| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$3,632.83 |
$18,678 |
1.2× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$2,106.31 |
$19,875 |
1.1× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,970.15 |
$12,575 |
1.2× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,106.31 |
$12,575 |
1.1× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$8,072.76 |
$8,925 |
1.2× |
| Amputation Finger/Thumb (26951) |
$3,632.83 |
$12,575 |
1.2× |
| Amputation metatarsal with toe single (28810) |
$3,632.83 |
$12,575 |
1.2× |
| Amputation of finger/thumb (26952) |
$3,632.83 |
$23,525 |
1.2× |
| Amputation toe interphalangeal joint (28825) |
$3,632.83 |
$8,925 |
1.2× |
| Ankle arthroscopy/surgery (29892) |
$8,072.76 |
$8,925 |
1.2× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$3,632.83 |
$8,925 |
1.2× |
| Anterior Tibial Tubercleplasty (27418) |
$8,072.76 |
$24,388.06 |
1.2× |
| Application finger splint static (29130) |
$141.71 |
$278 |
1.1× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$8,072.76 |
$8,925 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$141.71 |
$278 |
1.1× |
| Application short leg splint calf foot (29515) |
$177.89 |
$278 |
1.2× |
| Arthrd w/xtnsr hallucis longus tr 1st metar nck (28760) |
$8,072.76 |
$15,650.60 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$331.84 |
$285 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$331.84 |
$5,850 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$331.84 |
$245 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$331.84 |
$250 |
1.2× |
| Arthrodesis ankle open (27870) |
$15,924.41 |
$22,282.19 |
1.3× |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
$15,924.41 |
$27,064.84 |
1.3× |
| Arthrodesis great toe interphalangeal joint (28755) |
$8,072.76 |
$22,496.12 |
1.2× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$26,724.74 |
$58,654.80 |
1.6× |
| Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554) |
$15,924.41 |
$26,033.92 |
1.3× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$26,724.74 |
$49,898.38 |
1.0× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$8,072.76 |
$22,516.89 |
1.2× |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
$26,724.74 |
$33,936.44 |
1.6× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (28737) |
$15,924.41 |
$20,165.09 |
1.3× |
| Arthrodesis; subtalar (28725) |
$15,924.41 |
$20,104.90 |
1.3× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$15,924.41 |
$35,253.47 |
1.3× |
| Arthroplasty knee fc/tp (27442) |
$15,924.41 |
$34,952.70 |
1.3× |
| Arthroplasty knee tibial plateau (27440) |
$15,924.41 |
$27,773 |
1.3× |
| Arthroplasty radial head w/implant (24366) |
$15,924.41 |
$37,463.27 |
1.3× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$8,072.76 |
$28,781.45 |
1.2× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
$15,924.41 |
$34,372.39 |
1.3× |
| Arthroscopically aided treat. intercondylar spine and/or tuberosity fx knee w/o int/ext. fix 29850 (29850) |
$1,750.75 |
$21,815 |
1.2× |
| Arthroscopy ankle; ext debridem (29898) |
$3,632.83 |
$13,728.72 |
1.2× |
| Arthroscopy Hip Surgical W/Synovectomy (29863) |
$3,632.83 |
$21,262.33 |
1.2× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,632.83 |
$8,925 |
1.2× |
| Arthroscopy of joint (29999) |
$252.65 |
$8,925 |
1.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$3,632.83 |
$8,925 |
1.2× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
$3,632.83 |
$19,875 |
1.2× |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914) |
$8,072.76 |
$34,636.14 |
1.2× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$3,632.83 |
$12,575 |
1.2× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$3,632.83 |
$11,235 |
1.2× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$3,632.83 |
$23,439.70 |
1.2× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$3,632.83 |
$12,600 |
1.2× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$3,632.83 |
$12,575 |
1.2× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$3,632.83 |
$15,193 |
1.2× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,632.83 |
$13,735.32 |
1.2× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$3,632.83 |
$18,315.40 |
1.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,632.83 |
$23,383.80 |
1.2× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$8,072.76 |
$18,123.29 |
1.2× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$8,072.76 |
$21,014.70 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,632.83 |
$16,689 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,632.83 |
$18,905.50 |
1.2× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$3,632.83 |
$17,896.55 |
1.2× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$8,072.76 |
