| Abd paracentesis w/imaging (49083) |
— |
$386 |
— |
| Anoscopy diagnostic (46600) |
— |
$1,368 |
— |
| Anoscopy remove for body (46608) |
— |
$1,959 |
— |
| Apheresis therapeutic rbc (36512) |
— |
$851 |
— |
| Appl finger splint static (29130) |
— |
$226 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$224 |
— |
| Apply long arm splint (29105) |
— |
$226 |
— |
| Apply Lower Leg Splint (29515) |
— |
$226 |
— |
| Apply short arm splint static (29125) |
— |
$226 |
— |
| Arterial puncture (36600) |
— |
$105 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$1,524 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$1,050 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$542 |
— |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
— |
$7,560 |
— |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Other Surgical… (29875) |
— |
$298 |
— |
| Aspiration of bladder by needle (51100) |
— |
$427 |
— |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
— |
$315 |
— |
| Biopsy muscle deep (20205) |
— |
$3,000 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$2,138 |
— |
| Biopsy Muscle Superficial (20200) |
— |
$3,000 |
— |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Other Surgical Services (49180) |
— |
$2,138 |
— |
| Bladder irrigation (51700) |
— |
$427 |
— |
| Blood transfusion service (36430) |
— |
$520 |
— |
| Bone Biopsy Deep (20225) |
— |
$2,569 |
— |
| Bone Biopsy Superficial (20220) |
— |
$2,138 |
— |
| Bone Marrow Biopsy (38221) |
— |
$2,569 |
— |
| Bx/Exc Lymph Node Open Deep Axillary Node (38525) |
— |
$3,000 |
— |
| Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) Other Surgical… (28270) |
— |
$7,875 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$315 |
— |
| Chest tube placement (32551) |
— |
$1,177 |
— |
| Closed treatment of dislocated jaw joint (21480) |
— |
$243 |
— |
| Closed treatment of knee dislocation; without anesthesia (27550) |
— |
$368 |
— |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
— |
$351 |
— |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
— |
$522 |
— |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
— |
$859 |
— |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
— |
$368 |
— |
| Closed tx femoral fracture prox head w/manj (27268) |
— |
$3,150 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$489 |
— |
| Clsd tx clavicular fracture w/manipulation (23505) |
— |
$2,100 |
— |
| Clsd tx nsl fx mnpj wo stblj (21315) |
— |
$2,625 |
— |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
— |
$243 |
— |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
— |
$243 |
— |
| Core needle bx lung/mediastinum perq w/img (32408) |
— |
$2,569 |
— |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
— |
$998 |
— |
| CT Biopsy Lymph Node (38505) |
— |
$2,138 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$243 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$485.66 |
— |
| Cystourethroscopy W Cath (52005) |
— |
$1,404 |
— |
| Debridement nails 1-5 (11720) |
— |
$630 |
— |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
— |
$683 |
— |
| Declot vascular device (36593) |
— |
$492 |
— |
| Delivery of placenta (59414) |
— |
$2,100 |
— |
| Diagnostic bone marrow aspirations (38220) |
— |
$656 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$840 |
— |
| Drain blood under nail (11740) |
— |
$210 |
— |
| Draw blood off venous device (36591) |
— |
$453 |
— |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
— |
$232 |
— |
| Ed proc remve fb nasal- hospital (30300) |
— |
$307 |
— |
| Ed prof insert non tunnel cv cath >5 (36556) |
— |
$2,541 |
— |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
— |
$628.50 |
— |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
— |
$630 |
— |
| Ed prof interphalangeal dislocation- hospital (26770) |
— |
$525 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$2,100 |
— |
| Ercp diagnostic (43260) |
— |
$58 |
— |
| Excision pilonidal cyst/sinus extensive (11771) |
— |
$3,612 |
— |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
— |
$2,138 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$995 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$3,500 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$363 |
— |
| Gastric lavage (43753) |
— |
$423.50 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$9,702 |
— |
| Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) Other Surgical Services (27125) |
— |
$4,180 |
— |
| Hysteroscopy,W/Endo Bx (58558) |
— |
$3,891 |
— |
| I&d abscess peritonsillar (42700) |
— |
$725 |
— |
| I&d bartholins gland abscess (56420) |
— |
$324 |
— |
| I&d perianal abscess superficial (46050) |
— |
$2,989 |
— |
