| Abd paracentesis w/imaging (49083) |
— |
$4,546 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$4,546 |
— |
| Ablate inf turbinate submuc (30802) |
— |
$4,806 |
— |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
— |
$4,806 |
— |
| Acne Surgery (10040) |
— |
$151 |
— |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
— |
$21,924 |
— |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
— |
$15,611 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$11,405 |
— |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
— |
$6,287 |
— |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
— |
$6,972 |
— |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
— |
$5,436 |
— |
| Amniocentesis diagnostic (59000) |
— |
$2,282.50 |
— |
| Amniocentesis therapeutic (59001) |
— |
$434 |
— |
| Amp leg thru tibia&fibula sec closure/scar rev (27884) |
— |
$9,401 |
— |
| Amputate metacarpal bone (26910) |
— |
$10,123 |
— |
| Amputation Finger/Thumb (26951) |
— |
$5,775 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$7,697 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$5,617 |
— |
| Amputation of finger/thumb (26952) |
— |
$10,113 |
— |
| Amputation Of Foot At Ankle (27889) |
— |
$21,969 |
— |
| Amputation thigh through femur any level (27590) |
— |
$7,998 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$5,617 |
— |
| Amputation Toe Metatarsophalangeal Joint (28820) |
— |
$5,617 |
— |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
— |
$47,465 |
— |
| Amputation, foot; transmetatarsal (28805) |
— |
$9,238 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$7,998 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$3,511 |
— |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Other… (27881) |
— |
$7,998 |
— |
| Ankle arthroscopy (29899) |
— |
$22,598 |
— |
| Ankle arthroscopy/surgery (29892) |
— |
$21,969 |
— |
| Ankle arthroscopy/surgery (29894) |
— |
$10,394 |
— |
| Ankle Scope,Excis Osteochon Defct (29891) |
— |
$9,401 |
— |
| Ankle scope,part synovectomy (29895) |
— |
$9,401 |
— |
| Anoscopy Ablation Lesion (46615) |
— |
$9,007 |
— |
| Anoscopy diagnostic (46600) |
— |
$1,890 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$288 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$3,384 |
— |
| Anrct xm surg req anes general spi/edrl dx (45990) |
— |
$8,967 |
— |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
— |
$8,121.50 |
— |
| Appendectomy (44950) |
— |
$10,074 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$501.50 |
— |
| Application cast elbow finger short arm (29075) |
— |
$156.50 |
— |
| Application cast shoulder hand long arm (29065) |
— |
$799 |
— |
| Application Cast Shoulder Spica (29055) |
— |
$641 |
— |
| Application finger splint static (29130) |
— |
$472 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$516 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$527 |
— |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
— |
$19,157 |
— |
| Application Of Rigid Total Contact Leg Cast (29445) |
— |
$1,166 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$416.50 |
— |
| Application short leg splint calf foot (29515) |
— |
$527 |
— |
| Apply multlay comprs arm/hand (29584) |
— |
$520 |
— |
| Apply short leg cast (29425) |
— |
$519 |
— |
| Arterial puncture (36600) |
— |
$310 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$10,444 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$2,642 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$3,109.50 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$861 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$138 |
— |
| Arthrodesis ankle open (27870) |
— |
$35,714 |
— |
| Arthrodesis great toe interphalangeal joint (28755) |
— |
$20,127 |
— |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
— |
$20,245 |
— |
| Arthrodesis; subtalar (28725) |
— |
$36,851 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$7,998 |
— |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
— |
$41,294 |
— |
| Arthroplasty, patella; with prosthesis (27438) |
— |
$41,472 |
— |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
— |
$27,225 |
— |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
— |
$38,600 |
— |
| Arthroscopy ankle; ext debridem (29898) |
— |
$10,113 |
— |
| Arthroscopy of joint (29999) |
— |
$5,617 |
— |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
— |
$10,553 |
— |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
— |
$9,238 |
— |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
— |
$9,491 |
— |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
— |
$9,238 |
— |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
— |
$8,295 |
— |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
— |
$9,238 |
— |
| Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) |
— |
$35,714 |
— |
| Arthroscopy, Knee, Surgical; Osteochondral Autograft(S) (Eg, Mosaicplasty) (Includes Harvesting Of The Autograft) (29866) |
— |
$11,494 |
— |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
— |
$9,238 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$9,238 |
— |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
— |
$9,238 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$9,490 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$20,127 |
— |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
— |
$21,969 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$9,238 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$9,238 |
— |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
— |
$9,238 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$20,245 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
— |
$10,200 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, partial (29820) |
— |
$22,543 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$9,491 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$19,157 |
— |
| Arthrotomy with biopsy; intertarsal or tarsometatarsal joint Other Surgical Services (28050) |
— |
$9,401 |
— |
| Arthrotomy with biopsy; metatarsophalangeal joint Other Surgical Services (28052) |
— |
$9,401 |
— |
| Arthrotomy Wrist Joint With Synovectomy (25105) |
— |
$10,435 |
— |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
— |
$10,123 |
— |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
— |
$9,238 |
— |
| Arthrotomy, with synovectomy, ankle; (27625) |
— |
$10,553 |
— |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
— |
$10,553 |
— |
| Arthrt rdcrpl/midcarpl jt w/expl drg/rmvl fb (25040) |
— |
$21,924 |
— |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
— |
$5,368 |
— |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
— |
$9,401 |
— |
| Arthrtomy w/bx interphalangeal joint (28054) |
— |
$9,401 |
— |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
— |
$6,600.50 |
— |
| Autochondrocyte implant knee (27412) |
— |
$35,714 |
— |
| Av fistula revision (36833) |
— |
$17,500 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$476 |
— |
| Axillary lymphadenectomy; complete (38745) |
— |
$15,567 |
— |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
— |
$4,300 |
— |
| Biopsy Bone Open Deep (20245) |
— |
$8,285 |
— |
| Biopsy bone open superficial (20240) |
— |
$8,285 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$3,163 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$1,732 |
— |
| Biopsy Breast Open Incisional (19101) |
— |
$8,533 |
— |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
— |
$1,438 |
— |
| Biopsy external ear (69100) |
— |
$1,188 |
— |
| Biopsy intranasal (30100) |
— |
$4,966 |
— |
| Biopsy muscle deep (20205) |
— |
$8,285 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$3,354.50 |
— |
| Biopsy of fluid collection of lung using an endoscope (32607) |
— |
$12,154 |
— |
| Biopsy of mouth lesion (40808) |
— |
$3,745 |
— |
| Biopsy of ovary(s) (58900) |
— |
$5,298 |
— |
| Biopsy of penis (54100) |
— |
$5,165 |
— |
| Biopsy of tongue (41100) |
— |
$10,185 |
— |
| Biopsy of uterus lining (58100) |
— |
$303 |
— |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
— |
$8,044 |
— |
| Biopsy Pancrea Percutaneous Needle (48102) |
— |
$2,435 |
— |
| Biopsy pleura percutaneous needle (32400) |
— |
$2,435 |
— |
| Biopsy soft tissue leg/ankle area deep (27614) |
— |
$9,056 |
— |
| Biopsy soft tissue leg/ankle area superficial (27613) |
— |
$4,768 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$3,833 |
— |
| Biopsy Vaginal Mucosa Extensive (57105) |
— |
$316 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$2,023.50 |
— |
| Biopsy/removal lymph nodes (38525) |
— |
$8,429 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$8,429 |
— |
| Bl exchange/transfuse nb (36450) |
— |
$1,609 |
— |
| Bladder Instillation Anticarcinogenic Agent (51720) |
— |
$2,182.50 |
— |
| Bladder Irrigation Simple (51700) |
— |
$834 |
— |
| Blepharoplasty upper eyelid (15822) |
— |
$3,049 |
— |
| Blood patch (62273) |
— |
$2,385 |
— |
| Blood transfusion service (36430) |
— |
$1,423 |
— |
| Bone graft, any donor area; major or large (20902) |
— |
$7,688 |
— |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
— |
$23,189 |
— |
| Bone Marrow Biopsy (38221) |
— |
$3,136.50 |
— |
| Bone Marrow Harvest Autolog (38232) |
— |
$14,583 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$3,997 |
— |
| Bronchosc dx w/w/o fluor&wash (31622) |
— |
$3,997 |
— |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
— |
$11,688 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$5,605 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$665 |
— |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
— |
$4,156.50 |
— |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
— |
$2,421 |
— |
| Bronchoscopy,Diagnostic W Lavage (31624) |
— |
$5,605 |
— |
| Bx abdl/retroperitoneal mass prq needle (49180) |
— |
$2,435 |
— |
| Bx anorectal wall anal approach (45100) |
— |
$6,399 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$5,303 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$233 |
— |
| Bx Prostate in-Bore CT/MRI Bx Addl Trgt Les 1st (55713) |
— |
$16,434 |
— |
| Bx prostate in-bore CT/MRI trgt les only 1st (55714) |
— |
$16,434 |
— |
| Bx prostate tprnl MRI-us gid trgt les 1st (55712) |
— |
$10,804 |
— |
| Bx prostate transperineal ultrasound-guided (55709) |
— |
$5,850 |
— |
| Bx prostate transperineal us gid w/MRI fus gdn 1 (55710) |
— |
$10,804 |
— |
| Bx prostate transrectal MRI-us gid trgt les 1st (55711) |
— |
$10,804 |
— |
| Bx prostate transrectal us gid w/MRI fus gdn 1st (55708) |
— |
$10,804 |
— |
| Bx prst8 trct us guided (55707) |
— |
$10,804 |
— |
| Bx vulva/perineum 1 lesion (56605) |
— |
$202 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$4,722.50 |
— |
| Bx/Exc Lymph Node Opn Dp Crv Node W/Exc Fat Pad (38520) |
— |