$19,752 |
1.2× |
| Arthroscopy, shoulder, surgical; synovectomy, partial (29820) |
$8,072.76 |
$12,600 |
1.2× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$8,072.76 |
$21,486.85 |
1.2× |
| Arthrotomy Wrist Joint With Synovectomy (25105) |
$3,632.83 |
$27,612.20 |
1.2× |
| Arthrotomy, elbow; with synovectomy (24102) |
$3,632.83 |
$16,225 |
1.2× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
$3,632.83 |
$25,041.26 |
1.2× |
| Arthrotomy, with synovectomy, ankle; (27625) |
$3,632.83 |
$8,925 |
1.2× |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
$3,632.83 |
$22,689.83 |
1.2× |
| Arthrs hip debridement/shaving articular crtlg (29862) |
$8,072.76 |
$8,925 |
1.2× |
| Arthrt rdcrpl/midcarpl jt w/expl drg/rmvl fb (25040) |
$3,632.83 |
$8,925 |
1.2× |
| Autochondrocyte implant knee (27412) |
$81,196.12 |
$122,948.98 |
11.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$220.39 |
$8,925 |
1.2× |
| Biopsy bone trocar/needle deep (20225) |
$1,830.12 |
$8,925 |
1.2× |
| Biopsy Breast Open Incisional (19101) |
$4,195.62 |
$8,925 |
1.1× |
| Biopsy muscle deep (20205) |
$3,152.71 |
$12,575 |
1.2× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$3,152.71 |
$12,575 |
1.2× |
| Biopsy/removal lymph nodes (38525) |
$4,195.62 |
$12,575 |
1.1× |
| Blood patch (62273) |
$786.37 |
$1,569 |
1.2× |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
$8,072.76 |
$8,925 |
1.2× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,632.83 |
$8,925 |
1.2× |
| Capsular Contracture Release (23020) |
$3,632.83 |
$16,275 |
1.2× |
| Cerv artific diskectomy (22856) |
$26,724.74 |
$41,722.69 |
1.6× |
| Chemodenerv Musc Neck Dyston (64616) |
$331.84 |
$750 |
1.2× |
| Claviculectomy; partial (23120) |
$3,632.83 |
$18,302.78 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,750.75 |
$116,028.05 |
1.2× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,750.75 |
$8,925 |
1.2× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$6,516.74 |
$8,925 |
1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$252.65 |
$9,387 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,750.75 |
$8,925 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$252.65 |
$402 |
1.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$252.65 |
$8,925 |
1.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,750.75 |
$8,925 |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$252.65 |
$8,925 |
1.1× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,750.75 |
$8,925 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$252.65 |
$8,925 |
1.1× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,750.75 |
$8,925 |
1.2× |
| Complex Drainage, Wound (10180) |
$3,152.71 |
$12,600 |
1.2× |
| Coracoacromial ligament release, with or without acromioplasty (23415) |
$8,072.76 |
$20,537 |
1.2× |
| Correction hammertoe (28285) |
$3,632.83 |
$15,216.36 |
1.2× |
| Correction of bunion (28298) |
$8,072.76 |
$13,731.95 |
1.2× |
| Correction of bunion (28292) |
$3,632.83 |
$8,925 |
1.2× |
| Correction of bunion (28299) |
$8,072.76 |
$16,270.45 |
1.2× |
| Correction of bunion (28297) |
$8,072.76 |
$23,183.58 |
0.7× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,632.83 |
$10,545.07 |
1.2× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$5,738.72 |
$2,500 |
1.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,152.71 |
$8,925 |
1.2× |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
$3,632.83 |
$12,575 |
1.2× |
| Debride nail 1-5 (11720) |
$70.15 |
$8,925 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$455.30 |
$43,815 |
1.2× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$709.02 |
$17,601.04 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,830.12 |
$44,874.48 |
1.2× |
| Decompression of tibia nerve (28035) |
$2,193.78 |
$15,195 |
1.2× |
| Destroy cerv/thor facet jnt (64633) |
$2,193.78 |
$3,100 |
1.2× |
| Destroy lumb/sac facet jnt (64635) |
$2,193.78 |
$3,100 |
1.2× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,040.03 |
$2,626 |
1.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$548 |
— |
| Drain hand tendon sheath (26020) |
$3,632.83 |
$8,925 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$1,830.12 |
$15,655.81 |
1.2× |
| Drainage of palmar bursa; single, bursa (26025) |
$3,632.83 |
$8,925 |
1.2× |
| Elbow arthroscopy (29830) |
$3,632.83 |
$12,575 |
1.2× |
| Elbow arthroscopy/surgery (29838) |
$3,632.83 |
$12,575 |
1.2× |
| Elbow arthroscopy/surgery (29837) |
$3,632.83 |
$12,575 |
1.2× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,830.12 |
$12,575 |
1.2× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$3,152.71 |
$16,225 |
