| "Nephrology (renal transplant), RNA expression by select transcriptome sequencing, using pretransplant peripheral… (0319U) |
$2,650 |
— |
1.0× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct… (54328) |
$3,462.01 |
— |
0.9× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) |
$3,462.01 |
— |
0.9× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and… (54326) |
$3,462.01 |
— |
0.9× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$3,462.01 |
— |
0.9× |
| 1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin… (54336) |
$3,462.01 |
— |
0.9× |
| 1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and… (54332) |
$3,462.01 |
— |
0.9× |
| Abd paracentesis (49082) |
$909 |
$909 |
1.0× |
| Abd paracentesis w/imaging (49083) |
$941.10 |
$1,937 |
1.0× |
| Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) Other… (51845) |
$4,955.11 |
— |
0.9× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$10,450.57 |
— |
0.9× |
| Ablation bone tumor rf perq w/img gdn when done (20982) |
$12,915.46 |
— |
0.7× |
| Ablation therapy 1+ pulm tumors perq cryoablation (32994) |
$10,450.57 |
— |
0.9× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32998) |
$5,856.41 |
— |
0.9× |
| Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma Other Surgical Services (19105) |
$3,843.75 |
— |
0.9× |
| Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy (50593) |
$10,450.57 |
— |
0.9× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency… (30801) |
$1,486.88 |
— |
0.9× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; intramural (30802) |
$1,486.88 |
— |
0.9× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$7,170.73 |
— |
0.9× |
| Ablt trurl prst8 tis thrm us ins trurl us trnsdc (55882) |
$13,041.53 |
— |
0.9× |
| Abltj 1/+thyroid nodule 1 lobe/isthmus perq rf (60660) |
$1,626.36 |
— |
0.9× |
| Abo Gnotyp Gene Alys Next-Generation Seq Abo Gen Other Outpatient (0221U) |
$274.83 |
— |
1.0× |
| Abrasion 1 lesion (15786) |
$199.45 |
— |
1.0× |
| Acne surgery (10040) |
$199.45 |
— |
1.0× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Other Surgical Services (23130) |
$3,256.87 |
— |
1.0× |
| Adding walker to previously applied cast (29440) |
$158.39 |
— |
0.9× |
| Adenoidectomy, primary; age 12 or over Other Surgical Services (42831) |
$3,255.33 |
— |
0.9× |
| Adenoidectomy, primary; younger than age 12 Other Surgical Services (42830) |
$3,255.33 |
— |
0.9× |
| Adenoidectomy, secondary; age 12 or over Other Surgical Services (42836) |
$3,255.33 |
— |
0.9× |
| Adenoidectomy, secondary; younger than age 12 Other Surgical Services (42835) |
$3,255.33 |
— |
0.9× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$1,836.14 |
— |
0.9× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14041) |
$1,836.14 |
— |
0.9× |
| Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Other Surgical… (14021) |
$1,836.14 |
— |
0.9× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Other Surgical Services (14000) |
$1,836.14 |
— |
0.9× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm Other Surgical Services (14001) |
$1,836.14 |
— |
0.9× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,836.14 |
— |
0.9× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$1,836.14 |
— |
0.9× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$1,836.14 |
— |
0.9× |
| Adjustment or revision of external fixation system requiring anesthesia (eg, new pinºs» or wireºs» and/or new ringºs»… (20693) |
$7,170.73 |
— |
0.9× |
| Allogeneic lymphocyte infusions (38242) |
$1,645.48 |
— |
1.0× |
| Alveolectomy, including curettage of osteitis or sequestrectomy Other Surgical Services (41830) |
$3,255.33 |
— |
0.9× |
| Amniocentesis diagnostic (59000) |
$874.03 |
— |
0.9× |
| Amniocentesis therapeutic (59001) |
$305.34 |
— |
1.0× |
| Amnioinfusion (59070) |
$305.34 |
— |
1.0× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$3,256.87 |
— |
1.0× |
| Amputate metacarpal bone (26910) |
$3,256.87 |
— |
1.0× |
| Amputation of finger/thumb (26952) |
$3,256.87 |
— |
1.0× |
| Amputation of penis; partial Other Surgical Services (54120) |
$3,462.01 |
— |
0.9× |
| Amputation toe interphalangeal joint (28825) |
$3,256.87 |
— |
1.0× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$3,256.87 |
— |
1.0× |
| Amputation, arm through humerus; secondary closure or scar revision Other Surgical Services (24925) |
$3,256.87 |
— |
1.0× |
| Amputation, forearm, through radius and ulna; re-amputation Other Surgical Services (25909) |
$7,170.73 |
— |
0.9× |
| Amputation, forearm, through radius and ulna; secondary closure or scar revision Other Surgical Services (25907) |
$3,256.87 |
— |
1.0× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Other Surgical Services (27884) |
$3,256.87 |
— |
1.0× |
| Amputation, metatarsal, with toe, single Other Surgical Services (28810) |
$3,256.87 |
— |
1.0× |
| Amputation, thigh, through femur, any level; secondary closure or scar revision Other Surgical Services (27594) |
$3,256.87 |
— |
1.0× |
| Analyze infusn pump+reprogram (62368) |
$301.04 |
— |
0.9× |
| Andrology (infertility), sperm-capacitation assessment of ganglioside GM1 distribution patterns, fluorescence… (0255U) |
$31.60 |
— |
1.0× |
| Ankle disarticulation Other Surgical Services (27889) |
$7,170.73 |
— |
0.9× |
| Anoplasty, plastic operation for stricture; adult Other Surgical Services (46700) |
$2,752.76 |
— |
0.9× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Other Surgical Services (45990) |
$2,752.76 |
— |
0.9× |
| Anorectal myomectomy Other Surgical Services (45108) |
$2,752.76 |
— |
0.9× |
| Anoscopy and biopsy (46606) |
$1,183.54 |
— |
0.9× |
| Anoscopy diagnostic (46600) |
$129.39 |
$3,695 |
0.9× |
| Anoscopy remove for body (46608) |
$915.16 |
— |
0.9× |
| Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps,… (46615) |
$2,752.76 |
— |
0.9× |
| Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler,… (46614) |
$1,183.54 |
— |
0.9× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) Other Surgical Services (46604) |
$1,183.54 |
— |
0.9× |
| Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent… (46607) |
$1,183.54 |
— |
0.9× |
| Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare… (46612) |
$2,752.76 |
— |
0.9× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Other Surgical… (46610) |
$2,752.76 |
— |
0.9× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique Other Surgical Services (46611) |
$915.16 |
— |
0.9× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
$4,955.11 |
— |
0.9× |
| Anterior tibial tubercleplasty (27418) |
$7,170.73 |
— |
0.9× |
| Antibody, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease (COVID-19)), includes… (0224U) |
$51.43 |
— |
1.0× |
| APC (APC regulator of WNT signaling pathway) (eg, familial adenomatosis polyposis [FAP]) mRNA sequence analysis Other… (0157U) |
$282.88 |
— |
1.0× |
| Apheresis therapeutic rbc (36512) |
$1,645.48 |
— |
1.0× |
| Apol1 (apolipoprotein l1) (eg, chronic kidney disease), risk variants Other Outpatient (0355U) |
$137 |
— |
1.0× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$1,836.14 |
— |
2.4× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$3,674.81 |
— |
1.7× |
| Appendectomy (44950) |
$6,263.34 |
— |
0.9× |
| Appl cast plaster velpeau (29058) |
$266.58 |
— |
0.9× |
| Appl finger splint static (29130) |
$73 |
$73 |
0.5× |
| Appl mltlayr compres sys uparm lwarm hand&finger (29584) |
$158.39 |
$450 |
0.9× |
| Application Finger Splint Dynamic (29131) |
$59.62 |
$106 |
1.0× |
| Application long leg splint thigh ankle/toes (29505) |
$405 |
$140 |
2.4× |
| Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692) |
$12,915.46 |
— |
1.0× |
| Application of body cast, shoulder to hips; including 1 thigh Other Surgical Services (29044) |
$158.39 |
— |
0.9× |
| Application of body cast, shoulder to hips; including both thighs Other Surgical Services (29046) |
$266.58 |
— |
0.9× |
| Application of body cast, shoulder to hips; including head, Minerva type Other Surgical Services (29040) |
$266.58 |
— |
0.9× |
| Application of body cast, shoulder to hips; Other Surgical Services (29035) |
$266.58 |
— |
0.9× |
| Application of clubfoot cast with molding or manipulation, long or short leg Other Surgical Services (29450) |
$158.39 |
— |
0.9× |
| Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure) Other Surgical… (20660) |
$1,606.46 |
— |
1.0× |
| Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure) Other Surgical… (21100) |
$5,938.02 |
— |
1.0× |
| Application of halo type body cast (see 20661-20663 for insertion) Other Surgical Services (29000) |
$266.58 |
— |
0.9× |
| Application of halo, including removal; femoral Other Surgical Services (20663) |
$3,256.87 |
— |
1.0× |
| Application of halo, including removal; pelvic Other Surgical Services (20662) |
$1,606.46 |
— |
1.0× |
| Application of hip spica cast; 1 and one-half spica or both legs Other Surgical Services (29325) |
$266.58 |
— |
0.9× |
| Application of hip spica cast; 1 leg Other Surgical Services (29305) |
$266.58 |
— |
0.9× |
| Application of long leg brace-type cast from thigh to toe|RIGHT SIDE (29358) |
$266.58 |
— |
0.9× |
| Application of long leg cast (thigh to toes); (29345) |
$272 |
$272 |
0.9× |
| Application of multiplane (pins or wires in more than one plane), unilateral, external fixation with stereotactic… (20697) |
$1,606.46 |
— |
1.0× |
| Application of multiplane (pins or wires in more than one plane), unilateral, external fixation with stereotactic… (20696) |
$18,459.56 |
— |
0.7× |
| Application of Risser jacket, localizer, body; including head Other Surgical Services (29015) |
$266.58 |
— |
0.9× |
| Application of Risser jacket, localizer, body; only Other Surgical Services (29010) |
$266.58 |
— |
0.9× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$227.29 |
$376 |
0.8× |
| Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing,… (15017) |
$1,836.14 |
— |
0.9× |
| Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing,… (15015) |
$1,836.14 |
— |
0.9× |
| Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) |
$266.58 |
— |
0.9× |
| Application uniplane external fixation system (20690) |
$7,170.73 |
— |
0.9× |
| Application, cast; figure-of-eight Other Surgical Services (29049) |
$266.58 |
— |
0.9× |
| Application, cast; shoulder to hand (long arm) (29065) |
$335.50 |
$241 |
1.1× |
| Apply cast finger (29086) |
$158.39 |
— |
0.9× |
| Apply hand/wrist cast (29085) |
$158.39 |
— |
0.9× |
| Apply long arm splint (29105) |
$375.50 |
$151 |
2.2× |
| Apply Lower Leg Splint (29515) |
$133 |
$133 |
0.8× |
| Apply multi-layer compression lower leg (29581) |
$158.39 |
— |
0.9× |
| Apply patella tendon bearing cast (29435) |
$266.58 |
— |
0.9× |
| Apply rigid leg cast (29445) |
$266.58 |
— |
0.9× |
| Apply short arm splint static (29125) |
$260.25 |
$107 |
1.9× |
| Apply Short Leg Cast (29405) |
$335.50 |
$273 |
1.1× |
| Apply shoulder cast,spica (29055) |
$266.58 |
— |
0.9× |
| Apply splint short arm dynamic (29126) |
$129.39 |
$129 |
0.9× |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Other Surgical Services (66180) |
$5,179.21 |
— |
0.9× |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft Other Surgical Services (66179) |
$5,179.21 |
— |
0.9× |
| AR (androgen receptor), full sequence analyis, including small sequence changes in exonic and intronic regions,… (0230U) |
$301.35 |
— |
1.0× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur Other… (27742) |
$3,256.87 |
— |
1.0× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Other Surgical Services (27740) |
$3,256.87 |
— |
1.0× |
| Arrest, epiphyseal (epiphysiodesis), open; distal fibula Other Surgical Services (27732) |
$3,256.87 |
— |
1.0× |
| Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula Other Surgical Services (27734) |
$3,256.87 |
— |
1.0× |
| Arrest, epiphyseal (epiphysiodesis), open; distal tibia Other Surgical Services (27730) |
$3,256.87 |
— |
1.0× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula Other Surgical… (27479) |
$7,170.73 |
— |
0.9× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur Other Surgical Services (27475) |
$7,170.73 |
— |
0.9× |
| Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal Other Surgical Services (27477) |
$7,170.73 |
— |
0.9× |
| Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) Other Surgical Services (27485) |
$7,170.73 |
— |
0.9× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Other Surgical Services (36640) |
$3,159.40 |
— |
1.0× |
| Arterial puncture (36600) |
$129.39 |
$327 |
0.9× |
| Arteriovenous anastomosis, open; by forearm vein transposition Other Surgical Services (36820) |
$5,426.13 |
— |
0.9× |
| Arteriovenous anastomosis, open; by upper arm basilic vein transposition Other Surgical Services (36819) |
$5,426.13 |
— |
0.9× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Other Surgical Services (36818) |
$5,426.13 |
— |
0.9× |
| Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) Other Surgical Services (36821) |
$3,159.40 |
— |
1.0× |
| Arthrd ant interbody min dsc crv below c2 (22554) |
$12,915.46 |
— |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$230.66 |
$330 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$695.14 |
— |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$231.40 |
$331.50 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$296.31 |
$816 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$330 |
$330 |
1.0× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$296.31 |
— |
0.9× |
| Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of… (22551) |
$12,915.46 |
— |
1.0× |
| Arthrodesis, carpometacarpal joint, digit, other than thumb, each; Other Surgical Services (26843) |
$7,170.73 |
— |
0.9× |
| Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) Other… (26844) |
$7,170.73 |
— |
0.9× |
| Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)… (26842) |
$7,170.73 |
— |
0.9× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$18,459.56 |
— |
0.7× |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
$7,170.73 |
— |
0.9× |
| Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) Other Surgical Services (24802) |
$12,915.46 |
— |
1.0× |
| Arthrodesis, glenohumeral joint; Other Surgical Services (23800) |
$7,170.73 |
— |
0.9× |
| Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft) Other Surgical Services (23802) |
$12,915.46 |
— |
1.0× |
| Arthrodesis, great toe; interphalangeal joint Other Surgical Services (28755) |
$7,170.73 |
— |
0.9× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$7,170.73 |
— |
0.9× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) Other… (26862) |
$3,256.87 |
— |
1.0× |
| Arthrodesis, metacarpophalangeal joint, with or without internal fixation; Other Surgical Services (26850) |
$7,170.73 |
— |
0.9× |
| Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)… (26852) |
$7,170.73 |
— |
0.9× |
| Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; Other Surgical Services (28730) |
$12,915.46 |
— |
1.0× |
| Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction) Other… (28735) |
$12,915.46 |
— |
1.0× |
| Arthrodesis, midtarsal or tarsometatarsal, single joint Other Surgical Services (28740) |
$7,170.73 |
— |
0.9× |
| Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630) |
$18,459.56 |
— |
0.7× |
| Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612) |
$18,459.56 |
— |
1.0× |
| Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft… (27279) |
$18,459.56 |
— |
1.0× |
| Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft… (27278) |
$18,459.56 |
— |
1.0× |
| Arthrodesis, tibiofibular joint, proximal or distal Other Surgical Services (27871) |
$12,915.46 |
— |
1.0× |
| Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760) |
$7,170.73 |
— |
0.9× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737) |
$12,915.46 |
— |
1.0× |
| Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) Other Surgical Services (25820) |
$7,170.73 |
— |
0.9× |
| Arthrodesis, wrist; with autograft (includes obtaining graft) Other Surgical Services (25825) |
$7,170.73 |
— |
0.9× |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Other Surgical Services (25810) |
$12,915.46 |
— |
1.0× |
| Arthrodesis, wrist; with sliding graft Other Surgical Services (25805) |
$7,170.73 |
— |
0.9× |
| Arthrodesis; pantalar Other Surgical Services (28705) |
$18,459.56 |
— |
1.0× |
| Arthrodesis; subtalar (28725) |
$12,915.46 |
— |
1.0× |
| Arthrodesis; triple Other Surgical Services (28715) |
$12,915.46 |
— |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$18,459.56 |
— |
1.0× |
| Arthroplasty or replacement of the end of the forearm bone on the small finger side at the wrist level (25442) |
$18,459.56 |
— |
1.0× |
| Arthroplasty or replacement of the end of the forearm bone on the thumb side at the wrist level (25441) |
$12,915.46 |
— |
1.0× |
| Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Other Surgical… (25446) |
$18,459.56 |
— |
1.0× |
| Arthroplasty with prosthetic replacement; lunate Other Surgical Services (25444) |
$12,915.46 |
— |
1.0× |
| Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Other Surgical Services (25443) |
$7,170.73 |
— |
0.9× |
| Arthroplasty with prosthetic replacement; trapezium Other Surgical Services (25445) |
$7,170.73 |
— |
0.9× |
| Arthroplasty, ankle; Other Surgical Services (27700) |
$7,170.73 |
— |
0.9× |
| Arthroplasty, ankle; with implant (total ankle) Other Surgical Services (27702) |
$18,459.56 |
— |
0.7× |
| Arthroplasty, elbow; with distal humeral prosthetic replacement Other Surgical Services (24361) |
$18,459.56 |
— |
1.0× |
| Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow) Other Surgical… (24363) |
$18,459.56 |
— |
1.0× |
| Arthroplasty, elbow; with implant and fascia lata ligament reconstruction Other Surgical Services (24362) |
$12,915.46 |
— |
1.0× |
| Arthroplasty, elbow; with membrane (eg, fascial) Other Surgical Services (24360) |
$7,170.73 |
— |
0.9× |
| Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Other Surgical… (27443) |
$12,915.46 |
— |
1.0× |
| Arthroplasty, glenohumeral joint; hemiarthroplasty Other Surgical Services (23470) |
$12,915.46 |
— |
1.0× |
| Arthroplasty, interphalangeal joint; with prosthetic implant, each joint Other Surgical Services (26536) |
$7,170.73 |
— |
0.9× |
| Arthroplasty, knee, tibial plateau; Other Surgical Services (27440) |
$12,915.46 |
— |
1.0× |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Other Surgical Services (27441) |
$12,915.46 |
— |
1.0× |
| Arthroplasty, metacarpophalangeal joint; each joint Other Surgical Services (26530) |
$7,170.73 |
— |
0.9× |
| Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint Other Surgical Services (26531) |
$7,170.73 |
— |
0.9× |
| Arthroplasty, patella; with prosthesis Other Surgical Services (27438) |
$12,915.46 |
— |
1.0× |
| Arthroplasty, patella; without prosthesis Other Surgical Services (27437) |
$7,170.73 |
— |
0.9× |
| Arthroplasty, temporomandibular joint, with allograft Other Surgical Services (21242) |
$5,938.02 |
— |
1.0× |
| Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Other Surgical Services (21240) |
$5,938.02 |
— |
1.0× |
| Arthroplasty, temporomandibular joint, with prosthetic joint replacement Other Surgical Services (21243) |
$18,459.56 |
— |
0.7× |
| Arthroplasty, wrist, with or without interposition, with or without external or internal fixation Other Surgical… (25332) |
$3,256.87 |
— |
1.0× |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Other Surgical Services (29889) |
$12,915.46 |
— |
1.0× |
| Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892) |
$7,170.73 |
— |
0.9× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29850) |
$1,606.46 |
— |
1.0× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$1,606.46 |
— |
1.0× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) |
$12,915.46 |
— |
1.0× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when… (29855) |
$7,170.73 |
— |
0.9× |
| Arthroscopy knee osteochondral allograft (29867) |
$12,915.46 |
— |
1.0× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Other Surgical Services (29898) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Other Surgical Services (29897) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Other Surgical Services (29895) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis Other Surgical Services (29899) |
$7,170.73 |
— |
0.9× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Other… (29894) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure) Other Surgical Services (29830) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, elbow, surgical; debridement, extensive Other Surgical Services (29838) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, elbow, surgical; debridement, limited Other Surgical Services (29837) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, elbow, surgical; synovectomy, complete Other Surgical Services (29836) |
$7,170.73 |
— |
0.9× |
| Arthroscopy, elbow, surgical; synovectomy, partial Other Surgical Services (29835) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Other Surgical Services (29834) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Other Surgical Services (29860) |
$7,170.73 |
— |
0.9× |
| Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) Other Surgical Services (29915) |
$7,170.73 |
— |
0.9× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$7,170.73 |
— |
0.9× |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) Other Surgical Services (29914) |
$7,170.73 |
— |
0.9× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Other Surgical Services (29861) |
$7,170.73 |
— |
0.9× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or… (29879) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Other Surgical Services (29886) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Other Surgical… (29887) |
$7,170.73 |
— |
0.9× |
| Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal… (29885) |
$7,170.73 |
— |
0.9× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation,… (29874) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, knee, surgical; injection of biocartilage, bone aspirate, or bone substitute into chondral defect and/or… (29999) |
$240.79 |
— |
0.9× |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) |
$7,170.73 |
— |
0.9× |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
$7,170.73 |
— |
0.9× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Other Surgical… (29875) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Other Surgical… (29884) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including… (29880) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy Other Surgical Services (29900) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement Other Surgical Services (29901) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener… (29902) |
$1,606.46 |
— |
1.0× |
| Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) Other Surgical Services (29805) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Other… (29824) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, shoulder, surgical; repair of SLAP lesion Other Surgical Services (29807) |
$7,170.73 |
— |
0.9× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Other Surgical Services (29821) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, shoulder, surgical; synovectomy, partial Other Surgical Services (29820) |
$7,170.73 |
— |
0.9× |
| Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation Other Surgical… (29825) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body Other Surgical Services (29819) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, subtalar joint, surgical; with debridement Other Surgical Services (29906) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Other Surgical Services (29904) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Other Surgical Services (29907) |
$12,915.46 |
— |
1.0× |
| Arthroscopy, subtalar joint, surgical; with synovectomy Other Surgical Services (29905) |
$7,170.73 |
— |
0.9× |
| Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) Other Surgical… (29800) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) Other Surgical Services (29840) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Other… (29846) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, wrist, surgical; for infection, lavage and drainage Other Surgical Services (29843) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, wrist, surgical; internal fixation for fracture or instability Other Surgical Services (29847) |
$7,170.73 |
— |
0.9× |
| Arthroscopy, wrist, surgical; synovectomy, complete Other Surgical Services (29845) |
$3,256.87 |
— |
1.0× |
| Arthroscopy, wrist, surgical; synovectomy, partial Other Surgical Services (29844) |
$3,256.87 |
— |
1.0× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$3,256.87 |
— |
1.0× |
| Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure) Other Surgical Services (24006) |
$3,256.87 |
— |
1.0× |
| Arthrotomy with biopsy; carpometacarpal joint, each Other Surgical Services (26100) |
$3,256.87 |
— |
1.0× |
| Arthrotomy with biopsy; interphalangeal joint Other Surgical Services (28054) |
$3,256.87 |
— |
1.0× |
| Arthrotomy with biopsy; interphalangeal joint, each Other Surgical Services (26110) |
$1,606.46 |
— |
1.0× |
| Arthrotomy with biopsy; intertarsal or tarsometatarsal joint Other Surgical Services (28050) |
$3,256.87 |
— |
1.0× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each Other Surgical Services (26105) |
$3,256.87 |
— |
1.0× |
| Arthrotomy with biopsy; metatarsophalangeal joint Other Surgical Services (28052) |
$3,256.87 |
— |
1.0× |
| Arthrotomy with meniscus repair, knee Other Surgical Services (27403) |
$7,170.73 |
— |
0.9× |
| Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage Other… (23101) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body… (23044) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body… (27620) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Other Surgical Services (25107) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Other Surgical Services (24000) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body… (24101) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, elbow; with synovectomy Other Surgical Services (24102) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, elbow; with synovial biopsy only Other Surgical Services (24100) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Other Surgical Services (23040) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Other Surgical… (23107) |
$7,170.73 |
— |
0.9× |
| Arthrotomy, hip, including exploration or removal of loose or foreign body Other Surgical Services (27033) |
$7,170.73 |
— |
0.9× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies Other Surgical Services (27331) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, knee; with synovial biopsy only Other Surgical Services (27330) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Other Surgical Services (27612) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Other Surgical… (25040) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, temporomandibular joint Other Surgical Services (21010) |
$3,255.33 |
— |
0.9× |
| Arthrotomy, with biopsy; hip joint Other Surgical Services (27052) |
$1,606.46 |
— |
1.0× |
| Arthrotomy, with biopsy; sacroiliac joint Other Surgical Services (27050) |
$1,606.46 |
— |
1.0× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Other Surgical Services (27333) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral Other Surgical Services (27332) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Other Surgical Services (27626) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, with synovectomy, ankle; Other Surgical Services (27625) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Other Surgical Services (27335) |
$7,170.73 |
— |
0.9× |
| Arthrotomy, with synovectomy, knee; anterior OR posterior Other Surgical Services (27334) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, wrist joint; with biopsy Other Surgical Services (25100) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign… (25101) |
$3,256.87 |
— |
1.0× |
| Arthrotomy, wrist joint; with synovectomy Other Surgical Services (25105) |
$3,256.87 |
— |
1.0× |
| Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy Other Surgical Services (23105) |
$7,170.73 |
— |
0.9× |
| Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Other Surgical Services (23106) |
$3,256.87 |
— |
1.0× |
| Arthrp acetblr/prox fem prostc agrft/algrft (27130) |
$12,915.46 |
— |
1.0× |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
$3,256.87 |
— |
1.0× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,606.46 |
— |
1.0× |
| Arthrt kne w/expl drg/rmvl fb (27310) |
$3,256.87 |
— |
1.0× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$1,606.46 |
— |
1.0× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$3,256.87 |
— |
1.0× |
| Artificial insemination; intra-cervical Other Surgical Services (58321) |
$305.34 |
— |
1.0× |
| Artificial insemination; intra-uterine Other Surgical Services (58322) |
$201.93 |
— |
1.0× |
| Arytenoidectomy or arytenoidopexy, external approach Other Surgical Services (31400) |
$5,938.02 |
— |
1.0× |
| Aspir/inj thyroid cyst (60300) |
$706.25 |
$1,907 |
1.0× |
| Aspiration and injection for treatment of bone cyst Other Surgical Services (20615) |
$706.25 |
— |
1.0× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$296.31 |
— |
0.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$768 |
$768 |
0.4× |
| Aspiration of bladder by needle (51100) |
$461.25 |
$645 |
1.8× |
| ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia) mRNA sequence analysis (List separately in addition to… (0136U) |
$407.43 |
— |
1.0× |
| Augmentation, mandibular body or angle; prosthetic material Other Surgical Services (21125) |
$5,938.02 |
— |
1.0× |
| Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft) Other… (21127) |
$5,938.02 |
— |
1.0× |
| Autochondrocyte implant knee (27412) |
$7,170.73 |
— |
0.9× |
| Autoimmune (psoriasis), mRNA, next-generation sequencing, gene expression profiling of 50- 100 genes, skin-surface… (0258U) |
$3,675 |
— |
1.0× |
| Autoimmune diseases (eg, systemic lupus erythematosus [SLE]), analysis of 8 IgG autoantibodies and 2 cell-bound… (0312U) |
$840.65 |
— |
1.0× |
| Autoimmune diseases (systemic lupus erythematosus), analysis of 10 cytokine soluble mediator biomarkers by immunoassay,… (0446U) |
$840.65 |
— |
1.0× |
| Autoimmune diseases, analysis of 11 cytokine soluble mediator biomarkers by immunoassay, plasma, individual components… (0447U) |
$840.65 |
— |
1.0× |
| Autoinflammatory disease (VEXAS syndrome), DNA, UBA1 gene mutations, targeted variant analysis (M41T, M41V, M41L, c.… (0500U) |
$175.40 |
— |
1.0× |
| Av fistula revision (36833) |
$5,426.13 |
— |
0.9× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$350 |
$350 |
1.7× |
| Axillary lymphadenectomy; complete Other Surgical Services (38745) |
$5,856.41 |
— |
0.9× |
| Axillary lymphadenectomy; superficial Other Surgical Services (38740) |
$5,856.41 |
— |
0.9× |
| Azutoimmun IBD mRNA gen Xprsn PRFL 17 Gen Whl Bld Other Outpatient (0203U) |
$760 |
— |
1.0× |
| B-amyloid (Abeta42) and total tau (tTau), electrochemiluminescent immunoassay (ECLIA), cerebral spinal fluid, ratio… (0459U) |
$260.50 |
— |
1.0× |
| B-amyloid and phosphotau, electrochemiluminescent immunoassay, cerebral spinal fluid, ratio reported as positive or… (0445U) |
$260.50 |
— |
1.0× |
| BCAT1 or IKZF1 (eg, colorectal cancer) promoter methylation analysis Other Outpatient (0229U) |
$384 |
— |
1.0× |
| Beta amyloid, AB42/40 ratio, immunoprecipitation with quantitation by liquid chromatography with tandem mass… (0412U) |
$750 |
— |
1.0× |
| Biliary endo prq t-tube dx w/collect spec brush (47552) |
$6,263.34 |
— |
0.9× |
| Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi Other Surgical Services (47554) |
$10,450.57 |
— |
0.9× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$10,450.57 |
— |
0.9× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) |
$6,263.34 |
— |
0.9× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$3,542.40 |
— |
0.5× |
| Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance… (55706) |
$3,462.01 |
— |
0.9× |
| Biopsy bone open superficial (20240) |
$2,872.87 |
— |
0.9× |
| Biopsy cervix single/mult/excision of lesion spx (57500) |
$874.03 |
— |
0.9× |
| Biopsy external auditory canal (69105) |
$1,486.88 |
— |
0.9× |
| Biopsy external ear (69100) |
$233.10 |
— |
0.9× |
| Biopsy floor of mouth (41108) |
$1,626.36 |
— |
0.9× |
| Biopsy intranasal (30100) |
$1,486.88 |
— |
0.9× |
| Biopsy lacrimal gland (68510) |
$2,341.78 |
— |
0.9× |
| Biopsy lip (40490) |
$233.10 |
— |
0.9× |
| Biopsy muscle deep (20205) |
$2,872.87 |
— |
0.9× |
| Biopsy muscle percutaneous needle (20206) |
$1,626.36 |
— |
0.9× |
| Biopsy Muscle Superficial (20200) |
$1,626.36 |
— |
0.9× |
| Biopsy nail unit (11755) |
$706.25 |
— |
1.0× |
| Biopsy nasopharynx visible lesion simple (42804) |
$3,255.33 |
— |
0.9× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Other Surgical Services (19100) |
$1,626.36 |
— |
0.9× |
| Biopsy of cornea Other Surgical Services (65410) |
$2,341.78 |
— |
0.9× |
| Biopsy of epididymis, needle (54800) |
$1,626.36 |
— |
0.9× |
| Biopsy of extraocular muscle Other Surgical Services (67346) |
$3,785.25 |
— |
0.9× |
| Biopsy of eyelid (67810) |
$300.06 |
— |
0.9× |
| Biopsy of eyelid lining (68100) |
$2,341.78 |
— |
0.9× |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) Other Surgical Services (44100) |
$941.10 |
— |
1.0× |
| Biopsy of lacrimal sac Other Surgical Services (68525) |
$2,341.78 |
— |
0.9× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin facility (44389) |
$1,183.54 |
— |
0.9× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$827.33 |
$1,479 |
0.9× |
| Biopsy of nerve (64795) |
$1,960.15 |
— |
1.0× |
| Biopsy of ovary(s) (58900) |
$3,191.55 |
— |
0.9× |
| Biopsy of penis; (separate procedure) (54100) |
$1,626.36 |
— |
0.9× |
| Biopsy of penis; deep structures Other Surgical Services (54105) |
$2,872.87 |
— |
0.9× |
| Biopsy of salivary gland (42405) |
$1,486.88 |
— |
0.9× |
| Biopsy of salivary gland; needle (42400) |
$706.25 |
— |
1.0× |
| Biopsy of shoulder joint (23100) |
$3,256.87 |
— |
1.0× |
| Biopsy of small bowel using an endoscope inserted through surgically created opening from lower small bowel to skin… (44382) |
$941.10 |
— |
1.0× |
| Biopsy of spinal cord, percutaneous needle Other Surgical Services (62269) |
$1,626.36 |
— |
0.9× |
| Biopsy of testis, incisional (separate procedure) Other Surgical Services (54505) |
$3,462.01 |
— |
0.9× |
| Biopsy of testis, needle (separate procedure) Other Surgical Services (54500) |
$2,872.87 |
— |
0.9× |
| Biopsy of urethra (53200) |
$2,056.25 |
— |
0.9× |
| Biopsy of uterus lining (58100) |
$201.93 |
— |
1.0× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Other Surgical Services (38520) |
$3,843.75 |
— |
0.9× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$3,843.75 |
— |
0.9× |
| Biopsy oropharynx (42800) |
$1,486.88 |
— |
0.9× |
| Biopsy pleura percutaneous needle (32400) |
$1,626.36 |
— |
0.9× |
| Biopsy roof of mouth (42100) |
$1,486.88 |
— |
0.9× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$1,626.36 |
— |
0.9× |
| Biopsy soft tissue leg/ankle area deep (27614) |
$2,872.87 |
— |
0.9× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,626.36 |
— |
0.9× |
| Biopsy soft tissue neck/thorax (21550) |
$1,626.36 |
— |
0.9× |
| Biopsy soft tissue of upper arm or elbow area superficial (24065) |
$1,626.36 |
— |
0.9× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$1,626.36 |
— |
0.9× |
| Biopsy Soft Tissues (27041) |
$1,626.36 |
— |
0.9× |
| Biopsy thyroid percutaneous core needle (60100) |
$706.25 |
— |
1.0× |
| Biopsy tongue anterior two-thirds (41100) |
$511.18 |
— |
0.9× |
| Biopsy tongue,poster 1/3 (41105) |
$3,255.33 |
— |
0.9× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$3,191.55 |
— |
0.9× |
| Biopsy vaginal mucosa simple (57100) |
$874.03 |
— |
0.9× |
| Biopsy vestibule mouth (40808) |
$511.18 |
— |
0.9× |
| Biopsy Vulva/Perineum,One Lesn (56605) |
$874.03 |
— |
0.9× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Other Surgical Services (49180) |
$1,626.36 |
$4,208 |
0.9× |
| Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Other Surgical Services (20245) |
$2,872.87 |
— |
0.9× |
| Biopsy, prostate, any approach, nonimaging-guided Other Surgical Services (55705) |
$3,462.01 |
— |
0.9× |
| Biopsy, soft tissue of back or flank; deep Other Surgical Services (21925) |
$1,626.36 |
— |
0.9× |
| Biopsy, soft tissue of back or flank; superficial Other Surgical Services (21920) |
$1,626.36 |
— |
0.9× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) Other Surgical Services (25066) |
$2,872.87 |
— |
0.9× |
| Biopsy, soft tissue of shoulder area; deep Other Surgical Services (23066) |
$2,872.87 |
— |
0.9× |
| Biopsy, soft tissue of shoulder area; superficial Other Surgical Services (23065) |
$1,626.36 |
— |
0.9× |
| Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) Other Surgical Services (27324) |
$2,872.87 |
— |
0.9× |
| Biopsy, soft tissue of thigh or knee area; superficial (27323) |
$1,626.36 |
— |
0.9× |
| Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) Other Surgical Services (24066) |
$2,872.87 |
— |
0.9× |
| Biopsy, vertebral body, open; lumbar or cervical Other Surgical Services (20251) |
$7,170.73 |
— |
0.9× |
| Biopsy, vertebral body, open; thoracic Other Surgical Services (20250) |
$3,256.87 |
— |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$3,843.75 |
— |
0.9× |
| Biopsy; nasopharynx, survey for unknown primary lesion Other Surgical Services (42806) |
$3,255.33 |
— |
0.9× |
| Bladder irrigation (51700) |
$519 |
$519 |
2.0× |
| Bladder pressure measurement during filling (51726) |
$244.13 |
— |
0.9× |
| Bladder Scan (51798) |
$59.62 |
$250 |
1.0× |
| Blepharoplasty lower eyelid (15820) |
$1,836.14 |
— |
0.9× |
| Blepharoplasty, lower eyelid; with extensive herniated fat pad Other Surgical Services (15821) |
$1,836.14 |
— |
0.9× |
| Blood transfusion service (36430) |
$403.42 |
$736 |
0.9× |
| Blood/Lymph System Procedure (38999) |
$438.83 |
— |
1.0× |
| Bone Biopsy Deep (20225) |
$1,626.36 |
— |
0.9× |
| Bone Biopsy Superficial (20220) |
$1,626.36 |
— |
0.9× |
| Bone graft, any donor area; major or large Other Surgical Services (20902) |
$7,170.73 |
— |
0.9× |
| Bone Marrow Biopsy (38221) |
$1,626.36 |
— |
0.9× |
| Bone marrow harvest allogen (38230) |
$1,645.48 |
— |
1.0× |
| Bone marrow harvest transplantation autologous (38232) |
$4,702.88 |
— |
1.0× |
| Borrelia burgdorferi (Lyme disease), OspA protein evaluation, urine Other Outpatient (0316U) |
$18.66 |
— |
1.0× |
| Brain canal shunt procedure (61070) |
$695.14 |
— |
0.9× |
| BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer)… (0138U) |
$468.33 |
— |
1.0× |
| Breast augmentation with implant Other Surgical Services (19325) |
$9,605.22 |
— |
1.1× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$3,843.75 |
— |
0.9× |
| Breast reduction Other Surgical Services (19318) |
$6,546.11 |
— |
0.9× |
| Brnchsc ebus guided sampl 1/2 node station/strux (31652) |
$3,700.89 |
— |
1.0× |
| Brnchsc ebus guided sampl 3/> node station/strux (31653) |
$3,700.89 |
— |
1.0× |
| Brnchsc occlusion&insert bronch valve init lobe (31647) |
$6,948.64 |
— |
0.9× |
| Brnchsc removal bronchial valve initial (31648) |
$3,700.89 |
— |
1.0× |
Brnchsc w/placement brncl stent 1st bronchus (31636)
unusually low: confirm this is the full procedure |
$3,165 |
$3,165 |
0.4× |
| Bronch diagnostic (31622) |
$1,730.99 |
$4,673 |
0.9× |
| Bronch foreign body removal (31635) |
$1,656.74 |
$3,165 |
0.9× |
| Bronch thermoplsty 1 lobe (31660) |
$6,948.64 |
— |
0.9× |
| Bronch treat blockage (31641) |
$3,700.89 |
— |
1.0× |
| Bronchoscopy balloon occlusion (31634) |
$6,948.64 |
— |
0.9× |
| Bronchoscopy dilate/fx repr (31630) |
$3,700.89 |
— |
1.0× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$3,700.89 |
— |
1.0× |
| Bronchoscopy w/biopsy(s) (31625) |
$1,730.99 |
$4,488 |
0.9× |
| Bronchoscopy w/markers (31626) |
$6,948.64 |
— |
0.9× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,730.99 |
— |
0.9× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$389.78 |
— |
1.0× |
| Bronchoscopy w/tumor excise (31640) |
$3,700.89 |
— |
1.0× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or… (31661) |
$6,948.64 |
— |
0.9× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of catheter(s) for… (31643) |
$1,730.99 |
— |
0.9× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s)… (31631) |
$6,948.64 |
— |
0.9× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with revision of tracheal or… (31638) |
$6,948.64 |
— |
0.9× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,656.74 |
$3,165 |
0.9× |
| Bronchoscopy/lung bx each (31628) |
$3,700.89 |
$10,373 |
1.0× |
| Bx anorectal wall anal approach (45100) |
$2,210.38 |
$3,336 |
0.8× |
| Bx breast 1st lesion mr imag (19085) |
$1,626.36 |
— |
0.9× |
| Bx breast 1st lesion strtctc (19081) |
$1,626.36 |
$4,206 |
0.9× |
| Bx breast 1st lesion us imag (19083) |
$1,626.36 |
$4,206 |
0.9× |
| Bx/Exc Lymph Node Open Deep Axillary Node (38525) |
$3,843.75 |
— |
0.9× |
| Bx/Exc Lymph Node Open Int Mammary Node (38530) |
$3,843.75 |
— |
0.9× |
| CACNA1A, full gene analysis, including small sequence changes in exonic and intronic regions, deletions duplications,… (0231U) |
$846.27 |
— |
1.0× |
| Canthoplasty (67950) |
$2,341.78 |
— |
0.9× |
| Capslrhphy; metatrsphalngl joint w/wo tenrhphy or lgmnt rpr sngl joint (28899) |
$240.79 |
— |
0.9× |
| Capsular contracture release (eg, Sever type procedure) Other Surgical Services (23020) |
$3,256.87 |
— |
1.0× |
| Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint Other Surgical Services (26520) |
$3,256.87 |
— |
1.0× |
| Capsulodesis, metacarpophalangeal joint; 2 digits Other Surgical Services (26517) |
$3,256.87 |
— |
1.0× |
| Capsulodesis, metacarpophalangeal joint; 3 or 4 digits Other Surgical Services (26518) |
$7,170.73 |
— |
0.9× |
| Capsulodesis, metacarpophalangeal joint; single digit Other Surgical Services (26516) |
$3,256.87 |
— |
1.0× |
| Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes… (25320) |
$7,170.73 |
— |
0.9× |
| Capsulorrhaphy, anterior, any type; with bone block Other Surgical Services (23460) |
$7,170.73 |
— |
0.9× |
| Capsulorrhaphy, anterior, any type; with coracoid process transfer Other Surgical Services (23462) |
$7,170.73 |
— |
0.9× |
| Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation Other Surgical Services (23450) |
$7,170.73 |
— |
0.9× |
| Capsulorrhaphy, glenohumeral joint, any type multidirectional instability Other Surgical Services (23466) |
$7,170.73 |
— |
0.9× |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Other Surgical Services (23465) |
$7,170.73 |
— |
0.9× |
| Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant… (28262) |
$7,170.73 |
— |
0.9× |
| Capsulotomy, midfoot; medial release only (separate procedure) Other Surgical Services (28260) |
$3,256.87 |
— |
1.0× |
| Capsulotomy, midfoot; with tendon lengthening Other Surgical Services (28261) |
$1,606.46 |
— |
1.0× |
| Capsulotomy, midtarsal (eg, Heyman type procedure) Other Surgical Services (28264) |
$1,606.46 |
— |
1.0× |
| Capsulotomy, posterior capsular release, knee Other Surgical Services (27435) |
$3,256.87 |
— |
1.0× |
| Capsulotomy, wrist (eg, contracture) Other Surgical Services (25085) |
$3,256.87 |
— |
1.0× |
| Capsulotomy; interphalangeal joint, each joint (separate procedure) Other Surgical Services (28272) |
$1,606.46 |
— |
1.0× |
| Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) Other Surgical… (28270) |
$3,256.87 |
— |
1.0× |
| Car-t therapy autol car-t cell administration (38228) |
$332.94 |
— |
1.0× |
| Cardiac ion channelopathies, genomic sequence analysis panel including ANK2, CASQ2, CAV3, KCNE1, KCNE2, KCNH2, KCNJ2,… (0237U) |
$584.90 |
— |
1.0× |
| Cardiac surg procedure unlist (33999) |
$620.60 |
— |
0.9× |
| Cardiology (CAD), 9 genes (12 variants), targeted variant genotyping, blood, saliva, or buccal swab, algorithm reported… (0401U) |
$489.68 |
— |
1.0× |
| Cardiology (cardiovascular disease), analysis of 4 proteins (NT-proBNP, osteopontin, tissue inhibitor of… (0309U) |
$390.75 |
— |
1.0× |
| Cardiology (Coronary Artery Disease), analysis of 3 proteins with 3 clinical parameters, plasma, algorithm reported as… (0308U) |
$390.75 |
— |
1.0× |
| Cardiology, ceramides by liquid chromatography-tandem mass spectrometry, plasma, quantitative report with risk score… (0119U) |
$83.76 |
— |
1.0× |
| Cardiovascular disease , IL-16, FAS, FASLigand, HGF, CTACK, EOTAXIN, and MCP-3 by immunoassay combined with age, sex,… (0415U) |
$390.75 |
— |
1.0× |
| Cardiovascular disease, quantification of advanced serum or plasma lipoprotein profile, by nuclear magnetic resonance… (0377U) |
$47.58 |
— |
1.0× |
| Care of miscarriage (59820) |
$3,191.55 |
— |
0.9× |
| Carpectomy with capitate implant resurfacing (hemi-arthroplasty) (25999) |
$240.79 |
— |
0.9× |
| Carpectomy; all bones of proximal row Other Surgical Services (25215) |
$3,256.87 |
— |
1.0× |
| Cartilage graft; costochondral Other Surgical Services (20910) |
$614.44 |
— |
0.8× |
| Cartilage graft; nasal septum Other Surgical Services (20912) |
$3,674.81 |
— |
1.0× |
| Cast short arm (29075) |
$335.50 |
$266 |
1.1× |
| Casting/strapping procedure (29799) |
$158.39 |
— |
0.9× |
| Catheterization with bronchial brush biopsy Other Surgical Services (31717) |
$389.78 |
— |
1.0× |
| Cathj rmvl temp dev ischmc rmdlg bldr neck&prst8 (53866) |
$244.13 |
— |
0.9× |
| Cautery of cervix; electro or thermal Other Surgical Services (57510) |
$3,191.55 |
— |
0.9× |
| Cautery of cervix; laser ablation Other Surgical Services (57513) |
$3,191.55 |
— |
0.9× |
| Centralization of wrist on ulna (eg, radial club hand) Other Surgical Services (25335) |
$3,256.87 |
— |
1.0× |
| CEP72 (centrosomal protein, 72-Kda) NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) gene… (0286U) |
$134.13 |
— |
1.0× |
| Cerclage of uterine cervix, nonobstetrical Other Surgical Services (57700) |
$3,191.55 |
— |
0.9× |
| Cervical lymphadenectomy (complete) Other Surgical Services (38720) |
$6,546.11 |
— |
0.9× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$3,159.40 |
— |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$108 |
$108 |
0.4× |
| Change ext/int ureter stent (50387) |
$2,056.25 |
— |
0.9× |
| Change g-tube to g-j perc (49446) |
$1,904.16 |
— |
1.0× |
| Change of cystostomy tube; complicated (51710) |
$669.99 |
— |
0.9× |
| Change Ureter Stent, Percut (50382) |
$2,056.25 |
— |
0.9× |
| Chem peel, nonfacial dermal (15793) |
$401.04 |
— |
0.9× |
| Chemical cauterization of granulation tissue (17250) |
$199.45 |
— |
1.0× |
| Chemical exfoliation for acne (eg, acne paste, acid) Other Surgical Services (17360) |
$199.45 |
— |
1.0× |
| Chemical peel face dermal (15789) |
$614.44 |
— |
0.8× |
| Chemical peel, facial; epidermal Other Surgical Services (15788) |
$401.04 |
— |
0.9× |
| Chemical peel, nonfacial; epidermal Other Surgical Services (15792) |
$614.44 |
— |
0.8× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$695.14 |
— |
0.9× |
| Chemodenerv 1 extremity 1-4 (64642) |
$695.14 |
— |
0.9× |
| Chemodenerv eccrine glands both axillae (64650) |
$296.31 |
— |
0.9× |
| Chemodenerv saliv glands (64611) |
$296.31 |
— |
0.9× |
| Chemodenerv trunk musc 1-5 (64646) |
$695.14 |
— |
0.9× |
| Chemodenerv trunk musc 6/> (64647) |
$695.14 |
— |
0.9× |
| Chemodenervation extraocular muscle (67345) |
$300.06 |
— |
0.9× |
| Chemodenervation Internal Anal Sphincter (46505) |
$1,183.54 |
— |
0.9× |
| Chemodenervation muscle larynx unilat w/EMG (64617) |
$695.14 |
— |
0.9× |
| Chemodenervation muscle neck unilat for dystonia (64616) |
$296.31 |
— |
0.9× |
| Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Other Surgical Services (64653) |
$296.31 |
— |
0.9× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$296.31 |
— |
0.9× |
| Chest tube placement (32551) |
$971 |
$971 |
0.6× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$2,056.25 |
— |
0.9× |
| Chorionic villus sampling (59015) |
$874.03 |
— |
0.9× |
| Chromotubation of oviduct, including materials Other Surgical Services (58350) |
$4,955.11 |
— |
0.9× |
| Ciliary body destruction; cryotherapy Other Surgical Services (66720) |
$2,341.78 |
— |
0.9× |
| Ciliary body destruction; cyclodialysis Other Surgical Services (66740) |
$2,341.78 |
— |
0.9× |
| Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Other… (66711) |
$2,289.35 |
— |
0.9× |
| Ciliary body destruction; cyclophotocoagulation, transscleral Other Surgical Services (66710) |
$2,341.78 |
— |
0.9× |
| Ciliary body destruction; diathermy Other Surgical Services (66700) |
$2,289.35 |
— |
0.9× |
| Circumcision age >28 days (54161) |
$2,056.25 |
— |
0.9× |
| Circumcision neonate (54160) |
$669.99 |
— |
0.9× |
| Circumcision w/clamp/oth dev w/block (54150) |
$2,056.25 |
— |
0.9× |
| Cisternal/lateral c1-c2 puncture w/injection (61055) |
$296.31 |
— |
0.9× |
| Cisternal/lateral c1-c2 puncture w/o inj spx (61050) |
$296.31 |
— |
0.9× |
| Claviculectomy; partial Other Surgical Services (23120) |
$3,256.87 |
