| Abd paracentesis (49082) |
$263.20 |
$376 |
0.3× |
| Abd paracentesis w/imaging (49083) |
$910.35 |
$1,300.50 |
1.0× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Age Under 21 (23130) |
$879.20 |
$1,256 |
0.3× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$1,077.30 |
$1,539 |
0.5× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14041) |
$1,306.90 |
$1,867 |
0.6× |
| Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14021) |
$1,228.50 |
$1,755 |
0.6× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Age Under 21 (14000) |
$903 |
$1,290 |
0.4× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14001) |
$1,146.60 |
$1,638 |
0.5× |
| Adjt tis trnsfr/reargmt scalp/arm/leg 10 sq cm/< (14020) |
$999.60 |
$1,428 |
0.5× |
| Amniocentesis diagnostic (59000) |
$165.20 |
$236 |
0.2× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$2,724.05 |
$3,891.50 |
0.8× |
| Amputate metacarpal bone (26910) |
$1,085.70 |
$1,551 |
0.3× |
| Amputation Foot Transmetarsal|RIGHT SIDE (28805) |
$979.30 |
$1,399 |
0.3× |
| Amputation of finger/thumb (26952) |
$978.60 |
$1,398 |
0.3× |
| Amputation of toe (28820) |
$417.90 |
$597 |
0.1× |
| Amputation toe interphalangeal joint (28825) |
$410.90 |
$587 |
0.1× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) (27882) |
$809.90 |
$1,157 |
0.2× |
| Amputation, metatarsal, with toe, single Age Under 21 (28810) |
$590.80 |
$844 |
0.2× |
| Amputation, thigh, through femur, any level; (27590) |
$1,069.60 |
$1,528 |
0.3× |
| Analyze infusn pump+reprogram (62368) |
$62.30 |
$89 |
0.2× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$70 |
$100 |
0.2× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$145.60 |
$208 |
0.0× |
| Anoscopy diagnostic (46600) |
$168.70 |
$241 |
1.2× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)
likely a partial charge — not the full procedure |
$856.80 |
$1,224 |
0.2× |
Anterior tibial tubercleplasty (27418)
likely a partial charge — not the full procedure |
$1,157.10 |
$1,653 |
0.2× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$387.80 |
$554 |
0.5× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$433.30 |
$619 |
0.2× |
| Application Finger Splint Dynamic (29131) |
$77.70 |
$111 |
1.2× |
| Application finger splint static (29130) |
$59.50 |
$85 |
0.4× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692)
likely a partial charge — not the full procedure |
$1,582 |
$2,260 |
0.1× |
| Application of long leg cast (thigh to toes); (29345) |
$193.90 |
$277 |
0.7× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$218.40 |
$312 |
1.3× |
| Application of short arm splint (forearm to hand); static (29125) |
$268.10 |
$383 |
1.9× |
| Application of short leg cast (below knee to toes); (29405) |
$115.50 |
$165 |
0.4× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$108.50 |
$155 |
0.4× |
| Application of short leg splint (calf to foot) (29515) |
$199.50 |
$285 |
1.2× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$477.40 |
$682 |
0.2× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$563.50 |
$805 |
3.3× |
| Application rigid total contact leg cast (29445) |
$420 |
$600 |
1.4× |
Application uniplane external fixation system (20690)
likely a partial charge — not the full procedure |
$835.10 |
$1,193 |
0.1× |
| Application, cast; shoulder to hand (long arm) (29065) |
$140 |
$200 |
0.5× |
| Apply hand/wrist cast (29085) |
$139.30 |
$199 |
0.8× |
| Apply long arm splint (29105) |
$179.55 |
$256.50 |
1.0× |
Arteriovenous anastomosis, open; by forearm vein transposition Age Under 21 (36820)
likely a partial charge — not the full procedure |
$969.50 |
$1,385 |
0.2× |
Arthrd ant interbody min dsc crv below c2 (22554)
likely a partial charge — not the full procedure |
$1,754.20 |
$2,506 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$242.90 |
$347 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$587.30 |
$839 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$408.10 |
$583 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$342.30 |
$489 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$241.85 |
$345.50 |
0.7× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$117.60 |
$168 |
0.4× |
Arthrodesis, ankle, open Age Under 21 (27870)
likely a partial charge — not the full procedure |
$1,409.10 |
$2,013 |
0.1× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge — not the full procedure |
$2,107 |
$3,010 |
0.1× |
Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of… (22551)
likely a partial charge — not the full procedure |
$2,347.80 |
$3,354 |
0.2× |
Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Spinal Fusion… (22810)
likely a partial charge — not the full procedure |
$2,774.80 |
$3,964 |
0.2× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
likely a partial charge — not the full procedure |
$2,496.90 |
$3,567 |
0.1× |
Arthrodesis, great toe; interphalangeal joint Age Under 21 (28755)
likely a partial charge — not the full procedure |
$716.10 |
$1,023 |
0.1× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
likely a partial charge — not the full procedure |
$1,101.80 |
$1,574 |
0.1× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; Age Under 21 (26860) |
$881.30 |
$1,259 |
0.3× |
Arthrodesis, metacarpophalangeal joint, with or without internal fixation; Age Under 21 (26850)
likely a partial charge — not the full procedure |
$1,050 |
$1,500 |
0.1× |
Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; Age Under 21 (28730)
likely a partial charge — not the full procedure |
$1,019.90 |
$1,457 |
0.1× |
Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction) Age Under 21 (28735)
likely a partial charge — not the full procedure |
$1,087.80 |
$1,554 |
0.1× |
Arthrodesis, midtarsal or tarsometatarsal, single joint Age Under 21 (28740)
likely a partial charge — not the full procedure |
$1,166.90 |
$1,667 |
0.2× |
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630)
likely a partial charge — not the full procedure |
$2,160.20 |
$3,086 |
0.1× |
Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612)
likely a partial charge — not the full procedure |
$2,188.20 |
$3,126 |
0.1× |
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed (27280)
likely a partial charge — not the full procedure |
$1,883 |
$2,690 |
0.1× |
Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft… (27279)
likely a partial charge — not the full procedure |
$1,115.80 |
$1,594 |
0.1× |
Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760)
likely a partial charge — not the full procedure |
$1,089.90 |
$1,557 |
0.1× |
Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) Age Under 21 (25820)
likely a partial charge — not the full procedure |
$924 |
$1,320 |
0.1× |
Arthrodesis, wrist; with autograft (includes obtaining graft) Age Under 21 (25825)
likely a partial charge — not the full procedure |
$1,126.30 |
$1,609 |
0.1× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Age Under 21 (25810)
likely a partial charge — not the full procedure |
$1,223.60 |
$1,748 |
0.1× |
Arthrodesis, wrist; with sliding graft Age Under 21 (25805)
likely a partial charge — not the full procedure |
$1,193.50 |
$1,705 |
0.2× |
Arthrodesis; subtalar (28725)
likely a partial charge — not the full procedure |
$1,094.80 |
$1,564 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge — not the full procedure |
$2,005.50 |
$2,865 |
0.1× |
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Age Under 21 (27443)
likely a partial charge — not the full procedure |
$1,148.70 |
$1,641 |
0.1× |
Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint Age Under 21 (26531)
likely a partial charge — not the full procedure |
$898.80 |
$1,284 |
0.1× |
| Arthroplasty, wrist, with or without interposition, with or without external or internal fixation Age Under 21 (25332) |
$1,192.10 |
$1,703 |
0.3× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29888)
likely a partial charge — not the full procedure |
$1,362.20 |
$1,946 |
0.2× |
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29889)
likely a partial charge — not the full procedure |
$1,715 |
$2,450 |
0.1× |
Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892)
likely a partial charge — not the full procedure |
$903 |
$1,290 |
0.1× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29850) |
$884.10 |
$1,263 |
0.5× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$1,302.70 |
$1,861 |
0.8× |
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856)
likely a partial charge — not the full procedure |
$1,388.80 |
$1,984 |
0.1× |
Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when… (29855)
likely a partial charge — not the full procedure |
$1,097.60 |
$1,568 |
0.1× |
Arthroscopy knee osteochondral allograft (29867)
likely a partial charge — not the full procedure |
$1,787.10 |
$2,553 |
0.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Age Under 21 (29898) |
$788.20 |
$1,126 |
0.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Age Under 21 (29897) |
$697.90 |
$997 |
0.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Age Under 21 (29895) |
$651.70 |
$931 |
0.2× |
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis Age Under 21 (29899)
likely a partial charge — not the full procedure |
$1,403.50 |
$2,005 |
0.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Age Under… (29894) |
$711.20 |
$1,016 |
0.2× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$950.60 |
$1,358 |
0.3× |
| Arthroscopy, elbow, surgical; debridement, limited Age Under 21 (29837) |
$743.40 |
$1,062 |
0.2× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Age Under 21 (29834) |
$697.20 |
$996 |
0.2× |
Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) Age Under 21 (29915)
likely a partial charge — not the full procedure |
$1,422.40 |
$2,032 |
0.2× |
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862)
likely a partial charge — not the full procedure |
$1,148 |
$1,640 |
0.1× |
Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) Age Under 21 (29914)
likely a partial charge — not the full procedure |
$1,387.40 |
$1,982 |
0.2× |
Arthroscopy, hip, surgical; with labral repair Age Under 21 (29916)
likely a partial charge — not the full procedure |
$1,416.10 |
$2,023 |
0.2× |
Arthroscopy, hip, surgical; with removal of loose body or foreign body Age Under 21 (29861)
likely a partial charge — not the full procedure |
$928.90 |
$1,327 |
0.1× |
| Arthroscopy, hip, surgical; with synovectomy Age Under 21 (29863) |
$1,146.60 |
$1,638 |
0.3× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$789.60 |
$1,128 |
0.2× |
| Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or… (29879) |
$933.80 |
$1,334 |
0.3× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) |
$877.80 |
$1,254 |
0.3× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$730.80 |
$1,044 |
0.2× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation,… (29874) |
$761.60 |
$1,088 |
0.2× |
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866)
likely a partial charge — not the full procedure |
$1,477 |
$2,110 |
0.2× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age Under 21 (29875) |
$704.20 |
$1,006 |
0.2× |
| Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Age Under 21 (29884) |
$876.40 |
$1,252 |
0.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) |
$795.90 |
$1,137 |
0.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Age Under 21 (29883) |
$1,184.40 |
$1,692 |
0.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Age Under 21 (29882) |
$969.50 |
$1,385 |
0.3× |
Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21 (29806)
likely a partial charge — not the full procedure |
$1,483.30 |
$2,119 |
0.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$837.90 |
$1,197 |
0.2× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$767.20 |
$1,096 |
0.2× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$956.90 |
$1,367 |
0.3× |
Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21 (29807)
likely a partial charge — not the full procedure |
$1,449 |
$2,070 |
0.2× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Age Under 21 (29821) |
$837.90 |
$1,197 |
0.2× |
Arthroscopy, shoulder, surgical; synovectomy, partial Age Under 21 (29820)
likely a partial charge — not the full procedure |
$753.90 |
$1,077 |
0.1× |
| Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation Age Under 21 (29825) |
$828.80 |
$1,184 |
0.2× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body Age Under 21 (29819) |
$830.90 |
$1,187 |
0.2× |
Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827)
likely a partial charge — not the full procedure |
$1,493.10 |
$2,133 |
0.2× |
Arthroscopy, subtalar joint, surgical; with synovectomy Age Under 21 (29905)
likely a partial charge — not the full procedure |
$722.40 |
$1,032 |
0.1× |
| Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21 (29840) |
$641.90 |
$917 |
0.2× |
| Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure) Age Under 21 (24006) |
$1,009.40 |
$1,442 |
0.3× |
Arthrotomy with meniscus repair, knee Age Under 21 (27403)
likely a partial charge — not the full procedure |
$914.20 |
$1,306 |
0.1× |
| Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage Age… (23101) |
$653.80 |
$934 |
0.2× |
| Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age… (27620) |
$636.30 |
$909 |
