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Laboratory Fee Schedule

2019
2018

Physician Fee Schedule

2019
2018

OPPS Fee Schedule

2019-April
2019-January

ASC Fee Schedule

2019-April
2019-January

APC Codes

2019-April
2019-January

DRG Codes

2019
2018

ASP Drug Pricing Files

April 2019
January 2019


CMS Transmittals



--

2018 Physician Fee Schedule-Rev C
Please see the individual Procedure page for limits pertaining to the DRA Payment Cap amounts.

Selected Fee Schedule:
Procedure
Short Descriptor
2018 Physician Fee
Schedule
10021
FNA W/O IMAGE
$XXX.XX
10022
FNA W/IMAGE
$XXX.XX
10030
GUIDE CATHET FLUID DRAINAGE
$XXX.XX
10035
PERQ DEV SOFT TISS 1ST IMAG
$XXX.XX
10036
PERQ DEV SOFT TISS ADD IMAG
$XXX.XX
10040
ACNE SURGERY
$XXX.XX
10060
DRAINAGE OF SKIN ABSCESS
$XXX.XX
10061
DRAINAGE OF SKIN ABSCESS
$XXX.XX
10080
DRAINAGE OF PILONIDAL CYST
$XXX.XX
10081
DRAINAGE OF PILONIDAL CYST
$XXX.XX
10120
REMOVE FOREIGN BODY
$XXX.XX
10121
REMOVE FOREIGN BODY
$XXX.XX
10140
DRAINAGE OF HEMATOMA/FLUID
$XXX.XX
10160
PUNCTURE DRAINAGE OF LESION
$XXX.XX
10180
COMPLEX DRAINAGE WOUND
$XXX.XX
11000
DEBRIDE INFECTED SKIN
$XXX.XX
11001
DEBRIDE INFECTED SKIN ADD-ON
$XXX.XX
11004
DEBRIDE GENITALIA & PERINEUM
$XXX.XX
11005
DEBRIDE ABDOM WALL
$XXX.XX
11006
DEBRIDE GENIT/PER/ABDOM WALL
$XXX.XX
11008
REMOVE MESH FROM ABD WALL
$XXX.XX
11010
DEBRIDE SKIN AT FX SITE
$XXX.XX
11011
DEBRIDE SKIN MUSC AT FX SITE
$XXX.XX
11012
DEB SKIN BONE AT FX SITE
$XXX.XX
11042
DEB SUBQ TISSUE 20 SQ CM/<
$XXX.XX
11043
DEB MUSC/FASCIA 20 SQ CM/<
$XXX.XX
11044
DEB BONE 20 SQ CM/<
$XXX.XX
11045
DEB SUBQ TISSUE ADD-ON
$XXX.XX
11046
DEB MUSC/FASCIA ADD-ON
$XXX.XX
11047
DEB BONE ADD-ON
$XXX.XX
11055
TRIM SKIN LESION
$XXX.XX
11056
TRIM SKIN LESIONS 2 TO 4
$XXX.XX
11057
TRIM SKIN LESIONS OVER 4
$XXX.XX
11100
BIOPSY SKIN LESION
$XXX.XX
11101
BIOPSY SKIN ADD-ON
$XXX.XX
11200
REMOVAL OF SKIN TAGS
$XXX.XX
11201
REMOVE SKIN TAGS ADD-ON
$XXX.XX
11300
SHAVE SKIN LESION 0.5 CM/<
$XXX.XX
11301
SHAVE SKIN LESION 0.6-1.0 CM
$XXX.XX
11302
SHAVE SKIN LESION 1.1-2.0 CM
$XXX.XX
11303
SHAVE SKIN LESION >2.0 CM
$XXX.XX
11305
SHAVE SKIN LESION 0.5 CM/<
$XXX.XX
11306
SHAVE SKIN LESION 0.6-1.0 CM
$XXX.XX
11307
SHAVE SKIN LESION 1.1-2.0 CM
$XXX.XX
11308
SHAVE SKIN LESION >2.0 CM
$XXX.XX
11310
SHAVE SKIN LESION 0.5 CM/<
$XXX.XX
11311
SHAVE SKIN LESION 0.6-1.0 CM
$XXX.XX
11312
SHAVE SKIN LESION 1.1-2.0 CM
$XXX.XX
11313
SHAVE SKIN LESION >2.0 CM
$XXX.XX
11400
EXC TR-EXT B9+MARG 0.5 CM<
$XXX.XX
11401
EXC TR-EXT B9+MARG 0.6-1 CM
$XXX.XX
11402
EXC TR-EXT B9+MARG 1.1-2 CM
$XXX.XX
11403
EXC TR-EXT B9+MARG 2.1-3CM
$XXX.XX
11404
EXC TR-EXT B9+MARG 3.1-4 CM
$XXX.XX
11406
EXC TR-EXT B9+MARG >4.0 CM
$XXX.XX
11420
EXC H-F-NK-SP B9+MARG 0.5/<
$XXX.XX
11421
EXC H-F-NK-SP B9+MARG 0.6-1
$XXX.XX
11422
EXC H-F-NK-SP B9+MARG 1.1-2
$XXX.XX
11423
EXC H-F-NK-SP B9+MARG 2.1-3
$XXX.XX
11424
EXC H-F-NK-SP B9+MARG 3.1-4
$XXX.XX
11426
EXC H-F-NK-SP B9+MARG >4 CM
$XXX.XX
11440
EXC FACE-MM B9+MARG 0.5 CM/<
$XXX.XX
11441
EXC FACE-MM B9+MARG 0.6-1 CM
$XXX.XX
11442
EXC FACE-MM B9+MARG 1.1-2 CM
$XXX.XX
11443
EXC FACE-MM B9+MARG 2.1-3 CM
$XXX.XX
11444
EXC FACE-MM B9+MARG 3.1-4 CM
$XXX.XX
11446
EXC FACE-MM B9+MARG >4 CM
$XXX.XX
11450
REMOVAL SWEAT GLAND LESION
$XXX.XX
11451
REMOVAL SWEAT GLAND LESION
$XXX.XX
11462
REMOVAL SWEAT GLAND LESION
$XXX.XX
11463
REMOVAL SWEAT GLAND LESION
$XXX.XX
11470
REMOVAL SWEAT GLAND LESION
$XXX.XX
11471
REMOVAL SWEAT GLAND LESION
$XXX.XX
11600
EXC TR-EXT MAL+MARG 0.5 CM/<
$XXX.XX
11601
EXC TR-EXT MAL+MARG 0.6-1 CM
$XXX.XX
11602
EXC TR-EXT MAL+MARG 1.1-2 CM
$XXX.XX
11603
EXC TR-EXT MAL+MARG 2.1-3 CM
$XXX.XX
11604
EXC TR-EXT MAL+MARG 3.1-4 CM
$XXX.XX
11606
EXC TR-EXT MAL+MARG >4 CM
$XXX.XX
11620
EXC H-F-NK-SP MAL+MARG 0.5/<
$XXX.XX
11621
EXC S/N/H/F/G MAL+MRG 0.6-1
$XXX.XX
11622
EXC S/N/H/F/G MAL+MRG 1.1-2
$XXX.XX
11623
EXC S/N/H/F/G MAL+MRG 2.1-3
$XXX.XX
11624
EXC S/N/H/F/G MAL+MRG 3.1-4
$XXX.XX
11626
EXC S/N/H/F/G MAL+MRG >4 CM
$XXX.XX
11640
EXC F/E/E/N/L MAL+MRG 0.5CM<
$XXX.XX
11641
EXC F/E/E/N/L MAL+MRG 0.6-1
$XXX.XX
11642
EXC F/E/E/N/L MAL+MRG 1.1-2
$XXX.XX
11643
EXC F/E/E/N/L MAL+MRG 2.1-3
$XXX.XX
11644
EXC F/E/E/N/L MAL+MRG 3.1-4
$XXX.XX
11646
EXC F/E/E/N/L MAL+MRG >4 CM
$XXX.XX
11719
TRIM NAIL(S) ANY NUMBER
$XXX.XX
11720
DEBRIDE NAIL 1-5
$XXX.XX
11721
DEBRIDE NAIL 6 OR MORE
$XXX.XX
11730
REMOVAL OF NAIL PLATE
$XXX.XX
11732
REMOVE NAIL PLATE ADD-ON
$XXX.XX
11740
DRAIN BLOOD FROM UNDER NAIL
$XXX.XX
11750
REMOVAL OF NAIL BED
$XXX.XX
11755
BIOPSY NAIL UNIT
$XXX.XX
11760
REPAIR OF NAIL BED
$XXX.XX
11762
RECONSTRUCTION OF NAIL BED
$XXX.XX
11765
EXCISION OF NAIL FOLD TOE
$XXX.XX
11770
REMOVE PILONIDAL CYST SIMPLE
$XXX.XX
11771
REMOVE PILONIDAL CYST EXTEN
$XXX.XX
11772
REMOVE PILONIDAL CYST COMPL
$XXX.XX
11900
INJECT SKIN LESIONS
$XXX.XX
11901
INJECT SKIN LESIONS >7
$XXX.XX
11920
CORRECT SKIN COLOR 6.0 CM/<
$XXX.XX
11921
CORRECT SKN COLOR 6.1-20.0CM
$XXX.XX
11922
CORRECT SKIN COLOR EA 20.0CM
$XXX.XX
11950
TX CONTOUR DEFECTS 1 CC/<
$XXX.XX
11951
TX CONTOUR DEFECTS 1.1-5.0CC
$XXX.XX
11952
TX CONTOUR DEFECTS 5.1-10CC
$XXX.XX
11954
TX CONTOUR DEFECTS >10.0 CC
$XXX.XX
11960
INSERT TISSUE EXPANDER(S)
$XXX.XX
11970
REPLACE TISSUE EXPANDER
$XXX.XX
11971
REMOVE TISSUE EXPANDER(S)
$XXX.XX
11976
REMOVE CONTRACEPTIVE CAPSULE
$XXX.XX
11980
IMPLANT HORMONE PELLET(S)
$XXX.XX
11981
INSERT DRUG IMPLANT DEVICE
$XXX.XX
11982
REMOVE DRUG IMPLANT DEVICE
$XXX.XX
11983
REMOVE/INSERT DRUG IMPLANT
$XXX.XX
12001
RPR S/N/AX/GEN/TRNK 2.5CM/<
$XXX.XX
12002
RPR S/N/AX/GEN/TRNK2.6-7.5CM
$XXX.XX
12004
RPR S/N/AX/GEN/TRK7.6-12.5CM
$XXX.XX
12005
RPR S/N/A/GEN/TRK12.6-20.0CM
$XXX.XX
12006
RPR S/N/A/GEN/TRK20.1-30.0CM
$XXX.XX
12007
RPR S/N/AX/GEN/TRNK >30.0 CM
$XXX.XX
12011
RPR F/E/E/N/L/M 2.5 CM/<
$XXX.XX
12013
RPR F/E/E/N/L/M 2.6-5.0 CM
$XXX.XX
12014
RPR F/E/E/N/L/M 5.1-7.5 CM
$XXX.XX
12015
RPR F/E/E/N/L/M 7.6-12.5 CM
$XXX.XX
12016
RPR FE/E/EN/L/M 12.6-20.0 CM
$XXX.XX
12017
RPR FE/E/EN/L/M 20.1-30.0 CM
$XXX.XX
12018
RPR F/E/E/N/L/M >30.0 CM
$XXX.XX
12020
CLOSURE OF SPLIT WOUND
$XXX.XX
12021
CLOSURE OF SPLIT WOUND
$XXX.XX
12031
INTMD RPR S/A/T/EXT 2.5 CM/<
$XXX.XX
12032
INTMD RPR S/A/T/EXT 2.6-7.5
$XXX.XX
12034
INTMD RPR S/TR/EXT 7.6-12.5
$XXX.XX
12035
INTMD RPR S/A/T/EXT 12.6-20
$XXX.XX
12036
INTMD RPR S/A/T/EXT 20.1-30
$XXX.XX
12037
INTMD RPR S/TR/EXT >30.0 CM
$XXX.XX
12041
INTMD RPR N-HF/GENIT 2.5CM/<
$XXX.XX
12042
INTMD RPR N-HF/GENIT2.6-7.5
$XXX.XX
12044
INTMD RPR N-HF/GENIT7.6-12.5
$XXX.XX
12045
INTMD RPR N-HF/GENIT12.6-20
$XXX.XX
12046
INTMD RPR N-HF/GENIT20.1-30
$XXX.XX
12047
INTMD RPR N-HF/GENIT >30.0CM
$XXX.XX
12051
INTMD RPR FACE/MM 2.5 CM/<
$XXX.XX
12052
INTMD RPR FACE/MM 2.6-5.0 CM
$XXX.XX
12053
INTMD RPR FACE/MM 5.1-7.5 CM
$XXX.XX
12054
INTMD RPR FACE/MM 7.6-12.5CM
$XXX.XX
12055
INTMD RPR FACE/MM 12.6-20 CM
$XXX.XX
12056
INTMD RPR FACE/MM 20.1-30.0
$XXX.XX
12057
INTMD RPR FACE/MM >30.0 CM
$XXX.XX
13100
CMPLX RPR TRUNK 1.1-2.5 CM
$XXX.XX
13101
CMPLX RPR TRUNK 2.6-7.5 CM
$XXX.XX
13102
CMPLX RPR TRUNK ADDL 5CM/<
$XXX.XX
13120
CMPLX RPR S/A/L 1.1-2.5 CM
$XXX.XX
13121
CMPLX RPR S/A/L 2.6-7.5 CM
$XXX.XX
13122
CMPLX RPR S/A/L ADDL 5 CM/>
$XXX.XX
13131
CMPLX RPR F/C/C/M/N/AX/G/H/F
$XXX.XX
13132
CMPLX RPR F/C/C/M/N/AX/G/H/F
$XXX.XX
13133
CMPLX RPR F/C/C/M/N/AX/G/H/F
$XXX.XX
13151
CMPLX RPR E/N/E/L 1.1-2.5 CM
$XXX.XX
13152
CMPLX RPR E/N/E/L 2.6-7.5 CM
$XXX.XX
13153
CMPLX RPR E/N/E/L ADDL 5CM/<
$XXX.XX
13160
LATE CLOSURE OF WOUND
$XXX.XX
14000
TIS TRNFR TRUNK 10 SQ CM/<
$XXX.XX
14001
TIS TRNFR TRUNK 10.1-30SQCM
$XXX.XX
14020
TIS TRNFR S/A/L 10 SQ CM/<
$XXX.XX
14021
TIS TRNFR S/A/L 10.1-30 SQCM
$XXX.XX
14040
TIS TRNFR F/C/C/M/N/A/G/H/F
$XXX.XX
14041
TIS TRNFR F/C/C/M/N/A/G/H/F
$XXX.XX
14060
TIS TRNFR E/N/E/L 10 SQ CM/<
$XXX.XX
14061
TIS TRNFR E/N/E/L10.1-30SQCM
$XXX.XX
14301
TIS TRNFR ANY 30.1-60 SQ CM
$XXX.XX
14302
TIS TRNFR ADDL 30 SQ CM
$XXX.XX
14350
FILLETED FINGER/TOE FLAP
$XXX.XX
15002
WOUND PREP TRK/ARM/LEG
$XXX.XX
15003
WOUND PREP ADDL 100 CM
$XXX.XX
15004
WOUND PREP F/N/HF/G
$XXX.XX
15005
WND PREP F/N/HF/G ADDL CM
$XXX.XX
15040
HARVEST CULTURED SKIN GRAFT
$XXX.XX
15050
SKIN PINCH GRAFT
$XXX.XX
15100
SKIN SPLT GRFT TRNK/ARM/LEG
$XXX.XX
15101
SKIN SPLT GRFT T/A/L ADD-ON
$XXX.XX
15110
EPIDRM AUTOGRFT TRNK/ARM/LEG
$XXX.XX
15111
EPIDRM AUTOGRFT T/A/L ADD-ON
$XXX.XX
15115
EPIDRM A-GRFT FACE/NCK/HF/G
$XXX.XX
15116
EPIDRM A-GRFT F/N/HF/G ADDL
$XXX.XX
15120
SKN SPLT A-GRFT FAC/NCK/HF/G
$XXX.XX
15121
SKN SPLT A-GRFT F/N/HF/G ADD
$XXX.XX
15130
DERM AUTOGRAFT TRNK/ARM/LEG
$XXX.XX
15131
DERM AUTOGRAFT T/A/L ADD-ON
$XXX.XX
15135
DERM AUTOGRAFT FACE/NCK/HF/G
$XXX.XX
15136
DERM AUTOGRAFT F/N/HF/G ADD
$XXX.XX
15150
CULT SKIN GRFT T/ARM/LEG
$XXX.XX
15151
CULT SKIN GRFT T/A/L ADDL
$XXX.XX
15152
CULT SKIN GRAFT T/A/L +%
$XXX.XX
15155
CULT SKIN GRAFT F/N/HF/G
$XXX.XX
15156
CULT SKIN GRFT F/N/HFG ADD
$XXX.XX
15157
CULT EPIDERM GRFT F/N/HFG +%
$XXX.XX
15200
SKIN FULL GRAFT TRUNK
$XXX.XX
15201
SKIN FULL GRAFT TRUNK ADD-ON
$XXX.XX
15220
SKIN FULL GRAFT SCLP/ARM/LEG
$XXX.XX
15221
SKIN FULL GRAFT ADD-ON
$XXX.XX
15240
SKIN FULL GRFT FACE/GENIT/HF
$XXX.XX
15241
SKIN FULL GRAFT ADD-ON
$XXX.XX
15260
SKIN FULL GRAFT EEN & LIPS
$XXX.XX
15261
SKIN FULL GRAFT ADD-ON
$XXX.XX
15271
SKIN SUB GRAFT TRNK/ARM/LEG
$XXX.XX
15272
SKIN SUB GRAFT T/A/L ADD-ON
$XXX.XX
15273
SKIN SUB GRFT T/ARM/LG CHILD
$XXX.XX
15274
SKN SUB GRFT T/A/L CHILD ADD
$XXX.XX
15275
SKIN SUB GRAFT FACE/NK/HF/G
$XXX.XX
15276
SKIN SUB GRAFT F/N/HF/G ADDL
$XXX.XX
15277
SKN SUB GRFT F/N/HF/G CHILD
$XXX.XX
15278
SKN SUB GRFT F/N/HF/G CH ADD
$XXX.XX
15570
SKIN PEDICLE FLAP TRUNK
$XXX.XX
15572
SKIN PEDICLE FLAP ARMS/LEGS
$XXX.XX
15574
PEDCLE FH/CH/CH/M/N/AX/G/H/F
$XXX.XX
15576
PEDICLE E/N/E/L/NTRORAL
$XXX.XX
15600
DELAY FLAP TRUNK
$XXX.XX
15610
DELAY FLAP ARMS/LEGS
$XXX.XX
15620
DELAY FLAP F/C/C/N/AX/G/H/F
$XXX.XX
15630
DELAY FLAP EYE/NOS/EAR/LIP
$XXX.XX
15650
TRANSFER SKIN PEDICLE FLAP
$XXX.XX
15730
MDFC FLAP W/PRSRV VASC PEDCL
$XXX.XX
15731
FOREHEAD FLAP W/VASC PEDICLE
$XXX.XX
15733
MUSC MYOQ/FSCQ FLP H&N PEDCL
$XXX.XX
15734
MUSCLE-SKIN GRAFT TRUNK
$XXX.XX
15736
MUSCLE-SKIN GRAFT ARM
$XXX.XX
15738
MUSCLE-SKIN GRAFT LEG
$XXX.XX
15740
ISLAND PEDICLE FLAP GRAFT
$XXX.XX
15750
NEUROVASCULAR PEDICLE FLAP
$XXX.XX
15756
FREE MYO/SKIN FLAP MICROVASC
$XXX.XX
15757
FREE SKIN FLAP MICROVASC
$XXX.XX
15758
FREE FASCIAL FLAP MICROVASC
$XXX.XX
15760
COMPOSITE SKIN GRAFT
$XXX.XX
15770
DERMA-FAT-FASCIA GRAFT
$XXX.XX
15775
HAIR TRNSPL 1-15 PUNCH GRFTS
$XXX.XX
15776
HAIR TRNSPL >15 PUNCH GRAFTS
$XXX.XX
15777
ACELLULAR DERM MATRIX IMPLT
$XXX.XX
15780
DERMABRASION TOTAL FACE
$XXX.XX
15781
DERMABRASION SEGMENTAL FACE
$XXX.XX
15782
DERMABRASION OTHER THAN FACE
$XXX.XX
15783
DERMABRASION SUPRFL ANY SITE
$XXX.XX
15786
ABRASION LESION SINGLE
$XXX.XX
15787
ABRASION LESIONS ADD-ON
$XXX.XX
15788
CHEMICAL PEEL FACE EPIDERM
$XXX.XX
15789
CHEMICAL PEEL FACE DERMAL
$XXX.XX
15792
CHEMICAL PEEL NONFACIAL
$XXX.XX
15793
CHEMICAL PEEL NONFACIAL
$XXX.XX
15819
PLASTIC SURGERY NECK
$XXX.XX
15820
REVISION OF LOWER EYELID
$XXX.XX
15821
REVISION OF LOWER EYELID
$XXX.XX
15822
REVISION OF UPPER EYELID
$XXX.XX
15823
REVISION OF UPPER EYELID
$XXX.XX
15830
EXC SKIN ABD
$XXX.XX
15832
EXCISE EXCESSIVE SKIN THIGH
$XXX.XX
15833
EXCISE EXCESSIVE SKIN LEG
$XXX.XX
15834
EXCISE EXCESSIVE SKIN HIP
$XXX.XX
15835
EXCISE EXCESSIVE SKIN BUTTCK
$XXX.XX
15836
EXCISE EXCESSIVE SKIN ARM
$XXX.XX
15837
EXCISE EXCESS SKIN ARM/HAND
$XXX.XX
15838
EXCISE EXCESS SKIN FAT PAD
$XXX.XX
15839
EXCISE EXCESS SKIN & TISSUE
$XXX.XX
15840
NERVE PALSY FASCIAL GRAFT
$XXX.XX
15841
NERVE PALSY MUSCLE GRAFT
$XXX.XX
15842
NERVE PALSY MICROSURG GRAFT
$XXX.XX
15845
SKIN AND MUSCLE REPAIR FACE
$XXX.XX
15851
REMOVE SUTURES DIFF SURGEON
$XXX.XX
15852
DRESSING CHANGE NOT FOR BURN
$XXX.XX
15860
TEST FOR BLOOD FLOW IN GRAFT
$XXX.XX
15920
REMOVAL OF TAIL BONE ULCER
$XXX.XX
15922
REMOVAL OF TAIL BONE ULCER
$XXX.XX
15931
REMOVE SACRUM PRESSURE SORE
$XXX.XX
15933
REMOVE SACRUM PRESSURE SORE
$XXX.XX
15934
REMOVE SACRUM PRESSURE SORE
$XXX.XX
15935
REMOVE SACRUM PRESSURE SORE
$XXX.XX
15936
REMOVE SACRUM PRESSURE SORE
$XXX.XX
15937
REMOVE SACRUM PRESSURE SORE
$XXX.XX
15940
REMOVE HIP PRESSURE SORE
$XXX.XX
15941
REMOVE HIP PRESSURE SORE
$XXX.XX
15944
REMOVE HIP PRESSURE SORE
$XXX.XX
15945
REMOVE HIP PRESSURE SORE
$XXX.XX
15946
REMOVE HIP PRESSURE SORE
$XXX.XX
15950
REMOVE THIGH PRESSURE SORE
$XXX.XX
15951
REMOVE THIGH PRESSURE SORE
$XXX.XX
15952
REMOVE THIGH PRESSURE SORE
$XXX.XX
15953
REMOVE THIGH PRESSURE SORE
$XXX.XX
15956
REMOVE THIGH PRESSURE SORE
$XXX.XX
15958
REMOVE THIGH PRESSURE SORE
$XXX.XX
16000
INITIAL TREATMENT OF BURN(S)
$XXX.XX
16020
DRESS/DEBRID P-THICK BURN S
$XXX.XX
16025
DRESS/DEBRID P-THICK BURN M
$XXX.XX
16030
DRESS/DEBRID P-THICK BURN L
$XXX.XX
16035
INCISION OF BURN SCAB INITI
$XXX.XX
16036
ESCHAROTOMY ADDL INCISION
$XXX.XX
17000
DESTRUCT PREMALG LESION
$XXX.XX
17003
DESTRUCT PREMALG LES 2-14
$XXX.XX
17004
DESTROY PREMAL LESIONS 15/>
$XXX.XX
17106
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17107
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17108
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17110
DESTRUCT B9 LESION 1-14
$XXX.XX
17111
DESTRUCT LESION 15 OR MORE
$XXX.XX
17250
CHEM CAUT OF GRANLTJ TISSUE
$XXX.XX
17260
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17261
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17262
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17263
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17264
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17266
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17270
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17271
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17272
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17273
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17274
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17276
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17280
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17281
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17282
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17283
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17284
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17286
DESTRUCTION OF SKIN LESIONS
$XXX.XX
17311
MOHS 1 STAGE H/N/HF/G
$XXX.XX
17312
MOHS ADDL STAGE
$XXX.XX
17313
MOHS 1 STAGE T/A/L
$XXX.XX
17314
MOHS ADDL STAGE T/A/L
$XXX.XX
17315
MOHS SURG ADDL BLOCK
$XXX.XX
17340
CRYOTHERAPY OF SKIN
$XXX.XX
17360
SKIN PEEL THERAPY
$XXX.XX
19000
DRAINAGE OF BREAST LESION
$XXX.XX
19001
DRAIN BREAST LESION ADD-ON
$XXX.XX
19020
INCISION OF BREAST LESION
$XXX.XX
19030
INJECTION FOR BREAST X-RAY
$XXX.XX
19081
BX BREAST 1ST LESION STRTCTC
$XXX.XX
19082
BX BREAST ADD LESION STRTCTC
$XXX.XX
19083
BX BREAST 1ST LESION US IMAG
$XXX.XX
19084
BX BREAST ADD LESION US IMAG
$XXX.XX
19085
BX BREAST 1ST LESION MR IMAG
$XXX.XX
19086
BX BREAST ADD LESION MR IMAG
$XXX.XX
19100
BX BREAST PERCUT W/O IMAGE
$XXX.XX
19101
BIOPSY OF BREAST OPEN
$XXX.XX
19105
CRYOSURG ABLATE FA EACH
$XXX.XX
19110
NIPPLE EXPLORATION
$XXX.XX
19112
EXCISE BREAST DUCT FISTULA
$XXX.XX
19120
REMOVAL OF BREAST LESION
$XXX.XX
19125
EXCISION BREAST LESION
$XXX.XX
19126
EXCISION ADDL BREAST LESION
$XXX.XX
19260
REMOVAL OF CHEST WALL LESION
$XXX.XX
19271
REVISION OF CHEST WALL
$XXX.XX
19272
EXTENSIVE CHEST WALL SURGERY
$XXX.XX
19281
PERQ DEVICE BREAST 1ST IMAG
$XXX.XX
19282
PERQ DEVICE BREAST EA IMAG
$XXX.XX
19283
PERQ DEV BREAST 1ST STRTCTC
$XXX.XX
19284
PERQ DEV BREAST ADD STRTCTC
$XXX.XX
19285
PERQ DEV BREAST 1ST US IMAG
$XXX.XX
19286
PERQ DEV BREAST ADD US IMAG
$XXX.XX
19287
PERQ DEV BREAST 1ST MR GUIDE
$XXX.XX
19288
PERQ DEV BREAST ADD MR GUIDE
$XXX.XX
19294
PREP TUM CAV IORT PRTL MAST
$XXX.XX
19296
PLACE PO BREAST CATH FOR RAD
$XXX.XX
19297
PLACE BREAST CATH FOR RAD
$XXX.XX
19298
PLACE BREAST RAD TUBE/CATHS
$XXX.XX
19300
REMOVAL OF BREAST TISSUE
$XXX.XX
19301
PARTIAL MASTECTOMY
$XXX.XX
19302
P-MASTECTOMY W/LN REMOVAL
$XXX.XX
19303
MAST SIMPLE COMPLETE
$XXX.XX
19304
MAST SUBQ
$XXX.XX
19305
MAST RADICAL
$XXX.XX
19306
MAST RAD URBAN TYPE
$XXX.XX
19307
MAST MOD RAD
$XXX.XX
19316
SUSPENSION OF BREAST
$XXX.XX
19318
REDUCTION OF LARGE BREAST
$XXX.XX
19324
ENLARGE BREAST
$XXX.XX
19325
ENLARGE BREAST WITH IMPLANT
$XXX.XX
19328
REMOVAL OF BREAST IMPLANT
$XXX.XX
19330
REMOVAL OF IMPLANT MATERIAL
$XXX.XX
19340
IMMEDIATE BREAST PROSTHESIS
$XXX.XX
19342
DELAYED BREAST PROSTHESIS
$XXX.XX
19350
BREAST RECONSTRUCTION
$XXX.XX
19355
CORRECT INVERTED NIPPLE(S)
$XXX.XX
19357
BREAST RECONSTRUCTION
$XXX.XX
19361
BREAST RECONSTR W/LAT FLAP
$XXX.XX
19364
BREAST RECONSTRUCTION
$XXX.XX
19366
BREAST RECONSTRUCTION
$XXX.XX
19367
BREAST RECONSTRUCTION
$XXX.XX
19368
BREAST RECONSTRUCTION
$XXX.XX
19369
BREAST RECONSTRUCTION
$XXX.XX
19370
SURGERY OF BREAST CAPSULE
$XXX.XX
19371
REMOVAL OF BREAST CAPSULE
$XXX.XX
19380
REVISE BREAST RECONSTRUCTION
$XXX.XX
19396
DESIGN CUSTOM BREAST IMPLANT
$XXX.XX
20005
I&D ABSCESS SUBFASCIAL
$XXX.XX
20100
EXPLORE WOUND NECK
$XXX.XX
20101
EXPLORE WOUND CHEST
$XXX.XX
20102
EXPLORE WOUND ABDOMEN
$XXX.XX
20103
EXPLORE WOUND EXTREMITY
$XXX.XX
20150
EXCISE EPIPHYSEAL BAR
$XXX.XX
20200
MUSCLE BIOPSY
$XXX.XX
20205
DEEP MUSCLE BIOPSY
$XXX.XX
20206
NEEDLE BIOPSY MUSCLE
$XXX.XX
20220
BONE BIOPSY TROCAR/NEEDLE
$XXX.XX
20225
BONE BIOPSY TROCAR/NEEDLE
$XXX.XX
20240
BONE BIOPSY OPEN SUPERFICIAL
$XXX.XX
20245
BONE BIOPSY OPEN DEEP
$XXX.XX
20250
OPEN BONE BIOPSY
$XXX.XX
20251
OPEN BONE BIOPSY
$XXX.XX
20500
INJECTION OF SINUS TRACT
$XXX.XX
20501
INJECT SINUS TRACT FOR X-RAY
$XXX.XX
20520
REMOVAL OF FOREIGN BODY
$XXX.XX
20525
REMOVAL OF FOREIGN BODY
$XXX.XX
20526
THER INJECTION CARP TUNNEL
$XXX.XX
20527
INJ DUPUYTREN CORD W/ENZYME
$XXX.XX
20550
INJ TENDON SHEATH/LIGAMENT
$XXX.XX
20551
INJ TENDON ORIGIN/INSERTION
$XXX.XX
20552
INJ TRIGGER POINT 1/2 MUSCL
$XXX.XX
20553
INJECT TRIGGER POINTS 3/>
$XXX.XX
20555
PLACE NDL MUSC/TIS FOR RT
$XXX.XX
20600
DRAIN/INJ JOINT/BURSA W/O US
$XXX.XX
20604
DRAIN/INJ JOINT/BURSA W/US
$XXX.XX
20605
DRAIN/INJ JOINT/BURSA W/O US
$XXX.XX
20606
DRAIN/INJ JOINT/BURSA W/US
$XXX.XX
20610
DRAIN/INJ JOINT/BURSA W/O US
$XXX.XX
20611
DRAIN/INJ JOINT/BURSA W/US
$XXX.XX
20612
ASPIRATE/INJ GANGLION CYST
$XXX.XX
20615
TREATMENT OF BONE CYST
$XXX.XX
20650
INSERT AND REMOVE BONE PIN
$XXX.XX
20660
APPLY REM FIXATION DEVICE
$XXX.XX
20661
APPLICATION OF HEAD BRACE
$XXX.XX
20662
APPLICATION OF PELVIS BRACE
$XXX.XX
20663
APPLICATION OF THIGH BRACE
$XXX.XX
20664
APPLICATION OF HALO
$XXX.XX
20665
REMOVAL OF FIXATION DEVICE
$XXX.XX
20670
REMOVAL OF SUPPORT IMPLANT
$XXX.XX
20680
REMOVAL OF SUPPORT IMPLANT
$XXX.XX
20690
APPLY BONE FIXATION DEVICE
$XXX.XX
20692
APPLY BONE FIXATION DEVICE
$XXX.XX
20693
ADJUST BONE FIXATION DEVICE
$XXX.XX
20694
REMOVE BONE FIXATION DEVICE
$XXX.XX
20696
COMP MULTIPLANE EXT FIXATION
$XXX.XX
20697
COMP EXT FIXATE STRUT CHANGE
$XXX.XX
20802
REPLANTATION ARM COMPLETE
$XXX.XX
20805
REPLANT FOREARM COMPLETE
$XXX.XX
20808
REPLANTATION HAND COMPLETE
$XXX.XX
20816
REPLANTATION DIGIT COMPLETE
$XXX.XX
20822
REPLANTATION DIGIT COMPLETE
$XXX.XX
20824
REPLANTATION THUMB COMPLETE
$XXX.XX
20827
REPLANTATION THUMB COMPLETE
$XXX.XX
20838
REPLANTATION FOOT COMPLETE
$XXX.XX
20900
REMOVAL OF BONE FOR GRAFT
$XXX.XX
20902
REMOVAL OF BONE FOR GRAFT
$XXX.XX
20910
REMOVE CARTILAGE FOR GRAFT
$XXX.XX
20912
REMOVE CARTILAGE FOR GRAFT
$XXX.XX
20920
REMOVAL OF FASCIA FOR GRAFT
$XXX.XX
20922
REMOVAL OF FASCIA FOR GRAFT
$XXX.XX
20924
REMOVAL OF TENDON FOR GRAFT
$XXX.XX
20926
REMOVAL OF TISSUE FOR GRAFT
$XXX.XX
20931
SP BONE ALGRFT STRUCT ADD-ON
$XXX.XX
20937
SP BONE AGRFT MORSEL ADD-ON
$XXX.XX
20938
SP BONE AGRFT STRUCT ADD-ON
$XXX.XX
20939
BONE MARROW ASPIR BONE GRFG
$XXX.XX
20950
FLUID PRESSURE MUSCLE
$XXX.XX
20955
FIBULA BONE GRAFT MICROVASC
$XXX.XX
20956
ILIAC BONE GRAFT MICROVASC
$XXX.XX
20957
MT BONE GRAFT MICROVASC
$XXX.XX
20962
OTHER BONE GRAFT MICROVASC
$XXX.XX
20969
BONE/SKIN GRAFT MICROVASC
$XXX.XX
20970
BONE/SKIN GRAFT ILIAC CREST
$XXX.XX
20972
BONE/SKIN GRAFT METATARSAL
$XXX.XX
20973
BONE/SKIN GRAFT GREAT TOE
$XXX.XX
20974
ELECTRICAL BONE STIMULATION
$XXX.XX
20975
ELECTRICAL BONE STIMULATION
$XXX.XX
20979
US BONE STIMULATION
$XXX.XX
20982
ABLATE BONE TUMOR(S) PERQ
$XXX.XX
20983
ABLATE BONE TUMOR(S) PERQ
$XXX.XX
20985
CPTR-ASST DIR MS PX
$XXX.XX
21010
INCISION OF JAW JOINT
$XXX.XX
21011
EXC FACE LES SC <2 CM
$XXX.XX
21012
EXC FACE LES SBQ 2 CM/>
$XXX.XX
21013
EXC FACE TUM DEEP < 2 CM
$XXX.XX
21014
EXC FACE TUM DEEP 2 CM/>
$XXX.XX
21015
RESECT FACE/SCALP TUM < 2 CM
$XXX.XX
21016
RESECT FACE/SCALP TUM 2 CM/>
$XXX.XX
21025
