Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines |
— |
$1,966–$2,432 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,966 |
— |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
— |
$4,791 |
— |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
— |
$4,791 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$4,791 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$8,501 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$8,501 |
— |
| Anoscopy diagnostic (46600) |
— |
$336 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$7,791 |
— |
| Appendectomy (44950) |
— |
$9,876 |
— |
Application finger splint static (29130)
range across 2 matching MRF lines |
— |
$154–$171 |
— |
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines |
— |
$307–$506 |
— |
Application Long Leg Splint (29505)
range across 2 matching MRF lines |
— |
$330–$367 |
— |
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines |
— |
$456–$506 |
— |
Application short leg splint calf foot (29515)
range across 2 matching MRF lines |
— |
$307–$342 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$87 |
— |
Arterial puncture (36600)
range across 2 matching MRF lines |
— |
$69–$137 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$628 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$772 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$619 |
— |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
— |
$7,971 |
— |
| Arthroscopy Knee Osteochondral Allograft (29867) |
— |
$30,763 |
— |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
— |
$7,971 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$7,971 |
— |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
— |
$7,971 |
— |
| Arthroscopy shoulder distal claviculectomy (29824) |
— |
$8,039 |
— |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) |
— |
$17,038 |
— |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
— |
$17,038 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$7,971 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
— |
$7,971 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$7,971 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$18,789 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$8,039 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$8,039 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$17,038 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
— |
$8,039 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$8,039 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$17,038 |
— |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
— |
$7,971 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$7,971 |
— |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) |
— |
$7,971 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$1,581 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$1,154 |
— |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
— |
$417–$527 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$3,394 |
— |
| Biopsy bone open superficial (20240) |
— |
$3,394 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$3,394 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$4,172 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$3,394 |
— |
Biopsy of liver, needle; percutaneous (47000)
range across 4 matching MRF lines |
— |
$2,310–$2,432 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$3,394 |
— |
| Bladder Irrigation (51700) |
— |
$486 |
— |
| Bladder Scan (51798) |
— |
$60 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$627 |
— |
| Blood Transfusion Service (36430) |
— |
$747 |
— |
| Bx breast 1st lesion mr imag (19085) |
— |
$3,394 |
— |
Bx breast 1st lesion strtctc (19081)
range across 6 matching MRF lines |
— |
$3,394–$4,341 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$2,032 |
— |
| Bx/exc lymph node open deep axillary node (38525) |
— |
$9,801 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$9,801 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$4,959 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$193 |
— |
| Chest tube placement (32551) |
— |
$1,187 |
— |
| Clear outer ear canal (69200) |
— |
$489 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$503 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$503 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$503 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$503 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$503 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$503 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$503 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$3,354 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$503 |
— |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
— |
$503 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$503 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$503 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$503 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$503 |
— |
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines |
— |
$552–$612 |
— |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
— |
$3,354 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$503 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$503 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$503 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$503 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$503 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$503 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$503 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$503 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$503 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$259 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$503 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$503 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$503 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$3,354 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$503 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$503 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$277 |
— |
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines |
— |
$27–$31 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$3,219 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$3,219 |
— |
| Colonoscopy thru stoma (44388) |
— |
$2,464 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$3,219 |
— |
| Colonoscopy w/ablation (45388) |
— |
$2,986 |
— |
| Colonoscopy W/Band Ligation (45398) |
— |
$2,486 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$3,219 |
— |
Colonoscopy w/submucosal inj (45381)
range across 2 matching MRF lines |
— |
$2,486–$2,977 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$2,977 |
— |
| Complex drainage wound (10180) |
— |
$5,996 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$271 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$489 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$3,975 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$2,310 |
— |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
— |
$7,227 |
— |
| Correction hammertoe (28285) |
— |
$8,501 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$271 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$489 |
— |
| Curette/treat cornea (65435) |
— |
$2,330 |
— |
| Debride nail 1-5 (11720) |
— |
$128 |
— |
| Debride nail 6 or more (11721) |
— |
$128 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$4,259 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$1,081 |
— |
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines |
— |
$1,910–$2,401 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$1,475 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$3,394 |
— |
| Drainage of finger abscess simple (26010) |
— |
$417 |
— |
| Drainage of gum lesion (41800) |
— |
