| 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) |
— |
$1,610.72 |
— |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
— |
$1,999.36 |
— |
| Abd paracentesis w/imaging (49083) |
— |
$574.50 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$386.16 |
— |
| Ablate inf turbinate submuc (30802) |
— |
$550.30 |
— |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
— |
$8,100.18 |
— |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
— |
$428.42 |
— |
| Abrasion single lesion (15786) |
— |
$479.70 |
— |
| Acetabuloplasty (27120) |
— |
$2,662.20 |
— |
| Acetabuloplasty resection femoral head (27122) |
— |
$2,264.38 |
— |
| Acne surgery (10040) |
— |
$212.70 |
— |
| Acromiopl/Acromionect Partial (23130) |
— |
$1,245.42 |
— |
| Adding Walker Previously Applied Cast (29440) |
— |
$100.30 |
— |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
— |
$1,239.80 |
— |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
— |
$1,597.02 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$2,157.12 |
— |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
— |
$2,008.78 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$1,514.06 |
— |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
— |
$1,382.30 |
— |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
— |
$1,869.30 |
— |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
— |
$1,730.70 |
— |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
— |
$954.26 |
— |
| Allogeneic lymphocyte infusions (38242) |
— |
$243.56 |
— |
| Alveolectomy W/Curtg Osteitis/Sequestrectomy (41830) |
— |
$788.26 |
— |
| Amniocentesis diagnostic (59000) |
— |
$248.50 |
— |
| Amniocentesis therapeutic (59001) |
— |
$374.68 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$1,450.52 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$1,279.36 |
— |
| Amputate Metacarpal Bone (26910) |
— |
$1,534.45 |
— |
| Amputate Thigh,Re-Amputatn (27596) |
— |
$1,493.76 |
— |
| Amputation follow-up surgery (27594) |
— |
$1,044.52 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$1,190.79 |
— |
| Amputation foot transmetarsal (28805) |
— |
$1,496.02 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$909.15 |
— |
| Amputation thigh through femur any level (27590) |
— |
$1,662.18 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$1,070.94 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$1,120.94 |
— |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
— |
$1,449.26 |
— |
| Amputation, arm through humerus; open, circular (guillotine) Facility (24920) |
— |
$1,504.32 |
— |
| Amputation, arm through humerus; re-amputation Facility (24930) |
— |
$1,581.64 |
— |
| Amputation, arm through humerus; secondary closure or scar revision Facility (24925) |
— |
$1,154.02 |
— |
| Amputation, arm through humerus; with implant Facility (24931) |
— |
$1,920.66 |
— |
| Amputation, arm through humerus; with primary closure Facility (24900) |
— |
$1,506.88 |
— |
| Amputation, forearm, through radius and ulna; Facility (25900) |
— |
$1,750.58 |
— |
| Amputation, forearm, through radius and ulna; open, circular (guillotine) Facility (25905) |
— |
$1,752.48 |
— |
| Amputation, forearm, through radius and ulna; re-amputation Facility (25909) |
— |
$1,736.45 |
— |
| Amputation, forearm, through radius and ulna; secondary closure or scar revision Facility (25907) |
— |
$1,598.62 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$1,903.08 |
— |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
— |
$1,317.52 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$1,356.02 |
— |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
— |
$1,192.25 |
— |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
— |
$1,798.30 |
— |
| Amputation, thigh, through femur, any level; immediate fitting technique including first cast Facility (27591) |
— |
$1,981 |
— |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
— |
$1,416.54 |
— |
Anal/Urinary Muscle Study (51784)
range across 4 matching MRF lines |
— |
$54.42–$133.30 |
— |
| Ankle Arthroscopy/Surgery (29892) |
— |
$1,395.20 |
— |
| Ankle disarticulation (27889) |
— |
$1,405.57 |
— |
| Anoplasty, plastic operation for stricture; adult Facility (46700) |
— |
$1,349.72 |
— |
| Anorectal myomectomy (45108) |
— |
$764.48 |
— |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
— |
$398.03 |
— |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) |
— |
$574.24 |
— |
| Anoscopy Ablation Lesion (46615) |
— |
$417.92 |
— |
| Anoscopy Control Bleeding (46614) |
— |
$337.32 |
— |
| Anoscopy diagnostic (46600) |
— |
$206.24 |
— |
| Anoscopy remove lesion (46610) |
— |
$469.08 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$495.16 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$467.56 |
— |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
— |
$1,221.54 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$222.06 |
— |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
— |
$1,522.16 |
— |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
— |
$1,209.50 |
— |
| Anterior Tibial Tubercleplasty (27418) |
— |
$1,694.62 |
— |
| Apheresis Platelets (36513) |
— |
$226.20 |
— |
| Appendectomy (44950) |
— |
$1,346.52 |
— |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
— |
$291.20 |
— |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
— |
$517.30 |
— |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
— |
$536.70 |
— |
| Application Body Cast Shoulder Hips (29035) |
— |
$497.62 |
— |
| Application Body Cast Shoulder Hips Both Thighs (29046) |
— |
$614.48 |
— |
| Application cast elbow finger short arm (29075) |
— |
$181.65 |
— |
| Application Cast Finger (29086) |
— |
$153.46 |
— |
| Application Cast Shoulder Spica (29055) |
— |
$433.46 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$101.38 |
— |
| Application finger splint static (29130) |
— |
$81.88 |
— |
| Application Halo Cranial Including Removal (20661) |
— |
$1,030.88 |
— |
| Application Halo Type Body Cast (29000) |
— |
$688.28 |
— |
| Application Hip Spica Cast 1 Leg (29305) |
— |
$485.60 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$171.59 |
— |
| Application Long Leg Cast Brace (29358) |
— |
$314.70 |
— |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
— |
$281.50 |
— |
| Application Long Leg Splint (29505) |
— |
$166.86 |
— |
| Application multiplane external fixation system (20692) |
— |
$2,291.50 |
— |
| Application of body cast, shoulder to hips; including 1 thigh Facility (29044) |
— |
$559.20 |
— |
| Application of body cast, shoulder to hips; including head, Minerva type Facility (29040) |
— |
$571.46 |
— |
| Application of cylinder cast (thigh to ankle) (29365) |
— |
$242.64 |
— |
| Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric… (20664) |
— |
$1,822.58 |
— |
| Application of halo, including removal; femoral Facility (20663) |
— |
$955.64 |
— |
| Application of long leg cast (29345) |
— |
$268.40 |
— |
| Application of pelvis brace (20662) |
— |
$1,041.36 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$292.72 |
— |
| Application of Risser jacket, localizer, body; including head Facility (29015) |
— |
$575.40 |
— |
| Application Patellar Tendon Bearing Cast (29435) |
— |
$233.16 |
— |
| Application risser jacket localizer body only (29010) |
— |
$532.80 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$152.09 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$136.45 |
— |
| Application short leg splint calf foot (29515) |
— |
$140.60 |
— |
| Application uniplane external fixation system (20690) |
— |
$1,226 |
— |
| Application, cast; figure-of-eight Facility (29049) |
— |
$195.74 |
— |
| Apply hand/wrist cast (29085) |
— |
$186.84 |
— |
| Apply long arm cast (29065) |
— |
$188.38 |
— |
| Apply Short Leg Cast (29405) |
— |
$177.32 |
— |
| Apply short leg cast (29425) |
— |
$179.85 |
— |
| Apply shoulder cast,plastr velpeau (29058) |
— |
$245.14 |
— |
| Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) |
— |
$2,253.14 |
— |
| Arrest Epiphyseal Distal Femur (27475) |
— |
$1,354.78 |
— |
| Arrest Epiphyseal Open Distal Tibia (27730) |
— |
$1,929.03 |
— |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) |
— |
$1,878.21 |
— |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) |
— |
$2,346.28 |
— |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) |
— |
$1,374 |
— |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) |
— |
$262.09 |
— |
| Arterial puncture (36600) |
— |
$61.33 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$1,402.08 |
— |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
— |
$1,464.42 |
— |
| Artery-vein autograft (36825) |
— |
$1,678.30 |
— |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
— |
$2,747.88 |
— |
| Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) |
— |
$1,634.02 |
— |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
— |
$1,592.86 |
— |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
— |
$1,624.87 |
— |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) |
— |
$1,589.34 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$121.25 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$189.40 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$155.54 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$116.76 |
— |
| Arthrodesis ankle open (27870) |
— |
$2,104.06 |
— |
| Arthrodesis Glenohumeral Joint (23800) |
— |
$2,100.28 |
— |
| Arthrodesis great toe interphalangeal joint (28755) |
— |
$1,015.70 |
— |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
— |
$1,614.48 |
— |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) |
— |
$1,592.29 |
— |
| Arthrodesis knee any technique (27580) |
— |
$2,963.68 |
— |
| Arthrodesis Pantalar (28705) |
— |
$2,614.69 |
— |
| Arthrodesis Posterior Interbody Lumbar (22630) |
— |
$3,318.78 |
— |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
— |
$3,322.12 |
— |
| Arthrodesis Posterior/Posterolateral Thoracic (22610) |
— |
$2,649.04 |
— |
| Arthrodesis subtalar (28725) |
— |
$1,694.57 |
— |
| Arthrodesis triple (28715) |
— |
$1,938.53 |
— |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) |
— |
$1,567.27 |
— |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
— |
$3,211.46 |
— |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556) |
— |
$3,514.82 |
— |
| Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid… (22548) |
— |
$4,152.40 |
— |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Facility (22808) |
— |
$3,888.32 |
— |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Facility (22810) |
— |
$4,369.52 |
— |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments Facility (22812) |
— |
$4,538.35 |
— |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
— |
$1,982.31 |
— |
| Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) Facility (24802) |
— |
$2,061.16 |
— |
| Arthrodesis, hip joint (including obtaining graft); Facility (27284) |
— |
$3,277.62 |
— |
| Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy Facility (27286) |
— |
$3,417.40 |
— |
| Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22532) |
— |
$3,796.86 |
— |
| Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533) |
— |
$3,458.84 |
— |
| Arthrodesis, posterior technique, atlas-axis (C1-C2) Facility (22595) |
— |
$3,179.38 |
— |
| Arthrodesis, posterior technique, craniocervical (occiput-C2) Facility (22590) |
— |
$3,335.26 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Facility (22804) |
— |
$5,099.76 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) |
— |
$4,405.78 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) |
— |
$2,826.80 |
— |
| Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) |
— |
$2,826.76 |
— |
| Arthrodesis, symphysis pubis (including obtaining graft) Facility (27282) |
— |
$1,757.26 |
— |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
— |
$1,767.48 |
— |
| Arthrodesis, wrist; with sliding graft Facility (25805) |
— |
$1,791.57 |
— |
| Arthroplasty Ankle (27700) |
— |
$1,276.98 |
— |
| Arthroplasty ankle revision total ankle (27703) |
— |
$2,299.51 |
— |
| Arthroplasty Ankle W/Implant (27702) |
— |
$2,034.32 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$2,994.76 |
— |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
— |
$2,492.04 |
— |
| Arthroplasty interphalangeal joint each (26535) |
— |
$867.94 |
— |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
— |
$1,685.20 |
— |
| Arthroplasty Patella W/Prosthesis (27438) |
— |
$1,717.92 |
— |
| Arthroplasty radial head (24365) |
— |
$1,304.10 |
— |
| Arthroplasty Radial Head W/Implant (24366) |
— |
$1,396.09 |
— |
| Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) |
— |
$2,408.14 |
— |
| Arthroplasty with prosthetic replacement; distal radius Facility (25441) |
— |
$1,931.56 |
— |
| Arthroplasty with prosthetic replacement; distal ulna Facility (25442) |
— |
$1,644.72 |
— |
| Arthroplasty with prosthetic replacement; lunate Facility (25444) |
— |
$1,689.06 |
— |
| Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Facility (25443) |
— |
$1,584.77 |
— |
| Arthroplasty, elbow; with distal humeral prosthetic replacement Facility (24361) |
— |
$2,078.26 |
— |
| Arthroplasty, elbow; with implant and fascia lata ligament reconstruction Facility (24362) |
— |
$2,182.46 |
— |
| Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443) |
— |
$1,662.46 |
— |
| Arthroplasty, knee, tibial plateau; Facility (27440) |
— |
$1,628.16 |
— |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) |
— |
$1,688.02 |
— |
| Arthroplasty, patella; without prosthesis (27437) |
— |
$1,349.72 |
— |
| Arthroplasty, temporomandibular joint, with allograft Facility (21242) |
— |
$2,116.86 |
— |
| Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) |
— |
$2,280.30 |
— |
| Arthroplasty, temporomandibular joint, with prosthetic joint replacement Facility (21243) |
— |
$3,470.32 |
— |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
— |
$1,929.12 |
— |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) |
— |
$2,093.58 |
— |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
— |
$1,222.28 |
— |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
— |
$1,094.13 |
— |
| Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) |
— |
$2,122.04 |
— |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
— |
$1,068.91 |
— |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
— |
$1,212.24 |
— |
| Arthroscopy Elbow Surgical Debridement Limited (29837) |
— |
$1,080.81 |
— |
| Arthroscopy Elbow Surgical Synovectomy Partial (29835) |
— |
$1,022.71 |
— |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
— |
$1,139.86 |
— |
| Arthroscopy Knee Osteochondral Allograft (29867) |
— |
$2,615.18 |
— |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
— |
$1,341.66 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$1,008.70 |
— |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
— |
$1,247.48 |
— |
| Arthroscopy shoulder distal claviculectomy (29824) |
— |
$1,352.86 |
— |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
— |
$2,175.80 |
— |
| Arthroscopy Wrist Surgical Synovectomy Complete (29845) |
— |
$1,170.30 |
— |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
— |
$1,046.70 |
— |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
— |
$1,191.47 |
— |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
— |
$1,001.37 |
— |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) |
— |
$1,347.92 |
— |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
— |
$1,637.86 |
— |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
— |
$1,461.12 |
— |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
— |
$1,641.34 |
— |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) |
— |
$3,459.62 |
— |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
— |
$2,157.40 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$1,065.34 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
— |
$1,732.36 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$1,427.68 |
— |
| Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy Facility (29900) |
— |
$1,008.08 |
— |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901) |
— |
$1,077.78 |
— |
| Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener… (29902) |
— |
$1,156.56 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$1,855.24 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$1,281.57 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$1,172.04 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$2,126.56 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
— |
$1,208.30 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$1,198 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$2,232.15 |
— |
| Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Facility (29904) |
— |
$1,286.82 |
— |
| Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Facility (29907) |
— |
$1,790.80 |
— |
| Arthroscopy, temporomandibular joint, surgical Facility (29804) |
— |
$1,317.41 |
— |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
— |
$1,057.88 |
— |
| Arthroscopy, wrist, surgical; for infection, lavage and drainage Facility (29843) |
— |
$981.64 |
— |
| Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) |
— |
$1,097.58 |
— |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
— |
$1,328.38 |
— |
| Arthrotomy biopsy interphalangeal joint each (26110) |
— |
$647.78 |
— |
| Arthrotomy Glenohumeral Joint W/Biopsy (23100) |
— |
$1,015.68 |
— |
| Arthrotomy W/Biopsy Hip Joint (27052) |
— |
$1,172.24 |
— |
| Arthrotomy W/Biopsy Sacroiliac Joint (27050) |
— |
$814.94 |
— |
| Arthrotomy W/Meniscus Repair Knee (27403) |
— |
$1,307 |
— |
| Arthrotomy W/Synovectomy Ankle (27625) |
— |
$1,253.91 |
— |
| Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) |
— |
$676.72 |
— |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) |
— |
$679.18 |
— |
| Arthrotomy Wrist Joint With Biopsy (25100) |
— |
$748.78 |
— |
| Arthrotomy wrist joint with synovectomy (25105) |
— |
$1,081.41 |
— |
| Arthrotomy, elbow; with synovial biopsy only Facility (24100) |
— |
$842.90 |
— |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
— |
$1,463.70 |
— |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) |
— |
$1,925.94 |
— |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
— |
$843.76 |
— |
| Arthrotomy, temporomandibular joint Facility (21010) |
— |
$1,557.94 |
— |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
— |
$1,194.28 |
— |
| Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Facility (23106) |
— |
$1,010.38 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$2,852.64 |
— |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
— |
$2,386.82 |
— |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
— |
$1,266.72 |
— |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
— |
$1,717.24 |
— |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
— |
$2,039.15 |
— |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
— |
$2,509.54 |
— |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
— |
$1,367.92 |
— |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
— |
$1,351.48 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$1,267.24 |
— |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) |
— |
$1,302.64 |
— |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) |
— |
$1,524.14 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$1,321.02 |
— |
| Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) |
— |
$1,157.38 |
— |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
— |
$958.19 |
— |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) |
— |
$1,457.30 |
— |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
— |
$788.16 |
— |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
— |
$672.86 |
— |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
— |
$1,153.86 |
— |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
— |
$1,306.34 |
— |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
— |
$905.32 |
— |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
— |
$968.76 |
— |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) |
— |
$1,076.50 |
— |
| Arthrt w/synvct kne ant&post w/pop area (27335) |
— |
$1,559.80 |
— |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
— |
$861.84 |
— |
| Artificial insemination intra-cervical (58321) |
— |
$165.90 |
— |
| Artificial insemination intra-uterine (58322) |
— |
$185.39 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$1,094.76 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$947.58 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$141.90 |
— |
| Aspiration & Injection Treatment Bone Cyst (20615) |
— |
$480.42 |
— |
| Aspiration and/or injection thyroid cyst (60300) |
— |
$224.56 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$543.58 |
— |
| Aspiration Bladder Needle (51100) |
— |
$140.45 |
— |
| Aspiration bladder trocar/intracatheter (51101) |
— |
$278.74 |
— |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
— |
$1,150.78 |
— |
| Augmentation lower jaw bone (21127) |
— |
$7,548.70 |
— |
| Augmentation, mandibular body or angle; prosthetic material Facility (21125) |
— |
$5,581.98 |
— |
| Autologous Chondrocyte Implantation Knee (27412) |
— |
$3,358.18 |
— |
| Av fistula revision (36833) |
— |
$1,714.14 |
— |
| Av Fistula Revision Open (36832) |
— |
$1,594.04 |
— |
| Av Fuse Uppr Arm Basilic (36819) |
— |
$1,741.96 |
— |
| Av fusion/forearm vein (36820) |
— |
$1,741.96 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$212.48 |
— |
| Axillary lymphadenectomy; complete (38745) |
— |
$1,834.66 |
— |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
— |
$697.69 |
— |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) |
— |
$1,090.72 |
— |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
— |
$959.47 |
— |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) |
— |
$722.51 |
— |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
— |
$853.46 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$382.10 |
— |
| Biopsy bone open deep (20245) |
— |
$1,118.39 |
— |
| Biopsy bone open superficial (20240) |
— |
$478.62 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$989.06 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$442.48 |
— |
| Biopsy External Auditory Canal (69105) |
— |
$271.76 |
— |
| Biopsy external ear (69100) |
— |
$192.32 |
— |
| Biopsy eye muscle (67346) |
— |
$385.44 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$452.12 |
— |
| Biopsy Muscle Superficial (20200) |
— |
$410.16 |
— |
| Biopsy nail unit (11755) |
— |
$239.02 |
— |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
— |
$390.04 |
— |
| Biopsy of breast; open, incisional (19101) |
— |
$672.62 |
— |
| Biopsy of conjunctiva (68100) |
— |
$468.65 |
— |
| Biopsy of cornea (65410) |
— |
$283.12 |
— |
| Biopsy of epididymis (54800) |
— |
$268.66 |
— |
| Biopsy of floor of mouth (41108) |
— |
$299.44 |
— |
| Biopsy of foot joint lining (28052) |
— |
$881.16 |
— |
| Biopsy of foot joint lining (28050) |
— |
$843.32 |
— |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
— |
$251 |
— |
| Biopsy of lacrimal gland (68510) |
— |
$983.76 |
— |
| Biopsy of lip (40490) |
— |
$248.46 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$590.36 |
— |
| Biopsy of nerve (64795) |
— |
$408.24 |
— |
| Biopsy of palate, uvula (42100) |
— |
$295.82 |
— |
| Biopsy of penis (54100) |
— |
$389.90 |
— |
| Biopsy of penis; deep structures (54105) |
— |
$537.94 |
— |
| Biopsy of rectum (45100) |
— |
$611.74 |
— |
| Biopsy of tear sac (68525) |
— |
$531.42 |
— |
| Biopsy of toe joint lining (28054) |
— |
$744.10 |
— |
| Biopsy of upper nose/throat (42806) |
— |
$433.16 |
— |
| Biopsy of urethra (53200) |
— |
$529.48 |
— |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
— |
$959.28 |
— |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
— |
$1,152.56 |
— |
| Biopsy Oropharynx (42800) |
— |
$310.86 |
— |
| Biopsy ovary uni/bi separate procedure (58900) |
— |
$837.50 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$305.72 |
— |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) |
— |
$556.28 |
— |
| Biopsy Salivary Gland Incisional (42405) |
— |
$598.50 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$201.62 |
— |
| Biopsy soft tissue back/flank deep (21925) |
— |
$915.18 |
— |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
— |
$502.54 |
— |
| Biopsy soft tissue forearm&/wrist deep (25066) |
— |
$895.69 |
— |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
— |
$503.04 |
— |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) |
— |
$1,148.64 |
— |
| Biopsy soft tissue leg/ankle area superficial (27613) |
— |
$495.48 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$512.92 |
— |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
— |
$677.56 |
— |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
— |
$1,431.72 |
— |
| Biopsy Soft Tissue Shoulder Deep (23066) |
— |
$1,115.62 |
— |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
— |
$440.88 |
— |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
— |
$820.90 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$546.10 |
— |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
— |
$509.48 |
— |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
— |
$1,337.65 |
— |
| Biopsy Testis Incisional Separate Procedure (54505) |
— |
$434.67 |
— |
| Biopsy Testis Needle Separate Procedure (54500) |
— |
$156.86 |
— |
| Biopsy Tongue Anterior Two-Thirds (41100) |
— |
$339.88 |
— |
| Biopsy Tongue Posterior One-Third (41105) |
— |
$345.90 |
— |
| Biopsy Vaginal Mucosa Extensive (57105) |
— |
$293.12 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$185.84 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$182.90 |
— |
| Biopsy, vestibule of mouth (40808) |
— |
$364.94 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$1,056.30 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$295.86 |
— |
| Bladder Irrigation (51700) |
— |
$192.48 |
— |
| Bladder Scan (51798) |
— |
$35.06 |
— |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
— |
$172.47 |
— |
| Blepharoplasty Lower Eyelid (15820) |
— |
$1,124.94 |
— |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) |
— |
$1,204.72 |
— |
| Blepharoplasty upper eyelid (15822) |
— |
$881.08 |
— |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
— |
$1,202.02 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$528.46 |
— |
| Blood Transfusion Service (36430) |
— |
$77.10 |
— |
| Bone Graft Any Donor Area Major/Large (20902) |
— |
$1,205.64 |
— |
| Bone Graft Any Donor Area Minor/Small (20900) |
— |
$1,047.89 |
— |
| Bone graft with microvascular anastomosis; fibula Facility (20955) |
— |
$5,378.48 |
— |
| Bone graft with microvascular anastomosis; iliac crest Facility (20956) |
— |
$5,532.61 |
— |
| Bone graft with microvascular anastomosis; metatarsal Facility (20957) |
— |
$5,712.76 |
— |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
— |
$5,576.82 |
— |
| Bone Marrow Biopsy (38221) |
— |
$410.32 |
— |
| Bone marrow harvest allogen (38230) |
— |
$606.75 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$371.45 |
— |
| Breast augmentation with implant (19325) |
— |
$1,303.22 |
— |
| Breast Reduction (19318) |
— |
$2,243.40 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$602.66 |
— |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) |
— |
$517.54 |
— |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
— |
$583.45 |
— |
| Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) |
— |
$387.45 |
— |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
— |
$478.60 |
— |
| Bronchoscopy Bronch Stents (31636) |
— |
$455.94 |
— |
| Bronchoscopy Clear Airways (31645) |
— |
$513.74 |
— |
| Bronchoscopy Dilate W/Stent (31631) |
— |
$524.73 |
— |
| Bronchoscopy Reclear Airway (31646) |
— |
$432.63 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$665.40 |
— |
| Bronchoscopy W/Excision Tumor (31640) |
— |
$600.95 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$559.16 |
— |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
— |
$709.89 |
— |
| Bronchoscopy/Needle Bx Each (31629) |
— |
$956.84 |
— |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
— |
$1,251.90 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$299.82 |
— |
| Bx Cervix (57500) |
— |
$291.44 |
— |
| Bx prostate strtctc saturation sampling img gid (55706) |
— |
$764.68 |
— |
| Bx/exc lymph node open deep axillary node (38525) |
— |
$906.68 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$674.82 |
— |
| Canthoplasty (67950) |
— |
$1,130.86 |
— |
| Canthotomy Separate Procedure (67715) |
— |
$478.64 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$983.82 |
— |
| Capsular contracture release (23020) |
— |
$1,407.42 |
— |
| Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) |
— |
$2,075.08 |
— |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
— |
$1,541.75 |
— |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
— |
$1,529.69 |
— |
| Capsulodesis, metacarpophalangeal joint; 2 digits Facility (26517) |
— |
$1,798.89 |
— |
| Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) |
— |
$1,973.48 |
— |
| Capsulorrhaphy Anterior W/Labral Repair (23455) |
— |
$2,108.60 |
— |
| Capsulorrhaphy Anterior With Bone Block (23460) |
— |
$2,272.06 |
— |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) |
— |
$2,291.88 |
— |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
— |
$779.68 |
— |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) |
— |
$2,077.36 |
— |
| Capsulotomy Midtarsal (28264) |
— |
$2,033.92 |
— |
| Capsulotomy Posterior Capsular Release Knee (27435) |
— |
$1,649.30 |
— |
| Capsulotomy wrist (25085) |
— |
$1,034.28 |
— |
| Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) |
— |
$1,380.98 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$874.54 |
— |
| Carpectomy All Bones Proximal Row (25215) |
— |
$1,371.72 |
— |
| Cartilage graft; costochondral (20910) |
— |
$983.76 |
— |
| Cataract surg w/iol 1 stage (66983) |
— |
$1,470.80 |
— |
| Cataract surgery complex (66982) |
— |
$1,839.02 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$193.60 |
— |
| Catheterization with bronchial brush biopsy Facility (31717) |
— |
$544.52 |
— |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
— |
$309.62 |
— |
| Cautery Cervix Electro/Thermal (57510) |
— |
$282.99 |
— |
| Cerclage cervix pregnancy vaginal (59320) |
— |
$317.08 |
— |
| Cerclage Uterine Cervix Nonobstetrical (57700) |
— |
$640.58 |
— |
| Cerv artific diskectomy (22856) |
— |
$3,454.68 |
— |
| Cervical lymphadenectomy (complete) (38720) |
— |
$2,760.84 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$371.70 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$253.39 |
— |
| Change of Windpipe Airway (31502) |
— |
$161.89 |
— |
| Change ureter stent percut (50382) |
— |
$2,451.98 |
— |
| Chemical Cautery Tissue (17250) |
— |
$157.40 |
— |
| Chemical exfoliation for acne (17360) |
— |
$252.02 |
— |
| Chemical peel face dermal (15789) |
— |
$1,090.90 |
— |
| Chemical peel nonfacial dermal (15793) |
— |
$972.02 |
— |
| Chemical peel nonfacial epidermal (15792) |
— |
$799.16 |
— |
| Chemical peel, facial; epidermal (15788) |
— |
$863.42 |
— |
| Chemical Pleurodesis (32560) |
— |
$488.94 |
— |
| Chemodenerv Eccrine Glands (64650) |
— |
$155.84 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$306.36 |
— |
| Chemodenerv musc neck dyston (64616) |
— |
$271.48 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$318.48 |
— |
| Chemodenervation eccrine glands oth area per day (64653) |
— |
$192.54 |
— |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
— |
$322.96 |
— |
| Chemodenervation of extraocular muscle (67345) |
— |
$559.25 |
— |
| Chemodenervation of internal anal sphincter (46505) |
— |
$583.34 |
— |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
— |
$351.78 |
— |
| Chest tube placement (32551) |
— |
$328.24 |
— |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
