| Abd paracentesis w/imaging (49083) |
— |
$892 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$583.75 |
— |
| Ablate inf turbinate submuc (30802) |
— |
$712 |
— |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
— |
$548.50 |
— |
| Acne Surgery (10040) |
— |
$209 |
— |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
— |
$1,918 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$3,303.50 |
— |
| Amp thigh thru femur sec closure/scar revision (27594) |
— |
$2,403 |
— |
| Amputate metacarpal bone (26910) |
— |
$2,669 |
— |
| Amputate Thigh,Re-Amputatn (27596) |
— |
$3,183.50 |
— |
| Amputation Finger/Thumb (26951) |
— |
$2,184.75 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$1,509 |
— |
| Amputation thigh through femur any level (27590) |
— |
$2,522 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$3,226.25 |
— |
| Amputation Toe Metatarsophalangeal Joint (28820) |
— |
$1,371 |
— |
| Amputation, foot; transmetatarsal (28805) |
— |
$5,549.50 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$3,547 |
— |
| Ankle arthroscopy/surgery (29892) |
— |
$6,639 |
— |
| Ankle Scope,Excis Osteochon Defct (29891) |
— |
$3,101 |
— |
| Anoscopy (46611) |
— |
$1,143.25 |
— |
| Anoscopy Ablation Lesion (46615) |
— |
$507.25 |
— |
| Anoscopy control bleeding (46614) |
— |
$899.50 |
— |
| Anoscopy diagnostic (46600) |
— |
$136 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$559.25 |
— |
| Anoscopy w/rmvl lesion cautery (46610) |
— |
$307 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$293.50 |
— |
| Anrct xm surg req anes general spi/edrl dx (45990) |
— |
$470 |
— |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
— |
$3,078.50 |
— |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
— |
$3,022 |
— |
| Appendectomy (44950) |
— |
$5,091.75 |
— |
| Application cast elbow finger short arm (29075) |
— |
$242 |
— |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
— |
$239.50 |
— |
| Application finger splint static (29130) |
— |
$250.25 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$286.50 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$249.25 |
— |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
— |
$3,580.50 |
— |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
— |
$1,792 |
— |
| Application of long leg cast (29345) |
— |
$303.50 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$205 |
— |
| Application short leg splint calf foot (29515) |
— |
$194.25 |
— |
| Apply long leg cast brace (29358) |
— |
$508.50 |
— |
| Apply short leg cast (29405) |
— |
$278.25 |
— |
| Arterial puncture (36600) |
— |
$162 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$2,785.50 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$216.50 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$293.50 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$293.50 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$291 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$254.50 |
— |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
— |
$8,292.50 |
— |
| Arthroplasty knee fc/tp (27442) |
— |
$3,899.50 |
— |
| Arthroplasty, patella; without prosthesis (27437) |
— |
$2,913.50 |
— |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
— |
$3,158.50 |
— |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
— |
$3,509 |
— |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
— |
$1,993.50 |
— |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
— |
$1,652 |
— |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
— |
$1,721.50 |
— |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
— |
$1,589.50 |
— |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
— |
$1,801 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$2,239.50 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$2,913.50 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$1,822 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$3,377 |
— |
| Arthrotomy, with synovectomy, ankle; (27625) |
— |
$4,325 |
— |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
— |
$5,549.50 |
— |
| Aspir/inj thyroid cyst (60300) |
— |
$1,038.50 |
— |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
— |
$162 |
— |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
— |
$1,328.75 |
— |
| Av fusion/forearm vein (36820) |
— |
$3,221.50 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$334.75 |
— |
| Axillary lymphadenectomy superficial 38740 (38740) |
— |
$2,543.50 |
— |
| Axillary lymphadenectomy; complete (38745) |
— |
$3,239.50 |
— |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
— |
$1,836.50 |
— |
| Biopsy bone open superficial (20240) |
— |
$1,991 |
— |
| Biopsy Breast Open Incisional (19101) |
— |
$1,467.50 |
— |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
— |
$308 |
— |
| Biopsy external ear (69100) |
— |
$507.50 |
— |
| Biopsy muscle deep (20205) |
— |
$557.50 |
— |
| Biopsy Muscle Superficial (20200) |
— |
$362.50 |
— |
| Biopsy of mouth lesion (40808) |
— |
$404 |
— |
| Biopsy of penis (54100) |
— |
$790 |
— |
| Biopsy of uterus lining (58100) |
— |
$292 |
— |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
— |
$1,129.75 |
— |
| Biopsy Vaginal Mucosa Extensive (57105) |
— |
$498 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$260 |
— |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
— |
$774.50 |
— |
| Biopsy/removal lymph nodes (38525) |
— |
$3,305.75 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$1,666.50 |
— |
| Bladder Instillation Anticarcinogenic Agent (51720) |
— |
$641.50 |
— |
| Bladder Irrigation Simple (51700) |
— |
$350.75 |
— |
| Bladder Scan (51798) |
— |
$182.75 |
— |
| Blood patch (62273) |
— |
$299.50 |
— |
| Blood transfusion service (36430) |
— |
$1,218 |
— |
| Bone graft, any donor area; major or large (20902) |
— |
$724 |
— |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
— |
$1,919 |
— |
| Breast augmentation with implant (19325) |
— |
$3,028.50 |
— |
| Bronchosc dx w/w/o fluor&wash (31622) |
— |
$605.50 |
— |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
— |
$661 |
— |
| Bx anorectal wall anal approach (45100) |
— |
$1,100.50 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$381.50 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$2,173 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$2,322 |
— |
| Bx vulva/perineum 1 lesion (56605) |
— |
$284.50 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$2,038.75 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$3,142 |
— |
| Catheter Aspiration Nasotracheal Spx (31720) |
— |
$206 |
— |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
— |
$414.50 |
— |
| Cervical lymphadenectomy (complete) (38720) |
— |
$5,462 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$412 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$258 |
— |
| Chemical Cautery Tissue (17250) |
— |
$230.50 |
— |
| Chest tube placement (32551) |
— |
$710 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$87.50 |
— |
| Chromotubation of oviduct, including materials (58350) |
— |
$309 |
— |
| Circum 28 days or older (54161) |
— |
$1,007 |
— |
| Circumcision (54150) |
— |
$685.50 |
— |
| Circumcision Neonate (54160) |
— |
$1,170 |
— |
| Claviculectomy; partial (23120) |
— |
$1,871.50 |
— |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
— |
$654.50 |
— |
| Closed Rx Humeral Supracondylar Fx (24530) |
— |
$759 |
— |
| Closed Rx Med Malleolus Fx (27760) |
— |
$714 |
— |
| Closed Rx Med Malleolus Fx,Manip (27762) |
— |
$991 |
— |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
— |
$1,111 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$1,794 |
— |
| Closed Rx Radial Shaft Fx (25500) |
— |
$639 |
