| Abd paracentesis (49082) |
$441.75 |
$589 |
0.5× |
| Abd paracentesis w/imaging (49083) |
$512.62 |
$683.50 |
0.5× |
Ablation bone tumor rf perq w/img gdn when done (20982)
likely a partial charge — not the full procedure |
$840.75 |
$1,121 |
0.0× |
Ablatj bone tumor cryo perq w/img gdn when prfmd (20983)
likely a partial charge — not the full procedure |
$794.25 |
$1,059 |
0.1× |
| Abrasion 1 lesion (15786) |
$476.25 |
$635 |
2.3× |
| Acne surgery (10040) |
$310.50 |
$414 |
1.5× |
| Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Age Under 21 (14301) |
$1,897.50 |
$2,530 |
0.5× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$1,804.50 |
$2,406 |
0.8× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$1,656.75 |
$2,209 |
0.8× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14041) |
$1,743 |
$2,324 |
0.8× |
| Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14021) |
$1,922.25 |
$2,563 |
0.9× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Age Under 21 (14000) |
$1,244.25 |
$1,659 |
0.6× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14001) |
$1,601.25 |
$2,135 |
0.7× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,867.50 |
$2,490 |
0.9× |
| Adjt tis trnsfr/reargmt scalp/arm/leg 10 sq cm/< (14020) |
$1,353 |
$1,804 |
0.6× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$1,897.50 |
$2,530 |
0.5× |
| Amputate metacarpal bone (26910) |
$1,996.50 |
$2,662 |
0.6× |
| Amputation Foot Transmetarsal|RIGHT SIDE (28805) |
$1,599.38 |
$2,132.50 |
0.5× |
| Amputation of finger/thumb (26952) |
$1,805.25 |
$2,407 |
0.5× |
| Amputation of penis; partial Age Under 21 (54120) |
$1,315.50 |
$1,754 |
0.4× |
| Amputation of toe (28820) |
$804 |
$1,072 |
0.2× |
| Amputation toe interphalangeal joint (28825) |
$411.75 |
$549 |
0.1× |
Amputation, forearm, through radius and ulna; (25900)
likely a partial charge — not the full procedure |
$1,705.88 |
$2,274.50 |
0.2× |
| Amputation, metatarsal, with toe, single Age Under 21 (28810) |
$982.12 |
$1,309.50 |
0.3× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$135 |
$180 |
0.4× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$261 |
$348 |
0.1× |
| Anoscopy diagnostic (46600) |
$111.75 |
$149 |
0.8× |
| Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler,… (46614) |
$331.50 |
$442 |
0.3× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique Age Under 21 (46611) |
$198 |
$264 |
0.2× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)
likely a partial charge — not the full procedure |
$1,338 |
$1,784 |
0.3× |
Anterior tibial tubercleplasty (27418)
likely a partial charge — not the full procedure |
$1,884 |
$2,512 |
0.2× |
Anterior vesicourethropexy, or urethropexy (eg, marshall-marchetti-krantz, burch); simple (51840)
unusually low — confirm this is the full procedure |
$1,647 |
$2,196 |
0.3× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$429.75 |
$573 |
0.6× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$670.88 |
$894.50 |
0.3× |
Appendectomy (44950)
likely a partial charge — not the full procedure |
$1,360.50 |
$1,814 |
0.2× |
| Application Finger Splint Dynamic (29131) |
$160.50 |
$214 |
2.6× |
| Application finger splint static (29130) |
$77.62 |
$103.50 |
0.6× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692)
likely a partial charge — not the full procedure |
$2,587.12 |
$3,449.50 |
0.2× |
| Application of long leg cast (thigh to toes); (29345) |
$268.50 |
$358 |
0.9× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$143.25 |
$191 |
0.8× |
Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696)
likely a partial charge — not the full procedure |
$2,423.25 |
$3,231 |
0.1× |
| Application of short arm splint (forearm to hand); static (29125) |
$117 |
$156 |
0.8× |
| Application of short leg cast (below knee to toes); (29405) |
$168.38 |
$224.50 |
0.6× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$178.88 |
$238.50 |
0.6× |
| Application of short leg splint (calf to foot) (29515) |
$139.50 |
$186 |
0.8× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$984.38 |
$1,312.50 |
0.5× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$390 |
$520 |
2.3× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$369 |
$492 |
2.2× |
| Application rigid total contact leg cast (29445) |
$546 |
$728 |
1.9× |
Application uniplane external fixation system (20690)
likely a partial charge — not the full procedure |
$1,442.25 |
$1,923 |
0.2× |
| Application, cast; shoulder to hand (long arm) (29065) |
$184.12 |
$245.50 |
0.6× |
| Apply hand/wrist cast (29085) |
$180 |
$240 |
1.1× |
| Apply long arm splint (29105) |
$133.88 |
$178.50 |
0.8× |
Arthrd ant interbody min dsc crv below c2 (22554)
likely a partial charge — not the full procedure |
$2,953.88 |
$3,938.50 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$169.50 |
$226 |
0.5× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$456.75 |
$609 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$186 |
$248 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$282.75 |
$377 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$151.50 |
$202 |
0.5× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$105 |
$140 |
0.3× |
Arthrodesis, ankle, open Age Under 21 (27870)
likely a partial charge — not the full procedure |
$2,401.50 |
$3,202 |
0.2× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge — not the full procedure |
$3,454.12 |
$4,605.50 |
0.1× |
Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of… (22551)
likely a partial charge — not the full procedure |
$3,734.62 |
$4,979.50 |
0.3× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
likely a partial charge — not the full procedure |
$4,113 |
$5,484 |
0.1× |
Arthrodesis, great toe; interphalangeal joint Age Under 21 (28755)
likely a partial charge — not the full procedure |
$1,249.50 |
$1,666 |
0.2× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
likely a partial charge — not the full procedure |
$1,331.25 |
$1,775 |
0.2× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; Age Under 21 (26860) |
$1,650 |
$2,200 |
0.5× |
Arthrodesis, metacarpophalangeal joint, with or without internal fixation; Age Under 21 (26850)
likely a partial charge — not the full procedure |
$1,908.75 |
$2,545 |
0.2× |
Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; Age Under 21 (28730)
likely a partial charge — not the full procedure |
$1,681.50 |
$2,242 |
0.1× |
Arthrodesis, midtarsal or tarsometatarsal, single joint Age Under 21 (28740)
likely a partial charge — not the full procedure |
$1,432.88 |
$1,910.50 |
0.2× |
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630)
likely a partial charge — not the full procedure |
$3,698.62 |
$4,931.50 |
0.1× |
Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Cervical Spinal Fusion (22600)
likely a partial charge — not the full procedure |
$3,123 |
$4,164 |
0.2× |
Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612)
likely a partial charge — not the full procedure |
$3,564.75 |
$4,753 |
0.2× |
Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique,… (22610)
likely a partial charge — not the full procedure |
$3,058.88 |
$4,078.50 |
0.2× |
Arthrodesis, posterior technique, atlas-axis (C1-C2) Cervical Spinal Fusion (22595)
likely a partial charge — not the full procedure |
$3,904.50 |
$5,206 |
0.3× |
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Spinal Fusion… (22802)
likely a partial charge — not the full procedure |
$5,046.75 |
$6,729 |
0.3× |
Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Spinal Fusion… (22800)
likely a partial charge — not the full procedure |
$3,437.25 |
$4,583 |
0.2× |
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed (27280)
likely a partial charge — not the full procedure |
$3,861 |
$5,148 |
0.2× |
Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft… (27279)
likely a partial charge — not the full procedure |
$1,791.75 |
$2,389 |
0.1× |
Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft… (27278)
likely a partial charge — not the full procedure |
$1,791.75 |
$2,389 |
0.1× |
Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760)
likely a partial charge — not the full procedure |
$1,233.75 |
$1,645 |
0.2× |
Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) Age Under 21 (25820)
likely a partial charge — not the full procedure |
$1,648.50 |
$2,198 |
0.2× |
Arthrodesis, wrist; with autograft (includes obtaining graft) Age Under 21 (25825)
likely a partial charge — not the full procedure |
$1,989.75 |
$2,653 |
0.3× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Age Under 21 (25810)
likely a partial charge — not the full procedure |
$2,109.75 |
$2,813 |
0.2× |
Arthrodesis; subtalar (28725)
likely a partial charge — not the full procedure |
$1,806.38 |
$2,408.50 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge — not the full procedure |
$3,187.88 |
$4,250.50 |
0.2× |
Arthroplasty, ankle; with implant (total ankle) (27702)
likely a partial charge — not the full procedure |
$2,269.50 |
$3,026 |
0.1× |
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Age Under 21 (27443)
likely a partial charge — not the full procedure |
$2,018.25 |
$2,691 |
0.1× |
Arthroplasty, glenohumeral joint; hemiarthroplasty (23470)
likely a partial charge — not the full procedure |
$2,727 |
$3,636 |
0.2× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Age Under 21 (27446)
likely a partial charge — not the full procedure |
$2,761.50 |
$3,682 |
0.2× |
Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint Age Under 21 (26531)
likely a partial charge — not the full procedure |
$1,569.75 |
$2,093 |
0.2× |
Arthroplasty, patella; with prosthesis Age Under 21 (27438)
likely a partial charge — not the full procedure |
$1,927.12 |
$2,569.50 |
0.1× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29888)
likely a partial charge — not the full procedure |
$2,189.62 |
$2,919.50 |
0.3× |
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29889)
likely a partial charge — not the full procedure |
$2,995.50 |
$3,994 |
0.2× |
Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when… (29855)
likely a partial charge — not the full procedure |
$1,937.25 |
$2,583 |
0.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Age Under 21 (29898) |
$1,297.12 |
$1,729.50 |
0.4× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Age Under 21 (29897) |
$1,065.75 |
$1,421 |
0.3× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$1,689 |
$2,252 |
0.5× |
| Arthroscopy, elbow, surgical; debridement, limited Age Under 21 (29837) |
$1,347.75 |
$1,797 |
0.4× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$1,068 |
$1,424 |
0.3× |
| Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or… (29879) |
$1,540.88 |
$2,054.50 |
0.4× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) |
$1,452.75 |
$1,937 |
0.4× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$1,308.75 |
$1,745 |
0.4× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation,… (29874) |
$1,346.25 |
$1,795 |
0.4× |
| Arthroscopy, knee, surgical; injection of biocartilage, bone aspirate, or bone substitute into chondral defect and/or… (29999) |
$1,519.50 |
$2,026 |
5.8× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age Under 21 (29875) |
$1,176 |
$1,568 |
0.3× |
| Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Age Under 21 (29884) |
$1,559.25 |
$2,079 |
0.5× |
| Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) |
$1,321.12 |
$1,761.50 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Age Under 21 (29883) |
$2,082.75 |
$2,777 |
0.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Age Under 21 (29882) |
$1,704 |
$2,272 |
0.5× |
Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21 (29806)
unusually low — confirm this is the full procedure |
$2,575.50 |
$3,434 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$1,383.38 |
$1,844.50 |
0.4× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$1,279.50 |
$1,706 |
0.4× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$1,583.25 |
$2,111 |
0.5× |
Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21 (29807)
unusually low — confirm this is the full procedure |
$2,520.75 |
$3,361 |
0.3× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Age Under 21 (29821) |
$1,278 |
$1,704 |
0.4× |
Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827)
unusually low — confirm this is the full procedure |
$2,402.62 |
$3,203.50 |
0.3× |
| Arthroscopy, wrist, surgical; synovectomy, partial Age Under 21 (29844) |
$1,255.50 |
$1,674 |
0.4× |
Arthrotomy with meniscus repair, knee Age Under 21 (27403)
likely a partial charge — not the full procedure |
$1,398.75 |
$1,865 |
0.2× |
| Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age… (27620) |
$1,163.25 |
$1,551 |
0.3× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Age Under 21 (24000) |
$1,060.50 |
$1,414 |
0.3× |
| Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age… (24101) |
$1,289.25 |
$1,719 |
0.4× |
| Arthrotomy, elbow; with synovectomy Age Under 21 (24102) |
$1,431 |
$1,908 |
0.4× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Age Under 21 (23040) |
$1,539.75 |
$2,053 |
0.4× |
Arthrotomy, hip, with drainage (eg, infection) (27030)
likely a partial charge — not the full procedure |
$977.25 |
$1,303 |
0.1× |
| Arthrotomy, knee; with synovial biopsy only Age Under 21 (27330) |
$1,104 |
$1,472 |
0.3× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral Age Under 21 (27332) |
$1,410 |
$1,880 |
0.4× |
| Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each Age Under… (26075) |
$888.75 |
$1,185 |
0.3× |
Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Age Under 21 (27335)
likely a partial charge — not the full procedure |
$1,775.25 |
$2,367 |
0.2× |
Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy Age Under 21 (23105)
likely a partial charge — not the full procedure |
$1,386.75 |
$1,849 |
0.2× |
Arthrp acetblr/prox fem prostc agrft/algrft (27130)
likely a partial charge — not the full procedure |
$3,057.75 |
$4,077 |
0.2× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,042.50 |
$1,390 |
0.6× |
| Arthrt kne w/expl drg/rmvl fb (27310) |
$1,702.50 |
$2,270 |
0.5× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$842.25 |
$1,123 |
0.2× |
| Aspirate pleura w/o imaging (32554) |
$598.50 |
$798 |
0.9× |
| Aspiration and injection for treatment of bone cyst Age Under 21 (20615) |
$386.25 |
$515 |
0.5× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$183.75 |
$245 |
0.6× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$3,487.50 |
$4,650 |
4.7× |
| Aspiration bladder insert suprapubic catheter (51102) |
$331.50 |
$442 |
0.2× |
| Aspiration of fluid from cyst of spinal cord or fluid-filled cavity (62268) |
$1,356 |
$1,808 |
1.5× |
| Assessment of penile blood flow (54240) |
$175.50 |
$234 |
0.8× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$177.75 |
$237 |
0.8× |
Axillary lymphadenectomy; complete Age Under 21 (38745)
likely a partial charge — not the full procedure |
$1,895.25 |
$2,527 |
0.3× |
| Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance… (55706) |
$536.25 |
$715 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$4,184.25 |
$5,579 |
2.4× |
| Biopsy external ear (69100) |
$960 |
$1,280 |
3.8× |
| Biopsy intranasal (30100) |
$166.50 |
$222 |
0.1× |
| Biopsy lip (40490) |
$238.12 |
$317.50 |
1.0× |
| Biopsy liver needle percutaneous (47000) |
$1,549.50 |
$2,066 |
0.9× |
| Biopsy lymph node (38505) |
$1,250.62 |
$1,667.50 |
0.7× |
| Biopsy muscle percutaneous needle (20206) |
$2,815.50 |
$3,754 |
1.6× |
| Biopsy of anorectal wall, anal approach (eg, congenital megacolon) (45100) |
$807 |
$1,076 |
0.3× |
| Biopsy of cervix (57500) |
$296.25 |
$395 |
0.3× |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) Age Under 21 (44100) |
$241.50 |
$322 |
0.3× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$396.75 |
$529 |
0.3× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$177.75 |
$237 |
0.2× |
| Biopsy of salivary gland; needle (42400) |
$2,700 |
$3,600 |
3.6× |
| Biopsy of small bowel using an endoscope inserted through surgically created opening from lower small bowel to skin (44382) |
$180.75 |
$241 |
0.2× |
| Biopsy of urethra (53200) |
$336 |
$448 |
0.2× |
| Biopsy of uterus lining (58100) |
$187.50 |
$250 |
0.9× |
| Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) Age Under 21 (57105) |
$418.50 |
$558 |
0.1× |
| Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$1,134 |
$1,512 |
0.3× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$391.50 |
$522 |
0.2× |
| Biopsy soft tissue neck/thorax (21550) |
$1,599.75 |
$2,133 |
0.9× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$709.12 |
$945.50 |
0.4× |
| Biopsy thyroid percutaneous core needle (60100) |
$684.38 |
$912.50 |
0.9× |
| Biopsy vaginal mucosa simple (57100) |
$217.50 |
$290 |
0.2× |
| Biopsy vestibule mouth (40808) |
$341.62 |
$455.50 |
0.6× |
| Biopsy vulva/perineum 1 lesion (56605) |
$193.12 |
$257.50 |
0.2× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$2,880 |
$3,840 |
1.7× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$611.25 |
$815 |
0.4× |
| Biopsy, prostate, transperineal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance biopsy, first targeted lesion (55710) |
$496.50 |
$662 |
0.1× |
| Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant) with MRI-fusion-guidance, first targeted lesion (55708) |
$447.75 |
$597 |
0.1× |
| Biopsy, prostate, transrectal, ultrasound-guided (ie, sextant, ultrasound-localized discrete lesionºs») (55707) |
$360 |
$480 |
0.1× |
| Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) Age Under 21 (24066) |
$1,107.75 |
$1,477 |
0.4× |
| Bladder irrigation (51700) |
$176.62 |
$235.50 |
0.7× |
| Bladder pressure measurement during filling (51726) |
$521.25 |
$695 |
2.0× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$99 |
$132 |
0.3× |
Bone graft, any donor area; major or large Age Under 21 (20902)
likely a partial charge — not the full procedure |