— |
$223.56 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$1,024.93 |
— |
| Chorionic Villus Sampling (59015) |
— |
$320.60 |
— |
| Ciliary body destruction; cryotherapy Facility (66720) |
— |
$906.74 |
— |
| Ciliary body destruction; cyclodialysis Facility (66740) |
— |
$865.92 |
— |
| Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) |
— |
$1,269.04 |
— |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
— |
$872.54 |
— |
| Circumcision 28 days or older (54161) |
— |
$404.86 |
— |
| Circumcision Neonate (54160) |
— |
$439.04 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$336.99 |
— |
| Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) |
— |
$1,277.78 |
— |
| Cl Tx Scapular Fx; W Manip (23575) |
— |
$806.18 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$1,079.17 |
— |
| Claviculectomy partial (23120) |
— |
$1,185.98 |
— |
| Claviculectomy; total (23125) |
— |
$1,440.60 |
— |
| Clear outer ear canal (69200) |
— |
$231.85 |
— |
| Close mastoid fistula (69700) |
— |
$1,352.30 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$962.46 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$625.20 |
— |
| Closed rx talotarsal disloc,anesth (28575) |
— |
$735.78 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$623.82 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$894.96 |
— |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
— |
$890.52 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$981.46 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$560 |
— |
| Closed Treatment Sesamoid Fracture (28530) |
— |
$246.61 |
— |
| Closed Treatment Sternum Fracture (21820) |
— |
$304.89 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$639.10 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$752.28 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$980.05 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$670.40 |
— |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
— |
$824.17 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$507.67 |
— |
| Closed tx carpal scaphoid fracture w/manj (25624) |
— |
$960.22 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$602.36 |
— |
| Closed Tx Craniofacial Separation (21431) |
— |
$1,438.58 |
— |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
— |
$1,095.70 |
— |
| Closed tx femoral fracture prox head w/o manj (27267) |
— |
$877.18 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$1,056.53 |
— |
| Closed tx fx orbit except blowout w/manipulation (21401) |
— |
$1,011.44 |
— |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
— |
$1,276.72 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$1,045.22 |
— |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
— |
$975.88 |
— |
| Closed tx mandibular fracture w/manipulation (21451) |
— |
$1,493.70 |
— |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
— |
$1,123.56 |
— |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
— |
$1,891.02 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$461.37 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$1,120.92 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$535.62 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$495.52 |
— |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
— |
$1,553.60 |
— |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
— |
$1,403.06 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$979.14 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$743.21 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$640.23 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$893.53 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$525.84 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$1,002.73 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$545.24 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$1,053.78 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$555.78 |
— |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
— |
$470.09 |
— |
| Closed tx septal&nose fx (21337) |
— |
$800.34 |
— |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
— |
$774.76 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$450.98 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$726.34 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$485.38 |
— |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
— |
$658.02 |
— |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
— |
$431.88 |
— |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
— |
$1,620.36 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$208.80 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$923.64 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$573.96 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$515.56 |
— |
| Closure Gastrostomy Surg (43870) |
— |
$1,485.08 |
— |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
— |
$531.38 |
— |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
— |
$682.22 |
— |
| Closure Lacrimal Fistula Spx (68770) |
— |
$1,492.41 |
— |
| Closure lacrimal punctum (68760) |
— |
$427.65 |
— |
| Closure of cystostomy (separate procedure) Facility (51880) |
— |
$1,089.17 |
— |
| Closure of esophagostomy or fistula; cervical approach Facility (43420) |
— |
$2,081.72 |
— |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
— |
$1,171.64 |
— |
| Closure of salivary fistula (42600) |
— |
$980.92 |
— |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Facility (53520) |
— |
$1,289.92 |
— |
| Closure of urethrovaginal fistula; Facility (57310) |
— |
$960.42 |
— |
| Closure of vesicovaginal fistula; transvesical and vaginal approach Facility (57330) |
— |
$1,538.80 |
— |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
— |
$685.96 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$506.21 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$726.38 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$453.68 |
— |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
— |
$393.32 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$813.14 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$635.69 |
— |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
— |
$468.08 |
— |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
— |
$1,124.08 |
— |
| Clsr Lacrimal Punctum Plug Each (68761) |
— |
$356.92 |
— |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
— |
$1,087.33 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$993.88 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$772.16 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$454.12 |
— |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
— |
$914.94 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$603.94 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$687.56 |
— |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
— |
$917.22 |
— |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
— |
$1,025.72 |
— |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
— |
$1,465.05 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$879.97 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$628.47 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$629.39 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$379.13 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$648.88 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,121.84 |
— |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
— |
$1,130.18 |
— |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
— |
$1,396.28 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$1,054.42 |
— |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
— |
$1,534.02 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$980.23 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$1,582.48 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$353.36 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$282.86 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$321.78 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$242.04 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$1,168.08 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$667.62 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$595.64 |
— |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
— |
$849.69 |
— |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
— |
$820.01 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$1,553 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$966.91 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$678.06 |
— |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
— |
$1,106.68 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$1,072.94 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$643.18 |
— |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
— |
$935.90 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$310.44 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$234.70 |
— |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
— |
$1,965.72 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$764.50 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$582.78 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$1,001.62 |
— |
| Cltx Medial Ankle Fx (27760) |
— |
$658.86 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$714.78 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$579.88 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$835.16 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$352.32 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$744.84 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$429.96 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$1,187.44 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$811.17 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$863.54 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$603.48 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$932.30 |
— |
| Cltx prox tibfib jt dislc req anes (27831) |
— |
$814.88 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$762.58 |
— |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
— |
$829.98 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$244.31 |
— |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
— |
$1,141.54 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$888.19 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
— |
$1,109.57 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$1,248.54 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$754.42 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
— |
$1,638.20 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$1,099.91 |
— |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
— |
$594.14 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$392.68 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$774.37 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$686.16 |
— |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
— |
$1,049.92 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$1,020.10 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$642.60 |
— |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
— |
$1,807.29 |
— |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
— |
$1,742.90 |
— |
| Coccygectomy, primary (27080) |
— |
$1,048.22 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$51.22 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$10 |
— |
| Colonoscopy Flexible With Decompression (45393) |
— |
$532.12 |
— |
| Colonoscopy Stoma Ablation Lesion (44401) |
— |
$5,750.32 |
— |
| Colonoscopy Stoma Control Bleeding (44391) |
— |
$1,313.98 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$791.75 |
— |
| Colonoscopy stoma w/balloon dilation (44405) |
— |
$1,058.96 |
— |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
— |
$635.78 |
— |
| Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) |
— |
$547.34 |
— |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
— |
$480.78 |
— |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
— |
$807.90 |
— |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
— |
$741.78 |
— |
| Colonoscopy Through Stoma With Decompression (44408) |
— |
$484.98 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$760.52 |
— |
| Colonoscopy thru stoma (44388) |
— |
$608.91 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$929.49 |
— |
| Colonoscopy w/ablation (45388) |
— |
$5,796.92 |
— |
| Colonoscopy W/Band Ligation (45398) |
— |
$1,420.90 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$935.80 |
— |
| Colonoscopy w/ndl aspir/bx (44407) |
— |
$577.50 |
— |
| Colonoscopy W/Resection (45390) |
— |
$696.48 |
— |
| Colonoscopy w/stent plcmt (45389) |
— |
$607.76 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$933.15 |
— |
| Colpocentesis (57020) |
— |
$203.52 |
— |
| Colpocleisis (le fort type) (57120) |
— |
$1,035.64 |
— |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
— |
$752.46 |
— |
| Colpopexy extraperitoneal (57282) |
— |
$1,178.48 |
— |
| Colpopexy vaginal intraperitoneal approach (57283) |
— |
$1,396.24 |
— |
| Colporrhaphy (57200) |
— |
$626.90 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$333.59 |
— |
| Colposcopy Cervix Endocervical Curettage (57456) |
— |
$287.21 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$245.12 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$315.25 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$750.81 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$683.95 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$243.28 |
— |
| Colposcopy of vulva (56820) |
— |
$231.02 |
— |
| Colposcopy Vulva W/Biopsy (56821) |
— |
$307.02 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$325.74 |
— |
| Colpotomy; with drainage of pelvic abscess (57010) |
— |
$879.76 |
— |
| Colpotomy; with exploration (57000) |
— |
$390.71 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$1,379.74 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
— |
$1,353.42 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$906.40 |
— |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
— |
$636.88 |
— |
| Combined anteroposterior colporrhaphy; (57260) |
— |
$1,551.02 |
— |
| Complex Cystometrogram (51726) |
— |
$707.92 |
— |
| Complex drainage wound (10180) |
— |
$495.26 |
— |
| Composite Skin Graft (15760) |
— |
$1,694.74 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$612.99 |
— |
| Conization of cervix (57520) |
— |
$712.12 |
— |
| Conjunctival Flap Total (68362) |
— |
$1,300.30 |
— |
| Conjunctivoplasty W/Buccal Muc Memb Graft (68325) |
— |
$1,301.32 |
— |
| Conjunctivoplasty w/grf/xtnsv rearrangement (68320) |
— |
$1,428.30 |
— |
| Conjunctivorhinostomy Insj Tube/Stent (68750) |
— |
$1,565.16 |
— |
| Conjunctivorhinostomy W/O Tube (68745) |
— |
$1,509.34 |
— |
| Conjunctpl Cul-De-Sac W/Buccal Muc Memb Graft (68328) |
— |
$1,403.34 |
— |
| Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) |
— |
$1,205.57 |
— |
| Constj tracheoesophgl fstl&insj sp prosth (31611) |
— |
$1,061.32 |
— |
| Construct thumb replacement (26550) |
— |
$3,320.16 |
— |
| Construction of artificial vagina; with graft Facility (57292) |
— |
$1,680.62 |
— |
| Construction of vagina (57291) |
— |
$1,071.18 |
— |
| Contour cranial bone lesion (21181) |
— |
$1,506.52 |
— |
| Contour of face bone lesion (21029) |
— |
$1,538.84 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$421.62 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$268.54 |
— |
| Control nose/throat bleeding (42972) |
— |
$1,034.78 |
— |
| Control oropharyngeal hemorrhage simple (42960) |
— |
$346.73 |
— |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
— |
$3,455.92 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$1,742.42 |
— |
| Cordocentesis (59012) |
— |
$423.94 |
— |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
— |
$473.96 |
— |
| Corneal transplant (65710) |
— |
$2,210.02 |
— |
| Corneal Transplant,Penetrat,Aphakia (65750) |
— |
$2,463.68 |
— |
| Corneal wedge resection for correction of surgically induced astigmatism Facility (65775) |
— |
$1,098.68 |
— |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
— |
$852.24 |
— |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
— |
$1,449.10 |
— |
| Correction claw finger, other methods Facility (26499) |
— |
$1,775.44 |
— |
| Correction Everted Punctum Cautery (68705) |
— |
$559.13 |
— |
| Correction hammertoe (28285) |
— |
$1,070.36 |
— |
| Correction of inverted nipples (19355) |
— |
$1,597.74 |
— |
| Correction of lid retraction (67911) |
— |
$1,113.52 |
— |
| Correction of trichiasis; epilation, by forceps only (67820) |
— |
$154.10 |
— |
| Correction Trichiasis Inccision Lid Margin (67830) |
— |
$672.28 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$1,806.18 |
— |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
— |
$2,060.62 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
— |
$2,081.20 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
— |
$1,686.12 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
— |
$1,473.36 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
— |
$2,006.94 |
— |
| Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) |
— |
$1,920.17 |
— |
| Costotransversectomy (separate procedure) Facility (21610) |
— |
$2,520.36 |
— |
| Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg (63064) |
— |
$3,777.36 |
— |
| Create Eardrum Opening (69433) |
— |
$389.54 |
— |
| Create Tear Sac-Nasal Fistula (68720) |
— |
$1,504.98 |
— |
| Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or… (61720) |
— |
$2,727.88 |
— |
| Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61791) |
— |
$2,410.78 |
— |
| Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or… (63600) |
— |
$2,343.20 |
— |
| Cricopharyngeal myotomy (43030) |
— |
$1,090.77 |
— |
| Crnl Relaxing Inc Corrj Induced Astigmatism (65772) |
— |
$890.60 |
— |
| Cross Intrinsic Transfer Each Tendon (26510) |
— |
$1,346.49 |
— |
| Cross-over vein graft (34520) |
— |
$2,203.03 |
— |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
— |
$1,477.73 |
— |
| Cryosurgical Ablation Fibroadenoma, Each (19105) |
— |
$5,372.40 |
— |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
— |
$12,334.08 |
— |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
— |
$105.06 |
— |
| Csf shunt reprogram (62252) |
— |
$183.33 |
— |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
— |
$831.82 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$637.14 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$670.08 |
— |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
— |
$1,047.82 |
— |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) |
— |
$447.98 |
— |
| Curettage postpartum (59160) |
— |
$442.04 |
— |
| Curette/treat cornea (65435) |
— |
$171.35 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$628.82 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$768.49 |
— |
| Cysto w/complex removal stone & stent (52315) |
— |
$945.02 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$1,487.51 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$1,099.24 |
— |
| Cysto w/irrig & evac multple obstructing clots (52001) |
— |
$854.44 |
— |
| Cysto w/removal of lesions small (52224) |
— |
$1,556.40 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$574.22 |
— |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
— |
$655.04 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$555.26 |
— |
| Cysto w/up stricture tx (52342) |
— |
$727.97 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$676.15 |
— |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
— |
$914.20 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$828.03 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$863.78 |
— |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
— |
$707.43 |
— |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
— |
$974.07 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$970.99 |
— |
| Cysto/uretero w/up stricture (52345) |
— |
$919.48 |
— |
| Cystolithotomy (51050) |
— |
$1,095.53 |
— |
Cystometrogram W/Up (51727)
range across 2 matching MRF lines |
— |
$243.73–$695.32 |
— |
Cystometrogram W/Vp (51728)
range across 2 matching MRF lines |
— |
$239.23–$707.72 |
— |
Cystometrogram W/Vp&Up (51729)
range across 4 matching MRF lines |
— |
$288.74–$761.07 |
— |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
— |
$1,757.60 |
— |
| Cystoscopy and radiotracer (52250) |
— |
$559.21 |
— |
| Cystoscopy implant stent (52282) |
— |
$788.11 |
— |
| Cystoscopy inject material (52327) |
— |
$895.93 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$669.09 |
— |
| Cystotomy for excision, incision, or repair of ureterocele Facility (51535) |
— |
$1,811.72 |
— |
| Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) |
— |
$1,086.40 |
— |
| Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) |
— |
$1,341.49 |
— |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
— |
$1,147.73 |
— |
| Cystotomy; for simple excision of vesical neck (separate procedure) Facility (51520) |
— |
$1,377.55 |
— |
| Cystouretero W/Congen Repr (52400) |
— |
$1,111.06 |
— |
| Cystouretero w/excise tumor (52355) |
— |
$1,091.60 |
— |
| Cystouretero w/renal strict (52346) |
— |
$1,042.23 |
— |
| Cystourethroscopy (52000) |
— |
$539.10 |
— |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
— |
$749.26 |
— |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
— |
$1,282.25 |
— |
| Cystourethroscopy inj chemodenervation bladder (52287) |
— |
$706.21 |
— |
| Cystourethroscopy tx female urethral syndrome (52285) |
— |
$638.06 |
— |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
— |
$673.11 |
— |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
— |
$1,072.16 |
— |
| Cystourethroscopy w/dil bladder general anesth (52260) |
— |
$491.05 |
— |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
— |
$576.29 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$831.74 |
— |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
— |
$616.88 |
— |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
— |
$597.44 |
— |
| Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) |
— |
$623.70 |
— |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
— |
$820.75 |
— |
| Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) |
— |
$830.48 |
— |
| Cystourethroscopy, with internal urethrotomy; female Facility (52270) |
— |
$807.12 |
— |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
— |
$1,088.12 |
— |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Facility (52277) |
— |
$754.62 |
— |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
— |
$633.86 |
— |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
— |
$998.75 |
— |
| Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) |
— |
$649 |
— |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) |
— |
$677.49 |
— |
| Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) |
— |
$805.37 |
— |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
— |
$570.46 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$108.54 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$1,497.18 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$955.10 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
— |
$1,059.86 |
— |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
— |
$1,594.04 |
— |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
— |
$861.98 |
— |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
— |
$1,058.03 |
— |
| Dcmprn fasct leg post compartment only (27601) |
— |
$909.72 |
— |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
— |
$1,185.50 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$459.08 |
— |
| Debride nail 1-5 (11720) |
— |
$64.56 |
— |
| Debride nail 6 or more (11721) |
— |
$89.44 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$628.58 |
— |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
— |
$418.22 |
— |
| Debridement Mastoidectomy Cavity Simple (69220) |
— |
$236.15 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$237.58 |
— |
| Declot vascular device (36593) |
— |
$68.29 |
— |
| Decomp forearm,1 compart,w/o debride (25020) |
— |
$1,260.17 |
— |
| Decompress eye socket (61330) |
— |
$3,816.64 |
— |
| Decompress Fingers/Hand (26035) |
— |
$1,753.02 |
— |
| Decompress Spinal Cord Lmbr (63056) |
— |
$3,137.42 |
— |
| Decompression facial nerve, intratemporal; including medial to geniculate ganglion Facility (69725) |
— |
$3,792.08 |
— |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
— |
$2,482.42 |
— |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) |
— |
$2,295.04 |
— |
| Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) |
— |
$1,493.02 |
— |
| Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Facility (27893) |
— |
$1,241.54 |
— |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
— |
$1,105.44 |
— |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) |
— |
$1,185.10 |
— |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) |
— |
$1,334.56 |
— |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499) |
— |
$1,424.60 |
— |
| Decompression internal auditory canal Facility (69960) |
— |
$3,878.56 |
— |
| Decompression of leg (27894) |
— |
$1,739.34 |
— |
| Decompression of leg (27892) |
— |
$1,127.68 |
— |
| Decompression of tibia nerve (28035) |
— |
$1,055.64 |
— |
| Decompressive fasciotomy hand (26037) |
— |
$1,150.24 |
— |
| Deep Muscle Biopsy (20205) |
— |
$579.94 |
— |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
— |
$904.02 |
— |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
— |
$863.50 |
— |
| Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) |
— |
$696.46 |
— |
| Delay Flap/Sectioning Flap Trunk (15600) |
— |
$671.88 |
— |
| Delivery of placenta (59414) |
— |
$193.68 |
— |
| Denervation of hip joint (27035) |
— |
$2,390.97 |
— |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) |
— |
$1,721.10 |
— |
| Derma-fat-fascia graft (15770) |
— |
$1,345.58 |
— |
| Dermabrasion regional other than face (15782) |
— |
$1,123.36 |
— |
| Dermabrasion segmental face (15781) |
— |
$1,087.44 |
— |
| Dermabrasion superficial any site (15783) |
— |
$941.68 |
— |
| Dermabrasion total face (15780) |
— |
$1,811.10 |
— |
| Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) |
— |
$1,333.22 |
— |
| Design custom breast implant (19396) |
— |
$608.09 |
— |
| Destr penis lesion(s) (54065) |
— |
$439.26 |
— |
| Destr W Neurolytic; Celiac Plexus (64680) |
— |
$648.01 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$816.46 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$807.30 |
— |
| Destruc retinal lesn,photocoag (67210) |
— |
$1,183.12 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$213.30 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$254.12 |
— |
| Destruction by neurolytic agent, intercostal nerve (64620) |
— |
$571.37 |
— |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
— |
$1,173.44 |
— |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
— |
$171.14 |
— |
| Destruction by neurolytic agent; pudendal nerve (64630) |
— |
$474.80 |
— |
| Destruction ciliary body (66700) |
— |
$889.76 |
— |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
— |
$412.96 |
— |
| Destruction Lesions Vulva Extensive (56515) |
— |
$471.86 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$361.89 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
— |
$352.92 |
— |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
— |
$405.30 |
— |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
— |
$486.84 |
— |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
— |
$555.98 |
— |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
— |
$716.26 |
— |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
— |
$282.90 |
— |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
— |
$346.16 |
— |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
— |
$378.50 |
— |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
— |
$404.74 |
— |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
— |
$462.20 |
— |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
— |
$273.84 |
— |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
— |
$293.02 |
— |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
— |
$322.92 |
— |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
— |
$369.10 |
— |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
— |
$411.98 |
— |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
— |
$487.68 |
— |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
— |
$188.04 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$794.62 |
— |
| Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) |
— |
$1,043.18 |
— |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) |
— |
$786.40 |
— |
| Destruction of lesion of lid margin (up to 1 cm) (67850) |
— |
$570.98 |
— |
| Destruction of lesion, conjunctiva (68135) |
— |
$530.54 |
— |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of… (67218) |
— |
$2,758.02 |
— |
| Destruction of rectal tumor transanal approach (45190) |
— |
$1,431.86 |
— |
| Destruction of skin lesions (17106) |
— |
$741.17 |
— |
| Destruction Premalignant Lesion 15/> (17004) |
— |
$399.45 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$127.78 |
— |
| Destruction Vaginal Lesions Extensive (57065) |
— |
$413.36 |
— |
| Destruction Vaginal Lesions Simple (57061) |
— |
$244.30 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$330.66 |
— |
| Diaphragm or cervical cap fitting with instructions (57170) |
— |
$188.22 |
— |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
— |
$345.06 |
— |
| Dilat female urethra general/cndj spinal anes (53665) |
— |
$90.55 |
— |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
— |
$166.82 |
— |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
— |
$156.88 |
— |
| Dilat rct strix spx under anes oth/thn local (45910) |
— |
$392.74 |
— |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
— |
$185.19 |
— |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) |
— |
$365.95 |
— |
| Dilate Esophagus 1/Mult Pass (43450) |
— |
$322.34 |
— |
| Dilate Urethra Stricture (53620) |
— |
$385.68 |
— |
| Dilate Urethra Stricture (53600) |
— |
$198.61 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$538.56 |
— |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
— |
$252.60 |
— |
| Dilation And Curettage Of Cervical Stump (57558) |
— |
$265.92 |
— |
| Dilation Cervical Canal (57800) |
— |
$129.12 |
— |
| Dilation Esophagus Guide Wire (43453) |
— |
$1,698 |
— |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) |
— |
$176.06 |
— |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
— |
$151.91 |
— |
| Dilation of vagina (57400) |
— |
$285.98 |
— |
| Dilation Salivary Duct (42650) |
— |
$159.80 |
— |
| Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) |
— |
$2,074.32 |
— |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
— |
$2,145.30 |
— |
| Disarticulation At Knee (27598) |
— |
$1,495.25 |
— |
| Disarticulation of hip Facility (27295) |
— |
$2,607.22 |
— |
| Disarticulation of shoulder; Facility (23920) |
— |
$2,313.88 |
— |
| Disarticulation of shoulder; secondary closure or scar revision Facility (23921) |
— |
$950.02 |
— |
| Disarticulation through wrist; Facility (25920) |
— |
$1,429.30 |
— |
| Disarticulation through wrist; re-amputation Facility (25924) |
— |
$1,375.28 |
— |
| Disarticulation through wrist; secondary closure or scar revision Facility (25922) |
— |
$1,252.26 |
— |
| Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) |
— |
$2,841.10 |
— |
| Discission of vitreous strands (without removal), pars plana approach Facility (67030) |
— |
$1,052.34 |
— |
| Discission Secondary Membranous Cataract (66820) |
— |
$829.23 |
— |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
— |
$191.72 |
— |
| Dissection, deep jugular node(s) Facility (38542) |
— |
$1,060.22 |
— |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) |
— |
$2,582.39 |
— |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
