| Abd paracentesis w/imaging (49083) |
— |
$5,181.03 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$67,399.71 |
— |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
— |
$102,086.19 |
— |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
— |
$4,032.38 |
— |
| Abrasion single lesion (15786) |
— |
$59,601.63 |
— |
| Acne Surgery (10040) |
— |
$60,294.28 |
— |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
— |
$72,361.38 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$113,331.89 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$87,156.40 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$70,185.88 |
— |
| Amputation Toe Metatarsophalangeal Joint (28820) |
— |
$44,737.54 |
— |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
— |
$113,331.89 |
— |
| Amputation, foot; transmetatarsal (28805) |
— |
$113,331.89 |
— |
| Analyze infusn pump+reprogram (62368) |
— |
$1,443 |
— |
| Analyze spine infus pump (62367) |
— |
$56,435.78 |
— |
| Ankle arthroscopy/surgery (29892) |
— |
$178,988.34 |
— |
| Ankle Scope,Excis Osteochon Defct (29891) |
— |
$132,684.58 |
— |
| Anoscopy (46611) |
— |
$15,877.08 |
— |
| Anoscopy diagnostic (46600) |
— |
$519 |
— |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
— |
$55,147.20 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$15,877.08 |
— |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
— |
$63,933.94 |
— |
| Appendectomy (44950) |
— |
$63,524.07 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$2,552.88 |
— |
| Application cast elbow finger short arm (29075) |
— |
$78,473.25 |
— |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
— |
$78,473.25 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$311 |
— |
| Application finger splint static (29130) |
— |
$311 |
— |
| Application Hip Spica Cast 1 Leg (29305) |
— |
$85,723.35 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$652 |
— |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
— |
$85,723.35 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$652 |
— |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
— |
$168,714.02 |
— |
| Application of cylinder cast (thigh to ankle) (29365) |
— |
$85,723.35 |
— |
| Application of hip spica cast; one and one-half spica or both legs (29325) |
— |
$85,723.35 |
— |
| Application of long leg cast (29345) |
— |
$85,723.35 |
— |
| Application of plaster velpeau cast to upper forearm and shoulder (29058) |
— |
$78,473.25 |
— |
| Application Of Rigid Total Contact Leg Cast (29445) |
— |
$1,188 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$500 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$500 |
— |
| Application short leg splint calf foot (29515) |
— |
$652 |
— |
| Apply of clubfoot cast (29450) |
— |
$85,723.35 |
— |
| Arterial puncture (36600) |
— |
$533 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$1,216 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$71,772.07 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$1,216 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$1,216 |
— |
| Arthrodeses, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments (22800) |
— |
$444,678.50 |
— |
| Arthrodesis ankle open (27870) |
— |
$253,664.80 |
— |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
— |
$298,328.83 |
— |
| Arthrodesis great toe interphalangeal joint (28755) |
— |
$41,216.96 |
— |
| Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554) |
— |
$362,332.88 |
— |
| Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558) |
— |
$303,511.27 |
— |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
— |
$450,908.31 |
— |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
— |
$87,005.84 |
— |
| Arthrodesis, lateral extracavitary technique, including minimal diskectomy to prepare interspace (other than for… (22533) |
— |
$388,122.46 |
— |
| Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630) |
— |
$449,256.05 |
— |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
— |
$468,509.84 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Spinal Fusion… (22804) |
— |
$388,122.46 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments (22802) |
— |
$388,122.46 |
— |
| Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior… (22586) |
— |
$491,013.73 |
— |
| Arthrodesis; subtalar (28725) |
— |
$171,899.47 |
— |
| Arthroplasty Ankle W/Implant (27702) |
— |
$182,946.24 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$136,194.19 |
— |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
— |
$104,576.29 |
— |
| Arthroscopically aided treat. intercondylar spine and/or tuberosity fx knee w/o int/ext. fix 29850 (29850) |
— |
$105,324.90 |
— |
| Arthroscopy ankle; ext debridem (29898) |
— |
$121,014.58 |
— |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
— |
$157,349.74 |
— |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914) |
— |
$141,470.75 |
— |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
— |
$64,242.21 |
— |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
— |
$73,700.56 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$48,484.31 |
— |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
— |
$42,569.16 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$46,981.08 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$78,956.73 |
— |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
— |
$76,622.90 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$74,709.16 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$72,655.57 |
— |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
— |
$74,662.81 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$80,409.67 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, partial (29820) |
— |
$49,249.11 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$79,182.91 |
— |
| Arthrotomy, elbow; with synovectomy (24102) |
— |
$63,969.76 |
— |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
— |
$88,643.90 |
— |
| Arthrs hip debridement/shaving articular crtlg (29862) |
— |
$118,758.03 |
— |
| Aspir/inj thyroid cyst (60300) |
— |
$398 |
— |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
— |
$31,334.59 |
— |
| Av fistula revision (36833) |
— |
$139,183.39 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$1,010 |
— |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
— |
$11,935.08 |
— |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
— |
$4,766 |
— |
| Biopsy Bone Open Deep (20245) |
— |
$46,270.62 |
— |
| Biopsy bone open superficial (20240) |
— |
$78,843.80 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$14,345.14 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$7,799.06 |
— |
| Biopsy Breast Open Incisional (19101) |
— |
$33,289.45 |
— |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
— |
$29,751.58 |
— |
| Biopsy muscle deep (20205) |
— |
$12,246 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$12,246 |
— |
| Biopsy Muscle Superficial (20200) |
— |
$43,322.11 |
— |
| Biopsy of bowel (44100) |
— |
$60,731.75 |
— |
| Biopsy of uterus lining (58100) |
— |
$78,876.41 |
— |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
— |
$84,317.42 |
— |
| Biopsy Pancrea Percutaneous Needle (48102) |
— |
$6,118 |
— |
| Biopsy pleura percutaneous needle (32400) |
— |
$1,550 |
— |
| Biopsy Salivary Gland,Needle (42400) |
— |
$2,799 |
— |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
— |
$48,037.58 |
— |
| Biopsy soft tissue leg/ankle area deep (27614) |
— |
$12,246 |
— |
| Biopsy soft tissue leg/ankle area superficial (27613) |
— |
$7,049 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$7,049 |
— |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
— |
$12,246 |
— |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
— |
$7,049 |
— |
| Biopsy/removal lymph nodes (38525) |
— |
$79,939.41 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$44,647.70 |
— |
| Bl push transfuse 2 yr/< (36440) |
— |
$64,326.21 |
— |
| Bladder Irrigation Simple (51700) |
— |
$1,823 |
— |
| Bladder Scan (51798) |
— |
$505 |
— |
| Blood patch (62273) |
— |
$3,641 |
— |
| Blood transfusion service (36430) |
— |
$3,458 |
— |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Other Surgical Services (20962) |
— |
$119,291.08 |
— |
| Bone graft, any donor area; major or large (20902) |
— |
$119,291.08 |
— |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
— |
$119,291.08 |
— |
| Bone marrow aspiration only (38220) |
— |
$143,720.83 |
— |
| Bone Marrow Biopsy (38221) |
— |
$14,212.98 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$1,996 |
— |
| Bronchosc dx w/w/o fluor&wash (31622) |
— |
$1,996 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$2,315 |
— |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
— |
$1,996 |
— |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
— |
$1,450 |
— |
| Bronchoscopy,Diagnostic W Lavage (31624) |
— |
$1,996 |
— |
| Bx abdl/retroperitoneal mass prq needle (49180) |
— |
$15,314.22 |
— |
| Bx anorectal wall anal approach (45100) |
— |
$39,061.68 |
— |
| Bx breast 1st lesion mr imag (19085) |
— |
$7,014 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$14,778.61 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$8,013.49 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$30,916.98 |
— |
| Bx vulva/perineum 1 lesion (56605) |
— |
$193,683.96 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$12,097.08 |
— |
| Canthotomy Separate Procedure (67715) |
— |
$16,002 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$106,736.16 |
— |
| Capsulorrhaphy anterior w/labral repair (23455) |
— |
$90,661.02 |
— |
| Catheter Aspiration Nasotracheal Spx (31720) |
— |
$928 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$5,244 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$5,258 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$34,291 |
— |
| Chemical Cautery Tissue (17250) |
— |
$1,026 |
— |
| Chest tube placement (32551) |
— |