$546.75 |
$729 |
0.1× |
Bone graft, any donor area; minor or small (eg, dowel or button) Age Under 21 (20900)
likely a partial charge — not the full procedure |
$394.12 |
$525.50 |
0.1× |
Breast Reduction|BILATERAL PROCEDURE (19318)
likely a partial charge — not the full procedure |
$2,038.88 |
$2,718.50 |
0.3× |
| Brnchsc ebus guided sampl 1/2 node station/strux (31652) |
$3,755.25 |
$5,007 |
1.0× |
| Brnchsc ebus guided sampl 3/> node station/strux (31653) |
$4,242.75 |
$5,657 |
1.1× |
Brnchsc occlusion&insert bronch valve init lobe (31647)
likely a partial charge — not the full procedure |
$489 |
$652 |
0.1× |
| Brnchsc removal bronchial valve initial (31648) |
$468 |
$624 |
0.1× |
| Bronch foreign body removal (31635) |
$649.12 |
$865.50 |
0.3× |
| Bronchoscopy dilate/fx repr (31630) |
$465.75 |
$621 |
0.1× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$1,362.75 |
$1,817 |
0.3× |
| Bronchoscopy w biopsy (31625) |
$1,051.50 |
$1,402 |
0.6× |
Bronchoscopy w/markers (31626)
unusually low — confirm this is the full procedure |
$2,400 |
$3,200 |
0.3× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$596.62 |
$795.50 |
0.3× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) |
$462.75 |
$617 |
0.2× |
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with… (31634)
unusually low — confirm this is the full procedure |
$2,455.50 |
$3,274 |
0.3× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief… (31641) |
$4,249.88 |
$5,666.50 |
1.1× |
| Bronchoscopy/lung bx each (31628) |
$1,116.75 |
$1,489 |
0.3× |
| Bx breast 1st lesion strtctc (19081) |
$3,397.50 |
$4,530 |
2.0× |
| Bx breast 1st lesion us imag (19083) |
$3,289.50 |
$4,386 |
1.9× |
| Bx/Exc Lymph Node Open Int Mammary Node (38530) |
$1,288.50 |
$1,718 |
0.3× |
| C/c 55831 lap, prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration… (55899) |
$3,523.50 |
$4,698 |
13.4× |
| C/c 58300 insertion hormone iud for endometrial hyperplasia (58999) |
$1,677 |
$2,236 |
7.9× |
C/t 51860 laproscopic cystorrhaphy sutr bldr wnd inj/rpt simple (51999)
likely a partial charge — not the full procedure |
$630 |
$840 |
0.1× |
| Cah artificial insemination intra-uterine (58322) |
$249.75 |
$333 |
1.2× |
Cah reinsertion spinal fixation device (22849)
likely a partial charge — not the full procedure |
$3,198 |
$4,264 |
0.2× |
| Capslrhphy; metatrsphalngl joint w/wo tenrhphy or lgmnt rpr sngl joint (28899) |
$1,141.50 |
$1,522 |
4.4× |
| Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint Age Under 21 (26520) |
$1,824 |
$2,432 |
0.5× |
| Capsulodesis, metacarpophalangeal joint; single digit Age Under 21 (26516) |
$1,937.25 |
$2,583 |
0.6× |
Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes… (25320)
unusually low — confirm this is the full procedure |
$2,474.25 |
$3,299 |
0.3× |
Capsulorrhaphy, anterior, any type; with coracoid process transfer Age Under 21 (23462)
unusually low — confirm this is the full procedure |
$2,400 |
$3,200 |
0.3× |
| Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) Age Under 21 (28270) |
$853.50 |
$1,138 |
0.2× |
| Care of miscarriage (59820) |
$1,034.62 |
$1,379.50 |
0.3× |
| Carpectomy with capitate implant resurfacing (hemi-arthroplasty) (25999) |
$1,372.50 |
$1,830 |
5.3× |
| Carpectomy; all bones of proximal row Age Under 21 (25215) |
$1,540.50 |
$2,054 |
0.4× |
| Cast short arm (29075) |
$167.25 |
$223 |
0.6× |
| Cautery of cervix; electro or thermal Age Under 21 (57510) |
$440.25 |
$587 |
0.1× |
| Cautery of cervix; laser ablation Age Under 21 (57513) |
$348.75 |
$465 |
0.1× |
Cervical lymphadenectomy (complete) (38720)
unusually low — confirm this is the full procedure |
$2,709.75 |
$3,613 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$200.25 |
$267 |
0.8× |
| Change of cystostomy tube; complicated Age Under 21 (51710) |
$288.38 |
$384.50 |
0.4× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$393 |
$524 |
0.5× |
| Chemodenerv 1 extremity 1-4 (64642) |
$345.75 |
$461 |
0.5× |
| Chemodenerv saliv glands (64611) |
$330.38 |
$440.50 |
1.0× |
| Chemodenervation muscle neck unilat for dystonia (64616) |
$258.75 |
$345 |
0.8× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$563.25 |
$751 |
1.7× |
| Chest tube placement (32551) |
$562.50 |
$750 |
0.3× |
| Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) |
$6,376.50 |
$8,502 |
1.7× |
Chromotubation Oviduct W/Materials|BILATERAL PROCEDURE (58350)
likely a partial charge — not the full procedure |
$307.88 |
$410.50 |
0.1× |
| Circumcision, Newborn (54150) |
$410.25 |
$547 |
0.2× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Age Under 21 (54160) |
$350.25 |
$467 |
0.5× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$480.75 |
$641 |
0.2× |
| Cisternal/lateral c1-c2 puncture w/injection (61055) |
$425.62 |
$567.50 |
1.3× |
| Claviculectomy; partial Age Under 21 (23120) |
$1,403.62 |
$1,871.50 |
0.4× |
| Claviculectomy; total Age Under 21 (23125) |
$1,639.50 |
$2,186 |
0.5× |
| Closed rx acetabular fx (27220) |
$1,038 |
$1,384 |
4.0× |
| Closed rx humer epicondylr fx,manip (24565) |
$1,320.75 |
$1,761 |
0.8× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$1,068 |
$1,424 |
4.1× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$578.25 |
$771 |
2.2× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$612.75 |
$817 |
2.4× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$630.75 |
$841 |
2.4× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$712.50 |
$950 |
2.7× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$795.75 |
$1,061 |
3.1× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$850.88 |
$1,134.50 |
0.5× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$571.50 |
$762 |
2.2× |
| Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) Age… (26432) |
$1,477.50 |
$1,970 |
0.9× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$1,086.75 |
$1,449 |
4.2× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$756 |
$1,008 |
2.9× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$548.25 |
$731 |
2.1× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$2,003.25 |
$2,671 |
1.2× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$1,265.25 |
$1,687 |
4.9× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$2,273.25 |
$3,031 |
1.3× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$330 |
$440 |
1.3× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$318.75 |
$425 |
1.2× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,899 |
$2,532 |
1.1× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$846 |
$1,128 |
3.3× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$4,480.50 |
$5,974 |
2.6× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$1,261.50 |
$1,682 |
4.8× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$1,251.75 |
$1,669 |
0.7× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$804.75 |
$1,073 |
3.1× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$783.75 |
$1,045 |
3.0× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$747.75 |
$997 |
2.9× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$1,560 |
$2,080 |
0.9× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$771 |
$1,028 |
3.0× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$844.50 |
$1,126 |
3.2× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$469.50 |
$626 |
1.8× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$1,570.12 |
$2,093.50 |
0.9× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$1,082.25 |
$1,443 |
0.6× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$762 |
$1,016 |
2.9× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$1,021.50 |
$1,362 |
0.6× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$633.75 |
$845 |
2.4× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$616.50 |
$822 |
2.4× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$270 |
$360 |
1.0× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$636.75 |
$849 |
2.4× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$1,149 |
$1,532 |
4.4× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$1,093.50 |
$1,458 |
0.6× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$732 |
$976 |
2.8× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$841.50 |
$1,122 |
0.5× |
| Closed treatment of talus fracture; without manipulation (28430) |
$586.50 |
$782 |
2.3× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$815.25 |
$1,087 |
3.1× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$1,270.50 |
$1,694 |
4.9× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$688.50 |
$918 |
2.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$979.50 |
$1,306 |
3.8× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$1,220.25 |
$1,627 |
0.7× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$792.75 |
$1,057 |
3.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$546.75 |
$729 |
2.1× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$980.25 |
$1,307 |
3.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$660.38 |
$880.50 |
2.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,083.75 |
$1,445 |
0.6× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,342.50 |
$1,790 |
0.8× |
| Closed tx scapular fracture w/o manipulation (23570) |
$633 |
$844 |
2.4× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$882 |
$1,176 |
3.4× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$400.50 |
$534 |
1.5× |
| Closed tx vert fx w/o manj (22310) |
$779.25 |
$1,039 |
3.0× |
| Closure of abnormal drainage tract from rectum to vagina through vagina or anus (57300) |
$1,497 |
$1,996 |
0.4× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$450.75 |
$601 |
1.8× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$922.50 |
$1,230 |
1.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$783 |
$1,044 |
3.0× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$420 |
$560 |
0.3× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$354 |
$472 |
0.1× |
| Clsd tx pelvic ring fx (27197) |
$330.75 |
$441 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,092 |
$1,456 |
0.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$908.25 |
$1,211 |
0.5× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$894 |
$1,192 |
3.4× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$756 |
$1,008 |
2.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$813 |
$1,084 |
3.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,528.88 |
$2,038.50 |
0.9× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,305.75 |
$1,741 |
5.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$396.38 |
$528.50 |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$856.50 |
$1,142 |
3.3× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$762.75 |
$1,017 |
0.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,355.25 |
$1,807 |
5.2× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$1,086.75 |
$1,449 |
0.6× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$245.25 |
$327 |
0.9× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$783.75 |
$1,045 |
3.0× |
| Cltx metar fx w/manj (28475) |
$717.75 |
$957 |
2.8× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$987 |
$1,316 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,608 |
$2,144 |
0.9× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$531 |
$708 |
2.0× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$1,368 |
$1,824 |
0.8× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$900 |
$1,200 |
3.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,265.25 |
$1,687 |
0.7× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$756 |
$1,008 |
2.9× |
| Collect blood from catheter venous nos (36592) |
$250.50 |
$334 |
1.8× |
| Collect blood from implant venous access device (36591) |
$231.75 |
$309 |
1.7× |
| Colonoscopy flexible with decompression (45393) |
$575.25 |
$767 |
0.5× |
| Colonoscopy through stoma; with transendoscopic balloon dilation Age Under 21 (44405) |
$431.25 |
$575 |
0.3× |
| Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle… (44407) |
$636.75 |
$849 |
0.5× |
| Colonoscopy thru stoma spx (44388) |
$353.25 |
$471 |
0.4× |
| Colonoscopy w/ablation (45388) |
$862.50 |
$1,150 |
0.7× |
| Colonoscopy w/control bleed (45382) |
$600 |
$800 |
0.5× |
| Colonoscopy w/resection (45390) |
$768 |
$1,024 |
0.3× |
Colonoscopy w/stent plcmt (45389)
likely a partial charge — not the full procedure |
$669.75 |
$893 |
0.1× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$551.25 |
$735 |
0.4× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$1,004.25 |
$1,339 |
0.8× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$495.75 |
$661 |
0.4× |
| Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle… (45392) |
$702.75 |
$937 |
0.6× |
Colpocentesis (separate procedure) Age Under 21 (57020)
likely a partial charge — not the full procedure |
$255.75 |
$341 |
0.0× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
likely a partial charge — not the full procedure |
$1,507.88 |
$2,010.50 |
0.2× |
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283)
likely a partial charge — not the full procedure |
$1,515.38 |
$2,020.50 |
0.2× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) |
$755.25 |
$1,007 |
0.2× |
| Colposcopy cervix (57452) |
$277.50 |
$370 |
1.3× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Age Under 21 (57455) |
$342 |
$456 |
1.1× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$377.62 |
$503.50 |
1.2× |
| Colposcopy vulva (56820) |
$321 |
$428 |
1.5× |
| Colposcopy vulva w/biopsy (56821) |
$265.50 |
$354 |
0.8× |
| Colposcopy w/endocervical curettage (57456) |
$318.38 |
$424.50 |
1.0× |
| Colpotomy; with drainage of pelvic abscess Age Under 21 (57010) |
$801.75 |
$1,069 |
0.2× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$470.25 |
$627 |
0.4× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; Age Under 21 (57260)
unusually low — confirm this is the full procedure |
$1,682.25 |
$2,243 |
0.3× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Age Under 21 (57265)
unusually low — confirm this is the full procedure |
$1,877.62 |
$2,503.50 |
0.4× |
| Complex cystometrogram voiding pressure studies (51728) |
$648.75 |
$865 |
0.9× |
| Complex uroflowmetry (51741) |
$23.25 |
$31 |
0.1× |
| Complx cystometro w/void press & urethral profil (51729) |
$659.25 |
$879 |
0.9× |
| Conization of cervix (57520) |
$847.50 |
$1,130 |
0.2× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$711 |
$948 |
0.2× |
| Contrast injection perq radiologic eval gi tube (49465) |
$309.75 |
$413 |
1.2× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$621 |
$828 |
2.8× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$204 |
$272 |
1.5× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$279 |
$372 |
2.0× |
| Control of bleeding of large bowel using an endoscope inserted through surgically created opening from large bowel to… (44391) |
$492 |
$656 |
0.4× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132)
likely a partial charge — not the full procedure |
$3,682.50 |
$4,910 |
0.3× |
| Convert nephrostomy cath to nephrourtrl cath prq (50434) |
$3,650.25 |
$4,867 |
1.7× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$2,223.75 |
$2,965 |
1.3× |
| Correction of bunion (28292) |
$1,061.25 |
$1,415 |
0.3× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method Age… (28299)
likely a partial charge — not the full procedure |
$1,296 |
$1,728 |
0.2× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial… (28297)
likely a partial charge — not the full procedure |
$1,292.25 |
$1,723 |
0.1× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy,… (28295) |
$1,503.75 |
$2,005 |
0.4× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any… (28298)
likely a partial charge — not the full procedure |
$1,112.25 |
$1,483 |
0.1× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$995.25 |
$1,327 |
0.3× |
| Corrj hlx vlgs bncty sesmdc dstl metar osteot (28296) |
$1,116 |
$1,488 |
0.3× |
| Costotransversectomy (separate procedure) Age Under 21 (21610) |
$3,129.75 |
$4,173 |
0.9× |
| Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc),… (63064) |
$4,362 |
$5,816 |
0.6× |
| Csf shunt reprogram (62252) |
$151.50 |
$202 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$523.50 |
$698 |
3.7× |
| Curettage postpartum (59160) |
$568.12 |
$757.50 |
0.2× |
| Curette/treat cornea (65435) |
$205.50 |
$274 |
0.2× |
| Cysto w/ureter stricture tx (52341) |
$659.25 |
$879 |
0.2× |
Cysto/uretero w/lithotripsy (52356)
likely a partial charge — not the full procedure |
$958.50 |
$1,278 |
0.2× |
Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection Age Under 21 (51050)
likely a partial charge — not the full procedure |
$991.50 |
$1,322 |
0.2× |
| Cystometrogram w/up (51727) |
$628.50 |
$838 |
0.9× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge — not the full procedure |
$1,674.75 |
$2,233 |
0.2× |
| Cystoscopy and treatment (52310) |
$583.50 |
$778 |
0.3× |
| Cystoscopy removal of clots (52001) |
$898.12 |
$1,197.50 |
0.2× |
| Cystoscopy w/biopsy(s) (52204) |
$653.62 |
$871.50 |
0.3× |
| Cystourethroscopy (52000) |
$388.88 |
$518.50 |
0.5× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Age… (52330) |
$1,109.25 |
$1,479 |
0.3× |
| Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy,… (52285) |
$669 |
$892 |
0.9× |
| Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital… (52400) |
$1,130.25 |
$1,507 |
0.3× |
Cystourethroscopy with initial transurethral anterior prostate commissurotomy with a nondrug-coated balloon catheter… (52443)
likely a partial charge — not the full procedure |
$453.75 |
$605 |
0.0× |
| Cystourethroscopy with transurethral resection or incision of ejaculatory ducts (52402) |
$605.25 |
$807 |
0.2× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$603 |
$804 |
0.3× |
| Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) |
$692.62 |
$923.50 |
0.9× |
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240)
likely a partial charge — not the full procedure |