— |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
— |
$1,151.50 |
— |
| Closed Rx Tibia Shaft Fx (27750) |
— |
$909.25 |
— |
| Closed Rx Tibial Plateau Fx (27530) |
— |
$924 |
— |
| Closed Rx Trimalleolar Fx (27816) |
— |
$840.50 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$1,814.50 |
— |
| Closed treat wrist dislocation (25660) |
— |
$971 |
— |
| Closed Treatment Coccygeal Fracture (27200) |
— |
$551.75 |
— |
| Closed treatment nasal fracture w/stabilization (21320) |
— |
$4,235.50 |
— |
| Closed treatment of broken top of shin bone at knee (27538) |
— |
$1,540 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$898.50 |
— |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
— |
$638 |
— |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
— |
$740.25 |
— |
| Closed treatment of talus fracture; without manipulation (28430) |
— |
$679.75 |
— |
| Closed Treatment Sternum Fracture (21820) |
— |
$557 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$873 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$662 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$1,338.50 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$418.50 |
— |
| Closed tx calcaneal fracture w/o manipulation (28400) |
— |
$673.75 |
— |
| Closed tx knee dislocation w/anesthesia (27552) |
— |
$1,628.50 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$770 |
— |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
— |
$1,202.25 |
— |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
— |
$1,186 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$540.50 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$1,167 |
— |
| Closed tx nasal fracture w/o stabilization (21315) |
— |
$548.75 |
— |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
— |
$2,360.50 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$1,604.50 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$627.25 |
— |
| Closed tx patellar fracture w/o manipulation (27520) |
— |
$746 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$1,152.25 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$612.75 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$988.25 |
— |
| Closed tx scapular fracture w/o manipulation (23570) |
— |
$569 |
— |
| Closed tx septal&nose fx (21337) |
— |
$1,065 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$540.50 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$450 |
— |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
— |
$588 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$673.75 |
— |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
— |
$1,012 |
— |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
— |
$2,130 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$539.25 |
— |
| Clsd tx clavicular fracture w/manipulation (23505) |
— |
$703.50 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$500.25 |
— |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
— |
$774.75 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$1,540 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$913.50 |
— |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
— |
$586.50 |
— |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
— |
$688.75 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$589 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$890.50 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$1,088.50 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$534.50 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$398.50 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$920 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,731.50 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$1,071.75 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$507 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$369.25 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$524.50 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$372 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$1,902.25 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$840.50 |
— |
| Cltx greater trochanteric fx w/o manj (27246) |
— |
$1,360.50 |
— |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
— |
$858.50 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$1,193.50 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$339 |
— |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
— |
$2,889 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$440.25 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$731.50 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$828.50 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$594.25 |
— |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$428 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$884.50 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$509.50 |
— |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
— |
$2,602 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$1,048.75 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$774.50 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$611.75 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$1,123.25 |
— |
| Cltx prox tibfib jt dislc req anes (27831) |
— |
$1,255 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$403.50 |
— |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
— |
$968 |
— |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
— |
$1,318 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$1,558.50 |
— |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
— |
$3,476 |
— |
| Colonoscopy flex w/rem forcep (45384) |
— |
$1,086 |
— |
| Colonoscopy stoma w/biopsy (44389) |
— |
$1,703 |
— |
| Colonoscopy stoma w/snare (44394) |
— |
$1,387.75 |
— |
| Colonoscopy w/ablation (45388) |
— |
$2,455.50 |
— |
| Colonoscopy w/band ligation (45398) |
— |
$2,715.75 |
— |
| Colonoscopy w/endoscopic fnb (45392) |
— |
$1,454 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$1,027.50 |
— |
| Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283) |
— |
$2,690 |
— |
| Colporrhaphy suture injury vagina (57200) |
— |
$1,333.50 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$497.75 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$263 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$720.50 |
— |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
— |
$648 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$356 |
— |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
— |
$494.50 |
— |
| Colposcopy vulva (56820) |
— |
$368 |
— |
| Colposcopy vulva w/biopsy (56821) |
— |
$454.50 |
— |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
— |
$411 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$484.50 |
— |
| Colpotomy; with exploration (57000) |
— |
$5,184 |
— |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
— |
$4,280 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
— |
$1,838.25 |
— |
| Colsc flx with directed submucosal njx any sbst (45381) |
— |
$1,003 |
— |
| Complex Cystometrogram (51726) |
— |
$1,202 |
— |
| Complex Drainage, Wound (10180) |
— |
$926.50 |
— |
| Composite skin graft (15760) |
— |
$4,858 |
— |
| Conization of cervix (57520) |
— |
$1,069 |
— |
| Conization of cervix (57522) |
— |
$937 |
— |
| Construction of vagina (57291) |
— |
$2,623.50 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$473.75 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$322.50 |
— |
| Correction hammertoe (28285) |
— |
$4,346 |
— |
| Correction of bunion (28298) |
— |
$7,055 |
— |
| Correction of bunion (28292) |
— |
$4,916 |
— |
| Correction of bunion (28299) |
— |
$6,994.50 |
— |
| Correction of bunion (28297) |
— |
$7,748 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$8,437.50 |
