| Abd paracentesis w/imaging (49083) |
— |
$2,381 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,966 |
— |
| 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 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$87 |
— |
| Application finger splint static (29130) |
— |
$162.50 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$406.50 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$348.50 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$481 |
— |
| Application short leg splint calf foot (29515) |
— |
$324.50 |
— |
| Arterial puncture (36600) |
— |
$103 |
— |
| 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 w/lysis adhesions w/wo manj spx (29884) |
— |
$7,971 |
— |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
— |
$7,971 |
— |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
— |
$7,971 |
— |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
— |
$7,971 |
— |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
— |
$7,971 |
— |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
— |
$7,971 |
— |
| Arthroscopy, Knee, Surgical; Meniscal Transplantation (Includes Arthrotomy For Meniscal Insertion), Medial Or Lateral (29868) |
— |
$17,038 |
— |
| Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) |
— |
$30,763 |
— |
| Arthroscopy, Knee, Surgical; Osteochondral Autograft(S) (Eg, Mosaicplasty) (Includes Harvesting Of The Autograft) (29866) |
— |
$17,038 |
— |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
— |
$7,971 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$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; distal claviculectomy including distal articular surface (29824) |
— |
$8,039 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$17,038 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
— |
$8,039 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, partial (29820) |
— |
$17,038 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$8,039 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$17,038 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$472 |
— |
| 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 or excision of lymph node(s); open, superficial (38500) |
— |
$9,801 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$3,394 |
— |
| Biopsy/removal lymph nodes (38525) |
— |
$9,801 |
— |
| Bl push transfuse 2 yr/< (36440) |
— |
$674 |
— |
| Bladder Irrigation Simple (51700) |
— |
$486 |
— |
| Bladder Scan (51798) |
— |
$60 |
— |
| Blood transfusion service (36430) |
— |
$747 |
— |
| Bx abdl/retroperitoneal mass prq needle (49180) |
— |
$3,394 |
— |
| Bx breast 1st lesion mr imag (19085) |
— |
$3,394 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$4,062 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$2,032 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$3,394 |
— |
| Catheter Aspiration Nasotracheal Spx (31720) |
— |
$193 |
— |
| Change g-tube to g-j perc (49446) |
— |
$3,975 |
— |
| Chest tube placement (32551) |
— |
$1,187 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$277 |
— |
| Closed Rx Radial Shaft Fx (25500) |
— |
$503 |
— |
| Closed Rx Tibial Plateau Fx (27530) |
— |
$503 |
— |
| 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 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) |
— |
$582 |
— |
| 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 metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$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 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$3,219 |
— |
| Colonoscopy stoma w/biopsy (44389) |
— |
$3,219 |
— |
| Colonoscopy stoma w/snare (44394) |
— |
$3,219 |
— |
| Colonoscopy thru stoma (44388) |
— |
$2,464 |
— |
| Colonoscopy w/ablation (45388) |
— |
$2,986 |
— |
| Colonoscopy w/band ligation (45398) |
— |
$2,486 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$3,219 |
— |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
— |
$2,977 |
— |
| Colsc flx with directed submucosal njx any sbst (45381) |
— |
$2,731.50 |
— |
| Complex Drainage, Wound (10180) |
— |
$5,996 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$271 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$489 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$2,310 |
— |
| 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 subcutaneous tissue 20 sq cm/< (11042) |
— |
$1,081 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$4,259 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$2,155.50 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$1,475 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$3,394 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$417 |
— |
| Drainage of eyelid abscess (67700) |
— |
$627 |
— |
| 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 |
— |
| Dry Needling 3+ Muscles (20561) |
— |
$53 |
— |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
— |
$3,975 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$4,998 |
— |
| Egd Dilation Gastric/Duodenal Stricture - Egd (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 place gastrostomy tube (43246) |
— |
$3,765 |
— |
| Egd rem tumr/polyp forcep (43250) |
— |
$5,042 |
— |
| Egd remove lesion snare (43251) |
— |
$5,042 |
— |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
— |
$3,765 |
— |
| 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 Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
— |
$4,135 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$4,368 |