1.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,830.12 |
$12,575 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,830.12 |
$8,925 |
1.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,830.12 |
$8,925 |
1.2× |
| Exc back les sc < 3 cm (21930) |
$1,830.12 |
$8,925 |
1.2× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,830.12 |
$8,925 |
1.2× |
| Exc forearm les sc 3 cm/> (25071) |
$1,830.12 |
$12,575 |
1.2× |
| Exc forearm les sc < 3 cm (25075) |
$1,830.12 |
$8,925 |
1.2× |
| Exc hand les sc < 1.5 cm (26115) |
$1,830.12 |
$12,575 |
1.2× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$2,193.78 |
$23,856.32 |
1.2× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$2,193.78 |
$19,875 |
1.2× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,830.12 |
$12,600 |
1.2× |
| Exc shoulder tum deep 5 cm/> (23073) |
$3,152.71 |
$16,225 |
1.2× |
| Exc skin abd (15830) |
$7,253.27 |
$8,500 |
1.2× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$455.30 |
$8,925 |
1.2× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$792.04 |
$8,925 |
1.2× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,830.12 |
$8,925 |
1.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,152.71 |
$8,925 |
1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,830.12 |
$16,225 |
1.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,152.71 |
$8,925 |
1.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,830.12 |
$12,575 |
1.2× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$3,152.71 |
$12,575 |
1.2× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$3,152.71 |
$8,925 |
1.2× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,152.71 |
$8,925 |
1.2× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$3,632.83 |
$18,646.80 |
1.2× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,750.75 |
$8,925 |
1.2× |
| Excis jt lining,mc-p jt,each digit (26135) |
$3,632.83 |
$8,925 |
1.2× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,750.75 |
$12,575 |
1.2× |
| Excise excessive skin leg (15833) |
$3,152.71 |
$8,925 |
1.2× |
| Excision Breast Lesion (19125) |
$4,195.62 |
$8,925 |
1.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$455.30 |
$8,925 |
1.2× |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
$1,750.75 |
$12,575 |
1.2× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$3,632.83 |
$8,925 |
1.2× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,830.12 |
$8,925 |
1.2× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,750.75 |
$10,000 |
1.2× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$2,193.78 |
$19,875 |
1.2× |
| Excision olecranon bursa (24105) |
$3,632.83 |
$22,715 |
1.2× |
| Excision or curettage of bone cyst or benign tumor of metacarpal; (26200) |
$1,750.75 |
$12,575 |
1.2× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$3,632.83 |
$20,517 |
1.2× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft (27638) |
$8,072.76 |
$22,125.92 |
1.2× |
| Excision Prepatellar Bursa (27340) |
$3,632.83 |
$12,575 |
1.2× |
| Excision Synovial Cyst Popliteal Space (27345) |
$3,632.83 |
$8,925 |
1.2× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,830.12 |
$8,925 |
1.2× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$1,750.75 |
$24,201.80 |
1.2× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$3,152.71 |
$8,925 |
1.2× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,152.71 |
$8,925 |
1.2× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$3,152.71 |
$16,225 |
1.2× |
| Excision/curettage cyst/tumor carpal bones (25130) |
$3,632.83 |
$12,575 |
1.2× |
| Excision/curettage cyst/tumor femur w/allograft (27356) |
$15,924.41 |
$17,253.50 |
1.3× |
| Excision/curettage cyst/tumor radius/ulna (25120) |
$3,632.83 |
$12,575 |
1.2× |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
$3,632.83 |
$13,675 |
1.2× |
| Explo/Drain Breast Abscess (19020) |
$1,830.12 |
$2,500 |
1.2× |
| Exploration Of Foot Joint (28020) |
$3,632.83 |
$14,241 |
1.2× |
| Exploration of hip joint (27033) |
$8,072.76 |
$8,925 |
1.2× |
| Exploration of knee joint (27310) |
$3,632.83 |
$15,300.67 |
1.2× |
| Explore treat shoulder joint (23107) |
$8,072.76 |
$8,925 |
1.2× |
| Explore/treat ankle joint (27620) |
$3,632.83 |
$12,575 |
1.2× |
| Explore/treat elbow joint (24101) |
$3,632.83 |
$18,909 |
1.2× |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
$1,750.75 |
$8,950 |
1.2× |
| Fasciotomy foot and/or toe (28008) |
$3,632.83 |
$8,925 |
1.2× |
| Fasciotomy Iliotibial Open (27305) |
$3,632.83 |
$24,280 |
1.2× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,632.83 |
$19,875 |
1.2× |
| Fixation of knee joint (27570) |
$1,750.75 |
$10,100.57 |
1.2× |
| Fixation of shoulder (23700) |
$1,750.75 |
$3,428 |
1.2× |