— |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
— |
$8,437.50 |
— |
| Cryosurgical ablation prostate w/us & monitori (55873) |
— |
$5,506 |
— |
| Cryotherapy of skin (17340) |
— |
$217.50 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$629.50 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$484.50 |
— |
| Curette/treat cornea (65435) |
— |
$535 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$663 |
— |
| Cysto insj urtrl gd wire prq nfros rtrgr (52334) |
— |
$4,543 |
— |
| Cysto w fulg of minor lesions <0.5cm (52224) |
— |
$6,237 |
— |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
— |
$2,230 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$878.50 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$1,326 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$1,847 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$1,867 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$1,836.50 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$1,875 |
— |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
— |
$1,730 |
— |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
— |
$9,449 |
— |
| Cystoscopy and treatment (52330) |
— |
$1,318.50 |
— |
| Cystoscopy implant stent (52282) |
— |
$1,679 |
— |
| Cystoscopy stone removal (52325) |
— |
$1,456 |
— |
| Cystoscopy w/biopsy (52204) |
— |
$2,589 |
— |
| Cystoscopy w/complex removal stone & stent (52315) |
— |
$1,241 |
— |
| Cystoscopy,Dil Urethral Stricture (52281) |
— |
$2,233.50 |
— |
| Cystoscopy,insert ureteral stent (52332) |
— |
$816 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$1,200 |
— |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) |
— |
$2,064 |
— |
| Cystotomy/cystostomy fulg&/insj radact matrl (51020) |
— |
$1,866 |
— |
| Cystourethroscopy (52000) |
— |
$1,198.75 |
— |
| Cystourethroscopy w/dil bladder general anesth (52260) |
— |
$942 |
— |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
— |
$1,753 |
— |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
— |
$1,241 |
— |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
— |
$1,699.50 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$194.75 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$2,078.75 |
— |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
— |
$1,625.50 |
— |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
— |
$1,428.50 |
— |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
— |
$1,543.50 |
— |
| Debride nail 1-5 (11720) |
— |
$109.75 |
— |
| Debride skin musc at fx site (11011) |
— |
$1,309.75 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$301 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$607.25 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$914.25 |
— |
| Declot vascular device (36593) |
— |
$840 |
— |
| Delivery placenta separate procedure (59414) |
— |
$351.50 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$716.50 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$707.50 |
— |
| Destruction anal lesion(s) (46924) |
— |
$751.50 |
— |
| Destruction benign lesions 15 or more (17111) |
— |
$323.50 |
— |
| Destruction Benign Lesions Up To 14 (17110) |
— |
$237.50 |
— |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
— |
$298.50 |
— |
| Destruction Lesions Vulva Extensive (56515) |
— |
$789 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$450 |
— |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
— |
$560.50 |
— |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
— |
$560.50 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$297.50 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$191.25 |
— |
| Destruction Vaginal Lesions Extensive (57065) |
— |
$678 |
— |
| Destruction vaginal lesions simple (57061) |
— |
$388.50 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$244 |
— |
| Dilat urethral strix/vesical nck dilat male anes (53605) |
— |
$285.50 |
— |
| Dilate Urethra Stricture (53600) |
— |
$439 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$832.50 |
— |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
— |
$1,652 |
— |
| Dilation of anal sphincter (45905) |
— |
$683.50 |
— |
| Dilation of cervical canal (57800) |
— |
$2,843.75 |
— |
| Dilation of female urethra including suppository and/or instillation; initial (53660) |
— |
$338 |
— |
| Division of fallopian tube (58600) |
— |
$1,556 |
— |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
— |
$337.25 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$379.50 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$1,285 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$516 |
— |
| Drainage mouth roof lesion (42000) |
— |
$396.25 |
— |
| Drainage of deep rectal abscess (45020) |
— |
$2,100 |
— |
| Drainage of eyelid abscess (67700) |
— |
$352.25 |
— |
| Drainage of gum lesion (41800) |
— |
$506 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$452 |
— |
| Drainage of hydrocele (55000) |
— |
$592 |
— |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
— |
$722 |
— |
| Drainage of ovarian cyst(s) (58800) |
— |
$1,377 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$642.75 |
— |
| Draw blood off venous device (36591) |
— |
$87.50 |
— |
| Dressing change under anesthesia (15852) |
— |
$148 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$603 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$443.75 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$206.75 |
— |
| Dstrj lesion anus simple chemical (46900) |
— |
$520.50 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$877.50 |
— |
| Dstrj lesion penis simple surg excision (54060) |
— |
$547 |
— |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
— |
$1,479.25 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$700.50 |
— |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
— |
$2,272.50 |
— |
| Egd flexible foreign body removal (43247) |
— |
$807 |
— |
| Egd guide wire insertion (43248) |
— |
$724 |
— |
| Egd place gastrostomy tube (43246) |
— |
$1,036.50 |
— |
| Egd rem tumr/polyp forcep (43250) |
— |
$2,380 |
— |
| Egd remove lesion snare (43251) |
— |
$834.50 |
— |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
— |
$1,114 |
— |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
— |
$918 |
— |
| Endocervical Curettage (57505) |
— |
$324.50 |
— |
| Endometrial Cryoablation With Ultrasonic Guidance, Including Endometrial Curettage, When Performed (58356) |
— |
$1,378 |
— |
| Endoscopic Injection/Implant (51715) |
— |
$3,454 |
— |
| Enterorrhaphy single perforation (44602) |
— |
$4,204 |
— |
| Epididymectomy unilateral (54860) |
— |
$1,822 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$880 |
— |
| Escharotomy initial incision (16035) |
— |
$808.50 |
— |
| Esoph endoscopy dilation (43226) |
— |
$1,322 |
— |
| Esophagogastroduodenoscopy submucosal injection (43236) |
— |
$1,461.50 |
— |
| Esophagosc dilate balloon 30 (43214) |
— |
$722 |
— |
| Esophagoscopy flex biopsy (43202) |
— |
$450 |
— |
| Esophagoscopy flexible removal foreign body (43215) |
— |
$630 |
— |
| Esophagoscopy flexible transoral diagnostic (43200) |
— |
$413 |
— |
| Esophagoscopy w/us needle bx (43232) |
— |
$997.50 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$142.75 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$1,288.50 |
— |
| Exc abd les sc 3 cm/> (22903) |
— |
$1,755 |
— |
| Exc arm/elbow les sc 3 cm/> (24071) |
— |
$1,438.50 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$1,803.50 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$608 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
— |
$1,009.50 |
— |
| Exc back les sc < 3 cm (21930) |
— |
$1,734 |
— |
| Exc face les sbq 2 cm/> (21012) |