$905.25 |
$1,207 |
0.2× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder… (52235) |
$669.75 |
$893 |
0.2× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder… (52234) |
$570.75 |
$761 |
0.2× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa,… (52214) |
$1,201.88 |
$1,602.50 |
0.3× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm)… (52224) |
$1,276.88 |
$1,702.50 |
0.3× |
| Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon… (52284) |
$3,926.62 |
$5,235.50 |
0.7× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$937.88 |
$1,250.50 |
0.4× |
| Cystourethroscopy, with steroid injection into stricture Age Under 21 (52283) |
$685.12 |
$913.50 |
0.3× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52005) |
$541.12 |
$721.50 |
0.2× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$786 |
$1,048 |
0.2× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Age Under 21 (52351) |
$701.25 |
$935 |
0.2× |
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic… (52354)
likely a partial charge — not the full procedure |
$962.25 |
$1,283 |
0.2× |
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) Age… (52353)
likely a partial charge — not the full procedure |
$903.75 |
$1,205 |
0.2× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral… (52352) |
$819 |
$1,092 |
0.2× |
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Age Under 21 (52355)
likely a partial charge — not the full procedure |
$1,076.25 |
$1,435 |
0.2× |
| Dbrdmt w/rmvl fm fx&/dislc skn subq t/m/f musc (11011) |
$1,075.50 |
$1,434 |
1.4× |
| Deb skin bone at fx site (11012) |
$1,263.75 |
$1,685 |
0.4× |
| Debride skin at fx site (11010) |
$966.38 |
$1,288.50 |
1.3× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$161.25 |
$215 |
0.4× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$381.75 |
$509 |
0.9× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$861.75 |
$1,149 |
0.5× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$668.25 |
$891 |
0.9× |
| Declot vascular device (36593) |
$692.25 |
$923 |
2.0× |
| Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable… (27894) |
$1,713.75 |
$2,285 |
0.5× |
| Delay flap trunk (15600) |
$750 |
$1,000 |
0.2× |
| Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips Age Under 21 (15630) |
$1,059.38 |
$1,412.50 |
0.5× |
| Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands,… (15620) |
$1,041.75 |
$1,389 |
0.5× |
| Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs Age Under 21 (15610) |
$873.38 |
$1,164.50 |
0.4× |
| Delivery of placenta (59414) |
$210 |
$280 |
0.1× |
| Dermabrasion segmental face (15781) |
$1,204.50 |
$1,606 |
1.6× |
| Dermabrasion superficial any site (15783) |
$1,015.12 |
$1,353.50 |
2.4× |
| Dermabrasion total face (15780) |
$1,884.38 |
$2,512.50 |
0.6× |
| Destroy nerve face muscle (64612) |
$288.75 |
$385 |
0.9× |
| Destroy vulva lesion/s compl (56515) |
$504.75 |
$673 |
0.2× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$181.50 |
$242 |
0.9× |
| Destruction benign lesions up to 14 (17110) |
$193.50 |
$258 |
0.9× |
| Destruction lesions vulva simple (56501) |
$412.50 |
$550 |
0.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,131.75 |
$1,509 |
0.5× |
Destruction of cyst of kidney using an endoscope (50541)
likely a partial charge — not the full procedure |
$2,059.50 |
$2,746 |
0.2× |
| Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57065) |
$441 |
$588 |
0.1× |
| Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57061) |
$283.50 |
$378 |
0.1× |
| Diagnostic bone marrow aspirations (38220) |
$147 |
$196 |
0.1× |
| Diagnostic bone marrow biopsies (38221) |
$1,540.12 |
$2,053.50 |
0.9× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$324.75 |
$433 |
0.1× |
| Diagnostic exam of uterus using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58555) |
$623.25 |
$831 |
0.2× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$963.38 |
$1,284.50 |
1.3× |
| Diagnostic sigmoidoscopy (45330) |
$143.25 |
$191 |
0.1× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$195 |
$260 |
0.9× |
| Dilate esophagus (43453) |
$198 |
$264 |
0.1× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$677.25 |
$903 |
0.2× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age Under 21 (53600) |
$147.75 |
$197 |
0.6× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent Age Under 21 (53601) |
$126 |
$168 |
0.9× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$146.25 |
$195 |
0.0× |
| Dilation of vagina under anesthesia (other than local) Age Under 21 (57400) |
$303 |
$404 |
0.1× |
Dissection, deep jugular node(s) Age Under 21 (38542)
likely a partial charge — not the full procedure |
$1,071 |
$1,428 |
0.2× |
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach Age Under 21 (43130)
likely a partial charge — not the full procedure |
$1,623.75 |
$2,165 |
0.3× |
| Drain lower leg bursa (27604) |
$1,091.25 |
$1,455 |
0.3× |
| Drain lower leg lesion (27603) |
$1,233.38 |
$1,644.50 |
0.4× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$335.25 |
$447 |
1.3× |
| Drainage external auditory canal, abscess (69020) |
$664.50 |
$886 |
0.9× |
| Drainage finger abscess simple (26010) |
$712.12 |
$949.50 |
3.4× |
| Drainage of abscess of palate, uvula (42000) |
$303 |
$404 |
1.2× |
| Drainage of abscess or cyst of Skene's glands (53060) |
$393 |
$524 |
0.2× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$374.25 |
$499 |
0.5× |
| Drainage of deep periurethral abscess Age Under 21 (53040) |
$963 |
$1,284 |
0.3× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$489 |
$652 |
0.3× |
| Drainage of hydrocele (55000) |
$342 |
$456 |
0.5× |
| Drainage of nose lesion (30020) |
$517.12 |
$689.50 |
0.9× |
| Drainage of perineal urinary extravasation; complicated (53085) |
$1,566 |
$2,088 |
0.7× |
| Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Age Under 21 (53080) |
$1,035.75 |
$1,381 |
1.4× |
| Drainage of scrotal wall abscess (55100) |
$553.12 |
$737.50 |
0.3× |
| Drainage of scrotum (54700) |
$538.88 |
$718.50 |
0.2× |
| Drainage of tendon sheath, digit and/or palm, each Age Under 21 (26020) |
$1,423.50 |
$1,898 |
0.4× |
| Drainage of tonsil abscess (42700) |
$391.50 |
$522 |
1.6× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$1,259.25 |
$1,679 |
0.6× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$1,276.50 |
$1,702 |
0.6× |
| Dx bronchoscope/brush (31623) |
$828.75 |
$1,105 |
0.4× |
| Dx bronchoscope/lavage (31624) |
$781.50 |
$1,042 |
0.4× |
| Dx laryngoscopy excl nb (31525) |
$384.75 |
$513 |
0.2× |
| Ed proc insert intraosseous IV (36680) |
$182.25 |
$243 |
0.4× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$177 |
$236 |
1.3× |
| Ed proc remve fb nasal- hospital (30300) |
$466.12 |
$621.50 |
3.3× |
| Ed prof arthrocentesis sm - hospital (20551) |
$572.25 |
$763 |
1.8× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$134.62 |
$179.50 |
1.0× |
| Ed prof burn - large - hospital (16030) |
$375 |
$500 |
0.9× |
| Ed prof burn medium - hospital (16025) |
$331.50 |
$442 |
1.6× |
| Ed prof burn small - hospital (16020) |
$165 |
$220 |
0.8× |
| Ed prof catheterization/straight (51701) |
$123 |
$164 |
0.9× |
| Ed prof closed tx post hip arthroplasty (27265) |
$1,140.75 |
$1,521 |
4.4× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$3,785.25 |
$5,047 |
2.2× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$941.25 |
$1,255 |
0.6× |
| Ed prof drain dental abscess-hospital (41800) |
$363.75 |
$485 |
2.6× |
| Ed prof insert foley cath simple (51702) |
$195.38 |
$260.50 |
1.4× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$373.50 |
$498 |
0.1× |
Ed prof insertion of heart electr (33210)
likely a partial charge — not the full procedure |
$438.75 |
$585 |
0.1× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$692.62 |
$923.50 |
1.6× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$526.88 |
$702.50 |
1.2× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$654 |
$872 |
2.5× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$141.75 |
$189 |
0.3× |
| Egd endo mucosal resection (43254) |
$626.25 |
$835 |
0.3× |
Egd endoscopic stent place (43266)
likely a partial charge — not the full procedure |
$507.75 |
$677 |
0.1× |
| Egd injection varices (43243) |
$552 |
$736 |
0.3× |
| Egd lesion ablation (43270) |
$520.50 |
$694 |
0.3× |
| Egd percutaneous placement gastrostomy tube (43246) |
$436.88 |
$582.50 |
0.2× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$458.25 |
$611 |
0.2× |
| Egd transoral control bleeding any method (43255) |
$468.75 |
$625 |
0.2× |
| Egd tube/cath insertion (43241) |
$336 |
$448 |
0.2× |
| Egd us exam duodenum/jejunum (43259) |
$520.50 |
$694 |
0.3× |
| Egd us fine needle bx/aspir (43242) |
$609 |
$812 |
0.3× |
| Egd us transmural injxn/mark (43253) |
$609 |
$812 |
0.3× |
Egd w/transmural drain cyst (43240)
likely a partial charge — not the full procedure |
$903.75 |
$1,205 |
0.1× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62367) |
$56.25 |
$75 |
0.2× |
| Endocervical curettage (57505) |
$336.75 |
$449 |
0.3× |
Endometrial ablation, thermal, without hysteroscopic guidance Age Under 21 (58353)
likely a partial charge — not the full procedure |
$1,497.38 |
$1,996.50 |
0.3× |
| Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck Age Under 21 (51715) |
$462.75 |
$617 |
0.1× |
| Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or… (43260) |
$743.25 |
$991 |
0.2× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s),… (43278) |
$994.50 |
$1,326 |
0.2× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple Age Under 21 (43261) |
$781.50 |
$1,042 |
0.2× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi Age Under 21 (43263) |
$825 |
$1,100 |
0.4× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy Age Under 21 (43262) |
$823.50 |
$1,098 |
0.2× |
| Endoscopic us exam esoph (43237) |
$458.25 |
$611 |
0.2× |
| Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15115) |
$2,016.38 |
$2,688.50 |
0.9× |
| Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Age Under 21 (15110) |
$2,164.50 |
$2,886 |
1.0× |
| Epididymectomy; bilateral Age Under 21 (54861) |
$1,379.25 |
$1,839 |
0.4× |
| Episiotomy or vaginal repair (59300) |
$343.50 |
$458 |
0.1× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$424.88 |
$566.50 |
0.6× |
Ercp duct stent placement (43274)
likely a partial charge — not the full procedure |
$1,062.75 |
$1,417 |
0.2× |
| Ercp ea duct/ampulla dilate (43277) |
$872.25 |
$1,163 |
0.2× |
Ercp lithotripsy calculi (43265)
likely a partial charge — not the full procedure |
$995.25 |
$1,327 |
0.2× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$839.25 |
$1,119 |
0.2× |
| Ercp remove forgn body duct (43275) |
$1,107 |
$1,476 |
0.5× |
Ercp stent exchange w/dilate (43276)
likely a partial charge — not the full procedure |
$1,125.75 |
$1,501 |
0.2× |
| Escharotomy 1st incision (16035) |
$466.50 |
$622 |
1.1× |
| Esoph egd dilation <30 mm (43249) |
$361.50 |
$482 |
0.2× |
| Esoph scope w/submucous inj (43201) |
$244.50 |
$326 |
0.1× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$327.75 |
$437 |
0.3× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age Under 21 (43244) |
$570.75 |
$761 |
0.3× |
| Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal… (43257) |
$541.50 |
$722 |
0.1× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) |
$536.25 |
$715 |
0.3× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$414 |
$552 |
0.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$392.25 |
$523 |
0.4× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$416.25 |
$555 |
0.4× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$402.75 |
$537 |
0.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine… (43238) |
$541.50 |
$722 |
0.3× |
Esophagoscop stent placement (43212)
likely a partial charge — not the full procedure |
$446.25 |
$595 |
0.1× |
| Esophagoscopy flexible removal foreign body (43215) |
$336.75 |
$449 |
0.2× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$210.75 |
$281 |
0.2× |
| Esophagoscopy lesion ablate (43229) |
$462 |
$616 |
0.1× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$420.75 |
$561 |
0.1× |
| Esophagoscopy, flexible, transoral; with band ligation of esophageal varices Age Under 21 (43205) |
$334.50 |
$446 |
0.2× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method Age Under 21 (43227) |
$388.50 |
$518 |
0.2× |
| Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes… (43214) |
$442.50 |
$590 |
0.2× |
| Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination Age Under 21 (43231) |
$366 |
$488 |
0.2× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices Age Under 21 (43204) |
$320.25 |
$427 |
0.2× |
| Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire Age… (43226) |
$308.25 |
$411 |
0.2× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age… (43216) |
$316.50 |
$422 |
0.2× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under… (43217) |
$377.25 |
$503 |
0.2× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) |
$280.50 |
$374 |
0.1× |
| Evac subungual hematoma (11740) |
$102 |
$136 |
0.7× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,365.75 |
$1,821 |
0.8× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,048.50 |
$1,398 |
0.6× |
| Exam with injections of chemical for destruction of bladder using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC… (52287) |
$691.12 |
$921.50 |
0.3× |
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
likely a partial charge — not the full procedure |
$1,100.25 |
$1,467 |
0.2× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$412.50 |
$550 |
0.6× |
| Exc frenum labial/buccal (40819) |
$632.25 |
$843 |
0.4× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$217.50 |
$290 |
0.1× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$349.88 |
$466.50 |
0.5× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$411.75 |
$549 |
0.2× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$790.50 |
$1,054 |
0.5× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$1,657.88 |
$2,210.50 |
0.8× |
| Exc rect tum transanal part (45171) |
$1,521 |
$2,028 |
0.5× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$278.62 |
$371.50 |
0.4× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$311.25 |
$415 |
0.4× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,318.50 |
$1,758 |
0.8× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$861 |
$1,148 |
0.5× |
| Exc tumor soft tiss back/flank subfascial <5cm (21932) |
$1,509.75 |
$2,013 |
0.5× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,383.75 |
$1,845 |
0.5× |
| Exc tumor soft tissue abdl wall subfascial 5cm/> (22901) |
$1,452 |
$1,936 |
0.5× |
| Exc Tumor Soft Tissue Abdl Wall Subfascial <5cm (22900) |
$1,242.75 |
$1,657 |
0.4× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$757.50 |
$1,010 |
0.4× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$1,124.25 |
$1,499 |
0.4× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$1,196.25 |
$1,595 |
0.4× |
| Exchange biliary drg catheter prq w/img gid rs&i (47536) |
$6,891 |
$9,188 |
1.8× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$4,125 |
$5,500 |
1.9× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$3,399 |
$4,532 |
1.7× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Age Under 21 (25240) |
$1,098 |
$1,464 |
0.3× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$1,242 |
$1,656 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$342.75 |
$457 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$366 |
$488 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$521.25 |
$695 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$435.75 |
$581 |
0.6× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$879 |
$1,172 |
0.3× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$292.50 |
$390 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$345.75 |
$461 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$384.75 |
$513 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$473.25 |
$631 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$637.50 |
$850 |
0.4× |
| Excision multiple external papillae/tags anus (46230) |
$687 |
$916 |
0.2× |
| Excision of bartholin's gland or cyst (56740) |
$720.75 |
$961 |
0.2× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$2,013 |
$2,684 |
0.6× |
| Excision of chest wall tumor including rib(s) (21601) |
$2,915.25 |
$3,887 |
1.0× |
| Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy (21603) |
$4,404.75 |
$5,873 |
0.6× |
| Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy (21602) |
$4,040.25 |
$5,387 |
0.5× |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Age… (26415) |
$2,246.25 |
$2,995 |
0.7× |
| Excision of ganglion, wrist (dorsal or volar); recurrent Age Under 21 (25112) |
$1,011 |
$1,348 |
0.6× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair (40812) |
$610.12 |
$813.50 |
0.4× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair (40810) |
$451.88 |
$602.50 |
0.1× |
| Excision of lesion of spermatic cord (separate procedure) Age Under 21 (55520) |
$1,044.75 |
$1,393 |
0.3× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$829.50 |
$1,106 |
0.5× |
| Excision of lip; transverse wedge excision with primary closure Age Under 21 (40510) |
$1,100.25 |
$1,467 |
0.3× |
| Excision of lip; V-excision with primary direct linear closure Age Under 21 (40520) |
$1,143 |
$1,524 |
0.3× |
| Excision of neuroma; cutaneous nerve, surgically identifiable Age Under 21 (64774) |
$1,095 |
$1,460 |
0.5× |
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Age Under 21 (42415)
unusually low — confirm this is the full procedure |
$2,093.25 |
$2,791 |
0.3× |
Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Age Under 21 (42410)
likely a partial charge — not the full procedure |
$1,272.75 |
$1,697 |
0.2× |
Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Age Under 21 (42425)
likely a partial charge — not the full procedure |
$1,870.50 |
