Procedures & surgery prices at Oklahoma Surgical Hospital, LLC

Tulsa, OK · every code in this section with a posted price and a Medicare benchmark.

2723 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $1,705.50
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) $1,956
Ablate inf turbinate submuc (30802) $3,826.25
Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) $3,826.25
Acetabuloplasty (27120) $34,921.50
Acetabuloplasty Resection Femoral Head (27122) $34,921.50
Acne Surgery (10040) $567
Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) $8,026.50
Adding Walker Previously Applied Cast (29440) $455
Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) $15,694
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) $17,766.50
Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) $34,921.50
Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) $4,687.50
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) $15,694
Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) $15,694
Adjustment/Revj Xtrnl Fixation System Req Anes (20693) $8,026.50
Amp leg thru tibia&fibula sec closure/scar rev (27884) $8,026.50
Amp thigh thru femur sec closure/scar revision (27594) $8,026.50
Amputate hand at wrist (25922) $3,843.75
Amputate lower leg at knee (27598) $34,921.50
Amputate metacarpal bone (26910) $8,026.50
Amputate Thigh,Re-Amputatn (27596) $17,766.50
Amputation Arm Thru Humerus W/Implant (24931) $34,921.50
Amputation Finger/Thumb (26951) $8,026.50
Amputation follow-up surgery (25929) $4,786.50
Amputation follow-up surgery (24925) $8,026.50
Amputation follow-up surgery (25907) $8,026.50
Amputation follow-up surgery (23921) $4,786.50
Amputation Foot Midtarsal (28800) $8,026.50
Amputation forearm,thru radius anpulna,reamputation (25909) $17,766.50
Amputation metatarsal with toe single (28810) $8,026.50
Amputation of finger/thumb (26952) $8,026.50
Amputation Of Foot At Ankle (27889) $17,766.50
Amputation of penis; partial (54120) $8,560
Amputation thigh through femur any level (27590) $44,997.50
Amputation toe interphalangeal joint (28825) $8,026.50
Amputation Toe Metatarsophalangeal Joint (28820) $8,026.50
Amputation Transmetacarpal (25927) $8,026.50
Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) $34,921.50
Amputation, arm through humerus; open, circular (guillotine) Other Surgical Services (24920) $34,921.50
Amputation, arm through humerus; re-amputation Other Surgical Services (24930) $17,766.50
Amputation, arm through humerus; with primary closure Other Surgical Services (24900) $34,921.50
Amputation, foot; transmetatarsal (28805) $8,026.50
Amputation, forearm, through radius and ulna; open, circular (guillotine) (25905) $34,921.50
Amputation, forearm, through radius and ulna; Other Surgical Services (25900) $34,921.50
Amputation, leg, through tibia and fibula; (27880) $44,997.50
Amputation, leg, through tibia and fibula; re-amputation (27886) $17,766.50
Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Other… (27881) $17,766.50
Amputation, thigh, through femur, any level; immediate fitting technique including first cast Other Surgical Services (27591) $44,997.50
Analyze infusn pump+reprogram (62368) $921.25
Analyze spine infus pump (62367) $921.25
Ankle arthroscopy (29899) $17,766.50
Ankle arthroscopy/surgery (29892) $17,766.50
Ankle arthroscopy/surgery (29894) $8,026.50
Ankle Scope,Excis Osteochon Defct (29891) $8,026.50
Ankle scope,part synovectomy (29895) $8,026.50
Anoplasty, plastic operation for stricture; adult (46700) $6,929
Anosc rmvl mult tumors cautery/snare (46612) $5,730
Anoscopy control bleeding (46614) $2,847.50
Anoscopy diagnostic (46600) $371.25
Anoscopy dx w/hra &chem agnts enhancement (46601) $949
Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) $2,847.50
Anoscopy W/Rmvl Foreign Body (46608) $2,166.25
Anoscopy w/rmvl lesion cautery (46610) $6,929
Anoscopy,W/Dilation - Endoscopy, Anus (46604) $2,847.50
Anoscopy; with biopsy, single or multiple (46606) $2,847.50
Anrct xm surg req anes general spi/edrl dx (45990) $6,929
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) $12,505
Anterior Tibial Tubercleplasty (27418) $17,766.50
Appendectomy (44950) $8,817.50
Appl Cranial Tong/Strtctc Frame W/Removal Spx (20660) $3,843.75
Application cast elbow finger short arm (29075) $782.50
Application Cast Finger (29086) $455
Application Cast Hand & Lower Forearm Gauntlet (29085) $455
Application cast shoulder hand long arm (29065) $626
Application Cast Shoulder Spica (29055) $782.50
Application Finger Splint Dynamic (29131) $187.50
Application finger splint static (29130) $150
Application halo type body cast (29000) $782.50
Application Hip Spica Cast 1 Leg (29305) $782.50
Application long arm splint shoulder hand (29105) $364
Application Long Leg Cast Walker/Ambulatory Type (29355) $782.50
Application long leg splint thigh ankle/toes (29505) $455
Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) $17,766.50
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) $17,766.50
Application Of Body Cast (29015) $782.50
Application of body cast, shoulder to hips; including both thighs Other Surgical Services (29046) $782.50
Application of body cast, shoulder to hips; including head, Minerva type Other Surgical Services (29040) $782.50
Application of body cast, shoulder to hips; Other Surgical Services (29035) $782.50
Application of cylinder cast (thigh to ankle) (29365) $782.50
Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric… (20664) $34,921.50
Application of hip spica cast; one and one-half spica or both legs (29325) $782.50
Application of long leg cast (29345) $782.50
Application of pelvis brace (20662) $3,843.75
Application of plaster velpeau cast to upper forearm and shoulder (29058) $782.50
Application Of Rigid Total Contact Leg Cast (29445) $782.50
Application of shoulder to hip body cast and thigh (29044) $455
Application of thigh brace (20663) $8,026.50
Application Short Arm Splint Dynamic (29126) $371.25
Application short arm splint forearm-hand static (29125) $297
Application short leg splint calf foot (29515) $364.50
Application, cast; figure-of-eight (29049) $782.50
Apply Body Cast,Risser Jacket (29010) $782.50
Apply long leg cast brace (29358) $782.50
Apply of clubfoot cast (29450) $455
Apply patella tendon bearing cast (29435) $782.50
Apply short leg cast (29405) $782.50
Apply short leg cast (29425) $782.50
Apply/remove halo cranial (20661) $8,026.50
Arrest Epiphyseal Open Distal Fibula (27732) $8,026.50
Arrest Epiphyseal Open Distal Tibia (27730) $8,026.50
Arrest, epiphyseal, any method (eg, epiphydiodesis); cmbined distal femur prox (27479) $17,766.50
Arrest, epiphyseal, any method, (epiphydiodesis); distal femur (27475) $17,766.50
Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) (27485) $17,766.50
Arterial puncture (36600) $237
Arteriovenous Anastomosis Open Direct (36821) $8,115
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) $13,527.50
Artery-vein autograft (36825) $13,527.50
Arthrd w/xtnsr hallucis longus tr 1st metar nck (28760) $17,766.50
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $891.25
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $1,772.50
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $891.25
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $724
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $891.25
Arthrodeses, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments (22800) $44,997.50
Arthrodesis ankle open (27870) $34,921.50
Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) $34,921.50
Arthrodesis Glenohumeral Joint (23800) $17,766.50
Arthrodesis great toe interphalangeal joint (28755) $17,766.50
Arthrodesis knee any technique (27580) $34,921.50
Arthrodesis Pantalar (28705) $45,217.50
Arthrodesis posterior craniocervical (22590) $44,997.50
Arthrodesis sacroiliac joint percutaneous (27279) $45,217.50
Arthrodesis tibiofibular joint proximal or distal (27871) $34,921.50
Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554) $34,921.50
Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558) $44,997.50
Arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace (other than for… (22556) $44,997.50
Arthrodesis, anterior transoral or extraoral technique, clivus-c1-c2 (atlas-axis), with or without excision of odontoid… (22548) $44,997.50
Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments (22808) $44,997.50
Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments (22810) $44,997.50
Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments Spinal Fusion… (22812) $44,997.50
Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) Other… (26844) $17,766.50
Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)… (26842) $17,766.50
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) $34,921.50
Arthrodesis, great toe; metatarsophalangeal joint (28750) $17,766.50
Arthrodesis, hip joint (includes obtaining graft); (27284) $44,997.50
Arthrodesis, hip joint (includes obtaining graft); with subtrochanteric osteotomy (27286) $44,997.50
Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when performed (27280) $44,997.50
Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630) $37,325
Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) $34,921.50
Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600) $44,997.50
Arthrodesis, posterior technique, atlas-axis (C1-C2) Outpatient Spinal Fusion Procedures (with cervical/without… (22595) $44,997.50
Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Spinal Fusion… (22804) $44,997.50
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments (22802) $44,997.50
Arthrodesis, symphysis pubis (including obtaining graft) (27282) $34,921.50
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (28737) $34,921.50
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) (25810) $34,921.50
Arthrodesis; subtalar (28725) $34,921.50
Arthroplasty ankle revision total ankle (27703) $34,921.50
Arthroplasty Ankle W/Implant (27702) $34,921.50
Arthroplasty elbow w/membrane (24360) $17,766.50
Arthroplasty glenohumeral joint total shoulder (23472) $34,921.50
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) $34,921.50
Arthroplasty knee fc/tp (27442) $34,921.50
Arthroplasty knee tibial plateau (27440) $34,921.50
Arthroplasty radial head w/implant (24366) $34,921.50
Arthroplasty with prosthetic replacement; distal radius (25441) $34,921.50
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Other Surgical… (27443) $34,921.50
Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Other Surgical Services (27441) $34,921.50
Arthroplasty, patella; with prosthesis (27438) $34,921.50
Arthroplasty, patella; without prosthesis (27437) $17,766.50
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) $17,766.50
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) $34,921.50
Arthroscopically aided treat. intercondylar spine and/or tuberosity fx knee w/o int/ext. fix 29850 (29850) $3,199
Arthroscopy ankle; ext debridem (29898) $8,026.50
Arthroscopy Hip Surgical W/Synovectomy (29863) $8,026.50
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $8,026.50
Arthroscopy of joint (29999) $733.75
Arthroscopy subtalar joint (29906) $8,026.50
Arthroscopy Subtalar Joint Subtalar Arth (29907) $34,921.50
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) $8,026.50
Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) $8,026.50
Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914) $17,766.50
Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) $8,026.50
Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) $8,026.50
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) $8,026.50
Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) $8,026.50
Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) $8,026.50
Arthroscopy, Knee, Surgical; Meniscal Transplantation (Includes Arthrotomy For Meniscal Insertion), Medial Or Lateral (29868) $17,766.50
Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) $34,921.50
Arthroscopy, Knee, Surgical; Osteochondral Autograft(S) (Eg, Mosaicplasty) (Includes Harvesting Of The Autograft) (29866) $17,766.50
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) $8,026.50
Arthroscopy, knee, surgical; with lateral release (29873) $8,026.50
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $8,026.50
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $8,026.50
Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy High Cost/Complex Surgery (29900) $8,026.50
Arthroscopy, metacarpophalangeal joint, surgical; with debridement High Cost/Complex Surgery (29901) $8,026.50
Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener… (29902) $3,843.75
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $17,766.50
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) $17,766.50
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $8,026.50
Arthroscopy, shoulder, surgical; debridement, limited (29822) $8,026.50
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) $8,026.50
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $17,766.50
Arthroscopy, shoulder, surgical; synovectomy, complete (29821) $8,026.50
Arthroscopy, shoulder, surgical; synovectomy, partial (29820) $17,766.50
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $8,026.50
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $17,766.50
Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body High Cost/Complex Surgery (29904) $8,026.50
Arthroscopy, subtalar joint, surgical; with synovectomy High Cost/Complex Surgery (29905) $17,766.50
Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) High… (29800) $8,026.50
Arthrotomy Elbow W/Synovial Biopsy Only (24100) $8,026.50
Arthrotomy hip w/drainage (27030) $17,766.50
Arthrotomy Knee W/Synovial Biopsy Only (27330) $8,026.50
Arthrotomy W/Biopsy Hip Joint (27052) $3,843.75
Arthrotomy W/Biopsy Sacroiliac Joint (27050) $3,843.75
Arthrotomy W/Synovectomy Hip Joint (27054) $8,026.50
Arthrotomy with biopsy; carpometacarpal joint, each (26100) $8,026.50
Arthrotomy with biopsy; intertarsal or tarsometatarsal joint Other Surgical Services (28050) $8,026.50
Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) $8,026.50
Arthrotomy with biopsy; metatarsophalangeal joint Other Surgical Services (28052) $8,026.50
Arthrotomy Wrist Joint With Biopsy (25100) $8,026.50
Arthrotomy Wrist Joint With Synovectomy (25105) $8,026.50
Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) $8,026.50
Arthrotomy, elbow; with synovectomy (24102) $8,026.50
Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) $8,026.50
Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) $8,026.50
Arthrotomy, with synovectomy, ankle; (27625) $8,026.50
Arthrotomy, with synovectomy, knee; anterior or posterior (27334) $8,026.50
Arthrp intercarpal/carp/mtcrpl jt suspension (25448) $7,716
Arthrs hip debridement/shaving articular crtlg (29862) $17,766.50
Arthrt rdcrpl/midcarpl jt w/expl drg/rmvl fb (25040) $8,026.50
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $3,843.75
Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) $8,026.50
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $8,026.50
Arthrtomy w/bx interphalangeal joint (28054) $8,026.50
Aspir/inj thyroid cyst (60300) $914
Aspirat/Injection Ganglion Cyst(S) (20612) $891.25
Aspiration Bladder Insert Suprapubic Catheter (51102) $5,085
Augmentation cheek bone (21270) $14,422.50
Autochondrocyte implant knee (27412) $17,766.50
Av fistula revision (36833) $13,527.50
Av Fuse Uppr Arm Basilic (36819) $13,527.50
Av fusion/forearm vein (36820) $13,527.50
Avulsion nail plate partial/complete simple 1 (11730) $595
Axillary lymphadenectomy superficial 38740 (38740) $14,350
Axillary lymphadenectomy; complete (38745) $14,350
Biopsy Bone Open Deep (20245) $6,576.25
Biopsy bone open superficial (20240) $6,576.25
Biopsy bone trocar/needle deep (20225) $3,892.50
Biopsy Bone Trocar/Needle Superficial (20220) $3,892.50
Biopsy Breast Open Incisional (19101) $8,955
Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) $1,810
Biopsy finger joint lining (26110) $3,843.75
Biopsy intranasal (30100) $3,826.25
Biopsy muscle deep (20205) $6,576.25
Biopsy muscle percutaneous needle (20206) $3,892.50
Biopsy Muscle Superficial (20200) $3,892.50
Biopsy Nerve (64795) $4,875
Biopsy of deep tissue of upper arm or elbow (24066) $6,576.25
Biopsy of floor of mouth (41108) $3,892.50
Biopsy of nail unit (11755) $1,730
Biopsy of penis (54105) $6,576.25
Biopsy of penis (54100) $3,892.50
Biopsy of prostate (55705) $8,724
Biopsy of shoulder joint (23100) $8,026.50
Biopsy of tongue (41100) $1,252.50
Biopsy of urethra (53200) $5,023.75
Biopsy or excision of lymph node(s); open, internal mammary node(s) (38530) $8,955
Biopsy or excision of lymph node(s); open, superficial (38500) $8,955
Biopsy Oropharynx (42800) $3,826.25
Biopsy Pancrea Percutaneous Needle (48102) $3,114
Biopsy Salivary Gland,Needle (42400) $1,389
Biopsy soft tissue leg/ankle area deep (27614) $6,576.25
Biopsy soft tissue leg/ankle area superficial (27613) $3,892.50
Biopsy soft tissue neck/thorax (21550) $3,892.50
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $3,892.50
Biopsy Soft Tissue Shoulder Deep (23066) $6,576.25
Biopsy soft tissue shoulder superficial (23065) $3,892.50
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $6,576.25
Biopsy soft tissue thigh/knee area superficial (27323) $3,892.50
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) $3,892.50
Biopsy Spinal Cord Percutaneous Needle (62269) $3,892.50
Biopsy testis incisional separate procedure (54505) $8,560
Biopsy tongue posterior one-third (41105) $7,760
Biopsy Vaginal Mucosa Extensive (57105) $7,367.50
Biopsy Vaginal Mucosa Simple (57100) $1,810
Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) (25066) $6,576.25
