| Abd paracentesis w/imaging (49083) |
— |
$4,078 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$2,263 |
— |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
— |
$3,041 |
— |
| Acne surgery (10040) |
— |
$1,289 |
— |
| Adding Walker Previously Applied Cast (29440) |
— |
$570 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$9,736 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$8,114 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$8,247 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$5,580 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$7,078 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$7,446 |
— |
| Anoscopy diagnostic (46600) |
— |
$1,162 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$3,073 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$1,260 |
— |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
— |
$1,840 |
— |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
— |
$3,529 |
— |
| Application cast elbow finger short arm (29075) |
— |
$1,118 |
— |
| Application Cast Finger (29086) |
— |
$1,062 |
— |
| Application Cast Shoulder Spica (29055) |
— |
$2,879 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$853 |
— |
| Application finger splint static (29130) |
— |
$583 |
— |
| Application Hip Spica Cast 1 Leg (29305) |
— |
$3,193 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$1,455 |
— |
| Application Long Leg Cast Brace (29358) |
— |
$2,070 |
— |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
— |
$1,823 |
— |
| Application Long Leg Splint (29505) |
— |
$1,379 |
— |
| Application of cylinder cast (thigh to ankle) (29365) |
— |
$1,590 |
— |
| Application of long leg cast (29345) |
— |
$1,755 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$1,744 |
— |
| Application Patellar Tendon Bearing Cast (29435) |
— |
$1,543 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$1,268 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$1,014 |
— |
| Application short leg splint calf foot (29515) |
— |
$1,019 |
— |
| Application, cast; figure-of-eight Facility (29049) |
— |
$1,275 |
— |
| Apply hand/wrist cast (29085) |
— |
$1,225 |
— |
| Apply long arm cast (29065) |
— |
$1,242 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$806 |
— |
| Apply Short Leg Cast (29405) |
— |
$1,051 |
— |
| Apply short leg cast (29425) |
— |
$1,009 |
— |
| Apply shoulder cast,plastr velpeau (29058) |
— |
$1,573 |
— |
| Arterial puncture (36600) |
— |
$900 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$1,260 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$978 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$1,260 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$1,152 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$1,200 |
— |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
— |
$4,935 |
— |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
— |
$5,974 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$762 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$2,849 |
— |
| Aspiration Bladder Needle (51100) |
— |
$775 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$1,365 |
— |
| Biopsy of palate, uvula (42100) |
— |
$1,975 |
— |
| Biopsy of rectum (45100) |
— |
$3,840 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$3,384 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$1,122 |
— |
| Bladder Irrigation (51700) |
— |
$1,500 |
— |
| Bladder Scan (51798) |
— |
$1,262 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$3,516 |
— |
| Blood Transfusion Service (36430) |
— |
$434 |
— |
| Bronchoscopy Clear Airways (31645) |
— |
$4,146 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$4,359 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$4,502 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$3,024 |
— |
| Bx Cervix (57500) |
— |
$1,650 |
— |
| Canthotomy Separate Procedure (67715) |
— |
$3,140 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$627 |
— |
| Cautery Cervix Electro/Thermal (57510) |
— |
$1,674 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$1,163 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$1,142 |
— |
| Change of Windpipe Airway (31502) |
— |
$7,085 |
— |
| Chemical Cautery Tissue (17250) |
— |
$1,135 |
— |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
— |
$1,740 |
— |
| Chest tube placement (32551) |
— |
$3,346 |
— |
| Cl Tx Scapular Fx; W Manip (23575) |
— |
$5,094 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$6,843 |
— |
| Clear outer ear canal (69200) |
— |
$1,623 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$6,037 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$3,887 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$3,880 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$5,653 |
— |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
— |
$5,589 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$6,233 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$3,622 |
— |
| Closed Treatment Sesamoid Fracture (28530) |
— |
$1,478 |
— |
| Closed Treatment Sternum Fracture (21820) |
— |
$1,832 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$4,102 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$4,768 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$6,016 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$4,311 |
— |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
— |
$4,846 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$3,242 |
— |
| Closed tx carpal scaphoid fracture w/manj (25624) |
— |
$6,070 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$3,911 |
— |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
— |
$6,784 |
— |
| Closed tx femoral fracture prox head w/o manj (27267) |
— |
$5,545 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$6,549 |
— |
| Closed tx fx orbit except blowout w/manipulation (21401) |
— |
$6,089 |
— |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
— |
$7,922 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$6,347 |
— |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
— |
$6,090 |
— |
| Closed tx mandibular fracture w/manipulation (21451) |
— |
$9,888 |
— |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
— |
$8,048 |
— |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
— |
$11,929 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$2,854 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$7,003 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$10,027 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$3,372 |