$6,323 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$285 |
— |
| Chromotubation of oviduct, including materials (58350) |
— |
$56,658.58 |
— |
| Circum 28 days or older (54161) |
— |
$45,844.29 |
— |
| Circumcision (54150) |
— |
$44,174.16 |
— |
| Circumcision Neonate (54160) |
— |
$9,767.05 |
— |
| Claviculectomy; partial (23120) |
— |
$80,069.74 |
— |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
— |
$54,469.05 |
— |
| Closed Rx Humeral Supracondylar Fx (24530) |
— |
$54,469.05 |
— |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
— |
$54,469.05 |
— |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
— |
$54,469.05 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$107,506.45 |
— |
| Closed Rx Tibial Plateau Fx (27530) |
— |
$85,723.35 |
— |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
— |
$51,664.97 |
— |
| Closed treatment of broken top of shin bone at knee (27538) |
— |
$85,723.35 |
— |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
— |
$54,469.05 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$78,473.25 |
— |
| Closed tx nasal fracture w/o stabilization (21315) |
— |
$8,434 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$1,053 |
— |
| Closed tx patellar fracture w/o manipulation (27520) |
— |
$85,723.35 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$707 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$78,473.25 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$95,220.24 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$21,212.98 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$85,723.35 |
— |
| Cltx greater trochanteric fx w/o manj (27246) |
— |
$85,723.35 |
— |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
— |
$54,469.05 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$2,142 |
— |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
— |
$85,723.35 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$983 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$43,671.98 |
— |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$43,671.98 |
— |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
— |
$77,251.65 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$1,177 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$54,469.05 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$682 |
— |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
— |
$54,469.05 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$85,723.35 |
— |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
— |
$50,836.70 |
— |
| Colonoscopy flex w/rem forcep (45384) |
— |
$12,460.44 |
— |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
— |
$14,074.08 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$133,272.74 |
— |
| Colonoscopy stoma w/balloon dilation (44405) |
— |
$120,303.84 |
— |
| Colonoscopy stoma w/biopsy (44389) |
— |
$73,133.42 |
— |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
— |
$133,272.74 |
— |
| Colonoscopy stoma w/snare (44394) |
— |
$133,272.74 |
— |
| Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or… (44406) |
— |
$120,303.84 |
— |
| Colonoscopy through stoma; with removal of foreign body(s) (44390) |
— |
$120,303.84 |
— |
| Colonoscopy thru stoma (44388) |
— |
$13,317.98 |
— |
| Colonoscopy w/ablation (45388) |
— |
$10,060.23 |
— |
| Colonoscopy w/band ligation (45398) |
— |
$12,391.64 |
— |
| Colonoscopy w/ndl aspir/bx (44407) |
— |
$120,303.84 |
— |
| Colonoscopy w/resection (45390) |
— |
$135,866.52 |
— |
| Colonoscopy w/stent plcmt (44402) |
— |
$120,303.84 |
— |
| Colporrhaphy suture injury vagina (57200) |
— |
$200,264.26 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$42,397.16 |
— |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
— |
$40,281.82 |
— |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
— |
$16,354.72 |
— |
| Colsc flx with directed submucosal njx any sbst (45381) |
— |
$12,749.30 |
— |
| Complex Drainage, Wound (10180) |
— |
$56,898.11 |
— |
| Conization of cervix (57522) |
— |
$47,279.95 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$1,111 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$1,092 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$909 |
— |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
— |
$142,917.57 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$10,763.36 |
— |
| Correction hammertoe (28285) |
— |
$72,563.18 |
— |
| Correction of bunion (28298) |
— |
$116,427.24 |
— |
| Correction of bunion (28292) |
— |
$69,211.19 |
— |
| Correction of bunion (28299) |
— |
$65,290.13 |
— |
| Correction of bunion (28297) |
— |
$102,309.60 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$62,205.71 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$757 |
— |
| Curettage postpartum (59160) |
— |
$44,347.13 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$70,643.22 |
— |
| Cysto inc fulg/rescj urtl valves/folds (52400) |
— |
$90,539.61 |
— |
| Cysto inc/rescj orifice bldr diverticulum 1/mlt (52305) |
— |
$68,772.03 |
— |
| Cysto insj urtrl gd wire prq nfros rtrgr (52334) |
— |
$97,831.26 |
— |
| Cysto w fulg of minor lesions <0.5cm (52224) |
— |
$47,172.99 |
— |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
— |
$66,150.21 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$31,909.13 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$57,177.44 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$175,785.08 |
— |
| Cysto w/tx ureteropelvic junction stricture (52342) |
— |
$97,831.26 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$48,786.99 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$67,227.79 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$98,502.76 |
— |
| Cysto w/urtroscopy w/tx urtropel junct strix (52345) |
— |
$49,029.60 |
— |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
— |
$72,092.96 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$70,482.86 |
— |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
— |
$83,171.73 |
— |
| Cystolithotomy w rem stone wo vn res (51050) |
— |
$175,453.27 |
— |
| Cystoscopy & duct catheter (52010) |
— |
$62,654.82 |
— |
| Cystoscopy and treatment (52330) |
— |
$98,470.83 |
— |
| Cystoscopy implant stent (52282) |
— |
$82,658.22 |
— |
| Cystoscopy stone removal (52325) |
— |
$64,004.62 |
— |
| Cystoscopy w/biopsy (52204) |
— |
$41,405.39 |
— |
| Cystoscopy w/complex removal stone & stent (52315) |
— |
$114,219.28 |
— |
| Cystoscopy,Dil Urethral Stricture (52281) |
— |
$40,925.95 |
— |
| Cystoscopy,insert ureteral stent (52332) |
— |
$63,833.49 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$60,704.43 |
— |
| Cystourethroscopy (52000) |
— |
$39,371.99 |
— |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
— |
$41,025.87 |
— |
| Cystourethroscopy Insj Radioact Sbst W/Wobx/Fulg (52250) |
— |
$68,772.03 |
— |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
— |
$62,654.82 |
— |
| Cystourethroscopy w/dil bladder general anesth (52260) |
— |
$39,725.43 |
— |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
— |
$31,059.94 |
— |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
— |
$77,702.11 |
— |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
— |
$48,276.43 |
— |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
— |
$51,298.36 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$2,240 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$40,477.94 |
— |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
— |
$97,613 |
— |
| Debride nail 1-5 (11720) |
— |
$367 |
— |
| Debride nail 6 or more (11721) |
— |
$367 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$43,454.96 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$38,693.17 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$101,473.05 |
— |
| Declot vascular device (36593) |
— |
$1,598 |
— |
| Decompression of tibia nerve (28035) |
— |
$43,104.39 |
— |
| Decompression; unspecified nerve(s) (specify) (64722) |
— |
$165,074.08 |
— |
| Delivery placenta separate procedure (59414) |
— |
$34,839.32 |
— |
| Derma-fat-fascia graft (15770) |
— |
$78,110.55 |
— |
| Dermabrasion regional other than face (15782) |
— |
$59,601.63 |
— |
| Dermabrasion superficial any site (15783) |
— |
$59,601.63 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$8,701 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$8,701 |
— |
| Destruction anal lesion(s) (46924) |
— |
$32,063.70 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$29,004.70 |
— |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
— |
$118,662.73 |
— |
| Destruction vaginal lesions simple (57061) |
— |
$115,390.58 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$4,349 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$12,391.60 |
— |
| Dil urethra,female,subsequent (53661) |
— |
$121,175.50 |
— |
| Dilate Urethra Stricture (53600) |
— |
$47,595.99 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$74,086.74 |
— |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
— |
$11,823.36 |
— |
| Diskectomy, anterior, with decompression of spinal cord and/ or nerve root(s), including osteophytectomy; cervical,… (63075) |
— |
$362,332.88 |
— |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
— |
$37,303.76 |
— |
| Division of fallopian tube (58600) |
— |
$53,580.40 |
— |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
— |
$5,154 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$1,240 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$849 |
— |
| Drainage of bone lesion (27303) |
— |
$45,609 |
— |
| Drainage of deep periurethral abscess (53040) |
— |
$47,983.86 |
— |
| Drainage of eyelid abscess (67700) |
— |
$2,134 |
— |
| Drainage of gum lesion (41800) |
— |
$863 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$64,165.94 |
— |
| Drainage of pelvic abscess (45000) |
— |
$55,860.10 |
— |
| Drainage of perirenal or renal abscess, open (50020) |
— |
$71,966.21 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$68,309.68 |