0.2× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Age Under 21 (25107) |
$882.70 |
$1,261 |
0.3× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Age Under 21 (24000) |
$683.20 |
$976 |
0.2× |
| Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age… (24101) |
$718.90 |
$1,027 |
0.2× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Age Under 21 (23040) |
$1,012.20 |
$1,446 |
0.3× |
Arthrotomy, hip, including exploration or removal of loose or foreign body Age Under 21 (27033)
likely a partial charge — not the full procedure |
$1,358.70 |
$1,941 |
0.2× |
Arthrotomy, hip, with drainage (eg, infection) (27030)
likely a partial charge — not the full procedure |
$1,309 |
$1,870 |
0.2× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$768.60 |
$1,098 |
0.2× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies Age Under 21 (27331) |
$680.40 |
$972 |
0.2× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Age Under 21 (27612) |
$808.50 |
$1,155 |
0.2× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Age Under 21 (25040) |
$793.10 |
$1,133 |
0.2× |
| Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each Age Under… (26075) |
$487.90 |
$697 |
0.1× |
| Arthrotomy, with synovectomy, ankle; Age Under 21 (27625) |
$808.50 |
$1,155 |
0.2× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Age Under 21 (27626) |
$872.90 |
$1,247 |
0.3× |
Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Age Under 21 (27335)
likely a partial charge — not the full procedure |
$1,080.80 |
$1,544 |
0.1× |
| Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign… (25101) |
$583.80 |
$834 |
0.2× |
Arthrp acetblr/prox fem prostc agrft/algrft (27130)
likely a partial charge — not the full procedure |
$1,782.90 |
$2,547 |
0.1× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$575.40 |
$822 |
0.3× |
| Arthrt kne w/expl drg/rmvl fb (27310) |
$1,033.90 |
$1,477 |
0.3× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$655.90 |
$937 |
0.4× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$690.90 |
$987 |
0.2× |
| Aspirate pleura w/o imaging (32554) |
$332.50 |
$475 |
0.5× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$248.85 |
$355.50 |
0.8× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$127.40 |
$182 |
0.2× |
| Aspiration and/or injection thyroid cyst (60300) |
$151.90 |
$217 |
0.2× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$203 |
$290 |
1.0× |
| Biopsy bone open superficial (20240) |
$193.20 |
$276 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$539 |
$770 |
0.3× |
| Biopsy liver needle percutaneous (47000) |
$425.60 |
$608 |
0.2× |
| Biopsy lymph node (38505) |
$658 |
$940 |
0.4× |
| Biopsy muscle percutaneous needle (20206) |
$419.30 |
$599 |
0.2× |
| Biopsy of anorectal wall, anal approach (eg, congenital megacolon) (45100) |
$427 |
$610 |
0.1× |
| Biopsy of cervix (57500) |
$219.10 |
$313 |
0.2× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$410.20 |
$586 |
0.4× |
| Biopsy of nerve Age Under 21 (64795) |
$267.40 |
$382 |
0.1× |
| Biopsy of salivary gland; needle (42400) |
$193.55 |
$276.50 |
0.3× |
| Biopsy of uterus lining (58100) |
$142.80 |
$204 |
0.7× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$1,085.35 |
$1,550.50 |
0.3× |
| Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$613.90 |
$877 |
0.1× |
| Biopsy thyroid percutaneous core needle (60100) |
$380.80 |
$544 |
0.5× |
| Biopsy vaginal mucosa simple (57100) |
$146.30 |
$209 |
0.2× |
| Biopsy vulva/perineum 1 lesion (56605) |
$136.50 |
$195 |
0.1× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$657.30 |
$939 |
0.4× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) Age Under 21 (25066) |
$527.10 |
$753 |
0.2× |
| Biopsy, soft tissue of shoulder area; deep Age Under 21 (23066) |
$819 |
$1,170 |
0.3× |
| Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) Age Under 21 (27324) |
$583.10 |
$833 |
0.2× |
| Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) Age Under 21 (24066) |
$893.20 |
$1,276 |
0.3× |
Bone graft, any donor area; major or large Age Under 21 (20902)
likely a partial charge — not the full procedure |
$378.70 |
$541 |
0.0× |
Bone graft, any donor area; minor or small (eg, dowel or button) Age Under 21 (20900)
likely a partial charge — not the full procedure |
$546.70 |
$781 |
0.1× |
| Bone marrow harvesting for transplantation; autologous Age Under 21 (38232) |
$258.30 |
$369 |
0.1× |
Breast Reduction|BILATERAL PROCEDURE (19318)
likely a partial charge — not the full procedure |
$1,407.70 |
$2,011 |
0.2× |
| Bx breast 1st lesion strtctc (19081) |
$2,198.70 |
$3,141 |
1.3× |
| Bx breast 1st lesion us imag (19083) |
$1,380.40 |
$1,972 |
0.8× |
| Bx pancreas ndl perc (48102) |
$718.90 |
$1,027 |
0.4× |
| Cah artificial insemination intra-cervical (58321) |
$116.20 |
$166 |
0.4× |
| Cah artificial insemination intra-uterine (58322) |
$128.80 |
$184 |
0.6× |
Cah reinsertion spinal fixation device (22849)
likely a partial charge — not the full procedure |
$1,808.80 |
$2,584 |
0.1× |
| Capsular contracture release (eg, Sever type procedure) Age Under 21 (23020) |
$975.10 |
$1,393 |
0.3× |
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036)
likely a partial charge — not the full procedure |
$1,427.30 |
$2,039 |
0.2× |
| Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint Age Under 21 (26520) |
$978.60 |
$1,398 |
0.3× |
Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes… (25320)
likely a partial charge — not the full procedure |
$1,402.80 |
$2,004 |
0.2× |
Capsulorrhaphy, anterior, any type; with coracoid process transfer Age Under 21 (23462)
likely a partial charge — not the full procedure |
$1,490.30 |
$2,129 |
0.2× |
Capsulorrhaphy, glenohumeral joint, any type multidirectional instability Age Under 21 (23466)
likely a partial charge — not the full procedure |
$1,573.60 |
$2,248 |
0.2× |
| Capsulotomy, midfoot; medial release only (separate procedure) Age Under 21 (28260) |
$1,030.40 |
$1,472 |
0.3× |
| Capsulotomy, midfoot; with tendon lengthening Age Under 21 (28261) |
$1,510.60 |
$2,158 |
0.9× |
| Capsulotomy; interphalangeal joint, each joint (separate procedure) Age Under 21 (28272) |
$542.50 |
$775 |
0.3× |
| Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) Age Under 21 (28270) |
$690.20 |
$986 |
0.2× |
| Care of miscarriage (59820) |
$620.20 |
$886 |
0.2× |
| Carpectomy; all bones of proximal row Age Under 21 (25215) |
$881.30 |
$1,259 |
0.3× |
| Cast short arm (29075) |
$126.70 |
$181 |
0.4× |
| Cautery of cervix; cryocautery, initial or repeat Age Under 21 (57511) |
$284.20 |
$406 |
0.9× |
| Change Cystostomy Tube Simple (51705) |
$145.95 |
$208.50 |
0.6× |
| Change of windpipe airway (31502) |
$97.30 |
$139 |
0.4× |
| Chemical cauterization of granulation tissue (17250) |
$179.55 |
$256.50 |
0.8× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$250.60 |
$358 |
0.3× |
| Chemodenerv 1 extremity 1-4 (64642) |
$215.60 |
$308 |
0.3× |
| Chemodenerv eccrine glands both axillae (64650) |
$339.85 |
$485.50 |
1.0× |
| Chemodenerv trunk musc 1-5 (64646) |
$226.10 |
$323 |
0.3× |
| Chemodenerv trunk musc 6/> (64647) |
$257.60 |
$368 |
0.3× |
| Chemodenervation Internal Anal Sphincter (46505) |
$445.20 |
$636 |
0.4× |
| Chemodenervation muscle neck unilat for dystonia (64616) |
$551.95 |
$788.50 |
1.7× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$618.10 |
$883 |
1.9× |
| Chest tube placement (32551) |
$576.10 |
$823 |
0.3× |
Chromotubation Oviduct W/Materials|BILATERAL PROCEDURE (58350)
likely a partial charge — not the full procedure |
$220.50 |
$315 |
0.0× |
| Cisternal/lateral c1-c2 puncture w/injection (61055) |
$160.30 |
$229 |
0.5× |
| Claviculectomy; partial Age Under 21 (23120) |
$837.90 |
$1,197 |
0.2× |
| Closed rx radial shaft fx w/dislocation (25520) |
$835.10 |
$1,193 |
0.5× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$721 |
$1,030 |
2.8× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$703.50 |
$1,005 |
0.4× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$363.30 |
$519 |
1.4× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$450.80 |
$644 |
1.7× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$455.70 |
$651 |
1.8× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$513.80 |
$734 |
2.0× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$337.40 |
$482 |
1.3× |
| Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) Age… (26432) |
$783.30 |
$1,119 |
0.5× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$620.20 |
$886 |
2.4× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$461.30 |
$659 |
1.8× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$282.10 |
$403 |
1.1× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$1,055.60 |
$1,508 |
0.6× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$208.60 |
$298 |
0.8× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$177.80 |
$254 |
0.7× |
| Closed treatment of greater trochanteric fracture, without manipulation Age Under 21 (27246) |
$560.70 |
$801 |
2.2× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$535.50 |
$765 |
2.1× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$490.70 |
$701 |
1.9× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$486.50 |
$695 |
1.9× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$446.60 |
$638 |
1.7× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Age Under 21 (26607) |
$728.70 |
$1,041 |
0.2× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$640.50 |
$915 |
0.4× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$842.80 |
$1,204 |
0.5× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$480.20 |
$686 |
1.8× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$502.60 |
$718 |
1.9× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$299.60 |
$428 |
1.2× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$826 |
$1,180 |
0.5× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$456.40 |
$652 |
1.8× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$684.60 |
$978 |
0.4× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$492.10 |
$703 |
1.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$429.80 |
$614 |
1.7× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$392 |
$560 |
1.5× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$406.70 |
$581 |
1.6× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$422.10 |
$603 |
1.6× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$651.70 |
$931 |
2.5× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$635.60 |
$908 |
0.4× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$487.90 |
$697 |
1.9× |
| Closed treatment of talus fracture; without manipulation (28430) |
$352.10 |
$503 |
1.4× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$455 |
$650 |
1.7× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$764.40 |
$1,092 |
2.9× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$393.40 |
$562 |
1.5× |
| Closed treatment of ulnar styloid fracture (25650) |
$485.80 |
$694 |
1.9× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,858.15 |
$2,654.50 |
1.1× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$495.60 |
$708 |
1.9× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$634.20 |
$906 |
0.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$865.55 |
$1,236.50 |
3.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$703.50 |
$1,005 |
2.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$546.70 |
$781 |
2.1× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$754.60 |
$1,078 |
0.4× |
| Closed tx scapular fracture w/o manipulation (23570) |
$358.40 |
$512 |
1.4× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$564.20 |
$806 |
2.2× |
Closure of abnormal drainage tract from bladder to vagina through bladder and vagina (57330)
likely a partial charge — not the full procedure |
$1,066.80 |
$1,524 |
0.1× |
| Closure of abnormal drainage tract from rectum to vagina through vagina or anus (57300) |
$861.70 |
$1,231 |
0.3× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$218.40 |
$312 |
0.1× |
| Clsd tx pelvic ring fx (27197) |
$189 |
$270 |
0.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$588.70 |
$841 |
0.3× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$614.60 |
$878 |
2.4× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$1,269.80 |
$1,814 |
4.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$679.35 |
$970.50 |
2.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,188.20 |
$3,126 |
1.3× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$726.60 |
$1,038 |
2.8× |
| Cltx fem fx prox end nck w/manj w/wo skel tracj (27232) |
$1,010.80 |
$1,444 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$660.45 |
$943.50 |
2.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$462 |
$660 |
1.8× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$400.40 |
$572 |
1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$242.90 |
$347 |
0.9× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$521.50 |
$745 |
2.0× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$735 |
$1,050 |
0.4× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$181.30 |
$259 |
0.7× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$497.70 |
$711 |
1.9× |
| Cltx metar fx w/manj (28475) |
$378 |
$540 |
1.5× |
| Cltx post ankle fx (27767) |
$427.70 |
$611 |
1.6× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$772.80 |
$1,104 |
