1339.03
35522
Art byp grft axill-brachial
$1305.41
35523
Art byp grft brchl-ulnr-rdl
$1381.48
35525
Art byp grft brachial-brchl
$1234.38
35526
Art byp grft aor/carot/innom
$1823.74
35531
Art byp grft aorcel/aormesen
$2187.09
35533
Art byp grft axill/fem/fem
$1623.18
35535
Art byp grft hepatorenal
$2080.60
35536
Art byp grft splenorenal
$1836.05
35537
Art byp grft aortoiliac
$2369.86
35538
Art byp grft aortobi-iliac
$2547.50
35539
Art byp grft aortofemoral
$2380.29
35540
Art byp grft aortbifemoral
$2666.59
35556
Art byp grft fem-popliteal
$1515.07
35558
Art byp grft fem-femoral
$1329.38
35560
Art byp grft aortorenal
$1861.63
35563
Art byp grft ilioiliac
$1439.68
35565
Art byp grft iliofemoral
$1430.87
35566
Art byp fem-ant-post tib/prl
$1811.12
35570
Art byp tibial-tib/peroneal
$1645.79
35571
Art byp pop-tibl-prl-other
$1439.96
35572
Harvest femoropopliteal vein
$374.39
35583
Vein byp grft fem-popliteal
$1566.40
35585
Vein byp fem-tibial peroneal
$1819.43
35587
Vein byp pop-tibl peroneal
$1477.17
35600
Harvest art for cabg add-on
$271.99
35601
Art byp common ipsi carotid
$1518.14
35606
Art byp carotid-subclavian
$1269.46
35612
Art byp subclav-subclavian
$1159.90
35616
Art byp subclav-axillary
$1197.47
35621
Art byp axillary-femoral
$1188.93
35623
Art byp axillary-pop-tibial
$1426.60
35626
Art byp aorsubcl/carot/innom
$1689.72
35631
Art byp aor-celiac-msn-renal
$2005.47
35632
Art byp ilio-celiac
$1958.30
35633
Art byp ilio-mesenteric
$2171.18
35634
Art byp iliorenal
$1918.62
35636
Art byp spenorenal
$1740.25
35637
Art byp aortoiliac
$1865.04
35638
Art byp aortobi-iliac
$1906.40
35642
Art byp carotid-vertebral
$1066.90
35645
Art byp subclav-vertebrl
$1093.26
35646
Art byp aortobifemoral
$1857.94
35647
Art byp aortofemoral
$1684.06
35650
Art byp axillary-axillary
$1164.19
35654
Art byp axill-fem-femoral
$1482.94
35656
Art byp femoral-popliteal
$1172.16
35661
Art byp femoral-femoral
$1171.73
35663
Art byp ilioiliac
$1355.92
35665
Art byp iliofemoral
$1268.24
35666
Art byp fem-ant-post tib/prl
$1367.95
35671
Art byp pop-tibl-prl-other
$1204.96
35681
Composite byp grft pros&vein
$86.78
35682
Composite byp grft 2 veins
$384.38
35683
Composite byp grft 3/> segmt
$449.19
35685
Bypass graft patency/patch
$216.31
35686
Bypass graft/av fist patency
$176.06
35691
Art trnsposj vertbrl carotid
$1035.81
35693
Art trnsposj subclavian
$874.97
35694
Art trnsposj subclav carotid
$1071.68
35695
Art trnsposj carotid subclav
$1133.95
35697
Reimplant artery each
$160.50
35700
Reoperation bypass graft
$166.21
35701
Exploration carotid artery
$593.51
35721
Exploration femoral artery
$485.15
35741
Exploration popliteal artery
$547.48
35761
Exploration of artery/vein
$407.86
35800
Explore neck vessels
$750.59
35820
Explore chest vessels
$2131.38
35840
Explore abdominal vessels
$1256.39
35860
Explore limb vessels
$901.49
35870
Repair vessel graft defect
$1347.35
35875
Removal of clot in graft
$639.31
35876
Removal of clot in graft
$1020.05
35879
Revise graft w/vein
$996.66
35881
Revise graft w/vein
$1102.70
35883
Revise graft w/nonauto graft
$1307.98
35884
Revise graft w/vein
$1344.35
35901
Excision graft neck
$506.27
35903
Excision graft extremity
$602.24
35905
Excision graft thorax
$1827.21
35907
Excision graft abdomen
$2072.48
36002
Pseudoaneurysm injection trt
Non-facility: $160.85
Facility: $110.73
36005
Injection ext venography
Non-facility: $305.34
Facility: $50.83
36010
Place catheter in vein
Non-facility: $478.25
Facility: $129.03
36011
Place catheter in vein
Non-facility: $789.32
Facility: $165.08
36012
Place catheter in vein
Non-facility: $816.28
Facility: $182.93
36013
Place catheter in artery
Non-facility: $740.33
Facility: $131.07
36014
Place catheter in artery
Non-facility: $766.34
Facility: $156.75
36015
Place catheter in artery
Non-facility: $821.84
Facility: $178.72
36100
Establish access to artery
Non-facility: $482.31
Facility: $164.66
36120
Establish access to artery
Non-facility: $403.94
Facility: $106.47
36140
Establish access to artery
Non-facility: $417.65
Facility: $109.44
36160
Establish access to aorta
Non-facility: $469.71
Facility: $128.95
36200
Place catheter in aorta
Non-facility: $596.39
Facility: $163.53
36215
Place catheter in artery
Non-facility: $1066.94
Facility: $246.78
36216
Place catheter in artery
Non-facility: $1136.10
Facility: $291.53
36217
Place catheter in artery
Non-facility: $1856.03
Facility: $346.54
36218
Place catheter in artery
Non-facility: $184.31
Facility: $56.08
36221
Place cath thoracic aorta
Non-facility: $1042.22
Facility: $228.89
36222
Place cath carotid/inom art
Non-facility: $1253.36
Facility: $313.10
36223
Place cath carotid/inom art
Non-facility: $1463.11
Facility: $341.90
36224
Place cath carotd art
Non-facility: $1721.59
Facility: $380.69
36225
Place cath subclavian art
Non-facility: $1430.15
Facility: $336.60
36226
Place cath vertebral art
Non-facility: $1747.22
Facility: $381.92
36227
Place cath xtrnl carotid
Non-facility: $246.48
Facility: $120.53
36228
Place cath intracranial art
Non-facility: $1153.92
Facility: $246.54
36245
Ins cath abd/l-ext art 1st
Non-facility: $1297.03
Facility: $266.62
36246
Ins cath abd/l-ext art 2nd
Non-facility: $857.06
Facility: $285.55
36247
Ins cath abd/l-ext art 3rd
Non-facility: $1498.74
Facility: $336.52
36248
Ins cath abd/l-ext art addl
Non-facility: $147.00
Facility: $51.96
36251
Ins cath ren art 1st unilat
Non-facility: $1352.63
Facility: $298.14
36252
Ins cath ren art 1st bilat
Non-facility: $1476.17
Facility: $398.25
36253
Ins cath ren art 2nd+ unilat
Non-facility: $2138.98
Facility: $394.51
36254
Ins cath ren art 2nd+ bilat
Non-facility: $2092.82
Facility: $462.59
36260
Insertion of infusion pump
$654.59
36261
Revision of infusion pump
$412.75
36262
Removal of infusion pump
$313.82
36400
Bl draw < 3 yrs fem/jugular
Non-facility: $29.52
Facility: $20.73
36405
Bl draw <3 yrs scalp vein
Non-facility: $25.79
Facility: $16.68
36406
Bl draw <3 yrs other vein
Non-facility: $16.13
Facility: $ 8.64
36410
Non-routine bl draw 3/> yrs
Non-facility: $16.45
Facility: $ 9.62
36420
Vein access cutdown < 1 yr
$54.16
36425
Vein access cutdown > 1 yr
$41.14
36430
Blood transfusion service
$32.14
36440
Bl push transfuse 2 yr/<
$58.29
36450
Bl exchange/transfuse nb
$120.52
36455
Bl exchange/transfuse non-nb
$132.75
36460
Transfusion service fetal
$356.23
36470
Injection therapy of vein
Non-facility: $145.02
Facility: $84.81
36471
Injection therapy of veins
Non-facility: $171.48
Facility: $103.78
36475
Endovenous rf 1st vein
Non-facility: $1456.34
Facility: $298.02
36476
Endovenous rf vein add-on
Non-facility: $292.50
Facility: $145.07
36478
Endovenous laser 1st vein
Non-facility: $1149.46
Facility: $295.78
36479
Endovenous laser vein addon
Non-facility: $302.42
Facility: $144.57
36481
Insertion of catheter vein
Non-facility: $1920.30
Facility: $361.01
36500
Insertion of catheter vein
$191.07
36510
Insertion of catheter vein
Non-facility: $88.75
Facility: $56.86
36511
Apheresis wbc
$94.70
36512
Apheresis rbc
$95.35
36513
Apheresis platelets
$99.88
36514
Apheresis plasma
Non-facility: $506.37
Facility: $94.99
36515
Apheresis adsorp/reinfuse
Non-facility: $1919.81
Facility: $90.72
36516
Apheresis selective
Non-facility: $1933.42
Facility: $73.09
36522
Photopheresis
Non-facility: $1301.60
Facility: $102.28
36555
Insert non-tunnel cv cath
Non-facility: $250.00
Facility: $122.42
36556
Insert non-tunnel cv cath
Non-facility: $228.47
Facility: $125.30
36557
Insert tunneled cv cath
Non-facility: $967.35
Facility: $342.47
36558
Insert tunneled cv cath
Non-facility: $750.33
Facility: $285.57
36560
Insert tunneled cv cath
Non-facility: $1286.70
Facility: $406.65
36561
Insert tunneled cv cath
Non-facility: $1124.01
Facility: $367.63
36563
Insert tunneled cv cath
Non-facility: $1272.01
Facility: $399.78
36565
Insert tunneled cv cath
Non-facility: $940.64
Facility: $367.50
36566
Insert tunneled cv cath
Non-facility: $5086.00
Facility: $401.96
36568
Insert picc cath
Non-facility: $287.60
Facility: $99.80
36569
Insert picc cath
Non-facility: $239.95
Facility: $94.15
36570
Insert picvad cath
Non-facility: $1098.88
Facility: $318.42
36571
Insert picvad cath
Non-facility: $1240.27
Facility: $335.82
36575
Repair tunneled cv cath
Non-facility: $157.89
Facility: $36.49
36576
Repair tunneled cv cath
Non-facility: $379.78
Facility: $205.33
36578
Replace tunneled cv cath
Non-facility: $500.97
Facility: $222.70
36580
Replace cvad cath
Non-facility: $205.62
Facility: $69.26
36581
Replace tunneled cv cath
Non-facility: $730.25
Facility: $202.02
36582
Replace tunneled cv cath
Non-facility: $1050.55
Facility: $317.94
36583
Replace tunneled cv cath
Non-facility: $1301.45
Facility: $353.70
36584
Replace picc cath
Non-facility: $195.33
Facility: $68.08
36585
Replace picvad cath
Non-facility: $1093.74
Facility: $294.08
36589
Removal tunneled cv cath
Non-facility: $165.44
Facility: $141.35
36590
Removal tunneled cv cath
Non-facility: $292.26
Facility: $212.20
36591
Draw blood off venous device
$21.60
36592
Collect blood from picc
$24.21
36593
Declot vascular device
$28.89
36595
Mech remov tunneled cv cath
Non-facility: $560.02
Facility: $190.62
36596
Mech remov tunneled cv cath
Non-facility: $127.35
Facility: $45.99
36597
Reposition venous catheter
Non-facility: $123.56
Facility: $63.35
36598
Inj w/fluor eval cv device
Non-facility: $105.79
Facility: $38.10
36600
Withdrawal of arterial blood
Non-facility: $30.70
Facility: $16.06
36620
Insertion catheter artery
$52.82
36625
Insertion catheter artery
$109.47
36640
Insertion catheter artery
$120.12
36660
Insertion catheter artery
$66.13
36680
Insert needle bone cavity
$61.13
36800
Insertion of cannula
$129.32
36810
Insertion of cannula
$226.81
36815
Insertion of cannula
$155.02
36818
Av fuse uppr arm cephalic
$743.04
36819
Av fuse uppr arm basilic
$786.63
36820
Av fusion/forearm vein
$783.47
36821
Av fusion direct any site
$711.97
36823
Insertion of cannula(s)
$1415.59
36825
Artery-vein autograft
$857.38
36830
Artery-vein nonautograft
$716.67
36831
Open thrombect av fistula
$661.79
36832
Av fistula revision open
$812.02
36833
Av fistula revision
$870.96
36835
Artery to vein shunt
$516.85
36838
Dist revas ligation hemo
$1233.86
36860
External cannula declotting
Non-facility: $201.97
Facility: $112.46
36861
Cannula declotting
$140.16
37140
Revision of circulation
$2422.32
37145
Revision of circulation
$2266.56
37160
Revision of circulation
$2328.10
37180
Revision of circulation
$2130.23
37181
Splice spleen/kidney veins
$2451.68
37182
Insert hepatic shunt (tips)
$862.76
37183
Remove hepatic shunt (tips)
Non-facility: $5520.95
Facility: $407.31
37184
Prim art m-thrmbc 1st vsl
Non-facility: $2164.54
Facility: $488.74
37185
Prim art m-thrmbc sbsq vsl
Non-facility: $690.41
Facility: $179.44
37186
Sec art thrombectomy add-on
Non-facility: $1308.91
Facility: $266.14
37187
Venous mech thrombectomy
Non-facility: $1958.29
Facility: $430.25
37188
Venous m-thrombectomy add-on
Non-facility: $1678.79
Facility: $307.62
37191
Ins endovas vena cava filtr
Non-facility: $2466.31
Facility: $250.57
37192
Redo endovas vena cava filtr
Non-facility: $1478.78
Facility: $389.14
37193
Rem endovas vena cava filter
Non-facility: $1523.14
Facility: $384.67
37197
Remove intrvas foreign body
Non-facility: $1444.66
Facility: $333.54
37200
Transcatheter biopsy
$228.05
37211
Thrombolytic art therapy
$423.40
37212
Thrombolytic venous therapy
$371.86
37213
Thromblytic art/ven therapy
$260.14
37214
Cessj therapy cath removal
$142.74
37215
Transcath stent cca w/eps
$1067.27
37217
Stent placemt retro carotid
$1169.57
37218
Stent placemt ante carotid
$869.37
37220
Iliac revasc
Non-facility: $2980.39
Facility: $445.70
37221
Iliac revasc w/stent
Non-facility: $4381.67
Facility: $547.41
37222
Iliac revasc add-on
Non-facility: $845.87
Facility: $201.46
37223
Iliac revasc w/stent add-on
Non-facility: $2429.24
Facility: $230.75
37224
Fem/popl revas w/tla
Non-facility: $3609.93
Facility: $489.73
37225
Fem/popl revas w/ather
Non-facility: $10292.47
Facility: $665.01
37226
Fem/popl revasc w/stent
Non-facility: $8467.90
Facility: $576.44
37227
Fem/popl revasc stnt & ather
Non-facility: $13890.60
Facility: $799.90
37228
Tib/per revasc w/tla
Non-facility: $5119.68
Facility: $599.02
37229
Tib/per revasc w/ather
Non-facility: $10159.17
Facility: $775.48
37230
Tib/per revasc w/stent
Non-facility: $7784.28
Facility: $763.75
37231
Tib/per revasc stent & ather
Non-facility: $12486.24
Facility: $830.50
37232
Tib/per revasc add-on
Non-facility: $1149.15
Facility: $217.68
37233
Tibper revasc w/ather add-on
Non-facility: $1398.40
Facility: $354.65
37234
Revsc opn/prq tib/pero stent
Non-facility: $3631.12
Facility: $305.23
37235
Tib/per revasc stnt & ather
Non-facility: $3835.04
Facility: $432.99
37236
Open/perq place stent 1st
Non-facility: $3868.35
Facility: $481.28
37237
Open/perq place stent ea add
Non-facility: $2308.08
Facility: $228.38
37238