Biopsy, soft tissue of forearm and/or wrist; superficial (25065) $3,892.50
Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) $3,892.50
Biopsy/removal lymph nodes (38525) $8,955
Biopsy/removal lymph nodes (38510) $8,955
Bladder Instillation Anticarcinogenic Agent (51720) $906.50
Bladder Irrigation Simple (51700) $725
Bladder Scan (51798) $159
Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) $3,753.75
Blepharoplasty lower eyelid (15820) $9,989
Blepharoplasty upper eyelid (15822) $4,942.50
Blood patch (62273) $1,772.50
Blood transfusion service (36430) $880
Blood/Lymph System Procedure (38999) $1,100
Bone graft for nonunion, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) (27170) $17,766.50
Bone graft with microvascular anastomosis fibula- iliac crest (20956) $14,422.50
Bone graft with microvascular anastomosis; fibula Other Surgical Services (20955) $14,422.50
Bone graft with microvascular anastomosis; metatarsal Other Surgical Services (20957) $14,422.50
Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Other Surgical Services (20962) $14,422.50
Bone graft, any donor area; major or large (20902) $17,766.50
Bone graft, any donor area; minor or small (eg, dowel or button) (20900) $17,766.50
Bone marrow aspiration only (38220) $3,892.50
Bone Marrow Biopsy (38221) $3,892.50
Bone marrow harvest allogen (38230) $3,753.75
Bone Marrow Harvest Autolog (38232) $11,261.50
Bone/skin graft great toe (20973) $7,760
Bone/skin graft metatarsal (20972) $7,760
Brain Shunt Tube/Reserv Injectn (61070) $1,772.50
Breast augmentation with implant (19325) $25,295
Bronch Thermoplsty 1 Lobe (31660) $16,512.50
Bronchial thermoplasty 2 or more lobes (31661) $16,512.50
Bronchosc dx w/w/o fluor&wash (31622) $4,056.25
Buttock fasciotomy (27027) $17,766.50
Bx abdl/retroperitoneal mass prq needle (49180) $3,892.50
Bx anorectal wall anal approach (45100) $6,929
Bx breast 1st lesion us imag (19083) $3,892.50
Bx breast needle core w/o imaging guidance spx (19100) $3,892.50
Bx vulva/perineum 1 lesion (56605) $1,810
Bx/exc lymph node needle superficial (38505) $3,892.50
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) $8,026.50
Capsular Contracture Release (23020) $8,026.50
Capsulectomy/capsulotomy mtcarphlngl joint each (26520) $8,026.50
Capsulodesis Mtcarphlngl Joint 2 Digits (26517) $8,026.50
Capsulorrhaphy anterior w/labral repair (23455) $17,766.50
Capsulorrhaphy Anterior With Bone Block (23460) $17,766.50
Capsulotomy Midfoot W/Tendon Lengthening (28261) $3,843.75
Capsulotomy Midtarsal (28264) $3,843.75
Capsulotomy, midfoot; medial release only (separate procedure) Other Surgical Services (28260) $8,026.50
Capsulotomy; interphalangeal joint, each joint (28272) $3,843.75
Carpectomy All Bones Proximal Row (25215) $8,026.50
Cartilage graft; costochondral (20910) $1,467.50
Catheter Aspiration Nasotracheal Spx (31720) $501
Cautery cervix laser ablation (57513) $7,367.50
Cerv artific diskectomy (22856) $44,997.50
Change Cystostomy Tube Complicated (51710) $1,578.75
Change Cystostomy Tube Simple (51705) $798.75
Change gastric port open (43888) $9,989
Change Ureter Stent, Percut (50382) $5,023.75
Chemical peel facial epidermal (15788) $4,865
Chemodenerv 1 extremity 1-4 (64642) $1,800
Chemodenerv trunk musc 1-5 (64646) $1,800
Chemodenerv trunk musc 6/> (64647) $1,647
Chemodenervation internal anal sphincter (46505) $2,847.50
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) $891.25
Chest tube placement (32551) $3,987.50
Chg Collect Blood From Catheter Venous Nos (36592) $115
Chng urtrost tube/xtrnlly accessible stent ileal (50688) $5,023.75
Cholecystostomy,Percutaneous, Complete (47490) $7,464
Chromotubation of oviduct, including materials (58350) $12,505
Cineplasty, upper extremity, complete procedure (24940) $34,921.50
Circum 28 days or older (54161) $5,023.75
Circumcision (54150) $5,023.75
Cisternal/Lateral C1-C2 Puncture W/Injection (61055) $891.25
Claviculectomy; partial (23120) $8,026.50
Claviculectomy; total (23125) $8,026.50
Clean out mastoid cavity (69222) $1,044
Close Rx Fingr Articular Fx,Manip (26742) $3,843.75
Closed Rx Acetabular Fx,Manipulatn (27222) $733.75
Closed Rx Gr Tuberosity Hum Fx (23620) $733.75
Closed Rx Humer Epicondylr Fx,Manip (24565) $3,843.75
Closed Rx Humeral Supracondylar Fx (24530) $733.75
Closed Rx Med Malleolus Fx (27760) $733.75
Closed Rx Med Malleolus Fx,Manip (27762) $3,843.75
Closed Rx Mid Humerus Fx,Manipulatn (24505) $3,843.75
Closed rx prox/neck femur fx,manip (27232) $3,949
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $3,843.75
Closed Rx Radial Shaft Fx (25500) $733.75
Closed Rx Radial Shaft Fx W/Dislocation (25520) $3,843.75
Closed Rx Shldr Disloc,Gr Tub Fx (23665) $3,843.75
Closed Rx Spontaneous Hip Disloc (27256) $733.75
Closed Rx Tibia Shaft Fx (27750) $733.75
Closed Rx Tibial Plateau Fx (27530) $733.75
Closed Rx Trauma Hip Disloc,Anesth (27252) $3,843.75
Closed Rx Trimalleolar Fx (27816) $733.75
Closed Treat Vert Body Fract (22310) $733.75
Closed treat wrist dislocation (25660) $733.75
Closed Treatment Coccygeal Fracture (27200) $733.75
Closed treatment nasal fracture w/stabilization (21320) $7,760
Closed treatment of broken top of shin bone at knee (27538) $733.75
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $733.75
Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) $733.75
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) $733.75
Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) $8,026.50
Closed treatment of talus fracture; without manipulation (28430) $733.75
Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) $733.75
Closed treatment of ulnar shaft fracture; with manipulation (25535) $733.75
Closed treatment pst malleolus fracture w/manj (27768) $3,843.75
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $554
Closed Treatment Sesamoid Fracture (28530) $733.75
Closed Treatment Ulnar Styloid Fracture (25650) $733.75
Closed tx ankle dislocation w/o anesthesia (27840) $733.75
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $3,075
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $733.75
Closed Tx Calcaneal Fracture W/Manipulation (28405) $733.75
Closed tx calcaneal fracture w/o manipulation (28400) $733.75
Closed tx carpal scaphoid fracture w/manj (25624) $3,843.75
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) $733.75
Closed tx knee dislocation w/anesthesia (27552) $3,843.75
Closed tx knee dislocation w/o anesthesia (27550) $733.75
Closed Tx Lunate Dislocation W/Manipulation (25690) $3,843.75
Closed tx metatarsal fracture w/o manipulation (28470) $733.75
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $3,843.75
Closed tx nasal fracture w/o stabilization (21315) $7,760
Closed tx patellar dislocation w/anesthesia (27562) $733.75
Closed tx patellar dislocation w/o anesthesia (27560) $733.75
Closed tx patellar fracture w/o manipulation (27520) $733.75
Closed tx radial head/neck fx w/manipulation (24655) $3,843.75
Closed tx radial head/neck fx w/o manipulation (24650) $733.75
Closed tx radial shaft fracture w/manipulation (25505) $3,843.75
Closed tx scapular fracture w/o manipulation (23570) $733.75
Closed tx septal&nose fx (21337) $14,422.50
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $733.75
Closed tx talotarsal joint dislc w/o anes (28570) $733.75
Closed Tx Talotarsal Joint Dislocation W/Anes (28575) $8,026.50
Closed Tx Talus Fracture W/Manipulation (28435) $3,843.75
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) $733.75
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $3,843.75
Closed tx ulnar fracture prox end w/o manipulate (24670) $733.75
Closed tx ulnar shaft fracture w/o manipulation (25530) $733.75
Closure cystostomy separate procedure (51880) $8,202
Closure of gastrostomy surgical (43870) $8,505
Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) $7,367.50
Closure of urethrovaginal fistula; (57310) $19,267.50
Closure of vagina (57120) $12,505
Clsd tx acromioclavicular dislc w/manipulation (23545) $733.75
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) $733.75
Clsd tx clavicular fracture w/manipulation (23505) $3,843.75
Clsd tx clavicular fracture w/o manipulation (23500) $733.75
Clsd tx shoulder dislc w/manipulation req anes (23655) $3,075
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $587
Clsd tx sternoclavicular dislc w/o manipulation (23520) $3,843.75
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $733.75
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $3,843.75
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $733.75
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $733.75
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $733.75
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) $3,843.75
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) $733.75
Cltx dstl fem epiphysl sep w/manj w/wo skin/skel (27517) $3,843.75
Cltx dstl fibular fx lat malls w/manj (27788) $733.75
Cltx dstl fibular fx lat malls w/o manj (27786) $733.75
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $733.75
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $733.75
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $733.75
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $3,075
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $3,843.75
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $733.75
Cltx Fem Fx Prox End Nck W/O Manj (27230) $733.75
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $3,843.75
Cltx fx grt toe phlx/phlg w/manj (28495) $733.75
Cltx fx grt toe phlx/phlg w/o manj (28490) $733.75
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $733.75
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $733.75
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) $3,843.75
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $733.75
Cltx greater trochanteric fx w/o manj (27246) $733.75
Cltx grter humeral tuberosity fx w/manipulation (23625) $3,843.75
Cltx hip dislocation traumatic w/o anesthesia (27250) $733.75
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $3,843.75
Cltx Interphalangeal Joint Dislocation Req Anes (28665) $782.50
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $733.75
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) $3,949
Cltx iphal jt dislc w/manj w/o anes (26770) $733.75
Cltx metacarpal fx w/manipulation each bone (26605) $733.75
Cltx metacarpal fx w/o manipulation each bone (26600) $733.75
Cltx metacarpophalangeal dislc w/manj w/anes (26705) $3,843.75
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $733.75
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) $3,843.75
Cltx metatarsophlngl jt dislc w/o anes (28630) $733.75
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $733.75
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $733.75
Cltx Post Hip Arthrp Dislc Req Anes (27266) $3,843.75
Cltx post hip arthrp dislc w/o anes (27265) $733.75
Cltx prox fibula/shft fx w/manj (27781) $3,843.75
Cltx prox fibula/shft fx w/o manj (27780) $733.75
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $3,843.75
Cltx prox tibfib jt dislc req anes (27831) $8,026.50
Cltx prox tibfib jt dislc w/o anes (27830) $733.75
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $733.75
Cltx scapular fx w/mnpj w/wo skeletal traction (23575) $3,843.75
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $3,843.75
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $3,843.75
Cltx sprcndylr/trnscndylr fem fx w/manj (27503) $3,843.75
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $733.75
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) $8,026.50
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $733.75
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $3,843.75
Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) $733.75
Cltx trimalleolar ankle fx w/manipulation (27818) $3,843.75
Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) $8,026.50
Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) $12,505
Coccygectomy Primary (27080) $8,026.50
Colonoscopy flex w/rem forcep (45384) $2,847.50
Colonoscopy Flexible With Decompression - Colonoscopy (45393) $2,927.50
Colonoscopy stoma rmvl les by hot biopsy forceps (44392) $2,847.50
Colonoscopy stoma w/biopsy (44389) $2,847.50
Colonoscopy stoma w/snare (44394) $2,847.50
Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) $2,415
Colonoscopy thru stoma (44388) $2,166.25
Colonoscopy w/ablation (45388) $2,847.50
Colonoscopy w/band ligation (45398) $2,847.50
Colonoscopy w/fb removal (45379) $2,847.50
Colonoscopy w/stent plcmt (45389) $14,100
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) $19,267.50
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283) $19,267.50
Colporrhaphy suture injury vagina (57200) $7,367.50
Colposcopy cervix upper/adjacent vagina (57452) $565
Colposcopy cervix vag eltrd conization cervix (57461) $7,367.50
Colposcopy cervix vag loop eltrd bx cervix (57460) $7,367.50
Colposcopy entire vagina w/cervix if present (57420) $921.25
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) $766
Colposcopy vulva (56820) $565
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) $1,810
Colpotomy; with exploration (57000) $7,367.50
Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) $2,847.50
Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) $2,847.50
Colsc flx with directed submucosal njx any sbst (45381) $2,847.50
Complete replacement picc rs&i (36584) $2,785
Complex Drainage, Wound (10180) $6,576.25
Composite skin graft (15760) $4,865
Conization of cervix (57520) $7,367.50
Conization of cervix (57522) $7,367.50
Construct thumb replacement (26550) $8,026.50
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $500
Control Nasal Hemorrhage Anterior Complex (30903) $371.25
Control Nasal Hemorrhage Anterior Simple (30901) $371.25
Control Oropharyngeal Hemorrhage Simple (42960) $1,252.50
Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) $7,760
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) $34,921.50
Convert nephrostomy catheter (50434) $4,136
Coracoacromial ligament release, with or without acromioplasty (23415) $17,766.50
Correction Claw Finger Other Methods (26499) $8,026.50
Correction hammertoe (28285) $8,026.50
Correction of bunion (28298) $17,766.50
Correction of bunion (28292) $8,026.50
Correction of bunion (28299) $17,766.50
Correction of bunion (28297) $17,766.50
Correction of inverted nipples (19355) $8,955
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $8,026.50
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) $8,026.50
Create eardrum opening (69436) $3,826.25
Cross Intrinsic Transfer Each Tendon (26510) $8,026.50
Crtj arven fstl xcp dir arven anast nonautog grf (36830) $13,527.50
Cryosurgical ablation prostate w/us & monitori (55873) $23,417.50
Curettage postpartum (59160) $7,367.50
Cysto Bladder W/Ureteral Catheterization (52005) $5,023.75
Cysto inc fulg/rescj urtl valves/folds (52400) $8,560
Cysto inc/rescj orifice bldr diverticulum 1/mlt (52305) $12,517.50
Cysto insj urtrl gd wire prq nfros rtrgr (52334) $8,560
Cysto w fulg of minor lesions <0.5cm (52224) $5,225
Cysto w fulgertn lg bladder tumor(s) (52240) $12,517.50
Cysto w/destruction of lesions (52214) $8,724
Cysto w/removal of tumors small (52234) $8,560
Cysto w/renal stricture tx (52343) $8,724
Cysto W/Simple Removal Stone & Stent (52310) $5,023.75
Cysto w/tx ureteropelvic junction stricture (52342) $8,560
Cysto w/ureter stricture tx (52341) $8,560
Cysto w/ureteroscopy w/rmvl/manj stones (52352) $8,560
Cysto w/urtrl cathj brush bx urtr&/renal pelvis (52007) $8,560
Cysto w/urtroscopy w/tx ureteral stricture (52344) $8,560
Cysto w/urtroscopy w/tx urtropel junct strix (52345) $8,560
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) $12,517.50
Cysto/pyeloscopy rescj pelvic tumor (52355) $12,517.50
Cysto/uretero w/lithotripsy (52356) $12,517.50
Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) $12,517.50
Cystolithotomy w rem stone wo vn res (51050) $12,517.50
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) $12,517.50
Cystoscopy & duct catheter (52010) $1,587
Cystoscopy and treatment (52290) $5,023.75
Cystoscopy and treatment (52330) $8,560
Cystoscopy and treatment (52301) $8,560
Cystoscopy implant stent (52282) $8,560
Cystoscopy stone removal (52325) $12,517.50
Cystoscopy w/biopsy (52204) $5,023.75
Cystoscopy w/complex removal stone & stent (52315) $5,023.75
Cystoscopy,Dil Urethral Stricture (52281) $5,023.75
Cystoscopy,insert ureteral stent (52332) $8,560
Cystostomy Cystotomy W/Drainage (51040) $5,023.75
Cystotomy, with insertion of ureteral catheter or stent (separate procedure) (51045) $4,019
Cystourethro cut ejacul duct (52402) $8,560
Cystourethroscopy (52000) $1,578.75
Cystourethroscopy Inj Chemodenervation Bladder (52287) $5,023.75
Cystourethroscopy w/dil bladder general anesth (52260) $5,085
Cystourethroscopy W/Irrig & Evac Clots (52001) $8,560
Cystourethroscopy w/rmvl ureteral calculus (52320) $8,560
Cystourethroscopy with direct vision internal urethrotomy (52276) $5,023.75
Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) $5,085
Cystourethroscopy, with internal urethrotomy; male Other Surgical Services (52275) $5,023.75
Cystourethroscopy, with resection of external sphincter (sphincterotomy) Other Surgical Services (52277) $8,560
Cystourethroscopy, with steroid injection into stricture (52283) $5,023.75
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) $8,560
Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) $8,560
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $1,410
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $6,576.25
Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) $8,026.50
Dcmprn fasct leg ant&/lat compartments only (27600) $8,026.50
Dcmprn fasct leg ant&/lat&pst cmprt (27602) $8,026.50
