| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
— |
$88,913.75 |
— |
| Abd paracentesis (49082) |
— |
$1,353.08 |
— |
| Abd paracentesis w/imaging (49083) |
— |
$2,682.33 |
— |
| Adenoidectomy, primary; age 12 or over Other Surgical Services (42831) |
— |
$20,068.12 |
— |
| Adenoidectomy, primary; younger than age 12 Other Surgical Services (42830) |
— |
$28,336.35 |
— |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
— |
$72,402.84 |
— |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
— |
$30,250.85 |
— |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
— |
$29,815.68 |
— |
| Amputate metacarpal bone (26910) |
— |
$50,022.92 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$19,345.72 |
— |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Other Surgical Services (45990) |
— |
$31,893.50 |
— |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
— |
$76,206.41 |
— |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
— |
$18,628.13 |
— |
| Appendectomy (44950) |
— |
$57,679.52 |
— |
| Appl finger splint static (29130) |
— |
$4,380.17 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$4,598.94 |
— |
| Apply long arm splint (29105) |
— |
$7,861.07 |
— |
| Apply Lower Leg Splint (29515) |
— |
$7,513.57 |
— |
| Apply multi-layer compression lower leg (29581) |
— |
$3,585.70 |
— |
| Apply rigid leg cast (29445) |
— |
$6,212.49 |
— |
| Apply short arm splint static (29125) |
— |
$6,523.90 |
— |
| Apply splint short arm dynamic (29126) |
— |
$5,715.93 |
— |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Other Surgical Services (66180) |
— |
$48,793.95 |
— |
| Arterial puncture (36600) |
— |
$180.60 |
— |
| Arteriovenous anastomosis, open; by upper arm basilic vein transposition Other Surgical Services (36819) |
— |
$80,437.40 |
— |
| Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) Other Surgical Services (36821) |
— |
$67,604.15 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$11,276.06 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$7,803.85 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$7,743.60 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$106,239.95 |
— |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
— |
$5,155.85 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
— |
$71,125.56 |
— |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Other… (29824) |
— |
$86,224.43 |
— |
| Arthroscopy, shoulder, surgical; repair of SLAP lesion Other Surgical Services (29807) |
— |
$73,524.51 |
— |
| Arthrp acetblr/prox fem prostc agrft/algrft (27130) |
— |
$109,727.91 |
— |
| Arthrt kne w/expl drg/rmvl fb (27310) |
— |
$48,247.19 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$48,612.30 |
— |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
— |
$2,483.23 |
— |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
— |
$29,978.04 |
— |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
— |
$65,891.39 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$8,205.23 |
— |
| Biopsy thyroid percutaneous core needle (60100) |
— |
$1,015.11 |
— |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Other Surgical Services (49180) |
— |
$10,840.10 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$50,784.84 |
— |
| Blood transfusion service (36430) |
— |
$665 |
— |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
— |
$24,774.26 |
— |
| Bronch diagnostic (31622) |
— |
$48,817.47 |
— |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
— |
$59,996.67 |
— |
| Bronchoscopy w/biopsy(s) (31625) |
— |
$29,397.96 |
— |
| Bronchoscopy,Diagnostic W Lavage (31624) |
— |
$48,548.01 |
— |
| Bronchoscopy/lung bx each (31628) |
— |
$46,865.25 |
— |
| Bx anorectal wall anal approach (45100) |
— |
$22,478.11 |
— |
| Bx/Exc Lymph Node Open Deep Axillary Node (38525) |
— |
$84,959.28 |
— |
| Care of miscarriage (59820) |
— |
$30,683.44 |
— |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
— |
$141,070.03 |
— |
| Circumcision age >28 days (54161) |
— |
$43,767.90 |
— |
| Closed Rx Prox Humerus Fx,Manip (23605) |
— |
$37,079.60 |
— |
| Closed Rx Shldr Disloc,Anesthesia (23655) |
— |
$15,464.86 |
— |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
— |
$20,348.45 |
— |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
— |
$7,332.64 |
— |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
— |
$54,062.26 |
— |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
— |
$3,918.82 |
— |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
— |
$15,419.62 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$15,284.04 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$8,885.83 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$10,530.67 |
— |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
— |
$15,969.47 |
— |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
— |
$22,532.29 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$5,322.46 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$3,821.61 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$11,396.43 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$4,080.94 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$16,047.68 |
— |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
— |
$6,598.42 |
— |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
— |
$11,538.91 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/mnpj (23665) |
— |
$12,132.07 |
— |
| Cltx shoulder dislc w/surg/antmcl neck fx w/mnpj (23675) |
— |
$9,204.21 |
— |
| Colonoscopy dilate stricture (45386) |
— |
$12,336.81 |
— |
| Colonoscopy w/ablation (45388) |
— |
$17,015.23 |
— |
| Colonoscopy w/band ligation (45398) |
— |
$34,516.92 |