Open/perq place stent same
Non-facility: $3928.01
Facility: $332.31
37239
Open/perq place stent ea add
Non-facility: $1901.57
Facility: $159.70
37241
Vasc embolize/occlude venous
Non-facility: $4477.72
Facility: $476.18
37242
Vasc embolize/occlude artery
Non-facility: $7164.88
Facility: $517.98
37243
Vasc embolize/occlude organ
Non-facility: $9092.23
Facility: $608.43
37244
Vasc embolize/occlude bleed
Non-facility: $6360.94
Facility: $712.89
37252
Intrvasc us noncoronary 1st
Non-facility: $1306.78
Facility: $98.67
37253
Intrvasc us noncoronary addl
Non-facility: $210.22
Facility: $79.06
37500
Endoscopy ligate perf veins
$796.78
37565
Ligation of neck vein
$756.02
37600
Ligation of neck artery
$746.06
37605
Ligation of neck artery
$849.20
37606
Ligation of neck artery
$604.71
37607
Ligation of a-v fistula
$398.39
37609
Temporal artery procedure
Non-facility: $308.01
Facility: $213.95
37615
Ligation of neck artery
$523.83
37616
Ligation of chest artery
$1160.93
37617
Ligation of abdomen artery
$1413.31
37618
Ligation of extremity artery
$401.77
37619
Ligation of inf vena cava
$1740.83
37650
Revision of major vein
$537.19
37660
Revision of major vein
$1245.08
37700
Revise leg vein
$261.85
37718
Ligate/strip short leg vein
$462.02
37722
Ligate/strip long leg vein
$509.79
37735
Removal of leg veins/lesion
$724.36
37760
Ligate leg veins radical
$655.85
37761
Ligate leg veins open
$583.39
37765
Stab phleb veins xtr 10-20
Non-facility: $659.62
Facility: $474.44
37766
Phleb veins - extrem 20+
Non-facility: $787.30
Facility: $580.95
37780
Revision of leg vein
$267.13
37785
Ligate/divide/excise vein
Non-facility: $358.99
Facility: $274.05
37788
Revascularization penis
$1323.30
37790
Penile venous occlusion
$514.29
38100
Removal of spleen total
$1209.95
38101
Removal of spleen partial
$1211.73
38102
Removal of spleen total
$277.03
38115
Repair of ruptured spleen
$1326.48
38120
Laparoscopy splenectomy
$1099.78
38200
Injection for spleen x-ray
$121.11
38205
Harvest allogeneic stem cell
$83.58
38206
Harvest auto stem cells
$83.90
38220
Bone marrow aspiration
Non-facility: $157.56
Facility: $62.85
38221
Bone marrow biopsy
Non-facility: $160.49
Facility: $75.55
38230
Bone marrow harvest allogen
$202.99
38232
Bone marrow harvest autolog
$202.34
38240
Transplt allo hct/donor
$225.51
38241
Transplt autol hct/donor
$168.99
38242
Transplt allo lymphocytes
$118.48
38243
Transplj hematopoietic boost
$118.22
38300
Drainage lymph node lesion
Non-facility: $270.92
Facility: $186.95
38305
Drainage lymph node lesion
$488.57
38308
Incision of lymph channels
$461.37
38380
Thoracic duct procedure
$578.55
38381
Thoracic duct procedure
$839.57
38382
Thoracic duct procedure
$644.13
38500
Biopsy/removal lymph nodes
Non-facility: $333.03
Facility: $262.40
38505
Needle biopsy lymph nodes
Non-facility: $122.89
Facility: $72.11
38510
Biopsy/removal lymph nodes
Non-facility: $525.11
Facility: $434.63
38520
Biopsy/removal lymph nodes
$478.15
38525
Biopsy/removal lymph nodes
$451.10
38530
Biopsy/removal lymph nodes
$566.50
38542
Explore deep node(s) neck
$531.21
38550
Removal neck/armpit lesion
$520.25
38555
Removal neck/armpit lesion
$1042.53
38562
Removal pelvic lymph nodes
$722.02
38564
Removal abdomen lymph nodes
$730.63
38570
Laparoscopy lymph node biop
$518.62
38571
Laparoscopy lymphadenectomy
$684.62
38572
Laparoscopy lymphadenectomy
$963.60
38700
Removal of lymph nodes neck
$825.63
38720
Removal of lymph nodes neck
$1386.06
38724
Removal of lymph nodes neck
$1494.85
38740
Remove armpit lymph nodes
$720.12
38745
Remove armpit lymph nodes
$910.96
38746
Remove thoracic lymph nodes
$229.19
38747
Remove abdominal lymph nodes
$282.50
38760
Remove groin lymph nodes
$873.82
38765
Remove groin lymph nodes
$1344.29
38770
Remove pelvis lymph nodes
$830.04
38780
Remove abdomen lymph nodes
$1052.75
38790
Inject for lymphatic x-ray
$85.02
38792
Ra tracer id of sentinl node
$39.98
38794
Access thoracic lymph duct
$301.42
38900
Io map of sent lymph node
$146.05
39000
Exploration of chest
$514.87
39010
Exploration of chest
$824.62
39200
Resect mediastinal cyst
$925.90
39220
Resect mediastinal tumor
$1193.58
39401
Mediastinoscpy w/medstnl bx
$328.16
39402
Mediastinoscpy w/lmph nod bx
$429.50
39501
Repair diaphragm laceration
$884.66
39503
Repair of diaphragm hernia
$6482.86
39540
Repair of diaphragm hernia
$905.15
39541
Repair of diaphragm hernia
$987.88
39545
Revision of diaphragm
$934.25
39560
Resect diaphragm simple
$830.30
39561
Resect diaphragm complex
$1290.52
40490
Biopsy of lip
Non-facility: $125.84
Facility: $75.07
40500
Partial excision of lip
Non-facility: $497.71
Facility: $367.20
40510
Partial excision of lip
Non-facility: $480.18
Facility: $362.69
40520
Partial excision of lip
Non-facility: $484.64
Facility: $364.22
40525
Reconstruct lip with flap
$561.16
40527
Reconstruct lip with flap
$630.87
40530
Partial removal of lip
Non-facility: $535.88
Facility: $410.58
40650
Repair lip
Non-facility: $433.00
Facility: $301.84
40652
Repair lip
Non-facility: $479.68
Facility: $354.70
40654
Repair lip
Non-facility: $562.70
Facility: $429.91
40700
Repair cleft lip/nasal
$925.10
40701
Repair cleft lip/nasal
$1042.71
40702
Repair cleft lip/nasal
$862.69
40720
Repair cleft lip/nasal
$1041.06
40761
Repair cleft lip/nasal
$1102.70
40800
Drainage of mouth lesion
Non-facility: $208.26
Facility: $132.42
40801
Drainage of mouth lesion
Non-facility: $314.06
Facility: $226.84
40804
Removal foreign body mouth
Non-facility: $187.21
Facility: $118.21
40805
Removal foreign body mouth
Non-facility: $359.14
Facility: $222.77
40806
Incision of lip fold
Non-facility: $108.46
Facility: $31.97
40808
Biopsy of mouth lesion
Non-facility: $182.64
Facility: $109.08
40810
Excision of mouth lesion
Non-facility: $203.27
Facility: $129.07
40812
Excise/repair mouth lesion
Non-facility: $287.21
Facility: $201.94
40814
Excise/repair mouth lesion
Non-facility: $385.73
Facility: $311.20
40816
Excision of mouth lesion
Non-facility: $403.07
Facility: $323.33
40818
Excise oral mucosa for graft
Non-facility: $353.44
Facility: $273.37
40819
Excise lip or cheek fold
Non-facility: $314.85
Facility: $243.90
40820
Treatment of mouth lesion
Non-facility: $259.06
Facility: $171.51
40830
Repair mouth laceration
Non-facility: $261.04
Facility: $166.66
40831
Repair mouth laceration
Non-facility: $333.23
Facility: $227.78
40840
Reconstruction of mouth
Non-facility: $816.21
Facility: $645.67
40842
Reconstruction of mouth
Non-facility: $785.11
Facility: $619.13
40843
Reconstruction of mouth
Non-facility: $1093.36
Facility: $876.92
40844
Reconstruction of mouth
Non-facility: $1313.52
Facility: $1079.84
40845
Reconstruction of mouth
Non-facility: $1480.10
Facility: $1261.06
41000
Drainage of mouth lesion
Non-facility: $161.25
Facility: $114.39
41005
Drainage of mouth lesion
Non-facility: $222.39
Facility: $126.05
41006
Drainage of mouth lesion
Non-facility: $357.02
Facility: $257.43
41007
Drainage of mouth lesion
Non-facility: $348.59
Facility: $247.70
41008
Drainage of mouth lesion
Non-facility: $378.90
Facility: $276.71
41009
Drainage of mouth lesion
Non-facility: $402.34
Facility: $299.82
41010
Incision of tongue fold
Non-facility: $197.93
Facility: $108.76
41015
Drainage of mouth lesion
Non-facility: $452.05
Facility: $357.34
41016
Drainage of mouth lesion
Non-facility: $442.32
Facility: $359.33
41017
Drainage of mouth lesion
Non-facility: $446.35
Facility: $361.08
41018
Drainage of mouth lesion
Non-facility: $509.73
Facility: $423.81
41019
Place needles h&n for rt
$477.65
41100
Biopsy of tongue
Non-facility: $166.81
Facility: $110.18
41105
Biopsy of tongue
Non-facility: $169.70
Facility: $114.05
41108
Biopsy of floor of mouth
Non-facility: $146.28
Facility: $92.25
41110
Excision of tongue lesion
Non-facility: $209.38
Facility: $133.54
41112
Excision of tongue lesion
Non-facility: $333.39
Facility: $257.23
41113
Excision of tongue lesion
Non-facility: $365.82
Facility: $285.75
41114
Excision of tongue lesion
$651.09
41115
Excision of tongue fold
Non-facility: $244.84
Facility: $155.66
41116
Excision of mouth lesion
Non-facility: $328.39
Facility: $223.91
41120
Partial removal of tongue
$1090.41
41130
Partial removal of tongue
$1351.11
41135
Tongue and neck surgery
$2236.78
41140
Removal of tongue
$2249.63
41145
Tongue removal neck surgery
$2865.06
41150
Tongue mouth jaw surgery
$2267.31
41153
Tongue mouth neck surgery
$2473.65
41155
Tongue jaw & neck surgery
$3113.95
41250
Repair tongue laceration
Non-facility: $262.92
Facility: $155.52
41251
Repair tongue laceration
Non-facility: $288.11
Facility: $185.91
41252
Repair tongue laceration
Non-facility: $313.63
Facility: $215.66
41500
Fixation of tongue
$412.18
41510
Tongue to lip surgery
$419.94
41512
Tongue suspension
$667.89
41520
Reconstruction tongue fold
Non-facility: $352.31
Facility: $262.81
41530
Tongue base vol reduction
Non-facility: $949.81
Facility: $376.99
41800
Drainage of gum lesion
Non-facility: $263.47
Facility: $146.30
41805
Removal foreign body gum
Non-facility: $252.47
Facility: $174.36
41806
Removal foreign body jawbone
Non-facility: $352.83
Facility: $264.96
41822
Excision of gum lesion
Non-facility: $292.15
Facility: $188.00
41823
Excision of gum lesion
Non-facility: $428.62
Facility: $330.98
41825
Excision of gum lesion
Non-facility: $208.89
Facility: $124.59
41826
Excision of gum lesion
Non-facility: $313.50
Facility: $217.17
41827
Excision of gum lesion
Non-facility: $440.29
Facility: $314.98
41828
Excision of gum lesion
Non-facility: $311.75
Facility: $221.27
41830
Removal of gum tissue
Non-facility: $394.74
Facility: $292.55
41872
Repair gum
Non-facility: $364.69
Facility: $261.85
41874
Repair tooth socket
Non-facility: $376.35
Facility: $263.42
42000
Drainage mouth roof lesion
Non-facility: $157.20
Facility: $105.45
42100
Biopsy roof of mouth
Non-facility: $149.57
Facility: $111.82
42104
Excision lesion mouth roof
Non-facility: $213.75
Facility: $141.82
42106
Excision lesion mouth roof
Non-facility: $272.01
Facility: $182.51
42107
Excision lesion mouth roof
Non-facility: $462.97
Facility: $355.25
42120
Remove palate/lesion
$1033.77
42140
Excision of uvula
Non-facility: $248.81
Facility: $156.05
42145
Repair palate pharynx/uvula
$716.75
42160
Treatment mouth roof lesion
Non-facility: $229.81
Facility: $149.75
42180
Repair palate
Non-facility: $244.27
Facility: $187.96
42182
Repair palate
Non-facility: $322.96
Facility: $262.75
42200
Reconstruct cleft palate
$869.29
42205
Reconstruct cleft palate
$908.79
42210
Reconstruct cleft palate
$1014.54
42215
Reconstruct cleft palate
$668.08
42220
Reconstruct cleft palate
$506.67
42225
Reconstruct cleft palate
$882.38
42226
Lengthening of palate
$904.38
42227
Lengthening of palate
$860.37
42235
Repair palate
$736.70
42260
Repair nose to lip fistula
Non-facility: $822.79
Facility: $681.87
42280
Preparation palate mold
Non-facility: $165.70
Facility: $113.63
42281
Insertion palate prosthesis
Non-facility: $204.32
Facility: $153.55
42300
Drainage of salivary gland
Non-facility: $208.55
Facility: $155.18
42305
Drainage of salivary gland
$441.61
42310
Drainage of salivary gland
Non-facility: $160.39
Facility: $125.57
42320
Drainage of salivary gland
Non-facility: $248.74
Facility: $178.77
42330
Removal of salivary stone
Non-facility: $231.44
Facility: $168.30
42335
Removal of salivary stone
Non-facility: $372.80
Facility: $262.79
42340
Removal of salivary stone
Non-facility: $463.13
Facility: $342.38
42400
Biopsy of salivary gland
Non-facility: $103.57
Facility: $55.72
42405
Biopsy of salivary gland
Non-facility: $299.09
Facility: $231.40
42408
Excision of salivary cyst
Non-facility: $451.09
Facility: $332.62
42409
Drainage of salivary cyst
Non-facility: $329.25
Facility: $224.78
42410
Excise parotid gland/lesion
$639.03
42415
Excise parotid gland/lesion
$1086.04
42420
Excise parotid gland/lesion
$1221.22
42425
Excise parotid gland/lesion
$858.90
42426
Excise parotid gland/lesion
$1390.94
42440
Excise submaxillary gland
$421.56
42450
Excise sublingual gland
Non-facility: $451.84
Facility: $364.30
42500
Repair salivary duct
Non-facility: $433.26
Facility: $347.99
42505
Repair salivary duct
Non-facility: $557.99
Facility: $462.63
42507
Parotid duct diversion
$521.40
42509
Parotid duct diversion
$859.56
42510
Parotid duct diversion
$652.23
42550
Injection for salivary x-ray
Non-facility: $131.38
Facility: $64.99
42600
Closure of salivary fistula
Non-facility: $477.56
Facility: $354.86
42650
Dilation of salivary duct
Non-facility: $82.95
Facility: $59.52
42660
Dilation of salivary duct
Non-facility: $128.94
Facility: $92.81
42665
Ligation of salivary duct
Non-facility: $305.76
Facility: $207.80
42700
Drainage of tonsil abscess
Non-facility: $187.73
Facility: $136.95
42720
Drainage of throat abscess
Non-facility: $461.62
Facility: $404.02
42725
Drainage of throat abscess
$839.33
42800
Biopsy of throat
Non-facility: $157.32
Facility: $113.38