0.5× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$511 |
$730 |
2.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$715.40 |
$1,022 |
0.4× |
| Collect blood from catheter venous nos (36592) |
$52.50 |
$75 |
0.4× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$690.90 |
$987 |
0.5× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
likely a partial charge — not the full procedure |
$966.70 |
$1,381 |
0.1× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) |
$470.40 |
$672 |
0.1× |
| Colposcopy cervix (57452) |
$179.20 |
$256 |
0.8× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$237.30 |
$339 |
0.7× |
| Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Age Under 21 (57460) |
$445.20 |
$636 |
0.1× |
| Colpotomy; with drainage of pelvic abscess Age Under 21 (57010) |
$643.30 |
$919 |
0.2× |
| Colpotomy; with exploration Age Under 21 (57000) |
$283.50 |
$405 |
0.1× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$910 |
$1,300 |
0.7× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; Age Under 21 (57260)
likely a partial charge — not the full procedure |
$1,083.60 |
$1,548 |
0.2× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Age Under 21 (57265)
likely a partial charge — not the full procedure |
$1,210.30 |
$1,729 |
0.2× |
| Complete replacement picc rs&i (36584) |
$1,434.30 |
$2,049 |
0.9× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$429.80 |
$614 |
0.1× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$976.15 |
$1,394.50 |
7.0× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$371 |
$530 |
2.6× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132)
likely a partial charge — not the full procedure |
$2,313.50 |
$3,305 |
0.2× |
| Conz of cervix w/scope leep (57461) |
$495.60 |
$708 |
0.1× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$1,590.40 |
$2,272 |
0.9× |
| Correction of bunion (28292) |
$991.90 |
$1,417 |
0.3× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method Age… (28299)
likely a partial charge — not the full procedure |
$1,435.70 |
$2,051 |
0.2× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial… (28297)
likely a partial charge — not the full procedure |
$1,449.70 |
$2,071 |
0.1× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any… (28298)
likely a partial charge — not the full procedure |
$1,185.10 |
$1,693 |
0.2× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$765.80 |
$1,094 |
0.2× |
| Corrj hlx vlgs bncty sesmdc dstl metar osteot (28296) |
$1,255.10 |
$1,793 |
0.4× |
| Creation of nerve and blood vessel skin graft (15750) |
$1,303.40 |
$1,862 |
0.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$499.80 |
$714 |
3.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$1,472.80 |
$2,104 |
5.9× |
| Curettage postpartum (59160) |
$385 |
$550 |
0.1× |
| Curette/treat cornea (65435) |
$116.20 |
$166 |
0.1× |
| Cystourethroscopy (52000) |
$342.30 |
$489 |
0.5× |
| Dbrdmt w/rmvl fm fx&/dislc skn subq t/m/f musc (11011) |
$704.20 |
$1,006 |
0.9× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$653.80 |
$934 |
0.2× |
| Deb skin bone at fx site (11012) |
$914.90 |
$1,307 |
0.3× |
| Debride skin at fx site (11010) |
$1,121.40 |
$1,602 |
1.5× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$62.65 |
$89.50 |
1.0× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$99.75 |
$142.50 |
1.6× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$292.95 |
$418.50 |
0.7× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$795.90 |
$1,137 |
0.5× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$572.95 |
$818.50 |
0.7× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle… (25020) |
$1,057.70 |
$1,511 |
0.6× |
| Decompression fasciotomy, leg; anterior and/or lateral compartments only Age Under 21 (27600) |
$557.20 |
$796 |
0.2× |
| Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or… (27892) |
$749.70 |
$1,071 |
0.2× |
| Decompression; plantar digital nerve Age Under 21 (64726) |
$379.40 |
$542 |
0.2× |
| Deep incis foot bone infectn (28005) |
$802.90 |
$1,147 |
0.2× |
| Deep muscle biopsy (20205) |
$429.80 |
$614 |
0.1× |
| Destroy nerve face muscle (64612) |
$194.60 |
$278 |
0.6× |
| Destruct by neuro agent; plantar digital nerve (64632) |
$128.10 |
$183 |
0.4× |
| Destruct lesion 15 or more (17111) |
$373.80 |
$534 |
1.8× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$96.60 |
$138 |
0.5× |
| Destruction benign lesions up to 14 (17110) |
$270.20 |
$386 |
1.3× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$537.25 |
$767.50 |
0.6× |
| Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Age Under 21 (64680) |
$1,394.75 |
$1,992.50 |
1.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,677.20 |
$2,396 |
0.8× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$448.70 |
$641 |
0.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$316.40 |
$452 |
0.1× |
| Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57061) |
$240.10 |
$343 |
0.1× |
| Diagnostic anoscopy (46601) |
$211.40 |
$302 |
0.4× |
| Diagnostic bone marrow aspirations (38220) |
$224 |
$320 |
0.1× |
| Diagnostic bone marrow biopsies (38221) |
$231.70 |
$331 |
0.1× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$249.90 |
$357 |
0.1× |
| Diagnostic exam of uterus using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58555) |
$513.10 |
$733 |
0.2× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,051.05 |
$1,501.50 |
1.4× |
| Diagnostic sigmoidoscopy (45330) |
$266.70 |
$381 |
0.3× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$109.20 |
$156 |
0.5× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$422.10 |
$603 |
0.1× |
| Dilation of cervical canal (57800) |
$110.60 |
$158 |
0.0× |
| Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) Age Under 21 (28250) |
$833 |
$1,190 |
0.2× |
| Drain lower leg lesion (27603) |
$744.10 |
$1,063 |
0.2× |
| Drain shoulder lesion (23030) |
$625.80 |
$894 |
0.2× |
| Drainage finger abscess simple (26010) |
$494.20 |
$706 |
2.3× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$683.20 |
$976 |
0.4× |
| Drainage of ovarian cyst(s) (58800) |
$512.40 |
$732 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$235.20 |
$336 |
0.1× |
| Drainage of tendon sheath, digit and/or palm, each Age Under 21 (26020) |
$793.10 |
$1,133 |
0.2× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$3,002.30 |
$4,289 |
1.5× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$3,030.30 |
$4,329 |
1.5× |
| Ed proc insert intraosseous IV (36680) |
$80.50 |
$115 |
0.2× |
| Ed proc remve fb nasal- hospital (30300) |
$361.90 |
$517 |
2.6× |
| Ed prof arthrocentesis sm - hospital (20551) |
$161.70 |
$231 |
0.5× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$214.20 |
$306 |
1.5× |
| Ed prof burn medium - hospital (16025) |
$221.90 |
$317 |
1.0× |
| Ed prof burn small - hospital (16020) |
$169.75 |
$242.50 |
0.8× |
| Ed prof catheterization/straight (51701) |
$152.60 |
$218 |
1.1× |
| Ed prof insert foley cath simple (51702) |
$114.80 |
$164 |
0.8× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$882.70 |
$1,261 |
0.3× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$551.60 |
$788 |
1.3× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$781.55 |
$1,116.50 |
1.8× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$425.60 |
$608 |
1.6× |
| Egd percutaneous placement gastrostomy tube (43246) |
$758.80 |
$1,084 |
0.4× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$702.10 |
$1,003 |
0.3× |
| Elec anlys implt ithcl/edrl pmp w/repr phys/qhp (62370) |
$130.90 |
$187 |
0.4× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62367) |
$44.80 |
$64 |
0.1× |
| Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15115) |
$1,132.60 |
$1,618 |
0.5× |
| Episiotomy or vaginal repair (59300) |
$323.40 |
$462 |
0.1× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$1,192.80 |
$1,704 |
1.6× |
| Esophagoscopy, flexible, transnasal; with biopsy, single or multiple Age Under 21 (43198) |
$299.60 |
$428 |
0.3× |
| Evac subungual hematoma (11740) |
$223.65 |
$319.50 |
1.6× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$777.70 |
$1,111 |
0.4× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$510.30 |
$729 |
0.3× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$633.15 |
$904.50 |
0.8× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$577.85 |
$825.50 |
0.3× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,351 |
$1,930 |
0.8× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$602 |
$860 |
0.4× |
| Exc neuroma dgtal nrv 1/bth sm dgt (64776) |
$572.60 |
$818 |
0.3× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$183.40 |
$262 |
0.2× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$502.25 |
$717.50 |
0.7× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$2,119.95 |
$3,028.50 |
1.2× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$787.50 |
$1,125 |
0.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$772.10 |
$1,103 |
0.3× |
| Exc tumor soft tissue abdl wall subfascial 5cm/> (22901) |
$2,436.70 |
$3,481 |
0.8× |
| Exc Tumor Soft Tissue Abdl Wall Subfascial <5cm (22900) |
$790.30 |
$1,129 |
0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$669.20 |
$956 |
0.4× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$634.20 |
$906 |
0.2× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$679.70 |
$971 |
0.2× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$981.05 |
$1,401.50 |
0.6× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$693 |
$990 |
0.4× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$569.80 |
$814 |
0.2× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Age Under 21 (25240) |
$617.40 |
$882 |
0.2× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$1,536.85 |
$2,195.50 |
0.9× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$2,935.80 |
$4,194 |
1.0× |
| Excision hidradenitis axillary smpl/intrm rpr (11450) |
$1,703.45 |
$2,433.50 |
0.6× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$498.40 |
$712 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$909.30 |
$1,299 |
1.2× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$971.60 |
$1,388 |
2.3× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$1,099 |
$1,570 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$440.30 |
$629 |
0.6× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$3,238.20 |
$4,626 |
1.1× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,106 |
$1,580 |
0.6× |
| Excision multiple external papillae/tags anus (46230) |
$1,902.60 |
$2,718 |
0.6× |
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065)
likely a partial charge — not the full procedure |
$744.80 |
$1,064 |
0.1× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) |
$805 |
$1,150 |
0.2× |
| Excision of constricting ring of finger, with multiple Z-plasties Age Under 21 (26596) |
$1,162 |
$1,660 |
0.3× |
| Excision of ganglion, wrist (dorsal or volar); recurrent Age Under 21 (25112) |
$562.10 |
$803 |
0.3× |
| Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee Age Under 21 (27347) |
$751.10 |
$1,073 |
0.2× |
| Excision of lesion of spermatic cord (separate procedure) Age Under 21 (55520) |
$639.80 |
$914 |
0.2× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle Age Under 21 (27630) |
$767.20 |
$1,096 |
0.2× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$883.40 |
$1,262 |
0.5× |
| Excision of neuroma; hand or foot, except digital nerve Age Under 21 (64782) |
$641.20 |
$916 |
0.3× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$503.30 |
$719 |
0.2× |
| Excision of single external papilla or tag, anus (46220) |
$358.40 |
$512 |
0.3× |
| Excision of synovial cyst of popliteal space (eg, Baker's cyst) Age Under 21 (27345) |
$693.70 |
$991 |
0.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$304.50 |
$435 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$351.40 |
$502 |
0.1× |
| Excision olecranon bursa (24105) |
$521.50 |
$745 |
0.2× |
Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft Age Under 21 (25136)
likely a partial charge — not the full procedure |
$711.90 |
$1,017 |
0.1× |
| Excision or curettage of bone cyst or benign tumor of femur; Age Under 21 (27355) |
$861.70 |
$1,231 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; Age Under 21 (24120) |
$759.50 |
$1,085 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; Age Under 21 (26210) |
$644 |
$920 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft… (26215) |
$807.80 |
$1,154 |
0.2× |
| Excision or curettage of bone cyst or benign tumor, humerus; Age Under 21 (24110) |
$840.70 |
$1,201 |
0.2× |
Excision or curettage of bone cyst or benign tumor, humerus; with allograft Age Under 21 (24116)
likely a partial charge — not the full procedure |
$1,208.20 |
$1,726 |
0.2× |
| Excision or curettage of bone cyst or benign tumor, phalanges of foot Age Under 21 (28108) |
$616 |
$880 |
0.4× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Age Under 21 (28100) |
$868 |
$1,240 |
0.3× |
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes… (28102)
likely a partial charge — not the full procedure |
$867.30 |
$1,239 |
0.1× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; Age Under 21 (28104) |
$744.80 |
$1,064 |
0.2× |
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft Age… (28107)
likely a partial charge — not the full procedure |
$717.50 |
$1,025 |
0.1× |