— |
1.0× |
| Claviculectomy; total Other Surgical Services (23125) |
$3,256.87 |
— |
1.0× |
| Close Rx Dist Fingr Fx (26750) |
$480 |
$720 |
1.9× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$458 |
$632 |
1.8× |
| Closed Adrenal Gland Biopsy (60699) |
$5,856.41 |
— |
0.9× |
| Closed rx acetabular fx (27220) |
$240.79 |
— |
0.9× |
| Closed Rx Big Toe Fx,Manip (28495) |
$240.79 |
— |
0.9× |
| Closed Rx Dist Fibula Fx (27786) |
$457.75 |
$631 |
1.8× |
| Closed Rx Femur Shaft Fx+Manip (27502) |
$600 |
$4,071 |
0.4× |
| Closed rx humer epicondylr fx,manip (24565) |
$1,606.46 |
— |
1.0× |
| Closed Rx Med Malleolus Fx (27760) |
$240.79 |
— |
0.9× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,606.46 |
— |
1.0× |
| Closed Rx Metacarpal Fx (26600) |
$455.25 |
$621 |
1.8× |
| Closed Rx Monteggia Fx/Disloc Elbow (24620) |
$1,606.46 |
— |
1.0× |
| Closed Rx Prox Humerus Fx,Manip (23605) |
$1,606.46 |
— |
1.0× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,606.46 |
— |
1.0× |
| Closed Rx Shldr Disloc,Anesthesia (23655) |
$600 |
$1,701.60 |
0.4× |
| Closed Rx Talus Fx,Manipulatn (28435) |
$600 |
$3,102 |
0.4× |
| Closed Rx Tib Plat Fx+Manip (27532) |
$3,256.87 |
— |
1.0× |
| Closed Rx Tibia Shaft Fx (27750) |
$468.50 |
$674 |
1.8× |
| Closed Rx Tibial Plateau Fx (27530) |
$240.79 |
— |
0.9× |
| Closed Rx Toe Fx (28510) |
$240.79 |
— |
0.9× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$600 |
$4,594 |
0.4× |
| Closed Rx Trimalleolar Fx (27816) |
$240.79 |
— |
0.9× |
| Closed Rx Ulna Shaft Fx (25530) |
$457.50 |
$630 |
1.8× |
| Closed Rx Ulna Styloid Fx (25650) |
$240.79 |
— |
0.9× |
| Closed Treat Vert Body Fract (22310) |
$240.79 |
— |
0.9× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$556.75 |
$1,027 |
2.2× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$240.79 |
— |
0.9× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$240.79 |
— |
0.9× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$240.79 |
— |
0.9× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$458 |
$632 |
1.8× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia… (26675) |
$1,606.46 |
— |
1.0× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$240.79 |
— |
0.9× |
| Closed treatment of dislocated jaw joint (21480) |
$455.25 |
$621 |
1.8× |
| Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) Other… (26432) |
$1,606.46 |
— |
1.0× |
| Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction… (27517) |
$1,606.46 |
— |
1.0× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$240.79 |
— |
0.9× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Other Surgical Services (27510) |
$1,606.46 |
— |
1.0× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Other Surgical Services (27230) |
$240.79 |
— |
0.9× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$240.79 |
— |
0.9× |
| Closed treatment of fracture of orbit, except blowout; with manipulation Other Surgical Services (21401) |
$1,486.88 |
— |
0.9× |
| Closed treatment of fracture of orbit, except blowout; without manipulation Other Surgical Services (21400) |
$511.18 |
— |
0.9× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$240.79 |
— |
0.9× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with… (27240) |
$600 |
$4,871 |
0.4× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation… (27238) |
$1,606.46 |
— |
1.0× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$468.52 |
$674.07 |
1.8× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$594 |
$1,176 |
2.3× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Other Surgical Services (26607) |
$3,256.87 |
— |
1.0× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$240.79 |
— |
0.9× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$458 |
$632 |
1.8× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$600 |
$4,594 |
0.4× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$1,606.46 |
— |
1.0× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$240.79 |
— |
0.9× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$240.79 |
— |
0.9× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$240.79 |
— |
0.9× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$240.79 |
— |
0.9× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$454.50 |
$618 |
1.8× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$240.79 |
— |
0.9× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$240.79 |
— |
0.9× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$600 |
$1,523 |
2.3× |
| Closed treatment of sternoclavicular dislocation; with manipulation Other Surgical Services (23525) |
$240.79 |
— |
0.9× |
| Closed treatment of sternum fracture Other Surgical Services (21820) |
$240.79 |
— |
0.9× |
| Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with… (27503) |
$1,606.46 |
— |
1.0× |
| Closed treatment of talotarsal joint dislocation; requiring anesthesia Other Surgical Services (28575) |
$3,256.87 |
— |
1.0× |
| Closed treatment of talus fracture; without manipulation (28430) |
$240.79 |
— |
0.9× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$240.79 |
— |
0.9× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$240.79 |
— |
0.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$595.25 |
$1,181 |
2.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,606.46 |
— |
1.0× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$456 |
$624 |
1.8× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$3,256.87 |
— |
1.0× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$240.79 |
— |
0.9× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,606.46 |
— |
1.0× |
| Closed tx mandibular fracture w/manipulation (21451) |
$1,486.88 |
— |
0.9× |
| Closed tx mandibular fracture w/o manipulation (21450) |
$511.18 |
— |
0.9× |
| Closed tx mandibular fx w/interdental fixation (21453) |
$5,938.02 |
— |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$455.25 |
$621 |
1.8× |
| Closed tx nose/jaw fx (21345) |
$1,486.88 |
— |
0.9× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$240.79 |
$2,250 |
0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$240.79 |
$632 |
0.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,606.46 |
— |
1.0× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$785 |
$785 |
0.5× |
| Closed tx scapular fracture w/o manipulation (23570) |
$240.79 |
— |
0.9× |
| Closed tx septal&nose fx (21337) |
$3,255.33 |
— |
0.9× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$240.79 |
— |
0.9× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$240.79 |
— |
0.9× |
| Closed tx tarsometatarsal dislocation w/anes (28605) |
$240.79 |
— |
0.9× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$240.79 |
— |
0.9× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$600 |
$4,164 |
0.4× |
| Closed tx ulnar shaft fracture w/manipulation (25535) |
$360 |
$360 |
1.4× |
| Closed tx vert fx w/manj (22315) |
$3,256.87 |
— |
1.0× |
| Clostridium difficile toxin(s) antigen detection by immunoassay technique, stool, qualitative, multiple-step method… (0107U) |
$16 |
— |
1.0× |
| Closure of abnormal drainage tract of saliva gland (42600) |
$3,255.33 |
— |
0.9× |
| Closure of cystostomy (separate procedure) Other Surgical Services (51880) |
$3,462.01 |
— |
0.9× |
| Closure of esophagostomy or fistula; cervical approach Other Surgical Services (43420) |
$3,255.33 |
— |
0.9× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$233.10 |
— |
0.9× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$511.18 |
— |
0.9× |
| Closure of lacrimal fistula (separate procedure) Other Surgical Services (68770) |
$2,341.78 |
— |
0.9× |
| Closure of rectovaginal fistula; vaginal or transanal approach Other Surgical Services (57300) |
$3,191.55 |
— |
0.9× |
| Closure of surgically created opening from stomach to skin (43870) |
$3,818.91 |
— |
0.9× |
| Closure of the lacrimal punctum; by plug, each Other Surgical Services (68761) |
$300.06 |
— |
0.9× |
| Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery Other Surgical Services (68760) |
$300.06 |
— |
0.9× |
| Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Other Surgical Services (53520) |
$5,102.84 |
— |
0.9× |
| Closure of urethrovaginal fistula; Other Surgical Services (57310) |
$7,422.76 |
— |
1.0× |
| Closure of vesicovaginal fistula; transvesical and vaginal approach Other Surgical Services (57330) |
$7,422.76 |
— |
1.0× |
| Closure of vesicovaginal fistula; vaginal approach Other Surgical Services (57320) |
$4,955.11 |
— |
0.9× |
| Closure postauricular fistula, mastoid (separate procedure) Other Surgical Services (69700) |
$1,486.88 |
— |
0.9× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$240.79 |
— |
0.9× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$600 |
$1,445.64 |
0.4× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$1,486.88 |
— |
0.9× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$3,255.33 |
— |
0.9× |
| Clsd tx pelvic ring fx (27197) |
$240.79 |
— |
0.9× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$240.79 |
— |
0.9× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,606.46 |
— |
1.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,606.46 |
— |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$600 |
$4,594 |
0.4× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$240.79 |
— |
0.9× |
| Cltx carpo/metacarpal fx dislc thumb w/manj (26645) |
$1,606.46 |
— |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$543 |
$972 |
2.1× |
| Cltx distal femoral epiphysl separation w/o manj (27516) |
$457.50 |
$630 |
1.8× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$240.79 |
— |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$431 |
$431 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$600 |
$2,204 |
0.4× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$479.91 |
$719.64 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$493 |
$772 |
1.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$240.79 |
— |
0.9× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$240.79 |
— |
0.9× |
| Cltx greater trochanteric fx w/o manj (27246) |
$240.79 |
— |
0.9× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$1,606.46 |
— |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$600 |
$2,348 |
2.3× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$240.79 |
— |
0.9× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$240.79 |
— |
0.9× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$1,606.46 |
— |
1.0× |
| Cltx intercondylar spi&/tubrst fx kne w/wo man (27538) |
$240.79 |
— |
0.9× |
| Cltx interphalangeal joint dislocation req anes (28665) |
$266.58 |
— |
0.9× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$425 |
$425 |
1.6× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,606.46 |
— |
1.0× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$581.25 |
$1,125 |
2.3× |
| Cltx metar fx w/manj (28475) |
$500.25 |
$801 |
1.9× |
| Cltx metatarsophlngl jt dislc req anes (28635) |
$495.25 |
$781 |
0.3× |
| Cltx post ankle fx (27767) |
$240.79 |
— |
0.9× |
| Cltx prox tibfib jt dislc req anes (27831) |
$3,256.87 |
— |
1.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$455.25 |
$621 |
1.8× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,606.46 |
— |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/mnpj (23665) |
$600 |
$4,801.23 |
0.4× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/mnpj (23675) |
$1,606.46 |
— |
1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$600 |
$2,089 |
0.4× |
| Cltx sprcndylr/trnscndylr fem fx w/o manj (27501) |
$240.79 |
— |
0.9× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$240.79 |
— |
0.9× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$600 |
$2,678.97 |
0.4× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,606.46 |
$4,268 |
1.0× |
| Coccygectomy, primary Other Surgical Services (27080) |
$3,256.87 |
— |
1.0× |
| Cochlear device implantation, with or without mastoidectomy Other Surgical Services (69930) |
$31,928.05 |
— |
0.9× |
| Collect blood from catheter venous nos (36592) |
$129.39 |
— |
0.9× |
| Colonoscopy dilate stricture (45386) |
$1,183.54 |
$2,370 |
0.9× |
| Colonoscopy Stoma W/Balloon Dilation (44405) |
$1,183.54 |
— |
0.9× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$1,183.54 |
— |
0.9× |
| Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including… (44408) |
$915.16 |
— |
0.9× |
| Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or… (44406) |
$1,183.54 |
— |
0.9× |
| Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle… (44407) |
$1,183.54 |
— |
0.9× |
| Colonoscopy thru stoma spx (44388) |
$915.16 |
— |
0.9× |
| Colonoscopy w/ablation (45388) |
$1,183.54 |
$2,939 |
0.9× |
| Colonoscopy w/band ligation (45398) |
$1,183.54 |
$2,939 |
0.9× |
| Colonoscopy w/decompression (45393) |
$1,183.54 |
— |
0.9× |
| Colonoscopy w/fb removal (45379) |
$1,183.54 |
$2,370 |
0.9× |
| Colonoscopy w/resection (45390) |
$2,752.76 |
— |
0.9× |
| Colonoscopy w/stent plcmt (45389) |
$5,975.31 |
— |
0.9× |
| Colonoscopy w/stent plcmt (44402) |
$5,975.31 |
— |
0.9× |
| Colonoscopy with ablation (44401) |
$1,183.54 |
— |
0.9× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical… (45384) |
$1,183.54 |
$2,939 |
0.9× |
| Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle… (45392) |
$1,183.54 |
— |
0.9× |
| Colpocentesis (separate procedure) Other Surgical Services (57020) |
$4,955.11 |
— |
0.9× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$7,422.76 |
— |
1.0× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Other Surgical Services (57200) |
$3,191.55 |
— |
0.9× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$305.34 |
— |
1.0× |
| Colposcopy cervix (57452) |
$201.93 |
— |
1.0× |
| Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Other Surgical… (57460) |
$3,191.55 |
— |
0.9× |
| Colposcopy vulva (56820) |
$201.93 |
— |
1.0× |
| Colposcopy vulva w/biopsy (56821) |
$305.34 |
— |
1.0× |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
$305.34 |
— |
1.0× |
| Colposcopy,Cervix W/Adj Vagina,W/Bx (57455) |
$305.34 |
— |
1.0× |
| Colposcopy,Entire Vagina (57420) |
$305.34 |
— |
1.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$874.03 |
— |
0.9× |
| Colpotomy; with drainage of pelvic abscess Other Surgical Services (57010) |
$3,191.55 |
— |
0.9× |
| Colpotomy; with exploration Other Surgical Services (57000) |
$3,191.55 |
— |
0.9× |
| Colsc flexible w/control bleeding any method (45382) |
$1,183.54 |
$2,370 |
0.9× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,183.54 |
$2,370 |
0.9× |
| Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Other… (57265) |
$4,955.11 |
— |
0.9× |
| Complete replacement picc rs&i (36584) |
$1,559.31 |
$4,042 |
0.9× |
| Complex cystometrogram urethral press profile (51727) |
$669.99 |
— |
0.9× |
| Complex cystometrogram voiding pressure studies (51728) |
$669.99 |
— |
0.9× |
| Complex Drainage, Wound (10180) |
$385 |
$385 |
0.1× |
| Complex uroflowmetry (51741) |
$312.58 |
— |
1.4× |
| Complx cystometro w/void press & urethral profil (51729) |
$669.99 |
— |
0.9× |
| Composite skin graft (15760) |
$1,836.14 |
— |
0.9× |
| Condylectomy, temporomandibular joint (separate procedure) Other Surgical Services (21050) |
$5,938.02 |
— |
1.0× |
| Conization of cervix (57520) |
$3,191.55 |
— |
0.9× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$3,191.55 |
— |
0.9× |
| Conjunctival flap; bridge or partial (separate procedure) Other Surgical Services (68360) |
$3,785.25 |
— |
0.9× |
| Conjunctival flap; total (such as Gunderson thin flap or purse string flap) Other Surgical Services (68362) |
$2,341.78 |
— |
0.9× |
| Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) Other… (68328) |
$2,341.78 |
— |
0.9× |
| Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement Other Surgical Services (68326) |
$3,785.25 |
— |
0.9× |
| Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) Other Surgical Services (68325) |
$3,785.25 |
— |
0.9× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Other Surgical… (68750) |
$3,785.25 |
— |
0.9× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube Other Surgical Services (68745) |
$3,785.25 |
— |
0.9× |
| Construction of artificial vagina; with graft Other Surgical Services (57292) |
$4,955.11 |
— |
0.9× |
| Construction of artificial vagina; without graft Other Surgical Services (57291) |
$4,955.11 |
— |
0.9× |
| Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; Other Surgical Services (67880) |
$2,341.78 |
— |
0.9× |
| Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate… (67882) |
$2,341.78 |
— |
0.9× |
| Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg, voice… (31611) |
$3,255.33 |
— |
0.9× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$211.49 |
— |
1.0× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$600 |
$623 |
4.3× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$348 |
$348 |
2.5× |
| Control of bleeding of large bowel using an endoscope inserted through surgically created opening from large bowel to… (44391) |
$1,183.54 |
— |
0.9× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs,… (42970) |
$233.10 |
— |
0.9× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical… (42972) |
$3,255.33 |
— |
0.9× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$3,255.33 |
— |
0.9× |
| Control Throat Bleed,Simple (42960) |
$511.18 |
— |
0.9× |
| Conv ext bil drg cath to int-ext bil drg cath (47535) |
$3,542.40 |
— |
0.9× |
| Convert nephrostomy cath to nephrourtrl cath prq (50434) |
$2,056.25 |
— |
0.9× |
| Conz of cervix w/scope leep (57461) |
$3,191.55 |
— |
0.9× |
| Copy number (eg, intellectual disability, dysmorphology), sequence analysis Other Outpatient (0156U) |
$1,740 |
— |
1.0× |
| Coracoacromial ligament release, with or without acromioplasty Other Surgical Services (23415) |
$7,170.73 |
— |
0.9× |
| Cordocentesis (intrauterine), any method Other Surgical Services (59012) |
$305.34 |
— |
1.0× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$1,626.36 |
$4,206 |
0.9× |
| Corneal relaxing incision for correction of surgically induced astigmatism Other Surgical Services (65772) |
$972.20 |
— |
0.9× |
| Corneal scraping (65430) |
$400.55 |
— |
0.9× |
| Corneal wedge resection for correction of surgically induced astigmatism Other Surgical Services (65775) |
$2,341.78 |
— |
0.9× |
| Coronoidectomy (separate procedure) Other Surgical Services (21070) |
$5,938.02 |
— |
1.0× |
| Correction claw finger, other methods Other Surgical Services (26499) |
$3,256.87 |
— |
1.0× |
| Correction eyelid w/implant (67912) |
$2,341.78 |
— |
0.9× |
| Correction of bunion (28292) |
$3,256.87 |
— |
1.0× |
| Correction of everted punctum, cautery Other Surgical Services (68705) |
$300.06 |
— |
0.9× |
| Correction of inverted nipples Other Surgical Services (19355) |
$3,843.75 |
— |
0.9× |
| Correction of lid retraction Other Surgical Services (67911) |
$2,341.78 |
— |
0.9× |
| Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) Other… (67825) |
$300.06 |
— |
0.9× |
| Correction of trichiasis; epilation, by forceps only Other Surgical Services (67820) |
$129.39 |
— |
0.9× |
| Correction of trichiasis; incision of lid margin Other Surgical Services (67830) |
$972.20 |
— |
0.9× |
| Correction of trichiasis; incision of lid margin, with free mucous membrane graft Other Surgical Services (67835) |
$2,341.78 |
— |
0.9× |
| Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure) Other Surgical Services (28286) |
$3,256.87 |
— |
1.0× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method… (28299) |
$7,170.73 |
— |
0.9× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial… (28297) |
$12,915.46 |
— |
1.0× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy,… (28295) |
$3,256.87 |
— |
1.0× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any… (28298) |
$7,170.73 |
— |
0.9× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$3,256.87 |
— |
1.0× |
| Corrj hlx vlgs bncty sesmdc dstl metar osteot (28296) |
$3,256.87 |
— |
1.0× |
| Costotransversectomy (separate procedure) Other Surgical Services (21610) |
$3,256.87 |
— |
1.0× |
| Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc),… (63064) |
$7,170.73 |
— |
0.9× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft… (36825) |
$5,426.13 |
— |
0.9× |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
$5,426.13 |
— |
0.9× |
| Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or… (61720) |
$6,428.28 |
— |
0.7× |
| Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61791) |
$1,960.15 |
— |
1.0× |
| Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61790) |
$1,960.15 |
— |
1.0× |
| Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or… (63600) |
$1,960.15 |
— |
1.0× |
| Creation of new drainage tracts of major saliva gland ducts on both sides of mouth (42507) |
$5,938.02 |
— |
1.0× |
| Creation of new drainage tracts of major saliva gland ducts on both sides of mouth with removal of salivary glands… (42509) |
$5,938.02 |
— |
1.0× |
| Creation of new drainage tracts of major saliva gland ducts on both sides of mouth with tying of saliva gland ducts… (42510) |
$3,255.33 |
— |
0.9× |
| Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy Other… (63741) |
$6,428.28 |
— |
0.7× |
| Cricopharyngeal myotomy Other Surgical Services (43030) |
$5,938.02 |
— |
1.0× |
| Cricotracheal resection Other Surgical Services (31592) |
$5,938.02 |
— |
1.0× |
| Cross intrinsic transfer, each tendon Other Surgical Services (26510) |
$3,256.87 |
— |
1.0× |
| Cross-over vein graft to venous system Other Surgical Services (34520) |
$5,426.13 |
— |
0.9× |
| Cryocautery of cervix (57511) |
$305.34 |
— |
1.0× |
| Cryosurgery anal lesion(s) (46916) |
$199.45 |
— |
1.0× |
| Cryosurgery penis lesion s (54056) |
$199.45 |
— |
1.0× |
| Cryosurgical ablation prostate w/us & monitori (55873) |
$9,282.10 |
— |
0.9× |
| Cryotherapy (CO2 slush, liquid N2) for acne (17340) |
$59.62 |
— |
1.0× |
| CSTB (cystatin B), full gene analysis, including small sequence changes in exonic and intronic regions, deletions,… (0232U) |
$274.83 |
— |
1.0× |
| CT Biopsy Lymph Node (38505) |
$1,626.36 |
— |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$498.25 |
$793 |
3.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$455.75 |
$623 |
1.8× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial Other Surgical… (46940) |
$2,752.76 |
— |
0.9× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Other… (46942) |
$915.16 |
— |
0.9× |
| Curettage postpartum (59160) |
$3,191.55 |
— |
0.9× |
| Curette/treat cornea (65435) |
$972.20 |
— |
0.9× |
| Curette/treat cornea (65436) |
$2,341.78 |
— |
0.9× |
| Cylinder cast (29365) |
$266.58 |
— |
0.9× |
| Cysto insj temp dev ischmc rmdlg bldr neck&prst8 (53865) |
$9,282.10 |
— |
0.9× |
| Cysto w/removal of tumors small (52234) |
$3,462.01 |
— |
0.9× |
| Cysto w/ureter stricture tx (52341) |
$3,462.01 |
— |
0.9× |
| Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt (52356) |
$5,102.84 |
— |
0.9× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$5,102.84 |
— |
0.9× |
| Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection Other Surgical Services (51050) |
$5,102.84 |
— |
0.9× |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple Other Surgical Services (51860) |
$9,282.10 |
— |
0.9× |
| Cystoscopy and treatment (52310) |
$2,056.25 |
— |
0.9× |
| Cystoscopy removal of clots (52001) |
$3,462.01 |
— |
0.9× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,056.25 |
— |
0.9× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,056.25 |
— |
0.9× |
| Cystotomy for excision, incision, or repair of ureterocele Other Surgical Services (51535) |
$3,462.01 |
— |
0.9× |
| Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material Other Surgical Services (51020) |
$3,462.01 |
— |
0.9× |
| Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus… (51065) |
$3,462.01 |
— |
0.9× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Other Surgical Services (51045) |
$2,056.25 |
— |
0.9× |
| Cystotomy; for simple excision of vesical neck (separate procedure) Other Surgical Services (51520) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy (52000) |
$669.99 |
— |
0.9× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$5,102.84 |
— |
0.9× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Other… (52330) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus Other Surgical Services (52320) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material Other Surgical… (52327) |
$5,102.84 |
— |
0.9× |
| Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy,… (52285) |
$669.99 |
— |
0.9× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$2,056.25 |
— |
0.9× |
| Cystourethroscopy W Cath (52005) |
$2,056.25 |
— |
0.9× |
| Cystourethroscopy with direct vision internal urethrotomy Other Surgical Services (52276) |
$2,056.25 |
— |
0.9× |
| Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital… (52400) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration Other Surgical Services (52250) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Other Surgical Services (52402) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser,… (52346) |
$5,102.84 |
— |
0.9× |
| Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery,… (52344) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser,… (52345) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia Other… (52260) |
$2,056.25 |
— |
0.9× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia Other Surgical Services (52265) |
$2,056.25 |
— |
0.9× |
| Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) |
$669.99 |
— |
0.9× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240) |
$5,102.84 |
— |
0.9× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder… (52235) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm)… (52224) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy, with insertion of permanent urethral stent Other Surgical Services (52282) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy, with internal urethrotomy; female Other Surgical Services (52270) |
$2,056.25 |
— |
0.9× |
| Cystourethroscopy, with internal urethrotomy; male Other Surgical Services (52275) |
$2,056.25 |
— |
0.9× |
| Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon… (52284) |
$5,102.84 |
— |
0.9× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$2,056.25 |
— |
0.9× |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Other Surgical Services (52277) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy, with steroid injection into stricture Other Surgical Services (52283) |
$2,056.25 |
— |
0.9× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Other Surgical Services (52351) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic… (52354) |
$5,102.84 |
— |
0.9× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral… (52352) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Other Surgical… (52355) |
$5,102.84 |
— |
0.9× |
| Cystourethroscopy,biopsy (52204) |
$2,056.25 |
— |
0.9× |
| Cystourethroscopy,Fulguratn (52214) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Other Surgical… (52305) |
$5,102.84 |
— |
0.9× |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Other Surgical… (52301) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral Other Surgical… (52300) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and… (52342) |
$3,462.01 |
— |
0.9× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Other Surgical Services (52290) |
$2,056.25 |
— |
0.9× |
| Cytog Const Alys Interrog Gen Reg F/Copy Number Other Outpatient (0209U) |
$787.15 |
— |
1.0× |
| Cytolethal distending toxin B (CdtB) and vinculin IgG antibodies by immunoassay (ie, ELISA) Other Outpatient (0176U) |
$64.19 |
— |
1.0× |
| Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Other Surgical Services (68720) |
$3,785.25 |
— |
0.9× |
| Dbrdmt w/rmvl fm fx&/dislc skn subq t/m/f musc (11011) |
$706.25 |
— |
1.0× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$3,256.87 |
— |
1.0× |
| Deb bone/muscle 20 sq cm/< (11044) |
$1,626.36 |
— |
0.9× |
| Deb musc/fascia 20 sq cm/< (11043) |
$543.22 |
$944 |
0.7× |
| Debride Assoc Open Fx/Dislo Skin/Mus/Bone (11012) |
$2,872.87 |
— |
0.9× |
| Debride mastoid cavity simple (69220) |
$199.45 |
— |
1.0× |
| Debride skin at fx site (11010) |
$706.25 |
— |
1.0× |
| Debridement nails 1-5 (11720) |
$58.81 |
$116 |
1.0× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$614.44 |
— |
1.4× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$59.62 |
— |
1.0× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$553 |
$553 |
1.3× |
| Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) Other Surgical Services (69222) |
$511.18 |
— |
0.9× |
| Declot vascular device (36593) |
$332.94 |
$7,500 |
1.0× |
| Decompress ant/lat leg cmpart (27600) |
$3,256.87 |
— |
1.0× |
| Decompression facial nerve, intratemporal; including medial to geniculate ganglion Other Surgical Services (69725) |
$5,938.02 |
— |
1.0× |
| Decompression facial nerve, intratemporal; lateral to geniculate ganglion Other Surgical Services (69720) |
$5,938.02 |
— |
1.0× |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27027) |
$7,170.73 |
— |
0.9× |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
$1,606.46 |
— |
1.0× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
$1,606.46 |
— |
1.0× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable… (25024) |
$3,256.87 |
— |
1.0× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) |
$3,256.87 |
— |
1.0× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle… (25020) |
$1,606.46 |
— |
1.0× |
| Decompression fasciotomy, forearm, with brachial artery exploration Other Surgical Services (24495) |
$7,170.73 |
— |
0.9× |
| Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or… (27892) |
$3,256.87 |
— |
1.0× |
| Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable… (27894) |
$3,256.87 |
— |
1.0× |
| Decompression fasciotomy, leg; posterior compartment(s) only Other Surgical Services (27601) |
$3,256.87 |
— |
1.0× |
| Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Other… (27893) |
$7,170.73 |
— |
0.9× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Other Surgical Services (27496) |
$3,256.87 |
— |
1.0× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) |
$3,256.87 |
— |
1.0× |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Other Surgical Services (27498) |
$1,606.46 |
— |
1.0× |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499) |
$7,170.73 |
— |
0.9× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) (26035) |
$3,256.87 |
— |
1.0× |
| Decompression internal auditory canal Other Surgical Services (69960) |
$5,938.02 |
— |
1.0× |
| Decompression of orbit only, transcranial approach Other Surgical Services (61330) |
$3,255.33 |
— |
0.9× |
| Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to… (62287) |
$1,960.15 |
— |
1.0× |
| Decompression; plantar digital nerve Other Surgical Services (64726) |
$1,960.15 |
— |
1.0× |
| Decompressive fasciotomy, hand (excludes 26035) Other Surgical Services (26037) |
$3,256.87 |
— |
1.0× |
| Deep incis foot bone infectn (28005) |
$3,256.87 |
— |
1.0× |
| Delay flap trunk (15600) |
$3,674.81 |
— |
1.0× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$1,836.14 |
— |
0.9× |
| Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands,… (15620) |
$1,836.14 |
— |
0.9× |
| Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs Other Surgical Services (15610) |
$1,836.14 |
— |
0.9× |
| Delivery of placenta (59414) |
$3,191.55 |
— |
0.9× |
| Denervation of hip joint (27035) |
$3,256.87 |
— |
1.0× |
| Dermabrasion segmental face (15781) |
$706.25 |
— |
1.0× |
| Dermabrasion superficial any site (15783) |
$401.04 |
— |
0.9× |
| Dermabrasion total face (15780) |
$2,872.87 |
— |
0.9× |
| Dermabrasion; regional, other than face Other Surgical Services (15782) |
$2,872.87 |
— |
0.9× |
| Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15135) |
$3,674.81 |
— |
1.0× |
| Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Other Surgical… (15130) |
$1,836.14 |
— |
0.9× |
| Destr malig face,nose,lip 2.1-3 cm (17283) |
$401.04 |
— |
0.9× |
| Destr malig scal,nck,hand 2.1-3 cm (17273) |
$401.04 |
— |
0.9× |
| Destr malig trunk,extrem >4.0 cm (17266) |
$401.04 |
— |
0.9× |
| Destroy nerve face muscle (64612) |
$296.31 |
— |
0.9× |
| Destroy vulva lesion/s compl (56515) |
$1,836.14 |
— |
0.9× |
| Destruct by neuro agent; plantar digital nerve (64632) |
$296.31 |
— |
0.9× |
| Destruct lesion 15 or more (17111) |
$199.45 |
— |
1.0× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$401.04 |
— |
0.9× |
| Destruction benign lesions up to 14 (17110) |
$199.45 |
— |
1.0× |
| Destruction by any method, including laser, with or without surgical curettement, all benign or premalignant lesions… (17000) |
$199.45 |
— |
1.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$893.66 |
— |
1.0× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Other Surgical… (64605) |
$1,960.15 |
— |
1.0× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic… (64610) |
$1,960.15 |
— |
1.0× |
| Destruction internal hemorrhoid thermal energy (46930) |
$1,183.54 |
— |
0.9× |
| Destruction lesion conjunctiva (68135) |
$2,341.78 |
— |
0.9× |
| Destruction Lesion(S) Anus Extensive (46924) |
$2,752.76 |
— |
0.9× |
| Destruction lesions vulva simple (56501) |
$1,836.14 |
— |
0.9× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$199.45 |
— |
1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,960.15 |
— |
1.0× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) |
$614.44 |
— |
0.8× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm Other Surgical… (17106) |
$401.04 |
— |
0.9× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) |
$1,836.14 |
— |
0.9× |
| Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) Other Surgical Services (66770) |
$550.67 |
— |
1.0× |
| Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Other Surgical… (67227) |
$3,785.25 |
— |
0.9× |
| Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), one or more sessions; photocoagulation… (67228) |
$550.67 |
— |
1.0× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization Other Surgical Services (65450) |
$300.06 |
— |
0.9× |
| Destruction of lesion of lid margin (up to 1 cm) Other Surgical Services (67850) |
$972.20 |
— |
0.9× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical… (46900) |
$401.04 |
— |
0.9× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (46917) |
$2,752.76 |
— |
0.9× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$2,752.76 |
— |
0.9× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (46910) |
$1,836.14 |
— |
0.9× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (54057) |
$1,836.14 |
— |
0.9× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (54060) |
$1,836.14 |
— |
0.9× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (54055) |
$1,836.14 |
— |
0.9× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$401.04 |
— |
0.9× |
| Destruction of lesion, palate or uvula (thermal, cryo or chemical) Other Surgical Services (42160) |
$3,255.33 |
— |
0.9× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Other… (67210) |
$550.67 |
— |
1.0× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of… (67218) |
$3,785.25 |
— |
0.9× |
| Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery)… (45190) |
$2,752.76 |
— |
0.9× |
| Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other… (57065) |
$3,191.55 |
— |
0.9× |
| Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Other Surgical… (57061) |
$3,191.55 |
— |
0.9× |
| Destruction penis lesion, extensive (54065) |
$1,836.14 |
— |
0.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17282) |
$199.45 |
— |
1.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17260) |
$199.45 |
— |
1.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17274) |
$401.04 |
— |
0.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17281) |
$199.45 |
— |
1.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17261) |
$199.45 |
— |
1.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17270) |
$199.45 |
— |
1.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17286) |
$614.44 |
— |
0.8× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17263) |
$199.45 |
— |
1.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17272) |
$199.45 |
— |
1.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) |
$199.45 |
— |
1.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17284) |
$614.44 |
— |
0.8× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17264) |
$401.04 |
— |
0.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17271) |
$199.45 |
— |
1.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17276) |
$401.04 |
— |
0.9× |
| Diagnostic anoscopy (46601) |
$400.55 |
$3,695 |
0.9× |
| Diagnostic bone marrow aspirations (38220) |
$1,626.36 |
— |
0.9× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$2,872.87 |
— |
0.9× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$695.14 |
— |
0.9× |
| Diagnostic sigmoidoscopy (45330) |
$827.33 |
$1,479 |
0.9× |
| Diaphragm fitting (57170) |
$201.93 |
— |
1.0× |
| Dilat&cathj salivary duct w/wo injection (42660) |
$511.18 |
— |
0.9× |
| Dilation and curettage of cervical stump Other Surgical Services (57558) |
$3,191.55 |
— |
0.9× |
| Dilation esophagus guide wire (43453) |
$1,904.16 |
— |
1.0× |
| Dilation of anal sphincter (45905) |
$1,183.54 |
— |
0.9× |
| Dilation of cervical canal (57800) |
$3,191.55 |
— |
0.9× |
| Dilation of female urethra including suppository and/or instillation; initial Other Surgical Services (53660) |
$157.05 |
— |
1.2× |
| Dilation of female urethra including suppository and/or instillation; subsequent Other Surgical Services (53661) |
$129.39 |
— |
0.9× |
| Dilation of female urethra, general or conduction (spinal) anesthesia Other Surgical Services (53665) |
$2,056.25 |
— |
0.9× |
| Dilation of lacrimal punctum, with or without irrigation Other Surgical Services (68801) |
$400.55 |
— |
0.9× |
| Dilation of rectal stricture (separate procedure) under anesthesia other than local Other Surgical Services (45910) |
$1,183.54 |
— |
0.9× |
| Dilation of urethral stricture by passage of filiform and follower, male; initial (53620) |
$669.99 |
— |
0.9× |
| Dilation of urethral stricture by passage of filiform and follower, male; subsequent Other Surgical Services (53621) |
$244.13 |
— |
0.9× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Other Surgical Services (53600) |
$244.13 |
— |
0.9× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent Other Surgical Services (53601) |
$129.39 |
— |
0.9× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$3,462.01 |
— |
0.9× |
| Dilation of vagina under anesthesia (other than local) Other Surgical Services (57400) |
$3,191.55 |
— |
0.9× |
| Dilation salivary duct (42650) |
$1,486.88 |
— |
0.9× |
| Dilation/Curettage,Diagnostic (58120) |
$3,191.55 |
— |
0.9× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$5,426.13 |
— |
0.9× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35045) |
$5,426.13 |
— |
0.9× |
| Disarticulation through wrist; secondary closure or scar revision Other Surgical Services (25922) |
$1,606.46 |
— |
1.0× |
| Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) |
$7,170.73 |
— |
0.9× |
| Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision… (66820) |
$2,289.35 |
— |
0.9× |
| Discission of vitreous strands (without removal), pars plana approach Other Surgical Services (67030) |
$2,289.35 |
— |
0.9× |
| Dise dyn eval sleep disordered breathing flx dx (42975) |
$1,730.99 |
— |
0.9× |
| Displacement therapy (Proetz type) Other Surgical Services (30210) |
$1,486.88 |
— |
0.9× |
| Dissection, deep jugular node(s) Other Surgical Services (38542) |
$5,856.41 |
— |
0.9× |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Other… (36838) |
$5,426.13 |
— |
0.9× |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach Other Surgical Services (43130) |
$5,938.02 |
— |
1.0× |
| Division of scalenus anticus; without resection of cervical rib Other Surgical Services (21700) |
$7,170.73 |
— |
0.9× |
| Division of sternocleidomastoid for torticollis, open operation; with cast application Other Surgical Services (21725) |
$706.25 |
— |
1.0× |
| Division of sternocleidomastoid for torticollis, open operation; without cast application Other Surgical Services (21720) |
$3,256.87 |
— |
1.0× |
| Division of stricture of rectum Other Surgical Services (45150) |
$1,183.54 |
— |
0.9× |
| Divisn plantar fascia/muscle (28250) |
$3,256.87 |
— |
1.0× |
| Drain bladder by trocar/cath (51101) |
$600 |
$2,803 |
0.7× |
| Drain blood under nail (11740) |
$348 |
$348 |
2.5× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,626.36 |
— |
0.9× |
| Drain lower leg bursa (27604) |
$3,256.87 |
— |
1.0× |
| Drain lower leg lesion (27603) |
$2,872.87 |
— |
0.9× |
| Drain neck/chest lesion (21501) |
$2,872.87 |
— |
0.9× |
| Drain penis lesion (54015) |
$1,626.36 |
— |
0.9× |
| Drain shoulder lesion (23030) |
$2,872.87 |
— |
0.9× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$233.10 |
— |
0.9× |
| Drainage external auditory canal, abscess (69020) |
$441 |
$441 |
0.6× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$600 |
$1,270 |
0.8× |
| Drainage finger abscess simple (26010) |
$539 |
$539 |
2.6× |
| Drainage of abscess of palate, uvula (42000) |
$474.16 |
$696.66 |
1.9× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated (40801) |
$511.18 |
— |
0.9× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$390 |
$390 |
0.5× |
| Drainage of abscess; parotid, complicated Other Surgical Services (42305) |
$3,255.33 |
— |
0.9× |
| Drainage of abscess; parotid, simple Other Surgical Services (42300) |
$1,486.88 |
— |
0.9× |
| Drainage of abscess; submaxillary, external Other Surgical Services (42320) |
$511.18 |
— |
0.9× |
| Drainage of deep periurethral abscess Other Surgical Services (53040) |
$3,462.01 |
— |
0.9× |
| Drainage of eye (65810) |
$2,289.35 |
— |
0.9× |
| Drainage of eye (65800) |
$2,289.35 |
— |
0.9× |
| Drainage of eyelid abscess (67700) |
$500.50 |
$802 |
1.5× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$1,626.36 |
— |
0.9× |
| Drainage of hydrocele (55000) |
$706.25 |
— |
1.0× |
| Drainage of lymph node abscess or lymphadenitis; extensive Other Surgical Services (38305) |
$2,872.87 |
— |
0.9× |
| Drainage of lymph node abscess or lymphadenitis; simple Other Surgical Services (38300) |
$2,872.87 |
— |
0.9× |
| Drainage of mouth lesion (41017) |
$3,255.33 |
— |
0.9× |
| Drainage of mouth lesion (41018) |
$1,486.88 |
— |
0.9× |
| Drainage of nose lesion (30020) |
$511.18 |
— |
0.9× |
| Drainage of ovarian abscess; vaginal approach, open Other Surgical Services (58820) |
$3,191.55 |
— |
0.9× |
| Drainage of ovarian cyst(s) (58800) |
$3,191.55 |
— |
0.9× |
| Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach Other Surgical Services (58805) |
$3,191.55 |
— |
0.9× |
| Drainage of palmar bursa single bursa (26025) |
$3,256.87 |
— |
1.0× |
| Drainage of palmar bursa; multiple bursa Other Surgical Services (26030) |
$3,256.87 |
— |
1.0× |
| Drainage of Pelvic Abscess (45000) |
$1,183.54 |
— |
0.9× |
| Drainage of perineal urinary extravasation; complicated Other Surgical Services (53085) |
$2,056.25 |
— |
0.9× |
| Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Other Surgical Services (53080) |
$669.99 |
— |
0.9× |
| Drainage of perivesical or prevesical space abscess Other Surgical Services (51080) |
$2,872.87 |
— |
0.9× |
| Drainage of scrotum (54700) |
$2,056.25 |
— |
0.9× |
| Drainage of Skene's gland abscess or cyst Other Surgical Services (53060) |
$2,056.25 |
— |
0.9× |
| Drainage of tendon sheath, digit and/or palm, each Other Surgical Services (26020) |
$3,256.87 |
— |
1.0× |
| Drainage perirenal/renal abscess open (50020) |
$2,056.25 |
— |
0.9× |
| Drainage scrotal wall abscess (55100) |
$456.75 |
$626.76 |
0.3× |
| Draw blood off venous device (36591) |
$129.39 |
— |
0.9× |
| Dressing change (for other than burns) under anesthesia (other than local) Other Surgical Services (15852) |
$614.44 |
— |
0.8× |
| Drg absc submax/sublngl intraoral (42310) |
$511.18 |
— |
0.9× |
| Drug assay, definitive, 120 or more drugs and metabolites, urine, quantitative liquid chromatography with tandem mass… (0328U) |
$114.43 |
— |
1.0× |
| Drug Assay, presumptive, 30 or more drugs or metabolites, urine, liquid chromatography with tandem mass spectrometry… (0227U) |
$62.14 |
— |
1.0× |
| Drug metabolism (ADHD), gene-drug interactions, variant analysis of 16 genes, including deletion/duplication analysis… (0392U) |
$1,336.09 |
— |
1.0× |
| Drug metabolism (adverse drug reactions and drug response), buccal specimen, gene-drug interactions, variant analysis… (0438U) |
$416.78 |
— |
1.0× |
| Drug metabolism (adverse drug reactions and drug response), genomic analysis panel, variant analysis of 25 genes with… (0434U) |
$416.78 |
— |
1.0× |
| Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 16 gene report, with… (0347U) |
$1,336.09 |
— |
1.0× |
| Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 25 gene report, with… (0348U) |
$742.27 |
— |
1.0× |
| Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with… (0349U) |
$742.27 |
— |
1.0× |
| Drug metabolism or processing (mult conditions), whole blood or buccal specimen, DNA analysis, 27 gene report, with… (0350U) |
$1,336.09 |
— |
1.0× |
| Drug metabolism, psychiatry (eg major depressive disorder, general anxiety disorder, ADHD, schizophrenia), whole blood,… (0476U) |
$416.78 |
— |
1.0× |
| Drug metabolism, psychiatry (ev major depressive disorder, general anxiety disorder, ADHD, schizophrenia), whole blood… (0477U) |
$416.78 |
— |
1.0× |
| Drug metabolism, whole blood, pharmacogenomic genotyping of 40 genes and CYP2D6 copy number variant analysis, reported… (0516U) |
$416.78 |
— |
1.0× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$1,960.15 |
— |
1.0× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$1,960.15 |
— |
1.0× |
| Dstrj neurolytic agent other peripheral nerve (64640) |
$893.66 |
— |
1.0× |
| Dstrj neurolytic agent pudendal nerve (64630) |
$893.66 |
— |
1.0× |
| Dstrj neurolytic w/wo rad monitor celiac plexus (64680) |
$893.66 |
— |
1.0× |
| Dstrj trigeminal nrv supraorb infraorb branch (64600) |
$893.66 |
— |
1.0× |
| Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens… (43757) |
$941.10 |
— |
1.0× |
| Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals… (43756) |
$941.10 |
— |
1.0× |
| Dx bronchoscope/brush (31623) |
$1,656.74 |
$3,165 |
0.9× |
| Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) Other… (54231) |
$244.13 |
— |
0.9× |
| Eardrum revision (69450) |
$3,255.33 |
— |
0.9× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$157.05 |
$681 |
1.2× |
| Ed proc remve fb nasal- hospital (30300) |
$129.39 |
$2,120 |
0.9× |
| Ed prof burn - large - hospital (16030) |
$530.25 |
$921 |
1.2× |
| Ed prof burn medium - hospital (16025) |
$462.75 |
$651 |
2.2× |
| Ed prof burn small - hospital (16020) |
$337 |
$337 |
1.6× |
| Ed prof closed tx post hip arthroplasty (27265) |
$240.79 |
— |
0.9× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$1,606.46 |
— |
1.0× |
| Ed prof drain dental abscess-hospital (41800) |
$129.39 |
$411 |
0.9× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$2,460.50 |
$1,095 |
0.7× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$579.75 |
$1,119 |
1.4× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$555.75 |
$1,023 |
1.3× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$600 |
$1,490 |
2.3× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$400.55 |
$1,044 |
0.9× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,904.16 |
$4,450 |
1.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,904.16 |
$4,450 |
1.0× |
| Egd endo mucosal resection (43254) |
$1,904.16 |
— |
1.0× |
| Egd endoscopic stent place (43266) |
$5,368.90 |
$9,525 |
0.8× |
| Egd injection varices (43243) |
$1,904.16 |
$4,450 |
1.0× |
| Egd intraluminal tube/catheter insertion (43241) |
$1,904.16 |
$4,450 |
1.0× |
| Egd intrmural needle aspir/biop altered anatomy (43242) |
$1,904.16 |
— |
1.0× |
| Egd lesion ablation (43270) |
$1,904.16 |
$4,269 |
1.0× |
| Egd optical endomicroscopy (43252) |
$1,904.16 |
$8,474 |
1.0× |
Egd Partial/Compl Esophagogastric Fundoplasty (43210)
likely a partial charge, not the full procedure |
$2,235 |
$2,235 |
0.2× |
| Egd percutaneous placement gastrostomy tube (43246) |
$1,904.16 |
$4,671 |
1.0× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$1,904.16 |
$4,450 |
1.0× |
| Egd transoral control bleeding any method (43255) |
$1,750.08 |
$3,192 |
0.9× |
| Egd us exam duodenum/jejunum (43259) |
$1,904.16 |
— |
1.0× |
| Egd us transmural injxn/mark (43253) |
$1,904.16 |
— |
1.0× |
| Egd W Dilation (43245) |
$1,904.16 |
— |
1.0× |
| Egd W Gd Wire Dilation (43248) |
$941.10 |
$2,253 |
1.0× |
| Egd w/transmural drain cyst (43240) |
$5,975.31 |
— |
0.9× |
| Elec anlys implt ithcl/edrl pmp w/repr phys/qhp (62370) |
$301.04 |
— |
0.9× |
| Electrical stimulation bone healing noninvasive (20974) |
$61.91 |
— |
0.7× |
| Electroejaculation (55870) |
$874.03 |
— |
0.9× |
| Electrolysis epilation, each 30 minutes Other Surgical Services (17380) |
$614.44 |
— |
0.8× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62369) |
$301.04 |
— |
0.9× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62367) |
$301.04 |
— |
0.9× |
