| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
— |
$16,288.69 |
— |
| Amputation Finger/Thumb (26951) |
— |
$16,288.69 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$16,288.69 |
— |
| Amputation Toe Metatarsophalangeal Joint (28820) |
— |
$16,288.69 |
— |
| Ankle arthroscopy (29899) |
— |
$16,288.69 |
— |
| Ankle arthroscopy/surgery (29892) |
— |
$16,288.69 |
— |
| Ankle arthroscopy/surgery (29894) |
— |
$16,288.69 |
— |
| Ankle Scope,Excis Osteochon Defct (29891) |
— |
$16,288.69 |
— |
| Ankle scope,part synovectomy (29895) |
— |
$16,288.69 |
— |
| Anterior Tibial Tubercleplasty (27418) |
— |
$16,288.69 |
— |
| Application cast elbow finger short arm (29075) |
— |
$352.76 |
— |
| Application Cast Finger (29086) |
— |
$190.59 |
— |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
— |
$357.73 |
— |
| Application cast shoulder hand long arm (29065) |
— |
$368.08 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$135.72 |
— |
| Application finger splint static (29130) |
— |
$120.66 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$257.94 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$244.67 |
— |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
— |
$16,288.69 |
— |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
— |
$16,288.69 |
— |
| Application of long leg cast (29345) |
— |
$437.82 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$210.40 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$181.44 |
— |
| Application short leg splint calf foot (29515) |
— |
$251.11 |
— |
| Apply short leg cast (29405) |
— |
$450.70 |
— |
| Apply short leg cast (29425) |
— |
$450.70 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$8,376.12 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$463.56 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$16,288.69 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$8,376.12 |
— |
| Arthrodesis ankle open (27870) |
— |
$16,288.69 |
— |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
— |
$16,288.69 |
— |
| Arthrodesis great toe interphalangeal joint (28755) |
— |
$16,288.69 |
— |
| Arthrodesis Pantalar (28705) |
— |
$16,288.69 |
— |
| Arthrodesis sacroiliac joint percutaneous (27279) |
— |
$16,288.69 |
— |
| Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554) |
— |
$16,288.69 |
— |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
— |
$16,288.69 |
— |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
— |
$16,288.69 |
— |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
— |
$16,288.69 |
— |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) (25810) |
— |
$16,288.69 |
— |
| Arthrodesis; subtalar (28725) |
— |
$16,288.69 |
— |
| Arthroplasty ankle revision total ankle (27703) |
— |
$16,288.69 |
— |
| Arthroplasty Ankle W/Implant (27702) |
— |
$16,288.69 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$16,288.69 |
— |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
— |
$16,288.69 |
— |
| Arthroplasty knee fc/tp (27442) |
— |
$16,288.69 |
— |
| Arthroplasty radial head w/implant (24366) |
— |
$16,288.69 |
— |
| Arthroplasty, patella; with prosthesis (27438) |
— |
$16,288.69 |
— |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
— |
$16,288.69 |
— |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
— |
$16,288.69 |
— |
| Arthroscopy ankle; ext debridem (29898) |
— |
$16,288.69 |
— |
| Arthroscopy Hip Surgical W/Synovectomy (29863) |
— |
$16,288.69 |
— |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
— |
$16,288.69 |
— |
| Arthroscopy of joint (29999) |
— |
$16,288.69 |
— |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
— |
$16,288.69 |
— |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
— |
$16,288.69 |
— |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914) |
— |
$16,288.69 |
— |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
— |
$10,672.10 |
— |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
— |
$16,288.69 |
— |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
— |
$16,288.69 |
— |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
— |
$16,288.69 |
— |
| Arthroscopy, Knee, Surgical; Meniscal Transplantation (Includes Arthrotomy For Meniscal Insertion), Medial Or Lateral (29868) |
— |
$16,288.69 |
— |
| Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) |
— |
$16,288.69 |
— |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
— |
$16,288.69 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$16,288.69 |
— |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
— |