| Fusion Finger Joint (26860) |
$3,632.83 |
$19,875 |
1.2× |
| Fusion of foot bones (28715) |
$15,924.41 |
$15,894.19 |
1.3× |
| Fusion of foot bones (28730) |
$15,924.41 |
$19,183.60 |
1.3× |
| Fusion of foot bones (28740) |
$8,072.76 |
$22,709.65 |
1.2× |
| Fusion/graft of finger joint (26862) |
$3,632.83 |
$25,511.34 |
1.2× |
| Gastrocnemius Recession (27687) |
$3,632.83 |
$31,263.80 |
1.2× |
| Genioplasty Augmentation (21120) |
$6,516.74 |
$19,900 |
1.2× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$8,072.76 |
$19,276.88 |
1.2× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$3,632.83 |
$13,294.20 |
1.2× |
| Hip arthro w/fb removal (29861) |
$8,072.76 |
$8,925 |
1.2× |
| I&d abscess simple (10060) |
$220.39 |
$180 |
1.2× |
| I&d below fascia foot 1 bursal space (28002) |
$1,750.75 |
$8,925 |
1.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,152.71 |
$8,950 |
1.2× |
| Immediate breast prosthesis (19340) |
$7,253.27 |
$8,925 |
0.9× |
| Implant neuroelectrodes (63650) |
$8,059.61 |
$67,162.80 |
1.3× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$7,540.67 |
$48,810.89 |
0.9× |
| Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) |
$20,672.38 |
$77,561 |
1.2× |
| Incise finger tendon sheath (26055) |
$1,750.75 |
$8,925 |
1.2× |
| Incise wrist/forearm tendon (25290) |
$3,632.83 |
$16,225 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$455.30 |
$1,000 |
1.2× |
| Incision bone cortex hand/finger (26034) |
$1,750.75 |
$16,225 |
1.2× |
| Incision extensor tendon sheath wrist (25000) |
$1,750.75 |
$8,925 |
1.2× |
| Incision of heel bone (28300) |
$8,072.76 |
$15,321.66 |
1.2× |
| Incision of metatarsal (28308) |
$3,632.83 |
$12,101.81 |
1.2× |
| Incision of tibia (27705) |
$8,072.76 |
$8,925 |
1.2× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,040.03 |
$2,263 |
1.3× |
| Inj tendon sheath/ligament (20550) |
$331.84 |
$8,925 |
1.2× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$1,040.03 |
$110 |
1.3× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,040.03 |
$960 |
1.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,040.03 |
$1,487 |
1.3× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$786.37 |
$470 |
1.2× |
| Inject Nerv Blck,Intercostal,One (64420) |
$786.37 |
$548 |
1.2× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,040.03 |
$1,217 |
1.3× |
| Inject Tendon Origin/Insert (20551) |
$331.84 |
$609 |
1.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$786.37 |
$1,200 |
1.2× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$1,040.03 |
$960 |
1.3× |
| Injection aa&/strd suprascapular nerve (64418) |
$786.37 |
$470 |
1.2× |
| Injection anes other peripheral nerve/branch (64450) |
$786.37 |
$1,395 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$331.84 |
$470 |
1.2× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$331.84 |
$270 |
1.2× |
| Insert and remove bone pin (20650) |
$3,632.83 |
$34,609.50 |
1.2× |
| Insert non-tunnel cv cath (36556) |
$3,635.66 |
$2,779 |
1.2× |
| Insert picc cath (36569) |
$1,815.83 |
$2,100 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$141.71 |
$160 |
1.1× |
| Insert/ preplace infusn pump,nonprogram (62361) |
$20,672.38 |
$8,925 |
1.2× |
| Insrt/redo spine n generator (63685) |
$35,830.27 |
$85,972.94 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$253.64 |
$626 |
1.1× |
| Irrigate corpora cavernosa for priapism (54220) |
$262.24 |
$8,925 |
1.1× |
| Knee arthroscopy/surgery (29883) |
$3,632.83 |
$8,925 |
1.2× |
| Knee arthroscopy/surgery (29876) |
$3,632.83 |
$12,575 |
1.2× |
| La w/ex a/o de sp co a/o ca eq w/o fa, fo/dis (eg sp st) m t 2 v se ce (sso) (63015) |
$8,072.76 |
$23,550 |
1.2× |
| Lam w/o facetec foramot/dsc 1/2 vrt sgm crv (63001) |
$8,072.76 |
$20,535.83 |
1.2× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical (63265) |
$8,072.76 |
$4,000 |
1.2× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) |
$26,258.21 |
$95,115.25 |
1.4× |
| Laminectomy w/o ffd 1/2 vert seg thoracic (63003) |
$8,072.76 |
$20,765.89 |
1.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$8,072.76 |
$16,935.49 |
1.2× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$8,072.76 |
$28,788.41 |
1.2× |
| Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) |
$8,072.76 |
$44,231.53 |
1.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$8,072.76 |
$18,326.75 |
1.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$8,072.76 |
$20,789.61 |
1.2× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$8,072.76 |
$8,925 |
1.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$8,072.76 |
$20,688.24 |
1.2× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$8,072.76 |
$6,865.39 |