| Elevation of depressed skull fracture; simple, extradural Other Surgical Services (62000) |
$3,255.33 |
— |
0.9× |
| Embedded ip cath exit-site (49436) |
$1,904.16 |
— |
1.0× |
| Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm… (34101) |
$5,426.13 |
— |
0.9× |
| Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision Other… (34201) |
$5,426.13 |
— |
0.9× |
| Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision Other Surgical… (34203) |
$5,426.13 |
— |
0.9× |
| Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Other Surgical Services (34111) |
$5,426.13 |
— |
0.9× |
| Embryo transfer, intrauterine Other Surgical Services (58974) |
$874.03 |
— |
0.9× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$157.05 |
— |
1.2× |
| Endocervical curettage (57505) |
$874.03 |
— |
0.9× |
| Endolymphatic sac operation; with shunt Other Surgical Services (69806) |
$5,938.02 |
— |
1.0× |
| Endolymphatic sac operation; without shunt Other Surgical Services (69805) |
$5,938.02 |
— |
1.0× |
| Endometrial ablation, thermal, without hysteroscopic guidance Other Surgical Services (58353) |
$4,955.11 |
— |
0.9× |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Other Surgical… (58356) |
$4,955.11 |
— |
0.9× |
| Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy,… (62380) |
$7,170.73 |
— |
0.9× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including… (44385) |
$915.16 |
$2,235 |
0.9× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or… (44386) |
$915.16 |
$2,235 |
0.9× |
| Endoscopic Injection/Implant (51715) |
$3,462.01 |
— |
0.9× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple Other Surgical Services (43261) |
$3,818.91 |
$8,474 |
0.9× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi Other Surgical… (43263) |
$1,904.16 |
$8,474 |
1.0× |
| Endoscopic us exam esoph (43237) |
$1,904.16 |
— |
1.0× |
| Endoscopy upper small intestine (44360) |
$1,904.16 |
— |
1.0× |
| Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective… (61623) |
$11,383.44 |
— |
0.9× |
| Endoven ablti ther chem adhesive 1st vein (36482) |
$5,426.13 |
— |
0.9× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$3,159.40 |
— |
1.0× |
| Endovenous laser 1st vein (36478) |
$3,159.40 |
— |
1.0× |
| Endovenous rf, 1st vein (36475) |
$3,159.40 |
— |
1.0× |
| Enteroscopy W Place Tube (44372) |
$1,904.16 |
$6,908 |
1.0× |
| Enucleation of eye; with implant, muscles attached to implant Other Surgical Services (65105) |
$3,785.25 |
— |
0.9× |
| Enucleation of eye; with implant, muscles not attached to implant Other Surgical Services (65103) |
$3,785.25 |
— |
0.9× |
| Enucleation of eye; without implant Other Surgical Services (65101) |
$3,785.25 |
— |
0.9× |
| Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15115) |
$1,836.14 |
— |
0.9× |
| Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Other… (15110) |
$1,836.14 |
— |
0.9× |
| Epididymectomy; bilateral Other Surgical Services (54861) |
$3,462.01 |
— |
0.9× |
| Epididymectomy; unilateral Other Surgical Services (54860) |
$3,462.01 |
— |
0.9× |
| Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral Other Surgical Services (54901) |
$3,462.01 |
— |
0.9× |
| Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral Other Surgical Services (54900) |
$2,056.25 |
— |
0.9× |
| Epiglottidectomy Other Surgical Services (31420) |
$5,938.02 |
— |
1.0× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Other Surgical Services (25455) |
$3,256.87 |
— |
1.0× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna Other Surgical Services (25450) |
$3,256.87 |
— |
1.0× |
| Episiotomy or vaginal repair (59300) |
$3,191.55 |
— |
0.9× |
| Ercp diagnostic (43260) |
$3,818.91 |
$8,474 |
0.9× |
| Ercp duct stent placement (43274) |
$5,975.31 |
$13,488 |
0.9× |
| Ercp ea duct/ampulla dilate (43277) |
$3,818.91 |
$8,474 |
0.9× |
| Ercp lithotripsy calculi (43265) |
$5,368.90 |
$9,525 |
0.8× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$3,818.91 |
$8,474 |
0.9× |
| Ercp remove forgn body duct (43275) |
$1,904.16 |
$8,474 |
1.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$5,975.31 |
$13,488 |
0.9× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$3,818.91 |
$8,474 |
0.9× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$3,818.91 |
$8,474 |
0.9× |
| Escharotomy; initial incision (16035) |
$401.04 |
— |
0.9× |
| Esoph scope w/submucous inj (43201) |
$1,904.16 |
$4,450 |
1.0× |
| Esophageal dilation (43450) |
$941.10 |
— |
1.0× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$941.10 |
$2,235 |
1.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Other Surgical… (43244) |
$1,750.08 |
$3,192 |
0.9× |
| Esophagogastroduodenoscopy, flexible, transoral; with deployment of intragastric bariatric balloon Other Surgical… (43290) |
$1,904.16 |
— |
1.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$941.10 |
$2,237 |
1.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of intragastric bariatric balloon(s) Other Surgical… (43291) |
$941.10 |
— |
1.0× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$1,750.08 |
$3,192 |
0.9× |
| Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine… (43238) |
$1,904.16 |
— |
1.0× |
| Esophagosc dilate balloon 30 (43214) |
$1,904.16 |
$4,450 |
1.0× |
| Esophagoscop mucosal resect (43211) |
$1,904.16 |
$4,450 |
1.0× |
| Esophagoscop stent placement (43212) |
$4,450 |
$4,450 |
0.7× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,904.16 |
$4,450 |
1.0× |
| Esophagoscopy flexible transnasal diagnostic (43197) |
$941.10 |
— |
1.0× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$941.10 |
$2,285 |
1.0× |
| Esophagoscopy flexible transoral with biopsy (43202) |
$1,904.16 |
$4,450 |
1.0× |
| Esophagoscopy lesion ablate (43229) |
$3,818.91 |
$8,474 |
0.9× |
| Esophagoscopy retro balloon (43213) |
$1,904.16 |
$4,450 |
1.0× |
| Esophagoscopy Rig Transoral Guide Wire Dilation (43196) |
$1,904.16 |
$5,474 |
1.0× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$3,818.91 |
$8,474 |
0.9× |
| Esophagoscopy rigid trnso dx (43191) |
$1,904.16 |
$4,671 |
1.0× |
| Esophagoscopy w/us needle bx (43232) |
$1,904.16 |
$4,450 |
1.0× |
| Esophagoscopy, flexible, transnasal; with biopsy, single or multiple Other Surgical Services (43198) |
$941.10 |
— |
1.0× |
| Esophagoscopy, flexible, transoral; with band ligation of esophageal varices Other Surgical Services (43205) |
$1,904.16 |
$4,450 |
1.0× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method Other Surgical Services (43227) |
$1,904.16 |
$4,450 |
1.0× |
| Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination Other Surgical Services (43231) |
$1,904.16 |
$4,450 |
1.0× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices Other Surgical Services (43204) |
$1,904.16 |
$4,450 |
1.0× |
| Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire… (43226) |
$1,904.16 |
$4,450 |
1.0× |
| Esophagoscopy, flexible, transoral; with optical endomicroscopy Other Surgical Services (43206) |
$1,904.16 |
$4,450 |
1.0× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other… (43216) |
$1,904.16 |
$4,450 |
1.0× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other… (43217) |
$1,904.16 |
$4,450 |
1.0× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Other Surgical… (43220) |
$1,904.16 |
$4,450 |
1.0× |
| Esophagoscopy, rigid, transoral; with biopsy, single or multiple Other Surgical Services (43193) |
$1,904.16 |
$4,450 |
1.0× |
| Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance Other Surgical Services (43192) |
$1,904.16 |
$4,450 |
1.0× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$1,904.16 |
$4,450 |
1.0× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$5,938.02 |
$14,619 |
1.0× |
| Esophagotomy, cervical approach, with removal of foreign body Other Surgical Services (43020) |
$1,486.88 |
— |
0.9× |
| Esophagus Procedure (43499) |
$941.10 |
$2,285 |
1.0× |
| Ethmoidectomy intranasal anterior (31200) |
$5,938.02 |
— |
1.0× |
| Ethmoidectomy; extranasal, total Other Surgical Services (31205) |
$3,255.33 |
— |
0.9× |
| Ethmoidectomy; intranasal, total Other Surgical Services (31201) |
$1,486.88 |
— |
0.9× |
| Evisceration of ocular contents; with implant Other Surgical Services (65093) |
$3,785.25 |
— |
0.9× |
| Evisceration of ocular contents; without implant Other Surgical Services (65091) |
$3,785.25 |
— |
0.9× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,626.36 |
— |
0.9× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,626.36 |
— |
0.9× |
| Exam of jaw joint using an endoscope|BILATERAL PROCEDURE |DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (29804) |
$3,256.87 |
— |
1.0× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$5,938.02 |
— |
1.0× |
| Exc face les sbq 2 cm/> (21012) |
$1,626.36 |
— |
0.9× |
| Exc face-mm b9 (11440) |
$706.25 |
— |
1.0× |
| Exc forearm les sc 3 cm/> (25071) |
$1,626.36 |
— |
0.9× |
| Exc frenum labial/buccal (40819) |
$1,486.88 |
— |
0.9× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$1,626.36 |
— |
0.9× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$1,626.36 |
— |
0.9× |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
$3,255.33 |
— |
0.9× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,606.46 |
— |
1.0× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,606.46 |
— |
1.0× |
| Exc neck tum deep < 5 cm (21556) |
$2,872.87 |
— |
0.9× |
| Exc neuroma dgtal nrv 1/bth sm dgt (64776) |
$1,960.15 |
— |
1.0× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$1,960.15 |
— |
1.0× |
| Exc rect tum transanal part (45171) |
$2,752.76 |
— |
0.9× |
| Exc Skin Benig 0.6-1cm Remaindr Body (11421) |
$706.25 |
— |
1.0× |
| Exc Skin Benig 0.6-1cm Trunk,Arm,Leg (11401) |
$401.04 |
— |
0.9× |
| Exc skin malig 0.6-1cm face,facial (11641) |
$706.25 |
— |
1.0× |
| Exc skin malig 1.1-2 cm face,facial (11642) |
$706.25 |
— |
1.0× |
| Exc skin malig >4 cm remaindr body (11626) |
$2,872.87 |
— |
0.9× |
| Exc tr-ext b9 + marg 2.1 to 3.0 (11403) |
$706.25 |
— |
1.0× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$706.25 |
— |
1.0× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$706.25 |
— |
1.0× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,626.36 |
— |
0.9× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,626.36 |
— |
0.9× |
| Exc tumor soft tiss back/flank subfascial 5+cm (21933) |
$2,872.87 |
— |
0.9× |
| Exc tumor soft tiss back/flank subfascial <5cm (21932) |
$2,872.87 |
— |
0.9× |
| Exc tumor soft tiss face&scalp subfascial 2+cm (21014) |
$2,872.87 |
— |
0.9× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,626.36 |
— |
0.9× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,872.87 |
— |
0.9× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$2,872.87 |
— |
0.9× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,872.87 |
— |
0.9× |
| Exc tumor soft tissue abdl wall subfascial 5cm/> (22901) |
$2,872.87 |
— |
0.9× |
| Exc Tumor Soft Tissue Abdl Wall Subfascial <5cm (22900) |
$2,872.87 |
— |
0.9× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,626.36 |
— |
0.9× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$2,872.87 |
— |
0.9× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$2,872.87 |
— |
0.9× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,626.36 |
$4,634.25 |
0.9× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$2,872.87 |
— |
0.9× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$2,872.87 |
— |
0.9× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,626.36 |
— |
0.9× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,872.87 |
— |
0.9× |
| Exc tumor soft tissue neck/ant thorax subq 3+cm (21552) |
$2,513 |
$2,513 |
0.8× |
| Exc Tumor Soft Tissue Pelvis & Hip Subfasc 5cm/> (27045) |
$2,872.87 |
— |
0.9× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$2,872.87 |
— |
0.9× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,872.87 |
— |
0.9× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$2,872.87 |
— |
0.9× |
| Exchange biliary drg catheter prq w/img gid rs&i (47536) |
$3,542.40 |
— |
0.9× |
| Exchange intraocular lens (66986) |
$2,289.35 |
— |
0.9× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$2,056.25 |
— |
0.9× |
| Exchange transfusion, blood; newborn Other Surgical Services (36450) |
$438.83 |
— |
1.0× |
| Exchange transfusion, blood; other than newborn Other Surgical Services (36455) |
$438.83 |
— |
1.0× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,904.16 |
— |
1.0× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
$3,255.33 |
— |
0.9× |
| Excis penile plaque (54110) |
$3,462.01 |
— |
0.9× |
| Excis Tongue Lesn,Ant 2/3+Clos (41112) |
$3,255.33 |
— |
0.9× |
| Excise pharynx lesion (42808) |
$3,255.33 |
— |
0.9× |
| Excise Varicocele (55530) |
$3,462.01 |
— |
0.9× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$2,341.78 |
— |
0.9× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67961) |
$2,341.78 |
— |
0.9× |
| Excision aural glomus tumor; transcanal Other Surgical Services (69550) |
$5,938.02 |
— |
1.0× |
| Excision aural glomus tumor; transmastoid Other Surgical Services (69552) |
$5,938.02 |
— |
1.0× |
| Excision aural polyp (69540) |
$1,486.88 |
— |
0.9× |
| Excision bone mandible (21025) |
$5,938.02 |
— |
1.0× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Other Surgical Services (42810) |
$3,255.33 |
— |
0.9× |
| Excision dermoid cyst, nose; complex, under bone or cartilage Other Surgical Services (30125) |
$5,938.02 |
— |
1.0× |
| Excision dermoid cyst, nose; simple, skin, subcutaneous Other Surgical Services (30124) |
$1,486.88 |
— |
0.9× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Other Surgical Services (25240) |
$3,256.87 |
— |
1.0× |
| Excision exostosis(es), external auditory canal Other Surgical Services (69140) |
$5,938.02 |
— |
1.0× |
| Excision external ear partial simple repair (69110) |
$2,872.87 |
— |
0.9× |
| Excision external ear; complete amputation Other Surgical Services (69120) |
$5,938.02 |
— |
1.0× |
| Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Other… (26390) |
$7,170.73 |
— |
0.9× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$1,606.46 |
— |
1.0× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$2,872.87 |
— |
0.9× |
| Excision hidradenitis axillary smpl/intrm rpr (11450) |
$2,872.87 |
— |
0.9× |
| Excision hydrocele unilateral (55040) |
$3,542.40 |
— |
0.9× |
| Excision inferior turbinate, partial or complete, any method Other Surgical Services (30130) |
$3,255.33 |
— |
0.9× |
| Excision lesion mouth roof (42104) |
$3,255.33 |
— |
0.9× |
| Excision lesion sclera (66130) |
$2,341.78 |
— |
0.9× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$1,606.46 |
— |
1.0× |
| Excision lesion tongue w/o closure (41110) |
$3,255.33 |
— |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$706.25 |
— |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$401.04 |
— |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$706.25 |
— |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$706.25 |
— |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,626.36 |
— |
0.9× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$2,872.87 |
— |
0.9× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$1,626.36 |
— |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$706.25 |
— |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$706.25 |
— |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,626.36 |
— |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,626.36 |
— |
0.9× |
| Excision malignant lesion trunk/arm/leg > 4.0 cm (11606) |
$1,626.36 |
— |
0.9× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,752.76 |
— |
0.9× |
| Excision of bartholin's gland or cyst (56740) |
$2,849.23 |
$5,013.81 |
0.8× |
| Excision of benign tumor or cyst of mandible, by enucleation and/or curettage Other Surgical Services (21040) |
$3,255.33 |
— |
0.9× |
| Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047) |
$5,938.02 |
— |
1.0× |
| Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive… (21046) |
$5,938.02 |
— |
1.0× |
| Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Other Surgical Services (21030) |
$5,938.02 |
— |
1.0× |
| Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally… (21049) |
$5,938.02 |
— |
1.0× |
| Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive… (21048) |
$5,938.02 |
— |
1.0× |
| Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s) Other Surgical Services (21026) |
$5,938.02 |
— |
1.0× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$3,256.87 |
— |
1.0× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) |
$7,170.73 |
— |
0.9× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft… (27067) |
$7,170.73 |
— |
0.9× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Other… (19125) |
$3,843.75 |
— |
0.9× |
| Excision of bulbourethral gland (Cowper's gland) Other Surgical Services (53250) |
$3,462.01 |
— |
0.9× |
| Excision of cervical stump, vaginal approach; Other Surgical Services (57550) |
$4,955.11 |
— |
0.9× |
| Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Other Surgical Services (57555) |
$4,955.11 |
— |
0.9× |
| Excision of cervical stump, vaginal approach; with repair of enterocele Other Surgical Services (57556) |
$4,955.11 |
— |
0.9× |
| Excision of chalazion; single Other Surgical Services (67800) |
$300.06 |
— |
0.9× |
| Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Other Surgical… (67808) |
$2,341.78 |
— |
0.9× |
| Excision of chest wall tumor including rib(s) Other Surgical Services (21601) |
$2,872.87 |
— |
0.9× |
| Excision of constricting ring of finger, with multiple Z-plasties Other Surgical Services (26596) |
$3,256.87 |
— |
1.0× |
| Excision of cyst or adenoma of thyroid, or transection of isthmus Other Surgical Services (60200) |
$5,856.41 |
— |
0.9× |
| Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection Other Surgical Services (38555) |
$6,546.11 |
— |
0.9× |
| Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Other Surgical Services (38550) |
$3,843.75 |
— |
0.9× |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Other… (20150) |
$3,256.87 |
— |
1.0× |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
$3,256.87 |
— |
1.0× |
| Excision of extraparenchymal lesion of testis Other Surgical Services (54512) |
$3,462.01 |
— |
0.9× |
| Excision of fibrous tuberosities, dentoalveolar structures Other Surgical Services (41822) |
$1,486.88 |
— |
0.9× |
| Excision of ganglion, wrist (dorsal or volar); recurrent Other Surgical Services (25112) |
$1,606.46 |
— |
1.0× |
| Excision of hydrocele of spermatic cord, unilateral (separate procedure) Other Surgical Services (55500) |
$3,462.01 |
— |
0.9× |
| Excision of hyperplastic alveolar mucosa, each quadrant (specify) Other Surgical Services (41828) |
$1,486.88 |
— |
0.9× |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Other Surgical Services (68505) |
$3,785.25 |
— |
0.9× |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Other Surgical Services (68500) |
$3,785.25 |
— |
0.9× |
| Excision of lacrimal gland tumor; frontal approach Other Surgical Services (68540) |
$2,341.78 |
— |
0.9× |
| Excision of lacrimal gland tumor; involving osteotomy Other Surgical Services (68550) |
$3,785.25 |
— |
0.9× |
| Excision of lacrimal sac (dacryocystectomy) Other Surgical Services (68520) |
$3,785.25 |
— |
0.9× |
| Excision of lactiferous duct fistula Other Surgical Services (19112) |
$3,843.75 |
— |
0.9× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Other Surgical Services (67840) |
$972.20 |
— |
0.9× |
| Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee Other Surgical Services (27347) |
$3,256.87 |
— |
1.0× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Other Surgical Services (40814) |
$3,255.33 |
— |
0.9× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair (40812) |
$1,486.88 |
— |
0.9× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle Other Surgical Services (27630) |
$3,256.87 |
— |
1.0× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$1,606.46 |
— |
1.0× |
| Excision of lesion of tongue with closure; posterior one-third Other Surgical Services (41113) |
$3,255.33 |
— |
0.9× |
| Excision of lesion of tongue with closure; with local tongue flap Other Surgical Services (41114) |
$3,255.33 |
— |
0.9× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Other Surgical Services (41827) |
$5,938.02 |
— |
1.0× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Other Surgical Services (41826) |
$3,255.33 |
— |
0.9× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair (41825) |
$3,255.33 |
— |
0.9× |
| Excision of lesion, conjunctiva; over 1 cm Other Surgical Services (68115) |
$2,341.78 |
— |
0.9× |
| Excision of lesion, conjunctiva; up to 1 cm Other Surgical Services (68110) |
$2,341.78 |
— |
0.9× |
| Excision of lesion, conjunctiva; with adjacent sclera Other Surgical Services (68130) |
$2,341.78 |
— |
0.9× |
| Excision of lingual frenum (frenectomy) (41115) |
$1,486.88 |
— |
0.9× |
| Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) Other Surgical Services (40527) |
$5,938.02 |
— |
1.0× |
| Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) Other Surgical Services (40525) |
$3,255.33 |
— |
0.9× |
| Excision of lip; transverse wedge excision with primary closure Other Surgical Services (40510) |
$3,255.33 |
— |
0.9× |
| Excision of lip; V-excision with primary direct linear closure Other Surgical Services (40520) |
$3,255.33 |
— |
0.9× |
| Excision of local lesion of epididymis Other Surgical Services (54830) |
$3,462.01 |
— |
0.9× |
| Excision of malignant tumor of mandible; Other Surgical Services (21044) |
$5,938.02 |
— |
1.0× |
| Excision of malignant tumor of maxilla or zygoma Other Surgical Services (21034) |
$5,938.02 |
— |
1.0× |
| Excision of maxillary torus palatinus Other Surgical Services (21032) |
$3,255.33 |
— |
0.9× |
| Excision of mouth lesion (41116) |
$3,255.33 |
— |
0.9× |
| Excision of mucosa of vestibule of mouth as donor graft Other Surgical Services (40818) |
$511.18 |
— |
0.9× |
| Excision of neurofibroma or neurolemmoma; cutaneous nerve Other Surgical Services (64788) |
$1,960.15 |
— |
1.0× |
| Excision of neurofibroma or neurolemmoma; extensive (including malignant type) Other Surgical Services (64792) |
$6,428.28 |
— |
1.8× |
| Excision of neurofibroma or neurolemmoma; major peripheral nerve Other Surgical Services (64790) |
$1,960.15 |
— |
1.0× |
| Excision of neuroma; cutaneous nerve, surgically identifiable Other Surgical Services (64774) |
$1,960.15 |
— |
1.0× |
| Excision of neuroma; hand or foot, except digital nerve Other Surgical Services (64782) |
$1,960.15 |
— |
1.0× |
| Excision of neuroma; sciatic nerve Other Surgical Services (64786) |
$6,428.28 |
— |
1.8× |
| Excision of osseous tuberosities, dentoalveolar structures Other Surgical Services (41823) |
$5,938.02 |
— |
1.0× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Other… (42415) |
$5,938.02 |
— |
1.0× |
| Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Other Surgical Services (42410) |
$5,938.02 |
— |
1.0× |
| Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Other Surgical… (42425) |
$5,938.02 |
— |
1.0× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Other Surgical… (42420) |
$5,938.02 |
— |
1.0× |
| Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Other Surgical Services (54112) |
$9,282.10 |
— |
0.9× |
| Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Other Surgical Services (54111) |
$5,102.84 |
— |
0.9× |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Other Surgical Services (45160) |
$2,752.76 |
— |
0.9× |
| Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) Other Surgical Services (45172) |
$2,752.76 |
— |
0.9× |
| Excision of single external papilla or tag, anus (46220) |
$1,183.54 |
— |
0.9× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Other Surgical Services (11451) |
$2,872.87 |
— |
0.9× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$2,872.87 |
— |
0.9× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair Other Surgical… (11462) |
$2,872.87 |
— |
0.9× |
| Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair Other… (11471) |
$2,872.87 |
— |
0.9× |
| Excision of spermatocele, with or without epididymectomy Other Surgical Services (54840) |
$2,056.25 |
— |
0.9× |
| Excision of sublingual gland (42450) |
$5,938.02 |
— |
1.0× |
| Excision of sublingual salivary cyst (ranula) Other Surgical Services (42408) |
$3,255.33 |
— |
0.9× |
| Excision of submandibular (submaxillary) gland Other Surgical Services (42440) |
$5,938.02 |
— |
1.0× |
| Excision of synovial cyst of popliteal space (eg, Baker's cyst) Other Surgical Services (27345) |
$3,256.87 |
— |
1.0× |
| Excision of tendon, forearm and/or wrist, flexor or extensor, each Other Surgical Services (25109) |
$3,256.87 |
— |
1.0× |
| Excision of tendon, palm, flexor or extensor, single, each tendon Other Surgical Services (26170) |
$1,606.46 |
— |
1.0× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,183.54 |
— |
0.9× |
| Excision of thyroglossal duct cyst or sinus; recurrent Other Surgical Services (60281) |
$5,856.41 |
— |
0.9× |
| Excision of tonsil tags Other Surgical Services (42860) |
$3,255.33 |
— |
0.9× |
| Excision of tracheal tumor or carcinoma; cervical Other Surgical Services (31785) |
$5,938.02 |
— |
1.0× |
| Excision of urethral diverticulum (separate procedure); male Other Surgical Services (53235) |
$5,102.84 |
— |
0.9× |
| Excision of vaginal cyst or tumor (57135) |
$3,191.55 |
— |
0.9× |
| Excision of vaginal septum (57130) |
$3,191.55 |
— |
0.9× |
| Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Other Surgical Services (55535) |
$6,263.34 |
— |
0.9× |
| Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Other Surgical Services (55540) |
$3,542.40 |
— |
0.9× |
| Excision olecranon bursa (24105) |
$3,256.87 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor of carpal bones; Other Surgical Services (25130) |
$3,256.87 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft Other Surgical Services (25136) |
$7,170.73 |
— |
0.9× |
| Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) Other… (25135) |
$7,170.73 |
— |
0.9× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; Other Surgical Services (23140) |
$3,256.87 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Other Surgical Services (23146) |
$7,170.73 |
— |
0.9× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)… (23145) |
$3,256.87 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor of femur; Other Surgical Services (27355) |
$3,256.87 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor of femur; with allograft Other Surgical Services (27356) |
$12,915.46 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Other Surgical… (27357) |
$7,170.73 |
— |
0.9× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; Other Surgical… (24120) |
$3,256.87 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft Other… (24126) |
$7,170.73 |
— |
0.9× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft… (24125) |
$3,256.87 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft) Other… (26205) |
$7,170.73 |
— |
0.9× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; Other Surgical Services (23150) |
$3,256.87 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft Other Surgical Services (23156) |
$7,170.73 |
— |
0.9× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft) Other… (23155) |
$7,170.73 |
— |
0.9× |
| Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; Other Surgical… (26210) |
$1,606.46 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft… (26215) |
$3,256.87 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25125) |
$1,606.46 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$3,256.87 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25126) |
$3,256.87 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor, humerus; Other Surgical Services (24110) |
$3,256.87 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor, humerus; with allograft Other Surgical Services (24116) |
$7,170.73 |
— |
0.9× |
| Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Other Surgical… (24115) |
$7,170.73 |
— |
0.9× |
| Excision or curettage of bone cyst or benign tumor, phalanges of foot Other Surgical Services (28108) |
$1,606.46 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Other Surgical Services (28100) |
$3,256.87 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft Other Surgical Services (28103) |
$7,170.73 |
— |
0.9× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes… (28102) |
$7,170.73 |
— |
0.9× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; Other Surgical… (28104) |
$3,256.87 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft… (28107) |
$7,170.73 |
— |
0.9× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
$7,170.73 |
— |
0.9× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; Other Surgical Services (27635) |
$3,256.87 |
— |
1.0× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Other Surgical Services (27638) |
$7,170.73 |
— |
0.9× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) Other… (27637) |
$7,170.73 |
— |
0.9× |
| Excision or destruction (eg, laser), intranasal lesion; external approach (lateral rhinotomy) Other Surgical Services (30118) |
$3,255.33 |
— |
0.9× |
| Excision or destruction lingual tonsil, any method (separate procedure) Other Surgical Services (42870) |
$5,938.02 |
— |
1.0× |
| Excision or fulguration of carcinoma of urethra Other Surgical Services (53220) |
$3,462.01 |
— |
0.9× |
| Excision or fulguration; Skene's glands Other Surgical Services (53270) |
$3,462.01 |
— |
0.9× |
| Excision or fulguration; urethral caruncle Other Surgical Services (53265) |
$2,056.25 |
— |
0.9× |
| Excision or fulguration; urethral polyp(s), distal urethra Other Surgical Services (53260) |
$3,462.01 |
— |
0.9× |
| Excision or fulguration; urethral prolapse Other Surgical Services (53275) |
$3,462.01 |
— |
0.9× |
| Excision or surgical planing of skin of nose for rhinophyma Other Surgical Services (30120) |
$3,255.33 |
— |
0.9× |
| Excision or transposition of pterygium; without graft Other Surgical Services (65420) |
$2,341.78 |
— |
0.9× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,872.87 |
— |
0.9× |
| Excision pilonidal cyst/sinus extensive (11771) |
$2,872.87 |
— |
0.9× |
| Excision pilonidal cyst/sinus simple (11770) |
$2,872.87 |
$8,122 |
0.9× |
| Excision rib partial (21600) |
$7,170.73 |
— |
0.9× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,872.87 |
— |
0.9× |
| Excision tendon finger flexor/extensor each (26180) |
$1,606.46 |
— |
1.0× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$5,856.41 |
— |
0.9× |
| Excision tumor soft tiss face/scalp subq < 2cm (21011) |
$1,626.36 |
— |
0.9× |
| Excision tumor soft tissue back/flank subq 3+cm (21931) |
$1,472.93 |
$2,639 |
0.9× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$1,626.36 |
— |
0.9× |
| Excision tumor soft tissue foot/toe subq 1.5+cm (28039) |
$2,872.87 |
— |
0.9× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,626.36 |
— |
0.9× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,626.36 |
— |
0.9× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,626.36 |
— |
0.9× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$2,872.87 |
— |
0.9× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$1,352.77 |
$2,158.35 |
0.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$1,626.36 |
— |
0.9× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$1,626.36 |
— |
0.9× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Other Surgical Services (15922) |
$3,674.81 |
— |
1.0× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Other Surgical Services (15920) |
$2,872.87 |
— |
0.9× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Other… (15830) |
$6,546.11 |
— |
0.9× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm Other Surgical Services (15836) |
$2,872.87 |
— |
0.9× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock Other Surgical Services (15835) |
$2,872.87 |
— |
0.9× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Other Surgical Services (15837) |
$2,872.87 |
— |
0.9× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Other Surgical Services (15834) |
$2,872.87 |
— |
0.9× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Other Surgical Services (15833) |
$2,872.87 |
— |
0.9× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area Other Surgical Services (15839) |
$2,872.87 |
— |
0.9× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Other Surgical Services (15838) |
$2,872.87 |
— |
0.9× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Other Surgical Services (15832) |
$2,872.87 |
— |
0.9× |
| Excision, interdigital (Morton) neuroma, single, each Other Surgical Services (28080) |
$1,606.46 |
— |
1.0× |
| Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closure… (15946) |
$1,836.14 |
— |
0.9× |
| Excision, ischial pressure ulcer, with primary suture; Other Surgical Services (15940) |
$2,872.87 |
— |
0.9× |
| Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy) Other Surgical Services (15941) |
$2,872.87 |
— |
0.9× |
| Excision, ischial pressure ulcer, with skin flap closure; Other Surgical Services (15944) |
$3,674.81 |
— |
1.0× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Other Surgical Services (15945) |
$1,836.14 |
— |
0.9× |
| Excision, lesion of palate, uvula; with local flap closure Other Surgical Services (42107) |
$5,938.02 |
— |
1.0× |
| Excision, lesion of palate, uvula; with simple primary closure Other Surgical Services (42106) |
$3,255.33 |
— |
0.9× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Other… (11640) |
$706.25 |
— |
1.0× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Other… (11643) |
$1,626.36 |
— |
0.9× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$706.25 |
— |
1.0× |
| Excision, nasal polyp(s), extensive Other Surgical Services (30115) |
$3,255.33 |
— |
0.9× |
| Excision, nasal polyp(s), simple Other Surgical Services (30110) |
$1,486.88 |
— |
0.9× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$706.25 |
— |
1.0× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$706.25 |
— |
1.0× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$1,626.36 |
— |
0.9× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$914 |
$914 |
0.5× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$2,872.87 |
— |
0.9× |
| Excision, radial head Other Surgical Services (24130) |
$3,256.87 |
— |
1.0× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Other Surgical… (15936) |
$1,836.14 |
— |
0.9× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy… (15937) |
$1,836.14 |
— |
0.9× |
| Excision, sacral pressure ulcer, with primary suture; Other Surgical Services (15931) |
$2,872.87 |
— |
0.9× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Other Surgical Services (15933) |
$2,872.87 |
— |
0.9× |
| Excision, sacral pressure ulcer, with skin flap closure; Other Surgical Services (15934) |
$3,674.81 |
— |
1.0× |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Other Surgical Services (15935) |
$3,674.81 |
— |
1.0× |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Other… (15956) |
$1,836.14 |
— |
0.9× |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
$3,674.81 |
— |
1.0× |
| Excision, trochanteric pressure ulcer, with primary suture; Other Surgical Services (15950) |
$1,626.36 |
— |
0.9× |
| Excision, trochanteric pressure ulcer, with primary suture; with ostectomy Other Surgical Services (15951) |
$2,872.87 |
— |
0.9× |
| Excision, trochanteric pressure ulcer, with skin flap closure; Other Surgical Services (15952) |
$1,836.14 |
— |
0.9× |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Other Surgical Services (15953) |
$3,674.81 |
— |
1.0× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Other… (25073) |
$2,872.87 |
— |
0.9× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm Other… (25076) |
$1,626.36 |
— |
0.9× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater Other Surgical Services (27632) |
$2,872.87 |
— |
0.9× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$1,626.36 |
— |
0.9× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,872.87 |
— |
0.9× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Other Surgical Services (23075) |
$1,626.36 |
— |
0.9× |
| Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater Other Surgical Services (23073) |
$2,872.87 |
— |
0.9× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater Other Surgical… (27339) |
$2,872.87 |
— |
0.9× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Other Surgical… (27328) |
$2,872.87 |
— |
0.9× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Other Surgical Services (24075) |
$1,626.36 |
— |
0.9× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$1,606.46 |
— |
1.0× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,255.33 |
— |
0.9× |
| Excision; ischial bursa Other Surgical Services (27060) |
$7,170.73 |
— |
0.9× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$2,872.87 |
— |
0.9× |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; only Other Surgical Services (65110) |
$3,785.25 |
— |
0.9× |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap… (65114) |
$3,785.25 |
— |
0.9× |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone… (65112) |
$3,785.25 |
— |
0.9× |
| Expl undescended tstis ingun/scrotal area (54550) |
$3,542.40 |
— |
0.9× |
| Explantation of cochlear implant electrode coil and/or receiver (69949) |
$233.10 |
— |
0.9× |
| Exploration for postoperative hemorrhage, thrombosis or infection; extremity Other Surgical Services (35860) |
$600 |
$8,771 |
0.2× |
| Exploration for undescended testis with abdominal exploration Other Surgical Services (54560) |
$2,056.25 |
— |
0.9× |
| Exploration of epididymis, with or without biopsy Other Surgical Services (54865) |
$3,462.01 |
— |
0.9× |
| Exploration penetrating wound spx chest (20101) |
$1,836.14 |
— |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$1,626.36 |
— |
0.9× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$1,606.46 |
— |
1.0× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$3,256.87 |
— |
1.0× |
| Explore Scrotum (55110) |
$3,462.01 |
— |
0.9× |
| Explore wound abdomen (20102) |
$1,836.14 |
— |
0.9× |
| Explore wound neck (20100) |
$511.18 |
— |
0.9× |
| Explore/irrigate tear ducts (68840) |
$300.06 |
— |
0.9× |
| Explore/treat hand joint (26070) |
$1,606.46 |
— |
1.0× |
| Exposure of prostate, any approach, for insertion of radioactive substance; Other Surgical Services (55860) |
$5,102.84 |
— |
0.9× |
| Expression of conjunctival follicles (eg, for trachoma) Other Surgical Services (68040) |
$300.06 |
— |
0.9× |
| Extensive retinopathy 1/> sess preterm infant (67229) |
$550.67 |
— |
1.0× |
| External cannula declotting (36860) |
$1,559.31 |
— |
0.9× |
| External cephalic version (59412) |
$3,191.55 |
— |
0.9× |
| Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) |
$1,606.46 |
— |
1.0× |
| Extraction of lens (66940) |
$2,289.35 |
— |
0.9× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual Other Surgical Services (41015) |
$511.18 |
— |
0.9× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental Other Surgical Services (41016) |
$5,938.02 |
— |
1.0× |
| Eye surgery procedure (67299) |
$2,289.35 |
— |
0.9× |
| Fascia lata graft; by incision and area exposure, complex or sheet Other Surgical Services (20922) |
$1,836.14 |
— |
0.9× |
| Fascia lata graft; by stripper Other Surgical Services (20920) |
$1,836.14 |
— |
0.9× |
| Fasciectomy plantar fascia partial spx (28060) |
$3,256.87 |
— |
1.0× |
| Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes… (26121) |
$3,256.87 |
— |
1.0× |
| Fasciectomy, plantar fascia; radical (separate procedure) Other Surgical Services (28062) |
$3,256.87 |
— |
1.0× |
| Fasciotomy palmar open partial (26045) |
$3,256.87 |
— |
1.0× |
| Fasciotomy palmar percutaneous (26040) |
$1,606.46 |
— |
1.0× |
| Fasciotomy, iliotibial (tenotomy), open Other Surgical Services (27305) |
$3,256.87 |
— |
1.0× |
| Fasct prtl plmr 1 dgt prox iphal jt +-tiss (26123) |
$3,256.87 |
— |
1.0× |
| Fetal aneuploidy (trisomy 13, 18, and 21), DNA sequence analysis of selected regions using maternal plasma, algorithm… (0327U) |
$795 |
— |
1.0× |
| Fetal aneuploidy DNA sequencing comparative analysis, fetal DNA from products of conception, reported as normal… (0341U) |
$1,900.20 |
— |
1.0× |
| Fetal aneuploidy short tandem-repeat comparative analysis, fetal DNA from products of conception, reported as normal,… (0252U) |
$759.05 |
— |
1.0× |
| Fetal contraction stress test (59020) |
$201.93 |
— |
1.0× |
| Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance Other Surgical… (59074) |
$305.34 |
— |
1.0× |
| Fetal Non Stress Test (59025) |
$181 |
$181 |
0.9× |
| Fetal scalp blood sampling Other Surgical Services (59030) |
$305.34 |
— |
1.0× |
| Fetal shunt placement, including ultrasound guidance Other Surgical Services (59076) |
$305.34 |
— |
1.0× |
| Fetal umbilical cord occlusion, including ultrasound guidance Other Surgical Services (59072) |
$305.34 |
— |
1.0× |
| FGFR3 (fibroblast growth factor receptor 3) gene analysis Other Outpatient (0154U) |
$482.14 |
— |
1.0× |
| Filleted finger or toe flap, including preparation of recipient site Other Surgical Services (14350) |
$1,836.14 |
— |
0.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$706.25 |
— |
1.0× |
| Fine needle aspiration bx w/fluor gdn 1st lesion (10007) |
$706.25 |
— |
1.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$579 |
$579 |
0.8× |
| Fine needle aspiration of orbital contents Other Surgical Services (67415) |
$2,341.78 |
— |
0.9× |
| Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy Other Surgical Services (66160) |
$2,289.35 |
— |
0.9× |
| Fistulization of sclera for glaucoma; thermocauterization with iridectomy Other Surgical Services (66155) |
$4,038.07 |
— |
0.9× |
| Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery Other Surgical Services (66170) |
$2,289.35 |
— |
0.9× |
| Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma… (66172) |
$2,289.35 |
— |
0.9× |
| Fistulization of sclera for glaucoma; trephination with iridectomy Other Surgical Services (66150) |
$4,038.07 |
— |
0.9× |
| Fit&inse pessary or other intravaginal support device (57160) |
$201.93 |
— |
1.0× |
| Fix collat lig,mc-p jt,i-p jt (26540) |
$3,256.87 |
— |
1.0× |
| Fixation of contralateral testis (separate procedure) Other Surgical Services (54620) |
$3,462.01 |
— |
0.9× |
| Flap island pedicle (15740) |
$1,836.14 |
— |
0.9× |
| Flap; neurovascular pedicle Other Surgical Services (15750) |
$3,674.81 |
— |
1.0× |
| Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; Other Surgical Services (25315) |
$7,170.73 |
— |
0.9× |
| Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer Other… (25316) |
$7,170.73 |
— |
0.9× |
| Flexor-plasty, elbow (eg, Steindler type advancement); Other Surgical Services (24330) |
$7,170.73 |
— |
0.9× |
| Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement Other Surgical Services (24331) |
$7,170.73 |
— |
0.9× |
| Fluid pressure muscle (20950) |
$706.25 |
— |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$198.32 |
$308 |
0.8× |
| Fna bx w/mr gdn 1st les (10011) |
$706.25 |
— |
1.0× |
| Fna w/o imaging guidance (10021) |
$401.04 |
— |
0.9× |
| Follicle puncture for oocyte retrieval, any method Other Surgical Services (58970) |
$874.03 |
— |
0.9× |
| Follow-up surgery of eye (66250) |
$2,341.78 |
— |
0.9× |
| Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) Other Surgical… (15731) |
$3,674.81 |
— |
1.0× |
| Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral Other Surgical… (15576) |
$1,836.14 |
— |
0.9× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$1,836.14 |
— |
0.9× |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Other Surgical Services (15572) |
$3,674.81 |
— |
1.0× |
| Formation of direct or tubed pedicle, with or without transfer; trunk Other Surgical Services (15570) |
$1,836.14 |
— |
0.9× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$3,255.33 |
— |
0.9× |
| Free osteocutaneous flap with microvascular anastomosis; great toe with web space Other Surgical Services (20973) |
$7,170.73 |
— |
0.9× |
| Free osteocutaneous flap with microvascular anastomosis; metatarsal Other Surgical Services (20972) |
$7,170.73 |
— |
0.9× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Other Surgical Services (41520) |
$3,255.33 |
— |
0.9× |
| Frenulotomy of penis (54164) |
$2,056.25 |
— |
0.9× |
| Fth/gft fr dir clsr f/c/c/m/n/ax/g/h/f 20sqcm/< (15240) |
$1,836.14 |
— |
0.9× |
| Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less… (15260) |
$1,836.14 |
— |
0.9× |
| Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Other… (15220) |
$1,836.14 |
— |
0.9× |
| Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less Other Surgical Services (15200) |
$1,836.14 |
— |
0.9× |
| Fusion Finger Joint (26860) |
$3,256.87 |
— |
1.0× |
| Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Other Surgical Services (26820) |
$7,170.73 |
— |
0.9× |
| Fusion of elbow joint without bone graft from the patient (24800) |
$7,170.73 |
— |
0.9× |
| Fusion of thumb (26841) |
$7,170.73 |
— |
0.9× |
| Fusion of wrist joint (25800) |
$7,170.73 |
— |
0.9× |
| FXN (frataxin), gene analysis, including small sequence changes in exonic and intronic regions, deletions,… (0233U) |
$274.83 |
— |
1.0× |
| Gamete, zygote, or embryo intrafallopian transfer, any method Other Surgical Services (58976) |
$305.34 |
— |
1.0× |
| Gastoenterology (irritable bowel disease (IBD)), immunoassay for quantitative determination of infliximab (IFX) levels… (0515U) |
$38.57 |
— |
1.0× |
| Gastric emptying, serial collection of 7 timed breath specimens, non-radioisotope carbon-13 (13C) spirulina substrate,… (0106U) |
$874.49 |
— |
1.0× |
| Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation,… (43755) |
$157.05 |
— |
1.2× |
| Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) Other Surgical Services (43754) |
$312.58 |
— |
1.4× |
| Gastric lavage (43753) |
$476.50 |
$706 |
2.1× |
| Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Other Surgical Services (43888) |
$3,674.81 |
— |
1.0× |
| Gastric restrictive procedure, open; removal of subcutaneous port component only Other Surgical Services (43887) |
$1,836.14 |
— |
0.9× |
| Gastric restrictive procedure, open; revision of subcutaneous port component only Other Surgical Services (43886) |
$3,674.81 |
— |
1.0× |
| Gastrocnemius recession (27687) |
$3,256.87 |
— |
1.0× |
| Gastroenterology (Barret esophagus), P16, RUNX3,HPP1, & FBN1 DNA methylation analysis using PCR, FFPE tissue, algorithm… (0398U) |
$1,755 |
— |
1.0× |
| Gastroenterology (Barrett's esophagus), esophageal cells, DNA methylation analysis by next-generation sequencing of at… (0506U) |
$1,938.01 |
— |
1.0× |
| Gastroenterology (Barrett's esophagus), VIM and CCNA1 methylation analysis, esophageal cells, algorithm reported as… (0114U) |
$1,938.01 |
— |
1.0× |
| Gastroenterology (Barrett's esophagus), whole slide-digital imaging, including morphometric analysis, computer-assisted… (0108U) |
$4,950 |
— |
1.0× |
| Gastroenterology (irritable bowel disease (IBD), immunoassay for quantitative determination of adalimumab (ADL) levels… (0514U) |
$38.57 |
— |
1.0× |
| Gastroenterology (irritable bowel syndrome [IBS]), immunoassay for anti-CdtB and anti-vinculin antibodies, utilizing… (0164U) |
$112.02 |
— |
1.0× |
| Gastroenterology, malabsorption evaluation of alpha-1-antitrypsin, calprotectin, pancreatic elastase and reducing… (0430U) |
$61.54 |
— |
1.0× |
| Gastrostomy, open; neonatal, for feeding Other Surgical Services (43831) |
$941.10 |
— |
1.0× |
| Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure) Other Surgical… (43830) |
$1,904.16 |
— |
1.0× |
| Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)… (43510) |
$941.10 |
— |
1.0× |
| Gene analysis of human immunodeficiency virus targeted sequence analysis for resistance to antiviral drugs (0219U) |
$725 |
— |
1.0× |
| Genioplasty; augmentation (autograft, allograft, prosthetic material) Other Surgical Services (21120) |
$5,938.02 |
— |
1.0× |
| Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical… (21122) |
$5,938.02 |
— |
1.0× |
| Genioplasty; sliding osteotomy, single piece Other Surgical Services (21121) |
$3,255.33 |
— |
0.9× |
| Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Other Surgical… (21123) |
$3,255.33 |
— |
0.9× |
| Genital surgery procedure (55899) |
$244.13 |
— |
0.9× |
| Gingivectomy, excision gingiva, each quadrant Other Surgical Services (41820) |
$3,255.33 |
— |
0.9× |
| Gingivoplasty, each quadrant (specify) Other Surgical Services (41872) |
$3,255.33 |
— |
0.9× |
| Glossectomy; less than one-half tongue Other Surgical Services (41120) |
$5,938.02 |
— |
1.0× |
| Graft (Thiersch operation) for rectal incontinence and/or prolapse Other Surgical Services (46753) |
$2,752.76 |
— |
0.9× |
| Graft derma-fat-fascia (15770) |
$3,674.81 |
— |
1.0× |
| Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Other Surgical Services (15840) |
$3,674.81 |
— |
1.0× |
| Graft for facial nerve paralysis; free muscle graft (including obtaining graft) Other Surgical Services (15841) |
$3,674.81 |
— |
1.0× |
| Graft for facial nerve paralysis; regional muscle transfer Other Surgical Services (15845) |
$3,674.81 |
— |
1.0× |
| Graft, bone; mandible (includes obtaining graft) Other Surgical Services (21215) |