— |
$1,618.82 |
— |
| Division of scalenus anticus; with resection of cervical rib Facility (21705) |
— |
$1,265.88 |
— |
| Division of scalenus anticus; without resection of cervical rib Facility (21700) |
— |
$957.02 |
— |
| Division of sternocleidomastoid for torticollis, open operation; with cast application Facility (21725) |
— |
$1,104.62 |
— |
| Division of stricture of rectum Facility (45150) |
— |
$859.32 |
— |
| Division of symblepharon (68340) |
— |
$1,115.31 |
— |
| Drain ant chmbr,remv vitreous (65810) |
— |
$978.26 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$383.08 |
— |
| Drain chest lesion (21502) |
— |
$1,058.43 |
— |
| Drain Hand Tendon Sheath (26020) |
— |
$876.12 |
— |
| Drain ovary abscess open (58820) |
— |
$636.18 |
— |
| Drain penis lesion (54015) |
— |
$643.53 |
— |
| Drain shoulder bursa (23031) |
— |
$783.86 |
— |
| Drain Spinal Cord Cyst (62268) |
— |
$1,158.21 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$159.86 |
— |
| Drainage abscess parotid simple (42300) |
— |
$416.16 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$470.08 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$448.72 |
— |
| Drainage external ear abscess/hematoma cmplx (69005) |
— |
$425.32 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$363.12 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$845.13 |
— |
| Drainage lymph node lesion (38305) |
— |
$999.90 |
— |
| Drainage Mouth Roof Lesion (42000) |
— |
$305.32 |
— |
| Drainage of eye (65800) |
— |
$322.10 |
— |
| Drainage of finger abscess simple (26010) |
— |
$539.85 |
— |
| Drainage of gum lesion (41800) |
— |
$560.08 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$329.36 |
— |
| Drainage of hydrocele (55000) |
— |
$274.41 |
— |
| Drainage of mouth lesion (41006) |
— |
$706.82 |
— |
| Drainage of mouth lesion (41017) |
— |
$900.62 |
— |
| Drainage of nose lesion (30000) |
— |
$465.64 |
— |
| Drainage of palmar bursa single bursa (26025) |
— |
$851.62 |
— |
| Drainage of palmar bursa; multiple bursa Facility (26030) |
— |
$994.38 |
— |
| Drainage of perineal urinary extravasation; complicated Facility (53085) |
— |
$1,505.13 |
— |
| Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) |
— |
$984.42 |
— |
| Drainage of perirenal or renal abscess, open Facility (50020) |
— |
$2,349.78 |
— |
| Drainage of rectal abscess (45020) |
— |
$1,185.94 |
— |
| Drainage of rectal abscess (45005) |
— |
$559.74 |
— |
| Drainage of salivary cyst (42409) |
— |
$687.48 |
— |
| Drainage of salivary gland (42320) |
— |
$500.88 |
— |
| Drainage of salivary gland (42305) |
— |
$884.31 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$532.34 |
— |
| Drainage of scrotum (54700) |
— |
$437.26 |
— |
| Drainage of skene's gland abscess or cyst (53060) |
— |
$417.97 |
— |
| Drainage of throat abscess (42725) |
— |
$1,670.76 |
— |
| Drainage of urethra abscess (53040) |
— |
$1,353.03 |
— |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
— |
$822.14 |
— |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
— |
$686.85 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$45.92 |
— |
| Dressing Change Under Anesthesia (15852) |
— |
$208.31 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
— |
$611.20 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$414.08 |
— |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
— |
$351.52 |
— |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
— |
$634.18 |
— |
| Drg privesical/prevesical space absc (51080) |
— |
$946.54 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$376.92 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$297.76 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$162.96 |
— |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
— |
$1,320.67 |
— |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
— |
$1,834.64 |
— |
| Dstrj Extensive Retinopathy (67227) |
— |
$1,003.67 |
— |
| Dstrj les/scar vestibule mouth physical meths (40820) |
— |
$511.64 |
— |
| Dstrj Lesion Anus Extensive (46924) |
— |
$1,025.38 |
— |
| Dstrj Lesion Anus Simple Chemical (46900) |
— |
$464.56 |
— |
| Dstrj lesion anus simple cryosurgery (46916) |
— |
$468.98 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$548.78 |
— |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
— |
$507.12 |
— |
| Dstrj lesion choroid pc 1/> sess (67220) |
— |
$1,798.31 |
— |
| Dstrj Lesion Choroid Photodynamic Therapy (67221) |
— |
$668.22 |
— |
| Dstrj Lesion Penis Simple Chemical (54050) |
— |
$262.78 |
— |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
— |
$280.83 |
— |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) |
— |
$241.80 |
— |
| Dstrj lesion penis simple laser (54057) |
— |
$273.62 |
— |
| Dstrj lesion penis simple surg excision (54060) |
— |
$441.39 |
— |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
— |
$565.56 |
— |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) |
— |
$1,556.10 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$532.03 |
— |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) |
— |
$1,133.72 |
— |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
— |
$903.79 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$547.22 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$532.39 |
— |
| Dx Laryngoscopy Excl Nb (31525) |
— |
$503.20 |
— |
| Dx laryngoscopy w/oper scope (31526) |
— |
$349.07 |
— |
| Dynamic Cavernosometry Njx Vasoactive Drugs (54231) |
— |
$286.96 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$2,009.62 |
— |
| Egd cautery tumor polyp (43250) |
— |
$808.56 |
— |
| Egd control bleeding any (43255) |
— |
$1,273.48 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$1,101.76 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$705.42 |
— |
| Egd guide wire insertion (43248) |
— |
$721.74 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$516.70 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$810.74 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$564.39 |
— |
| Egd place gastrostomy tube (43246) |
— |
$494.24 |
— |
| Egd remove lesion snare (43251) |
— |
$893.60 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$302.82 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$582.90 |
— |
| Egd Varices Ligation (43244) |
— |
$566.96 |
— |
| Egd W/Thrml Txmnt Gerd (43257) |
— |
$516.63 |
— |
| Egd W/Transmural Drain Cyst (43240) |
— |
$822.66 |
— |
| Elbow arthroscopy (29830) |
— |
$922.62 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$177.60 |
— |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
— |
$109.36 |
— |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
— |
$79.36 |
— |
| Electrical stimulation bone healing noninvasive (20974) |
— |
$155.12 |
— |
Electro-Uroflowmetry First (51741)
range across 4 matching MRF lines |
— |
$10.78–$28.74 |
— |
| Electroejaculation (55870) |
— |
$354.74 |
— |
| Embedded ip cath exit-site (49436) |
— |
$384.04 |
— |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
— |
$1,301.57 |
— |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
— |
$2,180.10 |
— |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) |
— |
$2,039.11 |
— |
| Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) |
— |
$1,272.55 |
— |
| Endocervical curettage (57505) |
— |
$284.15 |
— |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
— |
$2,891.28 |
— |
| Endometrial Biopsy (58100) |
— |
$225.62 |
— |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) |
— |
$3,506.58 |
— |
| Endoscopic injection/implant (51715) |
— |
$665.15 |
— |
| Endoscopic plantar fasciotomy (29893) |
— |
$1,231.30 |
— |
| Endoscopic us exam esoph (43237) |
— |
$456.12 |
— |
| Endoscopy of ureter (50953) |
— |
$1,855.36 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$301.40 |
— |
| Endoscopy upper small intestine w/biopsy (44361) |
— |
$331.68 |
— |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
— |
$1,215.20 |
— |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
— |
$2,122.61 |
— |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
— |
$2,290.23 |
— |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
— |
$2,742.78 |
— |
| Enterorrhaphy single perforation (44602) |
— |
$2,974.78 |
— |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
— |
$627.36 |
— |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
— |
$595.80 |
— |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
— |
$402.06 |
— |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
— |
$806.50 |
— |
| Enteroscopy > 2nd prtn tndsc stent plmt (44370) |
— |
$557.60 |
— |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
— |
$505.07 |
— |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
— |
$401.64 |
— |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) |
— |
$381.80 |
— |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
— |
$427.96 |
— |
| Enucleation Eye Implt Musc X Attached Implt (65103) |
— |
$1,538.98 |
— |
| Enucleation of Eye W/O Implant (65101) |
— |
$1,476.50 |
— |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
— |
$1,597.22 |
— |
| Epididymectomy bilateral (54861) |
— |
$1,164.60 |
— |
| Epididymectomy unilateral (54860) |
— |
$859.44 |
— |
| Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Facility (54901) |
— |
$2,181.74 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$1,614.18 |
— |
| Epidural Blood Patch (62273) |
— |
$380.32 |
— |
| Epidural lysis mult sessions (62263) |
— |
$1,375.94 |
— |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) |
— |
$1,470.86 |
— |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) |
— |
$1,677.42 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$409.18 |
— |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
— |
$1,107.92 |
— |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
— |
$675.54 |
— |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
— |
$990.79 |
— |
| Ercp W/Biopsy Single/Multiple (43261) |
— |
$709.26 |
— |
| Ercp w/pressure measurement sphincter of oddi (43263) |
— |
$808.21 |
— |
| Ercp,Sphincterotomy (43262) |
— |
$824.85 |
— |
| Esc i p ulcer w ostect & flap (15946) |
— |
$3,338.60 |
— |
| Escharotomy; initial incision (16035) |
— |
$442.07 |
— |
| Esoph Scope W/Submucous Inj (43201) |
— |
$512.17 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$695.73 |
— |
| Esophagosc Dilate Balloon 30 (43214) |
— |
$385.56 |
— |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
— |
$1,976.88 |
— |
| Esophagoscopy Flex Transoral Injection Varices (43204) |
— |
$428.96 |
— |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
— |
$763.46 |
— |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
— |
$655.82 |
— |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
— |
$367.80 |
— |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
— |
$405.74 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$443.44 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$671.70 |
— |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
— |
$1,203.40 |
— |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
— |
$817.30 |
— |
| Esophagoscopy rig transoral removal foreign body (43194) |
— |
$401.98 |
— |
| Esophagoscopy Rigid Balloon (43195) |
— |
$379.48 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$318.34 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$622 |
— |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
— |
$723.40 |
— |
| Esophagoscp Rig Trnso Biopsy (43193) |
— |
$348.08 |
— |
| Esophagotomy, cervical approach, with removal of foreign body Facility (43020) |
— |
$1,160.60 |
— |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) |
— |
$723.18 |
— |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
— |
$430.32 |
— |
| Ethmoidectomy Extranasal Total (31205) |
— |
$1,810.24 |
— |
| Ethmoidectomy Intranasal Anterior (31200) |
— |
$1,148.66 |
— |
| Ethmoidectomy; intranasal, total Facility (31201) |
— |
$1,499.08 |
— |
| Evacuate mole of uterus (59870) |
— |
$1,004.02 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$99.50 |
— |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
— |
$1,110.90 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$846.02 |
— |
| Exc abdl tum deep 5 cm/> (22901) |
— |
$1,378.94 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$1,000.46 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$241.78 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$400.90 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$1,087.87 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$1,527.10 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$1,366.14 |
— |
| Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) |
— |
$3,147 |
— |
| Exc Benign Tumor/Cyst Mndbl Intra-Oral Osteot (21046) |
— |
$3,900 |
— |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
— |
$1,111.52 |
— |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) |
— |
$762.34 |
— |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
— |
$1,121.62 |
— |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) |
— |
$726.78 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$468.64 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$535.88 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$782.92 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$690.36 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$267.84 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$333.46 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$373 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$446.62 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$562.28 |
— |
| Exc Fibrous Tuberosities Dentoalveolar Struxs (41822) |
— |
$563.58 |
— |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) |
— |
$1,838.71 |
— |
| Exc Forearm Les Sc 3 Cm/> (25071) |
— |
$870.66 |
— |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
— |
$1,087.58 |
— |
| Exc Frenum Labial/Buccal (40819) |
— |
$622.66 |
— |
| Exc ganglion wrist recurrent (25112) |
— |
$805.02 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$242.14 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$310.16 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$350.18 |
— |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$1,304.33 |
— |
| Exc hand tum deep < 1.5 cm (26116) |
— |
$1,067.18 |
— |
| Exc hydrocele sprmatic cord uni spx (55500) |
— |
$811.72 |
— |
| Exc Lacrimal Gland Tumor Frontal Approach (68540) |
— |
$1,845.46 |
— |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
— |
$548.33 |
— |
| Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) |
— |
$767.02 |
— |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
— |
$535.86 |
— |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
— |
$935.92 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$845.86 |
— |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
— |
$664.90 |
— |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
— |
$726.22 |
— |
| Exc lesion tongue w/clsr w/local tongue flap (41114) |
— |
$1,364.94 |
— |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) |
— |
$423.04 |
— |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) |
— |
$624.52 |
— |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
— |
$968.68 |
— |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
— |
$817.96 |
— |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
— |
$1,734.22 |
— |
| Exc neuroma hand/foot xcp digital nerve (64782) |
— |
$935.32 |
— |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
— |
$1,486.90 |
— |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
— |
$1,299.84 |
— |
| Exc Rct Tum Incl Muscularis Propria (45172) |
— |
$1,673.32 |
— |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
— |
$1,234.94 |
— |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
— |
$1,432.20 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$383.72 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$466.16 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$674.54 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$632.62 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$783.30 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$594.50 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$814.62 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$899.24 |
— |
| Exc tendon shth lesion leg/ankle (27630) |
— |
$1,100.36 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$860.86 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$1,554.36 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$375.50 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$296.26 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$329.88 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$435.76 |
— |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
— |
$919.74 |
— |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
— |
$1,063.18 |
— |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
— |
$1,047.02 |
— |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
— |
$1,163.75 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$1,080.90 |
— |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
— |
$1,114.04 |
— |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
— |
$1,113.12 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$1,162.84 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$1,026.30 |
— |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
— |
$924.30 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$984.20 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$973.10 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$1,395 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
— |
$1,533.84 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$1,109.40 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$1,508.52 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$839.30 |
— |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
— |
$1,256.86 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$1,144.86 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$1,282.90 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$834.54 |
— |
| Exc urethral diverticulum spx female (53230) |
— |
$1,403.58 |
— |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
— |
$720.76 |
— |
| Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) |
— |
$1,229.96 |
— |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
— |
$1,212.10 |
— |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) |
— |
$1,599.41 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$1,063.76 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$876.70 |
— |
| Exc/fulguration urethral caruncle (53265) |
— |
$501.12 |
— |
| Exchange Intraocular Lens (66986) |
— |
$1,801.10 |
— |
| Exchange Transfusion (36455) |
— |
$276.91 |
— |
| Exchange Transfusion Blood Newborn (36450) |
— |
$352.46 |
— |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
— |
$1,080.34 |
— |
| Excis conjunc lesn+adj sclera (68130) |
— |
$1,062.88 |
— |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
— |
$798.70 |
— |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
— |
$409.10 |
— |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
— |
$571.76 |
— |
| Excis penile plaque (54110) |
— |
$1,284.18 |
— |
| Excis uppr jaw cyst w/repair (21049) |
— |
$2,467.18 |
— |
| Excis urethral prolapse (53275) |
— |
$609.66 |
— |
| Excise breast duct fistula (19112) |
— |
$912.46 |
— |
| Excise excessive skin arm (15836) |
— |
$1,599.14 |
— |
| Excise intraspinal lesion (63267) |
— |
$2,886.66 |
— |
| Excise intraspinl lesion crv (63265) |
— |
$3,545.16 |
— |
| Excise mandible lesion (21040) |
— |
$1,022.12 |
— |
| Excise Neurofibroma Extensive (64792) |
— |
$2,264.44 |
— |
| Excise oral mucosa for graft (40818) |
— |
$719.34 |
— |
| Excise tendon forearm/wrist (25109) |
— |
$1,090.62 |
— |
| Excise Wrist Tendon Sheath (25118) |
— |
$825.07 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$559.98 |
— |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
— |
$1,203.20 |
— |
| Excision & Repair Eyelid One-Fourth Lid Margin (67966) |
— |
$1,521.78 |
— |
| Excision Aural Polyp (69540) |
— |
$399.88 |
— |
| Excision Bone Mandible (21025) |
— |
$1,740.74 |
— |
| Excision Chalazion Multiple Same Lid (67801) |
— |
$537 |
— |
| Excision Chalazion Single (67800) |
— |
$293.38 |
— |
| Excision dermoid cyst, nose; complex, under bone or cartilage Facility (30125) |
— |
$1,228.32 |
— |
| Excision Distal Ulna Partial/Complete (25240) |
— |
$990.32 |
— |
| Excision Excessive Skin & Subq Tissue Buttock (15835) |
— |
$1,899.76 |
— |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
— |
$1,773.72 |
— |
| Excision exostosis(es), external auditory canal Facility (69140) |
— |
$1,729.22 |
— |
| Excision External Ear Partial Simple Repair (69110) |
— |
$893.18 |
— |
| Excision external ear; complete amputation Facility (69120) |
— |
$792.14 |
— |
| Excision Facial Bone (21026) |
— |
$1,180.48 |
— |
| Excision first and/or cervical rib for outlet compression syndrome or other cause; with sympathectomy (21616) |
— |
$1,674.64 |
— |
| Excision H/P/P/U Complex Repair (11471) |
— |
$1,021.68 |
— |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
— |
$834.12 |
— |
| Excision Hidradenitis Axillary Complex Repair (11451) |
— |
$982.54 |
— |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
— |
$992.74 |
— |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
— |
$756.84 |
— |
| Excision Infected Graft Extremity (35903) |
— |
$1,288.24 |
— |
| Excision inferior turbinate partial/complete (30130) |
— |
$760.22 |
— |
| Excision Lacrimal Sac (68520) |
— |
$1,364.14 |
— |
| Excision Lesion Conjunctiva </1 Cm (68110) |
— |
$577.36 |
— |
| Excision lesion conjunctiva > 1 cm (68115) |
— |
$618.62 |
— |
| Excision Lesion Cornea Xcp Pterygium (65400) |
— |
$1,342.74 |
— |
| Excision lesion meniscus/capsule knee (27347) |
— |
$1,072.98 |
— |
| Excision lesion mouth roof (42104) |
— |
$425.96 |
— |
| Excision lesion tendon sheath forearm&/wrist (25110) |
— |
$879.45 |
— |
| Excision Lesion Tongue W/O Closure (41110) |
— |
$425.24 |
— |
| Excision Lingual Frenum Frenectomy (41115) |
— |
$490.80 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$380.82 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$450.42 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$487.98 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$621.76 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$395.18 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$633.12 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$1,027.96 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$383.74 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$452.68 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$505.32 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$673.96 |
— |
| Excision malignant tumor mandible (21044) |
— |
$1,776.64 |
— |
| Excision Malignant Tumor Maxilla/Zygoma (21034) |
— |
$2,641.92 |
— |
| Excision Maxillary Torus Palatinus (21032) |
— |
$784.76 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$562.30 |
— |
| Excision Nasal Polyp Extensive (30115) |
— |
$865.06 |
— |
| Excision nasal polyp(s) simple (30110) |
— |
$455.30 |
— |
| Excision of bartholin's gland or cyst (56740) |
— |
$616.70 |
— |
| Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047) |
— |
$2,681.04 |
— |
| Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Facility (21030) |
— |
$1,014.62 |
— |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
— |
$1,641.88 |
— |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) |
— |
$1,054.94 |
— |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft… (27067) |
— |
$2,127.44 |
— |
| Excision of bulbourethral gland (Cowper's gland) Facility (53250) |
— |
$916.39 |
— |
| Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) |
— |
$1,215.56 |
— |
| Excision of cervical stump, vaginal approach; with repair of enterocele Facility (57556) |
— |
$1,149.36 |
— |
| Excision of chalazion; multiple, different lids (67805) |
— |
$575.65 |
— |
| Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) |
— |
$1,512.52 |
— |
| Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Facility (38555) |
— |
$2,101.42 |
— |
| Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) |
— |
$1,056.36 |
— |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
— |
$2,075.94 |
— |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
— |
$1,619.42 |
— |
| Excision of extraparenchymal lesion of testis (54512) |
— |
$1,111.18 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$658.71 |
— |
| Excision of gum lesion (41828) |
— |
$626.64 |
— |
| Excision of hydrocele; bilateral (55041) |
— |
$1,048.64 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$692.32 |
— |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Facility (68505) |
— |
$1,930.74 |
— |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Facility (68500) |
— |
$1,939.82 |
— |
| Excision of lacrimal gland tumor; involving osteotomy Facility (68550) |
— |
$2,266.20 |
— |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Facility (41827) |
— |
$884.92 |
— |
| Excision of lingual tonsil (42870) |
— |
$1,175.42 |
— |
| Excision of local lesion of epididymis (54830) |
— |
$763.52 |
— |
| Excision of malignant tumor of mandible; radical resection Facility (21045) |
— |
$2,493.38 |
— |
| Excision of Mullerian duct cyst Facility (55680) |
— |
$701.24 |
— |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
— |
$789.92 |
— |
| Excision of neuroma; sciatic nerve Facility (64786) |
— |
$2,176.52 |
— |
| Excision of osseous tuberosities, dentoalveolar structures (41823) |
— |
$870.22 |
— |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
— |
$2,281.59 |
— |
| Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Facility (42425) |
— |
$1,787.43 |
— |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
— |
$2,624.95 |
— |
| Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112) |
— |
$1,936.04 |
— |
| Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) |
— |
$1,647.08 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$563.74 |
— |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) |
— |
$2,145.36 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$427.86 |
— |
| Excision of sublingual gland (42450) |
— |
$903.82 |
— |
| Excision of sublingual salivary cyst (ranula) (42408) |
— |
$1,020.50 |
— |
| Excision of submandibular (submaxillary) gland (42440) |
— |
$970.31 |
— |
| Excision of tonsil tags (42860) |
— |
$377.34 |
— |
| Excision of tracheal tumor or carcinoma; cervical Facility (31785) |
— |
$2,249.07 |
— |
| Excision of urethral diverticulum (separate procedure); male Facility (53235) |
— |
$1,468.83 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$407.46 |
— |
| Excision of vaginal septum (57130) |
— |
$373.27 |
— |
| Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) |
— |
$882.24 |
— |
| Excision olecranon bursa (24105) |
— |
$708.04 |
— |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Facility (23146) |
— |
$1,252.65 |
— |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)… (23145) |
— |
$1,399.79 |
— |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
— |
$1,231.98 |
— |
| Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) |
— |
$1,664.06 |
— |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126) |
— |
$1,309.80 |
— |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) |
— |
$1,608.92 |
— |
| Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) |
— |
$1,770.64 |
— |
| Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Facility (24115) |
— |
$1,490.22 |
— |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
— |
$1,220.98 |
— |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
— |
$1,008.30 |
— |
| Excision or fulguration; Skene's glands Facility (53270) |
— |
$474.39 |
— |
| Excision or fulguration; urethral polyp(s), distal urethra Facility (53260) |
— |
$495.63 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$1,408.08 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$1,176.06 |
— |
| Excision prepatellar bursa (27340) |
— |
$750.78 |
— |
| Excision Radial Head (24130) |
— |
$1,035.06 |
— |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
— |
$2,400.48 |
— |
| Excision soft tissue lesion, external auditory canal (69145) |
— |
$761.80 |
— |
| Excision spermatocele w/wo epididymectomy (54840) |
— |
$658.22 |
— |
| Excision synovial cyst popliteal space (27345) |
— |
$975.58 |
— |
| Excision tendon finger flexor/extensor each (26180) |
— |
$896.94 |
— |
| Excision tendon palm flexor/extensor single each (26170) |
— |
$819.40 |
— |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
— |
$895.72 |
— |
| Excision Thyroglossal Duct Cyst/Sinus Recurrent (60281) |
— |
$1,191.90 |
— |
| Excision Torus Mandibularis (21031) |
— |
$779.90 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$970.88 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$997.34 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$791.72 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$862.84 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$936.18 |
— |
| Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) |
— |
$1,587.04 |
— |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) |
— |
$1,267.40 |
— |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) |
— |
$1,725.62 |
— |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) |
— |
$1,804.82 |
— |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
— |
$1,763.24 |
— |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) |
— |
$1,291.96 |
— |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
— |
$1,870.62 |
— |
| Excision, interdigital (morton) neuroma, single, each (28080) |
— |
$1,043.94 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
— |
$1,830.90 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
— |
$2,016.30 |
— |
| Excision, lesion of palate, uvula; with local flap closure Facility (42107) |
— |
$926.16 |
— |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
— |
$1,836.14 |
— |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
— |
$1,426.28 |
— |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
— |
$1,746.88 |
— |
| Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) |
— |
$1,935.78 |
— |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) |
— |
$2,252.94 |
— |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
— |
$2,418.50 |
— |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
— |
$1,228.94 |
— |
| Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) |
— |
$1,834.62 |
— |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) |
— |
$2,025.78 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$907.84 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$698.84 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$849.50 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$969.76 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
— |
$1,529.30 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$964.06 |
— |
| Excision/curettage cyst/tumor carpal bones (25130) |
— |
$953.62 |
— |
| Excision/curettage cyst/tumor phalanx finger (26210) |
— |
$894.30 |
— |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
— |
$1,457.08 |
— |
| Excision/destruction intranasal lesion int appr (30117) |
— |
$1,727.88 |
— |
| Excision/destruction lesion pharynx any method (42808) |
— |
$452.68 |
— |
| Excision/surgical planing skin nose rhinophyma (30120) |
— |
$1,020.96 |
— |
| Excision/Transposition Pterygium W/Grafg (65426) |
— |
$1,286.94 |
— |
| Excision/Transposition Pterygium W/O Graft (65420) |
— |
$1,021.08 |
— |
| Excision; trochanteric bursa or calcification (27062) |
— |
$926.34 |
— |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap… (65114) |
— |
$2,960.62 |
— |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone… (65112) |
— |
$2,823.78 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$1,333.28 |
