| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,807.17 |
— |
0.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,207.64 |
— |
0.9× |
| Amputation metatarsal with toe single (28810) |
$3,207.64 |
— |
0.9× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,207.64 |
— |
0.9× |
| Anterior Tibial Tubercleplasty (27418) |
$7,089.53 |
— |
0.9× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$13,042.42 |
— |
1.0× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$13,042.42 |
— |
1.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$13,042.42 |
— |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$293.51 |
— |
0.9× |
| Arthrodesis ankle open (27870) |
$13,042.42 |
— |
1.0× |
| Arthrodesis great toe interphalangeal joint (28755) |
$7,089.53 |
— |
0.9× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$7,089.53 |
— |
0.9× |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) |
$3,207.64 |
— |
0.9× |
| Arthrodesis Posterior Interbody Lumbar (22630) |
$18,467.95 |
— |
0.6× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$18,467.95 |
— |
1.0× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$18,467.95 |
— |
1.0× |
| Arthrodesis subtalar (28725) |
$13,042.42 |
— |
1.0× |
| Arthrodesis triple (28715) |
$13,042.42 |
— |
1.0× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
$13,042.42 |
— |
1.0× |
| Arthroplasty Ankle W/Implant (27702) |
$18,467.95 |
— |
0.6× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$18,467.95 |
— |
1.0× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$13,042.42 |
— |
1.0× |
| Arthroplasty interphalangeal joint each (26535) |
$3,207.64 |
— |
0.9× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$3,207.64 |
— |
0.9× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$1,592.71 |
— |
0.9× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$3,207.64 |
— |
0.9× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$3,207.64 |
— |
0.9× |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
$3,207.64 |
— |
0.9× |
| Arthroscopy Elbow Surgical Synovectomy Partial (29835) |
$3,207.64 |
— |
0.9× |
| Arthroscopy hip w/femoroplasty (29914) |
$7,089.53 |
— |
0.9× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$3,207.64 |
— |
0.9× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,207.64 |
— |
0.9× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,207.64 |
— |
0.9× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,207.64 |
— |
0.9× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$7,089.53 |
— |
0.9× |
| Arthroscopy Wrist Surgical Synovectomy Complete (29845) |
$3,207.64 |
— |
0.9× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$3,207.64 |
— |
0.9× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
$3,207.64 |
— |
0.9× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,207.64 |
— |
0.9× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,207.64 |
— |
0.9× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,089.53 |
— |
0.9× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,207.64 |
— |
0.9× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,207.64 |
— |
0.9× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,089.53 |
— |
0.9× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$3,207.64 |
— |
0.9× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$13,042.42 |
— |
1.0× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$13,042.42 |
— |
1.0× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
$7,089.53 |
— |
0.9× |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
$3,207.64 |
— |
0.9× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,089.53 |
— |
0.9× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$3,207.64 |
— |
0.9× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,207.64 |
— |
0.9× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$3,207.64 |
— |
0.9× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,592.71 |
— |
0.9× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
$3,207.64 |
— |
0.9× |
| Aspirate/Inj Ganglion Cyst (20612) |
$293.51 |
— |
0.9× |
| Autologous Chondrocyte Implantation Knee (27412) |
$7,089.53 |
— |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$198.40 |
— |
0.9× |
| Biopsy soft tissue forearm&/wrist deep (25066) |
$2,815.86 |
— |
0.9× |
| Bladder Scan (51798) |
$60.62 |
— |
1.0× |
| Blood Transfusion Service (36430) |
$430.19 |