| I&d perirectal abscess (46040) |
— |
$2,100 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$420 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$2,100 |
— |
| Incise external hemorrhoid (46083) |
— |
$1,500 |
— |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
— |
$2,625 |
— |
| Incision & Drainage Abscess Simple/Single (10060) |
— |
$556 |
— |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
— |
$704 |
— |
| Incision of windpipe (31603) |
— |
$1,613 |
— |
| Inject Nerv Blck,Othr Periph Nerv (64450) |
— |
$542 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$1,525 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$542 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$542 |
— |
| Injection for identification of sentinel node (38792) |
— |
$158 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$4,725 |
— |
| Ins new/rplcmt prm pacemakr w/trans eltrd atrial (33206) |
— |
$749 |
— |
| Insert gastrostomy tube percutaneous (49440) |
— |
$2,000.50 |
— |
| Insert non-tunnel cv cath < 5 y/o (36555) |
— |
$2,363 |
— |
| Insert Testicular Prosthesis (54660) |
— |
$9,625 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$158 |
— |
| Insert,Temp Indwelling Blad Cath,Simple (51702) |
— |
$173 |
— |
| Insertion picc w/rs&i 5 yr/> (36573) |
— |
$2,541 |
— |
| Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) |
— |
$11,000 |
— |
| Insj intraperitoneal catheter w/img guid (49418) |
— |
$10,763.20 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$1,044.50 |
— |
| Insj tunneled ctr vad w/subq port age 5 yr/> (36561) |
— |
$4,147 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$22,220 |
— |
| Intubation endotracheal (31500) |
— |
$522.50 |
— |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Other Surgical Services (63655) |
— |
$20,450 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
— |
$86,940 |
— |
| Laryngoscopy indirect diagnostic (31505) |
— |
$170 |
— |
| Layr Clos Wnd Rest Body <2.5 Cm (12041) |
— |
$409 |
— |
| Lumbar puncture (62270) |
— |
$789 |
— |
| Nasotracheal suctioning (31720) |
— |
$519 |
— |
| Needle Biopsy Liver (47000) |
— |
$3,000 |
— |
| Nicu/Picu Insert Picc W/O Imag<5yrs (36568) |
— |
$2,365 |
— |
| Njx cholangio prq w/img gid rs&i new access (47532) |
— |
$4,843 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$4,411 |
— |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement Other Surgical… (27236) |
— |
$5,109 |
— |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal Other Surgical… (28306) |
— |
$6,300 |
— |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each… (28308) |
— |
$1,386 |
— |
| Perc rf ablate renal tumor (50592) |
— |
$7,528 |
— |
| Percutaneous cholecystostomy (47490) |
— |
$971 |
— |
| Pericardiocentesis w/img guidance when performed (33016) |
— |
$1,176 |
— |
| Perq device breast 1st imag (19281) |
— |
$483 |
— |
| Picu Picc Line Insertion W/O Imag =/> 5 Yrs (36569) |
— |
$945 |
— |
| Place duod/jej tube perc (49441) |
— |
$2,426 |
— |
| Placement Needle Intraosseous Infusion (36680) |
— |
$320 |
— |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Other Surgical… (44300) |
— |
$850 |
— |
| Plmt nephrostomy cath prq new access rs&i (50432) |
— |
$2,302 |
— |
| PR Arthroscopy Shoulder Surgical With Rotator Cuff Repair|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29827) |
— |
$9,317 |
— |
| Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184) |
— |
$15,417 |
— |
| Prq impltj nstim electrode array epidural (63650) |
— |
$6,277 |
— |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
— |
$4,843 |
— |
| Prq transluminal mechanical thrombectomy vein (37187) |
— |
$7,717 |
— |
| Puncture Aspiration (10160) |
— |
$735 |
— |
| Removal foreign body from external auditory canal; with general anesthesia Other Surgical Services (69205) |
— |
$2,100 |
— |
| Removal Impacted Cerumen Instrumentation Unilat (69210) |
— |
$142 |
— |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
— |
$203 |
— |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
— |
$203 |
— |
| Removal of nail bed (11750) |
— |
$600 |
— |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
— |
$3,087 |
— |
| Removal tunneled cv cath (36590) |
— |
$982 |
— |
| Remove foreign body from eye (65210) |
— |
$420 |
— |
| Remove pharynx foreign body (42809) |
— |
$327 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$173 |
— |
| Remv/Revisn Full Arm/Leg Cast (29705) |
— |
$224 |
— |
| Renal biopsy percutaneous (50200) |
— |
$2,569 |
— |
| Repair achilles tendon (27650) |
— |
$1,244 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$804 |
— |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
— |
