| Abd paracentesis (49082) |
$1,252 |
$2,504 |
1.3× |
| Abd paracentesis w/imaging (49083) |
$1,553 |
$3,106 |
1.6× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$7,662 |
$15,324 |
0.7× |
Ablation bone tumor rf perq w/img gdn when done (20982)
likely a partial charge — not the full procedure |
$4,389.50 |
$8,779 |
0.2× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32998) |
$8,807.50 |
$17,615 |
1.4× |
| Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy (50593) |
$11,965.50 |
$23,931 |
1.1× |
| Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Age Under 21 (14301) |
$2,709.75 |
$5,419.50 |
0.7× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$666 |
$1,332 |
0.3× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$1,685.25 |
$3,370.50 |
0.8× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14041) |
$2,315.50 |
$4,631 |
1.1× |
| Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14021) |
$709 |
$1,418 |
0.3× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Age Under 21 (14000) |
$506.50 |
$1,013 |
0.2× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14001) |
$653 |
$1,306 |
0.3× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$818.50 |
$1,637 |
0.4× |
| Adjt tis trnsfr/reargmt scalp/arm/leg 10 sq cm/< (14020) |
$570 |
$1,140 |
0.3× |
| Amniocentesis diagnostic (59000) |
$501.25 |
$1,002.50 |
0.5× |
| Amniocentesis therapeutic (59001) |
$445.50 |
$891 |
1.4× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$2,734.50 |
$5,469 |
0.8× |
| Amputation Foot Transmetarsal|RIGHT SIDE (28805) |
$699.50 |
$1,399 |
0.2× |
| Amputation of finger/thumb (26952) |
$4,471.50 |
$8,943 |
1.3× |
| Amputation of toe (28820) |
$175 |
$350 |
0.1× |
| Amputation toe interphalangeal joint (28825) |
$170.50 |
$341 |
0.0× |
| Amputation, foot; midtarsal (eg, Chopart type procedure) (28800) |
$527.50 |
$1,055 |
0.2× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) (27882) |
$578.50 |
$1,157 |
0.2× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$639.50 |
$1,279 |
0.2× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Age Under 21 (27884) |
$572 |
$1,144 |
0.2× |
| Amputation, metatarsal, with toe, single Age Under 21 (28810) |
$422.50 |
$845 |
0.1× |
| Amputation, thigh, through femur, any level; (27590) |
$764.50 |
$1,529 |
0.2× |
| Amputation, thigh, through femur, any level; re-amputation (27596) |
$699.50 |
$1,399 |
0.2× |
| Amputation, thigh, through femur, any level; secondary closure or scar revision Age Under 21 (27594) |
$502 |
$1,004 |
0.1× |
| Analyze infusn pump+reprogram (62368) |
$34 |
$68 |
0.1× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$475 |
$950 |
1.5× |
| Anoplasty, plastic operation for stricture; adult Age Under 21 (46700) |
$652 |
$1,304 |
0.2× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$104 |
$208 |
0.0× |
| Anoscopy and biopsy (46606) |
$75 |
$150 |
0.1× |
| Anoscopy diagnostic (46600) |
$174.75 |
$349.50 |
1.2× |
| Anoscopy remove for body (46608) |
$1,227.50 |
$2,455 |
1.2× |
| Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler,… (46614) |
$801 |
$1,602 |
0.6× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Age Under 21 (46610) |
$79.50 |
$159 |
0.0× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)
likely a partial charge — not the full procedure |
$612 |
$1,224 |
0.1× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$82.50 |
$165 |
0.1× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$2,372.75 |
$4,745.50 |
1.1× |
Appendectomy (44950)
likely a partial charge — not the full procedure |
$631.50 |
$1,263 |
0.1× |
| Application finger splint static (29130) |
$63.75 |
$127.50 |
0.4× |
| Application of clubfoot cast with molding or manipulation, long or short leg Age Under 21 (29450) |
$338.50 |
$677 |
2.0× |
| Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure) (20660) |
$233 |
$466 |
0.1× |
| Application of halo type body cast (see 20661-20663 for insertion) Age Under 21 (29000) |
$198.50 |
$397 |
0.7× |
| Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric… (20664) |
$893.50 |
$1,787 |
0.5× |
| Application of halo, including removal; cranial (20661) |
$720 |
$1,440 |
0.4× |
| Application of long leg cast (thigh to toes); (29345) |
$338.50 |
$677 |
1.1× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$155.75 |
$311.50 |
0.9× |
| Application of short arm splint (forearm to hand); static (29125) |
$149.75 |
$299.50 |
1.1× |
| Application of short leg cast (below knee to toes); (29405) |
$198.75 |
$397.50 |
0.7× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$54.50 |
$109 |
0.2× |
| Application of short leg splint (calf to foot) (29515) |
$154.25 |
$308.50 |
0.9× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$1,266.25 |
$2,532.50 |
0.6× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$161.25 |
$322.50 |
0.9× |
| Application rigid total contact leg cast (29445) |
$338.50 |
$677 |
1.1× |
| Application, cast; shoulder to hand (long arm) (29065) |
$203.50 |
$407 |
0.7× |
| Apply hand/wrist cast (29085) |
$68.50 |
$137 |
0.4× |
| Apply long arm splint (29105) |
$149.75 |
$299.50 |
0.9× |
| Apply patella tendon bearing cast (29435) |
$338.50 |
$677 |
1.1× |
| Apply splint short arm dynamic (29126) |
$106.50 |
$213 |
0.8× |
Arteriovenous anastomosis, open; by forearm vein transposition Age Under 21 (36820)
likely a partial charge — not the full procedure |
$698.50 |
$1,397 |
0.1× |
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Age Under 21 (36818)
likely a partial charge — not the full procedure |
$658 |
$1,316 |
0.1× |
| Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) Age Under 21 (36821) |
$629.50 |
$1,259 |
0.2× |
Arthrd ant interbody min dsc crv below c2 (22554)
likely a partial charge — not the full procedure |
$1,253 |
$2,506 |
0.1× |
Arthrd ant interbody min dsc thoracic (22556)
likely a partial charge — not the full procedure |
$1,666 |
$3,332 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$207 |
$414 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$519 |
$1,038 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$264.50 |
$529 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$405.25 |
$810.50 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$255.25 |
$510.50 |
0.8× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$282.25 |
$564.50 |
0.9× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge — not the full procedure |
$1,505 |
$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 |
$1,677.50 |
$3,355 |
0.1× |
Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Spinal Fusion… (22808)
likely a partial charge — not the full procedure |
$1,803.50 |
$3,607 |
0.1× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
likely a partial charge — not the full procedure |
$1,784 |
$3,568 |
0.1× |
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533)
likely a partial charge — not the full procedure |
$1,645.50 |
$3,291 |
0.1× |
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22532)
likely a partial charge — not the full procedure |
$1,772.50 |
$3,545 |
0.1× |
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630)
likely a partial charge — not the full procedure |
$1,543 |
$3,086 |
0.1× |
Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Cervical Spinal Fusion (22600)
likely a partial charge — not the full procedure |
$1,298 |
$2,596 |
0.1× |
Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612)
likely a partial charge — not the full procedure |
$1,563.50 |
$3,127 |
0.1× |
Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique,… (22610)
likely a partial charge — not the full procedure |
$1,277 |
$2,554 |
0.1× |
Arthrodesis, posterior technique, atlas-axis (C1-C2) Cervical Spinal Fusion (22595)
likely a partial charge — not the full procedure |
$1,509.50 |
$3,019 |
0.1× |
Arthrodesis, posterior technique, craniocervical (occiput-C2) Cervical Spinal Fusion (22590)
likely a partial charge — not the full procedure |
$1,578 |
$3,156 |
0.1× |
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Spinal Fusion… (22802)
likely a partial charge — not the full procedure |
$2,089 |
$4,178 |
0.1× |
Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Spinal Fusion… (22800)
likely a partial charge — not the full procedure |
$1,358 |
$2,716 |
0.1× |
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed (27280)
likely a partial charge — not the full procedure |
$1,345 |
$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 |
$797.50 |
$1,595 |
0.0× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$2,037.50 |
$4,075 |
1.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$599 |
$1,198 |
0.2× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$684 |
$1,368 |
0.2× |
| Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body Age… (23044) |
$571.50 |
$1,143 |
0.2× |
Arthrp acetblr/prox fem prostc agrft/algrft (27130)
likely a partial charge — not the full procedure |
$1,273.50 |
$2,547 |
0.1× |
| Aspirate pleura w/o imaging (32554) |
$1,512 |
$3,024 |
2.3× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$289.75 |
$579.50 |
0.9× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$1,936 |
$3,872 |
2.6× |
| Aspiration and/or injection thyroid cyst (60300) |
$1,260 |
$2,520 |
1.7× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,960 |
$5,920 |
1.3× |
| Aspiration bladder needle (51100) |
$1,331 |
$2,662 |
5.0× |
Av fistula revision (36833)
likely a partial charge — not the full procedure |
$770 |
$1,540 |
0.1× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$316.50 |
$633 |
1.5× |
Axillary lymphadenectomy; complete Age Under 21 (38745)
likely a partial charge — not the full procedure |
$872 |
$1,744 |
0.1× |
Axillary lymphadenectomy; superficial Age Under 21 (38740)
likely a partial charge — not the full procedure |
$695.50 |
$1,391 |
0.1× |
| Biliary endo prq t-tube dx w/collect spec brush (47552) |
$5,647.50 |
$11,295 |
0.8× |
| Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple Age Under 21 (47553) |
$5,647.50 |
$11,295 |
0.8× |
| Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent Age… (47556) |
$13,873 |
$27,746 |
1.2× |
| Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi Age Under 21 (47554) |
$8,807.50 |
$17,615 |
0.8× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$4,465 |
$8,930 |
0.6× |
| Biopsy bone open superficial (20240) |
$138.50 |
$277 |
0.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,430.50 |
$2,861 |
0.8× |
| Biopsy lip (40490) |
$68.50 |
$137 |
0.3× |
| Biopsy liver needle percutaneous (47000) |
$2,288.50 |
$4,577 |
1.3× |
| Biopsy lymph node (38505) |
$1,887 |
$3,774 |
1.1× |
| Biopsy muscle percutaneous needle (20206) |
$2,621.75 |
$5,243.50 |
1.5× |
| Biopsy of anorectal wall, anal approach (eg, congenital megacolon) (45100) |
$305.50 |
$611 |
0.1× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) |
$67 |
$134 |
0.0× |
| Biopsy of cervix (57500) |
$75 |
$150 |
0.1× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$71.50 |
$143 |
0.1× |
| Biopsy of nerve Age Under 21 (64795) |
$193 |
$386 |
0.1× |
| Biopsy of ovary(s) (58900) |
$439 |
$878 |
0.1× |
| Biopsy of penis; (separate procedure) (54100) |
$121 |
$242 |
0.1× |
| Biopsy of testis, incisional (separate procedure) Age Under 21 (54505) |
$208.50 |
$417 |
0.1× |
| Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) Age Under 21 (57105) |
$164.75 |
$329.50 |
0.0× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Age Under 21 (38520) |
$465.50 |
$931 |
0.1× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$2,568.50 |
$5,137 |
0.6× |
| Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$439 |
$878 |
0.1× |
| Biopsy pleura percutaneous needle (32400) |
$1,202 |
$2,404 |
0.7× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$163 |
$326 |
0.1× |
| Biopsy soft tissue neck/thorax (21550) |
$2,477.50 |
$4,955 |
1.4× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$199 |
$398 |
0.1× |
| Biopsy thyroid percutaneous core needle (60100) |
$1,988.50 |
$3,977 |
2.6× |
| Biopsy vulva/perineum 1 lesion (56605) |
$58.50 |
$117 |
0.1× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$5,187 |
$10,374 |
2.9× |
| Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Age Under 21 (20245) |
$337 |
$674 |
0.1× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$4,798.50 |
$9,597 |
2.7× |
| Biopsy, breast, w/wo placement of localization device(s), when performed (19499) |
$108.50 |
$217 |
0.0× |
| Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular) Age Under 21 (27614) |
$420 |
$840 |
0.1× |
| Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular Age Under 21 (27041) |
$710.50 |
$1,421 |
0.4× |
| Biopsy, soft tissue of shoulder area; deep Age Under 21 (23066) |
$477.50 |
$955 |
0.2× |
| Biopsy, soft tissue of shoulder area; superficial Age Under 21 (23065) |
$161 |
$322 |
0.1× |
| Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) Age Under 21 (27324) |
$417 |
$834 |
0.1× |
| Biopsy, soft tissue of thigh or knee area; superficial (27323) |
$2,188.50 |
$4,377 |
1.2× |
Biopsy, vertebral body, open; lumbar or cervical Age Under 21 (20251)
likely a partial charge — not the full procedure |
$427.50 |
$855 |
0.1× |
| Biopsy, vertebral body, open; thoracic Age Under 21 (20250) |
$390 |
$780 |
0.1× |
| Biopsy/removal lymph nodes (38510) |
$414.50 |
$829 |
0.1× |
| Bladder irrigation (51700) |
$184 |
$368 |
0.7× |
| Bladder pressure measurement during filling (51726) |
$307 |
$614 |
1.2× |
| Blepharoplasty lower eyelid (15820) |
$2,315.50 |
$4,631 |
1.1× |
| Blepharoplasty Upper Eyelid|BILATERAL PROCEDURE (15822) |
$2,315.50 |
$4,631 |
1.1× |
| Blepharoplasty, lower eyelid; with extensive herniated fat pad Age Under 21 (15821) |
$2,315.50 |
$4,631 |
1.1× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$298 |
$596 |
0.9× |
Bone graft, any donor area; minor or small (eg, dowel or button) Age Under 21 (20900)
likely a partial charge — not the full procedure |
$178 |
$356 |
0.0× |
| Brain canal shunt procedure (61070) |
$601.75 |
$1,203.50 |
0.8× |
| Breast augmentation with implant Age Under 21 (19325) |
$11,968 |
$23,936 |
1.4× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$222 |
$444 |
0.1× |
| Breast Reduction|BILATERAL PROCEDURE (19318) |
$8,279 |
$16,558 |
1.2× |
| Brnchsc ebus guided sampl 1/2 node station/strux (31652) |
$213 |
$426 |
0.1× |
| Brnchsc ebus guided sampl 3/> node station/strux (31653) |
$236 |
$472 |
0.1× |
| Bronch foreign body removal (31635) |
$272.50 |
$545 |
0.1× |
Bronch thermoplsty 1 lobe (31660)
likely a partial charge — not the full procedure |
$194 |
$388 |
0.0× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$180.50 |
$361 |
0.0× |
| Bronchoscopy w biopsy (31625) |
$151.50 |
$303 |
0.1× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$143 |
$286 |
0.1× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$138 |
$276 |
0.3× |
| Bronchoscopy w/tumor excise (31640) |
$239 |
$478 |
0.1× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) |
$128.50 |
$257 |
0.1× |
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or… (31661)
likely a partial charge — not the full procedure |
$193.50 |
$387 |
0.0× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief… (31641) |
$245.50 |
$491 |
0.1× |
| Bronchoscopy/lung bx each (31628) |
$170.50 |
$341 |
0.0× |
| Bx breast 1st lesion mr imag (19085) |
$5,170.50 |
$10,341 |
2.9× |
| Bx breast 1st lesion strtctc (19081) |
$2,143.50 |
$4,287 |
1.2× |
| Bx breast 1st lesion us imag (19083) |
$1,765.75 |
$3,531.50 |
1.0× |
| Bx pancreas ndl perc (48102) |
$5,187 |
$10,374 |
2.9× |
| Bx/Exc Lymph Node Open Int Mammary Node (38530) |
$565 |
$1,130 |
0.1× |
Cah reinsertion spinal fixation device (22849)
likely a partial charge — not the full procedure |
$1,292 |
$2,584 |
0.1× |
| Cardiac surg procedure unlist (33999) |
$1,122.50 |
$2,245 |
1.7× |
| Care of miscarriage (59820) |
$388 |
$776 |
0.1× |
| Cast short arm (29075) |
$201 |
$402 |
0.7× |