— |
| Draw blood off venous device (36591) |
— |
$304 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$1,612 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$834 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$834 |
— |
| Dry Needling 3+ Muscles (20561) |
— |
$43 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$46,033.26 |
— |
| Dstrj lesion penis simple surg excision (54060) |
— |
$118,662.73 |
— |
| Dx bone marrow bx & aspir (38222) |
— |
$18,003 |
— |
| Dx gastr intub w/asp specs (43755) |
— |
$41,975.05 |
— |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
— |
$69,314.67 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$62,555.28 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$20,757.07 |
— |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
— |
$69,314.67 |
— |
| Egd Endo Mucosal Resection (43254) |
— |
$69,314.67 |
— |
| Egd endoscopic stent place (43266) |
— |
$69,314.67 |
— |
| Egd flexible foreign body removal (43247) |
— |
$33,887.39 |
— |
| Egd guide wire insertion (43248) |
— |
$13,318.08 |
— |
| Egd injection varices (43243) |
— |
$69,314.67 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$62,024.14 |
— |
| Egd place gastrostomy tube (43246) |
— |
$17,906.07 |
— |
| Egd rem tumr/polyp forcep (43250) |
— |
$66,858.45 |
— |
| Egd remove lesion snare (43251) |
— |
$85,673.07 |
— |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
— |
$67,417.25 |
— |
| Egd tube/cath insertion (43241) |
— |
$34,497.62 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$62,024.14 |
— |
| Egd us fine needle bx/aspir (43242) |
— |
$62,024.14 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$67,417.25 |
— |
| Egd Varices Ligation (43244) |
— |
$11,803.01 |
— |
| Egd w/transmural drain cyst (43240) |
— |
$69,314.67 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$56,435.78 |
— |
| Electronic analysis reprogramming refill of spinal canal drug infusion (62369) |
— |
$1,443 |
— |
| Embedded ip cath exit-site (49436) |
— |
$105,432.25 |
— |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
— |
$139,183.39 |
— |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
— |
$180,537.88 |
— |
| Endoscopic Injection/Implant (51715) |
— |
$47,498.97 |
— |
| Endoscopic us exam esoph (43237) |
— |
$67,257.76 |
— |
| Endoscopy of bowel pouch (44385) |
— |
$58,753.13 |
— |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
— |
$58,753.13 |
— |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
— |
$55,173.58 |
— |
| Endoven ther chem adhes 1st (36482) |
— |
$55,173.58 |
— |
| Endovenous rf 1st vein (36475) |
— |
$11,844 |
— |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
— |
$8,008 |
— |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
— |
$7,621 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$2,334 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$3,222 |
— |
| Esoph optical endomicroscopy (43206) |
— |
$58,753.13 |
— |
| Esoph scope w/submucous inj (43201) |
— |
$67,948.87 |
— |
| Esophagogastroduodenoscopy submucosal injection (43236) |
— |
$62,555.28 |
— |
| Esophagoscop mucosal resect (43211) |
— |
$58,753.13 |
— |
| Esophagoscopy flex biopsy (43202) |
— |
$78,658.39 |
— |
| Esophagoscopy flexible removal foreign body (43215) |
— |
$57,973.20 |
— |
| Esophagoscopy flexible transnasal diagnostic (43197) |
— |
$58,753.13 |
— |
| Esophagoscopy flexible transnasal with biopsy (43198) |
— |
$78,658.39 |
— |
| Esophagoscopy flexible transoral diagnostic (43200) |
— |
$58,753.13 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$58,753.13 |
— |
| Esophagoscopy lesion ablate (43229) |
— |
$37,303.76 |
— |
| Esophagoscopy Rigid Balloon (43195) |
— |
$58,753.13 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$58,753.13 |
— |
| Esophagoscopy Transoral Stent Placement (43212) |
— |
$58,753.13 |
— |
| Esophagoscopy w/us needle bx (43232) |
— |
$78,658.39 |
— |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
— |
$67,948.87 |
— |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
— |
$57,973.20 |
— |
| Esophagoscp rig trnso biopsy (43193) |
— |
$78,658.39 |
— |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
— |
$12,099.08 |
— |
| Evacuate mole of uterus (59870) |
— |
$36,039.72 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$696 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$35,043.10 |
— |
| Exc abd les sc 3 cm/> (22903) |
— |
$45,846.09 |
— |
| Exc arm/elbow les sc 3 cm/> (24071) |
— |
$32,937.96 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$29,457.06 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$90,268.53 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
— |
$40,681.28 |
— |
| Exc back les sc < 3 cm (21930) |
— |
$37,761.02 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$47,899.24 |
— |
| Exc foot/toe tum sc < 1.5 cm (28043) |
— |
$44,422.24 |
— |
| Exc forearm les sc 3 cm/> (25071) |
— |
$53,763.29 |
— |
| Exc forearm les sc < 3 cm (25075) |
— |
$29,376.64 |
— |
| Exc hand les sc < 1.5 cm (26115) |
— |
$32,133.04 |
— |
| Exc neck tum deep < 5 cm (21556) |
— |
$29,551.45 |
— |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
— |
$34,640.07 |
— |
| Exc sac pr ulc prepj musc/myoq flap/skn grf clsr (15936) |
— |
$96,895.65 |
— |
| Exc Sacr Press Ulc Bone & Suture (15933) |
— |
$107,138.36 |
— |
| Exc shoulder les sc 3 cm/> (23071) |
— |
$40,349.45 |
— |
| Exc skin abd (15830) |
— |
$105,432.25 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
— |
$90,268.53 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$35,376.45 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$31,223.96 |
— |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
— |
$37,060.45 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$47,614.93 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$62,623.30 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$75,451.30 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$53,805.88 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$50,500.63 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$97,469.40 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$44,510.24 |
— |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
— |
$35,549.76 |
— |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
— |
$19,985 |
— |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
— |
$33,372.85 |
— |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
— |
$81,294.26 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$71,504.07 |
— |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
— |
$97,469.40 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$43,104.39 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$51,289.14 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
— |
$54,335.13 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$63,239.28 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$97,469.40 |
— |
| Exc varicocele/ligation spermatic veins spx (55530) |
— |
$79,229.77 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$98,112.94 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$53,102.25 |
— |
| Exc/curtg cst/b9 tum tarsal/metar w/iliac/agrft (28106) |
— |
$98,112.94 |
— |
| Exchange nephrostomy cath (50435) |
— |
$2,992 |
— |
| Exchng absc/cst drg cath rad gid spx (49423) |
— |
$7,608 |
— |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
— |
$34,190.09 |
— |
| Excision Breast Lesion (19125) |
— |
$42,234.08 |
— |
| Excision external ear partial simple repair (69110) |
— |
$40,090.45 |
— |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
— |
$35,009.30 |
— |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
— |
$39,650.96 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$98,021.55 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$98,021.55 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
— |
$58,334.35 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$98,021.55 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$73,640.67 |
— |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
— |
$73,640.67 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$73,640.67 |
— |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
— |
$73,640.67 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$73,640.67 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$25,000.16 |
— |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
— |
$21,320.45 |
— |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
— |
$174,229.08 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$39,445.09 |
— |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
— |
$56,100.47 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$57,895.70 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$38,386.44 |
— |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
— |
$44,747.30 |
— |
| Excision of local lesion of epididymis (54830) |
— |
$39,846.60 |
— |
| Excision of nail fold toe (11765) |
— |
$778 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$36,240.82 |
— |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
— |
$46,473.94 |
— |
| Excision of spermatocele, with or without epididymectomy (54840) |
— |
$42,158.52 |
— |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) |
— |
$105,432.25 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$24,990.77 |
— |
| Excision of vaginal septum (57130) |
— |
$36,917.75 |
— |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
— |
$93,747.26 |
— |
| Excision pilonidal cyst/sinus complicated (11772) |
— |
$42,224.83 |
— |
| Excision Prepatellar Bursa (27340) |
— |
$43,802.78 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$41,031.31 |
— |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
— |
$97,469.40 |
— |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
— |
$96,895.65 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$57,895.70 |
— |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
