| Abd paracentesis w/imaging (49083) |
— |
$2,176 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$601 |
— |
| Ablate inf turbinate submuc (30802) |
— |
$244 |
— |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
— |
$193 |
— |
| Abortion (59841) |
— |
$555 |
— |
| Acne Surgery (10040) |
— |
$207 |
— |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
— |
$412 |
— |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
— |
$994.50 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$565 |
— |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
— |
$1,169.50 |
— |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
— |
$1,069 |
— |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
— |
$1,120 |
— |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
— |
$1,273 |
— |
| Amputation Finger/Thumb (26951) |
— |
$2,130 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$321 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$304 |
— |
| Amputation of finger/thumb (26952) |
— |
$1,952.50 |
— |
| Amputation of penis; partial (54120) |
— |
$438 |
— |
| Amputation thigh through femur any level (27590) |
— |
$2,780 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$158.50 |
— |
| Amputation Toe Metatarsophalangeal Joint (28820) |
— |
$332 |
— |
| Amputation, foot; transmetatarsal (28805) |
— |
$493 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$1,430 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$449.50 |
— |
| Analyze infusn pump+reprogram (62368) |
— |
$367.50 |
— |
| Analyze spine infus pump (62367) |
— |
$240 |
— |
| Ankle arthroscopy (29899) |
— |
$58 |
— |
| Ankle arthroscopy/surgery (29892) |
— |
$824 |
— |
| Ankle arthroscopy/surgery (29894) |
— |
$345 |
— |
| Ankle Scope,Excis Osteochon Defct (29891) |
— |
$459.50 |
— |
| Ankle scope,part synovectomy (29895) |
— |
$737 |
— |
| Anoplasty, plastic operation for stricture; adult (46700) |
— |
$1,400 |
— |
| Anoscopy Ablation Lesion (46615) |
— |
$582 |
— |
| Anoscopy control bleeding (46614) |
— |
$78.50 |
— |
| Anoscopy diagnostic (46600) |
— |
$72.39 |
— |
| Anoscopy w/rmvl lesion cautery (46610) |
— |
$120 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$100.25 |
— |
| Anrct xm surg req anes general spi/edrl dx (45990) |
— |
$106.50 |
— |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
— |
$451.50 |
— |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
— |
$1,352 |
— |
| Appendectomy (44950) |
— |
$1,793 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$395 |
— |
| Application cast elbow finger short arm (29075) |
— |
$205 |
— |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
— |
$147 |
— |
| Application cast shoulder hand long arm (29065) |
— |
$110.25 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$99.75 |
— |
| Application finger splint static (29130) |
— |
$277.50 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$362 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$257 |
— |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
— |
$58 |
— |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
— |
$405.50 |
— |
| Application of long leg cast (29345) |
— |
$201 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$159 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$382 |
— |
| Application short leg splint calf foot (29515) |
— |
$561 |
— |
| Apply multlay comprs arm/hand (29584) |
— |
$185 |
— |
| Apply short leg cast (29405) |
— |
$197 |
— |
| Arterial puncture (36600) |
— |
$109.50 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$2,117 |
— |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) |
— |
$559.50 |
— |
| Artery-vein autograft (36825) |
— |
$1,259 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$415 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$750 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$309 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$331 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$286 |
— |
| Arthrodesis ankle open (27870) |
— |
$1,308 |
— |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
— |
$2,125 |
— |
| Arthrodesis great toe interphalangeal joint (28755) |
— |
$58 |
— |
| Arthrodesis tibiofibular joint proximal or distal (27871) |
— |
$423.50 |
— |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
— |
$404 |
— |
| Arthrodesis; subtalar (28725) |
— |
$58 |
— |
| Arthroplasty Ankle W/Implant (27702) |
— |
$58 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$1,865 |
— |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
— |
$1,780 |
— |
| Arthroplasty knee fc/tp (27442) |
— |
$583 |
— |
| Arthroplasty radial head w/implant (24366) |
— |
$58 |
— |
| Arthroplasty, patella; without prosthesis (27437) |
— |
$58 |
— |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
— |
$1,492 |
— |
| Arthroscopy Hip Surgical W/Synovectomy (29863) |
— |
$1,020 |
— |
| Arthroscopy of joint (29999) |
— |
$258 |
— |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
— |
$390.50 |
— |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914) |
— |
$1,261 |
— |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
— |
$289 |
— |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
— |
$526.50 |
— |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
— |
$502.50 |
— |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
— |
$58 |
— |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
— |
$3,150 |
— |
| Arthroscopy, Knee, Surgical; Meniscal Transplantation (Includes Arthrotomy For Meniscal Insertion), Medial Or Lateral (29868) |
— |
$2,043 |
— |
| Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) |
— |
$1,636 |
— |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
— |
$58 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$360.50 |
— |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
— |
$458 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$472.50 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$1,405 |
— |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
— |
$1,615 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$426 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$460.50 |
— |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
— |
$449 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$1,500 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
— |
$58 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, partial (29820) |
— |
$58 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$745 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$1,625 |
— |
| Arthrotomy W/Biopsy Hip Joint (27052) |
— |
$324 |
— |
| Arthrotomy with biopsy; metatarsophalangeal joint Other Surgical Services (28052) |
— |
$58 |
— |
| Arthrotomy Wrist Joint With Synovectomy (25105) |
— |
$58 |
— |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
— |
$383.50 |
— |
| Arthrotomy, with synovectomy, ankle; (27625) |
— |
$58 |
— |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
— |
$58 |
— |
| Arthrs hip debridement/shaving articular crtlg (29862) |
— |
$537 |
— |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
— |
$58 |
— |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
— |
$271.50 |
— |
| Arthrtomy w/bx interphalangeal joint (28054) |
— |
$58 |
— |
| Aspir/inj thyroid cyst (60300) |
— |
$380.50 |
— |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
— |
$183.50 |
— |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
— |
$1,354 |
— |
| Av fistula revision (36833) |
— |
$566.50 |
— |
| Av Fuse Uppr Arm Basilic (36819) |
— |
$1,167 |
— |
| Av fusion/forearm vein (36820) |
— |
$508 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$253 |
— |
| Axillary lymphadenectomy superficial 38740 (38740) |
— |
$1,060 |
— |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
— |
$164 |
— |
| Biliary Endoscopy,Percut,W/Rem, Stone(S) (47554) |
— |
$756 |
— |
| Biopsy bone open superficial (20240) |
— |
$58 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$1,633 |
— |
| Biopsy Breast Open Incisional (19101) |
— |
$2,997 |
— |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
— |
$117 |
— |
| Biopsy external auditory canal (69105) |
— |
$1,408.50 |
— |
| Biopsy external ear (69100) |
— |
$316 |
— |
| Biopsy finger joint lining (26110) |
— |
$874.75 |
— |
| Biopsy intranasal (30100) |
— |
$1,519 |
— |
| Biopsy of eyelid lining (68100) |
— |
$282.50 |
— |
| Biopsy of lip (40490) |
— |
$330.50 |
— |
| Biopsy of mouth lesion (40808) |
— |
$316 |
— |
| Biopsy of nail unit (11755) |
— |
$300.50 |
— |
| Biopsy of ovary(s) (58900) |
— |
$618 |
— |
| Biopsy of palate, uvula (42100) |
— |
$761.50 |
— |
| Biopsy of penis (54100) |
— |
$1,336.50 |
— |
| Biopsy of prostate (55705) |
— |
$3,435 |
— |
| Biopsy of tongue (41100) |
— |
$350 |
— |
| Biopsy of urethra (53200) |
— |
$209 |
— |
| Biopsy of uterus lining (58100) |
— |
$210 |
— |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
— |
$191.50 |
— |
| Biopsy Oropharynx (42800) |
— |
$1,410.50 |
— |
| Biopsy pleura percutaneous needle (32400) |
— |
$1,633 |
— |
| Biopsy Salivary Gland Incisional (42405) |
— |
$206.50 |
— |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
— |
$1,058.62 |
— |
| Biopsy soft tissue leg/ankle area superficial (27613) |
— |
$508 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$148.50 |
— |
| Biopsy soft tissue of back (21920) |
— |
$245 |
— |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
— |
$3,358 |
— |
| Biopsy Soft Tissue Shoulder Deep (23066) |
— |
$536 |
— |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
— |
$2,187 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$165 |
— |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
— |
$155.50 |
— |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
— |
$1,633 |
— |
| Biopsy testis incisional separate procedure (54505) |
— |
$311 |
— |
| Biopsy tongue posterior one-third (41105) |
— |
$2,649 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$160 |
— |
| Biopsy, soft tissue of forearm and/or wrist; superficial (25065) |
— |
$502.50 |
— |
| Biopsy/removal lymph nodes (38525) |
— |
$1,706 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$1,706 |
— |
| Biopsy; nasopharynx, survey for unknown primary lesion (42806) |
— |
$201 |
— |
| Bladder Instillation Anticarcinogenic Agent (51720) |
— |
$792.50 |
— |
| Bladder Irrigation Simple (51700) |
— |
$123.50 |
— |
| Bladder Scan (51798) |
— |
$273 |
— |
| Blood patch (62273) |
— |
$613 |
— |
| Blood transfusion service (36430) |
— |
$1,062 |
— |
| Blood/Lymph System Procedure (38999) |
— |
$229 |
— |
| Bone graft for nonunion, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) (27170) |
— |
$1,493 |
— |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
— |
$189 |
— |
| Bone marrow aspiration only (38220) |
— |
$2,825 |
— |
| Bone Marrow Biopsy (38221) |
— |
$2,825 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$226 |
— |
| Bronchosc dx w/w/o fluor&wash (31622) |
— |
$3,466 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$1,482.50 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$172 |
— |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
— |
$1,837.50 |
— |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
— |
$58 |
— |
| Bronchoscopy,Diagnostic W Lavage (31624) |
— |
$404 |
— |
| Bx anorectal wall anal approach (45100) |
— |
$402.50 |
— |
| Bx breast 1st lesion mr imag (19085) |
— |
$1,175 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$3,928 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$2,115.50 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$288.25 |
— |
| Bx vulva/perineum 1 lesion (56605) |
— |
$287 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$1,097 |
— |
| Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) |
— |
$384 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$497 |
— |
| Capsulorrhaphy anterior w/labral repair (23455) |
— |
$58 |
— |
| Capsulotomy; interphalangeal joint, each joint (28272) |
— |
$215 |
— |
| Catheter Aspiration Nasotracheal Spx (31720) |
— |
$359 |
— |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
— |
$324 |
— |
| Cautery Cervix Electro/Thermal (57510) |
— |
$250.75 |
— |
| Cerclage cervix pregnancy vaginal (59320) |
— |
$58 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$740 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$166 |
— |
| Change Ureter Stent, Percut (50382) |
— |
$402 |
— |
| Chemical Cautery Tissue (17250) |
— |
$134 |
— |
| Chemical peel nonfacial epidermal (15792) |
— |
$389 |
— |
| Chemodenerv 1 extrem 5/> mus (64644) |
— |
$472.50 |
— |
| Chemodenerv 1 extremity 1-4 (64642) |
— |
$465 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$235 |
— |
| Chemodenerv Musc Neck Dyston (64616) |
— |
$371.50 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$590.50 |
— |
| Chemodenerv trunk musc 6/> (64647) |