$8,533 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$5,775 |
— |
| Capsulorrhaphy Anterior With Bone Block (23460) |
— |
$22,288 |
— |
| Capsulotomy Midtarsal (28264) |
— |
$9,491 |
— |
| Cataract surgery complex (66982) |
— |
$6,734 |
— |
| Catheter Aspiration Nasotracheal Spx (31720) |
— |
$119 |
— |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
— |
$340 |
— |
| Cautery Cervix Electro/Thermal (57510) |
— |
$6,592 |
— |
| Cautery cervix laser ablation (57513) |
— |
$335 |
— |
| Cerclage cervix pregnancy vaginal (59320) |
— |
$5,272 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$2,519 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$6,964.50 |
— |
| Chemical Cautery Tissue (17250) |
— |
$476 |
— |
| Chemodenerv 1 extrem 5/> mus (64644) |
— |
$2,692 |
— |
| Chest tube placement (32551) |
— |
$3,478 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$362 |
— |
| Cholecystostomy,Percutaneous, Complete (47490) |
— |
$10,902 |
— |
| Chorionic villus sampling (59015) |
— |
$1,095 |
— |
| Chromotubation of oviduct, including materials (58350) |
— |
$12,967 |
— |
| Circum 28 days or older (54161) |
— |
$5,809 |
— |
| Circumcision (54150) |
— |
$6,706 |
— |
| Claviculectomy; partial (23120) |
— |
$9,491 |
— |
| Close blad-vag fist,xvesc+vag apprch (57330) |
— |
$1,876 |
— |
| Close Rx Fingr Articular Fx,Manip (26742) |
— |
$5,029 |
— |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
— |
$5,065 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$4,513.50 |
— |
| Closed Rx Radial Shaft Fx (25500) |
— |
$800 |
— |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
— |
$4,334 |
— |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
— |
$4,229 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$10,185 |
— |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
— |
$474 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$869 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$3,745 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$4,733 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$3,886 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$5,500 |
— |
| Closed tx nasal fracture w/o stabilization (21315) |
— |
$6,090 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$2,197.50 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$3,351 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$2,865.50 |
— |
| Closed tx septal&nose fx (21337) |
— |
$9,974 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$521.50 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$4,694 |
— |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
— |
$3,840 |
— |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
— |
$1,247 |
— |
| Closure of urethrovaginal fistula; (57310) |
— |
$1,158 |
— |
| Closure of vagina (57120) |
— |
$12,967 |
— |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
— |
$1,113 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$270 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$4,370 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$6,831.50 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$4,464 |
— |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
— |
$890 |
— |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
— |
$5,188 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$1,351.50 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$499 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$744 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$406.50 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$631.50 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$5,373.50 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$61,914 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$5,282 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$771.50 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$135 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$4,357 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$690.50 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$3,840 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$690.50 |
— |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
— |
$7,998 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$690.50 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$5,373.50 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$468 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$5,226 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$823 |
— |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$890 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$2,215 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$744 |
— |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
— |
$4,443 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$963.50 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$5,188 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$2,084 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$1,870.50 |
— |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
— |
$4,334 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$4,693.50 |
— |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
— |
$2,124 |
— |
| Coccygectomy Primary (27080) |
— |
$10,553 |
— |
| Colonoscopy flex w/rem forcep (45384) |
— |
$5,002 |
— |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
— |
$2,683 |
— |
| Colonoscopy stoma w/biopsy (44389) |
— |
$3,893 |
— |
| Colonoscopy stoma w/snare (44394) |
— |
$1,200 |
— |
| Colonoscopy through stoma with decompression (44408) |
— |
$3,840 |
— |
| Colonoscopy thru stoma (44388) |
— |
$10,185 |
— |
| Colonoscopy w/ablation (45388) |
— |
$10,185 |
— |
| Colonoscopy w/band ligation (45398) |
— |
$5,002 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$5,002 |
— |
| Colonoscopy w/resection (45390) |
— |
$8,507 |
— |
| Colpocentesis (57020) |
— |
$223 |
— |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
— |
$11,905 |
— |
| Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283) |
— |
$23,811 |
— |
| Colporrhaphy suture injury vagina (57200) |
— |
$6,592 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$827 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$257 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$9,852 |
— |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
— |
$5,273 |
— |
| Colpotomy; with exploration (57000) |
— |
$448 |
— |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
— |
$2,906 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
— |
$5,002 |
— |
| Colsc flx with directed submucosal njx any sbst (45381) |
— |
$5,002 |
— |
| Complex Cystometrogram (51726) |
— |
$575 |
— |
| Complex Drainage, Wound (10180) |
— |
$8,627 |
— |
| Conization of cervix (57520) |
— |
$6,592 |
— |
| Conization of cervix (57522) |
— |
$6,592 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$800 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$521.50 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$376 |
— |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy);simple, with posterior nasal packs,… (42970) |
— |
$796 |
— |
| Control Oropharyngeal Hemorrhage Simple (42960) |
— |
$502 |
— |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
— |
$7,998 |
— |
| Cordocentesis (59012) |
— |
$479 |
— |
| Correction hammertoe (28285) |
— |
$5,617 |
— |
| Correction of bunion (28298) |
— |
$20,127 |
— |
| Correction of bunion (28292) |
— |
$9,238 |
— |
| Correction of bunion (28299) |
— |
$16,983.50 |
— |
| Correction of bunion (28297) |
— |
$20,127 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$9,491 |
— |
| Cover eye w/membrane (65778) |
— |
$8,062 |
— |
| Create eardrum opening (69436) |
— |
$6,234 |
— |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
— |
$16,866 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$521.50 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$521.50 |
— |
| Curettage postpartum (59160) |
— |
$6,592 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$6,341 |
— |
| Cysto w fulg of minor lesions <0.5cm (52224) |
— |
$10,804 |
— |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
— |
$16,485 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$10,761 |
— |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
— |
$15,861 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$10,761 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$6,341 |
— |
| Cysto w/tx ureteropelvic junction stricture (52342) |
— |
$11,283 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$11,283 |
— |
| Cysto w/urtrl cathj brush bx urtr&/renal pelvis (52007) |
— |
$11,236 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$10,761 |
— |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
— |
$16,485 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$13,430 |
— |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
— |
$15,498 |
— |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) |
— |
$12,018.50 |
— |
| Cystoscopy w/biopsy (52204) |
— |
$5,336 |
— |
| Cystoscopy w/complex removal stone & stent (52315) |
— |
$6,573 |
— |
| Cystoscopy,Dil Urethral Stricture (52281) |
— |
$5,192 |
— |
| Cystoscopy,insert ureteral stent (52332) |
— |
$10,008 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$6,341 |
— |
| Cystourethroscopy (52000) |
— |
$1,863 |
— |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
— |
$6,392 |
— |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
— |
$11,236 |
— |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
— |
$10,761 |
— |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
— |
$6,503 |
— |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
— |
$6,706 |
— |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
— |
$10,761 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$3,186 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$9,168 |
— |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
— |
$10,910 |
— |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
— |
$15,611 |
— |
| Dcmprn fasct leg post compartment only (27601) |
— |
$10,553 |
— |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
— |
$4,601.50 |
— |
| Debride nail 1-5 (11720) |
— |
$351 |
— |
| Debride nail 6 or more (11721) |
— |
$361 |
— |
| Debride skin musc at fx site (11011) |
— |
$925 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$1,188 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$4,546 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$4,546 |
— |
| Declot vascular device (36593) |
— |
$1,090 |
— |
| Decompress forearm 2 spaces (25025) |
— |
$5,064 |
— |
| Decompression of forearm (24495) |
— |
$22,987 |
— |
| Decompression of thigh/knee (27496) |
— |
$10,394 |
— |
| Decompression of tibia nerve (28035) |
— |
$5,504 |
— |