$16,288.69 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$16,288.69 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$16,288.69 |
— |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
— |
$16,288.69 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$16,288.69 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$16,288.69 |
— |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
— |
$16,288.69 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$16,288.69 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
— |
$16,288.69 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$16,288.69 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$16,288.69 |
— |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
— |
$16,288.69 |
— |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
— |
$16,288.69 |
— |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
— |
$16,288.69 |
— |
| Arthrs hip debridement/shaving articular crtlg (29862) |
— |
$16,288.69 |
— |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
— |
$16,288.69 |
— |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
— |
$16,288.69 |
— |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
— |
$16,288.69 |
— |
| Autochondrocyte implant knee (27412) |
— |
$16,288.69 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$8,269.90 |
— |
| Biopsy Bone Open Deep (20245) |
— |
$16,288.69 |
— |
| Blood patch (62273) |
— |
$16,288.69 |
— |
| Bone graft, any donor area; major or large (20902) |
— |
$16,288.69 |
— |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
— |
$16,288.69 |
— |
| Bone Marrow Harvest Autolog (38232) |
— |
$16,288.69 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$16,288.69 |
— |
| Capsular Contracture Release (23020) |
— |
$16,288.69 |
— |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
— |
$16,288.69 |
— |
| Capsulorrhaphy anterior w/labral repair (23455) |
— |
$16,288.69 |
— |
| Capsulorrhaphy Anterior With Bone Block (23460) |
— |
$16,288.69 |
— |
| Capsulotomy; interphalangeal joint, each joint (28272) |
— |
$16,288.69 |
— |
| Carpectomy All Bones Proximal Row (25215) |
— |
$16,288.69 |
— |
| Cartilage graft; costochondral (20910) |
— |
$16,288.69 |
— |
| Cerv artific diskectomy (22856) |
— |
$16,288.69 |
— |
| Chest tube placement (32551) |
— |
$16,288.69 |
— |
| Claviculectomy; partial (23120) |
— |
$16,288.69 |
— |
| Closed Rx Trimalleolar Fx (27816) |
— |
$16,288.69 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$611.66 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$837 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$16,288.69 |
— |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
— |
$16,288.69 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$16,288.69 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$8,324.62 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$360.55 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$611.66 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$16,288.69 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$360.55 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$360.55 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$16,288.69 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$360.55 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$8,376.12 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$16,288.69 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$16,288.69 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$16,288.69 |
— |
| Complex Drainage, Wound (10180) |
— |
$16,288.69 |
— |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
— |
$16,288.69 |
— |
| Coracoacromial ligament release, with or without acromioplasty (23415) |
— |
$16,288.69 |
— |
| Correction hammertoe (28285) |
— |
$16,288.69 |
— |
| Correction of bunion (28298) |
— |
$16,288.69 |
— |
| Correction of bunion (28292) |
— |
$16,288.69 |
— |
| Correction of bunion (28297) |
— |
$16,288.69 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$16,288.69 |
— |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
— |
$16,288.69 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$1,179.63 |
— |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
— |
$16,288.69 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$16,288.69 |
— |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
— |
$16,288.69 |
— |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
— |
$16,288.69 |
— |
| Dcmprn fasct leg post compartment only (27601) |
— |
$16,288.69 |
— |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
— |