EXCISION OF BONE LOWER JAW
$XXX.XX
21026
EXCISION OF FACIAL BONE(S)
$XXX.XX
21029
CONTOUR OF FACE BONE LESION
$XXX.XX
21030
EXCISE MAX/ZYGOMA B9 TUMOR
$XXX.XX
21031
REMOVE EXOSTOSIS MANDIBLE
$XXX.XX
21032
REMOVE EXOSTOSIS MAXILLA
$XXX.XX
21034
EXCISE MAX/ZYGOMA MAL TUMOR
$XXX.XX
21040
EXCISE MANDIBLE LESION
$XXX.XX
21044
REMOVAL OF JAW BONE LESION
$XXX.XX
21045
EXTENSIVE JAW SURGERY
$XXX.XX
21046
REMOVE MANDIBLE CYST COMPLEX
$XXX.XX
21047
EXCISE LWR JAW CYST W/REPAIR
$XXX.XX
21048
REMOVE MAXILLA CYST COMPLEX
$XXX.XX
21049
EXCIS UPPR JAW CYST W/REPAIR
$XXX.XX
21050
REMOVAL OF JAW JOINT
$XXX.XX
21060
REMOVE JAW JOINT CARTILAGE
$XXX.XX
21070
REMOVE CORONOID PROCESS
$XXX.XX
21073
MNPJ OF TMJ W/ANESTH
$XXX.XX
21076
PREPARE FACE/ORAL PROSTHESIS
$XXX.XX
21077
PREPARE FACE/ORAL PROSTHESIS
$XXX.XX
21079
PREPARE FACE/ORAL PROSTHESIS
$XXX.XX
21080
PREPARE FACE/ORAL PROSTHESIS
$XXX.XX
21081
PREPARE FACE/ORAL PROSTHESIS
$XXX.XX
21082
PREPARE FACE/ORAL PROSTHESIS
$XXX.XX
21083
PREPARE FACE/ORAL PROSTHESIS
$XXX.XX
21084
PREPARE FACE/ORAL PROSTHESIS
$XXX.XX
21085
PREPARE FACE/ORAL PROSTHESIS
$XXX.XX
21086
PREPARE FACE/ORAL PROSTHESIS
$XXX.XX
21087
PREPARE FACE/ORAL PROSTHESIS
$XXX.XX
21100
MAXILLOFACIAL FIXATION
$XXX.XX
21110
INTERDENTAL FIXATION
$XXX.XX
21116
INJECTION JAW JOINT X-RAY
$XXX.XX
21120
RECONSTRUCTION OF CHIN
$XXX.XX
21121
RECONSTRUCTION OF CHIN
$XXX.XX
21122
RECONSTRUCTION OF CHIN
$XXX.XX
21123
RECONSTRUCTION OF CHIN
$XXX.XX
21125
AUGMENTATION LOWER JAW BONE
$XXX.XX
21127
AUGMENTATION LOWER JAW BONE
$XXX.XX
21137
REDUCTION OF FOREHEAD
$XXX.XX
21138
REDUCTION OF FOREHEAD
$XXX.XX
21139
REDUCTION OF FOREHEAD
$XXX.XX
21141
LEFORT I-1 PIECE W/O GRAFT
$XXX.XX
21142
LEFORT I-2 PIECE W/O GRAFT
$XXX.XX
21143
LEFORT I-3/> PIECE W/O GRAFT
$XXX.XX
21145
LEFORT I-1 PIECE W/ GRAFT
$XXX.XX
21146
LEFORT I-2 PIECE W/ GRAFT
$XXX.XX
21147
LEFORT I-3/> PIECE W/ GRAFT
$XXX.XX
21150
LEFORT II ANTERIOR INTRUSION
$XXX.XX
21151
LEFORT II W/BONE GRAFTS
$XXX.XX
21154
LEFORT III W/O LEFORT I
$XXX.XX
21155
LEFORT III W/ LEFORT I
$XXX.XX
21159
LEFORT III W/FHDW/O LEFORT I
$XXX.XX
21160
LEFORT III W/FHD W/ LEFORT I
$XXX.XX
21172
RECONSTRUCT ORBIT/FOREHEAD
$XXX.XX
21175
RECONSTRUCT ORBIT/FOREHEAD
$XXX.XX
21179
RECONSTRUCT ENTIRE FOREHEAD
$XXX.XX
21180
RECONSTRUCT ENTIRE FOREHEAD
$XXX.XX
21181
CONTOUR CRANIAL BONE LESION
$XXX.XX
21182
RECONSTRUCT CRANIAL BONE
$XXX.XX
21183
RECONSTRUCT CRANIAL BONE
$XXX.XX
21184
RECONSTRUCT CRANIAL BONE
$XXX.XX
21188
RECONSTRUCTION OF MIDFACE
$XXX.XX
21193
RECONST LWR JAW W/O GRAFT
$XXX.XX
21194
RECONST LWR JAW W/GRAFT
$XXX.XX
21195
RECONST LWR JAW W/O FIXATION
$XXX.XX
21196
RECONST LWR JAW W/FIXATION
$XXX.XX
21198
RECONSTR LWR JAW SEGMENT
$XXX.XX
21199
RECONSTR LWR JAW W/ADVANCE
$XXX.XX
21206
RECONSTRUCT UPPER JAW BONE
$XXX.XX
21208
AUGMENTATION OF FACIAL BONES
$XXX.XX
21209
REDUCTION OF FACIAL BONES
$XXX.XX
21210
FACE BONE GRAFT
$XXX.XX
21215
LOWER JAW BONE GRAFT
$XXX.XX
21230
RIB CARTILAGE GRAFT
$XXX.XX
21235
EAR CARTILAGE GRAFT
$XXX.XX
21240
RECONSTRUCTION OF JAW JOINT
$XXX.XX
21242
RECONSTRUCTION OF JAW JOINT
$XXX.XX
21243
RECONSTRUCTION OF JAW JOINT
$XXX.XX
21244
RECONSTRUCTION OF LOWER JAW
$XXX.XX
21245
RECONSTRUCTION OF JAW
$XXX.XX
21246
RECONSTRUCTION OF JAW
$XXX.XX
21247
RECONSTRUCT LOWER JAW BONE
$XXX.XX
21248
RECONSTRUCTION OF JAW
$XXX.XX
21249
RECONSTRUCTION OF JAW
$XXX.XX
21255
RECONSTRUCT LOWER JAW BONE
$XXX.XX
21256
RECONSTRUCTION OF ORBIT
$XXX.XX
21260
REVISE EYE SOCKETS
$XXX.XX
21261
REVISE EYE SOCKETS
$XXX.XX
21263
REVISE EYE SOCKETS
$XXX.XX
21267
REVISE EYE SOCKETS
$XXX.XX
21268
REVISE EYE SOCKETS
$XXX.XX
21270
AUGMENTATION CHEEK BONE
$XXX.XX
21275
REVISION ORBITOFACIAL BONES
$XXX.XX
21280
REVISION OF EYELID
$XXX.XX
21282
REVISION OF EYELID
$XXX.XX
21295
REVISION OF JAW MUSCLE/BONE
$XXX.XX
21296
REVISION OF JAW MUSCLE/BONE
$XXX.XX
21310
CLOSED TX NOSE FX W/O MANJ
$XXX.XX
21315
CLOSED TX NOSE FX W/O STABLJ
$XXX.XX
21320
CLOSED TX NOSE FX W/ STABLJ
$XXX.XX
21325
OPEN TX NOSE FX UNCOMPLICATD
$XXX.XX
21330
OPEN TX NOSE FX W/SKELE FIXJ
$XXX.XX
21335
OPEN TX NOSE & SEPTAL FX
$XXX.XX
21336
OPEN TX SEPTAL FX W/WO STABJ
$XXX.XX
21337
CLOSED TX SEPTAL&NOSE FX
$XXX.XX
21338
OPEN NASOETHMOID FX W/O FIXJ
$XXX.XX
21339
OPEN NASOETHMOID FX W/ FIXJ
$XXX.XX
21340
PERQ TX NASOETHMOID FX
$XXX.XX
21343
OPEN TX DPRSD FRONT SINUS FX
$XXX.XX
21344
OPEN TX COMPL FRONT SINUS FX
$XXX.XX
21345
CLOSED TX NOSE/JAW FX
$XXX.XX
21346
OPN TX NASOMAX FX W/FIXJ
$XXX.XX
21347
OPN TX NASOMAX FX MULTPLE
$XXX.XX
21348
OPN TX NASOMAX FX W/GRAFT
$XXX.XX
21355
PERQ TX MALAR FRACTURE
$XXX.XX
21356
OPN TX DPRSD ZYGOMATIC ARCH
$XXX.XX
21360
OPN TX DPRSD MALAR FRACTURE
$XXX.XX
21365
OPN TX COMPLX MALAR FX
$XXX.XX
21366
OPN TX COMPLX MALAR W/GRFT
$XXX.XX
21385
OPN TX ORBIT FX TRANSANTRAL
$XXX.XX
21386
OPN TX ORBIT FX PERIORBITAL
$XXX.XX
21387
OPN TX ORBIT FX COMBINED
$XXX.XX
21390
OPN TX ORBIT PERIORBTL IMPLT
$XXX.XX
21395
OPN TX ORBIT PERIORBT W/GRFT
$XXX.XX
21400
CLOSED TX ORBIT W/O MANIPULJ
$XXX.XX
21401
CLOSED TX ORBIT W/MANIPULJ
$XXX.XX
21406
OPN TX ORBIT FX W/O IMPLANT
$XXX.XX
21407
OPN TX ORBIT FX W/IMPLANT
$XXX.XX
21408
OPN TX ORBIT FX W/BONE GRFT
$XXX.XX
21421
TREAT MOUTH ROOF FRACTURE
$XXX.XX
21422
TREAT MOUTH ROOF FRACTURE
$XXX.XX
21423
TREAT MOUTH ROOF FRACTURE
$XXX.XX
21431
TREAT CRANIOFACIAL FRACTURE
$XXX.XX
21432
TREAT CRANIOFACIAL FRACTURE
$XXX.XX
21433
TREAT CRANIOFACIAL FRACTURE
$XXX.XX
21435
TREAT CRANIOFACIAL FRACTURE
$XXX.XX
21436
TREAT CRANIOFACIAL FRACTURE
$XXX.XX
21440
TREAT DENTAL RIDGE FRACTURE
$XXX.XX
21445
TREAT DENTAL RIDGE FRACTURE
$XXX.XX
21450
TREAT LOWER JAW FRACTURE
$XXX.XX
21451
TREAT LOWER JAW FRACTURE
$XXX.XX
21452
TREAT LOWER JAW FRACTURE
$XXX.XX
21453
TREAT LOWER JAW FRACTURE
$XXX.XX
21454
TREAT LOWER JAW FRACTURE
$XXX.XX
21461
TREAT LOWER JAW FRACTURE
$XXX.XX
21462
TREAT LOWER JAW FRACTURE
$XXX.XX
21465
TREAT LOWER JAW FRACTURE
$XXX.XX
21470
TREAT LOWER JAW FRACTURE
$XXX.XX
21480
RESET DISLOCATED JAW
$XXX.XX
21485
RESET DISLOCATED JAW
$XXX.XX
21490
REPAIR DISLOCATED JAW
$XXX.XX
21497
INTERDENTAL WIRING
$XXX.XX
21501
DRAIN NECK/CHEST LESION
$XXX.XX
21502
DRAIN CHEST LESION
$XXX.XX
21510
DRAINAGE OF BONE LESION
$XXX.XX
21550
BIOPSY OF NECK/CHEST
$XXX.XX
21552
EXC NECK LES SC 3 CM/>
$XXX.XX
21554
EXC NECK TUM DEEP 5 CM/>
$XXX.XX
21555
EXC NECK LES SC < 3 CM
$XXX.XX
21556
EXC NECK TUM DEEP < 5 CM
$XXX.XX
21557
RESECT NECK THORAX TUMOR<5CM
$XXX.XX
21558
RESECT NECK TUMOR 5 CM/>
$XXX.XX
21600
PARTIAL REMOVAL OF RIB
$XXX.XX
21610
PARTIAL REMOVAL OF RIB
$XXX.XX
21615
REMOVAL OF RIB
$XXX.XX
21616
REMOVAL OF RIB AND NERVES
$XXX.XX
21620
PARTIAL REMOVAL OF STERNUM
$XXX.XX
21627
STERNAL DEBRIDEMENT
$XXX.XX
21630
EXTENSIVE STERNUM SURGERY
$XXX.XX
21632
EXTENSIVE STERNUM SURGERY
$XXX.XX
21685
HYOID MYOTOMY & SUSPENSION
$XXX.XX
21700
REVISION OF NECK MUSCLE
$XXX.XX
21705
REVISION OF NECK MUSCLE/RIB
$XXX.XX
21720
REVISION OF NECK MUSCLE
$XXX.XX
21725
REVISION OF NECK MUSCLE
$XXX.XX
21740
RECONSTRUCTION OF STERNUM
$XXX.XX
21750
REPAIR OF STERNUM SEPARATION
$XXX.XX
21811
OPTX OF RIB FX W/FIXJ SCOPE
$XXX.XX
21812
TREATMENT OF RIB FRACTURE
$XXX.XX
21813
TREATMENT OF RIB FRACTURE
$XXX.XX
21820
TREAT STERNUM FRACTURE
$XXX.XX
21825
TREAT STERNUM FRACTURE
$XXX.XX
21920
BIOPSY SOFT TISSUE OF BACK
$XXX.XX
21925
BIOPSY SOFT TISSUE OF BACK
$XXX.XX
21930
EXC BACK LES SC < 3 CM
$XXX.XX
21931
EXC BACK LES SC 3 CM/>
$XXX.XX
21932
EXC BACK TUM DEEP < 5 CM
$XXX.XX
21933
EXC BACK TUM DEEP 5 CM/>
$XXX.XX
21935
RESECT BACK TUM < 5 CM
$XXX.XX
21936
RESECT BACK TUM 5 CM/>
$XXX.XX
22010
I&D P-SPINE C/T/CERV-THOR
$XXX.XX
22015
I&D ABSCESS P-SPINE L/S/LS
$XXX.XX
22100
REMOVE PART OF NECK VERTEBRA
$XXX.XX
22101
REMOVE PART THORAX VERTEBRA
$XXX.XX
22102
REMOVE PART LUMBAR VERTEBRA
$XXX.XX
22103
REMOVE EXTRA SPINE SEGMENT
$XXX.XX
22110
REMOVE PART OF NECK VERTEBRA
$XXX.XX
22112
REMOVE PART THORAX VERTEBRA
$XXX.XX
22114
REMOVE PART LUMBAR VERTEBRA
$XXX.XX
22116
REMOVE EXTRA SPINE SEGMENT
$XXX.XX
22206
INCIS SPINE 3 COLUMN THORAC
$XXX.XX
22207
INCIS SPINE 3 COLUMN LUMBAR
$XXX.XX
22208
INCIS SPINE 3 COLUMN ADL SEG
$XXX.XX
22210
INCIS 1 VERTEBRAL SEG CERV
$XXX.XX
22212
INCIS 1 VERTEBRAL SEG THORAC
$XXX.XX
22214
INCIS 1 VERTEBRAL SEG LUMBAR
$XXX.XX
22216
INCIS ADDL SPINE SEGMENT
$XXX.XX
22220
INCIS W/DISCECTOMY CERVICAL
$XXX.XX
22222
INCIS W/DISCECTOMY THORACIC
$XXX.XX
22224
INCIS W/DISCECTOMY LUMBAR
$XXX.XX
22226
REVISE EXTRA SPINE SEGMENT
$XXX.XX
22310
CLOSED TX VERT FX W/O MANJ
$XXX.XX
22315
CLOSED TX VERT FX W/MANJ
$XXX.XX
22318
TREAT ODONTOID FX W/O GRAFT
$XXX.XX
22319
TREAT ODONTOID FX W/GRAFT
$XXX.XX
22325
TREAT SPINE FRACTURE
$XXX.XX
22326
TREAT NECK SPINE FRACTURE
$XXX.XX
22327
TREAT THORAX SPINE FRACTURE
$XXX.XX
22328
TREAT EACH ADD SPINE FX
$XXX.XX
22505
MANIPULATION OF SPINE
$XXX.XX
22510
PERQ CERVICOTHORACIC INJECT
$XXX.XX
22511
PERQ LUMBOSACRAL INJECTION
$XXX.XX
22512
VERTEBROPLASTY ADDL INJECT
$XXX.XX
22513
PERQ VERTEBRAL AUGMENTATION
$XXX.XX
22514
PERQ VERTEBRAL AUGMENTATION
$XXX.XX
22515
PERQ VERTEBRAL AUGMENTATION
$XXX.XX
22532
LAT THORAX SPINE FUSION
$XXX.XX
22533
LAT LUMBAR SPINE FUSION
$XXX.XX
22534
LAT THOR/LUMB ADDL SEG
$XXX.XX
22548
NECK SPINE FUSION
$XXX.XX
22551
NECK SPINE FUSE&REMOV BEL C2
$XXX.XX
22552
ADDL NECK SPINE FUSION
$XXX.XX
22554
NECK SPINE FUSION
$XXX.XX
22556
THORAX SPINE FUSION
$XXX.XX
22558
LUMBAR SPINE FUSION
$XXX.XX
22585
ADDITIONAL SPINAL FUSION
$XXX.XX
22586
PRESCRL FUSE W/ INSTR L5-S1
$XXX.XX
22590
SPINE & SKULL SPINAL FUSION
$XXX.XX
22595
NECK SPINAL FUSION
$XXX.XX
22600
NECK SPINE FUSION
$XXX.XX
22610
THORAX SPINE FUSION
$XXX.XX
22612
LUMBAR SPINE FUSION
$XXX.XX
22614
SPINE FUSION EXTRA SEGMENT
$XXX.XX
22630
LUMBAR SPINE FUSION
$XXX.XX
22632
SPINE FUSION EXTRA SEGMENT
$XXX.XX
22633
LUMBAR SPINE FUSION COMBINED
$XXX.XX
22634
SPINE FUSION EXTRA SEGMENT
$XXX.XX
22800
POST FUSION
$XXX.XX
22802
POST FUSION 7-12 VERT SEG
$XXX.XX
22804
POST FUSION 13/> VERT SEG
$XXX.XX
22808
ANT FUSION 2-3 VERT SEG
$XXX.XX
22810
ANT FUSION 4-7 VERT SEG
$XXX.XX
22812
ANT FUSION 8/> VERT SEG
$XXX.XX
22818
KYPHECTOMY 1-2 SEGMENTS
$XXX.XX
22819
KYPHECTOMY 3 OR MORE
$XXX.XX
22830
EXPLORATION OF SPINAL FUSION
$XXX.XX
22840
INSERT SPINE FIXATION DEVICE
$XXX.XX
22842
INSERT SPINE FIXATION DEVICE
$XXX.XX
22843
INSERT SPINE FIXATION DEVICE
$XXX.XX
22844
INSERT SPINE FIXATION DEVICE
$XXX.XX
22845
INSERT SPINE FIXATION DEVICE
$XXX.XX
22846
INSERT SPINE FIXATION DEVICE
$XXX.XX
22847
INSERT SPINE FIXATION DEVICE
$XXX.XX
22848
INSERT PELV FIXATION DEVICE
$XXX.XX
22849
REINSERT SPINAL FIXATION
$XXX.XX
22850
REMOVE SPINE FIXATION DEVICE
$XXX.XX
22852
REMOVE SPINE FIXATION DEVICE
$XXX.XX
22853
INSJ BIOMECHANICAL DEVICE
$XXX.XX
22854
INSJ BIOMECHANICAL DEVICE
$XXX.XX
22855
REMOVE SPINE FIXATION DEVICE
$XXX.XX
22856
CERV ARTIFIC DISKECTOMY
$XXX.XX
22857
LUMBAR ARTIF DISKECTOMY
$XXX.XX
22858
SECOND LEVEL CER DISKECTOMY
$XXX.XX
22859
INSJ BIOMECHANICAL DEVICE
$XXX.XX
22861
REVISE CERV ARTIFIC DISC
$XXX.XX
22862
REVISE LUMBAR ARTIF DISC
$XXX.XX
22864
REMOVE CERV ARTIF DISC
$XXX.XX
22865
REMOVE LUMB ARTIF DISC
$XXX.XX
22867
INSJ STABLJ DEV W/DCMPRN
$XXX.XX
22868
INSJ STABLJ DEV W/DCMPRN
$XXX.XX
22869
INSJ STABLJ DEV W/O DCMPRN
$XXX.XX
22870
INSJ STABLJ DEV W/O DCMPRN
$XXX.XX
22900
EXC ABDL TUM DEEP < 5 CM
$XXX.XX
22901
EXC ABDL TUM DEEP 5 CM/>
$XXX.XX
22902
EXC ABD LES SC < 3 CM
$XXX.XX
22903
EXC ABD LES SC 3 CM/>
$XXX.XX
22904
RADICAL RESECT ABD TUMOR<5CM
$XXX.XX
22905
RAD RESECT ABD TUMOR 5 CM/>
$XXX.XX
23000
REMOVAL OF CALCIUM DEPOSITS
$XXX.XX
23020
RELEASE SHOULDER JOINT
$XXX.XX
23030
DRAIN SHOULDER LESION
$XXX.XX
23031
DRAIN SHOULDER BURSA
$XXX.XX
23035
DRAIN SHOULDER BONE LESION
$XXX.XX
23040
EXPLORATORY SHOULDER SURGERY
$XXX.XX
23044
EXPLORATORY SHOULDER SURGERY
$XXX.XX
23065
BIOPSY SHOULDER TISSUES
$XXX.XX
23066
BIOPSY SHOULDER TISSUES
$XXX.XX
23071
EXC SHOULDER LES SC 3 CM/>
$XXX.XX
23073
EXC SHOULDER TUM DEEP 5 CM/>
$XXX.XX
23075
EXC SHOULDER LES SC < 3 CM
$XXX.XX
23076
EXC SHOULDER TUM DEEP < 5 CM
$XXX.XX
23077
RESECT SHOULDER TUMOR < 5 CM
$XXX.XX
23078
RESECT SHOULDER TUMOR 5 CM/>
$XXX.XX
23100
BIOPSY OF SHOULDER JOINT
$XXX.XX
23101
SHOULDER JOINT SURGERY
$XXX.XX
23105
REMOVE SHOULDER JOINT LINING
$XXX.XX
23106
INCISION OF COLLARBONE JOINT
$XXX.XX
23107
EXPLORE TREAT SHOULDER JOINT
$XXX.XX
23120
PARTIAL REMOVAL COLLAR BONE
$XXX.XX
23125
REMOVAL OF COLLAR BONE
$XXX.XX
23130
REMOVE SHOULDER BONE PART
$XXX.XX
23140
REMOVAL OF BONE LESION
$XXX.XX
23145
REMOVAL OF BONE LESION
$XXX.XX
23146
REMOVAL OF BONE LESION
$XXX.XX
23150
REMOVAL OF HUMERUS LESION
$XXX.XX
23155
REMOVAL OF HUMERUS LESION
$XXX.XX
23156
REMOVAL OF HUMERUS LESION
$XXX.XX
23170
REMOVE COLLAR BONE LESION
$XXX.XX
23172
REMOVE SHOULDER BLADE LESION
$XXX.XX
23174
REMOVE HUMERUS LESION
$XXX.XX
23180
REMOVE COLLAR BONE LESION
$XXX.XX
23182
REMOVE SHOULDER BLADE LESION
$XXX.XX
23184
REMOVE HUMERUS LESION
$XXX.XX
23190
PARTIAL REMOVAL OF SCAPULA
$XXX.XX
23195
REMOVAL OF HEAD OF HUMERUS
$XXX.XX
23200
RESECT CLAVICLE TUMOR
$XXX.XX
23210
RESECT SCAPULA TUMOR
$XXX.XX
23220
RESECT PROX HUMERUS TUMOR
$XXX.XX
23330
REMOVE SHOULDER FOREIGN BODY
$XXX.XX
23333
REMOVE SHOULDER FB DEEP
$XXX.XX
23334
SHOULDER PROSTHESIS REMOVAL
$XXX.XX
23335
SHOULDER PROSTHESIS REMOVAL
$XXX.XX
23350
INJECTION FOR SHOULDER X-RAY
$XXX.XX
23395
MUSCLE TRANSFER SHOULDER/ARM
$XXX.XX
23397
MUSCLE TRANSFERS
$XXX.XX
23400
FIXATION OF SHOULDER BLADE
$XXX.XX
23405
INCISION OF TENDON & MUSCLE
$XXX.XX
23406
INCISE TENDON(S) & MUSCLE(S)
$XXX.XX
23410
REPAIR ROTATOR CUFF ACUTE
$XXX.XX
23412
REPAIR ROTATOR CUFF CHRONIC
$XXX.XX
23415
RELEASE OF SHOULDER LIGAMENT
$XXX.XX
23420
REPAIR OF SHOULDER
$XXX.XX
23430
REPAIR BICEPS TENDON
$XXX.XX
23440
REMOVE/TRANSPLANT TENDON
$XXX.XX
23450
REPAIR SHOULDER CAPSULE
$XXX.XX
23455
REPAIR SHOULDER CAPSULE
$XXX.XX
23460
REPAIR SHOULDER CAPSULE
$XXX.XX
23462
REPAIR SHOULDER CAPSULE
$XXX.XX
23465
REPAIR SHOULDER CAPSULE
$XXX.XX
23466
REPAIR SHOULDER CAPSULE
$XXX.XX
23470
RECONSTRUCT SHOULDER JOINT
$XXX.XX
23472
RECONSTRUCT SHOULDER JOINT
$XXX.XX
23473
REVIS RECONST SHOULDER JOINT
$XXX.XX
23474
REVIS RECONST SHOULDER JOINT
$XXX.XX
23480
REVISION OF COLLAR BONE
$XXX.XX
23485
REVISION OF COLLAR BONE
$XXX.XX
23490
REINFORCE CLAVICLE
$XXX.XX
23491
REINFORCE SHOULDER BONES
$XXX.XX
23500
TREAT CLAVICLE FRACTURE
$XXX.XX
23505
TREAT CLAVICLE FRACTURE
$XXX.XX
23515
TREAT CLAVICLE FRACTURE
$XXX.XX
23520
TREAT CLAVICLE DISLOCATION
$XXX.XX
23525
TREAT CLAVICLE DISLOCATION
$XXX.XX
23530
TREAT CLAVICLE DISLOCATION
$XXX.XX
23532
TREAT CLAVICLE DISLOCATION
$XXX.XX
23540
TREAT CLAVICLE DISLOCATION
$XXX.XX
23545
TREAT CLAVICLE DISLOCATION
$XXX.XX
23550
TREAT CLAVICLE DISLOCATION
$XXX.XX
23552
TREAT CLAVICLE DISLOCATION
$XXX.XX
23570
TREAT SHOULDER BLADE FX
$XXX.XX
23575
TREAT SHOULDER BLADE FX
$XXX.XX
23585
TREAT SCAPULA FRACTURE
$XXX.XX
23600
TREAT HUMERUS FRACTURE
$XXX.XX
23605
TREAT HUMERUS FRACTURE
$XXX.XX
23615
TREAT HUMERUS FRACTURE
$XXX.XX
23616
TREAT HUMERUS FRACTURE
$XXX.XX
23620
TREAT HUMERUS FRACTURE
$XXX.XX
23625
TREAT HUMERUS FRACTURE
$XXX.XX
23630
TREAT HUMERUS FRACTURE
$XXX.XX
23650
TREAT SHOULDER DISLOCATION
$XXX.XX
23655
TREAT SHOULDER DISLOCATION
$XXX.XX
23660
TREAT SHOULDER DISLOCATION
$XXX.XX
23665
TREAT DISLOCATION/FRACTURE
$XXX.XX
23670
TREAT DISLOCATION/FRACTURE
$XXX.XX
23675
TREAT DISLOCATION/FRACTURE
$XXX.XX
23680
TREAT DISLOCATION/FRACTURE
$XXX.XX
23700
FIXATION OF SHOULDER
$XXX.XX
23800
FUSION OF SHOULDER JOINT
$XXX.XX
23802
FUSION OF SHOULDER JOINT
$XXX.XX
23900
AMPUTATION OF ARM & GIRDLE
$XXX.XX
23920
AMPUTATION AT SHOULDER JOINT
$XXX.XX
23921
AMPUTATION FOLLOW-UP SURGERY
$XXX.XX
23930
DRAINAGE OF ARM LESION
$XXX.XX
23931
DRAINAGE OF ARM BURSA
$XXX.XX
23935
DRAIN ARM/ELBOW BONE LESION
$XXX.XX
24000
EXPLORATORY ELBOW SURGERY
$XXX.XX
24006
RELEASE ELBOW JOINT
$XXX.XX
24065
BIOPSY ARM/ELBOW SOFT TISSUE
$XXX.XX
24066
BIOPSY ARM/ELBOW SOFT TISSUE
$XXX.XX
24071
EXC ARM/ELBOW LES SC 3 CM/>
$XXX.XX
24073
EX ARM/ELBOW TUM DEEP 5 CM/>
$XXX.XX
24075
EXC ARM/ELBOW LES SC < 3 CM
$XXX.XX
24076
EX ARM/ELBOW TUM DEEP < 5 CM
$XXX.XX
24077
RESECT ARM/ELBOW TUM < 5 CM
$XXX.XX
24079
RESECT ARM/ELBOW TUM 5 CM/>
$XXX.XX
24100
BIOPSY ELBOW JOINT LINING
$XXX.XX
24101
EXPLORE/TREAT ELBOW JOINT
$XXX.XX
24102
REMOVE ELBOW JOINT LINING
$XXX.XX
24105
REMOVAL OF ELBOW BURSA
$XXX.XX
24110
REMOVE HUMERUS LESION
$XXX.XX
24115
REMOVE/GRAFT BONE LESION
$XXX.XX
24116
REMOVE/GRAFT BONE LESION
$XXX.XX
24120
REMOVE ELBOW LESION
$XXX.XX
24125
REMOVE/GRAFT BONE LESION
$XXX.XX
24126
REMOVE/GRAFT BONE LESION
$XXX.XX
24130
REMOVAL OF HEAD OF RADIUS
$XXX.XX
24134
REMOVAL OF ARM BONE LESION
$XXX.XX
24136
REMOVE RADIUS BONE LESION
$XXX.XX
24138
REMOVE ELBOW BONE LESION
$XXX.XX
24140
PARTIAL REMOVAL OF ARM BONE
$XXX.XX
24145
PARTIAL REMOVAL OF RADIUS
$XXX.XX
24147
PARTIAL REMOVAL OF ELBOW
$XXX.XX
24149
RADICAL RESECTION OF ELBOW
$XXX.XX
24150
RESECT DISTAL HUMERUS TUMOR
$XXX.XX
24152
RESECT RADIUS TUMOR
$XXX.XX
24155
REMOVAL OF ELBOW JOINT
$XXX.XX
24160
REMOVE ELBOW JOINT IMPLANT
$XXX.XX
24164
REMOVE RADIUS HEAD IMPLANT
$XXX.XX
24200
REMOVAL OF ARM FOREIGN BODY
$XXX.XX
24201
REMOVAL OF ARM FOREIGN BODY
$XXX.XX
24220
INJECTION FOR ELBOW X-RAY
$XXX.XX
24300
MANIPULATE ELBOW W/ANESTH
$XXX.XX
24301
MUSCLE/TENDON TRANSFER
$XXX.XX
24305
ARM TENDON LENGTHENING
$XXX.XX
24310
REVISION OF ARM TENDON
$XXX.XX
24320
REPAIR OF ARM TENDON
$XXX.XX
24330
REVISION OF ARM MUSCLES
$XXX.XX
24331
REVISION OF ARM MUSCLES
$XXX.XX
24332
TENOLYSIS TRICEPS
$XXX.XX
24340
REPAIR OF BICEPS TENDON
$XXX.XX
24341
REPAIR ARM TENDON/MUSCLE
$XXX.XX
24342
REPAIR OF RUPTURED TENDON
$XXX.XX
24343
REPR ELBOW LAT LIGMNT W/TISS
$XXX.XX
24344
RECONSTRUCT ELBOW LAT LIGMNT
$XXX.XX
24345
REPR ELBW MED LIGMNT W/TISSU
$XXX.XX
24346
RECONSTRUCT ELBOW MED LIGMNT
$XXX.XX
24357
REPAIR ELBOW PERC
$XXX.XX
24358
REPAIR ELBOW W/DEB OPEN
$XXX.XX
24359
REPAIR ELBOW DEB/ATTCH OPEN
$XXX.XX
24360
RECONSTRUCT ELBOW JOINT
$XXX.XX
24361
RECONSTRUCT ELBOW JOINT
$XXX.XX
24362
RECONSTRUCT ELBOW JOINT
$XXX.XX
24363
REPLACE ELBOW JOINT
$XXX.XX
24365
RECONSTRUCT HEAD OF RADIUS
$XXX.XX
24366
RECONSTRUCT HEAD OF RADIUS
$XXX.XX
24370
REVISE RECONST ELBOW JOINT
$XXX.XX
24371
REVISE RECONST ELBOW JOINT
$XXX.XX
24400
REVISION OF HUMERUS
$XXX.XX
24410
REVISION OF HUMERUS
$XXX.XX
24420
REVISION OF HUMERUS
$XXX.XX
24430
REPAIR OF HUMERUS
$XXX.XX
24435
REPAIR HUMERUS WITH GRAFT
$XXX.XX
24470
REVISION OF ELBOW JOINT
$XXX.XX
24495
DECOMPRESSION OF FOREARM
$XXX.XX
24498
REINFORCE HUMERUS
$XXX.XX
24500
TREAT HUMERUS FRACTURE
$XXX.XX
24505
TREAT HUMERUS FRACTURE
$XXX.XX
24515
TREAT HUMERUS FRACTURE
$XXX.XX
24516
TREAT HUMERUS FRACTURE
$XXX.XX
24530
TREAT HUMERUS FRACTURE
$XXX.XX
24535
TREAT HUMERUS FRACTURE
$XXX.XX
24538
TREAT HUMERUS FRACTURE
$XXX.XX
24545
TREAT HUMERUS FRACTURE
$XXX.XX
24546
TREAT HUMERUS FRACTURE
$XXX.XX
24560
TREAT HUMERUS FRACTURE
$XXX.XX
24565
TREAT HUMERUS FRACTURE
$XXX.XX
24566
TREAT HUMERUS FRACTURE
$XXX.XX
24575
TREAT HUMERUS FRACTURE
$XXX.XX
24576
TREAT HUMERUS FRACTURE
$XXX.XX
24577
TREAT HUMERUS FRACTURE
$XXX.XX
24579
TREAT HUMERUS FRACTURE
$XXX.XX
24582
TREAT HUMERUS FRACTURE
$XXX.XX
24586
TREAT ELBOW FRACTURE
$XXX.XX
24587
TREAT ELBOW FRACTURE
$XXX.XX
24600
TREAT ELBOW DISLOCATION
$XXX.XX
24605
TREAT ELBOW DISLOCATION
$XXX.XX
24615
TREAT ELBOW DISLOCATION
$XXX.XX
24620
TREAT ELBOW FRACTURE
$XXX.XX
24635
TREAT ELBOW FRACTURE
$XXX.XX
24640
TREAT ELBOW DISLOCATION
$XXX.XX
24650
TREAT RADIUS FRACTURE
$XXX.XX
24655
TREAT RADIUS FRACTURE
$XXX.XX
24665
TREAT RADIUS FRACTURE
$XXX.XX
24666
TREAT RADIUS FRACTURE
$XXX.XX
24670
TREAT ULNAR FRACTURE
$XXX.XX
24675
TREAT ULNAR FRACTURE
$XXX.XX
24685
TREAT ULNAR FRACTURE
$XXX.XX
24800
FUSION OF ELBOW JOINT
$XXX.XX
24802
FUSION/GRAFT OF ELBOW JOINT
$XXX.XX
24900
AMPUTATION OF UPPER ARM
$XXX.XX
24920
AMPUTATION OF UPPER ARM
$XXX.XX
24925
AMPUTATION FOLLOW-UP SURGERY
$XXX.XX
24930
AMPUTATION FOLLOW-UP SURGERY
$XXX.XX
24931
AMPUTATE UPPER ARM & IMPLANT
$XXX.XX
24935
REVISION OF AMPUTATION
$XXX.XX
25000
INCISION OF TENDON SHEATH
$XXX.XX
25001
INCISE FLEXOR CARPI RADIALIS
$XXX.XX
25020
DECOMPRESS FOREARM 1 SPACE
$XXX.XX
25023
DECOMPRESS FOREARM 1 SPACE
$XXX.XX
25024
DECOMPRESS FOREARM 2 SPACES
$XXX.XX
25025
DECOMPRESS FOREARM 2 SPACES
$XXX.XX
25028
DRAINAGE OF FOREARM LESION
$XXX.XX
25031
DRAINAGE OF FOREARM BURSA
$XXX.XX
25035
TREAT FOREARM BONE LESION
$XXX.XX
25040
EXPLORE/TREAT WRIST JOINT
$XXX.XX
25065
BIOPSY FOREARM SOFT TISSUES
$XXX.XX
25066
BIOPSY FOREARM SOFT TISSUES
$XXX.XX
25071
EXC FOREARM LES SC 3 CM/>
$XXX.XX
25073
EXC FOREARM TUM DEEP 3 CM/>
$XXX.XX
25075
EXC FOREARM LES SC < 3 CM
$XXX.XX
25076
EXC FOREARM TUM DEEP < 3 CM