— |
0.9× |
| Bone Marrow Harvest Autolog (38232) |
$4,586.07 |
— |
1.0× |
| Carpal Tunnel Surgery (64721) |
$1,913.36 |
— |
0.9× |
| Carpectomy All Bones Proximal Row (25215) |
$3,207.64 |
— |
0.9× |
| Cerv artific diskectomy (22856) |
$18,467.95 |
— |
1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,592.71 |
— |
0.9× |
| Claviculectomy partial (23120) |
$3,207.64 |
— |
0.9× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$3,207.64 |
— |
0.9× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$233.70 |
— |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,592.71 |
— |
0.9× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$233.70 |
— |
0.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,592.71 |
— |
0.9× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,592.71 |
— |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$233.70 |
— |
0.9× |
| Collection of venous blood by venipuncture (36415) |
$8.83 |
— |
0.9× |
| Correction hammertoe (28285) |
$3,207.64 |
— |
0.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$622.38 |
— |
0.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,606.66 |
— |
0.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$395.15 |
— |
0.9× |
| Decompress Spinal Cord Lmbr (63056) |
$7,089.53 |
— |
0.9× |
| Decompression of tibia nerve (28035) |
$1,913.36 |
— |
0.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,913.36 |
— |
0.9× |
| Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) |
$7,089.53 |
— |
0.9× |
| Drainage of finger abscess simple (26010) |
$198.40 |
— |
0.9× |
| Drainage of hematoma/fluid (10140) |
$1,606.66 |
— |
0.9× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$903.26 |
— |
1.0× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
$1,606.66 |
— |
0.9× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,606.66 |
— |
0.9× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,606.66 |
— |
0.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,606.66 |
— |
0.9× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$2,815.86 |
— |
0.9× |
| Exc ganglion wrist recurrent (25112) |
$1,592.71 |
— |
0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,606.66 |
— |
0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$697.23 |
— |
0.9× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,606.66 |
— |
0.9× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,606.66 |
— |
0.9× |
| Exc hand tum deep < 1.5 cm (26116) |
$1,606.66 |
— |
0.9× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$1,592.71 |
— |
0.9× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,592.71 |
— |
0.9× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$1,606.66 |
— |
0.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,606.66 |
— |
0.9× |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) |
$7,089.53 |
— |
0.9× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$3,207.64 |
— |
0.9× |
| Excise intraspinal lesion (63267) |
$7,089.53 |
— |
0.9× |
| Excise Wrist Tendon Sheath (25118) |
$1,592.71 |
— |
0.9× |
| Excision Distal Ulna Partial/Complete (25240) |
$3,207.64 |
— |
0.9× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$697.23 |
— |
0.9× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,592.71 |
— |
0.9× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$1,913.36 |
— |
0.9× |
| Excision olecranon bursa (24105) |
$3,207.64 |
— |
0.9× |
| Excision synovial cyst popliteal space (27345) |
$3,207.64 |
— |
0.9× |
| Excision tendon finger flexor/extensor each (26180) |
$1,592.71 |
— |
0.9× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,606.66 |
— |
0.9× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$1,606.66 |
— |
0.9× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$1,592.71 |
— |
0.9× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,606.66 |
— |
0.9× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$3,207.64 |
— |
0.9× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$1,592.71 |
— |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$1,606.66 |
— |
0.9× |
| Exploratory elbow surgery (24000) |
$3,207.64 |
— |
0.9× |
| Fasciectomy Palm Only (26121) |
$3,207.64 |
— |
0.9× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$3,207.64 |
— |
0.9× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,207.64 |
— |
0.9× |
| Fine needle aspiration without imaging guidance (10021) |