— |
$37,331.66 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$47,548.45 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
— |
$38,589 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$48,863.51 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$107,580.90 |
— |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
— |
$49,921.70 |
— |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
— |
$98,112.94 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$105,432.25 |
— |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
— |
$118,100.36 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$4,017 |
— |
| Exploration of hip joint (27033) |
— |
$129,679.20 |
— |
| Exploration of knee joint (27310) |
— |
$135,460.10 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$41,929.68 |
— |
| Explore limb vessels (35860) |
— |
$139,183.39 |
— |
| Explore/treat ankle joint (27620) |
— |
$99,721.47 |
— |
| Explore/treat ankle joint (27610) |
— |
$99,721.47 |
— |
| External Cephalic Version (59412) |
— |
$11,882 |
— |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
— |
$80,228.40 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$37,665.84 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$1,858 |
— |
| Fetal non-stress test (59025) |
— |
$1,436 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$4,133.72 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$3,470.56 |
— |
| Fixation of knee joint (27570) |
— |
$32,209.18 |
— |
| Fixation of shoulder (23700) |
— |
$29,082.88 |
— |
| Fluid pressure muscle (20950) |
— |
$2,499 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$635 |
— |
| Fna bx w/fluor gdn 1st les (10007) |
— |
$2,920 |
— |
| Fna bx w/mr gdn 1st les (10011) |
— |
$2,920 |
— |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Other… (20969) |
— |
$119,291.08 |
— |
| Frenulotomy of penis (54164) |
— |
$33,283.60 |
— |
| Fusion of foot bones (28730) |
— |
$122,503.70 |
— |
| Fusion of foot bones (28740) |
— |
$189,340.11 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$389 |
— |
| Gastrocnemius Recession (27687) |
— |
$253,664.80 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$4,949 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$53,948.24 |
— |
| Harvest cultured skin graft (15040) |
— |
$73,640.67 |
— |
| Hemiarthroplasty Hip Partial (27125) |
— |
$137,336.32 |
— |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
— |
$53,100.70 |
— |
| Hemorrhoidectomy (46255) |
— |
$27,634.47 |
— |
| Hemorrhoidectomy external complete (46250) |
— |
$44,510.24 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
— |
$44,510.24 |
— |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
— |
$44,510.24 |
— |
| Hip arthro acetabuloplasty (29915) |
— |
$94,042.22 |
— |
| Hip arthro w/fb removal (29861) |
— |
$108,309.92 |
— |
| Hip arthro w/labral repair (29916) |
— |
$146,631.12 |
— |
| Hysteroscopy ablation (58563) |
— |
$47,905.82 |
— |
| Hysteroscopy biopsy (58558) |
— |
$41,238.99 |
— |
| Hysteroscopy dx sep proc (58555) |
— |
$39,152.70 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$27,981.08 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$39,811.96 |
— |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
— |
$34,005.60 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$580 |
— |
| I&d abscess simple (10060) |
— |
$30,910.22 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$82,812.28 |
— |
| I&d deep absc neck/chst+rib cut (21502) |
— |
$36,483.94 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$55,908.38 |
— |
| I&d epididymis tstis&/scrotal space (54700) |
— |
$38,994.09 |
— |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
— |
$151,730.40 |
— |
| I&d perianal abscess superficial (46050) |
— |
$35,935.24 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,262 |
— |
| I&D Rectal Abscess + Fistulectomy (46060) |
— |
$52,349.86 |
— |
| I&D Upper Arm/Elbow Bursa (23931) |
— |
$82,340.81 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$39,357.52 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
— |
$14,063.08 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$5,702 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$7,658 |
— |
| Implant neuroelectrodes (63650) |
— |
$142,721.44 |
— |
| Impltj/rplcmt ithcl/edrl drug nfs subq rsvr (62360) |
— |
$82,001.74 |
— |
| Incise finger tendon sheath (26055) |
— |
$26,400.54 |
— |
| Incise wrist/forearm tendon (25290) |
— |
$44,252.98 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$68,581.19 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$32,254.62 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$29,181.08 |
— |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle (27607) |
— |
$93,344.08 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$1,353 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$707 |
— |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015) |
— |
$36,483.94 |
— |
| Incision bone cortex foot (28005) |
— |
$45,061.22 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$33,320.44 |
— |
| Incision of heel bone (28300) |
— |
$253,664.80 |
— |
| Incision of metatarsal (28308) |
— |
$31,438.73 |
— |
| Incision of rectal abscess (46040) |
— |
$9,181 |
— |
| Incision of thigh tendons (27392) |
— |
$74,445.82 |
— |
| Incision of windpipe (31610) |
— |
$4,017 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$571 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$52,192.62 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$387 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$5,461 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$27,829.53 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$5,461 |
— |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
— |
$1,311 |
— |
| Inject Nerv Blck,Intercost,Multpl (64421) |
— |
$3,204 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$578 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$1,320 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$2,778 |
— |
| Injection for identification of sentinel node (38792) |
— |
$242,300.22 |
— |
| Injection peyronie disease (54200) |
— |
$116,969.36 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$1,036 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$1,164 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$567 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$13,876 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$13,876 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$14,714 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$14,714 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$15,337 |
— |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
— |
$61,750.49 |
— |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
— |
$47,348 |
— |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
— |
$77,315.40 |
— |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
— |
$121,381.32 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$335,519.38 |
— |
| Insert 1 electrode pm-defib (33216) |
— |
$37,616 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$466 |
— |
| Insert Drug Implant Device (11981) |
— |
$93,344.08 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$44,962.54 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$42,410.19 |
— |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
— |
$90,585.74 |
— |
| Insert pacing lead & connect (33224) |
— |
$186,299.32 |
— |
| Insert picc cath (36569) |
— |
$2,452 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$1,833 |
— |
| Insert picvad cath (36570) |
— |
$75,858.56 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$985 |
— |
| Insert tun ip cath perc (49418) |
— |
$16,308 |
— |
| Insert tunneled cv cath (36561) |
— |
$37,922.87 |
— |
| Insert Tunneled Cv Cath With Pump (36563) |
— |
$98,889.26 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$103,245.90 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$985 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$14,310 |
— |
| Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867) |
— |
$450,476.73 |
— |
| Insertion of tube into middle small bowel using an endoscope (44372) |
— |
$28,303.96 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$57,429.02 |
— |
| Insertion picc w/rs&i < 5 yr (36572) |
— |
$57,429.02 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$58,662.32 |
— |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
— |
$37,616 |
— |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
— |
$325,290.76 |
— |
| Insj inflatable urethral/bladder neck sphincter (53445) |
— |
$139,941.40 |
— |
| Insj multi-component inflatable penile prosth (54405) |
— |
$201,684.18 |
— |
| Insj penile prosthesos inflatable self-contained (54401) |
— |
$147,492.33 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$38,161.53 |
— |
| Insj stablj dev w/o dcmprn lumbar single level (22869) |
— |
$202,266.61 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$98,889.26 |
— |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
— |
$95,451.10 |
— |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
— |
$95,451.10 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$44,456.96 |
— |
| Insj/rplcmt defib w/lead(s) (33249) |
— |
$294,955.18 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$37,616 |
— |
| Insrt pulse gen w/dual leads (33230) |
— |
$325,290.76 |
— |
| Insrt pulse gen w/mult leads (33231) |
— |
$241,134.96 |
— |
| Insrt/redo spine n generator (63685) |
— |
$142,721.44 |
— |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
— |
$25,949 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$3,988 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$788 |
— |
| Irrigate corpora cavernosa for priapism (54220) |
— |
$1,269 |
— |
| Kidney endoscopy (50575) |
— |
$86,112.46 |
— |
| Kidney endoscopy (50572) |
— |
$98,470.83 |
— |
| Kidney endoscopy (50553) |