— |
$1,079 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$395 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$837.25 |
— |
| Exc forearm les sc 3 cm/> (25071) |
— |
$1,707.50 |
— |
| Exc forearm les sc < 3 cm (25075) |
— |
$1,269.50 |
— |
| Exc hand les sc < 1.5 cm (26115) |
— |
$3,047.50 |
— |
| Exc hydrocele sprmatic cord uni spx (55500) |
— |
$1,560.75 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$1,372.50 |
— |
| Exc neck tum deep < 5 cm (21556) |
— |
$2,435 |
— |
| Exc rect tum transanal part (45171) |
— |
$2,524.50 |
— |
| Exc shoulder les sc 3 cm/> (23071) |
— |
$1,665.50 |
— |
| Exc skin abd (15830) |
— |
$4,927 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
— |
$446 |
— |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
— |
$384 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$433.25 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$603.75 |
— |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
— |
$871 |
— |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
— |
$621.50 |
— |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
— |
$1,443 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$1,073.50 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$1,112.75 |
— |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
— |
$878.75 |
— |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
— |
$3,708 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$1,159.50 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$1,375.75 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$1,770.75 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$520.50 |
— |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
— |
$312.50 |
— |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
— |
$2,795 |
— |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
— |
$2,500.50 |
— |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
— |
$1,424 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$1,677 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$1,317 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$1,407.75 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$3,327 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
— |
$1,786.50 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$1,537.50 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$1,493.50 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$1,918 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$1,608.50 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$1,966.50 |
— |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
— |
$1,544 |
— |
| Excise excess skin & tissue (15839) |
— |
$3,941 |
— |
| Excise lesion testis (54512) |
— |
$2,008 |
— |
| Excise/repair mouth lesion (40812) |
— |
$1,119.50 |
— |
| Excision Breast Lesion (19125) |
— |
$1,733.50 |
— |
| Excision Chalazion Single (67800) |
— |
$366 |
— |
| Excision external ear partial simple repair (69110) |
— |
$2,128.50 |
— |
| Excision hidradenitis axillary complex repair (11451) |
— |
$2,466 |
— |
| Excision hydrocele bilateral (55041) |
— |
$2,052 |
— |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
— |
$456.50 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$583 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$2,066.50 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
— |
$762.50 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$788 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$619.75 |
— |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
— |
$751.75 |
— |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
— |
$731 |
— |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
— |
$1,383.75 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$465 |
— |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
— |
$589.50 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$678 |
— |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
— |
$803 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$2,605 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$647 |
— |
| Excision of bartholin's gland or cyst (56740) |
— |
$3,382 |
— |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
— |
$509.50 |
— |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
— |
$690.50 |
— |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
— |
$1,446 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$1,428.50 |
— |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
— |
$577.50 |
— |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
— |
$1,847.50 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$526 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$338 |
— |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
— |
$1,693.50 |
— |
| Excision of lingual tonsil (42870) |
— |
$2,210.50 |
— |
| Excision of local lesion of epididymis (54830) |
— |
$1,608.50 |
— |
| Excision of nail fold toe (11765) |
— |
$313.50 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$694 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$695 |
— |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
— |
$1,884 |
— |
| Excision of spermatocele, with or without epididymectomy (54840) |
— |
$1,401.50 |
— |
| Excision of Umbilicus (49250) |
— |
$2,220.25 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$663 |
— |
| Excision of vaginal septum (57130) |
— |
$618.25 |
— |
| Excision olecranon bursa (24105) |
— |
$1,131 |
— |
| Excision or fulguration; Skene's glands (53270) |
— |
$665 |
— |
| Excision pilonidal cyst/sinus complicated (11772) |
— |
$2,243 |
— |
| Excision Prepatellar Bursa (27340) |
— |
$1,148 |
— |
| Excision soft tissue lesion, external auditory canal (69145) |
— |
$1,865 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$1,866 |
— |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
— |
$1,472 |
— |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
— |
$2,758 |
— |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
— |
$2,939.50 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$1,750.50 |
— |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
— |
$5,509.50 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$1,651.75 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
— |
$2,179.50 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$1,866 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$1,131 |
— |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
— |
$4,916 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$1,569.50 |
— |
| Expl retroperitoneum w/wo bx spx (49010) |
— |
$3,834.50 |
— |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
— |
$1,656 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$1,135 |
— |
| Exploration for undescended testis (inguinal or scrotal area) (54550) |
— |
$2,122 |
— |
| Exploration of ankle joint (27612) |
— |
$8,135 |
— |
| Exploration penetrating wound spx chest (20101) |
— |
$1,570.50 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$1,326 |
— |
| Explore & Treat Metacarpo-Phal Jt (26075) |
— |
$1,588 |
— |
| Explore/treat ankle joint (27620) |
— |
$8,084.50 |
— |
| Explore/treat ankle joint (27610) |
— |
$8,360 |
— |
| Fasciotomy Hip Or Thigh Any Type (27025) |
— |
$3,793 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$276 |
— |
| Fitting of diaphragm/cap (57170) |
— |
$225 |
— |
| Fixation of knee joint (27570) |
— |
$483.50 |
— |
| Frmj direct/tubed pedicle w/wotr e/n/e/l/ntroral (15576) |
— |
$6,434.50 |
— |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
— |
$2,976.50 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$2,977.50 |
— |
| Fusion of foot bones (28735) |
— |
$17,239.50 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$668 |