— |
$458 |
— |
| Chemodenervation eccrine glands oth area per day (64653) |
— |
$182.50 |
— |
| Chemodenervation internal anal sphincter (46505) |
— |
$220.50 |
— |
| Chemodenervation of eccrine glands; both axillae (64650) |
— |
$180 |
— |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
— |
$282 |
— |
| Chest tube placement (32551) |
— |
$329 |
— |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
— |
$88.50 |
— |
| Cholecystostomy,Percutaneous, Complete (47490) |
— |
$1,237.77 |
— |
| Chromotubation of oviduct, including materials (58350) |
— |
$89 |
— |
| Circum 28 days or older (54161) |
— |
$151 |
— |
| Circumcision (54150) |
— |
$151 |
— |
| Circumcision Neonate (54160) |
— |
$151 |
— |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
— |
$268 |
— |
| Claviculectomy; partial (23120) |
— |
$738 |
— |
| Clean out mastoid cavity (69222) |
— |
$204 |
— |
| Close Rx Fingr Articular Fx,Manip (26742) |
— |
$877.25 |
— |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
— |
$704.50 |
— |
| Closed Rx Humeral Supracondylar Fx (24530) |
— |
$704.50 |
— |
| Closed Rx Mandible Fx+Manipulatn (21451) |
— |
$1,275.50 |
— |
| Closed Rx Med Malleolus Fx (27760) |
— |
$362 |
— |
| Closed Rx Med Malleolus Fx,Manip (27762) |
— |
$707 |
— |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
— |
$1,036 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$1,036 |
— |
| Closed Rx Radial Shaft Fx (25500) |
— |
$329.25 |
— |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
— |
$1,036 |
— |
| Closed Rx Tibia Shaft Fx (27750) |
— |
$434.25 |
— |
| Closed Rx Tibial Plateau Fx (27530) |
— |
$430.50 |
— |
| Closed Rx Trimalleolar Fx (27816) |
— |
$470.25 |
— |
| Closed treatment nasal fracture w/stabilization (21320) |
— |
$2,003 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$651.50 |
— |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
— |
$318.25 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$657.25 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$505 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$2,396 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$468.75 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$768 |
— |
| Closed tx knee dislocation w/anesthesia (27552) |
— |
$1,036 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$613.75 |
— |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
— |
$1,036 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$279.25 |
— |
| Closed tx nasal fracture w/o stabilization (21315) |
— |
$1,032 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$317 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$1,036 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$265.75 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$1,036 |
— |
| Closed tx septal&nose fx (21337) |
— |
$253 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$331 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$272.12 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$870.25 |
— |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
— |
$297.25 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$329.25 |
— |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
— |
$190 |
— |
| Closure of vagina (57120) |
— |
$354 |
— |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
— |
$58 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$321 |
— |
| Clsd tx clavicular fracture w/manipulation (23505) |
— |
$1,036 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$303 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$1,582 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$552.50 |
— |
| Cltr skin autograft t/a/l 1st 25 cm/< (15150) |
— |
$1,839 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$527 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$274.50 |
— |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
— |
$418.50 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$447 |
— |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
— |
$1,036 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$581 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$453.50 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$362 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$256.12 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$485 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,856 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$704.50 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$1,110.12 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$278 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$238.50 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$250 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$169.50 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$1,125 |
— |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
— |
$58 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$267 |
— |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
— |
$683 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$252.50 |
— |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
— |
$58 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$525 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$633 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$413.88 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$1,036 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$686 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$58 |
— |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$133 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$414.50 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$217.25 |
— |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
— |
$1,297.50 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$197 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$319 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$1,036 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$470.50 |
— |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
— |
$1,297.50 |
— |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
— |
$58 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$1,147 |
— |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
— |
$369 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$363 |
— |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
— |
$1,114 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$638.25 |
— |
| Coccygectomy Primary (27080) |
— |
$355 |
— |
| Colonoscopy flex w/rem forcep (45384) |
— |
$582 |
— |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
— |
$649 |
— |
| Colonoscopy for bleeding (44391) |
— |
$1,653 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$1,412 |
— |
| Colonoscopy stoma w/biopsy (44389) |
— |
$1,205 |
— |
| Colonoscopy stoma w/snare (44394) |
— |
$1,413 |
— |
| Colonoscopy through stoma; with removal of foreign body(s) (44390) |
— |
$1,205 |
— |
| Colonoscopy thru stoma (44388) |
— |
$1,033 |
— |
| Colonoscopy w/ablation (45388) |
— |
$418 |
— |
| Colonoscopy w/band ligation (45398) |
— |
$4,682 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$484 |
— |
| Colonoscopy w/resection (45390) |
— |
$526 |
— |
| Colpocentesis (57020) |
— |
$426 |
— |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
— |
$343 |
— |
| Colporrhaphy suture injury vagina (57200) |
— |
$831 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$236 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$276 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$166.50 |
— |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
— |
$147.50 |
— |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
— |
$150 |
— |
| Colposcopy vulva (56820) |
— |
$58 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$367.25 |
— |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
— |
$706 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
— |
$1,024.75 |
— |
| Colsc flx with directed submucosal njx any sbst (45381) |
— |
$432 |
— |
| Complete replacement picc rs&i (36584) |
— |
$708.25 |
— |
| Complex Cystometrogram (51726) |
— |
$307.50 |
— |
| Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) |
— |
$160 |
— |
| Complex Drainage, Wound (10180) |
— |
$925.25 |
— |
| Complex Uroflowmetry (51741) |
— |
$366 |
— |
| Composite skin graft (15760) |
— |
$485.50 |
— |
| Conization of cervix (57520) |
— |
$239 |
— |
| Conization of cervix (57522) |
— |
$213 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$172 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$253 |
— |
| Control Oropharyngeal Hemorrhage Simple (42960) |
— |
$241 |
— |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
— |
$795 |
— |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
— |
$2,575 |
— |
| Coracoacromial ligament release, with or without acromioplasty (23415) |
— |
$468.50 |
— |
| Correction hammertoe (28285) |
— |
$1,845.50 |
— |
| Correction of bunion (28298) |
— |
$404 |
— |
| Correction of bunion (28292) |
— |
$387 |
— |
| Correction of bunion (28299) |
— |
$403.50 |
— |
| Correction of bunion (28297) |
— |
$401.50 |
— |
| Correction of inverted nipples (19355) |
— |
$727 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$58 |
— |
| Create eardrum opening (69436) |
— |
$58 |
— |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
— |
$549.50 |
— |
| Cryotherapy of skin (17340) |
— |
$136.25 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$220.50 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$266.25 |
— |
| Curettage postpartum (59160) |
— |
$164.50 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$361.50 |
— |
| Cysto inc fulg/rescj urtl valves/folds (52400) |
— |
$382.50 |
— |
| Cysto w fulg of minor lesions <0.5cm (52224) |
— |
$190 |
— |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
— |
$454 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$281.50 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$261.50 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$2,158.50 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$376.50 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$479 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$454 |
— |
| Cysto w/urtroscopy w/tx urtropel junct strix (52345) |
— |
$610 |
— |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
— |
$342.50 |
— |
| Cysto/pyeloscopy rescj pelvic tumor (52355) |
— |
$385.50 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$345.50 |
— |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
— |
$537.50 |
— |
| Cystolithotomy w rem stone wo vn res (51050) |
— |
$384.50 |
— |
| Cystometrogram w/vp (51728) |
— |
$954 |
— |
| Cystometrogram W/Vp&Up (51729) |
— |
$160 |
— |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) |
— |
$502.50 |
— |
| Cystoscopy and treatment (52290) |
— |
$377 |
— |
| Cystoscopy and treatment (52330) |
— |
$346.50 |
— |
| Cystoscopy implant stent (52282) |
— |
$372.50 |
— |
| Cystoscopy inject material (52327) |
— |
$354 |
— |
| Cystoscopy stone removal (52325) |
— |
$275 |
— |
| Cystoscopy w/biopsy (52204) |
— |
$197.50 |
— |
| Cystoscopy w/complex removal stone & stent (52315) |
— |
$404 |
— |
| Cystoscopy,Dil Urethral Stricture (52281) |
— |
$474.70 |
— |
| Cystoscopy,insert ureteral stent (52332) |
— |
$599.02 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$1,354 |
— |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
— |
$341.50 |
— |
| Cystourethroscopy (52000) |
— |
$3,000 |
— |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
— |
$2,275 |
— |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
— |
$304 |
— |
| Cystourethroscopy w/dil bladder general anesth (52260) |
— |
$280 |
— |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
— |
$373 |
— |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
— |
$325.50 |
— |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
— |
$347.75 |
— |
| Cystourethroscopy, with internal urethrotomy; male Other Surgical Services (52275) |
— |
$376 |
— |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
— |
$1,815 |
— |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
— |
$390.50 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$380 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$2,076 |
— |
| Dcmprn fasct leg post compartment only (27601) |
— |
$370 |
— |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
— |
$818.75 |
— |
| Debride nail 1-5 (11720) |
— |
$84 |
— |
| Debride nail 6 or more (11721) |
— |
$70 |
— |
| Debride skin musc at fx site (11011) |
— |
$516 |
— |
| Debridement Mastoidectomy Cavity Simple (69220) |
— |
$180 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$827 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$238 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$1,512.50 |
— |
| Decompress fingers/hand (26037) |
— |
$58 |
— |