— |
$98,470.83 |
— |
| Kidney endoscopy (50570) |
— |
$71,966.21 |
— |
| Kidney endoscopy (50551) |
— |
$98,470.83 |
— |
| Kidney endoscopy & treatment (50580) |
— |
$66,222.94 |
— |
| Knee arthroscopy/surgery (29883) |
— |
$100,713.02 |
— |
| Knee arthroscopy/surgery (29876) |
— |
$42,491.47 |
— |
| Knee arthroscopy/surgery (29851) |
— |
$105,324.90 |
— |
| Knee arthroscopy/surgery (29886) |
— |
$46,175.94 |
— |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) |
— |
$123,526.71 |
— |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) |
— |
$123,526.71 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
— |
$444,513.96 |
— |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
— |
$319,409.60 |
— |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
— |
$292,571.46 |
— |
| Laminotomy single cervical (63040) |
— |
$319,409.60 |
— |
| Lap ing hernia repair init (49650) |
— |
$132,940.85 |
— |
| Laparo ligate spermatic vein (55550) |
— |
$55,292.94 |
— |
| Laparo sling operation (51992) |
— |
$168,772.28 |
— |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553) |
— |
$212,167.01 |
— |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
— |
$171,094.74 |
— |
| Laparoscopy appendectomy (44970) |
— |
$73,306.62 |
— |
| Laparoscopy biopsy (49321) |
— |
$129,194.44 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$69,314.67 |
— |
| Laparoscopy lymphadenectomy (38572) |
— |
$247,145.06 |
— |
| Laparoscopy Remove Adnexa (58661) |
— |
$91,232.54 |
— |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
— |
$150,479.73 |
— |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
— |
$213,266.65 |
— |
| Laparoscopy Tubal Cautery (58670) |
— |
$55,543.83 |
— |
| Laparoscopy w/lysis of adhesions (58660) |
— |
$67,472.90 |
— |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
— |
$53,488.51 |
— |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
— |
$308,682.04 |
— |
| Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) |
— |
$246,383.04 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$233,787.33 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and… (43770) |
— |
$69,314.67 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device… (43773) |
— |
$69,314.67 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
— |
$69,314.67 |
— |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545) |
— |
$80,832.57 |
— |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
— |
$246,383.04 |
— |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
— |
$222,550.68 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
— |
$191,956.34 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572) |
— |
$191,956.34 |
— |
| Laparoscopy, surgical; ablation of renal cysts (50541) |
— |
$129,441.27 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$113,266.94 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$140,005.21 |
— |
| Laparoscopy, surgical; partial nephrectomy (50543) |
— |
$216,163.06 |
— |
| Laparoscopy, surgical; pyeloplasty (50544) |
— |
$220,582.39 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$147,460.88 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$99,276.67 |
— |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
— |
$69,314.67 |
— |
| Laps pelvic lymphadec (38573) |
— |
$247,145.06 |
— |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
— |
$191,956.34 |
— |
| Laps surg bilateral total pelvic lmphadectomy (38571) |
— |
$234,319.44 |
— |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
— |
$63,853.87 |
— |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
— |
$127,661.36 |
— |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
— |
$94,137.08 |
— |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
— |
$166,461.98 |
— |
| Laps W/Revision Intraperitoneal Catheter (49325) |
— |
$105,432.25 |
— |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
— |
$9,258.45 |
— |
| Laryngoscopy flexible w/injection agmntj uni (31574) |
— |
$9,258.45 |
— |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
— |
$213,986.74 |
— |
| Laser vaporization surgery prostate, complete (52648) |
— |
$171,341.42 |
— |
| Late closure of wound (13160) |
— |
$88,986.73 |
— |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
— |
$101,805.26 |
— |
| Ligate leg veins radical (37760) |
— |
$97,469.40 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$44,114.49 |
— |
| Ligatn perforators,subfasc,open, incl u/s, 1 leg (37761) |
— |
$97,469.40 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$103,491.42 |
— |
| Lithotripsy (50590) |
— |
$80,855.45 |
— |
| Liver Biopsy (47000) |
— |
$12,152.35 |
— |
| Lsh uterus 250 g or less (58541) |
— |
$191,956.34 |
— |
| Lsh uterus above 250 g (58543) |
— |
$191,956.34 |
— |
| Lsh w/t/o uterus above 250 g (58544) |
— |
$191,956.34 |
— |
| Marsup Bartholin Gland Cyst (56440) |
— |
$41,168.64 |
— |
| Mast mod rad (19307) |
— |
$302,764.63 |
— |
| Mastectomy gynecomastia (19300) |
— |
$77,246.70 |
— |
| Mastectomy partial (19301) |
— |
$68,496.90 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$46,754.58 |
— |
| Mastectomy simple complete (19303) |
— |
$125,748.90 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$185,250.26 |
— |
| Mech remov pericath obstr cv dev via ven access (36595) |
— |
$185,250.26 |
— |
| Mohs 1 stage head neck hands feet or genitals up to 5 blocks (17311) |
— |
$73,640.67 |
— |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
— |
$78,110.55 |
— |
| Myelography Lumbar Injection (62305) |
— |
$2,565 |
— |
| Myelography Lumbar Injection (62304) |
— |
$2,565 |
— |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
— |
$2,565 |
— |
| Myelography via lumbar injection rs&i thoracic (62303) |
— |
$2,565 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$349 |
— |
| Ndsc ureterotomy urtrl cathj w/wo dilat ureter (50972) |
— |
$98,502.76 |
— |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
— |
$26,078.52 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$43 |
— |
| Neuroplasty; nerve of hand or foot (64704) |
— |
$49,196.34 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$391 |
— |
| Nipple exploration (19110) |
— |
$38,482.22 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$3,512 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$21,702 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$5,461 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$3,173 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
— |
$4,757 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
— |
$4,699 |
— |
| Occlude fallopian tube(s) (58615) |
— |
$49,345.40 |
— |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
— |
$111,058.27 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$63,243.97 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$117,923.45 |
— |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
— |
$83,412.70 |
— |
| Open thrombect av fistula (36831) |
— |
$139,183.39 |
— |
| Open tratment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258) |
— |
$159,306.50 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$145,425.44 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$86,709.13 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$63,162.17 |
— |
| Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other… (28420) |
— |
$182,168.79 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$99,422.67 |
— |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed (27519) |
— |
$166,432.58 |
— |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
— |
$166,432.58 |
— |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
— |
$120,112.72 |
— |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) |
— |
$151,713.71 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) |
— |
$166,432.58 |
— |
| Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248) |
— |
$120,112.72 |
— |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
— |
$120,112.72 |
— |
| Open treatment of hip dislocation, traumatic, without internal fixation (27253) |
— |
$159,306.50 |
— |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
— |
$101,576 |
— |
| Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
— |
$185,426.10 |
— |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
— |
$82,517.87 |
— |
| Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) |
— |
$149,308.34 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Other Surgical Services (27178) |
— |
$119,614.08 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) (27177) |
— |
$119,614.08 |
— |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27259) |
— |
$159,306.50 |
— |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
— |
$147,235.42 |
— |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
— |
$129,617.10 |
— |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
— |
$149,308.34 |
— |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
— |
$136,194.40 |
— |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
— |
$109,019.33 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$109,019.33 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$71,420.07 |
— |
| Open treatment talus fracture (28445) |
— |
$182,168.79 |
— |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
— |
$77,427.35 |
— |
| Open Tx Femoral Fracture Proximal End He (27269) |
— |
$119,614.08 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$102,369.16 |
— |
| Open tx metatarsophalangeal joint dislocation (28645) |
— |
$67,454.24 |
— |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
— |
$68,027.16 |
— |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
— |
$119,089.29 |
— |
| Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) |
— |
$117,923.45 |
— |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
— |
$122,375.51 |
— |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
— |
$168,714.02 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$111,838.42 |