— |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
— |
$4,167.25 |
— |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
— |
$2,542.75 |
— |
| Graft ear crtlg autogenous nose/ear (21235) |
— |
$2,223 |
— |
| Hemiarthroplasty Hip Partial (27125) |
— |
$3,622.50 |
— |
| Hemorrhoidectomy (46255) |
— |
$1,591.50 |
— |
| Hemorrhoidectomy external complete (46250) |
— |
$1,608.75 |
— |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
— |
$1,454.25 |
— |
| Hysteroscopy ablation (58563) |
— |
$5,202 |
— |
| Hysteroscopy biopsy (58558) |
— |
$3,751.50 |
— |
| Hysteroscopy dx sep proc (58555) |
— |
$755.50 |
— |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
— |
$1,339.75 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$1,144.25 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$2,117.25 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$448 |
— |
| I&d abscess simple (10060) |
— |
$355 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$1,466.50 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$1,209 |
— |
| I&d epididymis tstis&/scrotal space (54700) |
— |
$1,024.75 |
— |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
— |
$2,107.50 |
— |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
— |
$5,876.50 |
— |
| I&d perianal abscess superficial (46050) |
— |
$668 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$357 |
— |
| I&D Rectal Abscess + Fistulectomy (46060) |
— |
$3,955.50 |
— |
| I&D Upper Arm/Elbow Bursa (23931) |
— |
$817.75 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$820.50 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$779.75 |
— |
| Immediate breast prosthesis (19340) |
— |
$1,537 |
— |
| Incise finger tendon sheath (26055) |
— |
$1,428.50 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$638 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$1,714 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$978 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$1,082 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$311.50 |
— |
| Incision and drainage of abscess of pelvis (57010) |
— |
$1,789 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$395 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$433.25 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$1,082 |
— |
| Incision of heel bone (28300) |
— |
$9,547.50 |
— |
| Incision of metatarsal (28308) |
— |
$3,806.75 |
— |
| Incision of rectal abscess (46040) |
— |
$1,494 |
— |
| Incision of urethra (53020) |
— |
$5,572 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$389.50 |
— |
| Incisional biopsy eyelid skin & lid margin (67810) |
— |
$383.25 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$488.50 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$168 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$419.50 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$236.50 |
— |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
— |
$173.50 |
— |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
— |
$173.50 |
— |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
— |
$438 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$579 |
— |
| Inject scleros soln in hemorrhoids (46500) |
— |
$469 |
— |
| Inject Tendon Origin/Insert (20551) |
— |
$162 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$144 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$173.50 |
— |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
— |
$173.50 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$258.50 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$336 |
— |
| Injection for identification of sentinel node (38792) |
— |
$163.50 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$159.25 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$226 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$219.50 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$922 |
— |
| Injx Anterior Chamber Eye Medication Spx (66030) |
— |
$806 |
— |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
— |
$1,745 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$432 |
— |
| Insert Drug Implant Device (11981) |
— |
$505 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$2,341.50 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$472.25 |
— |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
— |
$1,484.75 |
— |
| Insert pessary/other device (57160) |
— |
$187.50 |
— |
| Insert picc cath (36569) |
— |
$375.25 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$443.50 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$281.50 |
— |
| Insert tunneled cv cath (36561) |
— |
$6,709 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$1,353 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$159 |
— |
| Insertion of a temporary prostatic urethral stent, including urethral measurement (53855) |
— |
$319 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$8,448.50 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$1,271.50 |
— |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
— |
$1,493.50 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$1,138.25 |
— |
| Intersex surgery; female to male Other Surgical Services (55980) |
— |
$4,037.50 |
— |
| Intersex surgery; male to female Other Surgical Services (55970) |
— |
$4,037.50 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$657 |
— |
| Knee arthroscopy/surgery (29883) |
— |
$3,869.50 |
— |
| Knee arthroscopy/surgery (29876) |
— |
$3,045.50 |
— |
| Lap ing hernia repair init (49650) |
— |
$1,630.50 |
— |
| Laparo new ureter/bladder (50947) |
— |
$6,763.50 |
— |
| Laparo-myomectomy complex (58546) |
— |
$9,033.75 |
— |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553) |
— |
$4,762.75 |
— |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
— |
$7,999.25 |
— |
| Laparoscopy appendectomy (44970) |
— |
$4,869.50 |
— |
| Laparoscopy biopsy (49321) |
— |
$1,186 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$2,215 |
— |
| Laparoscopy Remove Adnexa (58661) |
— |
$5,842.50 |
— |
| Laparoscopy salpingostomy (58673) |
— |
$3,780 |
— |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
— |
$3,751.50 |
— |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
— |
$5,125 |
— |
| Laparoscopy tubal block (58671) |
— |
$3,079.75 |
— |
| Laparoscopy Tubal Cautery (58670) |
— |
$1,453 |
— |
| Laparoscopy ureterolithotomy (50945) |
— |
$4,265 |
— |
| Laparoscopy w/lysis of adhesions (58660) |
— |
$2,345 |
— |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
— |
$5,796 |
— |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
— |
$3,435 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$4,554 |
— |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545) |
— |
$2,049 |
— |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
— |
$5,944.50 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$5,910 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$3,810 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$2,192.25 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$2,694 |
— |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
— |
$3,967 |
— |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
— |
$2,351.50 |
— |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
— |
$1,392.50 |
— |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
— |
$5,053.75 |
— |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
— |
$7,437 |
— |
| Laryngoscopy Direct Aspiration (31515) |
— |
$1,187 |
— |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
— |
$268 |
— |
| Laryngoscopy indirect w/removal foreign body (31511) |
— |
$888 |
— |
| Laryngoscopy W/Foreign Body Removal (31530) |
— |
$2,108.75 |
— |
| Laryngoscopy,Direct,Diagnostic (31525) |