$395.15 |
— |
0.9× |
| Fuse hand bones with graft (25825) |
$7,089.53 |
— |
0.9× |
| Fusion Finger Joint (26860) |
$3,207.64 |
— |
0.9× |
| Fusion of foot bones (28740) |
$7,089.53 |
— |
0.9× |
| Fusion of knuckle (26850) |
$7,089.53 |
— |
0.9× |
| Fusion of knuckle with graft (26852) |
$7,089.53 |
— |
0.9× |
| Gastrocnemius recession (27687) |
$3,207.64 |
— |
0.9× |
| Hip arthro acetabuloplasty (29915) |
$7,089.53 |
— |
0.9× |
| Hip arthro w/labral repair (29916) |
$7,089.53 |
— |
0.9× |
| I&d abscess simple (10060) |
$198.40 |
— |
0.9× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$3,207.64 |
— |
0.9× |
| Incise finger tendon sheath (26055) |
$1,592.71 |
— |
0.9× |
| Incise tendon(s) & muscle(s) (23406) |
$7,089.53 |
— |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,606.66 |
— |
0.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$395.15 |
— |
0.9× |
| Incision bone cortex foot (28005) |
$3,207.64 |
— |
0.9× |
| Incision extensor tendon sheath wrist (25000) |
$1,592.71 |
— |
0.9× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) |
$3,207.64 |
— |
0.9× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$30,772.11 |
— |
0.9× |
| Knee Arthroscopy/Surgery (29874) |
$3,207.64 |
— |
0.9× |
| Lam facetec & foramot lumbar (63047) |
$7,089.53 |
— |
0.9× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) |
$7,089.53 |
— |
0.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
$7,089.53 |
— |
0.9× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$7,089.53 |
— |
0.9× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$7,089.53 |
— |
0.9× |
| Laminotomy Single Lumbar (63042) |
$7,089.53 |
— |
0.9× |
| Late closure of wound (13160) |
$1,807.17 |
— |
0.5× |
| Lengthen metacarpal/finger (26568) |
$7,089.53 |
— |
0.9× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$7,089.53 |
— |
0.9× |
| Ligamentous reconstruction knee intra-articular (27428) |
$13,042.42 |
— |
1.0× |
| Low Back Disk Surgery (63030) |
$7,089.53 |
— |
0.9× |
| Lumbar spine fusion combined (22633) |
$18,467.95 |
— |
0.6× |
| Manipulation hip joint general anesthesia (27275) |
$1,592.71 |
— |
0.9× |
| Manipulation knee joint under general anesthesia (27570) |
$1,592.71 |
— |
0.9× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,592.71 |
— |
0.9× |
| Nerve repair w/conduit each nerve (64910) |
$6,601.36 |
— |
0.7× |
| Nerve Repair W/Nerve Allograft First Strand (64912) |
$6,601.36 |
— |
0.7× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$1,913.36 |
— |
0.9× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$1,913.36 |
— |
0.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$685.31 |
— |
0.9× |
| Open Repair of Rotator Cuff Acute (23410) |
$7,089.53 |
— |
0.9× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,089.53 |
— |
0.9× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$13,042.42 |
— |
1.0× |
| Open treatment fracture distal tibia only (27827) |
$13,042.42 |
— |
1.0× |
| Open Treatment Humeral Condylar Fracture (24579) |
$13,042.42 |
— |
1.0× |
| Open Treatment Medial Malleolus Fracture (27766) |
$7,089.53 |
— |
0.9× |
| Open treatment metatarsal fracture each (28485) |
$7,089.53 |
— |
0.9× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$7,089.53 |
— |
0.9× |
| Open Treatment Proximal Humeral Fracture (23615) |
$13,042.42 |
— |
1.0× |
| Open Treatment Radial Shaft Fracture (25515) |
$7,089.53 |
— |
0.9× |
| Open tx carpal scaphoid navicular fracture (25628) |
$7,089.53 |
— |
0.9× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,089.53 |
— |
0.9× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$3,207.64 |
— |
0.9× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,207.64 |
— |
0.9× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$3,207.64 |
— |
0.9× |
| Open Tx Radial Head/Neck Fracture (24665) |
$7,089.53 |
— |
0.9× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$7,089.53 |
— |
0.9× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$7,089.53 |
— |
0.9× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,089.53 |
— |
0.9× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$13,042.42 |
— |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,207.64 |
— |
0.9× |
| Osteoplasty Radius/Ulna Shortening (25390) |
$7,089.53 |
— |
0.9× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$7,089.53 |
— |
0.9× |