— |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
— |
$151,713.71 |
— |
| Optx hum fx w/ntrcndylr xtn (24546) |
— |
$56,936 |
— |
| Optx post ankle fx (27769) |
— |
$136,194.40 |
— |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$47,459.74 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$38,293.46 |
— |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
— |
$62,151.56 |
— |
| Osteoplasty, femur; shortening (excluding 64876) (27465) |
— |
$128,753.51 |
— |
| Osteotomy midtarsal,autograft (28305) |
— |
$182,168.79 |
— |
| Osteotomy of spine, including diskectomy, anterior aproach, single vertebral segment; cervical (22220) |
— |
$385,487.81 |
— |
| Osteotomy, femoral neck (separate procedure) Other Surgical Services (27161) |
— |
$119,614.08 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation (27450) |
— |
$158,507.04 |
— |
| Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip (27147) |
— |
$159,306.50 |
— |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
— |
$182,168.79 |
— |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, sofield type procedure) (27712) |
— |
$134,306.74 |
— |
| Ovarian cystectomy (58925) |
— |
$49,388.72 |
— |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
— |
$160,889.27 |
— |
| Paravaginal defect repair vaginal approach (57285) |
— |
$160,889.27 |
— |
| Partial excision bone talus/calcaneus (28120) |
— |
$100,016.24 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$12,161 |
— |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
— |
$119,387.82 |
— |
| Partial Removal Foot Fascia (28060) |
— |
$80,228.40 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$40,477.94 |
— |
| Pelvic exam under anesthesia (57410) |
— |
$31,300.63 |
— |
| Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080) |
— |
$57,157.78 |
— |
| Perc Radiofreq Ablate Renal Tumor (50592) |
— |
$58,059.72 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$1,940 |
— |
| Percut Mech Thrombectomy, Venous (37187) |
— |
$140,751.62 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$74,796.55 |
— |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
— |
$83,527.13 |
— |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
— |
$43,548.76 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$9,678.08 |
— |
| Peritoneal Lavage (49084) |
— |
$619 |
— |
| Perq dev breast 1st mr guide (19287) |
— |
$3,076 |
— |
| Perq dev breast 1st strtctc (19283) |
— |
$88,641.60 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$1,467 |
— |
| Perq device breast 1st imag (19281) |
— |
$11,350 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$98,470.83 |
— |
| Perq dilation xst trc new access renal coltj sys (50437) |
— |
$98,470.83 |
— |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
— |
$3,901 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$7,606 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$50,650.23 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$2,745 |
— |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
— |
$200,686.54 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$53,633 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$200,686.54 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
— |
$181,531.48 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$81,593.97 |
— |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
— |
$158,003.09 |
— |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
— |
$181,531.48 |
— |
| Phleb Veins - Extrem 20+ (37766) |
— |
$12,373 |
— |
| Place Cath Subclavian Art (36225) |
— |
$13,885 |
— |
| Placement of implants to block fallopian tubes using an endoscope (58565) |
— |
$38,878.46 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$90,321.84 |
— |
| Plmt nephrostomy cath prq new access rs&i (50432) |
— |
$8,587 |
— |
| Plmt nephroureteral cath prq new access rs&i (50433) |
— |
$8,587 |
— |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
— |
$32,884 |
— |
| Pr cysto w/urtroscopy w/tx intra-renal stricture (52346) |
— |
$97,873.85 |
— |
| PR Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$69,314.67 |
— |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
— |
$110,236.74 |
— |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
— |
$62,289.94 |
— |
| Prim art mech thrombectomy (37184) |
— |
$46,844 |
— |
| Proctosgmdsc Rigid Control Bleeding (45317) |
— |
$1,308 |
— |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
— |
$194,676.02 |
— |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
— |
$401 |
— |
| Proctosigmoidoscopy w/bx (45305) |
— |
$11,517.97 |
— |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
— |
$107,896.80 |
— |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femoral neck and… (27187) |
— |
$134,059.64 |
— |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femur (27495) |
— |
$127,870.81 |
— |
| Prostatectomy (turp) (52601) |
— |
$93,839.30 |
— |
| Prostatic microwave thermotx (53850) |
— |
$157,972.32 |
— |
| Prosthesis removal humeral and glenoid component (23335) |
— |
$170,663.68 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$138,548.42 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$891 |
— |
| Puncture Aspiration (10160) |
— |
$2,920 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$2,126 |
— |
| Rad Resection Tumor Soft Tis Thigh/Knee 5 Cm/> (27364) |
— |
$97,469.40 |
— |
| Rad resection tumor soft tissue back/flank <5cm (21935) |
— |
$96,895.65 |
— |
| Rad resection tumor soft tissue foot/toe <3cm (28046) |
— |
$83,676.60 |
— |
| Rad Resection Tumor Soft Tissue Leg/Ankle 5 Cm/> (27616) |
— |
$97,469.40 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater (21936) |
— |
$96,895.65 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater (28047) |
— |
$83,676.60 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater (25078) |
— |
$107,580.90 |
— |
| Radical resection of tumor; tarsal (except talus or calcaneus) Other Surgical Services (28171) |
— |
$98,112.94 |
— |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
— |
$98,112.94 |
— |
| Realignment of knee (27455) |
— |
$149,308.34 |
— |
| Rechanneling of artery (35321) |
— |
$139,183.39 |
— |
| Reconstr disloc patella w mscl adv (27422) |
— |
$111,072.71 |
— |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) |
— |
$74,445.82 |
— |
| Reduce testis torsion (54600) |
— |
$67,262.09 |
— |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
— |
$73,216.76 |
— |
| Relocation of skin pocket for pacemaker (33222) |
— |
$8,008 |
— |
| Rem endovas vena cava filter (37193) |
— |
$13,661.98 |
— |
| Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) |
— |
$127,559.39 |
— |
| Removal biliary drg cath (47537) |
— |
$2,754 |
— |
| Removal fb intranasal (30300) |
— |
$304 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$88,643.90 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$67,139.76 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$31,725.45 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$32,254.62 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$172 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$288 |
— |
| Removal Implant Deep (20680) |
— |
$69,222.40 |
— |
| Removal Implant From Finger/Hand (26320) |
— |
$34,210.56 |
— |
| Removal of arm foreign body (24200) |
— |
$39,357.52 |
— |
| Removal of finger lesion (26210) |
— |
$31,239.60 |
— |
| Removal of growth of chest wall and rib (21601) |
— |
$24,389.45 |
— |
| Removal of heel bone (28118) |
— |
$98,112.94 |
— |
| Removal of heel spur (28119) |
— |
$98,112.94 |
— |
| Removal of hip prosthesis (27090) |
— |
$129,679.20 |
— |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
— |
$129,679.20 |
— |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
— |
$3,901 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$33,819.32 |
— |
| Removal of kidney stone (50081) |
— |
$100,906.18 |
— |
| Removal of knee cartilage (27332) |
— |
$63,451.53 |
— |
| Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488) |
— |
$230,315.38 |
— |
| Removal of nail bed (11750) |
— |
$13,285.17 |
— |
| Removal Of Peritoneal-Venous Shunt (49429) |
— |
$105,432.25 |
— |
| Removal of pressure sore (15999) |
— |
$91,651.32 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$1,394 |
— |
| Removal of testis (54520) |
— |
$60,146.60 |
— |
| Removal of ureter stone (51060) |
— |
$175,453.27 |
— |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
— |
$39,290.31 |
— |
| Removal ppm generator only (33233) |
— |
$290,835.95 |
— |
| Removal subq cardiac rhythm monitor (33286) |
— |
$30,645.57 |
— |
| Removal Tunneled Intraperitoneal Catheter (49422) |
— |
$13,451 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$1,132 |
— |
| Remove bladder stone (52318) |
— |
$110,795.96 |
— |
| Remove by ligat int hem grps (46946) |
— |
$29,967.76 |
— |
| Remove drug implant device (11982) |
— |
$28,922.70 |
— |
| Remove in/ex hem groups 2+ (46260) |
— |
$31,454.69 |
— |
| Remove in/ex hem grp w/fistu (46258) |
— |
$44,510.24 |
— |
| Remove in/ex hem grps w/fist (46262) |
— |
$44,510.24 |
— |
| Remove knee cyst (27347) |
— |
$70,807.30 |
— |
| Remove muti-comp penis pros (54406) |
— |
$127,559.39 |
— |
| Remove prostate regrowth (52630) |
— |
$61,961.01 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$3,134 |
— |
| Remove sacrum pressure sore (15937) |
— |
$107,138.36 |
— |
| Remove sacrum pressure sore (15935) |
— |
$123,526.71 |
— |
| Remove Ureter Stent, Percut (50384) |
— |
$9,370 |
— |
| Remove wrist tendon lesion (25111) |
— |
$34,704.20 |
— |
| Remove&replace pm gen singl (33227) |
— |
$38,586 |
— |
| Remove/graft foot lesion (28102) |
— |
$98,112.94 |
— |
| Remove/graft foot lesion (28107) |
— |
$98,112.94 |
— |
| Remove/graft foot lesion (28103) |
— |
$98,112.94 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$593 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$1,058 |
— |
| Remv for.body deep penile tiss (54115) |