Dcmprn fasct leg post compartment only (27601) $8,026.50
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $1,730
Debride nail 1-5 (11720) $187.50
Debride nail 6 or more (11721) $187.50
Debride skin musc at fx site (11011) $1,730
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,087.50
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $1,410
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $3,892.50
Declot vascular device (36593) $883
Decomp forearm,1 compart,w/o debride (25020) $3,843.75
Decompress fingers/hand (26037) $8,026.50
Decompress forearm 1 space (25023) $8,026.50
Decompress forearm 2 spaces (25025) $3,843.75
Decompress spinal cord thrc (63064) $17,766.50
Decompress thigh/knee,>1+debride (27499) $17,766.50
Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Other… (27893) $17,766.50
Decompression fingers and/or hand, injection injury (eg, grease gun) (26035) $8,026.50
Decompression of forearm (24495) $17,766.50
Decompression of leg (27894) $8,026.50
Decompression of leg (27892) $8,026.50
Decompression of thigh/knee (27497) $8,026.50
Decompression of thigh/knee (27498) $3,843.75
Decompression of thigh/knee (27496) $8,026.50
Decompression of tibia nerve (28035) $4,875
Decompression; plantar digital nerve (64726) $4,875
Decompression; unspecified nerve(s) (specify) (64722) $4,875
Delay flap f/c/c/n/ax/g/h/f (15620) $4,865
Delay flap trunk (15600) $9,989
Denervation of hip joint (27035) $8,026.50
Derm autograft trnk/arm/leg (15130) $4,865
Derma-fat-fascia graft (15770) $4,865
Dermabrasion segmental face (15781) $4,865
Destr penis lesn,simpl,laser surg (54057) $4,786.50
Destroy cerv/thor facet jnt (64633) $4,875
Destroy lumb/sac facet jnt (64635) $4,875
Destruction anal lesion(s) (46924) $6,929
Destruction benign lesions 15 or more (17111) $595
Destruction Benign Lesions Up To 14 (17110) $8,955
Destruction by neurolytic agent; other peripheral nerve or branch (64640) $2,302.50
Destruction by neurolytic agent; plantar common digital nerve (64632) $891.25
Destruction Lesions Vulva Extensive (56515) $4,786.50
Destruction Lesions Vulva Simple (56501) $4,786.50
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) $595
Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) $595
Destruction neurolytic agt genicular nerve w/img (64624) $4,975
Destruction of face nerve branch under X-ray monitoring (64610) $4,875
Destruction of growth of rectum (45190) $6,929
Destruction of multiple growths of penis (54065) $4,786.50
Destruction premalignant lesion 1st (17000) $8,955
Destruction Vaginal Lesions Extensive (57065) $7,367.50
Destruction vaginal lesions simple (57061) $7,367.50
Diagnostic sigmoidoscopy (45330) $2,166.25
Dilat rct strix spx under anes oth/thn local (45910) $2,847.50
Dilat urethral strix/vesical nck dilat male anes (53605) $8,724
Dilate urethra stricture (53620) $1,578.75
Dilate Urethra Stricture (53600) $798.75
Dilation & curettage cervical stump (57558) $6,745
Dilation & curettage dx&/ther nonobstetric (58120) $7,367.50
Dilation esoph unguided sound/bougie 1/mult pass (43450) $2,228.75
Dilation Esophagus Guide Wire (43453) $4,416.25
Dilation of anal sphincter (45905) $2,847.50
Dilation of urethra (53665) $5,023.75
Dilation of vagina (57400) $6,057
Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) $13,527.50
Disarticulation Of Hip (27295) $44,997.50
Disarticulation shoulder (23920) $34,921.50
Disarticulation Through Wrist (25920) $17,766.50
Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) $478
Diskectomy, anterior, with decompression of spinal cord and/ or nerve root(s), including osteophytectomy; cervical,… (63075) $17,766.50
Division of fallopian tube (58600) $7,367.50
Division of stricture of rectum (45150) $2,847.50
Divisn plantar fascia/muscle (28250) $8,026.50
Double transfer toe-hand (26554) $17,766.50
Drain Ext Ear Absc/Blood,Complic (69005) $3,892.50
Drain hand tendon sheath (26020) $8,026.50
Drain lower leg bursa (27604) $8,026.50
Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) $1,730
Drain penis lesion (54015) $3,892.50
Drain shoulder bursa (23031) $6,576.25
Drain shoulder lesion (23030) $6,576.25
Drain spinal cord cyst (62268) $2,302.50
Drain/inj small joint/bursa w/us (20604) $891.25
Drainage abscess/hematoma nasal int approach (30000) $692.50
Drainage External Ear Abscess/Hematoma Simple (69000) $1,730
Drainage Finger Abscess Complicated (26011) $3,892.50
Drainage Finger Abscess Simple (26010) $595
Drainage of abscess; submaxillary, external (42320) $1,252.50
Drainage of bone lesion (26992) $17,766.50
Drainage of bone lesion (27303) $17,766.50
Drainage of deep rectal abscess (45020) $6,929
Drainage of hematoma/fluid (10140) $3,892.50
Drainage of hydrocele (55000) $1,730
Drainage of infected fluid-filled sac near pelvis or hip joint (26991) $3,843.75
Drainage of ovarian cyst(s) (58800) $7,367.50
Drainage of palm bursas (26030) $8,026.50
Drainage of palmar bursa; single, bursa (26025) $8,026.50
Drainage of scrotal wall abscess (55100) $3,892.50
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) $7,367.50
Dressing change under anesthesia (15852) $1,410
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $8,955
Dstl revsc&interval lig uxtr hemo access (36838) $13,527.50
Dstrj lesion anus simple chemical (46900) $981.50
Dstrj lesion anus simple cryosurgery (46916) $595
Dstrj lesion anus simple surg excision (46922) $6,929
Dstrj lesion anus smpl eltrdsiccation (46910) $4,786.50
Dstrj lesion penis simple surg excision (54060) $4,786.50
Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) $1,087.50
Dstrj neurolytic agent pudendal nerve (64630) $2,302.50
Dx bone marrow bx & aspir (38222) $6,576.25
Egd Balloon Dil Esoph30 Mm/> (43233) $4,416.25
Egd balloon dilation esophagus <30 mm diam (43249) $4,416.25
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $4,416.25
Egd endoscopic stent place (43266) $14,100
Egd flexible foreign body removal (43247) $2,228.75
Egd guide wire insertion (43248) $2,228.75
Egd intrmural us needle aspirate/biopsy esophags (43238) $4,416.25
Egd place gastrostomy tube (43246) $4,416.25
Egd rem tumr/polyp forcep (43250) $4,416.25
Egd remove lesion snare (43251) $4,416.25
Egd Transoral Control Bleeding Any Method - Egd (43255) $3,884
Egd us exam duodenum/jejunum (43259) $4,416.25
Egd us fine needle bx/aspir (43242) $4,416.25
Egd us transmural injxn/mark (43253) $4,416.25
Egd Varices Ligation (43244) $3,749
Elbow arthroscopy (29830) $8,026.50
Elbow arthroscopy/surgery (29836) $17,766.50
Elbow arthroscopy/surgery (29838) $8,026.50
Elbow arthroscopy/surgery (29837) $8,026.50
Elbow arthroscopy/surgery (29835) $8,026.50
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) $921.25
Electrical stimulation bone healing noninvasive (20974) $14,422.50
Emblc/thrmbc ax brach innominate subcla art (34101) $13,527.50
Endocervical Curettage (57505) $2,071
Endometrial abltj thermal w/o hysteroscopic guid (58353) $12,505
Endometrial Cryoablation With Ultrasonic Guidance, Including Endometrial Curettage, When Performed (58356) $12,505
Endoscopic Injection/Implant (51715) $8,560
Endoscopic Plantar Fasciotomy (29893) $8,026.50
Endoscopic us exam esoph (43237) $4,416.25
Endoscopy of bowel pouch (44385) $2,250
Endoscopy Upper Small Intestine - Enteroscopy (44360) $4,416.25
Endoven abltj incmptnt vein mchnchem 1st vein (36473) $6,175
Endoven abltj incmptnt vein xtr laser 1st vein (36478) $8,115
Endoven ther chem adhes 1st (36482) $13,034
Endovenous rf 1st vein (36475) $8,115
Enterorrhaphy single perforation (44602) $8,505
Epididymectomy bilateral (54861) $8,560
Epididymectomy unilateral (54860) $8,724
Epidural lysis mult sessions (62263) $2,302.50
Epidural lysis on single day (62264) $2,302.50
Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur (27185) $17,766.50
Epiphyseal Arrest Dist Rad or Ulna (25450) $8,026.50
Episiotomy or vaginal repair (59300) $7,367.50
Esoph endoscopy dilation (43226) $4,416.25
Esophagogastroduodenoscopy submucosal injection (43236) $2,228.75
Esophagoscopy flex biopsy (43202) $4,416.25
Esophagoscopy flexible removal foreign body (43215) $4,416.25
Esophagoscopy flexible transnasal diagnostic (43197) $2,228.75
Esophagoscopy flexible transoral diagnostic (43200) $2,228.75
Esophagoscopy rigid trnso dx (43191) $4,416.25
Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) $3,749
Esophagoscp rig trnso biopsy (43193) $4,416.25
Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) $4,416.25
Ethmoidectomy Intranasal Anterior (31200) $14,068
Evacuate mole of uterus (59870) $7,367.50
Evacuation of subungual hematoma (11740) $371.25
Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) $3,892.50
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $3,892.50
Exam of jaw joint using an endoscope|BILATERAL PROCEDURE |DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (29804) $8,026.50
Exc abd les sc 3 cm/> (22903) $6,576.25
Exc arm/elbow les sc 3 cm/> (24071) $6,576.25
Exc arm/elbow les sc < 3 cm (24075) $3,892.50
Exc B1 Cst/B9 Tum W/Agrft Req Sep Inc (27067) $17,766.50
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $3,892.50
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $3,892.50
Exc back les sc < 3 cm (21930) $3,892.50
Exc back tum deep < 5 cm (21932) $6,576.25
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) $14,422.50
Exc coccygeal pressure ulcer (15920) $6,576.25
Exc cyst/tumor fing phalanx w autogrft (26215) $8,026.50
Exc excessive skin &subq tissue forearm/hand (15837) $6,576.25
Exc face les sbq 2 cm/> (21012) $3,892.50
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) $1,730
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $3,892.50
Exc foot/toe tum sc < 1.5 cm (28043) $3,892.50
Exc forearm les sc 3 cm/> (25071) $3,892.50
Exc forearm les sc < 3 cm (25075) $3,892.50
Exc frenum labial/buccal (40819) $3,826.25
Exc hand les sc < 1.5 cm (26115) $3,892.50
Exc hydrocele sprmatic cord uni spx (55500) $8,560
Exc ischial pr ulcer w/ostc musc/myoq flap/skin (15946) $4,865
Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) $7,760
Exc lesion tendon sheath/capsule w/synvct toe ea (28092) $3,843.75
Exc neck tum deep < 5 cm (21556) $6,576.25
Exc neurofibroma/neurolemmoma major prph nrv (64790) $4,875
Exc neuroma major peripheral nrv xcp sciatic (64784) $4,875
Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) $14,422.50
Exc Rect Tum Transanal Full (45172) $6,929
Exc rect tum transanal part (45171) $6,929
Exc Sacr Press Ulc Bone & Suture (15933) $6,576.25
Exc shoulder les sc 3 cm/> (23071) $3,892.50
Exc shoulder tum deep 5 cm/> (23073) $6,576.25
Exc skin abd (15830) $15,446.50
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $1,730
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $1,087.50
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $1,730
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $1,730
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $3,892.50
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $3,892.50
Exc Skin Benig >4 Cm Face,Facial (11446) $6,576.25
Exc Skin Benig >4 Cm Remaindr Body (11426) $6,576.25
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $3,892.50
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $3,892.50
Exc Skin Malig >4 Cm Face,Facial (11646) $6,576.25
Exc Skin Malig >4 Cm Remaindr Body (11626) $6,576.25
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $3,892.50
Exc Sweat Gland Lesn Perineal,Complx (11471) $6,576.25
Exc thigh/knee les sc 3 cm/> (27337) $6,576.25
Exc thigh/knee tum dep 5cm/> (27339) $6,576.25
Exc Thrombosed Hemorrhoid Xtrnl (46320) $2,847.50
Exc tongue lesion w cl; post 1/3 (41113) $7,760
Exc tr-ext b9+marg 0.5 cm or less (11400) $1,730
Exc trochanteric pressure ulcer w/primary sutr (15950) $8,955
Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) $3,892.50
Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) $6,576.25
Exc tumor soft tiss face&scalp subfascial < 2cm (21013) $3,892.50
Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) $3,892.50
Exc tumor soft tiss shoulder subfasc <5cm (23076) $6,576.25
Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) $6,576.25
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $6,576.25
Exc tumor soft tissue abdominal wall subq <3cm (22902) $3,892.50
Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) $6,576.25
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) $6,576.25
Exc tumor soft tissue leg/ankle subfascial <5cm (27619) $6,576.25
Exc tumor soft tissue leg/ankle subq <3cm (27618) $3,892.50
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $6,576.25
Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) $6,576.25
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $3,892.50
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $6,576.25
Exc tumor soft tissue pelvis & hip subq <3cm (27047) $6,576.25
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $6,576.25
Exc urethral diverticulum spx female (53230) $12,517.50
Exc varicocele/ligation spermatic veins spx (55530) $8,560
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $8,026.50
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $3,843.75
Exc/curtg cst/b9 tum tarsal/metar w/iliac/agrft (28106) $17,766.50
Exchange nephrostomy cath (50435) $5,023.75
Exchng absc/cst drg cath rad gid spx (49423) $3,409
Excis jt lining,mc-p jt,each digit (26135) $8,026.50
Excis lesn,palete/uvula-flap clos (42107) $11,907
Excis Tendon Sheath Lesion, Hand/Finger (26160) $3,843.75
Excise cutaneous neurofibroma (64788) $4,875
Excise excess skin & tissue (15839) $6,576.25
Excise excess skin fat pad (15838) $6,576.25
Excise excess skin tissue,thigh (15832) $4,865
Excise excessive skin arm (15836) $6,576.25
Excise excessive skin buttck (15835) $6,130
Excise excessive skin hip (15834) $6,576.25
Excise excessive skin leg (15833) $6,576.25
Excise Inferior Turbinate (30130) $7,760
Excise lesion testis (54512) $8,560
Excise Neurofibroma Extensive (64792) $16,165
Excise oral mucosa for graft (40818) $1,252.50
Excise parotid gland/lesion (42410) $14,422.50
Excise parotid gland/lesion (42425) $14,422.50
Excise parotid gland/lesion (42420) $14,422.50
Excise pharynx lesion (42808) $7,760
Excise tendon forearm/wrist (25109) $8,026.50
Excise/repair mouth lesion (40812) $3,826.25
Excision bone cyst/bnign tumor superficial (27065) $17,766.50
Excision brach clft cyst,superficial (42810) $7,760
Excision Breast Lesion (19125) $8,955
Excision constricting tissue (26596) $8,026.50
Excision Distal Ulna Partial/Complete (25240) $8,026.50
Excision exostosis(es), external auditory canal (69140) $14,422.50
Excision external ear partial simple repair (69110) $6,576.25
Excision h/p/p/u simple/intermediate repair (11470) $6,576.25
Excision hand/finger tendon (26415) $8,026.50
Excision hidradenitis axillary complex repair (11451) $6,576.25
Excision hidradenitis inguinal smpl/intrm rpr (11462) $6,576.25
Excision hydrocele bilateral (55041) $8,817.50
Excision Lactiferous Duct Fistula (19112) $8,955
Excision lesion mouth roof (42104) $7,760
Excision Lingual Frenum Frenectomy (41115) $3,826.25
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $1,730
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $1,087.50
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $1,730
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $1,730
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) $1,730
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $1,730
Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) $1,730
Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) $3,892.50
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $3,892.50
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $1,730
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $1,730
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $3,892.50
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $3,892.50
Excision Multiple External Papillae/Tags Anus (46230) $6,929
Excision of bartholin's gland or cyst (56740) $7,367.50
Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) $1,730
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $1,730
Excision of benign tumor or cyst of facial bone other than mandible (21030) $14,422.50
Excision of bulbourethral gland (53250) $8,560
Excision of Epiphyseal Bar (20150) $8,026.50
Excision of ganglion, wrist (dorsal or volar); recurrent (25112) $3,843.75
Excision of hydrocele; unilateral (55040) $8,817.50
Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) $2,288.75
Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair (40814) $7,760
Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) $8,026.50
Excision of lesion of tongue without closure (41110) $7,760
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $3,892.50
Excision of lesion other than skin tag </= 0.5 cm (11420) $3,892.50
Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) $3,843.75
Excision of lingual tonsil (42870) $14,422.50
Excision Of Lip; Transverse Wedge Excision With Primary Closure (40510) $7,760
Excision of local lesion of epididymis (54830) $8,724
Excision of maxillary torus palatinus (21032) $6,344
Excision of nail fold toe (11765) $1,087.50
Excision of neuroma; hand or foot, except digital nerve (64782) $4,875
Excision of neuroma; sciatic nerve (64786) $16,165
Excision of pilonidal cyst or sinus; simple (11770) $6,576.25
Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach (45160) $6,929
Excision of single external papilla or tag, anus (46220) $2,847.50
Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) $6,576.25
Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) $6,576.25
Excision of spermatocele, with or without epididymectomy (54840) $5,023.75
Excision of sublingual salivary cyst (ranula) (42408) $7,760
Excision of submandibular (submaxillary) gland (42440) $14,422.50