| Decompression; unspecified nerve(s) (specify) (64722) |
— |
$6,445 |
— |
| Delivery placenta separate procedure (59414) |
— |
$4,127.50 |
— |
| Destr penis lesn,simpl,laser surg (54057) |
— |
$6,324 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$6,764 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$6,764 |
— |
| Destruc Benign/Premal,15+ Lesions (17004) |
— |
$339 |
— |
| Destruction anal lesion(s) (46924) |
— |
$8,356 |
— |
| Destruction Benign Lesions Up To 14 (17110) |
— |
$370 |
— |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
— |
$2,942 |
— |
| Destruction Lesions Vulva Extensive (56515) |
— |
$518 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$4,993.50 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$6,764 |
— |
| Destruction of multiple growths of penis (54065) |
— |
$6,324 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$119 |
— |
| Destruction Vaginal Lesions Extensive (57065) |
— |
$449 |
— |
| Destruction vaginal lesions simple (57061) |
— |
$4,683 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$2,078 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$3,734 |
— |
| Dilate Urethra Stricture (53600) |
— |
$1,231 |
— |
| Dilation & curettage cervical stump (57558) |
— |
$293 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$6,592 |
— |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
— |
$2,880 |
— |
| Dilation of cervical canal (57800) |
— |
$141 |
— |
| Dilation of vagina (57400) |
— |
$321 |
— |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
— |
$5,380 |
— |
| Division of fallopian tube (58600) |
— |
$4,133.50 |
— |
| Drain Ext Ear Absc/Blood,Complic (69005) |
— |
$5,258 |
— |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
— |
$676 |
— |
| Drain shoulder bursa (23031) |
— |
$8,929 |
— |
| Drain shoulder lesion (23030) |
— |
$6,265 |
— |
| Drainage abscess/hematoma nasal int approach (30000) |
— |
$430 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$925 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$4,573.50 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$925 |
— |
| Drainage mouth roof lesion (42000) |
— |
$383 |
— |
| Drainage of deep rectal abscess (45020) |
— |
$6,399 |
— |
| Drainage of gum lesion (41800) |
— |
$553 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$2,063 |
— |
| Drainage of hydrocele (55000) |
— |
$3,335 |
— |
| Drainage of ovarian cyst(s) (58800) |
— |
$6,592 |
— |
| Drainage of palm bursas (26030) |
— |
$10,113 |
— |
| Drainage of pelvic abscess (45000) |
— |
$3,872 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$3,637 |
— |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
— |
$4,493.50 |
— |
| Draw blood off venous device (36591) |
— |
$384.50 |
— |
| Drg privesical/prevesical space absc (51080) |
— |
$774 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$1,025.50 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$623 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$568 |
— |
| Dry Needling 3+ Muscles (20561) |
— |
$118 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$6,399 |
— |
| Dx bone marrow bx & aspir (38222) |
— |
$5,303 |
— |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
— |
$6,264 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$6,005 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$6,005 |
— |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
— |
$6,005 |
— |
| Egd flexible foreign body removal (43247) |
— |
$5,002 |
— |
| Egd injection varices (43243) |
— |
$3,552 |
— |
| Egd place gastrostomy tube (43246) |
— |
$6,005 |
— |
| Egd rem tumr/polyp forcep (43250) |
— |
$6,005 |
— |
| Egd remove lesion snare (43251) |
— |
$6,005 |
— |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
— |
$4,257 |
— |
| Egd tube/cath insertion (43241) |
— |
$6,106 |
— |
| Egd Varices Ligation (43244) |
— |
$6,005 |
— |
| Egd w/transmural drain cyst (43240) |
— |
$7,634 |
— |
| Embedded ip cath exit-site (49436) |
— |
$51,413 |
— |
| Endocervical Curettage (57505) |
— |
$236 |
— |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
— |
$12,967 |
— |
| Endoscopic Injection/Implant (51715) |
— |
$10,804 |
— |
| Endoscopic Plantar Fasciotomy (29893) |
— |
$10,113 |
— |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
— |
$8,956 |
— |
| Enterorrhaphy single perforation (44602) |
— |
$7,998 |
— |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
— |
$9,281.50 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$6,592 |
— |
| Esophagogastroduodenoscopy submucosal injection (43236) |
— |
$2,880 |
— |
| Esophagoscopy flexible removal foreign body (43215) |
— |
$4,257 |
— |
| Esophagus endoscopy/ligation (43205) |
— |
$5,997 |
— |
| Esophagus Surg Procedure Unlisted (43499) |
— |
$2,880 |
— |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
— |
$188 |
— |
| Ethmoidectomy; intranasal total (31201) |
— |
$7,606 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$161 |
— |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
— |
$5,292 |
— |
| Exc abd les sc 3 cm/> (22903) |
— |
$5,449 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$6,265 |
— |
| Exc face les sbq 2 cm/> (21012) |
— |
$5,303 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$212 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$3,637 |
— |
| Exc foot/toe tum sc < 1.5 cm (28043) |
— |
$5,110 |
— |
| Exc forearm les sc < 3 cm (25075) |
— |
$5,258 |
— |
| Exc hand les sc < 1.5 cm (26115) |
— |
$5,303 |
— |
| Exc hydrocele sprmatic cord uni spx (55500) |
— |
$9,801 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$5,064 |
— |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
— |
$18,457 |
— |
| Exc Rect Tum Transanal Full (45172) |
— |
$9,007 |
— |
| Exc rect tum transanal part (45171) |
— |
$9,007 |
— |
| Exc shoulder les sc 3 cm/> (23071) |
— |
$6,265 |
— |
| Exc shoulder tum deep 5 cm/> (23073) |
— |
$9,056 |
— |
| Exc skin abd (15830) |
— |
$17,034 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
— |
$228 |
— |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
— |
$2,642 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$2,642 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$282 |
— |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
— |
$3,637 |
— |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
— |
$312 |
— |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
— |
$6,265 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$5,004 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$5,449 |
— |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
— |
$3,637 |
— |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
— |
$5,449 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$5,449 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$5,449 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$9,169 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$8,285 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$6,589 |
— |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
— |
$803 |
— |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
— |
$5,449 |
— |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
— |
$5,449 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$9,168 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$5,449 |
— |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
— |
$5,449 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$9,136 |
— |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
— |
$8,703 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$5,292 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$5,292 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$9,168 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$9,168 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$5,775 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$5,617 |
— |
| Exchange nephrostomy cath (50435) |
— |
$6,503 |
— |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
— |
$5,617 |
— |
| Excise excess skin & tissue (15839) |
— |
$8,903 |
— |
| Excise excessive skin leg (15833) |
— |
$5,449 |
— |
| Excise parotid gland/lesion (42410) |
— |
$18,454 |
— |
| Excise/repair mouth lesion (40812) |
— |
$6,323 |
— |
| Excision Breast Lesion (19125) |
— |
$8,429 |
— |
| Excision external ear partial simple repair (69110) |
— |
$5,449 |
— |
| Excision hydrocele bilateral (55041) |
— |
$10,074 |
— |
| Excision Lactiferous Duct Fistula (19112) |
— |
$11,948 |
— |
| Excision Lingual Frenum Frenectomy (41115) |
— |
$2,039 |
— |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
— |
$149 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$278 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$335 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
— |
$2,352 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$2,514.50 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$1,162 |
— |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
— |
$357 |
— |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
— |
$380 |
— |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
— |
$3,264 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$146 |
— |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
— |
$213 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$365 |
— |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
— |
$5,303 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$4,768 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$8,999 |
— |
| Excision of bartholin's gland or cyst (56740) |
— |
$5,405.50 |
— |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
— |
$251 |
— |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
— |
$278 |
— |
| Excision of bone lower jaw (21025) |
— |
$18,666 |
— |
| Excision of facial bone(s) (21026) |
— |
$6,323 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$10,074 |
— |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair (40814) |
— |
$13,638 |
— |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
— |
$9,401 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$1,997 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$115 |
— |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
— |
$1,789 |
— |
| Excision of local lesion of epididymis (54830) |
— |
$11,236 |
— |
| Excision of nail fold toe (11765) |
— |
$476 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$8,285 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$6,399 |
— |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
— |
$9,056 |
— |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
— |
$8,285 |
— |
| Excision of spermatocele, with or without epididymectomy (54840) |
— |
$8,648 |
— |
| Excision of tongue lesion (41112) |
— |
$6,234 |
— |
| Excision of Umbilicus (49250) |
— |
$11,361 |