— |
$792.50 |
— |
| Laser vaporization surgery prostate, complete (52648) |
— |
$9,724.50 |
— |
| Late closure of wound (13160) |
— |
$2,282.50 |
— |
| Ligate/strip long leg vein (37722) |
— |
$2,135.75 |
— |
| Ligate/strip short leg vein (37718) |
— |
$1,729 |
— |
| Ligation of hemorrhoid(s) (46221) |
— |
$936 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$1,325 |
— |
| Lithotripsy (50590) |
— |
$2,445.50 |
— |
| Liver Biopsy (47000) |
— |
$1,065.50 |
— |
| Lsh uterus 250 g or less (58541) |
— |
$3,574 |
— |
| Lsh uterus above 250 g (58543) |
— |
$3,890.50 |
— |
| Lsh w/t/o uterus above 250 g (58544) |
— |
$5,580.50 |
— |
| Marsup Bartholin Gland Cyst (56440) |
— |
$781.25 |
— |
| Mast mod rad (19307) |
— |
$4,542 |
— |
| Mastectomy gynecomastia (19300) |
— |
$1,538.25 |
— |
| Mastectomy partial (19301) |
— |
$2,351.75 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$3,591.50 |
— |
| Mastectomy simple complete (19303) |
— |
$744 |
— |
| Middle ear surgery proc unlisted (69799) |
— |
$751.50 |
— |
| Muscle-skin graft trunk (15734) |
— |
$4,922 |
— |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
— |
$2,158 |
— |
| Myringoplasty (69620) |
— |
$5,327 |
— |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
— |
$789 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$143 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$7,762.50 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$256.25 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$1,365.50 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
— |
$173.50 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
— |
$833.25 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
— |
$769.50 |
— |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
— |
$2,981.50 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$1,339 |
— |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
— |
$2,639.50 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$2,469 |
— |
| Open treatment interphalangeal joint dislocation (28675) |
— |
$1,834.50 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$1,183.75 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$3,017.50 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$2,304.50 |
— |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
— |
$3,839.50 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) |
— |
$4,390 |
— |
| Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248) |
— |
$2,390 |
— |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
— |
$2,816.50 |
— |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
— |
$2,414.50 |
— |
| Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones (25670) |
— |
$2,733 |
— |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
— |
$2,886.50 |
— |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
— |
$2,549 |
— |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
— |
$1,900.50 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$1,895.50 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$2,142.50 |
— |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
— |
$3,364.50 |
— |
| Open tx fracture great toe/phalanx/phalanges (28505) |
— |
$2,084 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$1,842.50 |
— |
| Open tx metatarsophalangeal joint dislocation (28645) |
— |
$6,196.50 |
— |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
— |
$2,230 |
— |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
— |
$2,834.50 |
— |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$2,288 |
— |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) (54650) |
— |
$2,916.50 |
— |
| Ostectomy of sternum partial (21620) |
— |
$1,289.50 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$5,235 |
— |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
— |
$750 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$3,101 |
— |
| Ovarian cystectomy (58925) |
— |
$2,994 |
— |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145) |
— |
$3,140 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$1,412.50 |
— |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
— |
$4,916 |
— |
| Partial hymenectomy or revision of hymenal ring (56700) |
— |
$470 |
— |
| Partial removal of thyroid (60220) |
— |
$2,939 |
— |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
— |
$3,285.50 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$3,383 |
— |
| Pelvic exam under anesthesia (57410) |
— |
$681.75 |
— |
| Percut Mech Thrombectomy, Venous (37187) |
— |
$1,890 |
— |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
— |
$1,531 |
— |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
— |
$1,564.50 |
— |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
— |
$1,182 |
— |
| Peritoneal Lavage (49084) |
— |
$807.75 |
— |
| Perq device breast 1st imag (19281) |
— |
$1,640.50 |
— |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
— |
$1,795 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$3,527 |
— |
| Phalangectomy toe each toe (28150) |
— |
$1,575.50 |
— |
| Pin finger fracture each (26756) |
— |
$1,329.50 |
— |
| Pin hand dislocation (26676) |
— |
$1,359.50 |
— |
| Placement of implants to block fallopian tubes using an endoscope (58565) |
— |
$1,726 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$361.50 |
— |
| Placement of seton (46020) |
— |
$3,502 |
— |
| PR Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$7,306.50 |
— |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
— |
$3,175.50 |
— |
| Preputial Stretching (54450) |
— |
$339 |
— |
| Proctopexy Perineal Approach (45541) |
— |
$3,599 |
— |
| Proctosgmdsc Rigid Control Bleeding (45317) |
— |
$438 |
— |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
— |
$384.50 |
— |
| Proctosigmoidoscopy removal (45308) |
— |
$314.50 |
— |
| Proctosigmoidoscopy removal (45315) |
— |
$415.50 |
— |
| Proctosigmoidoscopy w/bx (45305) |
— |
$293.50 |
— |
| Proctosigmoidoscopy, rigid; with decompression of volvulus (45321) |
— |
$404 |
— |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
— |
$396 |
— |
| Prostatectomy (turp) (52601) |
— |
$10,701.50 |
— |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
— |
$1,465 |
— |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
— |
$6,332.25 |
— |
| Puncture Aspiration (10160) |
— |
$304.25 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$168 |
— |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
— |
$9,547.50 |
— |
| Rebuild outer ear canal (69310) |
— |
$4,108 |
— |
| Reconstruction of anus (46753) |
— |
$2,149 |
— |
| Reconstruction of nail bed with graft (11762) |
— |
$864.50 |
— |
| Reconstruction of urethra (53430) |
— |
$4,256.50 |
— |
| Reconstruction of urethra (54308) |
— |
$3,430.50 |
— |
| Reduce testis torsion (54600) |
— |
$1,932 |
— |
| Reduction of rectal prolapse (45900) |
— |
$754.50 |
— |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
— |
$2,489 |
— |
| Removal fb intranasal (30300) |
— |
$221.50 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$1,741 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$869.75 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$584.50 |
— |
| Removal foreign body pharynx (42809) |
— |
$364 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$1,451 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$163.50 |
— |
| Removal Implant Deep (20680) |
— |
$1,966.50 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$549 |
— |
| Removal Implantable Contraceptive Capsules (11976) |
— |
$395 |
— |
| Removal Intact Mammary Implant (19328) |
— |
$2,122 |
— |
| Removal of anal fissure (46200) |
— |
$1,465 |
— |
| Removal of anorectal lesion (45108) |
— |
$1,496.50 |
— |
