| Abd paracentesis w/imaging (49083) |
$784 |
$784 |
0.8× |
| Acne surgery (10040) |
$117.18 |
$117.18 |
0.6× |
| Amputation of toe (28820) |
$190.44 |
$190.44 |
0.1× |
| Amputation, metatarsal, with toe, single Age Under 21 (28810) |
$457.74 |
$457.74 |
0.1× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$413 |
$413 |
1.3× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$873.42 |
$873.42 |
0.3× |
| Anoscopy and biopsy (46606) |
$80.88 |
$80.88 |
0.1× |
| Anoscopy diagnostic (46600) |
$269 |
$269 |
2.0× |
| Application finger splint static (29130) |
$75 |
$75 |
0.6× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$132 |
$132 |
0.8× |
| Application of short arm splint (forearm to hand); static (29125) |
$103 |
$103 |
0.8× |
| Application of short leg cast (below knee to toes); (29405) |
$149 |
$149 |
0.5× |
| Application of short leg splint (calf to foot) (29515) |
$126 |
$126 |
0.8× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$148 |
$148 |
0.9× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$84 |
$84 |
0.5× |
| Application rigid total contact leg cast (29445) |
$259 |
$259 |
0.9× |
| Application, cast; shoulder to hand (long arm) (29065) |
$173 |
$173 |
0.6× |
| Apply long arm splint (29105) |
$952 |
$952 |
5.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$123 |
$123 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$216 |
$216 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$139 |
$139 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$321.50 |
$321.50 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$131 |
$131 |
0.4× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29888) |
$16,000 |
$16,000 |
2.2× |
Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827)
unusually low — confirm this is the full procedure |
$2,575 |
$2,575 |
0.3× |
Arthrp acetblr/prox fem prostc agrft/algrft (27130)
unusually low — confirm this is the full procedure |
$5,326 |
$5,326 |
0.4× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$120.20 |
$120.20 |
0.4× |
| Aspiration and/or injection thyroid cyst (60300) |
$901 |
$901 |
1.2× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$157 |
$157 |
0.8× |
Axillary lymphadenectomy; complete Age Under 21 (38745)
likely a partial charge — not the full procedure |
$942.94 |
$942.94 |
0.2× |
| Biopsy bone trocar/needle deep (20225) |
$1,671 |
$1,671 |
1.0× |
| Biopsy liver needle percutaneous (47000) |
$2,310 |
$2,310 |
1.4× |
| Biopsy lymph node (38505) |
$1,513 |
$1,513 |
0.9× |
| Biopsy muscle percutaneous needle (20206) |
$1,342.50 |
$1,342.50 |
0.8× |
| Biopsy of anorectal wall, anal approach (eg, congenital megacolon) (45100) |
$731.24 |
$731.24 |
0.3× |
| Biopsy of cervix (57500) |
$253.98 |
$253.98 |
0.3× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$237.20 |
$237.20 |
0.2× |
| Biopsy of salivary gland; needle (42400) |
$643.50 |
$643.50 |
0.9× |
| Biopsy of tongue; anterior two-thirds Age Under 21 (41100) |
$261.63 |
$261.63 |
0.5× |
| Biopsy of uterus lining (58100) |
$214.06 |
$214.06 |
1.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$273.77 |
$273.77 |
0.1× |
| Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$473.82 |
$473.82 |
0.1× |
| Biopsy pleura percutaneous needle (32400) |
$1,201.50 |
$1,201.50 |
0.7× |
| Biopsy soft tissue neck/thorax (21550) |
$169.40 |
$169.40 |
0.1× |
| Biopsy thyroid percutaneous core needle (60100) |
$642.50 |
$642.50 |
0.9× |
| Biopsy tongue,poster 1/3 (41105) |
$266.50 |
$266.50 |
0.1× |
| Biopsy vaginal mucosa simple (57100) |
$194.98 |
$194.98 |
0.2× |
| Biopsy vulva/perineum 1 lesion (56605) |
$228.07 |
$228.07 |
0.2× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$1,403 |
$1,403 |
0.8× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$1,348 |
$1,348 |
0.8× |
| Biopsy/removal lymph nodes (38510) |
$449.01 |
$449.01 |
0.1× |
| Bladder irrigation (51700) |
$222 |
$222 |
0.9× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$785 |
$785 |
2.4× |
| Bx breast 1st lesion us imag (19083) |
$2,310 |
$2,310 |
1.4× |
| Bx pancreas ndl perc (48102) |
$1,403 |
$1,403 |
0.8× |
| Cast short arm (29075) |
$160 |
$160 |
0.6× |
| Cautery of cervix; electro or thermal Age Under 21 (57510) |
$125 |
$125 |
0.0× |
| Chemical cauterization of granulation tissue (17250) |
$87 |
$87 |
0.4× |
| Chemodenerv trunk musc 1-5 (64646) |
$416 |
$416 |
0.6× |
| Chest tube placement (32551) |
$387 |
$387 |
0.2× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$439.89 |
$439.89 |
1.7× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$482.53 |
$482.53 |
1.9× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$604 |
$604 |
2.4× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$700 |
$700 |
2.8× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$669 |
$669 |