42804
Biopsy of upper nose/throat
Non-facility: $191.41
Facility: $113.95
42806
Biopsy of upper nose/throat
Non-facility: $215.91
Facility: $133.57
42808
Excise pharynx lesion
Non-facility: $226.65
Facility: $165.79
42809
Remove pharynx foreign body
Non-facility: $200.43
Facility: $125.25
42810
Excision of neck cyst
Non-facility: $383.52
Facility: $291.09
42815
Excision of neck cyst
$567.09
42820
Remove tonsils and adenoids
$296.28
42821
Remove tonsils and adenoids
$307.39
42825
Removal of tonsils
$266.04
42826
Removal of tonsils
$255.64
42830
Removal of adenoids
$209.57
42831
Removal of adenoids
$226.41
42835
Removal of adenoids
$194.20
42836
Removal of adenoids
$244.56
42842
Extensive surgery of throat
$1033.60
42844
Extensive surgery of throat
$1421.12
42845
Extensive surgery of throat
$2308.52
42860
Excision of tonsil tags
$189.91
42870
Excision of lingual tonsil
$600.85
42890
Partial removal of pharynx
$1470.42
42892
Revision of pharyngeal walls
$1947.33
42894
Revision of pharyngeal walls
$2450.60
42900
Repair throat wound
$346.08
42950
Reconstruction of throat
$825.56
42953
Repair throat esophagus
$991.79
42955
Surgical opening of throat
$780.44
42960
Control throat bleeding
$173.17
42961
Control throat bleeding
$431.01
42962
Control throat bleeding
$528.41
42970
Control nose/throat bleeding
$408.44
42971
Control nose/throat bleeding
$466.24
42972
Control nose/throat bleeding
$522.69
43020
Incision of esophagus
$548.08
43030
Throat muscle surgery
$532.67
43045
Incision of esophagus
$1371.68
43100
Excision of esophagus lesion
$639.60
43101
Excision of esophagus lesion
$1068.09
43107
Removal of esophagus
$2692.83
43108
Removal of esophagus
$4832.80
43112
Removal of esophagus
$2848.62
43113
Removal of esophagus
$4780.62
43116
Partial removal of esophagus
$5239.84
43117
Partial removal of esophagus
$2609.84
43118
Partial removal of esophagus
$3909.66
43121
Partial removal of esophagus
$3042.93
43122
Partial removal of esophagus
$2703.56
43123
Partial removal of esophagus
$4993.51
43124
Removal of esophagus
$4049.98
43130
Removal of esophagus pouch
$812.08
43135
Removal of esophagus pouch
$1565.92
43180
Esophagoscopy rigid trnso
$565.85
43191
Esophagoscopy rigid trnso dx
$158.48
43192
Esophagoscp rig trnso inject
$175.12
43193
Esophagoscp rig trnso biopsy
$174.72
43194
Esophagoscp rig trnso rem fb
$201.61
43195
Esophagoscopy rigid balloon
$189.99
43196
Esophagoscp guide wire dilat
$203.88
43197
Esophagoscopy flex dx brush
Non-facility: $183.86
Facility: $86.22
43198
Esophagosc flex trnsn biopsy
Non-facility: $204.98
Facility: $103.44
43200
Esophagoscopy flexible brush
Non-facility: $259.69
Facility: $96.64
43201
Esoph scope w/submucous inj
Non-facility: $264.94
Facility: $112.63
43202
Esophagoscopy flex biopsy
Non-facility: $344.81
Facility: $112.75
43204
Esoph scope w/sclerosis inj
$145.83
43205
Esophagus endoscopy/ligation
$151.96
43206
Esoph optical endomicroscopy
Non-facility: $317.91
Facility: $145.74
43210
Egd esophagogastrc fndoplsty
$441.02
43211
Esophagoscop mucosal resect
$251.01
43212
Esophagoscop stent placement
$205.28
43213
Esophagoscopy retro balloon
Non-facility: $1154.27
Facility: $274.88
43214
Esophagosc dilate balloon 30
$205.31
43215
Esophagoscopy flex remove fb
Non-facility: $400.95
Facility: $153.92
43216
Esophagoscopy lesion removal
Non-facility: $394.38
Facility: $144.43
43217
Esophagoscopy snare les remv
Non-facility: $428.20
Facility: $173.37
43220
Esophagoscopy balloon <30mm
Non-facility: $1056.89
Facility: $128.35
43226
Esoph endoscopy dilation
Non-facility: $364.21
Facility: $141.92
43227
Esophagoscopy control bleed
Non-facility: $656.93
Facility: $177.85
43229
Esophagoscopy lesion ablate
Non-facility: $684.93
Facility: $211.38
43231
Esophagoscop ultrasound exam
Non-facility: $384.71
Facility: $172.18
43232
Esophagoscopy w/us needle bx
Non-facility: $459.74
Facility: $211.74
43233
Egd balloon dil esoph30 mm/>
$243.35
43235
Egd diagnostic brush wash
Non-facility: $298.54
Facility: $132.88
43236
Uppr gi scope w/submuc inj
Non-facility: $370.18
Facility: $149.85
43237
Endoscopic us exam esoph
$209.32
43238
Egd us fine needle bx/aspir
$248.15
43239
Egd biopsy single/multiple
Non-facility: $379.42
Facility: $149.97
43240
Egd w/transmural drain cyst
$415.66
43241
Egd tube/cath insertion
$154.12
43242
Egd us fine needle bx/aspir
$280.04
43243
Egd injection varices
$253.11
43244
Egd varices ligation
$261.55
43245
Egd dilate stricture
Non-facility: $583.23
Facility: $189.42
43246
Egd place gastrostomy tube
$215.08
43247
Egd remove foreign body
Non-facility: $400.70
Facility: $190.45
43248
Egd guide wire insertion
Non-facility: $392.15
Facility: $178.64
43249
Esoph egd dilation <30 mm
Non-facility: $1004.94
Facility: $165.25
43250
Egd cautery tumor polyp
Non-facility: $436.94
Facility: $183.40
43251
Egd remove lesion snare
Non-facility: $478.40
Facility: $210.22
43252
Egd optical endomicroscopy
Non-facility: $354.72
Facility: $180.93
43253
Egd us transmural injxn/mark
$279.26
43254
Egd endo mucosal resection
$288.15
43255
Egd control bleeding any
Non-facility: $691.74
Facility: $214.62
43257
Egd w/thrml txmnt gerd
$248.69
43259
Egd us exam duodenum/jejunum
$241.21
43260
Ercp w/specimen collection
$342.04
43261
Endo cholangiopancreatograph
$359.26
43262
Endo cholangiopancreatograph
$378.79
43263
Ercp sphincter pressure meas
$379.24
43264
Ercp remove duct calculi
$385.85
43265
Ercp lithotripsy calculi
$458.25
43266
Egd endoscopic stent place
$242.17
43270
Egd lesion ablation
Non-facility: $714.86
Facility: $248.15
43273
Endoscopic pancreatoscopy
$125.11
43274
Ercp duct stent placement
$489.21
43275
Ercp remove forgn body duct
$399.13
43276
Ercp stent exchange w/dilate
$509.55
43277
Ercp ea duct/ampulla dilate
$401.21
43278
Ercp lesion ablate w/dilate
$457.89
43279
Lap myotomy heller
$1358.98
43280
Laparoscopy fundoplasty
$1133.64
43281
Lap paraesophag hern repair
$1624.81
43282
Lap paraesoph her rpr w/mesh
$1827.35
43283
Lap esoph lengthening
$168.60
43300
Repair of esophagus
$630.25
43305
Repair esophagus and fistula
$1131.19
43310
Repair of esophagus
$1572.23
43312
Repair esophagus and fistula
$1711.57
43313
Esophagoplasty congenital
$2797.64
43314
Tracheo-esophagoplasty cong
$3225.55
43320
Fuse esophagus & stomach
$1460.88
43325
Revise esophagus & stomach
$1404.71
43327
Esoph fundoplasty lap
$857.79
43328
Esoph fundoplasty thor
$1197.26
43330
Esophagomyotomy abdominal
$1392.59
43331
Esophagomyotomy thoracic
$1414.80
43332
Transab esoph hiat hern rpr
$1218.98
43333
Transab esoph hiat hern rpr
$1329.13
43334
Transthor diaphrag hern rpr
$1322.95
43335
Transthor diaphrag hern rpr
$1419.92
43336
Thorabd diaphr hern repair
$1589.94
43337
Thorabd diaphr hern repair
$1715.09
43338
Esoph lengthening
$123.94
43340
Fuse esophagus & intestine
$1430.86
43341
Fuse esophagus & intestine
$1482.25
43351
Surgical opening esophagus
$1348.50
43352
Surgical opening esophagus
$1122.55
43360
Gastrointestinal repair
$2486.37
43361
Gastrointestinal repair
$2700.54
43400
Ligate esophagus veins
$1527.16
43401
Esophagus surgery for veins
$1639.24
43405
Ligate/staple esophagus
$1536.45
43410
Repair esophagus wound
$1095.58
43415
Repair esophagus wound
$2713.66
43420
Repair esophagus opening
$1045.20
43425
Repair esophagus opening
$1512.76
43450
Dilate esophagus 1/mult pass
Non-facility: $202.32
Facility: $87.43
43453
Dilate esophagus
Non-facility: $900.98
Facility: $94.16
43460
Pressure treatment esophagus
$221.80
43500
Surgical opening of stomach
$816.84
43501
Surgical repair of stomach
$1408.66
43502
Surgical repair of stomach
$1597.21
43510
Surgical opening of stomach
$984.47
43520
Incision of pyloric muscle
$718.19
43605
Biopsy of stomach
$873.03
43610
Excision of stomach lesion
$1025.37
43611
Excision of stomach lesion
$1280.50
43620
Removal of stomach
$2055.89
43621
Removal of stomach
$2391.36
43622
Removal of stomach
$2440.46
43631
Removal of stomach partial
$1519.94
43632
Removal of stomach partial
$2137.76
43633
Removal of stomach partial
$2018.98
43634
Removal of stomach partial
$2224.61
43635
Removal of stomach partial
$119.17
43640
Vagotomy & pylorus repair
$1233.71
43641
Vagotomy & pylorus repair
$1239.66
43644
Lap gastric bypass/roux-en-y
$1818.34
43645
Lap gastr bypass incl smll i
$1944.91
43651
Laparoscopy vagus nerve
$676.33
43652
Laparoscopy vagus nerve
$798.50
43653
Laparoscopy gastrostomy
$592.45
43752
Nasal/orogastric w/tube plmt
$42.03
43753
Tx gastro intub w/asp
$22.71
43754
Dx gastr intub w/asp spec
Non-facility: $100.12
Facility: $32.75
43755
Dx gastr intub w/asp specs
Non-facility: $135.71
Facility: $63.46
43756
Dx duod intub w/asp spec
Non-facility: $193.81
Facility: $51.91
43757
Dx duod intub w/asp specs
Non-facility: $274.58
Facility: $79.30
43760
Change gastrostomy tube
Non-facility: $454.97
Facility: $48.80
43761
Reposition gastrostomy tube
Non-facility: $118.16
Facility: $105.80
43770
Lap place gastr adj device
$1167.81
43771
Lap revise gastr adj device
$1330.96
43772
Lap rmvl gastr adj device
$991.78
43773
Lap replace gastr adj device
$1325.00
43774
Lap rmvl gastr adj all parts
$1002.80
43775
Lap sleeve gastrectomy
$1162.40
43800
Reconstruction of pylorus
$972.10
43810
Fusion of stomach and bowel
$1064.70
43820
Fusion of stomach and bowel
$1405.30
43825
Fusion of stomach and bowel
$1368.16
43830
Place gastrostomy tube
$726.10
43831
Place gastrostomy tube
$602.41
43832
Place gastrostomy tube
$1087.68
43840
Repair of stomach lesion
$1423.62
43843
Gastroplasty w/o v-band
$1337.99
43845
Gastroplasty duodenal switch
$2061.30
43846
Gastric bypass for obesity
$1691.78
43847
Gastric bypass incl small i
$1856.93
43848
Revision gastroplasty
$2020.02
43850
Revise stomach-bowel fusion
$1696.36
43855
Revise stomach-bowel fusion
$1717.48
43860
Revise stomach-bowel fusion
$1715.81
43865
Revise stomach-bowel fusion
$1787.82
43870
Repair stomach opening
$741.22
43880
Repair stomach-bowel fistula
$1676.38
43886
Revise gastric port open
$369.10
43887
Remove gastric port open
$331.52
43888
Change gastric port open
$471.27
44005
Freeing of bowel adhesion
$1145.55
44010
Incision of small bowel
$897.72
44015
Insert needle cath bowel
$150.91
44020
Explore small intestine
$1019.61
44021
Decompress small bowel
$1018.47
44025
Incision of large bowel
$1030.47
44050
Reduce bowel obstruction
$978.90
44055
Correct malrotation of bowel
$1564.40
44100
Biopsy of bowel
$112.72
44110
Excise intestine lesion(s)
$889.50
44111
Excision of bowel lesion(s)
$1028.05
44120
Removal of small intestine
$1282.59
44121
Removal of small intestine
$256.48
44125
Removal of small intestine
$1236.37
44126
Enterectomy w/o taper cong
$2593.28
44127
Enterectomy w/taper cong
$2975.58
44128
Enterectomy cong add-on
$259.50
44130
Bowel to bowel fusion
$1373.80
44139
Mobilization of colon
$128.31
44140
Partial removal of colon
$1403.97
44141
Partial removal of colon
$1906.32
44143
Partial removal of colon
$1741.51
44144
Partial removal of colon
$1854.89
44145
Partial removal of colon
$1735.48
44146
Partial removal of colon
$2208.49
44147
Partial removal of colon
$2040.48
44150
Removal of colon
$1946.56
44151
Removal of colon/ileostomy
$2232.65
44155
Removal of colon/ileostomy
$2165.17
44156
Removal of colon/ileostomy
$2397.53
44157
Colectomy w/ileoanal anast
$2244.27
44158
Colectomy w/neo-rectum pouch
$2195.12
44160
Removal of colon
$1298.83
44180
Lap enterolysis
$959.64
44186
Lap jejunostomy
$680.01
44187
Lap ileo/jejuno-stomy
$1143.40
44188
Lap colostomy
$1271.79
44202
Lap enterectomy
$1452.66
44203
Lap resect s/intestine addl
$255.13
44204
Laparo partial colectomy
$1609.22
44205
Lap colectomy part w/ileum
$1398.65
44206
Lap part colectomy w/stoma
$1834.29
44207
L colectomy/coloproctostomy
$1903.80
44208
L colectomy/coloproctostomy
$2071.97
44210
Laparo total proctocolectomy
$1851.75
44211
Lap colectomy w/proctectomy
$2265.52
44212
Laparo total proctocolectomy
$2122.16
44213
Lap mobil splenic fl add-on
$198.30
44227
Lap close enterostomy
$1747.14
44300
Open bowel to skin
$879.24
44310
Ileostomy/jejunostomy
$1089.36
44312
Revision of ileostomy
$608.83
44314
Revision of ileostomy
$1041.92
44316
Devise bowel pouch
$1485.33
44320
Colostomy
$1253.46
44322
Colostomy with biopsies
$1025.02
44340
Revision of colostomy
$645.26
44345
Revision of colostomy
$1094.25
44346
Revision of colostomy
$1232.27
44360
Small bowel endoscopy
$154.73
44361
Small bowel endoscopy/biopsy
$170.78
44363
Small bowel endoscopy
$205.28
44364
Small bowel endoscopy
$218.10
44365
Small bowel endoscopy
$191.05
44366
Small bowel endoscopy
$256.22
44369
Small bowel endoscopy
$261.91
44370
Small bowel endoscopy/stent
$284.10
44372
Small bowel endoscopy
$256.63
44373
Small bowel endoscopy
$206.30
44376
Small bowel endoscopy
$302.37
44377
Small bowel endoscopy/biopsy
$319.04
44378
Small bowel endoscopy
$407.59
44379
S bowel endoscope w/stent
$433.32
44380
Small bowel endoscopy br/wa
Non-facility: $208.50
Facility: $63.67
44381