— |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Other Surgical… (45384) |
— |
$14,047.91 |
— |
| Colpopexy vaginal intraperitoneal approach (57283) |
— |
$109,048.14 |
— |
| Colsc flexible w/control bleeding any method (45382) |
— |
$19,125.73 |
— |
| Colsc flx with directed submucosal njx any sbst (45381) |
— |
$45,257.02 |
— |
| Complete replacement picc rs&i (36584) |
— |
$4,532.24 |
— |
| Conization of cervix (57520) |
— |
$36,341.09 |
— |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
— |
$37,418.87 |
— |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
— |
$347.59 |
— |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
— |
$5,549.82 |
— |
| Control Throat Bleed,Simple (42960) |
— |
$30,858.76 |
— |
| Core needle bx lung/mediastinum perq w/img (32408) |
— |
$11,546.79 |
— |
| Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) Other… (67825) |
— |
$20,129.73 |
— |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
— |
$76,309.02 |
— |
| CT Biopsy Lymph Node (38505) |
— |
$5,196.38 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$6,128.16 |
— |
| Curettage postpartum (59160) |
— |
$43,454.67 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$51,399.68 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$62,075.55 |
— |
| Cysto/Uretero W/Lithotripsy &Indwell Stent Insrt (52356) |
— |
$51,961.74 |
— |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
— |
$66,836.33 |
— |
| Cystoscopy and treatment (52310) |
— |
$39,531.06 |
— |
| Cystoscopy,Dil Urethral Stricture (52281) |
— |
$31,943.90 |
— |
| Cystourethroscopy (52000) |
— |
$44,146.65 |
— |
| Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus Other Surgical Services (52320) |
— |
$41,119.39 |
— |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
— |
$38,804.63 |
— |
| Cystourethroscopy W Cath (52005) |
— |
$40,323.34 |
— |
| Cystourethroscopy with direct vision internal urethrotomy Other Surgical Services (52276) |
— |
$34,460.13 |
— |
| Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery,… (52344) |
— |
$49,532.98 |
— |
| Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser,… (52345) |
— |
$69,785.65 |
— |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia Other… (52260) |
— |
$35,841.80 |
— |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder… (52235) |
— |
$42,429.07 |
— |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm)… (52224) |
— |
$45,515.93 |
— |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Other Surgical Services (52351) |
— |
$40,674.95 |
— |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic… (52354) |
— |
$63,729 |
— |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral… (52352) |
— |
$44,618.86 |
— |
| Cystourethroscopy,biopsy (52204) |
— |
$44,707.74 |
— |
| Deb bone/muscle 20 sq cm/< (11044) |
— |
$32,313.18 |
— |
| Deb musc/fascia 20 sq cm/< (11043) |
— |
$13,493.21 |
— |
| Debride Assoc Open Fx/Dislo Skin/Mus/Bone (11012) |
— |
$5,635.86 |
— |
| Debridement nails 1-5 (11720) |
— |
$35,760.30 |
— |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
— |
$11,265.55 |
— |
| Declot vascular device (36593) |
— |
$513.29 |
— |
| Destruction benign lesions up to 14 (17110) |
— |
$35,339.88 |
— |
| Destruction of lesion of lid margin (up to 1 cm) Other Surgical Services (67850) |
— |
$23,582.83 |
— |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
— |
$23,539.95 |
— |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (46910) |
— |
$33,339.89 |
— |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (54060) |
— |
$26,712.23 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$6,666.79 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$27,215.59 |
— |
| Dilation/Curettage,Diagnostic (58120) |
— |
$44,361.61 |
— |
| Drain Ext Ear Absc/Blood,Complic (69005) |
— |
$12,881.39 |
— |
| Drainage external ear, abscess or hematoma; simple (69000) |
— |
$2,130.01 |
— |
| Drainage finger abscess simple (26010) |
— |
$3,708.54 |
— |
| Drainage of eyelid abscess (67700) |
— |
$28,327.19 |
— |
| Drainage of scrotum (54700) |
— |
$38,803.76 |
— |
| Dx bronchoscope/brush (31623) |
— |
$46,257.80 |
— |
| Ed proc remve fb nasal- hospital (30300) |
— |
$1,466.81 |
— |
| Ed prof burn - large - hospital (16030) |
— |
$6,510.76 |
— |
| Ed prof burn medium - hospital (16025) |
— |
$5,383 |
— |
| Ed prof burn small - hospital (16020) |
— |
$2,872.48 |
— |
| Ed prof closed tx post hip arthroplasty (27265) |
— |
$8,914.77 |
— |
| Ed prof drain dental abscess-hospital (41800) |
— |
$2,178.20 |
— |
| Ed prof insert non tunnel cv cath >5 (36556) |
— |
$3,778.90 |
— |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
— |
$41,851.19 |
— |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
— |
$23,794.53 |
— |
| Ed prof interphalangeal dislocation- hospital (26770) |
— |
$4,435.09 |
— |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
— |
$48,225.34 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$24,182.70 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$26,109.53 |
— |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$13,311.39 |
— |
| Egd percutaneous placement gastrostomy tube (43246) |
— |
$36,598.73 |
— |
| Egd removal tumor polyp/other lesion snare tech (43251) |
— |
$40,216.18 |
— |
| Egd transoral control bleeding any method (43255) |
— |
$87,343 |
— |
| Egd W Gd Wire Dilation (43248) |
— |
$22,188.90 |
— |
| Endometrial ablation, thermal, without hysteroscopic guidance Other Surgical Services (58353) |
— |
$49,854.79 |
— |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Other Surgical… (58356) |
— |
$58,387.29 |
— |
| Endoscopic Injection/Implant (51715) |
— |
$31,076.75 |
— |
| Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple Other Surgical Services (43261) |
— |
$49,942.13 |
— |
| Ercp duct stent placement (43274) |
— |
$73,506.65 |
— |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
— |
$52,285.38 |
— |
| Ercp remove forgn body duct (43275) |
— |
$44,629.36 |
— |
| Ercp Stent Exchange W/Dilate (43276) |
— |
$48,791.42 |
— |
| Ercp w/sphincterotomy/papillotomy (43262) |
— |
$55,650.46 |
— |
| Esophageal dilation (43450) |
— |
$26,116.31 |
— |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Other Surgical… (43244) |
— |
$36,603.93 |
— |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
— |
$30,444.68 |
— |
| Esophagoscopy flexible transoral diagnostic (43200) |
— |
$53,334.22 |
— |
| Exc face les sbq 2 cm/> (21012) |
— |
$30,508.49 |
— |
| Exc face-mm b9 (11440) |
— |
$25,508.56 |
— |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
— |
$33,776.33 |
— |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
— |
$22,791.62 |
— |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
— |
$38,431.97 |
— |
| Exc Skin Benig 0.6-1cm Trunk,Arm,Leg (11401) |
— |
$28,598.03 |
— |
| Exc skin malig 1.1-2 cm face,facial (11642) |
— |
$46,451.71 |
— |
| Exc tr-ext b9 + marg 2.1 to 3.0 (11403) |
— |
$33,127.18 |
— |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
— |
$55,981.66 |
— |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
— |
$33,095.97 |
— |
| Exc tumor soft tiss back/flank subfascial 5+cm (21933) |
— |
$42,643.24 |
— |
| Exc tumor soft tiss back/flank subfascial <5cm (21932) |
— |
$74,309.86 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$21,634.02 |
— |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
— |
$21,192.87 |
— |
| Exc tumor soft tissue neck/ant thorax subq 3+cm (21552) |
— |
$42,720.34 |
— |
| Exchange intraocular lens (66986) |
— |
$34,322.90 |
— |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
— |
$9,808.95 |
— |
| Excis Tongue Lesn,Ant 2/3+Clos (41112) |
— |
$18,287.81 |
— |
| Excise Varicocele (55530) |
— |
$42,608.69 |
— |
| Excision aural polyp (69540) |
— |
$27,341.51 |
— |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Other Surgical Services (42810) |
— |
$25,605.39 |
— |
| Excision external ear partial simple repair (69110) |
— |
$46,483.93 |
— |
| Excision hydrocele unilateral (55040) |
— |
$42,998.43 |
— |
| Excision lesion mouth roof (42104) |
— |
$32,345.46 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
— |
$19,212.38 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$26,974.64 |
— |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
— |
$35,235.32 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$32,278.40 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$56,001.84 |
— |
| Excision of bartholin's gland or cyst (56740) |
— |
$43,415.69 |
— |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Other… (19125) |
— |
$51,387.65 |
— |
| Excision of chalazion; single Other Surgical Services (67800) |
— |
$21,266.87 |
— |
| Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Other Surgical… (67808) |
— |
$24,087.03 |
— |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Other Surgical Services (67840) |
— |
$29,589.33 |
— |
| Excision of lesion, conjunctiva; over 1 cm Other Surgical Services (68115) |
— |
$34,830.05 |
— |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Other… (42415) |
— |
$66,029.64 |
— |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Other Surgical… (42420) |
— |
$79,217.25 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$28,729.30 |
— |
| Excision of submandibular (submaxillary) gland Other Surgical Services (42440) |
— |
$67,249.60 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$40,011.48 |
— |
| Excision olecranon bursa (24105) |
— |
$37,692.28 |
— |
| Excision pilonidal cyst/sinus extensive (11771) |
— |
$54,544.27 |
— |
| Excision pilonidal cyst/sinus simple (11770) |
— |
$38,864.23 |
— |
| Excision tumor soft tissue back/flank subq 3+cm (21931) |
— |
$32,199.65 |
— |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
— |
$30,508.16 |
— |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
— |
$42,191.44 |
— |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
— |
$26,791.50 |
— |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
— |
$25,435.08 |
— |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
— |
$33,182.33 |
— |
| Excision, interdigital (Morton) neuroma, single, each Other Surgical Services (28080) |
— |
$33,545.43 |
— |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Other… (11643) |
— |
$39,054.81 |
— |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
— |
$32,794.31 |
— |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
— |
$55,562.63 |
— |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
— |
$34,308.83 |
— |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
— |
$29,399.18 |
— |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
— |
$28,877.15 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$15,028.03 |
— |
| External cephalic version (59412) |
— |
$3,377.50 |
— |
| Fasct prtl plmr 1 dgt prox iphal jt +-tiss (26123) |
— |
$33,915.86 |
— |
| Fetal contraction stress test (59020) |
— |
$782.60 |
— |
| Fetal Non Stress Test (59025) |
— |
$630 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$6,579.21 |
— |
| Fna w/o imaging guidance (10021) |
— |
$4,723.77 |
— |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Other Surgical Services (41520) |
— |
$21,306.36 |
— |
| Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less… (15260) |
— |
$37,487.67 |
— |
| Hemorrhoidectomy internal rubber band ligations (46221) |
— |
$38,351.85 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$45,152.97 |