1.2× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$8,072.76 |
$30,688.37 |
1.2× |
| Late closure of wound (13160) |
$2,106.31 |
$12,575 |
0.6× |
| Lateral retinacular release open (27425) |
$3,632.83 |
$16,250 |
1.2× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$8,072.76 |
$31,080.33 |
1.2× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) |
$15,924.41 |
$31,697.80 |
1.3× |
| Lithotripsy (50590) |
$3,911.66 |
$5,290 |
1.2× |
| Manipulation finger joint under anes each joint (26340) |
$1,750.75 |
$8,925 |
1.2× |
| Mast mod rad (19307) |
$7,253.27 |
$30,153.80 |
1.2× |
| Mastectomy partial (19301) |
$4,195.62 |
$8,925 |
1.1× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$7,253.27 |
$12,575 |
1.2× |
| Mastectomy simple complete (19303) |
$7,253.27 |
$38,109.85 |
1.2× |
| Musculoskeletal surgery (20999) |
$252.65 |
$8,925 |
1.1× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,750.75 |
$8,925 |
1.2× |
| Nerve repair w/allograft (64910) |
$7,540.67 |
$18,273.20 |
0.9× |
| Nerve repair; with nerve allograft, each nerve, first strand (cable) (64912) |
$7,540.67 |
$15,000 |
0.9× |
| Neuroplasty; nerve of hand or foot (64704) |
$2,193.78 |
$8,925 |
1.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,040.03 |
$1,493 |
1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,040.03 |
$2,263 |
1.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$786.37 |
$1,345 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$786.37 |
$1,292 |
1.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,040.03 |
$473 |
1.3× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$8,072.76 |
$53,007.43 |
1.2× |
| Open rx mandible fx+dental fix (21462) |
$6,516.74 |
$19,875 |
1.2× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$8,072.76 |
$28,826.90 |
1.2× |
| Open Treatment Lunate Dislocation (25695) |
$8,072.76 |
$26,357.19 |
1.2× |
| Open Treatment Medial Malleolus Fracture (27766) |
$8,072.76 |
$10,688 |
1.2× |
| Open treatment metatarsal fracture each (28485) |
$8,072.76 |
$16,729.88 |
1.2× |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
$8,072.76 |
$21,224.50 |
1.2× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$8,072.76 |
$27,512.32 |
1.2× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$15,924.41 |
$32,811.58 |
1.3× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$8,072.76 |
$23,346.33 |
1.2× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$8,072.76 |
$16,592.16 |
1.2× |
| Open treatment of ulnar styloid fracture (25652) |
$8,072.76 |
$8,925 |
1.2× |
| Open treatment talus fracture (28445) |
$8,072.76 |
$9,557.32 |
1.2× |
| Open tx carpal scaphoid navicular fracture (25628) |
$8,072.76 |
$15,164.84 |
1.2× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,632.83 |
$16,225 |
1.2× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$8,072.76 |
$22,222.31 |
1.2× |
| Open tx interphalangeal joint dislocation (26785) |
$3,632.83 |
$12,600 |
1.2× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,632.83 |
$17,650.31 |
1.2× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$8,072.76 |
$16,315 |
1.2× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$8,072.76 |
$10,380.55 |
1.2× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$15,924.41 |
$37,849.86 |
1.3× |
| Optx hum fx wo ntrcndylr xtn (24545) |
$15,924.41 |
$47,473.28 |
1.3× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,632.83 |
$8,925 |
1.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$3,632.83 |
$8,925 |
1.2× |
| Osteochondral allograft, knee, open (27415) |
$21,125.66 |
$65,280.52 |
1.8× |
| Osteochondral knee autograft (27416) |
$8,072.76 |
$15,186.28 |
1.2× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$3,632.83 |
$28,059 |
1.2× |
| Partial excision bone metacarpal (26230) |
$3,632.83 |
$16,225 |
1.2× |
| Partial excision bone talus/calcaneus (28120) |
$3,632.83 |
$15,373.40 |
1.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,750.75 |
$12,575 |
1.2× |
| Partial Removal Foot Fascia (28060) |
$3,632.83 |
$8,925 |
1.2× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,632.83 |
$13,294.20 |
1.2× |
| Perc sk fix metatarsal fx w manip (28476) |
$3,632.83 |
$8,925 |
1.2× |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
$8,072.76 |
$15,333.32 |
1.2× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$3,632.83 |
$12,575 |
1.2× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) |
$3,632.83 |
$8,925 |
1.2× |
| Peri-implant capsulectomy breast complete (19371) |
$4,195.62 |
$16,225 |
1.1× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$8,072.76 |
$37,990.93 |
1.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,072.76 |
$35,895 |
1.2× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,632.83 |