Small bowel endoscopy br/wa
Non-facility: $930.99
Facility: $93.58
44382
Small bowel endoscopy
Non-facility: $301.42
Facility: $81.09
44384
Small bowel endoscopy
$163.31
44385
Endoscopy of bowel pouch
Non-facility: $231.02
Facility: $79.36
44386
Endoscopy bowel pouch/biop
Non-facility: $323.95
Facility: $97.42
44388
Colonoscopy thru stoma spx
Non-facility: $341.17
Facility: $169.00
44388-53
Colonoscopy thru stoma spx
Non-facility: $169.01
Facility: $83.09
44389
Colonoscopy with biopsy
Non-facility: $427.09
Facility: $184.95
44390
Colonoscopy for foreign body
Non-facility: $429.40
Facility: $225.01
44391
Colonoscopy for bleeding
Non-facility: $729.30
Facility: $246.31
44392
Colonoscopy & polypectomy
Non-facility: $405.57
Facility: $213.23
44394
Colonoscopy w/snare
Non-facility: $455.99
Facility: $241.83
44401
Colonoscopy with ablation
Non-facility: $3029.98
Facility: $259.33
44402
Colonoscopy w/stent plcmt
$280.65
44403
Colonoscopy w/resection
$322.32
44404
Colonoscopy w/injection
Non-facility: $410.21
Facility: $185.64
44405
Colonoscopy w/dilation
Non-facility: $582.46
Facility: $197.44
44406
Colonoscopy w/ultrasound
$246.14
44407
Colonoscopy w/ndl aspir/bx
$294.92
44408
Colonoscopy w/decompression
$248.67
44500
Intro gastrointestinal tube
$25.20
44602
Suture small intestine
$1485.14
44603
Suture small intestine
$1700.32
44604
Suture large intestine
$1108.30
44605
Repair of bowel lesion
$1366.25
44615
Intestinal stricturoplasty
$1126.21
44620
Repair bowel opening
$904.71
44625
Repair bowel opening
$1059.81
44626
Repair bowel opening
$1682.53
44640
Repair bowel-skin fistula
$1469.12
44650
Repair bowel fistula
$1518.88
44660
Repair bowel-bladder fistula
$1382.98
44661
Repair bowel-bladder fistula
$1622.17
44680
Surgical revision intestine
$1115.67
44700
Suspend bowel w/prosthesis
$1060.60
44701
Intraop colon lavage add-on
$177.95
44720
Prep donor intestine/venous
$292.01
44721
Prep donor intestine/artery
$408.71
44800
Excision of bowel pouch
$792.56
44820
Excision of mesentery lesion
$874.52
44850
Repair of mesentery
$783.12
44900
Drain appendix abscess open
$805.38
44950
Appendectomy
$671.99
44955
Appendectomy add-on
$88.59
44960
Appendectomy
$914.86
44970
Laparoscopy appendectomy
$625.33
45000
Drainage of pelvic abscess
$432.90
45005
Drainage of rectal abscess
Non-facility: $267.49
Facility: $163.67
45020
Drainage of rectal abscess
$587.85
45100
Biopsy of rectum
$303.97
45108
Removal of anorectal lesion
$376.13
45110
Removal of rectum
$1918.24
45111
Partial removal of rectum
$1128.97
45112
Removal of rectum
$1956.48
45113
Partial proctectomy
$1954.03
45114
Partial removal of rectum
$1907.87
45116
Partial removal of rectum
$1722.57
45119
Remove rectum w/reservoir
$2020.34
45120
Removal of rectum
$1550.12
45121
Removal of rectum and colon
$1819.32
45123
Partial proctectomy
$1158.67
45126
Pelvic exenteration
$2905.77
45130
Excision of rectal prolapse
$1124.81
45135
Excision of rectal prolapse
$1429.60
45136
Excise ileoanal reservior
$1862.77
45150
Excision of rectal stricture
$396.32
45160
Excision of rectal lesion
$1064.93
45171
Exc rect tum transanal part
$612.22
45172
Exc rect tum transanal full
$828.36
45190
Destruction rectal tumor
$709.29
45300
Proctosigmoidoscopy dx
Non-facility: $118.12
Facility: $54.98
45303
Proctosigmoidoscopy dilate
Non-facility: $896.19
Facility: $95.23
45305
Proctosigmoidoscopy w/bx
Non-facility: $187.86
Facility: $81.11
45307
Proctosigmoidoscopy fb
Non-facility: $227.35
Facility: $110.83
45308
Proctosigmoidoscopy removal
Non-facility: $208.66
Facility: $92.47
45309
Proctosigmoidoscopy removal
Non-facility: $218.80
Facility: $98.70
45315
Proctosigmoidoscopy removal
Non-facility: $217.31
Facility: $106.33
45317
Proctosigmoidoscopy bleed
Non-facility: $236.13
Facility: $121.24
45320
Proctosigmoidoscopy ablate
Non-facility: $236.84
Facility: $115.12
45321
Proctosigmoidoscopy volvul
$111.23
45327
Proctosigmoidoscopy w/stent
$127.40
45330
Diagnostic sigmoidoscopy
Non-facility: $158.48
Facility: $57.27
45331
Sigmoidoscopy and biopsy
Non-facility: $242.17
Facility: $73.91
45332
Sigmoidoscopy w/fb removal
Non-facility: $296.57
Facility: $114.96
45333
Sigmoidoscopy & polypectomy
Non-facility: $330.66
Facility: $102.84
45334
Sigmoidoscopy for bleeding
Non-facility: $573.01
Facility: $127.78
45335
Sigmoidoscopy w/submuc inj
Non-facility: $272.56
Facility: $74.03
45337
Sigmoidoscopy & decompress
$126.00
45338
Sigmoidoscopy w/tumr remove
Non-facility: $310.45
Facility: $130.47
45340
Sig w/tndsc balloon dilation
Non-facility: $459.25
Facility: $85.95
45341
Sigmoidoscopy w/ultrasound
$134.15
45342
Sigmoidoscopy w/us guide bx
$182.13
45346
Sigmoidoscopy w/ablation
Non-facility: $2893.11
Facility: $172.58
45347
Sigmoidoscopy w/plcmt stent
$166.51
45349
Sigmoidoscopy w/resection
$212.62
45350
Sgmdsc w/band ligation
Non-facility: $547.97
Facility: $109.89
45378
Diagnostic colonoscopy
Non-facility: $367.38
Facility: $198.47
45378-53
Diagnostic colonoscopy
Non-facility: $183.53
Facility: $99.23
45379
Colonoscopy w/fb removal
Non-facility: $463.76
Facility: $255.47
45380
Colonoscopy and biopsy
Non-facility: $451.15
Facility: $214.86
45381
Colonoscopy submucous njx
Non-facility: $434.43
Facility: $214.74
45382
Colonoscopy w/control bleed
Non-facility: $756.08
Facility: $276.35
45384
Colonoscopy w/lesion removal
Non-facility: $496.84
Facility: $244.61
45385
Colonoscopy w/lesion removal
Non-facility: $477.32
Facility: $271.63
45386
Colonoscopy w/balloon dilat
Non-facility: $624.74
Facility: $227.03
45388
Colonoscopy w/ablation
Non-facility: $3049.48
Facility: $288.92
45389
Colonoscopy w/stent plcmt
$309.01
45390
Colonoscopy w/resection
$353.62
45391
Colonoscopy w/endoscope us
$274.54
45392
Colonoscopy w/endoscopic fnb
$323.53
45393
Colonoscopy w/decompression
$270.77
45395
Lap removal of rectum
$2049.26
45397
Lap remove rectum w/pouch
$2230.05
45398
Colonoscopy w/band ligation
Non-facility: $698.77
Facility: $251.91
45400
Laparoscopic proc
$1179.81
45402
Lap proctopexy w/sig resect
$1578.30
45500
Repair of rectum
$528.47
45505
Repair of rectum
$604.71
45520
Treatment of rectal prolapse
Non-facility: $148.14
Facility: $40.41
45540
Correct rectal prolapse
$1097.22
45541
Correct rectal prolapse
$974.71
45550
Repair rectum/remove sigmoid
$1511.87
45560
Repair of rectocele
$700.56
45562
Exploration/repair of rectum
$1159.91
45563
Exploration/repair of rectum
$1720.64
45800
Repair rect/bladder fistula
$1245.05
45805
Repair fistula w/colostomy
$1526.87
45820
Repair rectourethral fistula
$1224.12
45825
Repair fistula w/colostomy
$1422.09
45900
Reduction of rectal prolapse
$207.73
45905
Dilation of anal sphincter
$172.35
45910
Dilation of rectal narrowing
$198.03
45915
Remove rectal obstruction
Non-facility: $325.09
Facility: $229.08
45990
Surg dx exam anorectal
$111.27
46020
Placement of seton
Non-facility: $274.68
Facility: $236.93
46030
Removal of rectal marker
Non-facility: $136.47
Facility: $91.56
46040
Incision of rectal abscess
Non-facility: $530.35
Facility: $420.34
46045
Incision of rectal abscess
$441.55
46050
Incision of anal abscess
Non-facility: $193.69
Facility: $98.00
46060
Incision of rectal abscess
$483.33
46070
Incision of anal septum
$226.30
46080
Incision of anal sphincter
Non-facility: $245.37
Facility: $164.33
46083
Incise external hemorrhoid
Non-facility: $171.06
Facility: $107.27
46200
Removal of anal fissure
Non-facility: $433.61
Facility: $324.58
46220
Excise anal ext tag/papilla
Non-facility: $200.43
Facility: $120.37
46221
Ligation of hemorrhoid(s)
Non-facility: $261.22
Facility: $190.27
46230
Removal of anal tags
Non-facility: $268.31
Facility: $176.20
46250
Remove ext hem groups 2+
Non-facility: $456.57
Facility: $320.86
46255
Remove int/ext hem 1 group
Non-facility: $500.52
Facility: $360.90
46257
Remove in/ex hem grp & fiss
$428.45
46258
Remove in/ex hem grp w/fistu
$478.50
46260
Remove in/ex hem groups 2+
$485.33
46261
Remove in/ex hem grps & fiss
$533.16
46262
Remove in/ex hem grps w/fist
$561.44
46270
Remove anal fist subq
Non-facility: $502.26
Facility: $396.49
46275
Remove anal fist inter
Non-facility: $530.54
Facility: $417.60
46280
Remove anal fist complex
$475.13
46285
Remove anal fist 2 stage
Non-facility: $525.61
Facility: $415.93
46288
Repair anal fistula
$559.24
46320
Removal of hemorrhoid clot
Non-facility: $179.58
Facility: $112.86
46500
Injection into hemorrhoid(s)
Non-facility: $188.09
Facility: $122.67
46505
Chemodenervation anal musc
Non-facility: $283.41
Facility: $241.42
46600
Diagnostic anoscopy spx
Non-facility: $84.92
Facility: $41.30
46601
Diagnostic anoscopy
Non-facility: $133.62
Facility: $94.57
46604
Anoscopy and dilation
Non-facility: $577.61
Facility: $67.94
46606
Anoscopy and biopsy
Non-facility: $215.64
Facility: $77.97
46607
Diagnostic anoscopy & biopsy
Non-facility: $187.46
Facility: $128.22
46608
Anoscopy remove for body
Non-facility: $222.44
Facility: $83.47
46610
Anoscopy remove lesion
Non-facility: $216.97
Facility: $83.53
46611
Anoscopy
Non-facility: $170.00
Facility: $83.43
46612
Anoscopy remove lesions
Non-facility: $247.72
Facility: $96.70
46614
Anoscopy control bleeding
Non-facility: $124.35
Facility: $66.09
46615
Anoscopy
Non-facility: $142.10
Facility: $95.56
46700
Repair of anal stricture
$666.84
46705
Repair of anal stricture
$506.74
46706
Repr of anal fistula w/glue
$167.83
46707
Repair anorectal fist w/plug
$484.38
46710
Repr per/vag pouch sngl proc
$1077.81
46712
Repr per/vag pouch dbl proc
$2205.65
46715
Rep perf anoper fistu
$557.41
46716
Rep perf anoper/vestib fistu
$1127.86
46730
Construction of absent anus
$1864.37
46735
Construction of absent anus
$2162.61
46740
Construction of absent anus
$2237.01
46742
Repair of imperforated anus
$2521.22
46744
Repair of cloacal anomaly
$3698.29
46746
Repair of cloacal anomaly
$3760.77
46748
Repair of cloacal anomaly
$4086.20
46750
Repair of anal sphincter
$769.43
46751
Repair of anal sphincter
$605.74
46753
Reconstruction of anus
$630.46
46754
Removal of suture from anus
Non-facility: $286.94
Facility: $228.03
46760
Repair of anal sphincter
$1112.03
46761
Repair of anal sphincter
$945.05
46762
Implant artificial sphincter
$945.75
46900
Destruction anal lesion(s)
Non-facility: $234.57
Facility: $138.23
46910
Destruction anal lesion(s)
Non-facility: $248.65
Facility: $136.04
46916
Cryosurgery anal lesion(s)
Non-facility: $222.28
Facility: $143.52
46917
Laser surgery anal lesions
Non-facility: $426.34
Facility: $132.78
46922
Excision of anal lesion(s)
Non-facility: $258.46
Facility: $137.71
46924
Destruction anal lesion(s)
Non-facility: $508.55
Facility: $186.99
46930
Destroy internal hemorrhoids
Non-facility: $198.68
Facility: $145.30
46940
Treatment of anal fissure
Non-facility: $224.54
Facility: $149.68
46942
Treatment of anal fissure
Non-facility: $211.17
Facility: $133.71
46945
Remove by ligat int hem grp
Non-facility: $299.43
Facility: $223.60
46946
Remove by ligat int hem grps
Non-facility: $305.97
Facility: $225.26
46947
Hemorrhoidopexy by stapling
$392.24
47000
Needle biopsy of liver
Non-facility: $344.49
Facility: $105.27
47001
Needle biopsy liver add-on
$110.02
47010
Open drainage liver lesion
$1254.08
47015
Inject/aspirate liver cyst
$1190.73
47100
Wedge biopsy of liver
$875.26
47120
Partial removal of liver
$2441.24
47122
Extensive removal of liver
$3616.29
47125
Partial removal of liver
$3230.31
47130
Partial removal of liver
$3471.28
47135
Transplantation of liver
$5629.29
47140
Partial removal donor liver
$3747.04
47141
Partial removal donor liver
$4481.85
47142
Partial removal donor liver
$4945.16
47146
Prep donor liver/venous
$349.32
47147
Prep donor liver/arterial
$406.14
47300
Surgery for liver lesion
$1179.21
47350
Repair liver wound
$1430.30
47360
Repair liver wound
$1946.60
47361
Repair liver wound
$3172.74
47362
Repair liver wound
$1515.14
47370
Laparo ablate liver tumor rf
$1305.81
47371
Laparo ablate liver cryosurg
$1154.32
47380
Open ablate liver tumor rf
$1509.83
47381
Open ablate liver tumor cryo
$1365.90
47382
Percut ablate liver rf
Non-facility: $4708.59
Facility: $793.62
47383
Perq abltj lvr cryoablation
Non-facility: $7025.27
Facility: $508.24
47400
Incision of liver duct
$2255.75
47420
Incision of bile duct
$1402.89
47425
Incision of bile duct
$1415.61
47460
Incise bile duct sphincter
$1308.70
47480
Incision of gallbladder
$906.27
47490
Incision of gallbladder
$333.12
47531
Injection for cholangiogram
Non-facility: $352.62
Facility: $98.44
47532
Injection for cholangiogram
Non-facility: $777.92
Facility: $223.33
47533
Plmt biliary drainage cath
Non-facility: $1266.02
Facility: $317.30
47534
Plmt biliary drainage cath
Non-facility: $1563.18
Facility: $421.13
47535
Conversion ext bil drg cath
Non-facility: $1045.06
Facility: $242.47
47536
Exchange biliary drg cath
Non-facility: $767.66
Facility: $151.88
47537
Removal biliary drg cath
Non-facility: $382.22
Facility: $102.98
47538
Perq plmt bile duct stent