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106)
likely a partial charge — not the full procedure |
$599.20 |
$856 |
0.1× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; Age Under 21 (27635) |
$819 |
$1,170 |
0.2× |
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Age Under 21 (27638)
likely a partial charge — not the full procedure |
$1,043 |
$1,490 |
0.1× |
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) Age… (27637)
likely a partial charge — not the full procedure |
$1,053.50 |
$1,505 |
0.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,090.60 |
$1,558 |
0.4× |
| Excision pilonidal cyst/sinus extensive (11771) |
$1,815.45 |
$2,593.50 |
0.6× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,892.10 |
$2,703 |
1.1× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$714 |
$1,020 |
0.4× |
| Excision tumor soft tissue foot/toe subq 1.5+cm (28039) |
$674.10 |
$963 |
0.2× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$543.20 |
$776 |
0.3× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,990.45 |
$2,843.50 |
1.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$291.90 |
$417 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$462.70 |
$661 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$337.40 |
$482 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$618.45 |
$883.50 |
1.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$894.25 |
$1,277.50 |
0.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$780.50 |
$1,115 |
1.0× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$1,045.80 |
$1,494 |
0.6× |
| Excision, interdigital (Morton) neuroma, single, each Age Under 21 (28080) |
$758.80 |
$1,084 |
0.4× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$281.40 |
$402 |
0.4× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$632.10 |
$903 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$275.80 |
$394 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$541.80 |
$774 |
0.2× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$615.30 |
$879 |
0.2× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$1,026.20 |
$1,466 |
0.3× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater Age Under 21 (21014) |
$732.90 |
$1,047 |
0.2× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Age Under 21 (25073) |
$758.10 |
$1,083 |
0.2× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm Age Under 21 (25076) |
$737.10 |
$1,053 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (27634) |
$940.10 |
$1,343 |
0.3× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$625.80 |
$894 |
0.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Age Under 21 (23075) |
$733.60 |
$1,048 |
0.4× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (27339) |
$1,054.90 |
$1,507 |
0.3× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Age Under 21 (27328) |
$875.70 |
$1,251 |
0.3× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$755.30 |
$1,079 |
0.4× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$645.40 |
$922 |
0.4× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$1,685.95 |
$2,408.50 |
0.6× |
Exploration of spinal fusion (22830)
likely a partial charge — not the full procedure |
$1,149.40 |
$1,642 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$1,550.15 |
$2,214.50 |
0.9× |
| Explore/treat ankle joint (27610) |
$909.30 |
$1,299 |
0.3× |
| Explore/treat hand joint (26070) |
$465.50 |
$665 |
0.3× |
| Fasciectomy plantar fascia partial spx (28060) |
$1,635.20 |
$2,336 |
0.5× |
| Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes… (26121) |
$853.30 |
$1,219 |
0.2× |
| Fasciectomy, plantar fascia; radical (separate procedure) Age Under 21 (28062) |
$816.20 |
$1,166 |
0.2× |
| Fasciotomy, iliotibial (tenotomy), open Age Under 21 (27305) |
$688.10 |
$983 |
0.2× |
| Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial Age Under 21 (26045) |
$676.90 |
$967 |
0.2× |
| Fasct prtl plmr 1 dgt prox iphal jt +-tiss (26123) |
$1,189.30 |
$1,699 |
0.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$610.40 |
$872 |
0.8× |
| Fine needle aspiration bx w/fluor gdn 1st lesion (10007) |
$434 |
$620 |
0.6× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$143.50 |
$205 |
0.3× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$568.75 |
$812.50 |
0.8× |
| Fix collat lig,mc-p jt,i-p jt (26540) |
$1,001 |
$1,430 |
0.3× |
Fusion of 3 bones of ankle|RIGHT SIDE (28715)
likely a partial charge — not the full procedure |
$1,318.80 |
$1,884 |
0.1× |
Fusion of all bones of ankle and hindfoot (28705)
likely a partial charge — not the full procedure |
$1,698.20 |
$2,426 |
0.1× |
| Ganglion impar nerve block (64999) |
$774.55 |
$1,106.50 |
2.4× |
| Gastrocnemius recession (27687) |
$643.30 |
$919 |
0.2× |
| Guide cathet fluid drainage (10030) |
$1,441.65 |
$2,059.50 |
1.9× |
| Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint;… (28289) |
$975.80 |
$1,394 |
0.3× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge — not the full procedure |
$973.70 |
$1,391 |
0.1× |
| Harvest auto stem cells (38206) |
$113.40 |
$162 |
0.1× |
Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) (27125)
likely a partial charge — not the full procedure |
$1,577.80 |
$2,254 |
0.1× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$580.30 |
$829 |
0.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$735.70 |
$1,051 |
0.3× |
| Hrhc Ntrnl & Xtrnl 2/> Column/Group W/Fissu|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46261) |
$746.90 |
$1,067 |
0.3× |
| Hysteroscopy biopsy (58558) |
$1,893.50 |
$2,705 |
0.6× |
Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565)
unusually low — confirm this is the full procedure |
$2,372.30 |
$3,389 |
0.4× |
| Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563) |
$3,007.90 |
$4,297 |
0.6× |
Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Age Under 21 (58559)
likely a partial charge — not the full procedure |
$389.90 |
$557 |
0.1× |
| Hysteroscopy, surgical; with removal of impacted foreign body Age Under 21 (58562) |
$610.40 |
$872 |
0.2× |
Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) (59100)
likely a partial charge — not the full procedure |
$1,182.30 |
$1,689 |
0.2× |
| I&d abscess simple/single (10060) |
$426.30 |
$609 |
2.0× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$956.90 |
$1,367 |
0.3× |
| I&d hematoma/seroma/fluid (10140) |
$406.35 |
$580.50 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$359.10 |
$513 |
0.5× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$1,248.10 |
$1,783 |
0.7× |
| Implant subq hormone pellet (11980) |
$133 |
$190 |
0.3× |
Implantation of donor cartilage cells into knee joint|RIGHT SIDE (27415)
likely a partial charge — not the full procedure |
$1,914.50 |
$2,735 |
0.1× |
Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including… (62362)
likely a partial charge — not the full procedure |
$538.30 |
$769 |
0.0× |
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62350)
likely a partial charge — not the full procedure |
$556.50 |
$795 |
0.1× |
| Incise external hemorrhoid (46083) |
$793.10 |
$1,133 |
3.0× |
| Incise finger tendon sheath (26055) |
$1,451.45 |
$2,073.50 |
0.9× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$746.90 |
$1,067 |
1.7× |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle Age Under 21 (27607) |
$842.80 |
$1,204 |
0.2× |
| Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space Age Under 21 (28002) |
$347.20 |
$496 |
0.2× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$266 |
$380 |
1.2× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$685.30 |
$979 |
0.2× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$1,332.10 |
$1,903 |
0.4× |
| Incision and drainage, forearm and/or wrist; deep abscess or hematoma Age Under 21 (25028) |
$991.20 |
$1,416 |
0.3× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic (22010)
likely a partial charge — not the full procedure |
$1,358.70 |
$1,941 |
0.2× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015)
likely a partial charge — not the full procedure |
$1,328.60 |
$1,898 |
0.2× |
| Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age Under 21 (26990) |
$964.60 |
$1,378 |
0.3× |
| Incision and drainage, perianal abscess, superficial (46050) |
$142.80 |
$204 |
0.1× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$434.70 |
$621 |
0.2× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$375.20 |
$536 |
0.2× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$621.25 |
$887.50 |
1.4× |
| Incision extensor tendon sheath wrist (25000) |
$501.20 |
$716 |
0.3× |
| Incision into wrist joint with removal of joint lining tissue (25105) |
$697.20 |
$996 |
0.2× |
| Incision of connective tissue of foot and/or toe (28008) |
$1,662.50 |
$2,375 |
0.5× |
| Incision of connective tissue of hip or thigh (27025) |
$1,303.40 |
$1,862 |
0.4× |
| Incision of foot tendon(s) (28230) |
$612.50 |
$875 |
0.4× |
| Incision of knee joint with removal of cartilage of front or back of knee (27334) |
$971.60 |
$1,388 |
0.3× |
| Incision of tendon located from elbow to shoulder, open procedure (24310) |
$676.20 |
$966 |
0.2× |
Incision or partial removal of both forearm bones (25365)
likely a partial charge — not the full procedure |
$1,288 |
$1,840 |
0.1× |
Incision or partial removal of forearm bone on small finger side (25360)
likely a partial charge — not the full procedure |
$931 |
$1,330 |
0.1× |
| Incision or partial removal of lower leg bone (27707) |
$579.60 |
$828 |
0.2× |
Incision or partial removal of middle portion of thigh bone with stabilizing device (27450)
likely a partial charge — not the full procedure |
$1,412.60 |
$2,018 |
0.2× |
| Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) Age Under 21 (25001) |
$502.60 |
$718 |
0.1× |
| Incisional biopsy skin single lesion (11106) |
$221.90 |
$317 |
0.3× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$112.70 |
$161 |
0.5× |
| Inj epidural blood or clot patch (62273) |
$586.60 |
$838 |
0.8× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,842.70 |
$4,061 |
3.0× |
| Inj paravert f jnt l/s 1 lev (64493) |
$2,307.90 |
$3,297 |
2.5× |
| Inj tx nerve (64640) |
$1,770.30 |
$2,529 |
1.9× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$678.30 |
$969 |
0.9× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$710.50 |
$1,015 |
0.8× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$691.25 |
$987.50 |
0.7× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$775.95 |
$1,108.50 |
1.0× |
| Injection aa&/strd greater occipital nerve (64405) |
$1,192.80 |
$1,704 |
3.7× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$1,192.80 |
$1,704 |
1.6× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$619.85 |
$885.50 |
0.7× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$665.70 |
$951 |
0.9× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$759.15 |
$1,084.50 |
1.0× |
| Injection aa&/strd pudendal nerve (64430) |
$1,192.80 |
$1,704 |
1.3× |
| Injection aa&/strd suprascapular nerve (64418) |
$657.30 |
$939 |
0.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$810.95 |
$1,158.50 |
2.5× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$1,824.20 |
$2,606 |
2.0× |
| Injection anes superior hypogastric plexus (64517) |
$1,049.65 |
$1,499.50 |
1.1× |
| Injection enzyme palmar fascial cord (20527) |
$123.20 |
$176 |
0.4× |
| Injection for identification of sentinel node (38792) |
$197.40 |
$282 |
0.5× |
| Injection therapeutic carpal tunnel (20526) |
$116.20 |
$166 |
0.4× |
| Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Age Under 21 (64435) |
$114.10 |
$163 |
0.2× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$723.45 |
$1,033.50 |
2.2× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$729.05 |
$1,041.50 |
2.3× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$161.70 |
$231 |
0.5× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$1,075.20 |
$1,536 |
1.2× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$423.85 |
$605.50 |
1.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$81.90 |
$117 |
0.4× |
| Insert and remove bone pin (20650) |
$329.70 |
$471 |
0.1× |
| Insert drug implant device (11981) |
$346.85 |
$495.50 |
2.5× |
| Insert pessary/other device (57160) |
$105 |
$150 |
0.5× |
Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion,… (22869)
likely a partial charge — not the full procedure |
$606.20 |
$866 |
0.0× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$123.20 |
$176 |
0.1× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$287.70 |
$411 |
1.2× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$4,258.45 |
$6,083.50 |
1.3× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$640.50 |
$915 |
0.4× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$501.55 |
$716.50 |
0.3× |
| Insertion picc w/rs&i < 5 yr (36572) |
$525.70 |
$751 |
0.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,760.50 |
$2,515 |
0.5× |
Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685)
likely a partial charge — not the full procedure |
$1,234.80 |
$1,764 |
0.0× |
| Intubation endotracheal (31500) |
$235.20 |
$336 |
0.9× |
| Irrigation of corpora cavernosa for priapism (54220) |
$315 |
$450 |
1.2× |
Joint repair (arthroplasty) forearm bone on the thumb side (radius) at the elbow with and implant (24366)
likely a partial charge — not the full procedure |
$961.10 |