| Cerclage of uterine cervix, nonobstetrical (57700) |
$362 |
$724 |
0.1× |
Cervical lymphadenectomy (complete) (38720)
likely a partial charge — not the full procedure |
$1,332.50 |
$2,665 |
0.2× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$2,096 |
$4,192 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$462.50 |
$925 |
1.7× |
| Change g-tube to g-j perc (49446) |
$1,301 |
$2,602 |
0.6× |
| Change of windpipe airway (31502) |
$34.50 |
$69 |
0.1× |
| Chemical cauterization of granulation tissue (17250) |
$173 |
$346 |
0.8× |
| Chemodenervation Internal Anal Sphincter (46505) |
$252 |
$504 |
0.2× |
| Chest tube placement (32551) |
$1,884.25 |
$3,768.50 |
1.1× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$5,663.50 |
$11,327 |
2.5× |
| Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) |
$5,647.50 |
$11,295 |
1.5× |
Chromotubation Oviduct W/Materials|BILATERAL PROCEDURE (58350)
likely a partial charge — not the full procedure |
$96.50 |
$193 |
0.0× |
| Circumcision, Newborn (54150) |
$94 |
$188 |
0.0× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Age Under 21 (54160) |
$889.50 |
$1,779 |
1.2× |
| Cisternal/lateral c1-c2 puncture w/injection (61055) |
$475 |
$950 |
1.5× |
| Claviculectomy; partial Age Under 21 (23120) |
$599 |
$1,198 |
0.2× |
| Closed rx shldr disloc,prox hum fx (23675) |
$2,038.50 |
$4,077 |
1.2× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$442 |
$884 |
1.7× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$670 |
$1,340 |
0.4× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$382 |
$764 |
1.5× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$240.50 |
$481 |
0.9× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$299.50 |
$599 |
1.1× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$300 |
$600 |
1.1× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$2,298 |
$4,596 |
1.3× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$268 |
$536 |
1.0× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$483.75 |
$967.50 |
1.8× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$313.75 |
$627.50 |
1.2× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$332.75 |
$665.50 |
1.3× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$2,699.50 |
$5,399 |
1.6× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$131 |
$262 |
0.5× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$294.75 |
$589.50 |
1.1× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,297 |
$4,594 |
1.3× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$338.25 |
$676.50 |
1.3× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$2,801 |
$5,602 |
1.6× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$980 |
$1,960 |
3.7× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$2,296 |
$4,592 |
1.3× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$616.75 |
$1,233.50 |
2.3× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$1,066.50 |
$2,133 |
4.1× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$262.75 |
$525.50 |
1.0× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$840.50 |
$1,681 |
0.5× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$316 |
$632 |
1.2× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$900 |
$1,800 |
3.4× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$383.50 |
$767 |
1.5× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$605 |
$1,210 |
0.4× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$299.50 |
$599 |
1.1× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$2,779.50 |
$5,559 |
1.6× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$463.50 |
$927 |
1.8× |
| Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia Age Under 21 (27831) |
$4,109.50 |
$8,219 |
1.2× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$274 |
$548 |
1.0× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$261.50 |
$523 |
1.0× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$436.50 |
$873 |
1.7× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$307 |
$614 |
1.2× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$2,037.50 |
$4,075 |
1.2× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$733 |
$1,466 |
2.8× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$1,090 |
$2,180 |
0.6× |
| Closed treatment of talus fracture; without manipulation (28430) |
$220 |
$440 |
0.8× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$300 |
$600 |
1.1× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$282 |
$564 |
1.1× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$259 |
$518 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$772 |
$1,544 |
2.9× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$2,626 |
$5,252 |
1.5× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$466.50 |
$933 |
1.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$270 |
$540 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$980 |
$1,960 |
3.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,626 |
$5,252 |
1.5× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$2,626 |
$5,252 |
1.5× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$330 |
$660 |
1.3× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$527.50 |
$1,055 |
2.0× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$251.50 |
$503 |
1.0× |
| Closed tx vert fx w/manj (22315) |
$785.50 |
$1,571 |
0.2× |
| Closed tx vert fx w/o manj (22310) |
$314 |
$628 |
1.2× |
Closure of abnormal drainage tract from bladder to vagina through bladder and vagina (57330)
likely a partial charge — not the full procedure |
$762 |
$1,524 |
0.1× |
Closure of abnormal drainage tract from bladder to vagina through vagina (57320)
likely a partial charge — not the full procedure |
$565 |
$1,130 |
0.1× |
| Closure of abnormal drainage tract from rectum to vagina through vagina or anus (57300) |
$616 |
$1,232 |
0.2× |
Closure of abnormal drainage tract from urethra to vagina (57310)
likely a partial charge — not the full procedure |
$495 |
$990 |
0.1× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$334 |
$668 |
1.3× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$714 |
$1,428 |
1.2× |
Closure of median sternotomy separation with or without debridement (separate procedure) (21750)
likely a partial charge — not the full procedure |
$659.50 |
$1,319 |
0.1× |
| Closure of surgically created opening from stomach to skin (43870) |
$699 |
$1,398 |
0.2× |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Age Under 21 (53520) |
$6,569 |
$13,138 |
1.1× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$2,801 |
$5,602 |
1.7× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$3,246.50 |
$6,493 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$5,906 |
$11,812 |
3.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,310.50 |
$4,621 |
1.3× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$380.50 |
$761 |
1.4× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$436 |
$872 |
1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$522.25 |
$1,044.50 |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,911 |
$3,822 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$312.75 |
$625.50 |
1.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$319 |
$638 |
1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$580.50 |
$1,161 |
2.2× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$310 |
$620 |
1.2× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$2,040.50 |
$4,081 |
1.2× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$515.50 |
$1,031 |
2.0× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$569 |
$1,138 |
2.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,779.50 |
$5,559 |
1.6× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$299.50 |
$599 |
1.1× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$2,037.50 |
$4,075 |
1.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,629 |
$5,258 |
1.5× |
| Coccygectomy, primary Age Under 21 (27080) |
$511.50 |
$1,023 |
0.1× |
| Collect blood from catheter venous nos (36592) |
$248 |
$496 |
1.7× |
| Collect blood from implant venous access device (36591) |
$234.50 |
$469 |
1.7× |
Colpocentesis (separate procedure) Age Under 21 (57020)
likely a partial charge — not the full procedure |
$78 |
$156 |
0.0× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
likely a partial charge — not the full procedure |
$691 |
$1,382 |
0.1× |
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283)
likely a partial charge — not the full procedure |
$695.50 |
$1,391 |
0.1× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) |
$2,152.75 |
$4,305.50 |
0.6× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$132 |
$264 |
0.4× |
| Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Age Under 21 (57460) |
$157.50 |
$315 |
0.0× |
| Colpotomy; with drainage of pelvic abscess Age Under 21 (57010) |
$459.50 |
$919 |
0.1× |
| Colpotomy; with exploration Age Under 21 (57000) |
$204.50 |
$409 |
0.1× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; Age Under 21 (57260)
likely a partial charge — not the full procedure |
$774 |
$1,548 |
0.1× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Age Under 21 (57265)
likely a partial charge — not the full procedure |
$865 |
$1,730 |
0.2× |
| Complete replacement picc rs&i (36584) |
$1,576.50 |
$3,153 |
0.9× |
| Complex cystometrogram voiding pressure studies (51728) |
$372 |
$744 |
0.5× |
| Complex uroflowmetry (51741) |
$14.50 |
$29 |
0.1× |
| Complx cystometro w/void press & urethral profil (51729) |
$391.50 |
$783 |
0.5× |
| Conization of cervix (57520) |
$299.50 |
$599 |
0.1× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$257 |
$514 |
0.1× |
| Construction of artificial vagina; with graft - 57292 (57292) |
$3,569 |
$7,138 |
0.7× |
Construction of artificial vagina; without graft Age Under 21 (57291)
likely a partial charge — not the full procedure |
$550.50 |
$1,101 |
0.1× |
| Contrast injection perq radiologic eval gi tube (49465) |
$1,063 |
$2,126 |
4.2× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$358.50 |
$717 |
1.6× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$255.50 |
$511 |
1.8× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$197 |
$394 |
1.4× |
| Control throat bleeding (42960) |
$875.50 |
$1,751 |
1.5× |
| Conv ext bil drg cath to int-ext bil drg cath (47535) |
$5,647.50 |
$11,295 |
1.5× |
| Convert nephrostomy cath to nephrourtrl cath prq (50434) |
$3,334 |
$6,668 |
1.5× |
| Conz of cervix w/scope leep (57461) |
$179.50 |
$359 |
0.1× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$1,631.25 |
$3,262.50 |
0.9× |
| Costotransversectomy (separate procedure) Age Under 21 (21610) |
$1,199 |
$2,398 |
0.3× |
Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc),… (63064)
likely a partial charge — not the full procedure |
$1,751 |
$3,502 |
0.2× |
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft… (36825)
likely a partial charge — not the full procedure |
$757.50 |
$1,515 |
0.1× |
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830)
likely a partial charge — not the full procedure |
$635.50 |
$1,271 |
0.1× |
| Creation of nerve and blood vessel skin graft (15750) |
$4,555 |
$9,110 |
1.2× |
Creation of permanent opening of windpipe for breathing (31610)
likely a partial charge — not the full procedure |
$962.50 |
$1,925 |
0.2× |
| Cryosurgery anal lesion(s) (46916) |
$143.50 |
$287 |
0.7× |
| Csf shunt reprogram (62252) |
$569 |
$1,138 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$889 |
$1,778 |
6.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$954 |
$1,908 |
3.8× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial Age Under 21 (46940) |
$144.50 |
$289 |
0.0× |
| Curettage postpartum (59160) |
$187 |
$374 |
0.1× |
| Cystometrogram w/up (51727) |
$374 |
$748 |
0.5× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge — not the full procedure |
$737.50 |
$1,475 |
0.1× |
| Cystoscopy and treatment (52310) |
$14,062.50 |
$28,125 |
6.3× |
| Cystoscopy removal of clots (52001) |
$279.50 |
$559 |
0.1× |
| Cystourethroscopy (52000) |
$1,126.75 |
$2,253.50 |
1.5× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$2,528.75 |
$5,057.50 |
1.1× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$467.50 |
$935 |
0.1× |
| Deb skin bone at fx site (11012) |
$505 |
$1,010 |
0.2× |
| Debride skin at fx site (11010) |
$546.75 |
$1,093.50 |
0.7× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$233.50 |
$467 |
0.5× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$139 |
$278 |
2.2× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$92.75 |
$185.50 |
1.5× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$653.50 |
$1,307 |
1.5× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$949.50 |
$1,899 |
0.5× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$494.50 |
$989 |
0.6× |
| Declot vascular device (36593) |
$552.50 |
$1,105 |
1.6× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle… (25020) |
$740 |
$1,480 |
0.4× |
| Decompression fasciotomy, leg; anterior and/or lateral compartments only Age Under 21 (27600) |
$398 |
$796 |
0.1× |
| Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or… (27892) |
$539.50 |
$1,079 |
0.2× |
| Decompression fasciotomy, leg; posterior compartment(s) only Age Under 21 (27601) |
$445 |
$890 |
0.1× |
| Decompressive fasciotomy, hand (excludes 26035) Age Under 21 (26037) |
$569 |
$1,138 |
0.2× |
| Deep muscle biopsy (20205) |
$152.50 |
$305 |
0.0× |
| Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs Age Under 21 (15610) |
$2,315.50 |
$4,631 |
1.1× |
| Delivery of placenta (59414) |
$1,424.25 |
$2,848.50 |
0.4× |
| Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15135) |
$756 |
$1,512 |
0.2× |
| Destroy vulva lesion/s compl (56515) |
$213.50 |
$427 |
0.1× |
| Destruct lesion 15 or more (17111) |
$85 |
$170 |
0.4× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$56 |
$112 |
0.3× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$99 |
$198 |
0.2× |
| Destruction benign lesions up to 14 (17110) |
$209 |
$418 |
1.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$177 |
$354 |
0.2× |
| Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Age Under 21 (64680) |
$1,466 |
$2,932 |
1.6× |
| Destruction lesions vulva simple (56501) |
$136 |
$272 |
0.1× |
| Destruction of lesion of lid margin (up to 1 cm) Age Under 21 (67850) |
$131.50 |
$263 |
0.1× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (46924) |
$181.50 |
$363 |
0.1× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$138.50 |
$277 |
0.0× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (46910) |
$136 |
$272 |
0.1× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery (54056) |
$114.50 |
$229 |
0.5× |
| Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57065) |
$187.50 |
$375 |
0.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17282) |
$136 |
$272 |
0.6× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17260) |
$71 |
$142 |
0.3× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17274) |
$167 |
$334 |
0.4× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17281) |
$118.50 |
$237 |
0.6× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17261) |
$88 |
$176 |
0.4× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17270) |
$96.50 |
$193 |
0.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17272) |
$121.50 |
$243 |
0.6× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) |
$88 |
$176 |
0.4× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17262) |
$110.50 |
$221 |
0.5× |
| Diagnostic bone marrow aspirations (38220) |
$2,636 |
$5,272 |
1.5× |
| Diagnostic bone marrow biopsies (38221) |
$2,636 |
$5,272 |
1.5× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$2,735 |
$5,470 |
0.9× |
| Diagnostic exam of uterus using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58555) |
$149.50 |
$299 |
0.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$3,851.50 |
$7,703 |
5.1× |
| Diagnostic sigmoidoscopy (45330) |
$56.50 |
$113 |