— |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
— |
$1,500.70 |
— |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
— |
$1,768.26 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$934.10 |
— |
| Exploration for undescended testis with abdominal exploration (54560) |
— |
$1,414.54 |
— |
| Exploration maxillary sinus (31020) |
— |
$933.92 |
— |
| Exploration of hip joint (27033) |
— |
$1,997.20 |
— |
| Exploration of knee joint (27310) |
— |
$1,493.98 |
— |
| Exploration of spinal fusion (22830) |
— |
$1,695.30 |
— |
| Exploration penetrating wound spx chest (20101) |
— |
$893.36 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$1,151 |
— |
| Exploration Penetrating Wound Spx Neck (20100) |
— |
$1,322.12 |
— |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) |
— |
$1,947.68 |
— |
| Exploratory elbow surgery (24000) |
— |
$967.80 |
— |
| Explore epididymis (54865) |
— |
$733.72 |
— |
| Explore eye socket,drainage (67405) |
— |
$1,584.62 |
— |
| Explore for undescended testis (54550) |
— |
$1,011.06 |
— |
| Explore inner ear (69806) |
— |
$1,874.12 |
— |
| Explore inner ear (69805) |
— |
$2,105.10 |
— |
| Explore treat shoulder joint (23107) |
— |
$1,347.26 |
— |
| Explore/Treat Elbow Joint (24101) |
— |
$1,014.30 |
— |
| Explore/Treat Hand Joint (26070) |
— |
$644.52 |
— |
| Explore/Treat Knee Joint (27331) |
— |
$964.78 |
— |
| Explore/Treat Wrist Joint (25040) |
— |
$1,198.94 |
— |
| Exposure of prostate, any approach, for insertion of radioactive substance; Facility (55860) |
— |
$1,806.78 |
— |
| Expression of conjunctival follicles (eg, for trachoma) Facility (68040) |
— |
$412.58 |
— |
| Extensive ear canal surgery (69150) |
— |
$2,076.66 |
— |
| Extensive mastoid surgery (69511) |
— |
$2,448.02 |
— |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
— |
$2,314.94 |
— |
| External cephalic version (59412) |
— |
$214.34 |
— |
| Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) |
— |
$643.12 |
— |
| Extraction of lens (66940) |
— |
$1,548.68 |
— |
| Extraction of lens (66920) |
— |
$1,492.54 |
— |
| Extraction of lens (66930) |
— |
$1,696.68 |
— |
| Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) |
— |
$1,198.48 |
— |
| Fascia lata graft; by stripper Facility (20920) |
— |
$815.62 |
— |
| Fasciectomy Palm Only (26121) |
— |
$1,212.50 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$1,038.36 |
— |
| Fasciotomy Iliotibial Open (27305) |
— |
$976.52 |
— |
| Fasciotomy palmar open partial (26045) |
— |
$949.94 |
— |
| Fasciotomy palmar percutaneous (26040) |
— |
$626.42 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
— |
$1,167.98 |
— |
| Fasciotomy, foot and/or toe (28008) |
— |
$863.58 |
— |
| Fasciotomy, hip or thigh, any type (27025) |
— |
$1,873.86 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$1,694.74 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$139 |
— |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
— |
$794.44 |
— |
Fetal non-stress test (59025)
range across 3 matching MRF lines |
— |
$52.81–$127.53 |
— |
| Fetal Scalp Blood Sampling (59030) |
— |
$237.52 |
— |
| Fetal Shunt Placement W/Ultrasound Guidance (59076) |
— |
$1,098.18 |
— |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) |
— |
$1,390.85 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$894.80 |
— |
| Fine Needle Aspiration Orbital Contents (67415) |
— |
$209.72 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$264.31 |
— |
| Finger tendon transfer (26497) |
— |
$1,881.19 |
— |
| Fistulization of sclera for glaucoma; thermocauterization with iridectomy Facility (66155) |
— |
$1,727.94 |
— |
| Fistulization of sclera for glaucoma; trephination with iridectomy Facility (66150) |
— |
$1,729.34 |
— |
| Fixation contralateral testis separate procedure (54620) |
— |
$615.92 |
— |
| Flap; neurovascular pedicle (15750) |
— |
$1,870.60 |
— |
| Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer… (25316) |
— |
$2,355.80 |
— |
| Flexor-plasty, elbow (eg, Steindler type advancement); Facility (24330) |
— |
$1,463.88 |
— |
| Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement Facility (24331) |
— |
$1,614.12 |
— |
| Fluid Pressure Muscle (20950) |
— |
$502.78 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$301.42 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$550.40 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$249.44 |
— |
| Follicle Puncture Oocyte Retrieval Any Method (58970) |
— |
$484.71 |
— |
| Forehead flap w/vasc pedicle (15731) |
— |
$2,252.32 |
— |
| Foreskin manipulation (54450) |
— |
$175.22 |
— |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) |
— |
$1,772.98 |
— |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
— |
$238.60 |
— |
| Free osteocutaneous flap with microvascular anastomosis; great toe with web space Facility (20973) |
— |
$6,261.86 |
— |
| Free osteocutaneous flap with microvascular anastomosis; iliac crest Facility (20970) |
— |
$5,898.54 |
— |
| Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) |
— |
$5,926.06 |
— |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) |
— |
$5,925.64 |
— |
| Frenulotomy of penis (54164) |
— |
$394.28 |
— |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
— |
$1,810.80 |
— |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
— |
$1,601.50 |
— |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) |
— |
$2,163.80 |
— |
| Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) |
— |
$2,354.66 |
— |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
— |
$2,016.16 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$1,535.78 |
— |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
— |
$1,664.82 |
— |
| Fuse hand bones with graft (25825) |
— |
$1,544.84 |
— |
| Fusion Finger Joint (26860) |
— |
$1,257.50 |
— |
| Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Facility (26820) |
— |
$1,746.96 |
— |
| Fusion of elbow joint (24800) |
— |
$1,687.66 |
— |
| Fusion of foot bones (28740) |
— |
$1,690.82 |
— |
| Fusion of hand bones (25820) |
— |
$1,258.65 |
— |
| Fusion of hand joint (26843) |
— |
$1,613.96 |
— |
| Fusion of knuckle (26850) |
— |
$1,543.27 |
— |
| Fusion of knuckle joint (26516) |
— |
$1,565.83 |
— |
| Fusion of knuckle joints (26518) |
— |
$1,819.26 |
— |
| Fusion of knuckle with graft (26852) |
— |
$1,729.44 |
— |
| Fusion of shoulder joint (23802) |
— |
$2,618.50 |
— |
| Fusion of spermatic ducts (54900) |
— |
$1,650.38 |
— |
| Fusion of tibiofibular joint (27871) |
— |
$1,414.61 |
— |
| Fusion/graft of hand joint (26844) |
— |
$1,788.86 |
— |
| Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) |
— |
$951.16 |
— |
| Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) |
— |
$743.98 |
— |
| Gastrocnemius recession (27687) |
— |
$978.84 |
— |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
— |
$2,857.24 |
— |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
— |
$1,460.30 |
— |
| Gastrostomy, open; neonatal, for feeding Facility (43831) |
— |
$1,241.94 |
— |
| Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)… (43510) |
— |
$1,983.78 |
— |
| Genioplasty Sliding Osteotomy Single Piece (21121) |
— |
$1,460.82 |
— |
| Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) |
— |
$1,326.58 |
— |
| Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical… (21122) |
— |
$1,563.92 |
— |
| Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Facility (21123) |
— |
$1,836.38 |
— |
| Glaucoma surgery (66160) |
— |
$1,952.42 |
— |
| Goniotomy (65820) |
— |
$1,492.36 |
— |
| Graft (Thiersch operation) for rectal incontinence and/or prolapse Facility (46753) |
— |
$1,273.32 |
— |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) |
— |
$4,101.60 |
— |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
— |
$1,442.92 |
— |
| Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Facility (15840) |
— |
$2,046.06 |
— |
| Graft for facial nerve paralysis; free muscle flap by microsurgical technique Facility (15842) |
— |
$5,554.40 |
— |
| Graft for facial nerve paralysis; free muscle graft (including obtaining graft) Facility (15841) |
— |
$3,636.82 |
— |
| Graft for facial nerve paralysis; regional muscle transfer Facility (15845) |
— |
$2,027.62 |
— |
| Graft, Bone; Mandible (Includes Obtaining Graft) (21215) |
— |
$7,712.68 |
— |
| Grafting of autologous soft tiss by direct exc (15769) |
— |
$975.04 |
— |
| Hair xplant punch grft 1-15 (15775) |
— |
$613.04 |
— |
| Hair xplant punch grft >15 (15776) |
— |
$889.16 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$1,451.80 |
— |
| Hand tendon reconstruction (26500) |
— |
$1,406.45 |
— |
| Harvesting conjunctival allograft, living donor Facility (68371) |
— |
$815.08 |
— |
| Hemiarthroplasty hip partial (27125) |
— |
$2,333.02 |
— |
| Hemiepiphyseal Arrest (24470) |
— |
$1,372.89 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$1,023.76 |
— |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
— |
$932.16 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$980.44 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
— |
$1,072.74 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
— |
$1,135.64 |
— |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
— |
$868.16 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$535.96 |
— |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
— |
$886.08 |
— |
| Hemorrhoidopexy by stapling (46947) |
— |
$791.90 |
— |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) |
— |
$967.92 |
— |
| Hymenotomy Simple Incision (56442) |
— |
$94.40 |
— |
| Hyoid myotomy and suspension Facility (21685) |
— |
$2,003.14 |
— |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) |
— |
$3,885.82 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$2,609.72 |
— |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
— |
$847.22 |
— |
| Hysteroscopy Dx Sep Proc (58555) |
— |
$578.76 |
— |
| Hysteroscopy Endometrial Ablation (58563) |
— |
$3,660.81 |
— |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
— |
$746.07 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$721.38 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$1,206.33 |
— |
| Hysterotomy Abdominal (59100) |
— |
$1,752.26 |
— |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
— |
$919.10 |
— |
| I&d abscess peritonsillar (42700) |
— |
$374.44 |
— |
| I&d abscess simple (10060) |
— |
$233.06 |
— |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
— |
$941.70 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$1,454.70 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$912.52 |
— |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
— |
$1,086.66 |
— |
| I&d forearm/wrist bursa (25031) |
— |
$968.91 |
— |
| I&D Intramural Im/Absc Transanal Anes (46045) |
— |
$893.86 |
— |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
— |
$979.36 |
— |
| I&D Mouth/Tong Intra,Masticator (41009) |
— |
$819.98 |
— |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
— |
$1,294.96 |
— |
| I&d perianal abscess superficial (46050) |
— |
$408.14 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$541 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$419.63 |
— |
| I&d shoulder deep abscess/hematoma (23030) |
— |
$857.36 |
— |
| I&d thyroglossal duct cyst infected (60000) |
— |
$338.36 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$702.54 |
— |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
— |
$344.54 |
— |
| Icd Pocket Revision (33223) |
— |
$891.54 |
— |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
— |
$526.84 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$336.58 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$1,615.10 |
— |
| Immediate breast prosthesis (19340) |
— |
$2,026.96 |
— |
| Implant cochlear device (69930) |
— |
$2,465.54 |
— |
| Implant eye drug system (67027) |
— |
$1,818.31 |
— |
| Implant neuroelectrodes (63650) |
— |
$3,101.62 |
— |
| Implant Neuroelectrodes (64561) |
— |
$1,719.40 |
— |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
— |
$749.87 |
— |
| Implant Spine Infusion Pump (62362) |
— |
$967.04 |
— |
| Implant temple bone w/stimul (69714) |
— |
$2,146.86 |
— |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) |
— |
$897.04 |
— |
| Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) |
— |
$1,786.78 |
— |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
— |
$900.65 |
— |
| Impression & Preparation Auricular Prosthesis (21086) |
— |
$3,910.48 |
— |
| Impression & Preparation Nasal Prosthesis (21087) |
— |
$3,922.61 |
— |
| Impression & Preparation Oral Surgical Splint (21085) |
— |
$1,477.88 |
— |
| Impression & Prepj Palatal Augmentation Prosthes (21082) |
— |
$3,231.03 |
— |
| Impression and custom preparation; definitive obturator prosthesis Facility (21080) |
— |
$5,742.75 |
— |
| Impression and custom preparation; interim obturator prosthesis Facility (21079) |
— |
$4,558.50 |
— |
| Impression and custom preparation; mandibular resection prosthesis Facility (21081) |
— |
$3,655.15 |
— |
| Impression and custom preparation; orbital prosthesis Facility (21077) |
— |
$5,349.61 |
— |
| Impression and custom preparation; palatal lift prosthesis Facility (21083) |
— |
$3,124.66 |
— |
| Impression and custom preparation; speech aid prosthesis Facility (21084) |
— |
$3,574.08 |
— |
| Impression&Preparation Surg Obturator Prosthes (21076) |
— |
$3,162.75 |
— |
| Incise external hemorrhoid (46083) |
— |
$362.87 |
— |
| Incise finger tendon sheath (26055) |
— |
$1,283.58 |
— |
| Incise flexor carpi radialis (25001) |
— |
$691.16 |
— |
| Incise sperm duct pouch (55600) |
— |
$864.44 |
— |
| Incise tendon(s) & muscle(s) (23406) |
— |
$1,620.25 |
— |
| Incise Wrist/Forearm Tendon (25290) |
— |
$1,594.47 |
— |
| Incise/Drain Conjunctiva (68020) |
— |
$518.38 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$409.38 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$1,209.26 |
— |
| Incision & drainage leg/ankle infected bursa (27604) |
— |
$1,023.22 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$539.02 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$296.20 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$349.90 |
— |
| Incision and drainage of the tear gland (68400) |
— |
$680.71 |
— |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
— |
$627.64 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$280.24 |
— |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) |
— |
$1,988.14 |
— |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
— |
$1,962.72 |
— |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
— |
$1,408.30 |
— |
| Incision bone cortex foot (28005) |
— |
$1,268.65 |
— |
| Incision Drainage Lacrimal Sac (68420) |
— |
$754.94 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$810.78 |
— |
| Incision of eardrum (69421) |
— |
$300.66 |
— |
| Incision of eardrum (69420) |
— |
$367.26 |
— |
| Incision of eye (65850) |
— |
$1,664.52 |
— |
| Incision of fibula (27707) |
— |
$808.66 |
— |
| Incision of Foot Tendon (28234) |
— |
$810.28 |
— |
| Incision of hip tendon (27001) |
— |
$1,094.67 |
— |
| Incision of iris (66500) |
— |
$703.64 |
— |
| Incision of labial frenum (frenotomy) (40806) |
— |
$196.02 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$400.62 |
— |
| Incision of lymph channels (38308) |
— |
$974.90 |
— |
| Incision of rectal abscess (46040) |
— |
$1,081.40 |
— |
| Incision of sperm duct (55200) |
— |
$840.46 |
— |
| Incision of thigh tendons (27392) |
— |
$1,447.38 |
— |
| Incision of tibia & fibula (27709) |
— |
$2,400.80 |
— |
| Incision of urethra (53010) |
— |
$680.69 |
— |
| Incision of urethra (53025) |
— |
$371.39 |
— |
| Incision of urethra (53000) |
— |
$343.11 |
— |
| Incision of urethra (53020) |
— |
$372.51 |
— |
| Incision&drainage bursa foot (28001) |
— |
$663.94 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$559.92 |
— |
| Incision, anal septum (infant) Facility (46070) |
— |
$528.36 |
— |
| Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Facility (23035) |
— |
$1,421.80 |
— |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
— |
$2,001.12 |
— |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) |
— |
$1,030.64 |
— |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax Facility (21510) |
— |
$936.87 |
— |
| Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) |
— |
$1,306.80 |
— |
| Incisional biopsy eyelid skin & lid margin (67810) |
— |
$382.72 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$291 |
— |
| Induced abortion dilation and curettage (59840) |
— |
$464.18 |
— |
| Induced abortion, by dilation and evacuation (59841) |
— |
$807.72 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$139.96 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$387.38 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$224.38 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$321.12 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$690.09 |
— |
| Inject Intravitreal Pharmcologic (67028) |
— |
$672.88 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$129.26 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$343.67 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$338.18 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$419 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$526.49 |
— |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
— |
$316.88 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$161.54 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$317.62 |
— |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
— |
$351.66 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$235.72 |
— |
| Injection Anes Superior Hypogastric Plexus (64517) |
— |
$378.43 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$300.18 |
— |
| Injection for identification of sentinel node (38792) |
— |
$160.46 |
— |
| Injection Into Brain Canal (61055) |
— |
$282.66 |
— |
| Injection into disk lesion (62292) |
— |
$1,159.26 |
— |
| Injection into spinal artery (62294) |
— |
$2,030.94 |
— |
| Injection medication/other subst tenon capsule (67515) |
— |
$153.80 |
— |
| Injection of sclerosing solution, hemorrhoids (46500) |
— |
$561.14 |
— |
| Injection procedure for peyronie disease (54200) |
— |
$221.91 |
— |
| Injection procedure for Peyronie disease; with surgical exposure of plaque Facility (54205) |
— |
$1,093.08 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$128.99 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$121.83 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$139.14 |
— |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
— |
$525.35 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$176.75 |
— |
| Injection Turbinate Therapeutic (30200) |
— |
$217.48 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$328.21 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$240.44 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$218.19 |
— |
| Injection, anesthetic agent; vagus nerve (64408) |
— |
$234.41 |
— |
| Injection, Intralesional; More Than 7 Lesions (11901) |
— |
$136.12 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$106.50 |
— |
| Injx anterior chamber eye air/liquid spx (66020) |
— |
$371.76 |
— |
| Injx Anterior Chamber Eye Medication Spx (66030) |
— |
$332.26 |
— |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
— |
$781.82 |
— |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
— |
$637.25 |
— |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
— |
$695.49 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$4,672.02 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$803.99 |
— |
| Insert and remove bone pin (20650) |
— |
$422.26 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$343.22 |
— |
| Insert cath pleura w/ image (32557) |
— |
$1,630.06 |
— |
| Insert cath pleura w/o image (32556) |
— |
$1,173.66 |
— |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
— |
$1,717.22 |
— |
| Insert cervical dilator (59200) |
— |
$156.50 |
— |
| Insert Drug Implant Device (11981) |
— |
$282.32 |
— |
| Insert eye socket implant (67550) |
— |
$1,931.30 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$1,818.46 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$946.90 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$1,040.81 |
— |
| Insert hepatic shunt (tips) (37182) |
— |
$1,963.32 |
— |
| Insert heyman uteri capsule (58346) |
— |
$933.72 |
— |
| Insert multi-comp penis pros (54405) |
— |
$1,668.12 |
— |
| Insert Nasal Septal Button (30220) |
— |
$583.74 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$622.48 |
— |
| Insert ocular implant (65135) |
— |
$1,485.30 |
— |
| Insert Pacing Lead & Connect (33224) |
— |
$1,091.24 |
— |
| Insert pessary/other device (57160) |
— |
$158.31 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$752.22 |
— |
| Insert pulse gen dual leads (33213) |
— |
$825.39 |
— |
| Insert pulse gen mult leads (33221) |
— |
$750.40 |
— |
| Insert Pulse Gen Sngl Lead (33212) |
— |
$730.35 |
— |
| Insert self-contd prosthesis (54401) |
— |
$1,342.34 |
— |
| Insert semi-rigid prosthesis (54400) |
— |
$1,091.26 |
— |
| Insert spine infusion device (62360) |
— |
$650.68 |
— |
| Insert tandem cuff (53444) |
— |
$1,842.34 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$209.19 |
— |
| Insert testicular prosthesis (54660) |
— |
$730.90 |
— |
| Insert tissue expander(s) (11960) |
— |
$1,945.08 |
— |
| Insert tun ip cath perc (49418) |
— |
$2,543.13 |
— |
| Insert tunneled cv cath (36561) |
— |
$2,592.54 |
— |
| Insert tunneled cv cath (36563) |
— |
$3,252.50 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$1,977.64 |
— |
| Insert Uro/Ves Nck Sphincter (53445) |
— |
$1,749 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$159.64 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$1,444.38 |
— |
| Insertion of cannula (36800) |
— |
$341.22 |
— |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) |
— |
$479.82 |
— |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) |
— |
$320.41 |
— |
| Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Facility (36260) |
— |
$1,353.16 |
— |
| Insertion of ocular implant secondary; after enucleation, muscles attached to implant Facility (65140) |
— |
$1,614.10 |
— |
| Insertion of ocular implant secondary; after evisceration, in scleral shell Facility (65130) |
— |
$1,464.16 |
— |
| Insertion of pin-retained palatal prosthesis Facility (42281) |
— |
$453.18 |
— |
| Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Facility (61215) |
— |
$1,070.42 |
— |
| Insertion of Thomas shunt (separate procedure) Facility (36835) |
— |
$998.34 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$624.87 |
— |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
— |
$728.56 |
— |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
— |
$917.42 |
— |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
— |
$860.01 |
— |
| Insertion Vascular Pedicle Carpal Bone (25430) |
— |
$1,493.16 |
— |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
— |
$803.73 |
— |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) |
— |
$1,521.06 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$657.70 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$2,999.03 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
— |
$3,328.34 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$682.94 |
— |
| Insj Stablj Dev W/Dcmprn (22867) |
— |
$2,030.14 |
— |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
— |
$972.73 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$2,099.94 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$9,055.74 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$2,618.14 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$1,476.50 |
— |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
— |
$1,875.46 |
— |
| Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886) |
— |
$1,780.40 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$1,926 |
— |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
— |
$962.72 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$370.88 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$382.99 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$1,094.32 |
— |
| Insrt Pulse Gen W/Dual Leads (33230) |
— |
$798.78 |
— |
| Insrt Pulse Gen W/Mult Leads (33231) |
— |
$839.12 |
— |
| Insrt Pulse Gen W/Singl Lead (33240) |
— |
$994.03 |
— |
| Insrt/Redo Neurostim 1 Array (61885) |
— |
$1,074 |
— |
| Install spinal shunt (63741) |
— |
$1,422.96 |
— |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
— |
$277.72 |
— |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
— |
$622.90 |
— |
| Interdental fixation (21110) |
— |
$1,604.70 |
— |
| Interdental Wiring Other Than Fracture (21497) |
— |
$1,343.18 |
— |
| Interpelviabdominal amputation (hindquarter amputation) Facility (27290) |
— |
$3,353.54 |
— |
| Interthoracoscapular amputation (forequarter) Facility (23900) |
— |
$2,854.40 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$939.72 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$1,107.16 |
— |
| Intranasal Biopsy (30100) |
— |
$273.16 |
— |
| Intraoral i&d tongue/floor lingual (41000) |
— |
$320.28 |
— |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
— |
$432.20 |
— |
| Intraoral i&d tongue/floor submental space (41007) |
— |
$693 |
— |
| Intraoral i&d tongue/floor submndblr space (41008) |
— |
$765.80 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$66.37 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$294.62 |
— |
| Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) |
— |
$926.98 |
— |
| Iridectomy, with corneoscleral or corneal section; with cyclectomy Facility (66605) |
— |
$2,114.20 |
— |
| Iridoplasty photocoagulation 1/> sessions (66762) |
— |
$938.40 |
— |
| Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Facility (66505) |
— |
$771 |
— |
| Iridotomy/irridectomy laser surg per session (66761) |
— |
$733.87 |
— |
| Irrigation maxillary sinus (31000) |
— |
$353 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$488.39 |
— |
| Island pedicle flap graft (15740) |
— |
$2,016.30 |
— |
| IV injection test vascular flow flap/graft (15860) |
— |
$260.81 |
— |
| Jaw arthroscopy/surgery (29800) |
— |
$1,109.61 |
— |
| Keratoplasty Penetrating Pseudophakia (65755) |
— |
$2,451.10 |
— |
| Keratoplasty Pentrg Except Aphakia/Pseudophakia (65730) |
— |
$2,448.36 |
— |
| Kidney endoscopy (50575) |
— |
$1,667.92 |
— |
| Kidney endoscopy (50553) |
— |
$1,831.24 |
— |
| Kidney endoscopy (50570) |
— |
$1,148.33 |
— |
| Kidney endoscopy (50551) |
— |
$831.76 |
— |
| Knee arthroscopy/drainage (29871) |
— |
$1,048.64 |
— |
| Knee Arthroscopy/Surgery (29885) |
— |
$1,514.92 |
— |
| Knee Arthroscopy/Surgery (29874) |
— |
$1,093.68 |
— |
| Knee Arthroscopy/Surgery (29850) |
— |
$1,269.92 |
— |
| Krukenberg procedure Facility (25915) |
— |
$3,010.69 |
— |
| Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22819) |
— |
$5,118.34 |
— |
| Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22818) |
— |
$4,478.90 |
— |
| Labyrinthectomy; with mastoidectomy Facility (69910) |
— |
$2,022.92 |
— |
| Labyrinthotomy Transcanal (69801) |
— |
$1,230.12 |
— |
| Lam facetec & foramot lumbar (63047) |
— |
$2,304.70 |
— |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Facility (63268) |
— |
$2,991.98 |
— |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) |
— |
$3,663.94 |
— |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
— |
$2,623.36 |
— |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
— |
$2,662.78 |
— |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) |
— |
$2,277.32 |
— |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) |
— |
$3,142.02 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
— |
$2,709.40 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
— |
$2,576.06 |
— |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) |
— |
$2,931.20 |
— |
| Laminotomy Single Lumbar (63042) |
— |
$2,714 |
— |
| Lap insert tunnel ip cath (49324) |
— |
$807.94 |
— |
| Lap paraesophag hern repair (43281) |
— |
$3,251.50 |
— |
| Lap replace gastr adj device (43773) |
— |
$2,660.14 |
— |
| Lap revision perm ip cath (49325) |
— |
$863.26 |
— |
| Laparo ablate liver tumor rf (47370) |
— |
$2,628.60 |
— |
| Laparo ablate renal cyst (50541) |
— |
$2,138.83 |
— |
| Laparo ablate renal mass (50542) |
— |
$2,709.97 |
— |
| Laparo ligate spermatic vein (55550) |
— |
$879 |
— |
| Laparo new ureter/bladder (50947) |
— |
$3,225.31 |
— |
| Laparo-vag hyst incl t/o (58552) |
— |
$2,005.08 |
— |
| Laparoscopic myomectomy (58545) |
— |
$1,833.48 |
— |
| Laparoscopy aspiration (49322) |
— |
$768.86 |
— |
| Laparoscopy Enterolysis Separate Procedure (44180) |
— |
$1,928.46 |
— |
| Laparoscopy fimbrioplasty (58672) |
— |
$1,602.40 |
— |
| Laparoscopy fulguration oviducts (58670) |
— |
$738.98 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$1,192.08 |
— |
| Laparoscopy salpingostomy (58673) |
— |
$1,719.75 |
— |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
— |
$890.20 |
— |
| Laparoscopy surgical orchiectomy (54690) |
— |
$1,352.46 |
— |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
— |
$2,513.94 |
— |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
— |
$1,852.08 |
— |
| Laparoscopy W/Lysis Of Adhesions (58660) |
— |
$1,399.23 |
— |
| Laparoscopy w/rmvl adnexal structures (58661) |
— |
$1,368.31 |
— |
| Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) |
— |
$1,313.16 |
— |
| Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Facility (47371) |
— |
$2,554.70 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$1,255.32 |
— |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
— |
$1,975.44 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$2,269.30 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
— |
$2,352.76 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
— |
$1,983.24 |
— |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
— |
$2,309.72 |
— |
| Laparoscopy, surgical, splenectomy (38120) |
— |
$2,204.84 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
— |
$1,600.80 |
— |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
— |
$1,808.40 |
— |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) |
— |
$2,283.74 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$1,498.32 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$2,331.18 |
— |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
— |
$1,360.72 |
— |
| Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) |
— |
$1,564.98 |
— |
| Laparoscopy, surgical; partial nephrectomy (50543) |
— |
$3,460.29 |
— |
| Laparoscopy, surgical; pyeloplasty (50544) |
— |
$2,900.34 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$1,159.74 |
— |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
— |
$1,941.76 |
— |
| Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Facility (43652) |
— |
$1,602.14 |
— |
| Laparoscopy, surgical; ureterolithotomy Facility (50945) |
— |
$2,264.04 |
— |
| Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) |
— |
$2,967.43 |
— |
| Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) |
— |
$1,744.93 |
— |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
— |
$1,966.33 |
— |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
— |
$1,653.39 |
— |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
— |
$716.12 |
— |
| Laparoscopy, Tubal Block (58671) |
— |
$742.28 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$676.74 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$1,480.50 |
— |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
— |
$2,011.88 |
— |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
— |
$1,660.80 |
— |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
— |
$1,114.68 |
— |
| Laps Surg Trnsxj Vagus Nrv Truncal (43651) |
— |
$1,358.70 |
— |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
— |
$1,616.72 |
— |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
— |
$2,693.48 |
— |