$1,373 |
0.1× |
| Knee arthroscopy/surgery (29876) |
$921.90 |
$1,317 |
0.3× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267)
likely a partial charge — not the full procedure |
$1,904.70 |
$2,721 |
0.2× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Age Under 21 (63655)
likely a partial charge — not the full procedure |
$1,173.90 |
$1,677 |
0.1× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011)
likely a partial charge — not the full procedure |
$1,516.90 |
$2,167 |
0.2× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
likely a partial charge — not the full procedure |
$1,789.20 |
$2,556 |
0.2× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047)
likely a partial charge — not the full procedure |
$1,540 |
$2,200 |
0.2× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042)
likely a partial charge — not the full procedure |
$1,799.70 |
$2,571 |
0.2× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020)
likely a partial charge — not the full procedure |
$1,530.90 |
$2,187 |
0.2× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030)
likely a partial charge — not the full procedure |
$1,278.90 |
$1,827 |
0.2× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040)
likely a partial charge — not the full procedure |
$1,908.90 |
$2,727 |
0.2× |
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Age Under 21 (59150)
likely a partial charge — not the full procedure |
$1,095.50 |
$1,565 |
0.2× |
Laparoscopy surg colpopexy (57425)
likely a partial charge — not the full procedure |
$1,349.60 |
$1,928 |
0.1× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge — not the full procedure |
$603.40 |
$862 |
0.1× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320)
likely a partial charge — not the full procedure |
$456.40 |
$652 |
0.1× |
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545)
likely a partial charge — not the full procedure |
$1,252.30 |
$1,789 |
0.2× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Age Under 21 (58541)
likely a partial charge — not the full procedure |
$1,018.50 |
$1,455 |
0.1× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58542)
likely a partial charge — not the full procedure |
$1,154.30 |
$1,649 |
0.1× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544)
likely a partial charge — not the full procedure |
$1,258.60 |
$1,798 |
0.1× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; Age Under 21 (58570)
likely a partial charge — not the full procedure |
$1,124.90 |
$1,607 |
0.1× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58571)
likely a partial charge — not the full procedure |
$1,267 |
$1,810 |
0.1× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572)
likely a partial charge — not the full procedure |
$1,407.70 |
$2,011 |
0.1× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)… (58573)
likely a partial charge — not the full procedure |
$1,693.30 |
$2,419 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58550)
likely a partial charge — not the full procedure |
$1,226.40 |
$1,752 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58552)
likely a partial charge — not the full procedure |
$1,361.50 |
$1,945 |
0.1× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Age Under 21 (58553)
likely a partial charge — not the full procedure |
$1,549.80 |
$2,214 |
0.1× |
Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563)
likely a partial charge — not the full procedure |
$991.20 |
$1,416 |
0.2× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct Age Under 21 (47564)
likely a partial charge — not the full procedure |
$1,540 |
$2,200 |
0.1× |
Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21 (49321)
likely a partial charge — not the full procedure |
$477.40 |
$682 |
0.1× |
Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by… (58662)
likely a partial charge — not the full procedure |
$991.90 |
$1,417 |
0.2× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Age Under 21 (58660)
likely a partial charge — not the full procedure |
$949.90 |
$1,357 |
0.1× |
Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Age Under 21 (58671)
likely a partial charge — not the full procedure |
$520.10 |
$743 |
0.1× |
Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661)
likely a partial charge — not the full procedure |
$905.10 |
$1,293 |
0.1× |
Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Age Under 21 (58673)
likely a partial charge — not the full procedure |
$1,099 |
$1,570 |
0.1× |
Laps Surg Rpr Recurrent Inguinal Hernia (49651)
likely a partial charge — not the full procedure |
$786.80 |
$1,124 |
0.1× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge — not the full procedure |
$518.70 |
$741 |
0.1× |
Lengthening of hamstring tendon; single tendon Age Under 21 (27393)
likely a partial charge — not the full procedure |
$713.30 |
$1,019 |
0.1× |
| Lengthening of tendon, flexor, hand or finger, each tendon Age Under 21 (26478) |
$942.90 |
$1,347 |
0.3× |
| Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25280) |
$806.40 |
$1,152 |
0.2× |
| Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Age Under 21 (27686) |
$751.80 |
$1,074 |
0.2× |
| Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) Age Under 21 (27685) |
$933.80 |
$1,334 |
0.3× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge — not the full procedure |
$1,000.30 |
$1,429 |
0.1× |
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Age Under 21 (27429)
likely a partial charge — not the full procedure |
$1,767.50 |
$2,525 |
0.1× |
Ligamentous reconstruction knee intra-articular (27428)
likely a partial charge — not the full procedure |
$1,568 |
$2,240 |
0.1× |
| Ligation or biopsy, temporal artery (37609) |
$1,243.90 |
$1,777 |
0.7× |
| Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Age Under 21 (58600) |
$519.40 |
$742 |
0.2× |
| Lumbar puncture (62270) |
$286.30 |
$409 |
0.4× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$168 |
$240 |
0.6× |
| Manipulation finger joint under anes each joint (26340) |
$522.20 |
$746 |
0.3× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$219.10 |
$313 |
0.1× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) |
$277.20 |
$396 |
0.2× |
| Manipulation, elbow, under anesthesia Age Under 21 (24300) |
$639.80 |
$914 |
0.4× |
| Mastectomy partial (19301) |
$914.90 |
$1,307 |
0.2× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$44.80 |
$64 |
0.7× |
| Metatarsectomy Age Under 21 (28140) |
$799.40 |
$1,142 |
0.2× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$1,083.95 |
$1,548.50 |
1.3× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$389.90 |
$557 |
0.5× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,084.65 |
$1,549.50 |
1.3× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$366.10 |
$523 |
0.4× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$730.80 |
$1,044 |
0.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$26.95 |
$38.50 |
0.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$35 |
$50 |
1.1× |
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Age Under 21 (64898)
likely a partial charge — not the full procedure |
$1,898.40 |
$2,712 |
0.2× |
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Age Under 21 (64890)
likely a partial charge — not the full procedure |
$1,499.40 |
$2,142 |
0.2× |
Nerve pedicle transfer; first stage Age Under 21 (64905)
likely a partial charge — not the full procedure |
$1,391.60 |
$1,988 |
0.2× |
Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve (64911)
likely a partial charge — not the full procedure |
$1,429.40 |
$2,042 |
0.2× |
Nerve repair; with nerve allograft, each nerve, first strand (cable) Age Under 21 (64912)
likely a partial charge — not the full procedure |
$1,252.30 |
$1,789 |
0.1× |
Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve Age Under 21 (64910)
likely a partial charge — not the full procedure |
$1,068.90 |
$1,527 |
0.1× |
| Neurectomy, intrinsic musculature of foot Age Under 21 (28055) |
$548.10 |
$783 |
0.3× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$1,560.30 |
$2,229 |
0.8× |
| Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Age Under 21 (64708) |
$723.10 |
$1,033 |
0.4× |
| Neuroplasty; digital, 1 or both, same digit Age Under 21 (64702) |
$731.50 |
$1,045 |
0.4× |
| Neuroplasty; nerve of hand or foot Age Under 21 (64704) |
$459.90 |
$657 |
0.2× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$785.40 |
$1,122 |
0.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,016.40 |
$1,452 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,068.90 |
$1,527 |
1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,065.75 |
$1,522.50 |
1.4× |
| Non stress test (59025) |
$68.60 |
$98 |
0.3× |
| Open Biopsy/Excision Inguinofemoral Nodes (38531) |
$622.30 |
$889 |
0.2× |
Open osteochondral autograft, talus (includes obtaining graftºs») Age Under 21 (28446)
likely a partial charge — not the full procedure |
$1,710.80 |
$2,444 |
0.2× |
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318)
likely a partial charge — not the full procedure |
$2,292.50 |
$3,275 |
0.2× |
Open treatment bimalleolar ankle fracture (27814)
likely a partial charge — not the full procedure |
$1,076.60 |
$1,538 |
0.1× |
Open treatment calcaneal fracture (28415)
likely a partial charge — not the full procedure |
$1,573.60 |
$2,248 |
0.2× |
Open Treatment Distal Fracture (25608)
likely a partial charge — not the full procedure |
$1,172.50 |
$1,675 |
0.2× |
Open treatment fracture distal tibia only (27827)
likely a partial charge — not the full procedure |
$1,575.70 |
$2,251 |
0.1× |
Open treatment medial malleolus fracture (27766)
likely a partial charge — not the full procedure |
$857.50 |
$1,225 |
0.1× |
| Open treatment metacarpophalangeal dislocation 1 (26715) |
$819.70 |
$1,171 |
0.2× |
Open treatment metatarsal fracture each (28485)
likely a partial charge — not the full procedure |
$802.20 |
$1,146 |
0.1× |
Open treatment of acromioclavicular dislocation, acute or chronic; Age Under 21 (23550)
likely a partial charge — not the full procedure |
$812 |
$1,160 |
0.1× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Age… (23552)
likely a partial charge — not the full procedure |
$919.10 |
$1,313 |
0.1× |
Open Treatment Of Acute Or Chronic Elbow Dislocation (24615)
likely a partial charge — not the full procedure |
$1,007.30 |
$1,439 |
0.1× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846)
likely a partial charge — not the full procedure |
$1,024.10 |
$1,463 |
0.1× |
| Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal… (26746) |
$1,051.40 |
$1,502 |
0.3× |
Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other… (28420)
likely a partial charge — not the full procedure |
$1,818.60 |
$2,598 |
0.1× |
Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed Age Under 21 (25628)
likely a partial charge — not the full procedure |
$1,019.20 |
$1,456 |
0.1× |
| Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction Age Under 21 (26686) |
$884.10 |
$1,263 |
0.3× |
| Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint… (26685) |
$824.60 |
$1,178 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (23515)
likely a partial charge — not the full procedure |
$1,018.50 |
$1,455 |
0.1× |
Open treatment of distal radioulnar dislocation, acute or chronic Age Under 21 (25676)
likely a partial charge — not the full procedure |
$897.40 |
$1,282 |
0.1× |
Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829)
likely a partial charge — not the full procedure |
$1,001.70 |
$1,431 |
0.1× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514)
likely a partial charge — not the full procedure |
$1,342.60 |
$1,918 |
0.1× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507)
likely a partial charge — not the full procedure |
$1,347.50 |
$1,925 |
0.2× |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
likely a partial charge — not the full procedure |
$1,864.80 |
$2,664 |
0.2× |
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
likely a partial charge — not the full procedure |
$1,710.10 |
$2,443 |
0.1× |
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27828)
likely a partial charge — not the full procedure |
$1,857.80 |
$2,654 |
0.1× |
| Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Age Under 21 (28505) |
$922.60 |
$1,318 |
0.3× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Age Under 21 (23630)
likely a partial charge — not the full procedure |
$1,103.20 |
$1,576 |
0.1× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Age Under 21 (24579)
likely a partial charge — not the full procedure |
$1,177.40 |
$1,682 |
0.1× |
Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed Age Under… (24575)
likely a partial charge — not the full procedure |
$1,038.10 |
$1,483 |
0.1× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without… (24545)
likely a partial charge — not the full procedure |
$1,304.10 |
$1,863 |
0.1× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
likely a partial charge — not the full procedure |
$1,452.50 |
$2,075 |
0.1× |
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540)
likely a partial charge — not the full procedure |
$1,144.50 |
$1,635 |
0.1× |
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558)
likely a partial charge — not the full procedure |
$1,646.40 |
$2,352 |
0.2× |
| Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed Age Under 21 (28645) |
$924 |
$1,320 |
0.3× |
Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24635)
likely a partial charge — not the full procedure |
$959 |
$1,370 |
0.1× |
Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue… (27524)
likely a partial charge — not the full procedure |
$1,061.90 |
$1,517 |
0.1× |
Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed Age Under 21 (27784)
likely a partial charge — not the full procedure |
$1,010.80 |
$1,444 |
0.1× |
Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed,… (23616)
likely a partial charge — not the full procedure |
$1,723.40 |
$2,462 |
0.1× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Age… (25575)
likely a partial charge — not the full procedure |
$1,275.40 |
$1,822 |
0.2× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Age Under… (25574)
likely a partial charge — not the full procedure |
$959 |
$1,370 |
0.1× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666)
likely a partial charge — not the full procedure |
$1,035.30 |
$1,479 |
0.1× |
Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed Age Under 21 (23585)
likely a partial charge — not the full procedure |
$1,365.70 |
$1,951 |
0.2× |
Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670)
likely a partial charge — not the full procedure |
$1,226.40 |
$1,752 |
0.2× |
Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680)
likely a partial charge — not the full procedure |
$1,292.90 |
$1,847 |
0.1× |
Open treatment of tarsal bone dislocation, includes internal fixation, when performed Age Under 21 (28555)
likely a partial charge — not the full procedure |
$1,220.80 |
$1,744 |
0.2× |
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536)
likely a partial charge — not the full procedure |
$1,656.90 |
$2,367 |
0.2× |
Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (27535)
likely a partial charge — not the full procedure |
$1,249.50 |
$1,785 |
0.2× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758)
likely a partial charge — not the full procedure |
$1,259.30 |
$1,799 |
0.1× |
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823)
likely a partial charge — not the full procedure |
$1,385.30 |
$1,979 |
0.2× |
Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685)
likely a partial charge — not the full procedure |
$929.60 |
$1,328 |
0.1× |
Open treatment of ulnar shaft fracture (25545)
likely a partial charge — not the full procedure |
$890.40 |
$1,272 |
0.1× |
Open treatment posterior malleolus fracture (27769)
likely a partial charge — not the full procedure |
$1,022.70 |
$1,461 |
0.1× |
Open treatment radial shaft fracture (25515)
likely a partial charge — not the full procedure |
$952.70 |
$1,361 |
0.1× |
Open treatment talus fracture (28445)
likely a partial charge — not the full procedure |
$1,469.30 |
$2,099 |
0.2× |
Open treatment tarsometatarsal joint dislocation (28615)
likely a partial charge — not the full procedure |
$1,173.20 |
$1,676 |
0.2× |
Open tx distal fibular fracture lat malleolus (27792)
likely a partial charge — not the full procedure |
$912.10 |
$1,303 |
0.1× |
| Open tx distal phalangeal fracture each (26765) |
$723.80 |
$1,034 |
0.2× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$809.90 |
$1,157 |
0.2× |
| Open tx interphalangeal joint dislocation 1 (26785) |
$784 |
$1,120 |
0.2× |
| Open tx metacarpal fracture single ea bone (26615) |
$822.50 |
$1,175 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$849.10 |
$1,213 |
0.2× |
Open tx prox humeral fx (23615)
likely a partial charge — not the full procedure |
$1,242.50 |
$1,775 |
0.1× |
Open tx tarsal fracture xcp talus &calcaneus ea (28465)
likely a partial charge — not the full procedure |
$908.60 |
$1,298 |
0.1× |
| Ostectomy, calcaneus; Age Under 21 (28118) |
$857.50 |
$1,225 |
0.2× |
| Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal… (28114) |
$1,505.70 |
$2,151 |
0.4× |
| Ostectomy, complete excision; fifth metatarsal head Age Under 21 (28113) |
$828.80 |
$1,184 |
0.2× |
| Ostectomy, complete excision; first metatarsal head Age Under 21 (28111) |
$672 |
$960 |
0.2× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Age Under 21 (28112) |
$683.90 |
$977 |
0.2× |
| Ostectomy, excision of tarsal coalition Age Under 21 (28116) |
$1,085 |
$1,550 |
0.3× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) Age Under 21 (28110) |
$658 |
$940 |
0.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head Age Under 21 (28288) |
$856.80 |
$1,224 |
0.2× |
Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876) Age Under 21 (24420)
likely a partial charge — not the full procedure |
$1,497.30 |
$2,139 |
0.2× |
Osteoplasty, radius OR ulna; shortening Age Under 21 (25390)
likely a partial charge — not the full procedure |
$1,084.30 |
$1,549 |
0.1× |
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar (22224)
likely a partial charge — not the full procedure |
$2,203.60 |
$3,148 |
0.3× |
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic (22222)
unusually low — confirm this is the full procedure |
$2,449.30 |
$3,499 |
0.3× |
Osteotomy tibia (27705)
likely a partial charge — not the full procedure |
$1,052.80 |
$1,504 |
0.1× |
Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485)
likely a partial charge — not the full procedure |
$1,334.90 |
$1,907 |
0.1× |
Osteotomy, humerus, with or without internal fixation Age Under 21 (24400)
likely a partial charge — not the full procedure |
$1,166.20 |
$1,666 |
0.2× |
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27455)
likely a partial charge — not the full procedure |
$1,347.50 |
$1,925 |
0.2× |
Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) Age Under 21 (28310)
likely a partial charge — not the full procedure |
$774.90 |
$1,107 |
0.1× |
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal Age Under 21 (28306)
likely a partial charge — not the full procedure |
$865.20 |
$1,236 |
0.1× |
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309)
likely a partial charge — not the full procedure |
$1,267.70 |
$1,811 |
0.2× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each… (28308) |
$811.30 |
$1,159 |
0.2× |
Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation Age Under 21 (28300)
likely a partial charge — not the full procedure |
$914.90 |
$1,307 |
0.1× |
| Osteotomy; phalanx of finger, each Age Under 21 (26567) |
$1,028.30 |
$1,469 |
0.3× |
| Other procedure on uterus accessed through vagina using an endoscope (58579) |
$999.60 |
$1,428 |
4.7× |
Other procedure on uterus using an endoscope (58578)
likely a partial charge — not the full procedure |
$833 |
$1,190 |
0.1× |
Ovarian cystectomy, unilateral or bilateral (58925)
likely a partial charge — not the full procedure |
$1,068.20 |
$1,526 |
0.2× |
Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach (57284)
likely a partial charge — not the full procedure |
$1,157.10 |
$1,653 |
0.2× |
Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach (57285)
likely a partial charge — not the full procedure |
$964.60 |
$1,378 |
0.1× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$122.50 |
$175 |
0.6× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$128.80 |
$184 |
0.6× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$273.35 |
$390.50 |
1.3× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Age Under 21 (24140) |
$994 |
$1,420 |
0.3× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Age Under… (24147) |
$894.60 |
$1,278 |
0.3× |
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck Age… (24145)
likely a partial charge — not the full procedure |
$844.20 |
$1,206 |
0.1× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx… (26235) |
$704.20 |
$1,006 |
0.4× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg,… (27360) |
$1,274 |
$1,820 |
0.4× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Age Under 21 (25150) |
$806.40 |
$1,152 |
0.2× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Age Under 21 (27641) |
$917 |
$1,310 |
0.3× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$947.80 |
$1,354 |
0.3× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$837.90 |
$1,197 |
0.2× |
| Partial excision bone metacarpal (26230) |
$713.30 |
$1,019 |
0.2× |
| Partial excision bone tibia (27640) |
$1,166.20 |
$1,666 |
0.3× |
| Partial excision distal phalanx finger (26236) |
$632.80 |
$904 |
0.4× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge — not the full procedure |
$982.80 |
$1,404 |
0.2× |
| Partical excision bone phalanx toe (28124) |
$1,102.15 |
$1,574.50 |
0.3× |
| Pelvis/hip joint surgery unlisted (27299) |
$3,987.90 |
$5,697 |
15.3× |
| Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) |
$371.70 |
$531 |
0.5× |
| Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint Age… (26676) |
$735 |
$1,050 |
0.2× |
| Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation Age… (26650) |
$694.40 |
$992 |
0.2× |
Percutaneous skeletal fixation of femoral fracture, distal end, medial or lateral condyle, or supracondylar or… (27509)
likely a partial charge — not the full procedure |
$959 |
$1,370 |
0.1× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
likely a partial charge — not the full procedure |
$1,269.80 |
$1,814 |
0.2× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Age Under 21 (28496) |
$726.60 |
$1,038 |
0.2× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation Age Under 21 (28666) |
$248.50 |
$355 |
0.1× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$693.70 |
$991 |
0.2× |
| Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation Age Under 21 (26706) |
$644.70 |
$921 |
0.2× |
| Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each Age Under 21 (28476) |
$558.60 |
$798 |
0.2× |
Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538)
likely a partial charge — not the full procedure |
$1,120 |
$1,600 |
0.1× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Age Under 21 (28606) |
$559.30 |
$799 |
0.2× |
Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) Age… (27756)
likely a partial charge — not the full procedure |
$821.80 |
$1,174 |
0.1× |
| Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) |
$683.90 |
$977 |
0.2× |
| Perq dev breast 1st strtctc (19283) |
$366.80 |
$524 |
0.5× |
| Perq dev breast 1st us imag (19285) |
$1,235.15 |
$1,764.50 |
1.7× |
| Perq device breast 1st imag (19281) |
$815.50 |
$1,165 |
0.5× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,057.70 |
$1,511 |
0.5× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$17,625.30 |
$25,179 |
2.3× |
Pf-as amputation leg through tibia & fibula (27880)
likely a partial charge — not the full procedure |
$1,225.70 |
$1,751 |
0.2× |
| Phalangectomy, toe, each toe Age Under 21 (28150) |
$593.60 |
$848 |
0.2× |
| Pin finger fracture each (26756) |
$613.90 |
$877 |
0.2× |
| Placement of seton (46020) |
$161.70 |
$231 |
0.1× |
| Placement of stabilizing device for broken base of forearm bone on small finger side at wrist (25651) |
$705.60 |
$1,008 |
0.2× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy Age Under 21 (57250)
likely a partial charge — not the full procedure |
$859.60 |
$1,228 |
0.2× |
| Pr resection partial/complete phalangeal base each (28126) |
$555.80 |
$794 |
0.2× |
| Prineoplasty rpr pr nonobal spx (56810) |
$382.20 |
$546 |
0.1× |
| Proctosigmoidoscopy dx (45300) |
$523.60 |
$748 |
0.5× |
Prq impltj nstim electrode array epidural (63650)
likely a partial charge — not the full procedure |
$1,799.70 |
$2,571 |
0.3× |
| Prq skel fixj iphal jt dislc 1 w/mnpj (26776) |
$649.60 |
$928 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$254.10 |
$363 |
0.6× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$396.20 |
$566 |
0.9× |
| Puncture aspiration of cyst of breast (19000) |
$192.15 |
$274.50 |
0.3× |
| Pvb thoracic single injection site w/img gid (64461) |
$434.70 |
$621 |
0.6× |
Quadricepsplasty (eg, Bennett or Thompson type) Age Under 21 (27430)
likely a partial charge — not the full procedure |
$1,047.90 |
$1,497 |
0.1× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,072.40 |
$1,532 |
0.6× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$863.10 |
$1,233 |
0.3× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$1,050.70 |
$1,501 |
0.3× |
| Radial styloidectomy (separate procedure) Age Under 21 (25230) |
$620.90 |
$887 |
0.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; less than 5 cm Age Under 21 (27615) |
$1,407 |
$2,010 |
0.5× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,105.60 |
$3,008 |
1.0× |
| Realignment of extensor tendon, hand, each tendon (26437) |
$955.50 |
$1,365 |
0.3× |
Reattachment of shoulder joint capsule and cartilage without bone transfer with repair of shoulder rim (23455)
likely a partial charge — not the full procedure |
$1,378.30 |
$1,969 |
0.2× |
Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type… (28238)
likely a partial charge — not the full procedure |
$947.80 |
$1,354 |
0.1× |
Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft tissue… (25337)
likely a partial charge — not the full procedure |
$1,257.20 |
$1,796 |
0.2× |
Reconstruction of dislocating patella; (eg, Hauser type procedure) Age Under 21 (27420)
likely a partial charge — not the full procedure |
$1,058.40 |
$1,512 |
0.1× |