| Decompression; unspecified nerve(s) (specify) (64722) |
— |
$1,426 |
— |
| Delivery placenta separate procedure (59414) |
— |
$1,323 |
— |
| Dermal autograft f/s/n/h/f/g/m/d gt 1st 100 (15135) |
— |
$1,141 |
— |
| Destr penis lesn,simpl,laser surg (54057) |
— |
$147 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$942.50 |
— |
| Destroy internal hemorrhoids (46930) |
— |
$861 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$1,928 |
— |
| Destruc Benign/Premal,15+ Lesions (17004) |
— |
$440 |
— |
| Destruction anal lesion(s) (46924) |
— |
$431.38 |
— |
| Destruction benign lesions 15 or more (17111) |
— |
$151 |
— |
| Destruction Benign Lesions Up To 14 (17110) |
— |
$152 |
— |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
— |
$577.50 |
— |
| Destruction Lesions Vulva Extensive (56515) |
— |
$2,166 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$1,185.50 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
— |
$234.88 |
— |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
— |
$304 |
— |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
— |
$459 |
— |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
— |
$1,008 |
— |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
— |
$751.50 |
— |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
— |
$194.88 |
— |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
— |
$217 |
— |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
— |
$215 |
— |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
— |
$544 |
— |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
— |
$548 |
— |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
— |
$201 |
— |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
— |
$207 |
— |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
— |
$214.50 |
— |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
— |
$219 |
— |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
— |
$477 |
— |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
— |
$718 |
— |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
— |
$145 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$1,212 |
— |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) |
— |
$392 |
— |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic ves (54056) |
— |
$166 |
— |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
— |
$133 |
— |
| Destruction of multiple growths of penis (54065) |
— |
$1,221.50 |
— |
| Destruction of skin lesions (17106) |
— |
$295 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$134 |
— |
| Destruction vaginal lesions simple (57061) |
— |
$1,455 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$698 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$196 |
— |
| Dilate Urethra Stricture (53600) |
— |
$266 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$352.75 |
— |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
— |
$292 |
— |
| Dilation Esophagus Guide Wire (43453) |
— |
$1,191 |
— |
| Dilation of cervical canal (57800) |
— |
$1,095 |
— |
| Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) |
— |
$1,206 |
— |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
— |
$537 |
— |
| Division of fallopian tube (58600) |
— |
$308 |
— |
| Drain Ext Ear Absc/Blood,Complic (69005) |
— |
$240 |
— |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
— |
$421.25 |
— |
| Drain outer ear canal lesion (69020) |
— |
$297 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$672 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$120 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$466 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$167.50 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$194 |
— |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
— |
$350 |
— |
| Drainage of bone lesion (26992) |
— |
$1,283 |
— |
| Drainage of bone lesion (27303) |
— |
$58 |
— |
| Drainage of deep periurethral abscess (53040) |
— |
$994 |
— |
| Drainage of deep rectal abscess (45020) |
— |
$735 |
— |
| Drainage of eyelid abscess (67700) |
— |
$213.75 |
— |
| Drainage of gum lesion (41800) |
— |
$198 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$1,049 |
— |
| Drainage of hydrocele (55000) |
— |
$406.50 |
— |
| Drainage of lymph node abscess or lymphadenitis; extensive (38305) |
— |
$313.50 |
— |
| Drainage of pelvic abscess (45000) |
— |
$359.50 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$335 |
— |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
— |
$603 |
— |
| Draw blood off venous device (36591) |
— |
$126 |
— |
| Dressing change under anesthesia (15852) |
— |
$73 |
— |
| Drg absc cst hmtma vestibule mouth comp (40801) |
— |
$199 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$308.50 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$222 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$211 |
— |
| Dry Needling 3+ Muscles (20561) |
— |
$40 |
— |
| Dstl revsc&interval lig uxtr hemo access (36838) |
— |
$1,505 |
— |
| Dstrj lesion anus simple chemical (46900) |
— |
$261 |
— |
| Dstrj lesion anus simple cryosurgery (46916) |
— |
$316 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$1,668.50 |
— |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
— |
$909.50 |
— |
| Dstrj lesion penis simple surg excision (54060) |
— |
$192.50 |
— |
| Dx bone marrow bx & aspir (38222) |
— |
$3,200 |
— |
| Dx gastr intub w/asp spec (43754) |
— |
$235.25 |
— |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
— |
$379 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$361 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$829 |
— |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
— |
$457.50 |
— |
| Egd flexible foreign body removal (43247) |
— |
$857 |
— |
| Egd guide wire insertion (43248) |
— |
$407.50 |
— |
| Egd injection varices (43243) |
— |
$1,029 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$346 |
— |
| Egd place gastrostomy tube (43246) |
— |
$1,258 |
— |
| Egd rem tumr/polyp forcep (43250) |
— |
$943 |
— |
| Egd remove lesion snare (43251) |
— |
$943 |
— |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
— |
$1,000 |
— |
| Egd tube/cath insertion (43241) |
— |
$800 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$757 |
— |
| Egd Varices Ligation (43244) |
— |
$972 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$54 |
— |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
— |
$398 |
— |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
— |
$362.50 |
— |
| Endocervical Curettage (57505) |
— |
$439.50 |
— |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
— |
$328 |
— |
| Endoscopic Injection/Implant (51715) |
— |
$266 |
— |
| Endoscopic Plantar Fasciotomy (29893) |
— |
$349.50 |
— |
| Endoscopy of bowel pouch (44385) |
— |
$85 |
— |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
— |
$964 |
— |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
— |
$163.50 |
— |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
— |
$227.50 |
— |
| Endovenous rf 1st vein (36475) |
— |
$2,094.50 |
— |
| Enterorrhaphy single perforation (44602) |
— |
$2,583 |
— |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
— |
$1,033 |
— |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
— |
$1,350 |
— |
| Epididymectomy unilateral (54860) |
— |
$340.50 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$1,839 |
— |
| Epidural lysis mult sessions (62263) |
— |
$708 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$143.50 |
— |
| Ercp Duct Stent Placement (43274) |
— |
$372.50 |
— |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
— |
$2,153.50 |
— |
| Ercp ea duct/ampulla dilate (43277) |
— |
$329 |
— |
| Ercp lithotripsy calculi (43265) |
— |
$3,484 |
— |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
— |
$2,488 |
— |
| Ercp remove forgn body duct (43275) |
— |
$143.50 |
— |
| Ercp sphincter pressure meas (43263) |
— |
$2,370 |
— |
| Ercp W/Biopsy Single/Multiple (43261) |
— |
$2,211.50 |
— |
| Ercp w/sphincterotomy/papillotomy (43262) |
— |
$2,424 |
— |
| Esoph endoscopy dilation (43226) |
— |
$686 |
— |
| Esophagogastroduodenoscopy submucosal injection (43236) |
— |
$163 |
— |
| Esophagoscopy flex biopsy (43202) |
— |
$686 |
— |
| Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) |
— |
$1,000 |
— |
| Esophagoscopy flexible removal foreign body (43215) |
— |
$915 |
— |
| Esophagoscopy flexible transnasal diagnostic (43197) |
— |
$128 |
— |
| Esophagoscopy flexible transoral diagnostic (43200) |
— |
$343.50 |
— |
| Esophagoscopy Retro Balloon (43213) |
— |
$231.50 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$58 |
— |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
— |
$943 |
— |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices (43204) |
— |
$943 |
— |
| Esophagoscp rig trnso biopsy (43193) |
— |
$158 |
— |
| Esophagus endoscopy/ligation (43205) |
— |
$1,586.50 |
— |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
— |
$772 |
— |
| Ethmoidectomy Intranasal Anterior (31200) |
— |
$709 |
— |
| Ethmoidectomy; extranasal total (31205) |
— |
$1,177 |
— |
| Evacuate mole of uterus (59870) |
— |
$392 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$126 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$1,532.50 |
— |
| Exc abd les sc 3 cm/> (22903) |
— |
$357 |
— |
| Exc arm/elbow les sc 3 cm/> (24071) |
— |
$2,175.40 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$277.50 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$1,115.75 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
— |
$1,633.50 |
— |
| Exc back les sc < 3 cm (21930) |
— |
$553 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$1,134.25 |
— |
| Exc face les sbq 2 cm/> (21012) |
— |
$282.50 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$308.75 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$1,491.50 |
— |
| Exc foot/toe tum sc < 1.5 cm (28043) |
— |
$483.50 |
— |
| Exc forearm les sc 3 cm/> (25071) |
— |
$1,800 |
— |
| Exc forearm les sc < 3 cm (25075) |
— |
$1,301 |
— |
| Exc frenum labial/buccal (40819) |
— |
$1,350 |
— |
| Exc hand les sc < 1.5 cm (26115) |
— |
$912 |
— |
| Exc hydrocele sprmatic cord uni spx (55500) |
— |
$477 |
— |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
— |
$1,471 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$1,112 |
— |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
— |
$128.50 |
— |
| Exc neck tum deep < 5 cm (21556) |
— |
$367.50 |
— |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
— |
$589 |
— |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
— |
$1,353 |
— |
| Exc rect tum transanal part (45171) |
— |
$1,390 |
— |
| Exc Sacr Press Ulc Bone & Suture (15933) |
— |
$567.50 |
— |
| Exc shoulder les sc 3 cm/> (23071) |
— |
$346.50 |
— |
| Exc shoulder tum deep 5 cm/> (23073) |
— |
$470.50 |
— |
| Exc skin abd (15830) |
— |
$1,478 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
— |
$679 |
— |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
— |
$457 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$545.50 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$509.50 |
— |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
— |
$793 |
— |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
— |
$1,203.12 |
— |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
— |
$1,788.50 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$1,741 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$2,250 |
— |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
— |
$1,546 |
— |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
— |
$2,015 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$2,601 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$1,090 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$348.50 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$601 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$940.25 |
— |
| Exc tongue lesion w cl; post 1/3 (41113) |
— |
$322.82 |
— |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
— |
$466 |
— |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
— |
$421 |
— |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
— |
$495.50 |
— |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
— |
$359 |
— |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
— |
$369.50 |
— |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
— |
$376 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$385.50 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$813 |
— |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
— |
$58 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$543.50 |
— |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
— |
$392.50 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$1,202 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$2,427.50 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