$XXX.XX
25077
RESECT FOREARM/WRIST TUM<3CM
$XXX.XX
25078
RESECT FORARM/WRIST TUM 3CM>
$XXX.XX
25085
INCISION OF WRIST CAPSULE
$XXX.XX
25100
BIOPSY OF WRIST JOINT
$XXX.XX
25101
EXPLORE/TREAT WRIST JOINT
$XXX.XX
25105
REMOVE WRIST JOINT LINING
$XXX.XX
25107
REMOVE WRIST JOINT CARTILAGE
$XXX.XX
25109
EXCISE TENDON FOREARM/WRIST
$XXX.XX
25110
REMOVE WRIST TENDON LESION
$XXX.XX
25111
REMOVE WRIST TENDON LESION
$XXX.XX
25112
REREMOVE WRIST TENDON LESION
$XXX.XX
25115
REMOVE WRIST/FOREARM LESION
$XXX.XX
25116
REMOVE WRIST/FOREARM LESION
$XXX.XX
25118
EXCISE WRIST TENDON SHEATH
$XXX.XX
25119
PARTIAL REMOVAL OF ULNA
$XXX.XX
25120
REMOVAL OF FOREARM LESION
$XXX.XX
25125
REMOVE/GRAFT FOREARM LESION
$XXX.XX
25126
REMOVE/GRAFT FOREARM LESION
$XXX.XX
25130
REMOVAL OF WRIST LESION
$XXX.XX
25135
REMOVE & GRAFT WRIST LESION
$XXX.XX
25136
REMOVE & GRAFT WRIST LESION
$XXX.XX
25145
REMOVE FOREARM BONE LESION
$XXX.XX
25150
PARTIAL REMOVAL OF ULNA
$XXX.XX
25151
PARTIAL REMOVAL OF RADIUS
$XXX.XX
25170
RESECT RADIUS/ULNAR TUMOR
$XXX.XX
25210
REMOVAL OF WRIST BONE
$XXX.XX
25215
REMOVAL OF WRIST BONES
$XXX.XX
25230
PARTIAL REMOVAL OF RADIUS
$XXX.XX
25240
PARTIAL REMOVAL OF ULNA
$XXX.XX
25246
INJECTION FOR WRIST X-RAY
$XXX.XX
25248
REMOVE FOREARM FOREIGN BODY
$XXX.XX
25250
REMOVAL OF WRIST PROSTHESIS
$XXX.XX
25251
REMOVAL OF WRIST PROSTHESIS
$XXX.XX
25259
MANIPULATE WRIST W/ANESTHES
$XXX.XX
25260
REPAIR FOREARM TENDON/MUSCLE
$XXX.XX
25263
REPAIR FOREARM TENDON/MUSCLE
$XXX.XX
25265
REPAIR FOREARM TENDON/MUSCLE
$XXX.XX
25270
REPAIR FOREARM TENDON/MUSCLE
$XXX.XX
25272
REPAIR FOREARM TENDON/MUSCLE
$XXX.XX
25274
REPAIR FOREARM TENDON/MUSCLE
$XXX.XX
25275
REPAIR FOREARM TENDON SHEATH
$XXX.XX
25280
REVISE WRIST/FOREARM TENDON
$XXX.XX
25290
INCISE WRIST/FOREARM TENDON
$XXX.XX
25295
RELEASE WRIST/FOREARM TENDON
$XXX.XX
25300
FUSION OF TENDONS AT WRIST
$XXX.XX
25301
FUSION OF TENDONS AT WRIST
$XXX.XX
25310
TRANSPLANT FOREARM TENDON
$XXX.XX
25312
TRANSPLANT FOREARM TENDON
$XXX.XX
25315
REVISE PALSY HAND TENDON(S)
$XXX.XX
25316
REVISE PALSY HAND TENDON(S)
$XXX.XX
25320
REPAIR/REVISE WRIST JOINT
$XXX.XX
25332
REVISE WRIST JOINT
$XXX.XX
25335
REALIGNMENT OF HAND
$XXX.XX
25337
RECONSTRUCT ULNA/RADIOULNAR
$XXX.XX
25350
REVISION OF RADIUS
$XXX.XX
25355
REVISION OF RADIUS
$XXX.XX
25360
REVISION OF ULNA
$XXX.XX
25365
REVISE RADIUS & ULNA
$XXX.XX
25370
REVISE RADIUS OR ULNA
$XXX.XX
25375
REVISE RADIUS & ULNA
$XXX.XX
25390
SHORTEN RADIUS OR ULNA
$XXX.XX
25391
LENGTHEN RADIUS OR ULNA
$XXX.XX
25392
SHORTEN RADIUS & ULNA
$XXX.XX
25393
LENGTHEN RADIUS & ULNA
$XXX.XX
25394
REPAIR CARPAL BONE SHORTEN
$XXX.XX
25400
REPAIR RADIUS OR ULNA
$XXX.XX
25405
REPAIR/GRAFT RADIUS OR ULNA
$XXX.XX
25415
REPAIR RADIUS & ULNA
$XXX.XX
25420
REPAIR/GRAFT RADIUS & ULNA
$XXX.XX
25425
REPAIR/GRAFT RADIUS OR ULNA
$XXX.XX
25426
REPAIR/GRAFT RADIUS & ULNA
$XXX.XX
25430
VASC GRAFT INTO CARPAL BONE
$XXX.XX
25431
REPAIR NONUNION CARPAL BONE
$XXX.XX
25440
REPAIR/GRAFT WRIST BONE
$XXX.XX
25441
RECONSTRUCT WRIST JOINT
$XXX.XX
25442
RECONSTRUCT WRIST JOINT
$XXX.XX
25443
RECONSTRUCT WRIST JOINT
$XXX.XX
25444
RECONSTRUCT WRIST JOINT
$XXX.XX
25445
RECONSTRUCT WRIST JOINT
$XXX.XX
25446
WRIST REPLACEMENT
$XXX.XX
25447
REPAIR WRIST JOINTS
$XXX.XX
25449
REMOVE WRIST JOINT IMPLANT
$XXX.XX
25450
REVISION OF WRIST JOINT
$XXX.XX
25455
REVISION OF WRIST JOINT
$XXX.XX
25490
REINFORCE RADIUS
$XXX.XX
25491
REINFORCE ULNA
$XXX.XX
25492
REINFORCE RADIUS AND ULNA
$XXX.XX
25500
TREAT FRACTURE OF RADIUS
$XXX.XX
25505
TREAT FRACTURE OF RADIUS
$XXX.XX
25515
TREAT FRACTURE OF RADIUS
$XXX.XX
25520
TREAT FRACTURE OF RADIUS
$XXX.XX
25525
TREAT FRACTURE OF RADIUS
$XXX.XX
25526
TREAT FRACTURE OF RADIUS
$XXX.XX
25530
TREAT FRACTURE OF ULNA
$XXX.XX
25535
TREAT FRACTURE OF ULNA
$XXX.XX
25545
TREAT FRACTURE OF ULNA
$XXX.XX
25560
TREAT FRACTURE RADIUS & ULNA
$XXX.XX
25565
TREAT FRACTURE RADIUS & ULNA
$XXX.XX
25574
TREAT FRACTURE RADIUS & ULNA
$XXX.XX
25575
TREAT FRACTURE RADIUS/ULNA
$XXX.XX
25600
TREAT FRACTURE RADIUS/ULNA
$XXX.XX
25605
TREAT FRACTURE RADIUS/ULNA
$XXX.XX
25606
TREAT FX DISTAL RADIAL
$XXX.XX
25607
TREAT FX RAD EXTRA-ARTICUL
$XXX.XX
25608
TREAT FX RAD INTRA-ARTICUL
$XXX.XX
25609
TREAT FX RADIAL 3+ FRAG
$XXX.XX
25622
TREAT WRIST BONE FRACTURE
$XXX.XX
25624
TREAT WRIST BONE FRACTURE
$XXX.XX
25628
TREAT WRIST BONE FRACTURE
$XXX.XX
25630
TREAT WRIST BONE FRACTURE
$XXX.XX
25635
TREAT WRIST BONE FRACTURE
$XXX.XX
25645
TREAT WRIST BONE FRACTURE
$XXX.XX
25650
TREAT WRIST BONE FRACTURE
$XXX.XX
25651
PIN ULNAR STYLOID FRACTURE
$XXX.XX
25652
TREAT FRACTURE ULNAR STYLOID
$XXX.XX
25660
TREAT WRIST DISLOCATION
$XXX.XX
25670
TREAT WRIST DISLOCATION
$XXX.XX
25671
PIN RADIOULNAR DISLOCATION
$XXX.XX
25675
TREAT WRIST DISLOCATION
$XXX.XX
25676
TREAT WRIST DISLOCATION
$XXX.XX
25680
TREAT WRIST FRACTURE
$XXX.XX
25685
TREAT WRIST FRACTURE
$XXX.XX
25690
TREAT WRIST DISLOCATION
$XXX.XX
25695
TREAT WRIST DISLOCATION
$XXX.XX
25800
FUSION OF WRIST JOINT
$XXX.XX
25805
FUSION/GRAFT OF WRIST JOINT
$XXX.XX
25810
FUSION/GRAFT OF WRIST JOINT
$XXX.XX
25820
FUSION OF HAND BONES
$XXX.XX
25825
FUSE HAND BONES WITH GRAFT
$XXX.XX
25830
FUSION RADIOULNAR JNT/ULNA
$XXX.XX
25900
AMPUTATION OF FOREARM
$XXX.XX
25905
AMPUTATION OF FOREARM
$XXX.XX
25907
AMPUTATION FOLLOW-UP SURGERY
$XXX.XX
25909
AMPUTATION FOLLOW-UP SURGERY
$XXX.XX
25915
AMPUTATION OF FOREARM
$XXX.XX
25920
AMPUTATE HAND AT WRIST
$XXX.XX
25922
AMPUTATE HAND AT WRIST
$XXX.XX
25924
AMPUTATION FOLLOW-UP SURGERY
$XXX.XX
25927
AMPUTATION OF HAND
$XXX.XX
25929
AMPUTATION FOLLOW-UP SURGERY
$XXX.XX
25931
AMPUTATION FOLLOW-UP SURGERY
$XXX.XX
26010
DRAINAGE OF FINGER ABSCESS
$XXX.XX
26011
DRAINAGE OF FINGER ABSCESS
$XXX.XX
26020
DRAIN HAND TENDON SHEATH
$XXX.XX
26025
DRAINAGE OF PALM BURSA
$XXX.XX
26030
DRAINAGE OF PALM BURSAS
$XXX.XX
26034
TREAT HAND BONE LESION
$XXX.XX
26035
DECOMPRESS FINGERS/HAND
$XXX.XX
26037
DECOMPRESS FINGERS/HAND
$XXX.XX
26040
RELEASE PALM CONTRACTURE
$XXX.XX
26045
RELEASE PALM CONTRACTURE
$XXX.XX
26055
INCISE FINGER TENDON SHEATH
$XXX.XX
26060
INCISION OF FINGER TENDON
$XXX.XX
26070
EXPLORE/TREAT HAND JOINT
$XXX.XX
26075
EXPLORE/TREAT FINGER JOINT
$XXX.XX
26080
EXPLORE/TREAT FINGER JOINT
$XXX.XX
26100
BIOPSY HAND JOINT LINING
$XXX.XX
26105
BIOPSY FINGER JOINT LINING
$XXX.XX
26110
BIOPSY FINGER JOINT LINING
$XXX.XX
26111
EXC HAND LES SC 1.5 CM/>
$XXX.XX
26113
EXC HAND TUM DEEP 1.5 CM/>
$XXX.XX
26115
EXC HAND LES SC < 1.5 CM
$XXX.XX
26116
EXC HAND TUM DEEP < 1.5 CM
$XXX.XX
26117
RAD RESECT HAND TUMOR < 3 CM
$XXX.XX
26118
RAD RESECT HAND TUMOR 3 CM/>
$XXX.XX
26121
RELEASE PALM CONTRACTURE
$XXX.XX
26123
RELEASE PALM CONTRACTURE
$XXX.XX
26125
RELEASE PALM CONTRACTURE
$XXX.XX
26130
REMOVE WRIST JOINT LINING
$XXX.XX
26135
REVISE FINGER JOINT EACH
$XXX.XX
26140
REVISE FINGER JOINT EACH
$XXX.XX
26145
TENDON EXCISION PALM/FINGER
$XXX.XX
26160
REMOVE TENDON SHEATH LESION
$XXX.XX
26170
REMOVAL OF PALM TENDON EACH
$XXX.XX
26180
REMOVAL OF FINGER TENDON
$XXX.XX
26185
REMOVE FINGER BONE
$XXX.XX
26200
REMOVE HAND BONE LESION
$XXX.XX
26205
REMOVE/GRAFT BONE LESION
$XXX.XX
26210
REMOVAL OF FINGER LESION
$XXX.XX
26215
REMOVE/GRAFT FINGER LESION
$XXX.XX
26230
PARTIAL REMOVAL OF HAND BONE
$XXX.XX
26235
PARTIAL REMOVAL FINGER BONE
$XXX.XX
26236
PARTIAL REMOVAL FINGER BONE
$XXX.XX
26250
EXTENSIVE HAND SURGERY
$XXX.XX
26260
RESECT PROX FINGER TUMOR
$XXX.XX
26262
RESECT DISTAL FINGER TUMOR
$XXX.XX
26320
REMOVAL OF IMPLANT FROM HAND
$XXX.XX
26340
MANIPULATE FINGER W/ANESTH
$XXX.XX
26341
MANIPULAT PALM CORD POST INJ
$XXX.XX
26350
REPAIR FINGER/HAND TENDON
$XXX.XX
26352
REPAIR/GRAFT HAND TENDON
$XXX.XX
26356
REPAIR FINGER/HAND TENDON
$XXX.XX
26357
REPAIR FINGER/HAND TENDON
$XXX.XX
26358
REPAIR/GRAFT HAND TENDON
$XXX.XX
26370
REPAIR FINGER/HAND TENDON
$XXX.XX
26372
REPAIR/GRAFT HAND TENDON
$XXX.XX
26373
REPAIR FINGER/HAND TENDON
$XXX.XX
26390
REVISE HAND/FINGER TENDON
$XXX.XX
26392
REPAIR/GRAFT HAND TENDON
$XXX.XX
26410
REPAIR HAND TENDON
$XXX.XX
26412
REPAIR/GRAFT HAND TENDON
$XXX.XX
26415
EXCISION HAND/FINGER TENDON
$XXX.XX
26416
GRAFT HAND OR FINGER TENDON
$XXX.XX
26418
REPAIR FINGER TENDON
$XXX.XX
26420
REPAIR/GRAFT FINGER TENDON
$XXX.XX
26426
REPAIR FINGER/HAND TENDON
$XXX.XX
26428
REPAIR/GRAFT FINGER TENDON
$XXX.XX
26432
REPAIR FINGER TENDON
$XXX.XX
26433
REPAIR FINGER TENDON
$XXX.XX
26434
REPAIR/GRAFT FINGER TENDON
$XXX.XX
26437
REALIGNMENT OF TENDONS
$XXX.XX
26440
RELEASE PALM/FINGER TENDON
$XXX.XX
26442
RELEASE PALM & FINGER TENDON
$XXX.XX
26445
RELEASE HAND/FINGER TENDON
$XXX.XX
26449
RELEASE FOREARM/HAND TENDON
$XXX.XX
26450
INCISION OF PALM TENDON
$XXX.XX
26455
INCISION OF FINGER TENDON
$XXX.XX
26460
INCISE HAND/FINGER TENDON
$XXX.XX
26471
FUSION OF FINGER TENDONS
$XXX.XX
26474
FUSION OF FINGER TENDONS
$XXX.XX
26476
TENDON LENGTHENING
$XXX.XX
26477
TENDON SHORTENING
$XXX.XX
26478
LENGTHENING OF HAND TENDON
$XXX.XX
26479
SHORTENING OF HAND TENDON
$XXX.XX
26480
TRANSPLANT HAND TENDON
$XXX.XX
26483
TRANSPLANT/GRAFT HAND TENDON
$XXX.XX
26485
TRANSPLANT PALM TENDON
$XXX.XX
26489
TRANSPLANT/GRAFT PALM TENDON
$XXX.XX
26490
REVISE THUMB TENDON
$XXX.XX
26492
TENDON TRANSFER WITH GRAFT
$XXX.XX
26494
HAND TENDON/MUSCLE TRANSFER
$XXX.XX
26496
REVISE THUMB TENDON
$XXX.XX
26497
FINGER TENDON TRANSFER
$XXX.XX
26498
FINGER TENDON TRANSFER
$XXX.XX
26499
REVISION OF FINGER
$XXX.XX
26500
HAND TENDON RECONSTRUCTION
$XXX.XX
26502
HAND TENDON RECONSTRUCTION
$XXX.XX
26508
RELEASE THUMB CONTRACTURE
$XXX.XX
26510
THUMB TENDON TRANSFER
$XXX.XX
26516
FUSION OF KNUCKLE JOINT
$XXX.XX
26517
FUSION OF KNUCKLE JOINTS
$XXX.XX
26518
FUSION OF KNUCKLE JOINTS
$XXX.XX
26520
RELEASE KNUCKLE CONTRACTURE
$XXX.XX
26525
RELEASE FINGER CONTRACTURE
$XXX.XX
26530
REVISE KNUCKLE JOINT
$XXX.XX
26531
REVISE KNUCKLE WITH IMPLANT
$XXX.XX
26535
REVISE FINGER JOINT
$XXX.XX
26536
REVISE/IMPLANT FINGER JOINT
$XXX.XX
26540
REPAIR HAND JOINT
$XXX.XX
26541
REPAIR HAND JOINT WITH GRAFT
$XXX.XX
26542
REPAIR HAND JOINT WITH GRAFT
$XXX.XX
26545
RECONSTRUCT FINGER JOINT
$XXX.XX
26546
REPAIR NONUNION HAND
$XXX.XX
26548
RECONSTRUCT FINGER JOINT
$XXX.XX
26550
CONSTRUCT THUMB REPLACEMENT
$XXX.XX
26551
GREAT TOE-HAND TRANSFER
$XXX.XX
26553
SINGLE TRANSFER TOE-HAND
$XXX.XX
26554
DOUBLE TRANSFER TOE-HAND
$XXX.XX
26555
POSITIONAL CHANGE OF FINGER
$XXX.XX
26556
TOE JOINT TRANSFER
$XXX.XX
26560
REPAIR OF WEB FINGER
$XXX.XX
26561
REPAIR OF WEB FINGER
$XXX.XX
26562
REPAIR OF WEB FINGER
$XXX.XX
26565
CORRECT METACARPAL FLAW
$XXX.XX
26567
CORRECT FINGER DEFORMITY
$XXX.XX
26568
LENGTHEN METACARPAL/FINGER
$XXX.XX
26580
REPAIR HAND DEFORMITY
$XXX.XX
26587
RECONSTRUCT EXTRA FINGER
$XXX.XX
26590
REPAIR FINGER DEFORMITY
$XXX.XX
26591
REPAIR MUSCLES OF HAND
$XXX.XX
26593
RELEASE MUSCLES OF HAND
$XXX.XX
26596
EXCISION CONSTRICTING TISSUE
$XXX.XX
26600
TREAT METACARPAL FRACTURE
$XXX.XX
26605
TREAT METACARPAL FRACTURE
$XXX.XX
26607
TREAT METACARPAL FRACTURE
$XXX.XX
26608
TREAT METACARPAL FRACTURE
$XXX.XX
26615
TREAT METACARPAL FRACTURE
$XXX.XX
26641
TREAT THUMB DISLOCATION
$XXX.XX
26645
TREAT THUMB FRACTURE
$XXX.XX
26650
TREAT THUMB FRACTURE
$XXX.XX
26665
TREAT THUMB FRACTURE
$XXX.XX
26670
TREAT HAND DISLOCATION
$XXX.XX
26675
TREAT HAND DISLOCATION
$XXX.XX
26676
PIN HAND DISLOCATION
$XXX.XX
26685
TREAT HAND DISLOCATION
$XXX.XX
26686
TREAT HAND DISLOCATION
$XXX.XX
26700
TREAT KNUCKLE DISLOCATION
$XXX.XX
26705
TREAT KNUCKLE DISLOCATION
$XXX.XX
26706
PIN KNUCKLE DISLOCATION
$XXX.XX
26715
TREAT KNUCKLE DISLOCATION
$XXX.XX
26720
TREAT FINGER FRACTURE EACH
$XXX.XX
26725
TREAT FINGER FRACTURE EACH
$XXX.XX
26727
TREAT FINGER FRACTURE EACH
$XXX.XX
26735
TREAT FINGER FRACTURE EACH
$XXX.XX
26740
TREAT FINGER FRACTURE EACH
$XXX.XX
26742
TREAT FINGER FRACTURE EACH
$XXX.XX
26746
TREAT FINGER FRACTURE EACH
$XXX.XX
26750
TREAT FINGER FRACTURE EACH
$XXX.XX
26755
TREAT FINGER FRACTURE EACH
$XXX.XX
26756
PIN FINGER FRACTURE EACH
$XXX.XX
26765
TREAT FINGER FRACTURE EACH
$XXX.XX
26770
TREAT FINGER DISLOCATION
$XXX.XX
26775
TREAT FINGER DISLOCATION
$XXX.XX
26776
PIN FINGER DISLOCATION
$XXX.XX
26785
TREAT FINGER DISLOCATION
$XXX.XX
26820
THUMB FUSION WITH GRAFT
$XXX.XX
26841
FUSION OF THUMB
$XXX.XX
26842
THUMB FUSION WITH GRAFT
$XXX.XX
26843
FUSION OF HAND JOINT
$XXX.XX
26844
FUSION/GRAFT OF HAND JOINT
$XXX.XX
26850
FUSION OF KNUCKLE
$XXX.XX
26852
FUSION OF KNUCKLE WITH GRAFT
$XXX.XX
26860
FUSION OF FINGER JOINT
$XXX.XX
26861
FUSION OF FINGER JNT ADD-ON
$XXX.XX
26862
FUSION/GRAFT OF FINGER JOINT
$XXX.XX
26863
FUSE/GRAFT ADDED JOINT
$XXX.XX
26910
AMPUTATE METACARPAL BONE
$XXX.XX
26951
AMPUTATION OF FINGER/THUMB
$XXX.XX
26952
AMPUTATION OF FINGER/THUMB
$XXX.XX
26990
DRAINAGE OF PELVIS LESION
$XXX.XX
26991
DRAINAGE OF PELVIS BURSA
$XXX.XX
26992
DRAINAGE OF BONE LESION
$XXX.XX
27000
INCISION OF HIP TENDON
$XXX.XX
27001
INCISION OF HIP TENDON
$XXX.XX
27003
INCISION OF HIP TENDON
$XXX.XX
27005
INCISION OF HIP TENDON
$XXX.XX
27006
INCISION OF HIP TENDONS
$XXX.XX
27025
INCISION OF HIP/THIGH FASCIA
$XXX.XX
27027
BUTTOCK FASCIOTOMY
$XXX.XX
27030
DRAINAGE OF HIP JOINT
$XXX.XX
27033
EXPLORATION OF HIP JOINT
$XXX.XX
27035
DENERVATION OF HIP JOINT
$XXX.XX
27036
EXCISION OF HIP JOINT/MUSCLE
$XXX.XX
27040
BIOPSY OF SOFT TISSUES
$XXX.XX
27041
BIOPSY OF SOFT TISSUES
$XXX.XX
27043
EXC HIP PELVIS LES SC 3 CM/>
$XXX.XX
27045
EXC HIP/PELV TUM DEEP 5 CM/>
$XXX.XX
27047
EXC HIP/PELVIS LES SC < 3 CM
$XXX.XX
27048
EXC HIP/PELV TUM DEEP < 5 CM
$XXX.XX
27049
RESECT HIP/PELV TUM < 5 CM
$XXX.XX
27050
BIOPSY OF SACROILIAC JOINT
$XXX.XX
27052
BIOPSY OF HIP JOINT
$XXX.XX
27054
REMOVAL OF HIP JOINT LINING
$XXX.XX
27057
BUTTOCK FASCIOTOMY W/DBRDMT
$XXX.XX
27059
RESECT HIP/PELV TUM 5 CM/>
$XXX.XX
27060
REMOVAL OF ISCHIAL BURSA
$XXX.XX
27062
REMOVE FEMUR LESION/BURSA
$XXX.XX
27065
REMOVE HIP BONE LES SUPER
$XXX.XX
27066
REMOVE HIP BONE LES DEEP
$XXX.XX
27067
REMOVE/GRAFT HIP BONE LESION
$XXX.XX
27070
PART REMOVE HIP BONE SUPER
$XXX.XX
27071
PART REMOVAL HIP BONE DEEP
$XXX.XX
27075
RESECT HIP TUMOR
$XXX.XX
27076
RESECT HIP TUM INCL ACETABUL
$XXX.XX
27077
RESECT HIP TUM W/INNOM BONE
$XXX.XX
27078
RSECT HIP TUM INCL FEMUR
$XXX.XX
27080
REMOVAL OF TAIL BONE
$XXX.XX
27086
REMOVE HIP FOREIGN BODY
$XXX.XX
27087
REMOVE HIP FOREIGN BODY
$XXX.XX
27090
REMOVAL OF HIP PROSTHESIS
$XXX.XX
27091
REMOVAL OF HIP PROSTHESIS
$XXX.XX
27093
INJECTION FOR HIP X-RAY
$XXX.XX
27095
INJECTION FOR HIP X-RAY
$XXX.XX
27096
INJECT SACROILIAC JOINT
$XXX.XX
27097
REVISION OF HIP TENDON
$XXX.XX
27098
TRANSFER TENDON TO PELVIS
$XXX.XX
27100
TRANSFER OF ABDOMINAL MUSCLE
$XXX.XX
27105
TRANSFER OF SPINAL MUSCLE
$XXX.XX
27110
TRANSFER OF ILIOPSOAS MUSCLE
$XXX.XX
27111
TRANSFER OF ILIOPSOAS MUSCLE
$XXX.XX
27120
RECONSTRUCTION OF HIP SOCKET
$XXX.XX
27122
RECONSTRUCTION OF HIP SOCKET
$XXX.XX
27125
PARTIAL HIP REPLACEMENT
$XXX.XX
27130
TOTAL HIP ARTHROPLASTY
$XXX.XX
27132
TOTAL HIP ARTHROPLASTY
$XXX.XX
27134
REVISE HIP JOINT REPLACEMENT
$XXX.XX
27137
REVISE HIP JOINT REPLACEMENT
$XXX.XX
27138
REVISE HIP JOINT REPLACEMENT
$XXX.XX
27140
TRANSPLANT FEMUR RIDGE
$XXX.XX
27146
INCISION OF HIP BONE
$XXX.XX
27147
REVISION OF HIP BONE
$XXX.XX
27151
INCISION OF HIP BONES
$XXX.XX
27156
REVISION OF HIP BONES
$XXX.XX
27158
REVISION OF PELVIS
$XXX.XX
27161
INCISION OF NECK OF FEMUR
$XXX.XX
27165
INCISION/FIXATION OF FEMUR
$XXX.XX
27170
REPAIR/GRAFT FEMUR HEAD/NECK
$XXX.XX
27175
TREAT SLIPPED EPIPHYSIS
$XXX.XX
27176
TREAT SLIPPED EPIPHYSIS
$XXX.XX
27177
TREAT SLIPPED EPIPHYSIS
$XXX.XX
27178
TREAT SLIPPED EPIPHYSIS
$XXX.XX
27179
REVISE HEAD/NECK OF FEMUR
$XXX.XX
27181
TREAT SLIPPED EPIPHYSIS
$XXX.XX
27185
REVISION OF FEMUR EPIPHYSIS
$XXX.XX
27187
REINFORCE HIP BONES
$XXX.XX
27197
CLSD TX PELVIC RING FX
$XXX.XX
27198
CLSD TX PELVIC RING FX
$XXX.XX
27200
TREAT TAIL BONE FRACTURE
$XXX.XX
27202
TREAT TAIL BONE FRACTURE
$XXX.XX
27220
TREAT HIP SOCKET FRACTURE
$XXX.XX
27222
TREAT HIP SOCKET FRACTURE
$XXX.XX
27226
TREAT HIP WALL FRACTURE
$XXX.XX
27227
TREAT HIP FRACTURE(S)
$XXX.XX
27228
TREAT HIP FRACTURE(S)
$XXX.XX
27230
TREAT THIGH FRACTURE
$XXX.XX
27232
TREAT THIGH FRACTURE
$XXX.XX
27235
TREAT THIGH FRACTURE
$XXX.XX
27236
TREAT THIGH FRACTURE
$XXX.XX
27238
TREAT THIGH FRACTURE
$XXX.XX
27240
TREAT THIGH FRACTURE
$XXX.XX
27244
TREAT THIGH FRACTURE
$XXX.XX
27245
TREAT THIGH FRACTURE
$XXX.XX
27246
TREAT THIGH FRACTURE
$XXX.XX
27248
TREAT THIGH FRACTURE
$XXX.XX
27250
TREAT HIP DISLOCATION
$XXX.XX
27252
TREAT HIP DISLOCATION
$XXX.XX
27253
TREAT HIP DISLOCATION
$XXX.XX
27254
TREAT HIP DISLOCATION
$XXX.XX
27256
TREAT HIP DISLOCATION
$XXX.XX
27257
TREAT HIP DISLOCATION
$XXX.XX
27258
TREAT HIP DISLOCATION
$XXX.XX
27259
TREAT HIP DISLOCATION
$XXX.XX
27265
TREAT HIP DISLOCATION
$XXX.XX
27266
TREAT HIP DISLOCATION
$XXX.XX
27267
CLTX THIGH FX
$XXX.XX
27268
CLTX THIGH FX W/MNPJ
$XXX.XX
27269
OPTX THIGH FX
$XXX.XX
27275
MANIPULATION OF HIP JOINT
$XXX.XX
27279
ARTHRODESIS SACROILIAC JOINT
$XXX.XX
27280
FUSION OF SACROILIAC JOINT
$XXX.XX
27282
FUSION OF PUBIC BONES
$XXX.XX
27284
FUSION OF HIP JOINT
$XXX.XX
27286
FUSION OF HIP JOINT
$XXX.XX
27290
AMPUTATION OF LEG AT HIP
$XXX.XX
27295
AMPUTATION OF LEG AT HIP
$XXX.XX
27301
DRAIN THIGH/KNEE LESION
$XXX.XX
27303
DRAINAGE OF BONE LESION
$XXX.XX
27305
INCISE THIGH TENDON & FASCIA
$XXX.XX
27306
INCISION OF THIGH TENDON
$XXX.XX
27307
INCISION OF THIGH TENDONS
$XXX.XX
27310
EXPLORATION OF KNEE JOINT
$XXX.XX
27323
BIOPSY THIGH SOFT TISSUES
$XXX.XX
27324
BIOPSY THIGH SOFT TISSUES
$XXX.XX
27325
NEURECTOMY HAMSTRING
$XXX.XX
27326
NEURECTOMY POPLITEAL
$XXX.XX
27327
EXC THIGH/KNEE LES SC < 3 CM
$XXX.XX
27328
EXC THIGH/KNEE TUM DEEP <5CM
$XXX.XX
27329
RESECT THIGH/KNEE TUM < 5 CM
$XXX.XX
27330
BIOPSY KNEE JOINT LINING
$XXX.XX
27331
EXPLORE/TREAT KNEE JOINT
$XXX.XX
27332
REMOVAL OF KNEE CARTILAGE
$XXX.XX
27333
REMOVAL OF KNEE CARTILAGE
$XXX.XX
27334
REMOVE KNEE JOINT LINING
$XXX.XX
27335
REMOVE KNEE JOINT LINING
$XXX.XX
27337
EXC THIGH/KNEE LES SC 3 CM/>
$XXX.XX
27339
EXC THIGH/KNEE TUM DEP 5CM/>
$XXX.XX
27340
REMOVAL OF KNEECAP BURSA
$XXX.XX
27345
REMOVAL OF KNEE CYST
$XXX.XX
27347
REMOVE KNEE CYST
$XXX.XX
27350
REMOVAL OF KNEECAP
$XXX.XX
27355
REMOVE FEMUR LESION
$XXX.XX
27356
REMOVE FEMUR LESION/GRAFT
$XXX.XX
27357
REMOVE FEMUR LESION/GRAFT
$XXX.XX
27358
REMOVE FEMUR LESION/FIXATION
$XXX.XX
27360
PARTIAL REMOVAL LEG BONE(S)
$XXX.XX
27364
RESECT THIGH/KNEE TUM 5 CM/>
$XXX.XX
27365
RESECT FEMUR/KNEE TUMOR
$XXX.XX
27370
INJECTION FOR KNEE X-RAY
$XXX.XX
27372
REMOVAL OF FOREIGN BODY
$XXX.XX
27380
REPAIR OF KNEECAP TENDON
$XXX.XX
27381
REPAIR/GRAFT KNEECAP TENDON
$XXX.XX
27385
REPAIR OF THIGH MUSCLE
$XXX.XX
27386
REPAIR/GRAFT OF THIGH MUSCLE
$XXX.XX
27390
INCISION OF THIGH TENDON
$XXX.XX
27391
INCISION OF THIGH TENDONS
$XXX.XX
27392
INCISION OF THIGH TENDONS
$XXX.XX
27393
LENGTHENING OF THIGH TENDON
$XXX.XX
27394
LENGTHENING OF THIGH TENDONS
$XXX.XX
27395
LENGTHENING OF THIGH TENDONS
$XXX.XX
27396
TRANSPLANT OF THIGH TENDON
$XXX.XX
27397
TRANSPLANTS OF THIGH TENDONS
$XXX.XX
27400
REVISE THIGH MUSCLES/TENDONS
$XXX.XX
27403
REPAIR OF KNEE CARTILAGE
$XXX.XX
27405
REPAIR OF KNEE LIGAMENT
$XXX.XX
27407
REPAIR OF KNEE LIGAMENT
$XXX.XX
27409
REPAIR OF KNEE LIGAMENTS
$XXX.XX
27412
AUTOCHONDROCYTE IMPLANT KNEE
$XXX.XX
27415
OSTEOCHONDRAL KNEE ALLOGRAFT
$XXX.XX
27416
OSTEOCHONDRAL KNEE AUTOGRAFT
$XXX.XX
27418
REPAIR DEGENERATED KNEECAP
$XXX.XX
27420
REVISION OF UNSTABLE KNEECAP
$XXX.XX
27422
REVISION OF UNSTABLE KNEECAP
$XXX.XX
27424
REVISION/REMOVAL OF KNEECAP
$XXX.XX
27425
LAT RETINACULAR RELEASE OPEN
$XXX.XX
27427
RECONSTRUCTION KNEE
$XXX.XX
27428
RECONSTRUCTION KNEE
$XXX.XX
27429
RECONSTRUCTION KNEE
$XXX.XX
27430
REVISION OF THIGH MUSCLES
$XXX.XX
27435
INCISION OF KNEE JOINT
$XXX.XX
27437
REVISE KNEECAP
$XXX.XX
27438
REVISE KNEECAP WITH IMPLANT
$XXX.XX
27440
REVISION OF KNEE JOINT
$XXX.XX
27441
REVISION OF KNEE JOINT
$XXX.XX
27442
REVISION OF KNEE JOINT
$XXX.XX
27443
REVISION OF KNEE JOINT
$XXX.XX
27445
REVISION OF KNEE JOINT
$XXX.XX
27446
REVISION OF KNEE JOINT
$XXX.XX
27447
TOTAL KNEE ARTHROPLASTY
$XXX.XX
27448
INCISION OF THIGH
$XXX.XX
27450
INCISION OF THIGH
$XXX.XX
27454
REALIGNMENT OF THIGH BONE
$XXX.XX
27455
REALIGNMENT OF KNEE
$XXX.XX
27457
REALIGNMENT OF KNEE
$XXX.XX
27465
SHORTENING OF THIGH BONE
$XXX.XX
27466
LENGTHENING OF THIGH BONE
$XXX.XX
27468
SHORTEN/LENGTHEN THIGHS
$XXX.XX
27470
REPAIR OF THIGH
$XXX.XX
27472
REPAIR/GRAFT OF THIGH
$XXX.XX
27475
SURGERY TO STOP LEG GROWTH
$XXX.XX
27477
SURGERY TO STOP LEG GROWTH
$XXX.XX
27479
SURGERY TO STOP LEG GROWTH
$XXX.XX
27485
SURGERY TO STOP LEG GROWTH
$XXX.XX
27486
REVISE/REPLACE KNEE JOINT
$XXX.XX
27487
REVISE/REPLACE KNEE JOINT
$XXX.XX
27488
REMOVAL OF KNEE PROSTHESIS
$XXX.XX
27495