Excision of tendon, finger, flexor or extensor, each tendon (26180) $3,843.75
Excision of thyroglossal duct cyst or sinus; recurrent (60281) $14,350
Excision of tongue lesion (41112) $7,760
Excision of tongue lesion (41114) $7,760
Excision of tracheal tumor or carcinoma; cervical (31785) $14,422.50
Excision of Umbilicus (49250) $8,817.50
Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) $14,350
Excision of urethral diverticulum (separate procedure); male Other Surgical Services (53235) $12,516.50
Excision of vaginal cyst or tumor (57135) $7,367.50
Excision of vaginal septum (57130) $7,367.50
Excision olecranon bursa (24105) $8,026.50
Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Other Surgical… (27357) $17,766.50
Excision or curettage of bone cyst or benign tumor of metacarpal; (26200) $3,843.75
Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) $8,026.50
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft (27638) $17,766.50
Excision or fulguration; Skene's glands (53270) $8,724
Excision or fulguration; urethral caruncle (53265) $5,023.75
Excision pilonidal cyst/sinus complicated (11772) $6,576.25
Excision Prepatellar Bursa (27340) $8,026.50
Excision soft tissue lesion, external auditory canal (69145) $6,576.25
Excision Synovial Cyst Popliteal Space (27345) $8,026.50
Excision tumor soft tis back/flank subq 3 cm/> (21931) $3,892.50
Excision tumor soft tissue thigh/knee subq <3cm (27327) $3,892.50
Excision, graft, extremity (35903) $8,115
Excision, interdigital (Morton) neuroma, single, each (28080) $3,843.75
Excision, lesion of palate, uvula; with simple primary closure (42106) $7,760
Excision, lesion of tendon sheath, forearm and/or wrist (25110) $3,843.75
Excision, nasal polyp(s), simple (30110) $3,826.25
Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) $6,576.25
Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) $6,576.25
Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) $3,892.50
Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) $6,576.25
Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) $6,576.25
Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) $6,576.25
Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) $6,576.25
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $6,576.25
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) $6,576.25
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $3,892.50
Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) $6,576.25
Excision/curettage cyst/tumor carpal bones (25130) $8,026.50
Excision/curettage cyst/tumor femur w/allograft (27356) $34,921.50
Excision/curettage cyst/tumor radius/ulna (25120) $8,026.50
Excision/curettage cyst/tumor talus/calcaneus (28100) $8,026.50
Excision/destruction intranasal lesion int appr (30117) $7,760
Excision/fulguration urethral prolapse (53275) $8,724
Expl penetrating wound spx abdomen/flank/back (20102) $4,786.50
Expl Po Hemrrg Thrombosis/Infctj Nck (35800) $13,527.50
Expl retroperitoneum w/wo bx spx (49010) $9,027.50
Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) $3,843.75
Explo/Drain Breast Abscess (19020) $3,892.50
Explor ankle jt+tenosynovectomy (27626) $8,026.50
Exploration for undescended testis (inguinal or scrotal area) (54550) $8,817.50
Exploration for undescended testis with abdominal exploration (54560) $5,023.75
Exploration maxillary sinus (31030) $12,634
Exploration of ankle joint (27612) $8,026.50
Exploration Of Foot Joint (28020) $8,026.50
Exploration of hip joint (27033) $17,766.50
Exploration of knee joint (27310) $8,026.50
Exploration of spinal fusion (22830) $34,921.50
Exploration penetrating wound spx chest (20101) $4,786.50
Exploration penetrating wound spx extremity (20103) $1,730
Exploration Penetrating Wound Spx Neck (20100) $1,252.50
Exploratory shoulder surgery (23044) $8,026.50
Explore & Treat Metacarpo-Phal Jt (26075) $8,026.50
Explore limb vessels (35860) $8,115
Explore parathyroid glands (60500) $14,422.50
Explore treat shoulder joint (23107) $17,766.50
Explore/treat ankle joint (27620) $8,026.50
Explore/treat ankle joint (27610) $8,026.50
Explore/treat elbow joint (24101) $8,026.50
Explore/treat hand joint (26070) $3,843.75
Explore/Treat Interphalangeal Jt,Ea (26080) $3,843.75
Extensive ankle/heel surgery (27647) $8,026.50
Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) $3,949
Fascia lata graft; by stripper (20920) $4,786.50
Fasciectomy, plantar fascia; radical (separate procedure) (28062) $8,026.50
Fasciotomy foot and/or toe (28008) $8,026.50
Fasciotomy Hip Or Thigh Any Type (27025) $17,766.50
Fasciotomy Iliotibial Open (27305) $8,026.50
Fasciotomy palmar open partial (26045) $8,026.50
Fasciotomy palmar percutaneous (26040) $3,843.75
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $8,026.50
Fill contour defct <1cc (11950) $518
Filleted finger/toe flap (14350) $3,934
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $1,762.50
Fine needle aspiration bx w/us gdn 1st lesion (10005) $1,662.50
Fine needle aspiration without imaging guidance (10021) $1,087.50
Finger tendon transfer (26497) $8,026.50
Fixation of knee joint (27570) $3,843.75
Fixation of shoulder (23700) $3,843.75
Fixation of shoulder blade (23400) $17,766.50
Flap; neurovascular pedicle (15750) $9,989
Flexor-plasty elbow w/extensor advancement (24331) $17,766.50
Fluid pressure muscle (20950) $17,766.50
Fluoro exam of g/colon tube (49465) $652.50
Fracture nasal inferior turbinate(s), therapeutic (30930) $7,760
Free osteocutaneous flap with microvascular anastomosis; iliac crest Other Surgical Services (20970) $7,760
Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Other… (20969) $7,760
Frenulotomy of penis (54164) $5,023.75
Frmj dir/tube pedcl w/wotr fh/ch/ch/m/n/ax/g/h/f (15574) $4,865
Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) $4,865
Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) $4,865
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) $4,865
Fth/gft free w/direct closure trunk 20 cm/< (15200) $4,865
Fuse hand bones with graft (25825) $17,766.50
Fusion Finger Joint (26860) $8,026.50
Fusion of elbow joint (24800) $17,766.50
Fusion of finger tendons (26474) $3,843.75
Fusion of foot bones (28715) $34,921.50
Fusion of foot bones (28730) $34,921.50
Fusion of foot bones (28735) $34,921.50
Fusion of foot bones (28740) $17,766.50
Fusion of hand bones (25820) $17,766.50
Fusion of hand joint (26843) $17,766.50
Fusion of knuckle (26850) $17,766.50
Fusion of knuckle joint (26516) $8,026.50
Fusion of knuckle joints (26518) $17,766.50
Fusion of knuckle with graft (26852) $17,766.50
Fusion of shoulder joint (23802) $34,921.50
Fusion of spermatic ducts (54900) $5,023.75
Fusion of thumb (26841) $17,766.50
Fusion of toes (28280) $8,026.50
Fusion of wrist joint (25800) $17,766.50
Fusion radioulnar jnt/ulna (25830) $17,766.50
Fusion/graft of elbow joint (24802) $34,921.50
Fusion/graft of finger joint (26862) $8,026.50
Fusion/graft of wrist joint (25805) $17,766.50
Gastric restrictive procedure, open; removal of subcutaneous port component only (43887) $4,786.50
Gastric restrictive procedure, open; revision of subcutaneous port component only (43886) $9,989
Gastrocnemius Recession (27687) $8,026.50
Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) $14,260
Gastrostomy opn w/o constj gstr tube spx (43830) $4,416.25
Genioplasty Augmentation (21120) $14,422.50
Glossectomy; less than one-half tongue (41120) $14,422.50
Graft ear crtlg autogenous nose/ear (21235) $11,538
Grafting of autologous fat by lipo 25 cc or less (15773) $4,350
Grafting of autologous fat by lipo 50 cc or less (15771) $9,987.50
Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) $3,995
Guide Cathet Fluid Drainage (10030) $1,185
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) $17,766.50
Hand tendon pulley reconstruction (26500) $17,766.50
Hand tendon reconstruction (26502) $8,026.50
Hemiarthroplasty Hip Partial (27125) $34,921.50
Hemiepiphyseal Arrest (24470) $8,026.50
Hemiphalangectomy/interphalangeal joint exc toe (28160) $8,026.50
Hemorrhoidectomy (46255) $6,929
Hemorrhoidectomy external complete (46250) $6,929
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) $6,929
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $6,929
Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) $6,929
Hip arthro acetabuloplasty (29915) $17,766.50
Hip arthro w/fb removal (29861) $17,766.50
Hip arthro w/labral repair (29916) $17,766.50
Hymenotomy Simple Incision (56442) $7,367.50
Hyoid myotomy and suspension (21685) $14,422.50
Hysteroscopy ablation (58563) $12,505
Hysteroscopy biopsy (58558) $7,367.50
Hysteroscopy dx sep proc (58555) $7,367.50
Hysteroscopy Lysis Intrauterine Adhesions (58559) $10,179
Hysteroscopy Removal Impacted Foreign Body (58562) $7,367.50
Hysteroscopy resect septum (58560) $12,505
Hysteroscopy, surgical; with removal of leiomyomata (58561) $12,505
I&D Abscess Peritonsillar (42700) $692.50
I&d abscess simple (10060) $611
I&d below fascia foot 1 bursal space (28002) $3,843.75
I&d deep absc bursa/hematoma thigh/knee region (27301) $6,576.25
I&D Deep Absc/Hematoma Neck/Chest (21501) $14,422.50
I&d epididymis tstis&/scrotal space (54700) $5,023.75
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) $8,026.50
I&d forearm/wrist bursa (25031) $3,843.75
I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) $8,026.50
I&d perianal abscess superficial (46050) $2,166.25
I&d pilonidal cyst simple (10080) $1,730
I&D Rectal Abscess + Fistulectomy (46060) $6,929
I&d submucosal abscess rectum (45005) $2,847.50
I&D Upper Arm/Elbow Bursa (23931) $3,892.50
I&d upper arm/elbow deep abscess/hematoma (23930) $6,576.25
I&d vaginal hematoma, non-ob (57023) $6,576.25
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) $2,228.75
Image Cath Fluid Colxn Visc (49405) $3,990
Image Cath Fluid Peri/Retro (49406) $3,248
Immediate breast prosthesis (19340) $15,446.50
Implant neuroelectrodes (63650) $17,470
Implant neuroelectrodes (64580) $54,670
Implant Removal Elbow Joint (24160) $8,026.50
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) $16,165
Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) $48,297.50
Inc impltj periph nerve neurostimulator eltrd (64575) $54,670
Incis 1 vertebral seg lumbar (22214) $17,766.50
Incis Deep Arm/Elbow Bone Lesion (23935) $8,026.50
Incise diaphragm nerve (64746) $4,875
Incise finger tendon sheath (26055) $3,843.75
Incise hip/thigh nerve (64766) $4,875
Incise hip/thigh nerve (64763) $4,875
Incise wrist/forearm tendon (25290) $8,026.50
Incision & drainage abscess complicated/multiple (10061) $1,087.50
Incision & drainage leg/ankle abscess/hematoma (27603) $6,576.25
Incision & drainage pilonidal cyst complicated (10081) $1,730
Incision & removal foreign body subq tiss compl (10121) $3,892.50
Incision & removal foreign body subq tiss simple (10120) $870
Incision (eg, osteomyelitis or bone abscess), leg or ankle (27607) $8,026.50
Incision and drainage of vulva or perineal abscess (56405) $781
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015) $17,766.50
Incision bone cortex foot (28005) $8,026.50
Incision bone cortex hand/finger (26034) $3,843.75
Incision bone cortex shoulder area (23035) $3,843.75
Incision extensor tendon sheath wrist (25000) $3,843.75
Incision for implantation of neurostimulator electrode array; sacral nerve (64581) $17,545
Incision labial frenum frenotomy (40806) $1,252.50
Incision of achilles tendon (27605) $3,843.75
Incision of collarbone joint (23106) $8,026.50
Incision of eardrum (69421) $7,760
Incision of heel bone (28300) $17,766.50
Incision of lingual frenum (41010) $3,826.25
Incision of lymph channels (38308) $8,955
Incision of metatarsal (28308) $8,026.50
Incision of metatarsal (28307) $14,751
Incision of metatarsals (28309) $17,766.50
Incision of rectal abscess (46045) $6,929
Incision of rectal abscess (46040) $2,847.50
Incision of thigh tendons (27392) $8,026.50
Incision of thigh tendons (27307) $8,026.50
Incision of tibia (27705) $17,766.50
Incision of tibia & fibula (27709) $34,921.50
Incision of urethra (53010) $12,517.50
Incision of urethra (53025) $5,023.75
Incision of urethra (53000) $4,394
Incision of urethra (53020) $5,023.75
Incision of wrist capsule (25085) $8,026.50
Incision thrombosed hemorrhoid external (46083) $798.75
Incision&drainage bursa foot (28001) $3,892.50
INCISION, FLEXOR TENDON SHEATH, WRIST (EG, FLEXOR CARPI radials (25001) $8,026.50
Incisional biopsy skin single lesion (11106) $981.50
Inguinofem Lmphadec Supfc W/Cloquets Nod (38760) $15,446.50
Inj neurolytic subarachnoid (62280) $2,302.50
Inj paravert f jnt c/t 1 lev (64490) $2,302.50
Inj tendon sheath/ligament (20550) $891.25
Inj,Anes Agent,Brachial Plexus,Single (64415) $2,302.50
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) $2,302.50
Inj,Anes Agent,Femoral Nerve,Single (64447) $1,772.50
Inject 5th nerv-2,3 div,f.ovale (64605) $4,875
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) $2,302.50
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $891.25
Inject Nerv Blck,Axillary Nerv (64417) $2,302.50
Inject Nerv Blck,Celiac Plexus (64530) $2,302.50
Inject Nerv Blck,Ilioingu/Iliohyp (64425) $1,772.50
Inject Nerv Blck,Intercost,Multpl (64421) $2,302.50
Inject Nerv Blck,Intercostal,One (64420) $1,772.50
Inject Nerv Blck,Paravert Sympath (64520) $2,302.50
Inject Nerv Blck,Pudendal (64430) $2,302.50
Inject Rx Celiac Plexus Nerve (64680) $2,302.50
Inject Sinus Tract Theraputic (20500) $3,836.50
Inject Tendon Origin/Insert (20551) $891.25
Injection aa&/strd brach plex cont nfs cath img (64416) $2,302.50
Injection aa&/strd genicular nrv branches w/img (64454) $1,466
Injection aa&/strd lumbar plexus cont nfs cath (64449) $2,302.50
Injection aa&/strd sciatic nerve w/img gdn (64445) $1,772.50
Injection aa&/strd sciatic nrv cont nfs cath img (64446) $2,302.50
Injection aa&/strd suprascapular nerve (64418) $1,772.50
Injection aa&/strd trigeminal nerve each branch (64400) $891.25
Injection anes other peripheral nerve/branch (64450) $1,772.50
Injection Anes Superior Hypogastric Plexus (64517) $2,302.50
Injection for identification of sentinel node (38792) $1,043.75
Injection peyronie disease (54200) $798.75
Injection procedure for chemonucleolysis, including diskography, intervertebral disk, single or multiple levels, lumbar (62292) $4,875
Injection single/mlt trigger point 1/2 muscles (20552) $891.25
Injection single/mlt trigger point 3/> muscles (20553) $891.25
Injection therapeutic carpal tunnel (20526) $891.25
Injection treatment of nerve (64600) $2,302.50
Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) $2,302.50
Injection, anesthetic agent; greater occipital nerve (64405) $891.25
Injection, anesthetic agent; paracervical (uterine) nerve (64435) $1,772.50
Injection, anesthetic agent; sphenopalatine ganglion (64505) $891.25
Injection, anesthetic agent; vagus nerve (64408) $891.25
Injection, intralesional; up to and including 7 lesions (11900) $611.50
Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) $2,302.50
Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) $2,302.50
Ins cath ren art 1st bilat (36252) $8,115
Ins cath ren art 1st unilat (36251) $8,115
Ins cath ren art 2nd+ bilat (36254) $8,115
Ins cath ren art 2nd+ unilat (36253) $13,527.50
Ins endovas vena cava filtr (37191) $10,822
Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) $23,033
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) $25,866.50
Insert and remove bone pin (20650) $8,026.50
Insert Bladder Cath Complex (51703) $471.25
Insert cannula,art-ven revisn (36815) $13,527.50
Insert Drug Implant Device (11981) $371.25
Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) $4,416.25
Insert Gastrostomy Tube Percutaneous (49440) $4,416.25
Insert nasal septal button (30220) $3,826.25
Insert non-tunnel cv cath (36556) $6,877
Insert picc cath (36569) $3,700
Insert tandem cuff (53444) $51,775
Insert Temp Bladder Cath (51702) $318
Insert Tissue Expander(S) (11960) $9,989
Insert tun ip cath perc (49418) $8,817.50
Insert tunneled cv cath (36561) $8,115
Insert Tunneled Cv Cath With Pump (36563) $13,527.50
Insert,Non-Indwelling Bladder Catheter (51701) $297
Insertion indwelling tunneled pleural catheter (32550) $7,465
Insertion of stent into small bowel using an endo inserted through (44384) $7,271
Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) $8,817.50
Insertion of vascular pedicle into carpal bone (eg, harii procedure) (25430) $8,026.50
Insertion of wire and dilation of esophagus using an endoscope (43196) $7,088
Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) $29,389
Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) $54,670
Insertion Picc W/Rs&I 5 Yr/> (36573) $3,700
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $21,670
Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) $13,527.50
Insj inflatable urethral/bladder neck sphincter (53445) $51,775
Insj multi-component inflatable penile prosth (54405) $51,775
Insj penile prosthesis non-inflatable semi-rigid (54400) $43,750
Insj penile prosthesos inflatable self-contained (54401) $51,775
Insj prph ctr vad w/subq port age 5 yr/> (36571) $8,115
Insj tun vad req 2 cath 2 sits w/subq port (36566) $12,855
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $6,492
Insj/rplcmt breast implant sep day mastectomy (19342) $25,295
Insj/rplcmt defib w/lead(s) (33249) $93,121.50
Insrt pulse gen w/dual leads (33230) $51,525
Insrt/redo spine n generator (63685) $83,496.50
Install spinal shunt (63741) $16,165
Interpelviabdominal Amputation (27290) $44,997.50
Interthoracoscapular Amputation (23900) $34,921.50
Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) $4,625
Intro cath dialysis circuit w/tcat plmt IV stent (36903) $28,479
Intro cath dialysis circuit w/trluml balo angiop (36902) $14,047.50