— |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
— |
$10,773 |
— |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
— |
$10,474 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$6,115 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$4,674 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$4,161 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$5,597 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$3,364 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$6,412 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$3,483 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$6,645 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$3,575 |
— |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
— |
$2,962 |
— |
| Closed tx septal&nose fx (21337) |
— |
$5,298 |
— |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
— |
$4,811 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$2,085 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$4,611 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$3,046 |
— |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
— |
$2,408 |
— |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
— |
$9,122 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$1,281 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$5,817 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$3,737 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$3,368 |
— |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
— |
$3,541 |
— |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
— |
$4,481 |
— |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
— |
$4,456 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$2,869 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$4,492 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$2,805 |
— |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
— |
$2,527 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$5,077 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$4,030 |
— |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
— |
$2,941 |
— |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
— |
$6,704 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$6,285 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$4,671 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$2,926 |
— |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
— |
$5,788 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$3,902 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$4,212 |
— |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
— |
$5,769 |
— |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
— |
$6,461 |
— |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
— |
$8,643 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$5,402 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$4,078 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$4,025 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$2,364 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$4,218 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$6,988 |
— |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
— |
$6,320 |
— |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
— |
$8,659 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$6,690 |
— |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
— |
$9,582 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$6,034 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$9,716 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$2,304 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$1,899 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$2,087 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$1,597 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$6,902 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$3,995 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$3,460 |
— |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
— |
$4,871 |
— |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
— |
$4,848 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$9,566 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$2,277 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$4,374 |
— |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
— |
$6,963 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$6,767 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$4,136 |
— |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
— |
$5,847 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$1,992 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$1,506 |
— |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
— |
$12,104 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$4,915 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$3,541 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$6,085 |
— |
| Cltx Medial Ankle Fx (27760) |
— |
$4,307 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$4,120 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$1,635 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$5,270 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$2,227 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$4,306 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$2,551 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$7,336 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$5,124 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$5,333 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$3,950 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$5,923 |
— |
| Cltx prox tibfib jt dislc req anes (27831) |
— |
$5,063 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$4,849 |
— |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
— |
$5,205 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$1,833 |
— |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
— |
$7,187 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$5,413 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
— |
$6,971 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$7,808 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$4,859 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
— |
$10,127 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$6,369 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$2,488 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$3,886 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$4,442 |