| Reconstruction of nail bed with graft Age Under 21 (11762) |
$408.80 |
$584 |
0.2× |
| Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly… (28313) |
$749 |
$1,070 |
0.2× |
| Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web Age Under 21 (28345) |
$725.20 |
$1,036 |
0.4× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age Under 21 (24342)
likely a partial charge — not the full procedure |
$1,090.60 |
$1,558 |
0.1× |
| Release i-p jt contracture (26525) |
$984.20 |
$1,406 |
0.6× |
| Release of ligaments at outer side of knee joint using an endoscope (29873) |
$767.90 |
$1,097 |
0.2× |
Release of tendon connecting biceps muscle and shoulder using an endoscope (29828)
likely a partial charge — not the full procedure |
$1,283.80 |
$1,834 |
0.2× |
| Release, intrinsic muscles of hand, each muscle Age Under 21 (26593) |
$925.40 |
$1,322 |
0.3× |
| Release, tarsal tunnel (posterior tibial nerve decompression) Age Under 21 (28035) |
$749 |
$1,070 |
0.4× |
| Relieve pressure on nerve(s) (64722) |
$524.30 |
$749 |
0.3× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$342.30 |
$489 |
0.5× |
| Removal foreign body upper arm/elbow deep (24201) |
$881.30 |
$1,259 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$23.10 |
$33 |
0.4× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$67.20 |
$96 |
1.1× |
| Removal implant deep (20680) |
$851.20 |
$1,216 |
0.3× |
| Removal implant from finger/hand (26320) |
$501.90 |
$717 |
0.3× |
| Removal implant superficial (20670) |
$508.90 |
$727 |
0.3× |
| Removal implantable contraceptive capsules (11976) |
$204.40 |
$292 |
0.3× |
| Removal of anal fissure (46200) |
$678.30 |
$969 |
0.2× |
| Removal of ankle implant (27704) |
$800.80 |
$1,144 |
0.2× |
Removal of appendix using an endoscope (44970)
likely a partial charge — not the full procedure |
$833.70 |
$1,191 |
0.1× |
Removal of dead upper arm bone for bone infection in the main portion and lower portion or the bone (24134)
likely a partial charge — not the full procedure |
$1,054.90 |
$1,507 |
0.1× |
| Removal of extensive damaged tissue from elbow joint using an endoscope (29838) |
$842.80 |
$1,204 |
0.2× |
| Removal of external bone stabilizing device under anesthesia|RIGHT SIDE (20694) |
$615.30 |
$879 |
0.4× |
Removal of fluid-filled sac (bursa) of pelvis (27060)
likely a partial charge — not the full procedure |
$665.70 |
$951 |
0.1× |
| Removal of fluid-filled sac (bursa) or calcium deposit of pelvis (27062) |
$646.80 |
$924 |
0.2× |
| Removal of fluid-filled sac from joint at front of knee (27340) |
$539.70 |
$771 |
0.2× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$310.80 |
$444 |
0.2× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$39.90 |
$57 |
0.3× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$85.40 |
$122 |
0.2× |
| Removal of foreign body, foot; deep (28192) |
$1,375.50 |
$1,965 |
0.8× |
| Removal of heel spur (28119) |
$745.50 |
$1,065 |
0.2× |
| Removal of iud (58301) |
$239.40 |
$342 |
0.7× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$675.50 |
$965 |
0.2× |
| Removal of nail bed (11750) |
$421.75 |
$602.50 |
1.0× |
Removal of posterior nonsegmental instrumentation (eg, harrington rod) (22850)
likely a partial charge — not the full procedure |
$1,029 |
$1,470 |
0.1× |
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335)
likely a partial charge — not the full procedure |
$1,764.70 |
$2,521 |
0.2× |
Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component Age Under 21 (23334)
likely a partial charge — not the full procedure |
$1,480.50 |
$2,115 |
0.2× |
| Removal of scar tissue of tendon on bottom side of foot (28220) |
$639.10 |
$913 |
0.4× |
Removal of segmental stabilizing device from back of spine (22852)
likely a partial charge — not the full procedure |
$993.30 |
$1,419 |
0.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$364.70 |
$521 |
1.7× |
| Removal of small bone underlying long bone of foot at big toe joint (28315) |
$676.90 |
$967 |
0.2× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$1,191.40 |
$1,702 |
0.3× |
Removal of stabilizing device from front of spine (22855)
likely a partial charge — not the full procedure |
$1,538.60 |
$2,198 |
0.2× |
| Removal of wrist bone (25210) |
$706.30 |
$1,009 |
0.2× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$89.60 |
$128 |
0.3× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) Age Under 21 (57287) |
$1,041.60 |
$1,488 |
0.3× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$198.80 |
$284 |
0.4× |
| Removal, non-biodegradable drug delivery implant (11982) |
$156.10 |
$223 |
0.3× |
| Remove eyelid foreign body (67938) |
$386.40 |
$552 |
1.2× |
| Remove vaginal foreign body (57415) |
$247.80 |
$354 |
0.1× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$726.60 |
$1,038 |
0.4× |
Repair achilles tendon (27650)
likely a partial charge — not the full procedure |
$928.90 |
$1,327 |
0.1× |
| Repair anal fistula (46288) |
$784.70 |
$1,121 |
0.3× |
| Repair blood vessel upper ext (35206) |
$1,066.80 |
$1,524 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$550.20 |
$786 |
1.3× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$665.70 |
$951 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$602.70 |
$861 |
1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$563.50 |
$805 |
0.7× |
| Repair elbow deb/attch open (24359) |
$940.10 |
$1,343 |
0.3× |
| Repair extensor tendon hand w/o graft each (26410) |
$864.50 |
$1,235 |
0.5× |
Repair fibula nonunion/malunion w int fixation (27726)
likely a partial charge — not the full procedure |
$1,334.90 |
$1,907 |
0.2× |
| Repair finger tendon (26418) |
$1,551.90 |
$2,217 |
0.9× |
| Repair finger tendon (26433) |
$821.80 |
$1,174 |
0.2× |
| Repair finger/hand tendon (26350) |
$1,071.70 |
$1,531 |
0.3× |
| Repair forearm tendon/muscle (25260) |
$903.70 |
$1,291 |
0.3× |
| Repair initial femoral hernia, any age; incarcerated or strangulated Age Under 21 (49553) |
$875.70 |
$1,251 |
0.2× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$403.90 |
$577 |
0.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$503.30 |
$719 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$620.90 |
$887 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$883.75 |
$1,262.50 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$544.60 |
$778 |
0.7× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$695.45 |
$993.50 |
1.6× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$1,216.60 |
$1,738 |
2.8× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,005.55 |
$1,436.50 |
1.3× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$516.60 |
$738 |
1.2× |
| Repair intrinsic muscles hand each muscle (26591) |
$706.30 |
$1,009 |
0.2× |
Repair lower leg tendons (27676)
likely a partial charge — not the full procedure |
$859.60 |
$1,228 |
0.1× |
Repair medial collateral ligament, elbow, with local tissue Age Under 21 (24345)
likely a partial charge — not the full procedure |
$1,010.10 |
$1,443 |
0.1× |
| Repair of blocked uterine tube opening (58770) |
$1,197.70 |
$1,711 |
0.4× |
| Repair of digit nerve (64831) |
$979.30 |
$1,399 |
0.5× |
| Repair of dislocating lower leg tendons without a cut through the lower leg bone on the outside of the leg (fibula) (27675) |
$700.70 |
$1,001 |
0.2× |
| Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Age Under… (26434) |
$996.10 |
$1,423 |
0.3× |
| Repair of fibrous tissue of arch of foot using an endoscope (29893) |
$947.80 |
$1,354 |
0.3× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$403.90 |
$577 |
0.9× |
| Repair of leg tendon each (27658) |
$524.30 |
$749 |
0.2× |
| Repair of nail bed (11760) |
$777.35 |
$1,110.50 |
1.0× |
Repair of nonunion or malunion, humerus; without graft (eg, compression technique) Age Under 21 (24430)
likely a partial charge — not the full procedure |
$1,477 |
$2,110 |
0.1× |
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Age Under 21 (25420)
likely a partial charge — not the full procedure |
$1,628.20 |
$2,326 |
0.2× |
Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft) (27724)
likely a partial charge — not the full procedure |
$1,740.90 |
$2,487 |
0.2× |
Repair of nonunion or malunion, tibia; without graft, (eg, compression technique) Age Under 21 (27720)
likely a partial charge — not the full procedure |
$1,225 |
$1,750 |
0.2× |
Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft… (25440)
likely a partial charge — not the full procedure |
$1,085 |
$1,550 |
0.1× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute Age Under 21 (23410)
likely a partial charge — not the full procedure |
$1,152.90 |
$1,647 |
0.2× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Age Under 21 (23412)
likely a partial charge — not the full procedure |
$1,197.70 |
$1,711 |
0.2× |
| Repair of syndactyly (web finger) each web space; with skin flaps and grafts Age Under 21 (26561) |
$1,392.30 |
$1,989 |
0.4× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon Age Under 21 (26370) |
$1,120 |
$1,600 |
0.3× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) |
$1,132.60 |
$1,618 |
0.3× |
Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free… (26358)
likely a partial charge — not the full procedure |
$1,391.60 |
$1,988 |
0.2× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without… (26357) |
$1,264.20 |
$1,806 |
0.4× |
Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with… (26352)
likely a partial charge — not the full procedure |
$1,187.90 |
$1,697 |
0.2× |
| Repair vagina/perineum (57210) |
$553.70 |
$791 |
0.2× |
| Repair wrist joints (25447) |
$1,177.40 |
$1,682 |
0.3× |
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Age Under 21 (27665)
likely a partial charge — not the full procedure |
$602.70 |
$861 |
0.1× |
Repair, flexor tendon, leg; secondary, with or without graft, each tendon Age Under 21 (27659)
likely a partial charge — not the full procedure |
$667.80 |
$954 |
0.1× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Age Under 21 (28322)
likely a partial charge — not the full procedure |
$1,112.30 |
$1,589 |
0.1× |
Repair, nonunion or malunion; tarsal bones Age Under 21 (28320)
likely a partial charge — not the full procedure |
$867.30 |
$1,239 |
0.1× |
Repair, primary, disrupted ligament, ankle; both collateral ligaments Age Under 21 (27696)
likely a partial charge — not the full procedure |
$772.80 |
$1,104 |
0.1× |
Repair, primary, disrupted ligament, ankle; collateral Age Under 21 (27695)
likely a partial charge — not the full procedure |
$688.80 |
$984 |
0.1× |
Repair, primary, torn ligament and/or capsule, knee; collateral Age Under 21 (27405)
likely a partial charge — not the full procedure |
$957.60 |
$1,368 |
0.1× |
Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments Age Under 21 (27409)
likely a partial charge — not the full procedure |
$1,355.90 |
$1,937 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; cruciate Age Under 21 (27407)
likely a partial charge — not the full procedure |
$1,124.20 |
$1,606 |
0.1× |
Repair, secondary, Achilles tendon, with or without graft Age Under 21 (27654)
likely a partial charge — not the full procedure |
$1,008.70 |
$1,441 |
0.1× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Age Under 21 (27698)
likely a partial charge — not the full procedure |
$896.70 |
$1,281 |
0.1× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Age Under 21 (25272) |
$797.30 |
$1,139 |
0.2× |
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Age Under 21 (25263)
likely a partial charge — not the full procedure |
$903 |
$1,290 |
0.1× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25265) |
$1,066.10 |
$1,523 |
0.3× |
Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age… (24341)
likely a partial charge — not the full procedure |
$1,066.10 |
$1,523 |
0.1× |
| Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor… (25275) |
$954.10 |
$1,363 |
0.3× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$688.10 |
$983 |
0.2× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon Age Under 21 (28200) |
$700.70 |
$1,001 |
0.2× |
Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Age Under 21 (28202)
likely a partial charge — not the full procedure |
$843.50 |
$1,205 |
0.1× |
Repair/graft achilles tendon (27652)
likely a partial charge — not the full procedure |
$944.30 |
$1,349 |
0.1× |
Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system Age Under 21 (62230)
likely a partial charge — not the full procedure |
$1,171.80 |
$1,674 |
0.1× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,015.70 |
$1,451 |
0.3× |
Resection, humeral head Age Under 21 (23195)
likely a partial charge — not the full procedure |
$1,054.90 |
$1,507 |
0.1× |
| Reset dislocated jaw (21480) |
$203 |
$290 |
0.8× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge — not the full procedure |
$2,403.80 |
$3,434 |
0.2× |
| Revise finger joint (26535) |
$628.60 |
$898 |
0.2× |
| Revise thumb tendon (26490) |
$1,194.20 |
$1,706 |
0.3× |
| Revise ulnar nerve at elbow (64718) |
$858.20 |
$1,226 |
0.4× |
| Revise ulnar nerve at wrist (64719) |
$581 |
$830 |
0.3× |
| Revision (including removal) of prosthetic vaginal graft; vaginal approach Age Under 21 (57295) |
$702.80 |
$1,004 |
0.2× |
Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via… (63664)
likely a partial charge — not the full procedure |
$1,239 |