$5,938.02 |
— |
1.0× |
| Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) Other Surgical Services (21210) |
$5,938.02 |
— |
1.0× |
| Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) Other Surgical Services (21235) |
$5,938.02 |
— |
1.0× |
| Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft) Other Surgical Services (21230) |
$5,938.02 |
— |
1.0× |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
$1,836.14 |
— |
0.9× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$3,674.81 |
— |
1.0× |
| Grafting of autologous soft tiss by direct exc (15769) |
$3,674.81 |
— |
1.0× |
| Grf facial nrv palyss fr muscle flap microsurg (15842) |
$1,836.14 |
— |
0.9× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$7,170.73 |
— |
0.9× |
| Harvest auto stem cells (38206) |
$1,645.48 |
— |
1.0× |
| Harvest cultured skin graft (15040) |
$1,836.14 |
— |
0.9× |
| Harvest of skin for skin cell suspension autograft; first 25 sq cm or less Other Surgical Services (15011) |
$1,836.14 |
— |
0.9× |
| Harvesting conjunctival allograft, living donor Other Surgical Services (68371) |
$2,341.78 |
— |
0.9× |
| Hem heprn nduc trmbctpna srm (0275U) |
$18.37 |
— |
1.0× |
| Hematology (atypical hemolytic uremic syndrome [aHUS]), genomic sequence analysis of 15 genes, blood, buccal swab, or… (0268U) |
$608.17 |
— |
1.0× |
| Hematology (autosomal dominant congenital thrombocytopenia), genomic sequence analysis of 14 genes, blood, buccal swab,… (0269U) |
$608.17 |
— |
1.0× |
| Hematology (congenital coagulation disorders), genomic sequence analysis of 20 genes, blood, buccal swab, or amniotic… (0270U) |
$608.17 |
— |
1.0× |
| Hematology (congenital neutropenia), genomic sequence analysis of 23 genes, blood, buccal swab, or amniotic fluid Other… (0271U) |
$608.17 |
— |
1.0× |
| Hematology (genetic bleeding disorders), genomic sequence analysis of 51 genes, blood, buccal swab, or amniotic fluid,… (0272U) |
$608.17 |
— |
1.0× |
| Hematology (genetic hyperfibrinolysis, delayed bleeding), genomic sequence analysis of 8 genes (F13A1, F13B, FGA, FGB,… (0273U) |
$608.17 |
— |
1.0× |
| Hematology (genetic platelet disorders), genomic sequence analysis of 43 genes, blood, buccal swab, or amniotic fluid… (0274U) |
$608.17 |
— |
1.0× |
| Hematology (genetic platelet function disorder), genomic sequence analysis of 31 genes, blood, buccal swab, or amniotic… (0277U) |
$608.17 |
— |
1.0× |
| Hematology (genetic thrombosis), genomic sequence analysis of 12 genes, blood, buccal swab, or amniotic fluid Other… (0278U) |
$608.17 |
— |
1.0× |
| Hematology (inherited thrombocytopenia), geonomic sequence analysis of 42 genes, blood, buccal swab, or amniotic fluid… (0276U) |
$2,448.56 |
— |
1.0× |
| Hematology (von Willebrand disease [VWD]), von Willebrand factor (VWF) and collagen III binding by enzyme-linked… (0279U) |
$11.53 |
— |
1.0× |
| Hematology (von Willebrand disease [VWD]), von Willebrand factor (VWF) and collagen IV binding by enzyme-linked… (0280U) |
$17.27 |
— |
1.0× |
| Hematology (von Willebrand disease [VWD]), von Willebrand propeptide, enzyme-linked immunosorbent assays (ELISA),… (0281U) |
$17.27 |
— |
1.0× |
| Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment,… (0303U) |
$2,201.62 |
— |
1.0× |
| Hematology, red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules, functional assessment,… (0304U) |
$2,075.80 |
— |
1.0× |
| Hematology, red blood cell (RBC) functionality and deformity as a function of shear stress, whole blood, reported as a… (0305U) |
$662.58 |
— |
1.0× |
| Hematopoietic progenitor cell (hpc); hpc boost (38243) |
$1,645.48 |
— |
1.0× |
| Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus) Other Surgical Services (24470) |
$3,256.87 |
— |
1.0× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$3,256.87 |
— |
1.0× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$915.16 |
$2,281 |
0.9× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,752.76 |
— |
0.9× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$2,752.76 |
— |
0.9× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Other Surgical Services (46261) |
$2,752.76 |
— |
0.9× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$2,752.76 |
— |
0.9× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$2,752.76 |
— |
0.9× |
| Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed… (46258) |
$2,752.76 |
— |
0.9× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$2,752.76 |
— |
0.9× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$2,752.76 |
— |
0.9× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling Other Surgical Services (46947) |
$2,752.76 |
— |
0.9× |
| Hepatology (nonalcoholic fatty liver disease), semiquantitative evaluation of 28 lipid markers by liquid chromatography… (0344U) |
$792.17 |
— |
1.0× |
| Hepatology (nonalcoholic steatohepatitis(NASH)),miR-34a5p,alpha 2-macroglobulin, YKL40, HbA1c, serum and whole blood,… (0468U) |
$251.70 |
— |
1.0× |
| Hepcidin-25 elisa serum or plasma (0251U) |
$17.27 |
— |
1.0× |
| Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary… (0102U) |
$1,303.95 |
— |
1.0× |
| Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary… (0129U) |
$1,303.95 |
— |
1.0× |
| Hereditary colon cancer (Lynch syndrome), targeted mRNA sequence analysis panel (MLH1, MSH2, MSH6, PMS2) (List… (0162U) |
$486.54 |
— |
1.0× |
| Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis… (0101U) |
$1,743.95 |
— |
1.0× |
| Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis… (0130U) |
$584.90 |
— |
1.0× |
| Hereditary ovarian cancer (eg, hereditary ovarian cancer, hereditary endometrial cancer), genomic sequence analysis… (0103U) |
$1,743.95 |
— |
1.0× |
| Hereditary pan cancer (eg, hereditary breast and ovarian cancer, hereditary endometrial cancer, hereditary colorectal… (0134U) |
$748.39 |
— |
1.0× |
| Hereditary pan-cancer (eg, Hereditary sarcomas, hereditary endocrine tumors, hereditary cutaneous melanoma),genomic… (0474U) |
$1,303.95 |
— |
1.0× |
| Hereditary prostate cancer-related disorders, targeted mRNA sequence analysis panel (11 genes) (List separately in… (0133U) |
$690.29 |
— |
1.0× |
| Hereditary prostate cancer-related disorders,genomic sequence analysis panel using next-generation sequencing… (0475U) |
$1,303.95 |
— |
1.0× |
| Human papillomavirus (HPC), E6/E7 markers for high-risk types (16,18,31,33,35,39,45,51,52,56,58,59,66 and 68), cervical… (0502U) |
$35.09 |
— |
1.0× |
| Human papillomavirus (HPV), oropharyngeal swab, 14 high-risk types Other Outpatient (0429U) |
$35.09 |
— |
1.0× |
| Hymenotomy, simple incision Other Surgical Services (56442) |
$3,191.55 |
— |
0.9× |
| Hyoid myotomy and suspension Other Surgical Services (21685) |
$5,938.02 |
— |
1.0× |
| Hyperphenylalaninemia monitoring by patient-collected blood card sample, quantitative measurement of phenylalanine and… (0382U) |
$51.64 |
— |
1.0× |
| Hysteroscopy rmvl impacted fb (58562) |
$3,191.55 |
— |
0.9× |
| Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565) |
$4,955.11 |
— |
0.9× |
| Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Other Surgical Services (58560) |
$4,955.11 |
— |
0.9× |
| Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563) |
$4,955.11 |
— |
0.9× |
| Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Other Surgical Services (58559) |
$4,955.11 |
— |
0.9× |
| Hysteroscopy, surgical; with removal of leiomyomata Other Surgical Services (58561) |
$4,955.11 |
— |
0.9× |
| Hysteroscopy,Dx,Sep Proc (58555) |
$3,191.55 |
— |
0.9× |
| Hysteroscopy,W/Endo Bx (58558) |
$3,191.55 |
— |
0.9× |
| Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) Other Surgical Services (59100) |
$4,955.11 |
— |
0.9× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$3,255.33 |
— |
0.9× |
| I&d abscess peritonsillar (42700) |
$215.30 |
$395 |
0.9× |
| I&d bartholins gland abscess (56420) |
$201.93 |
$1,718 |
1.0× |
| I&d below fascia foot 1 bursal space (28002) |
$1,606.46 |
— |
1.0× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$2,872.87 |
— |
0.9× |
| I&d hematoma/seroma/fluid (10140) |
$1,468.43 |
$2,621 |
0.9× |
| I&d perianal abscess superficial (46050) |
$915.16 |
$2,542 |
0.9× |
| I&d perirectal abscess (46040) |
$1,183.54 |
$3,111 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$674 |
$674 |
0.9× |
| I&d submucosal abscess rectum (45005) |
$1,183.54 |
— |
0.9× |
| I&d thyroglossal duct cyst infected (60000) |
$1,486.88 |
— |
0.9× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,872.87 |
— |
0.9× |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
$2,872.87 |
— |
0.9× |
| I&d vulva/perineal abscess (56405) |
$305.34 |
$2,542 |
1.0× |
| IDH1, IDH2, and TERT promoter (eg, central nervous system tumors), next-generatin sequencing (single-nucleotide… (0481U) |
$674.24 |
— |
1.0× |
| Ileoscopy stoma w/balloon dilation (44381) |
$1,904.16 |
— |
1.0× |
| Ileoscopy Stoma W/Plmt of Endoscopic Stent (44384) |
$1,904.16 |
— |
1.0× |
| Ileoscopy thru stoma dx w/collj spec when prfmd (44380) |
$941.10 |
— |
1.0× |
| Image cath fluid colxn visc (49405) |
$1,626.36 |
$4,208 |
0.9× |
| Image fluid collxn drainag cath transrec/vaginal (49407) |
$1,626.36 |
— |
0.9× |
| Image-guided catheter fluid collection drainage (10030) |
$706.25 |
— |
1.0× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$1,626.36 |
$4,208 |
0.9× |
| Impl oi implt skull mag tc attachment esp<100 (69716) |
$12,915.46 |
— |
1.0× |
| Impl oi implt skull perq attachment esp (69714) |
$12,915.46 |
— |
1.0× |
| Implant subq hormone pellet (11980) |
$400.55 |
— |
0.9× |
| Implantation of donor cartilage cells into knee joint|RIGHT SIDE (27415) |
$12,915.46 |
— |
1.0× |
| Implantation of intrastromal corneal ring segments Other Surgical Services (65785) |
$4,038.07 |
— |
0.9× |
| Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous… (67027) |
$15,422.91 |
— |
1.1× |
| Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed Other Surgical… (66683) |
$16,478.49 |
— |
1.0× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Other Surgical… (62361) |
$17,740.93 |
— |
0.9× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including… (62362) |
$17,740.93 |
— |
0.9× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir Other Surgical… (62360) |
$17,740.93 |
— |
0.9× |
| Implantation, osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69729) |
$12,915.46 |
— |
1.0× |
| Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) |
$7,170.73 |
— |
0.9× |
| Impltj Revj/Rpsg Ithcl/Edrl Cath Pmp W/O Lam (62350) |
$6,428.28 |
— |
0.7× |
| Impression and custom preparation; auricular prosthesis Other Surgical Services (21086) |
$3,255.33 |
— |
0.9× |
| Impression and custom preparation; definitive obturator prosthesis Other Surgical Services (21080) |
$3,255.33 |
— |
0.9× |
| Impression and custom preparation; facial prosthesis Other Surgical Services (21088) |
$3,255.33 |
— |
0.9× |
| Impression and custom preparation; interim obturator prosthesis Other Surgical Services (21079) |
$3,255.33 |
— |
0.9× |
| Impression and custom preparation; mandibular resection prosthesis Other Surgical Services (21081) |
$5,938.02 |
— |
1.0× |
| Impression and custom preparation; nasal prosthesis Other Surgical Services (21087) |
$5,938.02 |
— |
1.0× |
| Impression and custom preparation; oral surgical splint Other Surgical Services (21085) |
$233.10 |
— |
0.9× |
| Impression and custom preparation; orbital prosthesis Other Surgical Services (21077) |
$5,938.02 |
— |
1.0× |
| Impression and custom preparation; palatal augmentation prosthesis Other Surgical Services (21082) |
$3,255.33 |
— |
0.9× |
| Impression and custom preparation; palatal lift prosthesis Other Surgical Services (21083) |
$3,255.33 |
— |
0.9× |
| Impression and custom preparation; speech aid prosthesis Other Surgical Services (21084) |
$3,255.33 |
— |
0.9× |
| Impression and custom preparation; surgical obturator prosthesis Other Surgical Services (21076) |
$1,486.88 |
— |
0.9× |
| Incise external hemorrhoid (46083) |
$244.13 |
$798 |
0.9× |
| Incise finger tendon sheath (26055) |
$1,606.46 |
— |
1.0× |
| Incise inner eye adhesions (65865) |
$2,289.35 |
— |
0.9× |
| Incise/drain eyelid lining (68020) |
$972.20 |
— |
0.9× |
| Incise/drain tear gland (68400) |
$972.20 |
— |
0.9× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$401.04 |
$853 |
0.9× |
| Incision & Drainage Abscess Simple/Single (10060) |
$199.45 |
$451 |
1.0× |
| Incision & drainage lip abscess (40799) |
$233.10 |
— |
0.9× |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle Other Surgical Services (27607) |
$3,256.87 |
— |
1.0× |
| Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach Other Surgical Services (42725) |
$5,938.02 |
— |
1.0× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Other Surgical Services (45020) |
$2,752.76 |
— |
0.9× |
| Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Other Surgical… (46045) |
$2,752.76 |
— |
0.9× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$2,752.76 |
— |
0.9× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$706.25 |
$2,011 |
1.0× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Other Surgical… (57023) |
$2,872.87 |
— |
0.9× |
| Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy Other… (21502) |
$3,256.87 |
— |
1.0× |
| Incision and drainage, forearm and/or wrist; bursa Other Surgical Services (25031) |
$1,606.46 |
— |
1.0× |
| Incision and drainage, forearm and/or wrist; deep abscess or hematoma Other Surgical Services (25028) |
$3,256.87 |
— |
1.0× |
| Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Other Surgical Services (26990) |
$3,256.87 |
— |
1.0× |
| Incision and drainage, pelvis or hip joint area; infected bursa Other Surgical Services (26991) |
$1,606.46 |
— |
1.0× |
| Incision and drainage, shoulder area; infected bursa Other Surgical Services (23031) |
$2,872.87 |
— |
0.9× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$600 |
$2,872 |
0.3× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$401.04 |
$1,125 |
0.9× |
| Incision and repair of bony defect of cheek bone including bony segment reduction (21209) |
$5,938.02 |
— |
1.0× |
| Incision bone cortex hand/finger (26034) |
$1,606.46 |
— |
1.0× |
| Incision eardrum,aspir,gen anesth (69421) |
$3,255.33 |
— |
0.9× |
| Incision extensor tendon sheath wrist (25000) |
$1,606.46 |
— |
1.0× |
| Incision of connective tissue of foot and/or toe facility (28008) |
$3,256.87 |
— |
1.0× |
| Incision of eardrum (69420) |
$233.10 |
— |
0.9× |
| Incision of eyelid (67710) |
$972.20 |
— |
0.9× |
| Incision of eyelid fold (67715) |
$2,341.78 |
— |
0.9× |
| Incision of foot tendon(s) (28230) |
$1,606.46 |
— |
1.0× |
| Incision of labial frenum (frenotomy) Other Surgical Services (40806) |
$511.18 |
— |
0.9× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,486.88 |
— |
0.9× |
| Incision of tibia & fibula (27709) |
$12,915.46 |
— |
1.0× |
| Incision of vein for insertion of needle or tube (1 year or older) (36425) |
$583.25 |
$1,133 |
1.3× |
| Incision of windpipe (31603) |
$1,486.88 |
$4,164 |
0.9× |
| Incision or partial removal of forearm bone on small finger side (25360) |
$7,170.73 |
— |
0.9× |
| Incision or partial removal of forearm bone on thumb side near elbow or in middle (25355) |
$3,256.87 |
— |
1.0× |
| Incision or partial removal of forearm bone on thumb side near hand (25350) |
$7,170.73 |
— |
0.9× |
| Incision or partial removal of lower leg bone (27707) |
$3,256.87 |
— |
1.0× |
| Incision or puncture of fluid-producing gland for sperm movement (55600) |
$2,056.25 |
— |
0.9× |
| Incision through sinus at cheek bone to reach nerve and blood vessel (31040) |
$5,938.02 |
— |
1.0× |
| Incision&drainage bursa foot (28001) |
$1,626.36 |
— |
0.9× |
| Incision&drainage upper arm/elbow bursa (23931) |
$1,626.36 |
— |
0.9× |
| Incision, anal septum (infant) Other Surgical Services (46070) |
$2,752.76 |
— |
0.9× |
| Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Other Surgical Services (23035) |
$1,606.46 |
— |
1.0× |
| Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess) Other Surgical Services (25035) |
$7,170.73 |
— |
0.9× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Other Surgical… (23935) |
$3,256.87 |
— |
1.0× |
| Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) Other Surgical Services (68420) |
$2,341.78 |
— |
0.9× |
| Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) Other Surgical Services (25001) |
$3,256.87 |
— |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$379 |
$379 |
0.5× |
| Induced abortion by d&c (59840) |
$3,191.55 |
— |
0.9× |
| Induced abortion dilation & evacuation (59841) |
$3,191.55 |
— |
0.9× |
| Infectious agent antigen detection by bulk acoustic wave biosensor immumoassay, severe acute reporatory syndrome… (0408U) |
$14.13 |
— |
1.0× |
| Infectious agent detection and identification, targeted sequence analysis (16S and 18S rRNA genes) with drug-resistance… (0112U) |
$356.13 |
— |
1.0× |
| Infectious agent detection by nucleic a3cid, genitourinary pathogen, semiquantitative identification, DNA from 16… (0371U) |
$416.78 |
— |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA), Bartonella henselae and Bartonella quintana, droplet digital… (0302U) |
$361.37 |
— |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA), Bartonella henselae and Bartonella quintana, droplet digital… (0301U) |
$262.72 |
— |
1.0× |
| Infectious agent detection by nucleic acid (DNA or RNA), genitourinary pathogens, identification of 20 bacterial and… (0321U) |
$634.84 |
— |
1.0× |
| Infectious agent detection by nucleic acid (DNA/RNA), central nervous system pathogen, metagenomic next-generation… (0323U) |
$2,126.20 |
— |
1.0× |
| Infectious agent detection by nucleic acid (DNA/RNA), vaginal pathogen panel, identification of 27 organisms, amplified… (0330U) |
$416.78 |
— |
1.0× |
| Infectious agent, Chlamydia trachomatis, Neisseria gonorrhoeae, Trichomonas vaginalis, Mycoplasma genitalium, multiples… (0402U) |
$142.63 |
— |
1.0× |
| Infectious agents (Sexually transmitted infection),Chlamydia tracomatic, Neisseria gonorrhoeae,and Trichomonas… (0455U) |
$142.63 |
— |
1.0× |
| Infectious disease (Aspergillus species), real-time PCR for detection of DNA from 4 species (A. fumigatus, A. terreus,… (0109U) |
$142.63 |
— |
1.0× |
| Infectious disease (bacteria and fungi), gram-negative bacterial identification and drug resistance element detection,… (0142U) |
$156.75 |
— |
1.0× |
| Infectious disease (bacteria and fungi), gram-positive organism identification and drug resistance element detection,… (0141U) |
$156.75 |
— |
1.0× |
| Infectious disease (bacteria, viruses, fungi, and parasites), cerebrospinal fluid, metagenomic next-generation… (0480U) |
$2,126.20 |
— |
1.0× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0223U) |
$416.78 |
— |
1.0× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$416.78 |
— |
1.0× |
| Infectious disease (bacterial or viral RTI) pathogen-specific DNA & RN A,21 targets,incl severe acute respiratory… (0225U) |
$416.78 |
— |
1.0× |
| Infectious disease (bacterial or viral), biochemical assays, tumor necrosis factor related apoptosis-inducing ligand… (0351U) |
$260.50 |
— |
1.0× |
| Infectious disease (bacterial), quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory… (0311U) |
$8.08 |
— |
1.0× |
| Infectious disease (fungi), fungal pathogen identification, DNA (15 fungal targets), blood culture, amplified probe… (0140U) |
$156.75 |
— |
1.0× |
| Infectious disease (genitourinary pathogens), antibiotic-resistance gene detection, multiplex amplified probe… (0372U) |
$416.78 |
— |
1.0× |
| Infectious disease (respiratory infection), Myxovirus resistance protein A and C-reactive protein, fingerstick whole… (0442U) |
$41.38 |
— |
1.0× |
| Infectious disease (urinary tract infection), identification of 17 pathologic organisms, urine, real-time PCR, reported… (0504U) |
$416.78 |
— |
1.0× |
| Infectious disease (vaginal infection), identification of 32 pathogenic organisms, swab, real-time PCR, reported as… (0505U) |
$679.77 |
— |
1.0× |
| Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Other Surgical Services (38760) |
$6,546.11 |
— |
0.9× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$333 |
$333 |
1.6× |
| Inj paravert f jnt l/s 1 lev (64493) |
$893.66 |
— |
1.0× |
| Inj substitute pars plana/limbl w/wo aspir spx (67025) |
$2,289.35 |
— |
0.9× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$893.66 |
— |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$695.14 |
— |
0.9× |
| Inj,Lumb Epidur,Blood/Clot Patch (62273) |
$695.14 |
$1,013 |
0.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$893.66 |
— |
1.0× |
| Inject Intravitreal Pharmcologic (67028) |
$332.94 |
— |
1.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$893.66 |
— |
1.0× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$893.66 |
— |
1.0× |
| Inject Nerv Blck,Intercostal,One (64420) |
$695.14 |
— |
0.9× |
| Inject Nerv Blck,Othr Periph Nerv (64450) |
$558.07 |
$842 |
0.8× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$893.66 |
— |
1.0× |
| Inject Nerv Blck,Suprascap N. (64418) |
$695.14 |
— |
0.9× |
| Inject Sinus Tract Theraputic (20500) |
$1,486.88 |
— |
0.9× |
| Inject Tendon Origin/Insert (20551) |
$296.31 |
— |
0.9× |
| Inject Tendon Sheath/Ligament (20550) |
$240 |
$330 |
0.7× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$893.66 |
— |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$695.14 |
— |
0.9× |
| Injection aa&/strd greater occipital nerve (64405) |
$296.31 |
— |
0.9× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$695.14 |
— |
0.9× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$893.66 |
— |
1.0× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$893.66 |
— |
1.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$695.14 |
— |
0.9× |
| Injection aa&/strd pudendal nerve (64430) |
$893.66 |
— |
1.0× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$695.14 |
— |
0.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$296.31 |
$783.51 |
0.9× |
| Injection aa&/strd vagus nerve (64408) |
$296.31 |
— |
0.9× |
| Injection anes agent sphenopalatine ganglion (64505) |
$296.31 |
— |
0.9× |
| Injection anes superior hypogastric plexus (64517) |
$893.66 |
— |
1.0× |
| Injection beneath lining of large bowel using an endoscope inserted through surgically created opening from large bowel… (44404) |
$1,183.54 |
— |
0.9× |
| Injection enzyme palmar fascial cord (20527) |
$296.31 |
— |
0.9× |
| Injection for identification of sentinel node (38792) |
$403.35 |
— |
1.0× |
| Injection of medication or other substance into Tenon's capsule Other Surgical Services (67515) |
$300.06 |
— |
0.9× |
| Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar… (62292) |
$1,960.15 |
— |
1.0× |
| Injection procedure for Peyronie disease; Other Surgical Services (54200) |
$244.13 |
— |
0.9× |
| Injection procedure for Peyronie disease; with surgical exposure of plaque Other Surgical Services (54205) |
$5,102.84 |
— |
0.9× |
| Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal Other Surgical Services (62294) |
$893.66 |
— |
1.0× |
| Injection px prq tx extremity pseudoaneurysm (36002) |
$620.60 |
— |
0.9× |
| Injection sclerosant multiple incmptnt veins (36471) |
$401.04 |
— |
0.9× |
| Injection sclerosant single incmptnt vein (36470) |
$401.04 |
— |
0.9× |
| Injection sclerosing solution hemorrhoids (46500) |
$915.16 |
— |
0.9× |
| Injection therapeutic carpal tunnel (20526) |
$296.31 |
— |
0.9× |
| Injection treatment of nerve (64681) |
$893.66 |
— |
1.0× |
| Injection treatment of nose (30200) |
$511.18 |
— |
0.9× |
| Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$893.66 |
— |
1.0× |
| Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Other Surgical Services (64435) |
$695.14 |
— |
0.9× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$893.66 |
— |
1.0× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$292.90 |
$579 |
0.9× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$296.31 |
$885.57 |
0.9× |
| Injection, anterior chamber of eye (separate procedure); air or liquid Other Surgical Services (66020) |
$2,289.35 |
— |
0.9× |
| Injection, anterior chamber of eye (separate procedure); medication Other Surgical Services (66030) |
$2,289.35 |
— |
0.9× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$199.45 |
— |
1.0× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62280) |
$893.66 |
— |
1.0× |
| Injections sclerosant for spider veins lim/trnk (36468) |
$401.04 |
— |
0.9× |
| Injx/infus neurolyt sbst epidural lumbar/sacral (62282) |
$893.66 |
— |
1.0× |
| Injx/infus neurolyt subst epidural cerv/thoracic (62281) |
$893.66 |
— |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$3,159.40 |
— |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$3,159.40 |
— |
1.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,159.40 |
— |
1.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,426.13 |
— |
0.9× |
| Ins endovas vena cava filtr (37191) |
$5,426.13 |
— |
0.9× |
| Ins new/rplcmt prm pacemakr w/trans eltrd atrial (33206) |
$10,504.89 |
— |
1.0× |
| Ins tunn cv cath no pump 5yrs (36558) |
$3,159.40 |
— |
1.0× |
| Ins/rep subq defibrillator (33270) |
$32,182.77 |
— |
1.0× |
| Insert and remove bone pin (20650) |
$3,256.87 |
— |
1.0× |
| Insert card electrodes dual (33211) |
$8,307.26 |
— |
1.0× |
| Insert cecostomy/other colonic tube percutaneous (49442) |
$1,183.54 |
— |
0.9× |
| Insert drug implant device (11981) |
$129.39 |
— |
0.9× |
| Insert Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$893.66 |
— |
1.0× |
| Insert Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$893.66 |
— |
1.0× |
| Insert gastrostomy tube percutaneous (49440) |
$1,595 |
$1,595 |
0.8× |
| Insert heart pm ventricular (33207) |
$10,504.89 |
— |
1.0× |
| Insert nasal septal button (30220) |
$1,486.88 |
— |
0.9× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$2,675.95 |
$4,385 |
0.8× |
| Insert pulse gen dual leads (33213) |
$10,504.89 |
— |
1.0× |
| Insert pulse gen mult leads (33221) |
$19,143.25 |
— |
1.0× |
| Insert pulse gen sngl lead (33212) |
$8,307.26 |
— |
1.0× |
| Insert Testicular Prosthesis (54660) |
$5,102.84 |
— |
0.9× |
| Insert tun ip cath w/port (49419) |
$5,426.13 |
— |
0.9× |
| Insert Tunneled Cv Cath (36566) |
$5,426.13 |
— |
0.9× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$5,426.13 |
— |
0.9× |
| Insert uterine tandem/ovoids (57155) |
$4,955.11 |
— |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$109.44 |
$179 |
0.8× |
| Insert,Temp Indwelling Blad Cath,Simple (51702) |
$129.39 |
$391 |
0.9× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,542.40 |
— |
0.9× |
| Insertion of a temporary prostatic urethral stent, including urethral measurement Other Surgical Services (53855) |
$2,056.25 |
— |
0.9× |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach Other Surgical… (66183) |
$4,038.07 |
— |
0.9× |
| Insertion of breast implant on same day of mastectomy (ie, immediate) Other Surgical Services (19340) |
$6,546.11 |
— |
0.8× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) |
$3,159.40 |
— |
1.0× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) |
$5,426.13 |
— |
0.9× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein Other Surgical Services (36800) |
$5,426.13 |
— |
0.9× |
| Insertion of cervical dilator (59200) |
$305.34 |
— |
1.0× |
| Insertion of Heyman capsules for clinical brachytherapy Other Surgical Services (58346) |
$4,955.11 |
— |
0.9× |
| Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Other Surgical Services (36260) |
$5,426.13 |
— |
0.9× |
| Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Other… (53445) |
$20,204.65 |
— |
0.9× |
| Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867) |
$18,459.56 |
— |
1.0× |
| Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion,… (22869) |
$12,915.46 |
— |
1.0× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Other… (66985) |
$2,289.35 |
— |
0.9× |
| Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir Other… (54405) |
$20,204.65 |
— |
0.9× |
| Insertion of ocular implant secondary; after enucleation, muscles attached to implant Other Surgical Services (65140) |
$3,785.25 |
— |
0.9× |
| Insertion of ocular implant secondary; after enucleation, muscles not attached to implant Other Surgical Services (65135) |
$3,785.25 |
— |
0.9× |
| Insertion of ocular implant secondary; after evisceration, in scleral shell Other Surgical Services (65130) |
$3,785.25 |
— |
0.9× |
| Insertion of penile prosthesis; inflatable (self-contained) Other Surgical Services (54401) |
$20,204.65 |
— |
0.9× |
| Insertion of penile prosthesis; non-inflatable (semi-rigid) Other Surgical Services (54400) |
$13,041.53 |
— |
0.9× |
| Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age… (36570) |
$3,159.40 |
— |
1.0× |
| Insertion of pin-retained palatal prosthesis Other Surgical Services (42281) |
$5,938.02 |
— |
1.0× |
| Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) |
$3,462.01 |
— |
0.9× |
| Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Other… (61215) |
$6,428.28 |
— |
0.7× |
| Insertion of tandem cuff (dual cuff) Other Surgical Services (53444) |
$20,204.65 |
— |
0.9× |
| Insertion of Thomas shunt (separate procedure) Other Surgical Services (36835) |
$3,159.40 |
— |
1.0× |
| Insertion of tissue expander(s) for other than breast, including subsequent expansion (11960) |
$3,674.81 |
— |
1.0× |
| Insertion of vascular pedicle into carpal bone (eg, Hori procedure) Other Surgical Services (25430) |
$3,256.87 |
— |
1.0× |
| Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61886) |
$30,588.78 |
— |
0.9× |
| Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885) |
$21,525.45 |
— |
0.7× |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) |
$12,517.45 |
— |
1.1× |
| Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring… (64590) |
$21,525.45 |
— |
1.1× |
| Insertion phrenic nerve stimulator system (33276) |
$45,170.60 |
— |
1.0× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,559.31 |
— |
0.9× |
| Insertion picc w/rs&i < 5 yr (36572) |
$620.60 |
— |
0.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,307.26 |
— |
1.0× |
| Insertion tunnel intraperitoneal cath dial open (49421) |
$3,542.40 |
— |
0.9× |
| Insertion vaginal radiation device (57156) |
$305.34 |
— |
1.0× |
| Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) |
$8,307.26 |
— |
1.0× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$8,307.26 |
— |
1.0× |
| Insj eltrd car ven sys attch prev pm/dfb pls gen (33224) |
$10,504.89 |
— |
1.0× |
| Insj implntbl defib pulse gen w/1 existing ld (33240) |
$22,531.04 |
— |
1.0× |
| Insj intraperitoneal catheter w/img guid (49418) |
$3,542.40 |
— |
0.9× |
| Insj of subq implantable defibrillator electrode (33271) |
$8,307.26 |
— |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,159.40 |
— |
1.0× |
| Insj rx eluting implt punctal dilat lac canal ea (68841) |
$2,341.78 |
— |
0.9× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,159.40 |
— |
1.0× |
| Insj tunneled ctr vad w/subq port age 5 yr/> (36561) |
$3,159.40 |
— |
1.0× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$3,159.40 |
— |
1.0× |
| Insj Tunneled Ctr Vad W/Subq Pump (36563) |
$5,426.13 |
— |
0.9× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$9,605.22 |
— |
1.1× |
| Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) |
$32,182.77 |
— |
1.0× |
| Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685) |
$30,588.78 |
— |
0.9× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$8,307.26 |
— |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$10,504.89 |
— |
1.0× |
| Insrt pulse gen w/dual leads (33230) |
$22,531.04 |
— |
1.0× |
| Insrt pulse gen w/mult leads (33231) |
$32,182.77 |
— |
1.0× |
| Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or… (50391) |
$244.13 |
— |
0.9× |
| Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated… (32562) |
$620.60 |
— |
0.9× |
| Instlj via ch tube/cath agent fbrnlysis 1st day (32561) |
$620.60 |
— |
0.9× |
| Interdental fixation (21110) |
$1,486.88 |
— |
0.9× |
| Interdental wiring (21497) |
$1,486.88 |
— |
0.9× |
| Internal hrhc lig w/o img (46945) |
$2,752.76 |
— |
0.9× |
| Intersex surgery; female to male Other Surgical Services (55980) |
$3,462.01 |
— |
0.9× |
| Intersex surgery; male to female Other Surgical Services (55970) |
$4,955.11 |
— |
0.9× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$1,373.43 |
— |
1.0× |
| Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) Other Surgical… (66983) |
$2,289.35 |
— |
0.9× |
| Intraoral i&d tongue/floor lingual (41000) |
$511.18 |
— |
0.9× |
| Intraoral i&d tongue/floor masticator space (41009) |
$511.18 |
— |
0.9× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$233.10 |
— |
0.9× |
| Intraoral i&d tongue/floor submental space (41007) |
$1,486.88 |
— |
0.9× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,255.33 |
— |
0.9× |
| Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep,… (41006) |
$1,486.88 |
— |
0.9× |
| Intro cath dialysis circuit dx angrph fluor s&i (36901) |
$1,559.31 |
— |
0.9× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$11,383.44 |
— |
0.9× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$5,723.07 |
— |
1.0× |
| Intro gastrointestinal tube (44500) |
$941.10 |
— |
1.0× |
| Intubation endotracheal (31500) |
$233.10 |
$921 |
0.9× |
| Iridectomy, with corneoscleral or corneal section; for removal of lesion Other Surgical Services (66600) |
$4,038.07 |
— |
0.9× |
| Iridectomy, with corneoscleral or corneal section; optical (separate procedure) Other Surgical Services (66635) |
$2,289.35 |
— |
0.9× |
| Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) Other Surgical Services (66625) |
$2,289.35 |
— |
0.9× |
| Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) Other Surgical Services (66630) |
$2,289.35 |
— |
0.9× |
| Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber… (66762) |
$550.67 |
— |
1.0× |
| Iridotomy by stab incision (separate procedure); except transfixion Other Surgical Services (66500) |
$2,289.35 |
— |
0.9× |
| Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Other Surgical Services (66505) |
$2,289.35 |
— |
0.9× |
| Irrigat Corpus Cavern,Priapism (54220) |
$244.13 |
$929 |
0.9× |
| Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease Other… (57150) |
$59.62 |
— |
1.0× |
| IV injection test vascular flow flap/graft (15860) |
$400.55 |
— |
0.9× |
| Joint repair (arthroplasty) forearm bone on the thumb side (radius) at the elbow with and implant (24366) |
$12,915.46 |
— |
1.0× |
| Joint repair (arthroplasty) forearm bone on the thumb side (radius) at the elbow without an implant (24365) |
$12,915.46 |
— |
1.0× |
| Kelch-like protein 11 antibody, serum or cerebrospinal fluid, cell-binding assay, qualitative Other Outpatient (0432U) |
$36.57 |
— |
1.0× |
| Keratoplasty (corneal transplant); anterior lamellar Other Surgical Services (65710) |
$5,179.21 |
— |
0.9× |
| Keratoplasty (corneal transplant); endothelial Other Surgical Services (65756) |
$4,038.07 |
— |
0.9× |
| Keratoplasty (corneal transplant); penetrating (in aphakia) Other Surgical Services (65750) |
$5,179.21 |
— |
0.9× |
| Keratoplasty (corneal transplant); penetrating (in pseudophakia) Other Surgical Services (65755) |
$4,038.07 |
— |
0.9× |
| Keratoprosthesis Other Surgical Services (65770) |
$14,343.32 |
— |
0.9× |
| KLF1 (Kruppel-like factor 1), targeted sequencing (ie, exon 13) Other Outpatient (0195U) |
$375.25 |
— |
1.0× |
| Knee arthroscopy/surgery (29876) |
$3,256.87 |
— |
1.0× |
| Labyrinthectomy; transcanal Other Surgical Services (69905) |
$5,938.02 |
— |
1.0× |
| Labyrinthectomy; with mastoidectomy Other Surgical Services (69910) |
$5,938.02 |
— |
1.0× |
| Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal Other Surgical Services (69801) |
$1,486.88 |
— |
0.9× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical Other Surgical… (63265) |
$7,170.73 |
— |
0.9× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Other Surgical… (63268) |
$7,170.73 |
— |
0.9× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Other Surgical… (63266) |
$7,170.73 |
— |
0.9× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Other Surgical Services (63655) |
$21,525.45 |
— |
1.1× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) |
$7,170.73 |
— |
0.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
$7,170.73 |
— |
0.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63003) |
$7,170.73 |
— |
0.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) |
$7,170.73 |
— |
0.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63016) |
$7,170.73 |
— |
0.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) |
$7,170.73 |
— |
0.9× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
$7,170.73 |
— |
0.9× |
| Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) |
$7,170.73 |
— |
0.9× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$7,170.73 |
— |
0.9× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$7,170.73 |
— |
0.9× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$7,170.73 |
— |
0.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042) |
$7,170.73 |
— |
0.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$7,170.73 |
— |
0.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$7,170.73 |
— |
0.9× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040) |
$7,170.73 |
— |
0.9× |
| Lap jejunostomy (44186) |
$5,856.41 |
— |
0.9× |
| Lap, cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (50549) |
$5,856.41 |
— |
0.9× |
| Lap, ureteroneocystostomy; anastomosis of single ureter to bladder (50949) |
$5,856.41 |
— |
0.9× |
| Laparoscopic closure of vesicovaginal fistula, abdominal approac (51999) |
$5,856.41 |
— |
0.9× |
| Laparoscopic hepatotomy for open drainage of abscess or cyst one or more stages (47379) |
$5,856.41 |
— |
0.9× |
| Laparoscopic partial gastrectomy with gastrocutaneous fistula takedown (43659) |
$5,856.41 |
— |
0.9× |
| Laparoscopic Surgical Splenectomy (38120) |
$10,450.57 |
— |
0.9× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Other Surgical Services (59151) |
$5,856.41 |
— |
0.9× |
| Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Other Surgical Services (59150) |
$5,856.41 |
— |
0.9× |
Laparoscopy appendectomy (44970)
likely a partial charge, not the full procedure |
$600 |
$3,006 |
0.1× |
| Laparoscopy biopsy (49321) |
$5,856.41 |
— |
0.9× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$5,856.41 |
— |
0.9× |
| Laparoscopy surg colpopexy (57425) |
$10,450.57 |
— |
0.9× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge, not the full procedure |
$1,526 |
$1,526 |
0.2× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, abdomen, peritoneum, and omentum; with treatment of hemorrhage (including post-operative) (49329) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical Other Surgical Services (47371) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency Other Surgical Services (47370) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device… (43773) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$3,818.91 |
— |
0.9× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh… (43282) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Laprascopic Hysterectomy/Prostatectomy (58541) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58542) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; Laprascopic Hysterectomy/Prostatectomy (58543) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical, with ligation of spermatic veins for varicocele Other Surgical Services (55550) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; Laprascopic Hysterectomy/Prostatectomy (58570) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; Laprascopic Hysterectomy/Prostatectomy (58572) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Laprascopic Hysterectomy/Prostatectomy (58550) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Laprascopic Hysterectomy/Prostatectomy (58553) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical; ablation of renal cysts Other Surgical Services (50541) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring,… (50542) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical; appendectomy when done for indicated purpose at time of other major procedure (44979) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical; cholcyststmy incldng cholangiography, when prfrmd (47579) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct Other Surgical Services (47564) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum Other Surgical Services (43647) |
$12,517.45 |
— |
1.1× |
| Laparoscopy, surgical; orchiectomy Other Surgical Services (54690) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical; orchiopexy for intra-abdominal testis Other Surgical Services (54692) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum Other Surgical Services (43648) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Other Surgical Services (51992) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical; transection of vagus nerves, selective or highly selective Other Surgical Services (43652) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical; transection of vagus nerves, truncal Other Surgical Services (43651) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical; ureterolithotomy Other Surgical Services (50945) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Other Surgical Services (50947) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Other Surgical Services (50948) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical; urethral suspension for stress incontinence Other Surgical Services (51990) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal… (38573) |
$10,450.57 |
— |
0.9× |
| Laparoscopy, surgical; with fimbrioplasty Other Surgical Services (58672) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Other Surgical Services (58670) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by… (58662) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Other Surgical Services (58660) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Other Surgical Services (58671) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Other… (58661) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of… (49325) |
$5,856.41 |
— |
0.9× |
| Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Other Surgical Services (58673) |
$10,450.57 |
— |
0.9× |
| Laparoscopy; w abd lymph node sampling (biopsy), single or multiple, other than retroperitoneal (38589) |
$5,856.41 |
— |
0.9× |
| Laps abltj uterine fibroids w/intraop us gdn (58674) |
$10,450.57 |
— |
0.9× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$3,818.91 |
— |
0.9× |
| Laps Rpr Paraesphgl Hrna Incl Fundplsty W/O Mesh (43281) |
$10,450.57 |
— |
0.9× |
| Laps Surg Esopg/Gstr Fundoplasty (43280) |
$10,450.57 |
— |
0.9× |
| Laps surg gastrostomy w/o constj gstr tube spx (43653) |
$5,856.41 |
— |
0.9× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$5,856.41 |
— |
0.9× |
Laps Surg Rpr Recurrent Inguinal Hernia (49651)
unusually low: confirm this is the full procedure |
$2,959 |
$2,959 |
0.5× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$5,856.41 |
— |
0.9× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$10,450.57 |
— |
0.9× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$3,700.89 |
— |
1.0× |
| Largsc w/ther injection (31573) |
$1,730.99 |
$4,302 |
0.9× |
| Laryngeal reinnervation by neuromuscular pedicle Other Surgical Services (31590) |
$5,938.02 |
— |
1.0× |
| Laryngoplasty, cricoid split, without graft placement Other Surgical Services (31587) |
$5,938.02 |
— |
1.0× |
| Laryngoplasty, medialization, unilateral Other Surgical Services (31591) |
$5,938.02 |
— |
1.0× |
| Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older Other… (31554) |
$5,938.02 |
— |
1.0× |
| Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age Other… (31553) |
$5,938.02 |
— |
1.0× |
| Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older Other… (31552) |
$5,938.02 |
— |
1.0× |
| Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age… (31551) |
$5,938.02 |
— |
1.0× |
| Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion Other Surgical Services (31580) |
$5,938.02 |
— |
1.0× |
| Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed Other… (31584) |
$5,938.02 |
— |
1.0× |
| Laryngoscope w/vc inj (31570) |
$3,700.89 |
— |
1.0× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Other Surgical Services (31520) |
$389.78 |
— |
1.0× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope Other Surgical… (31526) |
$1,730.99 |
— |
0.9× |
| Laryngoscopy direct, with or without tracheoscopy; for aspiration Other Surgical Services (31515) |
$389.78 |
— |
1.0× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Other Surgical Services (31528) |
$3,700.89 |
— |
1.0× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Other Surgical Services (31529) |
$3,700.89 |
— |
1.0× |
| Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Other Surgical Services (31527) |
$3,700.89 |
— |
1.0× |
| Laryngoscopy flex diagnostic (31575) |
$194.87 |
— |
0.9× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$3,700.89 |
— |
1.0× |
| Laryngoscopy flexible w/biopsy(ies) (31576) |
$1,730.99 |
— |
0.9× |
| Laryngoscopy flexible w/injection agmntj uni (31574) |
$1,730.99 |
$4,302 |
0.9× |
| Laryngoscopy flx rmvl foreign body(s) (31577) |
$389.78 |
— |
1.0× |
| Laryngoscopy foreign body rmvl micro/telescope (31531) |
$3,700.89 |
— |
1.0× |
| Laryngoscopy indirect diagnostic (31505) |
$194.87 |
— |
0.9× |
| Laryngoscopy w stroboscopy (31579) |
$389.78 |
— |
1.0× |
| Laryngoscopy w/biopsy (31535) |
$3,700.89 |
— |
1.0× |
| Laryngoscopy w/foreign body removal (31530) |
$1,730.99 |
— |
0.9× |
| Laryngoscopy, direct, operative, with arytenoidectomy; Other Surgical Services (31560) |
$6,948.64 |
— |
0.9× |
| Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope Other Surgical Services (31561) |
$6,948.64 |
— |
0.9× |
| Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; Other Surgical… (31540) |
$3,700.89 |
— |
1.0× |
| Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating… (31541) |
$3,700.89 |
— |
1.0× |
| Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic… (31546) |
$6,948.64 |
— |
0.9× |
| Laryngoscopy, flexible; with removal of lesion(s), non-laser Other Surgical Services (31578) |
$3,700.89 |
— |
1.0× |
| Laryngoscopy, indirect; with biopsy Other Surgical Services (31510) |
$3,700.89 |
— |
1.0× |
| Laryngoscopy, indirect; with removal of lesion Other Surgical Services (31512) |
$3,700.89 |
— |
1.0× |
| Laryngoscopy, indirect; with vocal cord injection Other Surgical Services (31513) |
$389.78 |
— |
1.0× |
| Laryngoscopy,direct, injctn arytenoid/larynx, agmenttn,w/ or w/o mcrscp (31599) |
$233.10 |
— |
0.9× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,730.99 |
— |
0.9× |
| Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Other Surgical Services (31300) |
$3,255.33 |
— |
0.9× |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
$5,102.84 |
— |
0.9× |
| Laser treatment of retina (67040) |
$4,038.07 |
— |
0.9× |
| Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648) |
$5,102.84 |
— |
0.9× |
| Lateral canthopexy (21282) |
$3,255.33 |
— |
0.9× |
| Lateral retinacular release open (27425) |
$3,256.87 |
— |
1.0× |
| Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium) (31000) |
$233.10 |
— |
0.9× |
| Lavage by cannulation; sphenoid sinus Other Surgical Services (31002) |
$1,486.88 |
— |
0.9× |
| Layr Clos Wnd Rest Body <2.5 Cm (12041) |
$502.75 |
$811 |
1.2× |
| Leg surgery procedure (27599) |
$240.79 |
$2,307 |
0.9× |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Other Surgical Services (27394) |
$7,170.73 |
— |
0.9× |
| Lengthening of hamstring tendon; multiple tendons, bilateral Other Surgical Services (27395) |
$3,256.87 |
— |
1.0× |
| Lengthening of hamstring tendon; single tendon Other Surgical Services (27393) |
$7,170.73 |
— |
0.9× |
| Lengthening of palate, and pharyngeal flap Other Surgical Services (42226) |
$5,938.02 |
— |
1.0× |
| Lengthening of roof of mouth using mucous membrane tissue graft (42227) |
$5,938.02 |
— |
1.0× |
| Lengthening of roof of mouth with tissue graft from tissue separating nose airways (42235) |
$5,938.02 |
— |
1.0× |
| Lengthening of tendon, extensor, hand or finger, each tendon Other Surgical Services (26476) |
$3,256.87 |
— |
1.0× |
| Lengthening of tendon, flexor, hand or finger, each tendon Other Surgical Services (26478) |
$3,256.87 |
— |
1.0× |
| Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon Other Surgical… (25280) |
$3,256.87 |
— |
1.0× |
| Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Other Surgical… (27686) |
$3,256.87 |
— |
1.0× |
| Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) Other Surgical Services (27685) |
$3,256.87 |
— |
1.0× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$7,170.73 |
— |
0.9× |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Other Surgical Services (27429) |
$12,915.46 |
— |
1.0× |
| Ligamentous reconstruction knee intra-articular (27428) |
$12,915.46 |
— |
1.0× |
| Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) |
$3,159.40 |
— |
1.0× |
| Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions Other Surgical Services (37700) |
$3,159.40 |