— |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
— |
$52,832.89 |
— |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
— |
$36,724.74 |
— |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling Other Surgical Services (46947) |
— |
$51,089.97 |
— |
| Hysteroscopy rmvl impacted fb (58562) |
— |
$38,305.16 |
— |
| Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563) |
— |
$39,590.66 |
— |
| Hysteroscopy,Dx,Sep Proc (58555) |
— |
$21,001.09 |
— |
| Hysteroscopy,W/Endo Bx (58558) |
— |
$31,493.03 |
— |
| I&d bartholins gland abscess (56420) |
— |
$3,325.74 |
— |
| I&d hematoma/seroma/fluid (10140) |
— |
$44,291.08 |
— |
| I&d perirectal abscess (46040) |
— |
$38,399.81 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$14,335.45 |
— |
| I&d vulva/perineal abscess (56405) |
— |
$3,725.01 |
— |
| Image-guided catheter fluid collection drainage (10030) |
— |
$1,015.11 |
— |
| Incise external hemorrhoid (46083) |
— |
$1,831.62 |
— |
| Incise finger tendon sheath (26055) |
— |
$12,578.17 |
— |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
— |
$8,233.94 |
— |
| Incision & Drainage Abscess Simple/Single (10060) |
— |
$5,815.41 |
— |
| Incision and drainage of pilonidal cyst; complicated (10081) |
— |
$2,990.23 |
— |
| Incision and drainage, forearm and/or wrist; deep abscess or hematoma Other Surgical Services (25028) |
— |
$26,447.27 |
— |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
— |
$50,935.47 |
— |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
— |
$6,495.35 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$15,553.46 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$8,917.60 |
— |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
— |
$3,092.11 |
— |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
— |
$93,197.78 |
— |
| Inj,Lumb Epidur,Blood/Clot Patch (62273) |
— |
$845.11 |
— |
| Inject Nerv Blck,Celiac Plexus (64530) |
— |
$19,767.14 |
— |
| Inject Nerv Blck,Othr Periph Nerv (64450) |
— |
$21,546.11 |
— |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
— |
$85,328.76 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$2,263.58 |
— |
| Injection for identification of sentinel node (38792) |
— |
$7,921.16 |
— |
| Injection px prq tx extremity pseudoaneurysm (36002) |
— |
$3,500 |
— |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
— |
$7,678.66 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$41,850.56 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$12,319.03 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$71,503.14 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$9,100 |
— |
| Ins new/rplcmt prm pacemakr w/trans eltrd atrial (33206) |
— |
$70,469.93 |
— |
| Ins tunn cv cath no pump 5yrs (36558) |
— |
$4,468.10 |
— |
| Insert gastrostomy tube percutaneous (49440) |
— |
$43,856.38 |
— |
| Insert heart pm ventricular (33207) |
— |
$58,812.12 |
— |
| Insert hepatic shunt (tips) (37182) |
— |
$53,434.75 |
— |
| Insert tun ip cath w/port (49419) |
— |
$8,102.84 |
— |
| Insert,Temp Indwelling Blad Cath,Simple (51702) |
— |
$21,826.24 |
— |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach Other Surgical… (66183) |
— |
$31,991.82 |
— |
| Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir Other… (54405) |
— |
$103,714.13 |
— |
| Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) |
— |
$46,218.07 |
— |
| Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring… (64590) |
— |
$58,019.98 |
— |
| Insertion picc w/rs&i 5 yr/> (36573) |
— |
$7,704.07 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$16,703.67 |
— |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
— |
$39,359.48 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$60,449.26 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$7,725.33 |
— |
| Insj tunneled ctr vad w/subq port age 5 yr/> (36561) |
— |
$41,936.59 |
— |
| Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249) |
— |
$111,964.13 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$70,314.22 |
— |
| Intro cath dialysis circuit dx angrph fluor s&i (36901) |
— |
$14,549.40 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$53,204.49 |
— |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
— |
$25,494.50 |
— |
| Intubation endotracheal (31500) |
— |
$32,221.01 |
— |
| Laparoscopic hepatotomy for open drainage of abscess or cyst one or more stages (47379) |
— |
$63,962.11 |
— |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Other Surgical Services (59151) |
— |
$62,564.44 |
— |
| Laparoscopy appendectomy (44970) |
— |
$75,757.06 |
— |
| Laparoscopy biopsy (49321) |
— |
$59,465.53 |
— |
| Laparoscopy Enterolysis Separate Procedure (44180) |
— |
$57,491.90 |
— |
| Laparoscopy surg colpopexy (57425) |
— |
$78,023.55 |
— |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
— |
$62,224.12 |
— |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320) |
— |
$55,312.10 |
— |
| Laparoscopy, abdomen, peritoneum, and omentum; with treatment of hemorrhage (including post-operative) (49329) |
— |
$78,928.87 |
— |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh… (43282) |
— |
$109,276.37 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; Laprascopic Hysterectomy/Prostatectomy (58570) |
— |
$75,406.09 |
— |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
— |
$66,469.11 |
— |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Other Surgical Services (58670) |
— |
$36,952.50 |
— |
| Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by… (58662) |
— |
$55,002.75 |
— |
| Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Other Surgical Services (58671) |
— |
$49,652.52 |
— |
| Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Other… (58661) |
— |
$50,912.01 |
— |
| Laps Surg Esopg/Gstr Fundoplasty (43280) |
— |
$79,178.05 |
— |
| Laps Surg Rpr Recurrent Inguinal Hernia (49651) |
— |
$68,880.66 |
— |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
— |
$76,732.05 |
— |
| Laryngoscopy flex diagnostic (31575) |
— |
$24,593.08 |
— |
| Laryngoscopy w/biopsy (31535) |
— |
$44,818.66 |
— |
| Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating… (31541) |
— |
$48,111.74 |
— |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
— |
$93,123.78 |
— |
| Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium) (31000) |
— |
$52,588.87 |
— |
| Layr Clos Wnd Rest Body <2.5 Cm (12041) |
— |
$5,871.19 |
— |
| Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Other Surgical… (58600) |
— |
$18,279.93 |
— |
| Ligation/biopsy temporal artery (37609) |
— |
$41,353.81 |
— |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or… (52318) |
— |
$51,441.23 |
— |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small… (52317) |
— |
$40,338.86 |
— |
| Lumbar puncture (62270) |
— |
$1,352.45 |
— |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$43,639.73 |
— |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Other… (27570) |
— |
$16,067.01 |
— |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Other… (23700) |
— |
$12,399.33 |
— |
| Marsupialization bartholin's gland cyst (56440) |
— |
$47,596.70 |
— |
| Mastectomy partial (19301) |
— |
$64,081.38 |
— |
| Mastectomy Partial W/Axillary Lymphadenectomy (19302) |
— |
$65,424.50 |
— |
| Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding… (19307) |
— |
$95,560.44 |
— |
| Mastotomy expl drg absc dp (19020) |
— |
$30,109.22 |
— |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
— |
$5,721.14 |
— |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
— |
$7,904.33 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$5,721.14 |
— |
| Myelography via lumbar injection rs&i thoracic (62303) |
— |
$5,721.14 |
— |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
— |
$52,658.36 |
— |
| Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy Other… (31257) |
— |
$51,337.17 |
— |
| Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine… (31295) |
— |
$37,858.53 |
— |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy; Other Surgical Services (31256) |
— |
$53,382.13 |
— |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Other Surgical Services (31240) |
— |
$46,921.28 |
— |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Other Surgical Services (31238) |
— |
$25,107.73 |
— |
| Nasal/Sinus Ndsc Tot W/Frnt Sins Expl Tiss Rmvl (31253) |
— |
$58,314.54 |
— |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
— |
$50,571.15 |
— |
| Nasal/sinus ndsc w/rmvl tiss from frontal sinus (31276) |
— |
$49,438.87 |
— |
| Nasal/sinus ndsc w/total ethoidectomy (31255) |
— |
$42,887.16 |
— |
| Nasotracheal suctioning (31720) |
— |
$350 |
— |
| Needle Biopsy Liver (47000) |
— |
$2,034.03 |
— |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
— |
$20,325.66 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
— |
$25,241.28 |
— |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
— |
$7,957.88 |
— |
| Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach Other Surgical… (58615) |
— |
$60,115.64 |
— |
| Open Biopsy/Excision Inguinofemoral Nodes (38531) |
— |
$53,429.05 |
— |
| Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Other Surgical Services (64581) |
— |
$74,683.92 |
— |
| Open rx distal radius fx, extra-articular (25607) |
— |
$64,283.78 |
— |
| Open treatment bimalleolar ankle fracture (27814) |
— |
$64,873.02 |
— |
| Open treatment fracture distal tibia only (27827) |
— |
$66,030.66 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed Other Surgical Services (23515) |
— |
$62,796.57 |
— |
| Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Other… (27829) |
— |
$71,462.25 |
— |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage Other Surgical Services (24515) |
— |
$76,925.16 |
— |
| Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation Other Surgical Services (21330) |
— |
$46,942.91 |
— |
| Open treatment of nasal septal fracture, with or without stabilization Other Surgical Services (21336) |
— |
$41,248.64 |
— |
| Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue… (27524) |
— |
$46,933.64 |
— |
| Open treatment of posterior or anterior acetabular wall fracture, with internal fixation Other Surgical Services (27226) |
— |
$72,497.52 |
— |
| Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed Other… (27535) |
— |
$55,679.30 |
— |
| Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685) |
— |
$64,744.63 |
— |
| Open tx prox humeral fx (23615) |
— |
$91,156.84 |
— |
| Open/perq placement intravascular stent initial (37236) |
— |
$79,371.43 |
— |
| Open/perq placement intravascular stent same 1st (37238) |
— |
$77,185.88 |
— |
| Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Other… (54520) |
— |
$49,319.05 |
— |
| Partical excision bone phalanx toe (28124) |
— |
$24,099.29 |
— |
| Patellectomy or hemipatellectomy Other Surgical Services (27350) |
— |
$48,929.58 |
— |
| Pelvic examination under anesthesia (other than local) Other Surgical Services (57410) |
— |
$44,524.87 |
— |
| Perc rf ablate renal tumor (50592) |
— |
$35,811.08 |
— |
| Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent… (50080) |
— |
$170,714.68 |
— |
| Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) |
— |
$33,021.64 |
— |
| Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents Other Surgical Services (19371) |
— |
$49,323.56 |
— |
| Pericardiocentesis w/img guidance when performed (33016) |