REINFORCE THIGH
$XXX.XX
27496
DECOMPRESSION OF THIGH/KNEE
$XXX.XX
27497
DECOMPRESSION OF THIGH/KNEE
$XXX.XX
27498
DECOMPRESSION OF THIGH/KNEE
$XXX.XX
27499
DECOMPRESSION OF THIGH/KNEE
$XXX.XX
27500
TREATMENT OF THIGH FRACTURE
$XXX.XX
27501
TREATMENT OF THIGH FRACTURE
$XXX.XX
27502
TREATMENT OF THIGH FRACTURE
$XXX.XX
27503
TREATMENT OF THIGH FRACTURE
$XXX.XX
27506
TREATMENT OF THIGH FRACTURE
$XXX.XX
27507
TREATMENT OF THIGH FRACTURE
$XXX.XX
27508
TREATMENT OF THIGH FRACTURE
$XXX.XX
27509
TREATMENT OF THIGH FRACTURE
$XXX.XX
27510
TREATMENT OF THIGH FRACTURE
$XXX.XX
27511
TREATMENT OF THIGH FRACTURE
$XXX.XX
27513
TREATMENT OF THIGH FRACTURE
$XXX.XX
27514
TREATMENT OF THIGH FRACTURE
$XXX.XX
27516
TREAT THIGH FX GROWTH PLATE
$XXX.XX
27517
TREAT THIGH FX GROWTH PLATE
$XXX.XX
27519
TREAT THIGH FX GROWTH PLATE
$XXX.XX
27520
TREAT KNEECAP FRACTURE
$XXX.XX
27524
TREAT KNEECAP FRACTURE
$XXX.XX
27530
TREAT KNEE FRACTURE
$XXX.XX
27532
TREAT KNEE FRACTURE
$XXX.XX
27535
TREAT KNEE FRACTURE
$XXX.XX
27536
TREAT KNEE FRACTURE
$XXX.XX
27538
TREAT KNEE FRACTURE(S)
$XXX.XX
27540
TREAT KNEE FRACTURE
$XXX.XX
27550
TREAT KNEE DISLOCATION
$XXX.XX
27552
TREAT KNEE DISLOCATION
$XXX.XX
27556
TREAT KNEE DISLOCATION
$XXX.XX
27557
TREAT KNEE DISLOCATION
$XXX.XX
27558
TREAT KNEE DISLOCATION
$XXX.XX
27560
TREAT KNEECAP DISLOCATION
$XXX.XX
27562
TREAT KNEECAP DISLOCATION
$XXX.XX
27566
TREAT KNEECAP DISLOCATION
$XXX.XX
27570
FIXATION OF KNEE JOINT
$XXX.XX
27580
FUSION OF KNEE
$XXX.XX
27590
AMPUTATE LEG AT THIGH
$XXX.XX
27591
AMPUTATE LEG AT THIGH
$XXX.XX
27592
AMPUTATE LEG AT THIGH
$XXX.XX
27594
AMPUTATION FOLLOW-UP SURGERY
$XXX.XX
27596
AMPUTATION FOLLOW-UP SURGERY
$XXX.XX
27598
AMPUTATE LOWER LEG AT KNEE
$XXX.XX
27600
DECOMPRESSION OF LOWER LEG
$XXX.XX
27601
DECOMPRESSION OF LOWER LEG
$XXX.XX
27602
DECOMPRESSION OF LOWER LEG
$XXX.XX
27603
DRAIN LOWER LEG LESION
$XXX.XX
27604
DRAIN LOWER LEG BURSA
$XXX.XX
27605
INCISION OF ACHILLES TENDON
$XXX.XX
27606
INCISION OF ACHILLES TENDON
$XXX.XX
27607
TREAT LOWER LEG BONE LESION
$XXX.XX
27610
EXPLORE/TREAT ANKLE JOINT
$XXX.XX
27612
EXPLORATION OF ANKLE JOINT
$XXX.XX
27613
BIOPSY LOWER LEG SOFT TISSUE
$XXX.XX
27614
BIOPSY LOWER LEG SOFT TISSUE
$XXX.XX
27615
RESECT LEG/ANKLE TUM < 5 CM
$XXX.XX
27616
RESECT LEG/ANKLE TUM 5 CM/>
$XXX.XX
27618
EXC LEG/ANKLE TUM < 3 CM
$XXX.XX
27619
EXC LEG/ANKLE TUM DEEP <5 CM
$XXX.XX
27620
EXPLORE/TREAT ANKLE JOINT
$XXX.XX
27625
REMOVE ANKLE JOINT LINING
$XXX.XX
27626
REMOVE ANKLE JOINT LINING
$XXX.XX
27630
REMOVAL OF TENDON LESION
$XXX.XX
27632
EXC LEG/ANKLE LES SC 3 CM/>
$XXX.XX
27634
EXC LEG/ANKLE TUM DEP 5 CM/>
$XXX.XX
27635
REMOVE LOWER LEG BONE LESION
$XXX.XX
27637
REMOVE/GRAFT LEG BONE LESION
$XXX.XX
27638
REMOVE/GRAFT LEG BONE LESION
$XXX.XX
27640
PARTIAL REMOVAL OF TIBIA
$XXX.XX
27641
PARTIAL REMOVAL OF FIBULA
$XXX.XX
27645
RESECT TIBIA TUMOR
$XXX.XX
27646
RESECT FIBULA TUMOR
$XXX.XX
27647
RESECT TALUS/CALCANEUS TUM
$XXX.XX
27648
INJECTION FOR ANKLE X-RAY
$XXX.XX
27650
REPAIR ACHILLES TENDON
$XXX.XX
27652
REPAIR/GRAFT ACHILLES TENDON
$XXX.XX
27654
REPAIR OF ACHILLES TENDON
$XXX.XX
27656
REPAIR LEG FASCIA DEFECT
$XXX.XX
27658
REPAIR OF LEG TENDON EACH
$XXX.XX
27659
REPAIR OF LEG TENDON EACH
$XXX.XX
27664
REPAIR OF LEG TENDON EACH
$XXX.XX
27665
REPAIR OF LEG TENDON EACH
$XXX.XX
27675
REPAIR LOWER LEG TENDONS
$XXX.XX
27676
REPAIR LOWER LEG TENDONS
$XXX.XX
27680
RELEASE OF LOWER LEG TENDON
$XXX.XX
27681
RELEASE OF LOWER LEG TENDONS
$XXX.XX
27685
REVISION OF LOWER LEG TENDON
$XXX.XX
27686
REVISE LOWER LEG TENDONS
$XXX.XX
27687
REVISION OF CALF TENDON
$XXX.XX
27690
REVISE LOWER LEG TENDON
$XXX.XX
27691
REVISE LOWER LEG TENDON
$XXX.XX
27692
REVISE ADDITIONAL LEG TENDON
$XXX.XX
27695
REPAIR OF ANKLE LIGAMENT
$XXX.XX
27696
REPAIR OF ANKLE LIGAMENTS
$XXX.XX
27698
REPAIR OF ANKLE LIGAMENT
$XXX.XX
27700
REVISION OF ANKLE JOINT
$XXX.XX
27702
RECONSTRUCT ANKLE JOINT
$XXX.XX
27703
RECONSTRUCTION ANKLE JOINT
$XXX.XX
27704
REMOVAL OF ANKLE IMPLANT
$XXX.XX
27705
INCISION OF TIBIA
$XXX.XX
27707
INCISION OF FIBULA
$XXX.XX
27709
INCISION OF TIBIA & FIBULA
$XXX.XX
27712
REALIGNMENT OF LOWER LEG
$XXX.XX
27715
REVISION OF LOWER LEG
$XXX.XX
27720
REPAIR OF TIBIA
$XXX.XX
27722
REPAIR/GRAFT OF TIBIA
$XXX.XX
27724
REPAIR/GRAFT OF TIBIA
$XXX.XX
27725
REPAIR OF LOWER LEG
$XXX.XX
27726
REPAIR FIBULA NONUNION
$XXX.XX
27727
REPAIR OF LOWER LEG
$XXX.XX
27730
REPAIR OF TIBIA EPIPHYSIS
$XXX.XX
27732
REPAIR OF FIBULA EPIPHYSIS
$XXX.XX
27734
REPAIR LOWER LEG EPIPHYSES
$XXX.XX
27740
REPAIR OF LEG EPIPHYSES
$XXX.XX
27742
REPAIR OF LEG EPIPHYSES
$XXX.XX
27745
REINFORCE TIBIA
$XXX.XX
27750
TREATMENT OF TIBIA FRACTURE
$XXX.XX
27752
TREATMENT OF TIBIA FRACTURE
$XXX.XX
27756
TREATMENT OF TIBIA FRACTURE
$XXX.XX
27758
TREATMENT OF TIBIA FRACTURE
$XXX.XX
27759
TREATMENT OF TIBIA FRACTURE
$XXX.XX
27760
CLTX MEDIAL ANKLE FX
$XXX.XX
27762
CLTX MED ANKLE FX W/MNPJ
$XXX.XX
27766
OPTX MEDIAL ANKLE FX
$XXX.XX
27767
CLTX POST ANKLE FX
$XXX.XX
27768
CLTX POST ANKLE FX W/MNPJ
$XXX.XX
27769
OPTX POST ANKLE FX
$XXX.XX
27780
TREATMENT OF FIBULA FRACTURE
$XXX.XX
27781
TREATMENT OF FIBULA FRACTURE
$XXX.XX
27784
TREATMENT OF FIBULA FRACTURE
$XXX.XX
27786
TREATMENT OF ANKLE FRACTURE
$XXX.XX
27788
TREATMENT OF ANKLE FRACTURE
$XXX.XX
27792
TREATMENT OF ANKLE FRACTURE
$XXX.XX
27808
TREATMENT OF ANKLE FRACTURE
$XXX.XX
27810
TREATMENT OF ANKLE FRACTURE
$XXX.XX
27814
TREATMENT OF ANKLE FRACTURE
$XXX.XX
27816
TREATMENT OF ANKLE FRACTURE
$XXX.XX
27818
TREATMENT OF ANKLE FRACTURE
$XXX.XX
27822
TREATMENT OF ANKLE FRACTURE
$XXX.XX
27823
TREATMENT OF ANKLE FRACTURE
$XXX.XX
27824
TREAT LOWER LEG FRACTURE
$XXX.XX
27825
TREAT LOWER LEG FRACTURE
$XXX.XX
27826
TREAT LOWER LEG FRACTURE
$XXX.XX
27827
TREAT LOWER LEG FRACTURE
$XXX.XX
27828
TREAT LOWER LEG FRACTURE
$XXX.XX
27829
TREAT LOWER LEG JOINT
$XXX.XX
27830
TREAT LOWER LEG DISLOCATION
$XXX.XX
27831
TREAT LOWER LEG DISLOCATION
$XXX.XX
27832
TREAT LOWER LEG DISLOCATION
$XXX.XX
27840
TREAT ANKLE DISLOCATION
$XXX.XX
27842
TREAT ANKLE DISLOCATION
$XXX.XX
27846
TREAT ANKLE DISLOCATION
$XXX.XX
27848
TREAT ANKLE DISLOCATION
$XXX.XX
27860
FIXATION OF ANKLE JOINT
$XXX.XX
27870
FUSION OF ANKLE JOINT OPEN
$XXX.XX
27871
FUSION OF TIBIOFIBULAR JOINT
$XXX.XX
27880
AMPUTATION OF LOWER LEG
$XXX.XX
27881
AMPUTATION OF LOWER LEG
$XXX.XX
27882
AMPUTATION OF LOWER LEG
$XXX.XX
27884
AMPUTATION FOLLOW-UP SURGERY
$XXX.XX
27886
AMPUTATION FOLLOW-UP SURGERY
$XXX.XX
27888
AMPUTATION OF FOOT AT ANKLE
$XXX.XX
27889
AMPUTATION OF FOOT AT ANKLE
$XXX.XX
27892
DECOMPRESSION OF LEG
$XXX.XX
27893
DECOMPRESSION OF LEG
$XXX.XX
27894
DECOMPRESSION OF LEG
$XXX.XX
28001
DRAINAGE OF BURSA OF FOOT
$XXX.XX
28002
TREATMENT OF FOOT INFECTION
$XXX.XX
28003
TREATMENT OF FOOT INFECTION
$XXX.XX
28005
TREAT FOOT BONE LESION
$XXX.XX
28008
INCISION OF FOOT FASCIA
$XXX.XX
28010
INCISION OF TOE TENDON
$XXX.XX
28011
INCISION OF TOE TENDONS
$XXX.XX
28020
EXPLORATION OF FOOT JOINT
$XXX.XX
28022
EXPLORATION OF FOOT JOINT
$XXX.XX
28024
EXPLORATION OF TOE JOINT
$XXX.XX
28035
DECOMPRESSION OF TIBIA NERVE
$XXX.XX
28039
EXC FOOT/TOE TUM SC 1.5 CM/>
$XXX.XX
28041
EXC FOOT/TOE TUM DEP 1.5CM/>
$XXX.XX
28043
EXC FOOT/TOE TUM SC < 1.5 CM
$XXX.XX
28045
EXC FOOT/TOE TUM DEEP <1.5CM
$XXX.XX
28046
RESECT FOOT/TOE TUMOR < 3 CM
$XXX.XX
28047
RESECT FOOT/TOE TUMOR 3 CM/>
$XXX.XX
28050
BIOPSY OF FOOT JOINT LINING
$XXX.XX
28052
BIOPSY OF FOOT JOINT LINING
$XXX.XX
28054
BIOPSY OF TOE JOINT LINING
$XXX.XX
28055
NEURECTOMY FOOT
$XXX.XX
28060
PARTIAL REMOVAL FOOT FASCIA
$XXX.XX
28062
REMOVAL OF FOOT FASCIA
$XXX.XX
28070
REMOVAL OF FOOT JOINT LINING
$XXX.XX
28072
REMOVAL OF FOOT JOINT LINING
$XXX.XX
28080
REMOVAL OF FOOT LESION
$XXX.XX
28086
EXCISE FOOT TENDON SHEATH
$XXX.XX
28088
EXCISE FOOT TENDON SHEATH
$XXX.XX
28090
REMOVAL OF FOOT LESION
$XXX.XX
28092
REMOVAL OF TOE LESIONS
$XXX.XX
28100
REMOVAL OF ANKLE/HEEL LESION
$XXX.XX
28102
REMOVE/GRAFT FOOT LESION
$XXX.XX
28103
REMOVE/GRAFT FOOT LESION
$XXX.XX
28104
REMOVAL OF FOOT LESION
$XXX.XX
28106
REMOVE/GRAFT FOOT LESION
$XXX.XX
28107
REMOVE/GRAFT FOOT LESION
$XXX.XX
28108
REMOVAL OF TOE LESIONS
$XXX.XX
28110
PART REMOVAL OF METATARSAL
$XXX.XX
28111
PART REMOVAL OF METATARSAL
$XXX.XX
28112
PART REMOVAL OF METATARSAL
$XXX.XX
28113
PART REMOVAL OF METATARSAL
$XXX.XX
28114
REMOVAL OF METATARSAL HEADS
$XXX.XX
28116
REVISION OF FOOT
$XXX.XX
28118
REMOVAL OF HEEL BONE
$XXX.XX
28119
REMOVAL OF HEEL SPUR
$XXX.XX
28120
PART REMOVAL OF ANKLE/HEEL
$XXX.XX
28122
PARTIAL REMOVAL OF FOOT BONE
$XXX.XX
28124
PARTIAL REMOVAL OF TOE
$XXX.XX
28126
PARTIAL REMOVAL OF TOE
$XXX.XX
28130
REMOVAL OF ANKLE BONE
$XXX.XX
28140
REMOVAL OF METATARSAL
$XXX.XX
28150
REMOVAL OF TOE
$XXX.XX
28153
PARTIAL REMOVAL OF TOE
$XXX.XX
28160
PARTIAL REMOVAL OF TOE
$XXX.XX
28171
RESECT TARSAL TUMOR
$XXX.XX
28173
RESECT METATARSAL TUMOR
$XXX.XX
28175
RESECT PHALANX OF TOE TUMOR
$XXX.XX
28190
REMOVAL OF FOOT FOREIGN BODY
$XXX.XX
28192
REMOVAL OF FOOT FOREIGN BODY
$XXX.XX
28193
REMOVAL OF FOOT FOREIGN BODY
$XXX.XX
28200
REPAIR OF FOOT TENDON
$XXX.XX
28202
REPAIR/GRAFT OF FOOT TENDON
$XXX.XX
28208
REPAIR OF FOOT TENDON
$XXX.XX
28210
REPAIR/GRAFT OF FOOT TENDON
$XXX.XX
28220
RELEASE OF FOOT TENDON
$XXX.XX
28222
RELEASE OF FOOT TENDONS
$XXX.XX
28225
RELEASE OF FOOT TENDON
$XXX.XX
28226
RELEASE OF FOOT TENDONS
$XXX.XX
28230
INCISION OF FOOT TENDON(S)
$XXX.XX
28232
INCISION OF TOE TENDON
$XXX.XX
28234
INCISION OF FOOT TENDON
$XXX.XX
28238
REVISION OF FOOT TENDON
$XXX.XX
28240
RELEASE OF BIG TOE
$XXX.XX
28250
REVISION OF FOOT FASCIA
$XXX.XX
28260
RELEASE OF MIDFOOT JOINT
$XXX.XX
28261
REVISION OF FOOT TENDON
$XXX.XX
28262
REVISION OF FOOT AND ANKLE
$XXX.XX
28264
RELEASE OF MIDFOOT JOINT
$XXX.XX
28270
RELEASE OF FOOT CONTRACTURE
$XXX.XX
28272
RELEASE OF TOE JOINT EACH
$XXX.XX
28280
FUSION OF TOES
$XXX.XX
28285
REPAIR OF HAMMERTOE
$XXX.XX
28286
REPAIR OF HAMMERTOE
$XXX.XX
28288
PARTIAL REMOVAL OF FOOT BONE
$XXX.XX
28289
CORRJ HALUX RIGDUS W/O IMPLT
$XXX.XX
28291
CORRJ HALUX RIGDUS W/IMPLT
$XXX.XX
28292
CORRECTION HALLUX VALGUS
$XXX.XX
28295
CORRECTION HALLUX VALGUS
$XXX.XX
28296
CORRECTION HALLUX VALGUS
$XXX.XX
28297
CORRECTION HALLUX VALGUS
$XXX.XX
28298
CORRECTION HALLUX VALGUS
$XXX.XX
28299
CORRECTION HALLUX VALGUS
$XXX.XX
28300
INCISION OF HEEL BONE
$XXX.XX
28302
INCISION OF ANKLE BONE
$XXX.XX
28304
INCISION OF MIDFOOT BONES
$XXX.XX
28305
INCISE/GRAFT MIDFOOT BONES
$XXX.XX
28306
INCISION OF METATARSAL
$XXX.XX
28307
INCISION OF METATARSAL
$XXX.XX
28308
INCISION OF METATARSAL
$XXX.XX
28309
INCISION OF METATARSALS
$XXX.XX
28310
REVISION OF BIG TOE
$XXX.XX
28312
REVISION OF TOE
$XXX.XX
28313
REPAIR DEFORMITY OF TOE
$XXX.XX
28315
REMOVAL OF SESAMOID BONE
$XXX.XX
28320
REPAIR OF FOOT BONES
$XXX.XX
28322
REPAIR OF METATARSALS
$XXX.XX
28340
RESECT ENLARGED TOE TISSUE
$XXX.XX
28341
RESECT ENLARGED TOE
$XXX.XX
28344
REPAIR EXTRA TOE(S)
$XXX.XX
28345
REPAIR WEBBED TOE(S)
$XXX.XX
28360
RECONSTRUCT CLEFT FOOT
$XXX.XX
28400
TREATMENT OF HEEL FRACTURE
$XXX.XX
28405
TREATMENT OF HEEL FRACTURE
$XXX.XX
28406
TREATMENT OF HEEL FRACTURE
$XXX.XX
28415
TREAT HEEL FRACTURE
$XXX.XX
28420
TREAT/GRAFT HEEL FRACTURE
$XXX.XX
28430
TREATMENT OF ANKLE FRACTURE
$XXX.XX
28435
TREATMENT OF ANKLE FRACTURE
$XXX.XX
28436
TREATMENT OF ANKLE FRACTURE
$XXX.XX
28445
TREAT ANKLE FRACTURE
$XXX.XX
28446
OSTEOCHONDRAL TALUS AUTOGRFT
$XXX.XX
28450
TREAT MIDFOOT FRACTURE EACH
$XXX.XX
28455
TREAT MIDFOOT FRACTURE EACH
$XXX.XX
28456
TREAT MIDFOOT FRACTURE
$XXX.XX
28465
TREAT MIDFOOT FRACTURE EACH
$XXX.XX
28470
TREAT METATARSAL FRACTURE
$XXX.XX
28475
TREAT METATARSAL FRACTURE
$XXX.XX
28476
TREAT METATARSAL FRACTURE
$XXX.XX
28485
TREAT METATARSAL FRACTURE
$XXX.XX
28490
TREAT BIG TOE FRACTURE
$XXX.XX
28495
TREAT BIG TOE FRACTURE
$XXX.XX
28496
TREAT BIG TOE FRACTURE
$XXX.XX
28505
TREAT BIG TOE FRACTURE
$XXX.XX
28510
TREATMENT OF TOE FRACTURE
$XXX.XX
28515
TREATMENT OF TOE FRACTURE
$XXX.XX
28525
TREAT TOE FRACTURE
$XXX.XX
28530
TREAT SESAMOID BONE FRACTURE
$XXX.XX
28531
TREAT SESAMOID BONE FRACTURE
$XXX.XX
28540
TREAT FOOT DISLOCATION
$XXX.XX
28545
TREAT FOOT DISLOCATION
$XXX.XX
28546
TREAT FOOT DISLOCATION
$XXX.XX
28555
REPAIR FOOT DISLOCATION
$XXX.XX
28570
TREAT FOOT DISLOCATION
$XXX.XX
28575
TREAT FOOT DISLOCATION
$XXX.XX
28576
TREAT FOOT DISLOCATION
$XXX.XX
28585
REPAIR FOOT DISLOCATION
$XXX.XX
28600
TREAT FOOT DISLOCATION
$XXX.XX
28605
TREAT FOOT DISLOCATION
$XXX.XX
28606
TREAT FOOT DISLOCATION
$XXX.XX
28615
REPAIR FOOT DISLOCATION
$XXX.XX
28630
TREAT TOE DISLOCATION
$XXX.XX
28635
TREAT TOE DISLOCATION
$XXX.XX
28636
TREAT TOE DISLOCATION
$XXX.XX
28645
REPAIR TOE DISLOCATION
$XXX.XX
28660
TREAT TOE DISLOCATION
$XXX.XX
28665
TREAT TOE DISLOCATION
$XXX.XX
28666
TREAT TOE DISLOCATION
$XXX.XX
28675
REPAIR OF TOE DISLOCATION
$XXX.XX
28705
FUSION OF FOOT BONES
$XXX.XX
28715
FUSION OF FOOT BONES
$XXX.XX
28725
FUSION OF FOOT BONES
$XXX.XX
28730
FUSION OF FOOT BONES
$XXX.XX
28735
FUSION OF FOOT BONES
$XXX.XX
28737
REVISION OF FOOT BONES
$XXX.XX
28740
FUSION OF FOOT BONES
$XXX.XX
28750
FUSION OF BIG TOE JOINT
$XXX.XX
28755
FUSION OF BIG TOE JOINT
$XXX.XX
28760
FUSION OF BIG TOE JOINT
$XXX.XX
28800
AMPUTATION OF MIDFOOT
$XXX.XX
28805
AMPUTATION THRU METATARSAL
$XXX.XX
28810
AMPUTATION TOE & METATARSAL
$XXX.XX
28820
AMPUTATION OF TOE
$XXX.XX
28825
PARTIAL AMPUTATION OF TOE
$XXX.XX
28890
HI ENRGY ESWT PLANTAR FASCIA
$XXX.XX
29000
APPLICATION OF BODY CAST
$XXX.XX
29010
APPLICATION OF BODY CAST
$XXX.XX
29015
APPLICATION OF BODY CAST
$XXX.XX
29035
APPLICATION OF BODY CAST
$XXX.XX
29040
APPLICATION OF BODY CAST
$XXX.XX
29044
APPLICATION OF BODY CAST
$XXX.XX
29046
APPLICATION OF BODY CAST
$XXX.XX
29049
APPLICATION OF FIGURE EIGHT
$XXX.XX
29055
APPLICATION OF SHOULDER CAST
$XXX.XX
29058
APPLICATION OF SHOULDER CAST
$XXX.XX
29065
APPLICATION OF LONG ARM CAST
$XXX.XX
29075
APPLICATION OF FOREARM CAST
$XXX.XX
29085
APPLY HAND/WRIST CAST
$XXX.XX
29086
APPLY FINGER CAST
$XXX.XX
29105
APPLY LONG ARM SPLINT
$XXX.XX
29125
APPLY FOREARM SPLINT
$XXX.XX
29126
APPLY FOREARM SPLINT
$XXX.XX
29130
APPLICATION OF FINGER SPLINT
$XXX.XX
29131
APPLICATION OF FINGER SPLINT
$XXX.XX
29200
STRAPPING OF CHEST
$XXX.XX
29240
STRAPPING OF SHOULDER
$XXX.XX
29260
STRAPPING OF ELBOW OR WRIST
$XXX.XX
29280
STRAPPING OF HAND OR FINGER
$XXX.XX
29305
APPLICATION OF HIP CAST
$XXX.XX
29325
APPLICATION OF HIP CASTS
$XXX.XX
29345
APPLICATION OF LONG LEG CAST
$XXX.XX
29355
APPLICATION OF LONG LEG CAST
$XXX.XX
29358
APPLY LONG LEG CAST BRACE
$XXX.XX
29365
APPLICATION OF LONG LEG CAST
$XXX.XX
29405
APPLY SHORT LEG CAST
$XXX.XX
29425
APPLY SHORT LEG CAST
$XXX.XX
29435
APPLY SHORT LEG CAST
$XXX.XX
29440
ADDITION OF WALKER TO CAST
$XXX.XX
29445
APPLY RIGID LEG CAST
$XXX.XX
29450
APPLICATION OF LEG CAST
$XXX.XX
29505
APPLICATION LONG LEG SPLINT
$XXX.XX
29515
APPLICATION LOWER LEG SPLINT
$XXX.XX
29520
STRAPPING OF HIP
$XXX.XX
29530
STRAPPING OF KNEE
$XXX.XX
29540
STRAPPING OF ANKLE AND/OR FT
$XXX.XX
29550
STRAPPING OF TOES
$XXX.XX
29580
APPLICATION OF PASTE BOOT
$XXX.XX
29581
APPLY MULTLAY COMPRS LWR LEG
$XXX.XX
29584
APPL MULTLAY COMPRS ARM/HAND
$XXX.XX
29700
REMOVAL/REVISION OF CAST
$XXX.XX
29705
REMOVAL/REVISION OF CAST
$XXX.XX
29710
REMOVAL/REVISION OF CAST
$XXX.XX
29720
REPAIR OF BODY CAST
$XXX.XX
29730
WINDOWING OF CAST
$XXX.XX
29740
WEDGING OF CAST
$XXX.XX
29750
WEDGING OF CLUBFOOT CAST
$XXX.XX
29800
JAW ARTHROSCOPY/SURGERY
$XXX.XX
29804
JAW ARTHROSCOPY/SURGERY
$XXX.XX
29805
SHOULDER ARTHROSCOPY DX
$XXX.XX
29806
SHOULDER ARTHROSCOPY/SURGERY
$XXX.XX
29807
SHOULDER ARTHROSCOPY/SURGERY
$XXX.XX
29819
SHOULDER ARTHROSCOPY/SURGERY
$XXX.XX
29820
SHOULDER ARTHROSCOPY/SURGERY
$XXX.XX
29821
SHOULDER ARTHROSCOPY/SURGERY
$XXX.XX
29822
SHOULDER ARTHROSCOPY/SURGERY
$XXX.XX
29823
SHOULDER ARTHROSCOPY/SURGERY
$XXX.XX
29824
SHOULDER ARTHROSCOPY/SURGERY
$XXX.XX
29825
SHOULDER ARTHROSCOPY/SURGERY
$XXX.XX
29826
SHOULDER ARTHROSCOPY/SURGERY
$XXX.XX
29827
ARTHROSCOP ROTATOR CUFF REPR
$XXX.XX
29828
ARTHROSCOPY BICEPS TENODESIS
$XXX.XX
29830
ELBOW ARTHROSCOPY
$XXX.XX
29834
ELBOW ARTHROSCOPY/SURGERY
$XXX.XX
29835
ELBOW ARTHROSCOPY/SURGERY
$XXX.XX
29836
ELBOW ARTHROSCOPY/SURGERY
$XXX.XX
29837
ELBOW ARTHROSCOPY/SURGERY
$XXX.XX
29838
ELBOW ARTHROSCOPY/SURGERY
$XXX.XX
29840
WRIST ARTHROSCOPY
$XXX.XX
29843
WRIST ARTHROSCOPY/SURGERY
$XXX.XX
29844
WRIST ARTHROSCOPY/SURGERY
$XXX.XX
29845
WRIST ARTHROSCOPY/SURGERY
$XXX.XX
29846
WRIST ARTHROSCOPY/SURGERY
$XXX.XX
29847
WRIST ARTHROSCOPY/SURGERY
$XXX.XX
29848
WRIST ENDOSCOPY/SURGERY
$XXX.XX
29850
KNEE ARTHROSCOPY/SURGERY
$XXX.XX
29851
KNEE ARTHROSCOPY/SURGERY
$XXX.XX
29855
TIBIAL ARTHROSCOPY/SURGERY
$XXX.XX
29856
TIBIAL ARTHROSCOPY/SURGERY
$XXX.XX
29860
HIP ARTHROSCOPY DX
$XXX.XX
29861
HIP ARTHRO W/FB REMOVAL
$XXX.XX
29862
HIP ARTHR0 W/DEBRIDEMENT
$XXX.XX
29863
HIP ARTHR0 W/SYNOVECTOMY
$XXX.XX
29866
AUTGRFT IMPLNT KNEE W/SCOPE
$XXX.XX
29867
ALLGRFT IMPLNT KNEE W/SCOPE
$XXX.XX
29868
MENISCAL TRNSPL KNEE W/SCPE
$XXX.XX
29870
KNEE ARTHROSCOPY DX
$XXX.XX
29871
KNEE ARTHROSCOPY/DRAINAGE
$XXX.XX
29873
KNEE ARTHROSCOPY/SURGERY
$XXX.XX
29874
KNEE ARTHROSCOPY/SURGERY
$XXX.XX
29875
KNEE ARTHROSCOPY/SURGERY
$XXX.XX
29876
KNEE ARTHROSCOPY/SURGERY
$XXX.XX
29877
KNEE ARTHROSCOPY/SURGERY
$XXX.XX
29879
KNEE ARTHROSCOPY/SURGERY
$XXX.XX
29880
KNEE ARTHROSCOPY/SURGERY
$XXX.XX
29881
KNEE ARTHROSCOPY/SURGERY
$XXX.XX
29882
KNEE ARTHROSCOPY/SURGERY
$XXX.XX
29883
KNEE ARTHROSCOPY/SURGERY
$XXX.XX
29884
KNEE ARTHROSCOPY/SURGERY
$XXX.XX
29885
KNEE ARTHROSCOPY/SURGERY
$XXX.XX
29886
KNEE ARTHROSCOPY/SURGERY
$XXX.XX
29887
KNEE ARTHROSCOPY/SURGERY
$XXX.XX
29888
KNEE ARTHROSCOPY/SURGERY
$XXX.XX
29889
KNEE ARTHROSCOPY/SURGERY
$XXX.XX
29891
ANKLE ARTHROSCOPY/SURGERY
$XXX.XX
29892
ANKLE ARTHROSCOPY/SURGERY
$XXX.XX
29893
SCOPE PLANTAR FASCIOTOMY
$XXX.XX
29894
ANKLE ARTHROSCOPY/SURGERY
$XXX.XX
29895
ANKLE ARTHROSCOPY/SURGERY
$XXX.XX
29897
ANKLE ARTHROSCOPY/SURGERY
$XXX.XX
29898
ANKLE ARTHROSCOPY/SURGERY
$XXX.XX
29899
ANKLE ARTHROSCOPY/SURGERY
$XXX.XX
29900
MCP JOINT ARTHROSCOPY DX
$XXX.XX
29901
MCP JOINT ARTHROSCOPY SURG
$XXX.XX
29902
MCP JOINT ARTHROSCOPY SURG
$XXX.XX
29904
SUBTALAR ARTHRO W/FB RMVL
$XXX.XX
29905
SUBTALAR ARTHRO W/EXC
$XXX.XX
29906
SUBTALAR ARTHRO W/DEB
$XXX.XX
29907
SUBTALAR ARTHRO W/FUSION
$XXX.XX
29914
HIP ARTHRO W/FEMOROPLASTY
$XXX.XX
29915
HIP ARTHRO ACETABULOPLASTY
$XXX.XX
29916
HIP ARTHRO W/LABRAL REPAIR
$XXX.XX
30000
DRAINAGE OF NOSE LESION
$XXX.XX
30020
DRAINAGE OF NOSE LESION
$XXX.XX
30100
INTRANASAL BIOPSY
$XXX.XX
30110
REMOVAL OF NOSE POLYP(S)
$XXX.XX
30115
REMOVAL OF NOSE POLYP(S)
$XXX.XX
30117
REMOVAL OF INTRANASAL LESION
$XXX.XX
30118
REMOVAL OF INTRANASAL LESION
$XXX.XX
30120
REVISION OF NOSE
$XXX.XX
30124
REMOVAL OF NOSE LESION
$XXX.XX
30125
REMOVAL OF NOSE LESION
$XXX.XX
30130
EXCISE INFERIOR TURBINATE
$XXX.XX
30140
RESECT INFERIOR TURBINATE
$XXX.XX
30150
PARTIAL REMOVAL OF NOSE
$XXX.XX
30160
REMOVAL OF NOSE
$XXX.XX
30200
INJECTION TREATMENT OF NOSE
$XXX.XX
30210
NASAL SINUS THERAPY
$XXX.XX
30220
INSERT NASAL SEPTAL BUTTON
$XXX.XX
30300
REMOVE NASAL FOREIGN BODY
$XXX.XX
30310
REMOVE NASAL FOREIGN BODY
$XXX.XX
30320
REMOVE NASAL FOREIGN BODY
$XXX.XX
30400
RECONSTRUCTION OF NOSE
$XXX.XX
30410
RECONSTRUCTION OF NOSE
$XXX.XX
30420
RECONSTRUCTION OF NOSE
$XXX.XX
30430
REVISION OF NOSE
$XXX.XX
30435
REVISION OF NOSE
$XXX.XX
30450
REVISION OF NOSE
$XXX.XX
30460
REVISION OF NOSE
$XXX.XX
30462
REVISION OF NOSE
$XXX.XX
30465
REPAIR NASAL STENOSIS
$XXX.XX
30520
REPAIR OF NASAL SEPTUM
$XXX.XX
30540
REPAIR NASAL DEFECT
$XXX.XX
30545
REPAIR NASAL DEFECT
$XXX.XX
30560
RELEASE OF NASAL ADHESIONS
$XXX.XX
30580
REPAIR UPPER JAW FISTULA
$XXX.XX
30600
REPAIR MOUTH/NOSE FISTULA
$XXX.XX
30620
INTRANASAL RECONSTRUCTION
$XXX.XX
30630
REPAIR NASAL SEPTUM DEFECT
$XXX.XX
30801
ABLATE INF TURBINATE SUPERF
$XXX.XX
30802
ABLATE INF TURBINATE SUBMUC
$XXX.XX
30901
CONTROL OF NOSEBLEED
$XXX.XX
30903
CONTROL OF NOSEBLEED
$XXX.XX
30905
CONTROL OF NOSEBLEED
$XXX.XX
30906
REPEAT CONTROL OF NOSEBLEED
$XXX.XX
30915
LIGATION NASAL SINUS ARTERY
$XXX.XX
30920
LIGATION UPPER JAW ARTERY
$XXX.XX
30930
THER FX NASAL INF TURBINATE
$XXX.XX
31000
IRRIGATION MAXILLARY SINUS
$XXX.XX
31002
IRRIGATION SPHENOID SINUS
$XXX.XX
31020
EXPLORATION MAXILLARY SINUS
$XXX.XX
31030
EXPLORATION MAXILLARY SINUS
$XXX.XX
31032
EXPLORE SINUS REMOVE POLYPS
$XXX.XX
31040
EXPLORATION BEHIND UPPER JAW
$XXX.XX
31050
EXPLORATION SPHENOID SINUS
$XXX.XX
31051
SPHENOID SINUS SURGERY
$XXX.XX
31070
EXPLORATION OF FRONTAL SINUS
$XXX.XX
31075
EXPLORATION OF FRONTAL SINUS
$XXX.XX
31080
REMOVAL OF FRONTAL SINUS
$XXX.XX
31081
REMOVAL OF FRONTAL SINUS
$XXX.XX
31084
REMOVAL OF FRONTAL SINUS
$XXX.XX
31085