— |
1.0× |
| Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) Other Surgical Services (37780) |
$3,159.40 |
— |
1.0× |
| Ligation arteries; internal maxillary artery, transantral Other Surgical Services (30920) |
$3,159.40 |
— |
1.0× |
| Ligation of a-v fistula (37607) |
$3,159.40 |
— |
1.0× |
| Ligation of femoral vein Other Surgical Services (37650) |
$3,159.40 |
— |
1.0× |
| Ligation of inferior vena cava (37619) |
$5,426.13 |
— |
0.9× |
| Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg Other Surgical… (37761) |
$3,159.40 |
— |
1.0× |
| Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg Other… (37760) |
$3,159.40 |
— |
1.0× |
| Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Other Surgical… (58600) |
$3,191.55 |
— |
0.9× |
| Ligation salivary duct, intraoral Other Surgical Services (42665) |
$3,255.33 |
— |
0.9× |
| Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below Other… (37722) |
$3,159.40 |
— |
1.0× |
| Ligation, division, and stripping, short saphenous vein Other Surgical Services (37718) |
$3,159.40 |
— |
1.0× |
| Ligation, internal jugular vein Other Surgical Services (37565) |
$3,159.40 |
— |
1.0× |
| Ligation, major artery (eg, post-traumatic, rupture); neck Other Surgical Services (37615) |
$3,159.40 |
— |
1.0× |
| Ligation/biopsy temporal artery (37609) |
$1,626.36 |
— |
0.9× |
| Ligation; external carotid artery Other Surgical Services (37600) |
$3,159.40 |
— |
1.0× |
| Ligation; internal or common carotid artery Other Surgical Services (37605) |
$3,159.40 |
— |
1.0× |
| Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp Other… (37606) |
$3,159.40 |
— |
1.0× |
| Ligj divj &/excj varicose vein cluster 1 leg (37785) |
$569.38 |
$1,077.54 |
0.2× |
| Limited pharyngectomy Other Surgical Services (42890) |
$5,938.02 |
— |
1.0× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or… (52318) |
$3,462.01 |
— |
0.9× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small… (52317) |
$3,462.01 |
— |
0.9× |
| Lithotripsy Eswl Lt|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY SURGERY CENTER (ASC) PROCEDURE AFTER ADMINISTRATION OF… (50590) |
$3,462.01 |
— |
0.9× |
| Liver disease, 10 biochemical assays (a2-macroglobulin, haptoglobin, apolipoprotein A1, bilirubin, GGT, ALT, AST,… (0166U) |
$503.40 |
— |
1.0× |
| Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Other Surgical Services (20979) |
$24.58 |
— |
0.8× |
| Lumbar puncture (62270) |
$695.14 |
$852 |
0.9× |
| Lymphangiotomy or other operations on lymphatic channels Other Surgical Services (38308) |
$3,843.75 |
— |
0.9× |
| Lysis intranasal synechia (30560) |
$511.18 |
— |
0.9× |
| Lysis of labial adhesions (56441) |
$3,191.55 |
— |
0.9× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,056.25 |
— |
0.9× |
| Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target,… (61715) |
$12,517.45 |
— |
1.1× |
| Malar augmentation, prosthetic material Other Surgical Services (21270) |
$5,938.02 |
— |
1.0× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$240.79 |
— |
0.9× |
| Manipulate wrist w/anesthes (25259) |
$1,606.46 |
— |
1.0× |
| Manipulation finger joint under anes each joint (26340) |
$1,606.46 |
— |
1.0× |
| Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Other… (27860) |
$3,256.87 |
— |
1.0× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Other… (27570) |
$1,606.46 |
— |
1.0× |
| Manipulation of spine requiring anesthesia, any region Other Surgical Services (22505) |
$1,606.46 |
— |
1.0× |
| Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or… (21073) |
$1,486.88 |
— |
0.9× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Other… (23700) |
$1,606.46 |
— |
1.0× |
| Manipulation, elbow, under anesthesia Other Surgical Services (24300) |
$1,606.46 |
— |
1.0× |
| Manipulation, hip joint, requiring general anesthesia Other Surgical Services (27275) |
$1,606.46 |
— |
1.0× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$669.99 |
— |
0.9× |
| Manometric studies through ureterostomy or indwelling ureteral catheter Other Surgical Services (50686) |
$157.05 |
— |
1.2× |
| Maple syrup urine disease monitoring by patient-collected blood card sample, quantitative measurement of… (0381U) |
$44.12 |
— |
1.0× |
| Marsupialization bartholin's gland cyst (56440) |
$3,191.55 |
— |
0.9× |
| Marsupialization of sublingual salivary cyst (ranula) Other Surgical Services (42409) |
$3,255.33 |
— |
0.9× |
| Marsupialization of urethral diverticulum, male or female Other Surgical Services (53240) |
$3,462.01 |
— |
0.9× |
| Mastectomy gynecomastia (19300) |
$3,843.75 |
— |
0.9× |
| Mastectomy partial (19301) |
$3,843.75 |
— |
0.9× |
| Mastectomy Partial W/Axillary Lymphadenectomy (19302) |
$6,546.11 |
— |
0.9× |
| Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding… (19307) |
$6,546.11 |
— |
0.9× |
| Mastoid obliteration (separate procedure) Other Surgical Services (69670) |
$5,938.02 |
— |
1.0× |
| Mastoidectomy; complete Other Surgical Services (69502) |
$5,938.02 |
— |
1.0× |
| Mastoidectomy; radical Other Surgical Services (69511) |
$5,938.02 |
— |
1.0× |
| Mastopexy (19316) |
$6,546.11 |
— |
0.9× |
| Mastotomy expl drg absc dp (19020) |
$1,626.36 |
$4,533 |
0.9× |
| Maternity care procedure unlisted (59899) |
$201.93 |
— |
1.0× |
| Maxillary impression for palatal prosthesis Other Surgical Services (42280) |
$511.18 |
— |
0.9× |
| Mdfc flap w/prsrv vasc pedcl (15730) |
$3,674.81 |
— |
1.0× |
| Meatotomy cutting meatus spx except infant (53020) |
$2,056.25 |
— |
0.9× |
| Meatotomy, cutting of meatus (separate procedure); infant Other Surgical Services (53025) |
$2,056.25 |
— |
0.9× |
| Mechanical fragility, RBC, shear stress and spectral analysis profiling Other Outpatient (0123U) |
$357.63 |
— |
1.0× |
| Mechanical removal obstructive material from nonvascular catheter/device (32999) |
$620.60 |
— |
0.9× |
| Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen… (36596) |
$1,559.31 |
— |
0.9× |
| Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate… (36595) |
$3,159.40 |
— |
1.0× |
| MECP2 (methyl CpG binding protein 2) full gene analysis, including small sequence changes in exonic and intronic… (0234U) |
$527.87 |
— |
1.0× |
| Medial canthopexy (21280) |
$3,255.33 |
— |
0.9× |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Other Surgical Services (39401) |
$5,856.41 |
— |
0.9× |
| Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) Other Surgical Services (39402) |
$5,856.41 |
— |
0.9× |
| Melatonin levels test,sleep study,7 or 9 sample melatonin profile (cortisol optional),enzyme-linked immunosorbent assay… (0462U) |
$17.27 |
— |
1.0× |
| Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Other Surgical Services (21060) |
$5,938.02 |
— |
1.0× |
| Metatarsectomy Other Surgical Services (28140) |
$3,256.87 |
— |
1.0× |
| Middle ear exploration through postauricular or ear canal incision Other Surgical Services (69440) |
$3,255.33 |
— |
0.9× |
| MLH1 (mutL homolog 1) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) mRNA sequence analysis (List… (0158U) |
$282.88 |
— |
1.0× |
| Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage)… (65125) |
$2,341.78 |
— |
0.9× |
| Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping,… (17311) |
$614.44 |
— |
0.8× |
| Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping,… (17313) |
$614.44 |
— |
0.8× |
| Monocyte distribution width, whole blood Other Outpatient (0427U) |
$4.48 |
— |
1.0× |
| MSH2 (mutS homolog 2) (eg, hereditary colon cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition… (0159U) |
$282.88 |
— |
1.0× |
| MSH6 (mutS homolog 6) (eg, hereditary colon cancer, Lynch syndrome) mRNA sequence analysis (List separately in addition… (0160U) |
$282.88 |
— |
1.0× |
| Multifetal Pregnancy Reduction (59866) |
$305.34 |
— |
1.0× |
| Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Other Surgical… (24410) |
$12,915.46 |
— |
1.0× |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Other Surgical… (25375) |
$3,256.87 |
— |
1.0× |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Other Surgical… (25370) |
$3,256.87 |
— |
1.0× |
| Musc myoq/fscq flp h&n pedcl (15733) |
$3,674.81 |
— |
1.0× |
| Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) Other Surgical Services (24301) |
$7,170.73 |
— |
0.9× |
| Muscle transfer, any type, shoulder or upper arm; multiple Other Surgical Services (23397) |
$7,170.73 |
— |
0.9× |
| Muscle transfer, any type, shoulder or upper arm; single Other Surgical Services (23395) |
$7,170.73 |
— |
0.9× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Other Surgical Services (15738) |
$3,674.81 |
— |
1.0× |
| Muscle, myocutaneous, or fasciocutaneous flap; upper extremity Other Surgical Services (15736) |
$1,836.14 |
— |
0.9× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$793.05 |
— |
1.0× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$793.05 |
— |
1.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$793.05 |
— |
1.0× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$793.05 |
— |
1.0× |
| Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less… (58145) |
$3,191.55 |
— |
0.9× |
| Myringoplasty (69620) |
$3,255.33 |
— |
0.9× |
| Nasal endoscopy, dx (31231) |
$194.87 |
— |
0.9× |
| Nasal surg proc unlisted (30999) |
$233.10 |
— |
0.9× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$389.78 |
— |
1.0× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$6,948.64 |
— |
0.9× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$1,730.99 |
— |
0.9× |
| Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy Other… (31257) |
$6,948.64 |
— |
0.9× |
| Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia Other Surgical… (31298) |
$6,948.64 |
— |
0.9× |
| Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium Other Surgical Services (31296) |
$6,948.64 |
— |
0.9× |
| Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine… (31295) |
$6,948.64 |
— |
0.9× |
| Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); sphenoid sinus ostium Other Surgical Services (31297) |
$6,948.64 |
— |
0.9× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy; Other Surgical Services (31256) |
$3,700.89 |
— |
1.0× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus Other Surgical… (31267) |
$6,948.64 |
— |
0.9× |
| Nasal/sinus endoscopy, surgical, with optic nerve decompression Other Surgical Services (31294) |
$6,948.64 |
— |
0.9× |
| Nasal/sinus endoscopy, surgical, with orbital decompression; medial and inferior wall Other Surgical Services (31293) |
$6,948.64 |
— |
0.9× |
| Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall Other Surgical Services (31292) |
$6,948.64 |
— |
0.9× |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus Other Surgical… (31288) |
$6,948.64 |
— |
0.9× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Other Surgical Services (31237) |
$1,730.99 |
— |
0.9× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Other Surgical Services (31240) |
$1,730.99 |
— |
0.9× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Other Surgical Services (31238) |
$1,730.99 |
— |
0.9× |
| Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Other Surgical Services (31239) |
$3,700.89 |
— |
1.0× |
| Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery Other Surgical Services (31241) |
$1,730.99 |
— |
0.9× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$5,938.02 |
— |
1.0× |
| Nasal/sinus ndsc dstrj rf ablation pst nsl nrv (31242) |
$5,938.02 |
— |
1.0× |
| Nasal/Sinus Ndsc Tot W/Frnt Sins Expl Tiss Rmvl (31253) |
$6,948.64 |
— |
0.9× |
| Nasal/Sinus Ndsc Tot W/Sphendt W/Sphen Tiss Rmvl (31259) |
$6,948.64 |
— |
0.9× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$6,948.64 |
— |
0.9× |
| Nasal/sinus ndsc w/rmvl tiss from frontal sinus (31276) |
$6,948.64 |
— |
0.9× |
| Nasal/sinus ndsc w/total ethoidectomy (31255) |
$6,948.64 |
— |
0.9× |
| Nasotracheal suctioning (31720) |
$204.16 |
$676 |
0.9× |
| Ndl EMG stds EMG anal/urtl sphnctr any tq (51785) |
$244.13 |
— |
0.9× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,606.46 |
— |
1.0× |
| Needle Biopsy Liver (47000) |
$1,626.36 |
— |
0.9× |
| Needle biopsy, pancreas (48102) |
$1,626.36 |
— |
0.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$24.58 |
— |
0.8× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$24.58 |
— |
0.8× |
| Nephrology (chronic kidney disease), apolipoprotein A4, CD5 antigen-like, and insulin-like growth factor binding… (0385U) |
$390.75 |
— |
1.0× |
| Nephrology (chronic kidney disease), carboxymethyllysine, methylglyoxal hydroimidazolone, and carboxyethyl lysine by… (0384U) |
$750 |
— |
1.0× |
| Nephrology (chronic kidney disease), multiplex electrochemiluminescent immunoassay (ECLIA) of tumor necrosis factor… (0105U) |
$950 |
— |
1.0× |
| Nephrology (chronic kidney disease), nuclear magnetic resonance spectroscopy measurement of myo-inositol, valine, and… (0259U) |
$52.71 |
— |
1.0× |
| Nephrology (diabetic chronic kidney disease), multiplex electrochiluminescent immunoassay of soluble tumor necrosis… (0407U) |
$950 |
— |
1.0× |
| Nephrology (renal transplant), RNA expression by select transcriptome sequencing, using posttransplant peripheral… (0320U) |
$2,650 |
— |
1.0× |
| Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Other Surgical Services (64886) |
$6,428.28 |
— |
0.7× |
| Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Other Surgical Services (64885) |
$6,428.28 |
— |
0.7× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Other Surgical… (64898) |
$6,428.28 |
— |
0.7× |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Other Surgical Services (64897) |
$6,428.28 |
— |
0.7× |
| Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Other Surgical… (64896) |
$6,428.28 |
— |
0.7× |
| Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Other Surgical… (64895) |
$6,428.28 |
— |
0.7× |
| Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Other Surgical Services (64893) |
$6,428.28 |
— |
1.8× |
| Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length Other Surgical Services (64892) |
$6,428.28 |
— |
0.7× |
| Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Other Surgical Services (64891) |
$6,428.28 |
— |
0.7× |
| Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Other Surgical Services (64890) |
$6,428.28 |
— |
0.7× |
| Nerve pedicle transfer; first stage Other Surgical Services (64905) |
$6,428.28 |
— |
0.7× |
| Nerve pedicle transfer; second stage Other Surgical Services (64907) |
$6,428.28 |
— |
0.7× |
| Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve Other Surgical Services (64911) |
$6,428.28 |
— |
0.7× |
| Nerve repair; with nerve allograft, each nerve, first strand (cable) Other Surgical Services (64912) |
$6,428.28 |
— |
0.7× |
| Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve Other Surgical Services (64910) |
$6,428.28 |
— |
0.7× |
| Neurectomy, hamstring muscle Other Surgical Services (27325) |
$1,960.15 |
— |
1.0× |
| Neurectomy, intrinsic musculature of foot Other Surgical Services (28055) |
$1,960.15 |
— |
1.0× |
| Neurectomy, popliteal (gastrocnemius) Other Surgical Services (27326) |
$1,960.15 |
— |
1.0× |
| Neuro Inh Ataxia Genomic DNA Seq Alys 12 Bld/Slv Other Outpatient (0216U) |
$1,537.02 |
— |
1.0× |
| Neuro Inh Ataxia Genomic DNA Seq Alys 51 Bld/Slv Other Outpatient (0217U) |
$2,198.35 |
— |
1.0× |
| Neuro Muscular Dystrophy Dmd Seq Alys Bld/Saliva Other Outpatient (0218U) |
$2,279 |
— |
1.0× |
| Neuroeltrd stim post tibial (64566) |
$296.31 |
— |
0.9× |
| Neurology (Alzheimer Disease), mRNA, gene expression profiling by RNA sequencing of 24 genes, whole blood, algorithm… (0289U) |
$760 |
— |
1.0× |
| Neurology (autism spectrum disorder [ASD]), quantitative measurements of 14 acyl carnitines and microbiome-derived… (0322U) |
$750 |
— |
1.0× |
| Neurology (autism spectrum disorder [ASD]), quantitative measurements of 16 central carbon metabolites , liquid… (0263U) |
$750 |
— |
1.0× |
| Neurology (autism spectrum disorder [ASD]), RNA, next-generation sequencing, saliva, algorithmic analysis, and results… (0170U) |
$1,950 |
— |
1.0× |
| Neurology (cerebral folate deficiency), serum, detection of anti-human folate receptor IgGbinding antibody and blocking… (0399U) |
$300 |
— |
1.0× |
| Neurology (Lazheimer disease), beta amyloid (AB40,AB42,AB42/40 ratio) and tau-protein (ptau217, np-tau217,… (0503U) |
$750 |
— |
1.0× |
| Neurology (mild cognitive impairment), analysis of b-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay,… (0358U) |
$260.50 |
— |
1.0× |
| Neurology Alzheimer Disease Cell Aggregation Other Outpatient (0206U) |
$2,215.40 |
— |
1.0× |
| Neurology, cerebrospinal fluid, detection of misfolded a-synuclein protein by see amplification assay, qualitative… (0393U) |
$540.99 |
— |
1.0× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$1,960.15 |
— |
1.0× |
| Neuroplasty and/or transposition; cranial nerve (specify) Other Surgical Services (64716) |
$1,960.15 |
— |
1.0× |
| Neuroplasty Nerve Hand/Foot (64704) |
$1,960.15 |
— |
1.0× |
| Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Other Surgical Services (64713) |
$1,960.15 |
— |
1.0× |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Other Surgical Services (64714) |
$1,960.15 |
— |
1.0× |
| Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Other Surgical Services (64708) |
$1,960.15 |
— |
1.0× |
| Neuroplasty; digital, 1 or both, same digit Other Surgical Services (64702) |
$1,960.15 |
— |
1.0× |
| Neuropsychiatry (eg, depression, anxiety), genomic sequence analysis panel, variant analysis of 13 genes, saliva or… (0419U) |
$1,336.09 |
— |
1.0× |
| Nfct ds DNA untrgt ngnrj seq (0152U) |
$2,126.20 |
— |
1.0× |
| Nicu/Picu Insert Picc W/O Imag<5yrs (36568) |
$525 |
$525 |
0.3× |
| Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct Other… (19110) |
$3,843.75 |
— |
0.9× |
| Nipple/areola reconstruction (19350) |
$3,843.75 |
— |
0.9× |
| Njx aa&/strd plantar common digital nerves (64455) |
$296.31 |
$885.57 |
0.9× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$893.66 |
— |
1.0× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$3,542.40 |
$7,617 |
0.9× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$3,542.40 |
— |
0.9× |
| Njx dx/ther agt pvrt facet jt crv/thrc 1 level (64490) |
$893.66 |
— |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$695.14 |
— |
0.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$695.14 |
— |
0.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$893.66 |
— |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$695.14 |
— |
0.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$893.66 |
— |
1.0× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$1,836.14 |
— |
0.9× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$1,836.14 |
— |
0.9× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$669.99 |
— |
0.9× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$669.99 |
— |
0.9× |
| Nocturnal penile tumescence and/or rigidity test Other Surgical Services (54250) |
$244.13 |
— |
0.9× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$3,159.40 |
— |
1.0× |
| NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common… (0169U) |
$466.17 |
— |
1.0× |
| Obstetrics (preeclampsia), biochemical assay of placental-growth factor, time-resolved fluorescence immunoassay,… (0243U) |
$64.41 |
— |
1.0× |
| Obstetrics (preeclampsia), biochemical assay of suoluble fms-like tyrosine kinasi 1 and placental growth factor, serum,… (0482U) |
$128.82 |
— |
1.0× |
| Obstetrics (preeclampsia), kinase insert domain receptor, Endoglin, and retinol-binding protein 4, by immunoassay,… (0390U) |
$64.41 |
— |
1.0× |
| Obstetrics (preterm birth), insulin-like growth factor-binding protein 4 (IBP4), sex hormone-binding globulin (SHBG),… (0247U) |
$750 |
— |
1.0× |
| Obstructive material removal from gi tube (49460) |
$941.10 |
— |
1.0× |
| Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach Other Surgical… (58615) |
$3,191.55 |
— |
0.9× |
| Ocular photodynamic ther (67221) |
$550.67 |
— |
1.0× |
| Ocular reconst transplant (65780) |
$3,785.25 |
— |
0.9× |
| Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Other Surgical Services (65782) |
$3,785.25 |
— |
0.9× |
| Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) Other Surgical Services (65781) |
$5,179.21 |
— |
0.9× |
| Onc Brst CA Image Alys w/ AI Assmt 12 Features Other Outpatient (0220U) |
$706.25 |
— |
1.0× |
| Onc thyr mut alys 10 gen&37 (0245U) |
$1,266.07 |
— |
1.0× |
| Oncology (B-cell lymphoma classification), mRNA, gene expression profiling by fluorescent probe hybridization of 58… (0120U) |
$2,510.21 |
— |
1.0× |
| Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of… (0366U) |
$897 |
— |
1.0× |
| Oncology (bladder), analysis of 10 protein biomarkers by immunoassays, urine, algorithm reported as a probability of… (0365U) |
$897 |
— |
1.0× |
| Oncology (Bladder), analysis of 10 protein biomarkers by immunoassays, urine, diagnostic algorithm reported as a risk… (0367U) |
$902.18 |
— |
1.0× |
| Oncology (bladder),DNA,nextgeneration sequencing (NGS) of 60 genes and whole genome aneuploidy,urine,altorighms… (0467U) |
$1,519.06 |
— |
1.0× |
| Oncology (bladder),methylated PENK DNA detection by linear target enrichment-quantitative methylation-specific… (0452U) |
$192 |
— |
1.0× |
| Oncology (breast cancer), DNA, PIK3CA gene analysis of 11 gene variants utilizing plasma, reported as PIK3CA gene… (0177U) |
$274.83 |
— |
1.0× |
| Oncology (breast cancer),S100A8 and S100A9,by enzymelinked immunosorbent assay (ELISA),terafluid with age, algorithm… (0458U) |
$260.50 |
— |
1.0× |
| Oncology (breast ductal carcinoma in situ), protein expression profiling by immunohistochemistry of 7 proteins (COX2,… (0295U) |
$5,435 |
— |
1.0× |
| Oncology (breast), augmentative algorithmic analysis of digitized whole slide imaging of 8 histologic and… (0418U) |
$706.25 |
— |
1.0× |
| Oncology (breast), mRNA, gene expression profiling by next-generation sequencing of 101 genes, utilizing formalin-fixed… (0153U) |
$3,159.42 |
— |
1.0× |
| Oncology (breast), semiquantitative analysis of 32 phosphoproteins and protein analytes, incl laser capture… (0249U) |
$2,219.13 |
— |
1.0× |
| Oncology (breast), semiquantitative measurement of thymidine kinase activity by immunoassay, serum, results as risk of… (0404U) |
$322.96 |
— |
1.0× |
| Oncology (colon cancer), targeted KRAS (codons 12, 13, and 61) and NRAS (codons 12, 13, and 61) gene analysis,… (0111U) |
$682.29 |
— |
1.0× |
| Oncology (colorectal and lung), DNA from formalin-fixed paraffin-embedded (FFPE) tissue, next-generation sequencing of… (0499U) |
$597.91 |
— |
1.0× |
| Oncology (colorectal cancer), analysis of cell-free DNA for epigenomic patterns, nextgeneration sequencing, >2500… (0537U) |
$1,495 |
— |
1.0× |
| Oncology (colorectal cancer), image analysis with artificial intelligence assessment of 4 histologic and… (0261U) |
$2,513.25 |
— |
1.0× |
| Oncology (colorectal cancer),cellfree DNA (cfDNA),methylationbased quantitative PCR assay… (0453U) |
$192 |
— |
1.0× |
| Oncology (colorectal cancer),qualitative real-time PCR of 35 variants of KRAS & NRAS genes (exons 2,3,4),formalinfixed… (0471U) |
$760 |
— |
1.0× |
| Oncology (colorectal) screening,quantitative real-time target and signal amplification,methylated DNA markers,incl… (0464U) |
$591.92 |
— |
1.0× |
| Oncology (cutaneous melanoma), mRNA gene expression profiling by RT-PCR of 35 genes (32 content and 3 housekeeping),… (0314U) |
$1,950 |
— |
1.0× |
| Oncology (cutaneous or uveal melanoma), circulating tumor cell selection, morphological characterization and… (0490U) |
$2,435 |
— |
1.0× |
| Oncology (cutaneous squamous cell carcinoma), mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6… (0315U) |
$8,500 |
— |
1.0× |
| Oncology (hematolymphoid neoplasia), optical genome mapping for copy number alterations and gene rearrangements… (0331U) |
$1,863.22 |
— |
1.0× |
| Oncology (hematolymphoid neoplasm), genomic seq anal using multiplex (PCR) & next gen seq w altorithm, quantification… (0364U) |
$2,007.25 |
— |
1.0× |
| Oncology (hematolymphoid neoplasm), optical genome mapping for ocpy number alterations, aneuploidy, and… (0413U) |
$1,263.53 |
— |
1.0× |
| Oncology (liver), surveillance for HCC in high-rish patients, analysis of methylation patterns on circulating cfDNA… (0333U) |
$662.32 |
— |
1.0× |
| Oncology (lung cancer), four-probe FISH (3q29, 3p22.1, 10q22.3, 10cen) assay, whole blood, predictive… (0317U) |
$2,030 |
— |
1.0× |
| Oncology (lung), augmentative algorithmic analysis of digitized whole slide imaging for 8 genes (ALK, BRAF, EGFR,… (0414U) |
$706.25 |
— |
1.0× |
| Oncology (lung), enzyme-linked immunosorbent assay of 7 autoantibodies, plasma, algorithm reported as a categorical… (0360U) |
$782.93 |
— |
0.9× |
| Oncology (lung), flow cytometry, sputum, 5 markers (meso-tetra porphyrin (TCPP), CD206, CD66b, CD3, CD19), algorithm… (0406U) |
$760 |
— |
1.0× |
| Oncology (lung), mRNA, quantitative PCR analysis of 11 genes (BAG1,BRCA1,CDC6, CDK2AP1, ERBB3, FUT3, IL11, LCK, RND3,… (0288U) |
$3,873 |
— |
1.0× |
| Oncology (lung), multi-omics, plasma, algorithm reported as malignancy risk for lung nodules in early-stage disease… (0395U) |
$797.45 |
— |
1.0× |
| Oncology (Lynch syndrome), genomic DNA sequence analysis of MLH1, MSH2, MSH6, PMS2, and EPCAM, including small sequence… (0238U) |
$584.90 |
— |
1.0× |
| Oncology (minimal residual disease [MRD]), next-generation targeted sequencing analysis of a patient-specific panel,… (0307U) |
$794.49 |
— |
1.0× |
| Oncology (minimal residual disease [MRD]), next-generation targeted sequencing analysis, cell-free DNA, initial… (0306U) |
$3,878.45 |
— |
1.0× |
| Oncology (neoplasia), exome and transcriptome sequence analysis for sequence variants, gene copy number amplifications… (0329U) |
$3,437.98 |
— |
1.0× |
| Oncology (non-small cell lung cancer), cell-free DNA, targeted sesquence analysis of 23 gene (single nucleotide… (0179U) |
$1,943.21 |
— |
1.0× |
| Oncology (oral and/or oropharyngeal cancer), gene expression profiling by RNA sequencing at least 20 molecular… (0296U) |
$1,950 |
— |
1.0× |
| Oncology (ovarian), biochemical assays of 7 proteins (follicle stimulating hormone, human epididymis protein 4,… (0375U) |
$897 |
— |
1.0× |
| Oncology (ovarian), DNA, whole-genome sequencing with 5-hydroxymethylcytosine (5hmC) enrichment, using whole blood or… (0507U) |
$1,160 |
— |
1.0× |
| Oncology (pan tumor) whole genome sequencing of paired malignant and normal DNA specimens, fresh or formalin-fixed… (0298U) |
$2,919.60 |
— |
1.0× |
| Oncology (pan tumor) whole genome sequencing of paired malignant and normal DNA specimens, fresh or formalin-fixed… (0297U) |
$2,919.60 |
— |
1.0× |
| Oncology (pan tumor), whole genome optical genome mapping of paired malignant and normal DNA specimens, fresh frozen… (0299U) |
$1,863.22 |
— |
1.0× |
| Oncology (pan tumor), whole genome sequencing and optical genome mapping of paired malignant and normal DNA specimens,… (0300U) |
$4,183.13 |
— |
1.0× |
| Oncology (pan-cancer), analysis of MRD from plasma, with assays personalized to each patient based on prior next… (0340U) |
$3,920 |
— |
1.1× |
| Oncology (pan-tumor), genetic profiling of 8 DNA-regulatory markers by qPCR, whole blood, reported as a high or low… (0332U) |
$1,142.06 |
— |
1.0× |
| Oncology (pancreas), DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene… (0313U) |
$3,600 |
— |
1.0× |
| Oncology (pancreatic), 59 methylation haplotype block markers, next-generation sequencing, plasma, reported as cancer… (0405U) |
$1,770.48 |
— |
1.0× |
| Oncology (pancreatic), DNA, whole genome sequencing with 5-hydrosymethylcytosine enrichment, whole blood or plasma,… (0410U) |
$1,160 |
— |
1.0× |
| Oncology (papillary thyroid cancer), gene-expression profiling via targeted hybrid capture-enrichment rna sequencing of… (0362U) |
$3,600 |
— |
1.0× |
| Oncology (Plasma cell disorders and myeloma), circulating plasma cell immunologic selection, id, morphological… (0337U) |
$2,435 |
— |
1.0× |
| Oncology (prostate cancer), analysis of all prostate-specific antigen (psa) structural isoforms by phase separation and… (0359U) |
$760 |
— |
1.0× |
| Oncology (prostate cancer), image analysis of at least 128 histologic features and clinical factors, prognostic… (0376U) |
$706.25 |
— |
1.0× |
| Oncology (prostate), 5 DNA regulatory markers by quantitative PCR, whole blood, algorithm, including prostate-specific… (0433U) |
$760 |
— |
1.0× |
| Oncology (prostate), analysis of circulating plasma proteins (tPSA, fPSA, KLK2, PSP94 and GDF15), germline polygenic… (0495U) |
$760 |
— |
1.0× |
| Oncology (prostate), augmentative algorighmic analysis of digitized whole-slide imaging of histologic features for… (0513U) |
$706.25 |
— |
1.0× |
| Oncology (prostate), augmentative algorithmic analysis of digitized whole-slide imaging of histologic features for… (0512U) |
$706.25 |
— |
1.0× |
| Oncology (prostate), exosome-based analysis of 442 small noncoding RNAs by quantitative reverse transcription… (0343U) |
$760 |
— |
1.0× |
| Oncology (prostate), exosome-based analysis of 53 small noncoding RNAs by quantitative reverse transcription polymerase… (0424U) |
$760 |
— |
1.0× |
| Oncology (prostate), measurement of PCA3 and TMPRSS2-ERG in urine and PSA in serum following prostatic massage, by RNA… (0113U) |
$760 |
— |
1.0× |
| Oncology (prostate), mRNA expression profiling of HOXC6 and DLX1, reverse transcription polymerase chain reaction… (0339U) |
$760 |
— |
1.0× |
| Oncology (prostate), mRNA gene-expression profiling by real-time RT-PCR of 6 genes (FOXM1, MCM3, MTUS1, TTC21B, ALAS1,… (0497U) |
$3,873 |
— |
1.0× |
| Oncology (Prostate), mRNA, gene expression peofiling of 18 genes, first-catch, algorithm reported as percentage of… (0403U) |
$760 |
— |
1.0× |
| Oncology (prostate), multianalyte molecular progile by photometric detection of macromolecules absorbed on nanosponge… (0228U) |
$173.03 |
— |
1.0× |
| Oncology (solid organ neoplasia), targeted genomic sequence analysis panel of 361 genes, interrogation for gene… (0444U) |
$2,919.60 |
— |
1.0× |
| Oncology (Solid organ neoplasm), targeted genomic sequence DNA analysis of 505 genes, interrogation for somatic… (0250U) |
$2,919.60 |
— |
1.0× |
| Oncology (solid organ), DNA, comprehensive genomic profiling, 257 genes, interrogation for single-nucleotide variants,… (0244U) |
$3,500 |
— |
1.0× |
| Oncology (solid organ), target geonomic sequence analysis, FFPE tumor tissue, DNA analysis, 84 or more genes,… (0334U) |
$3,500 |
— |
1.0× |
| Oncology (solid tumor as indicated by the label), somatic mutation analyis of BRCA1, BRCA2 and analysis of homologous… (0172U) |
$3,030 |
— |
1.0× |
| Oncology (solid tumor), cell-free circulating DNA, targeted, genomic sequence analysis panel of 84 genes, interrogation… (0487U) |
$2,919.60 |
— |
1.0× |
| Oncology (Solid Tumor), circulating tumor cell selection, id, morphological characterization, detection and enumeration… (0338U) |
$2,435 |
— |
1.0× |
| Oncology (solid tumor), circulating tumor cell selection, morphological characterization and enumeration based on… (0492U) |
$2,435 |
— |
1.0× |
| Oncology (solid tumor), circulating tumor cell selection, morphological characterization and enumeration based on… (0491U) |
$2,435 |
— |
1.0× |
| Oncology (solid tumor), DNA (80 genes) & RNA (36 genes), by next-generation sequencing from plasma, including single… (0409U) |
$2,919.60 |
— |
1.0× |
| Oncology (solid tumor), gene expression profiling by real-time RT-PCR of 7 gene pathways (ER, AR, PI3K, MAPK, HH, TGFB,… (0262U) |
$3,200 |
— |
1.0× |
| Oncology (solid tumor), mass spectrometric 30 protein targets, formalin-fixed paraffin-embedded tissue, prognostic and… (0174U) |
$1,305.37 |
— |
1.0× |
| Oncology (solid tumor), tumor cell culture in 3D microenvironment, 36 or more drug panel, reported as tumor-response… (0511U) |
$3,033.86 |
— |
1.0× |
| Oncology (solid tumor),nextgeneration sequencing (NGS) of DNA from formalin-fixed paraffinembedded (FFPE) tissue with… (0473U) |
$4,500 |
— |
1.0× |
| Oncology (thyroid), DNA and mRNA, next generation sequencing analysis of 112 genes, fine needle aspirate or… (0287U) |
$3,600 |
— |
1.0× |
| Oncology (urothelial carcinoma),DNA,quantitative methylationspecific PCR of 2 genes (ONECUT2,VIM),algorithmic analysis… (0465U) |
$1,938.01 |
— |
1.0× |
| Oncology (urothelial), mrna, gene expression profiling by real-time quantitative pcr of 5 genes (mdk, hoxa13, cdc2… (0363U) |
$760 |
— |
1.0× |
| Oncology evaluation of 17 DNA biomarkers using droplet digital PCR, cell-free DNA, algorithm reported as a prognostic… (0356U) |
$1,800 |
— |
1.0× |
| Oncology, autophagy and beclin 1 revulator 1 and loricrin by immunohistochemistry, formalinfixed paraffin-embedded… (0387U) |
$948.50 |
— |
1.0× |
| Oncology, chemotherapeutic drug cytotoxicity assay of cancer stem cells, from culturedCSCs and primary tumor cells,… (0435U) |
$3,033.86 |
— |
1.0× |
| Oncology, disease progression and response monitoring to radiation, chemotherapy, or other systemic cancer treatments,… (0285U) |
$443.31 |
— |
1.0× |
| Oncology, DNA and RNA by nex-gen sequencing, utilizing FFPE tissue, 437 genes, interpretive report for single… (0391U) |
$3,600 |
— |
1.0× |
| Oncology, next-generation sequencing with ident of single nucleotide variants, copy number variants, insertions and… (0388U) |
$3,500 |
— |
1.0× |
| Oncology, spheroid cell culture in 3D microenvironment, 12 drug panel, response prediction for each drug Other… (0248U) |
$3,033.86 |
— |
1.0× |
| Open Biopsy/Excision Inguinofemoral Nodes (38531) |
$3,843.75 |
— |
0.9× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Other Surgical… (64568) |
$30,588.78 |
— |
0.7× |
| Open implantation of neurostimulator electrode array; neuromuscular Other Surgical Services (64580) |
$21,525.45 |
— |
1.1× |
| Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Other Surgical Services (64575) |
$12,517.45 |
— |
1.1× |
| Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Other Surgical Services (64581) |
$6,587.71 |
— |
1.0× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$30,588.78 |
— |
0.9× |
| Open osteochondral autograft, talus (includes obtaining graftºs») Other Surgical Services (28446) |
$7,170.73 |
— |
0.9× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$7,170.73 |
— |
0.9× |
| Open rx distal radius fx, extra-articular (25607) |
$7,170.73 |
— |
0.9× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$7,170.73 |
— |
0.9× |
| Open rx distal radius fx, intra-articular, 3+ frag (25609) |
$7,170.73 |
— |
0.9× |
| Open treatment bimalleolar ankle fracture (27814) |
$7,170.73 |
— |
0.9× |
| Open treatment calcaneal fracture (28415) |
$7,170.73 |
— |
0.9× |
| Open treatment fracture distal tibia only (27827) |
$12,915.46 |
— |
1.0× |
| Open treatment interphalangeal joint dislocation (28675) |
$3,256.87 |
— |
1.0× |
| Open treatment medial malleolus fracture (27766) |
$7,170.73 |
— |
0.9× |
| Open treatment metacarpophalangeal dislocation 1 (26715) |
$3,256.87 |
— |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$7,170.73 |
— |
0.9× |
| Open treatment of acromioclavicular dislocation, acute or chronic; Other Surgical Services (23550) |
$7,170.73 |
— |
0.9× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Other… (23552) |
$7,170.73 |
— |
0.9× |
| Open Treatment Of Acute Or Chronic Elbow Dislocation (24615) |
$7,170.73 |
— |
0.9× |
| Open treatment of acute shoulder dislocation Other Surgical Services (23660) |
$7,170.73 |
— |
0.9× |
| Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or… (27848) |
$7,170.73 |
— |
0.9× |
| Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846) |
$7,170.73 |
— |
0.9× |
| Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal… (26746) |
$3,256.87 |
— |
1.0× |
| Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other… (28420) |
$12,915.46 |
— |
1.0× |
| Open treatment of carpal bone fracture (other than carpal scaphoid ºnavicular»), each bone Other Surgical Services (25645) |
$3,256.87 |
— |
1.0× |
| Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed Other Surgical… (25628) |
$7,170.73 |
— |
0.9× |
| Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction Other Surgical… (26686) |
$3,256.87 |
— |
1.0× |
| Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint… (26685) |
$3,256.87 |
— |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed Other Surgical Services (23515) |
$7,170.73 |
— |
0.9× |
| Open treatment of coccygeal fracture Other Surgical Services (27202) |
$3,256.87 |
— |
1.0× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365) |
$5,938.02 |
— |
1.0× |
| Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21366) |
$5,938.02 |
— |
1.0× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
$5,938.02 |
— |
1.0× |
| Open treatment of depressed malar fracture, including zygomatic arch and malar tripod Other Surgical Services (21360) |
$5,938.02 |
— |
1.0× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Other Surgical Services (21356) |
$5,938.02 |
— |
1.0× |
| Open treatment of distal radioulnar dislocation, acute or chronic Other Surgical Services (25676) |
$7,170.73 |
— |
0.9× |
| Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Other… (27829) |
$7,170.73 |
— |
0.9× |
| Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Other Surgical… (21408) |
$5,938.02 |
— |
1.0× |
| Open treatment of fracture of orbit, except blowout; with implant Other Surgical Services (21407) |
$5,938.02 |
— |
1.0× |
| Open treatment of fracture of orbit, except blowout; without implant Other Surgical Services (21406) |
$5,938.02 |
— |
1.0× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
$7,170.73 |
— |
0.9× |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27828) |
$12,915.46 |
— |
1.0× |
| Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Other Surgical… (28505) |
$3,256.87 |
— |
1.0× |
| Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Other Surgical… (23630) |
$7,170.73 |
— |
0.9× |
| Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Other… (24579) |
$12,915.46 |
— |
1.0× |
| Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed Other… (24575) |
$12,915.46 |
— |
1.0× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage Other Surgical Services (24515) |
$12,915.46 |
— |
1.0× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without… (24545) |
$12,915.46 |
— |
1.0× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$12,915.46 |
— |
1.0× |
| Open treatment of lunate dislocation Other Surgical Services (25695) |
$7,170.73 |
— |
0.9× |
| Open treatment of mandibular condylar fracture Other Surgical Services (21465) |
$5,938.02 |
— |
1.0× |
| Open treatment of mandibular fracture with external fixation Other Surgical Services (21454) |
$5,938.02 |
— |
1.0× |
| Open treatment of mandibular fracture; without interdental fixation Other Surgical Services (21461) |
$5,938.02 |
— |
1.0× |
| Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) Other Surgical Services (21445) |
$5,938.02 |
— |
1.0× |
| Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed Other Surgical… (28645) |
$3,256.87 |
— |
1.0× |
| Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24635) |
$7,170.73 |
— |
0.9× |
| Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation Other Surgical Services (21330) |
$5,938.02 |
— |
1.0× |
| Open treatment of nasal fracture; uncomplicated Other Surgical Services (21325) |
$3,255.33 |
— |
0.9× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Other Surgical Services (21335) |
$3,255.33 |
— |
0.9× |
| Open treatment of nasal septal fracture, with or without stabilization Other Surgical Services (21336) |
$3,256.87 |
— |
1.0× |
| Open treatment of nasoethmoid fracture; with external fixation Other Surgical Services (21339) |
$5,938.02 |
— |
1.0× |
| Open treatment of nasoethmoid fracture; without external fixation Other Surgical Services (21338) |
$5,938.02 |
— |
1.0× |
| Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347) |
$5,938.02 |
— |
1.0× |
| Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation Other Surgical… (21346) |
$5,938.02 |
— |
1.0× |
| Open treatment of orbital floor blowout fracture; combined approach Other Surgical Services (21387) |
$5,938.02 |
— |
1.0× |
| Open treatment of orbital floor blowout fracture; periorbital approach Other Surgical Services (21386) |
$5,938.02 |
— |
1.0× |
| Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft) Other… (21395) |
$5,938.02 |
— |
1.0× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Other… (21390) |
$5,938.02 |
— |
1.0× |
| Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) Other Surgical… (21385) |
$5,938.02 |
— |
1.0× |
| Open treatment of palatal or maxillary fracture (LeFort I type); Other Surgical Services (21422) |
$5,938.02 |
— |
1.0× |
| Open treatment of patellar dislocation, with or without partial or total patellectomy Other Surgical Services (27566) |
$7,170.73 |
— |
0.9× |
| Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue… (27524) |
$7,170.73 |
— |
0.9× |
| Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna… (24587) |
$12,915.46 |
— |
1.0× |
| Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed Other Surgical Services (27784) |
$7,170.73 |
— |
0.9× |
| Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed,… (23616) |
$18,459.56 |
— |
1.0× |
| Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) |
$7,170.73 |
— |
0.9× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Other… (25575) |
$7,170.73 |
— |
0.9× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Other… (25574) |
$7,170.73 |
— |
0.9× |
| Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666) |
$12,915.46 |
— |
1.0× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$7,170.73 |
— |
0.9× |
| Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones Other Surgical Services (25670) |
$7,170.73 |
— |
0.9× |
| Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed Other… (23585) |
$7,170.73 |
— |
0.9× |
| Open treatment of sesamoid fracture, with or without internal fixation Other Surgical Services (28531) |
$7,170.73 |
— |
0.9× |
| Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670) |
$7,170.73 |
— |
0.9× |
| Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680) |
$12,915.46 |
— |
1.0× |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Other Surgical Services (27179) |
$7,170.73 |
— |
0.9× |
| Open treatment of sternoclavicular dislocation, acute or chronic; Other Surgical Services (23530) |
$7,170.73 |
— |
0.9× |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Other… (23532) |
$7,170.73 |
— |
0.9× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Other Surgical Services (28585) |
$7,170.73 |
— |
0.9× |
| Open treatment of tarsal bone dislocation, includes internal fixation, when performed Other Surgical Services (28555) |
$7,170.73 |
— |
0.9× |
| Open treatment of temporomandibular dislocation Other Surgical Services (21490) |
$3,255.33 |
— |
0.9× |
| Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758) |
$12,915.46 |
— |
1.0× |
| Open treatment of trans-scaphoperilunar type of fracture dislocation Other Surgical Services (25685) |
$7,170.73 |
— |
0.9× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$7,170.73 |
— |
0.9× |
| Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685) |
$7,170.73 |
— |
0.9× |
| Open treatment of ulnar shaft fracture (25545) |
$7,170.73 |
— |
0.9× |
| Open treatment posterior malleolus fracture (27769) |
$7,170.73 |
— |
0.9× |
| Open treatment radial shaft fracture (25515) |
$7,170.73 |
— |
0.9× |
| Open treatment talus fracture (28445) |
$7,170.73 |
— |
0.9× |
| Open treatment tarsometatarsal joint dislocation (28615) |
$7,170.73 |
— |
0.9× |
| Open tx distal fibular fracture lat malleolus (27792) |
$7,170.73 |
— |
0.9× |
| Open tx distal phalangeal fracture each (26765) |
$3,256.87 |
— |
1.0× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$3,256.87 |
— |
1.0× |
| Open tx interphalangeal joint dislocation (26785) |
$3,256.87 |
— |
1.0× |
| Open tx metacarpal fracture single ea bone (26615) |
$3,256.87 |
— |
1.0× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,256.87 |
— |
1.0× |
| Open tx prox humeral fx (23615) |
$12,915.46 |
— |
1.0× |
| Open Tx Rib Fx W/Fixj Thoracoscopic Vis 1-3 Ribs (21811) |
$7,170.73 |
— |
0.9× |
| Open Tx Rib Fx W/Fixj Thoracoscopic Vis 4-6 Ribs (21812) |
$7,170.73 |
— |
0.9× |
| Open Tx Rib Fx W/Fixj Thoracoscopic Vis 7+ Ribs (21813) |
$1,606.46 |
— |
1.0× |
| Open tx tarsal fracture xcp talus &calcaneus ea (28465) |
$7,170.73 |
— |
0.9× |
| Open/perq placement intravascular stent initial (37236) |
$11,383.44 |
— |
0.9× |
| Open/perq placement intravascular stent same 1st (37238) |
$11,383.44 |
— |
0.9× |
| Operculectomy, excision pericoronal tissues Other Surgical Services (41821) |
$1,486.88 |
— |
0.9× |
| Oph Age-related Mac Degeneration Alys 3 Gen Vrnt Other Outpatient (0205U) |
$47 |
— |
1.0× |
| Opponensplasty; hypothenar muscle transfer Other Surgical Services (26494) |
$3,256.87 |
— |
1.0× |
| Opponensplasty; other methods Other Surgical Services (26496) |
$3,256.87 |
— |
1.0× |
| Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon Other Surgical Services (26492) |
$3,256.87 |
— |
1.0× |
| Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) Other Surgical Services (67570) |
$3,785.25 |
— |
0.9× |
| Orbicularis oculi lateral myectomy, unilateral (comp code 15823) (67999) |
$300.06 |
— |
0.9× |
| Orbital implant (implant outside muscle cone); insertion Other Surgical Services (67550) |
$3,785.25 |
— |
0.9× |
| Orbital implant (implant outside muscle cone); removal or revision Other Surgical Services (67560) |
$3,785.25 |
— |
0.9× |
| Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach Other Surgical… (21267) |
$5,938.02 |
— |
1.0× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Other… (67450) |
$3,785.25 |
— |
0.9× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Other Surgical Services (67440) |
$3,785.25 |
— |
0.9× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Other… (67445) |
$3,785.25 |
— |
0.9× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Other Surgical… (67430) |
$3,785.25 |
— |
0.9× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion Other Surgical Services (67420) |
$3,785.25 |
— |
0.9× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy Other… (67400) |
$3,785.25 |
— |
0.9× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only Other Surgical Services (67405) |
$2,341.78 |
— |
0.9× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Other… (67414) |
$3,785.25 |
— |
0.9× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body Other Surgical… (67413) |
$2,341.78 |
— |
0.9× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion Other Surgical Services (67412) |
$2,341.78 |
— |
0.9× |
| Orchiectomy, partial Other Surgical Services (54522) |
$3,462.01 |
— |
0.9× |
| Orchiectomy, radical, for tumor; with abdominal exploration Other Surgical Services (54535) |
$3,462.01 |
— |
0.9× |
| Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Other… (54520) |
$3,462.01 |
— |
0.9× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Other Surgical Services (54650) |
$3,542.40 |
— |
0.9× |
| Ostectomy of scapula, partial (eg, superior medial angle) Other Surgical Services (23190) |
$3,256.87 |
— |
1.0× |
| Ostectomy, calcaneus; Other Surgical Services (28118) |
$3,256.87 |
— |
1.0× |
| Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal… (28114) |
$3,256.87 |
— |
1.0× |
| Ostectomy, complete excision; fifth metatarsal head Other Surgical Services (28113) |
$3,256.87 |
— |
1.0× |
| Ostectomy, complete excision; first metatarsal head Other Surgical Services (28111) |
$3,256.87 |
— |
1.0× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Other Surgical Services (28112) |
$3,256.87 |
— |
1.0× |
| Ostectomy, excision of tarsal coalition Other Surgical Services (28116) |
$3,256.87 |
— |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) Other Surgical Services (28110) |
$3,256.87 |
— |
1.0× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head Other Surgical Services (28288) |
$3,256.87 |
— |
1.0× |
| Osteochondral knee autograft (27416) |
$7,170.73 |
— |
0.9× |
| Osteoplasty, carpal bone, shortening Other Surgical Services (25394) |
$3,256.87 |
— |
1.0× |
| Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Other Surgical Services (21208) |
$5,938.02 |
— |
1.0× |
| Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876) Other Surgical Services (24420) |
$7,170.73 |
— |
0.9× |
| Osteoplasty, lengthening, metacarpal or phalanx Other Surgical Services (26568) |
$7,170.73 |
— |
0.9× |
| Osteoplasty, radius AND ulna; lengthening with autograft Other Surgical Services (25393) |
$7,170.73 |
— |
0.9× |
| Osteoplasty, radius AND ulna; shortening (excluding 64876) Other Surgical Services (25392) |
$7,170.73 |
— |
0.9× |
| Osteoplasty, radius OR ulna; lengthening with autograft Other Surgical Services (25391) |
$12,915.46 |
— |
1.0× |
| Osteoplasty, radius OR ulna; shortening Other Surgical Services (25390) |
$7,170.73 |
— |
0.9× |
| Osteotomy Metacarpal Each (26565) |
$3,256.87 |
— |
1.0× |
| Osteotomy talus (28302) |
$7,170.73 |
— |
0.9× |
| Osteotomy tibia (27705) |
$7,170.73 |
— |
0.9× |
| Osteotomy, clavicle, with or without internal fixation; Other Surgical Services (23480) |
$7,170.73 |