0.1× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$234 |
$468 |
0.1× |
| Dilation and curettage of cervical stump Age Under 21 (57558) |
$130.50 |
$261 |
0.0× |
| Dilation of rectal stricture (separate procedure) under anesthesia other than local Age Under 21 (45910) |
$193 |
$386 |
0.2× |
| Dilation of urethral stricture by passage of filiform and follower, male; initial (53620) |
$909 |
$1,818 |
1.2× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age Under 21 (53600) |
$309.50 |
$619 |
1.2× |
| Dilation of vagina under anesthesia (other than local) Age Under 21 (57400) |
$129 |
$258 |
0.0× |
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011)
likely a partial charge — not the full procedure |
$962 |
$1,924 |
0.2× |
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075)
likely a partial charge — not the full procedure |
$1,336.50 |
$2,673 |
0.2× |
Dissection, deep jugular node(s) Age Under 21 (38542)
likely a partial charge — not the full procedure |
$523.50 |
$1,047 |
0.1× |
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) (36838)
likely a partial charge — not the full procedure |
$1,080 |
$2,160 |
0.2× |
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach Age Under 21 (43130)
likely a partial charge — not the full procedure |
$789.50 |
$1,579 |
0.1× |
| Drain lower leg lesion (27603) |
$393 |
$786 |
0.1× |
| Drain neck/chest lesion (21501) |
$341.50 |
$683 |
0.1× |
| Drain shoulder lesion (23030) |
$260.50 |
$521 |
0.1× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$312 |
$624 |
1.2× |
| Drainage external auditory canal, abscess (69020) |
$982.50 |
$1,965 |
1.3× |
| Drainage external ear, abscess or hematoma; complicated Age Under 21 (69005) |
$766.50 |
$1,533 |
0.4× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$447 |
$894 |
0.6× |
| Drainage finger abscess simple (26010) |
$213.25 |
$426.50 |
1.0× |
| Drainage of abscess of palate, uvula (42000) |
$277 |
$554 |
1.1× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$937.50 |
$1,875 |
1.2× |
| Drainage of abscess; parotid, simple Age Under 21 (42300) |
$2,169 |
$4,338 |
1.3× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$2,383.50 |
$4,767 |
1.4× |
| Drainage of hydrocele (55000) |
$1,026.50 |
$2,053 |
1.4× |
| Drainage of lymph node abscess or lymphadenitis; simple Age Under 21 (38300) |
$211.50 |
$423 |
0.1× |
| Drainage of nose lesion (30020) |
$699 |
$1,398 |
1.2× |
| Drainage of ovarian abscess; vaginal approach, open Age Under 21 (58820) |
$342.50 |
$685 |
0.1× |
| Drainage of ovarian cyst(s) (58800) |
$317.50 |
$635 |
0.1× |
| Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach Age Under 21 (58805) |
$430 |
$860 |
0.1× |
| Drainage of scrotal wall abscess (55100) |
$1,456.75 |
$2,913.50 |
0.8× |
| Drainage of scrotum (54700) |
$1,519.75 |
$3,039.50 |
0.7× |
| Drainage of tonsil abscess (42700) |
$750.50 |
$1,501 |
3.0× |
| Dressing change (for other than burns) under anesthesia (other than local) (15852) |
$44 |
$88 |
0.1× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$191 |
$382 |
0.1× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$191 |
$382 |
0.1× |
| Dx bronchoscope/brush (31623) |
$128 |
$256 |
0.1× |
| Dx bronchoscope/lavage (31624) |
$130 |
$260 |
0.1× |
| Ed proc insert intraosseous IV (36680) |
$206 |
$412 |
0.4× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$1,270.50 |
$2,541 |
9.3× |
| Ed proc remve fb nasal- hospital (30300) |
$317.75 |
$635.50 |
2.2× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$148 |
$296 |
1.0× |
| Ed prof burn - large - hospital (16030) |
$392.50 |
$785 |
0.9× |
| Ed prof burn medium - hospital (16025) |
$284.75 |
$569.50 |
1.3× |
| Ed prof burn small - hospital (16020) |
$385 |
$770 |
1.8× |
| Ed prof catheterization/straight (51701) |
$75.50 |
$151 |
0.5× |
| Ed prof closed tx post hip arthroplasty (27265) |
$797.50 |
$1,595 |
3.0× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$1,917.50 |
$3,835 |
1.1× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$2,702.50 |
$5,405 |
1.6× |
| Ed prof drain dental abscess-hospital (41800) |
$488 |
$976 |
3.4× |
| Ed prof insert foley cath simple (51702) |
$148.75 |
$297.50 |
1.0× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$1,969 |
$3,938 |
0.6× |
Ed prof insertion of heart electr (33210)
likely a partial charge — not the full procedure |
$2,525.50 |
$5,051 |
0.3× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$740 |
$1,480 |
1.7× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$615.25 |
$1,230.50 |
1.4× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$436.50 |
$873 |
1.7× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$1,738 |
$3,476 |
3.6× |
| Egd percutaneous placement gastrostomy tube (43246) |
$195 |
$390 |
0.1× |
| Elec anlys implt ithcl/edrl pmp w/repr phys/qhp (62370) |
$45 |
$90 |
0.1× |
| Electrical stimulation to aid bone healing; noninvasive (nonoperative) Other Outpatient (20974) |
$51.50 |
$103 |
— |
| Elevation of depressed skull fracture; simple, extradural (62000) |
$1,029.50 |
$2,059 |
0.3× |
Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm… (34101)
likely a partial charge — not the full procedure |
$567.50 |
$1,135 |
0.1× |
Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision (34201)
likely a partial charge — not the full procedure |
$968 |
$1,936 |
0.2× |
Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision (34111)
likely a partial charge — not the full procedure |
$567 |
$1,134 |
0.1× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$65 |
$130 |
0.5× |
| Endocervical curettage (57505) |
$112 |
$224 |
0.1× |
Endometrial ablation, thermal, without hysteroscopic guidance Age Under 21 (58353)
likely a partial charge — not the full procedure |
$231 |
$462 |
0.0× |
Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Age Under 21 (58356)
likely a partial charge — not the full procedure |
$349 |
$698 |
0.1× |
| Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective… (61623) |
$9,543.25 |
$19,086.50 |
0.8× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$5,062 |
$10,124 |
1.5× |
| Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring,… (36478) |
$3,330.50 |
$6,661 |
1.0× |
| Endovenous rf 1st vein (36475) |
$5,062 |
$10,124 |
1.5× |
| Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15115) |
$2,315.50 |
$4,631 |
1.1× |
| Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Age Under 21 (15110) |
$2,542 |
$5,084 |
1.2× |
| Episiotomy or vaginal repair (59300) |
$1,722.75 |
$3,445.50 |
0.5× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$599.75 |
$1,199.50 |
0.8× |
| Escharotomy 1st incision (16035) |
$191.50 |
$383 |
0.4× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$4,123 |
$8,246 |
2.0× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$87 |
$174 |
0.1× |
| Evac subungual hematoma (11740) |
$95.75 |
$191.50 |
0.7× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$422.50 |
$845 |
0.2× |
| Exam of windpipe and lung airways through permanent windpipe opening using an endoscope (31615) |
$652.50 |
$1,305 |
1.1× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$182 |
$364 |
0.2× |
| Exc face les sbq 2 cm/> (21012) |
$341.50 |
$683 |
0.2× |
| Exc forearm les sc 3 cm/> (25071) |
$427.50 |
$855 |
0.2× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$1,123.25 |
$2,246.50 |
0.6× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$110.50 |
$221 |
0.1× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$137.50 |
$275 |
0.1× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$313 |
$626 |
0.2× |
| Exc neck tum deep < 5 cm (21556) |
$531 |
$1,062 |
0.2× |
| Exc rect tum transanal part (45171) |
$618 |
$1,236 |
0.2× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$86 |
$172 |
0.1× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$117 |
$234 |
0.2× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$534.50 |
$1,069 |
0.3× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$341 |
$682 |
0.2× |
| Exc tumor soft tiss back/flank subfascial <5cm (21932) |
$660.50 |
$1,321 |
0.2× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$547 |
$1,094 |
0.2× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$551.50 |
$1,103 |
0.2× |
| Exc tumor soft tissue abdl wall subfascial 5cm/> (22901) |
$662.50 |
$1,325 |
0.2× |
| Exc Tumor Soft Tissue Abdl Wall Subfascial <5cm (22900) |
$565 |
$1,130 |
0.2× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$336 |
$672 |
0.2× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$453.50 |
$907 |
0.1× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$321.50 |
$643 |
0.2× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$482 |
$964 |
0.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$310 |
$620 |
0.2× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$612.50 |
$1,225 |
0.2× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$364.50 |
$729 |
0.1× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$407 |
$814 |
0.1× |
| Exchange biliary drg catheter prq w/img gid rs&i (47536) |
$5,647.50 |
$11,295 |
1.5× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$3,334 |
$6,668 |
1.5× |
| Exchange transfusion, blood; newborn Age Under 21 (36450) |
$166.50 |
$333 |
0.4× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$2,843 |
$5,686 |
1.4× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$336 |
$672 |
0.2× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$288 |
$576 |
0.1× |
| Excision hidradenitis axillary smpl/intrm rpr (11450) |
$264 |
$528 |
0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$149 |
$298 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$161.50 |
$323 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$609.50 |
$1,219 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$211.50 |
$423 |
0.3× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$384 |
$768 |
0.1× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$124 |
$248 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$149.50 |
$299 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$169.50 |
$339 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$208 |
$416 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$236 |
$472 |
0.1× |
| Excision multiple external papillae/tags anus (46230) |
$173.50 |
$347 |
0.1× |
| Excision of bartholin's gland or cyst (56740) |
$315 |
$630 |
0.1× |
Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s) Age Under 21 (21026)
likely a partial charge — not the full procedure |
$441 |
$882 |
0.1× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) |
$460.50 |
$921 |
0.1× |
Excision of cervical stump, vaginal approach; Age Under 21 (57550)
likely a partial charge — not the full procedure |
$434.50 |
$869 |
0.1× |
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair (57555)
likely a partial charge — not the full procedure |
$618.50 |
$1,237 |
0.1× |
Excision of cervical stump, vaginal approach; with repair of enterocele Age Under 21 (57556)
likely a partial charge — not the full procedure |
$587.50 |
$1,175 |
0.1× |
| Excision of chest wall tumor including rib(s) (21601) |
$1,129 |
$2,258 |
0.4× |
Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy (21603)
likely a partial charge — not the full procedure |
$1,651.50 |
$3,303 |
0.2× |
Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy (21602)
likely a partial charge — not the full procedure |
$1,511.50 |
$3,023 |
0.2× |
Excision of cyst or adenoma of thyroid, or transection of isthmus Age Under 21 (60200)
likely a partial charge — not the full procedure |
$667 |
$1,334 |
0.1× |
| Excision of ganglion, wrist (dorsal or volar); recurrent Age Under 21 (25112) |
$402 |
$804 |
0.2× |
| Excision of lactiferous duct fistula Age Under 21 (19112) |
$326 |
$652 |
0.1× |
| Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee Age Under 21 (27347) |
$537 |
$1,074 |
0.2× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle Age Under 21 (27630) |
$369 |
$738 |
0.1× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$326 |
$652 |
0.2× |
| Excision of neurofibroma or neurolemmoma; extensive (including malignant type) Age Under 21 (64792) |
$1,068.50 |
$2,137 |
0.3× |
| Excision of neurofibroma or neurolemmoma; major peripheral nerve Age Under 21 (64790) |
$848.50 |
$1,697 |
0.4× |
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Age Under 21 (42415)
likely a partial charge — not the full procedure |
$1,056 |
$2,112 |
0.2× |
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Age Under 21 (42420)
likely a partial charge — not the full procedure |
$1,180 |
$2,360 |
0.2× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$185 |
$370 |
0.1× |
| Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) Age Under 21 (45172) |
$820 |
$1,640 |
0.3× |
Excision of rib, partial Age Under 21 (21600)
likely a partial charge — not the full procedure |
$573 |
$1,146 |
0.1× |
| Excision of single external papilla or tag, anus (46220) |
$1,391.50 |
$2,783 |
1.1× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Age Under 21 (11451) |
$332 |
$664 |
0.1× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$334 |
$668 |
0.1× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair Age Under 21 (11462) |
$253 |
$506 |
0.1× |
| Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair Age… (11471) |
$352.50 |
$705 |
0.1× |
| Excision of spermatocele, with or without epididymectomy Age Under 21 (54840) |
$322 |
$644 |
0.1× |
Excision of submandibular (submaxillary) gland Age Under 21 (42440)
likely a partial charge — not the full procedure |
$419 |
$838 |
0.1× |
| Excision of superficial tracheostomy lesions and/or granulation tissue (31899) |
$251.50 |
$503 |
1.2× |
| Excision of thrombosed hemorrhoid, external (46320) |
$2,046.25 |
$4,092.50 |
1.6× |
| Excision of vaginal cyst or tumor (57135) |
$189 |
$378 |
0.1× |
| Excision of vaginal septum (57130) |
$174.50 |
$349 |
0.1× |
| Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Age Under 21 (55540) |
$551 |
$1,102 |
0.1× |
| Excision olecranon bursa (24105) |
$372.50 |
$745 |
0.1× |
| Excision pilonidal cyst/sinus complicated (11772) |
$581 |
$1,162 |
0.2× |
| Excision pilonidal cyst/sinus extensive (11771) |
$450.50 |
$901 |
0.1× |
| Excision soft tissue lesion, external auditory canal Age Under 21 (69145) |
$262.50 |
$525 |
0.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$469 |
$938 |
0.3× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$367.50 |
$735 |
0.2× |
| Excision tumor soft tissue foot/toe subq 1.5+cm (28039) |
$340.50 |
$681 |
0.1× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$421.50 |
$843 |
0.2× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$319.50 |
$639 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$159 |
$318 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$268 |
$536 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$182 |
$364 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$548.75 |
$1,097.50 |
1.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$166 |
$332 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$151.50 |
$303 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$248.50 |
$497 |
0.1× |
Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Age Under… (15830)
likely a partial charge — not the full procedure |
$1,163.50 |
$2,327 |
0.2× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area - 15839 (15839) |
$2,172.75 |
$4,345.50 |
0.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad (15838) |
$3,607.50 |
$7,215 |
1.2× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh (15832) |
$923.50 |
$1,847 |
0.3× |
| Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy) Age Under 21 (15941) |
$945 |
$1,890 |
0.3× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Age Under 21 (15945) |
$1,019.50 |
$2,039 |
0.5× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$127.50 |
$255 |
0.2× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$155.50 |