Intubation endotracheal emergency procedure (31500) $554
Island pedicle flap graft (15740) $3,934
Kidney endoscopy (50575) $12,517.50
Kidney endoscopy (50553) $12,517.50
Kidney endoscopy (50551) $12,517.50
Kidney endoscopy & treatment (50580) $12,517.50
Knee arthroscopy/surgery (29887) $17,766.50
Knee arthroscopy/surgery (29883) $8,026.50
Knee arthroscopy/surgery (29885) $17,766.50
Knee arthroscopy/surgery (29876) $8,026.50
Knee arthroscopy/surgery (29851) $3,843.75
Knee arthroscopy/surgery (29886) $8,026.50
Krukenberg Procedure (25915) $17,766.50
Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22819) $44,997.50
Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22818) $44,997.50
La w/ex a/o de sp co a/o ca eq w/o fa, fo/dis (eg sp st) m t 2 v se ce (sso) (63015) $17,766.50
Lam w/o facetec foramot/dsc 1/2 vrt sgm crv (63001) $17,766.50
Lam W/O Ffd > 2 Vrt Seg Thrc (63016) $17,766.50
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical (63265) $17,766.50
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) $17,766.50
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral (63268) $17,766.50
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic (63266) $17,766.50
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) $58,075
Laminectomy w/o ffd 1/2 vert seg thoracic (63003) $17,766.50
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) $17,766.50
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017) $17,766.50
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) $17,766.50
Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) $17,766.50
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) $17,766.50
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) $17,766.50
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) $17,766.50
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) $17,766.50
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) $17,766.50
Laminotomy single cervical (63040) $17,766.50
Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) $17,766.50
Lap ing hernia repair init (49650) $14,350
Lap insert tunnel ip cath (49324) $14,350
Lap jejunostomy (44186) $14,350
Lap revise/remv eltrd antrum (43648) $14,350
Laparo ligate spermatic vein (55550) $14,350
Laparo new ureter/bladder (50947) $14,350
Laparo sling operation (51992) $14,350
Laparo-myomectomy complex (58546) $24,812.50
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; (58553) $24,812.50
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) $24,812.50
Laparoscopy appendectomy (44970) $14,350
Laparoscopy biopsy (49321) $14,350
Laparoscopy fimbrioplasty (58672) $14,350
Laparoscopy gastrostomy (43653) $14,350
Laparoscopy lymphadenectomy (38572) $24,812.50
Laparoscopy orchiopexy (54692) $14,350
Laparoscopy Remove Adnexa (58661) $14,350
Laparoscopy salpingostomy (58673) $14,350
Laparoscopy surgical orchiectomy (54690) $14,350
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) $24,812.50
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $24,812.50
Laparoscopy tubal block (58671) $14,350
Laparoscopy Tubal Cautery (58670) $14,350
Laparoscopy ureterolithotomy (50945) $14,350
Laparoscopy w/lysis of adhesions (58660) $14,350
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) $14,350
Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) $20,265
Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) $14,350
Laparoscopy, surgical, ablation of one or more liver tumor(s); radiofrequency (47370) $24,758
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) $24,812.50
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) $14,350
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $24,812.50
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and… (43770) $24,812.50
Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device… (43773) $14,350
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $8,505
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545) $14,350
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) $24,812.50
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) $24,812.50
Laparoscopy, surgical, splenectomy (38120) $24,812.50
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $24,812.50
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572) $24,812.50
Laparoscopy, surgical; ablation of renal cysts (50541) $14,350
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $14,350
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $14,350
Laparoscopy, surgical; partial nephrectomy (50543) $24,812.50
Laparoscopy, surgical; pyeloplasty (50544) $24,812.50
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $14,350
Laparoscopy, surgical; urethral suspension for stress incontinence (51990) $14,350
Laps abltj renal mass lesion w/intraop us (50542) $24,812.50
Laps abltj uterine fibroids w/intraop us gdn (58674) $24,812.50
Laps fulg/exc ovary viscera/peritoneal surface (58662) $14,350
Laps Gastric Restrictive Px Remove Device & Port (43774) $8,505
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $24,812.50
Laps surg bilateral total pelvic lmphadectomy (38571) $24,812.50
Laps surg retroperitoneal lymph node bx 1/mlt (38570) $14,350
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) $14,350
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) $24,812.50
Laps urtroneocstost w/o cstsc&urtrl stent plmt (50948) $25,260
Laps vaginal hysterectomy uterus 250 gm/< (58550) $14,350
Laps W/Revision Intraperitoneal Catheter (49325) $14,350
Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) $8,662.50
Laryngoscop w/arytenoidectom (31560) $16,512.50
Laryngoscope w/vc inj (31570) $8,662.50
Laryngoscopy direct, with or without tracheoscopy; with dilation, initial (31528) $8,662.50
Laryngoscopy Indirect Diagnostic Spx (31505) $532.50
Laryngoscopy w/biopsy (31535) $8,662.50
Laryngoscopy w/bx op scope (31536) $8,662.50
Laryngoscopy w/exc of tumor (31540) $8,662.50
Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) $4,056.25
Laryngoscopy with biopsy (31576) $3,454
Laryngoscopy,dirct,op scop,remv ary (31561) $16,512.50
Laryngoscopy,Direct,Diagnostic (31525) $4,056.25
Larynscop w/tumr exc + scope (31541) $8,662.50
Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) $12,517.50
Laser surgery, anal lesion(s) (46917) $6,929
Laser vaporization surgery prostate, complete (52648) $12,517.50
Late closure of wound (13160) $4,865
Lateral canthopexy (21282) $7,760
Lateral retinacular release open (27425) $8,026.50
Lengthen metacarpal/finger (26568) $17,766.50
Lengthen radius & ulna (25393) $17,766.50
Lengthen radius or ulna (25391) $34,921.50
Lengthening Hamstring Tendon Single (27393) $17,766.50
Lengthening of hamstring tendon; multiple tendons, 1 leg Other Surgical Services (27394) $17,766.50
Lengthening of hand tendon (26478) $8,026.50
Lengthening of thigh tendons (27395) $8,026.50
Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Other Surgical… (27686) $8,026.50
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) $17,766.50
Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) $34,921.50
Ligate/strip long leg vein (37722) $8,115
Ligate/strip short leg vein (37718) $8,115
Ligation of a-v fistula (37607) $8,115
Ligation of hemorrhoid(s) (46221) $2,166.25
Ligation or biopsy temporal artery (37609) $3,892.50
Ligation, division, and/or excision of varicose vein cluster(s), 1 leg (37785) $8,115
Lip Surgery Procedure (40799) $692.50
Litholapaxy smpl/sm <2.5 cm (52317) $8,560
Lithotripsy (50590) $10,500
Liver Biopsy (47000) $3,892.50
Lsh uterus 250 g or less (58541) $14,350
Lsh w/t/o uterus above 250 g (58544) $24,812.50
Lysis Intranasal Synechia (30560) $1,252.50
Lysis of labial adhesions (56441) $7,367.50
Lysis/excision penile postcircumcision adhesions (54162) $5,023.75
Male sling procedure (53440) $32,577.50
Manipulation Ankle Under General Anesthesia (27860) $8,026.50
Manipulation finger joint under anes each joint (26340) $3,843.75
Manipulation of spine (22505) $3,843.75
Manipulation, elbow, under anesthesia (24300) $3,843.75
Manipulation, hip joint, requiring general anesthesia (27275) $3,843.75
Manipulation, wrist, under anesthesia (25259) $3,843.75
Marsup Bartholin Gland Cyst (56440) $7,367.50
Mast mod rad (19307) $15,694
Mastectomy gynecomastia (19300) $8,955
Mastectomy partial (19301) $8,955
Mastectomy partial w/axillary lymphadenectomy (19302) $15,694
Mastectomy simple complete (19303) $15,694
Mastoidectomy (69502) $14,422.50
Mastopexy (19316) $15,694
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) $4,625
Metatarsectomy (28140) $8,026.50
Middle ear exploration through postauricular or ear canal incision (69440) $7,760
Middle ear surgery proc unlisted (69799) $692.50
Musc myocutaneous/fasciocutaneous flap lxtr (15738) $4,865
Muscle transfer shoulder/arm (23395) $17,766.50
Muscle transfers (23397) $17,766.50
Muscle-skin graft arm (15736) $9,989
Muscle-skin graft trunk (15734) $9,989
Muscle/tendon transfer upper arm/elbow single (24301) $17,766.50
Musculoskeletal surgery (20999) $733.75
Myelography Lumbar Injection (62305) $1,750
Myelography Lumbar Injection (62304) $1,600
Myelography Via Lumbar Injection Rs&I Cervical (62302) $1,600
Myelography via lumbar injection rs&i thoracic (62303) $1,600
Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) $7,367.50
Myringoplasty (69620) $7,760
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $532.50
Nasal surgery procedure (30999) $692.50
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) $16,512.50
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) $16,512.50
Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) $16,512.50
Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) $8,662.50
Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) $16,512.50
Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) $4,056.25
Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295) $16,512.50
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) $16,512.50
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) $16,512.50
Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) $4,056.25
Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) $4,056.25
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $16,512.50
Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) $16,512.50
Nasal/sinus ndsc total with sphenoidotomy (31257) $16,512.50
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $860
Ndsc eval intstinal pouch w/bx single/multiple (44386) $2,166.25
Ndsc wrst surg w/rls transvrs carpl ligm (29848) $8,125
Nerve graft arm or leg (64893) $16,165
Nerve graft arm or leg (64897) $16,165
Nerve graft arm or leg (64892) $16,165
Nerve graft arm/leg >4 cm (64898) $16,165
Nerve graft hand or foot (64891) $16,165
Nerve graft hand or foot (64895) $16,165
Nerve graft hand or foot (64896) $16,165
Nerve graft hand/foot </4 cm (64890) $16,165
Nerve graft head or neck (64885) $16,165
Nerve graft head or neck (64886) $16,165
Nerve pedicle transfer (64907) $16,165
Nerve Pedicle Xfer,First Stage (64905) $16,165
Nerve repair w/allograft (64910) $16,165
Nerve repair; with nerve allograft, each nerve, first strand (cable) (64912) $10,461.50
Neurectomy hamstring muscle (27325) $4,875
Neurectomy Intrinsic Musculature Of Foot (28055) $4,875
Neurectomy Popliteal (27326) $4,875
Neuroplasty Brachial Plexus,Open (64713) $4,875
Neuroplasty digital 1/both same digit (64702) $4,875
Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve (64712) $4,875
Neuroplasty; nerve of hand or foot (64704) $4,875
Neurorraphy W/Vein Autograft (64911) $16,165
Nipple exploration (19110) $8,955
Nipple/areola reconstruction (19350) $8,955
Njx anes stellate ganglion crv sympathetic (64510) $2,302.50
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $9,027.50
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $2,302.50
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $1,772.50
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) $1,772.50
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $1,772.50
Njx noncmpnd sclerosant multiple incmptnt veins (36466) $3,681
Njx noncmpnd sclerosant single incmptnt vein (36465) $3,829
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $1,578.75
Njx px antegrde nfrosgrm &/urtrgrm new access (50430) $1,578.75
Njx Sclrsnt 1 Incmptnt Vein (36470) $832
Njx Sclrsnt Mlt Incmptnt Vn (36471) $1,087.50
Obstructive material removal from gi tube (49460) $2,296.50
Occlude fallopian tube(s) (58615) $7,367.50
Open biopsy/excision inguinofemoral nodes (38531) $8,955
Open bone biopsy (20251) $17,766.50
Open bone biopsy (20250) $8,026.50
Open Osteochondral Autograft Talus (28446) $17,766.50
Open rdl shaft fx closed rad/uln jt dislocate (25525) $17,766.50
Open rx carpal bone fx,each bone (25645) $8,026.50
Open rx distal radius fx, intra-articular, 2 frag (25608) $17,766.50
Open thrombect av fistula (36831) $13,527.50
Open tratment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258) $8,026.50
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318) $8,026.50
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22319) $8,026.50
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326) $34,921.50
Open Treatment Bimalleolar Ankle Fracture (27814) $17,766.50
Open Treatment Coccygeal Fracture (27202) $8,026.50
Open Treatment Humeral Condylar Fracture (24579) $34,921.50
Open treatment interphalangeal joint dislocation (28675) $8,026.50
Open Treatment Lunate Dislocation (25695) $17,766.50
Open Treatment Medial Malleolus Fracture (27766) $17,766.50
Open treatment metatarsal fracture each (28485) $17,766.50
Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes t-fracture and both… (27228) $17,766.50
Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) $17,766.50
Open treatment of acromioclavicular dislocation, acute or chronic; (23550) $17,766.50
Open treatment of acute shoulder dislocation (23660) $17,766.50
Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other… (28420) $34,921.50
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $17,766.50
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed (27519) $17,766.50
Open treatment of distal radioulnar dislocation, acute or chronic (25676) $17,766.50
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) $17,766.50
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) $17,766.50
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) $17,766.50
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) $17,766.50
Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248) $17,766.50
Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) $8,026.50
Open treatment of hip dislocation, traumatic, without internal fixation (27253) $8,026.50
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) $34,921.50
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) $17,766.50
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair (27557) $17,766.50
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) $17,766.50
Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or… (27556) $17,766.50
Open treatment of nasomaxillary complex fracture (lefort ii type); with wiring and/or local fixation (21346) $14,422.50
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) $17,766.50
Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) $17,766.50
Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones (25670) $17,766.50
Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Other Surgical Services (27178) $17,766.50
Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) (27177) $17,766.50
Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27259) $8,026.50
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) $17,766.50
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) $17,766.50
Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) $34,921.50
Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) $17,766.50
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) $17,766.50
Open treatment of ulnar styloid fracture (25652) $17,766.50
Open Treatment Radial Shaft Fracture (25515) $17,766.50
Open treatment talus fracture (28445) $17,766.50
Open Treatment Tarsal Bone Dislocation (28555) $17,766.50
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $8,026.50
Open tx carpal scaphoid navicular fracture (25628) $17,766.50
Open Tx Depressed Frontal Sinus Fracture (21343) $14,422.50
Open Tx Distal Phalangeal Fracture Each (26765) $8,026.50
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) $17,766.50
Open Tx Femoral Fracture Proximal End He (27269) $3,159
Open tx fracture great toe/phalanx/phalanges (28505) $8,026.50
Open Tx Humeral Epicondylar Fracture (24575) $34,921.50
Open tx interphalangeal joint dislocation (26785) $8,026.50
Open Tx Metacarpal Fracture Single Ea Bone (26615) $8,026.50
Open tx metatarsophalangeal joint dislocation (28645) $8,026.50
Open tx nose fx uncomplicatd (21325) $14,422.50
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) $17,766.50
Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) $17,766.50
Open tx phalangeal shaft fracture prox/middle ea (26735) $8,026.50
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) $34,921.50
Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) $17,766.50
Open Tx Radial Head/Neck Fracture Prosthetic (24666) $34,921.50
Open tx septal fx w/wo stabj (21336) $14,422.50
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $17,766.50
Open/Perq Place Stent Same (37238) $28,479
Open/Perq Placement Intravascular Stent Initial (37236) $22,783
Opponensplasty Hypothenar Musc Tr (26494) $8,026.50
Opponensplasty Tdn Tr W/Grf Ea Tdn (26492) $8,026.50
Optx fem shft fx w/insj imed implt w/wo screw (27506) $17,766.50
Optx hum fx w/ntrcndylr xtn (24546) $45,217.50
Optx hum fx wo ntrcndylr xtn (24545) $34,921.50
Optx post ankle fx (27769) $17,766.50
Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) $17,766.50