— |
0.9× |
| Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485) |
$12,915.46 |
— |
1.0× |
| Osteotomy, humerus, with or without internal fixation Other Surgical Services (24400) |
$7,170.73 |
— |
0.9× |
| Osteotomy, mandible, segmental; Other Surgical Services (21198) |
$5,938.02 |
— |
1.0× |
| Osteotomy, mandible, segmental; with genioglossus advancement Other Surgical Services (21199) |
$5,938.02 |
— |
1.0× |
| Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard) Other Surgical Services (21206) |
$5,938.02 |
— |
1.0× |
| Osteotomy, shortening, angular or rotational correction; other phalanges, any toe Other Surgical Services (28312) |
$3,256.87 |
— |
1.0× |
| Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) Other… (28310) |
$7,170.73 |
— |
0.9× |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
$7,170.73 |
— |
0.9× |
| Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type)… (28305) |
$7,170.73 |
— |
0.9× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal Other Surgical… (28306) |
$7,170.73 |
— |
0.9× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
$7,170.73 |
— |
0.9× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309) |
$7,170.73 |
— |
0.9× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each… (28308) |
$3,256.87 |
— |
1.0× |
| Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation Other Surgical Services (28300) |
$7,170.73 |
— |
0.9× |
| Osteotomy; phalanx of finger, each Other Surgical Services (26567) |
$3,256.87 |
— |
1.0× |
| Osteotomy; radius AND ulna Other Surgical Services (25365) |
$12,915.46 |
— |
1.0× |
| Ot strapping hand or finger (29280) |
$78 |
$78 |
1.3× |
| Other procedure on upper arm or elbow (24999) |
$240.79 |
— |
0.9× |
| Other procedure on uterus accessed through vagina using an endoscope (58579) |
$201.93 |
— |
1.0× |
| Otoplasty, protruding ear, with or without size reduction Other Surgical Services (69300) |
$3,255.33 |
— |
0.9× |
| Ovarian cystectomy, unilateral or bilateral Other Surgical Services (58925) |
$4,955.11 |
— |
0.9× |
| Pain management, analysis of 11 endogenous analytes (methymalonic acid, xanthurenic acid, homocysteine, proglutamic… (0117U) |
$840.65 |
— |
1.0× |
| Pain management, mRNA, gene expression profiling by RNA sequencing of 36 genes, whole blood, algorithm reported as… (0290U) |
$760 |
— |
1.0× |
| Palate/uvula surgery (42299) |
$233.10 |
— |
0.9× |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) Other Surgical Services (42145) |
$5,938.02 |
— |
1.0× |
| Palatoplasty for cleft palate, soft and/or hard palate only Other Surgical Services (42200) |
$5,938.02 |
— |
1.0× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Other Surgical Services (42205) |
$3,255.33 |
— |
0.9× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining… (42210) |
$5,938.02 |
— |
1.0× |
| Palatoplasty for cleft palate; attachment pharyngeal flap Other Surgical Services (42225) |
$5,938.02 |
— |
1.0× |
| Palatoplasty for cleft palate; major revision Other Surgical Services (42215) |
$5,938.02 |
— |
1.0× |
| Palatoplasty for cleft palate; secondary lengthening procedure Other Surgical Services (42220) |
$5,938.02 |
— |
1.0× |
| PALB2 (partner and localizer of BRCA2) (eg, breast and pancreatic cancer) mRNA sequence analysis (List separately in… (0137U) |
$282.88 |
— |
1.0× |
| Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or… (65815) |
$2,289.35 |
— |
0.9× |
| Parathyroidectomy or exploration of parathyroid(s); re-exploration Other Surgical Services (60502) |
$5,938.02 |
— |
1.0× |
| Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach Other Surgical Services (57423) |
$10,450.57 |
— |
0.9× |
| Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach Other Surgical Services (57285) |
$7,422.76 |
— |
1.0× |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
$4,955.11 |
— |
0.9× |
| Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified… (36456) |
$438.83 |
— |
1.0× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle Other Surgical… (23180) |
$7,170.73 |
— |
0.9× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Other… (23184) |
$7,170.73 |
— |
0.9× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck Other… (24145) |
$7,170.73 |
— |
0.9× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Other Surgical… (23182) |
$7,170.73 |
— |
0.9× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx… (26235) |
$1,606.46 |
— |
1.0× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg,… (27360) |
$3,256.87 |
— |
1.0× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius Other… (25151) |
$3,256.87 |
— |
1.0× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Other Surgical… (25150) |
$3,256.87 |
— |
1.0× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Other Surgical… (27641) |
$3,256.87 |
— |
1.0× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$3,256.87 |
— |
1.0× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$3,256.87 |
— |
1.0× |
| Partial excision bone metacarpal (26230) |
$3,256.87 |
— |
1.0× |
| Partial excision bone tibia (27640) |
$3,256.87 |
— |
1.0× |
| Partial excision distal phalanx finger (26236) |
$1,606.46 |
— |
1.0× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22102) |
$7,170.73 |
— |
0.9× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100) |
$7,170.73 |
— |
0.9× |
| Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22101) |
$7,170.73 |
— |
0.9× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$3,191.55 |
— |
0.9× |
| Partial removal humerus (24140) |
$3,256.87 |
— |
1.0× |
| Partial removal olecrannon process (24147) |
$3,256.87 |
— |
1.0× |
| Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Other Surgical… (60212) |
$5,856.41 |
— |
0.9× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$5,856.41 |
— |
0.9× |
| Partical excision bone phalanx toe (28124) |
$3,256.87 |
— |
1.0× |
| Patellectomy or hemipatellectomy Other Surgical Services (27350) |
$7,170.73 |
— |
0.9× |
| Peanut allergen-specific IgE and quantitative assessment of 64 epitopes using enzyme-linked immunosorbent assay… (0165U) |
$463.76 |
— |
1.0× |
| Peanut allergen-specific quantitative assessment of multiple epitopes using enzyme-linked immunosorbent assay (ELISA),… (0178U) |
$459.86 |
— |
1.0× |
| Pediatric febrile illness (Kawasaki disease) interferon alphainducible protein 27 and mast cell-expressed membraine… (0389U) |
$70.20 |
— |
1.0× |
| Pediatrics (congenital epigenetic disorders), whole genome methylation analysis by microarray for 50 or more genes,… (0318U) |
$1,770.48 |
— |
1.0× |
| Pediatrics (vasculitis, Kawasaki disease [KD]), analysis of 3 biomarkers (NTproBNP, C-reactive protein, and T-uptake),… (0310U) |
$390.75 |
— |
1.0× |
| Pelvic examination under anesthesia (other than local) Other Surgical Services (57410) |
$3,191.55 |
— |
0.9× |
| Pelvis/hip joint surgery unlisted (27299) |
$240.79 |
— |
0.9× |
| Penetrating transplantation of tissue from 1 cornea to other cornea (except in aphakia or pseudophakia)|RIGHT SIDE (65730) |
$4,038.07 |
— |
0.9× |
| Penile injection (54235) |
$244.13 |
— |
0.9× |
| Penile plethysmography Other Surgical Services (54240) |
$312.58 |
— |
1.4× |
| Penile venous occlusive procedure Other Surgical Services (37790) |
$3,462.01 |
— |
0.9× |
| Perc rf ablate renal tumor (50592) |
$5,856.41 |
— |
0.9× |
| Percut ablate liver rf (47382) |
$5,856.41 |
— |
0.9× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$11,383.44 |
— |
0.9× |
| Percutaneous aspiration spinal cord cyst/syrinx (62268) |
$893.66 |
— |
1.0× |
| Percutaneous cholecystostomy (47490) |
$3,542.40 |
— |
0.9× |
| Percutaneous implantation of neurostimulator electrode array; cranial nerve Other Surgical Services (64553) |
$12,517.45 |
— |
1.1× |
| Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means… (62264) |
$893.66 |
— |
1.0× |
| Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means… (62263) |
$893.66 |
— |
1.0× |
| Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent… (50080) |
$9,282.10 |
— |
0.9× |
| Percutaneous skeletal fixation of calcaneal fracture, with manipulation Other Surgical Services (28406) |
$7,170.73 |
— |
0.9× |
| Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint Other… (26676) |
$3,256.87 |
— |
1.0× |
| Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation… (26650) |
$3,256.87 |
— |
1.0× |
| Percutaneous skeletal fixation of distal radioulnar dislocation Other Surgical Services (25671) |
$3,256.87 |
— |
1.0× |
| Percutaneous skeletal fixation of femoral fracture, distal end, medial or lateral condyle, or supracondylar or… (27509) |
$7,170.73 |
— |
0.9× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Other Surgical Services (28496) |
$3,256.87 |
— |
1.0× |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Other Surgical… (24582) |
$7,170.73 |
— |
0.9× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Other Surgical… (24566) |
$1,606.46 |
— |
1.0× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation Other Surgical Services (28666) |
$3,256.87 |
— |
1.0× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$3,256.87 |
— |
1.0× |
| Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation Other Surgical Services (26706) |
$3,256.87 |
— |
1.0× |
| Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each Other Surgical Services (28476) |
$3,256.87 |
— |
1.0× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Other Surgical Services (28636) |
$3,256.87 |
— |
1.0× |
| Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538) |
$7,170.73 |
— |
0.9× |
| Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation Other Surgical Services (28576) |
$7,170.73 |
— |
0.9× |
| Percutaneous skeletal fixation of talus fracture, with manipulation Other Surgical Services (28436) |
$7,170.73 |
— |
0.9× |
| Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Other Surgical… (28546) |
$1,606.46 |
— |
1.0× |
| Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each Other… (28456) |
$7,170.73 |
— |
0.9× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Other Surgical Services (28606) |
$3,256.87 |
— |
1.0× |
| Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) Other… (27756) |
$7,170.73 |
— |
0.9× |
| Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) |
$3,256.87 |
— |
1.0× |
| Percutaneous spinal arthrodesis, with instrumentation;7-12 vertebral segments (22899) |
$240.79 |
— |
0.9× |
| Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic… (37188) |
$3,159.40 |
— |
1.0× |
| Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Other… (21355) |
$3,255.33 |
— |
0.9× |
| Percutaneous treatment of mandibular fracture, with external fixation Other Surgical Services (21452) |
$5,938.02 |
— |
1.0× |
| Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of… (21340) |
$3,255.33 |
— |
0.9× |
| Pereyra procedure, including anterior colporrhaphy Other Surgical Services (57289) |
$7,422.76 |
— |
1.0× |
| Perfluoroalkyl substances (PFAS) (eg perfluorooctanoic acid, perflurooctaine sulfonic acid),9 PFAS compounds by… (0457U) |
$198.74 |
— |
1.0× |
| Perfluroalkyl substances, 16 PFAS compounds by liquid chromatography with tandem mass spectrometry, plasma or serum,… (0394U) |
$198.74 |
— |
1.0× |
| Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents Other Surgical Services (19371) |
$3,843.75 |
— |
0.9× |
| Pericardiocentesis w/img guidance when performed (33016) |
$1,480 |
$1,480 |
0.9× |
| Periodontal mucosal grafting Other Surgical Services (41870) |
$1,486.88 |
— |
0.9× |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach Other… (21261) |
$5,938.02 |
— |
1.0× |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach Other Surgical Services (21260) |
$5,938.02 |
— |
1.0× |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement Other Surgical Services (21263) |
$5,938.02 |
— |
1.0× |
| Perirectal injection of sclerosing solution for prolapse Other Surgical Services (45520) |
$915.16 |
— |
0.9× |
| Peritoneal lavage (49084) |
$941.10 |
— |
1.0× |
| Periurethral tprnl adjtbl balo cntnc dev adjmt (53454) |
$244.13 |
— |
0.9× |
| Periurethral tprnl adjtbl balo cntnc dev rmvl ea (53453) |
$3,462.01 |
— |
0.9× |
| Periurethral transperineal adjustable balloon continence device; bilateral insertion, including cystourethroscopy and… (53451) |
$13,041.53 |
— |
0.9× |
| Periurethral transperineal adjustable balloon continence device; unilateral insertion, including cystourethroscopy and… (53452) |
$9,282.10 |
— |
0.9× |
| Perq av fistula creation uxtr sep access sites (36837) |
$18,024.60 |
— |
0.9× |
| Perq av fistula creation uxtr single access (36836) |
$18,024.60 |
— |
0.9× |
| Perq dev breast 1st mr guide (19287) |
$706.25 |
— |
1.0× |
| Perq dev breast 1st strtctc (19283) |
$706.25 |
— |
1.0× |
| Perq dev breast 1st us imag (19285) |
$706.25 |
— |
1.0× |
| Perq device breast 1st imag (19281) |
$876 |
$876 |
0.5× |
| Perq dilation xst trc endourologic px w/img (50436) |
$3,462.01 |
— |
0.9× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$3,462.01 |
— |
0.9× |
| Perq drainage pleura insert cath w/imaging (32557) |
$1,559.31 |
$4,206 |
0.9× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,904.16 |
$4,875.06 |
1.0× |
| Perq nl/pl lithotrp complex >2 cm mlt locations (50081) |
$9,282.10 |
— |
0.9× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$18,024.60 |
— |
0.9× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$11,383.44 |
— |
0.9× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$11,383.44 |
— |
0.9× |
| Perq p-art revsc st 1st nml native connj uni (33900) |
$11,383.44 |
— |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$244.13 |
$694 |
0.9× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$706.25 |
— |
1.0× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$18,024.60 |
— |
0.9× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$11,383.44 |
— |
0.9× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,723.07 |
— |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$7,170.73 |
— |
0.9× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,170.73 |
— |
0.9× |
| Perq vertebroplasty uni/bi injection lumbosacral (22511) |
$3,256.87 |
— |
1.0× |
| Perq vertebroplasty uni/bi injx cervicothoracic (22510) |
$3,256.87 |
— |
1.0× |
| Petrous apicectomy including radical mastoidectomy Other Surgical Services (69530) |
$5,938.02 |
— |
1.0× |
| Phalangectomy, toe, each toe Other Surgical Services (28150) |
$3,256.87 |
— |
1.0× |
| Pharyngoplasty (plastic or reconstructive operation on pharynx) Other Surgical Services (42950) |
$5,938.02 |
— |
1.0× |
| Pharyngostomy (fistulization of pharynx, external for feeding) Other Surgical Services (42955) |
$1,486.88 |
— |
0.9× |
| Photopheresis extracorporeal (36522) |
$4,702.88 |
— |
1.0× |
| Picc Or Central Cath Rep (36575) |
$620.60 |
— |
0.9× |
| Picu Picc Line Insertion W/O Imag =/> 5 Yrs (36569) |
$1,050.16 |
$541 |
0.6× |
| PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase, catalytic subunit alpha) (eg, breast cancer) gene analysis… (0155U) |
$274.83 |
— |
1.0× |
| Pin finger fracture each (26756) |
$3,256.87 |
— |
1.0× |
| Place cath carotd art (36224) |
$5,426.13 |
— |
0.9× |
| Place cath subclavian art (36225) |
$3,159.40 |
— |
1.0× |
| Place cath vertebral art (36226) |
$5,426.13 |
— |
0.9× |
| Place duod/jej tube perc (49441) |
$1,904.16 |
— |
1.0× |
| Placement needle head/neck radioelement applicat (41019) |
$5,938.02 |
— |
1.0× |
| Placement Needle Intraosseous Infusion (36680) |
$390 |
$390 |
0.8× |
| Placement needle pelvic organ radioelement appl (55920) |
$4,955.11 |
— |
0.9× |
| Placement of amniotic membrane on the ocular surface; single layer, sutured Other Surgical Services (65779) |
$3,785.25 |
— |
0.9× |
| Placement of amniotic membrane on the ocular surface; without sutures Other Surgical Services (65778) |
$972.20 |
— |
0.9× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via… (55876) |
$1,373.43 |
— |
1.0× |
| Placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application… (20555) |
$3,256.87 |
— |
1.0× |
Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for… (19298)
unusually low: confirm this is the full procedure |
$6,546.11 |
— |
0.5× |
| Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial… (19296) |
$9,605.22 |
— |
1.1× |
| Placement of seton (46020) |
$2,752.76 |
— |
0.9× |
| Placement of stabilizing device for broken base of forearm bone on small finger side at wrist (25651) |
$3,256.87 |
— |
1.0× |
| Plastic operation of penis for injury Other Surgical Services (54440) |
$3,462.01 |
— |
0.9× |
| Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without… (54304) |
$3,462.01 |
— |
0.9× |
| Plastic operation on penis for epispadias distal to external sphincter; Other Surgical Services (54380) |
$2,056.25 |
— |
0.9× |
| Plastic operation on penis for epispadias distal to external sphincter; with incontinence Other Surgical Services (54385) |
$2,056.25 |
— |
0.9× |
| Plastic operation on penis to correct angulation Other Surgical Services (54360) |
$3,462.01 |
— |
0.9× |
| Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) Other Surgical Services (57220) |
$4,955.11 |
— |
0.9× |
| Plastic repair of canaliculi (68700) |
$2,341.78 |
— |
0.9× |
| Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages Other Surgical Services (40702) |
$5,938.02 |
— |
1.0× |
| Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Other Surgical Services (40701) |
$5,938.02 |
— |
1.0× |
| Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral Other Surgical Services (40700) |
$5,938.02 |
— |
1.0× |
| Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure Other Surgical Services (40720) |
$3,255.33 |
— |
0.9× |
| Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning… (40761) |
$5,938.02 |
— |
1.0× |
| Plastic repair of salivary duct, sialodochoplasty; primary or simple Other Surgical Services (42500) |
$5,938.02 |
— |
1.0× |
| Plastic repair of salivary duct, sialodochoplasty; secondary or complicated Other Surgical Services (42505) |
$5,938.02 |
— |
1.0× |
| Plastic repair of urethrocele Other Surgical Services (57230) |
$3,191.55 |
— |
0.9× |
| Plmt access thru biliary tree into small bwl new (47541) |
$6,263.34 |
— |
0.9× |
| Plmt bile duct stent prq existing access (47538) |
$5,856.41 |
— |
0.9× |
| Plmt bile duct stent prq new access w/o sep cath (47539) |
$5,856.41 |
— |
0.9× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$5,856.41 |
— |
0.9× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,056.25 |
— |
0.9× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$3,462.01 |
— |
0.9× |
| Plmt Ntrstl Dev Radj Thx Gid Prq Intrathrc 1/Mlt (32553) |
$1,373.43 |
— |
1.0× |
| Plmt urtrl stent prq new access w/sep nfros cath (50695) |
$3,462.01 |
— |
0.9× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$3,462.01 |
— |
0.9× |
| Plmt urtrl stnt prq new acess w/o sep nfros cath (50694) |
$3,462.01 |
— |
0.9× |
| PMS2 (PMS1 homolog 2, mismatch repair system component) (eg, hereditary nonpolyposis colorectal cancer, Lynch syndrome)… (0161U) |
$282.88 |
— |
1.0× |
| Pollicization of a digit Other Surgical Services (26550) |
$3,256.87 |
— |
1.0× |
| PR Adjacent Tissue Transfer or Rearrangement Any Area Defect 30.1 Sq Cm to 60 Sq Cm|ASSISTANT AT SURGERY… (14301) |
$3,674.81 |
— |
1.0× |
| PR Amputation Foot Transmetatarsal|ASSISTANT AT SURGERY SERVICE (28805) |
$3,256.87 |
— |
1.0× |
| PR Arthrodesis Ankle Open|ASSISTANT AT SURGERY SERVICE (27870) |
$12,915.46 |
— |
1.0× |
| PR Arthroplasty Knee Condyle and Plateau Medial or Lateral Compartment|ASSISTANT AT SURGERY SERVICE (27446) |
$12,915.46 |
— |
1.0× |
| PR Arthroscopically Aided Acl Repair/Augmentation/Reconstruction|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29888) |
$7,170.73 |
— |
0.9× |
| PR Arthroscopy Hip Surgical With Labral Repair|ASSISTANT AT SURGERY SERVICE (29916) |
$7,170.73 |
— |
0.9× |
| PR Arthroscopy Hip Surgical With Synovectomy|ASSISTANT AT SURGERY SERVICE (29863) |
$3,256.87 |
— |
1.0× |
| PR Arthroscopy Knee Surgical Debridement/Shaving Articular Cartilage|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29877) |
$3,256.87 |
— |
1.0× |
| PR Arthroscopy Knee Surgical With Meniscus Repair (Medial and Lateral)|ASSISTANT AT SURGERY SERVICE (29883) |
$3,256.87 |
— |
1.0× |
| PR Arthroscopy Knee Surgical With Meniscus Repair (Medial or Lateral)|ASSISTANT AT SURGERY SERVICE (29882) |
$3,256.87 |
— |
1.0× |
| PR Arthroscopy Shoulder Surgical Biceps Tenodesis|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29828) |
$7,170.73 |
— |
0.9× |
| PR Arthroscopy Shoulder Surgical Capsulorrhaphy|ASSISTANT AT SURGERY SERVICE (29806) |
$7,170.73 |
— |
0.9× |
| PR Arthroscopy Shoulder Surgical With Rotator Cuff Repair|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29827) |
$7,170.73 |
— |
0.9× |
| PR Bone Graft Any Donor Area Minor/Small|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (20900) |
$7,170.73 |
— |
0.9× |
| Pr brnchsc removal bronchial valve ea addl (31649) |
$1,730.99 |
— |
0.9× |
| Pr closed treatment sesamoid fracture (28530) |
$240.79 |
— |
0.9× |
| PR Colpocleisis (Le Fort Type)|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (57120) |
$4,955.11 |
— |
0.9× |
| PR Colpopexy Vaginal Extra-Peritoneal Approach (Sacrospinous Ilococcygeus)|ASSISTANT AT SURGERY SERVICE|MULTIPLE… (57282) |
$7,422.76 |
— |
1.0× |
| PR Colporrhaphy Anteroposterior Combined Incl Cystourethroscopy|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (57260) |
$4,955.11 |
— |
0.9× |
| PR Excision Diverticulum Urethral (Special Procedure) Female|ASSISTANT AT SURGERY SERVICE (53230) |
$5,102.84 |
— |
0.9× |
| PR Excision Graft Infected Extremity|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (35903) |
$3,159.40 |
— |
1.0× |
| PR Excision Tumor Soft Tissue Abdominal Wall Subcutaneous >= 3 Cm|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (22903) |
$2,872.87 |
— |
0.9× |
| Pr inj. intralesional gt 7 lesions (11901) |
$199.45 |
— |
1.0× |
| PR Lam for Exc/Evac of Intraspinal Lesion Oth Than Neoplasm Extradural Lumb|ASSISTANT AT SURGERY SERVICE|MULTIPLE… (63267) |
$7,170.73 |
— |
0.9× |
| PR Laparoscopic Surgical Cholecystectomy W Cholangiography|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (47563) |
$5,856.41 |
— |
0.9× |
| PR Laparoscopy Surg Bilateral Total Pelvic Lymphadenectomy|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (38571) |
$10,450.57 |
— |
0.9× |
| PR Laparoscopy Surgical Partial Nephrectomy|ASSISTANT AT SURGERY SERVICE (50543) |
$10,450.57 |
— |
0.9× |
| PR Laparoscopy Surgical Pyeloplasty|ASSISTANT AT SURGERY SERVICE (50544) |
$10,450.57 |
— |
0.9× |
| PR Laparoscopy Surgical W Insertion Tunneled Intraperitoneal Catheter|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (49324) |
$5,856.41 |
— |
0.9× |
| PR Laryngoscopy Direct Operative W Biopsy W Operating Microscope/Telescope|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY… (31536) |
$3,700.89 |
— |
1.0× |
| PR Mastectomy Simple Complete|BILATERAL PROCEDURE|ASSISTANT AT SURGERY SERVICE (19303) |
$6,546.11 |
— |
0.9× |
| PR Muscle Myocutaneous or Fasciocutaneous Flap Trunk|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (15734) |
$3,674.81 |
— |
1.0× |
| PR Neuroplasty Major Peripheral Nerve Arm or Leg Open Sciatic Nerve|ASSISTANT AT SURGERY SERVICE (64712) |
$1,960.15 |
— |
1.0× |
| PR Orchiectomy Radical Tumor Inguinal Approach|ASSISTANT AT SURGERY SERVICE (54530) |
$3,542.40 |
— |
0.9× |
| PR Orchiopexy Inguinal or Scrotal Approach|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (54640) |
$3,542.40 |
— |
0.9× |
| PR Parathyroidectomy/Exploration of Parathyroid|ASSISTANT AT SURGERY SERVICE (60500) |
$5,938.02 |
— |
1.0× |
| PR Percutaneous Skeletal Fixation of Femoral Fracture Proximal End Neck|ASSISTANT AT SURGERY SERVICE (27235) |
$7,170.73 |
— |
0.9× |
| PR Posterior Colporrhaphy Repair Rectocele W/WO Perineorrhaphy|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (57250) |
$4,955.11 |
— |
0.9× |
| PR Repair Primary Torn Ligament and/or Capsule Knee Collateral|ASSISTANT AT SURGERY SERVICE (27405) |
$7,170.73 |
— |
0.9× |
| PR Repr Init Ing Hernia 5y or Older Incarcerated/Strangulated|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (49507) |
$3,542.40 |
— |
0.9× |
| Pr resection partial/complete phalangeal base each (28126) |
$3,256.87 |
— |
1.0× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$2,289.35 |
— |
0.9× |
| PR Sling Operation for Stress Incontinence|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (57288) |
$4,955.11 |
— |
0.9× |
| PR Suture of Infrapatellar Tendon Primary|ASSISTANT AT SURGERY SERVICE (27380) |
$7,170.73 |
— |
0.9× |
| PR Suture of Quadriceps or Hamstring Muscle Rupture Primary|BILATERAL PROCEDURE|ASSISTANT AT SURGERY SERVICE (27385) |
$7,170.73 |
— |
0.9× |
| PR Vaginectomy Partial Removal Vaginal Wall|ASSISTANT AT SURGERY SERVICE (57106) |
$3,191.55 |
— |
0.9× |
| Preparation of moulage for custom breast implant Other Surgical Services (19396) |
$3,843.75 |
— |
0.9× |
| Preparation of skin cell suspension autograft, requiring enzymatic processing, manual mechanical disaggregation of skin… (15013) |
$7,277.91 |
— |
1.0× |
| Preputial stretching (54450) |
$227.56 |
$422 |
0.9× |
| Prescription drug monitoring, enzyme immunoassay of 35 or more drugs confirmed with LC-MS/MS, oral fluid, algorithm… (0116U) |
$246.92 |
— |
1.0× |
| Prescription drug monitoring, one or more oral oncology drug(s) and substances, definitive tandem mass spectrometry… (0110U) |
$27.11 |
— |
1.0× |
| Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184) |
$18,024.60 |
— |
0.9× |
| Prineoplasty rpr pr nonobal spx (56810) |
$3,191.55 |
— |
0.9× |
| Probe nasolacrimal duct (68815) |
$2,341.78 |
— |
0.9× |
| Probing of nasolacrimal duct, with or without irrigation; Other Surgical Services (68810) |
$300.06 |
— |
0.9× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Other Surgical Services (68811) |
$2,341.78 |
— |
0.9× |
| Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation Other Surgical… (68816) |
$2,341.78 |
— |
0.9× |
| Proctopexy Perineal Approach (45541) |
$2,752.76 |
— |
0.9× |
| Proctoplasty; for prolapse of mucous membrane Other Surgical Services (45505) |
$2,752.76 |
— |
0.9× |
| Proctoplasty; for stenosis Other Surgical Services (45500) |
$2,752.76 |
— |
0.9× |
| Proctosigmoidoscopy diagnostic (45300) |
$915.16 |
$2,235 |
0.9× |
| Proctosigmoidoscopy fb (45307) |
$2,752.76 |
$7,004 |
0.9× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$2,752.76 |
— |
0.9× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple Other Surgical Services (45305) |
$1,183.54 |
$2,939 |
0.9× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$1,183.54 |
$2,939 |
0.9× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Other Surgical Services (45321) |
$2,752.76 |
— |
0.9× |
| Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) Other Surgical Services (45303) |
$1,183.54 |
$2,939 |
0.9× |
| Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar… (45315) |
$1,183.54 |
$2,939 |
0.9× |
| Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar… (45308) |
$2,752.76 |
$7,004 |
0.9× |
| Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique Other Surgical… (45309) |
$1,183.54 |
$2,939 |
0.9× |
| Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Other Surgical Services (45327) |
$5,975.31 |
— |
0.9× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, tibia Other Surgical… (27745) |
$7,170.73 |
— |
0.9× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle Other… (23490) |
$7,170.73 |
— |
0.9× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus Other… (23491) |
$12,915.46 |
— |
1.0× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna Other… (25492) |
$3,256.87 |
— |
1.0× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius Other Surgical… (25490) |
$7,170.73 |
— |
0.9× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna Other Surgical… (25491) |
$12,915.46 |
— |
1.0× |
| Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft Other… (24498) |
$12,915.46 |
— |
1.0× |
| Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage, one or more sessions;… (67145) |
$550.67 |
— |
1.0× |
| Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy… (67141) |
$300.06 |
— |
0.9× |
| Prostatotomy, external drainage of prostatic abscess, any approach; complicated Other Surgical Services (55725) |
$3,462.01 |
— |
0.9× |
| Prostatotomy, external drainage of prostatic abscess, any approach; simple Other Surgical Services (55720) |
$3,462.01 |
— |
0.9× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$706.25 |
— |
1.0× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$6,587.71 |
— |
1.0× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$6,587.71 |
— |
1.0× |
| Prq impltj nstim electrode array epidural (63650) |
$6,587.71 |
— |
1.0× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$3,542.40 |
— |
0.9× |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
$3,542.40 |
— |
0.9× |
| Prq skel fixj iphal jt dislc 1 w/mnpj (26776) |
$3,256.87 |
— |
1.0× |
| Prq transluminal mechanical thrombectomy vein (37187) |
$11,383.44 |
— |
0.9× |
| Psychiatry (anxiety disorders), mRNA, gene expression profiling by RNA sequencing of 15 biomarkers, whole blood,… (0437U) |
$760 |
— |
1.0× |
| Psychiatry (eg depression, anxiety, ADHD) genomic analysis panel, variant analysis of 15 genes, including… (0411U) |
$1,336.09 |
— |
1.0× |
| Psychiatry (eg, depression, anxiety), genomic analysis panel, variant analysis of 15 genes Other Outpatient (0175U) |
$1,336.09 |
— |
1.0× |
| Psychiatry (eg, depression, anxiety), geonomic analysis panel, including variant analysis of 26 genes, buccal swab,… (0423U) |
$416.78 |
— |
1.0× |
| Psychiatry (eg, depression, anxiety, ADHD), genomic analysis panel, variant analysis of 15 genes, including… (0345U) |
$1,336.09 |
— |
1.0× |
| Psychiatry (ie, depression, anxiety), genomic analysis panel, includes variant analysis of 14 genes Other Outpatient (0173U) |
$466.17 |
— |
1.0× |
| Psychiatry (mood disorders), mRNA, gene expression profiling by RNA sequencing of 144 genes, whole blood, algorithm… (0291U) |
$1,755 |
— |
1.0× |
| Psychiatry (stress disorders), mRNA, gene expression profiling by RNA sequencing of 72 genes, whole blood, algorithm… (0292U) |
$1,755 |
— |
1.0× |
| Psychiatry (suicidial ideation), mRNA, gene expression profiling by RNA sequencing of 54 genes, whole blood, algorithm… (0293U) |
$760 |
— |
1.0× |
| PTEN (Phosphatase and tensin monolog) full gene analysis, including small sequence changes in exonic and intronic… (0235U) |
$600 |
— |
1.0× |
| Punch biopsy skin single lesion (11104) |
$401.04 |
$1,119 |
0.9× |
| Punch graft for hair transplant; 1 to 15 punch grafts Other Surgical Services (15775) |
$401.04 |
— |
0.9× |
| Punch graft for hair transplant; more than 15 punch grafts Other Surgical Services (15776) |
$401.04 |
— |
0.9× |
| Puncture Aspiration (10160) |
$307.02 |
$426 |
0.7× |
| Puncture aspiration of cyst of breast (19000) |
$706.25 |
$1,860 |
1.0× |
| Push transfusion, blood, 2 years or younger Other Surgical Services (36440) |
$438.83 |
— |
1.0× |
| Pvb thoracic cont infusion (64463) |
$695.14 |
— |
0.9× |
| Pvb thoracic single injection site w/img gid (64461) |
$695.14 |
— |
0.9× |
| Quadricepsplasty (eg, Bennett or Thompson type) Other Surgical Services (27430) |
$7,170.73 |
— |
0.9× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,606.46 |
— |
1.0× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$3,256.87 |
— |
1.0× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$2,872.87 |
— |
0.9× |
| Rad Resection Tumor Soft Tissue Abdl Wall 5 Cm/> (22905) |
$2,872.87 |
— |
0.9× |
| Rad Resection Tumor Soft Tissue Abdl Wall <5cm (22904) |
$2,872.87 |
— |
0.9× |
| Rad resection tumor soft tissue back/flank 5+cm (21936) |
$2,872.87 |
— |
0.9× |
| Rad resection tumor soft tissue back/flank <5cm (21935) |
$2,872.87 |
— |
0.9× |
| Radial styloidectomy (separate procedure) Other Surgical Services (25230) |
$3,256.87 |
— |
1.0× |
| Radical excision external auditory canal lesion; without neck dissection Other Surgical Services (69150) |
$5,938.02 |
— |
1.0× |
| Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) .… (24149) |
$7,170.73 |
— |
0.9× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) |
$5,938.02 |
— |
1.0× |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure Other Surgical Services (42842) |
$5,938.02 |
— |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater Other Surgical Services (21016) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Other Surgical Services (21015) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Other Surgical Services (28047) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Other Surgical Services (28046) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater Other Surgical… (25078) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Other Surgical… (25077) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater Other Surgical Services (26118) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Other Surgical Services (27616) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; less than 5 cm Other Surgical Services (27615) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater Other Surgical… (21558) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Other Surgical Services (21557) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater Other Surgical Services (27059) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; less than 5 cm Other Surgical Services (27049) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater Other Surgical Services (23078) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; less than 5 cm Other Surgical Services (23077) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater Other Surgical Services (27364) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm Other Surgical Services (27329) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Other Surgical… (24079) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Other Surgical Services (24077) |
$2,872.87 |
— |
0.9× |
| Radical resection of tumor, distal phalanx of finger Other Surgical Services (26262) |
$1,606.46 |
— |
1.0× |
| Radical resection of tumor, metacarpal Other Surgical Services (26250) |
$3,256.87 |
— |
1.0× |
| Radical resection of tumor, proximal or middle phalanx of finger Other Surgical Services (26260) |
$3,256.87 |
— |
1.0× |
| Radical resection of tumor, radial head or neck Other Surgical Services (24152) |
$7,170.73 |
— |
0.9× |
| Radical resection of tumor, radius or ulna Other Surgical Services (25170) |
$7,170.73 |
— |
0.9× |
| Radical resection of tumor, shaft or distal humerus Other Surgical Services (24150) |
$7,170.73 |
— |
0.9× |
| Radical resection of tumor; metatarsal Other Surgical Services (28173) |
$3,256.87 |
— |
1.0× |
| Radical resection of tumor; phalanx of toe Other Surgical Services (28175) |
$1,606.46 |
— |
1.0× |
| Radical resection of tumor; talus or calcaneus Other Surgical Services (27647) |
$3,256.87 |
— |
1.0× |
| Radical resection of tumor; tarsal (except talus or calcaneus) Other Surgical Services (28171) |
$3,256.87 |
— |
1.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,960.15 |
— |
1.0× |
| Rare constitutional and other heritable disorders, identification of copy number variations, inversions, insertions,… (0267U) |
$6,739.33 |
— |
1.0× |
| Rare constitutional and other heritable disorders, whole genome and mitochondrial DNA sequence analysis, blood, frozen… (0265U) |
$5,475.80 |
— |
1.0× |
| Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions,… (0264U) |
$1,263.53 |
— |
1.0× |
| Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions,… (0260U) |
$1,263.53 |
— |
1.0× |
| Rare diseases (constitutional/heritable disorders), whole mitochordrial genome sequence with heteroplasmy detection and… (0417U) |
$2,842.53 |
— |
1.0× |
| Rare diseases (constitutional/heritable disorders),identification of copy number… (0454U) |
$1,263.53 |
— |
1.0× |
| Rare diseases (constitutional/heritble disorders),whole genome seq analysis for chromosonal abnormalities, copy number… (0469U) |
$1,197.94 |
— |
1.0× |
| Rare diseases, whole genome sequence analysis, incl small sequence changes, copy number variants, deletions,… (0336U) |
$2,574.65 |
— |
1.0× |
| Rare diseases, whole genome sequence analysis, incl small sequence changes, copy number variants, deletions,… (0335U) |
$5,224.60 |
— |
1.0× |
| Rare DS Whl Gen & Mitochdrl DNA Seq Alys Ea Cmprtr Other Outpatient (0213U) |
$2,709.95 |
— |
1.0× |
| Rare DS Whl Gen & Mitochdrl DNA Seq Alys Proband Other Outpatient (0212U) |
$5,475.20 |
— |
1.0× |
| Rare DS Whl Xom & Mitochdrl DNA Seq Alys Ea Cmprtr Other Outpatient (0215U) |
$2,574.65 |
— |
1.0× |
| Rare DS Whl Xom & Mitochdrl DNA Seq Alys Proband Other Outpatient (0214U) |
$5,224.60 |
— |
1.0× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$7,170.73 |
— |
0.9× |
| Rdctj procidentia under anes separate procedure (45900) |
$600 |
$1,803 |
0.6× |
| Realignment of extensor tendon, hand, each tendon (26437) |
$3,256.87 |
— |
1.0× |
| Reattachment of shoulder joint capsule and cartilage without bone transfer with repair of shoulder rim (23455) |
$7,170.73 |
— |
0.9× |
| Reconstr mcp jnt col ligam w graft (26541) |
$3,256.87 |
— |
1.0× |
| Reconstruc Ant Male Urethra (53410) |
$5,102.84 |
— |
0.9× |
| Reconstruction by contouring of benign tumor of cranial bones (eg, fibrous dysplasia), extracranial Other Surgical… (21181) |
$5,938.02 |
— |
1.0× |
| Reconstruction external auditory canal for congenital atresia, single stage Other Surgical Services (69320) |
$5,938.02 |
— |
1.0× |
| Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft tissue… (25337) |
$7,170.73 |
— |
0.9× |
| Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Other Surgical… (24344) |
$7,170.73 |
— |
0.9× |
| Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Other Surgical… (24346) |
$12,915.46 |
— |
1.0× |
| Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft Other Surgical… (21142) |
$5,938.02 |
— |
1.0× |
| Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft Other… (21143) |
$5,938.02 |
— |
1.0× |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) |
$5,938.02 |
— |
1.0× |
| Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) Other Surgical Services (21150) |
$5,938.02 |
— |
1.0× |
| Reconstruction nail bed w/graft (11762) |
$1,836.14 |
— |
0.9× |
| Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) Other Surgical Services (23420) |
$7,170.73 |
— |
0.9× |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) Other Surgical Services (27420) |
$7,170.73 |
— |
0.9× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$7,170.73 |
— |
0.9× |
| Reconstruction of dislocating patella; with patellectomy Other Surgical Services (27424) |
$7,170.73 |
— |
0.9× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$5,938.02 |
— |
1.0× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage Other… (67975) |
$2,341.78 |
— |
0.9× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67973) |
$2,341.78 |
— |
0.9× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) |
$3,785.25 |
— |
0.9× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds… (67971) |
$2,341.78 |
— |
0.9× |
| Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete Other Surgical Services (21249) |
$5,938.02 |
— |
1.0× |
| Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial Other Surgical Services (21248) |
$5,938.02 |
— |
1.0× |
| Reconstruction of mandible or maxilla, subperiosteal implant; complete Other Surgical Services (21246) |
$5,938.02 |
— |
1.0× |
| Reconstruction of mandible or maxilla, subperiosteal implant; partial Other Surgical Services (21245) |
$5,938.02 |
— |
1.0× |
| Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Other Surgical… (21244) |
$5,938.02 |
— |
1.0× |
| Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation Other Surgical Services (21196) |
$5,938.02 |
— |
1.0× |
| Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation Other Surgical Services (21195) |
$5,938.02 |
— |
1.0× |
| Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft)… (21194) |
$5,938.02 |
— |
1.0× |
| Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft Other Surgical Services (21193) |
$5,938.02 |
— |
1.0× |
| Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256) |
$5,938.02 |
— |
1.0× |
| Reconstruction of polydactylous digit, soft tissue and bone Other Surgical Services (26587) |
$3,256.87 |
— |
1.0× |
| Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Other Surgical Services (26500) |
$7,170.73 |
— |
0.9× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$3,256.87 |
— |
1.0× |
| Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) Other… (21255) |
$5,938.02 |
— |
1.0× |
| Reconstruction or creation of the external female sexual organ for intersex state (56805) |
$3,191.55 |
— |
0.9× |
| Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts… (21172) |
$5,938.02 |
— |
1.0× |
| Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly… (28313) |
$3,256.87 |
— |
1.0× |
| Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg,… (21175) |
$5,938.02 |
— |
1.0× |
| Reconstruction, cleft foot Other Surgical Services (28360) |
$7,170.73 |
— |
0.9× |
| Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint Other Surgical Services (26545) |
$3,256.87 |
— |
1.0× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement)… (26542) |
$3,256.87 |
— |
1.0× |
| Reconstruction, toe(s); polydactyly Other Surgical Services (28344) |
$3,256.87 |
— |
1.0× |
| Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web Other Surgical Services (28345) |
$1,606.46 |
— |
1.0× |
| Reconstruction, toe, macrodactyly; requiring bone resection Other Surgical Services (28341) |
$3,256.87 |
— |
1.0× |
| Reconstruction, toe, macrodactyly; soft tissue resection Other Surgical Services (28340) |
$3,256.87 |
— |
1.0× |
| Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy… (21743) |
$3,256.87 |
— |
1.0× |
| Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without… (21742) |
$3,256.87 |
— |
1.0× |
| Red blood cell antigen (fetal RhD gene analysis), next-generation sequencing of circulating cell-free DNA (cfDNA) of… (0494U) |
$759.05 |
— |
1.0× |
| Red blood cell antigen typing, DNA, genotyping of 12 blood group system genes to predict 44 red blood cell antigen… (0282U) |
$720 |
— |
1.0× |
| Red blood cell antigen typing, DNA, genotyping of at least 16 blood groups with phenotype prediction of at least 51 red… (0246U) |
$720 |
— |
1.0× |
| Red cell antigen (ABO blood group) genotyping (ABO), gene analysis Sanger/chain termination/conventional sequencing,… (0180U) |
$274.83 |
— |
1.0× |
| Red cell antigen (colton blood group) genotyping (CO), gene analysis, AQP1 (aquaporin 1) exon 1 Other Outpatient (0181U) |
$185.20 |
— |
1.0× |
| Red cell antigen (cromlton blood group) genotyping (CROM), gene analysis, CD55 (CD55 molecule) exons 1-10 Other… (0182U) |
$301.35 |
— |
1.0× |
| Red cell antigen (Diego blood group) genotyping (DI), gene analysis, SLC4A1 (solute carrier family 4 member 1) exon 19… (0183U) |
$185.20 |
— |
1.0× |
| Red cell antigen (Dombrock blood group) genotyping (DO), gene analysis ART4 (ADP-ribosyltransferase 4) exon 2 Other… (0184U) |
$185.20 |
— |
1.0× |
| Red cell antigen (Duffy blood group) genotyping (FY), gene analysis, ACKR1 (atypical chemokine receptor 1) exons 1-2… (0187U) |
$274.83 |
— |
1.0× |
| Red cell antigen (Gerbich blood group) genotyping (GE), gene analysis, GYPC (glycophorin C) exons 1-4 Other Outpatient (0188U) |
$274.83 |
— |
1.0× |
| Red cell antigen (H blood group) genotyping (FUT1), gene analysis, FUT1 (fucosyltransferase) exon 4 Other Outpatient (0185U) |
$185.20 |
— |
1.0× |
| Red cell antigen (H blood group) genotyping (FUT2), gene analysis, FUT2 (fycosyltransferase 2) exon 2 Other Outpatient (0186U) |
$185.20 |
— |
1.0× |
| Red cell antigen (Indian blood group) genotyping (IN), gene analysis CD44 (CD44 molecule) exons 2, 3, 6 Other Outpatient (0191U) |
$274.83 |
— |
1.0× |
| Red cell antigen (JR blood group) genotyping (JR), gene analysis, ABCG2 (ATP binding cassette subfamily G member 2)… (0193U) |
$282.88 |
— |
1.0× |
| Red cell antigen (Kell blood group) genotyping (KEL), gene analysis, KEL (Kell metallo-endopeptidase) exon 8 Other… (0194U) |
$185.20 |
— |
1.0× |
| Red cell antigen (Kidd blood group) genotyping (JK), gene analysis, SLC14A1 (solute carrier family 14 member 1) gene… (0192U) |
$274.83 |
— |
1.0× |
| Red cell antigen (Kx blood group) genotyping (XK), gene analysis, XK (X-linked Kx blood group) exons 1-3 Other… (0200U) |
$274.83 |
— |
1.0× |
| Red cell antigen (Landsteiner-Wiener blood group) genotyping (LW), gene analysis, ICAM4 (intercellular adhesion… (0197U) |
$185.20 |
— |
1.0× |
| Red cell antigen (Lutheran blood group) genotyping (LU), gene analysis, BCAM (basal cell adhesion molecule) exon 3… (0196U) |
$185.20 |
— |
1.0× |
| Red cell antigen (MNS blood group) genotyping (GYPA), gene analysis, GYPA (flycophorin A) introns 1, 5, exon 2 Other… (0189U) |
$274.83 |
— |
1.0× |
| Red cell antigen (MNS blood group) genotyping (GYPB), gene analysis, GYPB (glycophorin B) introns 1, 5, pseudoexon 3… (0190U) |
$274.83 |
— |
1.0× |
| Red cell antigen (RH blood group) genotyping (RHD and RHCE), gene analysis Sanger/chain termination/conventional… (0198U) |
$282.88 |
— |
1.0× |
| Red cell antigen (Scianna blood group) genotyping (SC), gene analysis, ERMAP (erythroblast membrane associated protein)… (0199U) |
$274.83 |
— |
1.0× |
| Red cell antigen (Yt blood group) genotyping (YT), gene analysis, ACHE (acetylcholinesterase (Cartwright blood group))… (0201U) |
$185.20 |
— |
1.0× |
| Reduce testis torsion (54600) |
$3,462.01 |
— |
0.9× |
| Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)… (21138) |
$5,938.02 |
— |
1.0× |
| Reduction forehead; contouring and setback of anterior frontal sinus wall Other Surgical Services (21139) |
$5,938.02 |
— |
1.0× |
| Reduction forehead; contouring only Other Surgical Services (21137) |
$3,255.33 |
— |
0.9× |
| Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach Other… (21295) |
$1,486.88 |
— |
0.9× |
| Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach Other… (21296) |
$3,255.33 |
— |
0.9× |
| Reduction overcorrection ptosis (67909) |
$2,341.78 |
— |
0.9× |
| Reinsertion of ocular implant; with or without conjunctival graft Other Surgical Services (65150) |
$3,785.25 |
— |
0.9× |
| Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant… (65155) |
$3,785.25 |
— |
0.9× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Other Surgical Services (24342) |
$7,170.73 |
— |
0.9× |
| Release i-p jt contracture (26525) |
$1,606.46 |
— |
1.0× |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
$3,256.87 |
— |
1.0× |
| Release of encircling material (posterior segment) Other Surgical Services (67115) |
$4,038.07 |
— |
0.9× |
| Release of extensive scar tissue without detaching extraocular muscle (separate procedure) Other Surgical Services (67343) |
$2,341.78 |
— |
0.9× |
| Release of eye fluid (67015) |
$2,289.35 |
— |
0.9× |
| Release of ligaments at outer side of knee joint using an endoscope professional (29873) |
$3,256.87 |
— |
1.0× |
| Release of thenar muscle(s) (eg, thumb contracture) Other Surgical Services (26508) |
$3,256.87 |
— |
1.0× |
| Release or recession, hamstring, proximal Other Surgical Services (27097) |
$3,256.87 |
— |
1.0× |
| Release, tarsal tunnel (posterior tibial nerve decompression) Other Surgical Services (28035) |
$1,960.15 |
— |
1.0× |
| Relieve inner eye pressure (65820) |
$4,038.07 |
— |
0.9× |
| Relieve pressure on nerve(s) (64722) |
$1,960.15 |
— |
1.0× |
| Relocate skin pocket implantable defibrillator (33223) |
$1,836.14 |
— |
0.9× |
| Relocation of skin pocket for pacemaker (33222) |
$1,836.14 |
— |
0.9× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without… (50385) |
$2,056.25 |
— |
0.9× |
| Removal Anal Seton Other Marker (46030) |
$1,183.54 |
— |
0.9× |
| Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative… (54410) |
$20,204.65 |
— |
0.9× |
| Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) |
$20,204.65 |
— |
0.9× |
| Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) |
$20,204.65 |
— |
0.9× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) |
$20,204.65 |
— |
0.9× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417) |
$13,041.53 |
— |
0.6× |
| Removal biliary drg catheter req fluor gid rs&i (47537) |
$941.10 |
— |
1.0× |
| Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia) Other Surgical Services (21029) |
$3,255.33 |
— |
0.9× |
| Removal entire oi implt skl mag tc attch esp<100 (69727) |
$3,256.87 |
— |
1.0× |
| Removal entire oi implt skl perq attachment esp (69726) |
$3,256.87 |
— |
1.0× |
| Removal foreign body foot complicated (28193) |
$1,626.36 |
— |
0.9× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$706.25 |
— |
1.0× |
| Removal foreign body from deep penile tissue (eg, plastic implant) Other Surgical Services (54115) |
$2,872.87 |
— |
0.9× |
| Removal foreign body from external auditory canal; with general anesthesia Other Surgical Services (69205) |
$1,626.36 |
— |
0.9× |
| Removal foreign body shoulder subcutaneous (23330) |
$1,626.36 |
— |
0.9× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,872.87 |
— |
0.9× |