$271 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$3,776 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$276 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$838 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$417 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$417 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$4,998 |
— |
| Egd cautery tumor polyp (43250) |
— |
$5,042 |
— |
| Egd control bleeding any (43255) |
— |
$3,765 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$3,765 |
— |
| Egd Endoscopic Stent Place (43266) |
— |
$12,470 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$2,203 |
— |
| Egd guide wire insertion (43248) |
— |
$1,931 |
— |
| Egd lesion ablation (43270) |
— |
$3,975 |
— |
| Egd place gastrostomy tube (43246) |
— |
$3,765 |
— |
| Egd remove lesion snare (43251) |
— |
$5,042 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$5,042 |
— |
| Egd Varices Ligation (43244) |
— |
$4,998 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$2,314 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$159 |
— |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
— |
$9,801 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$1,949 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$4,368 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$4,135 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$7,360 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$7,360 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$7,360 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$7,360 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$8,267 |
— |
| Excision; trochanteric bursa or calcification (27062) |
— |
$8,501 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$3,833 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$4,368 |
— |
| Exploration penetrating wound spx chest (20101) |
— |
$3,833 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$3,394 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$1,824 |
— |
| Foreskin manipulation (54450) |
— |
$512 |
— |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
— |
$5,042 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$1,874 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$7,581 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$7,581 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$8,184 |
— |
| Hysteroscopy Endometrial Ablation (58563) |
— |
$13,416 |
— |
| I&d abscess simple (10060) |
— |
$451 |
— |
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines |
— |
$1,838–$2,407 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$1,484 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,647 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$4,329 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$4,329 |
— |
| Incise external hemorrhoid (46083) |
— |
$771 |
— |
| Incise finger tendon sheath (26055) |
— |
$4,104 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$354 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$3,394 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$1,012 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$418 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$844 |
— |
| Incision of rectal abscess (46040) |
— |
$2,470 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$417 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$620 |
— |
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines |
— |
$1,866–$2,394 |
— |
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines |
— |
$1,452–$1,817 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$620 |
— |
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines |
— |
$1,452–$1,817 |
— |
| Injection for identification of sentinel node (38792) |
— |
$843 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$620 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$620 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$620 |
— |
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines |
— |
$1,866–$2,394 |
— |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines |
— |
$1,452–$1,817 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$335 |
— |
| Insert cath pleura w/ image (32557) |
— |
$3,255 |
— |
| Insert cath pleura w/o image (32556) |
— |
$3,975 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$3,975 |
— |
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines |
— |
$3,325–$3,690 |
— |
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 2 matching MRF lines |
— |
$3,255–$4,308 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$367 |
— |
| Insert tunneled cv cath (36561) |
— |
$8,886 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$330 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$7,394 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$3,682 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$6,594 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$4,308 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$7,951 |
— |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines |
— |
$3,255–$4,708 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$14,433 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$8,886 |
— |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
— |
$5,562 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$816 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$926 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$493 |
— |
| Knee arthroscopy/drainage (29871) |
— |
$7,971 |
— |
| Knee Arthroscopy/Surgery (29885) |
— |
$17,038 |
— |
| Knee Arthroscopy/Surgery (29874) |
— |
$7,971 |
— |
| Laparoscopy Enterolysis Separate Procedure (44180) |
— |
$15,704 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$15,704 |
— |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
— |
$15,704 |
— |
| Laparoscopy w/rmvl adnexal structures (58661) |
— |
$15,840 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$15,704 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$15,704 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$15,704 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$15,841 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$408 |
— |
| Late closure of wound (13160) |
— |
$3,423 |
— |
| Lateral retinacular release open (27425) |
— |
$8,501 |
— |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
— |
$4,221 |
— |
| Mastectomy for gynecomastia (19300) |
— |
$9,801 |
— |
| Mastectomy partial (19301) |
— |
$9,801 |
— |
| Mastectomy simple complete (19303) |
— |
$17,176 |
— |
| N block inj intercost sng (64420) |
— |
$1,452 |
— |
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines |
— |
$620–$796 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$838 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$3,394 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$45 |
— |
| Needle insertion w/o injection 3 or more muscles (20561) |
— |
$53 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$335 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$1,804 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$1,804 |
— |
| Occipital Nerve Block (64405) |
— |
$620 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$17,038 |
— |
| Open Repair of Rotator Cuff Acute (23410) |
— |
$17,038 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$17,038 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$17,038 |
— |
| Open treatment metacarpophalangeal dislocation (26715) |
— |
$8,039 |
— |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
— |
$17,038 |
— |
| Open Treatment of Ulnar Shaft Fracture (25545) |
— |
$17,038 |
— |
| Open treatment posterior malleolus fracture (27769) |
— |
$17,038 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$17,038 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$8,039 |
— |
| Open tx carpal scaphoid navicular fracture (25628) |
— |
$17,038 |
— |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
— |
$8,039 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$8,039 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$18,789 |
— |
| Open tx interphalangeal joint dislocation (26785) |
— |