— |
$2,608.55 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$72,578.50 |
— |
| Perq device breast 1st imag (19281) |
— |
$88,483.08 |
— |
| Perq drainage pleura insert cath w/imaging (32557) |
— |
$1,322.81 |
— |
| Perq nl/pl lithotrp complex >2 cm mlt locations (50081) |
— |
$182,978.24 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$24,523.86 |
— |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
— |
$74,005.05 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$26,609.62 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$29,787.54 |
— |
| Picu Picc Line Insertion W/O Imag =/> 5 Yrs (36569) |
— |
$23,250.43 |
— |
| Place cath carotd art (36224) |
— |
$19,797.55 |
— |
| Place cath subclavian art (36225) |
— |
$6,555.71 |
— |
| Place cath vertebral art (36226) |
— |
$5,750.19 |
— |
| Place duod/jej tube perc (49441) |
— |
$2,494.10 |
— |
| Placement Needle Intraosseous Infusion (36680) |
— |
$9,597.76 |
— |
| Plmt nephrostomy cath prq new access rs&i (50432) |
— |
$17,920.36 |
— |
| Plmt urtrl stent prq new access w/sep nfros cath (50695) |
— |
$8,505.36 |
— |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
— |
$3,862.84 |
— |
| PR Arthroscopy Knee Surgical Debridement/Shaving Articular Cartilage|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29877) |
— |
$37,889.60 |
— |
| PR Arthroscopy Shoulder Surgical Biceps Tenodesis|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29828) |
— |
$76,842.57 |
— |
| PR Arthroscopy Shoulder Surgical Capsulorrhaphy|ASSISTANT AT SURGERY SERVICE (29806) |
— |
$67,982.50 |
— |
| PR Arthroscopy Shoulder Surgical With Rotator Cuff Repair|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (29827) |
— |
$112,251.84 |
— |
| PR Excision Graft Infected Extremity|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (35903) |
— |
$55,955.21 |
— |
| PR Laparoscopic Surgical Cholecystectomy W Cholangiography|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (47563) |
— |
$61,625.12 |
— |
| PR Laparoscopy Surgical W Insertion Tunneled Intraperitoneal Catheter|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (49324) |
— |
$45,802.11 |
— |
| PR Laryngoscopy Direct Operative W Biopsy W Operating Microscope/Telescope|DISCONTINUED OUT-PATIENT HOSPITAL/AMBULATORY… (31536) |
— |
$53,467.62 |
— |
| PR Mastectomy Simple Complete|BILATERAL PROCEDURE|ASSISTANT AT SURGERY SERVICE (19303) |
— |
$88,615.74 |
— |
| PR Orchiectomy Radical Tumor Inguinal Approach|ASSISTANT AT SURGERY SERVICE (54530) |
— |
$61,467.83 |
— |
| PR Orchiopexy Inguinal or Scrotal Approach|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (54640) |
— |
$59,296.48 |
— |
| PR Parathyroidectomy/Exploration of Parathyroid|ASSISTANT AT SURGERY SERVICE (60500) |
— |
$68,109.45 |
— |
| PR Posterior Colporrhaphy Repair Rectocele W/WO Perineorrhaphy|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (57250) |
— |
$69,081.23 |
— |
| PR Repr Init Ing Hernia 5y or Older Incarcerated/Strangulated|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (49507) |
— |
$53,096.02 |
— |
| Pr rmvl lens material phacofragmentation aspir (66850) |
— |
$34,322.90 |
— |
| PR Sling Operation for Stress Incontinence|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES (57288) |
— |
$70,640.14 |
— |
| PR Suture of Infrapatellar Tendon Primary|ASSISTANT AT SURGERY SERVICE (27380) |
— |
$58,916.26 |
— |
| PR Suture of Quadriceps or Hamstring Muscle Rupture Primary|BILATERAL PROCEDURE|ASSISTANT AT SURGERY SERVICE (27385) |
— |
$44,706.91 |
— |
| Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184) |
— |
$131,923.48 |
— |
| Probe nasolacrimal duct (68815) |
— |
$22,953.50 |
— |
| Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation Other Surgical… (68816) |
— |
$26,186.60 |
— |
| Proctosigmoidoscopy diagnostic (45300) |
— |
$29,293.98 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$18,499.82 |
— |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
— |
$37,659.73 |
— |
| Prq transluminal mechanical thrombectomy vein (37187) |
— |
$100,856.35 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$1,756.15 |
— |
| Puncture aspiration of cyst of breast (19000) |
— |
$3,415.93 |
— |
| Push transfusion, blood, 2 years or younger Other Surgical Services (36440) |
— |
$1,383.05 |
— |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
— |
$43,366.87 |
— |
| Reduce testis torsion (54600) |
— |
$60,054.42 |
— |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Other Surgical Services (24342) |
— |
$50,950.66 |
— |
| Relocate skin pocket implantable defibrillator (33223) |
— |
$39,359.48 |
— |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
— |
$2,979.92 |
— |
| Removal foreign body from external auditory canal; with general anesthesia Other Surgical Services (69205) |
— |
$21,281.95 |
— |
| Removal foreign body, intranasal; requiring general anesthesia Other Surgical Services (30310) |
— |
$19,640.69 |
— |
| Removal Impacted Cerumen Instrumentation Unilat (69210) |
— |
$9,965.17 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$8,424.21 |
— |
| Removal implant deep (20680) |
— |
$54,250.67 |
— |
| Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis Other… (54406) |
— |
$69,848.42 |
— |
| Removal of anal fissure (46200) |
— |
$38,351.85 |
— |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
— |
$10,008.83 |
— |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
— |
$2,716.90 |
— |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
— |
$41,003.54 |
— |
| Removal of nail bed (11750) |
— |
$10,762.75 |
— |
| Removal of pm generator (33233) |
— |
$85,230.58 |
— |
| Removal of skin lesion (11423) |
— |