$940 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$940 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$940 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$940 |
— |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
— |
$439 |
— |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
— |
$493 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$940 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$668 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$485 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$603 |
— |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
— |
$513 |
— |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
— |
$593 |
— |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
— |
$773 |
— |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
— |
$578 |
— |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
— |
$940 |
— |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
— |
$940 |
— |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
— |
$773 |
— |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
— |
$1,613 |
— |
| Repair of vertical lip wound extending to half of lip (40652) |
— |
$1,614 |
— |
| Repair tongue lacer,post 1/3 (41251) |
— |
$725 |
— |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
— |
$940 |
— |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
— |
$940 |
— |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
— |
$877 |
— |
| Replace duod/jej tube perc (49451) |
— |
$1,224 |
— |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
— |
$1,224 |
— |
| Replace tunneled cv cath (36582) |
— |
$4,317 |
— |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
— |
$4,725 |
— |
| Resuperf Wnd Face 5.1-7.5 Cm (12014) |
— |
$525 |
— |
| Resuperf Wnd Face 7.6-12.5 Cm (12015) |
— |
$577.50 |
— |
| Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via… (63664) |
— |
$11,361 |
— |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
— |
$6,277 |
— |
| Revj/rmvl impl spi npg/rcvr dtch connj eltrd ra (63688) |
— |
$3,087 |
— |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
— |
$203 |
— |
| Rmvl of access device (36589) |
— |
$1,351 |
— |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
— |
$1,709 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$2,541 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$799 |
— |
| Rpr lip full thkns >one-half vert height/comple (40654) |
— |
$3,150 |
— |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
— |
$4,317 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$525 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$458.50 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$525 |
— |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
— |
$392 |
— |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
— |
$483 |
— |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
— |
$525 |
— |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
— |
$525 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$392 |
— |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
— |
$392 |
— |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
— |
$392 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$392 |
— |
| Strapping elbow or wrist (29260) |
— |
$224 |
— |
| Strapping of ankle (29540) |
— |
$224 |
— |
| Strapping of chest (29200) |
— |
$226 |
— |
| Strapping of knee (29530) |
— |
$224 |
— |
| Strapping of shoulder (29240) |
— |
$224 |
— |
| Strapping of toes (29550) |
— |
$226 |
— |
| Strapping unna boot (29580) |
— |
$224 |
— |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
— |
$6,615 |
— |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
— |
$428 |
— |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
— |
$1,050 |
— |
| Therapeutic apheresis plasma (36514) |
— |
$2,389 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$3.37 |
— |
| Thoracentesis Needle/Cath Pleura W/O Imaging (32554) |
— |
$1,177 |
— |
| Tracheostomy emerg cricothyroid (31605) |
— |
$1,613 |
— |
| Tracheostomy, Planned (31600) |
— |
$735 |
— |
| Tracheotomy tube change (31502) |
— |
$299 |
— |
| Treat toe dislocation (28630) |
— |
$351 |
— |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
— |
$352 |
— |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
— |
$499 |
— |
| Trurl dstrj prst8 tiss rf wv (53854) |
— |
$2,125 |
— |
| Tx superficial wound dehiscence simple closure (12020) |
— |
$525 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$630 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$158 |
— |
| Vaginal delivery only (59409) |
— |
$2,100 |
— |
| Venipuncture (36415) |
— |
$158 |
— |
| Wedge excision skin nail fold (11765) |
— |
$189 |
— |
| Windowing of cast (29730) |
— |
$61 |
— |