$16,288.69 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$16,288.69 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$16,288.69 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$16,288.69 |
— |
| Decompression of leg (27894) |
— |
$16,288.69 |
— |
| Decompression; unspecified nerve(s) (specify) (64722) |
— |
$16,288.69 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$16,288.69 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$16,288.69 |
— |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
— |
$16,288.69 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$16,288.69 |
— |
| Drain hand tendon sheath (26020) |
— |
$16,288.69 |
— |
| Drain shoulder lesion (23030) |
— |
$16,288.69 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$16,288.69 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$463.56 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$476.44 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$257.55 |
— |
| Dry Needling 3+ Muscles (20561) |
— |
$140 |
— |
| Elbow arthroscopy/surgery (29838) |
— |
$16,288.69 |
— |
| Elbow arthroscopy/surgery (29837) |
— |
$16,288.69 |
— |
| Elbow arthroscopy/surgery (29835) |
— |
$16,288.69 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$251.11 |
— |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
— |
$16,288.69 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$16,288.69 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$16,288.69 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$16,288.69 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
— |
$16,288.69 |
— |
| Exc cyst/tumor fing phalanx w autogrft (26215) |
— |
$16,288.69 |
— |
| Exc foot/toe tum sc < 1.5 cm (28043) |
— |
$16,288.69 |
— |
| Exc forearm les sc 3 cm/> (25071) |
— |
$16,288.69 |
— |
| Exc forearm les sc < 3 cm (25075) |
— |
$16,288.69 |
— |
| Exc hand les sc < 1.5 cm (26115) |
— |
$16,288.69 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$16,288.69 |
— |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
— |
$16,288.69 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
— |
$16,288.69 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$16,288.69 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$16,288.69 |
— |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
— |
$16,288.69 |
— |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
— |
$16,288.69 |
— |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
— |
$16,288.69 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$16,288.69 |
— |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
— |
$16,288.69 |
— |
| Excise cutaneous neurofibroma (64788) |
— |
$16,288.69 |
— |
| Excise tendon forearm/wrist (25109) |
— |
$16,288.69 |
— |
| Excision Distal Ulna Partial/Complete (25240) |
— |
$16,288.69 |
— |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
— |
$16,288.69 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$16,288.69 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$16,288.69 |
— |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
— |
$16,288.69 |
— |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
— |
$16,288.69 |
— |
| Excision of tendon, finger, flexor or extensor, each tendon (26180) |
— |
$16,288.69 |
— |
| Excision olecranon bursa (24105) |
— |
$16,288.69 |
— |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
— |
$16,288.69 |
— |
| Excision Prepatellar Bursa (27340) |
— |
$16,288.69 |
— |
| Excision Synovial Cyst Popliteal Space (27345) |
— |
$16,288.69 |
— |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
— |
$16,288.69 |
— |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
— |
$16,288.69 |
— |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
— |
$16,288.69 |
— |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
— |
$16,288.69 |
— |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
— |
$16,288.69 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$16,288.69 |
— |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
— |
$16,288.69 |
— |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
— |
$16,288.69 |
— |
| Explor ankle jt+tenosynovectomy (27626) |
— |
$16,288.69 |
— |
| Exploration Of Foot Joint (28020) |
— |
$16,288.69 |
— |
| Exploration of knee joint (27310) |
— |
$16,288.69 |
— |
| Explore/treat ankle joint (27620) |
— |
$16,288.69 |
— |
| Explore/treat ankle joint (27610) |
— |
$16,288.69 |
— |
| Explore/treat elbow joint (24101) |
— |
$16,288.69 |
— |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
— |
$16,288.69 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$16,288.69 |
— |
| Fixation of knee joint (27570) |
— |
$16,288.69 |
— |