| Largsc Arytenoidectomy Microscope/Telescope (31561) |
— |
$763.89 |
— |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
— |
$559.03 |
— |
| Laryngoplasty Laryngeal Sten W/Stent 12 Yrs > (31554) |
— |
$3,329.92 |
— |
| Laryngoplasty Medialization Unliateral (31591) |
— |
$2,111.66 |
— |
| Laryngoplasty, cricoid split, without graft placement Facility (31587) |
— |
$2,332.22 |
— |
| Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion Facility (31580) |
— |
$2,499.04 |
— |
| Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Facility (31584) |
— |
$2,782.42 |
— |
| Laryngoscop w/arytenoidectom (31560) |
— |
$701.33 |
— |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
— |
$740.75 |
— |
| Laryngoscopy and dilation (31528) |
— |
$309.09 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$164.37 |
— |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
— |
$355.71 |
— |
| Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Facility (31527) |
— |
$418.23 |
— |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
— |
$544.08 |
— |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
— |
$735.78 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$230.03 |
— |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) |
— |
$590.48 |
— |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
— |
$525.56 |
— |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
— |
$515.90 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$542.08 |
— |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
— |
$466.68 |
— |
| Laryngoscopy Foreign Body Rmvl Micro/Telescope (31531) |
— |
$476.61 |
— |
| Laryngoscopy Indirect W/Biopsy (31510) |
— |
$414.94 |
— |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
— |
$419.80 |
— |
| Laryngoscopy Indirect W/Removal Lesion (31512) |
— |
$419 |
— |
| Laryngoscopy Indirect W/Vocal Cord Injection (31513) |
— |
$289.51 |
— |
| Laryngoscopy W/Biopsy (31535) |
— |
$419.84 |
— |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
— |
$472.81 |
— |
| Laryngoscopy W/Foreign Body Removal (31530) |
— |
$436.40 |
— |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
— |
$419.04 |
— |
| Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) |
— |
$336.73 |
— |
| Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Facility (31300) |
— |
$2,565.88 |
— |
| Larynscop w/tumr exc + scope (31541) |
— |
$595.26 |
— |
| Laser Surgery Anal Lesions (46917) |
— |
$829.54 |
— |
| Laser Surgery of Cervix (57513) |
— |
$323.20 |
— |
| Laser Surgery,Sever Vitreous Strands (67031) |
— |
$768.90 |
— |
| Laser treatment of retina (67040) |
— |
$2,438.51 |
— |
| Laser vaporization of prostate (52648) |
— |
$4,125.29 |
— |
| Late closure of wound (13160) |
— |
$1,635.12 |
— |
| Lateral Canthopexy (21282) |
— |
$764.64 |
— |
| Lateral retinacular release open (27425) |
— |
$910.86 |
— |
| Lavage cannulation sphenoid sinus (31002) |
— |
$400.86 |
— |
| Lengthen metacarpal/finger (26568) |
— |
$1,985.44 |
— |
| Lengthen radius or ulna (25391) |
— |
$2,474.82 |
— |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394) |
— |
$1,323.18 |
— |
| Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) |
— |
$1,794.68 |
— |
| Lengthening of hamstring tendon; single tendon Facility (27393) |
— |
$1,038.38 |
— |
| Lengthening of palate (42227) |
— |
$1,667 |
— |
| Lengthening of palate, and pharyngeal flap Facility (42226) |
— |
$1,765.54 |
— |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) |
— |
$1,286.59 |
— |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) |
— |
$1,414.36 |
— |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
— |
$1,338.18 |
— |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
— |
$539.99 |
— |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) |
— |
$2,563.76 |
— |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
— |
$1,453.58 |
— |
| Ligamentous reconstruction knee intra-articular (27428) |
— |
$2,280.76 |
— |
| Ligate leg veins open (37761) |
— |
$1,132.24 |
— |
| Ligate/strip long leg vein (37722) |
— |
$996.02 |
— |
| Ligate/strip short leg vein (37718) |
— |
$900.48 |
— |
| Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) |
— |
$1,360.83 |
— |
| Ligation arteries; internal maxillary artery, transantral Facility (30920) |
— |
$1,690.12 |
— |
| Ligation External Carotid Artery (37600) |
— |
$1,513.18 |
— |
| Ligation Internal/Common Carotid Artery (37605) |
— |
$1,620.44 |
— |
| Ligation Major Artery Abdomen (37617) |
— |
$2,821.22 |
— |
| Ligation nasal sinus artery (30915) |
— |
$1,160.68 |
— |
| Ligation of a-v fistula (37607) |
— |
$819.53 |
— |
| Ligation of femoral vein (37650) |
— |
$1,017.94 |
— |
| Ligation of hemorrhoids (46946) |
— |
$632.14 |
— |
| Ligation Of Neck Artery (37615) |
— |
$1,088.06 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$618.06 |
— |
| Ligation salivary duct, intraoral Facility (42665) |
— |
$647.24 |
— |
| Ligation, internal jugular vein Facility (37565) |
— |
$1,496.18 |
— |
| Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp Facility (37606) |
— |
$1,470.58 |
— |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
— |
$714.59 |
— |
| Limited pharyngectomy Facility (42890) |
— |
$2,903.74 |
— |
| Litholapaxy comp/lg > 2.5 cm (52318) |
— |
$1,105.64 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$1,818.64 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$1,651.60 |
— |
| Lmtd lmphadec staging spx pel¶-aortic (38562) |
— |
$1,467.86 |
— |
| Low Back Disk Surgery (63030) |
— |
$2,030.32 |
— |
| Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Facility (20979) |
— |
$108.57 |
— |
| Lsh uterus 250 g or less (58541) |
— |
$1,448.68 |
— |
| Lsh uterus above 250 g (58543) |
— |
$1,674.60 |
— |
| Lsh w/t/o uterus above 250 g (58544) |
— |
$1,822.60 |
— |
| Lyse chest fibrin init day (32561) |
— |
$187.44 |
— |
| Lysis Intranasal Synechia (30560) |
— |
$538.88 |
— |
| Lysis of labial adhesions (56441) |
— |
$306 |
— |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$518.80 |
— |
| Malar Augmentation Prosthetic Material (21270) |
— |
$2,024.48 |
— |
| Male sling procedure (53440) |
— |
$1,748.86 |
— |
| Manipulation Ankle Under General Anesthesia (27860) |
— |
$363.18 |
— |
| Manipulation Elbow Under Anesthesia (24300) |
— |
$838.52 |
— |
| Manipulation hip joint general anesthesia (27275) |
— |
$371.58 |
— |
| Manipulation knee joint under general anesthesia (27570) |
— |
$305.64 |
— |
| Manipulation spine requiring anesthesia (22505) |
— |
$269.88 |
— |
| Manipulation tmj therapeutic require anesthesia (21073) |
— |
$761.98 |
— |
| Manipulation wrist under anesthesia (25259) |
— |
$835 |
— |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
— |
$667.10 |
— |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
— |
$402.73 |
— |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
— |
$268.36 |
— |
| Manometric studies through ureterostomy or indwelling ureteral catheter Facility (50686) |
— |
$453.29 |
— |
| Marsupialization of bartholin's gland cyst (56440) |
— |
$378.93 |
— |
| Marsupialization of urethral diverticulum, male or female Facility (53240) |
— |
$984.59 |
— |
| Mast mod rad (19307) |
— |
$2,489.40 |
— |
| Mastectomy for gynecomastia (19300) |
— |
$1,072.36 |
— |
| Mastectomy partial (19301) |
— |
$1,358.22 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$1,871.50 |
— |
| Mastectomy simple complete (19303) |
— |
$1,995.92 |
— |
| Mastoid obliteration separate procedure (69670) |
— |
$1,880.04 |
— |
| Mastoidectomy (69501) |
— |
$1,447.14 |
— |
| Mastoidectomy; complete (69502) |
— |
$1,923.14 |
— |
| Mastopexy (19316) |
— |
$1,574.94 |
— |
| Maxillary impression for palatal prosthesis Facility (42280) |
— |
$352.74 |
— |
| Maxillofacial fixation (21100) |
— |
$1,361.80 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$375.12 |
— |
| Mech remov tunneled cv cath (36595) |
— |
$1,707.12 |
— |
| Medial Canthopexy Separate Procedure (21280) |
— |
$1,142.34 |
— |
| Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Facility (21060) |
— |
$1,665.72 |
— |
| Metatarsectomy (28140) |
— |
$1,228.51 |
— |
| Middle ear expl thru postaur/ear canal inc (69440) |
— |
$1,363.12 |
— |
| Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage)… (65125) |
— |
$918.56 |
— |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
— |
$1,312.80 |
— |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
— |
$1,225.30 |
— |
| Multifetal Pregnancy Reduction (59866) |
— |
$453.10 |
— |
| Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Facility (24410) |
— |
$2,175.10 |
— |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Facility (25375) |
— |
$2,427.79 |
— |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Facility (25370) |
— |
$2,428.20 |
— |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) |
— |
$784.58 |
— |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
— |
$2,780.34 |
— |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
— |
$2,065 |
— |
| Muscle transfer, any type, shoulder or upper arm; multiple Facility (23397) |
— |
$2,342.16 |
— |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
— |
$2,631.28 |
— |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
— |
$2,913.33 |
— |
| Muscle-skin graft trunk (15734) |
— |
$3,109.96 |
— |
| Muscle/tendon transfer upper arm/elbow single (24301) |
— |
$1,536.40 |
— |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
— |
$1,122.70 |
— |
| Myringoplasty (69620) |
— |
$1,365.78 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$414.98 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$274.08 |
— |
| N block inj intercost sng (64420) |
— |
$351.30 |
— |
| N Block Inj Paracervical (64435) |
— |
$314.87 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$95.72 |
— |
| N Block Inj Pudendal (64430) |
— |
$311.75 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$439.59 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$386.66 |
— |
| Nasal sinus therapy (30210) |
— |
$291.44 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$83.90 |
— |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
— |
$510.02 |
— |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
— |
$439.62 |
— |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
— |
$518.45 |
— |
| Nasal/sinus endoscopy, surgical, with optic nerve decompression Facility (31294) |
— |
$2,552.25 |
— |
| Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Facility (31292) |
— |
$2,042.98 |
— |
| Nasal/sinus endoscopy, surgical; with medial orbital wall and inferior orbital wall decompression (31293) |
— |
$2,213.88 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
— |
$642.90 |
— |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
— |
$352.94 |
— |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$671.52 |
— |
| Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) |
— |
$1,329.41 |
— |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
— |
$6,291.52 |
— |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
— |
$3,708.82 |
— |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
— |
$6,226.21 |
— |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
— |
$1,035.72 |
— |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
— |
$978.44 |
— |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
— |
$923.84 |
— |
| Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) |
— |
$922.02 |
— |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
— |
$817.94 |
— |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
— |
$1,139.91 |
— |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
— |
$902.30 |
— |
| Nasal/Sphenoid Sinus Endoscopy,Dx (31235) |
— |
$591.76 |
— |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
— |
$194 |
— |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
— |
$510.51 |
— |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
— |
$646.43 |
— |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
— |
$1,036.70 |
— |
| Neck spine disk surgery (63020) |
— |
$2,433.48 |
— |
| Neck spine fusion (22600) |
— |
$2,704.66 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$251.82 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$1,044.36 |
— |
| Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Facility (64886) |
— |
$2,747.69 |
— |
| Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Facility (64885) |
— |
$2,335.83 |
— |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) |
— |
$2,834.84 |
— |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Facility (64897) |
— |
$2,608.14 |
— |
| Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Facility (64896) |
— |
$2,969.12 |
— |
| Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Facility (64895) |
— |
$2,738.44 |
— |
| Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Facility (64893) |
— |
$2,320.26 |
— |
| Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Facility (64891) |
— |
$2,365.52 |
— |
| Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) |
— |
$2,230.48 |
— |
| Nerve graft arm/leg <4 cm (64892) |
— |
$2,149.16 |
— |
| Nerve Pedicle Transfer First Stage (64905) |
— |
$2,100.08 |
— |
| Nerve pedicle transfer; second stage Facility (64907) |
— |
$2,701.12 |
— |
| Nerve repair w/conduit each nerve (64910) |
— |
$1,614.72 |
— |
| Neurectomy Popliteal (27326) |
— |
$1,040.88 |
— |
| Neurectomy, hamstring muscle Facility (27325) |
— |
$1,130.20 |
— |
| Neurectomy, Intrinsic Musculature Of Foot (28055) |
— |
$776.40 |
— |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
— |
$1,058.98 |
— |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
— |
$1,200.48 |
— |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) |
— |
$1,479.84 |
— |
| Neurorraphy w/vein autograft (64911) |
— |
$2,096.78 |
— |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
— |
$1,017.52 |
— |
| Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) |
— |
$1,607.08 |
— |
| Neurp major prph nrv opn arm/leg sciatic nrv (64712) |
— |
$1,191.98 |
— |
| Nipple Exploration (19110) |
— |
$972.92 |
— |
| Nipple/areola reconstruction (19350) |
— |
$1,822.10 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$331.12 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$268.70 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$345.26 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
— |
$458.42 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$213.82 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$323.84 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
— |
$287.06 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
— |
$901.68 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$484.80 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
— |
$901.68 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
— |
$589.08 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$290.55 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$376.50 |
— |
| Njx Sclrsnt Spider Veins (36468) |
— |
$76.12 |
— |
| Nocturnal penile tumescence and/or rigidity test Non-Facility (54250) |
— |
$260.34 |
— |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
— |
$713.35 |
— |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
— |
$602.07 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$1,361.64 |
— |
| Occipital Nerve Block (64405) |
— |
$222.03 |
— |
| Occlusion flp tube dev vag/suprapubic appr (58615) |
— |
$547.16 |
— |
| Ocular Surface Reconstruction Amniotic Membrane (65780) |
— |
$1,550.79 |
— |
| Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Facility (65782) |
— |
$2,278.14 |
— |
| Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) Facility (65781) |
— |
$2,644.34 |
— |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
— |
$1,649.08 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$900.22 |
— |
| Open bone biopsy (20251) |
— |
$896.69 |
— |
| Open bone biopsy (20250) |
— |
$823.30 |
— |
| Open bowel to skin (44300) |
— |
$1,766.46 |
— |
| Open Implantation Nea Peripheral Nerve (64575) |
— |
$684 |
— |
| Open Implantation Nea Sacral Nerve (64581) |
— |
$1,498.28 |
— |
| Open implantation of neurostimulator electrode array; neuromuscular Facility (64580) |
— |
$632.18 |
— |
| Open nasoethmoid fx w/o fixj (21338) |
— |
$1,311.34 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$1,866.44 |
— |
| Open Repair of Rotator Cuff Acute (23410) |
— |
$1,848.67 |
— |
| Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318) |
— |
$3,466.66 |
— |
| Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22319) |
— |
$3,845.22 |
— |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) |
— |
$3,023.36 |
— |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) |
— |
$3,167.22 |
— |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326) |
— |
$3,147.34 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$1,623.24 |
— |
| Open treatment calcaneal fracture (28415) |
— |
$2,459.67 |
— |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
— |
$2,690.68 |
— |
| Open treatment fracture distal tibia only (27827) |
— |
$2,248.80 |
— |
| Open treatment greater trochanteric fracture (27248) |
— |
$1,573.83 |
— |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
— |
$1,593.04 |
— |
| Open Treatment Humeral Condylar Fracture (24579) |
— |
$1,729.41 |
— |
| Open treatment interphalangeal joint dislocation (28675) |
— |
$1,136 |
— |
| Open Treatment Lunate Dislocation (25695) |
— |
$1,292.82 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$1,303.54 |
— |
| Open treatment metacarpophalangeal dislocation (26715) |
— |
$1,156.48 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$1,099.70 |
— |
| Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes t-fracture and both… (27228) |
— |
$3,892.86 |
— |
| Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) |
— |
$3,430.38 |
— |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
— |
$1,156.92 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$1,332.46 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$1,466.90 |
— |
| Open treatment of coccygeal fracture Facility (27202) |
— |
$1,886.67 |
— |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21366) |
— |
$2,594.80 |
— |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
— |
$2,270.30 |
— |
| Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or… (21344) |
— |
$2,816.54 |
— |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
— |
$2,450.74 |
— |
| Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve… (21433) |
— |
$3,570.06 |
— |
| Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal… (21436) |
— |
$4,181.08 |
— |
| Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation… (21435) |
— |
$2,858.48 |
— |
| Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation Facility (21432) |
— |
$1,444.28 |
— |
| Open treatment of depressed frontal sinus fracture Facility (21343) |
— |
$2,167.62 |
— |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) |
— |
$1,195.87 |
— |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) |
— |
$2,251.82 |
— |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
— |
$2,561.40 |
— |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
— |
$2,031.46 |
— |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
— |
$2,752.82 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
— |
$2,686.77 |
— |
| Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408) |
— |
$1,838.74 |
— |
| Open treatment of fracture of orbit, except blowout; with implant Facility (21407) |
— |
$1,305.92 |
— |
| Open treatment of fracture of orbit, except blowout; without implant Facility (21406) |
— |
$1,164.96 |
— |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
— |
$1,712.32 |
— |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
— |
$2,602.54 |
— |
| Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) |
— |
$1,935.92 |
— |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
— |
$2,294.20 |
— |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair Facility (27557) |
— |
$2,529.02 |
— |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) |
— |
$2,617.75 |
— |
| Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or… (27556) |
— |
$2,197.43 |
— |
| Open treatment of mandibular condylar fracture Facility (21465) |
— |
$1,835.84 |
— |
| Open treatment of mandibular fracture with external fixation Facility (21454) |
— |
$1,108.32 |
— |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
— |
$924.90 |
— |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) |
— |
$1,439.86 |
— |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
— |
$1,278.92 |
— |
| Open treatment of nasoethmoid fracture; with external fixation Facility (21339) |
— |
$1,490 |
— |
| Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347) |
— |
$2,041.94 |
— |
| Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)… (21348) |
— |
$2,296.33 |
— |
| Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation Facility (21346) |
— |
$1,872.41 |
— |
| Open treatment of orbital floor blowout fracture; periorbital approach Facility (21386) |
— |
$1,412.88 |
— |
| Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)… (21395) |
— |
$2,063.28 |
— |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
— |
$1,616.84 |
— |
| Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Facility (21385) |
— |
$1,523.08 |
— |
| Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve… (21423) |
— |
$1,571.24 |
— |
| Open treatment of palatal or maxillary fracture (LeFort I type); Facility (21422) |
— |
$1,537.69 |
— |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
— |
$1,371.80 |
— |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
— |
$2,196.79 |
— |
| Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) |
— |
$860.14 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) |
— |
$1,888.84 |
— |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
— |
$1,980.16 |
— |
| Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) |
— |
$2,236.02 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
— |
$2,203.24 |
— |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258) |
— |
$2,282.08 |
— |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27259) |
— |
$3,203.82 |
— |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
— |
$1,256.90 |
— |
| Open treatment of sternum fracture with or without skeletal fixation Facility (21825) |
— |
$1,157.19 |
— |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
— |
$1,747.38 |
— |
| Open treatment of temporomandibular dislocation Facility (21490) |
— |
$1,814.52 |
— |
| Open Treatment of Ulnar Shaft Fracture (25545) |
— |
$1,387.76 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$1,265.70 |
— |
| Open treatment posterior malleolus fracture (27769) |
— |
$1,493.22 |
— |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
— |
$1,460.16 |
— |
| Open Treatment Proximal Humeral Fracture (23615) |
— |
$1,808.48 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$1,396.37 |
— |
| Open Treatment Tarsal Bone Dislocation (28555) |
— |
$1,735.70 |
— |
| Open tx acute shoulder dislocation (23660) |
— |
$1,185.06 |
— |
| Open Tx Acute/Chronic Elbow Dislocation (24615) |
— |
$1,456.46 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$1,508.06 |
— |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
— |
$1,161.83 |
— |
| Open tx carpal scaphoid navicular fracture (25628) |
— |
$1,464.52 |
— |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
— |
$1,160.44 |
— |
| Open Tx Depressed Malar Fracture (21360) |
— |
$1,555.63 |
— |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
— |
$1,323.28 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$1,009.04 |
— |
| Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) |
— |
$1,281.90 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$1,575.13 |
— |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
— |
$2,587.96 |
— |
| Open tx femoral supracondylar fracture w/o xtn (27511) |
— |
$2,091.63 |
— |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
— |
$1,135.78 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$1,597.43 |
— |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
— |
$1,904.22 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$1,914.02 |
— |
| Open tx interphalangeal joint dislocation (26785) |
— |
$1,104.58 |
— |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) |
— |
$4,299.40 |
— |
| Open Tx Mandibular Fx W/O Interdental Fixation (21461) |
— |
$4,022.90 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$1,162.84 |
— |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
— |
$1,204.36 |
— |
| Open Tx Radial Head/Neck Fracture (24665) |
— |
$1,325.50 |
— |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
— |
$1,493.72 |
— |
| Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) |
— |
$1,251.61 |
— |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
— |
$1,281.20 |
— |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
— |
$1,850.84 |
— |
| Open Tx Trans-Scaphoperilunar Fracture Dislc (25685) |
— |
$1,503.50 |
— |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
— |
$1,772.59 |
— |
| Open tx ulnar fx proximal end (24685) |
— |
$1,370.60 |
— |
| Opn tx orbit fx combined (21387) |
— |
$1,589.50 |
— |
| Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) |
— |
$1,719.10 |
— |
| Opponensplasty; hypothenar muscle transfer Facility (26494) |
— |
$1,764.16 |
— |
| Optic Nerve Decompression (67570) |
— |
$2,378.32 |
— |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
— |
$1,265.18 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
— |
$1,679.80 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
— |
$2,140.18 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$2,460.12 |
— |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
— |
$1,794.02 |
— |
| Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) |
— |
$2,173.18 |
— |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
— |
$2,444.96 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$1,829.02 |
— |
| Orbital implant removal/revision (67560) |
— |
$1,979.40 |
— |
| Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach… (21268) |
— |
$4,156.06 |
— |
| Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach Facility (21267) |
— |
$3,293.50 |
— |
| Orbitotomy Bone Flap/Window Lat Rmvl Lesion (67420) |
— |
$3,231.18 |
— |
| Orbitotomy w/o bone flap expl w/wo biopsy (67400) |
— |
$1,857.24 |
— |
| Orbitotomy W/O Bone Flap W/Removal Lesion (67412) |
— |
$1,720.88 |
— |
| Orbitotomy W/O Bone Flap W/Rmvl Foreign Body (67413) |
— |
$1,712.58 |
— |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) |
— |
$2,507.88 |
— |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Facility (67440) |
— |
$2,412.96 |
— |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Facility (67445) |
— |
$2,813.24 |
— |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Facility (67430) |
— |
$2,493.06 |
— |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) |
— |
$2,658.96 |
— |
| Orchiectomy partial (54522) |
— |
$1,212.56 |
— |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$1,047.27 |
— |
| Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) |
— |
$1,529.88 |
— |
| Orchiopexy Ingun/Scrot Appr (54640) |
— |
$981.68 |
— |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) |
— |
$1,463.02 |
— |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
— |
$2,138.36 |
— |
| Ostc prtl exostc/condylc metar head (28288) |
— |
$1,214.10 |
— |
| Ostectomy calcaneus (28118) |
— |
$1,195.82 |
— |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
— |
$971.46 |
— |
| Ostectomy of sternum, partial Facility (21620) |
— |
$1,056.47 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$1,174.54 |
— |
| Ostectomy, complete excision; first metatarsal head (28111) |
— |
$977.74 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$924.10 |
— |
| Osteochondral allograft knee open (27415) |
— |
$2,776.66 |
— |
| Osteochondral knee autograft (27416) |
— |
$1,991.34 |
— |
| Osteochondral talus autogrft (28446) |
— |
$2,506.04 |
— |
| Osteoplasty Humerus (24420) |
— |
$2,028.84 |
— |
| Osteoplasty Radius/Ulna Shortening (25390) |
— |
$2,037.10 |
— |
| Osteoplasty, carpal bone, shortening Facility (25394) |
— |
$1,596.82 |
— |
| Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Facility (21208) |
— |
$3,412.50 |
— |
| Osteoplasty, facial bones; reduction (21209) |
— |
$1,778.42 |
— |
| Osteoplasty, femur; lengthening Facility (27466) |
— |
$2,425.68 |
— |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
— |
$2,582.56 |
— |
| Osteoplasty, radius AND ulna; lengthening with autograft Facility (25393) |
— |
$2,738.97 |
— |
| Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715) |
— |
$2,200.98 |
— |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) |
— |
$1,667.67 |
— |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
— |
$1,816.80 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$1,221.56 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$1,133.06 |
— |
| Osteotomy and transfer of greater trochanter of femur (separate procedure) Facility (27140) |
— |
$1,827.04 |
— |
| Osteotomy calcaneus w/wo internal fixation (28300) |
— |
$1,833.82 |
— |
| Osteotomy Clavicle W Bone Graft (23485) |
— |
$1,976.83 |
— |
| Osteotomy Metacarpal Each (26565) |
— |
$1,512.27 |
— |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical Facility (22220) |
— |
$3,392.76 |
— |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar Facility (22224) |
— |
$3,292.08 |
— |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic Facility (22222) |
— |
$3,626.48 |
— |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical Facility (22210) |
— |
$3,760.56 |
— |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) |
— |
$3,118.34 |
— |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic Facility (22212) |
— |
$3,103.96 |
— |
| Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22206) |
— |
$5,171.52 |
— |
| Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22207) |
— |
$5,057.38 |
— |
| Osteotomy Phalanx Finger Each (26567) |
— |
$1,513.68 |
— |
| Osteotomy radius distal third (25350) |
— |
$1,840.92 |
— |
| Osteotomy Radius Middle/Proximal Third (25355) |
— |
$2,025.57 |
— |
| Osteotomy talus (28302) |
— |
$1,817.54 |
— |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
— |
$1,649.78 |
— |
| Osteotomy Tibia (27705) |
— |
$1,570.17 |
— |
| Osteotomy Ulna (25360) |
— |
$1,805.26 |
— |
| Osteotomy, clavicle, with or without internal fixation; Facility (23480) |
— |
$1,686.62 |
— |
| Osteotomy, femoral neck (separate procedure) Facility (27161) |
— |
$2,495.54 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
— |
$2,086.32 |
— |
| Osteotomy, femur, shaft or supracondylar; without fixation Facility (27448) |
— |
$1,661.53 |
— |
| Osteotomy, iliac, acetabular or innominate bone; Facility (27146) |
— |
$2,629.06 |
— |
| Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip Facility (27156) |
— |
$3,493.86 |
— |
| Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy Facility (27151) |
— |
$3,288.98 |
— |
| Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip Facility (27147) |
— |
$2,993.54 |
— |
| Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) |
— |
$2,812.86 |
— |
| Osteotomy, mandible, segmental; with genioglossus advancement (21199) |
— |
$2,205.92 |
— |
| Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) Facility (27454) |
— |
$2,666.04 |
— |
| Osteotomy, pelvis, bilateral (eg, congenital malformation) Facility (27158) |
— |
$2,832.88 |
— |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
— |
$1,404 |
— |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
— |
$2,249.90 |
— |
| Ovarian cystectomy, unilateral or bilateral (58925) |
— |
$1,534.08 |
— |
| Palatop cl palate soft&/hard palate only (42200) |
— |
$1,922.18 |
— |
| Palatopharyngoplasty (42145) |
— |
$1,409.98 |
— |
| Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) |
— |
$2,013.26 |
— |
| Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) |
— |
$1,974.16 |