$2,494 |
0.3× |
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Age Under 21 (42420)
unusually low — confirm this is the full procedure |
$2,724 |
$3,632 |
0.4× |
| Excision of penile plaque (Peyronie disease); Age Under 21 (54110) |
$1,296.75 |
$1,729 |
0.3× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$770.62 |
$1,027.50 |
0.3× |
| Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) Age Under 21 (45172) |
$1,993.88 |
$2,658.50 |
0.7× |
| Excision of single external papilla or tag, anus (46220) |
$537.38 |
$716.50 |
0.4× |
Excision of submandibular (submaxillary) gland Age Under 21 (42440)
likely a partial charge — not the full procedure |
$849 |
$1,132 |
0.1× |
| Excision of synovial cyst of popliteal space (eg, Baker's cyst) Age Under 21 (27345) |
$1,116.75 |
$1,489 |
0.3× |
| Excision of thrombosed hemorrhoid, external (46320) |
$318.75 |
$425 |
0.3× |
Excision of urachal cyst or sinus, with or without umbilical hernia repair Age Under 21 (51500)
likely a partial charge — not the full procedure |
$1,324.50 |
$1,766 |
0.2× |
Excision of urethral diverticulum (separate procedure); female Age Under 21 (53230)
likely a partial charge — not the full procedure |
$1,464.75 |
$1,953 |
0.3× |
| Excision of vaginal cyst or tumor (57135) |
$551.25 |
$735 |
0.2× |
| Excision of vaginal septum (57130) |
$351.75 |
$469 |
0.1× |
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Age Under 21 (55535)
likely a partial charge — not the full procedure |
$994.50 |
$1,326 |
0.1× |
| Excision olecranon bursa (24105) |
$964.50 |
$1,286 |
0.3× |
Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) Age Under… (25135)
likely a partial charge — not the full procedure |
$1,473 |
$1,964 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of femur; Age Under 21 (27355) |
$1,536.75 |
$2,049 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; Age Under 21 (24120) |
$1,353.75 |
$1,805 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft… (26215) |
$1,447.50 |
$1,930 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$1,182 |
$1,576 |
0.3× |
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) Age… (27637)
likely a partial charge — not the full procedure |
$1,620.75 |
$2,161 |
0.2× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,909.50 |
$2,546 |
0.6× |
| Excision pilonidal cyst/sinus extensive (11771) |
$1,521.38 |
$2,028.50 |
0.5× |
| Excision tendon finger flexor/extensor each (26180) |
$1,155.75 |
$1,541 |
0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,112.25 |
$1,483 |
0.6× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$927.75 |
$1,237 |
0.5× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$476.25 |
$635 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$782.62 |
$1,043.50 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$539.62 |
$719.50 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$338.62 |
$451.50 |
0.8× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$516.75 |
$689 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$454.12 |
$605.50 |
0.6× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$752.62 |
$1,003.50 |
0.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand (15837) |
$2,142.75 |
$2,857 |
0.7× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area - 15839 (15839) |
$2,197.12 |
$2,929.50 |
0.7× |
| Excision, interdigital (Morton) neuroma, single, each Age Under 21 (28080) |
$997.50 |
$1,330 |
0.6× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$297 |
$396 |
0.4× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$360 |
$480 |
0.5× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$514.50 |
$686 |
0.3× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$670.50 |
$894 |
0.2× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$291 |
$388 |
0.4× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$725.25 |
$967 |
0.4× |
| Excision, nasal polyp(s), simple Age Under 21 (30110) |
$499.12 |
$665.50 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$1,240.12 |
$1,653.50 |
1.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$324 |
$432 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$540.75 |
$721 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$266.25 |
$355 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$355.50 |
$474 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$860.25 |
$1,147 |
0.3× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$1,585.50 |
$2,114 |
0.5× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater Age Under 21 (21014) |
$1,100.25 |
$1,467 |
0.4× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Age Under 21 (25073) |
$1,350.75 |
$1,801 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater Age Under 21 (27632) |
$897 |
$1,196 |
0.3× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$975.75 |
$1,301 |
0.3× |
| Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21554) |
$1,665 |
$2,220 |
0.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$1,036.50 |
$1,382 |
0.3× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (24073) |
$1,485 |
$1,980 |
0.5× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$930 |
$1,240 |
0.3× |
Exploration of spinal fusion (22830)
likely a partial charge — not the full procedure |
$1,934.25 |
$2,579 |
0.3× |
| Exploration penetrating wound spx extremity (20103) |
$902.25 |
$1,203 |
0.5× |
| Explore wound abdomen (20102) |
$4,378.50 |
$5,838 |
2.0× |
| Explore/treat hand joint (26070) |
$829.50 |
$1,106 |
0.5× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular Age Under 21 (41017) |
$790.50 |
$1,054 |
0.2× |
| Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes… (26121) |
$1,499.25 |
$1,999 |
0.4× |
| Fasciotomy, iliotibial (tenotomy), open Age Under 21 (27305) |
$1,103.25 |
$1,471 |
0.3× |
| Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial Age Under 21 (26045) |
$1,212.75 |
$1,617 |
0.4× |
| Fasct prtl plmr 1 dgt prox iphal jt +-tiss (26123) |
$2,083.50 |
$2,778 |
0.6× |
| Fetal contraction stress test (59020) |
$100.50 |
$134 |
0.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,153.88 |
$1,538.50 |
1.5× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$468.75 |
$625 |
1.1× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$876.75 |
$1,169 |
1.2× |
| Fix collat lig,mc-p jt,i-p jt (26540) |
$1,837.50 |
$2,450 |
0.5× |
| Fixation of contralateral testis (separate procedure) Age Under 21 (54620) |
$722.25 |
$963 |
0.2× |
| Flap island pedicle (15740) |
$2,416.50 |
$3,222 |
1.1× |
| Fluid pressure muscle (20950) |
$258 |
$344 |
0.3× |
| Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) Age Under 21 (15731) |
$2,888.25 |
$3,851 |
0.8× |
| Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral Age Under 21 (15576) |
$1,826.62 |
$2,435.50 |
0.8× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$2,030.25 |
$2,707 |
0.9× |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Age Under 21 (15572) |
$2,152.12 |
$2,869.50 |
0.6× |
| Formation of direct or tubed pedicle, with or without transfer; trunk Age Under 21 (15570) |
$2,215.12 |
$2,953.50 |
1.0× |
| Frenulotomy of penis (54164) |
$496.50 |
$662 |
0.2× |
| Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae,… (15240) |
$1,870.50 |
$2,494 |
0.9× |
| Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less… (15260) |
$1,947.75 |
$2,597 |
0.9× |
| Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Age… (15220) |
$1,438.50 |
$1,918 |
0.7× |
| Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less Age Under 21 (15200) |
$1,612.50 |
$2,150 |
0.7× |
Fusion of 3 bones of ankle|RIGHT SIDE (28715)
likely a partial charge — not the full procedure |
$2,235 |
$2,980 |
0.2× |
Fusion of wrist joint (25800)
likely a partial charge — not the full procedure |
$1,789.50 |
$2,386 |
0.2× |
| Ganglion impar nerve block (64999) |
$1,317 |
$1,756 |
4.1× |
| Gastric lavage (43753) |
$54.75 |
$73 |
0.2× |
| Gastrocnemius recession (27687) |
$1,079.62 |
$1,439.50 |
0.3× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$2,851.50 |
$3,802 |
0.7× |
| Gastrostomy, open; without construction of gastric tube (eg, stamm procedure) (separate procedure) (43830) |
$1,527.75 |
$2,037 |
0.8× |
| Graft derma-fat-fascia (15770) |
$1,680.75 |
$2,241 |
0.4× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$1,526.25 |
$2,035 |
0.4× |
| Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia,… (15773) |
$1,450.88 |
$1,934.50 |
0.7× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) Age Under 21 (15769) |
$1,206.75 |
$1,609 |
0.3× |
| Guide cathet fluid drainage (10030) |
$1,713 |
$2,284 |
2.3× |
| Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint;… (28289) |
$1,174.50 |
$1,566 |
0.3× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge — not the full procedure |
$1,019.25 |
$1,359 |
0.1× |
Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) (27125)
likely a partial charge — not the full procedure |
$2,544.38 |
$3,392.50 |
0.2× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$710.62 |
$947.50 |
0.7× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$1,257 |
$1,676 |
0.4× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$1,155 |
$1,540 |
0.4× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$1,192.50 |
$1,590 |
0.4× |
| Hysteroscopy biopsy (58558) |
$2,022.75 |
$2,697 |
0.6× |
Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565)
likely a partial charge — not the full procedure |
$1,067.25 |
$1,423 |
0.2× |
Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563)
likely a partial charge — not the full procedure |
$567 |
$756 |
0.1× |
Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Age Under 21 (58559)
likely a partial charge — not the full procedure |
$651 |
$868 |
0.1× |
| Hysteroscopy, surgical; with removal of impacted foreign body Age Under 21 (58562) |
$794.25 |
$1,059 |
0.2× |
Hysteroscopy, surgical; with removal of leiomyomata Age Under 21 (58561)
likely a partial charge — not the full procedure |
$819 |
$1,092 |
0.2× |
| I&d abscess simple/single (10060) |
$311.25 |
$415 |
1.5× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$1,255.88 |
$1,674.50 |
0.4× |
| I&d hematoma/seroma/fluid (10140) |
$406.50 |
$542 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$271.50 |
$362 |
0.4× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$544.50 |
$726 |
0.2× |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
$393 |
$524 |
0.1× |
| Ileoscopy stoma w/balloon dilation (44381) |
$206.25 |
$275 |
0.1× |
| Ileoscopy thru stoma dx w/collj spec when prfmd (44380) |
$136.50 |
$182 |
0.1× |
| Iliotibal band repair/reconstruction w mesh/graft (eg: herniation) (27599) |
$1,510.50 |
$2,014 |
5.8× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$2,815.50 |
$3,754 |
1.6× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$3,711 |
$4,948 |
2.1× |
| Implant subq hormone pellet (11980) |
$261 |
$348 |
0.6× |
| Incise & drain bladder (51040) |
$677.62 |
$903.50 |
0.3× |
| Incise external hemorrhoid (46083) |
$298.50 |
$398 |
1.1× |
| Incise finger tendon sheath (26055) |
$774.75 |
$1,033 |
0.5× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$615.75 |
$821 |
1.4× |
| Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space Age Under 21 (28002) |
$497.25 |
$663 |
0.3× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$276.75 |
$369 |
1.3× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$471 |
$628 |
0.6× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Age Under 21 (57023) |
$746.25 |
$995 |
0.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$313.50 |
$418 |
1.0× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$782.25 |
$1,043 |
0.3× |
| Incision and drainage, forearm and/or wrist; deep abscess or hematoma Age Under 21 (25028) |
$1,871.25 |
$2,495 |
0.5× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015)
unusually low — confirm this is the full procedure |
$2,428.50 |
$3,238 |
0.3× |
| Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age Under 21 (26990) |
$1,768.50 |
$2,358 |
0.5× |
| Incision and drainage, perianal abscess, superficial (46050) |
$277.50 |
$370 |
0.3× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$464.25 |
$619 |
0.3× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$2,006.25 |
$2,675 |
1.2× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$259.50 |
$346 |
0.6× |
| Incision extensor tendon sheath wrist (25000) |
$918.75 |
$1,225 |
0.5× |
| Incision into wrist joint with removal of joint lining tissue (25105) |
$963 |
$1,284 |
0.3× |
| Incision of eyelid fold (67715) |
$5,395.50 |
$7,194 |
2.2× |
| Incision of knee joint with removal of cartilage of front or back of knee (27334) |
$1,488 |
$1,984 |
0.4× |
| Incision of labial frenum (frenotomy) Age Under 21 (40806) |
$178.50 |
$238 |
0.3× |
Incision of muscle at upper esophagus (43030)
likely a partial charge — not the full procedure |
$1,065.75 |
$1,421 |
0.2× |
| Incision of rectal abscess (46040) |
$1,434 |
$1,912 |
1.1× |
| Incision of vein for insertion of needle or tube (younger than 1 year) (36420) |
$118.50 |
$158 |
0.8× |
| Incision of windpipe (31600) |
$711.75 |
$949 |
0.2× |
| Incision of windpipe (31603) |
$3,090 |
$4,120 |
1.9× |
| Incision&drainage bursa foot (28001) |
$341.62 |
$455.50 |
0.2× |
| Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Age Under 21 (23035) |
$1,686 |
$2,248 |
1.0× |
| Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) (27303) |
$1,605 |
$2,140 |
0.5× |
| Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) Age Under 21 (68420) |
$4,695 |
$6,260 |
1.9× |
| Incisional biopsy skin single lesion (11106) |
$122.25 |
$163 |
0.2× |
| Induced abortion dilation & evacuation (59841) |
$870.75 |
$1,161 |
0.3× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$951.38 |
$1,268.50 |
2.3× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$454.50 |
$606 |
1.3× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$138.75 |
$185 |
0.7× |
| Inj epidural blood or clot patch (62273) |
$990.38 |
$1,320.50 |
1.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,463.25 |
$1,951 |
1.6× |
| Inj paravert f jnt l/s 1 lev (64493) |
$2,122.50 |
$2,830 |
2.3× |
| Inj tx nerve (64640) |
$1,407 |
$1,876 |
1.5× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$321.75 |
$429 |
0.4× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,827.75 |
$2,437 |
2.0× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$2,193.75 |
$2,925 |
2.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$645.75 |
$861 |
0.9× |
| Injection aa&/strd greater occipital nerve (64405) |
$224.62 |
$299.50 |
0.7× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$1,145.62 |
$1,527.50 |
1.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$114 |
$152 |
0.1× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$2,456.25 |
$3,275 |
3.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$664.50 |
$886 |
0.9× |
| Injection aa&/strd pudendal nerve (64430) |
$948.38 |
$1,264.50 |
1.0× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$2,545.88 |
$3,394.50 |
3.4× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,173.75 |
$1,565 |
1.6× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$186 |
$248 |
0.6× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$667.50 |
$890 |
0.7× |
| Injection anes superior hypogastric plexus (64517) |
$1,057.50 |
$1,410 |
1.1× |
| Injection beneath lining of large bowel using an endoscope inserted through surgically created opening from large bowel… (44404) |
$404.25 |
$539 |
0.3× |
| Injection for identification of sentinel node (38792) |
$225 |
$300 |
0.5× |
| Injection sclerosing solution hemorrhoids (46500) |
$757.12 |
$1,009.50 |
0.8× |
| Injection therapeutic carpal tunnel (20526) |
$129.75 |
$173 |
0.4× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$312.97 |
$417.30 |
1.0× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$108.75 |
$145 |
0.3× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$163.50 |
$218 |
0.5× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$648 |
$864 |
0.7× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$563.62 |
$751.50 |
1.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$3,265.12 |
$4,353.50 |
15.4× |
| Ins intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) |
$5,329.88 |
$7,106.50 |
0.9× |
| Insert cervical dilator (59200) |
$199.82 |
$266.42 |
0.6× |
| Insert drug implant device (11981) |
$216.38 |
$288.50 |
1.5× |
| Insert gastrostomy tube percutaneous (49440) |
$468.75 |
$625 |
0.2× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$394.50 |
$526 |
0.1× |
| Insert pessary/other device (57160) |
$147 |
$196 |
0.7× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,158.50 |
$2,878 |
0.6× |
| Insertion of implantable defibrillator pulse generator only; with existing single lead Age Under 21 (33240) |
$33,438.38 |
$44,584.50 |
1.4× |
Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Age Under 21 (53445)
likely a partial charge — not the full procedure |
$1,700.62 |
$2,267.50 |
0.1× |
Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir (54405)
likely a partial charge — not the full procedure |
$1,792.50 |
$2,390 |
0.1× |
| Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207) |
$9,933.75 |
$13,245 |
0.9× |
Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21 (33213)
likely a partial charge — not the full procedure |
$794.25 |
$1,059 |
0.1× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$746.25 |
$995 |
0.4× |
| Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) |
$694.12 |
$925.50 |
0.2× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$390.75 |
$521 |
1.7× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$904.88 |
$1,206.50 |
0.3× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$879.75 |
$1,173 |
0.3× |
Insertion or replacement of breast implant on separate day from mastectomy Age Under 21 (19342)
likely a partial charge — not the full procedure |
$1,845.75 |
$2,461 |
0.2× |
Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring… (64590)
likely a partial charge — not the full procedure |
$704.25 |
$939 |
0.0× |
Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) Age Under 21 (33211)
likely a partial charge — not the full procedure |
$376.50 |
$502 |
0.0× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$211.50 |
$282 |
0.1× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$1,582.88 |
$2,110.50 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$11,190 |
$14,920 |
1.3× |
| Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216) |
$8,126.62 |
$10,835.50 |
0.9× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$8,362.88 |
$11,150.50 |
1.0× |
| Insj eltrd car ven sys attch prev pm/dfb pls gen (33224) |
$28,075.50 |
$37,434 |
2.5× |
| Insj intraperitoneal catheter w/img guid (49418) |
$2,595.75 |
$3,461 |
0.7× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$876.75 |
$1,169 |
0.3× |
| Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) |
$39,520.88 |
$52,694.50 |
1.2× |
Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685)
likely a partial charge — not the full procedure |
$782.62 |
$1,043.50 |
0.0× |
| Insrt heart pm atrial & vent (33208) |
$8,500.50 |
$11,334 |
0.8× |
Insrt pulse gen w/dual leads (33230)
likely a partial charge — not the full procedure |
$675.75 |
$901 |
0.0× |
| Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated… (32562) |
$247.50 |
$330 |
0.4× |
| Instlj via ch tube/cath agent fbrnlysis 1st day (32561) |
$273 |
$364 |
0.4× |
| Intraoral i&d tongue/floor lingual (41000) |
$318 |
$424 |
0.6× |
| Intubation endotracheal (31500) |
$345.75 |
$461 |
1.4× |
| Irrigation of corpora cavernosa for priapism (54220) |
$356.25 |
$475 |
1.4× |
| Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease (57150) |
$101.25 |
$135 |
1.6× |
Joint repair (arthroplasty) forearm bone on the thumb side (radius) at the elbow with and implant (24366)
likely a partial charge — not the full procedure |
$1,452.75 |
$1,937 |
0.1× |
| Knee arthroscopy/surgery (29876) |
$1,634.25 |
$2,179 |
0.5× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267)
unusually low — confirm this is the full procedure |
$3,441 |
$4,588 |
0.4× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001)
unusually low — confirm this is the full procedure |
$2,881.50 |
$3,842 |
0.4× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63003)
unusually low — confirm this is the full procedure |
$3,107.25 |
$4,143 |
0.4× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017)
unusually low — confirm this is the full procedure |
$3,033.38 |
$4,044.50 |
0.4× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63016)
unusually low — confirm this is the full procedure |
$3,792 |
$5,056 |
0.5× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015)
unusually low — confirm this is the full procedure |
$3,747.75 |
$4,997 |
0.5× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005)
unusually low — confirm this is the full procedure |
$2,895 |
$3,860 |
0.4× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
unusually low — confirm this is the full procedure |
$3,027.38 |
$4,036.50 |
0.4× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047)
unusually low — confirm this is the full procedure |
$2,593.12 |
$3,457.50 |
0.3× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042)
unusually low — confirm this is the full procedure |
$3,186.75 |
$4,249 |
0.4× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030)
likely a partial charge — not the full procedure |
$2,196.75 |
$2,929 |
0.3× |
Lap, ureteroneocystostomy; anastomosis of single ureter to bladder (50949)
unusually low — confirm this is the full procedure |
$2,825.25 |
$3,767 |
0.4× |
Laparoscopic hepatotomy for open drainage of abscess or cyst one or more stages (47379)
likely a partial charge — not the full procedure |
$792 |
$1,056 |
0.1× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Age Under 21 (59151)
likely a partial charge — not the full procedure |
$1,667.62 |
$2,223.50 |
0.3× |
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Age Under 21 (59150)
likely a partial charge — not the full procedure |
$1,842 |
$2,456 |
0.3× |
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low — confirm this is the full procedure |
$2,096.25 |
$2,795 |
0.3× |
Laparoscopy surg colpopexy (57425)
likely a partial charge — not the full procedure |
$2,101.88 |
$2,802.50 |
0.2× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge — not the full procedure |
$1,116 |
$1,488 |
0.2× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320)
likely a partial charge — not the full procedure |
$772.50 |
$1,030 |
0.1× |
Laparoscopy, abdomen, peritoneum, and omentum; with treatment of hemorrhage (including post-operative) (49329)
likely a partial charge — not the full procedure |
$906.75 |
$1,209 |
0.1× |
Laparoscopy, srgcl; repair femorl hernia, any age; incarcerated/strngltd (49659)
likely a partial charge — not the full procedure |
$995.25 |
$1,327 |
0.2× |
Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867)
likely a partial charge — not the full procedure |
$2,148.75 |
$2,865 |
0.2× |
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545)
unusually low — confirm this is the full procedure |
$1,969.88 |
$2,626.50 |
0.3× |
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546)
likely a partial charge — not the full procedure |
$2,385.75 |
$3,181 |
0.2× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282)
unusually low — confirm this is the full procedure |
$3,861.75 |
$5,149 |
0.3× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Age Under 21 (58541)
likely a partial charge — not the full procedure |
$1,708.50 |
$2,278 |
0.2× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58542)
likely a partial charge — not the full procedure |
$1,793.25 |
$2,391 |
0.2× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544)
likely a partial charge — not the full procedure |
$2,105.25 |
$2,807 |
0.2× |
Laparoscopy, surgical, with ligation of spermatic veins for varicocele Age Under 21 (55550)
likely a partial charge — not the full procedure |
$907.50 |
$1,210 |
0.1× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; Age Under 21 (58570)
likely a partial charge — not the full procedure |
$1,777.88 |
$2,370.50 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58571)
likely a partial charge — not the full procedure |
$2,023.50 |
$2,698 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572)
likely a partial charge — not the full procedure |
$2,304.75 |
$3,073 |
0.2× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)… (58573)
likely a partial charge — not the full procedure |
$2,693.62 |
$3,591.50 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58550)
unusually low — confirm this is the full procedure |
$2,064.75 |
$2,753 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58552)
likely a partial charge — not the full procedure |
$2,140.88 |
$2,854.50 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Age Under 21 (58553)
likely a partial charge — not the full procedure |
$2,578.50 |
$3,438 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554)
likely a partial charge — not the full procedure |
$2,829 |
$3,772 |
0.3× |
Laparoscopy, surgical; cholcyststmy incldng cholangiography, when prfrmd (47579)
unusually low — confirm this is the full procedure |
$2,169 |
$2,892 |
0.3× |
Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563)
likely a partial charge — not the full procedure |
$1,663.50 |
$2,218 |
0.3× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct Age Under 21 (47564)
likely a partial charge — not the full procedure |
$2,558.25 |
$3,411 |
0.2× |
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (51992)
likely a partial charge — not the full procedure |
$1,824 |
$2,432 |
0.3× |
Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Age Under 21 (50947)
likely a partial charge — not the full procedure |
$2,799 |
$3,732 |
0.2× |
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Age Under 21 (38571)
likely a partial charge — not the full procedure |
$1,462.50 |
$1,950 |
0.1× |
Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21 (49321)
likely a partial charge — not the full procedure |
$804.75 |
$1,073 |
0.1× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Age Under 21 (58670)
likely a partial charge — not the full procedure |
$676.50 |
$902 |
0.1× |
Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by… (58662)
likely a partial charge — not the full procedure |
$1,577.62 |
$2,103.50 |
0.2× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Age Under 21 (58660)
likely a partial charge — not the full procedure |
$1,146.75 |
$1,529 |
0.2× |
Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661)
likely a partial charge — not the full procedure |
$1,533.75 |
$2,045 |
0.2× |
Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Age Under 21 (38570)
likely a partial charge — not the full procedure |
$1,093.50 |
$1,458 |
0.2× |
Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Age Under 21 (58673)
likely a partial charge — not the full procedure |
$1,832.25 |
$2,443 |
0.2× |
Laps Rpr Paraesphgl Hrna Incl Fundplsty W/O Mesh (43281)
likely a partial charge — not the full procedure |
$3,182.25 |
$4,243 |
0.3× |
Laps Surg Esopg/Gstr Fundoplasty (43280)
likely a partial charge — not the full procedure |
$2,449.50 |
$3,266 |
0.2× |
Laps Surg Rpr Recurrent Inguinal Hernia (49651)
likely a partial charge — not the full procedure |
$1,868.62 |
$2,491.50 |
0.3× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge — not the full procedure |
$866.25 |
$1,155 |
0.1× |
| Laryngoscopy flex diagnostic (31575) |
$356.25 |
$475 |
1.7× |
| Laryngoscopy flx rmvl foreign body(s) (31577) |
$282 |
$376 |
0.7× |
| Laryngoscopy indirect diagnostic (31505) |
$146.25 |
$195 |
0.7× |
Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649)
unusually low — confirm this is the full procedure |
$1,737 |
$2,316 |
0.3× |
Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648)
likely a partial charge — not the full procedure |
$1,399.50 |
$1,866 |
0.2× |
| Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25280) |
$1,419 |
$1,892 |
0.4× |
| Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) Age Under 21 (27685) |
$1,022.25 |
$1,363 |
0.3× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge — not the full procedure |
$1,639.12 |
$2,185.50 |
0.2× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or… (52318) |
$1,087.50 |
$1,450 |
0.3× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small… (52317) |
$1,586.62 |
$2,115.50 |
0.4× |
| Lithotripsy, extracorporeal shock wave Age Under 21 (50590) |
$13,744.50 |
$18,326 |
3.7× |
| Long gi tube placement (44500) |
$1,554 |
$2,072 |
1.6× |
| Lprscpy, surgical; repair and/or plication of rectus diastasis w/wo mesh (22999) |
$190.50 |
$254 |
0.7× |
| Lumbar puncture (62270) |
$340.88 |
$454.50 |
0.5× |
| Lysis of labial adhesions (56441) |
$375 |
$500 |
0.1× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$195.75 |
$261 |
0.8× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$1,730.62 |
$2,307.50 |
1.0× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) |
$492 |
$656 |
0.3× |
| Manipulation, elbow, under anesthesia Age Under 21 (24300) |
$1,209.75 |
$1,613 |
0.7× |
| Marsupialization bartholin's gland cyst (56440) |
$432 |
$576 |
0.1× |
| Mastectomy gynecomastia (19300) |
$1,135.50 |
$1,514 |
0.3× |
| Mastectomy partial (19301) |
$1,510.50 |
$2,014 |
0.4× |
Mastectomy Partial W/Axillary Lymphadenectomy (19302)
unusually low — confirm this is the full procedure |
$2,122.50 |
$2,830 |
0.3× |
| Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding… (19307) |
$3,817.12 |
$5,089.50 |
0.5× |
Mastopexy (19316)
unusually low — confirm this is the full procedure |
$2,273.25 |
$3,031 |
0.3× |
| Mastotomy expl drg absc dp (19020) |
$843.75 |
$1,125 |
0.5× |
| Mdfc flap w/prsrv vasc pedcl (15730) |
$10,507.12 |
$14,009.50 |
2.8× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$96 |
$128 |
1.5× |
| Meatotomy cutting meatus spx except infant (53020) |
$227.25 |
$303 |
0.1× |
| Meatotomy, cutting of meatus (separate procedure); infant (53025) |
$167.25 |
$223 |
0.1× |
| Musc myoq/fscq flp h&n pedcl (15733) |
$2,403 |
$3,204 |
0.6× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Age Under 21 (15738) |
$3,033 |
$4,044 |
0.8× |
| Muscle, myocutaneous, or fasciocutaneous flap; trunk Age Under 21 (15734) |
$3,394.50 |
$4,526 |
0.9× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$2,642.25 |
$3,523 |
3.2× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$3,194.62 |
$4,259.50 |
3.9× |
| Myelography via lumbar injection rs&i cervical (62302) |
$2,538 |
$3,384 |
3.1× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$2,538 |
$3,384 |
3.1× |
| Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less… (58145) |
$1,225.50 |
$1,634 |
0.4× |
| Nasal surg proc unlisted (30999) |
$552.75 |
$737 |
2.2× |
| Naso- /oro-esphagl tb plcmt,nedng physn's still,+ flurscpc gudnc if done (43499) |
$3,761.25 |
$5,015 |
3.9× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,298.25 |
$1,731 |
0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$79.50 |
$106 |
2.6× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$87.75 |
$117 |
2.9× |
| Needle measurement and recording of electrical activity of muscles at bladder and bowel openings (51785) |
$834 |
$1,112 |
3.2× |
Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Age Under 21 (64886)
unusually low — confirm this is the full procedure |
$2,949.75 |
$3,933 |
0.3× |
Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Age Under 21 (64885)
unusually low — confirm this is the full procedure |
$2,872.50 |
$3,830 |
0.3× |
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Age Under 21 (64898)
unusually low — confirm this is the full procedure |
$3,252.75 |
$4,337 |
0.4× |
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Age Under 21 (64897)
unusually low — confirm this is the full procedure |
$3,003 |
$4,004 |
0.3× |
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Age Under 21 (64896)
unusually low — confirm this is the full procedure |
$3,381.75 |
$4,509 |
0.4× |
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Age Under 21 (64895)
unusually low — confirm this is the full procedure |
$3,134.25 |
$4,179 |
0.3× |
| Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Age Under 21 (64893) |
$2,676.75 |
$3,569 |
0.7× |
Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length Age Under 21 (64892)
likely a partial charge — not the full procedure |
$2,516.25 |
$3,355 |
0.3× |
Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Age Under 21 (64891)
likely a partial charge — not the full procedure |
$2,740.50 |
$3,654 |
0.3× |
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Age Under 21 (64890)
likely a partial charge — not the full procedure |
$2,580.75 |
$3,441 |
0.3× |
Nerve pedicle transfer; first stage Age Under 21 (64905)
likely a partial charge — not the full procedure |
$2,346.75 |
$3,129 |
0.3× |
Nerve pedicle transfer; second stage Age Under 21 (64907)
unusually low — confirm this is the full procedure |
$3,073.50 |
$4,098 |
0.3× |
Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve (64911)
likely a partial charge — not the full procedure |
$2,520 |
$3,360 |
0.3× |
Nerve repair; with nerve allograft, each nerve, first strand (cable) Age Under 21 (64912)
likely a partial charge — not the full procedure |
$2,178 |
$2,904 |
0.2× |
Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve Age Under 21 (64910)
likely a partial charge — not the full procedure |
$1,856.25 |
$2,475 |
0.2× |
| Neuroeltrd stim post tibial (64566) |
$102.38 |
$136.50 |
0.3× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$1,218.38 |
$1,624.50 |
0.6× |
| Nipple/areola reconstruction (19350) |
$163,800 |
$218,400 |
39.7× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$1,464 |
$1,952 |
1.6× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,179.75 |
$1,573 |
1.3× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$6,076.50 |
$8,102 |
1.6× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$6,076.50 |
$8,102 |
1.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$759 |
$1,012 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$750.75 |
$1,001 |
1.0× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$1,351.50 |
$1,802 |
1.8× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$1,228.50 |
$1,638 |
1.7× |
| Nocturnal penile tumescence and/or rigidity test (54250) |
$289.50 |
$386 |
1.1× |
| Non stress test (59025) |
$105.75 |
$141 |
0.5× |
| Obstructive material removal from gi tube (49460) |
$112.50 |
$150 |
0.1× |
Omentectomy, epiploectomy, resection of omentum (separate procedure) (49255)
likely a partial charge — not the full procedure |
$1,699.50 |
$2,266 |
0.2× |
| Open Biopsy/Excision Inguinofemoral Nodes (38531) |
$980.25 |
$1,307 |
0.2× |
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Age Under 21 (64581)
likely a partial charge — not the full procedure |
$1,545 |
$2,060 |
0.2× |
Open impltj hpglsl nrv nstim ra pg&respir sensor (64582)
likely a partial charge — not the full procedure |
$1,900.50 |
$2,534 |
0.1× |
Open rdl shaft fx closed rad/uln jt dislocate (25525)
likely a partial charge — not the full procedure |
$1,824 |
$2,432 |
0.2× |
Open treatment bimalleolar ankle fracture (27814)
likely a partial charge — not the full procedure |
$1,766.25 |
$2,355 |
0.2× |
Open treatment calcaneal fracture (28415)
unusually low — confirm this is the full procedure |
$2,596.88 |
$3,462.50 |
0.3× |
Open Treatment Distal Fracture (25608)
likely a partial charge — not the full procedure |
$1,910.62 |
$2,547.50 |
0.2× |
Open treatment fracture distal tibia only (27827)
likely a partial charge — not the full procedure |
$2,608.50 |
$3,478 |
0.2× |
Open treatment medial malleolus fracture (27766)