| Removal of arm foreign body (24200) |
— |
$535 |
— |
| Removal of external bone stabilizing device under anesthesia (20694) |
— |
$1,353 |
— |
| Removal of finger lesion (26210) |
— |
$1,291.50 |
— |
| Removal of heel spur (28119) |
— |
$5,549.50 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$228.50 |
— |
| Removal of knee cartilage (27332) |
— |
$2,848.50 |
— |
| Removal of nail bed (11750) |
— |
$487 |
— |
| Removal of nose lesion (30124) |
— |
$958.50 |
— |
| Removal of pressure sore (15999) |
— |
$1,109.50 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$253 |
— |
| Removal of sperm cord lesion (55520) |
— |
$1,920.25 |
— |
| Removal of testis (54520) |
— |
$1,570.50 |
— |
| Removal of thyroid lesion (60200) |
— |
$2,762 |
— |
| Removal of wrist bone (25210) |
— |
$1,502.50 |
— |
| Removal/bivalving full arm/full leg cast (29705) |
— |
$162 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$142 |
— |
| Remove anal fist 2 stage (46285) |
— |
$1,426.50 |
— |
| Remove anal fist subq (46270) |
— |
$1,302.50 |
— |
| Remove bladder stone (52318) |
— |
$1,877 |
— |
| Remove by ligat int hem grps (46946) |
— |
$809.25 |
— |
| Remove drug implant device (11982) |
— |
$390.50 |
— |
| Remove Eyelid Foreign Body (67938) |
— |
$245 |
— |
| Remove foreign body from eye (65210) |
— |
$250 |
— |
| Remove in/ex hem groups 2+ (46260) |
— |
$1,724 |
— |
| Remove Peritoneal Foreign Body (49402) |
— |
$3,856.75 |
— |
| Remove Pilonidal Cyst Exten (11771) |
— |
$1,549 |
— |
| Remove skin nerve lesion (64774) |
— |
$1,789 |
— |
| Remove thyroid duct lesion (60280) |
— |
$2,013.50 |
— |
| Remove wrist tendon lesion (25111) |
— |
$1,131.50 |
— |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
— |
$441 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$214 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$225.50 |
— |
| Repair achilles tendon (27650) |
— |
$2,105.50 |
— |
| Repair anorectal fistula w/plug (46707) |
— |
$5,025.50 |
— |
| Repair clitoris (56805) |
— |
$5,220.50 |
— |
| Repair collat ankle ligmnt,secondary (27698) |
— |
$2,843.50 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$821.50 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,639 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$712 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,819.50 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$972.50 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,391.75 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$809.25 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,099.50 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$1,912.50 |
— |
| Repair finger tendon (26433) |
— |
$1,971.75 |
— |
| Repair finger/hand tendon (26350) |
— |
$2,286.50 |
— |
| Repair forearm tendon/muscle (25270) |
— |
$3,076 |
— |
| Repair forearm tendon/muscle (25260) |
— |
$2,519 |
— |
| Repair hand tendon (26410) |
— |
$2,327 |
— |
| Repair incomplete circumcision (54163) |
— |
$2,512.50 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$6,724.50 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$2,398 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$2,362.75 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$2,192 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$1,462 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$696.75 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$851.75 |
— |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
— |
$1,856.25 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$834.50 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$892.50 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,760.25 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$981.50 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$638 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$788 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$885.25 |
— |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
— |
$1,212 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$924.50 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$579.25 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$672 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$950.75 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$804 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$1,226.50 |
— |
| Repair kneecap tendon (27380) |
— |
$2,901.50 |
— |
| Repair of ankle ligament (27695) |
— |
$4,795.50 |
— |
| Repair of biceps tendon (24340) |
— |
$1,963.50 |
— |
| Repair Of Foot Tendon (28208) |
— |
$1,538.75 |
— |
| Repair of knee cartilage (27403) |
— |
$2,055 |
— |
| Repair of leg tendon each (27664) |
— |
$5,720.25 |
— |
| Repair of nail bed (11760) |
— |
$816.25 |
— |
| Repair of nasal septum (30520) |
— |
$4,452 |
— |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
— |
$2,730 |
— |
| Repair of shoulder (23420) |
— |
$3,107.50 |
— |
| Repair of thigh musc (27385) |
— |
$1,853 |
— |
| Repair of urethra defect (53520) |
— |
$2,458 |
— |
| Repair of urethra injury (53502) |
— |
$2,037.25 |
— |
| Repair of vagina (57260) |
— |
$3,278 |
— |
| Repair of windpipe (31750) |
— |
$9,741 |
— |
| Repair rectum & vagina (57250) |
— |
$2,653 |
— |
| Repair rotator cuff acute (23410) |
— |
$2,634 |
— |
| Repair Tongue Laceration (41250) |
— |
$452 |
— |
| Repair wrist joints (25447) |
— |
$2,649.50 |
— |
| Repair/graft achilles tendon (27652) |
— |
$6,686.25 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$2,352.50 |
— |
| Resect Inferior Turbinate (30140) |
— |
$6,253.50 |
— |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
— |
$4,726 |
— |
| Resection, partial or complete, phalangeal base, each toe (28126) |
— |
$4,916 |
— |
| Revise knuckle joint (26530) |
— |
$5,859 |
— |
| Revise median n/carpal tunnel surg (64721) |
— |
$1,375.50 |
— |
| Revise ulnar nerve at elbow (64718) |
— |
$1,900.50 |
— |
| Revise vag graft via vagina (57295) |
— |
$3,866.75 |
— |
| Revise Vagina for Intersec State (57335) |
— |
$5,056 |
— |
| Revision of colostomy simple (44340) |
— |
$2,397.50 |
— |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) |
— |
$4,502.75 |
— |
| Revision of lower leg tendon (27685) |
— |
$4,505.50 |
— |
| Revision of reconstructed breast (19380) |
— |
$3,092.50 |
— |
| Revision of scrotum (55180) |
— |
$2,920 |
— |
| Revision of scrotum (55175) |
— |
$1,574.50 |
— |
| Revision of testis (54660) |
— |
$1,569.50 |
— |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
— |
$3,698 |
— |
| Revision peri-implant capsule breast (19370) |
— |
$2,744.50 |
— |
| Revj clst comp rcnstj in-depth spx (44345) |
— |
$4,010.50 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$468.75 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$268 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$283 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$980.50 |
— |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
— |
$1,677 |
— |
| Rmvl ruptured breast implant w/implant contents (19330) |
— |
$2,425.50 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$816 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$654.50 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$3,327 |
— |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
— |
$2,433 |
— |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
— |
$2,053 |
— |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
— |
$1,456.50 |
— |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
— |
$1,603.50 |
— |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
— |
$1,824.50 |
— |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
— |
$3,173.50 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$1,123.50 |