— |
| Palatoplasty for cleft palate; major revision Facility (42215) |
— |
$1,455.98 |
— |
| Paracen ant cham rmvl blood w/wo irrig&/air in (65815) |
— |
$1,253.52 |
— |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
— |
$2,005.10 |
— |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
— |
$1,664.70 |
— |
| Parotid duct diversion, bilateral (Wilke type procedure); Facility (42507) |
— |
$1,015.06 |
— |
| Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands Facility (42509) |
— |
$1,690.76 |
— |
| Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts Facility (42510) |
— |
$1,251.50 |
— |
| Part exc bone femur prox tibia (27360) |
— |
$1,754.54 |
— |
| Part remv talus or calcaneus (28120) |
— |
$1,358.36 |
— |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) |
— |
$1,561.60 |
— |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Facility (23182) |
— |
$1,398.95 |
— |
| Partial excision bone clavicle (23180) |
— |
$1,463.08 |
— |
| Partial Excision Bone Humerus (24140) |
— |
$1,540.26 |
— |
| Partial excision bone metacarpal (26230) |
— |
$1,011.76 |
— |
| Partial excision bone olecranon process (24147) |
— |
$1,328.05 |
— |
| Partial Excision Bone Radius (25151) |
— |
$1,618.20 |
— |
| Partial Excision Bone Ulna (25150) |
— |
$1,267.49 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$891.96 |
— |
| Partial excision of lip (40520) |
— |
$981.76 |
— |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) |
— |
$1,779.34 |
— |
| Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22112) |
— |
$2,312.20 |
— |
| Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22114) |
— |
$2,346.16 |
— |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
— |
$997.58 |
— |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) |
— |
$1,889.78 |
— |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27070) |
— |
$1,749.16 |
— |
| Partial hymenectomy or revision of hymenal ring (56700) |
— |
$379.82 |
— |
| Partial removal of fibula (27641) |
— |
$1,497.42 |
— |
| Partial removal of lip (40530) |
— |
$1,080.70 |
— |
| Partial removal of nose (30150) |
— |
$1,547.66 |
— |
| Partial removal of penis (54120) |
— |
$1,301.42 |
— |
| Partial removal of radius (24145) |
— |
$1,293.72 |
— |
| Partial removal of rib (21600) |
— |
$1,124.58 |
— |
| Partial removal of scapula (23190) |
— |
$1,162.34 |
— |
| Partial removal of thyroid (60220) |
— |
$1,501.24 |
— |
| Partial removal of tibia (27640) |
— |
$1,842.84 |
— |
| Partial removal of toe (28160) |
— |
$827.92 |
— |
| Partial removal of tongue (41120) |
— |
$2,143.36 |
— |
| Partial thyroid excision (60212) |
— |
$2,088.38 |
— |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
— |
$1,460.90 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$953.62 |
— |
| Patellectomy or hemipatellectomy (27350) |
— |
$1,324.70 |
— |
| Pelvic examination under anesthesia (other than local) (57410) |
— |
$298.21 |
— |
| Penile Injection (54235) |
— |
$196.34 |
— |
| Penile Plethysmography (54240) |
— |
$208.14 |
— |
| Penile venous occlusive procedure Facility (37790) |
— |
$1,054.98 |
— |
| Penis plastic surgery (54360) |
— |
$1,484 |
— |
| Perc Cryo Ablate Renal Tum (50593) |
— |
$9,917.97 |
— |
| Perc Rf Ablate Renal Tumor (50592) |
— |
$7,278.45 |
— |
| Percut Ablate Liver Rf (47382) |
— |
$8,770.04 |
— |
| Percut Cath Occlusn Non Cns Lesn (61626) |
— |
$1,853.78 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$221.07 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$3,143.94 |
— |
| Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) |
— |
$3,285 |
— |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
— |
$909.98 |
— |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
— |
$1,648.78 |
— |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
— |
$1,460.60 |
— |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
— |
$699.12 |
— |
| Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) |
— |
$909.90 |
— |
| Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) |
— |
$1,137.60 |
— |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
— |
$979.44 |
— |
| Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Facility (21355) |
— |
$846.78 |
— |
| Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of… (21340) |
— |
$1,568.05 |
— |
| Pereyra procedure, including anterior colporrhaphy Facility (57289) |
— |
$1,548.48 |
— |
| Peri-Implant Capsulectomy Breast Complete (19371) |
— |
$1,594.50 |
— |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
— |
$536.66 |
— |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach Facility (21261) |
— |
$5,035.14 |
— |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach Facility (21260) |
— |
$2,830.02 |
— |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement Facility (21263) |
— |
$4,650.74 |
— |
| Perirectal inj sclerosing solution prolapse (45520) |
— |
$297 |
— |
| Peritoneal Lavage (49084) |
— |
$227.76 |
— |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
— |
$2,467.48 |
— |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
— |
$2,020.41 |
— |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
— |
$6,734.44 |
— |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
— |
$1,346.28 |
— |
| Petrous apicectomy including radical mastoidectomy Facility (69530) |
— |
$3,302.12 |
— |
| Phalangectomy toe each toe (28150) |
— |
$844.26 |
— |
| Pharyngostomy (fistulization of pharynx, external for feeding) Facility (42955) |
— |
$1,531.98 |
— |
| Phleb Veins - Extrem 20+ (37766) |
— |
$1,554.96 |
— |
| Photopheresis extracorporeal (36522) |
— |
$4,330.52 |
— |
| Pin Finger Dislocation (26776) |
— |
$892.03 |
— |
| Pin hand dislocation (26676) |
— |
$1,012.56 |
— |
| Pin knuckle dislocation (26706) |
— |
$890.46 |
— |
| Place breast rad tube/caths (19298) |
— |
$1,927.94 |
— |
| Place Duod/Jej Tube Perc (49441) |
— |
$2,066.78 |
— |
| Place ndl musc/tis for rt (20555) |
— |
$678.86 |
— |
| Place Rt Device/Marker Pros (55876) |
— |
$282.12 |
— |
| Placement needle head/neck radioelement applicat (41019) |
— |
$976.86 |
— |
| Placement Needle Pelvic Organ Radioelement Appl (55920) |
— |
$924.68 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$139.60 |
— |
| Placement of seton (46020) |
— |
$559.10 |
— |
| Plastic operation on penis for epispadias distal to external sphincter; Facility (54380) |
— |
$1,662.20 |
— |
| Plastic operation on penis for epispadias distal to external sphincter; with incontinence Facility (54385) |
— |
$1,915.34 |
— |
| Plastic Repair Canaliculi (68700) |
— |
$1,195.36 |
— |
| Plastic Repair Introitus (56800) |
— |
$506.04 |
— |
| Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Facility (40701) |
— |
$2,444.46 |
— |
| Plastic Repair Of Urethrocele (57230) |
— |
$803.14 |
— |
| Plmt expandable cath brst following prtl mast (19296) |
— |
$7,533.52 |
— |
| Plstc Rpr Salivary Dux Sialodochoplasty Prim (42500) |
— |
$866.68 |
— |
| Plstc Rpr Salivary Dux Sialodochoplasty Sec/Comp (42505) |
— |
$1,115.24 |
— |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
— |
$1,212.36 |
— |
| Prim art mech thrombectomy (37184) |
— |
$4,075.42 |
— |
| Probe lacrimal canaliculi w/wo irrigation (68840) |
— |
$252.56 |
— |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
— |
$848.25 |
— |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) |
— |
$365.38 |
— |
| Probe nl duct w/balloon (68816) |
— |
$1,373.52 |
— |
| Probing nasolacrimal duct (68810) |
— |
$324.84 |
— |
| Proctopexy Perineal Approach (45541) |
— |
$1,958.28 |
— |
| Proctoplasty Stenosis (45500) |
— |
$1,154.52 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$237.24 |
— |
| Proctosgmdsc Rigid Control Bleeding (45317) |
— |
$383.20 |
— |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
— |
$340.82 |
— |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
— |
$375.75 |
— |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) |
— |
$390.28 |
— |
| Proctosgmdsc rigid w/dilation (45303) |
— |
$1,757.72 |
— |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
— |
$347.94 |
— |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
— |
$380.68 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
— |
$301.22 |
— |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) |
— |
$216.02 |
— |
| Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327) |
— |
$244.36 |
— |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) |
— |
$1,041.20 |
— |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491) |
— |
$2,112.60 |
— |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna… (25492) |
— |
$2,265.32 |
— |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
— |
$2,318.56 |
— |
| Prostate laser enucleation (52649) |
— |
$1,911.13 |
— |
| Prostatic microwave thermotx (53850) |
— |
$7,740.49 |
— |
| Prostatic Rf Thermotx (53852) |
— |
$7,436.82 |
— |
| Prostatotomy external drg abscess simple (55720) |
— |
$936.67 |
— |
| Prostatotomy, external drainage of prostatic abscess, any approach; complicated Facility (55725) |
— |
$1,219.80 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$509.34 |
— |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
— |
$2,984.34 |
— |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
— |
$927.79 |
— |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
— |
$839.89 |
— |
| Prq skel fixj femoral fx prox end neck (27235) |
— |
$1,868.58 |
— |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
— |
$674.55 |
— |
| Prq skel fixj metar fx w/manj (28476) |
— |
$702.36 |
— |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
— |
$1,523.52 |
— |
| Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576) |
— |
$1,113.26 |
— |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) |
— |
$1,599.96 |
— |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
— |
$1,020.12 |
— |
| Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) |
— |
$1,081.14 |
— |
| Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) |
— |
$1,069.06 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$1,314.52 |
— |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
— |
$1,246.60 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$373.27 |
— |
| Pterygomaxillary fossa surgery, any approach Facility (31040) |
— |
$1,548.50 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$240.30 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$255.52 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$218.05 |
— |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
— |
$154.05 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
— |
$112.60 |
— |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
— |
$1,509.52 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
— |
$1,848.89 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
— |
$1,624.95 |
— |
| Rad resect elbow caps/sr bone w rels (24149) |
— |
$2,400.48 |
— |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
— |
$2,785.32 |
— |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
— |
$1,515.14 |
— |
| Rad resection tumor soft tiss face/scalp 2 cm/> (21016) |
— |
$2,077.06 |
— |
| Rad resection tumor soft tissue abdl wall 5 cm/> (22905) |
— |
$2,778.86 |
— |
| Radical resection of sternum; Facility (21630) |
— |
$2,539.92 |
— |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) |
— |
$2,802.78 |
— |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Facility (42842) |
— |
$2,033 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) |
— |
$2,194.16 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
— |
$2,949.82 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
— |
$1,438.24 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
— |
$1,602.93 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) |
— |
$1,815.80 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
— |
$1,967 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
— |
$2,144.74 |
— |
| Radical resection of tumor, distal phalanx of finger Facility (26262) |
— |
$1,284.60 |
— |
| Radical resection of tumor, femur or knee Facility (27365) |
— |
$4,271.88 |
— |
| Radical resection of tumor, proximal humerus Facility (23220) |
— |
$4,033.48 |
— |
| Radical resection of tumor, proximal or middle phalanx of finger Facility (26260) |
— |
$1,639.10 |
— |
| Radical resection of tumor, radial head or neck Facility (24152) |
— |
$2,728.88 |
— |
| Radical resection of tumor, radius or ulna (25170) |
— |
$3,041.98 |
— |
| Radical resection of tumor, shaft or distal humerus Facility (24150) |
— |
$3,204.82 |
— |
| Radical resection of tumor; clavicle Facility (23200) |
— |
$3,117.86 |
— |
| Radical resection of tumor; fibula Facility (27646) |
— |
$3,167.86 |
— |
| Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum Facility (27076) |
— |
$5,257.62 |
— |
| Radical resection of tumor; innominate bone, total Facility (27077) |
— |
$5,894.18 |
— |
| Radical resection of tumor; ischial tuberosity and greater trochanter of femur Facility (27078) |
— |
$4,277.80 |
— |
| Radical resection of tumor; phalanx of toe Facility (28175) |
— |
$1,037.92 |
— |
| Radical resection of tumor; scapula Facility (23210) |
— |
$3,666.80 |
— |
| Radical resection of tumor; talus or calcaneus Facility (27647) |
— |
$2,090.30 |
— |
| Radical resection of tumor; tarsal (except talus or calcaneus) Facility (28171) |
— |
$2,299.14 |
— |
| Radical resection of tumor; tibia Facility (27645) |
— |
$3,673.76 |
— |
| Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis Facility (27075) |
— |
$4,426.36 |
— |
| Radical Resection Tumor Metacarpal (26250) |
— |
$2,197.30 |
— |
| Radical Resection Tumor Metatarsal (28173) |
— |
$1,514.44 |
— |
| Radical styloidectomy separate procedure (25230) |
— |
$930.73 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$901.12 |
— |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
— |
$1,038.82 |
— |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) |
— |
$1,514.24 |
— |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
— |
$1,790.72 |
— |
| Rcnstj Dislocating Patella (27420) |
— |
$1,518.44 |
— |
| Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971) |
— |
$1,437.90 |
— |
| Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg (67973) |
— |
$1,851.06 |
— |
| Rcnstj Eyelid Full Thickness Second Stage (67975) |
— |
$1,359.48 |
— |
| Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) |
— |
$2,180.10 |
— |
| Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft (21142) |
— |
$8,625 |
— |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
— |
$1,344.22 |
— |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
— |
$929.64 |
— |
| Re-explore parathyroids (60502) |
— |
$2,687.10 |
— |
| Realignment extensor tendon hand each tendon (26437) |
— |
$1,393.80 |
— |
| Realignment of hand (25335) |
— |
$2,040.55 |
— |
| Realignment of knee (27457) |
— |
$1,983.08 |
— |
| Realignment of knee (27455) |
— |
$1,918.91 |
— |
| Reconst lwr jaw w/fixation (21196) |
— |
$2,985.40 |
— |
| Reconst lwr jaw w/o fixation (21195) |
— |
$2,896.48 |
— |
| Reconstr lwr jaw segment (21198) |
— |
$2,335.22 |
— |
| Reconstruct cleft palate (42220) |
— |
$1,197.94 |
— |
| Reconstruct cleft palate (42210) |
— |
$2,242.20 |
— |
| Reconstruct elbow joint (24360) |
— |
$1,845.36 |
— |
| Reconstruct elbow lat ligmnt (24344) |
— |
$2,230.78 |
— |
| Reconstruct elbow med ligmnt (24346) |
— |
$2,244.48 |
— |
| Reconstruct extra finger (26587) |
— |
$2,133.92 |
— |
| Reconstruct finger joint (26545) |
— |
$1,544.35 |
— |
| Reconstruct Finger Joint (26548) |
— |
$1,696.72 |
— |
| Reconstruct lip with flap (40525) |
— |
$1,165.42 |
— |
| Reconstruct lip with flap (40527) |
— |
$1,374.37 |
— |
| Reconstruct midface lefort (21143) |
— |
$8,250 |
— |
| Reconstruct ulna/radioulnar (25337) |
— |
$1,809.88 |
— |
| Reconstruct upper jaw bone (21206) |
— |
$5,070 |
— |
| Reconstruct wrist joint (25445) |
— |
$1,472.68 |
— |
| Reconstruction external auditory canal for congenital atresia, single stage Facility (69320) |
— |
$3,036.30 |
— |
| Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes… (21146) |
— |
$3,415.62 |
— |
| Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147) |
— |
$5,525 |
— |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) |
— |
$8,887.50 |
— |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes… (21145) |
— |
$10,500 |
— |
| Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) Facility (21150) |
— |
$3,387.58 |
— |
| Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts) Facility (21151) |
— |
$3,742.03 |
— |
| Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone… (21159) |
— |
$5,862.09 |
— |
| Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone… (21160) |
— |
$5,914.61 |
— |
| Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts);… (21155) |
— |
$4,935.71 |
— |
| Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts);… (21154) |
— |
$4,402.58 |
— |
| Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts) Facility (21188) |
— |
$3,396.34 |
— |
| Reconstruction Nail Bed W/Graft (11762) |
— |
$562.86 |
— |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
— |
$1,518.14 |
— |
| Reconstruction of dislocating patella; with patellectomy Facility (27424) |
— |
$1,526.90 |
— |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
— |
$2,153.66 |
— |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) |
— |
$1,846.08 |
— |
| Reconstruction of jaw (21249) |
— |
$3,150.42 |
— |
| Reconstruction of mandible or maxilla, subperiosteal implant; complete Facility (21246) |
— |
$2,157.73 |
— |
| Reconstruction of mandible or maxilla, subperiosteal implant; partial Facility (21245) |
— |
$2,432 |
— |
| Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Facility (21244) |
— |
$2,112.62 |
— |
| Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial… (21247) |
— |
$3,338.40 |
— |
| Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft)… (21194) |
— |
$3,012.58 |
— |
| Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Facility (21193) |
— |
$8,550 |
— |
| Reconstruction of mouth (40844) |
— |
$2,753.82 |
— |
| Reconstruction of mouth (40842) |
— |
$1,593.26 |
— |
| Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256) |
— |
$2,536.32 |
— |
| Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of… (21183) |
— |
$4,756.58 |
— |
| Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of… (21184) |
— |
$5,122.34 |
— |
| Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of… (21182) |
— |
$4,341.70 |
— |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
— |
$1,556.35 |
— |
| Reconstruction of throat (42950) |
— |
$1,615.34 |
— |
| Reconstruction of urethra (54326) |
— |
$1,950.20 |
— |
| Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) Facility (21255) |
— |
$2,867.82 |
— |
| Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts… (21172) |
— |
$4,417.24 |
— |
| Reconstruction Toe Polydactyly (28344) |
— |
$885.65 |
— |
| Reconstruction Tongue Fold (41520) |
— |
$694.74 |
— |
| Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg,… (21175) |
— |
$4,542.10 |
— |
| Reconstruction, cleft foot Facility (28360) |
— |
$2,232.10 |
— |
| Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)… (21180) |
— |
$3,489.90 |
— |
| Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)… (21179) |
— |
$3,100.69 |
— |
| Reconstructive repair of pectus excavatum or carinatum; open Facility (21740) |
— |
$2,155.60 |
— |
| Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)… (21138) |
— |
$1,870.16 |
— |
| Reduction forehead; contouring and setback of anterior frontal sinus wall Facility (21139) |
— |
$2,270.62 |
— |
| Reduction forehead; contouring only Facility (21137) |
— |
$1,528.14 |
— |
| Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach Facility (21295) |
— |
$372.42 |
— |
| Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach Facility (21296) |
— |
$810.60 |
— |
| Reduction of rectal prolapse (45900) |
— |
$415.30 |
— |
| Reduction Overcorrection Ptosis (67909) |
— |
$1,119.75 |
— |
| Reinforce clavicle (23490) |
— |
$1,752.62 |
— |
| Reinforce hip bones (27187) |
— |
$2,040.22 |
— |
| Reinforce humerus (24498) |
— |
$1,792.37 |
— |
| Reinforce radius (25490) |
— |
$1,886.54 |
— |
| Reinforce tibia (27745) |
— |
$1,543.80 |
— |
| Reinforce ulna (25491) |
— |
$1,998.12 |
— |
| Reinnervate larynx (31590) |
— |
$1,730 |
— |
| Reinsert ocular implant (65150) |
— |
$1,183.23 |
— |
| Reinsert spinal fixation (22849) |
— |
$2,722.80 |
— |
| Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant… (65155) |
— |
$1,690.42 |
— |
| Release encircling material (67115) |
— |
$984.78 |
— |
| Release eye tissue (67343) |
— |
$1,291.08 |
— |
| Release facial nerve (69955) |
— |
$3,981.42 |
— |
| Release facial nerve (69720) |
— |
$2,399.04 |
— |
| Release foot/toe nerve (64726) |
— |
$591.94 |
— |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
— |
$1,308.71 |
— |
| Release of big toe (28240) |
— |
$909.68 |
— |
| Release of shoulder ligament (23415) |
— |
$1,514.29 |
— |
| Release or recession, hamstring, proximal Facility (27097) |
— |
$1,392.94 |
— |
| Release Thenar Muscle (26508) |
— |
$1,420.94 |
— |
| Relieve Pressure on Nerve(S) (64722) |
— |
$725.22 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$746.69 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$2,979.98 |
— |
| Removal Anal Seton Other Marker (46030) |
— |
$279.54 |
— |
| Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) |
— |
$2,116.12 |
— |
| Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) |
— |
$1,877.41 |
— |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) |
— |
$1,461.04 |
— |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417) |
— |
$1,850.50 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$523.71 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$1,182.18 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$1,063.84 |
— |
| Removal foreign body foot deep (28192) |
— |
$933.08 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$634.61 |
— |
| Removal foreign body jawbone (41806) |
— |
$774 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$405.34 |
— |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
— |
$1,276.63 |
— |
| Removal Foreign Body Scrotum (55120) |
— |
$849.58 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$1,095.98 |
— |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
— |
$399.78 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$26.70 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$97.84 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$332.32 |
— |
| Removal Implant Deep (20680) |
— |
$1,222.78 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$756.69 |
— |
| Removal implantable contraceptive capsules (11976) |
— |
$286.80 |
— |
| Removal intact breast implant (19328) |
— |
$1,006.82 |
— |
| Removal of a lesion from the floor of the mouth (41116) |
— |
$655.42 |
— |
| Removal of adenoids (42835) |
— |
$388.20 |
— |
| Removal of adenoids (42831) |
— |
$450.86 |
— |
| Removal of adenoids (42830) |
— |
$417.52 |
— |
| Removal of adenoids (42836) |
— |
$500.70 |
— |
| Removal of anal fissure (46200) |
— |
$895.82 |
— |
| Removal of ankle implant (27704) |
— |
$1,167.96 |
— |
| Removal of anterior instrumentation (22855) |
— |
$2,324.64 |
— |
| Removal of bladder cyst (51500) |
— |
$1,477.83 |
— |
| Removal of bone lesion (23140) |
— |
$1,124.98 |
— |
| Removal of calcium deposits (23000) |
— |
$1,108.58 |
— |
| Removal of cervix (57530) |
— |
$711.06 |
— |
| Removal of entire lumbosubarachnoid shunt system without replacement Facility (63746) |
— |
$1,252.58 |
— |
| Removal of epiglottis (31420) |
— |
$1,662.84 |
— |
| Removal of epithelial downgrowth, anterior chamber of eye Facility (65900) |
— |
$1,922.20 |
— |
| Removal of eye (65110) |
— |
$2,437.12 |
— |
| Removal of foot joint lining (28072) |
— |
$973.74 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$397.36 |
— |
| Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Facility (65260) |
— |
$1,907.80 |
— |
| Removal of heel spur (28119) |
— |
$1,045.08 |
— |
| Removal of hip joint lining (27054) |
— |
$1,398.84 |
— |
| Removal of hip prosthesis; (separate procedure) Facility (27090) |
— |
$1,702.16 |
— |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
— |
$3,293.40 |
— |
| Removal of humerus lesion (23150) |
— |
$1,341.60 |
— |
| Removal of humerus lesion (23156) |
— |
$1,379.08 |
— |
| Removal of implant from finger or hand (26320) |
— |
$700.42 |
— |
| Removal of implanted material, anterior segment of eye (65920) |
— |
$1,557.76 |
— |
| Removal of infusion pump (36262) |
— |
$634.36 |
— |
| Removal of intranasal lesion (30118) |
— |
$1,554.46 |
— |
| Removal of iris (66635) |
— |
$1,135.76 |
— |
| Removal of iris (66630) |
— |
$1,124.44 |
— |
| Removal of ischial bursa (27060) |
— |
$945.56 |
— |
| Removal of jaw joint (21050) |
— |
$1,827.26 |
— |
| Removal of kidney stone (50081) |
— |
$2,969.14 |
— |
| Removal of knee prosthesis (27488) |
— |
$2,469.58 |
— |
| Removal of lens material (66852) |
— |
$1,672.80 |
— |
| Removal of mammary implant material (19330) |
— |
$1,285.34 |
— |
| Removal of nail bed (11750) |
— |
$320.20 |
— |
| Removal of nose (30160) |
— |
$1,557.80 |
— |
| Removal of nose lesion (30124) |
— |
$570.56 |
— |
| Removal of ocular implant (65175) |
— |
$1,316.12 |
— |
| Removal of posterior segmental instrumentation Facility (22852) |
— |
$1,448.40 |
— |
| Removal of residual cervix (57550) |
— |
$825.04 |
— |
| Removal of rib (21615) |
— |
$1,397.05 |
— |
| Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) |
— |
$1,404.60 |
— |
| Removal of sesamoid bone (28315) |
— |
$961.50 |
— |
| Removal of sperm cord lesion (55520) |
— |
$939.20 |
— |
| Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) |
— |
$1,957.47 |
— |
| Removal of tendon for graft (20924) |
— |
$1,027.78 |
— |
| Removal of testis (54520) |
— |
$670.66 |
— |
| Removal of Thiersch wire or suture, anal canal Facility (46754) |
— |
$624.68 |
— |
| Removal of thymus gland (60520) |
— |
$2,182.92 |
— |
| Removal of thyroid (60271) |
— |
$2,188.40 |
— |
| Removal of tonsils (42825) |
— |
$533.62 |
— |
| Removal of tonsils (42826) |
— |
$521.72 |
— |
| Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864) |
— |
$4,377.28 |
— |
| Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar Facility (22865) |
— |
$4,068.90 |
— |
| Removal of tumor, temporal bone Facility (69970) |
— |
$4,330.02 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$773.90 |
— |
| Removal of urethra (53210) |
— |
$1,788.46 |
— |
| Removal of vein clot (34490) |
— |
$1,346.44 |
— |
| Removal of wrist bone (25210) |
— |
$1,043.64 |
— |
| Removal of wrist prosthesis; (separate procedure) Facility (25250) |
— |
$1,074.32 |
— |
| Removal of wrist prosthesis; complicated, including total wrist Facility (25251) |
— |
$1,467.58 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$129.48 |
— |
| Removal or destruction of bladder canal (urethra) malignancy (53220) |
— |
$1,046 |
— |
| Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442) |
— |
$1,816.78 |
— |
| Removal Pacemaker Electrode (33235) |
— |
$1,332.48 |
— |
| Removal parotid stone (42340) |
— |
$957.36 |
— |
| Removal peritoneal-venous shunt (49429) |
— |
$960.84 |
— |
| Removal ppm generator only (33233) |
— |
$521.49 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$173.14 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$261 |
— |
| Removal Submand Stone,Complicated (42335) |
— |
$768.02 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$195.82 |
— |
| Removal sweat gland lesion (11450) |
— |
$778.78 |
— |
| Removal tong/halo applied by another individual (20665) |
— |
$269.05 |
— |
| Removal, under anesthesia, of external fixation system (20694) |
— |
$880.55 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$125.56 |
— |
| Remove & graft wrist lesion (25136) |
— |
$1,012.84 |
— |
| Remove & graft wrist lesion (25135) |
— |
$1,180.87 |
— |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
— |
$2,397.14 |
— |
| Remove Ankle Joint Lining (27626) |
— |
$1,342.54 |
— |
| Remove armpit lymph nodes (38740) |
— |
$1,450.98 |
— |
| Remove blood clot from eye (65930) |
— |
$1,259.76 |
— |
| Remove brain canal fluid (61050) |
— |
$224.37 |
— |
| Remove Brain Cavity Fluid (61020) |
— |
$244.78 |
— |
| Remove cerclage suture (59871) |
— |
$289.04 |
— |
| Remove coronoid process (21070) |
— |
$1,292.58 |
— |
| Remove cranial cavity fluid (61000) |
— |
$231.16 |
— |
| Remove drug implant device (11982) |
— |
$314.06 |
— |
| Remove ear lesion (69552) |
— |
$3,139.46 |
— |
| Remove ear lesion (69550) |
— |
$2,062.44 |
— |
| Remove elbow joint implant (24160) |
— |
$2,599.28 |
— |
| Remove Elbow Joint Lining (24102) |
— |
$1,254.74 |
— |
| Remove elbow lesion (24120) |
— |
$1,076.64 |
— |
| Remove Elctrd Transvenously (33244) |
— |
$1,847 |
— |
| Remove eye lesion (66130) |
— |
$1,379.08 |
— |
| Remove eye/attach implant (65105) |
— |
$1,695.40 |
— |
| Remove femur lesion/graft (27356) |
— |
$1,507.08 |
— |
| Remove finger bone (26185) |
— |
$1,113.06 |
— |
| Remove Forearm Foreign Body (25248) |
— |
$1,088.62 |
— |
| Remove foreign body from eye (65265) |
— |
$2,144.92 |
— |
| Remove foreign body from eye (65235) |
— |
$1,408.16 |
— |
| Remove foreign body from eye (65205) |
— |
$102.75 |
— |
| Remove Gastric Port Open (43887) |
— |
$671.56 |
— |
| Remove groin lymph nodes (38760) |
— |
$1,755.44 |
— |
| Remove Hand Bone Lesion (26200) |
— |
$910.06 |
— |
| Remove hip pressure sore (15941) |
— |
$1,849.60 |
— |
| Remove hip pressure sore (15940) |
— |
$1,438.66 |
— |
| Remove humerus lesion (23174) |
— |
$1,546.14 |
— |
| Remove humerus lesion (24110) |
— |
$1,192.30 |
— |
| Remove inner ear (69905) |
— |
$1,824.86 |
— |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
— |
$1,550.38 |
— |
| Remove Intrauterine Device (58301) |
— |
$212.85 |
— |
| Remove iris and lesion (66600) |
— |
$1,660.08 |
— |
| Remove knee joint lining (27334) |
— |
$1,396.94 |
— |
| Remove lamina/facets lumbar (63012) |
— |
$2,508.82 |
— |
| Remove Lower Leg Bone Lesion (27635) |
— |
$1,222.54 |
— |
| Remove mastoid structures (69505) |
— |
$2,386.76 |
— |
| Remove middle ear nerve (69676) |
— |
$1,648.38 |
— |
| Remove muti-comp penis pros (54406) |
— |
$1,504.28 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$432.86 |
— |
| Remove palate/lesion (42120) |
— |
$2,035.30 |
— |
| Remove part lumbar vertebra (22102) |
— |
$1,672.28 |
— |
| Remove part of neck vertebra (22110) |
— |
$2,180 |
— |
| Remove part thorax vertebra (22101) |
— |
$1,774.52 |
— |
| Remove Peritoneal Foreign Body (49402) |
— |
$1,794.70 |
— |
| Remove prostate regrowth (52630) |
— |
$926.32 |
— |
| Remove Pulse Generator (33241) |
— |
$493 |
— |
| Remove radius head implant (24164) |
— |
$1,481.72 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$655.30 |
— |
| Remove sacrum pressure sore (15937) |
— |
$2,126.26 |
— |
| Remove self-contd penis pros (54415) |
— |
$1,085.94 |
— |
| Remove Shoulder Foreign Body (23330) |
— |
$548.52 |
— |
| Remove shoulder joint lining (23105) |
— |
$1,297.88 |
— |
| Remove Skin Nerve Lesion (64774) |
— |
$829.32 |
— |
| Remove spine eltrd plate (63662) |
— |
$1,743.98 |
— |
| Remove spine fixation device (22850) |
— |
$1,509.14 |
— |
| Remove spine lamina 1/2 lmbr (63005) |
— |
$2,494.78 |
— |
| Remove spine lamina 1/2 thrc (63003) |
— |
$2,615.76 |
— |
| Remove spine lamina >2 thrc (63016) |
— |
$3,227.94 |
— |
| Remove sympathetic nerves (64821) |
— |
$1,419.50 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$1,192.97 |
— |
| Remove thigh pressure sore (15951) |
— |
$1,781.98 |
— |
| Remove thigh pressure sore (15956) |
— |
$2,376.82 |
— |
| Remove thyroid lesion (60200) |
— |
$1,359.50 |
— |
| Remove tissue expander (11971) |
— |
$927.34 |
— |
| Remove ureter stent percut (50384) |
— |
$1,928.57 |
— |
| Remove vc lesion scope/graft (31546) |
— |
$1,130.16 |
— |
| Remove vc lesion w/scope (31545) |
— |