2.7× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$317.84 |
$317.84 |
1.3× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$1,932.50 |
$1,932.50 |
1.2× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$314 |
$314 |
1.2× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$2,199 |
$2,199 |
1.3× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$589 |
$589 |
2.3× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$494 |
$494 |
2.0× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$584.45 |
$584.45 |
2.3× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$349.80 |
$349.80 |
1.4× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$1,769.50 |
$1,769.50 |
1.1× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$432.48 |
$432.48 |
1.7× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$497.39 |
$497.39 |
2.0× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$206 |
$206 |
0.8× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$589.50 |
$589.50 |
2.3× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$505.99 |
$505.99 |
2.0× |
| Closed treatment of ulnar styloid fracture (25650) |
$810 |
$810 |
3.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$642.50 |
$642.50 |
2.5× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,144.50 |
$1,144.50 |
0.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$438 |
$438 |
1.7× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$814.50 |
$814.50 |
3.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$590 |
$590 |
2.3× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$3,127 |
$3,127 |
0.9× |
| Clsd tx pelvic ring fx (27197) |
$145.20 |
$145.20 |
0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,767 |
$1,767 |
1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$562.50 |
$562.50 |
2.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,283 |
$1,283 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$383.50 |
$383.50 |
1.5× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$494.05 |
$494.05 |
2.0× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$1,617.50 |
$1,617.50 |
1.0× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$297.50 |
$297.50 |
1.2× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$823 |
$823 |
3.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,693.50 |
$1,693.50 |
1.0× |
| Collect blood from catheter venous nos (36592) |
$60,004.68 |
$60,004.68 |
441.4× |
| Collect blood from implant venous access device (36591) |
$177 |
$177 |
1.3× |
| Colonoscopy w/ablation (45388) |
$1,824 |
$1,824 |
1.5× |
| Colposcopy cervix (57452) |
$199.91 |
$199.91 |
1.0× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$338.66 |
$338.66 |
1.1× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$263.76 |
$263.76 |
0.2× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$179.50 |
$179.50 |
1.3× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$210 |
$210 |
1.5× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$1,201.50 |
$1,201.50 |
0.7× |
| Cryotherapy (CO2 slush, liquid N2) for acne (17340) |
$66.50 |
$66.50 |
1.1× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$69.66 |
$69.66 |
0.2× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$37.25 |
$37.25 |
0.6× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$52.30 |
$52.30 |
0.9× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$151 |
$151 |
0.4× |
| Destruct lesion 15 or more (17111) |
$134.54 |
$134.54 |
0.7× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$82.44 |
$82.44 |
0.4× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$167.88 |
$167.88 |
0.4× |
| Destruction benign lesions up to 14 (17110) |
$114.12 |
$114.12 |
0.6× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,491.50 |
$1,491.50 |
0.7× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm Age Under 21 (17106) |
$468.32 |
$468.32 |
1.1× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$149.49 |
$149.49 |
0.1× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (46910) |
$146.93 |
$146.93 |
0.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17281) |
$181 |
$181 |
0.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) |
$146.24 |
$146.24 |
0.7× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$325.82 |
$325.82 |
0.1× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$836 |
$836 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$228.77 |
$228.77 |
0.2× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$688.09 |
$688.09 |
0.2× |
| Dilation of cervical canal (57800) |
$132.82 |
$132.82 |
0.0× |
| Drain neck/chest lesion (21501) |
$368.05 |
$368.05 |
0.1× |
| Drainage finger abscess simple (26010) |
$345.06 |
$345.06 |
1.7× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$3,600 |
$3,600 |
1.8× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$3,600 |
$3,600 |
1.8× |
| Dx laryngoscopy excl nb (31525) |