| Removal foreign body, intranasal; by lateral rhinotomy Other Surgical Services (30320) |
$1,486.88 |
— |
0.9× |
| Removal foreign body, intranasal; requiring general anesthesia Other Surgical Services (30310) |
$3,255.33 |
— |
0.9× |
| Removal Impacted Cerumen Instrumentation Unilat (69210) |
$59.62 |
$315 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$256.50 |
$256.50 |
4.2× |
| Removal implant deep (20680) |
$2,872.87 |
— |
0.9× |
| Removal implant from finger/hand (26320) |
$1,626.36 |
— |
0.9× |
| Removal implant superficial (20670) |
$1,626.36 |
— |
0.9× |
| Removal Implantable Contraceptive Capsules (11976) |
$706.25 |
— |
1.0× |
| Removal implantable defib pulse generator only (33241) |
$3,653.06 |
— |
0.9× |
| Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis Other… (54406) |
$3,462.01 |
— |
0.9× |
| Removal of anal fissure (46200) |
$2,752.76 |
— |
0.9× |
| Removal of ankle implant (27704) |
$3,256.87 |
— |
1.0× |
| Removal of blood clot, anterior segment of eye Other Surgical Services (65930) |
$2,289.35 |
— |
0.9× |
| Removal of bony growth of jaw bone inside mouth|BILATERAL PROCEDURE (21031) |
$3,255.33 |
— |
0.9× |
| Removal of congenital remnant of fluid-producing glands for sperm movement (55680) |
$3,462.01 |
— |
0.9× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Other Surgical Services (64570) |
$6,428.28 |
— |
1.8× |
| Removal of embedded foreign body from dentoalveolar structures; bone Other Surgical Services (41806) |
$1,486.88 |
— |
0.9× |
| Removal of entire lumbosubarachnoid shunt system without replacement Other Surgical Services (63746) |
$1,960.15 |
— |
1.0× |
| Removal of epithelial downgrowth, anterior chamber of eye Other Surgical Services (65900) |
$2,289.35 |
— |
0.9× |
| Removal of esophageal sphincter augmentation device Other Surgical Services (43285) |
$5,856.41 |
— |
0.9× |
| Removal of eye lesion (65400) |
$972.20 |
— |
0.9× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,183.54 |
$1,331 |
0.9× |
| Removal of fluid collection in both testicles and sperm reservoirs (55041) |
$3,542.40 |
— |
0.9× |
| Removal of fluid-filled sac (bursa) or calcium deposit of pelvis professional (27062) |
$3,256.87 |
— |
1.0× |
| Removal of fluid-filled sac from joint at front of knee (27340) |
$3,256.87 |
— |
1.0× |
| Removal of foreign bodies from large bowel using an endoscope inserted through surgically created opening from large… (44390) |
$915.16 |
— |
0.9× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$1,245 |
$1,245 |
0.7× |
| Removal of foreign body in scrotum (55120) |
$2,056.25 |
— |
0.9× |
| Removal of foreign body or dacryolith, lacrimal passages Other Surgical Services (68530) |
$300.06 |
— |
0.9× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$129.39 |
$348 |
0.9× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$400.55 |
$1,133 |
0.9× |
| Removal of foreign body, foot; deep (28192) |
$1,626.36 |
— |
0.9× |
| Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Other… (65260) |
$2,289.35 |
— |
0.9× |
| Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction Other Surgical Services (65265) |
$2,289.35 |
— |
0.9× |
| Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) Other Surgical Services (27087) |
$3,256.87 |
— |
1.0× |
| Removal of foreign body, shoulder; deep (subfascial or intramuscular) Other Surgical Services (23333) |
$2,872.87 |
— |
0.9× |
| Removal of granuloma on tm using suction currettage & binocular microscope (69399) |
$233.10 |
$623 |
0.9× |
| Removal of growths or polyps of large bowel by electrical cautery using an endoscope inserted through surgically… (44392) |
$1,183.54 |
— |
0.9× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$1,183.54 |
— |
0.9× |
| Removal of heel spur (28119) |
$3,256.87 |
— |
1.0× |
| Removal of hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or… (64584) |
$6,428.28 |
— |
1.8× |
| Removal of implanted intra-arterial infusion pump Other Surgical Services (36262) |
$3,653.06 |
— |
0.9× |
| Removal of implanted material, anterior segment of eye Other Surgical Services (65920) |
$2,289.35 |
— |
0.9× |
| Removal of implanted material, posterior segment; intraocular Other Surgical Services (67121) |
$2,289.35 |
— |
0.9× |
| Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Other Surgical Services (53446) |
$5,102.84 |
— |
0.9× |
| Removal of iris and eyelid border to improve eye fluid flow with partial removal of ciliary muscle (66605) |
$2,289.35 |
— |
0.9× |
| Removal of lens material; aspiration technique, 1 or more stages Other Surgical Services (66840) |
$2,289.35 |
— |
0.9× |
| Removal of lens material; intracapsular Other Surgical Services (66920) |
$2,289.35 |
— |
0.9× |
| Removal of lens material; intracapsular, for dislocated lens Other Surgical Services (66930) |
$4,038.07 |
— |
0.9× |
| Removal of lens material; pars plana approach, with or without vitrectomy Other Surgical Services (66852) |
$4,038.07 |
— |
0.9× |
| Removal of lining of tendon on under surface of foot professional (28086) |
$3,256.87 |
— |
1.0× |
| Removal of lower arm radial artery sympathetic nerve (64821) |
$3,256.87 |
— |
1.0× |
| Removal of lower arm ulnar artery sympathetic nerve (64822) |
$3,256.87 |
— |
1.0× |
| Removal of lymph nodes from chin to thyroid cartilage (38700) |
$6,546.11 |
— |
0.9× |
| Removal of middle ear bone and removal of growth of middle ear (69505) |
$5,938.02 |
— |
1.0× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$2,752.76 |
— |
0.9× |
| Removal of nail bed (11750) |
$465.25 |
$661 |
1.1× |
| Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of… (54415) |
$3,462.01 |
— |
0.9× |
| Removal of ocular implant Other Surgical Services (65175) |
$3,785.25 |
— |
0.9× |
| Removal of peritoneal-venous shunt Other Surgical Services (49429) |
$3,159.40 |
— |
1.0× |
| Removal of pm generator (33233) |
$8,307.26 |
— |
1.0× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components Other Surgical… (24160) |
$3,256.87 |
— |
1.0× |
Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component Other Surgical… (23334)
unusually low: confirm this is the full procedure |
$2,872.87 |
— |
0.4× |
| Removal of prosthesis, includes debridement and synovectomy when performed; radial head Other Surgical Services (24164) |
$3,256.87 |
— |
1.0× |
| Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) Other Surgical Services (19330) |
$3,843.75 |
— |
0.9× |
| Removal of salivary stone (42330) |
$3,255.33 |
— |
0.9× |
| Removal of scar tissue of tendon on bottom side of foot professional (28220) |
$1,606.46 |
— |
1.0× |
| Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) |
$2,289.35 |
— |
0.9× |
| Removal of skin lesion (11423) |
$1,626.36 |
— |
0.9× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$161.72 |
$248 |
0.8× |
| Removal of skin wrinkles (15829) |
$3,674.81 |
— |
1.0× |
| Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed Other… (61892) |
$3,256.87 |
— |
1.0× |
| Removal of small bone underlying long bone of foot at big toe joint professional (28315) |
$3,256.87 |
— |
1.0× |
| Removal of Sperm Cord Lesion (55520) |
$3,462.01 |
— |
0.9× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$3,452.01 |
— |
0.9× |
| Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion Other Surgical… (62365) |
$6,428.28 |
— |
1.8× |
| Removal of subdeltoid calcareous deposits, open Other Surgical Services (23000) |
$2,872.87 |
— |
0.9× |
| Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) |
$3,256.87 |
— |
1.0× |
| Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod… (26392) |
$7,170.73 |
— |
0.9× |
| Removal of Thiersch wire or suture, anal canal Other Surgical Services (46754) |
$2,752.76 |
— |
0.9× |
| Removal of thyroid lobe on side of neck and partial removal of thyroid lobe on opposite side of neck including tissue… (60225) |
$5,856.41 |
— |
0.9× |
| Removal of transvenous pacemaker electrode(s); dual lead system Other Surgical Services (33235) |
$3,653.06 |
— |
0.9× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Other Surgical Services (33234) |
$3,653.06 |
— |
0.9× |
| Removal of tumor, temporal bone Other Surgical Services (69970) |
$5,938.02 |
— |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,159.40 |
— |
1.0× |
| Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal Other Surgical Services (67005) |
$2,289.35 |
— |
0.9× |
| Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical… (67010) |
$2,289.35 |
— |
0.9× |
| Removal of wrinkles and extra skin of cheeks, chin, and neck (15828) |
$3,674.81 |
— |
1.0× |
| Removal of wrist bone (25210) |
$3,256.87 |
— |
1.0× |
| Removal of wrist prosthesis; (separate procedure) Other Surgical Services (25250) |
$1,606.46 |
— |
1.0× |
| Removal of wrist prosthesis; complicated, including total wrist Other Surgical Services (25251) |
$3,256.87 |
— |
1.0× |
| Removal or relocation of corneal conjunctiva with graft|BILATERAL PROCEDURE (65426) |
$2,341.78 |
— |
0.9× |
| Removal or repair of electromagnetic bone conduction hearing device in temporal bone Other Surgical Services (69711) |
$3,255.33 |
— |
0.9× |
| Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Other Surgical Services (53442) |
$5,102.84 |
— |
0.9× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) Other Surgical Services (57287) |
$3,191.55 |
— |
0.9× |
| Removal phrenic nerve stimulator system (33278) |
$3,452.01 |
— |
0.9× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$706.25 |
— |
1.0× |
| Removal Submand Stone,Complicated (42335) |
$3,255.33 |
— |
0.9× |
| Removal sutures/staples requiring anesthesia (15851) |
$1,836.14 |
— |
0.9× |
| Removal Tissue Expander W/O Insertion Implant (11971) |
$2,872.87 |
— |
0.9× |
| Removal tong/halo applied by another individual (20665) |
$400.55 |
— |
0.9× |
| Removal tunneled cv cath (36590) |
$1,559.31 |
$4,218.42 |
0.9× |
| Removal Urachal Cyst (51500) |
$5,856.41 |
— |
0.9× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$400.55 |
— |
0.9× |
| Removal, entire osseointegrated implant, skull; with magnetic transcutaneous attachment to external speech processor,… (69728) |
$3,256.87 |
— |
1.0× |
| Removal, non-biodegradable drug delivery implant (11982) |
$400.55 |
— |
0.9× |
| Removal, under anesthesia, of external fixation system Other Surgical Services (20694) |
$1,606.46 |
— |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$480 |
$720 |
1.6× |
| Removal/revision of cast (29710) |
$480 |
$720 |
1.6× |
| Remove cerclage suture (59871) |
$3,191.55 |
— |
0.9× |
| Remove eye implant material (67120) |
$2,289.35 |
— |
0.9× |
| Remove eyelid foreign body,embedded (67938) |
$300.06 |
— |
0.9× |
| Remove eyelid lesions (67805) |
$300.06 |
— |
0.9× |
| Remove eyelid lesions (67801) |
$972.20 |
— |
0.9× |
| Remove fb pelvis/hip subq (27086) |
$2,872.87 |
— |
0.9× |
| Remove fb upper arm/elbow subq (24200) |
$1,626.36 |
— |
0.9× |
| Remove foreign body from eye (65210) |
$400.55 |
$1,133 |
0.9× |
| Remove foreign body from eye (65235) |
$2,289.35 |
— |
0.9× |
| Remove foreign body larynx (31511) |
$194.87 |
— |
0.9× |
| Remove intrauterine device (58301) |
$305.34 |
— |
1.0× |
| Remove intrvas foreign body (37197) |
$3,159.40 |
— |
1.0× |
| Remove lung catheter (32552) |
$620.60 |
— |
0.9× |
| Remove Peritoneal Foreign Body (49402) |
$3,542.40 |
— |
0.9× |
| Remove pharynx foreign body (42809) |
$493.25 |
$773 |
1.1× |
| Remove spinal canal catheter (62355) |
$1,960.15 |
— |
1.0× |
| Remove stent via transureth (50386) |
$2,056.25 |
— |
0.9× |
| Remove ureter stent percut (50384) |
$2,056.25 |
— |
0.9× |
| Remove vaginal foreign body (57415) |
$3,191.55 |
— |
0.9× |
| Remove vc lesion w/scope (31545) |
$3,700.89 |
— |
1.0× |
| Remove&replace pm gen singl (33227) |
$8,307.26 |
— |
1.0× |
| Remv Ext Canal Foreign Body (69200) |
$129.39 |
$490 |
0.9× |
| Remv foreign body,knee/thigh,deep (27372) |
$2,872.87 |
— |
0.9× |
| Remv&replc cvd gen dual lead (33263) |
$22,531.04 |
— |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$32,182.77 |
— |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$22,531.04 |
— |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$10,504.89 |
— |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$19,143.25 |
— |
1.0× |
| Remv/Revisn Full Arm/Leg Cast (29705) |
$480 |
$720 |
1.6× |
| Renal biopsy percutaneous (50200) |
$1,626.36 |
$4,208 |
0.9× |
| Renal Cyst Aspiration (50390) |
$706.25 |
— |
1.0× |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555) |
$9,282.10 |
— |
0.9× |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50557) |
$9,282.10 |
— |
0.9× |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50562) |
$9,282.10 |
— |
0.9× |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50551) |
$5,102.84 |
— |
0.9× |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50553) |
$5,102.84 |
— |
0.9× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
$669.99 |
— |
0.9× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50576) |
$9,282.10 |
— |
0.9× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) |
$3,462.01 |
— |
0.9× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50570) |
$3,462.01 |
— |
0.9× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) |
$5,102.84 |
— |
0.9× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50575) |
$5,102.84 |
— |
0.9× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$5,102.84 |
— |
0.9× |
| Reopen Fallopian Tube (58345) |
$3,191.55 |
— |
0.9× |
| Repair achilles tendon (27650) |
$7,170.73 |
— |
0.9× |
| Repair anal fistula (46288) |
$2,752.76 |
— |
0.9× |
| Repair blood vessel direct hand finger (35207) |
$600 |
$4,729.38 |
0.2× |
| Repair blood vessel direct neck (35201) |
$5,426.13 |
— |
0.9× |
| Repair Blood Vessel Direct; Upr Extrem (35206) |
$3,159.40 |
— |
1.0× |
| Repair blood vessel with graft other than vein; neck Other Surgical Services (35261) |
$3,159.40 |
— |
1.0× |
| Repair blood vessel with graft other than vein; upper extremity Other Surgical Services (35266) |
$5,426.13 |
— |
0.9× |
| Repair blood vessel with vein graft; lower extremity Other Surgical Services (35256) |
$5,426.13 |
— |
0.9× |
| Repair blood vessel with vein graft; neck Other Surgical Services (35231) |
$3,159.40 |
— |
1.0× |
| Repair blood vessel with vein graft; upper extremity Other Surgical Services (35236) |
$5,426.13 |
— |
0.9× |
| Repair blood vessel, direct; lower extremity (35226) |
$600 |
$2,011.08 |
0.8× |
| Repair brow defect (67900) |
$2,341.78 |
— |
0.9× |
| Repair choanal atresia; intranasal Other Surgical Services (30540) |
$5,938.02 |
— |
1.0× |
| Repair choanal atresia; transpalatine Other Surgical Services (30545) |
$5,938.02 |
— |
1.0× |
| Repair cleft hand Other Surgical Services (26580) |
$3,256.87 |
— |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$579.75 |
$1,119 |
1.4× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$600 |
$1,573 |
1.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$600 |
$1,743 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$600 |
$1,249 |
1.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$600 |
$1,605 |
0.8× |
| Repair ectropion suture (67914) |
$2,341.78 |
— |
0.9× |
| Repair ectropion, extensive (67917) |
$2,341.78 |
— |
0.9× |
| Repair elbow deb/attch open (24359) |
$3,256.87 |
— |
1.0× |
| Repair entropion excision tarsal wedge (67923) |
$2,341.78 |
— |
0.9× |
| Repair entropion suture (67921) |
$2,341.78 |
— |
0.9× |
| Repair Exten Tendon,Dorsum Fingr,Ea (26418) |
$1,606.46 |
— |
1.0× |
| Repair extensor tendon hand w/o graft each (26410) |
$1,606.46 |
— |
1.0× |
| Repair eyelid defect (67908) |
$2,341.78 |
— |
0.9× |
| Repair eyelid defect (67924) |
$2,341.78 |
— |
0.9× |
| Repair eyelid defect (67904) |
$2,341.78 |
— |
0.9× |
| Repair eyelid defect (67903) |
$2,341.78 |
— |
0.9× |
| Repair eyelid wound (67930) |
$2,341.78 |
— |
0.9× |
| Repair fibula nonunion/malunion w int fixation (27726) |
$7,170.73 |
— |
0.9× |
| Repair finger tendon (26433) |
$3,256.87 |
— |
1.0× |
| Repair finger/hand tendon (26350) |
$3,256.87 |
— |
1.0× |
| Repair fistula; oromaxillary (combine with 31030 if antrotomy is included) Other Surgical Services (30580) |
$5,938.02 |
— |
1.0× |
| Repair forearm tendon/muscle (25260) |
$3,256.87 |
— |
1.0× |
| Repair hallux rigidus (28289) |
$3,256.87 |
— |
1.0× |
| Repair incomplete circumcision (54163) |
$2,056.25 |
— |
0.9× |
| Repair initial femoral hernia, any age; incarcerated or strangulated Other Surgical Services (49553) |
$3,542.40 |
— |
0.9× |
| Repair initial femoral hernia, any age; reducible Other Surgical Services (49550) |
$3,542.40 |
— |
0.9× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$3,542.40 |
— |
0.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$534 |
$936 |
1.3× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$488.50 |
$754 |
1.2× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$596.25 |
$1,185 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$600 |
$1,523 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$600 |
$1,743 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$542.75 |
$971 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$570.75 |
$1,083 |
0.7× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$484.50 |
$738 |
1.1× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$549.75 |
$999 |
1.3× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$600 |
$1,743 |
0.8× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$566.25 |
$1,065 |
1.3× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$600 |
$2,127 |
1.4× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$579.75 |
$1,119 |
1.4× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$600 |
$5,178 |
0.3× |
| Repair intrinsic muscles hand each muscle (26591) |
$3,256.87 |
— |
1.0× |
| Repair lac palate<2 cm (42180) |
$511.18 |
— |
0.9× |
| Repair Lip,Full Thick,Vermilion (40650) |
$511.18 |
— |
0.9× |
| Repair lower leg tendons (27676) |
$7,170.73 |
— |
0.9× |
| Repair lumbar hernia Other Surgical Services (49540) |
$5,856.41 |
— |
0.9× |
| Repair macrodactylia, each digit Other Surgical Services (26590) |
$1,606.46 |
— |
1.0× |
| Repair medial collateral ligament, elbow, with local tissue Other Surgical Services (24345) |
$7,170.73 |
— |
0.9× |
| Repair nail bed (11760) |
$479 |
$716 |
0.6× |
| Repair nasal septal perforations Other Surgical Services (30630) |
$3,255.33 |
— |
0.9× |
| Repair nasal vestibular stenosis (30465) |
$5,938.02 |
— |
1.0× |
| Repair non/malunion humerus w/o graft (24430) |
$12,915.46 |
— |
1.0× |
| Repair of abnormal connection from nasal sinus to skin (42260) |
$5,938.02 |
— |
1.0× |
| Repair of abnormal drainage tract between mouth and nasal cavity (30600) |
$5,938.02 |
— |
1.0× |
| Repair of anal fistula with fibrin glue (46706) |
$2,752.76 |
— |
0.9× |
| Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») Other Surgical Services (46707) |
$2,752.76 |
— |
0.9× |
| Repair of biceps tendon at elbow (24340) |
$7,170.73 |
— |
0.9× |
| Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) Other… (67902) |
$3,785.25 |
— |
0.9× |
| Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) Other Surgical… (67901) |
$2,341.78 |
— |
0.9× |
| Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) Other Surgical… (67906) |
$3,785.25 |
— |
0.9× |
| Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction… (67113) |
$5,179.21 |
— |
0.9× |
| Repair of component(s) of a multi-component, inflatable penile prosthesis Other Surgical Services (54408) |
$5,102.84 |
— |
0.9× |
| Repair of defect with autograft; radius AND ulna Other Surgical Services (25426) |
$3,256.87 |
— |
1.0× |
| Repair of defect with autograft; radius OR ulna Other Surgical Services (25425) |
$7,170.73 |
— |
0.9× |
| Repair of digit nerve (64831) |
$1,960.15 |
— |
1.0× |
| Repair of dislocating lower leg tendons without a cut through the lower leg bone on the outside of the leg (fibula)… (27675) |
$3,256.87 |
— |
1.0× |
| Repair of ectropion; excision tarsal wedge Other Surgical Services (67916) |
$2,341.78 |
— |
0.9× |
| Repair of end of thigh or lower leg bone at knee joint with prosthesis professional (27442) |
$12,915.46 |
— |
1.0× |
| Repair of enterocele, vaginal approach (separate procedure) Other Surgical Services (57268) |
$4,955.11 |
— |
0.9× |
| Repair of entropion; thermocauterization Other Surgical Services (67922) |
$2,341.78 |
— |
0.9× |
| Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining… (26428) |
$3,256.87 |
— |
1.0× |
| Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Other… (26434) |
$3,256.87 |
— |
1.0× |
| Repair of eye wound (65286) |
$2,289.35 |
— |
0.9× |
| Repair of fibrous tissue of arch of foot using an endoscope (29893) |
$3,256.87 |
— |
1.0× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340) |
$3,462.01 |
— |
0.9× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348) |
$5,102.84 |
— |
0.9× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344) |
$9,282.10 |
— |
0.9× |
| Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Other Surgical Services (53449) |
$9,282.10 |
— |
0.9× |
| Repair of iris, ciliary body (as for iridodialysis) Other Surgical Services (66680) |
$2,289.35 |
— |
0.9× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$502.75 |
$811 |
1.1× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$455.75 |
$623 |
1.8× |
| Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Other Surgical Services (65272) |
$2,341.78 |
— |
0.9× |
| Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure Other Surgical… (65270) |
$2,341.78 |
— |
0.9× |
| Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue Other Surgical Services (65280) |
$5,179.21 |
— |
0.9× |
| Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue Other Surgical… (65285) |
$5,179.21 |
— |
0.9× |
| Repair of laceration; cornea, nonperforating, with or without removal foreign body Other Surgical Services (65275) |
$3,785.25 |
— |
0.9× |
| Repair of leg tendon each (27658) |
$3,256.87 |
— |
1.0× |
| Repair of nasal septum (30520) |
$3,255.33 |
— |
0.9× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Other Surgical Services (30468) |
$5,938.02 |
— |
1.0× |
| Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary… (25431) |
$7,170.73 |
— |
0.9× |
| Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Other Surgical… (24435) |
$12,915.46 |
— |
1.0× |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Other Surgical Services (25420) |
$7,170.73 |
— |
0.9× |
| Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique) Other Surgical Services (25415) |
$7,170.73 |
— |
0.9× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Other Surgical Services (25405) |
$7,170.73 |
— |
0.9× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Other Surgical Services (25400) |
$7,170.73 |
— |
0.9× |
| Repair of nonunion or malunion, tibia; with sliding graft Other Surgical Services (27722) |
$7,170.73 |
— |
0.9× |
| Repair of nonunion or malunion, tibia; without graft, (eg, compression technique) Other Surgical Services (27720) |
$7,170.73 |
— |
0.9× |
| Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft… (25440) |
$7,170.73 |
— |
0.9× |
| Repair of protrusion of inner tissue through eyeball with graft (66225) |
$5,179.21 |
— |
0.9× |
| Repair of rectocele (separate procedure) Other Surgical Services (45560) |
$2,752.76 |
— |
0.9× |
| Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Other Surgical… (67105) |
$550.67 |
— |
1.0× |
| Repair of retinal detachment, one or more sessions; cryotherapy or diathermy, with or without drainage of subretinal… (67101) |
$2,289.35 |
— |
0.9× |
| Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) Other Surgical Services (67110) |
$2,289.35 |
— |
0.9× |
| Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling… (67107) |
$4,038.07 |
— |
0.9× |
| Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal… (67108) |
$4,038.07 |
— |
0.9× |
| Repair of small omphalocele, with primary closure Other Surgical Services (49600) |
$3,542.40 |
— |
0.9× |
| Repair of spica, body cast or jacket Other Surgical Services (29720) |
$158.39 |
— |
0.9× |
| Repair of symblepharon; conjunctivoplasty, without graft Other Surgical Services (68330) |
$2,289.35 |
— |
0.9× |
| Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens Other Surgical… (68340) |
$2,341.78 |
— |
0.9× |
| Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) Other Surgical… (68335) |
$3,785.25 |
— |
0.9× |
| Repair of syndactyly (web finger) each web space; complex (eg, involving bone, nails) Other Surgical Services (26562) |
$3,256.87 |
— |
1.0× |
| Repair of syndactyly (web finger) each web space; with skin flaps and grafts Other Surgical Services (26561) |
$3,256.87 |
— |
1.0× |
| Repair of syndactyly (web finger) each web space; with skin flaps Other Surgical Services (26560) |
$1,606.46 |
— |
1.0× |
| Repair of traumatic corporeal tear(s) Other Surgical Services (54437) |
$3,462.01 |
— |
0.9× |
| Repair of tunica vaginalis hydrocele (Bottle type) Other Surgical Services (55060) |
$3,462.01 |
— |
0.9× |
| Repair of turning-outward defect of upper or lower eyelid using heat (67915) |
$2,341.78 |
— |
0.9× |
| Repair of Vagina (56800) |
$3,191.55 |
— |
0.9× |
| Repair of vertical lip wound extending to half of lip (40652) |
$511.18 |
— |
0.9× |
| Repair of wound, extraocular muscle, tendon and/or Tenon's capsule Other Surgical Services (65290) |
$3,785.25 |
— |
0.9× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes… (26372) |
$7,170.73 |
— |
0.9× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon… (26373) |
$3,256.87 |
— |
1.0× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) |
$3,256.87 |
— |
1.0× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free… (26358) |
$7,170.73 |
— |
0.9× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without… (26357) |
$3,256.87 |
— |
1.0× |
| Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with… (26352) |
$7,170.73 |
— |
0.9× |
| Repair oval window fistula Other Surgical Services (69666) |
$3,255.33 |
— |
0.9× |
| Repair palate (42182) |
$5,938.02 |
— |
1.0× |
| Repair Profundus Tendon,Primary (26370) |
$3,256.87 |
— |
1.0× |
| Repair recurrent femoral hernia; incarcerated or strangulated Other Surgical Services (49557) |
$3,542.40 |
— |
0.9× |
| Repair recurrent femoral hernia; reducible Other Surgical Services (49555) |
$3,542.40 |
— |
0.9× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated Other Surgical Services (49521) |
$6,263.34 |
— |
0.9× |
| Repair rotator cuff, acute (23410) |
$7,170.73 |
— |
0.9× |
| Repair rotator cuff, chronic (23412) |
$7,170.73 |
— |
0.9× |
| Repair round window fistula Other Surgical Services (69667) |
$3,255.33 |
— |
0.9× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea Tdn/Musc (24341) |
$7,170.73 |
— |
0.9× |
| Repair Testis Injury (54670) |
$3,462.01 |
— |
0.9× |
| Repair to increase depth of front portion of mouth (40840) |
$5,938.02 |
— |
1.0× |
| Repair tongue lacer,post 1/3 (41251) |
$455.75 |
$623 |
1.8× |
| Repair vagina/perineum (57210) |
$3,191.55 |
— |
0.9× |
| Repair wrist joints (25447) |
$3,256.87 |
— |
1.0× |
| Repair, acquired or traumatic arteriovenous fistula; extremities Other Surgical Services (35190) |
$4,770 |
$4,770 |
0.8× |
| Repair, acquired or traumatic arteriovenous fistula; head and neck Other Surgical Services (35188) |
$5,426.13 |
— |
0.9× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$600 |
$1,743 |
0.8× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$600 |
$1,766 |
0.8× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$600 |
$1,273 |
0.8× |
| Repair, congenital arteriovenous fistula; extremities Other Surgical Services (35184) |
$3,159.40 |
— |
1.0× |
| Repair, congenital arteriovenous fistula; head and neck Other Surgical Services (35180) |
$1,559.31 |
— |
0.9× |
| Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon Other… (26420) |
$3,256.87 |
— |
1.0× |
| Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon Other… (26412) |
$3,256.87 |
— |
1.0× |
| Repair, extensor tendon, leg; primary, without graft, each tendon Other Surgical Services (27664) |
$7,170.73 |
— |
0.9× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Other Surgical Services (27665) |
$7,170.73 |
— |
0.9× |
| Repair, fascial defect of leg Other Surgical Services (27656) |
$3,256.87 |
— |
1.0× |
| Repair, flexor tendon, leg; secondary, with or without graft, each tendon Other Surgical Services (27659) |
$7,170.73 |
— |
0.9× |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
$3,542.40 |
— |
0.9× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
$5,856.41 |
— |
0.9× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49492) |
$3,542.40 |
— |
0.9× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$600 |
$5,178 |
0.3× |
| Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Other Surgical Services (28322) |
$7,170.73 |
— |
0.9× |
| Repair, nonunion or malunion; tarsal bones Other Surgical Services (28320) |
$12,915.46 |
— |
1.0× |
| Repair, primary, disrupted ligament, ankle; both collateral ligaments Other Surgical Services (27696) |
$7,170.73 |
— |
0.9× |
| Repair, primary, disrupted ligament, ankle; collateral Other Surgical Services (27695) |
$7,170.73 |
— |
0.9× |
| Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments Other Surgical Services (27409) |
$7,170.73 |
— |
0.9× |
| Repair, primary, torn ligament and/or capsule, knee; cruciate Other Surgical Services (27407) |
$7,170.73 |
— |
0.9× |
| Repair, secondary, Achilles tendon, with or without graft Other Surgical Services (27654) |
$7,170.73 |
— |
0.9× |
| Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Other Surgical Services (27698) |
$7,170.73 |
— |
0.9× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Other Surgical… (25272) |
$3,256.87 |
— |
1.0× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) |
$3,256.87 |
— |
1.0× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Other Surgical Services (25263) |
$7,170.73 |
— |
0.9× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25265) |
$3,256.87 |
— |
1.0× |
| Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor… (25275) |
$3,256.87 |
— |
1.0× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Other Surgical Services (28208) |
$3,256.87 |
— |
1.0× |
| Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) Other Surgical… (28210) |
$7,170.73 |
— |
0.9× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon Other Surgical Services (28200) |
$3,256.87 |
— |
1.0× |
| Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Other Surgical Services (28202) |
$7,170.73 |
— |
0.9× |
| Repair/graft achilles tendon (27652) |
$7,170.73 |
— |
0.9× |
| Replace duod/jej tube perc (49451) |
$941.10 |
— |
1.0× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$941.10 |
$5,439 |
1.0× |
| Replace picvad cath (36585) |
$3,159.40 |
$8,225 |
1.0× |
| Replace tunneled cv cath (36582) |
$3,159.40 |
— |
1.0× |
| Replace Tunneled Cv Cath (36578) |
$3,159.40 |
— |
1.0× |
| Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous… (69719) |
$12,915.46 |
— |
1.0× |
| Replacement (including removal of existing device), osseointegrated implant, skull; with magnetic transcutaneous… (69730) |
$12,915.46 |
— |
1.0× |
| Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to… (69717) |
$7,170.73 |
— |
0.9× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$941.10 |
— |
1.0× |
| Replacement of tissue expander with permanent implant Other Surgical Services (11970) |
$7,170.73 |
— |
0.9× |
| Replacement or irrigation, subarachnoid/subdural catheter Other Surgical Services (62194) |
$1,960.15 |
— |
1.0× |
| Replacement or irrigation, ventricular catheter Other Surgical Services (62225) |
$6,428.28 |
— |
1.8× |
| Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system Other… (62230) |
$6,428.28 |
— |
0.7× |
| Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through… (36583) |
$5,426.13 |
— |
0.9× |
| Replacement, irrigation or revision of lumbosubarachnoid shunt Other Surgical Services (63744) |
$6,428.28 |
— |
1.8× |
| Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation Other… (20822) |
$1,606.46 |
— |
1.0× |
| Reposition central venous cath (36597) |
$1,559.31 |
— |
0.9× |
| Reposition gastrostomy tube (43761) |
$244.13 |
$694 |
0.9× |
| Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Other Surgical Services (66825) |
$2,289.35 |
— |
0.9× |
| Repositioning of previously implanted subcutaneous implantable defibrillator electrode (33273) |
$3,653.06 |
— |
0.9× |
| Repositioning phrenic nrv stimulator transvns ld (33281) |
$3,452.01 |
— |
0.9× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,256.87 |
— |
1.0× |
| Reproductive medicine, analysis of 24 chromosomes using embryonic DNA genomic sequence analysis for aneuploidy, and a… (0254U) |
$759.05 |
— |
1.0× |
| Reproductive medicine, RNA gene expression profile 238 genes by next-generation sequencing, endometrial tissue,… (0253U) |
$3,159.42 |
— |
1.0× |
| Reprogramming of programmable cerebrospinal shunt (62252) |
$301.04 |
— |
0.9× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$3,159.40 |
— |
1.0× |
| Resection of elbow joint (arthrectomy) Other Surgical Services (24155) |
$3,256.87 |
— |
1.0× |
| Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior… (42892) |
$5,938.02 |
— |
1.0× |
| Resection of lip, more than one-fourth, without reconstruction Other Surgical Services (40530) |
$3,255.33 |
— |
0.9× |
| Resection of palate or extensive resection of lesion Other Surgical Services (42120) |
$5,938.02 |
— |
1.0× |
| Resection of scrotum (55150) |
$3,462.01 |
— |
0.9× |
| Resection or transplantation of long tendon of biceps Other Surgical Services (23440) |
$7,170.73 |
— |
0.9× |
| Resection, condyle(s), distal end of phalanx, each toe Other Surgical Services (28153) |
$3,256.87 |
— |
1.0× |
| Resection, humeral head Other Surgical Services (23195) |
$7,170.73 |
— |
0.9× |
| Reshaping of tooth socket|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (41874) |
$3,255.33 |
— |
0.9× |
| Respiratory infectious agent detection by nucleic acid (DNA and RNA), 18 viral types and subtypes and 2 bacterial… (0115U) |
$275.35 |
— |
1.0× |
| Resuperf Wnd Face 5.1-7.5 Cm (12014) |
$519.50 |
$878 |
2.5× |
| Resuperf Wnd Face 7.6-12.5 Cm (12015) |
$579.25 |
$1,117 |
2.8× |
| Retrobulbar inject,alcohol (67505) |
$300.06 |
— |
0.9× |
| Retrobulbar injection; medication (separate procedure, does not include supply of medication) Other Surgical Services (67500) |
$300.06 |
— |
0.9× |
| Revise abdomen-venous shunt (49426) |
$3,542.40 |
— |
0.9× |
| Revise Av Fistula,W/O Thrombectomy (36832) |
$5,426.13 |
— |
0.9× |
| Revise finger joint (26535) |
$3,256.87 |
— |
1.0× |
| Revise thumb tendon (26490) |
$3,256.87 |
— |
1.0× |
| Revise ulnar nerve at elbow (64718) |
$1,960.15 |
— |
1.0× |
| Revise ulnar nerve at wrist (64719) |
$1,960.15 |
— |
1.0× |
| Revise Urethra, 1st Stage (53400) |
$5,102.84 |
— |
0.9× |
| Revise/graft eyelid lining (68320) |
$2,341.78 |
— |
0.9× |
| Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Other Surgical Services (57426) |
$7,422.76 |
— |
1.0× |
| Revision (including removal) of prosthetic vaginal graft; vaginal approach Other Surgical Services (57295) |
$3,191.55 |
— |
0.9× |
| Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via… (63664) |
$12,517.45 |
— |
1.1× |
| Revision mastoidectomy; resulting in complete mastoidectomy Other Surgical Services (69601) |
$5,938.02 |
— |
1.0× |
| Revision mastoidectomy; resulting in modified radical mastoidectomy Other Surgical Services (69602) |
$5,938.02 |
— |
1.0× |
| Revision mastoidectomy; resulting in radical mastoidectomy Other Surgical Services (69603) |
$5,938.02 |
— |
1.0× |
| Revision mastoidectomy; resulting in tympanoplasty Other Surgical Services (69604) |
$5,938.02 |
— |
1.0× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Other Surgical Services (66185) |
$2,289.35 |
— |
0.9× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft Other Surgical Services (66184) |
$2,289.35 |
— |
0.9× |
| Revision of arthroplasty, including removal of implant, wrist joint Other Surgical Services (25449) |
$7,170.73 |
— |
0.9× |
| Revision of cervix (59320) |
$3,191.55 |
— |
0.9× |
| Revision of colostomy simple (44340) |
$3,674.81 |
— |
1.0× |
| Revision of cornea (65600) |
$2,341.78 |
— |
0.9× |
| Revision of ileostomy; simple (release of superficial scar) (separate procedure) Other Surgical Services (44312) |
$3,674.81 |
— |
1.0× |
| Revision of implanted intra-arterial infusion pump Other Surgical Services (36261) |
$3,653.06 |
— |
0.9× |
| Revision of iris (66761) |
$550.67 |
— |
1.0× |
| Revision of penis (54420) |
$3,462.01 |
— |
0.9× |
| Revision of penis (54435) |
$3,462.01 |
— |
0.9× |
| Revision of permanent opening of windpipe for breathing with flap rotation (31614) |
$5,938.02 |
— |
1.0× |
| Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352) |
$5,102.84 |
— |
0.9× |
| Revision of reconstructed breast (19380) |
$6,546.11 |
— |
0.9× |
| Revision of scar or wound closure following removal of arm and shoulder blade at shoulder joint (23921) |
$1,836.14 |
— |
0.9× |
| Revision of stapedectomy or stapedotomy Other Surgical Services (69662) |
$5,938.02 |
— |
1.0× |
| Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component Other Surgical… (24371) |
$18,459.56 |
— |
1.0× |
| Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component Other Surgical… (24370) |
$12,915.46 |
— |
1.0× |
| Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component Other… (23473) |
$12,915.46 |
— |
1.0× |
| Revision of tracheostomy scar (31830) |
$3,255.33 |
— |
0.9× |
| Revision of upper eyelid (15822) |
$1,836.14 |
— |
0.9× |
| Revision of upper eyelid (15823) |
$1,836.14 |
— |
0.9× |
| Revision of urinary-cutaneous anastomosis (any type urostomy); Other Surgical Services (50727) |
$3,462.01 |
— |
0.9× |
| Revision or removal of cranial neurostimulator pulse generator or receiver Other Surgical Services (61888) |
$12,517.45 |
— |
1.1× |
| Revision or removal of intracranial neurostimulator electrodes Other Surgical Services (61880) |
$3,452.01 |
— |
0.9× |
| Revision or removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator Other… (64598) |
$3,452.01 |
— |
0.9× |
| Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable… (64595) |
$3,452.01 |
— |
0.9× |
| Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to… (64569) |
$12,517.45 |
— |
1.1× |
| Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth… (61891) |
$21,525.45 |
— |
0.7× |
| Revision peri-implant capsule breast (19370) |
$3,843.75 |
— |
0.9× |
| Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft Other… (35884) |
$5,426.13 |
— |
0.9× |
| Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) |
$5,426.13 |
— |
0.9× |
| Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition Other Surgical… (35881) |
$5,426.13 |
— |
0.9× |
| Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty Other Surgical… (35879) |
$5,426.13 |
— |
0.9× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$6,587.71 |
— |
1.0× |
| Revj transvns intrhptc portosystemic shnt (tips) (37183) |
$5,723.07 |
— |
1.0× |
| Revj/rmvl impl spi npg/rcvr dtch connj eltrd ra (63688) |
$3,452.01 |
— |
0.9× |
| Revj/rmvl perph neurostimulator electrode array (64585) |
$3,452.01 |
— |
0.9× |
| Revj/rplcmt hpglsl nerve nstim ra pg&respir snr (64583) |
$12,517.45 |
— |
1.1× |
| RFC1 repeat expansion variant analysis by traditional and repeat-primed PCR, blood, saliva, or buccal swab Other… (0378U) |
$137 |
— |
1.0× |
| RHD & RHCE Gnotyp Next-Genrj Seq RH Prox Promoter Other Outpatient (0222U) |
$282.88 |
— |
1.0× |
| Rhinectomy; partial Other Surgical Services (30150) |
$5,938.02 |
— |
1.0× |
| Rhinectomy; total Other Surgical Services (30160) |
$5,938.02 |
— |
1.0× |
| Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip,… (30462) |
$5,938.02 |
— |
1.0× |
| Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip… (30460) |
$5,938.02 |
— |
1.0× |
| Rhinoplasty secondary intermediate revision (30435) |
$5,938.02 |
— |
1.0× |
| Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410) |
$5,938.02 |
— |
1.0× |
| Rhinoplasty, primary; including major septal repair Other Surgical Services (30420) |
$5,938.02 |
— |
1.0× |
| Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Other Surgical Services (30400) |
$5,938.02 |
— |
1.0× |
| Rhinoplasty, secondary; major revision (nasal tip work and osteotomies) Other Surgical Services (30450) |
$5,938.02 |
— |
1.0× |
| Rhinoplasty, secondary; minor revision (small amount of nasal tip work) Other Surgical Services (30430) |
$5,938.02 |
— |
1.0× |
| Rhytidectomy forehead (15824) |
$1,836.14 |
— |
0.9× |
| Rhytidectomy; glabellar frown lines Other Surgical Services (15826) |
$3,674.81 |
— |
1.0× |
| Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap) Other Surgical Services (15825) |
$3,674.81 |
— |
1.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,486.88 |
— |
0.9× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$511.18 |
— |
0.9× |
| Rmvl embedded fb vestibule mouth smpl (40804) |
$941.10 |
— |
1.0× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$129.39 |
$348 |
0.9× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$1,020 |
$1,020 |
0.3× |
| Rmvl intact breast implant (19328) |
$3,843.75 |
— |
0.9× |
| Rmvl nfros tube req fluoro guidance (50389) |
$669.99 |
— |
0.9× |
| Rmvl of access device (36589) |
$620.60 |
$1,307 |
0.9× |
| Rmvl of subq defibrillator (33272) |
$3,653.06 |
— |
0.9× |
| Rmvl phrenic nrv stimulator pulse generator only (33280) |
$3,452.01 |
— |
0.9× |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) |
$3,452.01 |
— |
0.9× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$1,960.15 |
— |
1.0× |
| Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) |
$30,588.78 |
— |
0.9× |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) |
$12,517.45 |
— |
1.1× |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
$3,653.06 |
— |
0.9× |
| Robotic assisted laparoscopic repair of upper rectal serosal inj (45499) |
$5,856.41 |
— |
0.9× |
| Rplc gtube revj gstrst trc (43763) |
$244.13 |
$694 |
0.9× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,559.31 |
$4,218 |
0.9× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,159.40 |
— |
1.0× |
| Rpr 1 transvns eltrd prm pm/pacing implntbl dfb (33218) |
$3,653.06 |
— |
0.9× |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
$6,263.34 |
— |
0.9× |
| Rpr 2 transvns electrodes prm pm/implantable dfb (33220) |
$3,653.06 |
— |
0.9× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$5,856.41 |
— |
0.9× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$6,263.34 |
— |
0.9× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$5,856.41 |
— |
0.9× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,542.40 |
— |
0.9× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$6,263.34 |
— |
0.9× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$6,263.34 |
— |
0.9× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$5,856.41 |
— |
0.9× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,542.40 |
— |
0.9× |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
$5,426.13 |
— |
0.9× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,559.31 |
— |
0.9× |
| Rpr Ing Hernia Baby, Reduc (49495) |
$3,542.40 |
— |
0.9× |
| Rpr Ingun Hernia Sliding Any Age (49525) |
$3,542.40 |
— |
0.9× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$600 |
$1,743 |
0.8× |
| Rpr lip full thkns >one-half vert height/comple (40654) |
$1,486.88 |
— |
0.9× |
| Rpr non-union mtcrpl/phalanx (26546) |
$7,170.73 |
— |
0.9× |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
$5,938.02 |
— |
1.0× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$3,542.40 |
— |
0.9× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$3,256.87 |
— |
1.0× |
| Rpr Xtnsr Tdn Cntrl Slip Tiss W/Lat Band Ea Fngr (26426) |
$3,256.87 |
— |
1.0× |
| Rpr&rcnstj finger volar plate interphalangeal jt (26548) |
$3,256.87 |
— |
1.0× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$3,159.40 |
— |
1.0× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$3,159.40 |
— |
1.0× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$3,159.40 |
— |
1.0× |
| Salpingostomy (salpingoneostomy) Other Surgical Services (58770) |
$3,191.55 |
— |
0.9× |
| Saphenopopliteal vein anastomosis Other Surgical Services (34530) |
$3,159.40 |
— |
1.0× |
| Scapulopexy (eg, Sprengels deformity or for paralysis) Other Surgical Services (23400) |
$7,170.73 |
— |
0.9× |
| Scleral reinforcement (separate procedure); with graft Other Surgical Services (67255) |
$4,038.07 |
— |
0.9× |
| Scleral reinforcement (separate procedure); without graft Other Surgical Services (67250) |
$2,341.78 |
— |
0.9× |
| Sclerotherapy fluid collection prq w/img gid (49185) |
$1,626.36 |
— |
0.9× |
| Scrotoplasty; complicated Other Surgical Services (55180) |
$5,102.84 |
— |
0.9× |
| Scrotoplasty; simple Other Surgical Services (55175) |
$3,462.01 |
— |
0.9× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$1,836.14 |
— |
0.5× |
| Secondary revision of orbitocraniofacial reconstruction Other Surgical Services (21275) |
$5,938.02 |
— |
1.0× |
| Septal or other intranasal dermatoplasty (does not include obtaining graft) Other Surgical Services (30620) |
$5,938.02 |
— |
1.0× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Other Surgical Services (23170) |
$3,256.87 |
— |
1.0× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Other Surgical Services (25145) |
$3,256.87 |
— |
1.0× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck Other Surgical Services (23174) |
$7,170.73 |
— |
0.9× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process Other Surgical Services (24138) |
$7,170.73 |
— |
0.9× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck Other Surgical Services (24136) |
$3,256.87 |
— |
1.0× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula Other Surgical Services (23172) |
$3,256.87 |
— |
1.0× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus Other Surgical Services (24134) |
$7,170.73 |
— |
0.9× |
| Sesamoidectomy, thumb or finger (separate procedure) Other Surgical Services (26185) |
$1,606.46 |
— |
1.0× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65875) |
$2,289.35 |
— |
0.9× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65870) |
$2,289.35 |
— |
0.9× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65880) |
$4,038.07 |
— |
0.9× |
| Severing adhesions of anterior segment, laser technique (separate procedure) Other Surgical Services (65860) |
$550.67 |
— |
1.0× |
| Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages)… (67031) |
$550.67 |
— |
1.0× |
| Sgl bloon entrscpy ercp w bloon dilation and stone removal (alt anatomy) (47999) |
$941.10 |
— |
1.0× |
| Sgmdsc flx w/dcmprn w/plmt dcmprn tube (45337) |
$915.16 |
$2,481 |
0.9× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less Other… (11300) |
$401.04 |
— |
0.9× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm Other Surgical… (11301) |
$199.45 |
— |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$199.45 |
— |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$401.04 |
— |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$199.45 |
— |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$199.45 |
— |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$199.45 |
— |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$401.04 |
— |
0.9× |
| Shortening of tendon, extensor, hand or finger, each tendon Other Surgical Services (26477) |
$3,256.87 |
— |
1.0× |
| Shortening of tendon, flexor, hand or finger, each tendon Other Surgical Services (26479) |
$3,256.87 |
— |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$199.45 |
— |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$401.04 |
— |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$401.04 |
— |
0.9× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$199.45 |
— |
1.0× |
| Sialolithotomy; parotid, extraoral or complicated intraoral Other Surgical Services (42340) |
$3,255.33 |
— |
0.9× |
| Sickle cell disease, microfluidic flow adhesion (P-Selectin), whole blood Other Outpatient (0122U) |
$526.23 |
— |
1.0× |
| Sickle cell disease, microfluidic flow adhesion (VCAM-1), whole blood Other Outpatient (0121U) |
$509.20 |
— |
1.0× |
| Sigmoidoscopy & polypectomy (45333) |
$915.16 |
$2,234 |
0.9× |
| Sigmoidoscopy flx control bleeding (45334) |
$1,183.54 |
$2,481 |
0.9× |
| Sigmoidoscopy flx ndsc us xm (45341) |
$915.16 |
— |
0.9× |
| Sigmoidoscopy w/ablation (45346) |
$1,183.54 |
$2,939 |
0.9× |
| Sigmoidoscopy W/Endo Mucosal Resection (45349) |
$2,111.13 |
$2,939 |
0.7× |
| Sigmoidoscopy w/fb removal (45332) |
$961.52 |
$1,479 |
0.8× |
| Sigmoidoscopy w/us guide bx (45342) |
$1,183.54 |
— |
0.9× |
| Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45350) |
$1,183.54 |
$2,939 |
0.9× |
| Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Other Surgical Services (45335) |
$828.08 |
$1,482 |
0.9× |
| Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (45347) |
$5,975.31 |
$13,488 |
0.9× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Other Surgical… (45338) |
$1,183.54 |
$2,481 |
0.9× |
| Sigmoidoscopy, flexible; with transendoscopic balloon dilation Other Surgical Services (45340) |
$1,183.54 |
$2,939 |
0.9× |
| Simple cystometrogram (51725) |
$244.13 |
— |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$472 |
$688 |