| Fixation of shoulder (23700) |
— |
$16,288.69 |
— |
| Fuse hand bones with graft (25825) |
— |
$16,288.69 |
— |
| Fusion Finger Joint (26860) |
— |
$16,288.69 |
— |
| Fusion of finger tendons (26474) |
— |
$16,288.69 |
— |
| Fusion of foot bones (28715) |
— |
$16,288.69 |
— |
| Fusion of foot bones (28730) |
— |
$16,288.69 |
— |
| Fusion of foot bones (28740) |
— |
$16,288.69 |
— |
| Fusion of hand bones (25820) |
— |
$16,288.69 |
— |
| Fusion of knuckle (26850) |
— |
$16,288.69 |
— |
| Fusion of knuckle with graft (26852) |
— |
$16,288.69 |
— |
| Gastrocnemius Recession (27687) |
— |
$16,288.69 |
— |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
— |
$16,288.69 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$16,288.69 |
— |
| Hand tendon reconstruction (26502) |
— |
$16,288.69 |
— |
| Hip arthro acetabuloplasty (29915) |
— |
$16,288.69 |
— |
| Hip arthro w/fb removal (29861) |
— |
$16,288.69 |
— |
| Hip arthro w/labral repair (29916) |
— |
$16,288.69 |
— |
| I&d abscess simple (10060) |
— |
$251.11 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$16,288.69 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$16,288.69 |
— |
| Implant neuroelectrodes (63650) |
— |
$16,288.69 |
— |
| Incise finger tendon sheath (26055) |
— |
$16,288.69 |
— |
| Incise wrist/forearm tendon (25290) |
— |
$16,288.69 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$470.01 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$16,288.69 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$8,376.12 |
— |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle (27607) |
— |
$16,288.69 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$16,288.69 |
— |
| Incision of heel bone (28300) |
— |
$16,288.69 |
— |
| Incision of metatarsal (28308) |
— |
$16,288.69 |
— |
| Incision of tibia (27705) |
— |
$16,288.69 |
— |
| Incision of wrist capsule (25085) |
— |
$16,288.69 |
— |
| INCISION, FLEXOR TENDON SHEATH, WRIST (EG, FLEXOR CARPI radials (25001) |
— |
$16,288.69 |
— |
| Inj dupuytren cord w/enzyme (20527) |
— |
$463.56 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$16,288.69 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$8,376.12 |
— |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
— |
$16,288.69 |
— |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
— |
$16,288.69 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$16,288.69 |
— |
| Inject Nerv Blck,Axillary Nerv (64417) |
— |
$16,288.69 |
— |
| Inject Nerv Blck,Intercost,Multpl (64421) |
— |
$16,288.69 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$16,288.69 |
— |
| Inject Nerv Blck,Paravert Sympath (64520) |
— |
$16,288.69 |
— |
| Inject Tendon Origin/Insert (20551) |
— |
$8,376.12 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$16,288.69 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$16,288.69 |
— |
| Injection aa&/strd suprascapular nerve (64418) |
— |
$16,288.69 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$463.56 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$8,376.12 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$8,376.12 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$463.56 |
— |
| Insert and remove bone pin (20650) |
— |
$16,288.69 |
— |
| Insert Drug Implant Device (11981) |
— |
$16,288.69 |
— |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) |
— |
$16,288.69 |
— |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
— |
$16,288.69 |
— |
| Insj stablj dev w/o dcmprn lumbar single level (22869) |
— |
$16,288.69 |
— |
| Insrt/redo spine n generator (63685) |
— |
$16,288.69 |
— |
| Knee arthroscopy/surgery (29887) |
— |
$16,288.69 |
— |
| Knee arthroscopy/surgery (29883) |
— |
$16,288.69 |
— |
| Knee arthroscopy/surgery (29885) |
— |
$16,288.69 |
— |
| Knee arthroscopy/surgery (29876) |
— |
$16,288.69 |
— |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
— |
$16,288.69 |
— |
| Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) |
— |
$16,288.69 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
— |
$16,288.69 |
— |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
— |
$16,288.69 |
— |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
— |
$16,288.69 |
— |
| Late closure of wound (13160) |
— |
$16,288.69 |
— |
| Lateral retinacular release open (27425) |
— |
$16,288.69 |
— |
| Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Other Surgical… (27686) |
— |
$16,288.69 |
— |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
— |
$16,288.69 |
— |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) |
— |
$16,288.69 |
— |
| Manipulation, elbow, under anesthesia (24300) |