$311 |
0.2× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$226 |
$452 |
0.1× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$279 |
$558 |
0.2× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$287.50 |
$575 |
0.1× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$123 |
$246 |
0.2× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$312.50 |
$625 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$149 |
$298 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$135.50 |
$271 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$109.50 |
$219 |
0.1× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$180.50 |
$361 |
0.1× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Age Under 21 (15936) |
$906 |
$1,812 |
0.4× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy… (15937) |
$1,029.50 |
$2,059 |
0.5× |
| Excision, sacral pressure ulcer, with primary suture; Age Under 21 (15931) |
$700.50 |
$1,401 |
0.2× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Age Under 21 (15933) |
$870.50 |
$1,741 |
0.3× |
| Excision, sacral pressure ulcer, with skin flap closure; Age Under 21 (15934) |
$982.50 |
$1,965 |
0.3× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$439.50 |
$879 |
0.1× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$733 |
$1,466 |
0.2× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater Age Under 21 (21014) |
$524 |
$1,048 |
0.2× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Age Under 21 (21011) |
$265 |
$530 |
0.2× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Age Under 21 (25073) |
$542 |
$1,084 |
0.2× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater Age Under 21 (27632) |
$409.50 |
$819 |
0.1× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$447 |
$894 |
0.1× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$310.50 |
$621 |
0.2× |
| Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21554) |
$728 |
$1,456 |
0.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$468.50 |
$937 |
0.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Age Under 21 (23075) |
$333.50 |
$667 |
0.2× |
| Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (23073) |
$696 |
$1,392 |
0.2× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (27339) |
$754 |
$1,508 |
0.2× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Age Under 21 (27328) |
$625.50 |
$1,251 |
0.2× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$334 |
$668 |
0.2× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (24073) |
$692 |
$1,384 |
0.2× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$420.50 |
$841 |
0.1× |
| Exploration for undescended testis (inguinal or scrotal area) Age Under 21 (54550) |
$489.50 |
$979 |
0.1× |
| Exploration of arm or leg for bleeding, blood clot, or infection after surgery (35860) |
$805.50 |
$1,611 |
0.2× |
Exploration of neck for bleeding, blood clot, or infection after surgery (35800)
likely a partial charge — not the full procedure |
$719 |
$1,438 |
0.1× |
Exploration of spinal fusion (22830)
likely a partial charge — not the full procedure |
$821.50 |
$1,643 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$788.25 |
$1,576.50 |
0.4× |
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
likely a partial charge — not the full procedure |
$901 |
$1,802 |
0.1× |
| Explore wound abdomen (20102) |
$1,240.50 |
$2,481 |
0.6× |
| Explore wound chest (20101) |
$206.50 |
$413 |
0.1× |
| Explore wound neck (20100) |
$589 |
$1,178 |
1.0× |
Extensive partial removal of external female genitals (56630)
likely a partial charge — not the full procedure |
$962.50 |
$1,925 |
0.2× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental Age Under 21 (41016) |
$7,435 |
$14,870 |
1.2× |
| Fasciectomy plantar fascia partial spx (28060) |
$364.50 |
$729 |
0.1× |
| Fetal contraction stress test (59020) |
$719.50 |
$1,439 |
3.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$3,922.50 |
$7,845 |
5.2× |
| Fine needle aspiration bx w/fluor gdn 1st lesion (10007) |
$3,922.50 |
$7,845 |
5.2× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$347.75 |
$695.50 |
0.8× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,997 |
$3,994 |
2.6× |
| Fluid pressure muscle (20950) |
$313.75 |
$627.50 |
0.4× |
| Fna bx w/mr gdn 1st les (10011) |
$3,922.50 |
$7,845 |
5.2× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$2,315.50 |
$4,631 |
1.1× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$4,087.50 |
$8,175 |
1.2× |
| Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae,… (15240) |
$1,557.25 |
$3,114.50 |
0.7× |
| Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less… (15260) |
$847 |
$1,694 |
0.4× |
| Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Age… (15220) |
$612 |
$1,224 |
0.3× |
| Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less Age Under 21 (15200) |
$673 |
$1,346 |
0.3× |
| Ganglion impar nerve block (64999) |
$832.50 |
$1,665 |
2.5× |
| Gastric lavage (43753) |
$222.75 |
$445.50 |
1.0× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$1,331.50 |
$2,663 |
0.3× |
| Gastrostomy, open; without construction of gastric tube (eg, stamm procedure) (separate procedure) (43830) |
$695 |
$1,390 |
0.3× |
| Gene analysis of human immunodeficiency virus targeted sequence analysis for resistance to antiviral drugs (0219U) |
$450 |
$900 |
0.6× |
| Genioplasty; sliding osteotomy, single piece Age Under 21 (21121) |
$4,087.50 |
$8,175 |
1.2× |
| Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia,… (15773) |
$2,315.50 |
$4,631 |
1.1× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) Age Under 21 (15769) |
$2,517.75 |
$5,035.50 |
0.7× |
| Guide cathet fluid drainage (10030) |
$2,060.50 |
$4,121 |
2.7× |
Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) (27125)
likely a partial charge — not the full procedure |
$1,127.50 |
$2,255 |
0.1× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$271 |
$542 |
0.1× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$195 |
$390 |
0.2× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$355.50 |
$711 |
0.1× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$320.50 |
$641 |
0.1× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$419.50 |
$839 |
0.1× |
| Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed… (46258) |
$483 |
$966 |
0.2× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$384 |
$768 |
0.1× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging… (46945) |
$344.50 |
$689 |
0.1× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$446 |
$892 |
0.2× |
| Hrhc Ntrnl & Xtrnl 2/> Column/Group W/Fissu|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46261) |
$533.50 |
$1,067 |
0.2× |
| Hymenotomy, simple incision Age Under 21 (56442) |
$47.50 |
$95 |
0.0× |
| Hysteroscopy biopsy (58558) |
$227.50 |
$455 |
0.1× |
Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565)
likely a partial charge — not the full procedure |
$458 |
$916 |
0.1× |
Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Age Under 21 (58560)
likely a partial charge — not the full procedure |
$307 |
$614 |
0.1× |
Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563)
likely a partial charge — not the full procedure |
$241.50 |
$483 |
0.0× |
Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Age Under 21 (58559)
likely a partial charge — not the full procedure |
$279 |
$558 |
0.1× |
| Hysteroscopy, surgical; with removal of impacted foreign body Age Under 21 (58562) |
$218 |
$436 |
0.1× |
Hysteroscopy, surgical; with removal of leiomyomata Age Under 21 (58561)
likely a partial charge — not the full procedure |
$351 |
$702 |
0.1× |
| I&d abscess simple/single (10060) |
$363.50 |
$727 |
1.7× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$1,163 |
$2,326 |
0.4× |
| I&d hematoma/seroma/fluid (10140) |
$1,254.25 |
$2,508.50 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$349.50 |
$699 |
0.5× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$216.50 |
$433 |
0.1× |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
$182 |
$364 |
0.1× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$5,955 |
$11,910 |
3.4× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$10,372 |
$20,744 |
5.9× |
Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including… (62362)
likely a partial charge — not the full procedure |
$385 |
$770 |
0.0× |
Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir Age Under 21 (62360)
likely a partial charge — not the full procedure |
$312 |
$624 |
0.0× |
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351)
likely a partial charge — not the full procedure |
$912 |
$1,824 |
0.1× |
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62350)
likely a partial charge — not the full procedure |
$397.50 |
$795 |
0.0× |
| Incise & drain bladder (51040) |
$2,634.50 |
$5,269 |
1.2× |
| Incise external hemorrhoid (46083) |
$352.75 |
$705.50 |
1.3× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$367.25 |
$734.50 |
0.8× |
| Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space Age Under 21 (28002) |
$139 |
$278 |
0.1× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$274.25 |
$548.50 |
1.3× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Age Under 21 (45020) |
$566.50 |
$1,133 |
0.2× |
| Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Age Under 21 (46045) |
$441.50 |
$883 |
0.1× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$489.50 |
$979 |
0.2× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$640.75 |
$1,281.50 |
0.8× |
| Incision and drainage of submucosal abscess, rectum (45005) |
$168 |
$336 |
0.1× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Age Under 21 (57023) |
$319.50 |
$639 |
0.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$381.75 |
$763.50 |
1.2× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$2,474.25 |
$4,948.50 |
0.8× |
| Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy Age Under 21 (21502) |
$503.50 |
$1,007 |
0.1× |
| Incision and drainage, forearm and/or wrist; deep abscess or hematoma Age Under 21 (25028) |
$2,501 |
$5,002 |
0.7× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic (22010)
likely a partial charge — not the full procedure |
$971 |
$1,942 |
0.1× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015)
likely a partial charge — not the full procedure |
$949 |
$1,898 |
0.1× |
| Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age Under 21 (26990) |
$2,743.75 |
$5,487.50 |
0.8× |
| Incision and drainage, pelvis or hip joint area; infected bursa Age Under 21 (26991) |
$532.50 |
$1,065 |
0.3× |
| Incision and drainage, perianal abscess, superficial (46050) |
$641.25 |
$1,282.50 |
0.6× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$1,291.25 |
$2,582.50 |
0.7× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$1,171.25 |
$2,342.50 |
0.7× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$541.50 |
$1,083 |
1.2× |
| Incision and repair of bony defect of cheek bone including bony segment reduction (21209) |
$7,435 |
$14,870 |
1.2× |
| Incision of connective tissue of hip or thigh (27025) |
$937 |
$1,874 |
0.3× |
| Incision of eyelid fold (67715) |
$2,966.50 |
$5,933 |
1.2× |
| Incision of lingual frenum (frenotomy) (41010) |
$112 |
$224 |
0.1× |
| Incision of rectal abscess (46040) |
$1,178.75 |
$2,357.50 |
0.9× |
| Incision of windpipe (31600) |
$297 |
$594 |
0.1× |
| Incision of windpipe (31603) |
$311 |
$622 |
0.2× |
| Incisional biopsy skin single lesion (11106) |
$1,117 |
$2,234 |
1.4× |
| Induced abortion by d&c (59840) |
$222 |
$444 |
0.1× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$417 |
$834 |
1.0× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$1,268 |
$2,536 |
3.6× |
Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Age Under 21 (38760)
likely a partial charge — not the full procedure |
$827 |
$1,654 |
0.1× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$109.50 |
$219 |
0.5× |
| Inj epidural blood or clot patch (62273) |
$1,930 |
$3,860 |
2.6× |
| Inj paravert f jnt c/t 1 lev (64490) |
$2,645.75 |
$5,291.50 |
2.8× |
| Inj paravert f jnt l/s 1 lev (64493) |
$2,638.50 |
$5,277 |
2.8× |
| Inj tx nerve (64640) |
$792.50 |
$1,585 |
0.8× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$567.50 |
$1,135 |
0.8× |
| Injctn, abdmnl abscss/fstla, w sft tsse sub (amnfx) w/wo img gdnc/cntrst (49999) |
$1,172 |
$2,344 |
1.2× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$606 |
$1,212 |
0.6× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$1,263.25 |
$2,526.50 |
1.3× |
| Injection aa&/strd greater occipital nerve (64405) |
$263.25 |
$526.50 |
0.8× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$601 |
$1,202 |
0.8× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$770.75 |
$1,541.50 |
0.8× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$602.75 |
$1,205.50 |
0.8× |
| Injection aa&/strd pudendal nerve (64430) |
$530.50 |
$1,061 |
0.6× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,148 |
$2,296 |
1.5× |
| Injection aa&/strd suprascapular nerve (64418) |
$601.25 |
$1,202.50 |
0.8× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$821.50 |
$1,643 |
2.5× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$775.50 |
$1,551 |
0.8× |
| Injection anes superior hypogastric plexus (64517) |
$125 |
$250 |
0.1× |
| Injection for identification of sentinel node (38792) |
$858.75 |
$1,717.50 |
2.0× |
| Injection of sinus tract; therapeutic (separate procedure) Age Under 21 (20500) |
$794 |
$1,588 |
0.5× |
| Injection px prq tx extremity pseudoaneurysm (36002) |
$2,100.50 |
$4,201 |
3.1× |
| Injection sclerosant multiple incmptnt veins (36471) |
$1,038.75 |
$2,077.50 |
2.4× |
| Injection sclerosant single incmptnt vein (36470) |
$786 |
$1,572 |
1.8× |
| Injection treatment of nerve (64681) |
$1,466 |
$2,932 |
1.6× |
| Injection(s) of sclerosant for spider veins (telangiectasia), limb or trunk (36468) |
$935.50 |
$1,871 |
2.2× |
| Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$1,186.50 |
$2,373 |
1.3× |
| Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) |
$2,650 |
$5,300 |
2.8× |
| Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Age Under 21 (64435) |
$43.50 |
$87 |
0.1× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$1,363 |
$2,726 |
1.4× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$269.25 |
$538.50 |
0.8× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$1,050.50 |
$2,101 |
3.2× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$107.75 |
$215.50 |
0.3× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$780 |
$1,560 |
0.8× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$29.50 |
$59 |
0.1× |
| Ins cath ren art 1st bilat (36252) |
$4,829 |
$9,658 |
1.4× |
| Ins cath ren art 1st unilat (36251) |
$3,826 |
$7,652 |
1.1× |
| Ins cath ren art 2nd+ bilat (36254) |
$2,728.50 |
$5,457 |
0.8× |
| Ins cath ren art 2nd+ unilat (36253) |
$4,362.50 |
$8,725 |
0.7× |
| Ins intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) |
$12,734.50 |
$25,469 |
2.1× |
| Ins/rplcmnt perm subq impltbl dfb w/subq eltrd (33270) |
$23,051.75 |
$46,103.50 |
0.7× |
| Insert cervical dilator (59200) |
$544.50 |
$1,089 |
1.7× |
| Insert drug implant device (11981) |
$61.50 |
$123 |
0.4× |
| Insert gastrostomy tube percutaneous (49440) |
$1,843.50 |
$3,687 |
0.9× |
| Insert heart pm atrial (33206) |
$13,650.50 |
$27,301 |
1.2× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$4,194 |
$8,388 |
1.2× |
| Insert pulse gen mult leads (33221) |
$16,648 |
$33,296 |
0.8× |
| Insert tun ip cath w/port (49419) |
$8,387 |
$16,774 |
1.4× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$8,387 |
$16,774 |
1.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,998.50 |
$5,997 |
0.8× |
Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein Age Under 21 (36800)
likely a partial charge — not the full procedure |
$117.50 |
$235 |
0.0× |
Insertion of implantable defibrillator pulse generator only; with existing single lead Age Under 21 (33240)