$23,067.61 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$37,548.83 |
— |
| Removal of transvenous pacemaker electrode(s); dual lead system Other Surgical Services (33235) |
— |
$76,234.59 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$3,726.06 |
— |
| Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal Other Surgical Services (67005) |
— |
$24,479.38 |
— |
| Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical… (67010) |
— |
$13,272.57 |
— |
| Removal or relocation of corneal conjunctiva with graft|BILATERAL PROCEDURE (65426) |
— |
$29,949.36 |
— |
| Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Other Surgical Services (53442) |
— |
$66,577.08 |
— |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) Other Surgical Services (57287) |
— |
$58,019.24 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$2,033.22 |
— |
| Removal tunneled cv cath (36590) |
— |
$1,823.86 |
— |
| Removal, non-biodegradable drug delivery implant (11982) |
— |
$74,829.85 |
— |
| Removal, under anesthesia, of external fixation system Other Surgical Services (20694) |
— |
$77,789.50 |
— |
| Remove eyelid lesions (67805) |
— |
$28,306.68 |
— |
| Remove intrauterine device (58301) |
— |
$34,410.43 |
— |
| Remove intrvas foreign body (37197) |
— |
$6,299.45 |
— |
| Remove pharynx foreign body (42809) |
— |
$2,365.88 |
— |
| Remove vaginal foreign body (57415) |
— |
$26,374.92 |
— |
| Remove&replace pm gen singl (33227) |
— |
$43,029.98 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$1,977.13 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$83,578.64 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$78,643.16 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$48,826.70 |
— |
| Renal biopsy percutaneous (50200) |
— |
$10,905.80 |
— |
| Repair brow defect (67900) |
— |
$53,317.16 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$2,693.07 |
— |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
— |
$8,692.98 |
— |
| Repair entropion suture (67921) |
— |
$17,523.50 |
— |
| Repair Exten Tendon,Dorsum Fingr,Ea (26418) |
— |
$44,783.14 |
— |
| Repair initial femoral hernia, any age; reducible Other Surgical Services (49550) |
— |
$67,272.15 |
— |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
— |
$10,967.99 |
— |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
— |
$20,147.92 |
— |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
— |
$13,109.53 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$7,222.79 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$16,195.08 |
— |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
— |
$17,977.28 |
— |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
— |
$17,836.92 |
— |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
— |
$26,824.16 |
— |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
— |
$6,484.35 |
— |
| Repair nail bed (11760) |
— |
$3,146.22 |
— |
| Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) Other Surgical… (67901) |
— |
$33,480.95 |
— |
| Repair of ectropion; excision tarsal wedge Other Surgical Services (67916) |
— |
$42,103.63 |
— |
| Repair of enterocele, vaginal approach (separate procedure) Other Surgical Services (57268) |
— |
$71,734.96 |
— |
| Repair of nasal septum (30520) |
— |
$47,970.96 |
— |
| Repair of rectocele (separate procedure) Other Surgical Services (45560) |
— |
$109,571.48 |
— |
| Repair rotator cuff, acute (23410) |
— |
$61,072.66 |
— |
| Repair rotator cuff, chronic (23412) |
— |
$79,330.68 |
— |
| Repair vagina/perineum (57210) |
— |
$92,431.40 |
— |
| Repair wrist joints (25447) |
— |
$57,552.60 |
— |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
— |
$3,619.09 |
— |
| Replace duod/jej tube perc (49451) |
— |
$1,277.33 |
— |
| Replace tunneled cv cath (36582) |
— |
$43,794.96 |
— |
| Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Other Surgical Services (66825) |
— |
$17,140.49 |
— |
| Resuperf Wnd Face 5.1-7.5 Cm (12014) |
— |
$18,062.39 |
— |
| Resuperf Wnd Face 7.6-12.5 Cm (12015) |
— |
$11,046.57 |
— |
| Revise Av Fistula,W/O Thrombectomy (36832) |
— |
$77,736.51 |
— |
| Revise ulnar nerve at wrist (64719) |
— |
$55,689.19 |
— |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Other Surgical Services (66185) |
— |
$57,438.85 |
— |
| Revision of cervix (59320) |
— |
$33,535.45 |
— |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services (44345) |
— |
$159,105.49 |
— |
| Revision of iris (66761) |
— |
$3,719.23 |
— |
| Revision of upper eyelid (15822) |
— |
$50,801 |
— |
| Revision of upper eyelid (15823) |
— |
$53,526.83 |
— |
| Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable… (64595) |
— |
$77,149.57 |
— |
| Revj transvns intrhptc portosystemic shnt (tips) (37183) |
— |
$24,481.78 |
— |
| Revj/rmvl perph neurostimulator electrode array (64585) |
— |
$79,533.52 |
— |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
— |
$1,838.20 |
— |
| Rmvl of access device (36589) |
— |
$1,122.96 |
— |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
— |
$39,359.48 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$38,952.47 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$30,149.39 |
— |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
— |
$64,213.25 |
— |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
— |
$26,974.49 |
— |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
— |
$6,299.45 |
— |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65875) |
— |
$10,836.92 |
— |
| Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45350) |
— |
$18,349.86 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$6,046.29 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$11,351.80 |