— |
$127,559.39 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$190,018.99 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$211,154.75 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$184,137.96 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$57,501.96 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$89,734 |
— |
| Renal biopsy (50200) |
— |
$11,795.31 |
— |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50562) |
— |
$242,990.78 |
— |
| Repair achilles tendon (27650) |
— |
$83,926.72 |
— |
| Repair Blood Vessel Direct Hand Finger (35207) |
— |
$6,554 |
— |
| Repair collat ankle ligmnt,secondary (27698) |
— |
$146,246.89 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,334 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,965 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$973 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$36,844.16 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,450 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,758 |
— |
| Repair elbow deb/attch open (24359) |
— |
$54,905.88 |
— |
| Repair forearm tendon/muscle (25270) |
— |
$5,610 |
— |
| Repair forearm tendon/muscle (25260) |
— |
$4,850 |
— |
| Repair hallux rigidus (28289) |
— |
$40,720.92 |
— |
| Repair incomplete circumcision (54163) |
— |
$9,767.05 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$105,445.42 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$87,258.10 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$50,650.94 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$44,895.83 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$1,965 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$1,125 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$1,331 |
— |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
— |
$2,452 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$1,421 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$1,874 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,780 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$1,026 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$50,576.53 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,406 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$1,584 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$1,501 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$34,579.14 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,833 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$75,715.37 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$72,541.22 |
— |
| Repair kneecap tendon (27380) |
— |
$50,198.07 |
— |
| Repair lumbar hernia (49540) |
— |
$158,003.09 |
— |
| Repair of anal sphincter (46750) |
— |
$29,596.25 |
— |
| Repair of anal sphincter (46760) |
— |
$29,596.25 |
— |
| Repair of ankle ligament (27695) |
— |
$107,915.26 |
— |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
— |
$200,327.92 |
— |
| Repair of biceps tendon (24340) |
— |
$115,884.38 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$131,249.46 |
— |
| Repair Of Foot Tendon (28208) |
— |
$64,753.09 |
— |
| Repair of leg tendon each (27665) |
— |
$144,285.68 |
— |
| Repair of leg tendon each (27658) |
— |
$157,288.01 |
— |
| Repair of nail bed (11760) |
— |
$4,602 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
— |
$117,923.45 |
— |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
— |
$185,426.10 |
— |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
— |
$185,426.10 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft (27722) |
— |
$185,426.10 |
— |
| Repair of rectocele (45560) |
— |
$160,889.27 |
— |
| Repair of thigh musc (27385) |
— |
$67,340.06 |
— |
| Repair of tibia (27720) |
— |
$185,426.10 |
— |
| Repair of vagina (57260) |
— |
$90,594.87 |
— |
| Repair radius & ulna (25415) |
— |
$117,923.45 |
— |
| Repair rectum & vagina (57250) |
— |
$65,748.31 |
— |
| Repair secondary achilles tendon w/wo graft (27654) |
— |
$77,574.44 |
— |
| Repair Spica/Body/Jacket Cast (29720) |
— |
$83,306.65 |
— |
| Repair Tongue Laceration (41250) |
— |
$1,311 |
— |
| Repair umbilical lesion (49600) |
— |
$105,432.25 |
— |
| Repair webbed toe(s) (28345) |
— |
$80,228.40 |
— |
| Repair wrist joints (25447) |
— |
$82,026.22 |
— |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
— |
$63,630 |
— |
| Repair/graft achilles tendon (27652) |
— |
$120,746.72 |
— |
| Repair/graft radius & ulna (25420) |
— |
$117,923.45 |
— |
| Replace duod/jej tube perc (49451) |
— |
$18,431.08 |
— |
| Replace g/c tube perc (49450) |
— |
$18,431.08 |
— |
| Replace,penile prosthesis infected (54417) |
— |
$127,559.39 |
— |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
— |
$18,431.08 |
— |
| Reposition gastrostomy tube (43761) |
— |
$1,236 |
— |
| Reposition pacing-defib lead (33215) |
— |
$14,446.18 |
— |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
— |
$12,664 |
— |
| Rerepair fem hernia blocked (49557) |
— |
$50,650.94 |
— |
| Rerepair ing hernia blocked (49521) |
— |
$105,445.42 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$36,441.11 |
— |
| Resect forearm/wrist tum<3cm (25077) |
— |
$107,580.90 |
— |
| Resect leg/ankle tum < 5 cm (27615) |
— |
$42,070.16 |
— |
| Resection of scrotum (55150) |
— |
$51,442.02 |
— |
| Resection or transplantation of long tendon of biceps (23440) |
— |
$101,732.94 |
— |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
— |
$51,679.86 |
— |
| Revis reconst shoulder joint (23473) |
— |
$170,663.68 |
— |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
— |
$156,465.71 |
— |
| Revise arm/leg nerve (64708) |
— |
$174,229.08 |
— |
| Revise head/neck of femur (27179) |
— |
$119,614.08 |
— |
| Revise hernia & sperm veins (55540) |
— |
$147,155.18 |
— |
| Revise median n/carpal tunnel surg (64721) |
— |
$25,367.85 |
— |
| Revise ulnar nerve at elbow (64718) |
— |
$35,845.61 |
— |
| Revision of arm tendon (24310) |
— |
$36,370.59 |
— |
| Revision of cervix (57720) |
— |
$78,643.81 |
— |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) |
— |
$171,257.10 |
— |
| Revision of foot (28116) |
— |
$165,074.08 |
— |
| Revision of hip bones (27156) |
— |
$159,306.50 |
— |
| Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137) |
— |
$115,067.89 |
— |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
— |
$135,988.51 |
— |
| Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138) |
— |
$147,929.74 |
— |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
— |
$177,478.46 |
— |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
— |
$243,194.61 |
— |
| Revision of urethra (53450) |
— |
$41,732.18 |
— |
| Revj clst comp rcnstj in-depth spx (44345) |
— |
$171,257.10 |
— |
| Rmvl & rplcmt inflatable penile prosth same sess (54410) |
— |
$99,532.33 |
— |
| Rmvl & rplcmt non-nfltbl/nfltbl penile prosthesi (54416) |
— |
$159,774.92 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$1,058 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$885 |
— |
| Rmvl non-nfltbl/nfltbl penile prosth w/o rplcmt (54415) |
— |
$127,559.39 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$23,865.84 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$3,901 |
— |
| Rnl ndsc nfrot fulguration &/incision w/wo bx (50576) |
— |
$71,966.21 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$2,251 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$82,001.74 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$50,300.31 |
— |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
— |
$105,445.42 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$136,847.60 |
— |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
— |
$122,006.45 |
— |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
— |
$113,096.03 |
— |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
— |
$90,197.50 |
— |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
— |
$126,296.57 |
— |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
— |
$47,931.70 |
— |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
— |
$44,806.30 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$3,076 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$39,617.40 |
— |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
— |
$172,346.58 |
— |
| Rpr hern preemie reduc (49491) |
— |
$105,445.42 |
— |
| Rpr ing hern premie blocked (49492) |
— |
$105,445.42 |
— |
| Rpr ing hernia baby blocked (49496) |
— |
$105,445.42 |
— |
| Rpr Ing Hernia Baby, Reduc (49495) |
— |
$105,445.42 |
— |
| Rpr ing hernia init blocked (49501) |
— |
$105,445.42 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$2,217 |
— |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
— |
$1,883 |
— |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
— |
$80,299.84 |
— |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
— |
$110,624.82 |
— |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
— |
$20,045 |
— |
| Scrotal exploration (55110) |
— |
$38,685.47 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$9,947.98 |
— |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
— |
$194,676.02 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$73,640.67 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$73,640.67 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$73,640.67 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$73,640.67 |
— |
| Shldr arthroscop,lyse adhesns (29825) |
— |
$52,278.48 |
— |
| Shoulder prosthesis removal (23334) |
— |
$170,663.68 |
— |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
— |
$11,467.99 |
— |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
— |
$11,334.96 |
— |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
— |
$9,597.98 |
— |
| Sigmoidoscopy w/us guide bx (45342) |
— |
$72,593.66 |
— |
| Simple Cystometrogram (51725) |
— |