likely a partial charge — not the full procedure |
$357 |
$714 |
0.0× |
Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867)
likely a partial charge — not the full procedure |
$1,063 |
$2,126 |
0.1× |
Insertion of material to stop growth of nasal sinus lining with bone flap through forehead (31085)
likely a partial charge — not the full procedure |
$1,256 |
$2,512 |
0.2× |
| Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207) |
$14,957.50 |
$29,915 |
1.3× |
| Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21 (33213) |
$16,622.25 |
$33,244.50 |
1.5× |
| Insertion of pacemaker pulse generator only; with existing single lead Age Under 21 (33212) |
$14,522.25 |
$29,044.50 |
1.6× |
| Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age… (36570) |
$5,062 |
$10,124 |
1.5× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$638.50 |
$1,277 |
0.4× |
Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Age… (61215)
likely a partial charge — not the full procedure |
$522.50 |
$1,045 |
0.1× |
| Insertion of testicular prosthesis (separate procedure) Age Under 21 (54660) |
$6,569 |
$13,138 |
1.1× |
| Insertion of tissue expander(s) for other than breast, including subsequent expansion (11960) |
$1,023 |
$2,046 |
0.3× |
Insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein… (37182)
likely a partial charge — not the full procedure |
$1,634 |
$3,268 |
0.1× |
| Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous… (36566) |
$8,387 |
$16,774 |
1.4× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$2,692.50 |
$5,385 |
0.8× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$2,657 |
$5,314 |
0.8× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61886)
likely a partial charge — not the full procedure |
$887.50 |
$1,775 |
0.0× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885)
likely a partial charge — not the full procedure |
$532 |
$1,064 |
0.0× |
Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596)
likely a partial charge — not the full procedure |
$326.50 |
$653 |
0.0× |
Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring… (64590)
likely a partial charge — not the full procedure |
$292 |
$584 |
0.0× |
Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) Age Under 21 (33211)
likely a partial charge — not the full procedure |
$161 |
$322 |
0.0× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$1,548.25 |
$3,096.50 |
0.9× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$2,220 |
$4,440 |
1.3× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$5,739.75 |
$11,479.50 |
0.7× |
| Insertion tunnel intraperitoneal cath dial open (49421) |
$218.50 |
$437 |
0.1× |
| Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) |
$5,070.50 |
$10,141 |
0.6× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
unusually low — confirm this is the full procedure |
$3,958.25 |
$7,916.50 |
0.4× |
| Insj eltrd car ven sys attch prev pm/dfb pls gen (33224) |
$6,013 |
$12,026 |
0.5× |
| Insj intraperitoneal catheter w/img guid (49418) |
$5,799.50 |
$11,599 |
1.5× |
| Insj of subq implantable defibrillator electrode (33271) |
$11,595 |
$23,190 |
1.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,683.50 |
$5,367 |
0.8× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$5,198.50 |
$10,397 |
1.5× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$5,062 |
$10,124 |
1.5× |
| Insj Tunneled Ctr Vad W/Subq Pump (36563) |
$4,369.50 |
$8,739 |
0.7× |
| Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) |
$19,816.50 |
$39,633 |
0.6× |
Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685)
likely a partial charge — not the full procedure |
$339 |
$678 |
0.0× |
| Insrt heart pm atrial & vent (33208) |
$19,900.75 |
$39,801.50 |
1.8× |
Insrt pulse gen w/dual leads (33230)
likely a partial charge — not the full procedure |
$362 |
$724 |
0.0× |
Insrt pulse gen w/mult leads (33231)
unusually low — confirm this is the full procedure |
$16,668.75 |
$33,337.50 |
0.5× |
| Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated… (32562) |
$623.50 |
$1,247 |
0.9× |
| Instlj via ch tube/cath agent fbrnlysis 1st day (32561) |
$627 |
$1,254 |
0.9× |
| Intraoral i&d tongue/floor lingual (41000) |
$648.50 |
$1,297 |
1.1× |
| Intro cath dialysis circuit dx angrph fluor s&i (36901) |
$2,096 |
$4,192 |
1.2× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$18,529 |
$37,058 |
1.5× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$8,965 |
$17,930 |
1.5× |
| Intubation endotracheal (31500) |
$492.50 |
$985 |
1.9× |
| Irrigation of corpora cavernosa for priapism (54220) |
$893.50 |
$1,787 |
3.4× |
Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22818)
likely a partial charge — not the full procedure |
$2,153 |
$4,306 |
0.1× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical (63265)
likely a partial charge — not the full procedure |
$1,651 |
$3,302 |
0.2× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267)
likely a partial charge — not the full procedure |
$1,360.50 |
$2,721 |
0.2× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral (63268)
likely a partial charge — not the full procedure |
$1,451.50 |
$2,903 |
0.2× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic (63266)
likely a partial charge — not the full procedure |
$1,695 |
$3,390 |
0.2× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Age Under 21 (63655)
likely a partial charge — not the full procedure |
$838.50 |
$1,677 |
0.0× |
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 |
$1,083.50 |
$2,167 |
0.1× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001)
likely a partial charge — not the full procedure |
$1,218 |
$2,436 |
0.2× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63003)
likely a partial charge — not the full procedure |
$1,222.50 |
$2,445 |
0.2× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017)
likely a partial charge — not the full procedure |
$1,256.50 |
$2,513 |
0.2× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63016)
likely a partial charge — not the full procedure |
$1,508 |
$3,016 |
0.2× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015)
likely a partial charge — not the full procedure |
$1,467 |
$2,934 |
0.2× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005)
likely a partial charge — not the full procedure |
$1,193 |
$2,386 |
0.2× |
Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012)
likely a partial charge — not the full procedure |
$1,185 |
$2,370 |
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 |
$1,278 |
$2,556 |
0.2× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)
likely a partial charge — not the full procedure |
$1,221.50 |
$2,443 |
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 |
$1,100 |
$2,200 |
0.1× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042)
likely a partial charge — not the full procedure |
$1,285.50 |
$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 |
$1,093.50 |
$2,187 |
0.1× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030)
likely a partial charge — not the full procedure |
$914 |
$1,828 |
0.1× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040)
likely a partial charge — not the full procedure |
$1,364 |
$2,728 |
0.2× |
Lap jejunostomy (44186)
likely a partial charge — not the full procedure |
$642 |
$1,284 |
0.1× |
Laparoscopic hepatotomy for open drainage of abscess or cyst one or more stages (47379)
likely a partial charge — not the full procedure |
$840 |
$1,680 |
0.1× |
Laparoscopic partial gastrectomy with gastrocutaneous fistula takedown (43659)
likely a partial charge — not the full procedure |
$1,331.50 |
$2,663 |
0.2× |
Laparoscopic Surgical Splenectomy (38120)
likely a partial charge — not the full procedure |
$1,041 |
$2,082 |
0.1× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Age Under 21 (59151)
likely a partial charge — not the full procedure |
$765 |
$1,530 |
0.1× |
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Age Under 21 (59150)
likely a partial charge — not the full procedure |
$782.50 |
$1,565 |
0.1× |
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge — not the full procedure |
$902.50 |
$1,805 |
0.1× |
| Laparoscopy surg colpopexy (57425) |
$7,016.50 |
$14,033 |
0.6× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge — not the full procedure |
$431.50 |
$863 |
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 |
$326.50 |
$653 |
0.1× |
Laparoscopy, abdomen, peritoneum, and omentum; with treatment of hemorrhage (including post-operative) (49329)
likely a partial charge — not the full procedure |
$918.50 |
$1,837 |
0.1× |
Laparoscopy, srgcl; repair femorl hernia, any age; incarcerated/strngltd (49659)
likely a partial charge — not the full procedure |
$663.50 |
$1,327 |
0.1× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$943.50 |
$1,887 |
0.2× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only (43772) |
$932.50 |
$1,865 |
0.2× |
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 |
$895 |
$1,790 |
0.1× |
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546)
likely a partial charge — not the full procedure |
$1,101 |
$2,202 |
0.1× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282)
likely a partial charge — not the full procedure |
$1,683.50 |
$3,367 |
0.1× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Age Under 21 (58541)
likely a partial charge — not the full procedure |
$728 |
$1,456 |
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 |
$825 |
$1,650 |
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 |
$899 |
$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 |
$804 |
$1,608 |
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 |
$905 |
$1,810 |
0.1× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572)
likely a partial charge — not the full procedure |
$1,021 |
$2,042 |
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 |
$1,209.50 |
$2,419 |
0.1× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58550)
likely a partial charge — not the full procedure |
$876.50 |
$1,753 |
0.1× |
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 |
$973 |
$1,946 |
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 |
$1,107 |
$2,214 |
0.1× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554)
likely a partial charge — not the full procedure |
$1,291 |
$2,582 |
0.1× |
Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563)
likely a partial charge — not the full procedure |
$708.50 |
$1,417 |
0.1× |
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (51992)
likely a partial charge — not the full procedure |
$825 |
$1,650 |
0.1× |
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Age Under 21 (38571)
likely a partial charge — not the full procedure |
$652.50 |
$1,305 |
0.1× |
Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21 (49321)
likely a partial charge — not the full procedure |
$341.50 |
$683 |
0.1× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Age Under 21 (58670)
likely a partial charge — not the full procedure |
$372 |
$744 |
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 |
$708.50 |
$1,417 |
0.1× |
Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Age Under 21 (49324)
likely a partial charge — not the full procedure |
$380 |
$760 |
0.1× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Age Under 21 (58660)
likely a partial charge — not the full procedure |
$678.50 |
$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 |
$372 |
$744 |
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 |
$647 |
$1,294 |
0.1× |
Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Age Under 21 (38570)
likely a partial charge — not the full procedure |
$512 |
$1,024 |
0.1× |
Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of… (49325)
likely a partial charge — not the full procedure |
$405 |
$810 |
0.1× |
Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Age Under 21 (58673)
likely a partial charge — not the full procedure |
$785 |
$1,570 |
0.1× |
Laps Rpr Paraesphgl Hrna Incl Fundplsty W/O Mesh (43281)
likely a partial charge — not the full procedure |
$1,495.50 |
$2,991 |
0.1× |
Laps Surg Esopg/Gstr Fundoplasty (43280)
likely a partial charge — not the full procedure |
$1,054.50 |
$2,109 |
0.1× |
Laps surg gastrostomy w/o constj gstr tube spx (43653)
likely a partial charge — not the full procedure |
$574.50 |
$1,149 |
0.1× |
Laps Surg Rpr Recurrent Inguinal Hernia (49651)
likely a partial charge — not the full procedure |
$562.50 |
$1,125 |
0.1× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge — not the full procedure |
$370.50 |
$741 |
0.1× |
| Laryngoscopy direct, with or without tracheoscopy; for aspiration Age Under 21 (31515) |
$110.50 |
$221 |
0.3× |
| Laryngoscopy flex diagnostic (31575) |
$300.50 |
$601 |
1.4× |
| Laryngoscopy indirect diagnostic (31505) |
$279 |
$558 |
1.3× |
| Laryngoscopy w/foreign body removal (31530) |
$2,362.50 |
$4,725 |
1.2× |
| Ligation of a-v fistula (37607) |
$361.50 |
$723 |
0.1× |
Ligation of abdomen artery (37617)
likely a partial charge — not the full procedure |
$1,280 |
$2,560 |
0.2× |
| Ligation or biopsy, temporal artery (37609) |
$201.50 |
$403 |
0.1× |
| Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Age Under 21 (58600) |
$371.50 |
$743 |
0.1× |
| Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below Age… (37722) |
$443 |
$886 |
0.1× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg Age Under 21 (37785) |
$243 |
$486 |
0.1× |
| Long gi tube placement (44500) |
$1,738 |
$3,476 |
1.8× |
| Lumbar puncture (62270) |
$469.50 |
$939 |
0.6× |
| Lymphangiotomy or other operations on lymphatic channels Age Under 21 (38308) |
$467 |
$934 |
0.1× |
| Lysis of labial adhesions (56441) |
$157.50 |
$315 |
0.0× |
| Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target,… (61715) |
$33,846.50 |
$67,693 |
2.8× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$1,820 |
$3,640 |
2.4× |
| Marsupialization bartholin's gland cyst (56440) |
$181.50 |
$363 |
0.1× |
| Mastectomy gynecomastia (19300) |
$434 |
$868 |
0.1× |
| Mastectomy partial (19301) |
$653.50 |
$1,307 |
0.2× |
Mastectomy Partial W/Axillary Lymphadenectomy (19302)
likely a partial charge — not the full procedure |
$897 |
$1,794 |
0.1× |
Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding… (19307)
likely a partial charge — not the full procedure |
$1,166 |
$2,332 |
0.2× |
| Mastotomy expl drg absc dp (19020) |
$1,709.50 |
$3,419 |
1.0× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$165.25 |
$330.50 |
2.6× |
| Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen… (36596) |
$2,096 |
$4,192 |
1.2× |
| Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate… (36595) |
$5,198.50 |
$10,397 |
1.5× |
Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed (39401)
likely a partial charge — not the full procedure |
$297 |
$594 |
0.0× |
Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) (39402)
likely a partial charge — not the full procedure |
$386.50 |
$773 |
0.1× |
| Metatarsectomy Age Under 21 (28140) |
$425.50 |
$851 |
0.1× |
| Musc myoq/fscq flp h&n pedcl (15733) |
$1,015.50 |
$2,031 |
0.3× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Age Under 21 (15738) |
$1,255 |
$2,510 |
0.3× |
| Muscle, myocutaneous, or fasciocutaneous flap; trunk Age Under 21 (15734) |
$1,481.50 |
$2,963 |
0.4× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$1,623.50 |
$3,247 |
1.9× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$1,666 |
$3,332 |
2.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,501.50 |
$3,003 |
1.8× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,622 |
$3,244 |
1.9× |
| Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less… (58145) |
$569.50 |
$1,139 |
0.2× |
| Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21 (31231) |
$291 |
$582 |
1.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$32 |
$64 |
1.0× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$42.50 |
$85 |
1.4× |
Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length Age Under 21 (64892)
likely a partial charge — not the full procedure |
$1,043 |
$2,086 |
0.1× |
| Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve Age Under 21 (64910) |
$8,457 |
$16,914 |
0.9× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$446.50 |
$893 |
0.2× |
| Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Age Under 21 (64708) |
$516.50 |
$1,033 |
0.2× |
| Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct Age Under 21 (19110) |
$354 |
$708 |
0.1× |
| Nipple/areola reconstruction (19350) |
$673 |
$1,346 |
0.2× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$1,466 |
$2,932 |
1.6× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$771.50 |
$1,543 |
0.8× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$4,702.50 |
$9,405 |
1.2× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$2,237 |
$4,474 |
0.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$627.25 |
$1,254.50 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$623.25 |
$1,246.50 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$3,483 |
$6,966 |
3.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$623.25 |
$1,246.50 |
0.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$3,922.50 |
$7,845 |
4.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$1,817.50 |
$3,635 |
1.9× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,077 |
$2,154 |
1.4× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,077 |
$2,154 |
1.4× |
| Non stress test (59025) |
$367.25 |
$734.50 |
1.7× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$2,625.75 |
$5,251.50 |
0.8× |
| Obstructive material removal from gi tube (49460) |
$1,460 |
$2,920 |
1.5× |
| Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach Age Under 21 (58615) |
$254 |
$508 |
0.1× |
Omentectomy, epiploectomy, resection of omentum (separate procedure) (49255)
likely a partial charge — not the full procedure |
$785 |
$1,570 |
0.1× |
| Open Biopsy/Excision Inguinofemoral Nodes (38531) |
$444.50 |
$889 |
0.1× |
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Age Under 21 (64568)
likely a partial charge — not the full procedure |
$601.50 |
$1,203 |
0.0× |
Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Age Under 21 (64575)
likely a partial charge — not the full procedure |
$315 |
$630 |
0.0× |
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 |
$1,638 |
$3,276 |
0.1× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326)
likely a partial charge — not the full procedure |
$1,500 |
$3,000 |
0.1× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327)
likely a partial charge — not the full procedure |
$1,531 |
$3,062 |
0.1× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325)
likely a partial charge — not the full procedure |
$1,470.50 |
$2,941 |
0.1× |
Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation Age Under 21 (21330)
likely a partial charge — not the full procedure |
$542.50 |
$1,085 |
0.1× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21813) |
$942 |
$1,884 |
0.5× |
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21812)
likely a partial charge — not the full procedure |
$704.50 |
$1,409 |
0.1× |
| Open/perq placement intravascular stent initial (37236) |
$24,224.50 |
$48,449 |
2.0× |
| Open/perq placement intravascular stent same 1st (37238) |
$20,299 |
$40,598 |
1.6× |
| Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Age… (54520) |
$4,426 |
$8,852 |
1.2× |
| Ostectomy of sternum, partial (21620) |
$499.50 |
$999 |
0.1× |
| Ostectomy, complete excision; first metatarsal head Age Under 21 (28111) |
$321 |
$642 |
0.1× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Age Under 21 (28112) |
$317 |
$634 |
0.1× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head Age Under 21 (28288) |
$442 |
$884 |
0.1× |
| Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Age Under 21 (21208) |
$7,435 |
$14,870 |
1.2× |
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical (22210)
likely a partial charge — not the full procedure |
$1,774.50 |
$3,549 |
0.2× |
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar (22214)
likely a partial charge — not the full procedure |
$1,506.50 |
$3,013 |
0.2× |
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic (22212)
likely a partial charge — not the full procedure |
$1,506.50 |
$3,013 |
0.2× |
Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22206)
unusually low — confirm this is the full procedure |
$2,411.50 |
$4,823 |
0.3× |
Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22207)
unusually low — confirm this is the full procedure |
$2,363.50 |
$4,727 |
0.3× |
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 |
$953.50 |
$1,907 |
0.1× |
Osteotomy, humerus, with or without internal fixation Age Under 21 (24400)
likely a partial charge — not the full procedure |
$833 |
$1,666 |
0.1× |
Ovarian cystectomy, unilateral or bilateral (58925)
likely a partial charge — not the full procedure |
$763 |
$1,526 |
0.1× |
Parathyroidectomy or exploration of parathyroid(s); Age Under 21 (60500)
likely a partial charge — not the full procedure |
$959 |
$1,918 |
0.2× |
| Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach (57423) |
$6,994.50 |
$13,989 |
0.6× |
Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach (57284)
likely a partial charge — not the full procedure |
$827 |
$1,654 |
0.2× |
Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach (57285)
likely a partial charge — not the full procedure |
$689.50 |
$1,379 |
0.1× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$265 |
$530 |
1.2× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$248 |
$496 |
1.2× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg,… (27360) |
$910 |
$1,820 |
0.3× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Age Under 21 (27641) |
$657 |
$1,314 |
0.2× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$500 |
$1,000 |
0.1× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$443.50 |
$887 |
0.1× |
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22102)
likely a partial charge — not the full procedure |
$773 |
$1,546 |
0.1× |
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22101)
likely a partial charge — not the full procedure |
$888.50 |
$1,777 |
0.1× |
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22114)
likely a partial charge — not the full procedure |
$1,136.50 |
$2,273 |
0.1× |
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22110)
likely a partial charge — not the full procedure |
$1,058 |
$2,116 |
0.1× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$204.50 |
$409 |
0.1× |
Partial removal of uterus with retention of cervix using an endoscope, more than 250.0 g (58543)
likely a partial charge — not the full procedure |
$837 |
$1,674 |
0.1× |
Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Age Under 21 (60212)
likely a partial charge — not the full procedure |
$1,009 |
$2,018 |
0.2× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge — not the full procedure |
$702.50 |
$1,405 |
0.1× |
| Pelvic examination under anesthesia (other than local) Age Under 21 (57410) |
$115 |
$230 |
0.0× |
| Penile injection (54235) |
$3,152.50 |
$6,305 |
11.8× |
| Perc rf ablate renal tumor (50592) |
$7,792 |
$15,584 |
1.2× |
| Percut ablate liver rf (47382) |
$8,807.50 |
$17,615 |
1.4× |
| Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) |
$634.75 |
$1,269.50 |
0.8× |
Percutaneous implantation of neurostimulator electrode array; cranial nerve Age Under 21 (64553)
likely a partial charge — not the full procedure |
$446 |
$892 |
0.0× |
| Percutaneous spinal arthrodesis, with instrumentation;7-12 vertebral segments (22899) |
$1,569 |
$3,138 |
6.0× |
| Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic… (37188) |
$7,294.50 |
$14,589 |
2.2× |
Pereyra procedure, including anterior colporrhaphy Age Under 21 (57289)
likely a partial charge — not the full procedure |
$792 |
$1,584 |
0.1× |
| Pericardiocentesis w/img guidance when performed (33016) |
$3,476.25 |
$6,952.50 |
2.1× |
| Peritoneal lavage, including imaging guidance, when performed (49084) |
$103.50 |
$207 |
0.1× |
| Perq breast loc device placemt 1st lesio mr guid (19287) |
$8,675 |
$17,350 |
11.5× |
| Perq dev breast 1st strtctc (19283) |
$96.50 |
$193 |
0.1× |
| Perq dev breast 1st us imag (19285) |
$1,752.50 |
$3,505 |
2.3× |
| Perq device breast 1st imag (19281) |
$3,182 |
$6,364 |
1.8× |
| Perq dilation xst trc endourologic px w/img (50436) |
$3,373.50 |
$6,747 |
0.9× |
| Perq drainage pleura insert cath w/imaging (32557) |
$1,120 |
$2,240 |
0.7× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,481.50 |
$2,963 |
0.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$271 |
$542 |
1.0× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$29,423.50 |
$58,847 |
1.5× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$18,529 |
$37,058 |
1.5× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$8,965 |
$17,930 |
1.5× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$25,075.75 |
$50,151.50 |
3.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$25,059 |
$50,118 |
3.2× |
| Perq vertebroplasty uni/bi injection lumbosacral (22511) |
$4,060.75 |
$8,121.50 |
1.2× |
| Perq vertebroplasty uni/bi injx cervicothoracic (22510) |
$4,073 |
$8,146 |
1.2× |
Pf-as amputation leg through tibia & fibula (27880)
likely a partial charge — not the full procedure |
$876 |
$1,752 |
0.1× |
| Phleb veins - extrem 20+ (37766) |
$2,690.25 |
$5,380.50 |
0.8× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (32553) |
$2,284.50 |
$4,569 |
1.5× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (49411) |
$2,660.50 |
$5,321 |
1.8× |
| Placement of seton (46020) |
$237 |
$474 |
0.1× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) (44300) |
$827 |
$1,654 |
0.4× |
| Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra Age… (54300) |
$4,426 |
$8,852 |
1.2× |
Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) Age Under 21 (57220)
likely a partial charge — not the full procedure |
$349 |
$698 |
0.1× |
| Plastic repair of introitus Age Under 21 (56800) |
$254 |
$508 |
0.1× |
| Plastic repair of urethrocele Age Under 21 (57230) |
$421 |
$842 |
0.1× |
| Plmt access thru biliary tree into small bwl new (47541) |
$5,647.50 |
$11,295 |
0.8× |
| Plmt bile duct stent prq existing access (47538) |
$8,807.50 |
$17,615 |
1.4× |
| Plmt bile duct stent prq new access w/o sep cath (47539) |
$8,807.50 |
$17,615 |
1.4× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$8,807.50 |
$17,615 |
1.4× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$3,334 |
$6,668 |
1.5× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$3,334 |
$6,668 |
0.9× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$982.50 |
$1,965 |
1.3× |
| Plmt urtrl stent prq new access w/sep nfros cath (50695) |
$5,609.50 |
$11,219 |
1.5× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$3,334 |
$6,668 |
0.9× |
| Plmt urtrl stnt prq new acess w/o sep nfros cath (50694) |
$5,609.50 |
$11,219 |
1.5× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy Age Under 21 (57250)
likely a partial charge — not the full procedure |
$614.50 |
$1,229 |
0.1× |
Pr laparascopic vasectomy during hernia repair (55250) (55559)
likely a partial charge — not the full procedure |
$231.50 |
$463 |
0.0× |
| Preputial stretching (54450) |
$1,050.50 |
$2,101 |
3.9× |
Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184)
unusually low — confirm this is the full procedure |
$6,692.25 |
$13,384.50 |
0.3× |
| Prineoplasty rpr pr nonobal spx (56810) |
$273.50 |
$547 |
0.1× |
| Proctosigmoidoscopy dx (45300) |
$48 |
$96 |
0.0× |
Prq impltj neurostimulator eltrd peripheral nrv (64555)
likely a partial charge — not the full procedure |
$321.50 |
$643 |
0.0× |
Prq impltj nstim electrode array epidural (63650)
likely a partial charge — not the full procedure |
$412 |
$824 |
0.1× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$5,473.50 |
$10,947 |
1.4× |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
$5,647.50 |
$11,295 |
1.5× |
| Prq transcatheter rtrvl intrvas fb with imaging (37197) |
$4,726 |
$9,452 |
1.4× |
| Prq transluminal mechanical thrombectomy vein (37187) |
$9,585 |
$19,170 |
0.8× |
| Punch biopsy skin single lesion (11104) |
$1,112.25 |
$2,224.50 |
2.6× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$536.50 |
$1,073 |
1.2× |
| Puncture aspiration of cyst of breast (19000) |
$310 |
$620 |
0.4× |
| Push enteroscopy w/ submucosal injection and enterocutaneous fistula closure (44799) |
$599.25 |
$1,198.50 |
0.6× |
| Push transfusion, blood, 2 years or younger (36440) |
$49 |
$98 |
0.1× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$4,293.50 |
$8,587 |
1.2× |
| Rad Resection Tumor Soft Tissue Abdl Wall 5 Cm/> (22905) |
$1,309 |
$2,618 |
0.4× |
| Radiant-excision infected graft extremity (35903) |
$542.50 |
$1,085 |
0.2× |
| Radiant-neck/chest procedure unlisted (21899) |
$4,202 |
$8,404 |
16.6× |
Radiant-repair blood vessel direct neck (35201)
likely a partial charge — not the full procedure |
$880.50 |
$1,761 |
0.1× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Age Under 21 (28047) |
$1,027.50 |
$2,055 |
0.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater Age Under 21 (26118) |
$1,053.50 |
$2,107 |
0.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Age Under 21 (27616) |
$1,246 |
$2,492 |
0.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater Age Under 21 (21558) |
$1,322 |
$2,644 |
0.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Age Under 21 (21557) |
$951 |
$1,902 |
0.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater Age Under 21 (27059) |
$1,784 |
$3,568 |
0.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; less than 5 cm Age Under 21 (27049) |
$1,414 |
$2,828 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater Age Under 21 (23078) |
$1,306.50 |
$2,613 |
0.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater Age Under 21 (27364) |
$1,543.50 |
$3,087 |
0.5× |
| Reconstruction or creation of the external female sexual organ for intersex state (56805) |
$3,969.50 |
$7,939 |
1.1× |
| Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg,… (21175) |
$7,435 |
$14,870 |
1.2× |
| Reduction forehead; contouring and setback of anterior frontal sinus wall Age Under 21 (21139) |
$7,435 |
$14,870 |
1.2× |
| Reduction of incarcerated uterus in maternity care and/or delivery (59899) |
$76.50 |
$153 |
0.4× |
Release of tendon connecting biceps muscle and shoulder using an endoscope (29828)
likely a partial charge — not the full procedure |
$917 |
$1,834 |
0.1× |
| Release, tarsal tunnel (posterior tibial nerve decompression) Age Under 21 (28035) |
$365 |
$730 |
0.2× |
| Relocate skin pocket implantable defibrillator (33223) |
$7,915.75 |
$15,831.50 |
3.6× |
| Relocation of skin pocket for pacemaker (33222) |
$4,253.50 |
$8,507 |
1.9× |
Relocation of upper arm surface vein with connection to arm artery for hemodialysis|RIGHT SIDE (36819)
likely a partial charge — not the full procedure |
$696 |
$1,392 |
0.1× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including… (50382) |
$3,334 |
$6,668 |
1.5× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without… (50385) |
$3,334 |
$6,668 |
1.5× |
| Removal biliary drg catheter req fluor gid rs&i (47537) |
$1,460 |
$2,920 |
1.5× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$345.25 |
$690.50 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$57 |
$114 |
0.9× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$240 |
$480 |
3.8× |
| Removal implant deep (20680) |
$422 |
$844 |
0.1× |
| Removal implant superficial (20670) |
$1,265.25 |
$2,530.50 |
0.7× |
| Removal implantable defib pulse generator only (33241) |
$4,038.75 |
$8,077.50 |
1.0× |
| Removal of anal fissure (46200) |
$344 |
$688 |
0.1× |
| Removal of anal seton, other marker Age Under 21 (46030) |
$87 |
$174 |
0.1× |