Non-facility: $4195.53
Facility: $339.46
47539
Perq plmt bile duct stent
Non-facility: $4592.58
Facility: $459.22
47540
Perq plmt bile duct stent
Non-facility: $4780.76
Facility: $548.14
47541
Plmt access bil tree sm bwl
Non-facility: $1118.32
Facility: $292.63
47542
Dilate biliary duct/ampulla
Non-facility: $493.84
Facility: $141.69
47543
Endoluminal bx biliary tree
Non-facility: $1245.98
Facility: $177.82
47544
Removal duct glbldr calculi
Non-facility: $776.15
Facility: $224.16
47550
Bile duct endoscopy add-on
$175.58
47552
Biliary endo perq dx w/speci
$320.76
47553
Biliary endoscopy thru skin
$317.87
47554
Biliary endoscopy thru skin
$496.67
47555
Biliary endoscopy thru skin
$380.32
47556
Biliary endoscopy thru skin
$432.53
47562
Laparoscopic cholecystectomy
$684.99
47563
Laparo cholecystectomy/graph
$745.03
47564
Laparo cholecystectomy/explr
$1162.07
47570
Laparo cholecystoenterostomy
$799.46
47600
Removal of gallbladder
$1115.12
47605
Removal of gallbladder
$1174.96
47610
Removal of gallbladder
$1313.73
47612
Removal of gallbladder
$1330.63
47620
Removal of gallbladder
$1442.64
47700
Exploration of bile ducts
$1080.03
47701
Bile duct revision
$1766.68
47711
Excision of bile duct tumor
$1627.84
47712
Excision of bile duct tumor
$2084.71
47715
Excision of bile duct cyst
$1392.13
47720
Fuse gallbladder & bowel
$1199.69
47721
Fuse upper gi structures
$1418.03
47740
Fuse gallbladder & bowel
$1358.14
47741
Fuse gallbladder & bowel
$1536.00
47760
Fuse bile ducts and bowel
$2371.24
47765
Fuse liver ducts & bowel
$3188.25
47780
Fuse bile ducts and bowel
$2595.63
47785
Fuse bile ducts and bowel
$3415.96
47800
Reconstruction of bile ducts
$1648.71
47801
Placement bile duct support
$1027.81
47802
Fuse liver duct & intestine
$1576.46
47900
Suture bile duct injury
$1431.37
48000
Drainage of abdomen
$1961.40
48001
Placement of drain pancreas
$2403.77
48020
Removal of pancreatic stone
$1223.34
48100
Biopsy of pancreas open
$924.69
48102
Needle biopsy pancreas
Non-facility: $515.84
Facility: $249.29
48105
Resect/debride pancreas
$2995.74
48120
Removal of pancreas lesion
$1159.02
48140
Partial removal of pancreas
$1638.38
48145
Partial removal of pancreas
$1705.20
48146
Pancreatectomy
$1961.99
48148
Removal of pancreatic duct
$1301.81
48150
Partial removal of pancreas
$3268.60
48152
Pancreatectomy
$3012.76
48153
Pancreatectomy
$3250.89
48154
Pancreatectomy
$3050.04
48155
Removal of pancreas
$1901.40
48400
Injection intraop add-on
$109.02
48500
Surgery of pancreatic cyst
$1167.99
48510
Drain pancreatic pseudocyst
$1132.80
48520
Fuse pancreas cyst and bowel
$1143.89
48540
Fuse pancreas cyst and bowel
$1362.77
48545
Pancreatorrhaphy
$1395.16
48547
Duodenal exclusion
$1877.78
48548
Fuse pancreas and bowel
$1744.10
48552
Prep donor pancreas/venous
$247.72
48554
Transpl allograft pancreas
$2642.49
48556
Removal allograft pancreas
$1316.94
49000
Exploration of abdomen
$803.04
49002
Reopening of abdomen
$1094.20
49010
Exploration behind abdomen
$976.46
49020
Drainage abdom abscess open
$1663.21
49040
Drain open abdom abscess
$1043.20
49060
Drain open retroperi abscess
$1148.77
49062
Drain to peritoneal cavity
$765.81
49082
Abd paracentesis
Non-facility: $183.71
Facility: $75.98
49083
Abd paracentesis w/imaging
Non-facility: $280.82
Facility: $111.25
49084
Peritoneal lavage
$114.33
49180
Biopsy abdominal mass
Non-facility: $159.15
Facility: $88.20
49185
Sclerotx fluid collection
Non-facility: $930.69
Facility: $126.80
49203
Exc abd tum 5 cm or less
$1248.31
49204
Exc abd tum over 5 cm
$1599.49
49205
Exc abd tum over 10 cm
$1839.61
49215
Excise sacral spine tumor
$2316.24
49220
Multiple surgery abdomen
$911.15
49250
Excision of umbilicus
$607.69
49255
Removal of omentum
$820.10
49320
Diag laparo separate proc
$335.94
49321
Laparoscopy biopsy
$357.27
49322
Laparoscopy aspiration
$379.71
49323
Laparo drain lymphocele
$658.08
49324
Lap insert tunnel ip cath
$406.42
49325
Lap revision perm ip cath
$433.94
49326
Lap w/omentopexy add-on
$200.96
49327
Lap ins device for rt
$138.90
49400
Air injection into abdomen
Non-facility: $135.44
Facility: $97.36
49402
Remove foreign body adbomen
$893.85
49405
Image cath fluid colxn visc
Non-facility: $829.13
Facility: $218.24
49406
Image cath fluid peri/retro
Non-facility: $829.45
Facility: $218.24
49407
Image cath fluid trns/vgnl
Non-facility: $697.41
Facility: $234.93
49411
Ins mark abd/pel for rt perq
Non-facility: $524.35
Facility: $203.12
49412
Ins device for rt guide open
$87.88
49418
Insert tun ip cath perc
Non-facility: $1350.27
Facility: $225.48
49419
Insert tun ip cath w/port
$459.43
49421
Ins tun ip cath for dial opn
$243.60
49422
Remove tunneled ip cath
$396.97
49423
Exchange drainage catheter
Non-facility: $515.38
Facility: $74.38
49424
Assess cyst contrast inject
Non-facility: $139.06
Facility: $39.46
49425
Insert abdomen-venous drain
$760.87
49426
Revise abdomen-venous shunt
$638.43
49427
Injection abdominal shunt
$47.99
49428
Ligation of shunt
$449.98
49429
Removal of shunt
$479.07
49435
Insert subq exten to ip cath
$127.89
49436
Embedded ip cath exit-site
$192.82
49440
Place gastrostomy tube perc
Non-facility: $982.56
Facility: $227.82
49441
Place duod/jej tube perc
Non-facility: $1109.97
Facility: $265.40
49442
Place cecostomy tube perc
Non-facility: $914.11
Facility: $226.74
49446
Change g-tube to g-j perc
Non-facility: $942.04
Facility: $168.10
49450
Replace g/c tube perc
Non-facility: $625.06
Facility: $69.50
49451
Replace duod/jej tube perc
Non-facility: $683.54
Facility: $94.13
49452
Replace g-j tube perc
Non-facility: $847.21
Facility: $144.53
49460
Fix g/colon tube w/device
Non-facility: $685.22
Facility: $49.92
49465
Fluoro exam of g/colon tube
Non-facility: $153.65
Facility: $31.93
49491
Rpr hern preemie reduc
$827.28
49492
Rpr ing hern premie blocked
$999.74
49495
Rpr ing hernia baby reduc
$392.36
49496
Rpr ing hernia baby blocked
$638.34
49500
Rpr ing hernia init reduce
$366.05
49501
Rpr ing hernia init blocked
$601.39
49505
Prp i/hern init reduc >5 yr
$539.56
49507
Prp i/hern init block >5 yr
$607.43
49520
Rerepair ing hernia reduce
$657.33
49521
Rerepair ing hernia blocked
$745.91
49525
Repair ing hernia sliding
$594.58
49540
Repair lumbar hernia
$697.91
49550
Rpr rem hernia init reduce
$597.30
49553
Rpr fem hernia init blocked
$655.88
49555
Rerepair fem hernia reduce
$621.43
49557
Rerepair fem hernia blocked
$754.14
49560
Rpr ventral hern init reduc
$768.26
49561
Rpr ventral hern init block
$971.81
49565
Rerepair ventrl hern reduce
$799.48
49566
Rerepair ventrl hern block
$980.69
49568
Hernia repair w/mesh
$282.82
49570
Rpr epigastric hern reduce
$429.06
49572
Rpr epigastric hern blocked
$534.46
49580
Rpr umbil hern reduc < 5 yr
$340.76
49582
Rpr umbil hern block < 5 yr
$499.66
49585
Rpr umbil hern reduc > 5 yr
$459.11
49587
Rpr umbil hern block > 5 yr
$491.59
49590
Repair spigelian hernia
$594.03
49600
Repair umbilical lesion
$727.13
49605
Repair umbilical lesion
$5220.29
49606
Repair umbilical lesion
$1167.73
49610
Repair umbilical lesion
$717.60
49611
Repair umbilical lesion
$629.70
49650
Lap ing hernia repair init
$442.44
49651
Lap ing hernia repair recur
$575.68
49652
Lap vent/abd hernia repair
$775.14
49653
Lap vent/abd hern proc comp
$967.32
49654
Lap inc hernia repair
$882.24
49655
Lap inc hern repair comp
$1077.67
49656
Lap inc hernia repair recur
$959.36
49657
Lap inc hern recur comp
$1381.30
49900
Repair of abdominal wall
$842.16
49904
Omental flap extra-abdom
$1473.68
49905
Omental flap intra-abdom
$372.35
50010
Exploration of kidney
$758.66
50020
Renal abscess open drain
$1036.75
50040
Drainage of kidney
$943.63
50045
Exploration of kidney
$984.99
50060
Removal of kidney stone
$1167.61
50065
Incision of kidney
$1234.25
50070
Incision of kidney
$1210.29
50075
Removal of kidney stone
$1489.02
50080
Removal of kidney stone
$886.61
50081
Removal of kidney stone
$1303.28
50100
Revise kidney blood vessels
$1084.90
50120
Exploration of kidney
$967.90
50125
Explore and drain kidney
$1053.76
50130
Removal of kidney stone
$1053.03
50135
Exploration of kidney
$1165.16
50200
Renal biopsy perq
Non-facility: $581.00
Facility: $145.54
50205
Renal biopsy open
$783.05
50220
Remove kidney open
$1073.25
50225
Removal kidney open complex
$1232.85
50230
Removal kidney open radical
$1311.96
50234
Removal of kidney & ureter
$1329.95
50236
Removal of kidney & ureter
$1499.28
50240
Partial removal of kidney
$1352.03
50250
Cryoablate renal mass open
$1241.16
50280
Removal of kidney lesion
$973.92
50290
Removal of kidney lesion
$915.13
50320
Remove kidney living donor
$1497.40
50327
Prep renal graft/venous
$229.16
50328
Prep renal graft/arterial
$201.11
50329
Prep renal graft/ureteral
$187.40
50340
Removal of kidney
$966.88
50360
Transplantation of kidney
$2524.61
50365
Transplantation of kidney
$2941.98
50370
Remove transplanted kidney
$1243.62
50380
Reimplantation of kidney
$2059.99
50382
Change ureter stent percut
Non-facility: $1124.46
Facility: $279.24
50384
Remove ureter stent percut
Non-facility: $899.73
Facility: $253.68
50385
Change stent via transureth
Non-facility: $1078.08
Facility: $238.39
50386
Remove stent via transureth
Non-facility: $704.84
Facility: $181.17
50387
Change nephroureteral cath
Non-facility: $513.40
Facility: $100.39
50389
Remove renal tube w/fluoro
Non-facility: $279.83
Facility: $55.91
50390
Drainage of kidney lesion
$99.61
50391
Instll rx agnt into rnal tub
Non-facility: $122.11
Facility: $100.63
50395
Create passage to kidney
$183.18
50396
Measure kidney pressure
$120.01
50400
Revision of kidney/ureter
$1184.16
50405
Revision of kidney/ureter
$1427.92
50430
Njx px nfrosgrm &/urtrgrm
Non-facility: $496.05
Facility: $171.24
50431
Njx px nfrosgrm &/urtrgrm
Non-facility: $154.85
Facility: $67.30
50432
Plmt nephrostomy catheter
Non-facility: $800.49
Facility: $226.70
50433
Plmt nephroureteral catheter
Non-facility: $1075.60
Facility: $279.85
50434
Convert nephrostomy catheter
Non-facility: $850.32
Facility: $214.37
50435
Exchange nephrostomy cath
Non-facility: $444.99
Facility: $103.59
50500
Repair of kidney wound
$1329.91
50520
Close kidney-skin fistula
$1170.68
50525
Close nephrovisceral fistula
$1476.65
50526
Close nephrovisceral fistula
$1521.08
50540
Revision of horseshoe kidney
$1181.24
50541
Laparo ablate renal cyst
$939.10
50542
Laparo ablate renal mass
$1191.20
50543
Laparo partial nephrectomy
$1518.67
50544
Laparoscopy pyeloplasty
$1273.19
50545
Laparo radical nephrectomy
$1370.96
50546
Laparoscopic nephrectomy
$1230.44
50547
Laparo removal donor kidney
$1669.28
50548
Laparo remove w/ureter
$1379.46
50551
Kidney endoscopy
Non-facility: $361.07
Facility: $302.17
50553
Kidney endoscopy
Non-facility: $383.42
Facility: $319.31
50555
Kidney endoscopy & biopsy
Non-facility: $412.85
Facility: $349.06
50557
Kidney endoscopy & treatment
Non-facility: $421.53
Facility: $355.46
50561
Kidney endoscopy & treatment
Non-facility: $478.77
Facility: $405.87
50562
Renal scope w/tumor resect
$594.91
50570
Kidney endoscopy
$505.28
50572
Kidney endoscopy
$546.75
50574
Kidney endoscopy & biopsy
$581.37
50575
Kidney endoscopy
$734.70
50576
Kidney endoscopy & treatment
$581.31
50580
Kidney endoscopy & treatment
$626.27
50590
Fragmenting of kidney stone
Non-facility: $713.43
Facility: $576.41
50592
Perc rf ablate renal tumor
Non-facility: $2383.73
Facility: $370.10
50593
Perc cryo ablate renal tum
Non-facility: $4331.05
Facility: $491.26
50600
Exploration of ureter
$965.03
50605
Insert ureteral support
$1018.18
50606
Endoluminal bx urtr rnl plvs
Non-facility: $503.45
Facility: $163.02
50610
Removal of ureter stone
$999.24
50620
Removal of ureter stone
$926.18
50630
Removal of ureter stone
$909.31
50650
Removal of ureter
$1057.27
50660
Removal of ureter
$1174.93
50684
Injection for ureter x-ray
Non-facility: $101.75
Facility: $50.65
50686
Measure ureter pressure
Non-facility: $139.80
Facility: $89.68
50688
Change of ureter tube/stent
$80.12
50690
Injection for ureter x-ray
Non-facility: $96.59
Facility: $71.20
50693
Plmt ureteral stent prq
Non-facility: $997.91
Facility: $224.29
50694
Plmt ureteral stent prq
Non-facility: $1102.86
Facility: $290.18
50695
Plmt ureteral stent prq
Non-facility: $1346.12
Facility: $368.44
50700
Revision of ureter
$950.47
50705
Ureteral embolization/occl
Non-facility: $1596.10
Facility: $208.99
50706
Balloon dilate urtrl strix
Non-facility: $724.37
Facility: $193.54
50715
Release of ureter
$1258.79
50722
Release of ureter
$1040.27
50725
Release/revise ureter
$1156.46
50727
Revise ureter
$513.61
50728
Revise ureter
$712.16
50740
Fusion of ureter & kidney
$1280.03
50750
Fusion of ureter & kidney
$1177.44
50760
Fusion of ureters
$1161.15
50770
Splicing of ureters
$1177.29
50780
Reimplant ureter in bladder
$1135.29
50782
Reimplant ureter in bladder
$1102.05
50783
Reimplant ureter in bladder
$1157.89
50785
Reimplant ureter in bladder
$1240.80
50800
Implant ureter in bowel
$942.23
50810
