| Aerosol inhalation pentamidine (94642) |
— |
$475.85 |
— |
| Airway inhalation treatment (94640) |
— |
$182.90 |
— |
| Application of a modality to 1 or more areas; contrast baths, each 15 minutes Other Outpatient (97034) |
— |
$77.10 |
— |
| Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes Other Outpatient (97032) |
— |
$77.10 |
— |
| Application of a modality to 1 or more areas; iontophoresis, each 15 minutes Other Outpatient (97033) |
— |
$77.10 |
— |
| Application of a modality to 1 or more areas; ultrasound, each 15 minutes Other Outpatient (97035) |
— |
$77.10 |
— |
| Bipap initial day (94660) |
— |
$274.80 |
— |
| Breath hydrogen/methane test (91065) |
— |
$503.10 |
— |
| Breathing capacity test (94010) |
— |
$311.90 |
— |
| Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration (94060) |
— |
$409.80 |
— |
| Canalith repositioning (95992) |
— |
$409.50 |
— |
| Chest physiotherapy initial (94667) |
— |
$274.80 |
— |
| Color/duplex Doppler, complete (93975) |
— |
$1,482.90 |
— |
| Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour (94644) |
— |
$347.30 |
— |
| Debridement open wound 20 sq cm< (97597) |
— |
$538.85 |
— |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study Age Under 21 (93978) |
— |
$1,026.80 |
— |
| Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited study Age Under 21 (93979) |
— |
$801.10 |
— |
| Duplex scan of extracranial arteries; complete bilateral study Age Under 21 (93880) |
— |
$1,412.30 |
— |
| Duplex scan of extracranial arteries; unilateral or limited study Age Under 21 (93882) |
— |
$1,026.80 |
— |
| Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study Age… (93970) |
— |
$1,620.65 |
— |
| Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study Age… (93971) |
— |
$877.50 |
— |
| Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93925) |
— |
$1,676.20 |
— |
| Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study Age Under 21 (93926) |
— |
$904.10 |
— |
| Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study Age Under 21 (93930) |
— |
$904.10 |
— |
| Echo transesophageal (93312) |
— |
$3,085.08 |
— |
| Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed,… (93307) |
— |
$2,134.65 |
— |
| EKG 12 lead tracing only (93005) |
— |
$275.50 |
— |
| Emergency department visit high mdm (99285) |
— |
$2,136.95 |
— |
| Emergency department visit low mdm (99283) |
— |
$780.25 |
— |
| Emergency department visit may not req phys/qhp (99281) |
— |
$434.10 |
— |
| Emergency department visit moderate mdm (99284) |
— |
$1,376.40 |
— |
| Emergency department visit straightforward mdm (99282) |
— |
$578.80 |
— |
| Evaluate pt use of inhaler (94664) |
— |
$137.40 |
— |
| Fluidotherapy (97022) |
— |
$66.20 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) |
— |
$272.05 |
— |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) |
— |
$321.80 |
— |
| Interrog dev eval pm/ldls pm phys/qhp in person (93288) |
— |
$358.85 |
— |
| IV infusion hydration each additional hour (96361) |
— |
$142.40 |
— |
| IV infusion hydration initial 31 min-1 hour (96360) |
— |
$140 |
— |
| IV infusion ther proph addl sequential to 1 hr (96367) |
— |
$195.60 |
— |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) |
— |
$802.25 |
— |
| IV tx, each additional hour (96366) |
— |
$142.40 |
— |
| Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent (94668) |
— |
$138.30 |
— |
| Maximum voluntary ventilation (94200) |
— |
$208.35 |
— |
| Mechanical traction therapy (97012) |
— |
$66.20 |
— |
| Methacholine challenge (94070) |
— |
$657.50 |
— |
| Multiple sleep latency (95805) |
— |
$3,970.60 |
— |
| Needle measurement of electrical activity in muscles on both sides of body (95868) |
— |
$684.10 |
— |
| Neg pressure wound therapy non dme >50 sq cm (97608) |
— |
$699.20 |
— |
| Negative pressure wound therapy dme </= 50 sq cm (97605) |
— |
$425.70 |
— |
| Negative pressure wound therapy dme >50 sq cm (97606) |
— |
$538.85 |
— |
| Nerve conduction studies 11-12 studies (95912) |
— |
$14.42 |
— |
| Nerve conduction studies 13/> studies (95913) |
— |
$1,564.50 |
— |
| Nerve conduction studies 5-6 studies (95909) |
— |
$822 |
— |
| Nerve conduction studies 7-8 studies (95910) |
— |
$956.25 |
— |
| Nerve conduction studies 9-10 studies (95911) |
— |
$1,192.50 |
— |
| Non-invasive physiologic study extremity 3 levels (93923) |
— |
$772.85 |
— |
| Occupational therapy eval high complex 60 mins (97167) |
— |
$277 |
— |
| Occupational therapy eval low complex 30 mins (97165) |
— |
$277 |
— |
| Occupational therapy eval mod complex 45 mins (97166) |
— |
$277 |
— |
| Orthc/prostc mgmt sbsq enc (97763) |
— |
$66.35 |
— |
| Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper… (97760) |
— |
$99.65 |
— |
| Ot manual therapy ea 15 min (97140) |
— |
$77.10 |
— |
| Ot neuromuscular re-education (97112) |
— |
$99.95 |
— |
| Ot paraffin bath (97018) |
— |
$66.20 |
— |
| Ot re-evaluation (97168) |
— |
$216.75 |
— |
| OT Therapeutic Activities Charges (97530) |
— |
$99.95 |
— |
| Ot wheelchair management (97542) |
— |
$66.20 |
— |
| Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted (94681) |
— |
$874 |
— |
| Phlebotomy therapeutic (99195) |
— |
$333.35 |
— |
| Physical therapy evaluation high complex 45 mins (97163) |
— |
$277 |
— |
| Physical therapy evaluation low complex 20 mins (97161) |
— |
$277 |
— |
| Physical therapy evaluation mod complex 30 mins (97162) |
— |
$277 |
— |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) |
— |
$6,010.40 |
— |
| Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes Other… (97761) |
— |
$99.65 |
— |
| Pt gait training 15 min (97116) |
— |
$89.15 |
— |
| Pt physical performance test (97750) |
— |
$141.50 |
— |
| Pt re-evaluation (97164) |
— |
$216.75 |
— |
| Pt Work Hardening/conditioningwork Reconditioning Initial Charge (97545) |
— |
$277 |
— |
| Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section… (95851) |
— |
$81.90 |
— |
| Range of motion measurements and report (separate procedure); hand, with or without comparison with normal side Other… (95852) |
— |
$81.90 |
— |
| Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation,… (97535) |
— |
$99.95 |
— |
| Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording… (95925) |
— |
$1,019.85 |
— |
| Sleep study unattended (95806) |
— |
$1,033.75 |
— |
| Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) |
— |
$802.25 |
— |
| Therapeutic procedure(s), group (2 or more individuals) Other Outpatient (97150) |
— |
$77.10 |
— |
| Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement… (97124) |
— |
$77.10 |
— |
| Therapeutic prophylactic/dx injection subq/im (96372) |
— |
$210.70 |
— |
| Upr/l xtremity art 2 levels (93922) |
— |
$850.25 |
— |
| Ventilation ip/obs initial day (94002) |
— |
$1,227.30 |
— |
| Ventilator subsequent day (94003) |
— |
$1,227.30 |
— |
| Vital capacity total (94150) |
— |
$208.35 |
— |
| Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) (97546) |
— |
$110.75 |
— |
| Wound(s) care non-selective (97602) |
— |
$306.20 |
— |