— |
$16,288.69 |
— |
| Muscle transfers (23397) |
— |
$16,288.69 |
— |
| Musculoskeletal surgery (20999) |
— |
$16,288.69 |
— |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
— |
$16,288.69 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$60 |
— |
| Nerve repair w/allograft (64910) |
— |
$16,288.69 |
— |
| Nerve repair; with nerve allograft, each nerve, first strand (cable) (64912) |
— |
$16,288.69 |
— |
| Neuroplasty digital 1/both same digit (64702) |
— |
$16,288.69 |
— |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve (64712) |
— |
$16,288.69 |
— |
| Neuroplasty; nerve of hand or foot (64704) |
— |
$16,288.69 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$16,288.69 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$16,288.69 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
— |
$16,288.69 |
— |
| Open Osteochondral Autograft Talus (28446) |
— |
$16,288.69 |
— |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
— |
$16,288.69 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$16,288.69 |
— |
| Open Treatment Humeral Condylar Fracture (24579) |
— |
$16,288.69 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$16,288.69 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$16,288.69 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
— |
$16,288.69 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$16,288.69 |
— |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
— |
$16,288.69 |
— |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
— |
$16,288.69 |
— |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
— |
$16,288.69 |
— |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
— |
$16,288.69 |
— |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
— |
$16,288.69 |
— |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
— |
$16,288.69 |
— |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
— |
$16,288.69 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$16,288.69 |
— |
| Open treatment talus fracture (28445) |
— |
$16,288.69 |
— |
| Open Treatment Tarsal Bone Dislocation (28555) |
— |
$16,288.69 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$16,288.69 |
— |
| Open tx carpal scaphoid navicular fracture (25628) |
— |
$16,288.69 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$16,288.69 |
— |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
— |
$16,288.69 |
— |
| Open tx fracture great toe/phalanx/phalanges (28505) |
— |
$16,288.69 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$16,288.69 |
— |
| Open tx interphalangeal joint dislocation (26785) |
— |
$16,288.69 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$16,288.69 |
— |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
— |
$16,288.69 |
— |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
— |
$16,288.69 |
— |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
— |
$16,288.69 |
— |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
— |
$16,288.69 |
— |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
— |
$16,288.69 |
— |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
— |
$16,288.69 |
— |
| Opponensplasty Tdn Tr W/Grf Ea Tdn (26492) |
— |
$16,288.69 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$16,288.69 |
— |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
— |
$16,288.69 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$16,288.69 |
— |
| Osteochondral allograft, knee, open (27415) |
— |
$16,288.69 |
— |
| Osteoplasty Femur Lengthening (27466) |
— |
$16,288.69 |
— |
| Osteoplasty humerus (24420) |
— |
$16,288.69 |
— |
| Osteoplasty, radius OR ulna; shortening (25390) |
— |
$16,288.69 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$16,288.69 |
— |
| Osteotomy Clavicle W Bone Graft (23485) |
— |
$16,288.69 |
— |
| Osteotomy Phalanx Finger Each (26567) |
— |
$16,288.69 |
— |
| Osteotomy Radius Distal Third (25350) |
— |
$16,288.69 |
— |
| Partial Excision Bone Humerus (24140) |
— |
$16,288.69 |
— |
| Partial excision bone talus/calcaneus (28120) |
— |
$16,288.69 |
— |
| Partial Excision Bone Tibia (27640) |
— |
$16,288.69 |
— |
| Partial Excision Bone Ulna (25150) |
— |
$16,288.69 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$16,288.69 |
— |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
— |
$16,288.69 |
— |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
— |
$16,288.69 |
— |
| Partial removal of scapula (23190) |
— |
$16,288.69 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$16,288.69 |
— |
| Perc sk fix metatarsal fx w manip (28476) |
— |
$16,288.69 |