Orbitotomy w/o bone flap w/removal lesion (67412) $5,487.50
Orchiectomy radical tumor inguinal approach (54530) $8,817.50
Orchiectomy, partial (54522) $8,560
Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) (54650) $8,817.50
Ostc compl all metar heads w/prtl prox phalangc (28114) $8,026.50
Ostectomy of sternum partial (21620) $14,751
Ostectomy, complete excision; fifth metatarsal head (28113) $8,026.50
Ostectomy, complete excision; first metatarsal head (28111) $8,026.50
Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) $8,026.50
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $8,026.50
Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) $8,026.50
Osteochondral allograft, knee, open (27415) $34,921.50
Osteochondral knee autograft (27416) $17,766.50
Osteoplasty Femur Lengthening (27466) $17,766.50
Osteoplasty humerus (24420) $17,766.50
Osteoplasty, carpal bone, shortening (25394) $8,026.50
Osteoplasty, femur; shortening (excluding 64876) (27465) $17,766.50
Osteoplasty, radius OR ulna; shortening (25390) $17,766.50
Osteoplasty, tibia and fibula, lengthening or shortening Other Surgical Services (27715) $34,921.50
Osteot w/wo lngth shrt/corrj 1st metar (28306) $17,766.50
Osteotomy and transfer of greater trochanter of femur(separate procedure) (27140) $34,921.50
Osteotomy Clavicle W Bone Graft (23485) $34,921.50
Osteotomy Fibula (27707) $8,026.50
Osteotomy Metacarpal Each (26565) $8,026.50
Osteotomy midtarsal,autograft (28305) $17,766.50
Osteotomy of spine, including diskectomy, anterior approach, single vertebral segment; lumbar (22224) $17,766.50
Osteotomy of spine, including diskectomy, anterior approach, single vertebral segment; thoracic (22222) $17,766.50
Osteotomy of spine, including diskectomy, anterior aproach, single vertebral segment; cervical (22220) $17,766.50
Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; cervical (22210) $17,766.50
Osteotomy Phalanx Finger Each (26567) $8,026.50
Osteotomy Radius Distal Third (25350) $17,766.50
Osteotomy talus (28302) $17,766.50
Osteotomy, femoral neck (separate procedure) Other Surgical Services (27161) $17,766.50
Osteotomy, femur, shaft or supracondylar; with fixation (27450) $17,766.50
Osteotomy, femur, shaft or supracondylar; without fixation (27448) $17,766.50
Osteotomy, iliac, acetabular or innominate bone; (27146) $17,766.50
Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy (27151) $17,766.50
Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip (27147) $17,766.50
Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast (27165) $17,766.50
Osteotomy, mandible, segmental; with genioglossus advancement (21199) $14,422.50
Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft, (eg, sofield type procedure) (27454) $17,766.50
Osteotomy, pelvis, bilateral (eg, congenital malformation) (27158) $17,766.50
Osteotomy, tarsal bones, other than calcaneus or talus; (28304) $17,766.50
Osteotomy; multiple, with realignment on intramedullary rod (eg, sofield type procedure) (27712) $34,921.50
Other procedure on head muscle or head bone (21499) $586
Ovarian cystectomy (58925) $12,505
Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145) $14,422.50
Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) $12,505
Paravaginal defect repair vaginal approach (57285) $19,267.50
Part Remv Femur/Prox Tib/Fib (27360) $8,026.50
Partial excision bone clavicle (23180) $17,766.50
Partial Excision Bone Fibula (27641) $8,026.50
Partial Excision Bone Humerus (24140) $8,026.50
Partial excision bone metacarpal (26230) $8,026.50
Partial Excision Bone Olecranon Process (24147) $8,026.50
Partial excision bone proximal humerus (23184) $17,766.50
Partial Excision Bone Radial Head/Neck (24145) $17,766.50
Partial Excision Bone Radius (25151) $8,026.50
Partial excision bone scapula (23182) $17,766.50
Partial excision bone talus/calcaneus (28120) $8,026.50
Partial Excision Bone Tibia (27640) $8,026.50
Partial Excision Bone Ulna (25150) $8,026.50
Partial Excision Deep Pelvis (27071) $17,766.50
Partial Excision Distal Phalanx Finger (26236) $3,843.75
Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) $8,026.50
Partial excision of vertebral body for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22110) $17,766.50
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22112) $17,766.50
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22114) $17,766.50
Partial Excision Proximal/Middle Phalanx Finger (26235) $3,843.75
Partial excision, wing of ilium, symphysis pubis, or greater tro chanter of femur, (craterization, saucerization) (eg,… (27070) $17,766.50
Partial hymenectomy or revision of hymenal ring (56700) $7,367.50
Partial Removal Foot Fascia (28060) $8,026.50
Partial removal of scapula (23190) $8,026.50
Partial removal of thyroid (60220) $14,350
Partial removal of ulna (25119) $8,026.50
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) $14,350
Partical Excision Bone Phalanx Toe (28124) $8,026.50
Pelvic exam under anesthesia (57410) $7,367.50
Penile Venous Occlusive Procedure (37790) $7,521
Penis plastic surgery (54360) $8,560
Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080) $23,417.50
Perc sk fix metatarsal fx w manip (28476) $8,026.50
Percut Drain/Inject Renal Cyst (50390) $1,730
Percut Mech Thrombectomy, Venous (37187) $11,238
Percut Mech Thrombectomy, Venous, Repeat (37188) $6,287
Percut/Needle Insert,Prostate,Radioisot (55875) $12,517.50
Percutaneous diskectomy (62287) $4,875
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) $17,766.50
Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) $8,026.50
Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) $8,026.50
Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) $8,026.50
Percutaneous skeletal fixation of ulnar styloid fracture (25651) $8,026.50
Peri-implant capsulectomy breast complete (19371) $8,955
Pericardiocentesis W/Imaging (33016) $3,700
Perineoplasty rpr perineum nonobstetrical spx (56810) $7,367.50
Perq dilation xst trc endourologic px w/img (50436) $7,521
Perq dilation xst trc new access renal coltj sys (50437) $7,147
Perq replacement gtube not req revj gstrst trc (43762) $639
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) $45,552.50
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) $22,783
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) $14,047.50
Perq vert agmntj cavity crtj uni/bi cannulation (22513) $17,766.50
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $17,766.50
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $8,026.50
Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) $8,026.50
Phalangectomy toe each toe (28150) $8,026.50
Phleb Veins - Extrem 20+ (37766) $8,115
Pin finger fracture each (26756) $8,026.50
Pin hand dislocation (26676) $8,026.50
Pin knuckle dislocation (26706) $8,026.50
Pin radioulnar dislocation (25671) $8,026.50
Place Cath Subclavian Art (36225) $6,877
Place Cath Thoracic Aorta (36221) $6,287
Place Cath Vertebral Art (36226) $11,856
Placement of implants to block fallopian tubes using an endoscope (58565) $12,505
Placement of seton (46020) $6,929
Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) $4,609
Plmt interstitial dev radiat tx prostate 1/mult (55876) $3,531.25
Plmt nephrostomy cath prq new access rs&i (50432) $5,023.75
Plmt nephroureteral cath prq new access rs&i (50433) $8,560
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $8,560
Plmt urtrl stent prq pre-existing nfros tract (50693) $8,625.50
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $6,343
Positional change of finger (26555) $17,766.50
PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) $17,766.50
PR Amputation Thigh Through Femur Any Level Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE (27592) $44,997.50
PR Capsulotomy Posterior Capsular Release Knee|ASSISTANT AT SURGERY SERVICE (27435) $8,026.50
Pr cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) $8,560
Pr cysto w/urtroscopy w/tx intra-renal stricture (52346) $12,517.50
PR Egd Partial/Compl Esophagogastric Fundoplasty (43210) $24,812.50
Pr laryngoscopy direct,w/dilat, subsequent (31529) $7,745
Pr tenotomy prq achilles tendon spx general anes (27606) $8,026.50
Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) $14,350
Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) $14,350
Preputial Stretching (54450) $798.75
Prim art mech thrombectomy (37184) $22,478
Proctopexy Perineal Approach (45541) $6,929
Proctosgmdsc Rigid Control Bleeding (45317) $2,847.50
Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) $2,847.50
Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) $6,929
Proctosigmoidoscopy (45303) $2,847.50
Proctosigmoidoscopy removal (45308) $6,929
Proctosigmoidoscopy w/bx (45305) $2,847.50
Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) $2,166.25
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femoral neck and… (27187) $17,766.50
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femur (27495) $17,766.50
Prostate Saturation Sampling (55706) $8,560
Prostatectomy (turp) (52601) $12,517.50
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $1,730
Prq impltj neurostim eltrd sacral nrve w/imaging (64561) $17,545
Prq impltj neurostimulator eltrd cranial nerve (64553) $17,545
Prq impltj neurostimulator eltrd peripheral nrv (64555) $17,545
Prq skel fixj fx grt toe phlx/phlg w/manj (28496) $8,026.50
Prq skel fixj humrl cndylr fx medial/lat w/manj (24582) $17,766.50
Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) $8,026.50
Prq Skel Fixj Metatarsophlngl Jt Dislc W/Manj (28636) $8,026.50
Prq skel fixj sprcndylr/transcndylr humeral fx (24538) $17,766.50
Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576) $17,766.50
Prq Skel Fixj Tarsl Dislc Xcp Talotarsal W/Manj (28546) $3,843.75
Prq Skeletal Fixj Femoral Fx Distal End (27509) $17,766.50
Prtl Thyr Lobec Uni W/Clat Stot Lobec (60212) $14,350
Punch biopsy skin single lesion (11104) $981.50
Puncture Aspiration (10160) $1,087.50
Puncture Aspiration Cyst Breast (19000) $1,730
Quadricepsplasty (eg, Bennett or Thompson type) (27430) $17,766.50
Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) $3,843.75
Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) $8,026.50
Rad resec prox/mid phalanx (26260) $8,026.50
Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) $6,576.25
Rad resect tumor soft tiss neck/ant thorax <5cm (21557) $6,576.25
Rad resect tumor soft tissue hand/finger <3cm (26117) $6,576.25
Rad resect tumor soft tissue thigh/knee <5cm (27329) $6,576.25
Rad Resection Tumor Soft Tis Thigh/Knee 5 Cm/> (27364) $5,473
Rad resection tumor soft tissue back/flank <5cm (21935) $6,576.25
Rad resection tumor soft tissue foot/toe <3cm (28046) $6,576.25
Rad Resection Tumor Soft Tissue Leg/Ankle 5 Cm/> (27616) $6,576.25
Radial styloidectomy (25230) $8,026.50
Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) .… (24149) $14,212
Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater (22905) $6,576.25
Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm (22904) $6,576.25
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater (21936) $6,130
Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater (25078) $6,576.25
Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater (27059) $6,576.25
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater (24079) $6,576.25
Radical resection of tumor, femur or knee (27365) $17,766.50
Radical resection of tumor, proximal humerus (23220) $17,766.50
Radical resection of tumor, radius or ulna (25170) $17,766.50
Radical resection of tumor; ilium, including acetabulum, both pu bic rami, or ischium and acetabulum (27076) $17,766.50
Radical resection of tumor; innominate bone, total (27077) $34,921.50
Radical resection of tumor; ischial tuberosity and greater troch anter of femur (27078) $34,921.50
Radical resection of tumor; tarsal (except talus or calcaneus) Other Surgical Services (28171) $8,026.50
Radical resection of tumor; tibia Other Surgical Services (27645) $17,766.50
Radical resection of tumor; wing of ilium, 1 pubic or ischial ra mus or symphysis pubis (27075) $17,766.50
Radical Resection Tumor Bone Fibula (27646) $17,766.50
Radical resection tumor clavicle (23200) $17,766.50
Radical Resection Tumor Metacarpal (26250) $8,026.50
Radical Resection Tumor Metatarsal (28173) $8,026.50
Radical resection tumor phalanx or toe (28175) $3,843.75
Radical resection tumor radial head/neck (24152) $17,766.50
Radical resection tumor scapula (23210) $17,766.50
Radical resection tumor-shaft-or distal humerus 24150 (24150) $17,766.50
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) $4,875
Rcnstj Dislc Patella W/Patellectomy (27424) $17,766.50
Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) $17,766.50
Re-explore parathyroids (60502) $14,422.50
Realignment extensor tendon hand each tendon (26437) $8,026.50
Realignment of hand (25335) $8,026.50
Realignment of knee (27457) $17,766.50
Realignment of knee (27455) $17,766.50
Reattachment of part of cutoff finger (20822) $17,766.50
Rechanneling of artery (35321) $13,527.50
Reconstr disloc patella w mscl adv (27422) $17,766.50
Reconstruc Ant Male Urethra (53410) $12,517.50
Reconstruc toe deform,soft tissue (28313) $8,026.50
Reconstruct elbow joint (24362) $34,921.50
Reconstruct elbow joint (24361) $45,217.50
Reconstruct extra finger (26587) $8,026.50
Reconstruct finger joint (26545) $8,026.50
Reconstruct head of radius (24365) $34,921.50
Reconstruct lip with flap (40525) $7,760
Reconstruct Shoulder Joint (23470) $34,921.50
Reconstruct ulna/radioulnar (25337) $17,766.50
Reconstruct urethra stage 1 (53420) $12,517.50
Reconstruct wrist joint (25442) $45,217.50
Reconstruct wrist joint (25444) $34,921.50
Reconstruct wrist joint (25443) $17,766.50
Reconstruct wrist joint (25445) $17,766.50
Reconstruction cleft foot (28360) $17,766.50
Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) $8,026.50
Reconstruction lateral collateral ligament,elbow with tendon graft [includes harvesting of graft (24344) $17,766.50
Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346) $34,921.50
Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) $17,766.50
Reconstruction of nail bed with graft (11762) $4,865
Reconstruction of nose (30400) $14,422.50
Reconstruction of urethra (54324) $8,560
Reconstruction of urethra (54322) $8,560
Reconstruction of urethra (54326) $8,724
Reconstruction of urethra (53430) $12,517.50
Reconstruction of urethra (54308) $12,517.50
Reconstruction Toe Polydactyly (28344) $8,026.50
Reconstruction tongue fold (41520) $7,760
Reconstruction, knee (27429) $34,921.50
Reduce testis torsion (54600) $8,560
Reduction of Large Breast (19318) $15,694
Reforearm tend/musc,exten,second (25272) $8,026.50
Reinforce clavicle (23490) $17,766.50
Reinforce humerus (24498) $34,921.50
Reinforce radius (25490) $17,766.50
Reinforce radius and ulna (25492) $8,026.50
Reinforce shoulder bones (23491) $34,921.50
Reinforce tibia (27745) $17,766.50
Reinforce ulna (25491) $34,921.50
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) $17,766.50
Reinsertion Spinal Fixation Device (22849) $46,797.50
Release elbow joint (24006) $8,026.50
Release forearm/hand exten tendon (26449) $8,026.50
Release hip flexion contracture (27036) $17,766.50
Release i-p jt contracture (26525) $3,843.75
Release Intrinsic Muscles Hand Each Muscle (26593) $8,026.50
Release of big toe (28240) $8,026.50
Release of lower leg tendons (27681) $8,026.50
Release palm contracture (26121) $8,026.50
Release thumb contracture (26508) $8,026.50
Release wrist/forearm tendon (25295) $8,026.50
Release/Recession Hamstring Proximal (27097) $8,026.50
Rem endovas vena cava filter (37193) $7,859
Removal Anal Seton Other Marker (46030) $2,847.50
Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) $51,775
Removal biliary drg cath (47537) $1,956
Removal Foreign Body Deep Thigh/Knee (27372) $6,576.25
Removal Foreign Body Foot Complicated (28193) $3,892.50
Removal foreign body foot deep (28192) $3,892.50
Removal foreign body foot subcutaneous (28190) $1,730
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $3,892.50
Removal Foreign Body Pelvis/Hip Deep (27087) $8,026.50
Removal foreign body pharynx (42809) $1,031.25
Removal foreign body upper arm/elbow deep (24201) $6,576.25
Removal foreign body, intranasal; requiring general anesthesia (30310) $7,760
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $187.50
Removal impacted vag fb spx w/anes oth/thn local (57415) $7,367.50
Removal Implant Deep (20680) $17,766.50
Removal Implant From Finger/Hand (26320) $3,892.50
Removal Implant Superficial Separate Procedure (20670) $17,766.50
Removal Implantable Contraceptive Capsules (11976) $1,730
Removal Implantable Defib Pulse Generator Only (33241) $8,654
Removal Intact Mammary Implant (19328) $8,955
Removal neck/armpit lesion (38550) $8,955
Removal of adenoids (42835) $7,760
Removal of adenoids (42831) $7,760
Removal of adenoids (42830) $7,760
Removal of adenoids (42836) $7,760
Removal of anal fissure (46200) $6,929
Removal of ankle implant (27704) $8,026.50
Removal of anorectal lesion (45108) $6,929
Removal of anterior instrumentation (eg, dwyer device) (22855) $34,921.50
Removal of arm artery clot (34111) $13,527.50
Removal of arm foreign body (24200) $3,892.50
Removal of bone lesion (23140) $8,026.50
Removal of bone lesion (23146) $17,766.50
Removal of bone lesion (23145) $8,026.50
Removal of calcium deposits (23000) $6,576.25
Removal of cervix (57530) $12,505
Removal of external bone stabilizing device under anesthesia (20694) $8,026.50
Removal of fascia for graft (20922) $4,786.50
Removal of finger lesion (26210) $3,843.75
Removal of fixation device (20665) $17,766.50
Removal of foot joint lining (28070) $17,766.50
Removal of foreign body in scrotum (55120) $5,023.75