— |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) |
— |
$19,282 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$439 |
— |
| Excision of vaginal septum (57130) |
— |
$423 |
— |
| Excision olecranon bursa (24105) |
— |
$5,617 |
— |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
— |
$10,113 |
— |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft (27638) |
— |
$23,057 |
— |
| Excision Prepatellar Bursa (27340) |
— |
$5,775 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$5,449 |
— |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
— |
$5,064 |
— |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
— |
$5,449 |
— |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
— |
$8,940 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$3,833 |
— |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
— |
$6,265 |
— |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
— |
$9,136 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$13,638 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
— |
$8,703 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$8,285 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
— |
$5,449 |
— |
| Excision/destruction intranasal lesion int appr (30117) |
— |
$10,146 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$6,256 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$4,768 |
— |
| Explor ankle jt+tenosynovectomy (27626) |
— |
$10,394 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$6,428 |
— |
| Exploratory shoulder surgery (23044) |
— |
$10,553 |
— |
| Explore & Treat Metacarpo-Phal Jt (26075) |
— |
$10,113 |
— |
| Explore limb vessels (35860) |
— |
$11,718 |
— |
| Explore parathyroid glands (60500) |
— |
$19,604 |
— |
| Explore/treat ankle joint (27620) |
— |
$10,113 |
— |
| Explore/treat ankle joint (27610) |
— |
$13,253 |
— |
| Explore/treat hand joint (26070) |
— |
$5,064 |
— |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
— |
$7,070 |
— |
| External Cephalic Version (59412) |
— |
$6,592 |
— |
| Fasciotomy foot and/or toe (28008) |
— |
$5,775 |
— |
| Fasciotomy Hip Or Thigh Any Type (27025) |
— |
$13,412 |
— |
| Fasciotomy Iliotibial Open (27305) |
— |
$10,123 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$580 |
— |
| Fetal non-stress test (59025) |
— |
$566 |
— |
| Fetal Scalp Blood Sampling (59030) |
— |
$267 |
— |
| Filleted finger/toe flap (14350) |
— |
$6,051 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$2,158.50 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$911 |
— |
| Fitting of diaphragm/cap (57170) |
— |
$163 |
— |
| Fixation of shoulder (23700) |
— |
$4,229 |
— |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
— |
$10,146 |
— |
| Frenulotomy of penis (54164) |
— |
$6,407 |
— |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
— |
$5,972 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$5,972 |
— |
| Fusion of foot bones (28730) |
— |
$36,852 |
— |
| Fusion of foot bones (28735) |
— |
$41,472 |
— |
| Fusion of foot bones (28740) |
— |
$27,225 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$5,268.50 |
— |
| Gastrocnemius Recession (27687) |
— |
$10,113 |
— |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
— |
$7,998 |
— |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
— |
$7,634 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$3,533 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$21,876 |
— |
| Hemiarthroplasty Hip Partial (27125) |
— |
$7,998 |
— |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
— |
$5,775 |
— |
| Hemorrhoidectomy (46255) |
— |
$6,399 |
— |
| Hemorrhoidectomy external complete (46250) |
— |
$6,618 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) |
— |
$8,999 |
— |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
— |
$8,967 |
— |
| Hysteroscopy ablation (58563) |
— |
$12,967 |
— |
| Hysteroscopy biopsy (58558) |
— |
$6,592 |
— |
| Hysteroscopy dx sep proc (58555) |
— |
$6,592 |
— |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
— |
$823 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$6,592 |
— |
| Hysteroscopy resect septum (58560) |
— |
$930 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$7,813.50 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$2,344 |
— |
| I&d abscess simple (10060) |
— |
$669 |
— |
| I&d below fascia foot 1 bursal space (28002) |
— |
$5,775 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$6,265 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$6,265 |
— |
| I&d epididymis tstis&/scrotal space (54700) |
— |
$6,830 |
— |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
— |
$9,401 |
— |
| I&d forearm/wrist bursa (25031) |
— |
$5,226 |
— |
| I&d perianal abscess superficial (46050) |
— |
$2,723.50 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$936 |
— |
| I&D Rectal Abscess + Fistulectomy (46060) |
— |
$6,705 |
— |
| I&D Upper Arm/Elbow Bursa (23931) |
— |
$5,303 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$6,265 |
— |
| I&d vaginal hematoma, non-ob (57023) |
— |
$734 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$4,768 |
— |
| Implant neuroelectrodes (63650) |
— |
$20,476 |
— |
| Incise finger tendon sheath (26055) |
— |
$5,617 |
— |
| Incise wrist/forearm tendon (25290) |
— |
$10,123 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$3,411 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$6,265 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$3,478 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$436.50 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$3,396 |
— |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle (27607) |
— |
$9,401 |
— |
| Incision and drainage of abscess of pelvis (57010) |
— |
$1,008 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$510 |
— |
| Incision and drainage of vaginal blood accumulation following delivery (57022) |
— |
$391 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$1,003 |
— |
| Incision bone cortex foot (28005) |
— |
$9,401 |
— |
| Incision bone cortex hand/finger (26034) |
— |
$5,065 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$5,064 |
— |
| Incision for implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator (64568) |
— |
$95,078 |
— |
| Incision of achilles tendon (27605) |
— |
$5,064 |
— |
| Incision of heel bone (28300) |
— |
$20,127 |
— |
| Incision of lingual frenum (41010) |
— |
$3,763.50 |
— |
| Incision of metatarsal (28308) |
— |
$10,113 |
— |
| Incision of metatarsal (28307) |
— |
$22,288 |
— |
| Incision of metatarsals (28309) |
— |
$22,543 |
— |
| Incision of rectal abscess (46045) |
— |
$6,399 |
— |
| Incision of rectal abscess (46040) |
— |
$3,384 |
— |
| Incision of tibia (27705) |
— |
$23,057 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$4,657 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$1,213 |
— |
| Induced abortion by d&c (59840) |
— |
$500 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$487 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$2,823 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$841 |
— |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
— |
$3,278 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$3,278 |
— |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
— |
$2,328 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$827 |
— |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
— |
$247 |
— |
| Inject Nerv Blck,Celiac Plexus (64530) |
— |
$3,602 |
— |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
— |
$2,328 |
— |
| Inject Nerv Blck,Intercost,Multpl (64421) |
— |
$2,104.50 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$2,293.50 |
— |
| Inject Nerv Blck,Paravert Sympath (64520) |
— |
$2,186.50 |
— |
| Inject Nerv Blck,Pudendal (64430) |
— |
$4,176 |
— |
| Inject Tendon Origin/Insert (20551) |
— |
$624 |
— |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
— |
$3,278 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$2,448 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$2,448 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$2,263 |
— |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
— |
$3,337 |
— |
| Injection aa&/strd suprascapular nerve (64418) |
— |
$2,164 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$1,237.50 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$1,587 |
— |
| Injection for identification of sentinel node (38792) |
— |
$2,253.50 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$836 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$268 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$211 |
— |
| Injection(s) spider veins (36468) |
— |
$544.50 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$1,606.50 |
— |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
— |
$1,083 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$592 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$9,426 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$9,426 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$9,426 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$9,426 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$16,281.50 |
— |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
— |
$34,945 |
— |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
— |
$35,941 |
— |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
— |
$36,107 |
— |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
— |
$36,583 |
— |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
— |
$25,383.50 |
— |
| Insert 1 electrode pm-defib (33216) |
— |
$25,383.50 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$521.50 |
— |
| Insert cervical dilator (59200) |
— |
$1,003 |
— |
| Insert Drug Implant Device (11981) |
— |
$421 |
— |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
— |
$5,146 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$5,961 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$3,515 |
— |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
— |
$3,431 |
— |
| Insert pacing lead & connect (33224) |
— |
$35,941 |
— |
| Insert pessary/other device (57160) |
— |
$183 |
— |
| Insert picc cath (36569) |
— |
$3,481.50 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$4,846 |
— |
| Insert pulse gen mult leads (33221) |
— |
$63,877.50 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$286 |
— |
| Insert tun ip cath perc (49418) |
— |
$11,986 |
— |
| Insert tunneled cv cath (36561) |
— |
$9,175 |
— |
| Insert Tunneled Cv Cath With Pump (36563) |
— |
$15,126 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$302 |
— |
| Insertion Heyman Capsules Clinical Brachytherapy (58346) |
— |
$1,068 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$11,035 |
— |
| Insertion of tube into middle small bowel using an endoscope (44372) |
— |