$8,039 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$8,039 |
— |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
— |
$8,039 |
— |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
— |
$17,038 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
— |
$17,038 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
— |
$17,038 |
— |
| Peritoneal Lavage (49084) |
— |
$1,966 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$2,032 |
— |
| Perq device breast 1st imag (19281) |
— |
$4,340 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$468 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$806 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$1,824 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
— |
$674 |
— |
| Realignment of knee (27455) |
— |
$8,054 |
— |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
— |
$18,789 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$2,202 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$3,402 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$128 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$128 |
— |
| Removal Implant Deep (20680) |
— |
$7,463 |
— |
| Removal of nail bed (11750) |
— |
$806 |
— |
| Removal of sperm cord lesion (55520) |
— |
$9,156 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$607 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$558 |
— |
| Remove foreign body from eye (65205) |
— |
$280 |
— |
| Remove lung catheter (32552) |
— |
$1,296 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$320 |
— |
Renal Biopsy Perq (50200)
range across 4 matching MRF lines |
— |
$2,310–$2,432 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$992 |
— |
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152)
range across 2 matching MRF lines |
— |
$1,145–$1,272 |
— |
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 2 matching MRF lines |
— |
$486–$539 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,002 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$486 |
— |
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 3 matching MRF lines |
— |
$1,468–$1,683 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$1,002 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,099 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$9,876 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$9,876 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$9,876 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$486 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$540 |
— |
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines |
— |
$598–$662 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$705 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,143 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$837 |
— |
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines |
— |
$508–$563 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$618 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$727 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$1,145 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$979 |
— |
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines |
— |
$486–$539 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$824 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,036 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$705 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$1,144 |
— |
| Repair of nail bed (11760) |
— |
$1,247 |
— |
| Repair of shoulder (23420) |
— |
$17,038 |
— |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
— |
$9,876 |
— |
| Repair Rotator Cuff Chronic (23412) |
— |
$17,038 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$1,965 |
— |
| Replace G-J Tube Perc (49452) |
— |
$1,965 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$9,876 |
— |
| Revise/Repair Finger/Toe Nerve (64702) |
— |
$5,072 |
— |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
— |
$3,394 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$836 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$271 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$836 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$2,470 |
— |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
— |
$5,910 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$4,365 |
— |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
— |
$558 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$511 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$3,255 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$6,594 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$15,841 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$9,876 |
— |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
— |
$10,765 |
— |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
— |
$10,765 |
— |
| Rpr aa hrn 1st 3-10 rdc (49593) |
— |
$10,765 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$15,841 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$3,255 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$604 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$948 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$1,296 |
— |
| Scapulopexy (eg, Sprengels deformity or for paralysis) Facility (23400) |
— |
$18,789 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$3,533 |
— |
| Shoulder arthroscopy (29820) |
— |
$17,038 |
— |
| Shoulder arthroscopy diagnostic (29805) |
— |
$8,039 |
— |
| Shoulder Arthroscopy/Surgery (29825) |
— |
$8,039 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$605 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$333 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$375 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$657 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$384 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$768 |
— |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines |
— |
$300–$333 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$768 |
— |
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines |
— |
$604–$670 |
— |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines |
— |
$453–$501 |
— |
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines |
— |
$549–$607 |
— |
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines |
— |
$333–$657 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,821 |
— |
| Strapping ankle (29540) |
— |
$331 |
— |
| Strapping elbow or wrist (29260) |
— |
$125 |
— |
| Strapping knee (29530) |
— |
$271 |
— |
| Strapping shoulder (29240) |
— |
$271 |
— |
| Strapping Unna Boot (29580) |
— |
$331 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$18,789 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$769 |
— |
| Thyroid biopsy (60100) |
— |
$1,704 |
— |
| Tibial Arthroscopy/Surgery (29855) |
— |
$18,789 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$1,716 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$1,561 |
— |
| Transfer of iliopsoas muscle (27110) |
— |
$18,789 |
— |
| Treat ankle dislocation (27848) |
— |
$4,890 |
— |
| Treat Ankle Dislocation (27846) |
— |
$17,038 |
— |
| Treat Finger Fracture Each (26727) |
— |
$6,798 |
— |
| Treat fracture radius/ulna (25575) |
— |
$17,038 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$17,038 |
— |
| Treat knee fracture (27532) |
— |
$6,798 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$503 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$503 |
— |
| Treat thumb fracture (26665) |
— |
$8,039 |
— |
| Treatment of ankle fracture (27823) |
— |
$17,038 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$283 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$992 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$494 |
— |
| Unlisted procedure nervous system (64999) |
— |
$335 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$621 |
— |
Vaginal delivery only (59409)
range across 2 matching MRF lines |
— |
$7,210–$8,211 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$5,350 |
— |
| Wedge excision skin nail fold (11765) |
— |
$806 |
— |