REMOVAL OF FRONTAL SINUS
$XXX.XX
31086
REMOVAL OF FRONTAL SINUS
$XXX.XX
31087
REMOVAL OF FRONTAL SINUS
$XXX.XX
31090
EXPLORATION OF SINUSES
$XXX.XX
31200
REMOVAL OF ETHMOID SINUS
$XXX.XX
31201
REMOVAL OF ETHMOID SINUS
$XXX.XX
31205
REMOVAL OF ETHMOID SINUS
$XXX.XX
31225
REMOVAL OF UPPER JAW
$XXX.XX
31230
REMOVAL OF UPPER JAW
$XXX.XX
31231
NASAL ENDOSCOPY DX
$XXX.XX
31233
NASAL/SINUS ENDOSCOPY DX
$XXX.XX
31235
NASAL/SINUS ENDOSCOPY DX
$XXX.XX
31237
NASAL/SINUS ENDOSCOPY SURG
$XXX.XX
31238
NASAL/SINUS ENDOSCOPY SURG
$XXX.XX
31239
NASAL/SINUS ENDOSCOPY SURG
$XXX.XX
31240
NASAL/SINUS ENDOSCOPY SURG
$XXX.XX
31241
NSL/SINS NDSC W/ARTERY LIG
$XXX.XX
31253
NSL/SINS NDSC TOTAL
$XXX.XX
31254
NSL/SINS NDSC W/PRTL ETHMDCT
$XXX.XX
31255
NSL/SINS NDSC W/TOT ETHMDCT
$XXX.XX
31256
EXPLORATION MAXILLARY SINUS
$XXX.XX
31257
NSL/SINS NDSC TOT W/SPHENDT
$XXX.XX
31259
NSL/SINS NDSC SPHN TISS RMVL
$XXX.XX
31267
ENDOSCOPY MAXILLARY SINUS
$XXX.XX
31276
NSL/SINS NDSC FRNT TISS RMVL
$XXX.XX
31287
NASAL/SINUS ENDOSCOPY SURG
$XXX.XX
31288
NASAL/SINUS ENDOSCOPY SURG
$XXX.XX
31290
NASAL/SINUS ENDOSCOPY SURG
$XXX.XX
31291
NASAL/SINUS ENDOSCOPY SURG
$XXX.XX
31292
NASAL/SINUS ENDOSCOPY SURG
$XXX.XX
31293
NASAL/SINUS ENDOSCOPY SURG
$XXX.XX
31294
NASAL/SINUS ENDOSCOPY SURG
$XXX.XX
31295
SINUS ENDO W/BALLOON DIL
$XXX.XX
31296
SINUS ENDO W/BALLOON DIL
$XXX.XX
31297
SINUS ENDO W/BALLOON DIL
$XXX.XX
31298
NSL/SINS NDSC W/SINS DILAT
$XXX.XX
31300
REMOVAL OF LARYNX LESION
$XXX.XX
31360
REMOVAL OF LARYNX
$XXX.XX
31365
REMOVAL OF LARYNX
$XXX.XX
31367
PARTIAL REMOVAL OF LARYNX
$XXX.XX
31368
PARTIAL REMOVAL OF LARYNX
$XXX.XX
31370
PARTIAL REMOVAL OF LARYNX
$XXX.XX
31375
PARTIAL REMOVAL OF LARYNX
$XXX.XX
31380
PARTIAL REMOVAL OF LARYNX
$XXX.XX
31382
PARTIAL REMOVAL OF LARYNX
$XXX.XX
31390
REMOVAL OF LARYNX & PHARYNX
$XXX.XX
31395
RECONSTRUCT LARYNX & PHARYNX
$XXX.XX
31400
REVISION OF LARYNX
$XXX.XX
31420
REMOVAL OF EPIGLOTTIS
$XXX.XX
31500
INSERT EMERGENCY AIRWAY
$XXX.XX
31502
CHANGE OF WINDPIPE AIRWAY
$XXX.XX
31505
DIAGNOSTIC LARYNGOSCOPY
$XXX.XX
31510
LARYNGOSCOPY WITH BIOPSY
$XXX.XX
31511
REMOVE FOREIGN BODY LARYNX
$XXX.XX
31512
REMOVAL OF LARYNX LESION
$XXX.XX
31513
INJECTION INTO VOCAL CORD
$XXX.XX
31515
LARYNGOSCOPY FOR ASPIRATION
$XXX.XX
31520
DX LARYNGOSCOPY NEWBORN
$XXX.XX
31525
DX LARYNGOSCOPY EXCL NB
$XXX.XX
31526
DX LARYNGOSCOPY W/OPER SCOPE
$XXX.XX
31527
LARYNGOSCOPY FOR TREATMENT
$XXX.XX
31528
LARYNGOSCOPY AND DILATION
$XXX.XX
31529
LARYNGOSCOPY AND DILATION
$XXX.XX
31530
LARYNGOSCOPY W/FB REMOVAL
$XXX.XX
31531
LARYNGOSCOPY W/FB & OP SCOPE
$XXX.XX
31535
LARYNGOSCOPY W/BIOPSY
$XXX.XX
31536
LARYNGOSCOPY W/BX & OP SCOPE
$XXX.XX
31540
LARYNGOSCOPY W/EXC OF TUMOR
$XXX.XX
31541
LARYNSCOP W/TUMR EXC + SCOPE
$XXX.XX
31545
REMOVE VC LESION W/SCOPE
$XXX.XX
31546
REMOVE VC LESION SCOPE/GRAFT
$XXX.XX
31551
LARYNGOPLASTY LARYNGEAL STEN
$XXX.XX
31552
LARYNGOPLASTY LARYNGEAL STEN
$XXX.XX
31553
LARYNGOPLASTY LARYNGEAL STEN
$XXX.XX
31554
LARYNGOPLASTY LARYNGEAL STEN
$XXX.XX
31560
LARYNGOSCOP W/ARYTENOIDECTOM
$XXX.XX
31561
LARYNSCOP REMVE CART + SCOP
$XXX.XX
31570
LARYNGOSCOPE W/VC INJ
$XXX.XX
31571
LARYNGOSCOP W/VC INJ + SCOPE
$XXX.XX
31572
LARGSC W/LASER DSTRJ LES
$XXX.XX
31573
LARGSC W/THER INJECTION
$XXX.XX
31574
LARGSC W/NJX AUGMENTATION
$XXX.XX
31575
DIAGNOSTIC LARYNGOSCOPY
$XXX.XX
31576
LARYNGOSCOPY WITH BIOPSY
$XXX.XX
31577
LARGSC W/RMVL FOREIGN BDY(S)
$XXX.XX
31578
LARGSC W/REMOVAL LESION
$XXX.XX
31579
LARYNGOSCOPY TELESCOPIC
$XXX.XX
31580
LARYNGOPLASTY LARYNGEAL WEB
$XXX.XX
31584
LARYNGOPLASTY FX RDCTJ FIXJ
$XXX.XX
31587
LARYNGOPLASTY CRICOID SPLIT
$XXX.XX
31590
REINNERVATE LARYNX
$XXX.XX
31591
LARYNGOPLASTY MEDIALIZATION
$XXX.XX
31592
CRICOTRACHEAL RESECTION
$XXX.XX
31595
LARYNX NERVE SURGERY
$XXX.XX
31600
INCISION OF WINDPIPE
$XXX.XX
31601
INCISION OF WINDPIPE
$XXX.XX
31603
INCISION OF WINDPIPE
$XXX.XX
31605
INCISION OF WINDPIPE
$XXX.XX
31610
INCISION OF WINDPIPE
$XXX.XX
31611
SURGERY/SPEECH PROSTHESIS
$XXX.XX
31612
PUNCTURE/CLEAR WINDPIPE
$XXX.XX
31613
REPAIR WINDPIPE OPENING
$XXX.XX
31614
REPAIR WINDPIPE OPENING
$XXX.XX
31615
VISUALIZATION OF WINDPIPE
$XXX.XX
31622
DX BRONCHOSCOPE/WASH
$XXX.XX
31623
DX BRONCHOSCOPE/BRUSH
$XXX.XX
31624
DX BRONCHOSCOPE/LAVAGE
$XXX.XX
31625
BRONCHOSCOPY W/BIOPSY(S)
$XXX.XX
31626
BRONCHOSCOPY W/MARKERS
$XXX.XX
31627
NAVIGATIONAL BRONCHOSCOPY
$XXX.XX
31628
BRONCHOSCOPY/LUNG BX EACH
$XXX.XX
31629
BRONCHOSCOPY/NEEDLE BX EACH
$XXX.XX
31630
BRONCHOSCOPY DILATE/FX REPR
$XXX.XX
31631
BRONCHOSCOPY DILATE W/STENT
$XXX.XX
31632
BRONCHOSCOPY/LUNG BX ADDL
$XXX.XX
31633
BRONCHOSCOPY/NEEDLE BX ADDL
$XXX.XX
31634
BRONCH W/BALLOON OCCLUSION
$XXX.XX
31635
BRONCHOSCOPY W/FB REMOVAL
$XXX.XX
31636
BRONCHOSCOPY BRONCH STENTS
$XXX.XX
31637
BRONCHOSCOPY STENT ADD-ON
$XXX.XX
31638
BRONCHOSCOPY REVISE STENT
$XXX.XX
31640
BRONCHOSCOPY W/TUMOR EXCISE
$XXX.XX
31641
BRONCHOSCOPY TREAT BLOCKAGE
$XXX.XX
31643
DIAG BRONCHOSCOPE/CATHETER
$XXX.XX
31645
BRNCHSC W/THER ASPIR 1ST
$XXX.XX
31646
BRNCHSC W/THER ASPIR SBSQ
$XXX.XX
31647
BRONCHIAL VALVE INIT INSERT
$XXX.XX
31648
BRONCHIAL VALVE REMOV INIT
$XXX.XX
31649
BRONCHIAL VALVE REMOV ADDL
$XXX.XX
31651
BRONCHIAL VALVE ADDL INSERT
$XXX.XX
31652
BRONCH EBUS SAMPLNG 1/2 NODE
$XXX.XX
31653
BRONCH EBUS SAMPLNG 3/> NODE
$XXX.XX
31654
BRONCH EBUS IVNTJ PERPH LES
$XXX.XX
31660
BRONCH THERMOPLSTY 1 LOBE
$XXX.XX
31661
BRONCH THERMOPLSTY 2/> LOBES
$XXX.XX
31717
BRONCHIAL BRUSH BIOPSY
$XXX.XX
31720
CLEARANCE OF AIRWAYS
$XXX.XX
31725
CLEARANCE OF AIRWAYS
$XXX.XX
31730
INTRO WINDPIPE WIRE/TUBE
$XXX.XX
31750
REPAIR OF WINDPIPE
$XXX.XX
31755
REPAIR OF WINDPIPE
$XXX.XX
31760
REPAIR OF WINDPIPE
$XXX.XX
31766
RECONSTRUCTION OF WINDPIPE
$XXX.XX
31770
REPAIR/GRAFT OF BRONCHUS
$XXX.XX
31775
RECONSTRUCT BRONCHUS
$XXX.XX
31780
RECONSTRUCT WINDPIPE
$XXX.XX
31781
RECONSTRUCT WINDPIPE
$XXX.XX
31785
REMOVE WINDPIPE LESION
$XXX.XX
31786
REMOVE WINDPIPE LESION
$XXX.XX
31800
REPAIR OF WINDPIPE INJURY
$XXX.XX
31805
REPAIR OF WINDPIPE INJURY
$XXX.XX
31820
CLOSURE OF WINDPIPE LESION
$XXX.XX
31825
REPAIR OF WINDPIPE DEFECT
$XXX.XX
31830
REVISE WINDPIPE SCAR
$XXX.XX
32035
THORACOSTOMY W/RIB RESECTION
$XXX.XX
32036
THORACOSTOMY W/FLAP DRAINAGE
$XXX.XX
32096
OPEN WEDGE/BX LUNG INFILTR
$XXX.XX
32097
OPEN WEDGE/BX LUNG NODULE
$XXX.XX
32098
OPEN BIOPSY OF LUNG PLEURA
$XXX.XX
32100
EXPLORATION OF CHEST
$XXX.XX
32110
EXPLORE/REPAIR CHEST
$XXX.XX
32120
RE-EXPLORATION OF CHEST
$XXX.XX
32124
EXPLORE CHEST FREE ADHESIONS
$XXX.XX
32140
REMOVAL OF LUNG LESION(S)
$XXX.XX
32141
REMOVE/TREAT LUNG LESIONS
$XXX.XX
32150
REMOVAL OF LUNG LESION(S)
$XXX.XX
32151
REMOVE LUNG FOREIGN BODY
$XXX.XX
32160
OPEN CHEST HEART MASSAGE
$XXX.XX
32200
DRAIN OPEN LUNG LESION
$XXX.XX
32215
TREAT CHEST LINING
$XXX.XX
32220
RELEASE OF LUNG
$XXX.XX
32225
PARTIAL RELEASE OF LUNG
$XXX.XX
32310
REMOVAL OF CHEST LINING
$XXX.XX
32320
FREE/REMOVE CHEST LINING
$XXX.XX
32400
NEEDLE BIOPSY CHEST LINING
$XXX.XX
32405
PERCUT BX LUNG/MEDIASTINUM
$XXX.XX
32440
REMOVE LUNG PNEUMONECTOMY
$XXX.XX
32442
SLEEVE PNEUMONECTOMY
$XXX.XX
32445
REMOVAL OF LUNG EXTRAPLEURAL
$XXX.XX
32480
PARTIAL REMOVAL OF LUNG
$XXX.XX
32482
BILOBECTOMY
$XXX.XX
32484
SEGMENTECTOMY
$XXX.XX
32486
SLEEVE LOBECTOMY
$XXX.XX
32488
COMPLETION PNEUMONECTOMY
$XXX.XX
32491
LUNG VOLUME REDUCTION
$XXX.XX
32501
REPAIR BRONCHUS ADD-ON
$XXX.XX
32503
RESECT APICAL LUNG TUMOR
$XXX.XX
32504
RESECT APICAL LUNG TUM/CHEST
$XXX.XX
32505
WEDGE RESECT OF LUNG INITIAL
$XXX.XX
32506
WEDGE RESECT OF LUNG ADD-ON
$XXX.XX
32507
WEDGE RESECT OF LUNG DIAG
$XXX.XX
32540
REMOVAL OF LUNG LESION
$XXX.XX
32550
INSERT PLEURAL CATH
$XXX.XX
32551
INSERTION OF CHEST TUBE
$XXX.XX
32552
REMOVE LUNG CATHETER
$XXX.XX
32553
INS MARK THOR FOR RT PERQ
$XXX.XX
32554
ASPIRATE PLEURA W/O IMAGING
$XXX.XX
32555
ASPIRATE PLEURA W/ IMAGING
$XXX.XX
32556
INSERT CATH PLEURA W/O IMAGE
$XXX.XX
32557
INSERT CATH PLEURA W/ IMAGE
$XXX.XX
32560
TREAT PLEURODESIS W/AGENT
$XXX.XX
32561
LYSE CHEST FIBRIN INIT DAY
$XXX.XX
32562
LYSE CHEST FIBRIN SUBQ DAY
$XXX.XX
32601
THORACOSCOPY DIAGNOSTIC
$XXX.XX
32604
THORACOSCOPY WBX SAC
$XXX.XX
32606
THORACOSCOPY W/BX MED SPACE
$XXX.XX
32607
THORACOSCOPY W/BX INFILTRATE
$XXX.XX
32608
THORACOSCOPY W/BX NODULE
$XXX.XX
32609
THORACOSCOPY W/BX PLEURA
$XXX.XX
32650
THORACOSCOPY W/PLEURODESIS
$XXX.XX
32651
THORACOSCOPY REMOVE CORTEX
$XXX.XX
32652
THORACOSCOPY REM TOTL CORTEX
$XXX.XX
32653
THORACOSCOPY REMOV FB/FIBRIN
$XXX.XX
32654
THORACOSCOPY CONTRL BLEEDING
$XXX.XX
32655
THORACOSCOPY RESECT BULLAE
$XXX.XX
32656
THORACOSCOPY W/PLEURECTOMY
$XXX.XX
32658
THORACOSCOPY W/SAC FB REMOVE
$XXX.XX
32659
THORACOSCOPY W/SAC DRAINAGE
$XXX.XX
32661
THORACOSCOPY W/PERICARD EXC
$XXX.XX
32662
THORACOSCOPY W/MEDIAST EXC
$XXX.XX
32663
THORACOSCOPY W/LOBECTOMY
$XXX.XX
32664
THORACOSCOPY W/ TH NRV EXC
$XXX.XX
32665
THORACOSCOP W/ESOPH MUSC EXC
$XXX.XX
32666
THORACOSCOPY W/WEDGE RESECT
$XXX.XX
32667
THORACOSCOPY W/W RESECT ADDL
$XXX.XX
32668
THORACOSCOPY W/W RESECT DIAG
$XXX.XX
32669
THORACOSCOPY REMOVE SEGMENT
$XXX.XX
32670
THORACOSCOPY BILOBECTOMY
$XXX.XX
32671
THORACOSCOPY PNEUMONECTOMY
$XXX.XX
32672
THORACOSCOPY FOR LVRS
$XXX.XX
32673
THORACOSCOPY W/THYMUS RESECT
$XXX.XX
32674
THORACOSCOPY LYMPH NODE EXC
$XXX.XX
32701
THORAX STEREO RAD TARGETW/TX
$XXX.XX
32800
REPAIR LUNG HERNIA
$XXX.XX
32810
CLOSE CHEST AFTER DRAINAGE
$XXX.XX
32815
CLOSE BRONCHIAL FISTULA
$XXX.XX
32820
RECONSTRUCT INJURED CHEST
$XXX.XX
32851
LUNG TRANSPLANT SINGLE
$XXX.XX
32852
LUNG TRANSPLANT WITH BYPASS
$XXX.XX
32853
LUNG TRANSPLANT DOUBLE
$XXX.XX
32854
LUNG TRANSPLANT WITH BYPASS
$XXX.XX
32900
REMOVAL OF RIB(S)
$XXX.XX
32905
REVISE & REPAIR CHEST WALL
$XXX.XX
32906
REVISE & REPAIR CHEST WALL
$XXX.XX
32940
REVISION OF LUNG
$XXX.XX
32960
THERAPEUTIC PNEUMOTHORAX
$XXX.XX
32994
ABLATE PULM TUMOR PERQ CRYBL
$XXX.XX
32997
TOTAL LUNG LAVAGE
$XXX.XX
32998
ABLATE PULM TUMOR PERQ RF
$XXX.XX
33010
DRAINAGE OF HEART SAC
$XXX.XX
33011
REPEAT DRAINAGE OF HEART SAC
$XXX.XX
33015
INCISION OF HEART SAC
$XXX.XX
33020
INCISION OF HEART SAC
$XXX.XX
33025
INCISION OF HEART SAC
$XXX.XX
33030
PARTIAL REMOVAL OF HEART SAC
$XXX.XX
33031
PARTIAL REMOVAL OF HEART SAC
$XXX.XX
33050
RESECT HEART SAC LESION
$XXX.XX
33120
REMOVAL OF HEART LESION
$XXX.XX
33130
REMOVAL OF HEART LESION
$XXX.XX
33140
HEART REVASCULARIZE (TMR)
$XXX.XX
33141
HEART TMR W/OTHER PROCEDURE
$XXX.XX
33202
INSERT EPICARD ELTRD OPEN
$XXX.XX
33203
INSERT EPICARD ELTRD ENDO
$XXX.XX
33206
INSERT HEART PM ATRIAL
$XXX.XX
33207
INSERT HEART PM VENTRICULAR
$XXX.XX
33208
INSRT HEART PM ATRIAL & VENT
$XXX.XX
33210
INSERT ELECTRD/PM CATH SNGL
$XXX.XX
33211
INSERT CARD ELECTRODES DUAL
$XXX.XX
33212
INSERT PULSE GEN SNGL LEAD
$XXX.XX
33213
INSERT PULSE GEN DUAL LEADS
$XXX.XX
33214
UPGRADE OF PACEMAKER SYSTEM
$XXX.XX
33215
REPOSITION PACING-DEFIB LEAD
$XXX.XX
33216
INSERT 1 ELECTRODE PM-DEFIB
$XXX.XX
33217
INSERT 2 ELECTRODE PM-DEFIB
$XXX.XX
33218
REPAIR LEAD PACE-DEFIB ONE
$XXX.XX
33220
REPAIR LEAD PACE-DEFIB DUAL
$XXX.XX
33221
INSERT PULSE GEN MULT LEADS
$XXX.XX
33222
RELOCATION POCKET PACEMAKER
$XXX.XX
33223
RELOCATE POCKET FOR DEFIB
$XXX.XX
33224
INSERT PACING LEAD & CONNECT
$XXX.XX
33225
L VENTRIC PACING LEAD ADD-ON
$XXX.XX
33226
REPOSITION L VENTRIC LEAD
$XXX.XX
33227
REMOVE&REPLACE PM GEN SINGL
$XXX.XX
33228
REMV&REPLC PM GEN DUAL LEAD
$XXX.XX
33229
REMV&REPLC PM GEN MULT LEADS
$XXX.XX
33230
INSRT PULSE GEN W/DUAL LEADS
$XXX.XX
33231
INSRT PULSE GEN W/MULT LEADS
$XXX.XX
33233
REMOVAL OF PM GENERATOR
$XXX.XX
33234
REMOVAL OF PACEMAKER SYSTEM
$XXX.XX
33235
REMOVAL PACEMAKER ELECTRODE
$XXX.XX
33236
REMOVE ELECTRODE/THORACOTOMY
$XXX.XX
33237
REMOVE ELECTRODE/THORACOTOMY
$XXX.XX
33238
REMOVE ELECTRODE/THORACOTOMY
$XXX.XX
33240
INSRT PULSE GEN W/SINGL LEAD
$XXX.XX
33241
REMOVE PULSE GENERATOR
$XXX.XX
33243
REMOVE ELTRD/THORACOTOMY
$XXX.XX
33244
REMOVE ELCTRD TRANSVENOUSLY
$XXX.XX
33249
INSJ/RPLCMT DEFIB W/LEAD(S)
$XXX.XX
33250
ABLATE HEART DYSRHYTHM FOCUS
$XXX.XX
33251
ABLATE HEART DYSRHYTHM FOCUS
$XXX.XX
33254
ABLATE ATRIA LMTD
$XXX.XX
33255
ABLATE ATRIA W/O BYPASS EXT
$XXX.XX
33256
ABLATE ATRIA W/BYPASS EXTEN
$XXX.XX
33257
ABLATE ATRIA LMTD ADD-ON
$XXX.XX
33258
ABLATE ATRIA X10SV ADD-ON
$XXX.XX
33259
ABLATE ATRIA W/BYPASS ADD-ON
$XXX.XX
33261
ABLATE HEART DYSRHYTHM FOCUS
$XXX.XX
33262
RMVL& REPLC PULSE GEN 1 LEAD
$XXX.XX
33263
RMVL & RPLCMT DFB GEN 2 LEAD
$XXX.XX
33264
RMVL & RPLCMT DFB GEN MLT LD
$XXX.XX
33265
ABLATE ATRIA LMTD ENDO
$XXX.XX
33266
ABLATE ATRIA X10SV ENDO
$XXX.XX
33270
INS/REP SUBQ DEFIBRILLATOR
$XXX.XX
33271
INSJ SUBQ IMPLTBL DFB ELCTRD
$XXX.XX
33272
RMVL OF SUBQ DEFIBRILLATOR
$XXX.XX
33273
REPOS PREV IMPLTBL SUBQ DFB
$XXX.XX
33282
IMPLANT PAT-ACTIVE HT RECORD
$XXX.XX
33284
REMOVE PAT-ACTIVE HT RECORD
$XXX.XX
33300
REPAIR OF HEART WOUND
$XXX.XX
33305
REPAIR OF HEART WOUND
$XXX.XX
33310
EXPLORATORY HEART SURGERY
$XXX.XX
33315
EXPLORATORY HEART SURGERY
$XXX.XX
33320
REPAIR MAJOR BLOOD VESSEL(S)
$XXX.XX
33321
REPAIR MAJOR VESSEL
$XXX.XX
33322
REPAIR MAJOR BLOOD VESSEL(S)
$XXX.XX
33330
INSERT MAJOR VESSEL GRAFT
$XXX.XX
33335
INSERT MAJOR VESSEL GRAFT
$XXX.XX
33340
PERQ CLSR TCAT L ATR APNDGE
$XXX.XX
33361
REPLACE AORTIC VALVE PERQ
$XXX.XX
33362
REPLACE AORTIC VALVE OPEN
$XXX.XX
33363
REPLACE AORTIC VALVE OPEN
$XXX.XX
33364
REPLACE AORTIC VALVE OPEN
$XXX.XX
33365
REPLACE AORTIC VALVE OPEN
$XXX.XX
33366
TRCATH REPLACE AORTIC VALVE
$XXX.XX
33367
REPLACE AORTIC VALVE W/BYP
$XXX.XX
33368
REPLACE AORTIC VALVE W/BYP
$XXX.XX
33369
REPLACE AORTIC VALVE W/BYP
$XXX.XX
33390
VALVULOPLASTY AORTIC VALVE
$XXX.XX
33391
VALVULOPLASTY AORTIC VALVE
$XXX.XX
33404
PREPARE HEART-AORTA CONDUIT
$XXX.XX
33405
REPLACEMENT AORTIC VALVE OPN
$XXX.XX
33406
REPLACEMENT AORTIC VALVE OPN
$XXX.XX
33410
REPLACEMENT AORTIC VALVE OPN
$XXX.XX
33411
REPLACEMENT OF AORTIC VALVE
$XXX.XX
33412
REPLACEMENT OF AORTIC VALVE
$XXX.XX
33413
REPLACEMENT OF AORTIC VALVE
$XXX.XX
33414
REPAIR OF AORTIC VALVE
$XXX.XX
33415
REVISION SUBVALVULAR TISSUE
$XXX.XX
33416
REVISE VENTRICLE MUSCLE
$XXX.XX
33417
REPAIR OF AORTIC VALVE
$XXX.XX
33418
REPAIR TCAT MITRAL VALVE
$XXX.XX
33419
REPAIR TCAT MITRAL VALVE
$XXX.XX
33420
REVISION OF MITRAL VALVE
$XXX.XX
33422
REVISION OF MITRAL VALVE
$XXX.XX
33425
REPAIR OF MITRAL VALVE
$XXX.XX
33426
REPAIR OF MITRAL VALVE
$XXX.XX
33427
REPAIR OF MITRAL VALVE
$XXX.XX
33430
REPLACEMENT OF MITRAL VALVE
$XXX.XX
33460
REVISION OF TRICUSPID VALVE
$XXX.XX
33463
VALVULOPLASTY TRICUSPID
$XXX.XX
33464
VALVULOPLASTY TRICUSPID
$XXX.XX
33465
REPLACE TRICUSPID VALVE
$XXX.XX
33468
REVISION OF TRICUSPID VALVE
$XXX.XX
33470
REVISION OF PULMONARY VALVE
$XXX.XX
33471
VALVOTOMY PULMONARY VALVE
$XXX.XX
33474
REVISION OF PULMONARY VALVE
$XXX.XX
33475
REPLACEMENT PULMONARY VALVE
$XXX.XX
33476
REVISION OF HEART CHAMBER
$XXX.XX
33477
IMPLANT TCAT PULM VLV PERQ
$XXX.XX
33478
REVISION OF HEART CHAMBER
$XXX.XX
33496
REPAIR PROSTH VALVE CLOT
$XXX.XX
33500
REPAIR HEART VESSEL FISTULA
$XXX.XX
33501
REPAIR HEART VESSEL FISTULA
$XXX.XX
33502
CORONARY ARTERY CORRECTION
$XXX.XX
33503
CORONARY ARTERY GRAFT
$XXX.XX
33504
CORONARY ARTERY GRAFT
$XXX.XX
33505
REPAIR ARTERY W/TUNNEL
$XXX.XX
33506
REPAIR ARTERY TRANSLOCATION
$XXX.XX
33507
REPAIR ART INTRAMURAL
$XXX.XX
33508
ENDOSCOPIC VEIN HARVEST
$XXX.XX
33510
CABG VEIN SINGLE
$XXX.XX
33511
CABG VEIN TWO
$XXX.XX
33512
CABG VEIN THREE
$XXX.XX
33513
CABG VEIN FOUR
$XXX.XX
33514
CABG VEIN FIVE
$XXX.XX
33516
CABG VEIN SIX OR MORE
$XXX.XX
33517
CABG ARTERY-VEIN SINGLE
$XXX.XX
33518
CABG ARTERY-VEIN TWO
$XXX.XX
33519
CABG ARTERY-VEIN THREE
$XXX.XX
33521
CABG ARTERY-VEIN FOUR
$XXX.XX
33522
CABG ARTERY-VEIN FIVE
$XXX.XX
33523
CABG ART-VEIN SIX OR MORE
$XXX.XX
33530
CORONARY ARTERY BYPASS/REOP
$XXX.XX
33533
CABG ARTERIAL SINGLE
$XXX.XX
33534
CABG ARTERIAL TWO
$XXX.XX
33535
CABG ARTERIAL THREE
$XXX.XX
33536
CABG ARTERIAL FOUR OR MORE
$XXX.XX
33542
REMOVAL OF HEART LESION
$XXX.XX
33545
REPAIR OF HEART DAMAGE
$XXX.XX
33548
RESTORE/REMODEL VENTRICLE
$XXX.XX
33572
OPEN CORONARY ENDARTERECTOMY
$XXX.XX
33600
CLOSURE OF VALVE
$XXX.XX
33602
CLOSURE OF VALVE
$XXX.XX
33606
ANASTOMOSIS/ARTERY-AORTA
$XXX.XX
33608
REPAIR ANOMALY W/CONDUIT
$XXX.XX
33610
REPAIR BY ENLARGEMENT
$XXX.XX
33611
REPAIR DOUBLE VENTRICLE
$XXX.XX
33612
REPAIR DOUBLE VENTRICLE
$XXX.XX
33615
REPAIR MODIFIED FONTAN
$XXX.XX
33617
REPAIR SINGLE VENTRICLE
$XXX.XX
33619
REPAIR SINGLE VENTRICLE
$XXX.XX
33620
APPLY R&L PULM ART BANDS
$XXX.XX
33621
TRANSTHOR CATH FOR STENT
$XXX.XX
33622
REDO COMPL CARDIAC ANOMALY
$XXX.XX
33641
REPAIR HEART SEPTUM DEFECT
$XXX.XX
33645
REVISION OF HEART VEINS
$XXX.XX
33647
REPAIR HEART SEPTUM DEFECTS
$XXX.XX
33660
REPAIR OF HEART DEFECTS
$XXX.XX
33665
REPAIR OF HEART DEFECTS
$XXX.XX
33670
REPAIR OF HEART CHAMBERS
$XXX.XX
33675
CLOSE MULT VSD
$XXX.XX
33676
CLOSE MULT VSD W/RESECTION
$XXX.XX
33677
CL MULT VSD W/REM PUL BAND
$XXX.XX
33681
REPAIR HEART SEPTUM DEFECT
$XXX.XX
33684
REPAIR HEART SEPTUM DEFECT
$XXX.XX
33688
REPAIR HEART SEPTUM DEFECT
$XXX.XX
33690
REINFORCE PULMONARY ARTERY
$XXX.XX
33692
REPAIR OF HEART DEFECTS
$XXX.XX
33694
REPAIR OF HEART DEFECTS
$XXX.XX
33697
REPAIR OF HEART DEFECTS
$XXX.XX
33702
REPAIR OF HEART DEFECTS
$XXX.XX
33710
REPAIR OF HEART DEFECTS
$XXX.XX
33720
REPAIR OF HEART DEFECT
$XXX.XX
33722
REPAIR OF HEART DEFECT
$XXX.XX
33724
REPAIR VENOUS ANOMALY
$XXX.XX
33726
REPAIR PUL VENOUS STENOSIS
$XXX.XX
33730
REPAIR HEART-VEIN DEFECT(S)
$XXX.XX
33732
REPAIR HEART-VEIN DEFECT
$XXX.XX
33735
REVISION OF HEART CHAMBER
$XXX.XX
33736
REVISION OF HEART CHAMBER
$XXX.XX
33737
REVISION OF HEART CHAMBER
$XXX.XX
33750
MAJOR VESSEL SHUNT
$XXX.XX
33755
MAJOR VESSEL SHUNT
$XXX.XX
33762
MAJOR VESSEL SHUNT
$XXX.XX
33764
MAJOR VESSEL SHUNT & GRAFT
$XXX.XX
33766
MAJOR VESSEL SHUNT
$XXX.XX
33767
MAJOR VESSEL SHUNT
$XXX.XX
33768
CAVOPULMONARY SHUNTING
$XXX.XX
33770
REPAIR GREAT VESSELS DEFECT
$XXX.XX
33771
REPAIR GREAT VESSELS DEFECT
$XXX.XX
33774
REPAIR GREAT VESSELS DEFECT
$XXX.XX
33775
REPAIR GREAT VESSELS DEFECT
$XXX.XX
33776
REPAIR GREAT VESSELS DEFECT
$XXX.XX
33777
REPAIR GREAT VESSELS DEFECT
$XXX.XX
33778
REPAIR GREAT VESSELS DEFECT
$XXX.XX
33779
REPAIR GREAT VESSELS DEFECT
$XXX.XX
33780
REPAIR GREAT VESSELS DEFECT
$XXX.XX
33781
REPAIR GREAT VESSELS DEFECT
$XXX.XX
33782
NIKAIDOH PROC
$XXX.XX
33783
NIKAIDOH PROC W/OSTIA IMPLT
$XXX.XX
33786
REPAIR ARTERIAL TRUNK
$XXX.XX
33788
REVISION OF PULMONARY ARTERY
$XXX.XX
33800
AORTIC SUSPENSION
$XXX.XX
33802
REPAIR VESSEL DEFECT
$XXX.XX
33803
REPAIR VESSEL DEFECT
$XXX.XX
33813
REPAIR SEPTAL DEFECT
$XXX.XX
33814
REPAIR SEPTAL DEFECT
$XXX.XX
33820
REVISE MAJOR VESSEL
$XXX.XX
33822
REVISE MAJOR VESSEL
$XXX.XX
33824
REVISE MAJOR VESSEL
$XXX.XX
33840
REMOVE AORTA CONSTRICTION
$XXX.XX
33845
REMOVE AORTA CONSTRICTION
$XXX.XX
33851
REMOVE AORTA CONSTRICTION
$XXX.XX
33852
REPAIR SEPTAL DEFECT
$XXX.XX
33853
REPAIR SEPTAL DEFECT
$XXX.XX
33860
ASCENDING AORTIC GRAFT
$XXX.XX
33863
ASCENDING AORTIC GRAFT
$XXX.XX
33864
ASCENDING AORTIC GRAFT
$XXX.XX
33870
TRANSVERSE AORTIC ARCH GRAFT
$XXX.XX
33875
THORACIC AORTIC GRAFT
$XXX.XX
33877
THORACOABDOMINAL GRAFT
$XXX.XX
33880
ENDOVASC TAA REPR INCL SUBCL
$XXX.XX
33881
ENDOVASC TAA REPR W/O SUBCL
$XXX.XX
33883
INSERT ENDOVASC PROSTH TAA
$XXX.XX
33884
ENDOVASC PROSTH TAA ADD-ON
$XXX.XX
33886
ENDOVASC PROSTH DELAYED
$XXX.XX
33889
ARTERY TRANSPOSE/ENDOVAS TAA
$XXX.XX
33891
CAR-CAR BP GRFT/ENDOVAS TAA
$XXX.XX
33910
REMOVE LUNG ARTERY EMBOLI
$XXX.XX
33915
REMOVE LUNG ARTERY EMBOLI
$XXX.XX
33916
SURGERY OF GREAT VESSEL
$XXX.XX
33917
REPAIR PULMONARY ARTERY
$XXX.XX
33920
REPAIR PULMONARY ATRESIA
$XXX.XX
33922
TRANSECT PULMONARY ARTERY
$XXX.XX
33924
REMOVE PULMONARY SHUNT
$XXX.XX
33925
RPR PUL ART UNIFOCAL W/O CPB
$XXX.XX
33926
REPR PUL ART UNIFOCAL W/CPB
$XXX.XX
33927
IMPLTJ TOT RPLCMT HRT SYS
$XXX.XX
33935
TRANSPLANTATION HEART/LUNG
$XXX.XX
33945
TRANSPLANTATION OF HEART
$XXX.XX
33946
ECMO/ECLS INITIATION VENOUS
$XXX.XX
33947
ECMO/ECLS INITIATION ARTERY
$XXX.XX
33948
ECMO/ECLS DAILY MGMT-VENOUS
$XXX.XX
33949
ECMO/ECLS DAILY MGMT ARTERY
$XXX.XX
33951
ECMO/ECLS INSJ PRPH CANNULA
$XXX.XX
33952
ECMO/ECLS INSJ PRPH CANNULA
$XXX.XX
33953
ECMO/ECLS INSJ PRPH CANNULA
$XXX.XX
33954
ECMO/ECLS INSJ PRPH CANNULA
$XXX.XX
33955
ECMO/ECLS INSJ CTR CANNULA
$XXX.XX
33956
ECMO/ECLS INSJ CTR CANNULA
$XXX.XX
33957
ECMO/ECLS REPOS PERPH CNULA
$XXX.XX
33958
ECMO/ECLS REPOS PERPH CNULA
$XXX.XX
33959
ECMO/ECLS REPOS PERPH CNULA
$XXX.XX
33962
ECMO/ECLS REPOS PERPH CNULA
$XXX.XX
33963
ECMO/ECLS REPOS PERPH CNULA
$XXX.XX
33964
ECMO/ECLS REPOS PERPH CNULA
$XXX.XX
33965
ECMO/ECLS RMVL PERPH CANNULA
$XXX.XX
33966
ECMO/ECLS RMVL PRPH CANNULA
$XXX.XX
33967
INSERT I-AORT PERCUT DEVICE
$XXX.XX
33968
REMOVE AORTIC ASSIST DEVICE
$XXX.XX