$6,141 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$3,796 |
— |
| Insertion picc w/rs&i < 5 yr (36572) |
— |
$2,391 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$25,473 |
— |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
— |
$991 |
— |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
— |
$25,383.50 |
— |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
— |
$28,148.50 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$9,546 |
— |
| Insj stablj dev w/o dcmprn lumbar single level (22869) |
— |
$47,465 |
— |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
— |
$15,126 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$9,100 |
— |
| Insj/rplcmt defib w/lead(s) (33249) |
— |
$43,388 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$24,094 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$25,821 |
— |
| Insrt pulse gen w/dual leads (33230) |
— |
$28,148.50 |
— |
| Insrt pulse gen w/mult leads (33231) |
— |
$38,493 |
— |
| Insrt/redo spine n generator (63685) |
— |
$108,027 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$2,895 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,057 |
— |
| Irrigate corpora cavernosa for priapism (54220) |
— |
$3,932 |
— |
| Irrigate vagina w meds (57150) |
— |
$119 |
— |
| Knee arthroscopy/surgery (29883) |
— |
$10,200 |
— |
| Knee arthroscopy/surgery (29876) |
— |
$8,295 |
— |
| Knee arthroscopy/surgery (29851) |
— |
$7,090 |
— |
| Knee arthroscopy/surgery (29886) |
— |
$9,238 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
— |
$21,431 |
— |
| Lap ing hernia repair init (49650) |
— |
$15,418 |
— |
| Lap insert tunnel ip cath (49324) |
— |
$9,643 |
— |
| Laparo sling operation (51992) |
— |
$15,418 |
— |
| Laparoscopy appendectomy (44970) |
— |
$14,166.50 |
— |
| Laparoscopy biopsy (49321) |
— |
$14,166.50 |
— |
| Laparoscopy fimbrioplasty (58672) |
— |
$1,757 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$19,800 |
— |
| Laparoscopy Remove Adnexa (58661) |
— |
$14,166.50 |
— |
| Laparoscopy salpingostomy (58673) |
— |
$9,812.50 |
— |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
— |
$24,299 |
— |
| Laparoscopy tubal block (58671) |
— |
$14,166.50 |
— |
| Laparoscopy Tubal Cautery (58670) |
— |
$14,166.50 |
— |
| Laparoscopy w/lysis of adhesions (58660) |
— |
$10,851.50 |
— |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
— |
$14,166.50 |
— |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
— |
$7,604 |
— |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
— |
$9,172.50 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$26,441 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
— |
$3,360 |
— |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545) |
— |
$2,110 |
— |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
— |
$7,998 |
— |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
— |
$31,857 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$15,418 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$15,567 |
— |
| Laparoscopy, surgical; partial nephrectomy (50543) |
— |
$32,580 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$15,418 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$14,166.50 |
— |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
— |
$3,388 |
— |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
— |
$18,182 |
— |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
— |
$14,166.50 |
— |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
— |
$26,865 |
— |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
— |
$8,978.50 |
— |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
— |
$14,166.50 |
— |
| Laryngoscopy Direct Aspiration (31515) |
— |
$3,745 |
— |
| Laryngoscopy Flexible Diagnostic (31575) |
— |
$944.50 |
— |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
— |
$602 |
— |
| Laryngoscopy w/biopsy (31535) |
— |
$11,503 |
— |
| Laryngoscopy w/bx op scope (31536) |
— |
$11,801 |
— |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
— |
$15,861 |
— |
| Laser vaporization surgery prostate, complete (52648) |
— |
$16,485 |
— |
| Late closure of wound (13160) |
— |
$7,306 |
— |
| Lateral retinacular release open (27425) |
— |
$9,491 |
— |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) |
— |
$47,465 |
— |
| Ligation of abdomen artery (37617) |
— |
$15,057 |
— |
| Ligation of hemorrhoid(s) (46221) |
— |
$1,903 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$6,265 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$9,751 |
— |
| Lithotripsy (50590) |
— |
$6,666 |
— |
| Liver Biopsy (47000) |
— |
$3,465 |
— |
| Lysis of labial adhesions (56441) |
— |
$351 |
— |
| Manipulation Ankle Under General Anesthesia (27860) |
— |
$4,357 |
— |
| Marsup Bartholin Gland Cyst (56440) |
— |
$6,592 |
— |
| Mast mod rad (19307) |
— |
$14,179 |
— |
| Mastectomy partial (19301) |
— |
$8,429 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$17,034 |
— |
| Mastectomy simple complete (19303) |
— |
$14,179 |
— |
| Metatarsectomy (28140) |
— |
$10,123 |
— |
| Mohs 1 stage head neck hands feet or genitals up to 5 blocks (17311) |
— |
$1,747 |
— |
| Musc myocutaneous/fasciocutaneous flap lxtr (15738) |
— |
$11,422 |
— |
| Muscle-skin graft trunk (15734) |
— |
$13,576 |
— |
| Musculoskeletal surgery (20999) |
— |
$5,617 |
— |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
— |
$5,597 |
— |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
— |
$3,533 |
— |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
— |
$21,598 |
— |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
— |
$21,568 |
— |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
— |
$21,568 |
— |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
— |
$11,132 |
— |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
— |
$5,349 |
— |
| Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295) |
— |
$21,568 |
— |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
— |
$21,568 |
— |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
— |
$21,568 |
— |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
— |
$5,349 |
— |
| Nasal/sinus ndsc dstrj rf ablation pst nsl nrv (31242) |
— |
$18,454 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
— |
$5,349 |
— |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
— |
$21,568 |
— |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
— |
$21,598 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$5,332 |
— |
| Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705) |
— |
$18,454 |
— |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
— |
$5,617 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$118 |
— |
| Neuroplasty Brachial Plexus,Open (64713) |
— |
$6,092 |
— |
| Neuroplasty digital 1/both same digit (64702) |
— |
$6,092 |
— |
| Neuroplasty; nerve of hand or foot (64704) |
— |
$5,504 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$2,473.50 |
— |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
— |
$1,000 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$2,775 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$2,448 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
— |
$838 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
— |
$2,411 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
— |
$2,224 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$876 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$876 |
— |
| Nsl/sins ndsc surg frnt&sphn (31298) |
— |
$21,568 |
— |
| Occlude fallopian tube(s) (58615) |
— |
$4,312.50 |
— |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
— |
$7,998 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$10,856 |
— |
| Open rx carpal bone fx,each bone (25645) |
— |
$10,394 |
— |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
— |
$22,543 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$19,157 |
— |
| Open Treatment Humeral Condylar Fracture (24579) |
— |
$47,465 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$9,491 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$20,127 |
— |
| Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other… (28420) |
— |
$36,852 |
— |
| Open treatment of distal radioulnar dislocation, acute or chronic (25676) |
— |
$22,987 |
— |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
— |
$15,435 |
— |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
— |
$7,998 |
— |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) |
— |
$24,148 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) |
— |
$24,148 |
— |
| Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248) |
— |
$7,998 |
— |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
— |
$27,353 |
— |
| Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
— |
$22,240 |
— |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
— |
$9,238 |
— |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
— |
$47,465 |
— |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
— |
$20,127 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$19,157 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$11,819.50 |
— |
| Open treatment talus fracture (28445) |
— |
$20,127 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$9,491 |
— |
| Open tx carpal scaphoid navicular fracture (25628) |
— |
$21,969 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$10,113 |
— |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
— |
$22,543 |
— |
| Open tx fracture great toe/phalanx/phalanges (28505) |
— |
$15,611 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$27,353 |
— |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
— |
$9,238 |
— |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
— |
$20,127 |
— |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
— |
$10,113 |
— |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
— |
$35,714 |
— |
| Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) |
— |
$22,987 |
— |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
— |
$41,294 |
— |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
— |
$20,245 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$35,441 |
— |
| Open/Perq Placement Intravascular Stent Initial (37236) |
— |
$35,441 |
— |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
— |
$15,435 |
— |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$3,767 |
— |
| Orchiectomy, partial (54522) |
— |
$9,751 |
— |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
— |
$9,401 |
— |
| Ostectomy of sternum partial (21620) |
— |
$15,016 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$5,775 |
— |
| Ostectomy, complete excision; first metatarsal head (28111) |
— |
$5,775 |
— |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
— |
$5,775 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$5,775 |