— |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
— |
$5,110.40 |
— |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
— |
$23,247.84 |
— |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
— |
$3,800.57 |
— |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
— |
$17,962.81 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$5,718.83 |
— |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps Other Surgical Services (31030) |
— |
$48,927.90 |
— |
| Slctv cath carotid/innom art angio intrcranl art (36223) |
— |
$26,222.59 |
— |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
— |
$16,131.84 |
— |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
— |
$5,214.24 |
— |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
— |
$6,311.90 |
— |
| Strabismus surgery, recession or resection procedure; 1 horizontal muscle Other Surgical Services (67311) |
— |
$36,063.72 |
— |
| Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) Other Surgical… (67314) |
— |
$37,531.71 |
— |
| Strabismus surgery, recession or resection procedure; 2 horizontal muscles Other Surgical Services (67312) |
— |
$35,911.81 |
— |
| Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) Other… (67316) |
— |
$36,945.71 |
— |
| Straighten Penis (54300) |
— |
$56,460.95 |
— |
| Strapping of toes (29550) |
— |
$2,543.63 |
— |
| Strapping unna boot (29580) |
— |
$177.47 |
— |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
— |
$29,033.71 |
— |
| Submucous resection inferior turbinate, partial or complete, any method Other Surgical Services (30140) |
— |
$47,387.79 |
— |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Other Surgical Services (46270) |
— |
$34,691.71 |
— |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Other Surgical… (25310) |
— |
$62,446.05 |
— |
| Therapeutic spinal puncture drainage csf (62272) |
— |
$51,514.62 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$4,748.87 |
— |
| Thrombolysis art/venous infsn w/image subsq tx (37213) |
— |
$129,434.78 |
— |
| Thrombolysis venous infusion w/imaging init tx (37212) |
— |
$124,526.82 |
— |
| Thrombolytic art therapy (37211) |
— |
$145,205.83 |
— |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Other… (60260) |
— |
$58,996.69 |
— |
| Thyroidectomy, total or complete (60240) |
— |
$98,133.82 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over Other Surgical Services (42821) |
— |
$25,281.40 |
— |
| Tonsillectomy, primary or secondary; age 12 or over Other Surgical Services (42826) |
— |
$28,118.29 |
— |
| Tonsillectomy, primary or secondary; younger than age 12 Other Surgical Services (42825) |
— |
$29,216.75 |
— |
| Total knee arthroplasty (27447) |
— |
$92,399.02 |
— |
| Total thyroid lobectomy, unilateral; with or without isthmusectomy Other Surgical Services (60220) |
— |
$81,108.81 |
— |
| Transcatheter Biopsy (37200) |
— |
$8,468.89 |
— |
| Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy,… (52601) |
— |
$42,880.78 |
— |
| Transurethral incision of prostate Other Surgical Services (52450) |
— |
$40,858.76 |
— |
| Transurethral resection of bladder neck (separate procedure) Other Surgical Services (52500) |
— |
$43,516.87 |
— |
| Treat finger dislocation (26775) |
— |
$2,865.54 |
— |
| Treatment of ankle fracture (27822) |
— |
$109,717.13 |
— |
| Treatment of bladder lesion (51720) |
— |
$48,539.19 |
— |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
— |
$9,258.38 |
— |
| Treatment of missed abortion, completed surgically; second trimester Other Surgical Services (59821) |
— |
$38,785.19 |
— |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
— |
$35,627 |
— |
| Trimming of nondystrophic nails, any number (11719) |
— |
$1,764.25 |
— |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
— |
$35,293.17 |
— |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
— |
$68,110.20 |
— |
| Tx incomplete abortion (59812) |
— |
$31,708.43 |
— |
| Tx superficial wound dehiscence simple closure (12020) |
— |
$36,568.50 |
— |
| Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch Other… (69610) |
— |
$20,933.23 |
— |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) |
— |
$37,613.73 |
— |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
— |
$81,894.07 |
— |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
— |
$54,610.60 |
— |
| Tympanostomy (requiring insertion of ventilating tube), general anesthesia Other Surgical Services (69436) |
— |
$27,943.90 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy Other Surgical Services (49659) |
— |
$67,649.80 |
— |
| Unlisted laparoscopy procedure, spermatic cord Other Surgical Services (55559) |
— |
$63,660.34 |
— |
| Unlisted proc; robotic laparoscopic trachelectomy amputation of (58578) |
— |
$50,451.55 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum Other Surgical Services (49999) |
— |
$78,481.83 |
— |
| Unlisted procedure, dentoalveolar structures (41899) |
— |
$20,887.20 |
— |
| Urology surgery procedure unlisted (53899) |
— |
$46,031.50 |
— |
| Vaginal hysterectomy, for uterus 250 g or less; Other Surgical Services (58260) |
— |
$87,760.79 |
— |
| Vascular embolization or occlusion arterial rs&i (37242) |
— |
$97,503.78 |
— |
| Vascular embolize/occlude organ tumor infarct (37243) |
— |
$46,403.54 |
— |
| Venipuncture (36415) |
— |
$71.90 |
— |
| Ventilating tube removal requiring general anesthesia (69424) |
— |
$21,674.21 |
— |
| Vulvectomy Simple Partial (56620) |
— |
$38,051.46 |
— |
| Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp (66982) |
— |
$20,882.88 |
— |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
— |
$32,462.04 |
— |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
— |
$29,541.39 |
— |