$11,963.41 |
1.2× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,632.83 |
$9,299.60 |
1.2× |
| Pin finger fracture each (26756) |
$3,632.83 |
$8,925 |
1.2× |
| Pin knuckle dislocation (26706) |
$3,632.83 |
$8,925 |
1.2× |
| PR Capsulotomy Posterior Capsular Release Knee|ASSISTANT AT SURGERY SERVICE (27435) |
$3,632.83 |
$33,100 |
1.2× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$792.04 |
$1,280 |
1.2× |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
$3,632.83 |
$8,925 |
1.2× |
| Puncture Aspiration (10160) |
$455.30 |
$376.35 |
1.2× |
| Quadricepsplasty (eg, Bennett or Thompson type) (27430) |
$8,072.76 |
$26,333.94 |
1.2× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,750.75 |
$12,575 |
1.2× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$3,632.83 |
$16,225 |
1.2× |
| Radial styloidectomy (25230) |
$3,632.83 |
$23,525 |
1.2× |
| Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) .… (24149) |
$8,072.76 |
$19,875 |
1.2× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$8,072.76 |
$10,509 |
1.2× |
| Realignment extensor tendon hand each tendon (26437) |
$3,632.83 |
$16,225 |
1.2× |
| Reconstruct Shoulder Joint (23470) |
$15,924.41 |
$38,298.59 |
1.3× |
| Reconstruct ulna/radioulnar (25337) |
$8,072.76 |
$19,875 |
1.2× |
| Reconstruction of chin (21121) |
$3,472.19 |
$8,925 |
1.1× |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) |
$8,072.76 |
$16,225 |
1.2× |
| Reconstruction of mandibular ramus, sagittal split; in internal rigid fixation (21196) |
— |
$23,525 |
— |
| Reduction of Large Breast (19318) |
$7,253.27 |
$30,825 |
1.2× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$8,072.76 |
$20,348.80 |
1.2× |
| Release i-p jt contracture (26525) |
$1,750.75 |
$8,925 |
1.2× |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
$3,632.83 |
$8,925 |
1.2× |
| Release palm contracture (26121) |
$3,632.83 |
$16,225 |
1.2× |
| Removal foreign body foot deep (28192) |
$1,830.12 |
$8,925 |
1.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,830.12 |
$8,925 |
1.2× |
| Removal foreign body upper arm/elbow deep (24201) |
$3,152.71 |
$8,925 |
1.2× |
| Removal Implant Deep (20680) |
$3,152.71 |
$9,238.15 |
1.2× |
| Removal Implant From Finger/Hand (26320) |
$1,830.12 |
$12,575 |
1.2× |
| Removal Intact Mammary Implant (19328) |
$4,195.62 |
$16,225 |
1.1× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$1,750.75 |
$8,925 |
1.2× |
| Removal of finger lesion (26210) |
$1,750.75 |
$12,575 |
1.2× |
| Removal of heel spur (28119) |
$3,632.83 |
$21,639.85 |
1.2× |
| Removal of knee cartilage (27332) |
$3,632.83 |
$8,925 |
1.2× |
| Removal of kneecap (27350) |
$8,072.76 |
$22,064.12 |
1.2× |
| Removal of nail bed (11750) |
$455.30 |
$8,925 |
1.2× |
| Removal of sesamoid bone (28315) |
$3,632.83 |
$8,925 |
1.2× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$3,963.60 |
$14,006.50 |
1.2× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,106.31 |
$8,925 |
1.1× |
| Removal/bivalving full arm/full leg cast (29705) |
$292.80 |
$8,925 |
1.1× |
| Remove digit nerve lesion (64776) |
$2,193.78 |
$8,925 |
1.2× |
| Remove elbow lesion (24120) |
$3,632.83 |
$18,865 |
1.2× |
| Remove femur lesion/bursa (27062) |
$3,632.83 |
$24,538.69 |
1.2× |
| Remove humerus lesion (24110) |
$3,632.83 |
$19,875 |
1.2× |
| Remove knee cyst (27347) |
$3,632.83 |
$12,575 |
1.2× |
| Remove knee joint lining (27335) |
$8,072.76 |
$26,074.67 |
1.2× |
| Remove part lumbar vertebra (22102) |
$8,072.76 |
$12,575 |
1.2× |
| Remove shoulder joint lining (23105) |
$8,072.76 |
$8,925 |
1.2× |
| Remove skin nerve lesion (64774) |
$2,193.78 |
$27,175 |
1.2× |
| Remove spinal canal catheter (62355) |
$2,193.78 |
$12,600 |
1.2× |
| Remove spine infusion device (62365) |
$7,540.67 |
$6,151.75 |
2.3× |
| Remove wrist joint cartilage (25107) |
$3,632.83 |
$5,000 |
1.2× |
| Remove wrist tendon lesion (25111) |
$1,750.75 |
$2,500 |
1.2× |
| Remove/graft foot lesion (28103) |
$8,072.76 |
$20,902 |
1.2× |
| Repair achilles tendon (27650) |
$8,072.76 |
$19,305.86 |
1.2× |
| Repair arm tendon/muscle (24341) |
$8,072.76 |
$20,456.62 |
1.2× |
| Repair arm/leg nerve (64857) |
$7,540.67 |
$16,225 |
2.3× |
| Repair collat ankle ligmnt,secondary (27698) |
$8,072.76 |
$22,287.84 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$709.02 |
$12,575 |
1.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$709.02 |
$12,575 |
1.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$709.02 |
$12,575 |
1.0× |
| Repair elbow deb/attch open (24359) |
$3,632.83 |
$15,117.57 |
1.2× |
| Repair elbow perc (24357) |
$3,632.83 |
$12,575 |
1.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,750.75 |