Removal of appendix using an endoscope (44970)
likely a partial charge — not the full procedure |
$596 |
$1,192 |
0.1× |
| Removal of cerclage suture under anesthesia (other than local) Age Under 21 (59871) |
$131 |
$262 |
0.0× |
| Removal of chest bone tissue (21627) |
$547.50 |
$1,095 |
0.2× |
| Removal of chronic growth of eyelid|RIGHT SIDE (67800) |
$102 |
$204 |
0.3× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Age Under 21 (64570) |
$738 |
$1,476 |
0.2× |
| Removal of diseased or injured scrotum (55150) |
$2,457.75 |
$4,915.50 |
0.7× |
| Removal of entire lumbosubarachnoid shunt system without replacement Age Under 21 (63746) |
$615.50 |
$1,231 |
0.3× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$970.25 |
$1,940.50 |
0.8× |
Removal of first and/or extra rib at neck (21615)
likely a partial charge — not the full procedure |
$609 |
$1,218 |
0.1× |
| Removal of fluid collection in testicle and sperm reservoir|RIGHT SIDE (55040) |
$339 |
$678 |
0.1× |
Removal of fluid-filled sac (bursa) of pelvis (27060)
likely a partial charge — not the full procedure |
$474.50 |
$949 |
0.1× |
| Removal of fluid-filled sac (bursa) or calcium deposit of pelvis (27062) |
$462.50 |
$925 |
0.1× |
| Removal of fluid-filled sac from joint at front of knee (27340) |
$385.50 |
$771 |
0.1× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$2,025.50 |
$4,051 |
1.1× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$2,058.50 |
$4,117 |
1.2× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$405 |
$810 |
0.1× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$338.50 |
$677 |
2.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$308 |
$616 |
0.6× |
| Removal of foreign body, foot; deep (28192) |
$313.50 |
$627 |
0.2× |
| Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) Age Under 21 (27087) |
$616 |
$1,232 |
0.2× |
| Removal of intact breast implant Age Under 21 (19328) |
$555 |
$1,110 |
0.1× |
| Removal of iud (58301) |
$198.50 |
$397 |
0.6× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$482.50 |
$965 |
0.2× |
| Removal of nail bed (11750) |
$434 |
$868 |
1.0× |
| Removal of peritoneal foreign body from peritoneal cavity Age Under 21 (49402) |
$3,243.50 |
$6,487 |
0.8× |
| Removal of pm generator (33233) |
$7,868.25 |
$15,736.50 |
0.9× |
Removal of posterior nonsegmental instrumentation (eg, harrington rod) (22850)
likely a partial charge — not the full procedure |
$735.50 |
$1,471 |
0.1× |
Removal of segmental stabilizing device from back of spine (22852)
likely a partial charge — not the full procedure |
$709.50 |
$1,419 |
0.1× |
| Removal of shunt from jugular vein to abdominal cavity (49429) |
$2,824 |
$5,648 |
0.8× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$78 |
$156 |
0.4× |
| Removal of skin wrinkles (15829) |
$4,555 |
$9,110 |
1.2× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$851 |
$1,702 |
0.2× |
Removal of stabilizing device from front of spine (22855)
likely a partial charge — not the full procedure |
$1,099.50 |
$2,199 |
0.1× |
| Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion Age Under 21 (62365) |
$299.50 |
$599 |
0.1× |
| Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) Age Under 21 (15851) |
$65 |
$130 |
0.0× |
Removal of thyroid lobe on side of neck and partial removal of thyroid lobe on opposite side of neck including tissue… (60225)
likely a partial charge — not the full procedure |
$932 |
$1,864 |
0.1× |
| Removal of tissue expander without insertion of implant Age Under 21 (11971) |
$2,150 |
$4,300 |
0.7× |
Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical (22864)
likely a partial charge — not the full procedure |
$2,038 |
$4,076 |
0.3× |
| Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21 (33235) |
$6,029.50 |
$12,059 |
1.5× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) |
$5,955.75 |
$11,911.50 |
1.5× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,686.50 |
$5,373 |
0.8× |
Removal of uterus with repair of herniated bowel through vagina, 250.0 g or less (58270)
likely a partial charge — not the full procedure |
$888 |
$1,776 |
0.2× |
Removal of uterus with repair of herniated bowel through vagina. 250.0 g or more (58294)
likely a partial charge — not the full procedure |
$1,204 |
$2,408 |
0.2× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) Age Under 21 (57287) |
$744 |
$1,488 |
0.2× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$937.75 |
$1,875.50 |
1.2× |
| Removal tunneled cv cath (36590) |
$687 |
$1,374 |
0.4× |
| Removal, non-biodegradable drug delivery implant (11982) |
$71.50 |
$143 |
0.2× |
| Remove lung catheter (32552) |
$1,739.50 |
$3,479 |
2.6× |
| Remove pharynx foreign body (42809) |
$401.50 |
$803 |
0.8× |
| Remove spinal canal catheter (62355) |
$280 |
$560 |
0.1× |
| Remove stent via transureth (50386) |
$3,334 |
$6,668 |
1.5× |
| Remove ureter stent percut (50384) |
$3,334 |
$6,668 |
1.5× |
| Remove vaginal foreign body (57415) |
$177 |
$354 |
0.1× |
| Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228) |
$24,539.50 |
$49,079 |
2.2× |
| Remvl perm pm pls gen w/repl plse gen mult lead (33229) |
$25,729.75 |
$51,459.50 |
1.3× |
| Remvl perm pm plse gen w/repl plse gen sngl lead (33227) |
$24,391.25 |
$48,782.50 |
2.8× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$5,187 |
$10,374 |
2.9× |
| Repair blood vessel lesion (35226) |
$790 |
$1,580 |
1.0× |
| Repair blood vessel upper ext (35206) |
$762.50 |
$1,525 |
0.2× |
Repair blood vessel with graft other than vein; upper extremity (35266)
likely a partial charge — not the full procedure |
$826.50 |
$1,653 |
0.1× |
Repair blood vessel with vein graft; lower extremity (35256)
likely a partial charge — not the full procedure |
$961.50 |
$1,923 |
0.2× |
Repair blood vessel with vein graft; upper extremity (35236)
likely a partial charge — not the full procedure |
$961 |
$1,922 |
0.2× |
| Repair blood vessel, direct; hand, finger Age Under 21 (35207) |
$802.50 |
$1,605 |
0.2× |
| Repair brow defect (67900) |
$2,966.50 |
$5,933 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,170.25 |
$2,340.50 |
2.7× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$600.75 |
$1,201.50 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$792.50 |
$1,585 |
1.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$841.75 |
$1,683.50 |
1.1× |
| Repair eyelid wound (67930) |
$3,108.50 |
$6,217 |
1.2× |
| Repair finger tendon (26418) |
$2,069.50 |
$4,139 |
1.2× |
| Repair forearm tendon/muscle (25260) |
$646 |
$1,292 |
0.2× |
| Repair initial femoral hernia, any age; incarcerated or strangulated Age Under 21 (49553) |
$626 |
$1,252 |
0.2× |
| Repair initial femoral hernia, any age; reducible Age Under 21 (49550) |
$572.50 |
$1,145 |
0.1× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$582.50 |
$1,165 |
0.2× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$470.75 |
$941.50 |
1.1× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$612.50 |
$1,225 |
1.4× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$872.75 |
$1,745.50 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$506.50 |
$1,013 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,379 |
$2,758 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$435.50 |
$871 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$569.75 |
$1,139.50 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,161.50 |
$2,323 |
1.5× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$375.75 |
$751.50 |
0.9× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$503.25 |
$1,006.50 |
1.2× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,105 |
$2,210 |
1.4× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$1,276 |
$2,552 |
2.9× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$554 |
$1,108 |
1.3× |
| Repair lead pace-defib dual (33220) |
$3,787.75 |
$7,575.50 |
1.0× |
| Repair lead pace-defib one (33218) |
$2,908.25 |
$5,816.50 |
0.7× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$876.50 |
$1,753 |
1.5× |
| Repair lip, full thickness; up to half vertical height Age Under 21 (40652) |
$525.50 |
$1,051 |
0.9× |
Repair lumbar hernia Age Under 21 (49540)
likely a partial charge — not the full procedure |
$662.50 |
$1,325 |
0.1× |
| Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») Age Under 21 (46707) |
$505 |
$1,010 |
0.2× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge — not the full procedure |
$749.50 |
$1,499 |
0.1× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49614)
likely a partial charge — not the full procedure |
$556 |
$1,112 |
0.1× |
| Repair of blocked uterine tube opening (58770) |
$856 |
$1,712 |
0.2× |
Repair of enterocele, vaginal approach (separate procedure) Age Under 21 (57268)
likely a partial charge — not the full procedure |
$508.50 |
$1,017 |
0.1× |
Repair of kidney using an endoscope|RIGHT SIDE (50544)
likely a partial charge — not the full procedure |
$1,214 |
$2,428 |
0.1× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$327.50 |
$655 |
0.7× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$810 |
$1,620 |
3.2× |
| Repair of nail bed (11760) |
$1,027 |
$2,054 |
1.3× |
| Repair of rectocele (separate procedure) Age Under 21 (45560) |
$686 |
$1,372 |
0.2× |
| Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or… (36575) |
$610.50 |
$1,221 |
0.9× |
Repair of uterine tube tissue near ovary using an endoscope (58672)
likely a partial charge — not the full procedure |
$723.50 |
$1,447 |
0.1× |
Repair of windpipe cartilage through neck (31750)
likely a partial charge — not the full procedure |
$1,360 |
$2,720 |
0.2× |
| Repair recurrent femoral hernia; incarcerated or strangulated Age Under 21 (49557) |
$713 |
$1,426 |
0.2× |
| Repair recurrent femoral hernia; reducible Age Under 21 (49555) |
$599 |
$1,198 |
0.2× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated Age Under 21 (49521)
likely a partial charge — not the full procedure |
$707.50 |
$1,415 |
0.1× |
| Repair tongue lacer,post 1/3 (41251) |
$358 |
$716 |
1.4× |
| Repair vagina/perineum (57210) |
$396 |
$792 |
0.1× |
Repair, acquired or traumatic arteriovenous fistula; extremities (35190)
likely a partial charge — not the full procedure |
$724.50 |
$1,449 |
0.1× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$856.75 |
$1,713.50 |
1.1× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$843 |
$1,686 |
1.1× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$514.25 |
$1,028.50 |
1.2× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$507.25 |
$1,014.50 |
0.6× |
| Repair, fascial defect of leg Age Under 21 (27656) |
$347 |
$694 |
0.1× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$2,452 |
$4,904 |
1.1× |
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 |
$762 |
$1,524 |
0.1× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,242.50 |
$2,485 |
1.3× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$2,162.50 |
$4,325 |
2.2× |
| Replace picvad cath (36585) |
$5,062 |
$10,124 |
1.5× |
| Replace tunneled cv cath (36582) |
$2,670.50 |
$5,341 |
0.8× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$2,594.50 |
$5,189 |
2.7× |
| Replacement or irrigation, ventricular catheter Age Under 21 (62225) |
$541.50 |
$1,083 |
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 |
$837 |
$1,674 |
0.1× |
| Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral… (36578) |
$5,062 |
$10,124 |
1.5× |
| Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through… (36583) |
$8,387 |
$16,774 |
1.4× |
| Reposition l ventric lead (33226) |
$9,121.75 |
$18,243.50 |
2.7× |
| Reposition venous catheter (36597) |
$1,077 |
$2,154 |
0.6× |
| Repositioning and suture of misplaced testicle|BILATERAL PROCEDURE (54640) |
$427 |
$854 |
0.1× |
| Resection, condyle(s), distal end of phalanx, each toe Age Under 21 (28153) |
$268 |
$536 |
0.1× |
| Reset dislocated jaw (21480) |
$1,069.75 |
$2,139.50 |
4.1× |
| Reshaping of bony cartilage dividing nasal passages|BILATERAL PROCEDURE (30420) |
$7,435 |
$14,870 |
1.2× |
| Revise abdomen-venous shunt (49426) |
$3,155 |
$6,310 |
0.8× |
| Revise ulnar nerve at elbow (64718) |
$613.50 |
$1,227 |
0.3× |
| Revise ulnar nerve at wrist (64719) |
$415.50 |
$831 |
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 |
$885.50 |
$1,771 |
0.1× |
| Revision of cervix (59320) |
$148.50 |
$297 |
0.0× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) (44345) |
$1,033 |
$2,066 |
0.3× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) |
$1,160 |
$2,320 |
0.3× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) (44314) |
$988.50 |
$1,977 |
0.3× |
| Revision of upper eyelid (15823) |
$2,315.50 |
$4,631 |
1.1× |
Revision or removal of cranial neurostimulator pulse generator or receiver Age Under 21 (61888)
likely a partial charge — not the full procedure |
$397 |
$794 |
0.0× |
| Revision or removal of intracranial neurostimulator electrodes Age Under 21 (61880) |
$591 |
$1,182 |
0.2× |
| Revision or removal of peripheral neurostimulator electrode array Age Under 21 (64585) |
$144 |
$288 |
0.0× |
| Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable… (64595) |
$228 |
$456 |
0.1× |
| Revision peri-implant capsule breast (19370) |
$4,839 |
$9,678 |
1.2× |
Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty (35879)
likely a partial charge — not the full procedure |
$873 |
$1,746 |
0.1× |
Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate… (36832)
likely a partial charge — not the full procedure |
$722 |
$1,444 |
0.1× |
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
likely a partial charge — not the full procedure |
$448 |
$896 |
0.1× |
| Revj transvns intrhptc portosystemic shnt (tips) (37183) |
$8,965 |
$17,930 |
1.5× |
| Revj/rmvl impl spi npg/rcvr dtch connj eltrd ra (63688) |
$343.50 |
$687 |
0.1× |
| Rhinoplasty, secondary; major revision (nasal tip work and osteotomies) Age Under 21 (30450) |
$7,435 |
$14,870 |
1.2× |
| Rhytidectomy forehead (15824) |
$2,315.50 |
$4,631 |
1.1× |
| Rhytidectomy; cheek, chin, and neck Age Under 21 (15828) |
$4,555 |
$9,110 |
1.2× |
| Rhytidectomy; glabellar frown lines Age Under 21 (15826) |
$4,555 |
$9,110 |
1.2× |
| Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap) Age Under 21 (15825) |
$4,555 |
$9,110 |
1.2× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$6,122.50 |
$12,245 |
2.7× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$183 |
$366 |
1.3× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$179 |
$358 |
1.3× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,024.75 |
$4,049.50 |
0.7× |
| Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264) |
$25,744.25 |
$51,488.50 |
0.8× |
| Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262) |
$38,580.25 |
$77,160.50 |
1.6× |
| Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263) |
$24,414 |
$48,828 |
1.0× |
| Rmvl nfros tube req fluoro guidance (50389) |
$2,120.50 |
$4,241 |
2.9× |
| Rmvl of access device (36589) |
$661 |
$1,322 |
1.0× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$328.50 |
$657 |
0.2× |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
$5,714.50 |
$11,429 |
1.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,446.50 |
$4,893 |
1.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,620 |
$5,240 |
0.8× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge — not the full procedure |
$725 |
$1,450 |
0.1× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge — not the full procedure |
$557.50 |
$1,115 |
0.1× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge — not the full procedure |
$463 |
$926 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$334 |
$668 |
0.1× |
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge — not the full procedure |
$621.50 |
$1,243 |
0.1× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$411.50 |
$823 |
0.1× |
Rpr blvsl w/grf other/than vein lower extremity (35286)
likely a partial charge — not the full procedure |
$881.50 |
$1,763 |