likely a partial charge — not the full procedure |
$1,547.25 |
$2,063 |
0.2× |
Open treatment metatarsal fracture each (28485)
likely a partial charge — not the full procedure |
$1,455.75 |
$1,941 |
0.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; Age Under 21 (23550)
likely a partial charge — not the full procedure |
$1,340.62 |
$1,787.50 |
0.2× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Age… (23552)
likely a partial charge — not the full procedure |
$1,516.12 |
$2,021.50 |
0.2× |
| Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal… (26746) |
$1,833.75 |
$2,445 |
0.5× |
Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed Age Under 21 (25628)
likely a partial charge — not the full procedure |
$1,657.50 |
$2,210 |
0.2× |
| Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction Age Under 21 (26686) |
$1,576.50 |
$2,102 |
0.5× |
Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (23515)
likely a partial charge — not the full procedure |
$1,680.38 |
$2,240.50 |
0.2× |
Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829)
likely a partial charge — not the full procedure |
$1,675.50 |
$2,234 |
0.2× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514)
likely a partial charge — not the full procedure |
$2,145 |
$2,860 |
0.2× |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
unusually low — confirm this is the full procedure |
$3,005.25 |
$4,007 |
0.4× |
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
likely a partial charge — not the full procedure |
$2,706.38 |
$3,608.50 |
0.2× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge — not the full procedure |
$2,371.50 |
$3,162 |
0.2× |
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826)
likely a partial charge — not the full procedure |
$1,869 |
$2,492 |
0.2× |
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27828)
likely a partial charge — not the full procedure |
$3,037.12 |
$4,049.50 |
0.2× |
| Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Age Under 21 (28505) |
$1,257.75 |
$1,677 |
0.4× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Age Under 21 (23630)
likely a partial charge — not the full procedure |
$1,816.12 |
$2,421.50 |
0.2× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Age Under 21 (24579)
likely a partial charge — not the full procedure |
$1,984.88 |
$2,646.50 |
0.1× |
Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed Age Under… (24575)
likely a partial charge — not the full procedure |
$1,720.88 |
$2,294.50 |
0.1× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without… (24545)
likely a partial charge — not the full procedure |
$2,278.50 |
$3,038 |
0.2× |
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540)
likely a partial charge — not the full procedure |
$1,881.75 |
$2,509 |
0.2× |
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558)
unusually low — confirm this is the full procedure |
$2,805 |
$3,740 |
0.4× |
| Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed Age Under 21 (28645) |
$1,233 |
$1,644 |
0.4× |
Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24635)
likely a partial charge — not the full procedure |
$1,586.62 |
$2,115.50 |
0.2× |
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Age Under 21 (21390)
likely a partial charge — not the full procedure |
$1,629.75 |
$2,173 |
0.3× |
Open treatment of patellar dislocation, with or without partial or total patellectomy Age Under 21 (27566)
likely a partial charge — not the full procedure |
$2,187 |
$2,916 |
0.3× |
Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue… (27524)
likely a partial charge — not the full procedure |
$1,741.12 |
$2,321.50 |
0.2× |
Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed Age Under 21 (27784)
likely a partial charge — not the full procedure |
$1,790.25 |
$2,387 |
0.2× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Age… (25575)
likely a partial charge — not the full procedure |
$2,090.62 |
$2,787.50 |
0.3× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666)
likely a partial charge — not the full procedure |
$1,695 |
$2,260 |
0.1× |
Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed Age Under 21 (23585)
unusually low — confirm this is the full procedure |
$2,367.75 |
$3,157 |
0.3× |
Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670)
likely a partial charge — not the full procedure |
$1,967.25 |
$2,623 |
0.3× |
Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680)
likely a partial charge — not the full procedure |
$1,680.75 |
$2,241 |
0.1× |
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536)
unusually low — confirm this is the full procedure |
$2,481 |
$3,308 |
0.3× |
Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (27535)
likely a partial charge — not the full procedure |
$2,000.62 |
$2,667.50 |
0.3× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758)
likely a partial charge — not the full procedure |
$2,055 |
$2,740 |
0.2× |
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823)
likely a partial charge — not the full procedure |
$2,286.75 |
$3,049 |
0.3× |
Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685)
likely a partial charge — not the full procedure |
$1,544.25 |
$2,059 |
0.2× |
Open treatment of ulnar shaft fracture (25545)
likely a partial charge — not the full procedure |
$1,587.75 |
$2,117 |
0.2× |
Open treatment radial shaft fracture (25515)
likely a partial charge — not the full procedure |
$1,571.25 |
$2,095 |
0.2× |
Open treatment talus fracture (28445)
unusually low — confirm this is the full procedure |
$2,408.25 |
$3,211 |
0.3× |
Open treatment tarsometatarsal joint dislocation (28615)
likely a partial charge — not the full procedure |
$1,975.50 |
$2,634 |
0.3× |
Open tx distal fibular fracture lat malleolus (27792)
likely a partial charge — not the full procedure |
$1,619.25 |
$2,159 |
0.2× |
| Open tx distal phalangeal fracture each (26765) |
$1,305.75 |
$1,741 |
0.4× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$891.75 |
$1,189 |
0.3× |
| Open tx interphalangeal joint dislocation 1 (26785) |
$1,410.38 |
$1,880.50 |
0.4× |
| Open tx metacarpal fracture single ea bone (26615) |
$1,465.50 |
$1,954 |
0.4× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$1,515.75 |
$2,021 |
0.4× |
Open tx prox humeral fx (23615)
likely a partial charge — not the full procedure |
$2,032.88 |
$2,710.50 |
0.2× |
Open tx tarsal fracture xcp talus &calcaneus ea (28465)
likely a partial charge — not the full procedure |
$1,657.50 |
$2,210 |
0.2× |
| Open/perq placement intravascular stent initial (37236) |
$12,474.75 |
$16,633 |
1.0× |
| Orchiectomy, radical, for tumor; inguinal approach Age Under 21 (54530) |
$1,245.75 |
$1,661 |
0.3× |
| Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Age… (54520) |
$812.25 |
$1,083 |
0.2× |
| Ostectomy, calcaneus; Age Under 21 (28118) |
$934.50 |
$1,246 |
0.3× |
| Ostectomy, complete excision; fifth metatarsal head Age Under 21 (28113) |
$1,093.50 |
$1,458 |
0.3× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Age Under 21 (28112) |
$796.50 |
$1,062 |
0.2× |
Osteoplasty, radius OR ulna; shortening Age Under 21 (25390)
likely a partial charge — not the full procedure |
$1,611.75 |
$2,149 |
0.2× |
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar (22214)
unusually low — confirm this is the full procedure |
$3,787.50 |
$5,050 |
0.5× |
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic (22212)
unusually low — confirm this is the full procedure |
$3,816 |
$5,088 |
0.5× |
| Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22206) |
$5,919 |
$7,892 |
0.8× |
| Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22207) |
$5,751 |
$7,668 |
0.8× |
Osteotomy tibia (27705)
likely a partial charge — not the full procedure |
$1,575 |
$2,100 |
0.2× |
Osteotomy, humerus, with or without internal fixation Age Under 21 (24400)
likely a partial charge — not the full procedure |
$1,913.25 |
$2,551 |
0.2× |
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27455)
likely a partial charge — not the full procedure |
$2,037.75 |
$2,717 |
0.3× |
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal Age Under 21 (28306)
likely a partial charge — not the full procedure |
$888 |
$1,184 |
0.1× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each… (28308) |
$927.75 |
$1,237 |
0.3× |
Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation Age Under 21 (28300)
likely a partial charge — not the full procedure |
$1,511.25 |
$2,015 |
0.2× |
Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) (27712)
likely a partial charge — not the full procedure |
$2,315.25 |
$3,087 |
0.2× |
Other procedure on fallopian tube or ovary using an endoscope (58679)
likely a partial charge — not the full procedure |
$1,330.50 |
$1,774 |
0.2× |
Ovarian cystectomy, unilateral or bilateral (58925)
unusually low — confirm this is the full procedure |
$1,707.38 |
$2,276.50 |
0.3× |
Parathyroidectomy or exploration of parathyroid(s); Age Under 21 (60500)
unusually low — confirm this is the full procedure |
$2,013 |
$2,684 |
0.3× |
Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach (57423)
likely a partial charge — not the full procedure |
$2,005.88 |
$2,674.50 |
0.2× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$193.50 |
$258 |
0.9× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Age Under… (24147) |
$1,593 |
$2,124 |
0.5× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx… (26235) |
$1,239.75 |
$1,653 |
0.7× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg,… (27360) |
$2,182.12 |
$2,909.50 |
0.6× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Age Under 21 (27641) |
$1,621.50 |
$2,162 |
0.5× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,252.50 |
$1,670 |
0.4× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$1,037.25 |
$1,383 |
0.3× |
| Partial excision bone metacarpal (26230) |
$1,258.50 |
$1,678 |
0.4× |
| Partial excision distal phalanx finger (26236) |
$1,128.75 |
$1,505 |
0.7× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$449.62 |
$599.50 |
0.1× |
Partial removal of kidney using an endoscope|RIGHT SIDE (50543)
likely a partial charge — not the full procedure |
$3,263.25 |
$4,351 |
0.3× |
Partial removal of uterus with retention of cervix using an endoscope, more than 250.0 g (58543)
likely a partial charge — not the full procedure |
$1,948.50 |
$2,598 |
0.2× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge — not the full procedure |
$1,583.62 |
$2,111.50 |
0.2× |
| Partical excision bone phalanx toe (28124) |
$854.25 |
$1,139 |
0.2× |
Patellectomy or hemipatellectomy Age Under 21 (27350)
likely a partial charge — not the full procedure |
$1,421.25 |
$1,895 |
0.2× |
| Pelvic examination under anesthesia (other than local) Age Under 21 (57410) |
$254.25 |
$339 |
0.1× |
| Pelvis/hip joint surgery unlisted (27299) |
$1,556.62 |
$2,075.50 |
6.0× |
| Penile injection (54235) |
$181.50 |
$242 |
0.7× |
Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image… (64561)
likely a partial charge — not the full procedure |
$1,072.12 |
$1,429.50 |
0.2× |
| Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means… (62264) |
$567.75 |
$757 |
0.6× |
Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent… (50081)
likely a partial charge — not the full procedure |
$2,274 |
$3,032 |
0.2× |
Percutaneous skeletal fixation of calcaneal fracture, with manipulation Age Under 21 (28406)
likely a partial charge — not the full procedure |
$1,271.25 |
$1,695 |
0.2× |
| Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint Age… (26676) |
$1,314 |
$1,752 |
0.4× |
| Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation Age… (26650) |
$1,264.50 |
$1,686 |
0.4× |
Percutaneous skeletal fixation of femoral fracture, distal end, medial or lateral condyle, or supracondylar or… (27509)
likely a partial charge — not the full procedure |
$1,503.75 |
$2,005 |
0.2× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
likely a partial charge — not the full procedure |
$2,212.50 |
$2,950 |
0.3× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Age Under 21 (28496) |
$761.25 |
$1,015 |
0.2× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$1,245.75 |
$1,661 |
0.4× |
| Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each Age Under 21 (28476) |
$1,053.75 |
$1,405 |
0.3× |
Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538)
likely a partial charge — not the full procedure |
$2,005.50 |
$2,674 |
0.3× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Age Under 21 (28606) |
$1,035.75 |
$1,381 |
0.3× |
Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) Age… (27756)
likely a partial charge — not the full procedure |
$1,296.75 |
$1,729 |
0.2× |
| Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) |
$1,226.25 |
$1,635 |
0.4× |
| Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents Age Under 21 (19371) |
$1,723.50 |
$2,298 |
0.4× |
| Pericardiocentesis w/img guidance when performed (33016) |
$2,206.12 |
$2,941.50 |
1.3× |
| Perq dev breast 1st strtctc (19283) |
$835.12 |
$1,113.50 |
1.1× |
| Perq dev breast 1st us imag (19285) |
$1,176 |
$1,568 |
1.6× |
| Perq device breast 1st imag (19281) |
$788.25 |
$1,051 |
0.5× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$10,858.12 |
$14,477.50 |
2.9× |
| Perq drainage pleura insert cath w/imaging (32557) |
$1,788 |
$2,384 |
1.1× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,791 |
$2,388 |
0.9× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$89.25 |
$119 |
0.3× |
Perq vert agmntj cavity crtj uni/bi cannulation (22513)
likely a partial charge — not the full procedure |
$1,189.50 |
$1,586 |
0.2× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge — not the full procedure |
$1,078.50 |
$1,438 |
0.1× |
Pf-as amputation leg through tibia & fibula (27880)
likely a partial charge — not the full procedure |
$2,149.12 |
$2,865.50 |
0.3× |
| Pin finger fracture each (26756) |
$1,039.50 |
$1,386 |
0.3× |
| Place duod/jej tube perc (49441) |
$569.25 |
$759 |
0.3× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via… (55876) |
$241.50 |
$322 |
0.2× |
| Placement of seton (46020) |
$292.50 |
$390 |
0.1× |
| Placement of stabilizing device for broken base of forearm bone on small finger side at wrist (25651) |
$1,269 |
$1,692 |
0.4× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) (44300) |
$1,791 |
$2,388 |
0.9× |
| Plastic repair of introitus Age Under 21 (56800) |
$600.75 |
$801 |
0.2× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$5,220 |
$6,960 |
2.4× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$4,746 |
$6,328 |
1.3× |
| Plmt urtrl stent prq new access w/sep nfros cath (50695) |
$8,298.75 |
$11,065 |
2.2× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$8,298.75 |
$11,065 |
2.2× |
| Plmt urtrl stnt prq new acess w/o sep nfros cath (50694) |
$8,298.75 |
$11,065 |
2.2× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy Age Under 21 (57250)
likely a partial charge — not the full procedure |
$1,338 |
$1,784 |
0.3× |
| Pr brnchsc removal bronchial valve ea addl (31649) |
$162.75 |
$217 |
0.1× |
| Pr dermabrasion regional other than face (15782) |
$1,081.12 |
$1,441.50 |
0.4× |
| Pr inj. intralesional gt 7 lesions (11901) |
$141.75 |
$189 |
0.7× |
| Prineoplasty rpr pr nonobal spx (56810) |
$592.50 |
$790 |
0.2× |
| Proctosigmoidoscopy dx (45300) |
$119.25 |
$159 |
0.1× |
| Proctosigmoidoscopy fb (45307) |
$234.75 |
$313 |
0.1× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple Age Under 21 (45305) |
$183 |
$244 |
0.1× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$270.75 |
$361 |
0.2× |
| Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar… (45315) |
$261.75 |
$349 |
0.2× |
| Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar… (45308) |
$213 |
$284 |
0.1× |
| Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique Age Under 21 (45309) |
$225 |
$300 |
0.2× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and… (27187)
likely a partial charge — not the full procedure |
$2,264.25 |
$3,019 |
0.3× |
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur (27495)
unusually low — confirm this is the full procedure |
$2,355 |
$3,140 |
0.3× |
Prq impltj nstim electrode array epidural (63650)
likely a partial charge — not the full procedure |
$997.50 |
$1,330 |
0.1× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$7,441.50 |
$9,922 |
2.0× |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
$831 |
$1,108 |
0.2× |
| Prq skel fixj iphal jt dislc 1 w/mnpj (26776) |
$1,169.25 |
$1,559 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$219.75 |
$293 |
0.5× |
| Punch graft for hair transplant; 1 to 15 punch grafts (15775) |
$838.12 |
$1,117.50 |
2.0× |
| Punch graft for hair transplant; more than 15 punch grafts (15776) |
$1,134.38 |
$1,512.50 |
2.6× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$315.38 |
$420.50 |
0.7× |
| Puncture aspiration of cyst of breast (19000) |
$837.75 |
$1,117 |
1.1× |
| Pvb thoracic single injection site w/img gid (64461) |
$2,289.75 |
$3,053 |
3.1× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,873.50 |
$2,498 |
1.1× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$1,527 |
$2,036 |
0.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; less than 5 cm Age Under 21 (27615) |
$2,138.25 |
$2,851 |
0.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,361.25 |
$1,815 |
0.7× |
| Realignment of extensor tendon, hand, each tendon (26437) |
$1,760.25 |
$2,347 |
0.5× |
Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type… (28238)
likely a partial charge — not the full procedure |
$1,054.50 |
$1,406 |
0.1× |
Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) Age Under 21 (23420)
unusually low — confirm this is the full procedure |
$2,403 |
$3,204 |
0.3× |
Reconstruction of dislocating patella; (eg, Hauser type procedure) Age Under 21 (27420)
likely a partial charge — not the full procedure |
$1,871.25 |
$2,495 |
0.2× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