Fusion of ureter & bowel
$1289.59
50815
Urine shunt to intestine
$1249.76
50820
Construct bowel bladder
$1344.91
50825
Construct bowel bladder
$1696.02
50830
Revise urine flow
$1854.78
50840
Replace ureter by bowel
$1257.26
50845
Appendico-vesicostomy
$1274.05
50860
Transplant ureter to skin
$963.33
50900
Repair of ureter
$880.71
50920
Closure ureter/skin fistula
$898.10
50930
Closure ureter/bowel fistula
$1220.73
50940
Release of ureter
$902.56
50945
Laparoscopy ureterolithotomy
$992.80
50947
Laparo new ureter/bladder
$1422.02
50948
Laparo new ureter/bladder
$1305.96
50951
Endoscopy of ureter
Non-facility: $376.87
Facility: $314.71
50953
Endoscopy of ureter
Non-facility: $398.07
Facility: $333.63
50955
Ureter endoscopy & biopsy
Non-facility: $427.28
Facility: $361.87
50957
Ureter endoscopy & treatment
Non-facility: $430.99
Facility: $363.95
50961
Ureter endoscopy & treatment
Non-facility: $388.22
Facility: $325.73
50970
Ureter endoscopy
$382.18
50972
Ureter endoscopy & catheter
$372.79
50974
Ureter endoscopy & biopsy
$486.34
50976
Ureter endoscopy & treatment
$478.26
50980
Ureter endoscopy & treatment
$363.82
51020
Incise & treat bladder
$474.49
51030
Incise & treat bladder
$480.45
51040
Incise & drain bladder
$291.04
51045
Incise bladder/drain ureter
$499.41
51050
Removal of bladder stone
$478.25
51060
Removal of ureter stone
$591.32
51065
Remove ureter calculus
$586.68
51080
Drainage of bladder abscess
$414.54
51100
Drain bladder by needle
Non-facility: $60.28
Facility: $40.43
51101
Drain bladder by trocar/cath
Non-facility: $119.69
Facility: $53.62
51102
Drain bl w/cath insertion
Non-facility: $222.62
Facility: $148.09
51500
Removal of bladder cyst
$648.79
51520
Removal of bladder lesion
$608.01
51525
Removal of bladder lesion
$875.93
51530
Removal of bladder lesion
$814.36
51535
Repair of ureter lesion
$793.41
51550
Partial removal of bladder
$986.68
51555
Partial removal of bladder
$1298.48
51565
Revise bladder & ureter(s)
$1330.10
51570
Removal of bladder
$1512.87
51575
Removal of bladder & nodes
$1865.75
51580
Remove bladder/revise tract
$1937.86
51585
Removal of bladder & nodes
$2158.01
51590
Remove bladder/revise tract
$1981.29
51595
Remove bladder/revise tract
$2241.00
51596
Remove bladder/create pouch
$2407.17
51597
Removal of pelvic structures
$2354.45
51600
Injection for bladder x-ray
Non-facility: $173.54
Facility: $45.63
51605
Preparation for bladder xray
$38.75
51610
Injection for bladder x-ray
Non-facility: $103.27
Facility: $64.86
51700
Irrigation of bladder
Non-facility: $80.91
Facility: $46.08
51701
Insert bladder catheter
Non-facility: $52.81
Facility: $28.40
51702
Insert temp bladder cath
Non-facility: $67.13
Facility: $30.68
51703
Insert bladder cath complex
Non-facility: $126.53
Facility: $82.92
51705
Change of bladder tube
Non-facility: $88.13
Facility: $52.66
51710
Change of bladder tube
Non-facility: $125.04
Facility: $81.10
51715
Endoscopic injection/implant
Non-facility: $286.48
Facility: $204.47
51720
Treatment of bladder lesion
Non-facility: $107.75
Facility: $81.71
51725
Simple cystometrogram
$179.14
51725-26
Simple cystometrogram
$77.80
51725-TC
Simple cystometrogram
$101.34
51726
Complex cystometrogram
$249.69
51726-26
Complex cystometrogram
$87.03
51726-TC
Complex cystometrogram
$162.65
51727
Cystometrogram w/up
$296.07
51727-26
Cystometrogram w/up
$109.01
51727-TC
Cystometrogram w/up
$187.06
51728
Cystometrogram w/vp
$298.55
51728-26
Cystometrogram w/vp
$106.61
51728-TC
Cystometrogram w/vp
$191.94
51729
Cystometrogram w/vp&up
$323.78
51729-26
Cystometrogram w/vp&up
$128.91
51729-TC
Cystometrogram w/vp&up
$194.87
51736
Urine flow measurement
$15.12
51736-26
Urine flow measurement
$ 8.49
51736-TC
Urine flow measurement
$ 6.63
51741
Electro-uroflowmetry first
$15.45
51741-26
Electro-uroflowmetry first
$ 8.49
51741-TC
Electro-uroflowmetry first
$ 6.96
51784
Anal/urinary muscle study
$183.88
51784-26
Anal/urinary muscle study
$78.19
51784-TC
Anal/urinary muscle study
$105.70
51785
Anal/urinary muscle study
$253.23
51785-26
Anal/urinary muscle study
$91.88
51785-TC
Anal/urinary muscle study
$161.35
51792
Urinary reflex study
$199.69
51792-26
Urinary reflex study
$56.56
51792-TC
Urinary reflex study
$143.12
51797
Intraabdominal pressure test
$106.31
51797-26
Intraabdominal pressure test
$40.90
51797-TC
Intraabdominal pressure test
$65.42
51798
Us urine capacity measure
$17.82
51800
Revision of bladder/urethra
$1062.13
51820
Revision of urinary tract
$1138.98
51840
Attach bladder/urethra
$667.01
51841
Attach bladder/urethra
$793.52
51845
Repair bladder neck
$595.80
51860
Repair of bladder wound
$762.20
51865
Repair of bladder wound
$914.59
51880
Repair of bladder opening
$476.60
51900
Repair bladder/vagina lesion
$851.47
51920
Close bladder-uterus fistula
$895.67
51925
Hysterectomy/bladder repair
$1131.98
51940
Correction of bladder defect
$1699.40
51960
Revision of bladder & bowel
$1423.43
51980
Construct bladder opening
$724.62
51990
Laparo urethral suspension
$762.97
51992
Laparo sling operation
$856.24
52000
Cystoscopy
Non-facility: $199.11
Facility: $128.49
52001
Cystoscopy removal of clots
Non-facility: $369.90
Facility: $294.72
52005
Cystoscopy & ureter catheter
Non-facility: $256.12
Facility: $135.70
52007
Cystoscopy and biopsy
Non-facility: $422.16
Facility: $169.27
52010
Cystoscopy & duct catheter
Non-facility: $357.43
Facility: $170.94
52204
Cystoscopy w/biopsy(s)
Non-facility: $351.47
Facility: $144.80
52214
Cystoscopy and treatment
Non-facility: $622.87
Facility: $181.54
52224
Cystoscopy and treatment
Non-facility: $653.71
Facility: $209.78
52234
Cystoscopy and treatment
$252.21
52235
Cystoscopy and treatment
$296.02
52240
Cystoscopy and treatment
$402.55
52250
Cystoscopy and radiotracer
$245.80
52260
Cystoscopy and treatment
$215.39
52265
Cystoscopy and treatment
Non-facility: $350.94
Facility: $166.41
52270
Cystoscopy & revise urethra
Non-facility: $343.24
Facility: $185.72
52275
Cystoscopy & revise urethra
Non-facility: $463.66
Facility: $254.72
52276
Cystoscopy and treatment
$271.48
52277
Cystoscopy and treatment
$331.90
52281
Cystoscopy and treatment
Non-facility: $264.03
Facility: $155.33
52282
Cystoscopy implant stent
$345.51
52283
Cystoscopy and treatment
Non-facility: $273.46
Facility: $206.09
52285
Cystoscopy and treatment
Non-facility: $275.20
Facility: $200.34
52287
Cystoscopy chemodenervation
Non-facility: $302.24
Facility: $173.36
52290
Cystoscopy and treatment
$250.00
52300
Cystoscopy and treatment
$287.83
52301
Cystoscopy and treatment
$297.52
52305
Cystoscopy and treatment
$286.33
52310
Cystoscopy and treatment
Non-facility: $237.99
Facility: $155.32
52315
Cystoscopy and treatment
Non-facility: $405.85
Facility: $281.53
52317
Remove bladder stone
Non-facility: $771.20
Facility: $357.21
52318
Remove bladder stone
$487.18
52320
Cystoscopy and treatment
$253.09
52325
Cystoscopy stone removal
$330.04
52327
Cystoscopy inject material
$269.74
52330
Cystoscopy and treatment
Non-facility: $478.61
Facility: $270.64
52332
Cystoscopy and treatment
Non-facility: $462.59
Facility: $158.94
52334
Create passage to kidney
$262.87
52341
Cysto w/ureter stricture tx
$291.37
52342
Cysto w/up stricture tx
$317.05
52343
Cysto w/renal stricture tx
$353.19
52344
Cysto/uretero stricture tx
$379.77
52345
Cysto/uretero w/up stricture
$405.44
52346
Cystouretero w/renal strict
$458.20
52351
Cystouretero & or pyeloscope
$310.74
52352
Cystouretero w/stone remove
$363.53
52353
Cystouretero w/lithotripsy
$402.55
52354
Cystouretero w/biopsy
$428.23
52355
Cystouretero w/excise tumor
$480.04
52356
Cysto/uretero w/lithotripsy
$427.26
52400
Cystouretero w/congen repr
$487.77
52402
Cystourethro cut ejacul duct
$274.72
52441
Cystourethro w/implant
Non-facility: $1165.11
Facility: $235.59
52442
Cystourethro w/addl implant
Non-facility: $880.15
Facility: $62.59
52450
Incision of prostate
$475.44
52500
Revision of bladder neck
$494.03
52601
Prostatectomy (turp)
$861.98
52630
Remove prostate regrowth
$403.96
52640
Relieve bladder contracture
$316.35
52647
Laser surgery of prostate
Non-facility: $1690.38
Facility: $657.69
52648
Laser surgery of prostate
Non-facility: $1742.88
Facility: $702.05
52649
Prostate laser enucleation
$837.11
52700
Drainage of prostate abscess
$446.66
53000
Incision of urethra
$149.11
53010
Incision of urethra
$296.65
53020
Incision of urethra
$99.03
53025
Incision of urethra
$72.90
53040
Drainage of urethra abscess
$396.68
53060
Drainage of urethra abscess
Non-facility: $182.77
Facility: $165.84
53080
Drainage of urinary leakage
$424.54
53085
Drainage of urinary leakage
$677.28
53200
Biopsy of urethra
Non-facility: $157.74
Facility: $145.37
53210
Removal of urethra
$783.79
53215
Removal of urethra
$948.18
53220
Treatment of urethra lesion
$461.32
53230
Removal of urethra lesion
$614.40
53235
Removal of urethra lesion
$642.20
53240
Surgery for urethra pouch
$433.20
53250
Removal of urethra gland
$420.01
53260
Treatment of urethra lesion
Non-facility: $201.77
Facility: $182.90
53265
Treatment of urethra lesion
Non-facility: $217.20
Facility: $188.56
53270
Removal of urethra gland
Non-facility: $208.68
Facility: $188.83
53275
Repair of urethra defect
$266.57
53400
Revise urethra stage 1
$815.40
53405
Revise urethra stage 2
$889.36
53410
Reconstruction of urethra
$996.74
53415
Reconstruction of urethra
$1153.44
53420
Reconstruct urethra stage 1
$869.42
53425
Reconstruct urethra stage 2
$955.16
53430
Reconstruction of urethra
$982.63
53431
Reconstruct urethra/bladder
$1182.77
53440
Male sling procedure
$765.40
53442
Remove/revise male sling
$794.06
53444
Insert tandem cuff
$806.52
53445
Insert uro/ves nck sphincter
$763.86
53446
Remove uro sphincter
$651.65
53447
Remove/replace ur sphincter
$821.83
53448
Remov/replc ur sphinctr comp
$1313.47
53449
Repair uro sphincter
$620.45
53450
Revision of urethra
$413.96
53460
Revision of urethra
$463.50
53500
Urethrlys transvag w/ scope
$760.25
53502
Repair of urethra injury
$492.91
53505
Repair of urethra injury
$494.46
53510
Repair of urethra injury
$641.25
53515
Repair of urethra injury
$809.47
53520
Repair of urethra defect
$563.91
53600
Dilate urethra stricture
Non-facility: $82.68
Facility: $65.10
53601
Dilate urethra stricture
Non-facility: $79.40
Facility: $54.67
53605
Dilate urethra stricture
$66.55
53620
Dilate urethra stricture
Non-facility: $114.90
Facility: $89.19
53621
Dilate urethra stricture
Non-facility: $107.46
Facility: $73.94
53660
Dilation of urethra
Non-facility: $68.39
Facility: $42.35
53661
Dilation of urethra
Non-facility: $67.12
Facility: $41.08
53665
Dilation of urethra
$39.71
53850
Prostatic microwave thermotx
Non-facility: $1952.34
Facility: $614.04
53852
Prostatic rf thermotx
Non-facility: $1806.70
Facility: $632.11
53855
Insert prost urethral stent
Non-facility: $719.99
Facility: $85.02
53860
Transurethral rf treatment
Non-facility: $1438.79
Facility: $230.35
54000
Slitting of prepuce
Non-facility: $144.42
Facility: $108.29
54001
Slitting of prepuce
Non-facility: $181.24
Facility: $139.59
54015
Drain penis lesion
$315.33
54050
Destruction penis lesion(s)
Non-facility: $128.34
Facility: $104.26
54055
Destruction penis lesion(s)
Non-facility: $115.72
Facility: $92.29
54056
Cryosurgery penis lesion(s)
Non-facility: $137.91
Facility: $109.92
54057
Laser surg penis lesion(s)
Non-facility: $131.35
Facility: $94.58
54060
Excision of penis lesion(s)
Non-facility: $175.27
Facility: $131.01
54065
Destruction penis lesion(s)
Non-facility: $214.87
Facility: $173.87
54100
Biopsy of penis
Non-facility: $192.95
Facility: $127.21
54105
Biopsy of penis
Non-facility: $261.53
Facility: $215.64
54110
Treatment of penis lesion
$642.63
54111
Treat penis lesion graft
$815.25
54112
Treat penis lesion graft
$958.29
54115
Treatment of penis lesion
Non-facility: $453.85
Facility: $429.44
54120
Partial removal of penis
$641.73
54125
Removal of penis
$827.76
54130
Remove penis & nodes
$1214.28
54135
Remove penis & nodes
$1530.31
54150
Circumcision w/regionl block
Non-facility: $151.58
Facility: $100.48
54160
Circumcision neonate
Non-facility: $218.28
Facility: $148.31
54161
Circum 28 days or older
$199.38
54162
Lysis penil circumic lesion
Non-facility: $254.06
Facility: $201.66
54163
Repair of circumcision
$219.89
54164
Frenulotomy of penis
$193.43
54200
Treatment of penis lesion
Non-facility: $104.03
Facility: $83.21
54205
Treatment of penis lesion
$539.17
54220
Treatment of penis lesion
Non-facility: $200.67
Facility: $137.21
54230
Prepare penis study
Non-facility: $96.04
Facility: $80.74
54231
Dynamic cavernosometry
Non-facility: $139.66
Facility: $118.18
54235
Penile injection
Non-facility: $89.12
Facility: $74.15
54240
Penis study
$101.19
54240-26
Penis study
$68.85
54240-TC
Penis study
$32.34
54250
Penis study
$122.18
54250-26
Penis study
$111.97
54250-TC
Penis study
$10.21
54300
Revision of penis
$650.94
54304
Revision of penis
$762.87
54308
Reconstruction of urethra
$727.18