$404 |
$404 |
0.2× |
| Ed proc remve fb nasal- hospital (30300) |
$261 |
$261 |
1.9× |
| Ed prof arthrocentesis sm - hospital (20551) |
$242.50 |
$242.50 |
0.8× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$163 |
$163 |
1.2× |
| Ed prof burn - large - hospital (16030) |
$324 |
$324 |
0.8× |
| Ed prof burn medium - hospital (16025) |
$324 |
$324 |
1.6× |
| Ed prof burn small - hospital (16020) |
$100.58 |
$100.58 |
0.5× |
| Ed prof catheterization/straight (51701) |
$158.50 |
$158.50 |
1.2× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$1,610 |
$1,610 |
1.0× |
| Ed prof drain dental abscess-hospital (41800) |
$270.50 |
$270.50 |
2.0× |
| Ed prof insert foley cath simple (51702) |
$211 |
$211 |
1.6× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$211 |
$211 |
0.1× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$582 |
$582 |
1.4× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$507.50 |
$507.50 |
1.2× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$607.50 |
$607.50 |
2.4× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$383.50 |
$383.50 |
0.8× |
| Egd lesion ablation (43270) |
$910.46 |
$910.46 |
0.5× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$935.48 |
$935.48 |
0.5× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or… (44386) |
$397 |
$397 |
0.4× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$375 |
$375 |
0.5× |
| Evac subungual hematoma (11740) |
$66.44 |
$66.44 |
0.5× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$355.81 |
$355.81 |
0.5× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$127 |
$127 |
0.1× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$164.02 |
$164.02 |
0.2× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$231 |
$231 |
0.1× |
| Exc neck tum deep < 5 cm (21556) |
$904.30 |
$904.30 |
0.3× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$131.68 |
$131.68 |
0.2× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$173.08 |
$173.08 |
0.2× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$439.47 |
$439.47 |
0.1× |
| Excision external ear partial simple repair (69110) |
$862.23 |
$862.23 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$250.90 |
$250.90 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$250.87 |
$250.87 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$297.18 |
$297.18 |
0.4× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$327.93 |
$327.93 |
0.5× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$209.93 |
$209.93 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$245.22 |
$245.22 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$325.08 |
$325.08 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$337.19 |
$337.19 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$414.88 |
$414.88 |
0.2× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) |
$497.26 |
$497.26 |
0.1× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair (40812) |
$358.74 |
$358.74 |
0.2× |
| Excision of lip; V-excision with primary direct linear closure Age Under 21 (40520) |
$777.78 |
$777.78 |
0.2× |
Excision of submandibular (submaxillary) gland Age Under 21 (42440)
likely a partial charge — not the full procedure |
$472.32 |
$472.32 |
0.1× |
| Excision of thrombosed hemorrhoid, external (46320) |
$596 |
$596 |
0.5× |
| Excision olecranon bursa (24105) |
$401 |
$401 |
0.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$506.53 |
$506.53 |
0.3× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$396.74 |
$396.74 |
0.2× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$830.87 |
$830.87 |
0.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$210.12 |
$210.12 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$468 |
$468 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$309.84 |
$309.84 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$157.23 |
$157.23 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$253.96 |
$253.96 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$204.09 |
$204.09 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$335.68 |
$335.68 |
0.2× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$229.86 |
$229.86 |
0.3× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$278.66 |
$278.66 |
0.4× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$402.80 |
$402.80 |
0.2× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$498.24 |
$498.24 |
0.3× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$546.16 |
$546.16 |
0.2× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$199.92 |
$199.92 |
0.3× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$514.80 |
$514.80 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$245.76 |
$245.76 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$212.44 |
$212.44 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$143.88 |