Removal of frontal sinus (31086) $14,422.50
Removal of head of humerus (23195) $17,766.50
Removal of Head of Radius (24130) $8,026.50
Removal of heel bone (28118) $8,026.50
Removal of heel spur (28119) $8,026.50
Removal of hip bone lesion (27066) $8,026.50
Removal of hip prosthesis (27090) $7,762.50
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) $6,721.50
Removal of humerus lesion (23150) $8,026.50
Removal of humerus lesion (23156) $17,766.50
Removal of humerus lesion (23155) $17,766.50
Removal of indwelling tunneled pleural catheter with cuff (32552) $1,536.50
Removal of intranasal lesion (30118) $7,760
Removal of intrauterine device (iud) (58301) $921.25
Removal of ischial bursa (27060) $17,766.50
Removal of kidney stone (50081) $23,417.50
Removal of knee cartilage (27333) $8,026.50
Removal of knee cartilage (27332) $8,026.50
Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488) $17,766.50
Removal of kneecap (27350) $17,766.50
Removal of lower spinal canal shunt (63746) $4,875
Removal of nail bed (11750) $1,087.50
Removal of neck wrinkles (15825) $4,865
Removal of nose polyp(s) (30115) $7,760
Removal of palm tendon each (26170) $3,843.75
Removal of posterior instrumentation (eg, harrington rod) (22850) $34,921.50
Removal of posterior segmental instrumentation (22852) $34,921.50
Removal of pressure sore (15999) $8,955
Removal of salivary stone (42330) $7,760
Removal of sesamoid bone (28315) $8,026.50
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $595
Removal of skin wrinkles (15829) $9,989
Removal of sperm cord lesion (55520) $8,560
Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) $4,875
Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) $9,289
Removal of tail bone ulcer (15922) $9,989
Removal of tendons, ligaments, and muscles of wrist with re-amputation of remaining arm (25924) $17,766.50
Removal of testis (54520) $8,560
Removal of thyroid (60271) $14,422.50
Removal of thyroid lesion (60200) $14,350
Removal of tonsils (42825) $14,422.50
Removal of tonsils (42826) $7,760
Removal of urethra (53210) $8,560
Removal of urethra (53215) $12,517.50
Removal of vein clot (34490) $8,115
Removal of wrist bone (25210) $8,026.50
Removal of wrist prosthesis (25251) $8,026.50
Removal of wrist prosthesis (25250) $3,843.75
Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) $7,367.50
Removal ppm generator only (33233) $18,203
Removal subq cardiac rhythm monitor (33286) $1,730
Removal Sutures/Staples Requiring Anesthesia (15851) $4,865
Removal Tunneled Intraperitoneal Catheter (49422) $8,115
Removal/bivalving full arm/full leg cast (29705) $626
Removal/bivalving gauntlet boot/body cast (29700) $626
Remove & graft wrist lesion (25136) $17,766.50
Remove & graft wrist lesion (25135) $17,766.50
Remove & replace indwell ureteral stent trurthrl (50385) $5,023.75
Remove anal fist 2 stage (46285) $6,929
Remove anal fist subq (46270) $6,929
Remove bladder stone (52318) $8,560
Remove by ligat int hem grp (46945) $6,929
Remove by ligat int hem grps (46946) $6,929
Remove cerclage suture (59871) $7,367.50
Remove cerv artif disc (22864) $34,921.50
Remove collar bone lesion (23170) $8,026.50
Remove digit nerve lesion (64776) $4,875
Remove drug implant device (11982) $1,031.25
Remove ear lesion (69540) $3,826.25
Remove ear lesion (69550) $14,422.50
Remove elbow lesion (24120) $8,026.50
Remove femur lesion (27355) $8,026.50
Remove femur lesion/bursa (27062) $8,026.50
Remove finger bone (26185) $3,843.75
Remove forearm bone lesion (25145) $8,026.50
Remove humerus lesion (23174) $17,766.50
Remove humerus lesion (24110) $8,026.50
Remove in/ex hem groups 2+ (46260) $6,929
Remove in/ex hem grp w/fistu (46258) $6,929
Remove in/ex hem grps w/fist (46262) $6,929
Remove knee cyst (27347) $8,026.50
Remove knee joint lining (27335) $17,766.50
Remove muti-comp penis pros (54406) $8,560
Remove part lumbar vertebra (22102) $17,766.50
Remove part thorax vertebra (22101) $17,766.50
Remove Peritoneal Foreign Body (49402) $8,817.50
Remove Pilonidal Cyst Exten (11771) $6,576.25
Remove prostate regrowth (52630) $12,517.50
Remove radius head implant (24164) $8,026.50
Remove renal tube w/fluoro (50389) $1,578.75
Remove sacrum pressure sore (15937) $4,865
Remove sacrum pressure sore (15935) $9,989
Remove shoulder blade lesion (23172) $8,026.50
Remove shoulder foreign body (23330) $1,730
Remove shoulder joint lining (23105) $17,766.50
Remove skin nerve lesion (64774) $4,875
Remove spinal canal catheter (62355) $4,875
Remove spinal cord lesion (63600) $4,875
Remove spine infusion device (62365) $16,165
Remove stent via transureth (50386) $5,023.75
Remove thyroid duct lesion (60280) $14,350
Remove tissue expander (11971) $6,576.25
Remove tumor hip/pelvis (27049) $6,576.25
Remove Ureter Stent, Percut (50384) $4,019
Remove uro sphincter (53446) $12,517.50
Remove vc lesion w/scope (31545) $8,662.50
Remove wrist joint cartilage (25107) $8,026.50
Remove wrist joint implant (25449) $17,766.50
Remove wrist tendon lesion (25111) $3,843.75
Remove&replace pm gen singl (33227) $17,336
Remove/graft bone lesion (24115) $17,766.50
Remove/graft bone lesion (24126) $17,766.50
Remove/graft bone lesion (24116) $17,766.50
Remove/graft bone lesion (26205) $17,766.50
Remove/graft bone lesion (24125) $8,026.50
Remove/graft foot lesion (28102) $17,766.50
Remove/graft foot lesion (28107) $17,766.50
Remove/graft foot lesion (28103) $17,766.50
Remove/graft forearm lesion (25126) $8,026.50
Remove/graft forearm lesion (25125) $3,843.75
Remove/graft leg bone lesion (27637) $17,766.50
Remove/replace ur sphincter (53447) $51,775
Remove/revise male sling (53442) $12,517.50
Remv cartilage for graft nasal (20912) $9,989
Remv Ext Canal F.B.,Gen Anesth (69205) $3,892.50
Remv&replc cvd gen dual lead (33263) $51,525
Remv&replc cvd gen mult lead (33264) $73,245
Remv&replc cvd gen sing lead (33262) $51,525
Remv&replc pm gen dual lead (33228) $23,257
Remv&replc pm gen mult leads (33229) $41,544
Remv/revisn shldr/hip spica cast (29710) $782.50
Renal biopsy (50200) $3,892.50
Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) $12,517.50
Repair achilles tendon (27650) $17,766.50
Repair anal fistula (46288) $6,929
Repair and reconstruction, finger, volar plate, interphalangeal joint (26548) $8,026.50
Repair anorectal fistula w/plug (46707) $6,929
Repair arm tendon/muscle (24341) $17,766.50
Repair arm/leg nerve (64857) $16,165
Repair bladder-vagina lesion (57320) $12,505
Repair Blood Vessel Direct Hand Finger (35207) $8,115
Repair Blood Vessel Direct Upper Extremity (35206) $8,115
Repair blood vessel lesion (35190) $13,527.50
Repair blood vessel lesion (35261) $8,115
Repair blood vessel lesion (35236) $13,527.50
Repair blood vessel vein graft lower extremity (35256) $13,527.50
Repair Blood Vessel W/Vein Graft Neck (35231) $8,115
Repair blood vessel with graft other than vein; upper extremity (35266) $13,527.50
Repair brow defect (67900) $5,487.50
Repair cleft hand deformity (26580) $8,026.50
Repair collat ankle ligmnt,secondary (27698) $17,766.50
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $1,410
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $1,410
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,087.50
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $1,410
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $1,410
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $1,410
Repair complex trunk 1.1-2.5 cm (13100) $1,410
Repair complex trunk 2.6-7.5 cm (13101) $1,410
Repair Congenital Pseudarthrosis Tibia (27727) $17,766.50
Repair defect of artery (35011) $13,527.50
Repair elbow deb/attch open (24359) $8,026.50
Repair elbow perc (24357) $8,026.50
Repair exten tendon,dist,open,grft (26434) $8,026.50
Repair Extensor Tendon Finger W/Graft Each (26420) $8,026.50
Repair extensor tendon finger w/o graft each (26418) $3,843.75
Repair Extensor Tendon Hand W/Graft Each (26412) $8,026.50
Repair eyelid defect (67904) $5,487.50
Repair eyelid defect (67903) $5,487.50
Repair finger tendon (26432) $3,843.75
Repair finger tendon (26433) $8,026.50
Repair finger/hand tendon (26350) $8,026.50
Repair finger/hand tendon (26373) $8,026.50
Repair finger/hand tendon (26370) $8,026.50
Repair flex tendon,zone 2,secon,hand,ea (26357) $8,026.50
Repair foot dislocation (28585) $17,766.50
Repair forearm tendon sheath (25275) $8,026.50
Repair forearm tendon/muscle (25270) $8,026.50
Repair forearm tendon/muscle (25274) $8,026.50
Repair forearm tendon/muscle (25260) $8,026.50
Repair forearm tendon/muscle (25265) $8,026.50
Repair hallux rigidus (28289) $8,026.50
Repair hand joint with graft (26542) $8,026.50
Repair hand tendon (26410) $3,843.75
Repair humerus with graft (24435) $34,921.50
Repair incomplete circumcision (54163) $5,023.75
Repair inguinal hernia, sliding, any age (49525) $8,817.50
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $8,817.50
Repair initial femoral hernia, any age; reducible (49550) $8,817.50
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) $8,817.50
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $1,087.50
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,087.50
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,087.50
Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) $1,087.50
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,087.50
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,087.50
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) $1,087.50
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $1,410
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $1,087.50
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $1,087.50
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $1,410
Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) $4,865
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $1,087.50
Repair intermediate s/a/t/e 2.5 cm/< (12031) $1,087.50
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $1,087.50
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,410
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $1,087.50
Repair intermediate s/a/t/e >30.0 cm (12037) $4,865
Repair intrinsic muscles of hand (26591) $8,026.50
Repair kneecap tendon (27380) $17,766.50
Repair Laceration Palate </2 Cm (42180) $1,252.50
Repair lower leg epiphyses (27734) $8,026.50
Repair lower leg tendons (27676) $17,766.50
Repair lumbar hernia (49540) $14,350
Repair Macrodactylia Each Digit (26590) $3,843.75
Repair medial collateral ligament, elbow w/local tissue (24345) $17,766.50
Repair mouth/nose fistula (30600) $14,422.50
Repair multi-comp penis pros (54408) $12,517.50
Repair nasal septal perforations (30630) $7,760
Repair nasal vestibular stenosis (30465) $14,422.50
Repair nonunion hand (26546) $17,766.50
Repair nonunion radius/ulna w autogrft (25405) $17,766.50
Repair of anal sphincter (46750) $6,929
Repair of ankle ligament (27695) $17,766.50
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) $7,899
Repair of arm tendon (24320) $17,766.50
Repair of biceps tendon (24340) $17,766.50
Repair of defect with autograft; radius OR ulna (25425) $17,766.50
Repair of eardrum structures (69631) $14,422.50
Repair of enterocele, vaginal approach (separate procedure) (57268) $12,505
Repair of facial nerve (64865) $16,165
Repair of fibula nonunion and/or malunion with internal fixation (27726) $17,766.50
Repair of foot bones (28320) $34,921.50
Repair Of Foot Tendon (28208) $8,026.50
Repair of hammertoe (28286) $8,026.50
Repair of humerus (24430) $34,921.50
Repair of hydrocele (55060) $8,560
Repair of knee cartilage (27403) $17,766.50
Repair of knee ligament (27407) $17,766.50
Repair of knee ligaments (27409) $17,766.50
Repair of leg epiphyses (27742) $8,026.50
Repair of leg nerve (64840) $16,165
Repair of leg tendon each (27664) $17,766.50
Repair of leg tendon each (27665) $17,766.50
Repair of leg tendon each (27658) $8,026.50
Repair of nail bed (11760) $1,410
Repair of nasal septum (30520) $7,760
Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular))(includes obtaining graft and necessary… (25431) $17,766.50
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) $17,766.50
Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) $17,766.50
Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) $17,766.50
Repair of nonunion or malunion, tibia; with sliding graft (27722) $17,766.50
Repair of penis (54440) $8,560
Repair of rectocele (45560) $6,929
Repair of rectum (45505) $6,929
Repair of rectum (45500) $6,929
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) $17,766.50
Repair of shoulder (23420) $17,766.50
Repair of sperm duct (55400) $8,560
Repair of thigh musc (27385) $17,766.50
Repair of tibia (27720) $17,766.50
Repair of traumatic corporeal tear(s) (54437) $6,979
Repair of ureter lesion (51535) $8,724
Repair of urethra defect (53520) $12,517.50
Repair of urethra injury (53502) $8,560
Repair of vagina (57260) $12,505
Repair of vagina (56800) $7,367.50
Repair of web finger (26562) $8,026.50
Repair of web finger (26560) $3,843.75
Repair of web finger (26561) $8,026.50
Repair of windpipe defect (31825) $7,760
Repair oro-maxillary fistula (30580) $14,422.50
Repair paravag defect lap (57423) $24,812.50
Repair radius & ulna (25415) $17,766.50
Repair rectum & vagina (57250) $12,505
Repair rotator cuff acute (23410) $17,766.50
Repair sciatic nerve (64858) $4,875
Repair secondary achilles tendon w/wo graft (27654) $17,766.50
Repair shldr capsu,ant,coracoid xfer (23462) $17,766.50
Repair shoulder capsule (23466) $17,766.50
Repair shoulder capsule (23465) $17,766.50
Repair shoulder capsule (23450) $17,766.50
Repair Spica/Body/Jacket Cast (29720) $455
Repair Tongue Laceration (41250) $920
Repair tympanic membrane (69610) $3,826.25
Repair uro sphincter (53449) $12,517.50
Repair vagina/perineum (57210) $7,367.50
Repair webbed toe(s) (28345) $3,843.75
Repair wrist joints (25447) $8,026.50
Repair, dislocating peroneal tendons; without fibular osteotomy (27675) $8,026.50
Repair, fascial defect of leg (27656) $8,026.50
Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) $17,766.50
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique, etc) (27470) $17,766.50
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $17,766.50
Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) $8,026.50
Repair/graft achilles tendon (27652) $17,766.50
Repair/graft finger tendon (26428) $8,026.50
Repair/graft flex foot tendon (28202) $17,766.50
Repair/graft hand tendon (26358) $17,766.50
Repair/graft hand tendon (26392) $17,766.50
Repair/graft hand tendon (26352) $17,766.50
Repair/graft hand tendon (26372) $17,766.50
Repair/graft radius & ulna (25426) $8,026.50
Repair/graft radius & ulna (25420) $17,766.50
Repair/graft wrist bone (25440) $17,766.50
Repair/revise wrist joint (25320) $17,766.50
Repair/transpose nerve (64856) $16,165
Replace duod/jej tube perc (49451) $2,255.75
Replace elbow joint (24363) $45,217.50
Replace g/c tube perc (49450) $2,228.75
Replace Tissue Expander (11970) $17,766.50
Replace,penile prosthesis infected (54417) $26,823
Replace/revise brain shunt (62230) $13,164
Replacement gastro-jejunostomy tube percutaneous (49452) $2,228.75
Replacement/irrigation or revision of lumbosubarachnoid shunt 63744 (63744) $16,165
Replantation Arm Complete Amputation (20802) $8,026.50
Replantation Foot Complete Amputation (20838) $44,997.50
Replantation Forearm Complete Amputation (20805) $44,997.50
Replantation Hand Complete Amputation (20808) $44,997.50
Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon),… (20816) $17,766.50
Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation Other Surgical Services (20824) $17,766.50
Replantation, thumb (includes distal tip to MP joint), complete amputation Other Surgical Services (20827) $44,997.50
Repr elbow lat ligmnt w/tiss (24343) $8,026.50
Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) $5,738
Rerepair fem hernia blocked (49557) $8,817.50
Rerepair ing hernia blocked (49521) $8,817.50
Rerepair ing hernia reduce (49520) $8,817.50
Resect arm/elbow tum < 5 cm (24077) $6,576.25
Resect distal finger tumor (26262) $3,843.75
Resect enlarged toe (28341) $8,026.50
Resect enlarged toe tissue (28340) $8,026.50
Resect forearm/wrist tum<3cm (25077) $6,576.25
Resect Inferior Turbinate (30140) $7,760
Resect leg/ankle tum < 5 cm (27615) $6,576.25
Resect shoulder tumor < 5 cm (23077) $6,576.25
Resection of elbow joint (arthrectomy) (24155) $8,026.50
Resection of scrotum (55150) $8,560
Resection or transplantation of long tendon of biceps (23440) $17,766.50
Resection, condyle(s), distal end of phalanx, each toe (28153) $8,026.50
Resection, partial or complete, phalangeal base, each toe (28126) $8,026.50
Revis reconst shoulder joint (23473) $34,921.50
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $34,921.50
Revise arm/leg nerve (64708) $4,875
Revise external ear (69300) $7,760
Revise eyelid defect (67909) $4,715
Revise finger joint (26535) $8,026.50
Revise finger joint each (26140) $3,843.75
Revise hand/finger tendon (26390) $17,766.50
Revise head/neck of femur (27179) $17,766.50
Revise hernia & sperm veins (55540) $7,899
Revise knuckle joint (26530) $17,766.50
Revise knuckle with implant (26531) $17,766.50
Revise leg vein (37700) $8,115
Revise low back nerve(s) (64714) $4,875
Revise median n/carpal tunnel surg (64721) $4,875
Revise palsy hand tendon(s) (25315) $17,766.50
Revise palsy hand tendon(s) (25316) $17,766.50
Revise penis/urethra (54328) $8,560
Revise penis/urethra (54332) $8,560
Revise radius & ulna (25375) $8,026.50
Revise radius & ulna (25365) $34,921.50
Revise radius or ulna (25370) $8,026.50
Revise reconst elbow joint (24370) $34,921.50
Revise reconst elbow joint (24371) $45,217.50
Revise spermatic cord veins (55535) $8,817.50
Revise thumb tendon (26490) $8,026.50
Revise thumb tendon (26496) $8,026.50