— |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
— |
$6,068 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$6,195 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$4,095 |
— |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
— |
$11,190 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$345 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$456 |
— |
| Colpocentesis (57020) |
— |
$1,193 |
— |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
— |
$4,657 |
— |
| Colporrhaphy (57200) |
— |
$3,812 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$1,386 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$1,479 |
— |
| Complex drainage wound (10180) |
— |
$3,161 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$2,707 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$1,512 |
— |
| Control oropharyngeal hemorrhage simple (42960) |
— |
$2,196 |
— |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
— |
$5,151 |
— |
| Correction of trichiasis; epilation, by forceps only (67820) |
— |
$655 |
— |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
— |
$5,282 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$3,367 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$3,678 |
— |
| Curettage postpartum (59160) |
— |
$2,603 |
— |
| Curette/treat cornea (65435) |
— |
$1,362 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$3,391 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$3,011 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$3,587 |
— |
| Cystourethroscopy (52000) |
— |
$2,534 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$1,260 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$9,066 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$6,345 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
— |
$6,868 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$535 |
— |
| Debride nail 1-5 (11720) |
— |
$409 |
— |
| Debride nail 6 or more (11721) |
— |
$563 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$738 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$1,503 |
— |
| Declot vascular device (36593) |
— |
$396 |
— |
| Delivery of placenta (59414) |
— |
$1,166 |
— |
| Dermabrasion regional other than face (15782) |
— |
$7,288 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$1,431 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$1,675 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$1,043 |
— |
| Dilate Esophagus 1/Mult Pass (43450) |
— |
$2,017 |
— |
| Dilate Urethra Stricture (53620) |
— |
$1,436 |
— |
| Dilate Urethra Stricture (53600) |
— |
$1,027 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$2,627 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$3,092 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$3,083 |
— |
| Drainage external ear abscess/hematoma cmplx (69005) |
— |
$2,801 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$2,460 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$5,048 |
— |
| Drainage Mouth Roof Lesion (42000) |
— |
$2,666 |
— |
| Drainage of finger abscess simple (26010) |
— |
$3,435 |
— |
| Drainage of gum lesion (41800) |
— |
$3,661 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$2,473 |
— |
| Drainage of mouth lesion (41017) |
— |
$5,756 |
— |
| Drainage of nose lesion (30000) |
— |
$3,044 |
— |
| Drainage of rectal abscess (45005) |
— |
$3,543 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$2,720 |
— |
| Drainage of scrotum (54700) |
— |
$2,661 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$298 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
— |
$4,129 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$2,810 |
— |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
— |
$2,154 |
— |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
— |
$3,662 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$2,338 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$1,876 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$1,362 |
— |
| Dstrj les/scar vestibule mouth physical meths (40820) |
— |
$3,569 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$1,601 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$4,074 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$4,088 |
— |
| Dx gastr intub w/asp spec (43754) |
— |
$1,249 |
— |
| Dx Laryngoscopy Excl Nb (31525) |
— |
$3,256 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$2,202 |
— |
| Egd control bleeding any (43255) |
— |
$3,570 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$2,383 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$2,541 |
— |
| Egd guide wire insertion (43248) |
— |
$2,385 |
— |
| Egd place gastrostomy tube (43246) |
— |
$4,000 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$1,980 |
— |
| Egd Varices Ligation (43244) |
— |
$3,728 |
— |
| Endocervical curettage (57505) |
— |
$1,309 |
— |
| Endometrial Biopsy (58100) |
— |
$1,394 |
— |
| Epidural Blood Patch (62273) |
— |
$2,237 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$2,477 |
— |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
— |
$4,374 |
— |
| Escharotomy; initial incision (16035) |
— |
$2,491 |
— |
| Esoph Scope W/Submucous Inj (43201) |
— |
$4,091 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$2,805 |
— |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
— |
$1,959 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$648 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$2,132 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$2,582 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$6,087 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$1,803 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$2,153 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$2,728 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$2,542 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$1,576 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$2,121 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$2,242 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$1,412 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$1,544 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$2,386 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$1,911 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$2,123 |
— |
| Excision Chalazion Single (67800) |
— |
$1,662 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$3,554 |
— |
| Excision of bartholin's gland or cyst (56740) |
— |