— |
$1,890 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$1,519 |
— |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
— |
$1,968 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$2,062 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$503 |
— |
| Exc varicocele/ligation spermatic veins spx (55530) |
— |
$296 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$58 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$1,111 |
— |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
— |
$357 |
— |
| Excise cutaneous neurofibroma (64788) |
— |
$2,367 |
— |
| Excise excess skin & tissue (15839) |
— |
$498 |
— |
| Excise excessive skin arm (15836) |
— |
$523.50 |
— |
| Excise Inferior Turbinate (30130) |
— |
$410.50 |
— |
| Excise lesion testis (54512) |
— |
$1,337 |
— |
| Excise parotid gland/lesion (42410) |
— |
$427 |
— |
| Excise parotid gland/lesion (42420) |
— |
$1,517 |
— |
| Excise pharynx lesion (42808) |
— |
$375.50 |
— |
| Excise/repair mouth lesion (40812) |
— |
$180.50 |
— |
| Excision benign tumor/cyst mandible encl & curt (21040) |
— |
$297.50 |
— |
| Excision brach clft cyst,superficial (42810) |
— |
$248 |
— |
| Excision Breast Lesion (19125) |
— |
$376 |
— |
| Excision Chalazion Single (67800) |
— |
$337 |
— |
| Excision Distal Ulna Partial/Complete (25240) |
— |
$58 |
— |
| Excision external ear partial simple repair (69110) |
— |
$273 |
— |
| Excision h/p/p/u simple/intermediate repair (11470) |
— |
$250 |
— |
| Excision hidradenitis axillary complex repair (11451) |
— |
$275 |
— |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
— |
$894 |
— |
| Excision hydrocele bilateral (55041) |
— |
$355.50 |
— |
| Excision lesion mouth roof (42104) |
— |
$1,424.50 |
— |
| Excision Lingual Frenum Frenectomy (41115) |
— |
$913.22 |
— |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
— |
$400.38 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$372 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$359.38 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
— |
$536 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$1,025.25 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$465 |
— |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
— |
$573.75 |
— |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
— |
$589 |
— |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
— |
$1,566 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$731 |
— |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
— |
$423 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$479 |
— |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
— |
$1,455 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$1,640 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$160.50 |
— |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
— |
$700.50 |
— |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
— |
$630 |
— |
| Excision of benign tumor or cyst of facial bone other than mandible (21030) |
— |
$58 |
— |
| Excision of fibrous tuberosities, dentoalveolar structures (41822) |
— |
$949.50 |
— |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
— |
$322.50 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$424.50 |
— |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
— |
$569 |
— |
| Excision of lesion of tongue without closure (41110) |
— |
$1,674.50 |
— |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair (41826) |
— |
$194 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$1,158.50 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$1,049 |
— |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
— |
$1,240.12 |
— |
| Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) |
— |
$302.50 |
— |
| Excision of local lesion of epididymis (54830) |
— |
$311.50 |
— |
| Excision of maxillary torus palatinus (21032) |
— |
$252 |
— |
| Excision of nail fold toe (11765) |
— |
$244 |
— |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
— |
$369.50 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$1,279.12 |
— |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
— |
$218 |
— |
| Excision of spermatocele, with or without epididymectomy (54840) |
— |
$276 |
— |
| Excision of sublingual gland (42450) |
— |
$300 |
— |
| Excision of sublingual salivary cyst (ranula) (42408) |
— |
$1,447 |
— |
| Excision of submandibular (submaxillary) gland (42440) |
— |
$543.50 |
— |
| Excision of tongue lesion (41112) |
— |
$382 |
— |
| Excision of Umbilicus (49250) |
— |
$1,225 |
— |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) |
— |
$509.50 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$235.50 |
— |
| Excision olecranon bursa (24105) |
— |
$1,157.50 |
— |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
— |
$58 |
— |
| Excision or fulguration; Skene's glands (53270) |
— |
$169 |
— |
| Excision pilonidal cyst/sinus complicated (11772) |
— |
$1,951 |
— |
| Excision Prepatellar Bursa (27340) |
— |
$303.50 |
— |
| Excision soft tissue lesion, external auditory canal (69145) |
— |
$1,564.50 |
— |
| Excision Synovial Cyst Popliteal Space (27345) |
— |
$1,198 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$1,773 |
— |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
— |
$226 |
— |
| Excision, graft, extremity (35903) |
— |
$58 |
— |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
— |
$58 |
— |
| Excision, lesion of palate, uvula; with simple primary closure (42106) |
— |
$752 |
— |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
— |
$58 |
— |
| Excision, nasal polyp(s), simple (30110) |
— |
$1,145 |
— |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
— |
$847 |
— |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
— |
$2,962 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$226 |
— |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
— |
$58 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
— |
$465 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$2,049 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
— |
$597 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$1,353 |
— |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
— |
$458.50 |
— |
| Excision/destruction intranasal lesion int appr (30117) |
— |
$323.50 |
— |
| Excision/fulguration urethral prolapse (53275) |
— |
$58 |
— |
| Excision/surgical planing skin nose rhinophyma (30120) |
— |
$352 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$1,241 |
— |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
— |
$492 |
— |
| Expl retroperitoneum w/wo bx spx (49010) |
— |
$1,660 |
— |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
— |
$2,133 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$1,377.50 |
— |
| Exploration maxillary sinus (31030) |
— |
$58 |
— |
| Exploration maxillary sinus (31020) |
— |
$410.06 |
— |
| Exploration of knee joint (27310) |
— |
$489 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$1,018 |
— |
| Explore limb vessels (35860) |
— |
$1,241 |
— |
| Explore parathyroid glands (60500) |
— |
$1,208 |
— |
| Explore sinus remove polyps (31032) |
— |
$387.50 |
— |
| Explore treat shoulder joint (23107) |
— |
$58 |
— |
| Explore/treat elbow joint (24101) |
— |
$343 |
— |
| Explore/treat hand joint (26070) |
— |
$962.50 |
— |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
— |
$1,192.50 |
— |
| Extensive mastoid surgery (69511) |
— |
$1,548 |
— |
| Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) |
— |
$58 |
— |
| Fasciotomy foot and/or toe (28008) |
— |
$254.50 |
— |
| Fasciotomy Iliotibial Open (27305) |
— |
$739 |
— |
| Fasciotomy palmar open partial (26045) |
— |
$58 |
— |
| Fasciotomy palmar percutaneous (26040) |
— |
$266.50 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$485.50 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$127 |
— |
| Fetal non-stress test (59025) |
— |
$350 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$1,458 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$308.50 |
— |
| Fixation of knee joint (27570) |
— |
$143 |
— |
| Fixation of shoulder (23700) |
— |
$177 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$48 |
— |
| Frenulotomy of penis (54164) |
— |
$151 |
— |
| Frmj dir/tube pedcl w/wotr fh/ch/ch/m/n/ax/g/h/f (15574) |
— |
$517 |
— |
| Frmj direct/tube pedicle w/wo tr scalp arms/legs (15572) |
— |
$906 |
— |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
— |
$1,142 |
— |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
— |
$1,179 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$1,273 |
— |
| Fth/gft free w/direct closure trunk 20 cm/< (15200) |
— |
$1,273 |
— |
| Fusion Finger Joint (26860) |
— |
$1,739 |
— |
| Fusion of foot bones (28715) |
— |
$1,195 |
— |
| Fusion of foot bones (28730) |
— |
$468.50 |
— |
| Fusion of foot bones (28735) |
— |
$58 |
— |
| Fusion of foot bones (28740) |
— |
$425 |
— |
| Fusion of wrist joint (25800) |
— |
$58 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$374.50 |
— |
| Gastrocnemius Recession (27687) |
— |
$374 |
— |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
— |
$2,932 |
— |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
— |
$2,120 |
— |
| Graft ear crtlg autogenous nose/ear (21235) |
— |
$1,147 |
— |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
— |
$670 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$1,155 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$725 |
— |
| Hemiarthroplasty Hip Partial (27125) |
— |
$58 |
— |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
— |
$233 |
— |
| Hemorrhoidectomy (46255) |
— |
$58 |
— |
| Hemorrhoidectomy external complete (46250) |
— |
$272.50 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
— |
$419 |
— |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
— |
$421.50 |
— |
| Hip arthro w/labral repair (29916) |
— |
$1,284 |
— |
| Hymenotomy Simple Incision (56442) |
— |
$65 |
— |
| Hysteroscopy ablation (58563) |
— |
$207.50 |
— |
| Hysteroscopy biopsy (58558) |
— |
$1,564 |
— |
| Hysteroscopy dx sep proc (58555) |
— |
$592.10 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$354 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$204 |
— |
| I&d abscess simple (10060) |
— |
$650 |
— |
| I&d below fascia foot 1 bursal space (28002) |
— |
$365.38 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$2,800.50 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$270.50 |
— |
| I&d epididymis tstis&/scrotal space (54700) |
— |
$325.15 |
— |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
— |
$827 |
— |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
— |
$1,889.75 |
— |
| I&d perianal abscess superficial (46050) |
— |
$293 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$284 |
— |
| I&D Rectal Abscess + Fistulectomy (46060) |
— |
$1,992 |
— |
| I&d submucosal abscess rectum (45005) |
— |
$731.62 |
— |
| I&D Upper Arm/Elbow Bursa (23931) |
— |
$241 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$58 |
— |
| I&d vaginal hematoma, non-ob (57023) |
— |
$263.50 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
— |
$758 |
— |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
— |
$999 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$278 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$181.50 |
— |
| Immediate breast prosthesis (19340) |
— |
$1,286 |
— |
| Implant neuroelectrodes (63650) |
— |
$4,196.50 |
— |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
— |
$3,907 |
— |
| Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) |
— |
$19,078 |
— |
| Impltj/rplcmt ithcl/edrl drug nfs subq rsvr (62360) |
— |
$189 |
— |
| Incis Deep Arm/Elbow Bone Lesion (23935) |
— |
$58 |
— |
| Incise finger tendon sheath (26055) |
— |
$256 |
— |
| Incise inner ear (69801) |
— |
$1,745 |
— |
| Incise wrist/forearm tendon (25290) |
— |
$363.50 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$524 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$1,222.50 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$466 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$1,115.75 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$484 |
— |
| Incision and drainage of abscess of pelvis (57010) |
— |
$1,337 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$142 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$258.50 |
— |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015) |
— |
$1,176 |
— |
| Incision bone cortex foot (28005) |
— |
$380 |
— |
| Incision deep opening bone cortex thorax (21510) |
— |
$372 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$282 |
— |
| Incision for implantation of neurostimulator electrode array; sacral nerve (64581) |
— |
$454 |
— |
| Incision labial frenum frenotomy (40806) |
— |
$94 |
— |
| Incision of eardrum (69421) |
— |
$179 |
— |
| Incision of eardrum (69420) |
— |