likely a partial charge — not the full procedure |
$1,854.75 |
$2,473 |
0.2× |
| Reduction of incarcerated uterus in maternity care and/or delivery (59899) |
$151.12 |
$201.50 |
0.7× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age Under 21 (24342)
likely a partial charge — not the full procedure |
$1,768.12 |
$2,357.50 |
0.2× |
| Release i-p jt contracture (26525) |
$1,840.50 |
$2,454 |
1.1× |
| Release of ligaments at outer side of knee joint using an endoscope (29873) |
$1,396.50 |
$1,862 |
0.4× |
Release of tendon connecting biceps muscle and shoulder using an endoscope (29828)
likely a partial charge — not the full procedure |
$2,079.38 |
$2,772.50 |
0.3× |
| Release palm contracture (26040) |
$831 |
$1,108 |
0.5× |
| Relocate skin pocket implantable defibrillator (33223) |
$2,783.25 |
$3,711 |
1.3× |
| Relocation of skin pocket for pacemaker (33222) |
$2,385 |
$3,180 |
1.1× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without… (50385) |
$498 |
$664 |
0.2× |
Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative… (54410)
likely a partial charge — not the full procedure |
$1,926.38 |
$2,568.50 |
0.1× |
Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411)
likely a partial charge — not the full procedure |
$2,114.25 |
$2,819 |
0.1× |
| Removal biliary drg catheter req fluor gid rs&i (47537) |
$2,081.25 |
$2,775 |
2.2× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$372 |
$496 |
0.5× |
| Removal foreign body from deep penile tissue (eg, plastic implant) Age Under 21 (54115) |
$1,053.75 |
$1,405 |
0.3× |
| Removal foreign body mouth (40804) |
$312 |
$416 |
0.3× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,030.50 |
$1,374 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$30.75 |
$41 |
0.5× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$96.75 |
$129 |
1.6× |
| Removal implant deep (20680) |
$1,049.25 |
$1,399 |
0.3× |
| Removal implant superficial (20670) |
$376.50 |
$502 |
0.2× |
| Removal implantable contraceptive capsules (11976) |
$468 |
$624 |
0.6× |
| Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis Age… (54406) |
$1,513.50 |
$2,018 |
0.4× |
| Removal of anal fissure (46200) |
$1,195.88 |
$1,594.50 |
0.4× |
| Removal of anal seton, other marker Age Under 21 (46030) |
$496.50 |
$662 |
0.4× |
Removal of appendix using an endoscope (44970)
likely a partial charge — not the full procedure |
$1,200.75 |
$1,601 |
0.2× |
| Removal of calcium deposits at rotator cuff tendons, open procedure (23000) |
$901.50 |
$1,202 |
0.3× |
| Removal of cerclage suture under anesthesia (other than local) Age Under 21 (59871) |
$311.25 |
$415 |
0.1× |
| Removal of diseased or injured scrotum (55150) |
$1,209.75 |
$1,613 |
0.3× |
| Removal of extensive damaged tissue from elbow joint using an endoscope (29838) |
$1,486.50 |
$1,982 |
0.4× |
| Removal of external bone stabilizing device under anesthesia|RIGHT SIDE (20694) |
$878.25 |
$1,171 |
0.5× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$620.25 |
$827 |
0.5× |
| Removal of fluid collection in both testicles and sperm reservoirs (55041) |
$942 |
$1,256 |
0.2× |
| Removal of fluid collection in testicle and sperm reservoir|RIGHT SIDE (55040) |
$837.75 |
$1,117 |
0.2× |
| Removal of fluid-filled sac (bursa) or calcium deposit of pelvis (27062) |
$1,155.75 |
$1,541 |
0.3× |
| Removal of fluid-filled sac from joint at front of knee (27340) |
$991.50 |
$1,322 |
0.3× |
| Removal of forearm bone at elbow joint (24130) |
$1,296.75 |
$1,729 |
0.4× |
| Removal of foreign bodies from large bowel using an endoscope inserted through surgically created opening from large… (44390) |
$492 |
$656 |
0.5× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$122.25 |
$163 |
0.9× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$121.50 |
$162 |
0.3× |
| Removal of foreign body, foot; deep (28192) |
$3,827.25 |
$5,103 |
2.2× |
| Removal of growths or polyps of large bowel by electrical cautery using an endoscope inserted through surgically… (44392) |
$471.75 |
$629 |
0.4× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$527.25 |
$703 |
0.4× |
Removal of hip prosthesis; (separate procedure) (27090)
likely a partial charge — not the full procedure |
$1,764.75 |
$2,353 |
0.2× |
Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Age Under 21 (53446)
likely a partial charge — not the full procedure |
$1,449 |
$1,932 |
0.3× |
| Removal of intact breast implant Age Under 21 (19328) |
$1,365.75 |
$1,821 |
0.3× |
| Removal of iud (58301) |
$288 |
$384 |
0.9× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$1,276.50 |
$1,702 |
0.4× |
| Removal of nail bed (11750) |
$500.25 |
$667 |
1.2× |
| Removal of pm generator (33233) |
$7,973.25 |
$10,631 |
0.9× |
Removal of posterior nonsegmental instrumentation (eg, harrington rod) (22850)
likely a partial charge — not the full procedure |
$1,884 |
$2,512 |
0.2× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components Age Under 21 (24160) |
$3,028.50 |
$4,038 |
0.9× |
Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee (27488)
likely a partial charge — not the full procedure |
$2,501.25 |
$3,335 |
0.2× |
| Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) Age Under 21 (19330) |
$1,572.75 |
$2,097 |
0.4× |
Removal of segmental stabilizing device from back of spine (22852)
likely a partial charge — not the full procedure |
$1,568.25 |
$2,091 |
0.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$200.25 |
$267 |
0.9× |
| Removal of small bone underlying long bone of foot at big toe joint (28315) |
$1,266 |
$1,688 |
0.4× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$2,228.25 |
$2,971 |
0.6× |
| Removal of Thiersch wire or suture, anal canal Age Under 21 (46754) |
$843.75 |
$1,125 |
0.3× |
| Removal of tissue expander without insertion of implant Age Under 21 (11971) |
$1,190.25 |
$1,587 |
0.4× |
| Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21 (33235) |
$4,380 |
$5,840 |
1.1× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) |
$1,121.25 |
$1,495 |
0.3× |
| Removal of uterus with repair of herniated bowel through vagina, 250.0 g or less (58270) |
$2,859.75 |
$3,813 |
0.5× |
| Removal of wrist bone (25210) |
$1,076.25 |
$1,435 |
0.3× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) Age Under 21 (57287) |
$1,629.75 |
$2,173 |
0.5× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$344.25 |
$459 |
0.5× |
| Removal tunneled cv cath (36590) |
$1,811.25 |
$2,415 |
1.1× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$309 |
$412 |
0.7× |
| Removal, non-biodegradable drug delivery implant (11982) |
$165 |
$220 |
0.4× |
| Removal/revision of cast (29700) |
$105 |
$140 |
0.4× |
| Remove eyelid foreign body (67938) |
$303 |
$404 |
0.9× |
| Remove foreign body from eye (65210) |
$147.75 |
$197 |
0.3× |
| Remove lung catheter (32552) |
$452.25 |
$603 |
0.7× |
| Remove pharynx foreign body (42809) |
$400.50 |
$534 |
0.8× |
| Remove ureter stent percut (50384) |
$4,182.75 |
$5,577 |
1.9× |
| Remove vaginal foreign body (57415) |
$705 |
$940 |
0.2× |
| Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228) |
$10,914.38 |
$14,552.50 |
1.0× |
| Remvl perm pm pls gen w/repl plse gen mult lead (33229) |
$18,781.50 |
$25,042 |
0.9× |
| Remvl perm pm plse gen w/repl plse gen sngl lead (33227) |
$9,945.38 |
$13,260.50 |
1.1× |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50551)
likely a partial charge — not the full procedure |
$588 |
$784 |
0.1× |
Repair achilles tendon (27650)
likely a partial charge — not the full procedure |
$1,551 |
$2,068 |
0.2× |
| Repair anal fistula (46288) |
$1,267.50 |
$1,690 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$650.25 |
$867 |
1.5× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,257 |
$1,676 |
2.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$746.25 |
$995 |
1.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$810 |
$1,080 |
1.0× |
| Repair elbow deb/attch open (24359) |
$1,640.25 |
$2,187 |
0.5× |
| Repair extensor tendon hand w/o graft each (26410) |
$1,739.62 |
$2,319.50 |
1.0× |
| Repair finger tendon (26418) |
$1,786.88 |
$2,382.50 |
1.1× |
| Repair finger/hand tendon (26350) |
$2,006.25 |
$2,675 |
0.6× |
| Repair forearm tendon/muscle (25260) |
$1,600.50 |
$2,134 |
0.5× |
| Repair incomplete circumcision (54163) |
$553.50 |
$738 |
0.3× |
| Repair initial femoral hernia, any age; incarcerated or strangulated Age Under 21 (49553) |
$1,373.25 |
$1,831 |
0.4× |
| Repair initial femoral hernia, any age; reducible Age Under 21 (49550) |
$1,260 |
$1,680 |
0.3× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$1,282.50 |
$1,710 |
0.3× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$456 |
$608 |
1.1× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$530.62 |
$707.50 |
1.2× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$582.75 |
$777 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$796.12 |
$1,061.50 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$706.12 |
$941.50 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$411.75 |
$549 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$504 |
$672 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$553.12 |
$737.50 |
0.7× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$402.75 |
$537 |
0.9× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$496.50 |
$662 |
1.2× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$743.25 |
$991 |
1.0× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$553.12 |
$737.50 |
1.3× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$869.62 |
$1,159.50 |
2.0× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$1,056.75 |
$1,409 |
2.5× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$810.75 |
$1,081 |
0.4× |
| Repair lead pace-defib dual (33220) |
$893.25 |
$1,191 |
0.2× |
| Repair lead pace-defib one (33218) |
$914.25 |
$1,219 |
0.2× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$939.75 |
$1,253 |
1.7× |
| Repair lip, full thickness; up to half vertical height Age Under 21 (40652) |
$1,003.50 |
$1,338 |
1.8× |
Repair lower leg tendons (27676)
likely a partial charge — not the full procedure |
$1,316.25 |
$1,755 |
0.2× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge — not the full procedure |
$1,693.50 |
$2,258 |
0.2× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49614)
likely a partial charge — not the full procedure |
$1,353.75 |
$1,805 |
0.2× |
Repair of biceps tendon at elbow (24340)
likely a partial charge — not the full procedure |
$1,338 |
$1,784 |
0.2× |
Repair of component(s) of a multi-component, inflatable penile prosthesis (54408)
likely a partial charge — not the full procedure |
$1,637.25 |
$2,183 |
0.3× |
| Repair of digit nerve (64831) |
$1,714.50 |
$2,286 |
0.8× |
| Repair of dislocating lower leg tendons without a cut through the lower leg bone on the outside of the leg (fibula) (27675) |
$1,164.75 |
$1,553 |
0.3× |
Repair of enterocele, vaginal approach (separate procedure) Age Under 21 (57268)
likely a partial charge — not the full procedure |
$1,126.12 |
$1,501.50 |
0.2× |
Repair of kidney using an endoscope|RIGHT SIDE (50544)
likely a partial charge — not the full procedure |
$2,502 |
$3,336 |
0.2× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$402.75 |
$537 |
0.9× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$746.25 |
$995 |
3.0× |
| Repair of leg tendon each (27658) |
$823.50 |
$1,098 |
0.2× |
| Repair of nail bed (11760) |
$404.25 |
$539 |
0.5× |
Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Age Under 21 (24435)
likely a partial charge — not the full procedure |
$2,477.25 |
$3,303 |
0.2× |
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Age Under 21 (25405)
likely a partial charge — not the full procedure |
$2,141.25 |
$2,855 |
0.3× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Age Under 21 (25400)
likely a partial charge — not the full procedure |
$1,815 |
$2,420 |
0.2× |
Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft… (25440)
likely a partial charge — not the full procedure |
$1,871.25 |
$2,495 |
0.2× |
| Repair of rectocele (separate procedure) Age Under 21 (45560) |
$1,439.25 |
$1,919 |
0.5× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute Age Under 21 (23410)
likely a partial charge — not the full procedure |
$1,888.12 |
$2,517.50 |
0.2× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Age Under 21 (23412)
likely a partial charge — not the full procedure |
$1,952.62 |
$2,603.50 |
0.3× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) |
$2,017.50 |
$2,690 |
0.6× |
| Repair recurrent femoral hernia; incarcerated or strangulated Age Under 21 (49557) |
$1,642.50 |
$2,190 |
0.4× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated Age Under 21 (49521)
likely a partial charge — not the full procedure |
$1,542 |
$2,056 |
0.2× |
| Repair tongue lacer,post 1/3 (41251) |
$470.25 |
$627 |
1.9× |
| Repair vagina/perineum (57210) |
$876 |
$1,168 |
0.3× |
| Repair wrist joints (25447) |
$1,845 |
$2,460 |
0.5× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$700.88 |
$934.50 |
0.9× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$981 |
$1,308 |
1.3× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$613.50 |
$818 |
1.4× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$562.12 |
$749.50 |
0.7× |
| Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon Age Under… (26412) |
$1,883.25 |
$2,511 |
0.5× |
Repair, extensor tendon, leg; primary, without graft, each tendon Age Under 21 (27664)
likely a partial charge — not the full procedure |
$794.25 |
$1,059 |
0.1× |
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Age Under 21 (27665)
likely a partial charge — not the full procedure |
$995.25 |
$1,327 |
0.1× |
Repair, flexor tendon, leg; secondary, with or without graft, each tendon Age Under 21 (27659)
likely a partial charge — not the full procedure |
$1,108.50 |
$1,478 |
0.1× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$904.12 |
$1,205.50 |
0.4× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Age Under 21 (28322)
likely a partial charge — not the full procedure |
$1,239.75 |
$1,653 |
0.2× |
Repair, primary, disrupted ligament, ankle; collateral Age Under 21 (27695)
likely a partial charge — not the full procedure |
$1,244.25 |
$1,659 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; collateral Age Under 21 (27405)
likely a partial charge — not the full procedure |
$1,577.62 |
$2,103.50 |
0.2× |
Repair, secondary, Achilles tendon, with or without graft Age Under 21 (27654)
likely a partial charge — not the full procedure |
$1,676.62 |
$2,235.50 |
0.2× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Age Under 21 (27698)
likely a partial charge — not the full procedure |
$1,477.12 |
$1,969.50 |
0.2× |
Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age… (24341)
likely a partial charge — not the full procedure |
$1,759.12 |
$2,345.50 |
0.2× |
| Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor… (25275) |
$1,661.25 |
$2,215 |
0.5× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$871.88 |
$1,162.50 |
0.3× |
Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Age Under 21 (28202)
likely a partial charge — not the full procedure |
$936 |
$1,248 |
0.1× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$136.50 |
$182 |
0.1× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$905.62 |
$1,207.50 |
0.9× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,761 |
$2,348 |
1.8× |
Replacement of tissue expander with permanent implant|BILATERAL PROCEDURE (11970)
likely a partial charge — not the full procedure |
$1,209.75 |
$1,613 |
0.2× |
| Reposition l ventric lead (33226) |
$1,093.50 |
$1,458 |
0.3× |
| Reposition venous catheter (36597) |
$2,359.50 |
$3,146 |
1.4× |
| Repositioning and suture of misplaced testicle|BILATERAL PROCEDURE (54640) |
$1,039.50 |
$1,386 |
0.3× |
| Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Age Under 21 (43761) |
$525.38 |
$700.50 |
2.0× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,680 |
$2,240 |
0.5× |
| Reset dislocated jaw (21480) |
$96.75 |
$129 |
0.4× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge — not the full procedure |
$3,515.25 |
$4,687 |
0.3× |
Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Age Under 21 (57426)
likely a partial charge — not the full procedure |
$2,046 |
$2,728 |
0.3× |
| Revision (including removal) of prosthetic vaginal graft; vaginal approach Age Under 21 (57295) |
$1,105.12 |
$1,473.50 |
0.3× |
| Revision of cervix (59320) |
$352.50 |
$470 |
0.1× |
Revision of reconstructed breast (19380)
likely a partial charge — not the full procedure |
$1,954.50 |
$2,606 |
0.3× |
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134)
unusually low — confirm this is the full procedure |
$4,136.25 |
$5,515 |
0.3× |
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
likely a partial charge — not the full procedure |
$3,093.75 |
$4,125 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; 1 component (27486)
likely a partial charge — not the full procedure |
$3,126.38 |
$4,168.50 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component (27487)
likely a partial charge — not the full procedure |
$3,851.62 |
$5,135.50 |
0.2× |
| Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable… (64595) |
$555 |
$740 |
0.2× |
| Revision peri-implant capsule breast (19370) |
$1,824 |
$2,432 |
0.4× |
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
likely a partial charge — not the full procedure |
$1,082.25 |
$1,443 |
0.2× |
| Revj/rmvl impl spi npg/rcvr dtch connj eltrd ra (63688) |
$807.75 |
$1,077 |
0.2× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$3,650.25 |
$4,867 |
1.7× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$644.25 |
$859 |
1.1× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$165 |
$220 |
1.2× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$151.50 |
$202 |
1.1× |
| Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264) |