$1,770 |
0.1× |
| Revision of cervix (59320) |
$207.20 |
$296 |
0.1× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft (27137)
likely a partial charge — not the full procedure |
$2,028.60 |
$2,898 |
0.1× |
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134)
likely a partial charge — not the full procedure |
$2,626.40 |
$3,752 |
0.2× |
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
likely a partial charge — not the full procedure |
$2,105.60 |
$3,008 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; 1 component (27486)
likely a partial charge — not the full procedure |
$1,950.90 |
$2,787 |
0.1× |
Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component (23473)
likely a partial charge — not the full procedure |
$2,228.80 |
$3,184 |
0.2× |
| Revision or removal of peripheral neurostimulator electrode array Age Under 21 (64585) |
$343.70 |
$491 |
0.1× |
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
likely a partial charge — not the full procedure |
$1,960.70 |
$2,801 |
0.3× |
| Revj/rmvl impl spi npg/rcvr dtch connj eltrd ra (63688) |
$419.30 |
$599 |
0.1× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$212.80 |
$304 |
1.5× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$95.90 |
$137 |
0.7× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$659.40 |
$942 |
0.2× |
| Rmvl of access device (36589) |
$1,135.40 |
$1,622 |
1.7× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$974.40 |
$1,392 |
0.5× |
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge — not the full procedure |
$870.10 |
$1,243 |
0.1× |
Rpr non-union mtcrpl/phalanx (26546)
likely a partial charge — not the full procedure |
$1,477.70 |
$2,111 |
0.2× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$877.10 |
$1,253 |
0.2× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$706.30 |
$1,009 |
0.2× |
| Rpr xtnsr tdn ctr slip 2 tiss w/lat band ea fngr (26426) |
$720.30 |
$1,029 |
0.2× |
| Rpr&rcnstj finger volar plate interphalangeal jt (26548) |
$1,140.30 |
$1,629 |
0.3× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$2,839.90 |
$4,057 |
0.8× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Age Under 21 (25145) |
$744.10 |
$1,063 |
0.2× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$143.50 |
$205 |
0.3× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$195.30 |
$279 |
0.9× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$426.30 |
$609 |
0.3× |
Simple complete removal of breast|BILATERAL PROCEDURE (19303)
likely a partial charge — not the full procedure |
$1,324.40 |
$1,892 |
0.2× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$260.40 |
$372 |
1.2× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$270.55 |
$386.50 |
1.3× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$200.90 |
$287 |
0.9× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$242.20 |
$346 |
1.1× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$191.80 |
$274 |
0.9× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$325.50 |
$465 |
1.5× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$504.35 |
$720.50 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$304.50 |
$435 |
1.4× |
Sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (57288)
likely a partial charge — not the full procedure |
$1,038.10 |
$1,483 |
0.2× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$262.50 |
$375 |
1.2× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$408.45 |
$583.50 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$287.70 |
$411 |
0.7× |
| Strapping ankle (29540) |
$39.20 |
$56 |
0.2× |
| Strapping elbow or wrist (29260) |
$40.60 |
$58 |
0.7× |
| Strapping of knee (29530) |
$41.30 |
$59 |
0.3× |
| Strapping of shoulder (29240) |
$42 |
$60 |
0.3× |
| Strapping of toes (29550) |
$27.30 |
$39 |
0.4× |
| Strapping unna boot (29580) |
$131.25 |
$187.50 |
0.8× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$366.80 |
$524 |
0.5× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$1,312.85 |
$1,875.50 |
1.7× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$1,606.50 |
$2,295 |
3.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Age Under 21 (46275) |
$800.10 |
$1,143 |
0.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age Under 21 (46270) |
$756.70 |
$1,081 |
0.3× |
| Suture 1 nerve ulnar motor (64836) |
$1,142.40 |
$1,632 |
0.3× |
| Suture of 1 nerve; hand or foot, common sensory nerve Age Under 21 (64834) |
$1,045.10 |
$1,493 |
0.3× |
| Suture of 1 nerve; median motor thenar Age Under 21 (64835) |
$1,142.40 |
$1,632 |
0.3× |
Suture of infrapatellar tendon; primary Age Under 21 (27380)
likely a partial charge — not the full procedure |
$885.50 |
$1,265 |
0.1× |
Suture of major peripheral nerve, arm or leg, except sciatic; including transposition Age Under 21 (64856)
likely a partial charge — not the full procedure |
$1,399.30 |
$1,999 |
0.2× |
| Syndactylization, toes (eg, webbing or Kelikian type procedure) Age Under 21 (28280) |
$715.40 |
$1,022 |
0.2× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; Age Under 21 (25118) |
$551.60 |
$788 |
0.3× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Age… (26135) |
$788.90 |
$1,127 |
0.2× |
| Synovectomy, tendon sheath, foot; flexor Age Under 21 (28086) |
$743.40 |
$1,062 |
0.2× |
Synovectomy; intertarsal or tarsometatarsal joint, each Age Under 21 (28070)
likely a partial charge — not the full procedure |
$718.90 |
$1,027 |
0.1× |
| Synovectomy; metatarsophalangeal joint, each Age Under 21 (28072) |
$696.50 |
$995 |
0.2× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$737.80 |
$1,054 |
0.4× |
| Tangential biopsy skin single lesion (11102) |
$143.50 |
$205 |
0.3× |
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Age Under 21 (20924)
likely a partial charge — not the full procedure |
$712.60 |
$1,018 |
0.1× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Age Under 21 (25310) |
$884.10 |
$1,263 |
0.3× |
Tenodesis long tendon biceps (23430)
likely a partial charge — not the full procedure |
$1,050.70 |
$1,501 |
0.1× |
| Tenodesis proximal interphalangeal joint each (26471) |
$946.40 |
$1,352 |
0.3× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$869.40 |
$1,242 |
0.3× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$933.80 |
$1,334 |
0.6× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$596.40 |
$852 |
0.2× |
| Tenolysis, extensor, foot; single tendon Age Under 21 (28225) |
$587.30 |
$839 |
0.2× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25295) |
$751.80 |
$1,074 |
0.2× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Age Under 21 (27681) |
$718.90 |
$1,027 |
0.2× |
| Tenotomy adductor hip percutaneous spx (27000) |
$2,336.60 |
$3,338 |
1.4× |
| Tenotomy elbow lateral/medial percutaneous (24357) |
$2,441.60 |
$3,488 |
0.7× |
| Tenotomy percutaneous toe multiple tendon (28011) |
$448 |
$640 |
0.3× |
| Tenotomy percutaneous toe single tendon (28010) |
$856.80 |
$1,224 |
0.5× |
| Tenotomy prq achilles tendon spx local anes (27605) |
$3,987.90 |
$5,697 |
2.4× |
| Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or… (24358) |
$756 |
$1,080 |
0.2× |
| Tenotomy, extensor, hand or finger, open, each tendon Age Under 21 (26460) |
$651 |
$930 |
0.4× |
| Tenotomy, flexor, finger, open, each tendon Age Under 21 (26455) |
$664.30 |
$949 |
0.4× |
| Tenotomy, hip flexor(s), open (separate procedure) (27005) |
$939.40 |
$1,342 |
0.3× |
| Tenotomy, lengthening, or release, abductor hallucis muscle Age Under 21 (28240) |
$627.90 |
$897 |
0.2× |
| Tenotomy, open, extensor, foot or toe, each tendon Age Under 21 (28234) |
$583.80 |
$834 |
0.3× |
| Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25290) |
$625.10 |
$893 |
0.2× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) Age Under 21 (28232) |
$536.20 |
$766 |
0.3× |
| Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure) Age Under 21 (27306) |
$2,027.20 |
$2,896 |
0.6× |
Tenotomy, shoulder area; multiple tendons through same incision Age Under 21 (23406)
likely a partial charge — not the full procedure |
$1,028.30 |
$1,469 |
0.1× |
Tenotomy, shoulder area; single tendon Age Under 21 (23405)
likely a partial charge — not the full procedure |
$2,223.20 |
$3,176 |
0.3× |
| Therapeutic spinal puncture drainage csf (62272) |
$260.40 |
$372 |
0.3× |
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
likely a partial charge — not the full procedure |
$1,397.69 |
$1,996.70 |
0.1× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$880.25 |
$1,257.50 |
1.3× |
Total knee arthroplasty (27447)
likely a partial charge — not the full procedure |
$1,809.50 |
$2,585 |
0.1× |
Total thyroid lobectomy, unilateral; with or without isthmusectomy Age Under 21 (60220)
likely a partial charge — not the full procedure |
$983.50 |
$1,405 |
0.2× |
| Trachelorrhaphy plstc rpr uterine cervix vag (57720) |
$471.80 |
$674 |
0.1× |
| Transect othr spinal n,xtradural (aka hb transect other spinal n, xtradural) (64772) |
$785.40 |
$1,122 |
0.4× |
| Transfer of tendon to restore intrinsic function; ring and small finger Age Under 21 (26497) |
$1,286.60 |
$1,838 |
0.4× |
| Transfer of tendon to thumb, palm, or wrist (26496) |
$1,288 |
$1,840 |
0.4× |
Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior… (27691)
likely a partial charge — not the full procedure |
$1,047.20 |
$1,496 |
0.1× |
Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690)
likely a partial charge — not the full procedure |
$900.90 |
$1,287 |
0.1× |
| Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining… (26483) |
$1,243.20 |
$1,776 |
0.4× |
| Transfusion, blood or blood components (36430) |
$751.80 |
$1,074 |
1.6× |
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63056)
likely a partial charge — not the full procedure |
$2,060.80 |
$2,944 |
0.3× |
| Transplant hand tendon (26480) |
$1,124.90 |
$1,607 |
0.3× |
| Treat big toe fracture (28495) |
$263.20 |
$376 |
1.0× |
Treat elbow fracture (24586)
likely a partial charge — not the full procedure |
$1,519.70 |
$2,171 |
0.1× |
| Treat finger dislocation (26775) |
$581 |
$830 |
2.0× |
| Treat foot dislocation (28545) |
$454.30 |
$649 |
0.1× |
| Treat fx distal radial (25606) |
$954.10 |
$1,363 |
0.3× |
Treat fx rad extra-articul (25607)
likely a partial charge — not the full procedure |
$1,052.10 |
$1,503 |
0.1× |
| Treat knee fracture (27532) |
$889.70 |
$1,271 |
0.3× |
| Treat lower leg fracture (27825) |
$784.70 |
$1,121 |
0.5× |
Treat radius fracture (24665)
likely a partial charge — not the full procedure |
$935.20 |
$1,336 |
0.1× |
| Treat thumb fracture (26665) |
$894.60 |
$1,278 |
0.3× |
| Treat thumb fracture (26645) |
$632.80 |
$904 |
0.4× |
| Treat wrist bone fracture (25635) |
$682.50 |
$975 |
0.4× |
| Treat wrist dislocation (25690) |
$710.50 |
$1,015 |
0.4× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$688.10 |
$983 |
0.4× |
Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609)
likely a partial charge — not the full procedure |
$1,484 |
$2,120 |
0.2× |
Treatment of ankle fracture (27822)
likely a partial charge — not the full procedure |
$1,232.70 |
$1,761 |
0.2× |
Treatment of broken base of forearm bone on small finger side at wrist (25652)
likely a partial charge — not the full procedure |
$886.90 |
$1,267 |
0.1× |
Treatment of broken middle part of upper arm bone with placement of stabilizing device (plate/screws) (24515)
likely a partial charge — not the full procedure |
$1,239.70 |
$1,771 |
0.1× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$550.20 |
$786 |
2.1× |
Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking… (24516)
likely a partial charge — not the full procedure |
$1,206.10 |
$1,723 |
0.1× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant,… (27245)
likely a partial charge — not the full procedure |
$1,708 |
$2,440 |
0.2× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
likely a partial charge — not the full procedure |
$1,710.10 |
$2,443 |
0.2× |
| Treatment of miscarriage (59812) |
$508.90 |
$727 |
0.1× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$1,294.30 |
$1,849 |
0.4× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$309.40 |
$442 |
1.2× |
Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without… (27759)
likely a partial charge — not the full procedure |
$1,394.40 |
$1,992 |
0.1× |
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (27236)
likely a partial charge — not the full procedure |
$1,663.90 |
$2,377 |
0.2× |
| Trimming of nondystrophic nails, any number (11719) |
$20.30 |
$29 |
0.3× |
| Tx superficial wound dehiscence simple closure (12020) |
$836.85 |
$1,195.50 |
1.1× |
| Vaginal delivery (59409) |
$1,089.20 |
$1,556 |
0.3× |
Vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58260)
likely a partial charge — not the full procedure |
$1,168.30 |
$1,669 |
0.2× |
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) Age Under 21 (58262)
likely a partial charge — not the full procedure |
$1,289.40 |
$1,842 |
0.2× |
Vaginal hysterectomy, for uterus greater than 250 g; (58290)
likely a partial charge — not the full procedure |
$1,594.60 |
$2,278 |
0.2× |
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) (58291)
unusually low — confirm this is the full procedure |
$1,722 |
$2,460 |
0.3× |
| Venipuncture (36415) |
$19.60 |
$28 |
2.1× |
| Wedge excision skin nail fold (11765) |
$238 |
$340 |
0.6× |