$1,180 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$2,339 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$1,132 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$1,291 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$2,747 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$1,539 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$1,935 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$51,345.75 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$877 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$1,395 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$487 |
— |
| Skin pinch graft (15050) |
— |
$73,640.67 |
— |
| Skin splt grft trnk/arm/leg (15100) |
— |
$12,459 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$26,705.26 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$12,518 |
— |
| Skin Sub Grft T/Arm/Lg Child (15273) |
— |
$13,922 |
— |
| Skn splt a-grft fac/nck/hf/g (15120) |
— |
$12,459 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$7,997 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$58,660.80 |
— |
| Small Bowel Endoscopy (44373) |
— |
$24,704.95 |
— |
| Small bowel endoscopy (44376) |
— |
$58,753.13 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$389 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$652 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$790 |
— |
| Sphincterotomy (46080) |
— |
$24,053.45 |
— |
| Sphnctrop Anal Levator Musc Imbrcj (46761) |
— |
$29,596.25 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$2,022 |
— |
| Spinal Puncture Therapeutic (62272) |
— |
$2,892 |
— |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
— |
$12,373 |
— |
| Strapping ankle (29540) |
— |
$652 |
— |
| Strapping elbow/wrist (29260) |
— |
$172 |
— |
| Strapping hand/finger (29280) |
— |
$170 |
— |
| Strapping Hip (29520) |
— |
$311 |
— |
| Strapping knee (29530) |
— |
$311 |
— |
| Strapping shoulder (29240) |
— |
$311 |
— |
| Strapping unna boot (29580) |
— |
$1,511.82 |
— |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
— |
$94,848.90 |
— |
| Suture Eyelid Wound,Full Thick (67935) |
— |
$2,818 |
— |
| Talectomy (astragalectomy) (28130) |
— |
$98,112.94 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$891 |
— |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
— |
$190,096 |
— |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
— |
$121,958.52 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$162,690.72 |
— |
| Tenolysis extensor foot single tendon (28225) |
— |
$53,100.70 |
— |
| Tenotomy shoulder area single tendon (23405) |
— |
$78,240.48 |
— |
| Tenotomy, open, hamstring, knee to hip; single tendon Other Surgical Services (27390) |
— |
$74,445.82 |
— |
| Tenotomy,Uni Hamstr,Knee-Thigh,Multi (27391) |
— |
$74,445.82 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$3,717.12 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$3,901 |
— |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
— |
$118,100.36 |
— |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
— |
$119,722.13 |
— |
| Throat Surgery Procedure (42999) |
— |
$34,005.60 |
— |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
— |
$180,537.88 |
— |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
— |
$5,244 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$20,979 |
— |
| Thrombolytic Therapy, Stroke (37195) |
— |
$1,679 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$12,664 |
— |
| Thyroid biopsy (60100) |
— |
$4,602 |
— |
| Tissue expander placement breast reconstruction (19357) |
— |
$302,764.63 |
— |
| Total hip arthroplasty (27130) |
— |
$116,234.70 |
— |
| Total knee arthroplasty (27447) |
— |
$157,609.61 |
— |
| Trach Tube Change (31502) |
— |
$41,332.18 |
— |
| Tracheostomy emergency cricothyroid membrane (31605) |
— |
$1,125 |
— |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
— |
$408,330.06 |
— |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
— |
$171,341.42 |
— |
| Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy (53854) |
— |
$171,341.42 |
— |
| Transurethral incision of prostate (52450) |
— |
$53,833.06 |
— |
| Transurethral resection of bladder neck (52500) |
— |
$71,600.95 |
— |
| Treat ankle dislocation (27848) |
— |
$136,194.40 |
— |
| Treat clavicle dislocation (23532) |
— |
$92,937.79 |
— |
| Treat clavicle dislocation (23552) |
— |
$92,937.79 |
— |
| Treat ectopic pregnancy (59151) |
— |
$80,095.58 |
— |
| Treat elbow fracture (24635) |
— |
$117,923.45 |
— |
| Treat elbow fracture (24587) |
— |
$117,923.45 |
— |
| Treat fracture of radius (25526) |
— |
$117,923.45 |
— |
| Treat fracture radius/ulna (25575) |
— |
$85,004.32 |
— |
| Treat fx distal radial (25606) |
— |
$83,858.23 |
— |
| Treat fx rad extra-articul (25607) |
— |
$68,144.49 |
— |
| Treat heel fracture (28415) |
— |
$193,190.06 |
— |
| Treat humerus fracture (24577) |
— |
$54,469.05 |
— |
| Treat humerus fracture (23600) |
— |
$54,469.05 |
— |
| Treat kneecap dislocation (27566) |
— |
$92,700.61 |
— |
| Treat lower leg fracture (27826) |
— |
$223,382.27 |
— |
| Treat lower leg fracture (27828) |
— |
$149,308.34 |
— |
| Treat Lower Leg Fracture (27827) |
— |
$185,426.10 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$113,321.83 |
— |
| Treat penis lesion graft (54112) |
— |
$118,662.73 |
— |
| Treat pleurodesis w/agent (32560) |
— |
$2,754 |
— |
| Treat radius fracture (24665) |
— |
$122,375.51 |
— |
| Treat slipped epiphysis (27181) |
— |
$119,614.08 |
— |
| Treat toe fracture (28525) |
— |
$168,714.02 |
— |
| Treat ulnar fracture (24685) |
— |
$91,478.57 |
— |
| Treatment of ankle fracture (27822) |
— |
$109,917.07 |
— |
| Treatment of ankle fracture (27792) |
— |
$79,267.62 |
— |
| Treatment of fibula fracture (27784) |
— |
$131,249.46 |
— |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
— |
$121,966.30 |
— |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$120,112.72 |
— |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
— |
$36,039.72 |
— |
| Treatment of penis lesion (54110) |
— |
$118,662.73 |
— |
| Treatment of thigh fracture (27513) |
— |
$166,432.58 |
— |
| Treatment of tibia fracture (27759) |
— |
$102,985.66 |
— |
| Trim skin lesion (11055) |
— |
$693 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$1,026 |
— |
| Trim skin lesions over 4 (11057) |
— |
$1,026 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$367 |
— |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
— |
$25,949 |
— |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
— |
$87,063.82 |
— |
| Trurl rescj postop bladder neck contracture (52640) |
— |
$38,093.47 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$103,151.24 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$32,468.45 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$31,346.50 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$35,075.97 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$57,010.03 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$1,379 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$4,210 |
— |
| Unlisted fetal invasive procedure, including ultrasound guidance (59897) |
— |
$25,754.23 |
— |
| Unlisted hysteroscopy procedure, uterus (58579) |
— |
$36,356.68 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$118,112.38 |
— |
| Unlisted laparoscopy procedure, bladder (51999) |
— |
$62,654.82 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$148,336.18 |
— |
| Unlisted laparoscopy procedure, stomach (43659) |
— |
$67,257.76 |
— |
| Unlisted laparoscopy procedure, uterus (58578) |
— |
$67,113.45 |
— |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
— |
$92,511.61 |
— |
| Unlisted Procedure Biliary Tract (47999) |
— |
$175,707.57 |
— |
| Unlisted Procedure Breast (19499) |
— |
$43,201.21 |
— |
| Unlisted procedure colon (45399) |
— |
$45,784.06 |
— |
| Unlisted Procedure Dentoalveolar Structures (41899) |
— |
$569 |
— |
| Unlisted Procedure Endocrine System (60699) |
— |
$35,879 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$176,234.58 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$54,469.05 |
— |
| Unlisted procedure liver (47399) |
— |
$25,754.23 |
— |
| Unlisted procedure maternity care & delivery (59899) |
— |
$56,030.25 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$4,646 |
— |
| Unlisted procedure pancreas (48999) |
— |
$173,096.46 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$80,435.44 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$3,579 |
— |
| Unlisted Procedure Small Intestine (44799) |
— |
$126,651.86 |
— |
| Unlisted procedure spine (22899) |
— |
$254,235.76 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$74,091.93 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$173,293.78 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$3,988 |
— |
| Unlisted procedure, male genital system (55899) |
— |
$38,685.47 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$84,898.32 |
— |
| Unlisted Vascular Endoscopy Proc (37501) |
— |
$74,619.87 |
— |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
— |
$49,741 |
— |
| Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) |
— |
$69,314.67 |
— |
| Uppr gi opticl endomicrscopy (43252) |
— |
$62,555.28 |
— |
| Ureter endoscopy (50970) |
— |
$100,258.70 |
— |
| Ureteral endoscopy via ureterost w/wo dil ureter (50953) |
— |
$98,470.83 |
— |
| Urology Surgery Procedure (53899) |
— |
$62,654.82 |
— |
| Vaginal delivery only (59409) |
— |
$25,787.95 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$46,338 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$46,338 |
— |
| Vasectomy (55250) |
— |
$43,326.24 |
— |
| Vbac delivery only (59612) |
— |
$25,769.30 |
— |
| Venipuncture (36415) |
— |
$60 |
— |
| Vulvectomy simple partial (56620) |
— |
$53,783.05 |
— |
| Vulvectomy simple; complete (56625) |
— |
$57,186.82 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$98,021.55 |
— |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
— |
$98,021.55 |
— |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
— |
$74,796.55 |
— |