33969
ECMO/ECLS RMVL PERPH CANNULA
$XXX.XX
33970
AORTIC CIRCULATION ASSIST
$XXX.XX
33971
AORTIC CIRCULATION ASSIST
$XXX.XX
33973
INSERT BALLOON DEVICE
$XXX.XX
33974
REMOVE INTRA-AORTIC BALLOON
$XXX.XX
33975
IMPLANT VENTRICULAR DEVICE
$XXX.XX
33976
IMPLANT VENTRICULAR DEVICE
$XXX.XX
33977
REMOVE VENTRICULAR DEVICE
$XXX.XX
33978
REMOVE VENTRICULAR DEVICE
$XXX.XX
33979
INSERT INTRACORPOREAL DEVICE
$XXX.XX
33980
REMOVE INTRACORPOREAL DEVICE
$XXX.XX
33981
REPLACE VAD PUMP EXT
$XXX.XX
33982
REPLACE VAD INTRA W/O BP
$XXX.XX
33983
REPLACE VAD INTRA W/BP
$XXX.XX
33984
ECMO/ECLS RMVL PRPH CANNULA
$XXX.XX
33985
ECMO/ECLS RMVL CTR CANNULA
$XXX.XX
33986
ECMO/ECLS RMVL CTR CANNULA
$XXX.XX
33987
ARTERY EXPOS/GRAFT ARTERY
$XXX.XX
33988
INSERTION OF LEFT HEART VENT
$XXX.XX
33989
REMOVAL OF LEFT HEART VENT
$XXX.XX
33990
INSERT VAD ARTERY ACCESS
$XXX.XX
33991
INSERT VAD ART&VEIN ACCESS
$XXX.XX
33992
REMOVE VAD DIFFERENT SESSION
$XXX.XX
33993
REPOSITION VAD DIFF SESSION
$XXX.XX
34001
REMOVAL OF ARTERY CLOT
$XXX.XX
34051
REMOVAL OF ARTERY CLOT
$XXX.XX
34101
REMOVAL OF ARTERY CLOT
$XXX.XX
34111
REMOVAL OF ARM ARTERY CLOT
$XXX.XX
34151
REMOVAL OF ARTERY CLOT
$XXX.XX
34201
REMOVAL OF ARTERY CLOT
$XXX.XX
34203
REMOVAL OF LEG ARTERY CLOT
$XXX.XX
34401
REMOVAL OF VEIN CLOT
$XXX.XX
34421
REMOVAL OF VEIN CLOT
$XXX.XX
34451
REMOVAL OF VEIN CLOT
$XXX.XX
34471
REMOVAL OF VEIN CLOT
$XXX.XX
34490
REMOVAL OF VEIN CLOT
$XXX.XX
34501
REPAIR VALVE FEMORAL VEIN
$XXX.XX
34502
RECONSTRUCT VENA CAVA
$XXX.XX
34510
TRANSPOSITION OF VEIN VALVE
$XXX.XX
34520
CROSS-OVER VEIN GRAFT
$XXX.XX
34530
LEG VEIN FUSION
$XXX.XX
34701
EVASC RPR A-AO NDGFT
$XXX.XX
34702
EVASC RPR A-AO NDGFT RPT
$XXX.XX
34703
EVASC RPR A-UNILAC NDGFT
$XXX.XX
34704
EVASC RPR A-UNILAC NDGFT RPT
$XXX.XX
34705
EVAC RPR A-BIILIAC NDGFT
$XXX.XX
34706
EVASC RPR A-BIILIAC RPT
$XXX.XX
34707
EVASC RPR ILIO-ILIAC NDGFT
$XXX.XX
34708
EVASC RPR ILIO-ILIAC RPT
$XXX.XX
34709
PLMT XTN PROSTH EVASC RPR
$XXX.XX
34710
DLYD PLMT XTN PROSTH 1ST VSL
$XXX.XX
34711
DLYD PLMT XTN PROSTH EA ADDL
$XXX.XX
34712
TCAT DLVR ENHNCD FIXJ DEV
$XXX.XX
34713
PERQ ACCESS & CLSR FEM ART
$XXX.XX
34714
OPN FEM ART EXPOS CNDT CRTJ
$XXX.XX
34715
OPN AX/SUBCLA ART EXPOS
$XXX.XX
34716
OPN AX/SUBCLA ART EXPOS CNDT
$XXX.XX
34808
ENDOVAS ILIAC A DEVICE ADDON
$XXX.XX
34812
OPN FEM ART EXPOS
$XXX.XX
34813
FEMORAL ENDOVAS GRAFT ADD-ON
$XXX.XX
34820
OPN ILIAC ART EXPOS
$XXX.XX
34830
OPEN AORTIC TUBE PROSTH REPR
$XXX.XX
34831
OPEN AORTOILIAC PROSTH REPR
$XXX.XX
34832
OPEN AORTOFEMOR PROSTH REPR
$XXX.XX
34833
OPN ILAC ART EXPOS CNDT CRTJ
$XXX.XX
34834
OPN BRACH ART EXPOS
$XXX.XX
35001
REPAIR DEFECT OF ARTERY
$XXX.XX
35002
REPAIR ARTERY RUPTURE NECK
$XXX.XX
35005
REPAIR DEFECT OF ARTERY
$XXX.XX
35011
REPAIR DEFECT OF ARTERY
$XXX.XX
35013
REPAIR ARTERY RUPTURE ARM
$XXX.XX
35021
REPAIR DEFECT OF ARTERY
$XXX.XX
35022
REPAIR ARTERY RUPTURE CHEST
$XXX.XX
35045
REPAIR DEFECT OF ARM ARTERY
$XXX.XX
35081
REPAIR DEFECT OF ARTERY
$XXX.XX
35082
REPAIR ARTERY RUPTURE AORTA
$XXX.XX
35091
REPAIR DEFECT OF ARTERY
$XXX.XX
35092
REPAIR ARTERY RUPTURE AORTA
$XXX.XX
35102
REPAIR DEFECT OF ARTERY
$XXX.XX
35103
REPAIR ARTERY RUPTURE AORTA
$XXX.XX
35111
REPAIR DEFECT OF ARTERY
$XXX.XX
35112
REPAIR ARTERY RUPTURE SPLEEN
$XXX.XX
35121
REPAIR DEFECT OF ARTERY
$XXX.XX
35122
REPAIR ARTERY RUPTURE BELLY
$XXX.XX
35131
REPAIR DEFECT OF ARTERY
$XXX.XX
35132
REPAIR ARTERY RUPTURE GROIN
$XXX.XX
35141
REPAIR DEFECT OF ARTERY
$XXX.XX
35142
REPAIR ARTERY RUPTURE THIGH
$XXX.XX
35151
REPAIR DEFECT OF ARTERY
$XXX.XX
35152
REPAIR RUPTD POPLITEAL ART
$XXX.XX
35180
REPAIR BLOOD VESSEL LESION
$XXX.XX
35182
REPAIR BLOOD VESSEL LESION
$XXX.XX
35184
REPAIR BLOOD VESSEL LESION
$XXX.XX
35188
REPAIR BLOOD VESSEL LESION
$XXX.XX
35189
REPAIR BLOOD VESSEL LESION
$XXX.XX
35190
REPAIR BLOOD VESSEL LESION
$XXX.XX
35201
REPAIR BLOOD VESSEL LESION
$XXX.XX
35206
REPAIR BLOOD VESSEL LESION
$XXX.XX
35207
REPAIR BLOOD VESSEL LESION
$XXX.XX
35211
REPAIR BLOOD VESSEL LESION
$XXX.XX
35216
REPAIR BLOOD VESSEL LESION
$XXX.XX
35221
REPAIR BLOOD VESSEL LESION
$XXX.XX
35226
REPAIR BLOOD VESSEL LESION
$XXX.XX
35231
REPAIR BLOOD VESSEL LESION
$XXX.XX
35236
REPAIR BLOOD VESSEL LESION
$XXX.XX
35241
REPAIR BLOOD VESSEL LESION
$XXX.XX
35246
REPAIR BLOOD VESSEL LESION
$XXX.XX
35251
REPAIR BLOOD VESSEL LESION
$XXX.XX
35256
REPAIR BLOOD VESSEL LESION
$XXX.XX
35261
REPAIR BLOOD VESSEL LESION
$XXX.XX
35266
REPAIR BLOOD VESSEL LESION
$XXX.XX
35271
REPAIR BLOOD VESSEL LESION
$XXX.XX
35276
REPAIR BLOOD VESSEL LESION
$XXX.XX
35281
REPAIR BLOOD VESSEL LESION
$XXX.XX
35286
REPAIR BLOOD VESSEL LESION
$XXX.XX
35301
RECHANNELING OF ARTERY
$XXX.XX
35302
RECHANNELING OF ARTERY
$XXX.XX
35303
RECHANNELING OF ARTERY
$XXX.XX
35304
RECHANNELING OF ARTERY
$XXX.XX
35305
RECHANNELING OF ARTERY
$XXX.XX
35306
RECHANNELING OF ARTERY
$XXX.XX
35311
RECHANNELING OF ARTERY
$XXX.XX
35321
RECHANNELING OF ARTERY
$XXX.XX
35331
RECHANNELING OF ARTERY
$XXX.XX
35341
RECHANNELING OF ARTERY
$XXX.XX
35351
RECHANNELING OF ARTERY
$XXX.XX
35355
RECHANNELING OF ARTERY
$XXX.XX
35361
RECHANNELING OF ARTERY
$XXX.XX
35363
RECHANNELING OF ARTERY
$XXX.XX
35371
RECHANNELING OF ARTERY
$XXX.XX
35372
RECHANNELING OF ARTERY
$XXX.XX
35390
REOPERATION CAROTID ADD-ON
$XXX.XX
35400
ANGIOSCOPY
$XXX.XX
35500
HARVEST VEIN FOR BYPASS
$XXX.XX
35501
ART BYP GRFT IPSILAT CAROTID
$XXX.XX
35506
ART BYP GRFT SUBCLAV-CAROTID
$XXX.XX
35508
ART BYP GRFT CAROTID-VERTBRL
$XXX.XX
35509
ART BYP GRFT CONTRAL CAROTID
$XXX.XX
35510
ART BYP GRFT CAROTID-BRCHIAL
$XXX.XX
35511
ART BYP GRFT SUBCLAV-SUBCLAV
$XXX.XX
35512
ART BYP GRFT SUBCLAV-BRCHIAL
$XXX.XX
35515
ART BYP GRFT SUBCLAV-VERTBRL
$XXX.XX
35516
ART BYP GRFT SUBCLAV-AXILARY
$XXX.XX
35518
ART BYP GRFT AXILLARY-AXILRY
$XXX.XX
35521
ART BYP GRFT AXILL-FEMORAL
$XXX.XX
35522
ART BYP GRFT AXILL-BRACHIAL
$XXX.XX
35523
ART BYP GRFT BRCHL-ULNR-RDL
$XXX.XX
35525
ART BYP GRFT BRACHIAL-BRCHL
$XXX.XX
35526
ART BYP GRFT AOR/CAROT/INNOM
$XXX.XX
35531
ART BYP GRFT AORCEL/AORMESEN
$XXX.XX
35533
ART BYP GRFT AXILL/FEM/FEM
$XXX.XX
35535
ART BYP GRFT HEPATORENAL
$XXX.XX
35536
ART BYP GRFT SPLENORENAL
$XXX.XX
35537
ART BYP GRFT AORTOILIAC
$XXX.XX
35538
ART BYP GRFT AORTOBI-ILIAC
$XXX.XX
35539
ART BYP GRFT AORTOFEMORAL
$XXX.XX
35540
ART BYP GRFT AORTBIFEMORAL
$XXX.XX
35556
ART BYP GRFT FEM-POPLITEAL
$XXX.XX
35558
ART BYP GRFT FEM-FEMORAL
$XXX.XX
35560
ART BYP GRFT AORTORENAL
$XXX.XX
35563
ART BYP GRFT ILIOILIAC
$XXX.XX
35565
ART BYP GRFT ILIOFEMORAL
$XXX.XX
35566
ART BYP FEM-ANT-POST TIB/PRL
$XXX.XX
35570
ART BYP TIBIAL-TIB/PERONEAL
$XXX.XX
35571
ART BYP POP-TIBL-PRL-OTHER
$XXX.XX
35572
HARVEST FEMOROPOPLITEAL VEIN
$XXX.XX
35583
VEIN BYP GRFT FEM-POPLITEAL
$XXX.XX
35585
VEIN BYP FEM-TIBIAL PERONEAL
$XXX.XX
35587
VEIN BYP POP-TIBL PERONEAL
$XXX.XX
35600
HARVEST ART FOR CABG ADD-ON
$XXX.XX
35601
ART BYP COMMON IPSI CAROTID
$XXX.XX
35606
ART BYP CAROTID-SUBCLAVIAN
$XXX.XX
35612
ART BYP SUBCLAV-SUBCLAVIAN
$XXX.XX
35616
ART BYP SUBCLAV-AXILLARY
$XXX.XX
35621
ART BYP AXILLARY-FEMORAL
$XXX.XX
35623
ART BYP AXILLARY-POP-TIBIAL
$XXX.XX
35626
ART BYP AORSUBCL/CAROT/INNOM
$XXX.XX
35631
ART BYP AOR-CELIAC-MSN-RENAL
$XXX.XX
35632
ART BYP ILIO-CELIAC
$XXX.XX
35633
ART BYP ILIO-MESENTERIC
$XXX.XX
35634
ART BYP ILIORENAL
$XXX.XX
35636
ART BYP SPENORENAL
$XXX.XX
35637
ART BYP AORTOILIAC
$XXX.XX
35638
ART BYP AORTOBI-ILIAC
$XXX.XX
35642
ART BYP CAROTID-VERTEBRAL
$XXX.XX
35645
ART BYP SUBCLAV-VERTEBRL
$XXX.XX
35646
ART BYP AORTOBIFEMORAL
$XXX.XX
35647
ART BYP AORTOFEMORAL
$XXX.XX
35650
ART BYP AXILLARY-AXILLARY
$XXX.XX
35654
ART BYP AXILL-FEM-FEMORAL
$XXX.XX
35656
ART BYP FEMORAL-POPLITEAL
$XXX.XX
35661
ART BYP FEMORAL-FEMORAL
$XXX.XX
35663
ART BYP ILIOILIAC
$XXX.XX
35665
ART BYP ILIOFEMORAL
$XXX.XX
35666
ART BYP FEM-ANT-POST TIB/PRL
$XXX.XX
35671
ART BYP POP-TIBL-PRL-OTHER
$XXX.XX
35681
COMPOSITE BYP GRFT PROS&VEIN
$XXX.XX
35682
COMPOSITE BYP GRFT 2 VEINS
$XXX.XX
35683
COMPOSITE BYP GRFT 3/> SEGMT
$XXX.XX
35685
BYPASS GRAFT PATENCY/PATCH
$XXX.XX
35686
BYPASS GRAFT/AV FIST PATENCY
$XXX.XX
35691
ART TRNSPOSJ VERTBRL CAROTID
$XXX.XX
35693
ART TRNSPOSJ SUBCLAVIAN
$XXX.XX
35694
ART TRNSPOSJ SUBCLAV CAROTID
$XXX.XX
35695
ART TRNSPOSJ CAROTID SUBCLAV
$XXX.XX
35697
REIMPLANT ARTERY EACH
$XXX.XX
35700
REOPERATION BYPASS GRAFT
$XXX.XX
35701
EXPLORATION CAROTID ARTERY
$XXX.XX
35721
EXPLORATION FEMORAL ARTERY
$XXX.XX
35741
EXPLORATION POPLITEAL ARTERY
$XXX.XX
35761
EXPLORATION OF ARTERY/VEIN
$XXX.XX
35800
EXPLORE NECK VESSELS
$XXX.XX
35820
EXPLORE CHEST VESSELS
$XXX.XX
35840
EXPLORE ABDOMINAL VESSELS
$XXX.XX
35860
EXPLORE LIMB VESSELS
$XXX.XX
35870
REPAIR VESSEL GRAFT DEFECT
$XXX.XX
35875
REMOVAL OF CLOT IN GRAFT
$XXX.XX
35876
REMOVAL OF CLOT IN GRAFT
$XXX.XX
35879
REVISE GRAFT W/VEIN
$XXX.XX
35881
REVISE GRAFT W/VEIN
$XXX.XX
35883
REVISE GRAFT W/NONAUTO GRAFT
$XXX.XX
35884
REVISE GRAFT W/VEIN
$XXX.XX
35901
EXCISION GRAFT NECK
$XXX.XX
35903
EXCISION GRAFT EXTREMITY
$XXX.XX
35905
EXCISION GRAFT THORAX
$XXX.XX
35907
EXCISION GRAFT ABDOMEN
$XXX.XX
36002
PSEUDOANEURYSM INJECTION TRT
$XXX.XX
36005
INJECTION EXT VENOGRAPHY
$XXX.XX
36010
PLACE CATHETER IN VEIN
$XXX.XX
36011
PLACE CATHETER IN VEIN
$XXX.XX
36012
PLACE CATHETER IN VEIN
$XXX.XX
36013
PLACE CATHETER IN ARTERY
$XXX.XX
36014
PLACE CATHETER IN ARTERY
$XXX.XX
36015
PLACE CATHETER IN ARTERY
$XXX.XX
36100
ESTABLISH ACCESS TO ARTERY
$XXX.XX
36140
INTRO NDL ICATH UPR/LXTR ART
$XXX.XX
36160
ESTABLISH ACCESS TO AORTA
$XXX.XX
36200
PLACE CATHETER IN AORTA
$XXX.XX
36215
PLACE CATHETER IN ARTERY
$XXX.XX
36216
PLACE CATHETER IN ARTERY
$XXX.XX
36217
PLACE CATHETER IN ARTERY
$XXX.XX
36218
PLACE CATHETER IN ARTERY
$XXX.XX
36221
PLACE CATH THORACIC AORTA
$XXX.XX
36222
PLACE CATH CAROTID/INOM ART
$XXX.XX
36223
PLACE CATH CAROTID/INOM ART
$XXX.XX
36224
PLACE CATH CAROTD ART
$XXX.XX
36225
PLACE CATH SUBCLAVIAN ART
$XXX.XX
36226
PLACE CATH VERTEBRAL ART
$XXX.XX
36227
PLACE CATH XTRNL CAROTID
$XXX.XX
36228
PLACE CATH INTRACRANIAL ART
$XXX.XX
36245
INS CATH ABD/L-EXT ART 1ST
$XXX.XX
36246
INS CATH ABD/L-EXT ART 2ND
$XXX.XX
36247
INS CATH ABD/L-EXT ART 3RD
$XXX.XX
36248
INS CATH ABD/L-EXT ART ADDL
$XXX.XX
36251
INS CATH REN ART 1ST UNILAT
$XXX.XX
36252
INS CATH REN ART 1ST BILAT
$XXX.XX
36253
INS CATH REN ART 2ND+ UNILAT
$XXX.XX
36254
INS CATH REN ART 2ND+ BILAT
$XXX.XX
36260
INSERTION OF INFUSION PUMP
$XXX.XX
36261
REVISION OF INFUSION PUMP
$XXX.XX
36262
REMOVAL OF INFUSION PUMP
$XXX.XX
36400
BL DRAW < 3 YRS FEM/JUGULAR
$XXX.XX
36405
BL DRAW <3 YRS SCALP VEIN
$XXX.XX
36406
BL DRAW <3 YRS OTHER VEIN
$XXX.XX
36410
NON-ROUTINE BL DRAW 3/> YRS
$XXX.XX
36420
VEIN ACCESS CUTDOWN < 1 YR
$XXX.XX
36425
VEIN ACCESS CUTDOWN > 1 YR
$XXX.XX
36430
BLOOD TRANSFUSION SERVICE
$XXX.XX
36440
BL PUSH TRANSFUSE 2 YR/<
$XXX.XX
36450
BL EXCHANGE/TRANSFUSE NB
$XXX.XX
36455
BL EXCHANGE/TRANSFUSE NON-NB
$XXX.XX
36456
PRTL EXCHANGE TRANSFUSE NB
$XXX.XX
36460
TRANSFUSION SERVICE FETAL
$XXX.XX
36465
NJX NONCMPND SCLRSNT 1 VEIN
$XXX.XX
36466
NJX NONCMPND SCLRSNT MLT VN
$XXX.XX
36470
NJX SCLRSNT 1 INCMPTNT VEIN
$XXX.XX
36471
NJX SCLRSNT MLT INCMPTNT VN
$XXX.XX
36473
ENDOVENOUS MCHNCHEM 1ST VEIN
$XXX.XX
36474
ENDOVENOUS MCHNCHEM ADD-ON
$XXX.XX
36475
ENDOVENOUS RF 1ST VEIN
$XXX.XX
36476
ENDOVENOUS RF VEIN ADD-ON
$XXX.XX
36478
ENDOVENOUS LASER 1ST VEIN
$XXX.XX
36479
ENDOVENOUS LASER VEIN ADDON
$XXX.XX
36481
INSERTION OF CATHETER VEIN
$XXX.XX
36482
ENDOVEN THER CHEM ADHES 1ST
$XXX.XX
36483
ENDOVEN THER CHEM ADHES SBSQ
$XXX.XX
36500
INSERTION OF CATHETER VEIN
$XXX.XX
36510
INSERTION OF CATHETER VEIN
$XXX.XX
36511
APHERESIS WBC
$XXX.XX
36512
APHERESIS RBC
$XXX.XX
36513
APHERESIS PLATELETS
$XXX.XX
36514
APHERESIS PLASMA
$XXX.XX
36516
APHERESIS IMMUNOADS SLCTV
$XXX.XX
36522
PHOTOPHERESIS
$XXX.XX
36555
INSERT NON-TUNNEL CV CATH
$XXX.XX
36556
INSERT NON-TUNNEL CV CATH
$XXX.XX
36557
INSERT TUNNELED CV CATH
$XXX.XX
36558
INSERT TUNNELED CV CATH
$XXX.XX
36560
INSERT TUNNELED CV CATH
$XXX.XX
36561
INSERT TUNNELED CV CATH
$XXX.XX
36563
INSERT TUNNELED CV CATH
$XXX.XX
36565
INSERT TUNNELED CV CATH
$XXX.XX
36566
INSERT TUNNELED CV CATH
$XXX.XX
36568
INSERT PICC CATH
$XXX.XX
36569
INSERT PICC CATH
$XXX.XX
36570
INSERT PICVAD CATH
$XXX.XX
36571
INSERT PICVAD CATH
$XXX.XX
36575
REPAIR TUNNELED CV CATH
$XXX.XX
36576
REPAIR TUNNELED CV CATH
$XXX.XX
36578
REPLACE TUNNELED CV CATH
$XXX.XX
36580
REPLACE CVAD CATH
$XXX.XX
36581
REPLACE TUNNELED CV CATH
$XXX.XX
36582
REPLACE TUNNELED CV CATH
$XXX.XX
36583
REPLACE TUNNELED CV CATH
$XXX.XX
36584
REPLACE PICC CATH
$XXX.XX
36585
REPLACE PICVAD CATH
$XXX.XX
36589
REMOVAL TUNNELED CV CATH
$XXX.XX
36590
REMOVAL TUNNELED CV CATH
$XXX.XX
36591
DRAW BLOOD OFF VENOUS DEVICE
$XXX.XX
36592
COLLECT BLOOD FROM PICC
$XXX.XX
36593
DECLOT VASCULAR DEVICE
$XXX.XX
36595
MECH REMOV TUNNELED CV CATH
$XXX.XX
36596
MECH REMOV TUNNELED CV CATH
$XXX.XX
36597
REPOSITION VENOUS CATHETER
$XXX.XX
36598
INJ W/FLUOR EVAL CV DEVICE
$XXX.XX
36600
WITHDRAWAL OF ARTERIAL BLOOD
$XXX.XX
36620
INSERTION CATHETER ARTERY
$XXX.XX
36625
INSERTION CATHETER ARTERY
$XXX.XX
36640
INSERTION CATHETER ARTERY
$XXX.XX
36660
INSERTION CATHETER ARTERY
$XXX.XX
36680
INSERT NEEDLE BONE CAVITY
$XXX.XX
36800
INSERTION OF CANNULA
$XXX.XX
36810
INSERTION OF CANNULA
$XXX.XX
36815
INSERTION OF CANNULA
$XXX.XX
36818
AV FUSE UPPR ARM CEPHALIC
$XXX.XX
36819
AV FUSE UPPR ARM BASILIC
$XXX.XX
36820
AV FUSION/FOREARM VEIN
$XXX.XX
36821
AV FUSION DIRECT ANY SITE
$XXX.XX
36823
INSERTION OF CANNULA(S)
$XXX.XX
36825
ARTERY-VEIN AUTOGRAFT
$XXX.XX
36830
ARTERY-VEIN NONAUTOGRAFT
$XXX.XX
36831
OPEN THROMBECT AV FISTULA
$XXX.XX
36832
AV FISTULA REVISION OPEN
$XXX.XX
36833
AV FISTULA REVISION
$XXX.XX
36835
ARTERY TO VEIN SHUNT
$XXX.XX
36838
DIST REVAS LIGATION HEMO
$XXX.XX
36860
EXTERNAL CANNULA DECLOTTING
$XXX.XX
36861
CANNULA DECLOTTING
$XXX.XX
36901
INTRO CATH DIALYSIS CIRCUIT
$XXX.XX
36902
INTRO CATH DIALYSIS CIRCUIT
$XXX.XX
36903
INTRO CATH DIALYSIS CIRCUIT
$XXX.XX
36904
THRMBC/NFS DIALYSIS CIRCUIT
$XXX.XX
36905
THRMBC/NFS DIALYSIS CIRCUIT
$XXX.XX
36906
THRMBC/NFS DIALYSIS CIRCUIT
$XXX.XX
36907
BALO ANGIOP CTR DIALYSIS SEG
$XXX.XX
36908
STENT PLMT CTR DIALYSIS SEG
$XXX.XX
36909
DIALYSIS CIRCUIT EMBOLJ
$XXX.XX
37140
REVISION OF CIRCULATION
$XXX.XX
37145
REVISION OF CIRCULATION
$XXX.XX
37160
REVISION OF CIRCULATION
$XXX.XX
37180
REVISION OF CIRCULATION
$XXX.XX
37181
SPLICE SPLEEN/KIDNEY VEINS
$XXX.XX
37182
INSERT HEPATIC SHUNT (TIPS)
$XXX.XX
37183
REMOVE HEPATIC SHUNT (TIPS)
$XXX.XX
37184
PRIM ART M-THRMBC 1ST VSL
$XXX.XX
37185
PRIM ART M-THRMBC SBSQ VSL
$XXX.XX
37186
SEC ART THROMBECTOMY ADD-ON
$XXX.XX
37187
VENOUS MECH THROMBECTOMY
$XXX.XX
37188
VENOUS M-THROMBECTOMY ADD-ON
$XXX.XX
37191
INS ENDOVAS VENA CAVA FILTR
$XXX.XX
37192
REDO ENDOVAS VENA CAVA FILTR
$XXX.XX
37193
REM ENDOVAS VENA CAVA FILTER
$XXX.XX
37197
REMOVE INTRVAS FOREIGN BODY
$XXX.XX
37200
TRANSCATHETER BIOPSY
$XXX.XX
37211
THROMBOLYTIC ART THERAPY
$XXX.XX
37212
THROMBOLYTIC VENOUS THERAPY
$XXX.XX
37213
THROMBLYTIC ART/VEN THERAPY
$XXX.XX
37214
CESSJ THERAPY CATH REMOVAL
$XXX.XX
37215
TRANSCATH STENT CCA W/EPS
$XXX.XX
37217
STENT PLACEMT RETRO CAROTID
$XXX.XX
37218
STENT PLACEMT ANTE CAROTID
$XXX.XX
37220
ILIAC REVASC
$XXX.XX
37221
ILIAC REVASC W/STENT
$XXX.XX
37222
ILIAC REVASC ADD-ON
$XXX.XX
37223
ILIAC REVASC W/STENT ADD-ON
$XXX.XX
37224
FEM/POPL REVAS W/TLA
$XXX.XX
37225
FEM/POPL REVAS W/ATHER
$XXX.XX
37226
FEM/POPL REVASC W/STENT
$XXX.XX
37227
FEM/POPL REVASC STNT & ATHER
$XXX.XX
37228
TIB/PER REVASC W/TLA
$XXX.XX
37229
TIB/PER REVASC W/ATHER
$XXX.XX
37230
TIB/PER REVASC W/STENT
$XXX.XX
37231
TIB/PER REVASC STENT & ATHER
$XXX.XX
37232
TIB/PER REVASC ADD-ON
$XXX.XX
37233
TIBPER REVASC W/ATHER ADD-ON
$XXX.XX
37234
REVSC OPN/PRQ TIB/PERO STENT
$XXX.XX
37235
TIB/PER REVASC STNT & ATHER
$XXX.XX
37236
OPEN/PERQ PLACE STENT 1ST
$XXX.XX
37237
OPEN/PERQ PLACE STENT EA ADD
$XXX.XX
37238
OPEN/PERQ PLACE STENT SAME
$XXX.XX
37239
OPEN/PERQ PLACE STENT EA ADD
$XXX.XX
37241
VASC EMBOLIZE/OCCLUDE VENOUS
$XXX.XX
37242
VASC EMBOLIZE/OCCLUDE ARTERY
$XXX.XX
37243
VASC EMBOLIZE/OCCLUDE ORGAN
$XXX.XX
37244
VASC EMBOLIZE/OCCLUDE BLEED
$XXX.XX
37246
TRLUML BALO ANGIOP 1ST ART
$XXX.XX
37247
TRLUML BALO ANGIOP ADDL ART
$XXX.XX
37248
TRLUML BALO ANGIOP 1ST VEIN
$XXX.XX
37249
TRLUML BALO ANGIOP ADDL VEIN
$XXX.XX
37252
INTRVASC US NONCORONARY 1ST
$XXX.XX
37253
INTRVASC US NONCORONARY ADDL
$XXX.XX
37500
ENDOSCOPY LIGATE PERF VEINS
$XXX.XX
37565
LIGATION OF NECK VEIN
$XXX.XX
37600
LIGATION OF NECK ARTERY
$XXX.XX
37605
LIGATION OF NECK ARTERY
$XXX.XX
37606
LIGATION OF NECK ARTERY
$XXX.XX
37607
LIGATION OF A-V FISTULA
$XXX.XX
37609
TEMPORAL ARTERY PROCEDURE
$XXX.XX
37615
LIGATION OF NECK ARTERY
$XXX.XX
37616
LIGATION OF CHEST ARTERY
$XXX.XX
37617
LIGATION OF ABDOMEN ARTERY
$XXX.XX
37618
LIGATION OF EXTREMITY ARTERY
$XXX.XX
37619
LIGATION OF INF VENA CAVA
$XXX.XX
37650
REVISION OF MAJOR VEIN
$XXX.XX
37660
REVISION OF MAJOR VEIN
$XXX.XX
37700
REVISE LEG VEIN
$XXX.XX
37718
LIGATE/STRIP SHORT LEG VEIN
$XXX.XX
37722
LIGATE/STRIP LONG LEG VEIN
$XXX.XX
37735
REMOVAL OF LEG VEINS/LESION
$XXX.XX
37760
LIGATE LEG VEINS RADICAL
$XXX.XX
37761
LIGATE LEG VEINS OPEN
$XXX.XX
37765
STAB PHLEB VEINS XTR 10-20
$XXX.XX
37766
PHLEB VEINS - EXTREM 20+
$XXX.XX
37780
REVISION OF LEG VEIN
$XXX.XX
37785
LIGATE/DIVIDE/EXCISE VEIN
$XXX.XX
37788
REVASCULARIZATION PENIS
$XXX.XX
37790
PENILE VENOUS OCCLUSION
$XXX.XX
38100
REMOVAL OF SPLEEN TOTAL
$XXX.XX
38101
REMOVAL OF SPLEEN PARTIAL
$XXX.XX
38102
REMOVAL OF SPLEEN TOTAL
$XXX.XX
38115
REPAIR OF RUPTURED SPLEEN
$XXX.XX
38120
LAPAROSCOPY SPLENECTOMY
$XXX.XX
38200
INJECTION FOR SPLEEN X-RAY
$XXX.XX
38205
HARVEST ALLOGENEIC STEM CELL
$XXX.XX
38206
HARVEST AUTO STEM CELLS
$XXX.XX
38220
DX BONE MARROW ASPIRATIONS
$XXX.XX
38221
DX BONE MARROW BIOPSIES
$XXX.XX
38222
DX BONE MARROW BX & ASPIR
$XXX.XX
38230
BONE MARROW HARVEST ALLOGEN
$XXX.XX
38232
BONE MARROW HARVEST AUTOLOG
$XXX.XX
38240
TRANSPLT ALLO HCT/DONOR
$XXX.XX
38241
TRANSPLT AUTOL HCT/DONOR
$XXX.XX
38242
TRANSPLT ALLO LYMPHOCYTES
$XXX.XX
38243
TRANSPLJ HEMATOPOIETIC BOOST
$XXX.XX
38300
DRAINAGE LYMPH NODE LESION
$XXX.XX
38305
DRAINAGE LYMPH NODE LESION
$XXX.XX
38308
INCISION OF LYMPH CHANNELS
$XXX.XX
38380
THORACIC DUCT PROCEDURE
$XXX.XX
38381
THORACIC DUCT PROCEDURE
$XXX.XX
38382
THORACIC DUCT PROCEDURE
$XXX.XX
38500
BIOPSY/REMOVAL LYMPH NODES
$XXX.XX
38505
NEEDLE BIOPSY LYMPH NODES
$XXX.XX
38510
BIOPSY/REMOVAL LYMPH NODES
$XXX.XX
38520
BIOPSY/REMOVAL LYMPH NODES
$XXX.XX
38525
BIOPSY/REMOVAL LYMPH NODES
$XXX.XX
38530
BIOPSY/REMOVAL LYMPH NODES
$XXX.XX
38542
EXPLORE DEEP NODE(S) NECK
$XXX.XX
38550
REMOVAL NECK/ARMPIT LESION
$XXX.XX
38555
REMOVAL NECK/ARMPIT LESION
$XXX.XX
38562
REMOVAL PELVIC LYMPH NODES
$XXX.XX
38564
REMOVAL ABDOMEN LYMPH NODES
$XXX.XX
38570
LAPAROSCOPY LYMPH NODE BIOP
$XXX.XX
38571
LAPAROSCOPY LYMPHADENECTOMY
$XXX.XX
38572
LAPAROSCOPY LYMPHADENECTOMY
$XXX.XX
38573
LAPS PELVIC LYMPHADEC
$XXX.XX
38700
REMOVAL OF LYMPH NODES NECK
$XXX.XX
38720
REMOVAL OF LYMPH NODES NECK
$XXX.XX
38724
REMOVAL OF LYMPH NODES NECK
$XXX.XX
38740
REMOVE ARMPIT LYMPH NODES
$XXX.XX
38745
REMOVE ARMPIT LYMPH NODES
$XXX.XX
38746
REMOVE THORACIC LYMPH NODES
$XXX.XX
38747
REMOVE ABDOMINAL LYMPH NODES
$XXX.XX
38760
REMOVE GROIN LYMPH NODES
$XXX.XX
38765
REMOVE GROIN LYMPH NODES
$XXX.XX
38770
REMOVE PELVIS LYMPH NODES
$XXX.XX
38780
REMOVE ABDOMEN LYMPH NODES
$XXX.XX
38790
INJECT FOR LYMPHATIC X-RAY
$XXX.XX
38792
RA TRACER ID OF SENTINL NODE
$XXX.XX
38794
ACCESS THORACIC LYMPH DUCT
$XXX.XX
38900
IO MAP OF SENT LYMPH NODE
$XXX.XX
39000
EXPLORATION OF CHEST
$XXX.XX
39010
EXPLORATION OF CHEST
$XXX.XX
39200
RESECT MEDIASTINAL CYST
$XXX.XX
39220
RESECT MEDIASTINAL TUMOR
$XXX.XX
39401
MEDIASTINOSCPY W/MEDSTNL BX
$XXX.XX
39402
MEDIASTINOSCPY W/LMPH NOD BX
$XXX.XX
39501
REPAIR DIAPHRAGM LACERATION
$XXX.XX
39503
REPAIR OF DIAPHRAGM HERNIA
$XXX.XX
39540
REPAIR OF DIAPHRAGM HERNIA
$XXX.XX
39541
REPAIR OF DIAPHRAGM HERNIA
$XXX.XX
39545
REVISION OF DIAPHRAGM
$XXX.XX
39560
RESECT DIAPHRAGM SIMPLE
$XXX.XX
39561
RESECT DIAPHRAGM COMPLEX
$XXX.XX
40490
BIOPSY OF LIP
$XXX.XX
40500
PARTIAL EXCISION OF LIP
$XXX.XX
40510
PARTIAL EXCISION OF LIP
$XXX.XX
40520
PARTIAL EXCISION OF LIP
$XXX.XX
40525
RECONSTRUCT LIP WITH FLAP
$XXX.XX
40527
RECONSTRUCT LIP WITH FLAP
$XXX.XX
40530
PARTIAL REMOVAL OF LIP
$XXX.XX
40650
REPAIR LIP
$XXX.XX
40652
REPAIR LIP
$XXX.XX
40654
REPAIR LIP
$XXX.XX
40700
REPAIR CLEFT LIP/NASAL
$XXX.XX
40701
REPAIR CLEFT LIP/NASAL
$XXX.XX
40702
REPAIR CLEFT LIP/NASAL
$XXX.XX
40720
REPAIR CLEFT LIP/NASAL
$XXX.XX
40761
REPAIR CLEFT LIP/NASAL
$XXX.XX
40800
DRAINAGE OF MOUTH LESION
$XXX.XX
40801
DRAINAGE OF MOUTH LESION