— |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
— |
$16,288.69 |
— |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
— |
$16,288.69 |
— |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
— |
$16,288.69 |
— |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) |
— |
$16,288.69 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
— |
$16,288.69 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$16,288.69 |
— |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
— |
$16,288.69 |
— |
| Pin finger fracture each (26756) |
— |
$16,288.69 |
— |
| Pin hand dislocation (26676) |
— |
$16,288.69 |
— |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
— |
$16,288.69 |
— |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
— |
$16,288.69 |
— |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
— |
$16,288.69 |
— |
| Quadricepsplasty (eg, Bennett or Thompson type) (27430) |
— |
$16,288.69 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
— |
$16,288.69 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
— |
$16,288.69 |
— |
| Radial styloidectomy (25230) |
— |
$16,288.69 |
— |
| Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) .… (24149) |
— |
$16,288.69 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$16,288.69 |
— |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
— |
$16,288.69 |
— |
| Realignment extensor tendon hand each tendon (26437) |
— |
$16,288.69 |
— |
| Realignment of knee (27457) |
— |
$16,288.69 |
— |
| Reconstr disloc patella w mscl adv (27422) |
— |
$16,288.69 |
— |
| Reconstruc toe deform,soft tissue (28313) |
— |
$16,288.69 |
— |
| Reconstruct elbow joint (24361) |
— |
$16,288.69 |
— |
| Reconstruct Shoulder Joint (23470) |
— |
$16,288.69 |
— |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
— |
$16,288.69 |
— |
| Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346) |
— |
$16,288.69 |
— |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
— |
$16,288.69 |
— |
| Release i-p jt contracture (26525) |
— |
$16,288.69 |
— |
| Release palm contracture (26121) |
— |
$16,288.69 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$16,288.69 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$16,288.69 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$16,288.69 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$16,288.69 |
— |
| Removal Implant Deep (20680) |
— |
$16,288.69 |
— |
| Removal Implant From Finger/Hand (26320) |
— |
$16,288.69 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$16,288.69 |
— |
| Removal of bone lesion (23140) |
— |
$16,288.69 |
— |
| Removal of external bone stabilizing device under anesthesia (20694) |
— |
$16,288.69 |
— |
| Removal of finger lesion (26210) |
— |
$16,288.69 |
— |
| Removal of heel bone (28118) |
— |
$16,288.69 |
— |
| Removal of heel spur (28119) |
— |
$16,288.69 |
— |
| Removal of hip prosthesis (27090) |
— |
$16,288.69 |
— |
| Removal of knee cartilage (27332) |
— |
$16,288.69 |
— |
| Removal of kneecap (27350) |
— |
$16,288.69 |
— |
| Removal of nail bed (11750) |
— |
$16,288.69 |
— |
| Removal of palm tendon each (26170) |
— |
$16,288.69 |
— |
| Removal of posterior instrumentation (eg, harrington rod) (22850) |
— |
$16,288.69 |
— |
| Removal of posterior segmental instrumentation (22852) |
— |
$16,288.69 |
— |
| Removal of sesamoid bone (28315) |
— |
$16,288.69 |
— |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
— |
$16,288.69 |
— |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
— |
$16,288.69 |
— |
| Removal of wrist bone (25210) |
— |
$16,288.69 |
— |
| Remove digit nerve lesion (64776) |
— |
$16,288.69 |
— |
| Remove drug implant device (11982) |
— |
$16,288.69 |
— |
| Remove elbow lesion (24120) |
— |
$16,288.69 |
— |
| Remove femur lesion/bursa (27062) |
— |
$16,288.69 |
— |
| Remove knee cyst (27347) |
— |
$16,288.69 |
— |
| Remove skin nerve lesion (64774) |
— |
$16,288.69 |
— |
| Remove wrist tendon lesion (25111) |
— |
$16,288.69 |
— |
| Remove/graft leg bone lesion (27637) |
— |
$16,288.69 |
— |
| Repair achilles tendon (27650) |
— |
$16,288.69 |
— |
| Repair arm tendon/muscle (24341) |
— |
$16,288.69 |
— |
| Repair arm/leg nerve (64857) |
— |
$16,288.69 |
— |
| Repair collat ankle ligmnt,secondary (27698) |
— |
$16,288.69 |
— |
| Repair elbow deb/attch open (24359) |
— |
$16,288.69 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$16,288.69 |
— |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
— |
$16,288.69 |
— |
| Repair finger tendon (26432) |
— |
$16,288.69 |
— |
| Repair finger tendon (26433) |
— |
$16,288.69 |
— |
| Repair finger/hand tendon (26350) |