$3,792 |
— |
| Excision olecranon bursa (24105) |
— |
$1,140 |
— |
| Excision soft tissue lesion, external auditory canal (69145) |
— |
$5,263 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$6,352 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$6,113 |
— |
| Exploration penetrating wound spx chest (20101) |
— |
$5,914 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$7,496 |
— |
| Exploration Penetrating Wound Spx Neck (20100) |
— |
$7,529 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$1,927 |
— |
| Fluid Pressure Muscle (20950) |
— |
$3,324 |
— |
| Foreskin manipulation (54450) |
— |
$857 |
— |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
— |
$12,926 |
— |
| Fusion Finger Joint (26860) |
— |
$7,116 |
— |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
— |
$5,977 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$3,513 |
— |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
— |
$5,863 |
— |
| I&d abscess peritonsillar (42700) |
— |
$2,516 |
— |
| I&d abscess simple (10060) |
— |
$1,478 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$8,608 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$5,914 |
— |
| I&D Intramural Im/Absc Transanal Anes (46045) |
— |
$5,527 |
— |
| I&D Mouth/Tong Intra,Masticator (41009) |
— |
$5,224 |
— |
| I&d perianal abscess superficial (46050) |
— |
$3,150 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$3,504 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$2,319 |
— |
| I&d shoulder deep abscess/hematoma (23030) |
— |
$3,086 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$4,578 |
— |
| Incise external hemorrhoid (46083) |
— |
$2,293 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$2,605 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$6,923 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$3,531 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$1,954 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$1,564 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$1,402 |
— |
| Incision of eardrum (69420) |
— |
$2,529 |
— |
| Incision of Foot Tendon (28234) |
— |
$5,355 |
— |
| Incision of labial frenum (frenotomy) (40806) |
— |
$1,525 |
— |
| Incision of rectal abscess (46040) |
— |
$6,871 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$3,706 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$1,512 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$1,020 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$1,993 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$600 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$1,742 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$1,309 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$1,020 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$1,020 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$957 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$487 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$1,522 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$1,362 |
— |
| Injx Anterior Chamber Eye Medication Spx (66030) |
— |
$2,163 |
— |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
— |
$3,688 |
— |
| Insert and remove bone pin (20650) |
— |
$2,622 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$1,619 |
— |
| Insert cath pleura w/ image (32557) |
— |
$1,260 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$1,260 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$3,014 |
— |
| Insert pessary/other device (57160) |
— |
$978 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$3,775 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$1,260 |
— |
| Insert tunneled cv cath (36561) |
— |
$15,667 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$10,074 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$1,140 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$13,504 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$3,320 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$600 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$3,170 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$10,252 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$2,215 |
— |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
— |
$4,021 |
— |
| Interdental fixation (21110) |
— |
$10,390 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$6,049 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$6,995 |
— |
| Intraoral i&d tongue/floor lingual (41000) |
— |
$2,129 |
— |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
— |
$3,075 |
— |
| Intraoral i&d tongue/floor submental space (41007) |
— |
$4,658 |
— |
| Intraoral i&d tongue/floor submndblr space (41008) |
— |
$4,922 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$303 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,373 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$2,534 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$1,090 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$1,478 |
— |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
— |
$2,913 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$3,167 |
— |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
— |
$2,728 |
— |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
— |
$2,787 |
— |
| Laryngoscopy W/Foreign Body Removal (31530) |
— |
$2,540 |
— |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
— |
$2,716 |
— |
| Larynscop w/tumr exc + scope (31541) |
— |
$1,200 |
— |
| Late closure of wound (13160) |
— |
$10,218 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$4,091 |
— |
| Lip Surgery Procedure (40799) |
— |
$976 |
— |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$3,203 |
— |
| Marsupialization of bartholin's gland cyst (56440) |
— |
$2,327 |
— |
| Mech remov tunneled cv cath (36595) |
— |
$7,353 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$1,733 |
— |
| N block inj intercost sng (64420) |
— |
$1,470 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$1,175 |
— |
| N Block Inj Pudendal (64430) |
— |
$1,751 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$3,739 |
— |
| Nasal surgery procedure (30999) |
— |
$1,800 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$2,332 |
— |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$4,300 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$1,585 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$3,500 |
— |
| Occipital Nerve Block (64405) |
— |
$1,315 |
— |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