$XXX.XX
40804
REMOVAL FOREIGN BODY MOUTH
$XXX.XX
40805
REMOVAL FOREIGN BODY MOUTH
$XXX.XX
40806
INCISION OF LIP FOLD
$XXX.XX
40808
BIOPSY OF MOUTH LESION
$XXX.XX
40810
EXCISION OF MOUTH LESION
$XXX.XX
40812
EXCISE/REPAIR MOUTH LESION
$XXX.XX
40814
EXCISE/REPAIR MOUTH LESION
$XXX.XX
40816
EXCISION OF MOUTH LESION
$XXX.XX
40818
EXCISE ORAL MUCOSA FOR GRAFT
$XXX.XX
40819
EXCISE LIP OR CHEEK FOLD
$XXX.XX
40820
TREATMENT OF MOUTH LESION
$XXX.XX
40830
REPAIR MOUTH LACERATION
$XXX.XX
40831
REPAIR MOUTH LACERATION
$XXX.XX
40840
RECONSTRUCTION OF MOUTH
$XXX.XX
40842
RECONSTRUCTION OF MOUTH
$XXX.XX
40843
RECONSTRUCTION OF MOUTH
$XXX.XX
40844
RECONSTRUCTION OF MOUTH
$XXX.XX
40845
RECONSTRUCTION OF MOUTH
$XXX.XX
41000
DRAINAGE OF MOUTH LESION
$XXX.XX
41005
DRAINAGE OF MOUTH LESION
$XXX.XX
41006
DRAINAGE OF MOUTH LESION
$XXX.XX
41007
DRAINAGE OF MOUTH LESION
$XXX.XX
41008
DRAINAGE OF MOUTH LESION
$XXX.XX
41009
DRAINAGE OF MOUTH LESION
$XXX.XX
41010
INCISION OF TONGUE FOLD
$XXX.XX
41015
DRAINAGE OF MOUTH LESION
$XXX.XX
41016
DRAINAGE OF MOUTH LESION
$XXX.XX
41017
DRAINAGE OF MOUTH LESION
$XXX.XX
41018
DRAINAGE OF MOUTH LESION
$XXX.XX
41019
PLACE NEEDLES H&N FOR RT
$XXX.XX
41100
BIOPSY OF TONGUE
$XXX.XX
41105
BIOPSY OF TONGUE
$XXX.XX
41108
BIOPSY OF FLOOR OF MOUTH
$XXX.XX
41110
EXCISION OF TONGUE LESION
$XXX.XX
41112
EXCISION OF TONGUE LESION
$XXX.XX
41113
EXCISION OF TONGUE LESION
$XXX.XX
41114
EXCISION OF TONGUE LESION
$XXX.XX
41115
EXCISION OF TONGUE FOLD
$XXX.XX
41116
EXCISION OF MOUTH LESION
$XXX.XX
41120
PARTIAL REMOVAL OF TONGUE
$XXX.XX
41130
PARTIAL REMOVAL OF TONGUE
$XXX.XX
41135
TONGUE AND NECK SURGERY
$XXX.XX
41140
REMOVAL OF TONGUE
$XXX.XX
41145
TONGUE REMOVAL NECK SURGERY
$XXX.XX
41150
TONGUE MOUTH JAW SURGERY
$XXX.XX
41153
TONGUE MOUTH NECK SURGERY
$XXX.XX
41155
TONGUE JAW & NECK SURGERY
$XXX.XX
41250
REPAIR TONGUE LACERATION
$XXX.XX
41251
REPAIR TONGUE LACERATION
$XXX.XX
41252
REPAIR TONGUE LACERATION
$XXX.XX
41500
FIXATION OF TONGUE
$XXX.XX
41510
TONGUE TO LIP SURGERY
$XXX.XX
41512
TONGUE SUSPENSION
$XXX.XX
41520
RECONSTRUCTION TONGUE FOLD
$XXX.XX
41530
TONGUE BASE VOL REDUCTION
$XXX.XX
41800
DRAINAGE OF GUM LESION
$XXX.XX
41805
REMOVAL FOREIGN BODY GUM
$XXX.XX
41806
REMOVAL FOREIGN BODY JAWBONE
$XXX.XX
41822
EXCISION OF GUM LESION
$XXX.XX
41823
EXCISION OF GUM LESION
$XXX.XX
41825
EXCISION OF GUM LESION
$XXX.XX
41826
EXCISION OF GUM LESION
$XXX.XX
41827
EXCISION OF GUM LESION
$XXX.XX
41828
EXCISION OF GUM LESION
$XXX.XX
41830
REMOVAL OF GUM TISSUE
$XXX.XX
41872
REPAIR GUM
$XXX.XX
41874
REPAIR TOOTH SOCKET
$XXX.XX
42000
DRAINAGE MOUTH ROOF LESION
$XXX.XX
42100
BIOPSY ROOF OF MOUTH
$XXX.XX
42104
EXCISION LESION MOUTH ROOF
$XXX.XX
42106
EXCISION LESION MOUTH ROOF
$XXX.XX
42107
EXCISION LESION MOUTH ROOF
$XXX.XX
42120
REMOVE PALATE/LESION
$XXX.XX
42140
EXCISION OF UVULA
$XXX.XX
42145
REPAIR PALATE PHARYNX/UVULA
$XXX.XX
42160
TREATMENT MOUTH ROOF LESION
$XXX.XX
42180
REPAIR PALATE
$XXX.XX
42182
REPAIR PALATE
$XXX.XX
42200
RECONSTRUCT CLEFT PALATE
$XXX.XX
42205
RECONSTRUCT CLEFT PALATE
$XXX.XX
42210
RECONSTRUCT CLEFT PALATE
$XXX.XX
42215
RECONSTRUCT CLEFT PALATE
$XXX.XX
42220
RECONSTRUCT CLEFT PALATE
$XXX.XX
42225
RECONSTRUCT CLEFT PALATE
$XXX.XX
42226
LENGTHENING OF PALATE
$XXX.XX
42227
LENGTHENING OF PALATE
$XXX.XX
42235
REPAIR PALATE
$XXX.XX
42260
REPAIR NOSE TO LIP FISTULA
$XXX.XX
42280
PREPARATION PALATE MOLD
$XXX.XX
42281
INSERTION PALATE PROSTHESIS
$XXX.XX
42300
DRAINAGE OF SALIVARY GLAND
$XXX.XX
42305
DRAINAGE OF SALIVARY GLAND
$XXX.XX
42310
DRAINAGE OF SALIVARY GLAND
$XXX.XX
42320
DRAINAGE OF SALIVARY GLAND
$XXX.XX
42330
REMOVAL OF SALIVARY STONE
$XXX.XX
42335
REMOVAL OF SALIVARY STONE
$XXX.XX
42340
REMOVAL OF SALIVARY STONE
$XXX.XX
42400
BIOPSY OF SALIVARY GLAND
$XXX.XX
42405
BIOPSY OF SALIVARY GLAND
$XXX.XX
42408
EXCISION OF SALIVARY CYST
$XXX.XX
42409
DRAINAGE OF SALIVARY CYST
$XXX.XX
42410
EXCISE PAROTID GLAND/LESION
$XXX.XX
42415
EXCISE PAROTID GLAND/LESION
$XXX.XX
42420
EXCISE PAROTID GLAND/LESION
$XXX.XX
42425
EXCISE PAROTID GLAND/LESION
$XXX.XX
42426
EXCISE PAROTID GLAND/LESION
$XXX.XX
42440
EXCISE SUBMAXILLARY GLAND
$XXX.XX
42450
EXCISE SUBLINGUAL GLAND
$XXX.XX
42500
REPAIR SALIVARY DUCT
$XXX.XX
42505
REPAIR SALIVARY DUCT
$XXX.XX
42507
PAROTID DUCT DIVERSION
$XXX.XX
42509
PAROTID DUCT DIVERSION
$XXX.XX
42510
PAROTID DUCT DIVERSION
$XXX.XX
42550
INJECTION FOR SALIVARY X-RAY
$XXX.XX
42600
CLOSURE OF SALIVARY FISTULA
$XXX.XX
42650
DILATION OF SALIVARY DUCT
$XXX.XX
42660
DILATION OF SALIVARY DUCT
$XXX.XX
42665
LIGATION OF SALIVARY DUCT
$XXX.XX
42700
DRAINAGE OF TONSIL ABSCESS
$XXX.XX
42720
DRAINAGE OF THROAT ABSCESS
$XXX.XX
42725
DRAINAGE OF THROAT ABSCESS
$XXX.XX
42800
BIOPSY OF THROAT
$XXX.XX
42804
BIOPSY OF UPPER NOSE/THROAT
$XXX.XX
42806
BIOPSY OF UPPER NOSE/THROAT
$XXX.XX
42808
EXCISE PHARYNX LESION
$XXX.XX
42809
REMOVE PHARYNX FOREIGN BODY
$XXX.XX
42810
EXCISION OF NECK CYST
$XXX.XX
42815
EXCISION OF NECK CYST
$XXX.XX
42820
REMOVE TONSILS AND ADENOIDS
$XXX.XX
42821
REMOVE TONSILS AND ADENOIDS
$XXX.XX
42825
REMOVAL OF TONSILS
$XXX.XX
42826
REMOVAL OF TONSILS
$XXX.XX
42830
REMOVAL OF ADENOIDS
$XXX.XX
42831
REMOVAL OF ADENOIDS
$XXX.XX
42835
REMOVAL OF ADENOIDS
$XXX.XX
42836
REMOVAL OF ADENOIDS
$XXX.XX
42842
EXTENSIVE SURGERY OF THROAT
$XXX.XX
42844
EXTENSIVE SURGERY OF THROAT
$XXX.XX
42845
EXTENSIVE SURGERY OF THROAT
$XXX.XX
42860
EXCISION OF TONSIL TAGS
$XXX.XX
42870
EXCISION OF LINGUAL TONSIL
$XXX.XX
42890
PARTIAL REMOVAL OF PHARYNX
$XXX.XX
42892
REVISION OF PHARYNGEAL WALLS
$XXX.XX
42894
REVISION OF PHARYNGEAL WALLS
$XXX.XX
42900
REPAIR THROAT WOUND
$XXX.XX
42950
RECONSTRUCTION OF THROAT
$XXX.XX
42953
REPAIR THROAT ESOPHAGUS
$XXX.XX
42955
SURGICAL OPENING OF THROAT
$XXX.XX
42960
CONTROL THROAT BLEEDING
$XXX.XX
42961
CONTROL THROAT BLEEDING
$XXX.XX
42962
CONTROL THROAT BLEEDING
$XXX.XX
42970
CONTROL NOSE/THROAT BLEEDING
$XXX.XX
42971
CONTROL NOSE/THROAT BLEEDING
$XXX.XX
42972
CONTROL NOSE/THROAT BLEEDING
$XXX.XX
43020
INCISION OF ESOPHAGUS
$XXX.XX
43030
THROAT MUSCLE SURGERY
$XXX.XX
43045
INCISION OF ESOPHAGUS
$XXX.XX
43100
EXCISION OF ESOPHAGUS LESION
$XXX.XX
43101
EXCISION OF ESOPHAGUS LESION
$XXX.XX
43107
REMOVAL OF ESOPHAGUS
$XXX.XX
43108
REMOVAL OF ESOPHAGUS
$XXX.XX
43112
ESPHG TOT W/THRCM
$XXX.XX
43113
REMOVAL OF ESOPHAGUS
$XXX.XX
43116
PARTIAL REMOVAL OF ESOPHAGUS
$XXX.XX
43117
PARTIAL REMOVAL OF ESOPHAGUS
$XXX.XX
43118
PARTIAL REMOVAL OF ESOPHAGUS
$XXX.XX
43121
PARTIAL REMOVAL OF ESOPHAGUS
$XXX.XX
43122
PARTIAL REMOVAL OF ESOPHAGUS
$XXX.XX
43123
PARTIAL REMOVAL OF ESOPHAGUS
$XXX.XX
43124
REMOVAL OF ESOPHAGUS
$XXX.XX
43130
REMOVAL OF ESOPHAGUS POUCH
$XXX.XX
43135
REMOVAL OF ESOPHAGUS POUCH
$XXX.XX
43180
ESOPHAGOSCOPY RIGID TRNSO
$XXX.XX
43191
ESOPHAGOSCOPY RIGID TRNSO DX
$XXX.XX
43192
ESOPHAGOSCP RIG TRNSO INJECT
$XXX.XX
43193
ESOPHAGOSCP RIG TRNSO BIOPSY
$XXX.XX
43194
ESOPHAGOSCP RIG TRNSO REM FB
$XXX.XX
43195
ESOPHAGOSCOPY RIGID BALLOON
$XXX.XX
43196
ESOPHAGOSCP GUIDE WIRE DILAT
$XXX.XX
43197
ESOPHAGOSCOPY FLEX DX BRUSH
$XXX.XX
43198
ESOPHAGOSC FLEX TRNSN BIOPSY
$XXX.XX
43200
ESOPHAGOSCOPY FLEXIBLE BRUSH
$XXX.XX
43201
ESOPH SCOPE W/SUBMUCOUS INJ
$XXX.XX
43202
ESOPHAGOSCOPY FLEX BIOPSY
$XXX.XX
43204
ESOPH SCOPE W/SCLEROSIS INJ
$XXX.XX
43205
ESOPHAGUS ENDOSCOPY/LIGATION
$XXX.XX
43206
ESOPH OPTICAL ENDOMICROSCOPY
$XXX.XX
43210
EGD ESOPHAGOGASTRC FNDOPLSTY
$XXX.XX
43211
ESOPHAGOSCOP MUCOSAL RESECT
$XXX.XX
43212
ESOPHAGOSCOP STENT PLACEMENT
$XXX.XX
43213
ESOPHAGOSCOPY RETRO BALLOON
$XXX.XX
43214
ESOPHAGOSC DILATE BALLOON 30
$XXX.XX
43215
ESOPHAGOSCOPY FLEX REMOVE FB
$XXX.XX
43216
ESOPHAGOSCOPY LESION REMOVAL
$XXX.XX
43217
ESOPHAGOSCOPY SNARE LES REMV
$XXX.XX
43220
ESOPHAGOSCOPY BALLOON <30MM
$XXX.XX
43226
ESOPH ENDOSCOPY DILATION
$XXX.XX
43227
ESOPHAGOSCOPY CONTROL BLEED
$XXX.XX
43229
ESOPHAGOSCOPY LESION ABLATE
$XXX.XX
43231
ESOPHAGOSCOP ULTRASOUND EXAM
$XXX.XX
43232
ESOPHAGOSCOPY W/US NEEDLE BX
$XXX.XX
43233
EGD BALLOON DIL ESOPH30 MM/>
$XXX.XX
43235
EGD DIAGNOSTIC BRUSH WASH
$XXX.XX
43236
UPPR GI SCOPE W/SUBMUC INJ
$XXX.XX
43237
ENDOSCOPIC US EXAM ESOPH
$XXX.XX
43238
EGD US FINE NEEDLE BX/ASPIR
$XXX.XX
43239
EGD BIOPSY SINGLE/MULTIPLE
$XXX.XX
43240
EGD W/TRANSMURAL DRAIN CYST
$XXX.XX
43241
EGD TUBE/CATH INSERTION
$XXX.XX
43242
EGD US FINE NEEDLE BX/ASPIR
$XXX.XX
43243
EGD INJECTION VARICES
$XXX.XX
43244
EGD VARICES LIGATION
$XXX.XX
43245
EGD DILATE STRICTURE
$XXX.XX
43246
EGD PLACE GASTROSTOMY TUBE
$XXX.XX
43247
EGD REMOVE FOREIGN BODY
$XXX.XX
43248
EGD GUIDE WIRE INSERTION
$XXX.XX
43249
ESOPH EGD DILATION <30 MM
$XXX.XX
43250
EGD CAUTERY TUMOR POLYP
$XXX.XX
43251
EGD REMOVE LESION SNARE
$XXX.XX
43252
EGD OPTICAL ENDOMICROSCOPY
$XXX.XX
43253
EGD US TRANSMURAL INJXN/MARK
$XXX.XX
43254
EGD ENDO MUCOSAL RESECTION
$XXX.XX
43255
EGD CONTROL BLEEDING ANY
$XXX.XX
43257
EGD W/THRML TXMNT GERD
$XXX.XX
43259
EGD US EXAM DUODENUM/JEJUNUM
$XXX.XX
43260
ERCP W/SPECIMEN COLLECTION
$XXX.XX
43261
ENDO CHOLANGIOPANCREATOGRAPH
$XXX.XX
43262
ENDO CHOLANGIOPANCREATOGRAPH
$XXX.XX
43263
ERCP SPHINCTER PRESSURE MEAS
$XXX.XX
43264
ERCP REMOVE DUCT CALCULI
$XXX.XX
43265
ERCP LITHOTRIPSY CALCULI
$XXX.XX
43266
EGD ENDOSCOPIC STENT PLACE
$XXX.XX
43270
EGD LESION ABLATION
$XXX.XX
43273
ENDOSCOPIC PANCREATOSCOPY
$XXX.XX
43274
ERCP DUCT STENT PLACEMENT
$XXX.XX
43275
ERCP REMOVE FORGN BODY DUCT
$XXX.XX
43276
ERCP STENT EXCHANGE W/DILATE
$XXX.XX
43277
ERCP EA DUCT/AMPULLA DILATE
$XXX.XX
43278
ERCP LESION ABLATE W/DILATE
$XXX.XX
43279
LAP MYOTOMY HELLER
$XXX.XX
43280
LAPAROSCOPY FUNDOPLASTY
$XXX.XX
43281
LAP PARAESOPHAG HERN REPAIR
$XXX.XX
43282
LAP PARAESOPH HER RPR W/MESH
$XXX.XX
43283
LAP ESOPH LENGTHENING
$XXX.XX
43284
LAPS ESOPHGL SPHNCTR AGMNTJ
$XXX.XX
43285
RMVL ESOPHGL SPHNCTR DEV
$XXX.XX
43286
ESPHG TOT W/LAPS MOBLJ
$XXX.XX
43287
ESPHG DSTL 2/3 W/LAPS MOBLJ
$XXX.XX
43288
ESPHG THRSC MOBLJ
$XXX.XX
43300
REPAIR OF ESOPHAGUS
$XXX.XX
43305
REPAIR ESOPHAGUS AND FISTULA
$XXX.XX
43310
REPAIR OF ESOPHAGUS
$XXX.XX
43312
REPAIR ESOPHAGUS AND FISTULA
$XXX.XX
43313
ESOPHAGOPLASTY CONGENITAL
$XXX.XX
43314
TRACHEO-ESOPHAGOPLASTY CONG
$XXX.XX
43320
FUSE ESOPHAGUS & STOMACH
$XXX.XX
43325
REVISE ESOPHAGUS & STOMACH
$XXX.XX
43327
ESOPH FUNDOPLASTY LAP
$XXX.XX
43328
ESOPH FUNDOPLASTY THOR
$XXX.XX
43330
ESOPHAGOMYOTOMY ABDOMINAL
$XXX.XX
43331
ESOPHAGOMYOTOMY THORACIC
$XXX.XX
43332
TRANSAB ESOPH HIAT HERN RPR
$XXX.XX
43333
TRANSAB ESOPH HIAT HERN RPR
$XXX.XX
43334
TRANSTHOR DIAPHRAG HERN RPR
$XXX.XX
43335
TRANSTHOR DIAPHRAG HERN RPR
$XXX.XX
43336
THORABD DIAPHR HERN REPAIR
$XXX.XX
43337
THORABD DIAPHR HERN REPAIR
$XXX.XX
43338
ESOPH LENGTHENING
$XXX.XX
43340
FUSE ESOPHAGUS & INTESTINE
$XXX.XX
43341
FUSE ESOPHAGUS & INTESTINE
$XXX.XX
43351
SURGICAL OPENING ESOPHAGUS
$XXX.XX
43352
SURGICAL OPENING ESOPHAGUS
$XXX.XX
43360
GASTROINTESTINAL REPAIR
$XXX.XX
43361
GASTROINTESTINAL REPAIR
$XXX.XX
43400
LIGATE ESOPHAGUS VEINS
$XXX.XX
43401
ESOPHAGUS SURGERY FOR VEINS
$XXX.XX
43405
LIGATE/STAPLE ESOPHAGUS
$XXX.XX
43410
REPAIR ESOPHAGUS WOUND
$XXX.XX
43415
REPAIR ESOPHAGUS WOUND
$XXX.XX
43420
REPAIR ESOPHAGUS OPENING
$XXX.XX
43425
REPAIR ESOPHAGUS OPENING
$XXX.XX
43450
DILATE ESOPHAGUS 1/MULT PASS
$XXX.XX
43453
DILATE ESOPHAGUS
$XXX.XX
43460
PRESSURE TREATMENT ESOPHAGUS
$XXX.XX
43500
SURGICAL OPENING OF STOMACH
$XXX.XX
43501
SURGICAL REPAIR OF STOMACH
$XXX.XX
43502
SURGICAL REPAIR OF STOMACH
$XXX.XX
43510
SURGICAL OPENING OF STOMACH
$XXX.XX
43520
INCISION OF PYLORIC MUSCLE
$XXX.XX
43605
BIOPSY OF STOMACH
$XXX.XX
43610
EXCISION OF STOMACH LESION
$XXX.XX
43611
EXCISION OF STOMACH LESION
$XXX.XX
43620
REMOVAL OF STOMACH
$XXX.XX
43621
REMOVAL OF STOMACH
$XXX.XX
43622
REMOVAL OF STOMACH
$XXX.XX
43631
REMOVAL OF STOMACH PARTIAL
$XXX.XX
43632
REMOVAL OF STOMACH PARTIAL
$XXX.XX
43633
REMOVAL OF STOMACH PARTIAL
$XXX.XX
43634
REMOVAL OF STOMACH PARTIAL
$XXX.XX
43635
REMOVAL OF STOMACH PARTIAL
$XXX.XX
43640
VAGOTOMY & PYLORUS REPAIR
$XXX.XX
43641
VAGOTOMY & PYLORUS REPAIR
$XXX.XX
43644
LAP GASTRIC BYPASS/ROUX-EN-Y
$XXX.XX
43645
LAP GASTR BYPASS INCL SMLL I
$XXX.XX
43651
LAPAROSCOPY VAGUS NERVE
$XXX.XX
43652
LAPAROSCOPY VAGUS NERVE
$XXX.XX
43653
LAPAROSCOPY GASTROSTOMY
$XXX.XX
43752
NASAL/OROGASTRIC W/TUBE PLMT
$XXX.XX
43753
TX GASTRO INTUB W/ASP
$XXX.XX
43754
DX GASTR INTUB W/ASP SPEC
$XXX.XX
43755
DX GASTR INTUB W/ASP SPECS
$XXX.XX
43756
DX DUOD INTUB W/ASP SPEC
$XXX.XX
43757
DX DUOD INTUB W/ASP SPECS
$XXX.XX
43760
CHANGE GASTROSTOMY TUBE
$XXX.XX
43761
REPOSITION GASTROSTOMY TUBE
$XXX.XX
43770
LAP PLACE GASTR ADJ DEVICE
$XXX.XX
43771
LAP REVISE GASTR ADJ DEVICE
$XXX.XX
43772
LAP RMVL GASTR ADJ DEVICE
$XXX.XX
43773
LAP REPLACE GASTR ADJ DEVICE
$XXX.XX
43774
LAP RMVL GASTR ADJ ALL PARTS
$XXX.XX
43775
LAP SLEEVE GASTRECTOMY
$XXX.XX
43800
RECONSTRUCTION OF PYLORUS
$XXX.XX
43810
FUSION OF STOMACH AND BOWEL
$XXX.XX
43820
FUSION OF STOMACH AND BOWEL
$XXX.XX
43825
FUSION OF STOMACH AND BOWEL
$XXX.XX
43830
PLACE GASTROSTOMY TUBE
$XXX.XX
43831
PLACE GASTROSTOMY TUBE
$XXX.XX
43832
PLACE GASTROSTOMY TUBE
$XXX.XX
43840
REPAIR OF STOMACH LESION
$XXX.XX
43843
GASTROPLASTY W/O V-BAND
$XXX.XX
43845
GASTROPLASTY DUODENAL SWITCH
$XXX.XX
43846
GASTRIC BYPASS FOR OBESITY
$XXX.XX
43847
GASTRIC BYPASS INCL SMALL I
$XXX.XX
43848
REVISION GASTROPLASTY
$XXX.XX
43850
REVISE STOMACH-BOWEL FUSION
$XXX.XX
43855
REVISE STOMACH-BOWEL FUSION
$XXX.XX
43860
REVISE STOMACH-BOWEL FUSION
$XXX.XX
43865
REVISE STOMACH-BOWEL FUSION
$XXX.XX
43870
REPAIR STOMACH OPENING
$XXX.XX
43880
REPAIR STOMACH-BOWEL FISTULA
$XXX.XX
43886
REVISE GASTRIC PORT OPEN
$XXX.XX
43887
REMOVE GASTRIC PORT OPEN
$XXX.XX
43888
CHANGE GASTRIC PORT OPEN
$XXX.XX
44005
FREEING OF BOWEL ADHESION
$XXX.XX
44010
INCISION OF SMALL BOWEL
$XXX.XX
44015
INSERT NEEDLE CATH BOWEL
$XXX.XX
44020
EXPLORE SMALL INTESTINE
$XXX.XX
44021
DECOMPRESS SMALL BOWEL
$XXX.XX
44025
INCISION OF LARGE BOWEL
$XXX.XX
44050
REDUCE BOWEL OBSTRUCTION
$XXX.XX
44055
CORRECT MALROTATION OF BOWEL
$XXX.XX
44100
BIOPSY OF BOWEL
$XXX.XX
44110
EXCISE INTESTINE LESION(S)
$XXX.XX
44111
EXCISION OF BOWEL LESION(S)
$XXX.XX
44120
REMOVAL OF SMALL INTESTINE
$XXX.XX
44121
REMOVAL OF SMALL INTESTINE
$XXX.XX
44125
REMOVAL OF SMALL INTESTINE
$XXX.XX
44126
ENTERECTOMY W/O TAPER CONG
$XXX.XX
44127
ENTERECTOMY W/TAPER CONG
$XXX.XX
44128
ENTERECTOMY CONG ADD-ON
$XXX.XX
44130
BOWEL TO BOWEL FUSION
$XXX.XX
44139
MOBILIZATION OF COLON
$XXX.XX
44140
PARTIAL REMOVAL OF COLON
$XXX.XX
44141
PARTIAL REMOVAL OF COLON
$XXX.XX
44143
PARTIAL REMOVAL OF COLON
$XXX.XX
44144
PARTIAL REMOVAL OF COLON
$XXX.XX
44145
PARTIAL REMOVAL OF COLON
$XXX.XX
44146
PARTIAL REMOVAL OF COLON
$XXX.XX
44147
PARTIAL REMOVAL OF COLON
$XXX.XX
44150
REMOVAL OF COLON
$XXX.XX
44151
REMOVAL OF COLON/ILEOSTOMY
$XXX.XX
44155
REMOVAL OF COLON/ILEOSTOMY
$XXX.XX
44156
REMOVAL OF COLON/ILEOSTOMY
$XXX.XX
44157
COLECTOMY W/ILEOANAL ANAST
$XXX.XX
44158
COLECTOMY W/NEO-RECTUM POUCH
$XXX.XX
44160
REMOVAL OF COLON
$XXX.XX
44180
LAP ENTEROLYSIS
$XXX.XX
44186
LAP JEJUNOSTOMY
$XXX.XX
44187
LAP ILEO/JEJUNO-STOMY
$XXX.XX
44188
LAP COLOSTOMY
$XXX.XX
44202
LAP ENTERECTOMY
$XXX.XX
44203
LAP RESECT S/INTESTINE ADDL
$XXX.XX
44204
LAPARO PARTIAL COLECTOMY
$XXX.XX
44205
LAP COLECTOMY PART W/ILEUM
$XXX.XX
44206
LAP PART COLECTOMY W/STOMA
$XXX.XX
44207
L COLECTOMY/COLOPROCTOSTOMY
$XXX.XX
44208
L COLECTOMY/COLOPROCTOSTOMY
$XXX.XX
44210
LAPARO TOTAL PROCTOCOLECTOMY
$XXX.XX
44211
LAP COLECTOMY W/PROCTECTOMY
$XXX.XX
44212
LAPARO TOTAL PROCTOCOLECTOMY
$XXX.XX
44213
LAP MOBIL SPLENIC FL ADD-ON
$XXX.XX
44227
LAP CLOSE ENTEROSTOMY
$XXX.XX
44300
OPEN BOWEL TO SKIN
$XXX.XX
44310
ILEOSTOMY/JEJUNOSTOMY
$XXX.XX
44312
REVISION OF ILEOSTOMY
$XXX.XX
44314
REVISION OF ILEOSTOMY
$XXX.XX
44316
DEVISE BOWEL POUCH
$XXX.XX
44320
COLOSTOMY
$XXX.XX
44322
COLOSTOMY WITH BIOPSIES
$XXX.XX
44340
REVISION OF COLOSTOMY
$XXX.XX
44345
REVISION OF COLOSTOMY
$XXX.XX
44346
REVISION OF COLOSTOMY
$XXX.XX
44360
SMALL BOWEL ENDOSCOPY
$XXX.XX
44361
SMALL BOWEL ENDOSCOPY/BIOPSY
$XXX.XX
44363
SMALL BOWEL ENDOSCOPY
$XXX.XX
44364
SMALL BOWEL ENDOSCOPY
$XXX.XX
44365
SMALL BOWEL ENDOSCOPY
$XXX.XX
44366
SMALL BOWEL ENDOSCOPY
$XXX.XX
44369
SMALL BOWEL ENDOSCOPY
$XXX.XX
44370
SMALL BOWEL ENDOSCOPY/STENT
$XXX.XX
44372
SMALL BOWEL ENDOSCOPY
$XXX.XX
44373
SMALL BOWEL ENDOSCOPY
$XXX.XX
44376
SMALL BOWEL ENDOSCOPY
$XXX.XX
44377
SMALL BOWEL ENDOSCOPY/BIOPSY
$XXX.XX
44378
SMALL BOWEL ENDOSCOPY
$XXX.XX
44379
S BOWEL ENDOSCOPE W/STENT
$XXX.XX
44380
SMALL BOWEL ENDOSCOPY BR/WA
$XXX.XX
44381
SMALL BOWEL ENDOSCOPY BR/WA
$XXX.XX
44382
SMALL BOWEL ENDOSCOPY
$XXX.XX
44384
SMALL BOWEL ENDOSCOPY
$XXX.XX
44385
ENDOSCOPY OF BOWEL POUCH
$XXX.XX
44386
ENDOSCOPY BOWEL POUCH/BIOP
$XXX.XX
44388
COLONOSCOPY THRU STOMA SPX
$XXX.XX
44388-53
COLONOSCOPY THRU STOMA SPX
$XXX.XX
44389
COLONOSCOPY WITH BIOPSY
$XXX.XX
44390
COLONOSCOPY FOR FOREIGN BODY
$XXX.XX
44391
COLONOSCOPY FOR BLEEDING
$XXX.XX
44392
COLONOSCOPY & POLYPECTOMY
$XXX.XX
44394
COLONOSCOPY W/SNARE
$XXX.XX
44401
COLONOSCOPY WITH ABLATION
$XXX.XX
44402
COLONOSCOPY W/STENT PLCMT
$XXX.XX
44403
COLONOSCOPY W/RESECTION
$XXX.XX
44404
COLONOSCOPY W/INJECTION
$XXX.XX
44405
COLONOSCOPY W/DILATION
$XXX.XX
44406
COLONOSCOPY W/ULTRASOUND
$XXX.XX
44407
COLONOSCOPY W/NDL ASPIR/BX
$XXX.XX
44408
COLONOSCOPY W/DECOMPRESSION
$XXX.XX
44500
INTRO GASTROINTESTINAL TUBE
$XXX.XX
44602
SUTURE SMALL INTESTINE
$XXX.XX
44603
SUTURE SMALL INTESTINE
$XXX.XX
44604
SUTURE LARGE INTESTINE
$XXX.XX
44605
REPAIR OF BOWEL LESION
$XXX.XX
44615
INTESTINAL STRICTUROPLASTY
$XXX.XX
44620
REPAIR BOWEL OPENING
$XXX.XX
44625
REPAIR BOWEL OPENING
$XXX.XX
44626
REPAIR BOWEL OPENING
$XXX.XX
44640
REPAIR BOWEL-SKIN FISTULA
$XXX.XX
44650
REPAIR BOWEL FISTULA
$XXX.XX
44660
REPAIR BOWEL-BLADDER FISTULA
$XXX.XX
44661
REPAIR BOWEL-BLADDER FISTULA
$XXX.XX
44680
SURGICAL REVISION INTESTINE
$XXX.XX
44700
SUSPEND BOWEL W/PROSTHESIS
$XXX.XX
44701
INTRAOP COLON LAVAGE ADD-ON
$XXX.XX
44720
PREP DONOR INTESTINE/VENOUS
$XXX.XX
44721
PREP DONOR INTESTINE/ARTERY
$XXX.XX
44800
EXCISION OF BOWEL POUCH
$XXX.XX
44820
EXCISION OF MESENTERY LESION
$XXX.XX
44850
REPAIR OF MESENTERY
$XXX.XX
44900
DRAIN APPENDIX ABSCESS OPEN
$XXX.XX
44950
APPENDECTOMY
$XXX.XX
44955
APPENDECTOMY ADD-ON
$XXX.XX
44960
APPENDECTOMY
$XXX.XX
44970
LAPAROSCOPY APPENDECTOMY
$XXX.XX
45000
DRAINAGE OF PELVIC ABSCESS
$XXX.XX
45005
DRAINAGE OF RECTAL ABSCESS
$XXX.XX
45020
DRAINAGE OF RECTAL ABSCESS
$XXX.XX
45100
BIOPSY OF RECTUM
$XXX.XX
45108
REMOVAL OF ANORECTAL LESION
$XXX.XX
45110
REMOVAL OF RECTUM
$XXX.XX
45111
PARTIAL REMOVAL OF RECTUM
$XXX.XX
45112
REMOVAL OF RECTUM
$XXX.XX
45113
PARTIAL PROCTECTOMY
$XXX.XX
45114
PARTIAL REMOVAL OF RECTUM
$XXX.XX
45116
PARTIAL REMOVAL OF RECTUM
$XXX.XX
45119
REMOVE RECTUM W/RESERVOIR
$XXX.XX
45120
REMOVAL OF RECTUM
$XXX.XX
45121
REMOVAL OF RECTUM AND COLON
$XXX.XX
45123
PARTIAL PROCTECTOMY
$XXX.XX
45126
PELVIC EXENTERATION
$XXX.XX
45130
EXCISION OF RECTAL PROLAPSE
$XXX.XX
45135
EXCISION OF RECTAL PROLAPSE
$XXX.XX
45136
EXCISE ILEOANAL RESERVIOR
$XXX.XX
45150
EXCISION OF RECTAL STRICTURE
$XXX.XX
45160
EXCISION OF RECTAL LESION
$XXX.XX
45171
EXC RECT TUM TRANSANAL PART
$XXX.XX
45172
EXC RECT TUM TRANSANAL FULL
$XXX.XX
45190
DESTRUCTION RECTAL TUMOR
$XXX.XX
45300
PROCTOSIGMOIDOSCOPY DX
$XXX.XX
45303
PROCTOSIGMOIDOSCOPY DILATE
$XXX.XX
45305
PROCTOSIGMOIDOSCOPY W/BX
$XXX.XX
45307
PROCTOSIGMOIDOSCOPY FB
$XXX.XX
45308
PROCTOSIGMOIDOSCOPY REMOVAL
$XXX.XX
45309
PROCTOSIGMOIDOSCOPY REMOVAL
$XXX.XX
45315
PROCTOSIGMOIDOSCOPY REMOVAL
$XXX.XX
45317
PROCTOSIGMOIDOSCOPY BLEED
$XXX.XX
45320
PROCTOSIGMOIDOSCOPY ABLATE
$XXX.XX
45321
PROCTOSIGMOIDOSCOPY VOLVUL
$XXX.XX
45327
PROCTOSIGMOIDOSCOPY W/STENT
$XXX.XX
45330
DIAGNOSTIC SIGMOIDOSCOPY
$XXX.XX
45331
SIGMOIDOSCOPY AND BIOPSY
$XXX.XX
45332
SIGMOIDOSCOPY W/FB REMOVAL
$XXX.XX
45333
SIGMOIDOSCOPY & POLYPECTOMY
$XXX.XX
45334
SIGMOIDOSCOPY FOR BLEEDING
$XXX.XX
45335
SIGMOIDOSCOPY W/SUBMUC INJ
$XXX.XX
45337
SIGMOIDOSCOPY & DECOMPRESS
$XXX.XX
45338
SIGMOIDOSCOPY W/TUMR REMOVE
$XXX.XX
45340
SIG W/TNDSC BALLOON DILATION
$XXX.XX
45341
SIGMOIDOSCOPY W/ULTRASOUND
$XXX.XX
45342
SIGMOIDOSCOPY W/US GUIDE BX
$XXX.XX
45346
SIGMOIDOSCOPY W/ABLATION
$XXX.XX
45347
SIGMOIDOSCOPY W/PLCMT STENT
$XXX.XX
45349
SIGMOIDOSCOPY W/RESECTION
$XXX.XX
45350
SGMDSC W/BAND LIGATION
$XXX.XX
45378
DIAGNOSTIC COLONOSCOPY
$XXX.XX
45378-53
DIAGNOSTIC COLONOSCOPY
$XXX.XX
45379
COLONOSCOPY W/FB REMOVAL
$XXX.XX
45380
COLONOSCOPY AND BIOPSY
$XXX.XX
45381
COLONOSCOPY SUBMUCOUS NJX
$XXX.XX
45382
COLONOSCOPY W/CONTROL BLEED
$XXX.XX
45384
COLONOSCOPY W/LESION REMOVAL
$XXX.XX
45385
COLONOSCOPY W/LESION REMOVAL
$XXX.XX
45386
COLONOSCOPY W/BALLOON DILAT
$XXX.XX
45388
COLONOSCOPY W/ABLATION
$XXX.XX