— |
$16,288.69 |
— |
| Repair finger/hand tendon (26370) |
— |
$16,288.69 |
— |
| Repair forearm tendon sheath (25275) |
— |
$16,288.69 |
— |
| Repair hallux rigidus (28289) |
— |
$16,288.69 |
— |
| Repair hand joint with graft (26542) |
— |
$16,288.69 |
— |
| Repair hand tendon (26410) |
— |
$16,288.69 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$386.32 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$470.01 |
— |
| Repair kneecap tendon (27380) |
— |
$16,288.69 |
— |
| Repair medial collateral ligament, elbow w/local tissue (24345) |
— |
$16,288.69 |
— |
| Repair nonunion radius/ulna w autogrft (25405) |
— |
$16,288.69 |
— |
| Repair of ankle ligament (27695) |
— |
$16,288.69 |
— |
| Repair of biceps tendon (24340) |
— |
$16,288.69 |
— |
| Repair of foot bones (28320) |
— |
$16,288.69 |
— |
| Repair Of Foot Tendon (28208) |
— |
$16,288.69 |
— |
| Repair of leg tendon each (27664) |
— |
$16,288.69 |
— |
| Repair of leg tendon each (27665) |
— |
$16,288.69 |
— |
| Repair of leg tendon each (27658) |
— |
$16,288.69 |
— |
| Repair of nail bed (11760) |
— |
$8,269.90 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
— |
$16,288.69 |
— |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
— |
$16,288.69 |
— |
| Repair of shoulder (23420) |
— |
$16,288.69 |
— |
| Repair of thigh musc (27385) |
— |
$16,288.69 |
— |
| Repair rotator cuff acute (23410) |
— |
$16,288.69 |
— |
| Repair secondary achilles tendon w/wo graft (27654) |
— |
$16,288.69 |
— |
| Repair shldr capsu,ant,coracoid xfer (23462) |
— |
$16,288.69 |
— |
| Repair wrist joints (25447) |
— |
$16,288.69 |
— |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
— |
$16,288.69 |
— |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
— |
$16,288.69 |
— |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
— |
$16,288.69 |
— |
| Repair/graft achilles tendon (27652) |
— |
$16,288.69 |
— |
| Repair/graft flex foot tendon (28202) |
— |
$16,288.69 |
— |
| Repair/graft hand tendon (26358) |
— |
$16,288.69 |
— |
| Repair/graft hand tendon (26352) |
— |
$16,288.69 |
— |
| Repair/graft wrist bone (25440) |
— |
$16,288.69 |
— |
| Repair/revise wrist joint (25320) |
— |
$16,288.69 |
— |
| Replace elbow joint (24363) |
— |
$16,288.69 |
— |
| Repr elbow lat ligmnt w/tiss (24343) |
— |
$16,288.69 |
— |
| Revis reconst shoulder joint (23473) |
— |
$16,288.69 |
— |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
— |
$16,288.69 |
— |
| Revise arm/leg nerve (64708) |
— |
$16,288.69 |
— |
| Revise finger joint (26535) |
— |
$16,288.69 |
— |
| Revise hand/finger tendon (26390) |
— |
$16,288.69 |
— |
| Revise knuckle joint (26530) |
— |
$16,288.69 |
— |
| Revise knuckle with implant (26531) |
— |
$16,288.69 |
— |
| Revise median n/carpal tunnel surg (64721) |
— |
$16,288.69 |
— |
| Revise ulnar nerve at elbow (64718) |
— |
$16,288.69 |
— |
| Revise ulnar nerve at wrist (64719) |
— |
$16,288.69 |
— |
| Revise wrist joint (25332) |
— |
$16,288.69 |
— |
| Revise/implant finger joint (26536) |
— |
$16,288.69 |
— |
| Revision of big toe (28310) |
— |
$16,288.69 |
— |
| Revision of foot (28116) |
— |
$16,288.69 |
— |
| Revision of lower leg tendon (27685) |
— |
$16,288.69 |
— |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
— |
$16,288.69 |
— |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
— |
$16,288.69 |
— |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
— |
$16,288.69 |
— |
| Revision of ulna (25360) |
— |
$16,288.69 |
— |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
— |
$16,288.69 |
— |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
— |
$16,288.69 |
— |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
— |
$16,288.69 |
— |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
— |
$16,288.69 |
— |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
— |
$16,288.69 |
— |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
— |
$16,288.69 |
— |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
— |
$16,288.69 |
— |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
— |
$16,288.69 |
— |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
— |
$16,288.69 |
— |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
— |
$16,288.69 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
— |
$16,288.69 |
— |
| Shldr arthroscop,lyse adhesns (29825) |
— |
$16,288.69 |
— |
| Shoulder arthroscopy (29805) |
— |
$10,672.10 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$270.41 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$276.85 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$251.11 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$263.97 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$16,288.69 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$257.55 |
