| Abd paracentesis w/imaging (49083) |
— |
$203 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,747 |
— |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
— |
$1,260 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$698 |
— |
| Anoplasty, plastic operation for stricture; adult (46700) |
— |
$1,029 |
— |
| Anoscopy diagnostic (46600) |
— |
$77 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$123 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$50 |
— |
| Application finger splint static (29130) |
— |
$259 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$324 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$324 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$180.50 |
— |
| Application short leg splint calf foot (29515) |
— |
$324 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$606 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$606 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$78.75 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$402 |
— |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
— |
$399 |
— |
| Biopsy soft tissue leg/ankle area superficial (27613) |
— |
$298 |
— |
| Bladder Scan (51798) |
— |
$266 |
— |
| Blood transfusion service (36430) |
— |
$436 |
— |
| Catheter Aspiration Nasotracheal Spx (31720) |
— |
$410 |
— |
| Chest tube placement (32551) |
— |
$3,316 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$161 |
— |
| Closed Rx Med Malleolus Fx,Manip (27762) |
— |
$898 |
— |
| Closed Rx Tibia Shaft Fx (27750) |
— |
$462 |
— |
| Closed Treatment Coccygeal Fracture (27200) |
— |
$462 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$602 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$1,206 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$462 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$500.50 |
— |
| Closed tx patellar fracture w/o manipulation (27520) |
— |
$462 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$462 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$271.50 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$3,197 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$462 |
— |
| Clsd tx clavicular fracture w/manipulation (23505) |
— |
$3,197 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$462 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$462 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$528.50 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$302 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$462 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$462 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$462 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$462 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$1,881 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$462 |
— |
| Colonoscopy flex w/rem forcep (45384) |
— |
$470 |
— |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
— |
$503 |
— |
| Colsc flx with directed submucosal njx any sbst (45381) |
— |
$415 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$276 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$259 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$391 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$700.02 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$246 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
— |
$240 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$85 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$113 |
— |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
— |
$897.50 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$874.50 |
— |
| Drainage of eyelid abscess (67700) |
— |
$591 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$3,342 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$597.50 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$402 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$402 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$316 |
— |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
— |
$363 |
— |
| Egd flexible foreign body removal (43247) |
— |
$343 |
— |
| Egd injection varices (43243) |
— |
$461 |
— |
| Egd place gastrostomy tube (43246) |
— |
$695 |
— |
| Egd rem tumr/polyp forcep (43250) |
— |
$330 |
— |
| Egd remove lesion snare (43251) |
— |
$404 |
— |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
— |
$390 |
— |
| Esophagogastroduodenoscopy submucosal injection (43236) |
— |
$268 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$259 |
— |
| Exc abd les sc 3 cm/> (22903) |
— |
$691 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$291 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$188 |
— |
| Exc hydrocele sprmatic cord uni spx (55500) |
— |
$749 |
— |
| Exc neck tum deep < 5 cm (21556) |
— |
$830 |
— |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
— |
$566.50 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$177 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$274 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$434 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$386 |
— |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
— |
$359 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$175 |
— |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
— |
$1,163 |
— |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
— |
$914 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$886 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$1,163 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$476 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$678 |
— |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
— |
$520 |
— |
| Excision external ear partial simple repair (69110) |
— |
$596 |
— |
| Excision h/p/p/u simple/intermediate repair (11470) |
— |
$436 |
— |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
— |
$449 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$272 |
— |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
— |
$269 |
— |
| Excision of nail fold toe (11765) |
— |
$831 |
— |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
— |
$391 |
— |
| Excision olecranon bursa (24105) |
— |
$644 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$2,017.50 |
— |
| Exploration Penetrating Wound Spx Neck (20100) |
— |
$1,102 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$624 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$253 |
— |
| I&d abscess simple (10060) |
— |
$402 |
— |
| I&d perianal abscess superficial (46050) |
— |
$1,024 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,447 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$555 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$603 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$2,228 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$1,815.50 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$831 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$461 |
— |
| Incision of rectal abscess (46045) |
— |
$685 |
— |
| Incision of rectal abscess (46040) |
— |
$2,413 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$478 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$402 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$765 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$606 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$323 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$6,637 |
— |
| Insert picc cath (36569) |
— |
$639 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$259 |
— |
| Insert tunneled cv cath (36561) |
— |
$541 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$259 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$547 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,000 |
— |
| Irrigate corpora cavernosa for priapism (54220) |
— |
$274 |
— |
| Laparoscopy appendectomy (44970) |
— |
$1,141 |
— |
| Laparoscopy Remove Adnexa (58661) |
— |
$1,002 |
— |
| Laparoscopy Tubal Cautery (58670) |
— |
$681 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$1,358 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$2,118 |
— |
| Ligation of hemorrhoid(s) (46221) |
— |
$355 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$423 |
— |
| Lithotripsy (50590) |
— |
$7,210 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$351 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$841 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$103 |
— |
| Puncture Aspiration (10160) |
— |
$831 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater (21936) |
— |
$2,681 |
— |
| Removal fb intranasal (30300) |
— |
$259 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$1,447 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$1,784.50 |
— |
| Removal foreign body pharynx (42809) |
— |
$557.50 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$129 |
— |
| Removal of nail bed (11750) |
— |
$503.50 |
— |
| Removal of testis (54520) |
— |
$609 |
— |
| Remove foreign body from eye (65210) |
— |
$841 |
— |
| Remove Pilonidal Cyst Exten (11771) |
— |
$677 |
— |
| Remove wrist tendon lesion (25111) |
— |
$590 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$259 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$259 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,294 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,294 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$727.50 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,294 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,294 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,294 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$1,086 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$937 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$588 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$831 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$831 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$686 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$831 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$831 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$831 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$855 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$831 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$563.50 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$831 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$831 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$488 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$999 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$474 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$476 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$483 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$248 |
— |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
— |
$138 |
— |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
— |
$181 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$584 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$402 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$402 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$246 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$402 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$402 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$402 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$483 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$402 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$402 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$831 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$568.50 |
— |
| Sphincterotomy (46080) |
— |
$252 |
— |
| Strapping ankle (29540) |
— |
$324 |
— |
| Strapping hand/finger (29280) |
— |
$200 |
— |
| Strapping knee (29530) |
— |
$259 |
— |
| Strapping toes (29550) |
— |
$235 |
— |
| Strapping unna boot (29580) |
— |
$187 |
— |
| Suspension of testis (54640) |
— |
$755 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$211 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$1,289 |
— |
| Trach Tube Change (31502) |
— |
$700 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$1,726 |
— |
| Treat Fracture Radius & Ulna (25560) |
— |
$462 |
— |
| Treat humerus fracture (23600) |
— |
$462 |
— |
| Treat Vaginal Bleeding (57180) |
— |
$364.50 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$462 |
— |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
— |
$462 |
— |
| Vaginal delivery only (59409) |
— |
$6,299 |
— |
| Vasectomy (55250) |
— |
$428 |
— |