45389
COLONOSCOPY W/STENT PLCMT
$XXX.XX
45390
COLONOSCOPY W/RESECTION
$XXX.XX
45391
COLONOSCOPY W/ENDOSCOPE US
$XXX.XX
45392
COLONOSCOPY W/ENDOSCOPIC FNB
$XXX.XX
45393
COLONOSCOPY W/DECOMPRESSION
$XXX.XX
45395
LAP REMOVAL OF RECTUM
$XXX.XX
45397
LAP REMOVE RECTUM W/POUCH
$XXX.XX
45398
COLONOSCOPY W/BAND LIGATION
$XXX.XX
45400
LAPAROSCOPIC PROC
$XXX.XX
45402
LAP PROCTOPEXY W/SIG RESECT
$XXX.XX
45500
REPAIR OF RECTUM
$XXX.XX
45505
REPAIR OF RECTUM
$XXX.XX
45520
TREATMENT OF RECTAL PROLAPSE
$XXX.XX
45540
CORRECT RECTAL PROLAPSE
$XXX.XX
45541
CORRECT RECTAL PROLAPSE
$XXX.XX
45550
REPAIR RECTUM/REMOVE SIGMOID
$XXX.XX
45560
REPAIR OF RECTOCELE
$XXX.XX
45562
EXPLORATION/REPAIR OF RECTUM
$XXX.XX
45563
EXPLORATION/REPAIR OF RECTUM
$XXX.XX
45800
REPAIR RECT/BLADDER FISTULA
$XXX.XX
45805
REPAIR FISTULA W/COLOSTOMY
$XXX.XX
45820
REPAIR RECTOURETHRAL FISTULA
$XXX.XX
45825
REPAIR FISTULA W/COLOSTOMY
$XXX.XX
45900
REDUCTION OF RECTAL PROLAPSE
$XXX.XX
45905
DILATION OF ANAL SPHINCTER
$XXX.XX
45910
DILATION OF RECTAL NARROWING
$XXX.XX
45915
REMOVE RECTAL OBSTRUCTION
$XXX.XX
45990
SURG DX EXAM ANORECTAL
$XXX.XX
46020
PLACEMENT OF SETON
$XXX.XX
46030
REMOVAL OF RECTAL MARKER
$XXX.XX
46040
INCISION OF RECTAL ABSCESS
$XXX.XX
46045
INCISION OF RECTAL ABSCESS
$XXX.XX
46050
INCISION OF ANAL ABSCESS
$XXX.XX
46060
INCISION OF RECTAL ABSCESS
$XXX.XX
46070
INCISION OF ANAL SEPTUM
$XXX.XX
46080
INCISION OF ANAL SPHINCTER
$XXX.XX
46083
INCISE EXTERNAL HEMORRHOID
$XXX.XX
46200
REMOVAL OF ANAL FISSURE
$XXX.XX
46220
EXCISE ANAL EXT TAG/PAPILLA
$XXX.XX
46221
LIGATION OF HEMORRHOID(S)
$XXX.XX
46230
REMOVAL OF ANAL TAGS
$XXX.XX
46250
REMOVE EXT HEM GROUPS 2+
$XXX.XX
46255
REMOVE INT/EXT HEM 1 GROUP
$XXX.XX
46257
REMOVE IN/EX HEM GRP & FISS
$XXX.XX
46258
REMOVE IN/EX HEM GRP W/FISTU
$XXX.XX
46260
REMOVE IN/EX HEM GROUPS 2+
$XXX.XX
46261
REMOVE IN/EX HEM GRPS & FISS
$XXX.XX
46262
REMOVE IN/EX HEM GRPS W/FIST
$XXX.XX
46270
REMOVE ANAL FIST SUBQ
$XXX.XX
46275
REMOVE ANAL FIST INTER
$XXX.XX
46280
REMOVE ANAL FIST COMPLEX
$XXX.XX
46285
REMOVE ANAL FIST 2 STAGE
$XXX.XX
46288
REPAIR ANAL FISTULA
$XXX.XX
46320
REMOVAL OF HEMORRHOID CLOT
$XXX.XX
46500
INJECTION INTO HEMORRHOID(S)
$XXX.XX
46505
CHEMODENERVATION ANAL MUSC
$XXX.XX
46600
DIAGNOSTIC ANOSCOPY SPX
$XXX.XX
46601
DIAGNOSTIC ANOSCOPY
$XXX.XX
46604
ANOSCOPY AND DILATION
$XXX.XX
46606
ANOSCOPY AND BIOPSY
$XXX.XX
46607
DIAGNOSTIC ANOSCOPY & BIOPSY
$XXX.XX
46608
ANOSCOPY REMOVE FOR BODY
$XXX.XX
46610
ANOSCOPY REMOVE LESION
$XXX.XX
46611
ANOSCOPY
$XXX.XX
46612
ANOSCOPY REMOVE LESIONS
$XXX.XX
46614
ANOSCOPY CONTROL BLEEDING
$XXX.XX
46615
ANOSCOPY
$XXX.XX
46700
REPAIR OF ANAL STRICTURE
$XXX.XX
46705
REPAIR OF ANAL STRICTURE
$XXX.XX
46706
REPR OF ANAL FISTULA W/GLUE
$XXX.XX
46707
REPAIR ANORECTAL FIST W/PLUG
$XXX.XX
46710
REPR PER/VAG POUCH SNGL PROC
$XXX.XX
46712
REPR PER/VAG POUCH DBL PROC
$XXX.XX
46715
REP PERF ANOPER FISTU
$XXX.XX
46716
REP PERF ANOPER/VESTIB FISTU
$XXX.XX
46730
CONSTRUCTION OF ABSENT ANUS
$XXX.XX
46735
CONSTRUCTION OF ABSENT ANUS
$XXX.XX
46740
CONSTRUCTION OF ABSENT ANUS
$XXX.XX
46742
REPAIR OF IMPERFORATED ANUS
$XXX.XX
46744
REPAIR OF CLOACAL ANOMALY
$XXX.XX
46746
REPAIR OF CLOACAL ANOMALY
$XXX.XX
46748
REPAIR OF CLOACAL ANOMALY
$XXX.XX
46750
REPAIR OF ANAL SPHINCTER
$XXX.XX
46751
REPAIR OF ANAL SPHINCTER
$XXX.XX
46753
RECONSTRUCTION OF ANUS
$XXX.XX
46754
REMOVAL OF SUTURE FROM ANUS
$XXX.XX
46760
REPAIR OF ANAL SPHINCTER
$XXX.XX
46761
REPAIR OF ANAL SPHINCTER
$XXX.XX
46762
IMPLANT ARTIFICIAL SPHINCTER
$XXX.XX
46900
DESTRUCTION ANAL LESION(S)
$XXX.XX
46910
DESTRUCTION ANAL LESION(S)
$XXX.XX
46916
CRYOSURGERY ANAL LESION(S)
$XXX.XX
46917
LASER SURGERY ANAL LESIONS
$XXX.XX
46922
EXCISION OF ANAL LESION(S)
$XXX.XX
46924
DESTRUCTION ANAL LESION(S)
$XXX.XX
46930
DESTROY INTERNAL HEMORRHOIDS
$XXX.XX
46940
TREATMENT OF ANAL FISSURE
$XXX.XX
46942
TREATMENT OF ANAL FISSURE
$XXX.XX
46945
REMOVE BY LIGAT INT HEM GRP
$XXX.XX
46946
REMOVE BY LIGAT INT HEM GRPS
$XXX.XX
46947
HEMORRHOIDOPEXY BY STAPLING
$XXX.XX
47000
NEEDLE BIOPSY OF LIVER
$XXX.XX
47001
NEEDLE BIOPSY LIVER ADD-ON
$XXX.XX
47010
OPEN DRAINAGE LIVER LESION
$XXX.XX
47015
INJECT/ASPIRATE LIVER CYST
$XXX.XX
47100
WEDGE BIOPSY OF LIVER
$XXX.XX
47120
PARTIAL REMOVAL OF LIVER
$XXX.XX
47122
EXTENSIVE REMOVAL OF LIVER
$XXX.XX
47125
PARTIAL REMOVAL OF LIVER
$XXX.XX
47130
PARTIAL REMOVAL OF LIVER
$XXX.XX
47135
TRANSPLANTATION OF LIVER
$XXX.XX
47140
PARTIAL REMOVAL DONOR LIVER
$XXX.XX
47141
PARTIAL REMOVAL DONOR LIVER
$XXX.XX
47142
PARTIAL REMOVAL DONOR LIVER
$XXX.XX
47146
PREP DONOR LIVER/VENOUS
$XXX.XX
47147
PREP DONOR LIVER/ARTERIAL
$XXX.XX
47300
SURGERY FOR LIVER LESION
$XXX.XX
47350
REPAIR LIVER WOUND
$XXX.XX
47360
REPAIR LIVER WOUND
$XXX.XX
47361
REPAIR LIVER WOUND
$XXX.XX
47362
REPAIR LIVER WOUND
$XXX.XX
47370
LAPARO ABLATE LIVER TUMOR RF
$XXX.XX
47371
LAPARO ABLATE LIVER CRYOSURG
$XXX.XX
47380
OPEN ABLATE LIVER TUMOR RF
$XXX.XX
47381
OPEN ABLATE LIVER TUMOR CRYO
$XXX.XX
47382
PERCUT ABLATE LIVER RF
$XXX.XX
47383
PERQ ABLTJ LVR CRYOABLATION
$XXX.XX
47400
INCISION OF LIVER DUCT
$XXX.XX
47420
INCISION OF BILE DUCT
$XXX.XX
47425
INCISION OF BILE DUCT
$XXX.XX
47460
INCISE BILE DUCT SPHINCTER
$XXX.XX
47480
INCISION OF GALLBLADDER
$XXX.XX
47490
INCISION OF GALLBLADDER
$XXX.XX
47531
INJECTION FOR CHOLANGIOGRAM
$XXX.XX
47532
INJECTION FOR CHOLANGIOGRAM
$XXX.XX
47533
PLMT BILIARY DRAINAGE CATH
$XXX.XX
47534
PLMT BILIARY DRAINAGE CATH
$XXX.XX
47535
CONVERSION EXT BIL DRG CATH
$XXX.XX
47536
EXCHANGE BILIARY DRG CATH
$XXX.XX
47537
REMOVAL BILIARY DRG CATH
$XXX.XX
47538
PERQ PLMT BILE DUCT STENT
$XXX.XX
47539
PERQ PLMT BILE DUCT STENT
$XXX.XX
47540
PERQ PLMT BILE DUCT STENT
$XXX.XX
47541
PLMT ACCESS BIL TREE SM BWL
$XXX.XX
47542
DILATE BILIARY DUCT/AMPULLA
$XXX.XX
47543
ENDOLUMINAL BX BILIARY TREE
$XXX.XX
47544
REMOVAL DUCT GLBLDR CALCULI
$XXX.XX
47550
BILE DUCT ENDOSCOPY ADD-ON
$XXX.XX
47552
BILIARY ENDO PERQ DX W/SPECI
$XXX.XX
47553
BILIARY ENDOSCOPY THRU SKIN
$XXX.XX
47554
BILIARY ENDOSCOPY THRU SKIN
$XXX.XX
47555
BILIARY ENDOSCOPY THRU SKIN
$XXX.XX
47556
BILIARY ENDOSCOPY THRU SKIN
$XXX.XX
47562
LAPAROSCOPIC CHOLECYSTECTOMY
$XXX.XX
47563
LAPARO CHOLECYSTECTOMY/GRAPH
$XXX.XX
47564
LAPARO CHOLECYSTECTOMY/EXPLR
$XXX.XX
47570
LAPARO CHOLECYSTOENTEROSTOMY
$XXX.XX
47600
REMOVAL OF GALLBLADDER
$XXX.XX
47605
REMOVAL OF GALLBLADDER
$XXX.XX
47610
REMOVAL OF GALLBLADDER
$XXX.XX
47612
REMOVAL OF GALLBLADDER
$XXX.XX
47620
REMOVAL OF GALLBLADDER
$XXX.XX
47700
EXPLORATION OF BILE DUCTS
$XXX.XX
47701
BILE DUCT REVISION
$XXX.XX
47711
EXCISION OF BILE DUCT TUMOR
$XXX.XX
47712
EXCISION OF BILE DUCT TUMOR
$XXX.XX
47715
EXCISION OF BILE DUCT CYST
$XXX.XX
47720
FUSE GALLBLADDER & BOWEL
$XXX.XX
47721
FUSE UPPER GI STRUCTURES
$XXX.XX
47740
FUSE GALLBLADDER & BOWEL
$XXX.XX
47741
FUSE GALLBLADDER & BOWEL
$XXX.XX
47760
FUSE BILE DUCTS AND BOWEL
$XXX.XX
47765
FUSE LIVER DUCTS & BOWEL
$XXX.XX
47780
FUSE BILE DUCTS AND BOWEL
$XXX.XX
47785
FUSE BILE DUCTS AND BOWEL
$XXX.XX
47800
RECONSTRUCTION OF BILE DUCTS
$XXX.XX
47801
PLACEMENT BILE DUCT SUPPORT
$XXX.XX
47802
FUSE LIVER DUCT & INTESTINE
$XXX.XX
47900
SUTURE BILE DUCT INJURY
$XXX.XX
48000
DRAINAGE OF ABDOMEN
$XXX.XX
48001
PLACEMENT OF DRAIN PANCREAS
$XXX.XX
48020
REMOVAL OF PANCREATIC STONE
$XXX.XX
48100
BIOPSY OF PANCREAS OPEN
$XXX.XX
48102
NEEDLE BIOPSY PANCREAS
$XXX.XX
48105
RESECT/DEBRIDE PANCREAS
$XXX.XX
48120
REMOVAL OF PANCREAS LESION
$XXX.XX
48140
PARTIAL REMOVAL OF PANCREAS
$XXX.XX
48145
PARTIAL REMOVAL OF PANCREAS
$XXX.XX
48146
PANCREATECTOMY
$XXX.XX
48148
REMOVAL OF PANCREATIC DUCT
$XXX.XX
48150
PARTIAL REMOVAL OF PANCREAS
$XXX.XX
48152
PANCREATECTOMY
$XXX.XX
48153
PANCREATECTOMY
$XXX.XX
48154
PANCREATECTOMY
$XXX.XX
48155
REMOVAL OF PANCREAS
$XXX.XX
48400
INJECTION INTRAOP ADD-ON
$XXX.XX
48500
SURGERY OF PANCREATIC CYST
$XXX.XX
48510
DRAIN PANCREATIC PSEUDOCYST
$XXX.XX
48520
FUSE PANCREAS CYST AND BOWEL
$XXX.XX
48540
FUSE PANCREAS CYST AND BOWEL
$XXX.XX
48545
PANCREATORRHAPHY
$XXX.XX
48547
DUODENAL EXCLUSION
$XXX.XX
48548
FUSE PANCREAS AND BOWEL
$XXX.XX
48552
PREP DONOR PANCREAS/VENOUS
$XXX.XX
48554
TRANSPL ALLOGRAFT PANCREAS
$XXX.XX
48556
REMOVAL ALLOGRAFT PANCREAS
$XXX.XX
49000
EXPLORATION OF ABDOMEN
$XXX.XX
49002
REOPENING OF ABDOMEN
$XXX.XX
49010
EXPLORATION BEHIND ABDOMEN
$XXX.XX
49020
DRAINAGE ABDOM ABSCESS OPEN
$XXX.XX
49040
DRAIN OPEN ABDOM ABSCESS
$XXX.XX
49060
DRAIN OPEN RETROPERI ABSCESS
$XXX.XX
49062
DRAIN TO PERITONEAL CAVITY
$XXX.XX
49082
ABD PARACENTESIS
$XXX.XX
49083
ABD PARACENTESIS W/IMAGING
$XXX.XX
49084
PERITONEAL LAVAGE
$XXX.XX
49180
BIOPSY ABDOMINAL MASS
$XXX.XX
49185
SCLEROTX FLUID COLLECTION
$XXX.XX
49203
EXC ABD TUM 5 CM OR LESS
$XXX.XX
49204
EXC ABD TUM OVER 5 CM
$XXX.XX
49205
EXC ABD TUM OVER 10 CM
$XXX.XX
49215
EXCISE SACRAL SPINE TUMOR
$XXX.XX
49220
MULTIPLE SURGERY ABDOMEN
$XXX.XX
49250
EXCISION OF UMBILICUS
$XXX.XX
49255
REMOVAL OF OMENTUM
$XXX.XX
49320
DIAG LAPARO SEPARATE PROC
$XXX.XX
49321
LAPAROSCOPY BIOPSY
$XXX.XX
49322
LAPAROSCOPY ASPIRATION
$XXX.XX
49323
LAPARO DRAIN LYMPHOCELE
$XXX.XX
49324
LAP INSERT TUNNEL IP CATH
$XXX.XX
49325
LAP REVISION PERM IP CATH
$XXX.XX
49326
LAP W/OMENTOPEXY ADD-ON
$XXX.XX
49327
LAP INS DEVICE FOR RT
$XXX.XX
49400
AIR INJECTION INTO ABDOMEN
$XXX.XX
49402
REMOVE FOREIGN BODY ADBOMEN
$XXX.XX
49405
IMAGE CATH FLUID COLXN VISC
$XXX.XX
49406
IMAGE CATH FLUID PERI/RETRO
$XXX.XX
49407
IMAGE CATH FLUID TRNS/VGNL
$XXX.XX
49411
INS MARK ABD/PEL FOR RT PERQ
$XXX.XX
49412
INS DEVICE FOR RT GUIDE OPEN
$XXX.XX
49418
INSERT TUN IP CATH PERC
$XXX.XX
49419
INSERT TUN IP CATH W/PORT
$XXX.XX
49421
INS TUN IP CATH FOR DIAL OPN
$XXX.XX
49422
REMOVE TUNNELED IP CATH
$XXX.XX
49423
EXCHANGE DRAINAGE CATHETER
$XXX.XX
49424
ASSESS CYST CONTRAST INJECT
$XXX.XX
49425
INSERT ABDOMEN-VENOUS DRAIN
$XXX.XX
49426
REVISE ABDOMEN-VENOUS SHUNT
$XXX.XX
49427
INJECTION ABDOMINAL SHUNT
$XXX.XX
49428
LIGATION OF SHUNT
$XXX.XX
49429
REMOVAL OF SHUNT
$XXX.XX
49435
INSERT SUBQ EXTEN TO IP CATH
$XXX.XX
49436
EMBEDDED IP CATH EXIT-SITE
$XXX.XX
49440
PLACE GASTROSTOMY TUBE PERC
$XXX.XX
49441
PLACE DUOD/JEJ TUBE PERC
$XXX.XX
49442
PLACE CECOSTOMY TUBE PERC
$XXX.XX
49446
CHANGE G-TUBE TO G-J PERC
$XXX.XX
49450
REPLACE G/C TUBE PERC
$XXX.XX
49451
REPLACE DUOD/JEJ TUBE PERC
$XXX.XX
49452
REPLACE G-J TUBE PERC
$XXX.XX
49460
FIX G/COLON TUBE W/DEVICE
$XXX.XX
49465
FLUORO EXAM OF G/COLON TUBE
$XXX.XX
49491
RPR HERN PREEMIE REDUC
$XXX.XX
49492
RPR ING HERN PREMIE BLOCKED
$XXX.XX
49495
RPR ING HERNIA BABY REDUC
$XXX.XX
49496
RPR ING HERNIA BABY BLOCKED
$XXX.XX
49500
RPR ING HERNIA INIT REDUCE
$XXX.XX
49501
RPR ING HERNIA INIT BLOCKED
$XXX.XX
49505
PRP I/HERN INIT REDUC >5 YR
$XXX.XX
49507
PRP I/HERN INIT BLOCK >5 YR
$XXX.XX
49520
REREPAIR ING HERNIA REDUCE
$XXX.XX
49521
REREPAIR ING HERNIA BLOCKED
$XXX.XX
49525
REPAIR ING HERNIA SLIDING
$XXX.XX
49540
REPAIR LUMBAR HERNIA
$XXX.XX
49550
RPR REM HERNIA INIT REDUCE
$XXX.XX
49553
RPR FEM HERNIA INIT BLOCKED
$XXX.XX
49555
REREPAIR FEM HERNIA REDUCE
$XXX.XX
49557
REREPAIR FEM HERNIA BLOCKED
$XXX.XX
49560
RPR VENTRAL HERN INIT REDUC
$XXX.XX
49561
RPR VENTRAL HERN INIT BLOCK
$XXX.XX
49565
REREPAIR VENTRL HERN REDUCE
$XXX.XX
49566
REREPAIR VENTRL HERN BLOCK
$XXX.XX
49568
HERNIA REPAIR W/MESH
$XXX.XX
49570
RPR EPIGASTRIC HERN REDUCE
$XXX.XX
49572
RPR EPIGASTRIC HERN BLOCKED
$XXX.XX
49580
RPR UMBIL HERN REDUC < 5 YR
$XXX.XX
49582
RPR UMBIL HERN BLOCK < 5 YR
$XXX.XX
49585
RPR UMBIL HERN REDUC > 5 YR
$XXX.XX
49587
RPR UMBIL HERN BLOCK > 5 YR
$XXX.XX
49590
REPAIR SPIGELIAN HERNIA
$XXX.XX
49600
REPAIR UMBILICAL LESION
$XXX.XX
49605
REPAIR UMBILICAL LESION
$XXX.XX
49606
REPAIR UMBILICAL LESION
$XXX.XX
49610
REPAIR UMBILICAL LESION
$XXX.XX
49611
REPAIR UMBILICAL LESION
$XXX.XX
49650
LAP ING HERNIA REPAIR INIT
$XXX.XX
49651
LAP ING HERNIA REPAIR RECUR
$XXX.XX
49652
LAP VENT/ABD HERNIA REPAIR
$XXX.XX
49653
LAP VENT/ABD HERN PROC COMP
$XXX.XX
49654
LAP INC HERNIA REPAIR
$XXX.XX
49655
LAP INC HERN REPAIR COMP
$XXX.XX
49656
LAP INC HERNIA REPAIR RECUR
$XXX.XX
49657
LAP INC HERN RECUR COMP
$XXX.XX
49900
REPAIR OF ABDOMINAL WALL
$XXX.XX
49904
OMENTAL FLAP EXTRA-ABDOM
$XXX.XX
49905
OMENTAL FLAP INTRA-ABDOM
$XXX.XX
50010
EXPLORATION OF KIDNEY
$XXX.XX
50020
RENAL ABSCESS OPEN DRAIN
$XXX.XX
50040
DRAINAGE OF KIDNEY
$XXX.XX
50045
EXPLORATION OF KIDNEY
$XXX.XX
50060
REMOVAL OF KIDNEY STONE
$XXX.XX
50065
INCISION OF KIDNEY
$XXX.XX
50070
INCISION OF KIDNEY
$XXX.XX
50075
REMOVAL OF KIDNEY STONE
$XXX.XX
50080
REMOVAL OF KIDNEY STONE
$XXX.XX
50081
REMOVAL OF KIDNEY STONE
$XXX.XX
50100
REVISE KIDNEY BLOOD VESSELS
$XXX.XX
50120
EXPLORATION OF KIDNEY
$XXX.XX
50125
EXPLORE AND DRAIN KIDNEY
$XXX.XX
50130
REMOVAL OF KIDNEY STONE
$XXX.XX
50135
EXPLORATION OF KIDNEY
$XXX.XX
50200
RENAL BIOPSY PERQ
$XXX.XX
50205
RENAL BIOPSY OPEN
$XXX.XX
50220
REMOVE KIDNEY OPEN
$XXX.XX
50225
REMOVAL KIDNEY OPEN COMPLEX
$XXX.XX
50230
REMOVAL KIDNEY OPEN RADICAL
$XXX.XX
50234
REMOVAL OF KIDNEY & URETER
$XXX.XX
50236
REMOVAL OF KIDNEY & URETER
$XXX.XX
50240
PARTIAL REMOVAL OF KIDNEY
$XXX.XX
50250
CRYOABLATE RENAL MASS OPEN
$XXX.XX
50280
REMOVAL OF KIDNEY LESION
$XXX.XX
50290
REMOVAL OF KIDNEY LESION
$XXX.XX
50320
REMOVE KIDNEY LIVING DONOR
$XXX.XX
50327
PREP RENAL GRAFT/VENOUS
$XXX.XX
50328
PREP RENAL GRAFT/ARTERIAL
$XXX.XX
50329
PREP RENAL GRAFT/URETERAL
$XXX.XX
50340
REMOVAL OF KIDNEY
$XXX.XX
50360
TRANSPLANTATION OF KIDNEY
$XXX.XX
50365
TRANSPLANTATION OF KIDNEY
$XXX.XX
50370
REMOVE TRANSPLANTED KIDNEY
$XXX.XX
50380
REIMPLANTATION OF KIDNEY
$XXX.XX
50382
CHANGE URETER STENT PERCUT
$XXX.XX
50384
REMOVE URETER STENT PERCUT
$XXX.XX
50385
CHANGE STENT VIA TRANSURETH
$XXX.XX
50386
REMOVE STENT VIA TRANSURETH
$XXX.XX
50387
CHANGE NEPHROURETERAL CATH
$XXX.XX
50389
REMOVE RENAL TUBE W/FLUORO
$XXX.XX
50390
DRAINAGE OF KIDNEY LESION
$XXX.XX
50391
INSTLL RX AGNT INTO RNAL TUB
$XXX.XX
50395
CREATE PASSAGE TO KIDNEY
$XXX.XX
50396
MEASURE KIDNEY PRESSURE
$XXX.XX
50400
REVISION OF KIDNEY/URETER
$XXX.XX
50405
REVISION OF KIDNEY/URETER
$XXX.XX
50430
NJX PX NFROSGRM &/URTRGRM
$XXX.XX
50431
NJX PX NFROSGRM &/URTRGRM
$XXX.XX
50432
PLMT NEPHROSTOMY CATHETER
$XXX.XX
50433
PLMT NEPHROURETERAL CATHETER
$XXX.XX
50434
CONVERT NEPHROSTOMY CATHETER
$XXX.XX
50435
EXCHANGE NEPHROSTOMY CATH
$XXX.XX
50500
REPAIR OF KIDNEY WOUND
$XXX.XX
50520
CLOSE KIDNEY-SKIN FISTULA
$XXX.XX
50525
CLOSE NEPHROVISCERAL FISTULA
$XXX.XX
50526
CLOSE NEPHROVISCERAL FISTULA
$XXX.XX
50540
REVISION OF HORSESHOE KIDNEY
$XXX.XX
50541
LAPARO ABLATE RENAL CYST
$XXX.XX
50542
LAPARO ABLATE RENAL MASS
$XXX.XX
50543
LAPARO PARTIAL NEPHRECTOMY
$XXX.XX
50544
LAPAROSCOPY PYELOPLASTY
$XXX.XX
50545
LAPARO RADICAL NEPHRECTOMY
$XXX.XX
50546
LAPAROSCOPIC NEPHRECTOMY
$XXX.XX
50547
LAPARO REMOVAL DONOR KIDNEY
$XXX.XX
50548
LAPARO REMOVE W/URETER
$XXX.XX
50551
KIDNEY ENDOSCOPY
$XXX.XX
50553
KIDNEY ENDOSCOPY
$XXX.XX
50555
KIDNEY ENDOSCOPY & BIOPSY
$XXX.XX
50557
KIDNEY ENDOSCOPY & TREATMENT
$XXX.XX
50561
KIDNEY ENDOSCOPY & TREATMENT
$XXX.XX
50562
RENAL SCOPE W/TUMOR RESECT
$XXX.XX
50570
KIDNEY ENDOSCOPY
$XXX.XX
50572
KIDNEY ENDOSCOPY
$XXX.XX
50574
KIDNEY ENDOSCOPY & BIOPSY
$XXX.XX
50575
KIDNEY ENDOSCOPY
$XXX.XX
50576
KIDNEY ENDOSCOPY & TREATMENT
$XXX.XX
50580
KIDNEY ENDOSCOPY & TREATMENT
$XXX.XX
50590
FRAGMENTING OF KIDNEY STONE
$XXX.XX
50592
PERC RF ABLATE RENAL TUMOR
$XXX.XX
50593
PERC CRYO ABLATE RENAL TUM
$XXX.XX
50600
EXPLORATION OF URETER
$XXX.XX
50605
INSERT URETERAL SUPPORT
$XXX.XX
50606
ENDOLUMINAL BX URTR RNL PLVS
$XXX.XX
50610
REMOVAL OF URETER STONE
$XXX.XX
50620
REMOVAL OF URETER STONE
$XXX.XX
50630
REMOVAL OF URETER STONE
$XXX.XX
50650
REMOVAL OF URETER
$XXX.XX
50660
REMOVAL OF URETER
$XXX.XX
50684
INJECTION FOR URETER X-RAY
$XXX.XX
50686
MEASURE URETER PRESSURE
$XXX.XX
50688
CHANGE OF URETER TUBE/STENT
$XXX.XX
50690
INJECTION FOR URETER X-RAY
$XXX.XX
50693
PLMT URETERAL STENT PRQ
$XXX.XX
50694
PLMT URETERAL STENT PRQ
$XXX.XX
50695
PLMT URETERAL STENT PRQ
$XXX.XX
50700
REVISION OF URETER
$XXX.XX
50705
URETERAL EMBOLIZATION/OCCL
$XXX.XX
50706
BALLOON DILATE URTRL STRIX
$XXX.XX
50715
RELEASE OF URETER
$XXX.XX
50722
RELEASE OF URETER
$XXX.XX
50725
RELEASE/REVISE URETER
$XXX.XX
50727
REVISE URETER
$XXX.XX
50728
REVISE URETER
$XXX.XX
50740
FUSION OF URETER & KIDNEY
$XXX.XX
50750
FUSION OF URETER & KIDNEY
$XXX.XX
50760
FUSION OF URETERS
$XXX.XX
50770
SPLICING OF URETERS
$XXX.XX
50780
REIMPLANT URETER IN BLADDER
$XXX.XX
50782
REIMPLANT URETER IN BLADDER
$XXX.XX
50783
REIMPLANT URETER IN BLADDER
$XXX.XX
50785
REIMPLANT URETER IN BLADDER
$XXX.XX
50800
IMPLANT URETER IN BOWEL
$XXX.XX
50810
FUSION OF URETER & BOWEL
$XXX.XX
50815
URINE SHUNT TO INTESTINE
$XXX.XX
50820
CONSTRUCT BOWEL BLADDER
$XXX.XX
50825
CONSTRUCT BOWEL BLADDER
$XXX.XX
50830
REVISE URINE FLOW
$XXX.XX
50840
REPLACE URETER BY BOWEL
$XXX.XX
50845
APPENDICO-VESICOSTOMY
$XXX.XX
50860
TRANSPLANT URETER TO SKIN
$XXX.XX
50900
REPAIR OF URETER
$XXX.XX
50920
CLOSURE URETER/SKIN FISTULA
$XXX.XX
50930
CLOSURE URETER/BOWEL FISTULA
$XXX.XX
50940
RELEASE OF URETER
$XXX.XX
50945
LAPAROSCOPY URETEROLITHOTOMY
$XXX.XX
50947
LAPARO NEW URETER/BLADDER
$XXX.XX
50948
LAPARO NEW URETER/BLADDER
$XXX.XX
50951
ENDOSCOPY OF URETER
$XXX.XX
50953
ENDOSCOPY OF URETER
$XXX.XX
50955
URETER ENDOSCOPY & BIOPSY
$XXX.XX
50957
URETER ENDOSCOPY & TREATMENT
$XXX.XX
50961
URETER ENDOSCOPY & TREATMENT
$XXX.XX
50970
URETER ENDOSCOPY
$XXX.XX
50972
URETER ENDOSCOPY & CATHETER
$XXX.XX
50974
URETER ENDOSCOPY & BIOPSY
$XXX.XX
50976
URETER ENDOSCOPY & TREATMENT
$XXX.XX
50980
URETER ENDOSCOPY & TREATMENT
$XXX.XX
51020
INCISE & TREAT BLADDER
$XXX.XX
51030
INCISE & TREAT BLADDER
$XXX.XX
51040
INCISE & DRAIN BLADDER
$XXX.XX
51045
INCISE BLADDER/DRAIN URETER
$XXX.XX
51050
REMOVAL OF BLADDER STONE
$XXX.XX
51060
REMOVAL OF URETER STONE
$XXX.XX
51065
REMOVE URETER CALCULUS
$XXX.XX
51080
DRAINAGE OF BLADDER ABSCESS
$XXX.XX
51100
DRAIN BLADDER BY NEEDLE
$XXX.XX
51101
DRAIN BLADDER BY TROCAR/CATH
$XXX.XX
51102
DRAIN BL W/CATH INSERTION
$XXX.XX
51500
REMOVAL OF BLADDER CYST
$XXX.XX
51520
REMOVAL OF BLADDER LESION
$XXX.XX
51525
REMOVAL OF BLADDER LESION
$XXX.XX
51530
REMOVAL OF BLADDER LESION
$XXX.XX
51535
REPAIR OF URETER LESION
$XXX.XX
51550
PARTIAL REMOVAL OF BLADDER
$XXX.XX
51555
PARTIAL REMOVAL OF BLADDER
$XXX.XX
51565
REVISE BLADDER & URETER(S)
$XXX.XX
51570
REMOVAL OF BLADDER
$XXX.XX
51575
REMOVAL OF BLADDER & NODES
$XXX.XX
51580
REMOVE BLADDER/REVISE TRACT
$XXX.XX
51585
REMOVAL OF BLADDER & NODES
$XXX.XX
51590
REMOVE BLADDER/REVISE TRACT
$XXX.XX
51595
REMOVE BLADDER/REVISE TRACT
$XXX.XX
51596
REMOVE BLADDER/CREATE POUCH
$XXX.XX
51597
REMOVAL OF PELVIC STRUCTURES
$XXX.XX
51600
INJECTION FOR BLADDER X-RAY
$XXX.XX
51605
PREPARATION FOR BLADDER XRAY
$XXX.XX
51610
INJECTION FOR BLADDER X-RAY
$XXX.XX
51700
IRRIGATION OF BLADDER
$XXX.XX
51701
INSERT BLADDER CATHETER
$XXX.XX
51702
INSERT TEMP BLADDER CATH
$XXX.XX
51703
INSERT BLADDER CATH COMPLEX
$XXX.XX
51705
CHANGE OF BLADDER TUBE
$XXX.XX
51710
CHANGE OF BLADDER TUBE
$XXX.XX
51715
ENDOSCOPIC INJECTION/IMPLANT
$XXX.XX
51720
TREATMENT OF BLADDER LESION
$XXX.XX
51725
SIMPLE CYSTOMETROGRAM
$XXX.XX
51725-26
SIMPLE CYSTOMETROGRAM
$XXX.XX
51725-TC
SIMPLE CYSTOMETROGRAM
$XXX.XX
51726
COMPLEX CYSTOMETROGRAM
$XXX.XX
51726-26
COMPLEX CYSTOMETROGRAM
$XXX.XX
51726-TC
COMPLEX CYSTOMETROGRAM
$XXX.XX
51727
CYSTOMETROGRAM W/UP
$XXX.XX
51727-26
CYSTOMETROGRAM W/UP
$XXX.XX
51727-TC
CYSTOMETROGRAM W/UP
$XXX.XX
51728
CYSTOMETROGRAM W/VP
$XXX.XX
51728-26
CYSTOMETROGRAM W/VP
$XXX.XX
51728-TC
CYSTOMETROGRAM W/VP
$XXX.XX
51729
CYSTOMETROGRAM W/VP&UP
$XXX.XX
51729-26
CYSTOMETROGRAM W/VP&UP
$XXX.XX
51729-TC
CYSTOMETROGRAM W/VP&UP
$XXX.XX
51736
URINE FLOW MEASUREMENT
$XXX.XX
51736-26
URINE FLOW MEASUREMENT
$XXX.XX
51736-TC
URINE FLOW MEASUREMENT
$XXX.XX
51741
ELECTRO-UROFLOWMETRY FIRST
$XXX.XX
51741-26
ELECTRO-UROFLOWMETRY FIRST
$XXX.XX
51741-TC
ELECTRO-UROFLOWMETRY FIRST
$XXX.XX
51784
ANAL/URINARY MUSCLE STUDY
$XXX.XX
51784-26
ANAL/URINARY MUSCLE STUDY
$XXX.XX
51784-TC
ANAL/URINARY MUSCLE STUDY
$XXX.XX
51785
ANAL/URINARY MUSCLE STUDY
$XXX.XX
51785-26
ANAL/URINARY MUSCLE STUDY
$XXX.XX
51785-TC
ANAL/URINARY MUSCLE STUDY
$XXX.XX
51792
URINARY REFLEX STUDY
$XXX.XX
51792-26
URINARY REFLEX STUDY
$XXX.XX
51792-TC
URINARY REFLEX STUDY
$XXX.XX
51797
INTRAABDOMINAL PRESSURE TEST
$XXX.XX
51797-26
INTRAABDOMINAL PRESSURE TEST
$XXX.XX
51797-TC
INTRAABDOMINAL PRESSURE TEST
$XXX.XX
51798
US URINE CAPACITY MEASURE
$XXX.XX
51800
REVISION OF BLADDER/URETHRA
$XXX.XX
51820
REVISION OF URINARY TRACT
$XXX.XX
51840
ATTACH BLADDER/URETHRA
$XXX.XX
51841
ATTACH BLADDER/URETHRA
$XXX.XX
51845
REPAIR BLADDER NECK
$XXX.XX
51860
REPAIR OF BLADDER WOUND