54312
Reconstruction of urethra
$876.20
54316
Reconstruction of urethra
$1070.17
54318
Reconstruction of urethra
$760.85
54322
Reconstruction of urethra
$781.78
54324
Reconstruction of urethra
$1014.70
54326
Reconstruction of urethra
$963.34
54328
Revise penis/urethra
$957.26
54332
Revise penis/urethra
$1091.07
54336
Revise penis/urethra
$1276.28
54340
Secondary urethral surgery
$577.72
54344
Secondary urethral surgery
$1073.87
54348
Secondary urethral surgery
$1033.21
54352
Reconstruct urethra/penis
$1446.58
54360
Penis plastic surgery
$732.83
54380
Repair penis
$813.25
54385
Repair penis
$994.51
54390
Repair penis and bladder
$1331.67
54400
Insert semi-rigid prosthesis
$537.92
54401
Insert self-contd prosthesis
$662.04
54405
Insert multi-comp penis pros
$823.18
54406
Remove muti-comp penis pros
$742.88
54408
Repair multi-comp penis pros
$803.21
54410
Remove/replace penis prosth
$873.84
54411
Remov/replc penis pros comp
$1043.60
54415
Remove self-contd penis pros
$534.97
54416
Remv/repl penis contain pros
$719.48
54417
Remv/replc penis pros compl
$914.27
54420
Revision of penis
$716.42
54430
Revision of penis
$649.71
54435
Revision of penis
$420.03
54437
Repair corporeal tear
$692.33
54438
Replantation of penis
$1405.68
54450
Preputial stretching
Non-facility: $70.34
Facility: $59.28
54500
Biopsy of testis
$75.64
54505
Biopsy of testis
$212.79
54512
Excise lesion testis
$548.61
54520
Removal of testis
$330.35
54522
Orchiectomy partial
$634.39
54530
Removal of testis
$512.20
54535
Extensive testis surgery
$756.35
54550
Exploration for testis
$500.85
54560
Exploration for testis
$698.51
54600
Reduce testis torsion
$461.51
54620
Suspension of testis
$306.42
54640
Suspension of testis
$485.74
54650
Orchiopexy (fowler-stephens)
$720.37
54660
Revision of testis
$360.51
54670
Repair testis injury
$408.72
54680
Relocation of testis(es)
$806.08
54690
Laparoscopy orchiectomy
$765.75
54692
Laparoscopy orchiopexy
$888.62
54700
Drainage of scrotum
$217.33
54800
Biopsy of epididymis
$130.36
54830
Remove epididymis lesion
$376.77
54840
Remove epididymis lesion
$324.96
54860
Removal of epididymis
$423.78
54861
Removal of epididymis
$574.43
54865
Explore epididymis
$361.91
54900
Fusion of spermatic ducts
$857.45
54901
Fusion of spermatic ducts
$1132.60
55000
Drainage of hydrocele
Non-facility: $115.46
Facility: $86.49
55040
Removal of hydrocele
$342.23
55041
Removal of hydroceles
$516.49
55060
Repair of hydrocele
$385.08
55100
Drainage of scrotum abscess
Non-facility: $212.41
Facility: $167.49
55110
Explore scrotum
$392.55
55120
Removal of scrotum lesion
$360.61
55150
Removal of scrotum
$498.59
55175
Revision of scrotum
$366.06
55180
Revision of scrotum
$703.29
55200
Incision of sperm duct
Non-facility: $424.35
Facility: $281.48
55250
Removal of sperm duct(s)
Non-facility: $370.74
Facility: $227.86
55300
Prepare sperm duct x-ray
$191.63
55400
Repair of sperm duct
$519.84
55450
Ligation of sperm duct
Non-facility: $352.76
Facility: $260.98
55500
Removal of hydrocele
$403.19
55520
Removal of sperm cord lesion
$465.88
55530
Revise spermatic cord veins
$355.70
55535
Revise spermatic cord veins
$435.55
55540
Revise hernia & sperm veins
$558.73
55550
Laparo ligate spermatic vein
$435.05
55600
Incise sperm duct pouch
$426.58
55605
Incise sperm duct pouch
$556.57
55650
Remove sperm duct pouch
$730.91
55680
Remove sperm pouch lesion
$359.39
55700
Biopsy of prostate
Non-facility: $213.44
Facility: $142.49
55705
Biopsy of prostate
$270.40
55706
Prostate saturation sampling
$378.43
55720
Drainage of prostate abscess
$459.53
55725
Drainage of prostate abscess
$601.13
55801
Removal of prostate
$1123.71
55810
Extensive prostate surgery
$1350.11
55812
Extensive prostate surgery
$1644.64
55815
Extensive prostate surgery
$1812.55
55821
Removal of prostate
$890.71
55831
Removal of prostate
$964.26
55840
Extensive prostate surgery
$1196.08
55842
Extensive prostate surgery
$1195.18
55845
Extensive prostate surgery
$1394.01
55860
Surgical exposure prostate
$892.60
55862
Extensive prostate surgery
$1176.97
55865
Extensive prostate surgery
$1362.15
55866
Laparo radical prostatectomy
$1410.39
55870
Electroejaculation
Non-facility: $175.03
Facility: $145.42
55873
Cryoablate prostate
Non-facility: $6591.02
Facility: $782.19
55875
Transperi needle place pros
$774.88
55876
Place rt device/marker pros
Non-facility: $133.48
Facility: $101.91
55920
Place needles pelvic for rt
$456.45
56405
I & d of vulva/perineum
Non-facility: $107.76
Facility: $107.11
56420
Drainage of gland abscess
Non-facility: $118.87
Facility: $91.20
56440
Surgery for vulva lesion
$182.11
56441
Lysis of labial lesion(s)
Non-facility: $142.33
Facility: $137.44
56442
Hymenotomy
$47.46
56501
Destroy vulva lesions sim
Non-facility: $128.03
Facility: $113.71
56515
Destroy vulva lesion/s compl
Non-facility: $224.40
Facility: $201.94
56605
Biopsy of vulva/perineum
Non-facility: $81.14
Facility: $61.29
56606
Biopsy of vulva/perineum
Non-facility: $37.60
Facility: $30.44
56620
Partial removal of vulva
$525.49
56625
Complete removal of vulva
$640.65
56630
Extensive vulva surgery
$952.29
56631
Extensive vulva surgery
$1218.97
56632
Extensive vulva surgery
$1412.26
56633
Extensive vulva surgery
$1249.27
56634
Extensive vulva surgery
$1355.08
56637
Extensive vulva surgery
$1557.44
56640
Extensive vulva surgery
$1572.51
56700
Partial removal of hymen
$185.16
56740
Remove vagina gland lesion
$303.24
56800
Repair of vagina
$241.58
56805
Repair clitoris
$1178.06
56810
Repair of perineum
$261.14
56820
Exam of vulva w/scope
Non-facility: $111.67
Facility: $88.56
56821
Exam/biopsy of vulva w/scope
Non-facility: $147.07
Facility: $117.78
57000
Exploration of vagina
$187.95
57010
Drainage of pelvic abscess
$432.50
57020
Drainage of pelvic fluid
Non-facility: $92.70
Facility: $81.96
57022
I & d vaginal hematoma pp
$169.95
57023
I & d vag hematoma non-ob
$310.47
57061
Destroy vag lesions simple
Non-facility: $111.13
Facility: $97.13
57065
Destroy vag lesions complex
Non-facility: $193.70
Facility: $175.47
57100
Biopsy of vagina
Non-facility: $88.47
Facility: $68.29
57105
Biopsy of vagina
Non-facility: $134.83
Facility: $125.71
57106
Remove vagina wall partial
$498.73
57107
Remove vagina tissue part
$1491.28
57109
Vaginectomy partial w/nodes
$1796.12
57110
Remove vagina wall complete
$897.62
57111
Remove vagina tissue compl
$1627.57
57112
Vaginectomy w/nodes compl
$1916.41
57120
Closure of vagina
$509.14
57130
Remove vagina lesion
Non-facility: $174.32
Facility: $158.04
57135
Remove vagina lesion
Non-facility: $190.28
Facility: $173.36
57150
Treat vagina infection
Non-facility: $43.86
Facility: $29.22
57155
Insert uteri tandem/ovoids
Non-facility: $422.20
Facility: $294.29
57156
Ins vag brachytx device
Non-facility: $194.14
Facility: $147.60
57160
Insert pessary/other device
Non-facility: $74.11
Facility: $47.42
57170
Fitting of diaphragm/cap
Non-facility: $60.30
Facility: $49.23
57180
Treat vaginal bleeding
Non-facility: $136.98
Facility: $105.09
57200
Repair of vagina
$301.85
57210
Repair vagina/perineum
$366.73
57220
Revision of urethra
$317.16
57230
Repair of urethral lesion
$394.08
57240
Repair bladder & vagina
$674.10
57250
Repair rectum & vagina
$677.93
57260
Repair of vagina
$836.65
57265
Extensive repair of vagina
$916.53
57267
Insert mesh/pelvic flr addon
$260.18
57268
Repair of bowel bulge
$483.35
57270
Repair of bowel pouch
$806.16
57280
Suspension of vagina
$960.63
57282
Colpopexy extraperitoneal
$499.70
57283
Colpopexy intraperitoneal
$690.98
57284
Repair paravag defect open
$820.95
57285
Repair paravag defect vag
$675.53
57287
Revise/remove sling repair
$681.54
57288
Repair bladder defect
$718.75
57289
Repair bladder & vagina
$739.69
57291
Construction of vagina
$612.71
57292
Construct vagina with graft
$826.70
57295
Revise vag graft via vagina
$477.81
57296
Revise vag graft open abd
$953.55
57300
Repair rectum-vagina fistula
$568.03
57305
Repair rectum-vagina fistula
$957.24
57307
Fistula repair & colostomy
$1115.74
57308
Fistula repair transperine
$664.24
57310
Repair urethrovaginal lesion
$465.33
57311
Repair urethrovaginal lesion
$533.16
57320
Repair bladder-vagina lesion
$538.89
57330
Repair bladder-vagina lesion
$750.75
57335
Repair vagina
$1144.88
57400
Dilation of vagina
$136.56
57410
Pelvic examination
$108.57
57415
Remove vaginal foreign body
$159.89
57420
Exam of vagina w/scope
Non-facility: $117.00
Facility: $93.56
57421
Exam/biopsy of vag w/scope
Non-facility: $157.16
Facility: $127.22
57423
Repair paravag defect lap
$918.25
57425
Laparoscopy surg colpopexy
$975.96
57426
Revise prosth vag graft lap
$846.48
57452
Exam of cervix w/scope
Non-facility: $107.92
Facility: $92.95
57454
Bx/curett of cervix w/scope
Non-facility: $151.96
Facility: $136.67
57455
Biopsy of cervix w/scope
Non-facility: $141.05
Facility: $112.08
57456
Endocerv curettage w/scope
Non-facility: $132.86
Facility: $104.22
57460
Bx of cervix w/scope leep
Non-facility: $273.57
Facility: $164.22
57461
Conz of cervix w/scope leep
Non-facility: $310.36
Facility: $190.27
57500
Biopsy of cervix
Non-facility: $123.25
Facility: $76.06
57505
Endocervical curettage
Non-facility: $99.91
Facility: $91.12
57510
Cauterization of cervix
Non-facility: $129.77
Facility: $115.77
57511
Cryocautery of cervix
Non-facility: $142.63
Facility: $130.91
57513
Laser surgery of cervix
Non-facility: $143.57
Facility: $133.80
57520
Conization of cervix
Non-facility: $304.13
Facility: $275.49
57522
Conization of cervix
Non-facility: $260.21
Facility: $242.64
57530
Removal of cervix
$347.52
57531
Removal of cervix radical
$1889.84
57540
Removal of residual cervix
$787.26
57545
Remove cervix/repair pelvis
$855.74
57550
Removal of residual cervix
$404.58
57555
Remove cervix/repair vagina
$599.43
57556
Remove cervix repair bowel
$567.63
57558
D&c of cervical stump
Non-facility: $122.63
Facility: $112.54
57700
Revision of cervix
$315.87
57720
Revision of cervix
$304.50
57800
Dilation of cervical canal
Non-facility: $59.39
Facility: $48.65
58100
Biopsy of uterus lining
Non-facility: $107.89
Facility: $88.37
58110
Bx done w/colposcopy add-on
Non-facility: $47.88
Facility: $41.37
58120
Dilation and curettage
Non-facility: $255.85
Facility: $220.05
58140
Myomectomy abdom method
$931.95
58145
Myomectomy vag method
$550.68
58146
Myomectomy abdom complex
$1155.74
58150
Total hysterectomy
$1028.20
58152
Total hysterectomy
$1259.64
58180
Partial hysterectomy
$972.83
58200
Extensive hysterectomy
$1405.96
58210
Extensive hysterectomy
$1902.81
58240
Removal of pelvis contents
$3000.77
58260
Vaginal hysterectomy
$828.30
58262
Vag hyst including t/o
$926.06
58263
Vag hyst w/t/o & vag repair
$993.25
58267
Vag hyst w/urinary repair
$1059.48
58270
Vag hyst w/enterocele repair
$885.11
58275
Hysterectomy/revise vagina
$989.43
58280
Hysterectomy/revise vagina
$1052.50
58285
Extensive hysterectomy
$1359.63
58290
Vag hyst complex
$1157.06
58291
Vag hyst incl t/o complex
$1248.10
58292
Vag hyst t/o & repair compl
$1318.51
58293
Vag hyst w/uro repair compl
$1370.00
58294
Vag hyst w/enterocele compl
$1226.18
58301
Remove intrauterine device
Non-facility: $93.21
Facility: $68.47
58321
Artificial insemination
Non-facility: $74.98
Facility: $49.59
58322
Artificial insemination
Non-facility: $83.95
Facility: $59.21
58323
Sperm washing
Non-facility: $14.99
Facility: $12.06
58340
Catheter for hysterography
Non-facility: $113.45
Facility: $58.13
58345
Reopen fallopian tube
$272.77
58346
Insert heyman uteri capsule
$445.27
58350
Reopen fallopian tube
Non-facility: $93.13
Facility: $77.18
58353
Endometr ablate thermal
Non-facility: $939.71
Facility: $218.81
58356
Endometrial cryoablation
Non-facility: $1756.74
Facility: $349.44
58400
Suspension of uterus
$440.48
58410
Suspension of uterus
$825.24
58520
Repair of ruptured uterus
$872.08
58540
Revision of uterus
$908.98
58541
Lsh uterus 250 g or less
$718.59
58542
Lsh w/t/o ut 250 g or less
$823.29
58543
Lsh uterus above 250 g
$832.13
58544
Lsh w/t/o uterus above 250 g
$910.48
58545
Laparoscopic myomectomy
$912.57
58546
Laparo-myomectomy complex
$1127.78
58548
Lap radical hyst
$1961.53
58550
Laparo-asst vag hysterectomy
$884.74
58552
Laparo-vag hyst incl t/o
$997.28
58553
Laparo-vag hyst complex
$1145.53
58554
Laparo-vag hyst w/t/o compl
$1345.01
58555
Hysteroscopy dx sep proc
Non-facility: $302.18
Facility: $190.55
58558
Hysteroscopy biopsy
Non-facility: $395.04
Facility: $268.76
58559
Hysteroscopy lysis
$344.35
58560
Hysteroscopy resect septum
$388.28
58561
Hysteroscopy remove myoma
$551.14
58562
Hysteroscopy remove fb
Non-facility: $409.72
Facility: $291.91
58563
Hysteroscopy ablation
Non-facility: $1559.05
Facility: $343.78
58565
Hysteroscopy sterilization
Non-facility: $1745.14
Facility: $432.23
58570
Tlh uterus 250 g or less
$782.84
58571
Tlh w/t/o 250 g or less
$913.18
58572
Tlh uterus over 250 g
$1030.04
58573
Tlh w/t/o uterus over 250 g
$1237.35
58600
Division of fallopian tube