$143.88 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$287.98 |
$287.98 |
0.2× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Age Under 21 (15936) |
$1,617.09 |
$1,617.09 |
0.8× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$474.66 |
$474.66 |
0.2× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$792.38 |
$792.38 |
0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Age Under 21 (21011) |
$285.21 |
$285.21 |
0.2× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater Age Under 21 (27632) |
$442.61 |
$442.61 |
0.1× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$482.84 |
$482.84 |
0.2× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$334.78 |
$334.78 |
0.2× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$359.96 |
$359.96 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$876 |
$876 |
0.5× |
| Explore wound neck (20100) |
$638.60 |
$638.60 |
1.2× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$652 |
$652 |
0.9× |
| Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Age… (15220) |
$661.20 |
$661.20 |
0.3× |
| Guide cathet fluid drainage (10030) |
$1,145 |
$1,145 |
1.6× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$568.68 |
$568.68 |
0.6× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$538.62 |
$538.62 |
0.2× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$573.45 |
$573.45 |
0.2× |
| I&d abscess simple/single (10060) |
$176 |
$176 |
0.9× |
| I&d hematoma/seroma/fluid (10140) |
$264.50 |
$264.50 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$251 |
$251 |
0.3× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$1,138 |
$1,138 |
0.7× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$2,194.50 |
$2,194.50 |
1.3× |
| Incise external hemorrhoid (46083) |
$354 |
$354 |
1.4× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$265.50 |
$265.50 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$328 |
$328 |
1.1× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$344.90 |
$344.90 |
0.1× |
| Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age Under 21 (26990) |
$1,657 |
$1,657 |
0.5× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$416 |
$416 |
0.2× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$266.72 |
$266.72 |
0.6× |
| Incision of rectal abscess (46040) |
$1,089 |
$1,089 |
0.9× |
| Incisional biopsy skin single lesion (11106) |
$208.96 |
$208.96 |
0.3× |
| Inj epidural blood or clot patch (62273) |
$938 |
$938 |
1.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,218 |
$1,218 |
1.3× |
| Inj paravert f jnt l/s 1 lev (64493) |
$2,018 |
$2,018 |
2.2× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$828 |
$828 |
1.1× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,279 |
$1,279 |
1.4× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$1,295 |
$1,295 |
1.4× |
| Injection aa&/strd greater occipital nerve (64405) |
$364 |
$364 |
1.2× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$672 |
$672 |
0.9× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$745.50 |
$745.50 |
0.8× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$556 |
$556 |
0.8× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$196 |
$196 |
0.3× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$985 |
$985 |
1.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$664 |
$664 |
0.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$229.50 |
$229.50 |
0.7× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$820.50 |
$820.50 |
0.9× |
| Injection sclerosant multiple incmptnt veins (36471) |
$274.96 |
$274.96 |
0.7× |
| Injection therapeutic carpal tunnel (20526) |
$150.27 |
$150.27 |
0.5× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$125 |
$125 |
0.4× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$234 |
$234 |
0.7× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$261.50 |
$261.50 |
0.8× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$58.74 |
$58.74 |
0.3× |
| Insert drug implant device (11981) |
$151.66 |
$151.66 |
1.1× |
| Insert pessary/other device (57160) |
$142.32 |
$142.32 |
0.7× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$350.58 |
$350.58 |
0.1× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$647 |
$647 |
0.4× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,294 |
$1,294 |
0.8× |
| Intubation endotracheal (31500) |
$969 |
$969 |
4.0× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320)
likely a partial charge — not the full procedure |
$352.86 |
$352.86 |
0.1× |
Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563)
likely a partial charge — not the full procedure |
$766.32 |
$766.32 |
0.1× |
| Laryngoscopy direct, with or without tracheoscopy; for aspiration Age Under 21 (31515) |
$400.73 |
$400.73 |
1.0× |
| Laryngoscopy indirect diagnostic (31505) |
$125.40 |
$125.40 |