— |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
— |
$5,775 |
— |
| Osteochondral allograft, knee, open (27415) |
— |
$45,868 |
— |
| Osteochondral knee autograft (27416) |
— |
$21,969 |
— |
| Osteoplasty, radius OR ulna; shortening (25390) |
— |
$19,157 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$20,127 |
— |
| Osteotomy Metacarpal Each (26565) |
— |
$10,435 |
— |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
— |
$21,969 |
— |
| Ovarian cystectomy (58925) |
— |
$8,205.50 |
— |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
— |
$1,980 |
— |
| Part Remv Femur/Prox Tib/Fib (27360) |
— |
$21,924 |
— |
| Partial excision bone clavicle (23180) |
— |
$9,401 |
— |
| Partial Excision Bone Fibula (27641) |
— |
$9,401 |
— |
| Partial Excision Bone Humerus (24140) |
— |
$10,200 |
— |
| Partial Excision Bone Olecranon Process (24147) |
— |
$10,435 |
— |
| Partial excision bone talus/calcaneus (28120) |
— |
$9,401 |
— |
| Partial Excision Bone Tibia (27640) |
— |
$10,394 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$5,064 |
— |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
— |
$5,617 |
— |
| Partial hymenectomy or revision of hymenal ring (56700) |
— |
$8,039 |
— |
| Partial Removal Foot Fascia (28060) |
— |
$10,910 |
— |
| Partial removal of thyroid (60220) |
— |
$17,715 |
— |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
— |
$15,418 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$5,775 |
— |
| Pelvic exam under anesthesia (57410) |
— |
$3,760 |
— |
| Perc sk fix metatarsal fx w manip (28476) |
— |
$9,491 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$2,435 |
— |
| Percut Mech Thrombectomy, Venous (37187) |
— |
$26,804 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$15,811 |
— |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
— |
$9,491 |
— |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
— |
$5,617 |
— |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) |
— |
$10,435 |
— |
| Peri-implant capsulectomy breast complete (19371) |
— |
$8,429 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$6,006 |
— |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
— |
$3,942.50 |
— |
| Peritoneal Lavage (49084) |
— |
$1,928 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$1,440 |
— |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
— |
$5,217 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$5,719 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$7,058.50 |
— |
| Phalangectomy toe each toe (28150) |
— |
$5,775 |
— |
| Phleb Veins - Extrem 20+ (37766) |
— |
$8,660 |
— |
| Pin finger fracture each (26756) |
— |
$5,617 |
— |
| Pin hand dislocation (26676) |
— |
$10,394 |
— |
| Pin radioulnar dislocation (25671) |
— |
$10,553 |
— |
| Place Cath Subclavian Art (36225) |
— |
$365 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$365 |
— |
| Place Cath Vertebral Art (36226) |
— |
$365 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$715 |
— |
| Placement of seton (46020) |
— |
$9,007 |
— |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
— |
$15,766 |
— |
| Plastic repair of salivary duct, sialodochoplasty; primary or simple (42500) |
— |
$18,454 |
— |
| Plastic Repair Of Urethrocele (57230) |
— |
$935 |
— |
| Plmt nephrostomy cath prq new access rs&i (50432) |
— |
$6,392 |
— |
| PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) |
— |
$7,998 |
— |
| PR Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$32,580 |
— |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
— |
$10,113 |
— |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
— |
$15,566 |
— |
| Prim art mech thrombectomy (37184) |
— |
$37,761 |
— |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
— |
$3,872 |
— |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
— |
$9,037 |
— |
| Proctosigmoidoscopy removal (45308) |
— |
$9,037 |
— |
| Proctosigmoidoscopy w/bx (45305) |
— |
$3,872 |
— |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
— |
$3,734 |
— |
| Prostate Saturation Sampling (55706) |
— |
$10,761 |
— |
| Prostatectomy (turp) (52601) |
— |
$15,861 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$21,969 |
— |
| Prtl Thyr Lobec Uni W/Clat Stot Lobec (60212) |
— |
$16,184 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$975.50 |
— |
| Puncture Aspiration (10160) |
— |
$844 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$1,622 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
— |
$5,775 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
— |
$10,200 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater (26118) |
— |
$8,929 |
— |
| Radical resection of tumor; wing of ilium, 1 pubic or ischial ra mus or symphysis pubis (27075) |
— |
$13,412 |
— |
| Rcnstj Dislc Patella W/Patellectomy (27424) |
— |
$21,969 |
— |
| Rechanneling of artery (35321) |
— |
$18,018 |
— |
| Reconstruc toe deform,soft tissue (28313) |
— |
$10,123 |
— |
| Reconstruct extra finger (26587) |
— |
$9,491 |
— |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
— |
$9,238 |
— |
| Reconstruction of mouth (40842) |
— |
$12,977 |
— |
| Reconstruction, knee (27429) |
— |
$35,714 |
— |
| Reduction of rectal prolapse (45900) |
— |
$1,932 |
— |
| Release i-p jt contracture (26525) |
— |
$5,775 |
— |
| Release of lower leg tendons (27681) |
— |
$10,553 |
— |
| Release palm contracture (26121) |
— |
$5,617 |
— |
| Relocation of skin pocket for pacemaker (33222) |
— |
$5,399.50 |
— |
| Rem endovas vena cava filter (37193) |
— |
$5,677 |
— |
| Removal Anal Seton Other Marker (46030) |
— |
$3,797 |
— |
| Removal fb intranasal (30300) |
— |
$365.50 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$6,689 |
— |
| Removal foreign body foot deep (28192) |
— |
$4,768 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$3,606 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$3,752 |
— |
| Removal foreign body pharynx (42809) |
— |
$362 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$220 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$170 |
— |
| Removal Implant Deep (20680) |
— |
$5,449 |
— |
| Removal Implant From Finger/Hand (26320) |
— |
$5,449 |
— |
| Removal Implantable Contraceptive Capsules (11976) |
— |
$262 |
— |
| Removal Implantable Defib Pulse Generator Only (33241) |
— |
$9,281.50 |
— |
| Removal Intact Mammary Implant (19328) |
— |
$1,991 |
— |
| Removal of adenoids (42835) |
— |
$10,146 |
— |
| Removal of adenoids (42830) |
— |
$10,146 |
— |
| Removal of anal fissure (46200) |
— |
$6,399 |
— |
| Removal of ankle implant (27704) |
— |
$10,394 |
— |
| Removal of bone lesion (23140) |
— |
$9,401 |
— |
| Removal of cervix (57530) |
— |
$805 |
— |
| Removal of external bone stabilizing device under anesthesia (20694) |
— |
$4,694 |
— |
| Removal of finger lesion (26210) |
— |
$5,226 |
— |
| Removal of Head of Radius (24130) |
— |
$10,113 |
— |
| Removal of heel bone (28118) |
— |
$10,394 |
— |
| Removal of heel spur (28119) |
— |
$9,491 |
— |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
— |
$3,745 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$1,003 |
— |
| Removal of kneecap (27350) |
— |
$9,491 |
— |
| Removal of nail bed (11750) |
— |
$3,396 |
— |
| Removal of nose polyp(s) (30115) |
— |
$10,146 |
— |
| Removal of residual cervix (57550) |
— |
$952 |
— |
| Removal of salivary stone (42330) |
— |
$10,146 |
— |
| Removal of sesamoid bone (28315) |
— |
$5,775 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$370 |
— |
| Removal of sperm cord lesion (55520) |
— |
$8,648 |
— |
| Removal of testis (54520) |
— |
$9,802 |
— |
| Removal of tonsils (42825) |
— |
$18,454 |
— |
| Removal of tonsils (42826) |
— |
$6,234 |
— |
| Removal of wrist bone (25210) |
— |
$10,435 |
— |
| Removal or relocation of corneal conjunctiva (65420) |
— |
$5,397 |
— |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
— |
$5,379.50 |
— |
| Removal ppm generator only (33233) |
— |
$25,383.50 |
— |
| Removal subq cardiac rhythm monitor (33286) |
— |
$2,246 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$5,972 |
— |
| Removal Tunneled Intraperitoneal Catheter (49422) |
— |
$10,507 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$834 |
— |
| Remove anal fist subq (46270) |
— |
$6,399 |
— |
| Remove bladder stone (52318) |
— |
$13,430 |
— |
| Remove by ligat int hem grp (46945) |
— |
$6,618 |
— |
| Remove by ligat int hem grps (46946) |
— |
$6,399 |
— |
| Remove cerclage suture (59871) |
— |
$313 |
— |
| Remove cervix repair bowel (57556) |
— |
$1,343 |
— |
| Remove cervix/repair vagina (57555) |
— |
$7,860 |
— |
| Remove drug implant device (11982) |
— |
$1,018 |
— |
| Remove Eyelid Foreign Body (67938) |
— |
$5,379 |
— |
| Remove femur lesion (27355) |
— |
$10,200 |
— |
| Remove forearm bone lesion (25145) |
— |
$13,638 |
— |
| Remove foreign body from eye (65235) |
— |
$6,734 |
— |
| Remove foreign body from eye (65210) |
— |
$4,657 |
— |
| Remove in/ex hem groups 2+ (46260) |
— |
$8,969 |
— |
| Remove in/ex hem grp w/fistu (46258) |
— |
$8,356 |
— |
| Remove intrvas foreign body (37197) |
— |
$11,031 |
— |
| Remove knee cyst (27347) |
— |
$9,401 |
— |
| Remove Peritoneal Foreign Body (49402) |
— |
$11,035 |
— |
| Remove Pilonidal Cyst Exten (11771) |
— |
$8,285 |
— |
| Remove prostate regrowth (52630) |
— |
$15,861 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$4,548 |
— |
| Remove skin nerve lesion (64774) |
— |
$6,085 |
— |
| Remove spinal canal catheter (62355) |
— |
$3.54 |
— |
| Remove stent via transureth (50386) |
— |
$3,510.50 |
— |
| Remove thyroid duct lesion (60280) |
— |
$18,182 |
— |
| Remove uterus lesion (59100) |
— |
$1,908 |
— |
| Remove vagina tissue part (57107) |
— |
$3,302 |
— |
| Remove vagina wall partial (57106) |
— |
$5,892 |
— |
| Remove&replace pm gen singl (33227) |
— |
$25,383.50 |
— |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
— |
$5,110 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$370 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$250 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$57,728 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$79,623.50 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$57,728 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$35,941 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$41,061 |
— |
| Reopen Fallopian Tube,Transcerv Cath (58345) |
— |
$655 |
— |
| Repair achilles tendon (27650) |
— |
$9,491 |
— |
| Repair anal fistula (46288) |
— |
$9,007 |
— |
| Repair arm tendon/muscle (24341) |
— |
$21,969 |
— |
| Repair arm/leg nerve (64857) |
— |
$20,928 |
— |
| Repair bladder & vagina (57289) |
— |
$1,835 |
— |
| Repair bladder-vagina lesion (57320) |
— |
$8,004.50 |
— |
| Repair Blood Vessel Direct Upper Extremity (35206) |
— |
$5,945 |
— |
| Repair brow defect (67900) |