$252 |
— |
| Incision of heel bone (28300) |
— |
$58 |
— |
| Incision of lingual frenum (41010) |
— |
$754 |
— |
| Incision of metatarsal (28308) |
— |
$315 |
— |
| Incision of rectal abscess (46045) |
— |
$361.50 |
— |
| Incision of rectal abscess (46040) |
— |
$1,005.50 |
— |
| Incision of tibia (27705) |
— |
$507 |
— |
| Incision of urethra (53000) |
— |
$58 |
— |
| Incision of urethra (53020) |
— |
$145 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$433 |
— |
| Incision&drainage bursa foot (28001) |
— |
$915.50 |
— |
| Incisional biopsy eyelid skin & lid margin (67810) |
— |
$315 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$233.50 |
— |
| Inguinofem Lmphadec Supfc W/Cloquets Nod (38760) |
— |
$1,272 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$182 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$583.50 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$251.50 |
— |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
— |
$747 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$596 |
— |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
— |
$535.50 |
— |
| Inject Nerv Blck,Celiac Plexus (64530) |
— |
$477 |
— |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
— |
$436 |
— |
| Inject Nerv Blck,Intercost,Multpl (64421) |
— |
$896 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$739 |
— |
| Inject Nerv Blck,Paravert Sympath (64520) |
— |
$840 |
— |
| Inject Tendon Origin/Insert (20551) |
— |
$221.50 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$746 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$729 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$263.75 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$600.50 |
— |
| Injection for identification of sentinel node (38792) |
— |
$283.62 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$401.50 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$315.50 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$252 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$753.50 |
— |
| Injection, Intralesional; More Than 7 Lesions (11901) |
— |
$119 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$165 |
— |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
— |
$58 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$58 |
— |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
— |
$11,730 |
— |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
— |
$11,730 |
— |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
— |
$6,790.50 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$201 |
— |
| Insert cannula,art-ven revisn (36815) |
— |
$134 |
— |
| Insert cervical dilator (59200) |
— |
$70 |
— |
| Insert Drug Implant Device (11981) |
— |
$257 |
— |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
— |
$391 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$317 |
— |
| Insert nasal septal button (30220) |
— |
$340 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$1,247 |
— |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
— |
$58 |
— |
| Insert pessary/other device (57160) |
— |
$217 |
— |
| Insert picc cath (36569) |
— |
$1,937 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$144 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$140 |
— |
| Insert tunneled cv cath (36561) |
— |
$3,231.50 |
— |
| Insert Tunneled Cv Cath With Pump (36563) |
— |
$481.16 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$260 |
— |
| Insert/ preplace infusn pump,nonprogram (62361) |
— |
$355.50 |
— |
| Insertion of a temporary prostatic urethral stent, including urethral measurement (53855) |
— |
$93 |
— |
| Insertion of cannula (36800) |
— |
$195 |
— |
| Insertion of stent into small bowel using an endo inserted through (44384) |
— |
$142.50 |
— |
| Insertion of tube into middle small bowel using an endoscope (44372) |
— |
$537 |
— |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
— |
$477 |
— |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
— |
$192.90 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$130 |
— |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
— |
$348 |
— |
| Insj inflatable urethral/bladder neck sphincter (53445) |
— |
$2,084 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$1,578 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$2,810.75 |
— |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
— |
$2,440 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$1,736 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$4,861.50 |
— |
| Insrt/redo spine n generator (63685) |
— |
$32,888 |
— |
| Intraoral i&d tongue/floor submndblr space (41008) |
— |
$222.50 |
— |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
— |
$142 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$259 |
— |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
— |
$169 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$145 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$430.50 |
— |
| Irrigate corpora cavernosa for priapism (54220) |
— |
$206 |
— |
| Island pedicle flap graft (15740) |
— |
$1,273 |
— |
| Knee arthroscopy/surgery (29883) |
— |
$58 |
— |
| Knee arthroscopy/surgery (29876) |
— |
$521 |
— |
| Knee arthroscopy/surgery (29851) |
— |
$58 |
— |
| Lap ing hernia repair init (49650) |
— |
$1,750 |
— |
| Lap insert tunnel ip cath (49324) |
— |
$379 |
— |
| Lap jejunostomy (44186) |
— |
$1,739 |
— |
| Laparo ligate spermatic vein (55550) |
— |
$344.50 |
— |
| Laparo new ureter/bladder (50947) |
— |
$58 |
— |
| Laparo sling operation (51992) |
— |
$562.50 |
— |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
— |
$1,585 |
— |
| Laparoscopy appendectomy (44970) |
— |
$1,793 |
— |
| Laparoscopy biopsy (49321) |
— |
$295.50 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$395 |
— |
| Laparoscopy Remove Adnexa (58661) |
— |
$1,941 |
— |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
— |
$1,196 |
— |
| Laparoscopy tubal block (58671) |
— |
$312 |
— |
| Laparoscopy Tubal Cautery (58670) |
— |
$309 |
— |
| Laparoscopy w/lysis of adhesions (58660) |
— |
$2,537 |
— |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
— |
$58 |
— |
| Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) |
— |
$794 |
— |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
— |
$2,219 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$2,795 |
— |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
— |
$2,500 |
— |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
— |
$1,990 |
— |
| Laparoscopy, surgical, splenectomy (38120) |
— |
$5,117 |
— |
| Laparoscopy, surgical; ablation of renal cysts (50541) |
— |
$601 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$3,915.50 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$2,611.25 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$528 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$2,218.25 |
— |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
— |
$4,833 |
— |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
— |
$1,386.25 |
— |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
— |
$597.50 |
— |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
— |
$58 |
— |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
— |
$216.50 |
— |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial (31528) |
— |
$140 |
— |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
— |
$167.50 |
— |
| Laryngoscopy Flexible Diagnostic (31575) |
— |
$159 |
— |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) |
— |
$185 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$336 |
— |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
— |
$239.50 |
— |
| Laryngoscopy w/biopsy (31535) |
— |
$174.50 |
— |
| Laryngoscopy w/bx op scope (31536) |
— |
$191.50 |
— |
| Laryngoscopy w/exc of tumor (31540) |
— |
$303.50 |
— |
| Laryngoscopy w/fb & op scope (31531) |
— |
$310 |
— |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
— |
$149 |
— |
| Laryngoscopy with biopsy (31576) |
— |
$1,579 |
— |
| Laryngoscopy,Direct,Diagnostic (31525) |
— |
$1,434.50 |
— |
| Larynscop w/tumr exc + scope (31541) |
— |
$232 |
— |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
— |
$2,500 |
— |
| Laser surgery, anal lesion(s) (46917) |
— |
$190 |
— |
| Laser vaporization surgery prostate, complete (52648) |
— |
$1,632 |
— |
| Late closure of wound (13160) |
— |
$2,065.50 |
— |
| Lateral retinacular release open (27425) |
— |
$58 |
— |
| Lefort i-3/> piece w/o graft (21143) |
— |
$58 |
— |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
— |
$470 |
— |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) |
— |
$1,437 |
— |
| Ligate/strip long leg vein (37722) |
— |
$58 |
— |
| Ligate/strip short leg vein (37718) |
— |
$58 |
— |
| Ligation of a-v fistula (37607) |
— |
$58 |
— |
| Ligation of abdomen artery (37617) |
— |
$1,741 |
— |
| Ligation of hemorrhoid(s) (46221) |
— |
$590.50 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$421.50 |
— |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) |
— |
$1,582 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$448 |
— |
| Lithotripsy (50590) |
— |
$2,432.50 |
— |
| Liver Biopsy (47000) |
— |
$2,351.50 |
— |
| Lmtd lmphadec staging spx pel¶-aortic (38562) |
— |
$4,264 |
— |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$104.50 |
— |
| Maniplatn palar fascial crd post inj single cord (26341) |
— |
$86 |
— |
| Manipulation finger joint under anes each joint (26340) |
— |
$552 |
— |
| Manipulation, elbow, under anesthesia (24300) |
— |
$58 |
— |
| Marsup Bartholin Gland Cyst (56440) |
— |
$135 |
— |
| Mast mod rad (19307) |
— |
$1,512 |
— |
| Mastectomy gynecomastia (19300) |
— |
$58 |
— |
| Mastectomy partial (19301) |
— |
$442 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$597.50 |
— |
| Mastectomy simple complete (19303) |
— |
$1,279 |
— |
| Mastoidectomy (69501) |
— |
$527 |
— |
| Mastoidectomy; modified radical (69505) |
— |
$1,515 |
— |
| Metatarsectomy (28140) |
— |
$625 |
— |
| Middle ear exploration through postauricular or ear canal incision (69440) |
— |
$1,761 |
— |
| Middle ear surgery proc unlisted (69799) |
— |
$91 |
— |
| Myringoplasty (69620) |
— |
$395.50 |
— |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
— |
$268 |
— |
| Nasal surgery procedure (30999) |
— |
$235.75 |
— |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
— |
$1,166 |
— |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
— |
$2,500 |
— |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
— |
$322 |
— |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
— |
$1,471.68 |
— |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) |
— |
$294.50 |
— |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
— |
$245 |
— |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
— |
$236 |
— |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
— |
$2,549.16 |
— |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
— |
$1,180.50 |
— |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
— |
$147 |
— |
| Nasal/sinus ndsc dstrj rf ablation pst nsl nrv (31242) |
— |
$147 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
— |
$1,117.50 |
— |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
— |
$344 |
— |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
— |
$713 |
— |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
— |
$713 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$319 |
— |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
— |
$129 |
— |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
— |
$347.50 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$40 |
— |
| Neuroeltrd stim post tibial (64566) |
— |
$400 |
— |
| Neurorraphy W/Vein Autograft (64911) |
— |
$58 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$505.50 |
— |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
— |
$232.50 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$3,500 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$3,500 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$138 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$1,021.50 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
— |
$686 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
— |
$600 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
— |
$944.50 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
— |
$600 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
— |
$668 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$134.50 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$214 |
— |
| Occlude fallopian tube(s) (58615) |
— |
$215 |
— |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
— |
$1,826 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$374 |
— |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
— |
$551.50 |
— |
| Open rx mandible fx+dental fix (21462) |
— |