$12,575 |
1.2× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$3,632.83 |
$7,500 |
1.2× |
| Repair finger/hand tendon (26350) |
$3,632.83 |
$5,000 |
1.2× |
| Repair forearm tendon/muscle (25270) |
$3,632.83 |
$8,925 |
1.2× |
| Repair forearm tendon/muscle (25260) |
$3,632.83 |
$12,768.60 |
1.2× |
| Repair hallux rigidus (28289) |
$3,632.83 |
$9,387 |
1.2× |
| Repair hand tendon (26410) |
$1,750.75 |
$5,000 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$455.30 |
$8,925 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$455.30 |
$12,575 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$455.30 |
$8,925 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$455.30 |
$12,575 |
1.2× |
| Repair kneecap tendon (27380) |
$8,072.76 |
$23,353.54 |
1.2× |
| Repair nonunion hand (26546) |
$8,072.76 |
$16,225 |
1.2× |
| Repair of ankle ligament (27695) |
$8,072.76 |
$12,725.50 |
1.2× |
| Repair of biceps tendon (24340) |
$8,072.76 |
$29,056.33 |
1.2× |
| Repair Of Foot Tendon (28208) |
$3,632.83 |
$18,742.33 |
1.2× |
| Repair of leg tendon each (27664) |
$8,072.76 |
$8,925 |
1.2× |
| Repair of leg tendon each (27658) |
$3,632.83 |
$9,734.60 |
1.2× |
| Repair of nail bed (11760) |
$709.02 |
$8,925 |
1.0× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$8,072.76 |
$21,859.41 |
1.2× |
| Repair of shoulder (23420) |
$8,072.76 |
$18,507.12 |
1.2× |
| Repair of thigh musc (27385) |
$8,072.76 |
$19,765 |
1.2× |
| Repair rotator cuff acute (23410) |
$8,072.76 |
$25,451.54 |
1.2× |
| Repair secondary achilles tendon w/wo graft (27654) |
$8,072.76 |
$18,918.33 |
1.2× |
| Repair shldr capsu,ant,coracoid xfer (23462) |
$8,072.76 |
$24,119.66 |
1.2× |
| Repair wrist joints (25447) |
$3,632.83 |
$20,060.59 |
1.2× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$3,632.83 |
$15,259 |
1.2× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$8,072.76 |
$32,875.60 |
1.2× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$3,632.83 |
$10,917.57 |
1.2× |
| Repair/graft achilles tendon (27652) |
$8,072.76 |
$8,925 |
1.2× |
| Repair/graft flex foot tendon (28202) |
$8,072.76 |
$16,867 |
1.2× |
| Repair/graft hand tendon (26352) |
$8,072.76 |
$5,000 |
1.2× |
| Repair/revise wrist joint (25320) |
$8,072.76 |
$27,175 |
1.2× |
| Replace/revise brain shunt (62230) |
$7,540.67 |
$7,898.40 |
0.9× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,632.83 |
$10,245 |
1.2× |
| Resection or transplantation of long tendon of biceps (23440) |
$8,072.76 |
$11,000 |
1.2× |
| Revise arm/leg nerve (64708) |
$2,193.78 |
$16,225 |
1.2× |
| Revise finger joint (26535) |
$3,632.83 |
$8,925 |
1.2× |
| Revise finger joint each (26140) |
$1,750.75 |
$12,575 |
1.2× |
| Revise knuckle with implant (26531) |
$8,072.76 |
$32,074.72 |
1.2× |
| Revise median n/carpal tunnel surg (64721) |
$2,193.78 |
$13,411.72 |
1.2× |
| Revise ulnar nerve at elbow (64718) |
$2,193.78 |
$23,103.36 |
1.2× |
| Revise ulnar nerve at wrist (64719) |
$2,193.78 |
$12,575 |
1.2× |
| Revision inc. replace spinal neurostimulator elec plate via laminotomy/ectomy 63664 (63664) |
$14,587.42 |
$105,040 |
1.4× |
| Revision of lower leg tendon (27685) |
$3,632.83 |
$8,950 |
1.2× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$3,963.60 |
$37,402 |
1.2× |
| Rmvl ruptured breast implant w/implant contents (19330) |
$4,195.62 |
$8,925 |
1.1× |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
$460.80 |
$20,329 |
1.1× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$3,632.83 |
$12,575 |
1.2× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$8,072.76 |
$9,883.35 |
1.2× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,632.83 |
$1,335.50 |
1.2× |
| Shldr arthroscop,lyse adhesns (29825) |
$3,632.83 |
$12,575 |
1.2× |
| Shoulder arthroscopy (29805) |
$3,632.83 |
$8,925 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$220.39 |
$350 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$220.39 |
$275 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$220.39 |
$8,925 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$2,106.31 |
$22,485.80 |
3.0× |
| Skin sub graft trnk/arm/leg (15271) |
$2,106.31 |
$20,094.40 |
3.0× |
| Skin tissue rearrangement (14040) |
$2,106.31 |
$12,575 |
1.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$220.39 |
$350 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$786.37 |
$1,042 |
1.2× |
| Spinal Puncture Therapeutic (62272) |
$786.37 |
$1,111 |
1.2× |
| Suction assisted lipectomy head & neck (15876) |
$3,970.15 |
$8,925 |
1.2× |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
$8,072.76 |
$29,213.78 |
1.2× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$7,540.67 |
$8,925 |