— |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
— |
$7,360 |
— |
| Excision Breast Lesion (19125) |
— |
$9,801 |
— |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
— |
$1,949 |
— |
| Excision of nail fold toe (11765) |
— |
$806 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$7,360 |
— |
| Excision pilonidal cyst/sinus complicated (11772) |
— |
$7,360 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$8,267 |
— |
| 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 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$1,824 |
— |
| Fixation of shoulder (23700) |
— |
$4,221 |
— |
| Fixation of shoulder blade (23400) |
— |
$18,789 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$283 |
— |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
— |
$5,042 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$1,874 |
— |
| Hemorrhoidectomy (46255) |
— |
$7,581 |
— |
| Hysteroscopy ablation (58563) |
— |
$13,416 |
— |
| Hysteroscopy biopsy (58558) |
— |
$8,184 |
— |
| I&d abscess simple (10060) |
— |
$451 |
— |
| I&d perianal abscess superficial (46050) |
— |
$2,122.50 |
— |
| 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 finger tendon sheath (26055) |
— |
$4,104 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$354 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$1,484 |
— |
| 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 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$771 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$417 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$620 |
— |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
— |
$2,130 |
— |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
— |
$1,634.50 |
— |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
— |
$708 |
— |
| Inject Nerv Blck,Axillary Nerv (64417) |
— |
$2,130 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$1,452 |
— |
| Inject Tendon Origin/Insert (20551) |
— |
$620 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$1,634.50 |
— |
| Injection aa&/strd suprascapular nerve (64418) |
— |
$1,634.50 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$335 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$335 |
— |
| Injection for identification of sentinel node (38792) |
— |
$843 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$620 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$620 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$620 |
— |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
— |
$620 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$3,975 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$3,507.50 |
— |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
— |
$6,594 |
— |
| Insert picc cath (36569) |
— |
$4,308 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$3,781.50 |
— |
| 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 |
— |
| Insertion picc w/rs&i < 5 yr (36572) |
— |
$4,308 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$7,951 |
— |
| 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 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$493 |
— |
| Knee arthroscopy/surgery (29883) |
— |
$7,971 |
— |
| Knee arthroscopy/surgery (29885) |
— |
$17,038 |
— |
| Knee arthroscopy/surgery (29876) |
— |
$7,971 |
— |
| Knee arthroscopy/surgery (29886) |
— |
$7,971 |
— |
| Lap ing hernia repair init (49650) |
— |
$15,704 |
— |
| Laparoscopy appendectomy (44970) |
— |
$15,704 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$15,704 |
— |
| Laparoscopy Remove Adnexa (58661) |
— |
$15,840 |
— |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
— |
$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 Indirect Diagnostic Spx (31505) |
— |
$408 |
— |
| Late closure of wound (13160) |
— |
$3,423 |
— |
| Lateral retinacular release open (27425) |
— |
$8,501 |
— |
| Liver Biopsy (47000) |
— |
$2,432 |
— |
| Mastectomy gynecomastia (19300) |
— |
$9,801 |
— |
| Mastectomy partial (19301) |
— |
$9,801 |
— |
| Mastectomy simple complete (19303) |
— |
$17,176 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$838 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$45 |
— |
| Neuroplasty digital 1/both same digit (64702) |
— |
$5,072 |
— |
| 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 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$17,038 |
— |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
— |
$17,038 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$17,038 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$17,038 |
— |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
— |
$17,038 |
— |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
— |
$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 Distal Phalangeal Fracture Each (26765) |
— |
$8,039 |
— |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
— |
$17,038 |
— |
| Open tx interphalangeal joint dislocation (26785) |
— |
$8,039 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$8,039 |
— |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
— |
$18,789 |
— |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
— |
$8,039 |
— |
| Optx post ankle fx (27769) |
— |
$17,038 |
— |
| Peritoneal Lavage (49084) |
— |
$1,966 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$2,032 |
— |
| Perq device breast 1st imag (19281) |
— |
$4,340 |
— |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
— |