2.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$488.50 |
$754 |
2.3× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$542 |
$542 |
2.6× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$484.50 |
$738 |
2.3× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$600 |
$1,307 |
2.9× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$579.75 |
$1,119 |
1.4× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$235 |
$235 |
0.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$500 |
$800 |
2.4× |
| Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) Other Surgical Services (51736) |
$129.39 |
— |
0.9× |
| Sinusotomy frontal; external, simple (trephine operation) Other Surgical Services (31070) |
$5,938.02 |
— |
1.0× |
| Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision Other Surgical Services (31086) |
$5,938.02 |
— |
1.0× |
| Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision Other Surgical Services (31087) |
$5,938.02 |
— |
1.0× |
| Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) Other Surgical Services (31080) |
$5,938.02 |
— |
1.0× |
| Sinusotomy frontal; obliterative, with osteoplastic flap, brow incision Other Surgical Services (31084) |
$5,938.02 |
— |
1.0× |
| Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision Other Surgical Services (31085) |
$5,938.02 |
— |
1.0× |
| Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) Other Surgical… (31081) |
$5,938.02 |
— |
1.0× |
| Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Other Surgical Services (31075) |
$5,938.02 |
— |
1.0× |
| Sinusotomy maxillary antrotomy intranasal (31020) |
$3,255.33 |
— |
0.9× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Other Surgical Services (31032) |
$5,938.02 |
— |
1.0× |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps Other Surgical Services (31030) |
$5,938.02 |
— |
1.0× |
| Sinusotomy, sphenoid, with or without biopsy; Other Surgical Services (31050) |
$5,938.02 |
— |
1.0× |
| Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Other Surgical Services (31051) |
$5,938.02 |
— |
1.0× |
| Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) Other Surgical Services (31090) |
$5,938.02 |
— |
1.0× |
| Skin pinch graft (15050) |
$614.44 |
— |
0.8× |
| Skin Tissue Procedure (17999) |
$199.45 |
$4,834 |
1.0× |
| Slctv cath carotid/innom art angio intrcranl art (36223) |
$5,426.13 |
— |
0.9× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$3,159.40 |
— |
1.0× |
| Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Other Surgical Services (53440) |
$13,041.53 |
— |
0.9× |
| Slitting of prepuce (54001) |
$2,056.25 |
— |
0.9× |
| Slitting of prepuce, dorsal or lateral (separate procedure); newborn Other Surgical Services (54000) |
$3,462.01 |
— |
0.9× |
| Small bowel endoscopy (44366) |
$1,904.16 |
— |
1.0× |
| Small bowel endoscopy (44376) |
$1,904.16 |
— |
1.0× |
| Small bowel endoscopy/biopsy (44377) |
$1,904.16 |
— |
1.0× |
| Small bowel endoscopy/biopsy (44361) |
$1,904.16 |
— |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$1,904.16 |
— |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) |
$5,975.31 |
— |
0.9× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of… (44369) |
$1,904.16 |
— |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of… (44373) |
$1,904.16 |
$4,450 |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign… (44363) |
$1,904.16 |
— |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44364) |
$1,904.16 |
— |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44365) |
$1,904.16 |
— |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic… (44370) |
$5,975.31 |
— |
0.9× |
| SMN1 (survival of motor neuton 1, telomeric) and SMN2 (survival of motor neuron 2, centromeric) full gene analysis,… (0236U) |
$602.70 |
— |
1.0× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$448 |
$448 |
2.1× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$551.75 |
$1,007 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$579.75 |
$1,119 |
1.4× |
| Snip incision lacrimal punctum (68440) |
$300.06 |
— |
0.9× |
| Sperm washing for artificial insemination Other Surgical Services (58323) |
$201.93 |
— |
1.0× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Other Surgical Services (46750) |
$2,752.76 |
— |
0.9× |
| Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) Other Surgical… (46761) |
$2,752.76 |
— |
0.9× |
| Sphincteroplasty, anal, for incontinence, adult; muscle transplant Other Surgical Services (46760) |
$2,752.76 |
— |
0.9× |
| Sphincterotomy, anal, division of sphincter (separate procedure) Other Surgical Services (46080) |
$2,752.76 |
— |
0.9× |
| Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple… (15120) |
$3,674.81 |
— |
1.0× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$1,836.14 |
— |
0.9× |
| Spps, disorders evaluation, including progressive encephalomyelitis with rigidity and myoclonus, serum, (3/3) mayo… (0431U) |
$36.57 |
— |
1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,159.40 |
— |
1.0× |
| Stab phlebt varicose veins 1 xtr > 20 incs (37766) |
$3,159.40 |
— |
1.0× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661) |
$5,938.02 |
— |
1.0× |
| Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material;… (69660) |
$5,938.02 |
— |
1.0× |
| Stapes mobilization Other Surgical Services (69650) |
$3,255.33 |
— |
0.9× |
| Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation… (61770) |
$6,428.28 |
— |
1.8× |
| Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery Other Surgical… (63610) |
$1,960.15 |
— |
1.0× |
| Stimulus evoked response (51792) |
$59.62 |
— |
1.0× |
| Stomach surgery procedure unlisted (43999) |
$857.05 |
$1,546 |
0.9× |
| Strabismus surgery, any procedure, superior oblique muscle Other Surgical Services (67318) |
$2,341.78 |
— |
0.9× |
| Strabismus surgery, recession or resection procedure; 1 horizontal muscle Other Surgical Services (67311) |
$2,341.78 |
— |
0.9× |
| Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) Other Surgical… (67314) |
$2,341.78 |
— |
0.9× |
| Strabismus surgery, recession or resection procedure; 2 horizontal muscles Other Surgical Services (67312) |
$3,785.25 |
— |
0.9× |
| Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) Other… (67316) |
$2,341.78 |
— |
0.9× |
| Straighten Penis (54300) |
$3,462.01 |
— |
0.9× |
| Strapping elbow or wrist (29260) |
$85 |
$85 |
1.4× |
| Strapping hip (29520) |
$129.39 |
— |
0.9× |
| Strapping of ankle (29540) |
$381 |
$381 |
2.2× |
| Strapping of chest (29200) |
$158.39 |
— |
0.9× |
| Strapping of knee (29530) |
$103 |
$103 |
0.7× |
| Strapping of shoulder (29240) |
$106 |
$106 |
0.8× |
| Strapping of toes (29550) |
$82 |
$82 |
1.3× |
| Strapping unna boot (29580) |
$158.39 |
$422 |
0.9× |
| Stump elongation, upper extremity Other Surgical Services (24935) |
$7,170.73 |
— |
0.9× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$1,836.14 |
— |
2.4× |
| Sub grft f/s/n/h/f/g/m/d >/= 100scm 1st 100sq cm (15277) |
$1,836.14 |
— |
0.9× |
| Subconjunctival injection (68200) |
$400.55 |
— |
0.9× |
| Subcutaneous injection of filling material (eg, collagen); 1 cc or less Other Surgical Services (11950) |
$199.45 |
— |
1.0× |
| Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc Other Surgical Services (11951) |
$614.44 |
— |
0.8× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Other Surgical Services (11952) |
$614.44 |
— |
0.8× |
| Subcutaneous injection of filling material (eg, collagen); over 10.0 cc Other Surgical Services (11954) |
$614.44 |
— |
0.8× |
| Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial Other Surgical Services (61000) |
$695.14 |
— |
0.9× |
| Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Other Surgical Services (61001) |
$695.14 |
— |
0.9× |
| Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session Other Surgical Services (41530) |
$3,255.33 |
— |
0.9× |
| Submucous resection inferior turbinate, partial or complete, any method Other Surgical Services (30140) |
$3,255.33 |
— |
0.9× |
| Suction assisted lipectomy; head and neck Other Surgical Services (15876) |
$3,674.81 |
— |
1.0× |
| Suction assisted lipectomy; lower extremity Other Surgical Services (15879) |
$3,674.81 |
— |
1.0× |
| Suction assisted lipectomy; trunk Other Surgical Services (15877) |
$3,674.81 |
— |
1.0× |
| Suction assisted lipectomy; upper extremity Other Surgical Services (15878) |
$1,836.14 |
— |
0.9× |
| Suprachoroidal space njx pharmacologic agent (67516) |
$332.94 |
— |
1.0× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$5,938.02 |
— |
1.0× |
| Surg nasopharyngoscopy dilat eustachian tube uni (69705) |
$5,938.02 |
— |
1.0× |
| Surgical closure tracheostomy or fistula; with plastic repair Other Surgical Services (31825) |
$3,255.33 |
— |
0.9× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$3,255.33 |
— |
0.9× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$1,836.14 |
— |
2.4× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$614.44 |
— |
1.4× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Other Surgical Services (46275) |
$2,752.76 |
— |
0.9× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Other Surgical Services (46285) |
$2,752.76 |
— |
0.9× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Other Surgical Services (46270) |
$2,752.76 |
— |
0.9× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or… (46280) |
$2,752.76 |
— |
0.9× |
| Surrogate viral neutralization test (sVNT), severe acute respiratory s yndrome coronavirus 2 (SARS-CoV-2) (Corornavirus… (0226U) |
$42.28 |
— |
1.0× |
| Suture 1 nerve ulnar motor (64836) |
$6,428.28 |
— |
1.8× |
| Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion… (69745) |
$5,938.02 |
— |
1.0× |
| Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion Other… (69740) |
$5,938.02 |
— |
1.0× |
| Suture of 1 nerve; hand or foot, common sensory nerve Other Surgical Services (64834) |
$6,428.28 |
— |
1.8× |
| Suture of 1 nerve; median motor thenar Other Surgical Services (64835) |
$6,428.28 |
— |
1.8× |
| Suture of facial nerve; extracranial Other Surgical Services (64864) |
$6,428.28 |
— |
0.7× |
| Suture of facial nerve; infratemporal, with or without grafting Other Surgical Services (64865) |
$6,428.28 |
— |
1.8× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Other Surgical Services (27381) |
$7,170.73 |
— |
0.9× |
| Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture)… (66682) |
$2,289.35 |
— |
0.9× |
| Suture of major peripheral nerve, arm or leg, except sciatic; including transposition Other Surgical Services (64856) |
$6,428.28 |
— |
0.7× |
| Suture of major peripheral nerve, arm or leg, except sciatic; without transposition Other Surgical Services (64857) |
$6,428.28 |
— |
1.8× |
| Suture of posterior tibial nerve Other Surgical Services (64840) |
$6,428.28 |
— |
0.7× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Other… (27386) |
$7,170.73 |
— |
0.9× |
| Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full… (67935) |
$2,341.78 |
— |
0.9× |
| Suture of sciatic nerve Other Surgical Services (64858) |
$1,960.15 |
— |
1.0× |
| Suture of tongue to lip for micrognathia (Douglas type procedure) Other Surgical Services (41510) |
$3,255.33 |
— |
0.9× |
| Suture of; brachial plexus Other Surgical Services (64861) |
$1,960.15 |
— |
1.0× |
| Suture of; lumbar plexus Other Surgical Services (64862) |
$6,428.28 |
— |
1.8× |
| Suture pharynx for wound or injury Other Surgical Services (42900) |
$1,486.88 |
— |
0.9× |
| Sympathectomy cervical (64802) |
$1,960.15 |
— |
1.0× |
| Sympathectomy, cervicothoracic Other Surgical Services (64804) |
$1,960.15 |
— |
1.0× |
| Sympathectomy; digital arteries, each digit Other Surgical Services (64820) |
$1,960.15 |
— |
1.0× |
| Sympathectomy; superficial palmar arch Other Surgical Services (64823) |
$3,256.87 |
— |
1.0× |
| Syndactylization, toes (eg, webbing or Kelikian type procedure) Other Surgical Services (28280) |
$3,256.87 |
— |
1.0× |
| Synovectomy, carpometacarpal joint Other Surgical Services (26130) |
$3,256.87 |
— |
1.0× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; Other Surgical Services (25118) |
$1,606.46 |
— |
1.0× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Other Surgical Services (25119) |
$3,256.87 |
— |
1.0× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Other… (26135) |
$3,256.87 |
— |
1.0× |
| Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint Other… (26140) |
$1,606.46 |
— |
1.0× |
| Synovectomy, tendon sheath, foot; extensor Other Surgical Services (28088) |
$3,256.87 |
— |
1.0× |
| Synovectomy; intertarsal or tarsometatarsal joint, each Other Surgical Services (28070) |
$7,170.73 |
— |
0.9× |
| Synovectomy; metatarsophalangeal joint, each Other Surgical Services (28072) |
$3,256.87 |
— |
1.0× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,606.46 |
— |
1.0× |
| Syphilis Tst Non-Treponemal Antibody IA Quan Rpr Other Outpatient (0210U) |
$18.63 |
— |
1.0× |
| Talectomy (astragalectomy) Other Surgical Services (28130) |
$7,170.73 |
— |
0.9× |
| Tangential biopsy skin single lesion (11102) |
$199.45 |
— |
0.5× |
| Target genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 83 or more genes,… (0326U) |
$5,000 |
— |
1.0× |
| Targeted genomic sequence analysis panel, acute myeloid leukemia, myelodysplastic syndrome, and myeloproliferative… (0171U) |
$1,519.06 |
— |
1.0× |
| Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 55-74 genes,… (0242U) |
$5,000 |
— |
1.0× |
| Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free DNA, analysis of 311 or more genes,… (0239U) |
$3,500 |
— |
1.0× |
| Targeted genomic sequence analysis panel, solid organ neoplasm, DNA (523 genes) and RNA (55 genes) by next-gen seq,… (0379U) |
$3,288.51 |
— |
1.0× |
| Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11920) |
$614.44 |
— |
0.8× |
| Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11921) |
$614.44 |
— |
0.8× |
| Tau, phosphorylated, pTau217 Other Outpatient (0479U) |
$17.27 |
— |
1.0× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$28,535.79 |
— |
1.0× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$19,143.25 |
— |
1.0× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$3,159.40 |
— |
1.0× |
| Temporary closure of eyelids by suture (eg, Frost suture) Other Surgical Services (67875) |
$972.20 |
— |
0.9× |
| Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Other Surgical Services (20924) |
$7,170.73 |
— |
0.9× |
| Tendon lengthening, upper arm or elbow, each tendon Other Surgical Services (24305) |
$3,256.87 |
— |
1.0× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Other Surgical… (25310) |
$3,256.87 |
— |
1.0× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$3,256.87 |
— |
1.0× |
| Tenodesis at wrist; extensors of fingers Other Surgical Services (25301) |
$3,256.87 |
— |
1.0× |
| Tenodesis at wrist; flexors of fingers Other Surgical Services (25300) |
$3,256.87 |
— |
1.0× |
| Tenodesis long tendon biceps (23430) |
$7,170.73 |
— |
0.9× |
| Tenodesis proximal interphalangeal joint each (26471) |
$3,256.87 |
— |
1.0× |
| Tenodesis; of distal joint, each joint Other Surgical Services (26474) |
$1,606.46 |
— |
1.0× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$3,256.87 |
— |
1.0× |
| Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) |
$3,256.87 |
— |
1.0× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,606.46 |
— |
1.0× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$3,256.87 |
— |
1.0× |
| Tenolysis, complex, extensor tendon, finger, including forearm, each tendon Other Surgical Services (26449) |
$3,256.87 |
— |
1.0× |
| Tenolysis, extensor, foot; multiple tendons Other Surgical Services (28226) |
$3,256.87 |
— |
1.0× |
| Tenolysis, extensor, foot; single tendon Other Surgical Services (28225) |
$3,256.87 |
— |
1.0× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon Other Surgical Services (25295) |
$3,256.87 |
— |
1.0× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Other Surgical… (27681) |
$3,256.87 |
— |
1.0× |
| Tenolysis, flexor, foot; multiple tendons Other Surgical Services (28222) |
$3,256.87 |
— |
1.0× |
| Tenolysis, triceps Other Surgical Services (24332) |
$3,256.87 |
— |
1.0× |
| Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)… (24320) |
$7,170.73 |
— |
0.9× |
| Tenotomy adductor hip percutaneous spx (27000) |
$1,606.46 |
— |
1.0× |
| Tenotomy elbow lateral/medial percutaneous (24357) |
$3,256.87 |
— |
1.0× |
| Tenotomy Extensor Hand/Finger Open Each Tendon (26460) |
$1,606.46 |
— |
1.0× |
| Tenotomy percutaneous single each digit (26060) |
$1,606.46 |
— |
1.0× |
| Tenotomy percutaneous toe multiple tendon (28011) |
$1,606.46 |
— |
1.0× |
| Tenotomy percutaneous toe single tendon (28010) |
$1,606.46 |
— |
1.0× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$3,256.87 |
— |
1.0× |
| Tenotomy prq achilles tendon spx local anes (27605) |
$1,606.46 |
— |
1.0× |
| Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure) Other Surgical Services (27006) |
$3,256.87 |
— |
1.0× |
| Tenotomy, adductor of hip, open Other Surgical Services (27001) |
$3,256.87 |
— |
1.0× |
| Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Other Surgical Services (27003) |
$7,170.73 |
— |
0.9× |
| Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or… (24358) |
$3,256.87 |
— |
1.0× |
| Tenotomy, flexor, finger, open, each tendon Other Surgical Services (26455) |
$1,606.46 |
— |
1.0× |
| Tenotomy, flexor, palm, open, each tendon Other Surgical Services (26450) |
$3,256.87 |
— |
1.0× |
| Tenotomy, lengthening, or release, abductor hallucis muscle Other Surgical Services (28240) |
$3,256.87 |
— |
1.0× |
| Tenotomy, open, elbow to shoulder, each tendon Other Surgical Services (24310) |
$3,256.87 |
— |
1.0× |
| Tenotomy, open, extensor, foot or toe, each tendon Other Surgical Services (28234) |
$1,606.46 |
— |
1.0× |
| Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon Other Surgical Services (25290) |
$3,256.87 |
— |
1.0× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Other Surgical Services (27391) |
$3,256.87 |
— |
1.0× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral Other Surgical Services (27392) |
$3,256.87 |
— |
1.0× |
| Tenotomy, open, hamstring, knee to hip; single tendon Other Surgical Services (27390) |
$3,256.87 |
— |
1.0× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) Other Surgical Services (28232) |
$1,606.46 |
— |
1.0× |
| Tenotomy, percutaneous, adductor or hamstring; multiple tendons Other Surgical Services (27307) |
$3,256.87 |
— |
1.0× |
| Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure) Other Surgical Services (27306) |
$3,256.87 |
— |
1.0× |
| Tenotomy, shoulder area; multiple tendons through same incision Other Surgical Services (23406) |
$7,170.73 |
— |
0.9× |
| Tenotomy, shoulder area; single tendon Other Surgical Services (23405) |
$7,170.73 |
— |
0.9× |
| Thaw preserved stem cells (38208) |
$438.83 |
— |
1.0× |
| Ther apheresis w/extracorporeal immunoadsorption (36516) |
$4,702.88 |
— |
1.0× |
| Therapeutic apheresis plasma (36514) |
$1,645.48 |
— |
1.0× |
| Therapeutic apheresis platelet (36513) |
$438.83 |
— |
1.0× |
| Therapeutic apheresis white blood cells (36511) |
$1,645.48 |
— |
1.0× |
| Therapeutic drug monitoring, 200 or more drugs or substances, LC-MS/MS, plasma, qualitative and quantitative therpeutic… (0520U) |
$246.92 |
— |
1.0× |
| Therapeutic drug monitoring, 80 or more psychoactive drugs or substances, LC-MS/MS, plasma, qualitative and… (0517U) |
$246.92 |
— |
1.0× |
| Therapeutic drug monitoring, 90 or more pain and mental health drugs or substances, LC-MS/MS, plasma, qualitative and… (0518U) |
$246.92 |
— |
1.0× |
| Therapeutic drug monitoring, medications specific to pain, depression, and anxiety, LC-MS/MS, plasma, 110 or more drugs… (0519U) |
$246.92 |
— |
1.0× |
| Therapeutic pneumothorax (32960) |
$620.60 |
— |
0.9× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$695.14 |
— |
0.9× |
| Therapeutic spinal puncture drainage csf (62272) |
$695.14 |
— |
0.9× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$12,915.46 |
— |
1.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$620.60 |
$1,557 |
0.9× |
| Thoracentesis Needle/Cath Pleura W/O Imaging (32554) |
$620.60 |
$859 |
0.9× |
| Thoracoscopy w/bx pleura (32609) |
$5,856.41 |
— |
0.9× |
| Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) |
$10,450.57 |
— |
0.9× |
| Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy… (32601) |
$5,856.41 |
— |
0.9× |
| Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Other Surgical Services (32606) |
$5,856.41 |
— |
0.9× |
| Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Other Surgical Services (32604) |
$10,450.57 |
— |
0.9× |
| Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral Other… (32608) |
$10,450.57 |
— |
0.9× |
| Throat surgery procedure (42999) |
$233.10 |
— |
0.9× |
| Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); Other Surgical Services (35875) |
$5,426.13 |
— |
0.9× |
| Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or… (35876) |
$5,426.13 |
— |
0.9× |
| Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision Other Surgical Services (34490) |
$3,159.40 |
— |
1.0× |
| Thrombectomy, direct or with catheter; subclavian vein, by neck incision Other Surgical Services (34471) |
$620.60 |
— |
0.9× |
| Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision Other Surgical Services (34421) |
$3,159.40 |
— |
1.0× |
| Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate… (36831) |
$5,426.13 |
— |
0.9× |
| Thromboendarterectomy, including patch graft, if performed; axillary-brachial Other Surgical Services (35321) |
$5,426.13 |
— |
0.9× |
| Thrombolysis art/venous infsn w/image subsq tx (37213) |
$3,159.40 |
— |
1.0× |
| Thrombolysis cerebral IV infus (37195) |
$549.50 |
$998 |
1.6× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$3,159.40 |
— |
1.0× |
| Thrombolytic art therapy (37211) |
$5,426.13 |
— |
0.9× |
| Thymectomy prtl/tot transcervical appr spx (60520) |
$5,938.02 |
— |
1.0× |
| Thyroidectomy, including substernal thyroid; cervical approach Other Surgical Services (60271) |
$5,938.02 |
— |
1.0× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Other… (60260) |
$5,938.02 |
— |
1.0× |
| Thyroidectomy, total or complete (60240) |
$5,856.41 |
— |
0.9× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$5,938.02 |
— |
1.0× |
| Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) |
$3,674.81 |
— |
1.0× |
| Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Other Surgical Services (15150) |
$1,836.14 |
— |
0.9× |
| Tissue expander placement breast reconstruction (19357) |
$17,464.12 |
— |
1.2× |
| Tongue base suspension, permanent suture technique Other Surgical Services (41512) |
$5,938.02 |
— |
1.0× |
| Tonsillectomy and adenoidectomy; age 12 or over Other Surgical Services (42821) |
$3,255.33 |
— |
0.9× |
| Tonsillectomy, primary or secondary; age 12 or over Other Surgical Services (42826) |
$3,255.33 |
— |
0.9× |
| Tonsillectomy, primary or secondary; younger than age 12 Other Surgical Services (42825) |
$5,938.02 |
— |
1.0× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$18,459.56 |
— |
1.0× |
| Total facial nerve decompression and/or repair (may include graft) Other Surgical Services (69955) |
$5,938.02 |
— |
1.0× |
| Total knee arthroplasty (27447) |
$12,915.46 |
— |
1.0× |
| Total thyroid lobectomy, unilateral; with or without isthmusectomy Other Surgical Services (60220) |
$5,856.41 |
— |
0.9× |
| Trabeculoplasty by laser surgery, one or more sessions (defined treatment series) (65855) |
$550.67 |
— |
1.0× |
| Trabeculotomy ab externo Other Surgical Services (65850) |
$2,289.35 |
— |
0.9× |
| Tracheal puncture, percutaneous with transtracheal aspiration and/or injection Other Surgical Services (31612) |
$3,255.33 |
— |
0.9× |
| Trachelectomy (cervicectomy), amputation of cervix (separate procedure) Other Surgical Services (57530) |
$4,955.11 |
— |
0.9× |
| Trachelorrhaphy plstc rpr uterine cervix vag (57720) |
$3,191.55 |
— |
0.9× |
| Tracheobronchoscopy through established tracheostomy incision (31615) |
$511.18 |
— |
0.9× |
| Tracheoplasty; cervical Other Surgical Services (31750) |
$5,938.02 |
— |
1.0× |
| Tracheoplasty; tracheopharyngeal fistulization, each stage Other Surgical Services (31755) |
$5,938.02 |
— |
1.0× |
| Tracheostoma revision; simple, without flap rotation Other Surgical Services (31613) |
$3,255.33 |
— |
0.9× |
| Tracheostomy emerg cricothyroid (31605) |
$455.75 |
$623 |
1.8× |
| Tracheostomy, fenestration procedure with skin flaps Other Surgical Services (31610) |
$5,938.02 |
— |
1.0× |
| Tracheostomy, Planned (31600) |
$3,255.33 |
— |
0.9× |
| Tracheostomy, planned (separate procedure); younger than 2 years Other Surgical Services (31601) |
$5,938.02 |
— |
1.0× |
| Tracheotomy tube change (31502) |
$475 |
$475 |
1.9× |
| Transcatheter Biopsy (37200) |
$5,426.13 |
— |
0.9× |
| Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring,… (58580) |
$7,422.76 |
— |
1.0× |
| Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Other Surgical Services (64763) |
$1,960.15 |
— |
1.0× |
| Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy Other Surgical Services (64766) |
$1,960.15 |
— |
1.0× |
| Transection or avulsion of other cranial nerve, extradural Other Surgical Services (64771) |
$1,960.15 |
— |
1.0× |
| Transection or avulsion of; facial nerve, differential or complete Other Surgical Services (64742) |
$1,960.15 |
— |
1.0× |
| Transection or avulsion of; greater occipital nerve Other Surgical Services (64744) |
$1,960.15 |
— |
1.0× |
| Transection or avulsion of; inferior alveolar nerve by osteotomy Other Surgical Services (64738) |
$1,960.15 |
— |
1.0× |
| Transection or avulsion of; infraorbital nerve Other Surgical Services (64734) |
$1,960.15 |
— |
1.0× |
| Transection or avulsion of; lingual nerve Other Surgical Services (64740) |
$1,960.15 |
— |
1.0× |
| Transection or avulsion of; mental nerve Other Surgical Services (64736) |
$1,960.15 |
— |
1.0× |
| Transection or avulsion of; phrenic nerve Other Surgical Services (64746) |
$1,960.15 |
— |
1.0× |
| Transection or avulsion of; supraorbital nerve Other Surgical Services (64732) |
$1,960.15 |
— |
1.0× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$1,960.15 |
— |
1.0× |
| Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Other Surgical… (27100) |
$7,170.73 |
— |
0.9× |
| Transfer iliopsoas; to femoral neck Other Surgical Services (27111) |
$3,256.87 |
— |
1.0× |
| Transfer iliopsoas; to greater trochanter of femur Other Surgical Services (27110) |
$7,170.73 |
— |
0.9× |
| Transfer of tendon to restore intrinsic function; all 4 fingers Other Surgical Services (26498) |
$3,256.87 |
— |
1.0× |
| Transfer of tendon to restore intrinsic function; ring and small finger Other Surgical Services (26497) |
$3,256.87 |
— |
1.0× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior… (27691) |
$7,170.73 |
— |
0.9× |
| Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690) |
$7,170.73 |
— |
0.9× |
| Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining… (26483) |
$3,256.87 |
— |
1.0× |
| Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon Other Surgical… (26489) |
$3,256.87 |
— |
1.0× |
| Transfer or transplant of tendon, palmar; without free tendon graft, each tendon Other Surgical Services (26485) |
$3,256.87 |
— |
1.0× |
| Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) Other Surgical Services (27105) |
$3,256.87 |
— |
1.0× |
| Transfer, adductor to ischium Other Surgical Services (27098) |
$3,256.87 |
— |
1.0× |
| Transfer, finger to another position without microvascular anastomosis Other Surgical Services (26555) |
$7,170.73 |
— |
0.9× |
| Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location Other Surgical Services (15650) |
$1,836.14 |
— |
0.9× |
| Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Other Surgical Services (27400) |
$7,170.73 |
— |
0.9× |
| Transfusion, intrauterine, fetal Other Surgical Services (36460) |
$438.83 |
— |
1.0× |
| Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent Other Surgical… (66175) |
$5,179.21 |
— |
0.9× |
| Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent Other Surgical… (66174) |
$4,038.07 |
— |
0.9× |
| Transmastoid antrotomy (simple mastoidectomy) Other Surgical Services (69501) |
$5,938.02 |
— |
1.0× |
| Transmetacarpal amputation; re-amputation Other Surgical Services (25931) |
$3,256.87 |
— |
1.0× |
| Transmetacarpal amputation; secondary closure or scar revision Other Surgical Services (25929) |
$1,836.14 |
— |
0.9× |
| Transoral lower esophageal myotomy (43497) |
$5,975.31 |
— |
0.9× |
| Transoral myectomy of depressor anguli oris muscle (comp code 21 (40899) |
$233.10 |
— |
0.9× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$7,170.73 |
— |
0.9× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63056) |
$7,170.73 |
— |
0.9× |
| Transperi needle place pros (55875) |
$5,102.84 |
— |
0.9× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$5,102.84 |
— |
0.9× |
| Transplant hand tendon (26480) |
$3,256.87 |
— |
1.0× |
| Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons Other… (27397) |
$7,170.73 |
— |
0.9× |
| Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon Other… (27396) |
$7,170.73 |
— |
0.9× |
| Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat… (38215) |
$438.83 |
— |
1.0× |
| Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage Other Surgical Services (38207) |
$438.83 |
— |
1.0× |
| Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion Other Surgical Services (38214) |
$438.83 |
— |
1.0× |
| Transplant preparation of hematopoietic progenitor cells; platelet depletion Other Surgical Services (38213) |
$438.83 |
— |
1.0× |
| Transplant preparation of hematopoietic progenitor cells; red blood cell removal Other Surgical Services (38212) |
$438.83 |
— |
1.0× |
| Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, T-cell depletion… (38210) |
$438.83 |
— |
1.0× |
| Transplant preparation of hematopoietic progenitor cells; tumor cell depletion Other Surgical Services (38211) |
$438.83 |
— |
1.0× |
| Transplantation medicine, quantification of donor-derived cell-free DNA (cfDNA) using next-generation sequencing,… (0493U) |
$2,753.25 |
— |
1.0× |
| Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing,… (0118U) |
$2,753.25 |
— |
1.0× |
| Transplantation of testis(es) to thigh (because of scrotal destruction) Other Surgical Services (54680) |
$3,462.01 |
— |
0.9× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$9,282.10 |
— |
0.9× |
| Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy Other… (31730) |
$1,730.99 |
— |
0.9× |
| Transurethral destruction of prostate tissue; by microwave thermotherapy Other Surgical Services (53850) |
$3,462.01 |
— |
0.9× |
| Transurethral destruction of prostate tissue; by radiofrequency thermotherapy Other Surgical Services (53852) |
$3,462.01 |
— |
0.9× |
| Transurethral drainage of prostatic abscess Other Surgical Services (52700) |
$3,462.01 |
— |
0.9× |
| Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy,… (52601) |
$5,102.84 |
— |
0.9× |
| Transurethral incision of prostate Other Surgical Services (52450) |
$3,462.01 |
— |
0.9× |
| Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary… (53860) |
$2,056.25 |
— |
0.9× |
| Transurethral resection of bladder neck (separate procedure) Other Surgical Services (52500) |
$3,462.01 |
— |
0.9× |
| Transurethral resection; of postoperative bladder neck contracture Other Surgical Services (52640) |
$3,462.01 |
— |
0.9× |
| Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative… (52630) |
$5,102.84 |
— |
0.9× |
| Transvesical ureterolithotomy Other Surgical Services (51060) |
$2,056.25 |
— |
0.9× |
| Treat dental ridge fracture (21440) |
$3,255.33 |
— |
0.9× |
| Treat elbow fracture (24586) |
$12,915.46 |
— |
1.0× |
| Treat finger dislocation (26775) |
$266.58 |
— |
0.9× |
| Treat foot dislocation (28545) |
$3,256.87 |
— |
1.0× |
| Treat fx distal radial (25606) |
$3,256.87 |
— |
1.0× |
| Treat humerus fracture (24577) |
$1,606.46 |
— |
1.0× |
| Treat lower leg fracture (27825) |
$1,606.46 |
— |
1.0× |
| Treat mouth roof fracture (21421) |
$3,255.33 |
— |
0.9× |
| Treat pleurodesis w/agent (32560) |
$620.60 |
$1,557 |
0.9× |
| Treat radius fracture (24665) |
$7,170.73 |
— |
0.9× |
| Treat radius fracture (24655) |
$1,606.46 |
— |
1.0× |
| Treat tail bone fracture (27200) |
$240.79 |
— |
0.9× |
| Treat thumb fracture (26665) |
$3,256.87 |
— |
1.0× |
| Treat toe dislocation (28630) |
$468.52 |
$674.07 |
1.8× |
| Treat ulnar fracture (24675) |
$1,606.46 |
— |
1.0× |
| Treat vaginal bleeding (57180) |
$201.93 |
— |
1.0× |
| Treat wrist bone fracture (25635) |
$1,606.46 |
— |
1.0× |
| Treat wrist bone fracture (25624) |
$1,606.46 |
— |
1.0× |
| Treat wrist dislocation (25690) |
$1,606.46 |
— |
1.0× |
| Treat wrist dislocation (25675) |
$240.79 |
— |
0.9× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$600 |
$1,746 |
0.4× |
| Treatment of ankle fracture (27822) |
$7,170.73 |
— |
0.9× |
| Treatment of bladder lesion (51720) |
$669.99 |
— |
0.9× |
| Treatment of broken base of forearm bone on small finger side at wrist (25652) |
$7,170.73 |
— |
0.9× |
| Treatment of broken lower jaw bone with placement of stabilizing device to teeth|BILATERAL PROCEDURE (21462) |
$5,938.02 |
— |
1.0× |
| Treatment of choroid lesion (67220) |
$550.67 |
— |
1.0× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$600 |
$1,908 |
2.3× |
| Treatment of foot infection (28003) |
$3,256.87 |
— |
1.0× |
| Treatment of gum lesion (41850) |
$1,486.88 |
— |
0.9× |
| Treatment of heel fracture (28405) |
$240.79 |
— |
0.9× |
| Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking… (24516) |
$12,915.46 |
— |
1.0× |
| Treatment of missed abortion, completed surgically; second trimester Other Surgical Services (59821) |
$3,191.55 |
— |
0.9× |
| Treatment of mouth lesion (40820) |
$3,255.33 |
— |
0.9× |
| Treatment of retinal lesion (67208) |
$300.06 |
— |
0.9× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
$240.79 |
— |
0.9× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$1,606.46 |
— |
1.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$240.79 |
— |
0.9× |
| Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without… (27759) |
$12,915.46 |
— |
1.0× |
| Trim Benign Hyperkeratotic Skin Lesion,2-4 (11056) |
$199.45 |
— |
1.0× |
| Trim skin lesion (11055) |
$199.45 |
— |
1.0× |
| Trim skin lesion 4 or more (11057) |
$199.45 |
— |
1.0× |
| Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile, tandem mass spectrometry (MS/MS), urine, with algorithmic… (0256U) |
$159.95 |
— |
1.0× |
| Trimming of nondystrophic nails, any number (11719) |
$59.62 |
— |
1.0× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$5,723.07 |
— |
1.0× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$5,723.07 |
— |
1.0× |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
$59,365.89 |
— |
0.9× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$1,645.48 |
— |
1.0× |
| Trurl dstrj prst8 tiss rf wv (53854) |
$3,462.01 |
— |
0.9× |
| Tx incomplete abortion (59812) |
$3,191.55 |
— |
0.9× |
| Tx superficial wound dehiscence simple closure (12020) |
$614.44 |
— |
0.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$401.04 |
— |
0.9× |
| Tx tarsal bone fx xcp talus&calcn w/manj (28455) |
$1,606.46 |
— |
1.0× |
| Tying of ethmoidal artery ethmoidal for control of nose bleed (30915) |
$3,159.40 |
— |
1.0× |
| Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch Other… (69610) |
$1,486.88 |
— |
0.9× |
| Tympanic neurectomy Other Surgical Services (69676) |
$3,255.33 |
— |
0.9× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) |
$5,938.02 |
— |
1.0× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) |
$5,938.02 |
— |
1.0× |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) |
$5,938.02 |
— |
1.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69645) |
$5,938.02 |
— |
1.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$5,938.02 |
— |
1.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$5,938.02 |
— |
1.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
$5,938.02 |
— |
1.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$5,938.02 |
— |
1.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$5,938.02 |
— |
1.0× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$5,938.02 |
— |
1.0× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
$5,938.02 |
— |
1.0× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
$5,938.02 |
— |
1.0× |
| Tympanostomy (requiring insertion of ventilating tube), general anesthesia Other Surgical Services (69436) |
$1,486.88 |
— |
0.9× |
| Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia Other Surgical Services (69433) |
$511.18 |
— |
0.9× |
| Tyrosinemia typr I monitoring by patient-collected blood card sample, quantitative measurement of tyrosine,… (0383U) |
$52.05 |
— |
1.0× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Other Surgical Services (49250) |
$3,542.40 |
— |
0.9× |
| Unexplained constitutional or other heritable disorders or syndromes, tissue-specific gene expression by… (0266U) |
$3,200 |
— |
1.0× |
| Unlisted autologous blood injection into eye bleb (most like cpt 66020) (66999) |
$2,289.35 |
— |
0.9× |
| Unlisted craniofacial and maxillofacial procedure Other Surgical Services (21299) |
$233.10 |
— |
0.9× |
| Unlisted fetal invasive procedure, including ultrasound guidance, when performed Other Surgical Services (59897) |
$201.93 |
— |
1.0× |
| Unlisted laparoscopy procedure, endocrine system Other Surgical Services (60659) |
$5,856.41 |
— |
0.9× |
| Unlisted laparoscopy procedure, esophagus Other Surgical Services (43289) |
$5,856.41 |
— |
0.9× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy Other Surgical Services (49659) |
$5,856.41 |
— |
0.9× |
| Unlisted laparoscopy procedure, intestine (except rectum) Other Surgical Services (44238) |
$5,856.41 |
— |
0.9× |
| Unlisted laparoscopy procedure, maternity care and delivery Other Surgical Services (59898) |
$5,856.41 |
— |
0.9× |
| Unlisted laparoscopy procedure, oviduct, ovary Other Surgical Services (58679) |
$5,856.41 |
— |
0.9× |
| Unlisted laparoscopy procedure, spermatic cord Other Surgical Services (55559) |
$5,000 |
$5,000 |
0.8× |
| Unlisted laparoscopy procedure, spleen Other Surgical Services (38129) |
$5,856.41 |
— |
0.9× |
| Unlisted laparoscopy procedure, testis Other Surgical Services (54699) |
$5,856.41 |
— |
0.9× |
| Unlisted maxillofacial prosthetic procedure Other Surgical Services (21089) |
$233.10 |
— |
0.9× |
| Unlisted msk procedure head drainage of a pseudomeningocele in subgaleal most like 10160 (21499) |
$233.10 |
— |
0.9× |
| Unlisted proc; robotic laparoscopic trachelectomy amputation of (58578) |
$5,856.41 |
— |
0.9× |
| Unlisted procedure accessory sinuses (31299) |
$233.10 |
— |
0.9× |
| Unlisted procedure anus (46999) |
$915.16 |
— |
0.9× |
| Unlisted Procedure Breast (19499) |
$2,930.38 |
$4,034 |
0.7× |
| Unlisted procedure colon (45399) |
$915.16 |
— |
0.9× |
| Unlisted Procedure Conjunctiva (68399) |
$300.06 |
— |
0.9× |
| Unlisted procedure leg/ankle (27899) |
$468.75 |
$675 |
1.8× |
| Unlisted Procedure Muscskeletal System General (20999) |
$240.79 |
— |
0.9× |
| Unlisted Procedure Nervous System (64999) |
$296.31 |
— |
0.9× |
| Unlisted procedure pancreas (48999) |
$706.25 |
— |
1.0× |
| Unlisted procedure rectum (45999) |
$915.16 |
— |
0.9× |
| Unlisted procedure shoulder (23929) |
$240.79 |
— |
0.9× |
| Unlisted procedure tongue floor mouth (41599) |
$233.10 |
— |
0.9× |
| Unlisted Procedure Trachea Bronchi (31899) |
$194.87 |
— |
0.9× |
| Unlisted procedure, abdomen, musculoskeletal system Other Surgical Services (22999) |
$240.79 |
— |
0.9× |
| Unlisted procedure, abdomen, peritoneum and omentum Other Surgical Services (49999) |
$941.10 |
$4,872 |
1.0× |
| Unlisted procedure, dentoalveolar structures (41899) |
$233.10 |
— |
0.9× |
| Unlisted procedure, excision pressure ulcer Other Surgical Services (15999) |
$706.25 |
— |
1.0× |
| Unlisted procedure, extraocular muscle Other Surgical Services (67399) |
$300.06 |
— |
0.9× |
| Unlisted procedure, female genital system (nonobstetrical) Other Surgical Services (58999) |
$201.93 |
— |
1.0× |
| Unlisted procedure, hands or fingers (26989) |
$240.79 |
— |
0.9× |
| Unlisted procedure, intestine (44799) |
$941.10 |
— |
1.0× |
| Unlisted procedure, lacrimal system Other Surgical Services (68899) |
$300.06 |
— |
0.9× |
| Unlisted procedure, liver (47399) |
$706.25 |
— |
1.0× |
| Unlisted procedure, middle ear Other Surgical Services (69799) |
$233.10 |
— |
0.9× |
| Unlisted procedure, neck or thorax Other Surgical Services (21899) |
$233.10 |
— |
0.9× |
| Unlisted procedure, orbit Other Surgical Services (67599) |
$300.06 |
— |
0.9× |
| Unlisted procedure, salivary glands or ducts (42699) |
$233.10 |
— |
0.9× |
| Unlisted procedure, temporal bone, middle fossa approach Other Surgical Services (69979) |
$233.10 |
— |
0.9× |
| Unlisted vascular endoscopy procedure Other Surgical Services (37501) |
$620.60 |
— |
0.9× |
| Upgrade impl pacemkr; sc to dc (33214) |
$10,504.89 |
— |
1.0× |
| Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) |
$3,818.91 |
— |
0.9× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50955) |
$5,102.84 |
— |
0.9× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957) |
$5,102.84 |
— |
0.9× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50953) |
$3,462.01 |
— |
0.9× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
$5,102.84 |
— |
0.9× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50951) |
$3,462.01 |
— |
0.9× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50970) |
$3,462.01 |
— |
0.9× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
$3,462.01 |
— |
0.9× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50974) |
$5,102.84 |
— |
0.9× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50976) |
$5,102.84 |
— |
0.9× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980) |
$5,102.84 |
— |
0.9× |
| Urethral Meatal Revision (53450) |
$3,462.01 |
— |
0.9× |
| Urethrectomy, total, including cystostomy; female Other Surgical Services (53210) |
$3,462.01 |
— |
0.9× |
| Urethrectomy, total, including cystostomy; male Other Surgical Services (53215) |
$5,102.84 |
— |
0.9× |
| Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) Other… (53500) |
$3,462.01 |
— |
0.9× |
| Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) Other Surgical Services (53460) |
$3,462.01 |
— |
0.9× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site… (54316) |
$9,282.10 |
— |
0.9× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Other Surgical… (54312) |
$3,462.01 |
— |
0.9× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Other Surgical Services (54308) |
$5,102.84 |
— |
0.9× |
| Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Other… (54318) |
$3,462.01 |
— |
0.9× |
| Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter… (53431) |
$5,102.84 |
— |
0.9× |
| Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Other Surgical Services (53420) |
$5,102.84 |
— |
0.9× |
| Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Other Surgical Services (53425) |
$5,102.84 |
— |
0.9× |
| Urethroplasty, reconstruction of female urethra Other Surgical Services (53430) |
$5,102.84 |
— |
0.9× |
| Urethroplasty; second stage (formation of urethra), including urinary diversion Other Surgical Services (53405) |
$5,102.84 |
— |
0.9× |
| Urethrorrhaphy sutr urethral wound/inj penile (53505) |
$5,102.84 |
— |
0.9× |
| Urethrorrhaphy, suture of urethral wound or injury, female Other Surgical Services (53502) |
$3,462.01 |
— |
0.9× |
| Urethrorrhaphy, suture of urethral wound or injury; perineal Other Surgical Services (53510) |
$5,102.84 |
— |
0.9× |
| Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Other Surgical Services (53515) |
$5,102.84 |
— |
0.9× |
| Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra Other Surgical Services (53000) |
$2,056.25 |
— |
0.9× |
| Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external Other Surgical Services (53010) |
$5,102.84 |
— |
0.9× |
| Urology surgery procedure unlisted (53899) |
$244.13 |
— |
0.9× |
| Uterine evacuation & curettage hydatidiform mole (59870) |
$3,191.55 |
— |
0.9× |
| Uvulectomy, excision of uvula (42140) |
$3,255.33 |
— |
0.9× |
| Vaginal delivery only (59409) |
$600 |
$3,573 |
0.2× |
| Vaginal Hysterectomy Uterus <=250 G W/Removal of Tube(S) and/or Ovary(S)|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY… (58262) |
$4,955.11 |
— |
0.9× |
| Vaginal hysterectomy, for uterus 250 g or less; Other Surgical Services (58260) |
$4,955.11 |
— |
0.9× |
| Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele… (58263) |
$4,955.11 |
— |
0.9× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Other Surgical Services (58270) |
$4,955.11 |
— |
0.9× |
| Vaginal hysterectomy, for uterus greater than 250 g; Other Surgical Services (58290) |
$7,422.76 |
— |
1.0× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) Other Surgical Services (58291) |
$4,955.11 |
— |
0.9× |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292) |
$7,422.76 |
— |
1.0× |
| Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Other Surgical Services (58294) |
$4,955.11 |
— |
0.9× |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) Other Surgical… (57107) |
$3,191.55 |
— |
0.9× |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral… (57109) |
$3,191.55 |
— |
0.9× |
| Vaginoplasty for intersex state Other Surgical Services (57335) |
$4,955.11 |
— |
0.9× |
| Valvuloplasty, femoral vein Other Surgical Services (34501) |
$5,426.13 |
— |
0.9× |
| Vasc embolize/occlude bleed (37244) |
$11,383.44 |
— |
0.9× |
| Vascular embolization or occlusion arterial rs&i (37242) |
$18,024.60 |
— |
0.9× |
| Vascular embolization or occlusion venous rs&i (37241) |
$11,383.44 |
— |
0.9× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$11,383.44 |
— |
0.9× |
| Vascular surgery procedure (37799) |
$620.60 |
— |
0.9× |
| Vasectomy (55250) |
$2,056.25 |
— |
0.9× |
| Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) Other Surgical… (55200) |
$3,462.01 |
— |
0.9× |
| Vasovasostomy, vasovasorrhaphy Other Surgical Services (55400) |
$3,462.01 |
— |
0.9× |
| Vbac delivery only (59612) |
$600 |
$8,482 |
0.2× |
| Venipuncture (36415) |
$9.09 |
$29 |
1.0× |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
$348 |
$348 |
2.5× |
| Venous valve transposition, any vein donor Other Surgical Services (34510) |
$5,426.13 |
— |
0.9× |
| Ventilating tube removal requiring general anesthesia (69424) |
$3,255.33 |
— |
0.9× |
| Ventricular puncture previous burr hole w/inj (61026) |
$695.14 |
— |
0.9× |
| Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir;… (61020) |
$893.66 |
— |
1.0× |
| Vermilionectomy (lip shave), with mucosal advancement Other Surgical Services (40500) |
$3,255.33 |
— |
0.9× |
| Very long chain acyl-coenzyme A (CoA) dehydrogenase (VLCAD), leukocyte enzyme activity, whole blood Other Outpatient (0257U) |
$712.47 |
— |
1.0× |
| Vestibular nerve section, translabyrinthine approach Other Surgical Services (69915) |
$3,255.33 |
— |
0.9× |
| Vestibuloplasty; complex (including ridge extension, muscle repositioning) Other Surgical Services (40845) |
$5,938.02 |
— |
1.0× |
| Vestibuloplasty; entire arch Other Surgical Services (40844) |
$5,938.02 |
— |
1.0× |
| Vestibuloplasty; posterior, bilateral Other Surgical Services (40843) |
$5,938.02 |
— |
1.0× |
| Vestibuloplasty; posterior, unilateral Other Surgical Services (40842) |
$5,938.02 |
— |
1.0× |
| Vitrectomy mechanical pars plana (67036) |
$4,038.07 |
— |
0.9× |
| Vitrectomy pars plana remove int memb retina (67042) |
$4,038.07 |
— |
0.9× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Other Surgical Services (67039) |
$4,038.07 |
— |
0.9× |
| Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Other… (67041) |
$4,038.07 |
— |
0.9× |
| Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization),… (67043) |
$4,038.07 |
— |
0.9× |
| von Willebrand factor (VWF), type 2B, platelet-binding evaluation, radioimmunoassay, plasma Other Outpatient (0283U) |
$18.40 |
— |
1.0× |
| von Willebrand factor (VWF), type 2N, factor VIII and VWF binding evaluation, enzyme-linked immunosorbent assays… (0284U) |
$17.27 |
— |
1.0× |
| Vulvectomy Simple Partial (56620) |
$3,191.55 |
— |
0.9× |
| Vulvectomy simple; complete Other Surgical Services (56625) |
$3,191.55 |
— |
0.9× |
| Wash harvest stem cells (38209) |
$438.83 |
— |
1.0× |
| Wedge excision skin nail fold (11765) |
$476.50 |
$706 |
1.1× |
| Wedge resection or bisection of ovary, unilateral or bilateral Other Surgical Services (58920) |
$7,422.76 |
— |
1.0× |
| Wedging of cast (29740) |
$266.58 |
— |
0.9× |
| Wedging of clubfoot cast (29750) |
$266.58 |
— |
0.9× |
| Windowing of cast (29730) |
$266 |
$266 |
1.6× |
| Xcapsl ctrc rmvl insj io lens prosth cplx w/ecp (66987) |
$4,038.07 |
— |
0.9× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp (66982) |
$2,289.35 |
— |
0.9× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$5,179.21 |
— |
0.9× |
| Xcapsl ctrc rmvl insj io lens prosth w/ecp (66988) |
$4,038.07 |
— |
0.9× |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
$5,179.21 |
— |
0.9× |
| Xtrnl cannula decltng spx w/balo cath (36861) |
$5,426.13 |
— |
0.9× |