$362.53
58605
Division of fallopian tube
$327.92
58611
Ligate oviduct(s) add-on
$78.09
58615
Occlude fallopian tube(s)
$242.42
58660
Laparoscopy lysis
$679.95
58661
Laparoscopy remove adnexa
$658.18
58662
Laparoscopy excise lesions
$715.51
58670
Laparoscopy tubal cautery
$364.65
58671
Laparoscopy tubal block
$363.88
58672
Laparoscopy fimbrioplasty
$736.32
58673
Laparoscopy salpingostomy
$800.88
58700
Removal of fallopian tube
$791.88
58720
Removal of ovary/tube(s)
$747.77
58740
Adhesiolysis tube ovary
$893.82
58750
Repair oviduct
$1002.02
58752
Revise ovarian tube(s)
$937.59
58760
Fimbrioplasty
$828.34
58770
Create new tubal opening
$949.40
58800
Drainage of ovarian cyst(s)
Non-facility: $313.64
Facility: $296.07
58805
Drainage of ovarian cyst(s)
$401.83
58820
Drain ovary abscess open
$309.14
58822
Drain ovary abscess percut
$768.58
58825
Transposition ovary(s)
$698.70
58900
Biopsy of ovary(s)
$463.00
58920
Partial removal of ovary(s)
$783.62
58925
Removal of ovarian cyst(s)
$755.75
58940
Removal of ovary(s)
$532.83
58943
Removal of ovary(s)
$1209.83
58950
Resect ovarian malignancy
$1160.82
58951
Resect ovarian malignancy
$1496.66
58952
Resect ovarian malignancy
$1693.42
58953
Tah rad dissect for debulk
$2096.57
58954
Tah rad debulk/lymph remove
$2279.98
58956
Bso omentectomy w/tah
$1419.07
58957
Resect recurrent gyn mal
$1637.81
58958
Resect recur gyn mal w/lym
$1798.40
58960
Exploration of abdomen
$1001.03
58970
Retrieval of oocyte
Non-facility: $221.68
Facility: $201.50
58976
Transfer of embryo
Non-facility: $252.86
Facility: $221.29
59000
Amniocentesis diagnostic
Non-facility: $125.47
Facility: $84.46
59001
Amniocentesis therapeutic
$188.95
59012
Fetal cord puncture prenatal
$213.54
59015
Chorion biopsy
Non-facility: $159.87
Facility: $138.39
59020
Fetal contract stress test
$70.19
59020-26
Fetal contract stress test
$38.82
59020-TC
Fetal contract stress test
$31.37
59025
Fetal non-stress test
$48.24
59025-26
Fetal non-stress test
$31.19
59025-TC
Fetal non-stress test
$17.05
59030
Fetal scalp blood sample
$102.72
59050
Fetal monitor w/report
$53.58
59051
Fetal monitor/interpret only
$44.46
59070
Transabdom amnioinfus w/us
Non-facility: $403.03
Facility: $314.83
59072
Umbilical cord occlud w/us
$477.12
59074
Fetal fluid drainage w/us
Non-facility: $386.42
Facility: $311.24
59076
Fetal shunt placement w/us
$477.12
59100
Remove uterus lesion
$817.49
59120
Treat ectopic pregnancy
$826.37
59121
Treat ectopic pregnancy
$829.62
59130
Treat ectopic pregnancy
$970.71
59135
Treat ectopic pregnancy
$839.56
59136
Treat ectopic pregnancy
$873.92
59140
Treat ectopic pregnancy
$405.95
59150
Treat ectopic pregnancy
$803.04
59151
Treat ectopic pregnancy
$779.17
59160
D & c after delivery
Non-facility: $208.46
Facility: $180.47
59200
Insert cervical dilator
Non-facility: $71.63
Facility: $46.90
59300
Episiotomy or vaginal repair
Non-facility: $196.12
Facility: $155.44
59320
Revision of cervix
$159.37
59325
Revision of cervix
$254.96
59350
Repair of uterus
$276.69
59400
Obstetrical care
$2158.91
59409
Obstetrical care
$855.65
59410
Obstetrical care
$1089.94
59412
Antepartum manipulation
$108.63
59414
Deliver placenta
$96.99
59425
Antepartum care only
Non-facility: $463.51
Facility: $373.36
59426
Antepartum care only
Non-facility: $827.07
Facility: $657.83
59430
Care after delivery
Non-facility: $187.24
Facility: $145.90
59510
Cesarean delivery
$2402.33
59514
Cesarean delivery only
$965.72
59515
Cesarean delivery
$1325.01
59525
Remove uterus after cesarean
$509.10
59610
Vbac delivery
$2278.37
59612
Vbac delivery only
$968.41
59614
Vbac care after delivery
$1202.42
59618
Attempted vbac delivery
$2436.47
59620
Attempted vbac delivery only
$989.70
59622
Attempted vbac after care
$1362.57
59812
Treatment of miscarriage
Non-facility: $326.18
Facility: $305.68
59820
Care of miscarriage
Non-facility: $385.47
Facility: $364.64
59821
Treatment of miscarriage
Non-facility: $390.28
Facility: $367.50
59830
Treat uterus infection
$452.17
59840
Abortion
Non-facility: $222.83
Facility: $214.69
59841
Abortion
Non-facility: $395.05
Facility: $375.52
59850
Abortion
$350.31
59851
Abortion
$370.22
59852
Abortion
$505.47
59855
Abortion
$431.30
59856
Abortion
$508.71
59857
Abortion
$523.06
59866
Abortion (mpr)
$219.33
59870
Evacuate mole of uterus
$484.97
59871
Remove cerclage suture
$139.22
60000
Drain thyroid/tongue cyst
Non-facility: $169.02
Facility: $153.08
60100
Biopsy of thyroid
Non-facility: $111.73
Facility: $81.14
60200
Remove thyroid lesion
$676.21
60210
Partial thyroid excision
$729.83
60212
Partial thyroid excision
$1040.61
60220
Partial removal of thyroid
$728.09
60225
Partial removal of thyroid
$961.23
60240
Removal of thyroid
$951.64
60252
Removal of thyroid
$1369.81
60254
Extensive thyroid surgery
$1733.91
60260
Repeat thyroid surgery
$1131.70
60270
Removal of thyroid
$1421.12
60271
Removal of thyroid
$1095.11
60280
Remove thyroid duct lesion
$448.81
60281
Remove thyroid duct lesion
$597.26
60300
Aspir/inj thyroid cyst
Non-facility: $114.52
Facility: $51.38
60500
Explore parathyroid glands
$999.42
60502
Re-explore parathyroids
$1335.98
60505
Explore parathyroid glands
$1435.58
60512
Autotransplant parathyroid
$255.90
60520
Removal of thymus gland
$1087.41
60521
Removal of thymus gland
$1176.79
60522
Removal of thymus gland
$1425.04
60540
Explore adrenal gland
$1098.29
60545
Explore adrenal gland
$1261.58
60600
Remove carotid body lesion
$1463.46
60605
Remove carotid body lesion
$1815.63
60650
Laparoscopy adrenalectomy
$1242.27
61000
Remove cranial cavity fluid
$122.96
61001
Remove cranial cavity fluid
$87.06
61020
Remove brain cavity fluid
$105.90
61026
Injection into brain canal
$105.70
61050
Remove brain canal fluid
$87.28
61055
Injection into brain canal
$124.74
61070
Brain canal shunt procedure
$59.22
61105
Twist drill hole
$478.08
61107
Drill skull for implantation
$344.22
61108
Drill skull for drainage
$960.11
61120
Burr hole for puncture
$790.82
61140
Pierce skull for biopsy
$1350.70
61150
Pierce skull for drainage
$1434.32
61151
Pierce skull for drainage
$1067.75
61154
Pierce skull & remove clot
$1353.63
61156
Pierce skull for drainage
$1334.67
61210
Pierce skull implant device
$403.71
61215
Insert brain-fluid device
$531.28
61250
Pierce skull & explore
$851.19
61253
Pierce skull & explore
$838.66
61304
Open skull for exploration
$1765.00
61305
Open skull for exploration
$2155.15
61312
Open skull for drainage
$2240.30
61313
Open skull for drainage
$2130.87
61314
Open skull for drainage
$1954.78
61315
Open skull for drainage
$2224.14
61316
Implt cran bone flap to abdo
$96.17
61320
Open skull for drainage
$2044.34
61321
Open skull for drainage
$2256.99
61322
Decompressive craniotomy
$2560.16
61323
Decompressive lobectomy
$2599.09
61330
Decompress eye socket
$1639.22
61332
Explore/biopsy eye socket
$1791.47
61333
Explore orbit/remove lesion
$1856.68
61340
Subtemporal decompression
$1522.12
61343
Incise skull (press relief)
$2361.24
61345
Relieve cranial pressure
$2187.64
61450
Incise skull for surgery
$2070.81
61458
Incise skull for brain wound
$2157.46
61460
Incise skull for surgery
$2278.74
61480
Incise skull for surgery
$1660.54
61500
Removal of skull lesion
$1394.03
61501
Remove infected skull bone
$1211.79
61510
Removal of brain lesion
$2342.92
61512
Remove brain lining lesion
$2742.67
61514
Removal of brain abscess
$2037.73
61516
Removal of brain lesion
$1988.63
61517
Implt brain chemotx add-on
$96.14
61518
Removal of brain lesion
$2963.71
61519
Remove brain lining lesion
$3154.98
61520
Removal of brain lesion
$4049.07
61521
Removal of brain lesion
$3398.61
61522
Removal of brain abscess
$2332.76
61524
Removal of brain lesion
$2228.03
61526
Removal of brain lesion
$3970.43
61530
Removal of brain lesion
$3346.19
61531
Implant brain electrodes
$1299.06
61533
Implant brain electrodes
$1631.44
61534
Removal of brain lesion
$1735.80
61535
Remove brain electrodes
$1058.67
61536
Removal of brain lesion
$2800.11
61537
Removal of brain tissue
$2656.15
61538
Removal of brain tissue
$2895.07
61539
Removal of brain tissue
$2525.40
61540
Removal of brain tissue
$2364.60
61541
Incision of brain tissue
$2327.22
61543
Removal of brain tissue
$2261.54
61544
Remove & treat brain lesion
$2059.95
61545
Excision of brain tumor
$3455.33
61546
Removal of pituitary gland
$2501.47
61548
Removal of pituitary gland
$1674.37
61550
Release of skull seams
$986.87
61552
Release of skull seams
$1193.08
61556
Incise skull/sutures
$1668.85
61557
Incise skull/sutures
$1702.82
61558
Excision of skull/sutures
$2027.98
61559
Excision of skull/sutures
$2197.05
61563
Excision of skull tumor
$2047.18
61564
Excision of skull tumor
$2454.43
61566
Removal of brain tissue
$2419.56
61567
Incision of brain tissue
$2776.82
61570
Remove foreign body brain
$2004.34
61571
Incise skull for brain wound
$2138.64
61575
Skull base/brainstem surgery
$2222.00
61576
Skull base/brainstem surgery
$3748.69
61580
Craniofacial approach skull
$2588.52
61581
Craniofacial approach skull
$2709.23
61582
Craniofacial approach skull
$3027.33
61583
Craniofacial approach skull
$3069.54
61584
Orbitocranial approach/skull
$3026.94
61585
Orbitocranial approach/skull
$3441.59
61586
Resect nasopharynx skull
$2520.11
61590
Infratemporal approach/skull
$3146.92
61591
Infratemporal approach/skull
$3224.36
61592
Orbitocranial approach/skull
$3369.87
61595
Transtemporal approach/skull
$2448.10
61596
Transcochlear approach/skull
$2496.05
61597
Transcondylar approach/skull
$2993.98
61598
Transpetrosal approach/skull
$3011.92
61600
Resect/excise cranial lesion
$2205.13
61601
Resect/excise cranial lesion
$2552.66
61605
Resect/excise cranial lesion
$2227.56
61606
Resect/excise cranial lesion
$3163.55
61607
Resect/excise cranial lesion
$2846.57
61608
Resect/excise cranial lesion
$3465.03
61610
Transect artery sinus
$1610.67
61611
Transect artery sinus
$402.73
61612
Transect artery sinus
$1513.68
61613
Remove aneurysm sinus
$3427.41
61615
Resect/excise lesion skull
$2333.10
61616
Resect/excise lesion skull
$3534.50
61618
Repair dura
$1374.96
61619
Repair dura
$1519.08
61623
Endovasc tempory vessel occl
$602.17
61624
Transcath occlusion cns
$1211.79
61626
Transcath occlusion non-cns
$898.78
61630
Intracranial angioplasty
$1402.91
61635
Intracran angioplsty w/stent
$1502.42
61645
Perq art m-thrombect &/nfs
$821.53
61650
Evasc prlng admn rx agnt 1st
$545.34
61651
Evasc prlng admn rx agnt add
$231.63
61680
Intracranial vessel surgery
$2409.07
61682
Intracranial vessel surgery
$4503.22
61684
Intracranial vessel surgery
$3088.45
61686
Intracranial vessel surgery
$4857.51
61690
Intracranial vessel surgery
$2329.33
61692
Intracranial vessel surgery
$3941.37
61697
Brain aneurysm repr complx
$4573.22
61698
Brain aneurysm repr complx
$5023.46
61700
Brain aneurysm repr simple
$3670.48
61702
Inner skull vessel surgery
$4344.93
61703
Clamp neck artery
$1463.57
61705
Revise circulation to head
$2754.46
61708
Revise circulation to head
$2184.53
61710
Revise circulation to head
$2333.79
61711
Fusion of skull arteries
$2795.16
61720
Incise skull/brain surgery
$1368.29
61735
Incise skull/brain surgery
$1693.49
61750
Incise skull/brain biopsy
$1511.50
61751
Brain biopsy w/ct/mr guide
$1480.62
61760
Implant brain electrodes
$1707.77
61770
Incise skull for treatment
$1744.29
61781
Scan proc cranial intra
$256.84
61782
Scan proc cranial extra
$182.71
61783
Scan proc spinal
$251.54
61790
Treat trigeminal nerve
$939.74
61791
Treat trigeminal tract
$1140.23
61796
Srs cranial lesion simple
$1087.74
61797
Srs cran les simple addl
$241.93
61798
Srs cranial lesion complex
$1489.34
61799
Srs cran les complex addl
$333.18
61800
Apply srs headframe add-on
$167.07
61850
Implant neuroelectrodes
$1054.03
61860
Implant neuroelectrodes
$1691.76
61863
Implant neuroelectrode
$1608.30
61864
Implant neuroelectrde addl
$311.66
61867
Implant neuroelectrode
$2454.42
61868
Implant neuroelectrde addl
$546.09
61870
Implant neuroelectrodes
$1215.63
61880
Revise/remove neuroelectrode
$600.93
61885
Insrt/redo neurostim 1 array
$537.82
61886
Implant neurostim arrays
$885.10
61888
Revise/remove neuroreceiver
$420.27
62000
Treat skull fracture
$1105.57
62005
Treat skull fracture
$1327.37
62010
Treatment of head injury
$1639.64
62100
Repair brain fluid leakage
$1700.99
62115
Reduction of skull defect
$1344.42
62117
Reduction of skull defect
$1678.94
62120
Repair skull cavity lesion
$1699.14
62121
Incise skull repair
$1661.13
62140
Repair of skull defect
$1095.97
62141
Repair of skull defect
$1208.11
62142
Remove skull plate/flap
$940.46
62143
Replace skull plate/flap
$1105.49
62145
Repair of skull & brain
$1508.15
62146
Repair of skull with graft
$1330.16
62147
Repair of skull with graft
$1507.50
62148
Retr bone flap to fix skull
$139.44
62160
Neuroendoscopy add-on
$208.61
62161
Dissect brain w/scope
$1630.93
62162
Remove colloid cyst w/scope
$2031.88
62163
Zneuroendoscopy w/fb removal
$1167.96