0.1× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,137.50 |
$2,275 |
0.7× |
| Rpr Ingun Hernia Sliding Any Age (49525) |
$568.50 |
$1,137 |
0.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,596.50 |
$3,193 |
2.0× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$558.25 |
$1,116.50 |
0.3× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$626.50 |
$1,253 |
0.2× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$505 |
$1,010 |
0.1× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$9,000.50 |
$18,001 |
2.7× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$4,726 |
$9,452 |
1.4× |
| Sclerotherapy fluid collection prq w/img gid (49185) |
$3,642 |
$7,284 |
2.1× |
| Scrotoplasty; complicated Age Under 21 (55180) |
$6,569 |
$13,138 |
1.1× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$791 |
$1,582 |
0.2× |
| Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft Age Under 21 (30520) |
$4,087.50 |
$8,175 |
1.2× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$33.50 |
$67 |
0.1× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$50.50 |
$101 |
0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$37 |
$74 |
0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$48 |
$96 |
0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$61.50 |
$123 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$68.50 |
$137 |
0.2× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$73 |
$146 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$70 |
$140 |
0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$59 |
$118 |
0.3× |
| Sigmoidoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45340) |
$77.50 |
$155 |
0.1× |
Simple complete removal of breast|BILATERAL PROCEDURE (19303)
likely a partial charge — not the full procedure |
$946 |
$1,892 |
0.1× |
| Simple partial removal of external female genitals (56620) |
$594 |
$1,188 |
0.2× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$225.50 |
$451 |
1.1× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$156 |
$312 |
0.7× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$234.75 |
$469.50 |
1.1× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$229.75 |
$459.50 |
1.1× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$315.25 |
$630.50 |
1.5× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$868.50 |
$1,737 |
4.1× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$338.75 |
$677.50 |
0.8× |
| Simple revision of superficial scar tissue from surgically created opening of large bowel to skin (44340) |
$626 |
$1,252 |
0.2× |
| Simple revision of superficial scar tissue from surgically created opening of small bowel to skin (44312) |
$592 |
$1,184 |
0.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$266.50 |
$533 |
1.2× |
| Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) (51736) |
$14 |
$28 |
0.1× |
| Skin tissue procedure unlisted (17999) |
$260 |
$520 |
1.2× |
Slctv cath carotid/innom art angio intrcranl art (36223)
unusually low — confirm this is the full procedure |
$2,913 |
$5,826 |
0.5× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$6,332.50 |
$12,665 |
1.9× |
Slctv cath intrnl carotid art angio intrcrnl art (36224)
unusually low — confirm this is the full procedure |
$2,736.50 |
$5,473 |
0.5× |
| Slctv cath subclavian art angio vertebral artery (36225) |
$4,056 |
$8,112 |
1.2× |
Slctv cath vertebral art angio vertebral artery (36226)
unusually low — confirm this is the full procedure |
$2,735.25 |
$5,470.50 |
0.5× |
Sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (57288)
likely a partial charge — not the full procedure |
$741.50 |
$1,483 |
0.1× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$227 |
$454 |
1.1× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$619.25 |
$1,238.50 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$427 |
$854 |
1.0× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Age Under 21 (46750) |
$736 |
$1,472 |
0.2× |
| Sphincterotomy, anal, division of sphincter (separate procedure) Age Under 21 (46080) |
$156.50 |
$313 |
0.1× |
| Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple… (15120) |
$3,425.25 |
$6,850.50 |
0.9× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$1,514.25 |
$3,028.50 |
0.7× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,342.75 |
$6,685.50 |
1.0× |
| Strapping of knee (29530) |
$162.50 |
$325 |
1.1× |
| Strapping unna boot (29580) |
$26 |
$52 |
0.2× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$91.50 |
$183 |
0.1× |
| Suction assisted lipectomy; lower extremity - 15879 (15879) |
$4,555 |
$9,110 |
1.2× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$2,315.50 |
$4,631 |
2.9× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$826.50 |
$1,653 |
1.9× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Age Under 21 (46275) |
$426 |
$852 |
0.1× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Age Under 21 (46285) |
$427.50 |
$855 |
0.1× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age Under 21 (46270) |
$405 |
$810 |
0.1× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or… (46280) |
$483.50 |
$967 |
0.2× |
Suture closure of vagina and vaginal opening (57120)
likely a partial charge — not the full procedure |
$532 |
$1,064 |
0.1× |
Suture of infrapatellar tendon; primary Age Under 21 (27380)
likely a partial charge — not the full procedure |
$633 |
$1,266 |
0.1× |
| Suture of major peripheral nerve, arm or leg, except sciatic; including transposition Age Under 21 (64856) |
$8,457 |
$16,914 |
0.9× |
| Suture of major peripheral nerve, arm or leg, except sciatic; without transposition Age Under 21 (64857) |
$1,045.50 |
$2,091 |
0.3× |
Suture of quadriceps or hamstring muscle rupture; primary Age Under 21 (27385)
likely a partial charge — not the full procedure |
$618.50 |
$1,237 |
0.1× |
| Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full… (67935) |
$3,108.50 |
$6,217 |
1.2× |
| Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single… (44602) |
$1,368 |
$2,736 |
0.3× |
| Suture or repair of testicular injury Age Under 21 (54670) |
$409 |
$818 |
0.1× |
| Tangential biopsy skin single lesion (11102) |
$1,108 |
$2,216 |
2.6× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$25,291.25 |
$50,582.50 |
1.2× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$3,569.75 |
$7,139.50 |
1.1× |
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Age Under 21 (20924)
likely a partial charge — not the full procedure |
$509.50 |
$1,019 |
0.1× |
| Tenotomy elbow lateral/medial percutaneous (24357) |
$425.50 |
$851 |
0.1× |
| Therapeutic apheresis; for plasma pheresis Age Under 21 (36514) |
$4,245.50 |
$8,491 |
2.6× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$3,851.50 |
$7,703 |
5.1× |
| Therapeutic spinal puncture drainage csf (62272) |
$619 |
$1,238 |
0.8× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,521.75 |
$3,043.50 |
2.3× |
Thoracoscopy With Biopsyies of Pleura|LEFT SIDE (32609)
likely a partial charge — not the full procedure |
$246.50 |
$493 |
0.0× |
Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy (32601)
likely a partial charge — not the full procedure |
$296 |
$592 |
0.0× |
Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral (32607)
likely a partial charge — not the full procedure |
$295 |
$590 |
0.0× |
Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral (32608)
likely a partial charge — not the full procedure |
$362 |
$724 |
0.0× |
Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); Age Under 21 (35875)
likely a partial charge — not the full procedure |
$564 |
$1,128 |
0.1× |
Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or… (35876)
likely a partial charge — not the full procedure |
$908.50 |
$1,817 |
0.2× |
| Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision Age Under 21 (34490) |
$577.50 |
$1,155 |
0.2× |
| Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision (34421) |
$660 |
$1,320 |
0.2× |
Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate… (36831)
likely a partial charge — not the full procedure |
$589.50 |
$1,179 |
0.1× |
Thromboendarterectomy, including patch graft, if performed; axillary-brachial (35321)
likely a partial charge — not the full procedure |
$855 |
$1,710 |
0.1× |
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372)
likely a partial charge — not the full procedure |
$925 |
$1,850 |
0.2× |
| Thrombolysis art/venous infsn w/image subsq tx (37213) |
$2,096 |
$4,192 |
0.6× |
| Thrombolysis arterial infusion icra rs&i init tx (37211) |
$4,186 |
$8,372 |
0.7× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$5,198.50 |
$10,397 |
1.5× |
Thyroidectomy Rmvl Remaining Tiss Flwg Prtl Rmvl|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (60260)
likely a partial charge — not the full procedure |
$1,075 |
$2,150 |
0.2× |
Thyroidectomy, including substernal thyroid; cervical approach (60271)
likely a partial charge — not the full procedure |
$1,041.50 |
$2,083 |
0.2× |
Thyroidectomy, total or complete (60240)
likely a partial charge — not the full procedure |
$907 |
$1,814 |
0.1× |
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)
likely a partial charge — not the full procedure |
$1,302.50 |
$2,605 |
0.2× |
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857)
likely a partial charge — not the full procedure |
$1,726 |
$3,452 |
0.1× |
Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856)
likely a partial charge — not the full procedure |
$1,603 |
$3,206 |
0.1× |
Total thyroid lobectomy, unilateral; with or without isthmusectomy Age Under 21 (60220)
likely a partial charge — not the full procedure |
$702.50 |
$1,405 |
0.1× |
Trachelectomy (cervicectomy), amputation of cervix (separate procedure) Age Under 21 (57530)
likely a partial charge — not the full procedure |
$377.50 |
$755 |
0.1× |
| Trachelorrhaphy plstc rpr uterine cervix vag (57720) |
$337.50 |
$675 |
0.1× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$862.50 |
$1,725 |
3.4× |
| Transcatheter biopsy (37200) |
$9,455 |
$18,910 |
1.6× |
| Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61626) |
$9,702 |
$19,404 |
0.8× |
Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61624)
likely a partial charge — not the full procedure |
$1,123 |
$2,246 |
0.1× |
| Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with… (58345) |
$2,407 |
$4,814 |
0.7× |
| Transect othr spinal n,xtradural (aka hb transect other spinal n, xtradural) (64772) |
$561 |
$1,122 |
0.3× |
| Transfusion, blood or blood components (36430) |
$2,390 |
$4,780 |
5.1× |
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055)
likely a partial charge — not the full procedure |
$1,604 |
$3,208 |
0.2× |
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 |
$1,472 |
$2,944 |
0.2× |
| Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy Age Under… (31730) |
$143.50 |
$287 |
0.1× |
| Treat big toe fracture (28495) |
$436.50 |
$873 |
1.7× |
| Treat dental ridge fracture (21440) |
$4,041 |
$8,082 |
1.1× |
| Treat knee fracture (27532) |
$5,411.50 |
$10,823 |
1.6× |
| Treat lower leg fracture (27825) |
$2,152.50 |
$4,305 |
1.3× |
| Treat pleurodesis w/agent (32560) |
$73.50 |
$147 |
0.1× |
| Treat tail bone fracture (27200) |
$201.50 |
$403 |
0.8× |
| Treat toe dislocation (28630) |
$442 |
$884 |
1.7× |
| Treat ulnar fracture (24675) |
$2,040.50 |
$4,081 |
1.2× |
| Treat vaginal bleeding (57180) |
$122 |
$244 |
0.6× |
| Treat wrist dislocation (25690) |
$2,000.50 |
$4,001 |
1.2× |
| Treat wrist dislocation (25675) |
$2,327.50 |
$4,655 |
8.8× |
Treatment of broken lower jaw bone with placement of external stabilizing device (21454)
likely a partial charge — not the full procedure |
$497 |
$994 |
0.1× |
Treatment of broken lower jaw bone with placement of stabilizing device to teeth|BILATERAL PROCEDURE (21462)
likely a partial charge — not the full procedure |
$1,173.50 |
$2,347 |
0.2× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$579 |
$1,158 |
2.2× |
| Treatment of foot infection (28003) |
$254 |
$508 |
0.1× |
| Treatment of heel fracture (28405) |
$300 |
$600 |
1.1× |
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 |
$861.50 |
$1,723 |
0.1× |
| Treatment of miscarriage (59812) |
$1,803.50 |
$3,607 |
0.5× |
| Treatment of missed abortion, completed surgically; second trimester Age Under 21 (59821) |
$377.50 |
$755 |
0.1× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$485 |
$970 |
0.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$200 |
$400 |
0.8× |
| Trimming of nondystrophic nails, any number (11719) |
$91.25 |
$182.50 |
1.5× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$6,623 |
$13,246 |
1.1× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$11,949 |
$23,898 |
2.0× |
| Tx superficial wound dehiscence simple closure (12020) |
$838 |
$1,676 |
1.1× |
| Tx superficial wound dehiscence w/packing (12021) |
$499.50 |
$999 |
1.2× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Age Under 21 (49250) |
$591 |
$1,182 |
0.2× |
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
likely a partial charge — not the full procedure |
$918.50 |
$1,837 |
0.1× |
| Unlisted procedure anus (46999) |
$122.50 |
$245 |
0.1× |
| Unlisted procedure pancreas (48999) |
$1,533 |
$3,066 |
2.0× |
| Unlisted procedure, dentoalveolar structures (41899) |
$1,254 |
$2,508 |
5.0× |
| Upgrade of pacemaker system (33214) |
$16,706.25 |
$33,412.50 |
1.5× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Age Under 21 (53410) |
$6,569 |
$13,138 |
1.1× |
| Urethroplasty, reconstruction of female urethra Age Under 21 (53430) |
$6,569 |
$13,138 |
1.1× |
| Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Age Under 21 (53400) |
$6,569 |
$13,138 |
1.1× |
| Urethroplasty; second stage (formation of urethra), including urinary diversion Age Under 21 (53405) |
$6,569 |
$13,138 |
1.1× |
| Uterine evacuation & curettage hydatidiform mole (59870) |
$538.50 |
$1,077 |
0.2× |
| Vaginal delivery (59409) |
$778 |
$1,556 |
0.2× |
Vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58260)
likely a partial charge — not the full procedure |
$834.50 |
$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 |
$921 |
$1,842 |
0.2× |
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263)
likely a partial charge — not the full procedure |
$986.50 |
$1,973 |
0.2× |
Vaginal hysterectomy, for uterus greater than 250 g; (58290)
likely a partial charge — not the full procedure |
$1,139.50 |
$2,279 |
0.1× |
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) (58291)
likely a partial charge — not the full procedure |
$1,230 |
$2,460 |
0.2× |
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele (58292)
likely a partial charge — not the full procedure |
$1,296 |
$2,592 |
0.2× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$541.50 |
$1,083 |
0.2× |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) (57107) |
$1,450 |
$2,900 |
0.4× |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral… (57109) |
$1,724.50 |
$3,449 |
0.5× |
| Vasc embolize/occlude bleed (37244) |
$18,529 |
$37,058 |
1.5× |
| Vascular embolization or occlusion arterial rs&i (37242) |
$18,529 |
$37,058 |
0.9× |
| Vascular embolization or occlusion venous rs&i (37241) |
$18,529 |
$37,058 |
1.5× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$16,036.50 |
$32,073 |
1.3× |
| Vascular surgery procedure (37799) |
$1,319.50 |
$2,639 |
2.0× |
| Vasectomy (55250) |
$231.50 |
$463 |
0.1× |
| Vbac delivery only (59612) |
$878.50 |
$1,757 |
0.3× |
| Venipuncture (36415) |
$26.50 |
$53 |
2.8× |
| Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir;… (61020) |
$105.50 |
$211 |
0.1× |
| Version cephalic external (59412) |
$100.50 |
$201 |
0.0× |
| Vulvectomy simple; complete Age Under 21 (56625) |
$672.50 |
$1,345 |
0.2× |
| Wedge excision skin nail fold (11765) |
$396.50 |
$793 |
0.9× |
Wedge resection or bisection of ovary, unilateral or bilateral (58920)
likely a partial charge — not the full procedure |
$711 |
$1,422 |
0.1× |