$743.76 |
— |
| Remove wrist joint cartilage (25107) |
— |
$1,246.36 |
— |
| Remove&replace pm gen singl (33227) |
— |
$706.54 |
— |
| Remove/graft bone lesion (24125) |
— |
$1,267.14 |
— |
| Remove/graft finger lesion (26215) |
— |
$1,149 |
— |
| Remove/graft foot lesion (28102) |
— |
$1,232.88 |
— |
| Remove/graft foot lesion (28107) |
— |
$1,037.63 |
— |
| Remove/graft forearm lesion (25126) |
— |
$1,655.62 |
— |
| Remove/graft forearm lesion (25125) |
— |
$1,644.85 |
— |
| Remove/graft leg bone lesion (27637) |
— |
$1,529.79 |
— |
| Remove/Insert Drug Implant (11983) |
— |
$463.60 |
— |
| Remove/replace penis prosth (54410) |
— |
$1,812.44 |
— |
| Remv cartilage for graft nasal (20912) |
— |
$997.59 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$811.18 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$846.68 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$778.54 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$738.30 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$781.74 |
— |
| Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) |
— |
$1,489.41 |
— |
| Renal Biopsy Perq (50200) |
— |
$1,185.35 |
— |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50557) |
— |
$1,988.71 |
— |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555) |
— |
$1,919.04 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) |
— |
$1,419.36 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
— |
$1,242.65 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50576) |
— |
$1,318.27 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) |
— |
$1,321.29 |
— |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
— |
$1,905.22 |
— |
| Renal scope w/tumor resect (50562) |
— |
$1,355.39 |
— |
| Reopen fallopian tube (58350) |
— |
$212.04 |
— |
| Repair Achilles Tendon (27650) |
— |
$1,454.81 |
— |
| Repair Anorectal Fistula Plug (46707) |
— |
$1,009.12 |
— |
| Repair arm/leg nerve (64857) |
— |
$2,169.32 |
— |
| Repair bladder neck (51845) |
— |
$1,353.85 |
— |
| Repair Bladder-Vagina Lesion (57320) |
— |
$1,102.42 |
— |
| Repair Blood Vessel Direct Hand Finger (35207) |
— |
$1,545.24 |
— |
| Repair blood vessel direct neck (35201) |
— |
$1,984.60 |
— |
| Repair Blood Vessel Direct Upper Extremity (35206) |
— |
$1,646.42 |
— |
| Repair blood vessel lesion (35190) |
— |
$1,623.31 |
— |
| Repair blood vessel lesion (35236) |
— |
$2,110.60 |
— |
| Repair blood vessel lesion (35266) |
— |
$1,833.30 |
— |
| Repair blood vessel with graft other than vein; neck Facility (35261) |
— |
$2,136.18 |
— |
| Repair blood vessel with vein graft; lower extremity Facility (35256) |
— |
$2,204.85 |
— |
| Repair blood vessel with vein graft; neck Facility (35231) |
— |
$2,573.94 |
— |
| Repair brow ptosis (67900) |
— |
$1,267.05 |
— |
| Repair Choanal Atresia Intranasal (30540) |
— |
$1,384.84 |
— |
| Repair choanal atresia; transpalatine Facility (30545) |
— |
$1,900.18 |
— |
| Repair cleft hand deformity (26580) |
— |
$3,054.16 |
— |
| Repair cleft lip/nasal (40720) |
— |
$2,106.22 |
— |
| Repair cleft lip/nasal (40702) |
— |
$2,048.92 |
— |
| Repair cleft lip/nasal (40761) |
— |
$2,224.22 |
— |
| Repair cleft lip/nasal (40700) |
— |
$2,059.18 |
— |
| Repair clitoris (56805) |
— |
$2,372.51 |
— |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
— |
$1,386.30 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$842.36 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,007 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$767.84 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$947.54 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$697.22 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$847.74 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$666.56 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$785.74 |
— |
| Repair defect w/autograft radius/ulna (25425) |
— |
$2,794.51 |
— |
| Repair Detached Retina (67101) |
— |
$1,328.67 |
— |
| Repair detached retina (67105) |
— |
$1,187.47 |
— |
| Repair Ectropion Excision Tarsal Wedge (67916) |
— |
$1,281.06 |
— |
| Repair Ectropion Extensive (67917) |
— |
$1,194.12 |
— |
| Repair Ectropion Suture (67914) |
— |
$968.26 |
— |
| Repair Ectropion Thermocauterization (67915) |
— |
$827.34 |
— |
| Repair Elbow Perc (24357) |
— |
$840.44 |
— |
| Repair Entropion Excision Tarsal Wedge (67923) |
— |
$1,297.86 |
— |
| Repair Entropion Extensive (67924) |
— |
$1,246.92 |
— |
| Repair Entropion Suture (67921) |
— |
$930.64 |
— |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
— |
$1,641.12 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$1,310.34 |
— |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
— |
$1,576.70 |
— |
| Repair Eyelid Wound (67935) |
— |
$1,331.26 |
— |
| Repair facial nerve (69740) |
— |
$2,344.22 |
— |
| Repair finger deformity (26590) |
— |
$2,843.02 |
— |
| Repair Finger Tendon (26433) |
— |
$1,230.66 |
— |
| Repair Finger/Hand Tendon (26350) |
— |
$1,654.85 |
— |
| Repair Fistula Oromaxillary (30580) |
— |
$1,278.10 |
— |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
— |
$1,122.19 |
— |
| Repair Foot Dislocation (28615) |
— |
$1,641.66 |
— |
| Repair Forearm Tendon Sheath (25275) |
— |
$1,360.14 |
— |
| Repair forearm tendon/muscle (25265) |
— |
$1,961.03 |
— |
| Repair gum (41872) |
— |
$769.50 |
— |
| Repair Hallux Rigidus (28289) |
— |
$1,450.92 |
— |
| Repair Hand Joint (26540) |
— |
$1,476.97 |
— |
| Repair Hand Tendon (26410) |
— |
$1,323.52 |
— |
| Repair humerus with graft (24435) |
— |
$2,203.32 |
— |
| Repair incomplete circumcision (54163) |
— |
$445.28 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$1,196.12 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$1,319.72 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$1,201.52 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$1,221.74 |
— |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
— |
$1,264.44 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$521 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$591.86 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$690.70 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$724.14 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,175.84 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$792.88 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$480.20 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$581.90 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$717.98 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$1,056.18 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$756.72 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$480.48 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$595.60 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$842.24 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$627.72 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$956.88 |
— |
| Repair intrinsic muscles hand each muscle (26591) |
— |
$1,039.83 |
— |
| Repair iris ciliary body (66680) |
— |
$1,021.28 |
— |
| Repair Laceration Palate </2 Cm (42180) |
— |
$490.70 |
— |
| Repair Laceration Palate >2 Cm/Complex (42182) |
— |
$645.70 |
— |
| Repair lead pace-defib dual (33220) |
— |
$812.86 |
— |
| Repair Lead Pace-Defib One (33218) |
— |
$807.10 |
— |
| Repair Leg Fascia Defect (27656) |
— |
$1,253.96 |
— |
| Repair lower leg epiphyses (27734) |
— |
$1,343.18 |
— |
| Repair lower leg tendons (27676) |
— |
$1,278.84 |
— |
| Repair lumbar hernia (49540) |
— |
$1,407.16 |
— |
| Repair mouth/nose fistula (30600) |
— |
$1,130.30 |
— |
| Repair nasal septal perforations (30630) |
— |
$1,261.38 |
— |
| Repair Nasal Vestibular Stenosis (30465) |
— |
$1,972.98 |
— |
| Repair Non/Malunion Humerus W/O Graft (24430) |
— |
$2,164.18 |
— |
| Repair Nonunion Carpal Bone Each Bone (25431) |
— |
$1,608.48 |
— |
| Repair Nonunion Hand (26546) |
— |
$1,966.76 |
— |
| Repair Nonunion/Malunion Tarsal Bones (28320) |
— |
$1,351.76 |
— |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
— |
$1,793.10 |
— |
| Repair nose to lip fistula (42260) |
— |
$1,648.70 |
— |
| Repair of anal fistula with fibrin glue (46706) |
— |
$364.36 |
— |
| Repair of anal sphincter (46760) |
— |
$2,245.46 |
— |
| Repair of arm tendon (24320) |
— |
$1,582.22 |
— |
| Repair of biceps tendon (24340) |
— |
$1,245.08 |
— |
| Repair of congenital pseudarthrosis, tibia Facility (27727) |
— |
$2,058.76 |
— |
| Repair of defect with autograft; radius AND ulna Facility (25426) |
— |
$2,733.45 |
— |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
— |
$987.58 |
— |
| Repair of entropion; thermocauterization (67922) |
— |
$814.95 |
— |
| Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) |
— |
$1,418.17 |
— |
| Repair of fibula epiphysis (27732) |
— |
$1,314.93 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$1,976.52 |
— |
| Repair of hammertoe (28286) |
— |
$894.52 |
— |
| Repair of hydrocele (55060) |
— |
$780.20 |
— |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340) |
— |
$1,170.62 |
— |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348) |
— |
$2,092.94 |
— |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344) |
— |
$1,956.09 |
— |
| Repair of knee ligaments (27409) |
— |
$1,968.80 |
— |
| Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Facility (65272) |
— |
$998.50 |
— |
| Repair of leg nerve (64840) |
— |
$1,984.84 |
— |
| Repair of metatarsals (28322) |
— |
$1,577.74 |
— |
| Repair of nail bed (11760) |
— |
$374.94 |
— |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
— |
$2,860.19 |
— |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
— |
$2,607.49 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
— |
$2,133.57 |
— |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
— |
$2,498.28 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
— |
$1,820.38 |
— |
| Repair of rectocele (45560) |
— |
$1,407.12 |
— |
| Repair of rectum (45505) |
— |
$1,217.36 |
— |
| Repair of Ruptured Tendon (24342) |
— |
$1,610.23 |
— |
| Repair of scleral staphyloma with graft Facility (66225) |
— |
$1,846.72 |
— |
| Repair of shoulder (23420) |
— |
$2,029.92 |
— |
| Repair of sternum separation (21750) |
— |
$1,442.99 |
— |
| Repair of urethra injury (53502) |
— |
$1,126.26 |
— |
| Repair of web finger (26562) |
— |
$2,697.88 |
— |
| Repair of web finger (26560) |
— |
$1,222.54 |
— |
| Repair of web finger (26561) |
— |
$1,881.22 |
— |
| Repair of windpipe (31755) |
— |
$3,466.22 |
— |
| Repair of windpipe (31750) |
— |
$2,759.56 |
— |
| Repair of windpipe defect (31825) |
— |
$1,199.82 |
— |
| Repair oval window fistula (69666) |
— |
$1,607.78 |
— |
| Repair palate (42235) |
— |
$1,448.16 |
— |
| Repair paravag defect lap (57423) |
— |
$1,864.68 |
— |
| Repair paravag defect vag (57285) |
— |
$1,372.74 |
— |
| Repair radius & ulna (25415) |
— |
$2,462.58 |
— |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
— |
$1,514.18 |
— |
| Repair recurrent femoral hernia; reducible Facility (49555) |
— |
$1,248.80 |
— |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
— |
$1,499.48 |
— |
| Repair retinal detach cplx (67113) |
— |
$2,660.34 |
— |
| Repair Retinal Detachment Scleral Buckling (67107) |
— |
$2,249.84 |
— |
| Repair Rotator Cuff Chronic (23412) |
— |
$1,968.45 |
— |
| Repair round window fistula (69667) |
— |
$1,614.62 |
— |
| Repair secondary achilles tendon w/wo graft (27654) |
— |
$1,466.98 |
— |
| Repair shoulder capsule (23462) |
— |
$2,223.77 |
— |
| Repair shoulder capsule (23466) |
— |
$2,282.54 |
— |
| Repair Spica/Body/Jacket Cast (29720) |
— |
$166.52 |
— |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
— |
$957.94 |
— |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
— |
$1,511.96 |
— |
| Repair Toe Dislocation (28645) |
— |
$1,316.68 |
— |
| Repair tongue laceration (41252) |
— |
$631.78 |
— |
| Repair tongue laceration (41250) |
— |
$536.38 |
— |
| Repair Tooth Socket (41874) |
— |
$770.02 |
— |
| Repair umbilical lesion (49600) |
— |
$1,514.82 |
— |
| Repair uro sphincter (53449) |
— |
$1,417.94 |
— |
| Repair webbed toe(s) (28345) |
— |
$1,059.77 |
— |
| Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) |
— |
$2,703.54 |
— |
| Repair, congenital arteriovenous fistula; extremities Facility (35184) |
— |
$2,172.62 |
— |
| Repair, congenital arteriovenous fistula; head and neck Facility (35180) |
— |
$1,847.88 |
— |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
— |
$1,295.47 |
— |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
— |
$1,280.90 |
— |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
— |
$1,662.64 |
— |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
— |
$2,598.62 |
— |
| Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) |
— |
$2,418.66 |
— |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
— |
$1,038.53 |
— |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
— |
$1,378.24 |
— |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
— |
$1,601.24 |
— |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) |
— |
$1,816.39 |
— |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) |
— |
$1,705.02 |
— |
| Repair/graft achilles tendon (27652) |
— |
$1,551.56 |
— |
| Repair/graft femur head/neck (27170) |
— |
$2,415.54 |
— |
| Repair/graft finger tendon (26428) |
— |
$1,699.74 |
— |
| Repair/Graft Wrist Bone (25440) |
— |
$1,654.72 |
— |
| Repair/Revise Wrist Joint (25320) |
— |
$1,998.06 |
— |
| Repair/transpose nerve (64856) |
— |
$2,082.92 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$1,369.10 |
— |
| Replace elbow joint (24363) |
— |
$2,994.74 |
— |
| Replace eye fluid (67025) |
— |
$1,581.89 |
— |
| Replace G-J Tube Perc (49452) |
— |
$1,688.50 |
— |
| Replace g/c tube perc (49450) |
— |
$1,255.96 |
— |
| Replace/Revise Brain Shunt (62230) |
— |
$1,784.58 |
— |
| Replacement or irrigation, subarachnoid/subdural catheter Facility (62194) |
— |
$1,020.48 |
— |
| Replacement Tissue Expander W/Permanent Implant (11970) |
— |
$1,232.10 |
— |
| Replantation digit complete (20822) |
— |
$4,921.45 |
— |
| Replantation Hand Complete Amputation (20808) |
— |
$8,707.90 |
— |
| Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation Facility (20802) |
— |
$5,710.16 |
— |
| Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon),… (20816) |
— |
$5,571.53 |
— |
| Replantation, foot, complete amputation Facility (20838) |
— |
$5,778.96 |
— |
| Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation Facility (20805) |
— |
$6,902.26 |
— |
| Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation Facility (20824) |
— |
$5,550.54 |
— |
| Replantation, thumb (includes distal tip to MP joint), complete amputation Facility (20827) |
— |
$5,147.75 |
— |
| Reposition Gastrostomy Tube (43761) |
— |
$244.14 |
— |
| Reposition L Ventric Lead (33226) |
— |
$1,050.34 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$649.96 |
— |
| Reposition Venous Catheter (36597) |
— |
$327.95 |
— |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) |
— |
$1,513.48 |
— |
| Repr elbow lat ligmnt w/tiss (24343) |
— |
$1,441.48 |
— |
| Repr Elbw Med Ligmnt W/Tiss (24345) |
— |
$1,430.66 |
— |
| Repr torn cruciate knee ligam (27407) |
— |
$1,599.70 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$1,320.34 |
— |
| Resect back tum < 5 cm (21935) |
— |
$2,360.98 |
— |
| Resect enlarged toe (28341) |
— |
$1,344.28 |
— |
| Resect enlarged toe tissue (28340) |
— |
$1,165.04 |
— |
| Resect forarm/wrist tum 3cm> (25078) |
— |
$2,411.10 |
— |
| Resect hip/pelv tum 5 cm/> (27059) |
— |
$3,782.62 |
— |
| Resect hip/pelv tum < 5 cm (27049) |
— |
$2,776.48 |
— |
| Resect leg/ankle tum < 5 cm (27615) |
— |
$2,115.48 |
— |
| Resect shoulder tumor < 5 cm (23077) |
— |
$2,358.30 |
— |
| Resect thigh/knee tum < 5 cm (27329) |
— |
$2,144.32 |
— |
| Resection of elbow joint (arthrectomy) Facility (24155) |
— |
$1,739.80 |
— |
| Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior… (42892) |
— |
$3,818.72 |
— |
| Resection of scrotum (55150) |
— |
$1,010.32 |
— |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
— |
$821.50 |
— |
| Resection, humeral head Facility (23195) |
— |
$1,524.52 |
— |
| Resection, partial or complete, phalangeal base, each toe (28126) |
— |
$785.04 |
— |
| Resection/transplantation long tendon biceps (23440) |
— |
$1,585.19 |
— |
| Retrobulbar inject,alcohol (67505) |
— |
$166.42 |
— |
| Retrobulbar injection (67500) |
— |
$142.56 |
— |
| Rev/rmv prph sac/gstr npg/r (64595) |
— |
$919.64 |
— |
| Revis reconst shoulder joint (23473) |
— |
$3,344.22 |
— |
| Revise Abdomen-Venous Shunt (49426) |
— |
$1,290.06 |
— |
| Revise cornea with implant (65770) |
— |
$2,769.08 |
— |
| Revise external ear (69300) |
— |
$1,261.84 |
— |
| Revise eye (65091) |
— |
$1,272.04 |
— |
| Revise eye with implant (65093) |
— |
$1,292.19 |
— |
| Revise eyelashes (67835) |
— |
$868.04 |
— |
| Revise eyelashes (67825) |
— |
$256.18 |
— |
| Revise eyelid lining (68360) |
— |
$1,052.82 |
— |
| Revise finger joint each (26140) |
— |
$1,022.78 |
— |
| Revise graft w/vein (35884) |
— |
$2,628.40 |
— |
| Revise Hand/Foot Nerve (64704) |
— |
$661.66 |
— |
| Revise hernia & sperm veins (55540) |
— |
$1,150.16 |
— |
| Revise knuckle joint (26530) |
— |
$1,088.94 |
— |
| Revise lower leg tendon (27690) |
— |
$1,297.48 |
— |
| Revise Lower Leg Tendons (27686) |
— |
$1,601.71 |
— |
| Revise palsy hand tendon(s) (25315) |
— |
$2,006.66 |
— |
| Revise penis/urethra (54328) |
— |
$1,937.30 |
— |
| Revise penis/urethra (54332) |
— |
$2,093.22 |
— |
| Revise penis/urethra (54336) |
— |
$2,565.47 |
— |
| Revise radius & ulna (25365) |
— |
$2,301.27 |
— |
| Revise thumb tendon (26496) |
— |
$1,858.02 |
— |
| Revise ulnar nerve at wrist (64719) |
— |
$814.54 |
— |
| Revise ureter (50727) |
— |
$1,182.78 |
— |
| Revise Wrist/Forearm Tendon (25280) |
— |
$1,599.25 |
— |
| Revise/Implant Finger Joint (26536) |
— |
$1,392.80 |
— |
| Revise/remove neuroelectrode (61880) |
— |
$1,203.36 |
— |
| Revise/Repair Finger/Toe Nerve (64702) |
— |
$1,017.54 |
— |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
— |
$976.74 |
— |
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22862) |
— |
$4,202.49 |
— |
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) |
— |
$4,713.82 |
— |
| Revision mastoidectomy; resulting in modified radical mastoidectomy Facility (69602) |
— |
$2,171.50 |
— |
| Revision mastoidectomy; resulting in radical mastoidectomy Facility (69603) |
— |
$2,505.60 |
— |
| Revision mastoidectomy; resulting in tympanoplasty Facility (69604) |
— |
$2,222.76 |
— |
| Revision of big toe (28310) |
— |
$1,086.18 |
— |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
— |
$2,192.70 |
— |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
— |
$2,471.72 |
— |
| Revision of eyelid (67880) |
— |
$1,003.30 |
— |
| Revision of foot (28116) |
— |
$1,535.44 |
— |
| Revision of foot and ankle (28262) |
— |
$2,840.38 |
— |
| Revision of foot bones (28737) |
— |
$1,419.10 |
— |
| Revision of foot fascia (28250) |
— |
$1,155.92 |
— |
| Revision of humerus (24400) |
— |
$1,683.82 |
— |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
— |
$2,094.26 |
— |
| Revision of implanted intra-arterial infusion pump Facility (36261) |
— |
$832.02 |
— |
| Revision of knee joint (27442) |
— |
$1,780.40 |
— |
| Revision of larynx (31400) |
— |
$1,964.34 |
— |
| Revision of leg vein (37780) |
— |
$554.63 |
— |
| Revision of lower leg tendon (27685) |
— |
$1,318.38 |
— |
| Revision of neck muscle (21720) |
— |
$1,053.26 |
— |
| Revision of nose (30462) |
— |
$3,183.86 |
— |
| Revision of penis (54300) |
— |
$1,326.80 |
— |
| Revision of penis (54304) |
— |
$1,542.94 |
— |
| Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352) |
— |
$2,963 |
— |
| Revision of reconstructed breast (19380) |
— |
$1,572.36 |
— |
| Revision of scrotum (55180) |
— |
$1,416.60 |
— |
| Revision of stapedectomy or stapedotomy Facility (69662) |
— |
$2,321.18 |
— |
| Revision of toe (28312) |
— |
$1,000.10 |
— |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
— |
$3,038.88 |
— |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
— |
$3,158.44 |
— |
| Revision of tracheostomy scar (31830) |
— |
$887.82 |
— |
| Revision of urethra (53460) |
— |
$1,063.12 |
— |
| Revision of urethra (57220) |
— |
$652.04 |
— |
| Revision of wrist joint (25450) |
— |
$1,461.78 |
— |
| Revision Peri-Implant Capsule Breast (19370) |
— |
$1,393.36 |
— |
| Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) |
— |
$2,550.96 |
— |
| Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Facility (35879) |
— |
$1,973.38 |
— |
| Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) |
— |
$1,670.66 |
— |
| Revj Arthrp W/Removal Implant Wrist Joint (25449) |
— |
$2,112.98 |
— |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
— |
$1,291.44 |
— |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
— |
$1,227.66 |
— |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
— |
$1,617.90 |
— |
| Revj Lxtr Artl Byp Opn W/Sgmtl Vein Interpos (35881) |
— |
$2,212.90 |
— |
| Revj Mastoidectomy Rsltg Compl Mastoidectomy (69601) |
— |
$2,072.60 |
— |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
— |
$3,967.80 |
— |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
— |
$3,628.62 |
— |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
— |
$2,893.86 |
— |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
— |
$11,343.76 |
— |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
— |
$765.86 |
— |
| Revj/rmvl neurostimulator pulse generator (61888) |
— |
$839.84 |
— |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
— |
$1,015.70 |
— |
| Revj/rpr oprative wound anterior segment (66250) |
— |
$1,470.28 |
— |
| Rhinoplasty primary w/major septal repair (30420) |
— |
$2,761.50 |
— |
| Rhinoplasty Secondary Intermediate Revision (30435) |
— |
$2,352.98 |
— |
| Rhinoplasty Secondary Major Revision (30450) |
— |
$3,151.68 |
— |
| Rhinoplasty Secondary Minor Revision (30430) |
— |
$1,879.36 |
— |
| Rhinp Dfrm W/Colum Lngth Tip Only (30460) |
— |
$1,654 |
— |
| Rhinp Prim Complete Xtrnl Parts (30410) |
— |
$2,496.38 |
— |
| Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) |
— |
$2,151.14 |
— |
| Rib cartilage graft (21230) |
— |
$1,571.02 |
— |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
— |
$1,077.65 |
— |
| Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) |
— |
$767.38 |
— |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
— |
$560.20 |
— |
| Rmvl embedded fb vestibule mouth comp (40805) |
— |
$616.28 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$373.68 |
— |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
— |
$201.40 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$116.88 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$133.78 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$122.99 |
— |
| Rmvl FB/Dacryolith Lacrimal Passages (68530) |
— |
$977.28 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$671.78 |
— |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
— |
$903.94 |
— |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
— |
$936.44 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$589.46 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$414.96 |
— |
| Rmvl implnt matl posterior segment extraocular (67120) |
— |
$1,372.13 |
— |
| Rmvl Implt Matrl Posterior Segment Intraocular (67121) |
— |
$1,799.70 |
— |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
— |
$1,378.24 |
— |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
— |
$1,569.14 |
— |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
— |
$712.97 |
— |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
— |
$1,206.80 |
— |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
— |
$751.04 |
— |
| Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) |
— |
$2,207.50 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$1,035.81 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$754.83 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$415.17 |
— |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
— |
$932.74 |
— |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
— |
$1,073.26 |
— |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
— |
$245.94 |
— |
| Rmvl/revj sling stress incontinence (57287) |
— |
$1,413.04 |
— |
| Rmvl/rpr emgnt bone cndj dev temporal bone (69711) |
— |
$1,702.64 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$392.54 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$1,079.11 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$597.78 |
— |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
— |
$2,946.46 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$657.12 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$2,432.64 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$2,353.31 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$1,450.02 |
— |
| Rplcmt Irrigation/Revj Lumbosarach Shunt (63744) |
— |
$1,412.90 |
— |
| Rplcmt/irrigation ventricular catheter (62225) |
— |
$1,107.82 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$1,538.06 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$703.38 |
— |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
— |
$1,586.42 |
— |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
— |
$1,177.18 |
— |
| Rpr aa hrn 1st 3-10 rdc (49593) |
— |
$1,179.72 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$979.70 |
— |
| Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) |
— |
$1,434.14 |
— |
| Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) |
— |
$1,508.78 |
— |
| Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) |
— |
$1,348.76 |
— |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
— |
$1,446.72 |
— |
| Rpr Blepharoptosis Superior Rectus Fascial Sling (67906) |
— |
$1,232.35 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$1,779.66 |
— |
| Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) |
— |
$1,055.08 |
— |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
— |
$2,013.21 |
— |
| Rpr Component Inflatable Penile Prosthesis (54408) |
— |
$1,628.20 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$854.90 |
— |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
— |
$1,094.83 |
— |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
— |
$1,232.75 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$506.89 |
— |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
— |
$1,449.77 |
— |
| Rpr ing hern premie blocked (49492) |
— |
$2,009.22 |
— |
| Rpr Ing Hernia Baby, Reduc (49495) |
— |
$853.04 |
— |
| Rpr ing hernia init reduce (49500) |
— |
$833.90 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$960.04 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$600.88 |
— |
| Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) |
— |
$1,378.14 |
— |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
— |
$530.30 |
— |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
— |
$2,204.20 |
— |
| Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) |
— |
$1,142.36 |
— |
| Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) |
— |
$1,331.86 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$985.68 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$896.18 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$1,142.82 |
— |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
— |
$2,608.78 |
— |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
— |
$4,692.48 |
— |
| Rpr Nsl Vlv Collapse W/Implt (30468) |
— |
$5,286.81 |
— |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
— |
$1,248.71 |
— |
| Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) |
— |
$1,827.85 |
— |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
— |
$2,952.61 |
— |
| Rpr Symblepharon Conjunctivoplasty W/O Graft (68330) |
— |
$1,194.40 |
— |
| Rpr Symblepharon Fr Grf Cjnc/Buccal Muc Memb (68335) |
— |
$1,282.66 |
— |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
— |
$983.12 |
— |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
— |
$1,713.55 |
— |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
— |
$1,454.84 |
— |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) |
— |
$1,218.69 |
— |
| Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) |
— |
$1,180.74 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$345.68 |
— |
| Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) |
— |
$972.62 |
— |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
— |
$1,551.24 |
— |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
— |
$1,853.63 |
— |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
— |
$2,081.32 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
— |
$2,091.55 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
— |
$1,967.42 |
— |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
— |
$1,796.23 |
— |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) |
— |
$2,042.35 |
— |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) |
— |
$1,953.34 |
— |
| Salpingostomy (salpingoneostomy) (58770) |
— |
$1,762.60 |
— |
| Saphenopopliteal vein anastomosis Facility (34530) |
— |
$2,167.54 |
— |
| Scapulopexy (eg, Sprengels deformity or for paralysis) Facility (23400) |
— |
$2,010.75 |
— |
| Scleral reinforcement (separate procedure); without graft Facility (67250) |
— |
$1,568.16 |
— |
| Scleral Reinforcement Spx W/Graft (67255) |
— |
$1,522.16 |
— |
| Scrotal exploration (55110) |
— |
$794.26 |
— |
| Scrotoplasty Simple (55175) |
— |
$743.54 |
— |
| Secondary revision of orbitocraniofacial reconstruction Facility (21275) |
— |
$1,712 |
— |
| Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) |
— |
$1,263.34 |
— |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
— |
$1,256.94 |
— |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Facility (23170) |
— |
$1,143.16 |
— |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) |
— |
$1,481.62 |
— |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck Facility (24136) |
— |
$1,289.78 |
— |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula Facility (23172) |
— |
$1,146.70 |
— |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Facility (24134) |
— |
$1,571.49 |
— |
| Sequestrectomy Olecranon Process (24138) |
— |
$1,374.52 |
— |
| Sever cranial nerve (64771) |
— |
$1,211.08 |
— |
| Severing Adhesions Anterior Segment Laser Spx (65860) |
— |
$609.94 |
— |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65880) |
— |
$1,310.60 |
— |
| Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) |
— |
$1,165.70 |
— |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
— |
$1,244.28 |
— |
| Severing Ads Ant Seg Incal Tq Spx Goniosynechiae (65865) |
— |
$934.02 |
— |
| Severing tarsorrhaphy (67710) |
— |
$442.44 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$482.82 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$559.18 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$188.66 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$220.92 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
— |
$366.08 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$198.22 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$236.42 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$281.06 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$299.12 |
— |
| Shorten radius & ulna (25392) |
— |
$2,454.10 |
— |
| Shortening of tendon, flexor, hand or finger, each tendon Facility (26479) |
— |
$1,397.32 |
— |
| Shoulder arthroscopy (29820) |
— |
$1,106.62 |
— |
| Shoulder arthroscopy diagnostic (29805) |
— |
$962.53 |
— |
| Shoulder Arthroscopy/Surgery (29825) |
— |
$1,195.61 |
— |
| Shoulder joint surgery (23101) |
— |
$928.16 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$265.24 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$310.96 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$232.96 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$301.84 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$272.88 |