— |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
— |
$1,112 |
— |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
— |
$1,510.50 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$1,343 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$1,094.25 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$1,778.50 |
— |
| Rpsg previously placed cvc under fluor gdnce (36597) |
— |
$1,507.50 |
— |
| Scrotal exploration (55110) |
— |
$1,655.50 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$256 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$129.50 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$201 |
— |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
— |
$115.25 |
— |
| Shoulder arthroscopy (29805) |
— |
$1,513.50 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$237.50 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$243 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$201 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$294.50 |
— |
| Sigmoidoscopy & decompress (45337) |
— |
$567.50 |
— |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
— |
$2,153.50 |
— |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
— |
$1,721.75 |
— |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
— |
$2,028.50 |
— |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
— |
$299.50 |
— |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
— |
$438 |
— |
| Sigmoidoscopy w/us guide bx (45342) |
— |
$910 |
— |
| Simple Cystometrogram (51725) |
— |
$737.25 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$692 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$446.25 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$542 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$967.75 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$725 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$927.50 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$1,023.75 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$382.50 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$1,196.50 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$629 |
— |
| Skin pinch graft (15050) |
— |
$1,108.25 |
— |
| Skin splt grft trnk/arm/leg (15100) |
— |
$2,714.50 |
— |
| Skin tissue rearrangement (14040) |
— |
$3,965.50 |
— |
| Skn splt a-grft fac/nck/hf/g (15120) |
— |
$3,628.50 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$2,981.75 |
— |
| Slitting of prepuce (54001) |
— |
$601 |
— |
| Small bowel endoscopy (44376) |
— |
$927.50 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$402.75 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$764.50 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$930.50 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$435 |
— |
| Spinal Puncture Therapeutic (62272) |
— |
$373 |
— |
| Strapping ankle (29540) |
— |
$167 |
— |
| Strapping elbow/wrist (29260) |
— |
$159.50 |
— |
| Strapping hand/finger (29280) |
— |
$116.50 |
— |
| Strapping knee (29530) |
— |
$189.25 |
— |
| Strapping shoulder (29240) |
— |
$246.25 |
— |
| Strapping thorax (29200) |
— |
$222.50 |
— |
| Strapping toes (29550) |
— |
$64 |
— |
| Suprahyoid lymphadenectomy (38700) |
— |
$3,043.50 |
— |
| Surgical opening of throat (42955) |
— |
$3,118.50 |
— |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
— |
$1,627.50 |
— |
| Suspension of testis (54640) |
— |
$2,013.50 |
— |
| Suspension of testis (54620) |
— |
$1,315 |
— |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
— |
$3,953 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$5,238.50 |
— |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
— |
$5,235 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$904.25 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$401 |
— |
| Throat Surgery Procedure (42999) |
— |
$508.50 |
— |
| Thrombolytic Therapy, Stroke (37195) |
— |
$1,282.50 |
— |
| Thyroid biopsy (60100) |
— |
$1,321 |
— |
| Thyroidectomy, total or complete (60240) |
— |
$4,139 |
— |
| Tis trnfr trunk 10 sq cm/< (14000) |
— |
$2,071 |
— |
| Total hip arthroplasty (27130) |
— |
$4,353 |
— |
| Total knee arthroplasty (27447) |
— |
$10,096.50 |
— |
| Trach Tube Change (31502) |
— |
$402.75 |
— |
| Tracheostomy emergency cricothyroid membrane (31605) |
— |
$1,569.50 |
— |
| Transplant forearm tendon (25310) |
— |
$1,984 |
— |
| Transurethral resection of bladder neck (52500) |
— |
$2,402 |
— |
| Treat ectopic pregnancy (59151) |
— |
$5,149.75 |
— |
| Treat Finger Fracture Each (26727) |
— |
$1,498.50 |
— |
| Treat Fracture Radius & Ulna (25560) |
— |
$816.75 |
— |
| Treat fracture radius/ulna (25575) |
— |
$2,793 |
— |
| Treat fx distal radial (25606) |
— |
$2,122 |
— |
| Treat fx rad extra-articul (25607) |
— |
$3,162 |
— |
| Treat humerus fracture (23630) |
— |
$2,504 |
— |
| Treat humerus fracture (24500) |
— |
$691.50 |
— |
| Treat humerus fracture (24577) |
— |
$1,161.75 |
— |
| Treat humerus fracture (23600) |
— |
$688 |
— |
| Treat knee fracture (27532) |
— |
$1,763 |
— |
| Treat Lower Leg Fracture (27827) |
— |
$3,404 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$517.25 |
— |
| Treat toe fracture (28525) |
— |
$873.50 |
— |
| Treat ulnar fracture (24685) |
— |
$2,097.50 |
— |
| Treat wrist bone fracture (25622) |
— |
$784.25 |
— |
| Treat Wrist Bone Fracture (25630) |
— |
$648.50 |
— |
| Treatment closed elbow dislocation req anes (24605) |
— |
$1,637 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$742.75 |
— |
| Treatment of ankle fracture (27822) |
— |
$2,750.50 |
— |
| Treatment of ankle fracture (27792) |
— |
$2,203 |
— |
| Treatment of fibula fracture (27784) |
— |
$2,277 |
— |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
— |
$3,953.50 |
— |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
— |
$1,540 |
— |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
— |
$632.50 |
— |
| Treatment of tibia fracture (27759) |
— |
$3,069 |
— |
| Trim skin lesion (11055) |
— |
$104.50 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$142 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$79 |
— |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
— |
$3,445.25 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$1,126 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$1,329.50 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$957.25 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$667 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$4,329 |
— |
| Unlisted laparoscopy procedure, appendix (44979) |
— |
$3,904 |
— |
| Unlisted laparoscopy procedure, biliary tract (47579) |
— |
$2,458 |
— |
| Unlisted procedure anus (46999) |
— |
$866.50 |
— |
| Unlisted procedure, forearm or wrist (25999) |
— |
$611 |
— |
| Ureter endoscopy & treatment (50980) |
— |
$1,581 |
— |
| Urine Flow Measurement (51736) |
— |
$137.25 |
— |
| Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) |
— |
$4,303.50 |
— |
| Vag hyst complex (58290) |
— |
$5,122.75 |
— |
| Vag hyst w/enterocele repair (58270) |
— |
$3,505.25 |
— |
| Vaginal delivery only (59409) |
— |
$3,028.50 |
— |
| Vaginal hysterectomy (58260) |
— |
$3,283.50 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$3,524.50 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) |
— |
$3,429.50 |
— |
| Vasectomy (55250) |
— |
$1,266 |
— |
| Venipuncture (36415) |
— |
$29 |
— |
| Venipuncture, cutdown; age 1 or over (36425) |
— |
$173.50 |
— |
| Ventilating tube removal requiring general anesthesia (69424) |
— |
$3,608.50 |
— |
| Vulvectomy simple partial (56620) |
— |
$1,969 |
— |
| Windowing of cast (29730) |
— |
$134.50 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,103.50 |
— |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
— |
$1,013 |
— |