— |
$1,020 |
— |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
— |
$6,067 |
— |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
— |
$10,261 |
— |
| Open treatment of temporomandibular dislocation Facility (21490) |
— |
$7,200 |
— |
| Open tx acute shoulder dislocation (23660) |
— |
$1,500 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$6,352 |
— |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
— |
$2,086 |
— |
| Open tx interphalangeal joint dislocation (26785) |
— |
$6,912 |
— |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
— |
$7,536 |
— |
| Partial removal of toe (28160) |
— |
$5,466 |
— |
| Penile Injection (54235) |
— |
$1,121 |
— |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
— |
$10,225 |
— |
| Peritoneal Lavage (49084) |
— |
$1,274 |
— |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
— |
$1,152 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$746 |
— |
| Probing nasolacrimal duct (68810) |
— |
$3,189 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$1,622 |
— |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
— |
$3,049 |
— |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
— |
$5,308 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$1,665 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$3,024 |
— |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
— |
$1,100 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
— |
$737 |
— |
| Reconstruction Nail Bed W/Graft (11762) |
— |
$3,633 |
— |
| Reduction of rectal prolapse (45900) |
— |
$2,590 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$3,176 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$7,813 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$6,924 |
— |
| Removal foreign body foot deep (28192) |
— |
$6,147 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$3,353 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$2,604 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$7,193 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$1,362 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$1,512 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$4,171 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$4,990 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$2,264 |
— |
| Removal of nail bed (11750) |
— |
$2,838 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$851 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$1,120 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$1,260 |
— |
| Remove drug implant device (11982) |
— |
$1,362 |
— |
| Remove Forearm Foreign Body (25248) |
— |
$8,000 |
— |
| Remove foreign body from eye (65205) |
— |
$1,512 |
— |
| Remove Intrauterine Device (58301) |
— |
$1,260 |
— |
| Remove lung catheter (32552) |
— |
$2,451 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$3,088 |
— |
| Repair Achilles Tendon (27650) |
— |
$8,440 |
— |
| Repair Blood Vessel Direct Hand Finger (35207) |
— |
$9,526 |
— |
| Repair Blood Vessel Direct Upper Extremity (35206) |
— |
$10,042 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$5,382 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$6,109 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$4,927 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$6,080 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$4,480 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$5,467 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$4,276 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$5,080 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$7,354 |
— |
| Repair Eyelid Wound (67935) |
— |
$7,818 |
— |
| Repair Finger Tendon (26433) |
— |
$6,714 |
— |
| Repair Finger/Hand Tendon (26350) |
— |
$9,019 |
— |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
— |
$4,800 |
— |
| Repair Hand Joint (26540) |
— |
$8,277 |
— |
| Repair Hand Tendon (26410) |
— |
$7,153 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$3,315 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$3,757 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$4,437 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$4,734 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$7,058 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$5,150 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$3,102 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$3,689 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$4,611 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$7,525 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$4,970 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$3,055 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$3,902 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$5,414 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$3,994 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$5,953 |
— |
| Repair Laceration Palate </2 Cm (42180) |
— |
$3,214 |
— |
| Repair Laceration Palate >2 Cm/Complex (42182) |
— |
$4,176 |
— |
| Repair of nail bed (11760) |
— |
$3,009 |
— |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
— |
$6,082 |
— |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
— |
$9,473 |
— |
| Repair tongue laceration (41252) |
— |
$4,156 |
— |
| Repair tongue laceration (41250) |
— |
$3,562 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$9,536 |
— |
| Replace G-J Tube Perc (49452) |
— |
$11,710 |
— |
| Replace g/c tube perc (49450) |
— |
$8,744 |
— |
| Reposition Gastrostomy Tube (43761) |
— |
$1,460 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$7,932 |
— |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
— |
$3,275 |
— |
| Rmvl embedded fb vestibule mouth comp (40805) |
— |
$5,208 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$2,879 |
— |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
— |
$1,512 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$1,362 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$1,512 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$1,260 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$4,262 |
— |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
— |
$6,241 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$2,633 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$3,790 |
— |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
— |