— |
$6,987 |
— |
| Repair collat ankle ligmnt,secondary (27698) |
— |
$9,491 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,710 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,747 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,752 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$5,332 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$3,183.50 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$5,332 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$5,685 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$5,332 |
— |
| Repair elbow deb/attch open (24359) |
— |
$10,113 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$5,617 |
— |
| Repair eyelid defect (67904) |
— |
$7,462 |
— |
| Repair eyelid defect (67903) |
— |
$5,508 |
— |
| Repair finger tendon (26432) |
— |
$5,415 |
— |
| Repair finger tendon (26433) |
— |
$10,113 |
— |
| Repair finger/hand tendon (26350) |
— |
$10,435 |
— |
| Repair foot dislocation (28585) |
— |
$9,491 |
— |
| Repair forearm tendon sheath (25275) |
— |
$6,026.50 |
— |
| Repair forearm tendon/muscle (25270) |
— |
$19,282 |
— |
| Repair forearm tendon/muscle (25260) |
— |
$2,262 |
— |
| Repair hand tendon (26410) |
— |
$5,617 |
— |
| Repair humerus with graft (24435) |
— |
$45,868 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$10,074 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$11,035 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$12,271 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$10,074 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$911 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$511 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$545 |
— |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
— |
$787 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$764.50 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$487 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,269 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$783 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$2,642 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$900 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$3,538 |
— |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
— |
$1,027 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$4,657 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$2,642 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$2,642 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$2,768.50 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$900 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$5,617 |
— |
| Repair kneecap tendon (27380) |
— |
$20,127 |
— |
| Repair Laceration Palate </2 Cm (42180) |
— |
$3,745 |
— |
| Repair lead pace-defib dual (33220) |
— |
$9,281.50 |
— |
| Repair lead pace-defib one (33218) |
— |
$9,916 |
— |
| Repair lumbar hernia (49540) |
— |
$19,506 |
— |
| Repair nasal vestibular stenosis (30465) |
— |
$18,144 |
— |
| Repair nonunion hand (26546) |
— |
$9,238 |
— |
| Repair of ankle ligament (27695) |
— |
$9,491 |
— |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
— |
$12,729 |
— |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
— |
$1,129 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$21,969 |
— |
| Repair Of Foot Tendon (28208) |
— |
$15,611 |
— |
| Repair of leg tendon each (27664) |
— |
$9,491 |
— |
| Repair of leg tendon each (27658) |
— |
$10,553 |
— |
| Repair of nail bed (11760) |
— |
$2,671 |
— |
| Repair of nasal septum (30520) |
— |
$10,146 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
— |
$19,157 |
— |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
— |
$13,412 |
— |
| Repair of rectocele (45560) |
— |
$8,237 |
— |
| Repair of rectum (45505) |
— |
$1,474 |
— |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
— |
$19,157 |
— |
| Repair of shoulder (23420) |
— |
$20,127 |
— |
| Repair of tibia (27720) |
— |
$23,057 |
— |
| Repair of vagina (57260) |
— |
$8,294 |
— |
| Repair of vagina (56800) |
— |
$574 |
— |
| Repair of windpipe defect (31825) |
— |
$10,162 |
— |
| Repair rectum & vagina (57250) |
— |
$14,109 |
— |
| Repair rotator cuff acute (23410) |
— |
$19,157 |
— |
| Repair secondary achilles tendon w/wo graft (27654) |
— |
$23,057 |
— |
| Repair shldr capsu,ant,coracoid xfer (23462) |
— |
$21,431 |
— |
| Repair Tongue Laceration (41250) |
— |
$5,015 |
— |
| Repair tympanic membrane (69610) |
— |
$4,806 |
— |
| Repair vagina/perineum (57210) |
— |
$861 |
— |
| Repair webbed toe(s) (28345) |
— |
$7,425 |
— |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
— |
$9,401 |
— |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
— |
$9,491 |
— |
| Repair/graft achilles tendon (27652) |
— |
$23,057 |
— |
| Repair/graft flex foot tendon (28202) |
— |
$21,969 |
— |
| Repair/graft radius & ulna (25420) |
— |
$23,057 |
— |
| Replace duod/jej tube perc (49451) |
— |
$1,980 |
— |
| Replace g/c tube perc (49450) |
— |
$5,266 |
— |
| Replace/revise brain shunt (62230) |
— |
$16,002 |
— |
| Reposition pacing-defib lead (33215) |
— |
$4,616.50 |
— |
| Rerepair ing hernia blocked (49521) |
— |
$40,948 |
— |
| Resect Inferior Turbinate (30140) |
— |
$10,146 |
— |
| Resection, partial or complete, phalangeal base, each toe (28126) |
— |
$10,113 |
— |
| Revis reconst shoulder joint (23473) |
— |
$45,868 |
— |
| Revise arm/leg nerve (64708) |
— |
$13,638 |
— |
| Revise knuckle with implant (26531) |
— |
$21,969 |
— |
| Revise leg vein (37700) |
— |
$913 |
— |
| Revise median n/carpal tunnel surg (64721) |
— |
$5,373 |
— |
| Revise ulnar nerve at elbow (64718) |
— |
$5,373 |
— |
| Revise ulnar nerve at wrist (64719) |
— |
$6,445 |
— |
| Revise vag graft via vagina (57295) |
— |
$9,102 |
— |
| Revision of big toe (28310) |
— |
$22,288 |
— |
| Revision of cervix (57720) |
— |
$3,992 |
— |
| Revision of cervix (57700) |
— |
$713 |
— |
| Revision of colostomy simple (44340) |
— |
$8,237 |
— |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) |
— |
$15,766 |
— |
| Revision of cranial nerve (64716) |
— |
$6,450 |
— |
| Revision of eyelid (67961) |
— |
$5,508 |
— |
| Revision of foot (28116) |
— |
$10,553 |
— |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services (44314) |
— |
$10,662 |
— |
| Revision of lower leg tendon (27685) |
— |
$9,401 |
— |
| Revision of toe (28312) |
— |
$9,401 |
— |
| Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137) |
— |
$40,948 |
— |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
— |
$7,998 |
— |
| Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138) |
— |
$15,016 |
— |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
— |
$15,057 |
— |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
— |
$7,998 |
— |
| Revision of upper eyelid (15823) |
— |
$8,062 |
— |
| Revision of urethra (57220) |
— |
$7,719 |
— |
| Revj clst comp rcnstj in-depth spx (44345) |
— |
$9,655 |
— |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
— |
$8,237 |
— |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
— |
$9,399 |
— |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
— |
$17,444 |
— |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
— |
$2,313 |
— |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
— |
$35,383 |
— |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
— |
$35,383 |
— |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
— |
$35,382 |
— |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
— |
$35,383 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$361 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$2,393.50 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$4,657 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$3,652 |
— |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
— |
$5,765 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$8,954 |
— |
| Rmvl ruptured breast implant w/implant contents (19330) |
— |
$9,636 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$9,281.50 |
— |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
— |
$9,916 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$3,330 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$3,265 |
— |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
— |
$1,342 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$9,100 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$5,160 |
— |
| Rplcmt compl prph ctr vad w/subq port (36585) |
— |
$10,444 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$15,611 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$10,044 |
— |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
— |
$11,986 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$18,730 |
— |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
— |
$12,729 |
— |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
— |
$18,730 |
— |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
— |
$12,729 |
— |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
— |
$12,729 |
— |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
— |
$18,728 |
— |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
— |
$12,729 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$11,159 |
— |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
— |
$10,910 |
— |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
— |
$23,057 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$930 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$1,187 |
— |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
— |
$5,141 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$2,660.50 |
— |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
— |
$9,491 |
— |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
— |
$18,454 |
— |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
— |
$22,987 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
— |
$10,123 |
— |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
— |
$7,379 |
— |
| Rpsg previously placed cvc under fluor gdnce (36597) |
— |
$5,047 |
— |
| Salpingostomy (salpingoneostomy) (58770) |
— |
$5,546 |
— |
| Scrotal exploration (55110) |
— |
$10,612 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$1,932 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$3,872 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$633 |
— |
| Shoulder arthroscopy (29805) |
— |
$10,553 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$159 |
— |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
— |
$3,678 |
— |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
— |
$3,734 |
— |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
— |
$3,734 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$3,872 |
— |
| Simple Cystometrogram (51725) |
— |