— |
| Strapping ankle (29540) |
— |
$142.30 |
— |
| Strapping elbow/wrist (29260) |
— |
$148.91 |
— |
| Strapping hand/finger (29280) |
— |
$215.89 |
— |
| Strapping knee (29530) |
— |
$153.81 |
— |
| Strapping shoulder (29240) |
— |
$183.06 |
— |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
— |
$16,288.69 |
— |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
— |
$16,288.69 |
— |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381) |
— |
$16,288.69 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$16,288.69 |
— |
| Tenolysis ext tendon,hand/finger,ea (26445) |
— |
$16,288.69 |
— |
| Tenolysis flexor foot single tendon (28220) |
— |
$16,288.69 |
— |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
— |
$16,288.69 |
— |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
— |
$16,288.69 |
— |
| Tenotomy elbow lateral/medial debride open (24358) |
— |
$16,288.69 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$16,288.69 |
— |
| Tenotomy shoulder area single tendon (23405) |
— |
$16,288.69 |
— |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
— |
$16,288.69 |
— |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
— |
$16,288.69 |
— |
| Tibial arthroscopy/surgery (29855) |
— |
$16,288.69 |
— |
| Total hip arthroplasty (27130) |
— |
$16,288.69 |
— |
| Total knee arthroplasty (27447) |
— |
$16,288.69 |
— |
| Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690) |
— |
$16,288.69 |
— |
| Transection or avulsion of other spinal nerve, extradural (64772) |
— |
$16,288.69 |
— |
| Transfer or transplant tendon-palmar; w/o free tendon graft 26485 (26485) |
— |
$16,288.69 |
— |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
— |
$16,288.69 |
— |
| Transplant forearm tendon (25310) |
— |
$16,288.69 |
— |
| Transplant hand tendon (26480) |
— |
$16,288.69 |
— |
| Transplant/graft hand tendon (26483) |
— |
$16,288.69 |
— |
| Treat clavicle dislocation (23552) |
— |
$16,288.69 |
— |
| Treat dislocation/fracture (23670) |
— |
$16,288.69 |
— |
| Treat elbow dislocation (24615) |
— |
$16,288.69 |
— |
| Treat elbow fracture (24586) |
— |
$16,288.69 |
— |
| Treat Finger Fracture Each (26727) |
— |
$16,288.69 |
— |
| Treat fracture radius/ulna (25575) |
— |
$16,288.69 |
— |
| Treat fx distal radial (25606) |
— |
$16,288.69 |
— |
| Treat fx rad extra-articul (25607) |
— |
$16,288.69 |
— |
| Treat hand dislocation (26685) |
— |
$16,288.69 |
— |
| Treat heel fracture (28415) |
— |
$16,288.69 |
— |
| Treat humerus fracture (23630) |
— |
$16,288.69 |
— |
| Treat kneecap dislocation (27566) |
— |
$16,288.69 |
— |
| Treat lower leg fracture (27828) |
— |
$16,288.69 |
— |
| Treat Lower Leg Fracture (27827) |
— |
$16,288.69 |
— |
| Treat radius fracture (24665) |
— |
$16,288.69 |
— |
| Treat scapula fracture (23585) |
— |
$16,288.69 |
— |
| Treat thumb fracture (26650) |
— |
$16,288.69 |
— |
| Treat thumb fracture (26665) |
— |
$16,288.69 |
— |
| Treat toe fracture (28525) |
— |
$16,288.69 |
— |
| Treat ulnar fracture (24685) |
— |
$16,288.69 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$611.66 |
— |
| Treatment of ankle fracture (27822) |
— |
$16,288.69 |
— |
| Treatment of ankle fracture (27792) |
— |
$16,288.69 |
— |
| Treatment of fibula fracture (27784) |
— |
$16,288.69 |
— |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
— |
$16,288.69 |
— |
| Treatment of tibia fracture (27759) |
— |
$16,288.69 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$16,288.69 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
— |
$16,288.69 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$16,288.69 |
— |
| Unlisted procedure foot or toes (28899) |
— |
$16,288.69 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$16,288.69 |
— |
| Unlisted procedure leg/ankle (27899) |
— |
$16,288.69 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$16,288.69 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$16,288.69 |
— |
| Unlisted procedure, forearm or wrist (25999) |
— |
$16,288.69 |
— |
| Venipuncture (36415) |
— |
$15.36 |
— |
| Wrist arthroscop,excis triang cart (29846) |
— |
$16,288.69 |
— |
| Wrist arthroscop,part synovect (29844) |
— |
$16,288.69 |
— |
| Wrist arthroscopy (29840) |
— |
$16,288.69 |
— |
| Wrist arthroscopy/surgery (29847) |
— |
$16,288.69 |
— |
| Wrist arthroscopy/surgery (29845) |
— |
$16,288.69 |
— |
| Xfer single deep low leg tendon (27691) |
— |
$16,288.69 |
— |