$1,580 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$1,599 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$1,756 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$2,786 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$10,836 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$2,198 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$6,863 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$3,905 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$6,431 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$5,802 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$7,413 |
— |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
— |
$6,289 |
— |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
— |
$7,956 |
— |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
— |
$6,188 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$2,215 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
— |
$13,817 |
— |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
— |
$9,560 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$2,838 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$3,009 |
— |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
— |
$3,061 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$3,920 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$2,728 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$1,412 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$1,544 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$2,079 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$1,803 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$2,542 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$1,157 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$2,915 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$1,641 |
— |
| Skin Tissue Procedure (17999) |
— |
$355 |
— |
| Slitting of prepuce (54001) |
— |
$2,304 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$1,399 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$2,121 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$2,563 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$2,046 |
— |
| Strapping ankle (29540) |
— |
$1,362 |
— |
| Strapping elbow or wrist (29260) |
— |
$843 |
— |
| Strapping hand/finger (29280) |
— |
$1,260 |
— |
| Strapping Hip (29520) |
— |
$622 |
— |
| Strapping knee (29530) |
— |
$2,040 |
— |
| Strapping shoulder (29240) |
— |
$1,260 |
— |
| Strapping thorax (29200) |
— |
$678 |
— |
| Strapping toes (29550) |
— |
$1,362 |
— |
| Strapping Unna Boot (29580) |
— |
$677 |
— |
| Suture 1 Nerve Ulnar Motor (64836) |
— |
$10,492 |
— |
| Suture digital nerve hand/foot 1 nerve (64831) |
— |
$8,653 |
— |
| Suture infrapatellar tendon primary (27380) |
— |
$7,533 |
— |
| Suture pharynx for wound or injury (42900) |
— |
$4,344 |
— |
| Suture/repair testicular injury (54670) |
— |
$5,010 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$1,523 |
— |
| Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) |
— |
$9,716 |
— |
| Tooth extraction (41899) |
— |
$976 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$2,346 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$2,299 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$41,201 |
— |
| Treat Big Toe Fracture (28505) |
— |
$8,607 |
— |
| Treat Dental Ridge Fracture (21440) |
— |
$7,607 |
— |
| Treat Finger Fracture Each (26727) |
— |
$5,932 |
— |
| Treat Hip Socket Fracture (27222) |
— |
$12,162 |
— |
| Treat humerus fracture (24500) |
— |
$4,582 |
— |
| Treat Humerus Fracture (24505) |
— |
$6,381 |
— |
| Treat humerus fracture (23600) |
— |
$4,200 |
— |
| Treat knee fracture (27532) |
— |
$7,801 |
— |
| Treat Knee Fracture(S) (27538) |
— |
$6,042 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$4,140 |
— |
| Treat metacarpal fracture (26607) |
— |
$5,772 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$3,260 |
— |
| Treat Tail Bone Fracture (27200) |
— |
$2,295 |
— |
| Treat Thumb Dislocation (26641) |
— |
$4,688 |
— |
| Treat Thumb Fracture (26645) |
— |
$5,417 |
— |
| Treat toe dislocation (28630) |
— |
$2,026 |
— |
| Treat Vaginal Bleeding (57180) |
— |
$1,807 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$5,959 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$4,675 |
— |
| Treatment of gum lesion (41850) |
— |
$543 |
— |
| Trim skin lesion (11055) |
— |
$783 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$738 |
— |
| Trim skin lesions over 4 (11057) |
— |
$2,242 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$3,603 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$1,500 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$4,066 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$4,202 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$3,603 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$2,177 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
— |
$3,336 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$2,796 |
— |
| Unlisted procedure anus (46999) |
— |
$5,492 |
— |
| Unlisted Procedure Casting/Strapping (29799) |
— |
$1,182 |
— |
| Unlisted Procedure Esophagus (43499) |
— |
$7,793 |
— |
| Unlisted Procedure External Ear (69399) |
— |
$976 |
— |
| Unlisted Procedure Hands/Fingers (26989) |
— |
$1,671 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$1,671 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$23,157 |
— |
| Unlisted procedure lacrimal system (68899) |
— |
$2,897 |
— |
| Unlisted procedure larynx (31599) |
— |
$2,160 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$1,671 |
— |
| Unlisted procedure lungs and pleura (32999) |
— |
$5,155 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$1,025 |
— |
| Unlisted Procedure Muscskeletal System General (20999) |
— |
$19,441 |
— |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
— |
$976 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$5,492 |
— |
| Unlisted procedure stomach (43999) |
— |
$7,793 |
— |
| Unlisted Procedure Tongue Floor Mouth (41599) |
— |
$976 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$9,549 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$614 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$23,157 |
— |
| Unlisted Procedure, Urinary System (53899) |
— |
$1,025 |
— |
| Vaginal delivery only (59409) |
— |
$10,384 |
— |
| Vein Access Cutdown < 1 Yr (36420) |
— |
$655 |
— |
| Venous Cutdown >1 Y/O (36425) |
— |
$501 |
— |
| Wedge excision skin nail fold (11765) |
— |
$2,132 |
— |
| Wedging of cast (29740) |
— |
$1,195 |
— |
| Wedging of clubfoot cast (29750) |
— |
$1,372 |
— |
| Windowing of cast (29730) |
— |
$834 |
— |