$58 |
— |
| Open thrombect av fistula (36831) |
— |
$434 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$2,620 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$492 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$380 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
— |
$392.50 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$485 |
— |
| Open treatment of depressed zygomatic arch fracture (eg, gilles approach) (21356) |
— |
$314.50 |
— |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
— |
$58 |
— |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
— |
$3,307.50 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) |
— |
$58 |
— |
| Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248) |
— |
$58 |
— |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
— |
$9,099 |
— |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
— |
$58 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Other Surgical Services (27178) |
— |
$605 |
— |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
— |
$1,510 |
— |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
— |
$58 |
— |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
— |
$592.50 |
— |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
— |
$1,250 |
— |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
— |
$419.50 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$424 |
— |
| Open treatment palatal/maxillary fracture (21422) |
— |
$853 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$58 |
— |
| Open treatment talus fracture (28445) |
— |
$58 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$58 |
— |
| Open tx carpal scaphoid navicular fracture (25628) |
— |
$492.50 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$58 |
— |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
— |
$1,326 |
— |
| Open tx fracture great toe/phalanx/phalanges (28505) |
— |
$58 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$58 |
— |
| Open tx interphalangeal joint dislocation (26785) |
— |
$58 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$463.50 |
— |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
— |
$462.50 |
— |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
— |
$542 |
— |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
— |
$2,093 |
— |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
— |
$590 |
— |
| Open tx septal fx w/wo stabj (21336) |
— |
$808 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$274.50 |
— |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
— |
$58 |
— |
| Optx hum fx wo ntrcndylr xtn (24545) |
— |
$1,188 |
— |
| Optx post ankle fx (27769) |
— |
$58 |
— |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$349 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$336 |
— |
| Ostectomy, complete excision; first metatarsal head (28111) |
— |
$58 |
— |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
— |
$463 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$251.50 |
— |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
— |
$58 |
— |
| Osteochondral allograft, knee, open (27415) |
— |
$58 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$283.50 |
— |
| Osteotomy Clavicle W Bone Graft (23485) |
— |
$1,213 |
— |
| Osteotomy Metacarpal Each (26565) |
— |
$58 |
— |
| Ovarian cystectomy (58925) |
— |
$358 |
— |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145) |
— |
$1,084 |
— |
| Partial Excision Bone Fibula (27641) |
— |
$58 |
— |
| Partial Excision Bone Humerus (24140) |
— |
$470 |
— |
| Partial excision bone talus/calcaneus (28120) |
— |
$639 |
— |
| Partial Excision Deep Pelvis (27071) |
— |
$58 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$58 |
— |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
— |
$361 |
— |
| Partial excision of lip (40520) |
— |
$304 |
— |
| Partial hymenectomy or revision of hymenal ring (56700) |
— |
$3,750 |
— |
| Partial Removal Foot Fascia (28060) |
— |
$301 |
— |
| Partial removal of lip (40530) |
— |
$374.50 |
— |
| Partial removal of thyroid (60220) |
— |
$1,678 |
— |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
— |
$487 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$283.50 |
— |
| Pelvic exam under anesthesia (57410) |
— |
$207.21 |
— |
| Percutaneous diskectomy (62287) |
— |
$405.50 |
— |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
— |
$1,342 |
— |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
— |
$389.50 |
— |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
— |
$396.50 |
— |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
— |
$391 |
— |
| Peritoneal Lavage (49084) |
— |
$155 |
— |
| Perq av fistula creation uxtr single access (36836) |
— |
$284.50 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$3,068 |
— |
| Perq device breast 1st imag (19281) |
— |
$466 |
— |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
— |
$218 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$185 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$364 |
— |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
— |
$364.50 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$259 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$303 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
— |
$4,840.50 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$5,595 |
— |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
— |
$325.50 |
— |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
— |
$355 |
— |
| Phleb Veins - Extrem 20+ (37766) |
— |
$1,494 |
— |
| Pin finger fracture each (26756) |
— |
$2,603.50 |
— |
| Pin hand dislocation (26676) |
— |
$58 |
— |
| Pin knuckle dislocation (26706) |
— |
$58 |
— |
| Placement of implants to block fallopian tubes using an endoscope (58565) |
— |
$357 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$275 |
— |
| Placement of seton (46020) |
— |
$207.50 |
— |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
— |
$1,722 |
— |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
— |
$58 |
— |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
— |
$58 |
— |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
— |
$174 |
— |
| PR Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$643 |
— |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
— |
$58 |
— |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
— |
$1,677 |
— |
| Proctopexy Perineal Approach (45541) |
— |
$58 |
— |
| Proctosgmdsc Rigid Control Bleeding (45317) |
— |
$522 |
— |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
— |
$348 |
— |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
— |
$203 |
— |
| Proctosigmoidoscopy (45303) |
— |
$192 |
— |
| Proctosigmoidoscopy removal (45308) |
— |
$348 |
— |
| Proctosigmoidoscopy removal (45315) |
— |
$557 |
— |
| Proctosigmoidoscopy w/bx (45305) |
— |
$244 |
— |
| Proctosigmoidoscopy, rigid; with decompression of volvulus (45321) |
— |
$453 |
— |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
— |
$103 |
— |
| Prostatectomy (turp) (52601) |
— |
$1,979 |
— |
| Prostatic microwave thermotx (53850) |
— |
$3,500 |
— |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
— |
$261.50 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$3,500 |
— |
| Prtl Thyr Lobec Uni W/Clat Stot Lobec (60212) |
— |
$1,291 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$210 |
— |
| Puncture Aspiration (10160) |
— |
$565 |
— |
| Quadricepsplasty (eg, Bennett or Thompson type) (27430) |
— |
$58 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater (25078) |
— |
$58 |
— |
| Radical Resection Sternum (21630) |
— |
$1,545 |
— |
| Radical resection tumor clavicle (23200) |
— |
$1,932 |
— |
| Radical Resection Tumor Metatarsal (28173) |
— |
$58 |
— |
| Radical resection tumor phalanx or toe (28175) |
— |
$58 |
— |
| Radical resection tumor radial head/neck (24152) |
— |
$58 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$58 |
— |
| Rebuild eardrum structures (69633) |
— |
$1,300 |
— |
| Rebuild eardrum structures (69632) |
— |
$1,388 |
— |
| Rebuild outer ear canal (69310) |
— |
$1,372 |
— |
| Reconstr disloc patella w mscl adv (27422) |
— |
$593.50 |
— |
| Reconstruct extra finger (26587) |
— |
$1,298 |
— |
| Reconstruct head of radius (24365) |
— |
$58 |
— |
| Reconstruct Shoulder Joint (23470) |
— |
$58 |
— |
| Reconstruction of anus (46753) |
— |
$58 |
— |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) |
— |
$586 |
— |
| Reconstruction Toe Polydactyly (28344) |
— |
$243 |
— |
| Reconstruction tongue fold (41520) |
— |
$216 |
— |
| Reduce testis torsion (54600) |
— |
$1,450 |
— |
| Reduction of Large Breast (19318) |
— |
$58 |
— |
| Reduction of rectal prolapse (45900) |
— |
$327 |
— |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
— |
$524.50 |
— |
| Release palm contracture (26121) |
— |
$404 |
— |
| Rem endovas vena cava filter (37193) |
— |
$543 |
— |
| Removal fb intranasal (30300) |
— |
$126 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$1,915 |
— |
| Removal foreign body foot deep (28192) |
— |
$1,474.12 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$217 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$822.50 |
— |
| Removal foreign body pharynx (42809) |
— |
$322 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$2,298.50 |
— |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
— |
$417 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$134 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$85 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$231 |
— |
| Removal Implant Deep (20680) |
— |
$1,730.50 |
— |
| Removal Implant From Finger/Hand (26320) |
— |
$520 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$1,067.50 |
— |
| Removal Implantable Contraceptive Capsules (11976) |
— |
$358 |
— |
| Removal Intact Mammary Implant (19328) |
— |
$344.50 |
— |
| Removal of adenoids (42835) |
— |
$175 |
— |
| Removal of adenoids (42831) |
— |
$344 |
— |
| Removal of adenoids (42830) |
— |
$1,362 |
— |
| Removal of anal fissure (46200) |
— |
$429 |
— |
| Removal of ankle implant (27704) |
— |
$385 |
— |
| Removal of arm foreign body (24200) |
— |
$838.50 |
— |
| Removal of bone lesion (23140) |
— |
$383.50 |
— |
| Removal of external bone stabilizing device under anesthesia (20694) |
— |
$284.50 |
— |
| Removal of growth of chest wall and rib (21601) |
— |
$1,515 |
— |
| Removal of Head of Radius (24130) |
— |
$58 |
— |
| Removal of heel bone (28118) |
— |
$342.50 |
— |
| Removal of heel spur (28119) |
— |
$299 |
— |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
— |
$58 |
— |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
— |
$244 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$128.50 |
— |
| Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488) |
— |
$1,535 |
— |
| Removal of kneecap (27350) |
— |
$448 |
— |
| Removal of nail bed (11750) |
— |
$557.50 |
— |
| Removal of nose polyp(s) (30115) |
— |
$351 |
— |
| Removal of polyps or growths of esophagus using a flexible endo (43216) |
— |
$1,000 |
— |
| Removal of salivary stone (42330) |
— |
$156 |
— |
| Removal of salivary stone (42335) |
— |
$224.50 |
— |
| Removal of sesamoid bone (28315) |
— |
$271 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$215 |
— |
| Removal of small bowel polyps or growths with electrical cautery (44365) |
— |
$1,171 |
— |
| Removal of sperm cord lesion (55520) |
— |
$1,233 |
— |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
— |
$1,213.50 |
— |
| Removal of testis (54520) |
— |
$329 |
— |
| Removal of thyroid lesion (60200) |
— |
$455 |
— |
| Removal of tonsils (42825) |
— |
$58 |
— |
| Removal of tonsils (42826) |
— |
$58 |
— |
| Removal of vein clot (34490) |
— |
$4,170 |
— |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
— |
$547.50 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$96 |
— |
| Removal Tunneled Intraperitoneal Catheter (49422) |
— |
$2,267.50 |
— |
| Removal/bivalving full arm/full leg cast (29705) |
— |
$146 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$140 |
— |
| Remove & replace indwell ureteral stent trurthrl (50385) |
— |
$58 |
— |
| Remove anal fist subq (46270) |
— |
$474.25 |
— |
| Remove bladder stone (52318) |
— |
$1,187 |
— |
| Remove by ligat int hem grp (46945) |
— |
$135.25 |
— |
| Remove by ligat int hem grps (46946) |
— |
$191 |
— |
| Remove coronoid process (21070) |
— |
$58 |
— |
| Remove drug implant device (11982) |
— |
$259.50 |
— |
| Remove Eyelid Foreign Body (67938) |
— |
$242.50 |
— |
| Remove femur lesion (27355) |
— |
$58 |
— |
| Remove femur lesion/bursa (27062) |
— |
$379.50 |
— |
| Remove foreign body from eye (65210) |
— |
$261.38 |
— |
| Remove hip pressure sore (15941) |
— |
$603 |
— |
| Remove hip pressure sore (15945) |
— |
$1,247 |
— |
| Remove in/ex hem groups 2+ (46260) |
— |
$412.50 |
— |