— |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
— |
$460.56 |
— |
| Sigmoidoscopy & decompress (45337) |
— |
$279.07 |
— |
| Sigmoidoscopy & Polypectomy (45333) |
— |
$588.34 |
— |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
— |
$5,481.16 |
— |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
— |
$847 |
— |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
— |
$461.91 |
— |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
— |
$1,101.14 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$503.22 |
— |
| Sigmoidoscopy w/plcmt stent (45347) |
— |
$322.78 |
— |
| Sigmoidoscopy W/Resection (45349) |
— |
$414.12 |
— |
| Sigmoidoscopy W/Ultrasound (45341) |
— |
$308.72 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$513.20 |
— |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
— |
$1,035.40 |
— |
| Simple Cystometrogram (51725) |
— |
$543.59 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$603.41 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$308.93 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$339.71 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$553.36 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$401.21 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$651.64 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$291.88 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$642.54 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$365.03 |
— |
| Sinusotomy frontal; external, simple (trephine operation) Facility (31070) |
— |
$878.08 |
— |
| Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision Facility (31086) |
— |
$2,257.90 |
— |
| Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision Facility (31087) |
— |
$2,173.70 |
— |
| Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) Facility (31080) |
— |
$2,068.44 |
— |
| Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision Facility (31084) |
— |
$2,304.58 |
— |
| Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision Facility (31085) |
— |
$2,397.04 |
— |
| Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) Facility (31081) |
— |
$2,232.30 |
— |
| Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Facility (31075) |
— |
$1,571.18 |
— |
| Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) |
— |
$1,322.50 |
— |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Facility (31032) |
— |
$1,154.18 |
— |
| Sinusotomy, sphenoid, with or without biopsy; Facility (31050) |
— |
$970.78 |
— |
| Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Facility (31051) |
— |
$1,298.04 |
— |
| Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) Facility (31090) |
— |
$2,063.70 |
— |
| Skin Full Grft Face/Genit/Hf (15240) |
— |
$1,862.22 |
— |
| Skin graft, harvest cultured tissue (15040) |
— |
$502.90 |
— |
| Skin Pedicle Flap Trunk (15570) |
— |
$1,822.82 |
— |
| Skin Pinch Graft (15050) |
— |
$1,120.80 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$303.90 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$287.36 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$611.84 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$670.32 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$1,553.49 |
— |
| Slitting of prepuce (54001) |
— |
$494.63 |
— |
| Slitting of prepuce (54000) |
— |
$304.48 |
— |
| Small bowel endoscopy (44366) |
— |
$501.36 |
— |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
— |
$513.46 |
— |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) |
— |
$856.98 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$310.73 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$455.63 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$568.80 |
— |
| Snip Incision Lacrimal Punctum (68440) |
— |
$428.47 |
— |
| Sperm washing artificial insemination (58323) |
— |
$37.16 |
— |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
— |
$1,537.76 |
— |
| Sphincterotomy anal division sphincter spx (46080) |
— |
$516.18 |
— |
| Sphnctrop Anal Levator Musc Imbrcj (46761) |
— |
$1,885.60 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$314.55 |
— |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
— |
$1,703.64 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$1,725.14 |
— |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
— |
$1,304.48 |
— |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) |
— |
$2,415.78 |
— |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) |
— |
$1,852.56 |
— |
| Stapes mobilization (69650) |
— |
$1,598.42 |
— |
| Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation… (61770) |
— |
$3,501.14 |
— |
| Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery Facility (63610) |
— |
$4,682.60 |
— |
| Sternal debridement (21627) |
— |
$1,101.80 |
— |
| Strabismus Any Superior Oblique Muscle (67318) |
— |
$1,389.14 |
— |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
— |
$1,180.46 |
— |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
— |
$1,329.62 |
— |
| Strabismus Recession/Rescj 2 Hrzntl Musc (67312) |
— |
$1,411.02 |
— |
| Strabismus Recession/Rescj 2/More Ver Musc (67316) |
— |
$1,586.56 |
— |
| Strapping ankle (29540) |
— |
$74.30 |
— |
| Strapping elbow or wrist (29260) |
— |
$101.55 |
— |
| Strapping hand/finger (29280) |
— |
$102.60 |
— |
| Strapping Hip (29520) |
— |
$106.47 |
— |
| Strapping knee (29530) |
— |
$106.67 |
— |
| Strapping shoulder (29240) |
— |
$123.01 |
— |
| Strapping thorax (29200) |
— |
$109.52 |
— |
| Strapping toes (29550) |
— |
$72.06 |
— |
| Strapping Unna Boot (29580) |
— |
$122.58 |
— |
| Stump elongation, upper extremity Facility (24935) |
— |
$2,394.10 |
— |
| Subconjunctival injection (68200) |
— |
$91.85 |
— |
| Subcutaneous Hormone Pellet Implantation (11980) |
— |
$206.94 |
— |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
— |
$154.84 |
— |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) |
— |
$212.16 |
— |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
— |
$341.55 |
— |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
— |
$286.56 |
— |
| Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Facility (61001) |
— |
$230.72 |
— |
| Submucosal abltj tongue rf 1/> sites pr session (41530) |
— |
$4,386.50 |
— |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
— |
$630.06 |
— |
| Subtalar arthro w/deb (29906) |
— |
$1,380.72 |
— |
| Subtalar arthro w/exc (29905) |
— |
$1,054.80 |
— |
| Suprahyoid lymphadenectomy (38700) |
— |
$1,646.22 |
— |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) |
— |
$860.86 |
— |
| Surg Implnt Neuroelect,Epidural (63655) |
— |
$1,736.16 |
— |
| Surg Tx Anal Fistula 2nd Stage (46285) |
— |
$1,082.54 |
— |
| Surg tx anal fistula subq (46270) |
— |
$1,030.56 |
— |
| Surgery to stop leg growth (27479) |
— |
$1,919.36 |
— |
| Surgery to stop leg growth (27477) |
— |
$1,505.04 |
— |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
— |
$1,087.60 |
— |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
— |
$902.23 |
— |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
— |
$1,519.76 |
— |
| Suture 1 Nerve Median Motor Thenar (64835) |
— |
$1,671.46 |
— |
| Suture 1 Nerve Ulnar Motor (64836) |
— |
$1,673.20 |
— |
| Suture digital nerve hand/foot 1 nerve (64831) |
— |
$1,398.52 |
— |
| Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion… (69745) |
— |
$2,491.78 |
— |
| Suture infrapatellar tendon primary (27380) |
— |
$1,211.70 |
— |
| Suture Iris Ciliary Body Spx Retrieval Suture (66682) |
— |
$1,271.98 |
— |
| Suture of facial nerve; extracranial Facility (64864) |
— |
$1,772.08 |
— |
| Suture of facial nerve; infratemporal, with or without grafting Facility (64865) |
— |
$2,220.12 |
— |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
— |
$1,632.06 |
— |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
— |
$1,276.85 |
— |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
— |
$1,699.06 |
— |
| Suture of sciatic nerve (64858) |
— |
$2,437.08 |
— |
| Suture of tongue to lip for micrognathia (Douglas type procedure) Facility (41510) |
— |
$892.68 |
— |
| Suture of; brachial plexus Facility (64861) |
— |
$3,251.78 |
— |
| Suture of; lumbar plexus Facility (64862) |
— |
$2,805.34 |
— |
| Suture pharynx for wound or injury (42900) |
— |
$723.07 |
— |
| Suture/repair testicular injury (54670) |
— |
$832.34 |
— |
| Sympathectomy cervical (64802) |
— |
$1,762.18 |
— |
| Sympathectomy, cervicothoracic Facility (64804) |
— |
$2,484.08 |
— |
| Sympathectomy; digital arteries, each digit Facility (64820) |
— |
$1,460.70 |
— |
| Sympathectomy; superficial palmar arch (64823) |
— |
$1,618.16 |
— |
| Sympathectomy; ulnar artery (64822) |
— |
$1,419.50 |
— |
| Syndactylization toes (28280) |
— |
$1,026.94 |
— |
| Synovectomy carpometacarpal joint (26130) |
— |
$927.18 |
— |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
— |
$897 |
— |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
— |
$1,127.06 |
— |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) |
— |
$1,119.90 |
— |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
— |
$1,116.24 |
— |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) |
— |
$1,067.82 |
— |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
— |
$1,039.92 |
— |
| Talectomy (astragalectomy) Facility (28130) |
— |
$1,298.08 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$191.20 |
— |
| Tattooing incl micropigmentation 6.0 cm/< (11920) |
— |
$352.64 |
— |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) |
— |
$404.36 |
— |
| Temple bone implant revision (69717) |
— |
$2,251.36 |
— |
| Temporary Closure Eyelids Suture (67875) |
— |
$613.06 |
— |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
— |
$1,175.60 |
— |
| Tendon shortening (26477) |
— |
$1,293.41 |
— |
| Tendon transfer with graft (26492) |
— |
$1,888.66 |
— |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
— |
$1,712.73 |
— |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
— |
$1,912.27 |
— |
| Tenodesis distal joint each (26474) |
— |
$1,338.48 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$1,525.94 |
— |
| Tenodesis proximal interphalangeal joint each (26471) |
— |
$1,362.34 |
— |
| Tenodesis Wrist Extensors Fingers (25301) |
— |
$1,367.20 |
— |
| Tenodesis Wrist Flexors Fingers (25300) |
— |
$1,423.58 |
— |
| Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) |
— |
$1,811.13 |
— |
| Tenolysis extensor foot single tendon (28225) |
— |
$835.66 |
— |
| Tenolysis Flexor Foot Multiple Tendons (28222) |
— |
$1,034.12 |
— |
| Tenolysis flexor foot single tendon (28220) |
— |
$902.68 |
— |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
— |
$1,930.30 |
— |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
— |
$1,472.75 |
— |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
— |
$913.38 |
— |
| Tenolysis Triceps (24332) |
— |
$1,249.72 |
— |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
— |
$1,389.16 |
— |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
— |
$1,219.04 |
— |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
— |
$1,509.13 |
— |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
— |
$1,116.42 |
— |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
— |
$907.18 |
— |
| Tenotomy extensor hand/finger open each tendon (26460) |
— |
$842.39 |
— |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
— |
$873.21 |
— |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
— |
$879.37 |
— |
| Tenotomy Hip Abd/Ext Open (27006) |
— |
$1,485.15 |
— |
| Tenotomy Percutaneous Single Each Digit (26060) |
— |
$514.30 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$661.50 |
— |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
— |
$1,103.31 |
— |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
— |
$894.42 |
— |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
— |
$776.97 |
— |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
— |
$975.98 |
— |
| Tenotomy shoulder area single tendon (23405) |
— |
$1,288.09 |
— |
| Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Facility (27003) |
— |
$1,208.02 |
— |
| Tenotomy, hip flexor(s), open (27005) |
— |
$1,477.39 |
— |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
— |
$963.44 |
— |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) |
— |
$1,165.18 |
— |
| Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390) |
— |
$906.42 |
— |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
— |
$919.52 |
— |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
— |
$3,813.27 |
— |
| Ther Apheresis,Red Blood Cells (36512) |
— |
$220.60 |
— |
| Therapeutic Apheresis White Blood Cells (36511) |
— |
$219.94 |
— |
| Therapeutic plasma exchange (36514) |
— |
$1,372.02 |
— |
| Therapeutic pneumothorax (32960) |
— |
$284.18 |
— |
| Thoracoscopy w/bx nodule (32608) |
— |
$794.48 |
— |
| Thoracoscopy w/bx pleura (32609) |
— |
$540.44 |
— |
| Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) |
— |
$646.60 |
— |
| Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) |
— |
$1,019.26 |
— |
| Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604) |
— |
$1,057.58 |
— |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
— |
$676.32 |
— |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
— |
$1,285.31 |
— |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
— |
$2,100.74 |
— |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) |
— |
$1,556.20 |
— |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
— |
$1,299.72 |
— |
| Thrombectomy, direct or with catheter; subclavian vein, by neck incision Facility (34471) |
— |
$2,285.42 |
— |
| Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) |
— |
$1,950.24 |
— |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
— |
$2,175.72 |
— |
| Thumb fusion with graft (26842) |
— |
$1,750.09 |
— |
| Thyroid biopsy (60100) |
— |
$230.34 |
— |
| Thyroidectomy Post Prev Thyr Surg (60260) |
— |
$2,260.72 |
— |
| Thyroidectomy, total or complete (60240) |
— |
$1,994.97 |
— |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
— |
$2,734.84 |
— |
| Tibial Arthroscopy/Surgery (29855) |
— |
$1,622 |
— |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
— |
$1,546.36 |
— |
| Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) |
— |
$1,607.94 |
— |
| Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) |
— |
$1,430.42 |
— |
| Tissue Expander Placement Breast Reconstruction (19357) |
— |
$3,032.54 |
— |
| Tlh uterus over 250 g (58572) |
— |
$2,103.48 |
— |
| Tnot elbow lateral/medial debride open (24358) |
— |
$1,061.62 |
— |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
— |
$1,346.64 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$634.93 |
— |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) |
— |
$3,630.64 |
— |
| Total Knee Arthroplasty (27447) |
— |
$3,069.99 |
— |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
— |
$1,917.08 |
— |
| Trabeculoplasty by laser surgery (65855) |
— |
$693.44 |
— |
| Tracheal pnxr prq w/transtracheal aspir&/njx (31612) |
— |
$166.54 |
— |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
— |
$626.82 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$368.44 |
— |
| Tracheostoma Revj Cplx W/Flap Rotation (31614) |
— |
$1,472.26 |
— |
| Tracheostoma revj smpl w/o flap rotation (31613) |
— |
$882.80 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$697.96 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$673.38 |
— |
| Tracheostomy Fenestration W/Skin Flaps (31610) |
— |
$1,912.98 |
— |
| Tracheostomy planned (31600) |
— |
$835.72 |
— |
| Tracheostomy Planned Under 2 Years Spx (31601) |
— |
$930.46 |
— |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
— |
$822.26 |
— |
| Transcatheter biopsy (37200) |
— |
$489.96 |
— |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) |
— |
$583.14 |
— |
| Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Facility (64763) |
— |
$1,059.96 |
— |
| Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy Facility (64766) |
— |
$1,280.90 |
— |
| Transection or avulsion of; greater occipital nerve Facility (64744) |
— |
$1,026.42 |
— |
| Transection or avulsion of; inferior alveolar nerve by osteotomy Facility (64738) |
— |
$945.26 |
— |
| Transection or avulsion of; infraorbital nerve Facility (64734) |
— |
$1,045.42 |
— |
| Transection or avulsion of; lingual nerve Facility (64740) |
— |
$986.42 |
— |
| Transection or avulsion of; mental nerve Facility (64736) |
— |
$758.78 |
— |
| Transection or avulsion of; phrenic nerve Facility (64746) |
— |
$893.28 |
— |
| Transection or avulsion of; supraorbital nerve Facility (64732) |
— |
$924.66 |
— |
| Transection/Avulsion Facial Nrv Different/Cmpl (64742) |
— |
$984.84 |
— |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
— |
$1,154.04 |
— |
| Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Facility (27100) |
— |
$1,680 |
— |
| Transfer iliopsoas; to femoral neck Facility (27111) |
— |
$1,849.08 |
— |
| Transfer of embryo (58976) |
— |
$534.97 |
— |
| Transfer of iliopsoas muscle (27110) |
— |
$1,977.72 |
— |
| Transfer of tendon to restore intrinsic function; all 4 fingers Facility (26498) |
— |
$2,480.97 |
— |
| Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) Facility (27105) |
— |
$1,773.80 |
— |
| Transfer skin pedicle flap (15650) |
— |
$1,005.90 |
— |
| Transfer, adductor to ischium Facility (27098) |
— |
$1,419.46 |
— |
| Transfer, finger to another position without microvascular anastomosis Facility (26555) |
— |
$2,884.40 |
— |
| Transfer, free toe joint, with microvascular anastomosis Facility (26556) |
— |
$6,975.16 |
— |
| Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Facility (27400) |
— |
$1,403.62 |
— |
| Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft Facility (26551) |
— |
$6,830.06 |
— |
| Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double Facility (26554) |
— |
$7,935.48 |
— |
| Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single Facility (26553) |
— |
$6,713.76 |
— |
| Transfer/transplant tendon palmar w/o graft each (26485) |
— |
$1,851.19 |
— |
| Transfusion Intrauterine Fetal (36460) |
— |
$746.77 |
— |
| Transmetacarpal amputation; Facility (25927) |
— |
$1,674.92 |
— |
| Transmetacarpal amputation; re-amputation Facility (25931) |
— |
$1,573.81 |
— |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
— |
$1,217.64 |
— |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
— |
$3,458.40 |
— |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
— |
$1,573.46 |
— |
| Transplant hand tendon (26480) |
— |
$1,736.20 |
— |
| Transplant of thigh tendon (27396) |
— |
$1,250.79 |
— |
| Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons Facility (27397) |
— |
$1,870.30 |
— |
| Transplant/graft hand tendon (26483) |
— |
$1,916.23 |
— |
| Transplant/graft palm tendon (26489) |
— |
$1,843.64 |
— |
| Transplantation of testis(es) to thigh (because of scrotal destruction) Facility (54680) |
— |
$1,623 |
— |
| Transrectal Drainage of Pelvic Abscess (45000) |
— |
$873.30 |
— |
| Transur electr resection of prostate (52601) |
— |
$1,696.33 |
— |
| Transurethral incision of prostate (52450) |
— |
$1,088.42 |
— |
| Transurethral resection bladder neck (52500) |
— |
$1,129.67 |
— |
| Transvesical ureterolithotomy Facility (51060) |
— |
$1,346.87 |
— |
| Treat ankle dislocation (27848) |
— |
$1,752.39 |
— |
| Treat Ankle Dislocation (27846) |
— |
$1,492.01 |
— |
| Treat ankle fracture (28445) |
— |
$2,168.01 |
— |
| Treat Big Toe Fracture (28505) |
— |
$1,331.80 |
— |
| Treat clavicle dislocation (23530) |
— |
$1,157.64 |
— |
| Treat Dental Ridge Fracture (21440) |
— |
$1,179.90 |
— |
| Treat dental ridge fracture (21445) |
— |
$1,532.92 |
— |
| Treat dislocation/fracture (23670) |
— |
$1,791.60 |
— |
| Treat dislocation/fracture (23680) |
— |
$1,901.56 |
— |
| Treat ectopic pregnancy (59151) |
— |
$1,573.60 |
— |
| Treat elbow fracture (24586) |
— |
$2,235.29 |
— |
| Treat Elbow Fracture (24635) |
— |
$2,262.07 |
— |
| Treat elbow fracture (24587) |
— |
$2,234.64 |
— |
| Treat Finger Fracture Each (26727) |
— |
$948.24 |
— |
| Treat forearm bone lesion (25035) |
— |
$1,688.67 |
— |
| Treat fracture radius/ulna (25575) |
— |
$1,841.34 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$1,494.04 |
— |
| Treat Hand Bone Lesion (26034) |
— |
$1,099.20 |
— |
| Treat Hip Socket Fracture (27222) |
— |
$1,997.44 |
— |
| Treat humerus fracture (24500) |
— |
$708.92 |
— |
| Treat Humerus Fracture (24505) |
— |
$1,008.23 |
— |
| Treat humerus fracture (23616) |
— |
$3,027.08 |
— |
| Treat humerus fracture (23600) |
— |
$682.84 |
— |
| Treat knee fracture (27532) |
— |
$1,249.01 |
— |
| Treat Knee Fracture(S) (27538) |
— |
$963.14 |
— |
| Treat kneecap dislocation (27566) |
— |
$1,827.12 |
— |
| Treat Kneecap Fracture (27524) |
— |
$1,538 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$661.42 |
— |
| Treat lower jaw fracture (21452) |
— |
$1,292.38 |
— |
| Treat lower leg bone lesion (27607) |
— |
$1,244.50 |
— |
| Treat lower leg dislocation (27832) |
— |
$1,538.48 |
— |
| Treat metacarpal fracture (26607) |
— |
$954.01 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$568.98 |
— |
| Treat midfoot fracture (28456) |
— |
$641.50 |
— |
| Treat scapula fracture (23585) |
— |
$2,009.20 |
— |
| Treat skull fracture (62000) |
— |
$2,205.06 |
— |
| Treat Tail Bone Fracture (27200) |
— |
$386.93 |
— |
| Treat Thumb Dislocation (26641) |
— |
$748.24 |
— |
| Treat Thumb Fracture (26645) |
— |
$860.44 |
— |
| Treat thumb fracture (26665) |
— |
$1,267.56 |
— |
| Treat toe dislocation (28630) |
— |
$312 |
— |
| Treat Trigeminal Nerve (61790) |
— |
$1,874.34 |
— |
| Treat vagina infection (57150) |
— |
$128.92 |
— |
| Treat Vaginal Bleeding (57180) |
— |
$302.94 |
— |
| Treat/graft heel fracture (28420) |
— |
$2,605.16 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$956.24 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$785.43 |
— |
| Treatment extensive retinopathy photocoagulation (67228) |
— |
$1,835.45 |
— |
| Treatment mouth roof lesion (42160) |
— |
$459.56 |
— |
| Treatment of anal fissure (46940) |
— |
$470.98 |
— |
| Treatment of ankle fracture (27823) |
— |
$2,032.90 |
— |
| Treatment of foot infection (28003) |
— |
$1,404.46 |
— |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$2,533.72 |
— |
| Treatment of nose fracture (21330) |
— |
$1,123.44 |
— |
| Treatment of penis lesion (54115) |
— |
$1,136.62 |
— |
| Treatment of retina (67141) |
— |
$1,033.38 |
— |
| Treatment of retinal lesion (67208) |
— |
$1,186.84 |
— |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
— |
$1,876.66 |
— |
| Treatment of slipped femoral epiphysis; by traction, without reduction Facility (27175) |
— |
$1,367.68 |
— |
| Treatment of tibia fracture (27756) |
— |
$1,173.32 |
— |
| Trim skin lesion (11055) |
— |
$117.35 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$134.62 |
— |
| Trim skin lesions over 4 (11057) |
— |
$148.31 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$32.16 |
— |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
— |
$461.32 |
— |
| Trnsplj autologous hematopoietic cells per donor (38241) |
— |
$344.72 |
— |
| Trurl drainage prostatic abscess (52700) |
— |
$1,021.79 |
— |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
— |
$4,033.57 |
— |
| Trurl rescj postop bladder neck contracture (52640) |
— |
$781.17 |
— |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
— |
$2,295.94 |
— |
| Tubal ligation (58600) |
— |
$733.14 |
— |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
— |
$965.44 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$46 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$1,761.92 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$670.12 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
— |
$2,906.18 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$798.42 |
— |
| Tx Missed Abortion Second Trimester Surgical (59821) |
— |
$802 |
— |
| Tx open tendon flexor toe 1 tendon spx (28232) |
— |
$767.96 |
— |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
— |
$867.34 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$746.78 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$565.30 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$332.80 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
— |
$575.68 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$467.44 |
— |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
— |
$2,053.60 |
— |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
— |
$768.03 |
— |
| Tympanolysis transcanal (69450) |
— |
$1,074.82 |
— |
| Tympanoplasty (69631) |
— |
$1,753.28 |
— |
| Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) |
— |
$2,893.16 |
— |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) |
— |
$2,783.66 |
— |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) |
— |
$2,467.48 |
— |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) |
— |
$2,742.20 |
— |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
— |
$3,084.04 |
— |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
— |
$2,946.26 |
— |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
— |
$2,442.38 |
— |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
— |
$2,673.68 |
— |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
— |
$2,075.82 |
— |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
— |
$2,077.14 |
— |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
— |
$2,144.66 |
— |
| Tympanostomy general anesthesia (69436) |
— |
$329.09 |
— |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
— |
$1,226.44 |
— |
| Umbilical cord occlud w/us (59072) |
— |
$1,098.18 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$2,371 |
— |
| Unlisted laparoscopy procedure stomach (43659) |
— |
$1,250 |
— |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
— |
$1,928.46 |
— |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
— |
$4,366 |
— |
| Unlisted procedure anus (46999) |
— |
$792 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$1,398 |
— |
| Unlisted procedure nervous system (64999) |
— |
$475 |
— |
| Unlisted procedure, vestibule of mouth (40899) |
— |
$1,048 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$185 |
— |
| Upgrade of pacemaker system (33214) |
— |
$1,028.38 |
— |
| Ureter endoscopy (50970) |
— |
$865.40 |
— |
| Ureter endoscopy & biopsy (50955) |
— |
$2,031.39 |
— |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
— |
$2,323.01 |
— |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957) |
— |
$1,877.19 |
— |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) |
— |
$833.13 |
— |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50974) |
— |
$1,104.91 |
— |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
— |
$836.90 |
— |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50976) |
— |
$1,088.47 |
— |
| Ureteral endoscopy via ureterostomy (50951) |
— |
$881.43 |
— |
| Urethrectomy, total, including cystostomy; male Facility (53215) |
— |
$2,156.07 |
— |
| Urethrlys Transvag W/ Scope (53500) |
— |
$1,734.74 |
— |
| Urethromeatoplasty W/Mucosal Advancement (53450) |
— |
$947.09 |
— |
| Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site… (54316) |
— |
$2,059.38 |
— |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Facility (54312) |
— |
$1,686.60 |
— |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Facility (54308) |
— |
$1,472.92 |
— |
| Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Facility (54318) |
— |
$1,462.80 |
— |
| Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter… (53431) |
— |
$2,685.07 |
— |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
— |
$2,271.94 |
— |
| Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Facility (53420) |
— |
$1,955.30 |
— |
| Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Facility (53425) |
— |
$2,175.51 |
— |
| Urethroplasty, reconstruction of female urethra Facility (53430) |
— |
$2,256.10 |
— |
| Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) |
— |
$1,856.40 |
— |
| Urethroplasty; second stage (formation of urethra), including urinary diversion Facility (53405) |
— |
$2,029.13 |
— |
| Urethrorrhaphy sutr urethral wound/inj penile (53505) |
— |
$1,125.49 |
— |
| Urethrorrhaphy, suture of urethral wound or injury; perineal Facility (53510) |
— |
$1,465.82 |
— |
| Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Facility (53515) |
— |
$1,847.66 |
— |
| Urinary Reflex Study (51792) |
— |
$533.29 |
— |
| Urine Flow Measurement (51736) |
— |
$95.23 |
— |
| Uvulectomy excision of uvula (42140) |
— |
$523.20 |
— |
| Vag hyst complex (58290) |
— |
$2,327.26 |
— |
| Vag hyst incl t/o complex (58291) |
— |
$2,546.92 |
— |
| Vag hyst w/t/o & vag repair (58263) |
— |
$2,011.21 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$1,924.94 |
— |
| Vaginal delivery only (59409) |
— |
$1,702.74 |
— |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
— |
$1,673.12 |
— |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
— |
$1,790.69 |
— |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292) |
— |
$2,666.68 |
— |
| Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Facility (58294) |
— |
$2,455.64 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$1,861.50 |
— |
| Vaginectomy, partial removal of vaginal wall; (57106) |
— |
$1,032.54 |
— |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Facility (57107) |
— |
$3,013.74 |
— |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral… (57109) |
— |
$3,675.08 |
— |
| Vaginoplasty for intersex state Facility (57335) |
— |
$2,338.96 |
— |
| Valvuloplasty Femoral Vein (34501) |
— |
$2,031.85 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$927.32 |
— |
| Vasovasostomy vasovasorrhaphy (55400) |
— |
$2,700 |
— |
| Vein Access Cutdown < 1 Yr (36420) |
— |
$307.30 |
— |
| Venous Cutdown >1 Y/O (36425) |
— |
$83.36 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$3,749.66 |
— |
| Venous valve transposition, any vein donor Facility (34510) |
— |
$2,357.95 |
— |
| Ventilating tube removal requiring general anesthesia (69424) |
— |
$247.92 |
— |
| Ventricular puncture previous burr hole w/inj (61026) |
— |
$257.74 |
— |
| Vermilionectomy lip shv w/mucosal advmnt (40500) |
— |
$1,010.88 |
— |
| Vestibular nerve section, translabyrinthine approach Facility (69915) |
— |
$3,089.98 |
— |
| Vestibuloplasty Anterior (40840) |
— |
$1,644.02 |
— |
| Vestibuloplasty Cplx W/Ridge Xtn Musc Rpsg (40845) |
— |
$2,970.26 |
— |
| Vestibuloplasty Posterior Bilateral (40843) |
— |
$2,115.44 |
— |
| Vit for membrane dissect (67043) |
— |
$2,416.22 |
— |
| Vitrectomy mechanical pars plana (67036) |
— |
$1,785.56 |
— |
| Vitrectomy pars plana remove int memb retina (67042) |
— |
$2,289.48 |
— |
| Vitrectomy Pars Plana Remove Preretinal Membrane (67041) |
— |
$2,289.48 |
— |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
— |
$2,106.63 |
— |
| Vulvectomy simple partial (56620) |
— |
$1,099.42 |
— |
| Vulvectomy simple; complete (56625) |
— |
$1,327.46 |
— |
| Vulvectomy, radical, partial; Facility (56630) |
— |
$1,956.68 |
— |
| Wedge excision skin nail fold (11765) |
— |
$326.94 |
— |
| Wedge Rescj/Bisctj Ovary Uni/Bi (58920) |
— |
$1,414.04 |
— |
| Wedging of cast (29740) |
— |
$197.92 |
— |
| Wedging of clubfoot cast (29750) |
— |
$216.12 |
— |
| Windowing of cast (29730) |
— |
$126.16 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$793.46 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$692.86 |
— |
| Wrist arthroscopy (29840) |
— |
$911.56 |
— |
| Wrist arthroscopy with partial removal of joint lining (29844) |
— |
$1,007.82 |
— |
| Xfer Single Deep Low Leg Tendon (27691) |
— |
$1,518.58 |
— |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
— |
$321.30 |
— |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
— |
$496.68 |
— |
| Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) |
— |
$837.04 |
— |
| Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) |
— |
$887.16 |
— |
| Xtroral I&D Floor Masticator Space (41018) |
— |
$1,023.90 |
— |