$37,067.25 |
$49,423 |
1.1× |
| Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262) |
$34,088.25 |
$45,451 |
1.5× |
| Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263) |
$30,637.50 |
$40,850 |
1.3× |
| Rmvl nfros tube req fluoro guidance (50389) |
$1,610.25 |
$2,147 |
2.2× |
| Rmvl of access device (36589) |
$1,494 |
$1,992 |
2.3× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$816 |
$1,088 |
0.4× |
| Rplc gtube revj gstrst trc (43763) |
$210 |
$280 |
0.8× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge — not the full procedure |
$1,638.38 |
$2,184.50 |
0.3× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge — not the full procedure |
$1,262.25 |
$1,683 |
0.2× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge — not the full procedure |
$1,050.75 |
$1,401 |
0.2× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$761.62 |
$1,015.50 |
0.2× |
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge — not the full procedure |
$1,403.25 |
$1,871 |
0.2× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$1,002 |
$1,336 |
0.3× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$823.12 |
$1,097.50 |
1.1× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$1,206 |
$1,608 |
0.7× |
Rpr non-union mtcrpl/phalanx (26546)
unusually low — confirm this is the full procedure |
$2,305.50 |
$3,074 |
0.3× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$2,055.38 |
$2,740.50 |
0.5× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$1,171.12 |
$1,561.50 |
0.3× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$2,961.38 |
$3,948.50 |
0.9× |
| Scrotal exploration Age Under 21 (55110) |
$964.50 |
$1,286 |
0.3× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$1,993.12 |
$2,657.50 |
0.5× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Age Under 21 (23170) |
$1,441.50 |
$1,922 |
0.4× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$265.50 |
$354 |
0.6× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$95.25 |
$127 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$110.25 |
$147 |
0.5× |
| Sigmoidoscopy & polypectomy (45333) |
$229.50 |
$306 |
0.2× |
| Sigmoidoscopy flx control bleeding (45334) |
$281.25 |
$375 |
0.2× |
| Sigmoidoscopy flx ndsc us xm (45341) |
$296.25 |
$395 |
0.3× |
| Sigmoidoscopy w/ablation (45346) |
$379.50 |
$506 |
0.3× |
| Sigmoidoscopy w/us guide bx (45342) |
$401.25 |
$535 |
0.3× |
| Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45350) |
$243.75 |
$325 |
0.2× |
| Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Age Under 21 (45335) |
$166.50 |
$222 |
0.2× |
Simple complete removal of breast|BILATERAL PROCEDURE (19303)
unusually low — confirm this is the full procedure |
$3,099.38 |
$4,132.50 |
0.4× |
| Simple cystometrogram (CMG) (eg, spinal manometer) Age Under 21 (51725) |
$341.25 |
$455 |
1.3× |
| Simple partial removal of external female genitals (56620) |
$1,456.50 |
$1,942 |
0.4× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$318.75 |
$425 |
1.5× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$347.25 |
$463 |
1.6× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$417 |
$556 |
2.0× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$522 |
$696 |
2.5× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$692.25 |
$923 |
3.3× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$309.75 |
$413 |
1.5× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$686.25 |
$915 |
3.2× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$576.75 |
$769 |
1.3× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$636 |
$848 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$382.50 |
$510 |
1.8× |
| Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) (51736) |
$23.25 |
$31 |
0.2× |
| Skin tissue procedure unlisted (17999) |
$558 |
$744 |
2.6× |
| Slctv cath subclavian art angio vertebral artery (36225) |
$2,846.25 |
$3,795 |
0.9× |
Sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (57288)
unusually low — confirm this is the full procedure |
$1,630.88 |
$2,174.50 |
0.3× |
| Small bowel endoscopy/biopsy (44377) |
$690 |
$920 |
0.3× |
| Small bowel endoscopy/biopsy (44361) |
$373.50 |
$498 |
0.2× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of… (44373) |
$450 |
$600 |
0.2× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$347.25 |
$463 |
1.6× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$477.75 |
$637 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$600.75 |
$801 |
1.4× |
| Sphincterotomy, anal, division of sphincter (separate procedure) Age Under 21 (46080) |
$626.62 |
$835.50 |
0.2× |
| Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple… (15120) |
$1,632 |
$2,176 |
0.4× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$1,929 |
$2,572 |
0.9× |
| Stimulus evoked response (51792) |
$533.25 |
$711 |
8.6× |
| Strapping ankle (29540) |
$131.25 |
$175 |
0.8× |
| Strapping elbow or wrist (29260) |
$109.50 |
$146 |
1.8× |
| Strapping of knee (29530) |
$93.75 |
$125 |
0.7× |
| Strapping of shoulder (29240) |
$131.25 |
$175 |
0.9× |
| Strapping of toes (29550) |
$49.50 |
$66 |
0.8× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$329.25 |
$439 |
0.4× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$518.25 |
$691 |
0.7× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Age Under 21 (46275) |
$1,345.88 |
$1,794.50 |
0.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Age Under 21 (46285) |
$1,428.75 |
$1,905 |
0.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age Under 21 (46270) |
$1,283.25 |
$1,711 |
0.4× |
| Suture 1 nerve ulnar motor (64836) |
$1,996.50 |
$2,662 |
0.6× |
Suture closure of vagina and vaginal opening (57120)
likely a partial charge — not the full procedure |
$1,166.25 |
$1,555 |
0.2× |
| Suture of 1 nerve; hand or foot, common sensory nerve Age Under 21 (64834) |
$1,752.75 |
$2,337 |
0.5× |
| Suture of 1 nerve; median motor thenar Age Under 21 (64835) |
$1,996.50 |
$2,662 |
0.6× |
Suture of facial nerve; extracranial Age Under 21 (64864)
likely a partial charge — not the full procedure |
$1,995 |
$2,660 |
0.2× |
| Suture of facial nerve; infratemporal, with or without grafting Age Under 21 (64865) |
$2,519.25 |
$3,359 |
0.7× |
Suture of infrapatellar tendon; primary Age Under 21 (27380)
likely a partial charge — not the full procedure |
$1,488.75 |
$1,985 |
0.2× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Age Under 21 (27381)
likely a partial charge — not the full procedure |
$2,063.25 |
$2,751 |
0.3× |
Suture of major peripheral nerve, arm or leg, except sciatic; including transposition Age Under 21 (64856)
likely a partial charge — not the full procedure |
$2,415 |
$3,220 |
0.3× |
| Suture of major peripheral nerve, arm or leg, except sciatic; without transposition Age Under 21 (64857) |
$2,488.50 |
$3,318 |
0.7× |
Suture of posterior tibial nerve Age Under 21 (64840)
likely a partial charge — not the full procedure |
$2,337 |
$3,116 |
0.3× |
Suture of quadriceps or hamstring muscle rupture; primary Age Under 21 (27385)
likely a partial charge — not the full procedure |
$1,839 |
$2,452 |
0.2× |
| Suture of sciatic nerve Age Under 21 (64858) |
$2,800.50 |
$3,734 |
1.4× |
| Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single… (44602) |
$2,881.50 |
$3,842 |
0.7× |
| Suture of; brachial plexus Age Under 21 (64861) |
$3,917.25 |
$5,223 |
1.9× |
| Suture of; lumbar plexus Age Under 21 (64862) |
$3,254.25 |
$4,339 |
0.9× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; Age Under 21 (25118) |
$991.50 |
$1,322 |
0.6× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,301.25 |
$1,735 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$171 |
$228 |
0.4× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Age Under 21 (25310) |
$1,785 |
$2,380 |
0.5× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$1,764 |
$2,352 |
0.5× |
Tenodesis long tendon biceps (23430)
likely a partial charge — not the full procedure |
$1,722 |
$2,296 |
0.2× |
| Tenodesis proximal interphalangeal joint each (26471) |
$1,745.25 |
$2,327 |
0.5× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$1,649.25 |
$2,199 |
0.5× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,748.25 |
$2,331 |
1.0× |
| Tenolysis, flexor tendon; palm AND finger, each tendon Age Under 21 (26442) |
$2,595 |
$3,460 |
0.8× |
| Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or… (24358) |
$1,335 |
$1,780 |
0.4× |
| Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25290) |
$1,108.50 |
$1,478 |
0.3× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) Age Under 21 (28232) |
$621.75 |
$829 |
0.4× |
Tenotomy, shoulder area; single tendon Age Under 21 (23405)
likely a partial charge — not the full procedure |
$1,316.25 |
$1,755 |
0.2× |
| Therapeutic spinal puncture drainage csf (62272) |
$2,240.25 |
$2,987 |
3.0× |
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628)
likely a partial charge — not the full procedure |
$969 |
$1,292 |
0.1× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$405.75 |
$541 |
0.6× |
Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral (32608)
likely a partial charge — not the full procedure |
$787.50 |
$1,050 |
0.1× |
| Thrombolysis arterial infusion icra rs&i init tx (37211) |
$4,418.25 |
$5,891 |
0.8× |
| Thyroidectomy Rmvl Remaining Tiss Flwg Prtl Rmvl|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (60260) |
$3,552.38 |
$4,736.50 |
0.6× |
Thyroidectomy, including substernal thyroid; cervical approach (60271)
unusually low — confirm this is the full procedure |
$2,136 |
$2,848 |
0.3× |
Thyroidectomy, total or complete (60240)
unusually low — confirm this is the full procedure |
$2,024.25 |
$2,699 |
0.3× |
Tissue expander placement in breast reconstruction, including subsequent expansion(s) Age Under 21 (19357)
likely a partial charge — not the full procedure |
$3,149.25 |
$4,199 |
0.2× |
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857)
likely a partial charge — not the full procedure |
$4,121.25 |
$5,495 |
0.2× |
Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856)
likely a partial charge — not the full procedure |
$3,960.75 |
$5,281 |
0.2× |
Total knee arthroplasty (27447)
likely a partial charge — not the full procedure |
$3,051 |
$4,068 |
0.2× |
Total thyroid lobectomy, unilateral; with or without isthmusectomy Age Under 21 (60220)
likely a partial charge — not the full procedure |
$1,452 |
$1,936 |
0.2× |
Trachelectomy (cervicectomy), amputation of cervix (separate procedure) Age Under 21 (57530)
likely a partial charge — not the full procedure |
$839.25 |
$1,119 |
0.2× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$555 |
$740 |
2.2× |
Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior… (27691)
likely a partial charge — not the full procedure |
$1,741.88 |
$2,322.50 |
0.2× |
Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690)
likely a partial charge — not the full procedure |
$1,472.25 |
$1,963 |
0.2× |
| Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining… (26483) |
$2,255.25 |
$3,007 |
0.7× |
| Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location Age Under 21 (15650) |
$1,354.12 |
$1,805.50 |
0.6× |
| Transfusion, blood or blood components (36430) |
$824.25 |
$1,099 |
1.8× |
Transoral lower esophageal myotomy (43497)
likely a partial charge — not the full procedure |
$1,902.75 |
$2,537 |
0.3× |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
$4,020.75 |
$5,361 |
0.5× |
Transperineal plmt biodegradable matrl 1/mlt njx (55874)
likely a partial charge — not the full procedure |
$376.50 |
$502 |
0.1× |
| Transplant hand tendon (26480) |
$1,660.88 |
$2,214.50 |
0.5× |
| Transurethral drainage of prostatic abscess Age Under 21 (52700) |
$1,076.25 |
$1,435 |
0.3× |
Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy,… (52601)
likely a partial charge — not the full procedure |
$1,393.50 |
$1,858 |
0.2× |
| Transurethral incision of prostate Age Under 21 (52450) |
$1,164 |
$1,552 |
0.3× |
| Transurethral resection of bladder neck (separate procedure) Age Under 21 (52500) |
$939 |
$1,252 |
0.3× |
| Transurethral resection; of postoperative bladder neck contracture Age Under 21 (52640) |
$808.50 |
$1,078 |
0.2× |
Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative… (52630)
likely a partial charge — not the full procedure |
$1,000.50 |
$1,334 |
0.2× |
Transurethral robotic-assisted waterjet resection of prostate, including intraoperative planning, ultrasound guidance,… (52597)
likely a partial charge — not the full procedure |
$1,452 |
$1,936 |
0.1× |
| Treat big toe fracture (28495) |
$432 |
$576 |
1.7× |
Treat elbow fracture (24586)
likely a partial charge — not the full procedure |
$2,253 |
$3,004 |
0.2× |
| Treat fx distal radial (25606) |
$1,713 |
$2,284 |
0.5× |
Treat fx rad extra-articul (25607)
likely a partial charge — not the full procedure |
$1,729.88 |
$2,306.50 |
0.2× |
| Treat knee fracture (27532) |
$1,561.50 |
$2,082 |
0.5× |
| Treat lower leg fracture (27825) |
$1,274.25 |
$1,699 |
0.8× |
| Treat pleurodesis w/agent (32560) |
$468.75 |
$625 |
0.7× |
Treat radius fracture (24665)
likely a partial charge — not the full procedure |
$1,545.38 |
$2,060.50 |
0.2× |
| Treat tail bone fracture (27200) |
$360.75 |
$481 |
1.4× |
| Treat thumb fracture (26665) |
$1,545.75 |
$2,061 |
0.4× |
| Treat thumb fracture (26645) |
$1,028.25 |
$1,371 |
0.6× |
| Treat toe dislocation (28630) |
$307.12 |
$409.50 |
1.2× |
| Treat wrist bone fracture (25624) |
$1,149 |
$1,532 |
0.7× |
| Treat wrist dislocation (25675) |
$1,030.50 |
$1,374 |
4.0× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$2,385 |
$3,180 |
1.4× |
Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609)
unusually low — confirm this is the full procedure |
$2,394 |
$3,192 |
0.3× |
Treatment of ankle fracture (27822)
likely a partial charge — not the full procedure |
$2,052.38 |
$2,736.50 |
0.3× |
| Treatment of bladder lesion (51720) |
$99.75 |
$133 |
0.1× |
Treatment of broken base of forearm bone on small finger side at wrist (25652)
likely a partial charge — not the full procedure |
$1,575.75 |
$2,101 |
0.2× |
Treatment of broken middle part of upper arm bone with placement of stabilizing device (plate/screws) (24515)
likely a partial charge — not the full procedure |
$2,030.62 |
$2,707.50 |
0.1× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$907.50 |
$1,210 |
3.5× |
| Treatment of foot infection (28003) |
$806.62 |
$1,075.50 |
0.2× |
| Treatment of heel fracture (28405) |
$1,080.75 |
$1,441 |
4.2× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant,… (27245)
unusually low — confirm this is the full procedure |
$2,746.12 |
$3,661.50 |
0.4× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
unusually low — confirm this is the full procedure |
$2,752.88 |
$3,670.50 |
0.4× |
| Treatment of miscarriage (59812) |
$838.50 |
$1,118 |
0.2× |
| Treatment of missed abortion, completed surgically; second trimester Age Under 21 (59821) |
$1,015.12 |
$1,353.50 |
0.3× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
$716.25 |
$955 |
2.8× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$2,039.25 |
$2,719 |
1.2× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$527.25 |
$703 |
2.0× |
Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without… (27759)
likely a partial charge — not the full procedure |
$2,258.25 |
$3,011 |
0.2× |
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (27236)
unusually low — confirm this is the full procedure |
$2,676.75 |
$3,569 |
0.3× |
| Tx superficial wound dehiscence simple closure (12020) |
$531.75 |
$709 |
0.7× |
| Tx superficial wound dehiscence w/packing (12021) |
$387.75 |
$517 |
0.9× |
| Tx tarsal bone fx xcp talus&calcn w/manj (28455) |
$750 |
$1,000 |
0.4× |
| Upgrade of pacemaker system (33214) |
$20,973.75 |
$27,965 |
1.9× |
| Upper arm/elbow surgery unlisted (24999) |
$1,357.88 |
$1,810.50 |
5.2× |
| Urethrectomy, total, including cystostomy; female Age Under 21 (53210) |
$1,839.75 |
$2,453 |
0.5× |
| Urethromeatoplasty, with mucosal advancement Age Under 21 (53450) |
$1,007.25 |
$1,343 |
0.3× |
Urethroplasty, 1-stage reconstruction of male anterior urethra Age Under 21 (53410)
unusually low — confirm this is the full procedure |
$2,161.88 |
$2,882.50 |
0.4× |
Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Age Under 21 (53400)
unusually low — confirm this is the full procedure |
$1,913.25 |
$2,551 |
0.3× |
| Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra Age Under 21 (53000) |
$369.75 |
$493 |
0.2× |
Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external Age Under 21 (53010)
likely a partial charge — not the full procedure |
$751.50 |
$1,002 |
0.1× |
| Urology surgery procedure unlisted (53899) |
$1,524.75 |
$2,033 |
5.8× |
| Vaginal delivery (59409) |
$2,072.62 |
$2,763.50 |
0.6× |
Vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58260)
unusually low — confirm this is the full procedure |
$1,814.25 |
$2,419 |
0.3× |
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) Age Under 21 (58262)
unusually low — confirm this is the full procedure |
$2,000.25 |
$2,667 |
0.4× |
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263)
unusually low — confirm this is the full procedure |
$2,301.75 |
$3,069 |
0.4× |
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) (58291)
unusually low — confirm this is the full procedure |
$2,306.25 |
$3,075 |
0.4× |
| Vascular embolization or occlusion arterial rs&i (37242) |
$12,391.12 |
$16,521.50 |
0.6× |
| Vasectomy (55250) |
$583.50 |
$778 |
0.3× |
| Vbac delivery only (59612) |
$2,098.50 |
$2,798 |
0.6× |
| Venipuncture (36415) |
$30 |
$40 |
3.2× |
| Vermilionectomy (lip shave), with mucosal advancement Age Under 21 (40500) |
$1,168.12 |
$1,557.50 |
0.3× |
| Version cephalic external (59412) |
$2,322 |
$3,096 |
0.7× |
| Vulvectomy simple; complete Age Under 21 (56625) |
$1,643.25 |
$2,191 |
0.5× |
| Wedge excision skin nail fold (11765) |
$194.25 |
$259 |
0.5× |