| Osteotomy Phalanx Finger Each (26567) |
$3,207.64 |
— |
0.9× |
| Part exc bone femur prox tibia (27360) |
$3,207.64 |
— |
0.9× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) |
$7,089.53 |
— |
0.9× |
| Partial excision bone metacarpal (26230) |
$3,207.64 |
— |
0.9× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,592.71 |
— |
0.9× |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
$1,592.71 |
— |
0.9× |
| Partial removal of fibula (27641) |
$3,207.64 |
— |
0.9× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,207.64 |
— |
0.9× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$3,207.64 |
— |
0.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,089.53 |
— |
0.9× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$3,207.64 |
— |
0.9× |
| Prq skel fixj femoral fx prox end neck (27235) |
$7,089.53 |
— |
0.9× |
| Prq skel fixj metar fx w/manj (28476) |
$3,207.64 |
— |
0.9× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$3,207.64 |
— |
0.9× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$3,207.64 |
— |
0.9× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,592.71 |
— |
0.9× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$3,207.64 |
— |
0.9× |
| Rcnstj Dislocating Patella (27420) |
$7,089.53 |
— |
0.9× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$7,089.53 |
— |
0.9× |
| Realignment extensor tendon hand each tendon (26437) |
$3,207.64 |
— |
0.9× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$7,089.53 |
— |
0.9× |
| Removal foreign body foot deep (28192) |
$1,606.66 |
— |
0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,606.66 |
— |
0.9× |
| Removal Implant Deep (20680) |
$2,815.86 |
— |
0.9× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,606.66 |
— |
0.9× |
| Removal of calcium deposits (23000) |
$2,815.86 |
— |
0.9× |
| Removal of implant from finger or hand (26320) |
$1,606.66 |
— |
0.9× |
| Removal of nail bed (11750) |
$395.15 |
— |
0.9× |
| Removal of wrist bone (25210) |
$3,207.64 |
— |
0.9× |
| Remove Forearm Foreign Body (25248) |
$1,592.71 |
— |
0.9× |
| Remove Lower Leg Bone Lesion (27635) |
$3,207.64 |
— |
0.9× |
| Remove Skin Nerve Lesion (64774) |
$1,913.36 |
— |
0.9× |
| Remove spine eltrd plate (63662) |
$3,371.84 |
— |
0.9× |
| Remove spine lamina 1/2 lmbr (63005) |
$7,089.53 |
— |
0.9× |
| Remove sympathetic nerves (64821) |
$3,207.64 |
— |
0.9× |
| Remove Tendon Sheath Lesion (26160) |
$1,592.71 |
— |
0.9× |
| Remove wrist joint cartilage (25107) |
$3,207.64 |
— |
0.9× |
| Remove/graft foot lesion (28107) |
$7,089.53 |
— |
0.9× |
| Repair Achilles Tendon (27650) |
$7,089.53 |
— |
0.9× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$7,089.53 |
— |
0.9× |
| Repair Elbow Perc (24357) |
$3,207.64 |
— |
0.9× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,592.71 |
— |
0.9× |
| Repair Finger Tendon (26433) |
$3,207.64 |
— |
0.9× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$3,207.64 |
— |
0.9× |
| Repair Hallux Rigidus (28289) |
$3,207.64 |
— |
0.9× |
| Repair Hand Joint (26540) |
$3,207.64 |
— |
0.9× |
| Repair Nonunion Hand (26546) |
$7,089.53 |
— |
0.9× |
| Repair of biceps tendon (24340) |
$7,089.53 |
— |
0.9× |
| Repair of metatarsals (28322) |
$7,089.53 |
— |
0.9× |
| Repair of nail bed (11760) |
$622.38 |
— |
0.8× |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
$7,089.53 |
— |
0.9× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$7,089.53 |
— |
0.9× |
| Repair of Ruptured Tendon (24342) |
$7,089.53 |
— |
0.9× |
| Repair of shoulder (23420) |
$7,089.53 |
— |
0.9× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,089.53 |
— |
0.9× |
| Repair shoulder capsule (23466) |
$7,089.53 |
— |
0.9× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$3,207.64 |
— |
0.9× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$7,089.53 |
— |
0.9× |
| Repair webbed toe(s) (28345) |
$1,592.71 |
— |
0.9× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$7,089.53 |
— |
0.9× |
| Repair/graft achilles tendon (27652) |
$7,089.53 |
— |
0.9× |
| Repair/Graft Wrist Bone (25440) |
$7,089.53 |
— |
0.9× |
| Repair/Revise Wrist Joint (25320) |
$7,089.53 |
— |
0.9× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,207.64 |
— |
0.9× |
| Repr torn cruciate knee ligam (27407) |
$7,089.53 |
— |
0.9× |
| Revis reconst shoulder joint (23473) |
$13,042.42 |
— |
1.0× |
| Revise finger joint each (26140) |