| Remove in/ex hem grps w/fist (46262) |
— |
$1,200 |
— |
| Remove knee cyst (27347) |
— |
$58 |
— |
| Remove palate/lesion (42120) |
— |
$2,032 |
— |
| Remove Peritoneal Foreign Body (49402) |
— |
$2,323 |
— |
| Remove Pilonidal Cyst Exten (11771) |
— |
$1,544 |
— |
| Remove prostate regrowth (52630) |
— |
$553 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$79 |
— |
| Remove shoulder foreign body (23330) |
— |
$255 |
— |
| Remove spine infusion device (62365) |
— |
$2,997 |
— |
| Remove stent via transureth (50386) |
— |
$165 |
— |
| Remove thyroid duct lesion (60280) |
— |
$505.50 |
— |
| Remove Ureter Stent, Percut (50384) |
— |
$341 |
— |
| Remove uro sphincter (53446) |
— |
$58 |
— |
| Remove uterus lesion (59100) |
— |
$1,006 |
— |
| Remove vagina wall partial (57106) |
— |
$1,145 |
— |
| Remove vc lesion w/scope (31545) |
— |
$248 |
— |
| Remove wrist tendon lesion (25111) |
— |
$1,084 |
— |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
— |
$546.53 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$176 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$140 |
— |
| Renal biopsy (50200) |
— |
$986 |
— |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
— |
$322 |
— |
| Repair achilles tendon (27650) |
— |
$58 |
— |
| Repair and reconstruction, finger, volar plate, interphalangeal joint (26548) |
— |
$535 |
— |
| Repair anorectal fistula w/plug (46707) |
— |
$573 |
— |
| Repair arm tendon/muscle (24341) |
— |
$58 |
— |
| Repair blood vessel direct neck (35201) |
— |
$4,460.50 |
— |
| Repair Blood Vessel Direct Upper Extremity (35206) |
— |
$1,663.50 |
— |
| Repair blood vessel lesion (35190) |
— |
$528 |
— |
| Repair blood vessel lesion (35236) |
— |
$1,284 |
— |
| Repair collat ankle ligmnt,secondary (27698) |
— |
$436 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$470 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$550 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$383 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$674.50 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$476.50 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$869 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$439.50 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$427.88 |
— |
| Repair defect of artery (35011) |
— |
$58 |
— |
| Repair eardrum structures (69635) |
— |
$1,587 |
— |
| Repair elbow deb/attch open (24359) |
— |
$528.50 |
— |
| Repair elbow perc (24357) |
— |
$342.50 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$1,194.25 |
— |
| Repair finger tendon (26432) |
— |
$1,163.50 |
— |
| Repair finger tendon (26433) |
— |
$58 |
— |
| Repair finger/hand tendon (26350) |
— |
$2,093 |
— |
| Repair finger/hand tendon (26370) |
— |
$493 |
— |
| Repair forearm tendon sheath (25275) |
— |
$58 |
— |
| Repair forearm tendon/muscle (25270) |
— |
$399 |
— |
| Repair hallux rigidus (28289) |
— |
$58 |
— |
| Repair hand tendon (26410) |
— |
$58 |
— |
| Repair humerus with graft (24435) |
— |
$1,370 |
— |
| Repair incomplete circumcision (54163) |
— |
$104.50 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$504 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$549.88 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$1,760 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$1,534 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$360 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$448.50 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$487 |
— |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
— |
$440 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$609 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$308 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$520 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$309.50 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$634.50 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$380 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$724 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$250 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$525 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$513 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$483 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$699 |
— |
| Repair kneecap tendon (27380) |
— |
$58 |
— |
| Repair lower leg tendons (27676) |
— |
$755 |
— |
| Repair lumbar hernia (49540) |
— |
$867 |
— |
| Repair nasal septal perforations (30630) |
— |
$1,295 |
— |
| Repair nonunion hand (26546) |
— |
$1,329 |
— |
| Repair nonunion radius/ulna w autogrft (25405) |
— |
$58 |
— |
| Repair of ankle ligament (27695) |
— |
$389.50 |
— |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
— |
$1,985 |
— |
| Repair of biceps tendon (24340) |
— |
$58 |
— |
| Repair of eardrum structures (69631) |
— |
$1,838.40 |
— |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
— |
$1,564 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$1,232 |
— |
| Repair of foot bones (28320) |
— |
$783 |
— |
| Repair Of Foot Tendon (28208) |
— |
$546 |
— |
| Repair of hammertoe (28286) |
— |
$58 |
— |
| Repair of humerus (24430) |
— |
$58 |
— |
| Repair of hydrocele (55060) |
— |
$448 |
— |
| Repair of knee cartilage (27403) |
— |
$58 |
— |
| Repair of knee ligament (27407) |
— |
$1,002 |
— |
| Repair of knee ligaments (27409) |
— |
$1,207 |
— |
| Repair of leg tendon each (27664) |
— |
$304.50 |
— |
| Repair of nail bed (11760) |
— |
$476.50 |
— |
| Repair of nasal septum (30520) |
— |
$2,809 |
— |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) (30468) |
— |
$152.50 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
— |
$58 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft (27722) |
— |
$58 |
— |
| Repair of rectocele (45560) |
— |
$1,400 |
— |
| Repair of rectum (45505) |
— |
$482.50 |
— |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
— |
$569.50 |
— |
| Repair of shoulder (23420) |
— |
$1,228 |
— |
| Repair of thigh musc (27385) |
— |
$406.50 |
— |
| Repair of vagina (57260) |
— |
$1,600 |
— |
| Repair rectum & vagina (57250) |
— |
$1,352 |
— |
| Repair rotator cuff acute (23410) |
— |
$547.50 |
— |
| Repair secondary achilles tendon w/wo graft (27654) |
— |
$473 |
— |
| Repair shldr capsu,ant,coracoid xfer (23462) |
— |
$1,359 |
— |
| Repair shoulder capsule (23466) |
— |
$58 |
— |
| Repair shoulder capsule (23465) |
— |
$1,383 |
— |
| Repair Spica/Body/Jacket Cast (29720) |
— |
$85 |
— |
| Repair Tongue Laceration (41250) |
— |
$175.25 |
— |
| Repair tooth socket (41874) |
— |
$58 |
— |
| Repair tympanic membrane (69610) |
— |
$1,079.50 |
— |
| Repair vagina/perineum (57210) |
— |
$317 |
— |
| Repair wrist joints (25447) |
— |
$546.50 |
— |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
— |
$299 |
— |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
— |
$5,671 |
— |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
— |
$273 |
— |
| Repair/graft achilles tendon (27652) |
— |
$58 |
— |
| Replace duod/jej tube perc (49451) |
— |
$975 |
— |
| Replace elbow joint (24363) |
— |
$58 |
— |
| Replace g/c tube perc (49450) |
— |
$265 |
— |
| Reposition gastrostomy tube (43761) |
— |
$361 |
— |
| Rerepair fem hernia blocked (49557) |
— |
$492.50 |
— |
| Rerepair fem hernia reduce (49555) |
— |
$484.50 |
— |
| Rerepair ing hernia blocked (49521) |
— |
$1,832 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$354 |
— |
| Resect Inferior Turbinate (30140) |
— |
$1,460.02 |
— |
| Resection of scrotum (55150) |
— |
$403 |
— |
| Resection or transplantation of long tendon of biceps (23440) |
— |
$968 |
— |
| Resection, partial or complete, phalangeal base, each toe (28126) |
— |
$377 |
— |
| Revis reconst shoulder joint (23473) |
— |
$2,081 |
— |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
— |
$58 |
— |
| Revise arm/leg nerve (64708) |
— |
$404 |
— |
| Revise finger joint (26535) |
— |
$58 |
— |
| Revise knuckle joint (26530) |
— |
$58 |
— |
| Revise leg vein (37700) |
— |
$227 |
— |
| Revise median n/carpal tunnel surg (64721) |
— |
$58 |
— |
| Revise middle ear & mastoid (69642) |
— |
$1,693 |
— |
| Revise middle ear & mastoid (69646) |
— |
$1,935 |
— |
| Revise middle ear & mastoid (69644) |
— |
$2,234 |
— |
| Revise middle ear & mastoid (69643) |
— |
$1,856 |
— |
| Revise middle ear & mastoid (69645) |
— |
$1,834 |
— |
| Revise middle ear & mastoid (69641) |
— |
$3,658 |
— |
| Revise ulnar nerve at elbow (64718) |
— |
$470.50 |
— |
| Revise ulnar nerve at wrist (64719) |
— |
$329.50 |
— |
| Revise vag graft via vagina (57295) |
— |
$391.50 |
— |
| Revise/implant finger joint (26536) |
— |
$58 |
— |
| Revision mastoidectomy; resulting in complete mastoidectomy Other Surgical Services (69601) |
— |
$1,319 |
— |
| Revision mastoidectomy; resulting in radical mastoidectomy Other Surgical Services (69603) |
— |
$1,613.50 |
— |
| Revision of arm tendon (24310) |
— |
$718 |
— |
| Revision of big toe (28310) |
— |
$304.50 |
— |
| Revision of cervix (57720) |
— |
$682 |
— |
| Revision of colostomy simple (44340) |
— |
$58 |
— |
| Revision of eyelid (67880) |
— |
$900 |
— |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services (44314) |
— |
$1,252 |
— |
| Revision of lower leg tendon (27685) |
— |
$58 |
— |
| Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137) |
— |
$2,261 |
— |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
— |
$2,442 |
— |
| Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138) |
— |
$2,353 |
— |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
— |
$2,253 |
— |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
— |
$58 |
— |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
— |
$1,992 |
— |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
— |
$694 |
— |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
— |
$126 |
— |
| Revj clst comp rcnstj in-depth spx (44345) |
— |
$2,438 |
— |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
— |
$1,102 |
— |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
— |
$526 |
— |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
— |
$139 |
— |
| Rhinectomy Partial (30150) |
— |
$510 |
— |
| Rhinoplasty, Primary; Including Major Septal Repair (30420) |
— |
$5,169.20 |
— |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
— |
$95 |
— |
| Rmvl embedded fb vestibule mouth comp (40805) |
— |
$603 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$564.50 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$445 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$205 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$404 |
— |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
— |
$2,824 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$584 |
— |
| Rmvl ruptured breast implant w/implant contents (19330) |
— |
$432.50 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$699 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$178 |
— |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
— |
$590 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$308 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$554.52 |
— |
| Rplcmt compl prph ctr vad w/subq port (36585) |
— |
$420 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$2,383.03 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$265 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$180 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$2,975 |
— |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
— |
$1,985 |
— |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
— |
$2,975 |
— |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
— |
$1,985 |
— |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
— |
$1,985 |
— |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
— |
$2,975 |
— |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
— |
$1,985 |
— |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
— |
$58 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$426 |
— |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
— |
$700 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$748.75 |
— |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
— |
$250 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$58 |
— |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
— |
$467.50 |
— |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
— |
$360.50 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$571 |
— |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
— |
$58 |
— |
| Rpsg previously placed cvc under fluor gdnce (36597) |
— |
$105.25 |
— |
| Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) |
— |
$1,619 |
— |
| Scrotal exploration (55110) |
— |
$329 |
— |
| Septal/Other Intranasal Dermatoplasty (30620) |
— |
$770 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$565 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$654 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$157 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