0.6× |
| Ligation or biopsy, temporal artery (37609) |
$425.06 |
$425.06 |
0.3× |
| Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below Age… (37722) |
$480.42 |
$480.42 |
0.1× |
| Lumbar puncture (62270) |
$679 |
$679 |
0.9× |
| Mastectomy gynecomastia (19300) |
$467.45 |
$467.45 |
0.1× |
| Mastectomy partial (19301) |
$706.40 |
$706.40 |
0.2× |
Mastectomy Partial W/Axillary Lymphadenectomy (19302)
likely a partial charge — not the full procedure |
$969.51 |
$969.51 |
0.1× |
Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding… (19307)
likely a partial charge — not the full procedure |
$1,260.19 |
$1,260.19 |
0.2× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$1,218.50 |
$1,218.50 |
1.5× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,094 |
$1,094 |
1.4× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,094 |
$1,094 |
1.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$79 |
$79 |
2.7× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$128 |
$128 |
4.3× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$2,079 |
$2,079 |
2.3× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$533.50 |
$533.50 |
0.6× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$1,172 |
$1,172 |
0.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$2,254 |
$2,254 |
3.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$656 |
$656 |
0.9× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$972 |
$972 |
1.4× |
| Open tx distal fibular fracture lat malleolus (27792) |
$20,000 |
$20,000 |
2.7× |
| Open tx distal phalangeal fracture each (26765) |
$971.44 |
$971.44 |
0.3× |
| Open tx metacarpal fracture single ea bone (26615) |
$1,117.32 |
$1,117.32 |
0.3× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$83.38 |
$83.38 |
0.4× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$89.90 |
$89.90 |
0.4× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$71.04 |
$71.04 |
0.3× |
| Perq dev breast 1st us imag (19285) |
$1,225 |
$1,225 |
1.7× |
| Perq device breast 1st imag (19281) |
$890 |
$890 |
0.5× |
| Perq drainage pleura insert cath w/imaging (32557) |
$1,197.50 |
$1,197.50 |
0.7× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$231 |
$231 |
0.9× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$1,662 |
$1,662 |
0.8× |
| Proctosigmoidoscopy dx (45300) |
$620.50 |
$620.50 |
0.7× |
| Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) Age Under 21 (45303) |
$397 |
$397 |
0.3× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$1,146 |
$1,146 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$165 |
$165 |
0.4× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$201 |
$201 |
0.5× |
| Puncture aspiration of cyst of breast (19000) |
$257 |
$257 |
0.4× |
| Pvb thoracic single injection site w/img gid (64461) |
$425 |
$425 |
0.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,600 |
$3,600 |
1.8× |
Release of tendon connecting biceps muscle and shoulder using an endoscope (29828)
likely a partial charge — not the full procedure |
$2,213 |
$2,213 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$38.50 |
$38.50 |
0.6× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$57.98 |
$57.98 |
1.0× |
| Removal of anal fissure (46200) |
$693 |
$693 |
0.2× |
Removal of appendix using an endoscope (44970)
likely a partial charge — not the full procedure |
$644.32 |
$644.32 |
0.1× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$585 |
$585 |
0.5× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$78 |
$78 |
0.6× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$103.88 |
$103.88 |
0.2× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$1,065.86 |
$1,065.86 |
0.9× |
| Removal of intact breast implant Age Under 21 (19328) |
$599.22 |
$599.22 |
0.1× |
| Removal of iud (58301) |
$167 |
$167 |
0.5× |
| Removal of nail bed (11750) |
$307.50 |
$307.50 |
0.7× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$92.92 |
$92.92 |
0.5× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,211.50 |
$2,211.50 |
0.7× |
| Removal tunneled cv cath (36590) |
$478 |
$478 |
0.3× |
| Remove foreign body from eye (65210) |
$113.97 |
$113.97 |
0.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$597.50 |
$597.50 |
1.4× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$852.50 |
$852.50 |
2.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$680 |
$680 |
1.6× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$456.95 |
$456.95 |
0.6× |
| Repair finger tendon (26418) |
$634.02 |
$634.02 |
0.4× |
| Repair initial femoral hernia, any age; reducible Age Under 21 (49550) |
$619.06 |
$619.06 |
0.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$629.87 |
$629.87 |
0.2× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$413.50 |
$413.50 |
1.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$565.50 |