$3,255 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$3,975 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$511 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$468 |
— |
| Preputial Stretching (54450) |
— |
$512 |
— |
| Puncture Aspiration (10160) |
— |
$806 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$1,824 |
— |
| Realignment of knee (27455) |
— |
$8,054 |
— |
| Reconstr disloc patella w mscl adv (27422) |
— |
$18,789 |
— |
| Removal fb intranasal (30300) |
— |
$320 |
— |
| 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 indwelling tunneled pleural catheter with cuff (32552) |
— |
$1,296 |
— |
| Removal of nail bed (11750) |
— |
$806 |
— |
| Removal of sperm cord lesion (55520) |
— |
$9,156 |
— |
| Removal/bivalving full arm/full leg cast (29705) |
— |
$607 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$558 |
— |
| Remove by ligat int hem grp (46945) |
— |
$5,562 |
— |
| Remove femur lesion/bursa (27062) |
— |
$8,501 |
— |
| Remove foreign body from eye (65210) |
— |
$836 |
— |
| Remove in/ex hem groups 2+ (46260) |
— |
$7,581 |
— |
| Remove Pilonidal Cyst Exten (11771) |
— |
$7,360 |
— |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
— |
$3,394 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$489 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$280 |
— |
| Remv/revisn shldr/hip spica cast (29710) |
— |
$558 |
— |
| Renal biopsy (50200) |
— |
$2,371 |
— |
| 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) |
— |
$1,208.50 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$512.50 |
— |
| 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) |
— |
$1,629 |
— |
| 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 12.6-20.0cm (12055) |
— |
$816 |
— |
| 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 20.1-30.0cm (12056) |
— |
$926 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$630 |
— |
| 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) |
— |
$535.50 |
— |
| 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) |
— |
$512.50 |
— |
| 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 anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
— |
$10,765 |
— |
| Repair of nail bed (11760) |
— |
$1,247 |
— |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
— |
$17,038 |
— |
| Repair of shoulder (23420) |
— |
$17,038 |
— |
| Repair rotator cuff acute (23410) |
— |
$17,038 |
— |
| Replace duod/jej tube perc (49451) |
— |
$1,965 |
— |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
— |
$1,965 |
— |
| Rerepair ing hernia blocked (49521) |
— |
$9,876 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$9,876 |
— |
| Revise median n/carpal tunnel surg (64721) |
— |
$4,959 |
— |
| Revision of penis (54435) |
— |
$7,227 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$836 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$271 |
— |
| 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 |
— |
| 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 3-10 cm reducible (49593) |
— |
$10,765 |
— |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
— |
$15,841 |
— |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
— |
$9,876 |
— |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
— |
$10,765 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$3,255 |
— |
| 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 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$3,533 |
— |
| Shldr arthroscop,lyse adhesns (29825) |
— |
$8,039 |
— |
| Shoulder arthroscopy (29805) |
— |
$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 7.6cm-12.5 cm (12015) |
— |
$604 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$768 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$316.50 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$768 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$637 |
— |
| Skin tissue rearrangement (14040) |
— |
$4,791 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$477 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$578 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$495 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,821 |
— |
| Strapping ankle (29540) |
— |
$331 |
— |
| Strapping elbow/wrist (29260) |
— |
$125 |
— |
| Strapping knee (29530) |
— |
$271 |
— |
| Strapping shoulder (29240) |
— |
$271 |
— |
| Strapping unna boot (29580) |
— |
$331 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$18,789 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$1,581 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$1,154 |
— |
| Thrombolytic Therapy, Stroke (37195) |
— |
$769 |
— |
| Thyroid biopsy (60100) |
— |
$1,704 |
— |
| Tibial arthroscopy/surgery (29855) |
— |
$18,789 |
— |
| Tis trnfr trunk 10 sq cm/< (14000) |
— |
$4,791 |
— |
| Tis trnfr trunk 10.1-30sqcm (14001) |
— |
$4,791 |
— |
| 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 of radius (25526) |
— |
$17,038 |
— |
| Treat fracture radius/ulna (25575) |
— |
$17,038 |
— |
| Treat fx rad extra-articul (25607) |
— |
$17,038 |
— |
| Treat hand dislocation (26685) |
— |
$8,039 |
— |
| Treat knee fracture (27532) |
— |
$6,798 |
— |
| Treat knuckle dislocation (26715) |
— |
$8,039 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$503 |
— |
| Treat thumb fracture (26665) |
— |
$8,039 |
— |
| Treatment of ankle fracture (27822) |
— |
$17,038 |
— |
| 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) |
— |
$7,710.50 |
— |
| Vasectomy (55250) |
— |
$5,350 |
— |
| Venipuncture (36415) |
— |
$27 |
— |