$889.50 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$481.50 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$353 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$431 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$682.50 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$476.50 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$481.50 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$763 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$401 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$855.50 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$431 |
— |
| Sinus endo w/balloon dil (31296) |
— |
$21,568 |
— |
| Sinus endo w/balloon dil (31297) |
— |
$21,568 |
— |
| Skin splt grft trnk/arm/leg (15100) |
— |
$8,237 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$5,832 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$6,047 |
— |
| Skin Tissue Procedure (17999) |
— |
$1,994 |
— |
| Skin tissue rearrangement (14040) |
— |
$5,436 |
— |
| Skn splt a-grft fac/nck/hf/g (15120) |
— |
$9,655 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$756 |
— |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
— |
$365 |
— |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
— |
$9,725 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$365 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$12,967 |
— |
| Slitting of prepuce (54001) |
— |
$6,503 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$370 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$487 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$588 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$2,328 |
— |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
— |
$8,660 |
— |
| Sternal Debridement (21627) |
— |
$15,434 |
— |
| Strapping ankle (29540) |
— |
$484 |
— |
| Strapping elbow/wrist (29260) |
— |
$478 |
— |
| Strapping knee (29530) |
— |
$422 |
— |
| Strapping shoulder (29240) |
— |
$284 |
— |
| Strapping unna boot (29580) |
— |
$313 |
— |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
— |
$18,454 |
— |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
— |
$10,096 |
— |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
— |
$1,685 |
— |
| Suspension of testis (54640) |
— |
$11,010 |
— |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
— |
$9,491 |
— |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381) |
— |
$21,969 |
— |
| Suture pharynx for wound or injury (42900) |
— |
$5,094 |
— |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
— |
$10,123 |
— |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
— |
$9,401 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$19,157 |
— |
| Tenolysis ext tendon,hand/finger,ea (26445) |
— |
$10,435 |
— |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
— |
$10,113 |
— |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
— |
$5,064 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$4,694 |
— |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
— |
$5,415 |
— |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
— |
$5,226 |
— |
| Ther Apheresis,Platelets (36513) |
— |
$971 |
— |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
— |
$2,078 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$3,478 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$3,611.50 |
— |
| Thoracoscopy dx mediastinal space w/biopsy spx (32606) |
— |
$12,154 |
— |
| Thoracoscopy dx pericardial sac w/biopsy spx (32604) |
— |
$12,154 |
— |
| Thoracoscopy w/bx nodule (32608) |
— |
$12,154 |
— |
| Thoracoscopy w/bx pleura (32609) |
— |
$12,154 |
— |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
— |
$12,154 |
— |
| Throat Surgery Procedure (42999) |
— |
$6,315 |
— |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
— |
$10,763 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$8,374 |
— |
| Thrombolytic Therapy, Stroke (37195) |
— |
$925 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$3,310 |
— |
| Thumb fusion with graft (26820) |
— |
$22,288 |
— |
| Thyroidectomy, total or complete (60240) |
— |
$15,418 |
— |
| Tibial arthroscopy/surgery (29855) |
— |
$21,969 |
— |
| Tis trnfr trunk 10 sq cm/< (14000) |
— |
$2,664 |
— |
| Tis trnfr trunk 10.1-30sqcm (14001) |
— |
$15,611 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$6,323 |
— |
| Total hip arthroplasty (27130) |
— |
$7,998 |
— |
| Total knee arthroplasty (27447) |
— |
$7,998 |
— |
| Total thyroid lobectomy unilateral (60225) |
— |
$17,715 |
— |
| Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690) |
— |
$22,288 |
— |
| Tracheostomy emergency cricothyroid membrane (31605) |
— |
$1,804 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$7,618 |
— |
| Tracheostomy planned (31600) |
— |
$10,096 |
— |
| Transection or avulsion of other spinal nerve, extradural (64772) |
— |
$13,638 |
— |
| Transplant hand tendon (26480) |
— |
$10,123 |
— |
| Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy (53854) |
— |
$10,761 |
— |
| Transurethral resection of bladder neck (52500) |
— |
$10,761 |
— |
| Treat clavicle dislocation (23532) |
— |
$21,969 |
— |
| Treat clavicle dislocation (23552) |
— |
$8,467 |
— |
| Treat ectopic pregnancy (59151) |
— |
$14,166.50 |
— |
| Treat elbow fracture (24586) |
— |
$27,225 |
— |
| Treat elbow fracture (24635) |
— |
$23,057 |
— |
| Treat finger dislocation (26775) |
— |
$5,141 |
— |
| Treat Finger Fracture Each (26727) |
— |
$10,113 |
— |
| Treat fracture of radius (25526) |
— |
$22,543 |
— |
| Treat fracture radius/ulna (25575) |
— |
$21,969 |
— |
| Treat fx distal radial (25606) |
— |
$6,005 |
— |
| Treat fx rad extra-articul (25607) |
— |
$22,543 |
— |
| Treat hand dislocation (26685) |
— |
$10,910 |
— |
| Treat heel fracture (28415) |
— |
$21,969 |
— |
| Treat humerus fracture (23630) |
— |
$22,987 |
— |
| Treat humerus fracture (24500) |
— |
$948 |
— |
| Treat humerus fracture (23616) |
— |
$61,159 |
— |
| Treat humerus fracture (23600) |
— |
$426 |
— |
| Treat knee fracture (27532) |
— |
$4,423 |
— |
| Treat knuckle dislocation (26715) |
— |
$10,200 |
— |
| Treat lower leg fracture (27826) |
— |
$21,969 |
— |
| Treat lower leg fracture (27828) |
— |
$45,868 |
— |
| Treat Lower Leg Fracture (27827) |
— |
$35,714 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$3,745 |
— |
| Treat radius fracture (24665) |
— |
$24,148 |
— |
| Treat scapula fracture (23585) |
— |
$20,127 |
— |
| Treat thumb fracture (26665) |
— |
$10,435 |
— |
| Treat toe fracture (28525) |
— |
$9,401 |
— |
| Treat ulnar fracture (24685) |
— |
$21,969 |
— |
| Treat Vaginal Bleeding (57180) |
— |
$331 |
— |
| Treat wrist bone fracture (25635) |
— |
$5,113 |
— |
| Treat wrist bone fracture (25622) |
— |
$440 |
— |
| Treatment closed elbow dislocation req anes (24605) |
— |
$4,729 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$3,478 |
— |
| Treatment of ankle fracture (27822) |
— |
$19,157 |
— |
| Treatment of ankle fracture (27792) |
— |
$19,157 |
— |
| Treatment of fibula fracture (27784) |
— |
$23,057 |
— |
| Treatment of foot infection (28003) |
— |
$9,401 |
— |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
— |
$7,998 |
— |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$7,998 |
— |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
— |
$5,597 |
— |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
— |
$832 |
— |
| Treatment of thigh fracture (27513) |
— |
$18,289 |
— |
| Treatment of tibia fracture (27759) |
— |
$41,294 |
— |
| Treatment of tibia fracture (27756) |
— |
$23,057 |
— |
| Trim skin lesion (11055) |
— |
$557 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$476 |
— |
| Trim skin lesions over 4 (11057) |
— |
$874 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$212 |
— |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
— |
$17,789 |
— |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
— |
$18,634 |
— |
| Trurl rescj postop bladder neck contracture (52640) |
— |
$10,347 |
— |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
— |
$5,728 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$45,868 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$7,414 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$6,592 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$4,912 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$1,747 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$3,921 |
— |
| Tympanostomy (69433) |
— |
$43.07 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$15,418 |
— |
| Unlisted laparoscopy procedure, biliary tract (47579) |
— |
$15,567 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$18,272 |
— |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
— |
$15,418 |
— |
| Unlisted procedure accessory sinuses (31299) |
— |
$502 |
— |
| Unlisted procedure anus (46999) |
— |
$2,872 |
— |
| Unlisted Procedure Casting/Strapping (29799) |
— |
$484 |
— |
| Unlisted procedure colon (45399) |
— |
$2,906 |
— |
| Unlisted Procedure Dentoalveolar Structures (41899) |
— |
$4,731 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$3,204 |
— |
| Unlisted procedure foot or toes (28899) |
— |
$3,530 |
— |
| Unlisted procedure leg/ankle (27899) |
— |
$10,185 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$3,840 |
— |
| Unlisted procedure palate uvula (42299) |
— |
$4,731 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$1,903 |
— |
| Unlisted procedure shoulder (23929) |
— |
$10,185 |
— |
| Unlisted Procedure Small Intestine (44799) |
— |
$10,074 |
— |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
— |
$5,617 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$2,699 |
— |
| Unlisted procedure, male genital system (55899) |
— |
$3,734 |
— |
| Unlisted procedure, stomach (43999) |
— |
$2,699 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$548 |
— |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
— |
$35,941 |
— |
| Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) |
— |
$14,310 |
— |
| Vag hyst complex (58290) |
— |
$21,970 |
— |
| Vag hyst w/enterocele repair (58270) |
— |
$11,350 |
— |
| Vaginal delivery only (59409) |
— |
$7,414 |
— |
| Vaginal hysterectomy (58260) |
— |
$12,967 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$12,967 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) |
— |
$9,405 |
— |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral… (57109) |
— |
$3,777 |
— |
| Vasectomy (55250) |
— |
$6,341 |
— |
| Vbac delivery only (59612) |
— |
$2,071 |
— |
| Venipuncture (36415) |
— |
$28 |
— |
| Vestibuloplasty Posterior Bilateral (40843) |
— |
$6,770 |
— |
| Vulvectomy simple partial (56620) |
— |
$5,129.50 |
— |
| Wedge Rescj/Bisctj Ovary Uni/Bi (58920) |
— |
$1,652 |
— |
| Windowing of cast (29730) |
— |
$484 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$5,002 |
— |
| Xfer single deep low leg tendon (27691) |
— |
$23,057 |
— |