$565.50 |
1.4× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$556 |
$556 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$781 |
$781 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$286.02 |
$286.02 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$310.88 |
$310.88 |
0.7× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$361 |
$361 |
0.9× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$448.50 |
$448.50 |
1.1× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$271.67 |
$271.67 |
0.7× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$350.72 |
$350.72 |
0.2× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$591 |
$591 |
1.4× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$70.88 |
$70.88 |
0.1× |
Revision of reconstructed breast (19380)
likely a partial charge — not the full procedure |
$871.63 |
$871.63 |
0.1× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$236 |
$236 |
1.7× |
| Rmvl of access device (36589) |
$696.50 |
$696.50 |
1.1× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge — not the full procedure |
$604.44 |
$604.44 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$361.64 |
$361.64 |
0.1× |
| Rpr Ingun Hernia Sliding Any Age (49525) |
$614.48 |
$614.48 |
0.2× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$677.71 |
$677.71 |
0.2× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$102.43 |
$102.43 |
0.2× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$138.76 |
$138.76 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$116.29 |
$116.29 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$180.85 |
$180.85 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$109.78 |
$109.78 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$152.64 |
$152.64 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$138.47 |
$138.47 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$145.84 |
$145.84 |
0.4× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$146.97 |
$146.97 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$157.67 |
$157.67 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$152.02 |
$152.02 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$165.34 |
$165.34 |
0.8× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$262.54 |
$262.54 |
0.2× |
Simple complete removal of breast|BILATERAL PROCEDURE (19303)
likely a partial charge — not the full procedure |
$1,023.04 |
$1,023.04 |
0.2× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$248.50 |
$248.50 |
1.2× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$243.50 |
$243.50 |
1.2× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$257.50 |
$257.50 |
1.3× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$276 |
$276 |
1.3× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$182.50 |
$182.50 |
0.9× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$437 |
$437 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$327.50 |
$327.50 |
1.6× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$225 |
$225 |
1.1× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$430.50 |
$430.50 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$423 |
$423 |
1.0× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$770.37 |
$770.37 |
0.4× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$282.22 |
$282.22 |
0.1× |
| Strapping ankle (29540) |
$76.50 |
$76.50 |
0.5× |
| Strapping elbow or wrist (29260) |
$84 |
$84 |
1.4× |
| Strapping hand/finger (29280) |
$84 |
$84 |
1.4× |
| Strapping of knee (29530) |
$84 |
$84 |
0.6× |
| Strapping of shoulder (29240) |
$84 |
$84 |
0.6× |
| Strapping unna boot (29580) |
$155 |
$155 |
0.9× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$233.16 |
$233.16 |
0.3× |
| Tangential biopsy skin single lesion (11102) |
$102.46 |
$102.46 |
0.2× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$1,038.50 |
$1,038.50 |
1.4× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$2,107 |
$2,107 |
3.3× |
Total knee arthroplasty (27447)
likely a partial charge — not the full procedure |
$3,072 |
$3,072 |
0.2× |
| Transfusion, blood or blood components (36430) |
$851 |
$851 |
1.9× |
| Treat lower leg fracture (27825) |
$1,276 |
$1,276 |
0.8× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$589 |
$589 |
2.3× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
$610 |
$610 |
2.4× |
| Trimming of nondystrophic nails, any number (11719) |
$33.53 |
$33.53 |
0.6× |
| Tx superficial wound dehiscence simple closure (12020) |
$365.28 |
$365.28 |
0.5× |
| Unlisted procedure, dentoalveolar structures (41899) |
$33,600 |
$33,600 |
138.9× |
| Vascular surgery procedure (37799) |
$519.60 |
$519.60 |
0.8× |
| Vasectomy (55250) |
$7,000 |
$7,000 |
3.3× |
| Venipuncture (36415) |
$81,833.36 |
$81,833.36 |
8761.6× |
| Version cephalic external (59412) |
$4,555 |
$4,555 |
1.4× |