2.3× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$2,193.78 |
$16,225 |
1.2× |
| Suture of 1 nerve; median motor thenar (64835) |
$7,540.67 |
$8,925 |
2.3× |
| Sympathectomy digital artery (64820) |
$2,193.78 |
$23,525 |
1.2× |
| Sympathectomy; radial artery (64821) |
$3,632.83 |
$23,525 |
1.2× |
| Sympathectomy; ulnar artery (64822) |
$3,632.83 |
$8,925 |
1.2× |
| Synovectomy carpometacarpal joint (26130) |
$3,632.83 |
$8,925 |
1.2× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$1,750.75 |
$12,709.40 |
1.2× |
| Tendon excision palm/finger (26145) |
$1,750.75 |
$8,925 |
1.2× |
| Tendon shortening (26477) |
$3,632.83 |
$19,875 |
1.2× |
| Tenodesis long tendon biceps (23430) |
$8,072.76 |
$25,297.13 |
1.2× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$3,632.83 |
$8,925 |
1.2× |
| Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) |
$3,632.83 |
$23,525 |
1.2× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,750.75 |
$8,925 |
1.2× |
| Tenotomy elbow lateral/medial debride open (24358) |
$3,632.83 |
$8,925 |
1.2× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$1,750.75 |
$8,925 |
1.2× |
| Tenotomy shoulder area single tendon (23405) |
$8,072.76 |
$25,757.29 |
1.2× |
| Tenotomy, extensor, hand or finger, open, each tendon (26460) |
$1,750.75 |
$8,925 |
1.2× |
| Tenotomy, flexor, finger, open, each tendon (26455) |
$1,750.75 |
$12,575 |
1.2× |
| Tenotomy, open, hamstring, knee to hip; single tendon Other Surgical Services (27390) |
$3,632.83 |
$8,925 |
1.2× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,750.75 |
$8,925 |
1.2× |
| Tibial arthroscopy/surgery (29855) |
$8,072.76 |
$22,861.37 |
1.2× |
| Tissue expander placement breast reconstruction (19357) |
$20,361.54 |
$8,925 |
1.6× |
| Total hip arthroplasty (27130) |
$15,924.41 |
$48,131.64 |
1.3× |
| Total knee arthroplasty (27447) |
$15,924.41 |
$48,755.39 |
1.3× |
| Transfer of tendon to restore intrinsic function-all 4 fingers 26498 (26498) |
$3,632.83 |
$19,875 |
1.2× |
| Transfer or transplant tendon-palmar; w/o free tendon graft 26485 (26485) |
$3,632.83 |
$16,225 |
1.2× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$8,072.76 |
$38,150 |
1.2× |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
$8,072.76 |
$16,531.68 |
1.2× |
| Transplant forearm tendon (25310) |
$3,632.83 |
$8,925 |
1.2× |
| Transplant hand tendon (26480) |
$3,632.83 |
$19,875 |
1.2× |
| Treat clavicle dislocation (23552) |
$8,072.76 |
$26,236 |
1.2× |
| Treat dislocation/fracture (23670) |
$8,072.76 |
$27,436.20 |
1.2× |
| Treat Finger Fracture Each (26727) |
$3,632.83 |
$9,070.23 |
1.2× |
| Treat fracture radius/ulna (25575) |
$8,072.76 |
$20,412.04 |
1.2× |
| Treat fx distal radial (25606) |
$3,632.83 |
$14,370.73 |
1.2× |
| Treat fx rad extra-articul (25607) |
$8,072.76 |
$19,797.55 |
1.2× |
| Treat heel fracture (28415) |
$8,072.76 |
$17,714.20 |
1.2× |
| Treat kneecap dislocation (27566) |
$8,072.76 |
$12,600 |
1.2× |
| Treat Lower Leg Fracture (27827) |
$15,924.41 |
$36,014.17 |
1.3× |
| Treat radius fracture (24665) |
$8,072.76 |
$28,671.53 |
1.2× |
| Treat scapula fracture (23585) |
$8,072.76 |
$32,416.92 |
1.2× |
| Treat thumb fracture (26650) |
$3,632.83 |
$12,575 |
1.2× |
| Treat toe fracture (28525) |
$3,632.83 |
$12,625 |
1.2× |
| Treat ulnar fracture (24685) |
$8,072.76 |
$29,554.23 |
1.2× |
| Treatment of ankle fracture (27822) |
$8,072.76 |
$27,841.88 |
1.2× |
| Treatment of ankle fracture (27792) |
$8,072.76 |
$22,732.73 |
1.2× |
| Treatment of tibia fracture (27759) |
$15,924.41 |
$39,485.03 |
1.3× |
| Trim skin lesions 2 to 4 (11056) |
$220.39 |
$8,925 |
1.2× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,750.75 |
$8,925 |
1.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$709.02 |
$1,950 |
1.0× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$253.64 |
$8,925 |
1.1× |
| Unlisted procedure femur or knee (27599) |
$252.65 |
$23,155.44 |
1.1× |
| Unlisted procedure foot or toes (28899) |
$252.65 |
$22,928 |
1.1× |
| Unlisted procedure humerus/elbow (24999) |
$252.65 |
$8,925 |
1.1× |
| Unlisted procedure leg/ankle (27899) |
$252.65 |
$8,925 |
1.1× |
| Unlisted Procedure Nervous System (64999) |
$331.84 |
$808 |
1.2× |
| Unlisted procedure pelvis/hip joint (27299) |
$252.65 |
$24,938.75 |
1.1× |
| Unlisted procedure shoulder (23929) |
$252.65 |
$16,986 |
1.1× |
| Unlisted procedure spine (22899) |
$252.65 |
$8,925 |
1.1× |
| Unlisted procedure, forearm or wrist (25999) |
$252.65 |
$41,549.62 |
1.1× |
| Unlisted procedure, hands or fingers (26989) |
$252.65 |
$12,575 |
1.1× |
| Wrist arthroscop,excis triang cart (29846) |
$3,632.83 |
$12,575 |
1.2× |
| Xfer single deep low leg tendon (27691) |
$8,072.76 |
$17,699 |
1.2× |