— |
$338.50 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$191 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$281.50 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$249 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$440 |
— |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
— |
$73 |
— |
| Shoulder arthroscopy (29805) |
— |
$387 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$169 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$440 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$217 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$440 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$269 |
— |
| Sigmoidoscopy & decompress (45337) |
— |
$535 |
— |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
— |
$784 |
— |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
— |
$238 |
— |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
— |
$906 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$179.75 |
— |
| Simple biopsy of growth of throat behind nose (42804) |
— |
$174 |
— |
| Simple destruction of growth of penis using electric current (54055) |
— |
$1,615 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$522 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$431.50 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$264.50 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$373 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$274 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$354 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$200 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$405 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$423.50 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$240 |
— |
| Skin Pedicle Flap Trunk (15570) |
— |
$924 |
— |
| Skin splt grft trnk/arm/leg (15100) |
— |
$2,015 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$155 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$986 |
— |
| Skin Sub Grft T/Arm/Lg Child (15273) |
— |
$1,853.50 |
— |
| Skin Tissue Procedure (17999) |
— |
$134 |
— |
| Skin tissue rearrangement (14040) |
— |
$1,670 |
— |
| Skn splt a-grft fac/nck/hf/g (15120) |
— |
$2,015 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$58 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$1,627 |
— |
| Slitting of prepuce (54001) |
— |
$131.50 |
— |
| Small Bowel Endoscopy (44373) |
— |
$964 |
— |
| Small bowel endoscopy (44366) |
— |
$1,378 |
— |
| Small bowel endoscopy (44376) |
— |
$451 |
— |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
— |
$1,033 |
— |
| Small bowel endoscopy/biopsy (44377) |
— |
$1,171 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$548.50 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$550 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$370 |
— |
| Sphenoid sinus surgery (31051) |
— |
$460 |
— |
| Sphincterotomy (46080) |
— |
$1,200 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$478 |
— |
| Spinal Puncture Therapeutic (62272) |
— |
$455.23 |
— |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
— |
$1,491 |
— |
| Sternal Debridement (21627) |
— |
$691 |
— |
| Strapping ankle (29540) |
— |
$561 |
— |
| Strapping elbow/wrist (29260) |
— |
$935 |
— |
| Strapping hand/finger (29280) |
— |
$358 |
— |
| Strapping Hip (29520) |
— |
$132 |
— |
| Strapping knee (29530) |
— |
$270 |
— |
| Strapping shoulder (29240) |
— |
$293 |
— |
| Strapping thorax (29200) |
— |
$185 |
— |
| Strapping toes (29550) |
— |
$120.50 |
— |
| Strapping unna boot (29580) |
— |
$146 |
— |
| Subcutaneous Hormone Pellet Implantation (11980) |
— |
$289 |
— |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
— |
$213 |
— |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
— |
$58 |
— |
| Suspension of testis (54640) |
— |
$1,167 |
— |
| Suspension of testis (54620) |
— |
$258.50 |
— |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
— |
$58 |
— |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
— |
$875 |
— |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381) |
— |
$58 |
— |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
— |
$316 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$253.50 |
— |
| Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11920) |
— |
$573 |
— |
| Tendon excision palm/finger (26145) |
— |
$58 |
— |
| Tendon graft, from a distance (20924) |
— |
$765 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$502 |
— |
| Tenolysis ext tendon,hand/finger,ea (26445) |
— |
$421.50 |
— |
| Tenotomy elbow lateral/medial debride open (24358) |
— |
$58 |
— |
| Tenotomy hip flexor open separate procedure (27005) |
— |
$487 |
— |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
— |
$1,061 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$992.50 |
— |
| Tenotomy shoulder area single tendon (23405) |
— |
$427 |
— |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
— |
$1,031 |
— |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
— |
$416 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$2,176 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$521 |
— |
| Throat Surgery Procedure (42999) |
— |
$492 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$341 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$548 |
— |
| Thyroid biopsy (60100) |
— |
$2,417 |
— |
| Thyroidectomy, total or complete (60240) |
— |
$1,398 |
— |
| Tibial arthroscopy/surgery (29855) |
— |
$58 |
— |
| Tis trnfr trunk 10 sq cm/< (14000) |
— |
$953 |
— |
| Tis trnfr trunk 10.1-30sqcm (14001) |
— |
$1,046.50 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$58 |
— |
| Total hip arthroplasty (27130) |
— |
$1,755 |
— |
| Total knee arthroplasty (27447) |
— |
$1,760 |
— |
| Total thyroid lobectomy unilateral (60225) |
— |
$1,191 |
— |
| Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690) |
— |
$431.50 |
— |
| Trach Tube Change (31502) |
— |
$412.50 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$476.50 |
— |
| Tracheostoma Revj Smpl W/O Flap Rotation (31613) |
— |
$366 |
— |
| Tracheostomy emergency cricothyroid membrane (31605) |
— |
$589 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$765.75 |
— |
| Tracheostomy planned (31600) |
— |
$524 |
— |
| Transfer Any Pedicle Flap Any Location (15650) |
— |
$319.50 |
— |
| Transurethral resection of bladder neck (52500) |
— |
$603 |
— |
| Treat ankle dislocation (27848) |
— |
$58 |
— |
| Treat cheek bone fracture CMS CORRECTION 5/30/03 (21365) |
— |
$58 |
— |
| Treat clavicle dislocation (23552) |
— |
$58 |
— |
| Treat ectopic pregnancy (59151) |
— |
$2,263.50 |
— |
| Treat elbow fracture (24586) |
— |
$1,402 |
— |
| Treat elbow fracture (24635) |
— |
$58 |
— |
| Treat finger dislocation (26775) |
— |
$58 |
— |
| Treat Finger Fracture Each (26727) |
— |
$382 |
— |
| Treat Fracture Radius & Ulna (25560) |
— |
$468.75 |
— |
| Treat fracture radius/ulna (25575) |
— |
$598 |
— |
| Treat fx distal radial (25606) |
— |
$445 |
— |
| Treat fx rad extra-articul (25607) |
— |
$491.50 |
— |
| Treat heel fracture (28415) |
— |
$1,767.75 |
— |
| Treat humerus fracture (24500) |
— |
$353.75 |
— |
| Treat humerus fracture (24577) |
— |
$1,297.50 |
— |
| Treat humerus fracture (23600) |
— |
$349.75 |
— |
| Treat knee fracture (27532) |
— |
$2,093 |
— |
| Treat kneecap dislocation (27566) |
— |
$58 |
— |
| Treat lower leg fracture (27828) |
— |
$58 |
— |
| Treat Lower Leg Fracture (27827) |
— |
$1,401 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$58 |
— |
| Treat pleurodesis w/agent (32560) |
— |
$125 |
— |
| Treat radius fracture (24665) |
— |
$58 |
— |
| Treat scapula fracture (23585) |
— |
$58 |
— |
| Treat thumb fracture (26650) |
— |
$58 |
— |
| Treat thumb fracture (26665) |
— |
$58 |
— |
| Treat Thumb Fx/Disloc,Manip (26645) |
— |
$58 |
— |
| Treat ulnar fracture (24685) |
— |
$443 |
— |
| Treat Vaginal Bleeding (57180) |
— |
$150.25 |
— |
| Treat wrist bone fracture (25635) |
— |
$1,036 |
— |
| Treat Wrist Bone Fracture (25630) |
— |
$378.75 |
— |
| Treatment closed elbow dislocation req anes (24605) |
— |
$1,169 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$848 |
— |
| Treatment of ankle fracture (27822) |
— |
$3,084 |
— |
| Treatment of ankle fracture (27792) |
— |
$526.50 |
— |
| Treatment of fibula fracture (27784) |
— |
$470 |
— |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
— |
$1,865 |
— |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$3,534 |
— |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
— |
$257.50 |
— |
| Treatment of tibia fracture (27759) |
— |
$58 |
— |
| Trim skin lesion (11055) |
— |
$95.75 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$83.25 |
— |
| Trim skin lesions over 4 (11057) |
— |
$185.50 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$51 |
— |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
— |
$305 |
— |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
— |
$266.50 |
— |
| Trurl drainage prostatic abscess (52700) |
— |
$368.50 |
— |
| Trurl rescj postop bladder neck contracture (52640) |
— |
$407 |
— |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
— |
$544 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$3,351.25 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$260.50 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$307.50 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$1,162 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$350 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$315 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
— |
$571.75 |
— |
| Tympanostomy (69433) |
— |
$647 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$800 |
— |
| Unlisted laparoscopy procedure, biliary tract (47579) |
— |
$3,320 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$1,628 |
— |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
— |
$641 |
— |
| Unlisted laparoscopy procedure, stomach (43659) |
— |
$395.50 |
— |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
— |
$1,500 |
— |
| Unlisted procedure anus (46999) |
— |
$586 |
— |
| Unlisted Procedure Casting/Strapping (29799) |
— |
$506.50 |
— |
| Unlisted procedure colon (45399) |
— |
$160.50 |
— |
| Unlisted Procedure Dentoalveolar Structures (41899) |
— |
$125 |
— |
| Unlisted Procedure External Ear (69399) |
— |
$184.75 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$495 |
— |
| Unlisted procedure foot or toes (28899) |
— |
$215 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$545.25 |
— |
| Unlisted procedure larynx (31599) |
— |
$255.50 |
— |
| Unlisted procedure leg/ankle (27899) |
— |
$150 |
— |
| Unlisted procedure neck or thorax (21899) |
— |
$216.25 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$200 |
— |
| Unlisted procedure palate uvula (42299) |
— |
$165 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$316.50 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$636 |
— |
| Unlisted Procedure Small Intestine (44799) |
— |
$1,894 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$58 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$621.50 |
— |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
— |
$58 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$904 |
— |
| Unlisted procedure, hands or fingers (26989) |
— |
$207.50 |
— |
| Unlisted procedure, male genital system (55899) |
— |
$218 |
— |
| Unlisted procedure, salivary glands or ducts (42699) |
— |
$358.75 |
— |
| Unlisted procedure, stomach (43999) |
— |
$1,097.50 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$500 |
— |
| Ureteral endoscopy via ureterost w/rmvl fb/stone (50961) |
— |
$411 |
— |
| Ureteral endoscopy via ureterost w/wo dil ureter (50953) |
— |
$281 |
— |
| Ureteral endoscopy via ureterostomy (50951) |
— |
$255 |
— |
| Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) (53500) |
— |
$1,600 |
— |
| Urology Surgery Procedure (53899) |
— |
$723 |
— |
| Uvulectomy excision uvula (42140) |
— |
$238 |
— |
| Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) |
— |
$1,918 |
— |
| Vaginal delivery only (59409) |
— |
$2,664.25 |
— |
| Vaginal hysterectomy (58260) |
— |
$549.50 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$607.50 |
— |
| Vasectomy (55250) |
— |
$1,885.50 |
— |
| Vbac delivery only (59612) |
— |
$1,184 |
— |
| Venipuncture (36415) |
— |
$38 |
— |
| Venipuncture, cutdown; age 1 or over (36425) |
— |
$104 |
— |
| Ventilating tube removal requiring general anesthesia (69424) |
— |
$365.77 |
— |
| Vulvectomy simple partial (56620) |
— |
$355.50 |
— |
| Vulvectomy simple; complete (56625) |
— |
$58 |
— |
| Windowing of cast (29730) |
— |
$68 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$489.50 |
— |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
— |
$217 |
— |