$1,592.71 |
— |
0.9× |
| Revise knuckle joint (26530) |
$7,089.53 |
— |
0.9× |
| Revise Spine Eltrd Plate (63664) |
$13,499.15 |
— |
1.1× |
| Revise ulnar nerve at wrist (64719) |
$1,913.36 |
— |
0.9× |
| Revise/Implant Finger Joint (26536) |
$7,089.53 |
— |
0.9× |
| Revision of foot (28116) |
$3,207.64 |
— |
0.9× |
| Revision of lower leg tendon (27685) |
$3,207.64 |
— |
0.9× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$6,777.45 |
— |
1.0× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$3,371.84 |
— |
0.9× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$1,913.36 |
— |
0.9× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$3,207.64 |
— |
0.9× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,207.64 |
— |
0.9× |
| Shoulder Arthroscopy/Surgery (29825) |
$3,207.64 |
— |
0.9× |
| Skin Full Grft Face/Genit/Hf (15240) |
$1,807.17 |
— |
0.8× |
| Skin Tissue Procedure (17999) |
$198.40 |
— |
0.9× |
| Surg Implnt Neuroelect,Epidural (63655) |
$21,678.22 |
— |
1.0× |
| Surgery to stop leg growth (27477) |
$7,089.53 |
— |
0.9× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$6,601.36 |
— |
1.8× |
| Suture 1 Nerve Median Motor Thenar (64835) |
$6,601.36 |
— |
1.8× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$1,913.36 |
— |
0.9× |
| Suture infrapatellar tendon primary (27380) |
$7,089.53 |
— |
0.9× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$7,089.53 |
— |
0.9× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$7,089.53 |
— |
0.9× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
$3,207.64 |
— |
0.9× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,592.71 |
— |
0.9× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$3,207.64 |
— |
0.9× |
| Tenodesis distal joint each (26474) |
$1,592.71 |
— |
0.9× |
| Tenodesis long tendon biceps (23430) |
$7,089.53 |
— |
0.9× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,592.71 |
— |
0.9× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$3,207.64 |
— |
0.9× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
$3,207.64 |
— |
0.9× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$1,592.71 |
— |
0.9× |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
$1,592.71 |
— |
0.9× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,592.71 |
— |
0.9× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$3,207.64 |
— |
0.9× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,592.71 |
— |
0.9× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$3,207.64 |
— |
0.9× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$3,207.64 |
— |
0.9× |
| Tenotomy shoulder area single tendon (23405) |
$7,089.53 |
— |
0.9× |
| Thumb fusion with graft (26842) |
$7,089.53 |
— |
0.9× |
| Tnot elbow lateral/medial debride open (24358) |
$3,207.64 |
— |
0.9× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$3,207.64 |
— |
0.9× |
| Total Knee Arthroplasty (27447) |
$13,042.42 |
— |
1.0× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$1,913.36 |
— |
0.9× |
| Treat ankle fracture (28445) |
$7,089.53 |
— |
0.9× |
| Treat Big Toe Fracture (28505) |
$3,207.64 |
— |
0.9× |
| Treat dislocation/fracture (23670) |
$7,089.53 |
— |
0.9× |
| Treat Finger Fracture Each (26727) |
$3,207.64 |
— |
0.9× |
| Treat fracture radius/ulna (25575) |
$7,089.53 |
— |
0.9× |
| Treat Fx Rad Extra-Articul (25607) |
$7,089.53 |
— |
0.9× |
| Treat Kneecap Fracture (27524) |
$7,089.53 |
— |
0.9× |
| Treat scapula fracture (23585) |
$7,089.53 |
— |
0.9× |
| Treat thumb fracture (26665) |
$3,207.64 |
— |
0.9× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,592.71 |
— |
0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$622.38 |
— |
0.8× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$13,042.42 |
— |
1.0× |
| Unlisted procedure femur or knee (27599) |
$233.70 |
— |
0.9× |
| Unlisted procedure foot or toes (28899) |
$233.70 |
— |
0.9× |
| Unlisted Procedure Hands/Fingers (26989) |
$233.70 |
— |
0.9× |
| Unlisted Procedure Leg/Ankle (27899) |
$233.70 |
— |
0.9× |
| Unlisted Procedure Muscskeletal System General (20999) |
$233.70 |
— |
0.9× |
| Unlisted procedure nervous system (64999) |
$293.51 |
— |
0.9× |
| Unlisted procedure pelvis/hip joint (27299) |
$233.70 |
— |
0.9× |
| Unlisted procedure shoulder (23929) |
$233.70 |
— |
0.9× |
| Wound Prep Trk/Arm/Leg (15002) |
$1,807.17 |
— |
2.3× |