Revise ulnar nerve at elbow (64718) $4,875
Revise ulnar nerve at wrist (64719) $4,875
Revise ureter (50727) $6,979
Revise Urethra, 1st Stage (53400) $12,517.50
Revise vag graft via vagina (57295) $7,367.50
Revise wrist joint (25332) $8,026.50
Revise wrist/forearm tendon (25280) $8,026.50
Revise/implant finger joint (26536) $17,766.50
Revision inc. replace spinal neurostimulator elec plate via laminotomy/ectomy 63664 (63664) $54,670
Revision of ankle joint (27700) $17,766.50
Revision of arm muscles (24330) $17,766.50
Revision of arm tendon (24310) $8,026.50
Revision of big toe (28310) $17,766.50
Revision of cervix (57720) $7,367.50
Revision of collar bone (23480) $17,766.50
Revision of colostomy simple (44340) $9,989
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) $8,781.50
Revision of cranial nerve (64716) $4,875
Revision of eyelid (67950) $5,487.50
Revision of eyelid (67999) $920
Revision of foot (28116) $8,026.50
Revision of foot and ankle (28262) $17,766.50
Revision of hip bones (27156) $17,766.50
Revision of humerus (24400) $17,766.50
Revision of humerus (24410) $34,921.50
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Other Surgical Services (44314) $9,989
Revision of leg vein (37780) $8,115
Revision of lower eyelid (15821) $9,989
Revision of lower leg tendon (27685) $8,026.50
Revision of penis (54300) $8,560
Revision of penis (54420) $8,724
Revision of penis (54304) $8,560
Revision of radius (25355) $8,026.50
Revision of reconstructed breast (19380) $15,446.50
Revision of scrotum (55180) $12,517.50
Revision of scrotum (55175) $8,560
Revision of testis (54660) $12,517.50
Revision of toe (28312) $8,026.50
Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137) $34,921.50
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) $34,921.50
Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138) $34,921.50
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) $34,921.50
Revision of total knee arthroplasty, with or without allograft; one component (27486) $34,921.50
Revision of ulna (25360) $17,766.50
Revision of upper eyelid (15823) $4,942.50
Revision of urethra (53460) $8,560
Revision of urethra (53450) $8,560
Revision of wrist joint (25455) $8,026.50
Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) $9,289
Revision peri-implant capsule breast (19370) $8,955
Revision spinal neurostim electrode perc array, incl fluoro (63663) $17,470
Revision/removal nstim eltrd array pn int nstim (64598) $8,178
Revision/Rmvl Peripheral/Gastric Npgr (64595) $8,928.75
Revj Ileostomy Simple Rls Superficial Scar Spx (44312) $9,989
Revj opn arven fstl w/o thrmbc dial grf (36832) $13,527.50
Revj/rmvl peripheral neurostimulator electrode (64585) $8,928.75
Rhinp Prim Complete Xtrnl Parts (30410) $14,422.50
Rhytidectomy forehead (15824) $15,694
Rhytidectomy; Cheek, Chin, & Neck (15828) $9,989
Rhytidectomy; glabellar frown lines Other Surgical Services (15826) $9,989
Rmvl & rplcmt inflatable penile prosth same sess (54410) $51,775
Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) $3,615
Rmvl fecal impaction/fb spx under anes (45915) $2,278
Rmvl foreign body muscle/tendon sheath deep/comp (20525) $6,576.25
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $6,576.25
Rmvl non-nfltbl/nfltbl penile prosth w/o rplcmt (54415) $6,978
Rmvl ruptured breast implant w/implant contents (19330) $8,955
Rmvl Synth Rod & Insj Xtnsr Tdn Grf H/F Ea Rod (26416) $8,026.50
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $3,987.50
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $1,787.50
Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) $1,031.25
Rplcmt compl tun ctr vad w/subq port (36582) $8,115
Rplcmt compl tun cvc w/o subq port/pmp (36581) $8,115
Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) $8,817.50
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $11,623
Rpr aa hernia 1st 3-10 cm reducible (49593) $7,899
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) $11,623
Rpr aa hernia 1st < 3 cm reducible (49591) $7,899
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) $7,899
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $12,448
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $7,899
Rpr blood vessel direct lower extremity (35226) $1,730
Rpr blvsl w/grf other/than vein lower extremity (35286) $13,527.50
Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) $8,026.50
Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) $4,625
Rpr flexor tendon leg secondary w/o graft each (27659) $17,766.50
Rpr ing hernia init blocked (49501) $8,817.50
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $1,487.50
Rpr non/malunion metarsal w/wo bone graft (28322) $17,766.50
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $17,766.50
Rpr tendon xtnsr foot sec w/free graft ea tendon (28210) $17,766.50
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) $1,430
Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) $8,026.50
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $8,026.50
Rpsg previously placed cvc under fluor gdnce (36597) $4,625
Salpingostomy (salpingoneostomy) (58770) $7,367.50
Sclerotx Fluid Collection (49185) $1,730
Scrotal exploration (55110) $8,560
Secondary repair of tendon or muscle of palm side of forearm or wrist (25263) $17,766.50
Secondary urethral surgery (54340) $8,560
Secondary urethral surgery (54344) $12,517.50
Secondary urethral surgery (54348) $12,517.50
Sequestrectomy olecranon process (24138) $17,766.50
Sequestrectomy radial head or neck (24136) $8,026.50
Sequestrectomy Shaft/Distal Humerus (24134) $17,766.50
Sever cranial nerve (64771) $4,875
Sgmdsc flx dired sbmcsl njx any sbst (45335) $2,166.25
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $2,847.50
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) $595
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $595
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $595
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $981.50
Shldr arthroscop,lyse adhesns (29825) $8,026.50
Shorten radius & ulna (25392) $17,766.50
Shortening of tendon, flexor, hand or finger, each tendon (26479) $8,026.50
Shoulder arthroscopy (29805) $8,026.50
Shoulder joint surgery (23101) $8,026.50
Shoulder prosthesis removal (23334) $6,130
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $595
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $595
Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) $2,847.50
Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) $2,847.50
Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) $2,847.50
Sigmoidoscopy flx w/biopsy single/multiple (45331) $2,166.25
Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) $2,166.25
Sigmoidoscopy w/fb removal (45332) $2,847.50
Simple biopsy of growth of throat behind nose (42804) $7,760
Simple destruction of growth of penis using electric current (54055) $4,786.50
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $476
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $476
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $476
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $595
Single transfer toe-hand (26553) $17,766.50
Sinus endo w/balloon dil (31296) $16,512.50
Sinus endo w/balloon dil (31297) $16,512.50
Skin pinch graft (15050) $1,467.50
Skin splt grft trnk/arm/leg (15100) $8,115
Skin sub graft face/nk/hf/g (15275) $9,989
Skin sub graft trnk/arm/leg (15271) $4,865
Skin Sub Grft T/Arm/Lg Child (15273) $4,865
Skin Tissue Procedure (17999) $595
Skin tissue rearrangement (14040) $15,694
Skn splt a-grft fac/nck/hf/g (15120) $9,989
Skn sub grft f/n/hf/g child (15277) $3,954
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) $10,822
Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) $6,492
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) $13,527.50
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $12,505
Slitting of prepuce (54001) $5,023.75
Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) $3,749
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $476
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $950
Sphincterotomy (46080) $6,929
Sphnctrop Anal Levator Musc Imbrcj (46761) $5,730
Spinal puncture lumbar diagnostic (62270) $1,492
Spinal Puncture Therapeutic (62272) $1,772.50
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $8,115
Stop growth prox/dist tibia/fibula (27740) $8,026.50
Strapping ankle (29540) $364
Strapping elbow/wrist (29260) $113.75
Strapping hand/finger (29280) $136.50
Strapping Hip (29520) $175
Strapping knee (29530) $297
Strapping shoulder (29240) $297
Strapping thorax (29200) $455
Strapping toes (29550) $175
Strapping unna boot (29580) $455
Strtctc Stimj Spi Cord Prq Spx N/Flwd Ot (63610) $4,875
Stump elongation upper extremity (24935) $17,766.50
Suction assisted lipectomy head & neck (15876) $9,989
Suction assisted lipectomy lower extremity (15879) $9,989
Suction assisted lipectomy upper extremity (15878) $4,865
Suction assisted lipectomy; trunk (15877) $9,989
Surg nasopharyngoscopy dilat eustachian tube bi (69706) $11,741
Surgery to stop leg growth (27477) $17,766.50
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $6,929
Suspension of testis (54640) $8,817.50
Suspension of testis (54620) $8,560
Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) $17,766.50
Suture 1 nerve hand/foot common sensory nerve (64834) $16,165
Suture Digital Nerve Hand/Foot 1 Nerve (64831) $4,875
Suture facial nerve extracranial (64864) $16,165
Suture of 1 nerve ulnar motor (64836) $16,165
Suture of 1 nerve; median motor thenar (64835) $16,165
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381) $17,766.50
Suture of; brachial plexus (64861) $4,875
Suture of; lumbar plexus (64862) $16,165
Suture pharynx for wound or injury (42900) $3,826.25
Suture/repair testicular injury (54670) $8,724
Sympathectomy cervical (64802) $4,875
Sympathectomy cervicothoracic (64804) $4,875
Sympathectomy digital artery (64820) $4,875
Sympathectomy; radial artery (64821) $8,026.50
Sympathectomy; superficial palmar arch (64823) $8,026.50
Synovectomy carpometacarpal joint (26130) $8,026.50
Synovectomy Tendon Sheath Foot Extensor (28088) $8,026.50
Synovectomy Tendon Sheath Foot Flexor (28086) $8,026.50
Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) $3,843.75
Synovectomy; metatarsophalangeal joint, each (28072) $8,026.50
T-cell depletion of harvest (38210) $1,100
Talectomy (astragalectomy) (28130) $17,766.50
Tangential biopsy skin single lesion (11102) $595
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) $65,369
Tcat insj/rpl perm leadless pacemaker rv w/img (33274) $45,352
Temporary Closure Eyelids Suture (67875) $2,288.75
Tendon excision palm/finger (26145) $3,843.75
Tendon graft, from a distance (20924) $17,766.50
Tendon lengthening (26476) $8,026.50
Tendon lengthening upper arm/elbow ea tendon (24305) $8,026.50
Tendon shortening (26477) $8,026.50
Tenodesis long tendon biceps (23430) $17,766.50
Tenodesis proximal interphalangeal joint each (26471) $8,026.50
Tenodesis Wrist Extensors Fingers (25301) $8,026.50
Tenodesis Wrist Flexors Fingers (25300) $8,026.50
Tenolysis ext tendon,hand/finger,ea (26445) $8,026.50
Tenolysis Extensor Foot Multiple Tendon (28226) $8,026.50
Tenolysis extensor foot single tendon (28225) $8,026.50
Tenolysis flexor foot multiple tendons (28222) $8,026.50
Tenolysis flexor foot single tendon (28220) $3,843.75
Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) $8,026.50
Tenolysis flexor tendon palm/finger each tendon (26440) $3,843.75
Tenolysis Triceps (24332) $8,026.50
Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) $8,026.50
Tenotomy abductors&/extensor hip open spx (27006) $8,026.50
Tenotomy Adductor Hip Open (27001) $8,026.50
Tenotomy adductor hip percutaneous spx (27000) $3,843.75
Tenotomy elbow lateral/medial debride open (24358) $8,026.50
Tenotomy Flexor Palm Open Each Tendon (26450) $8,026.50
Tenotomy hip flexor open separate procedure (27005) $17,766.50
Tenotomy Open Extensor Foot/Toe Each Tendon (28234) $3,843.75
Tenotomy percutaneous single each digit (26060) $3,843.75
Tenotomy Percutaneous Toe Single Tendon (28010) $3,843.75
Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) $6,599
Tenotomy shoulder area single tendon (23405) $17,766.50
Tenotomy shoulder multiple thru same incision (23406) $17,766.50
Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Other Surgical Services (27003) $17,766.50
Tenotomy, extensor, hand or finger, open, each tendon (26460) $3,843.75
Tenotomy, flexor, finger, open, each tendon (26455) $3,843.75
Tenotomy, open, hamstring, knee to hip; single tendon Other Surgical Services (27390) $8,026.50
Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) $3,843.75
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $3,843.75
Tenotomy,Uni Hamstr,Knee-Thigh,Multi (27391) $8,026.50
Ther Apheresis,Platelets (36513) $1,100
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) $28,465
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $1,077
Thoracentesis needle/cath pleura w/o imaging (32554) $1,356
Throat Surgery Procedure (42999) $692.50
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) $13,527.50
Thumb fusion with graft (26820) $17,766.50
Thymectomy prtl/tot transcervical appr spx (60520) $14,422.50
Thyroid biopsy (60100) $1,411
Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) $14,422.50
Thyroidectomy, total or complete (60240) $14,350
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) $14,422.50
Tibial arthroscopy/surgery (29855) $17,766.50
Tibial arthroscopy/surgery (29856) $34,921.50
Tis trnfr trunk 10 sq cm/< (14000) $4,865
Tis trnfr trunk 10.1-30sqcm (14001) $4,865
Tissue expander placement breast reconstruction (19357) $42,334
Tongue and mouth surg unlisted (41599) $3,836.50
Tongue suspension (41512) $14,422.50
Tonsillectomy and adenoidectomy; age 12 or over (42821) $7,760
Total hip arthroplasty (27130) $34,921.50
Total knee arthroplasty (27447) $34,921.50
Total thyroid lobectomy unilateral (60225) $14,350
Tr Paraspi Musc Hip Fasc/Tdn Xtn Grf (27105) $8,026.50
Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690) $17,766.50
Tracheobrnchsc Thru Est Trachs Inc (31615) $1,252.50
Tracheostoma Revj Cplx W/Flap Rotation (31614) $14,422.50
Tracheostomy emergency cricothyroid membrane (31605) $692.50
Tracheostomy planned (31600) $7,760
Transection or avulsion of other spinal nerve, extradural (64772) $4,875
Transection or avulsion of; facial nerve, differential or complete Other Surgical Services (64742) $4,875
Transection or avulsion of; inferior alveolar nerve by osteotomy Other Surgical Services (64738) $4,875
Transection or avulsion of; infraorbital nerve Other Surgical Services (64734) $4,875
Transection or avulsion of; lingual nerve Other Surgical Services (64740) $4,875
Transection or avulsion of; mental nerve Other Surgical Services (64736) $4,875
Transection or avulsion of; supraorbital nerve Other Surgical Services (64732) $4,875
Transection/avulsion greater occipital nerve (64744) $4,875
Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Other Surgical… (27100) $17,766.50
Transfer Iliopsoas Femoral Neck (27111) $8,026.50
Transfer of iliopsoas muscle (27110) $17,766.50
Transfer of tendon to restore intrinsic function-all 4 fingers 26498 (26498) $8,026.50
Transfer or transplant tendon-palmar; w/o free tendon graft 26485 (26485) $8,026.50
Transfer tendon to pelvis (27098) $8,026.50
Transfer Tendon/Muscle Hamstrings Femur (27400) $17,766.50
Transfer, free toe joint, with microvascular anastomosis (26556) $17,766.50
Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft Other Surgical Services (26551) $17,766.50
Transmetacarpal amputation; re-amputation (25931) $8,026.50
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) $17,766.50
Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) $17,766.50
Transperineal plmt biodegradable matrl 1/mlt njx (55874) $12,517.50
Transplant forearm tendon (25312) $8,026.50
Transplant forearm tendon (25310) $8,026.50
Transplant hand tendon (26480) $8,026.50
Transplant/graft hand tendon (26483) $8,026.50
Transplant/graft palm tendon (26489) $8,026.50
Transplant/transfer thigh xtnsr to flxr 1 tendon (27396) $17,766.50
Transplants of thigh tendons (27397) $17,766.50
Transrectal abltj mal prst8 tissue hifu w/us (55880) $19,875
Transurethral incision of prostate (52450) $8,560
Transurethral resection of bladder neck (52500) $8,560
Treat ankle dislocation (27848) $17,766.50
Treat ankle dislocation (27846) $17,766.50
Treat cheek bone fracture CMS CORRECTION 5/30/03 (21365) $14,422.50
Treat clavicle dislocation (23530) $17,766.50
Treat clavicle dislocation (23532) $17,766.50
Treat clavicle dislocation (23552) $17,766.50
Treat dislocation/fracture (23670) $17,766.50
Treat dislocation/fracture (23680) $34,921.50
Treat ectopic pregnancy (59151) $14,350
Treat elbow dislocation (24615) $17,766.50
Treat elbow fracture (24586) $34,921.50
Treat elbow fracture (24635) $17,766.50
Treat elbow fracture (24587) $34,921.50
Treat finger dislocation (26775) $782.50
Treat Finger Fracture Each (26727) $8,026.50
Treat fracture of radius (25526) $17,766.50
Treat Fracture Radius & Ulna (25560) $733.75
Treat fracture radius/ulna (25575) $17,766.50
Treat fx distal radial (25606) $8,026.50
Treat fx rad extra-articul (25607) $17,766.50
Treat hand dislocation (26685) $8,026.50
Treat hand dislocation (26686) $8,026.50
Treat heel fracture (28415) $17,766.50
Treat humerus fracture (23630) $17,766.50
Treat humerus fracture (24500) $733.75
Treat humerus fracture (24577) $3,843.75
Treat humerus fracture (24566) $3,843.75
Treat humerus fracture (23616) $45,217.50
Treat humerus fracture (23600) $733.75
Treat knee fracture (27532) $8,026.50
Treat kneecap dislocation (27566) $17,766.50
Treat knuckle dislocation (26715) $8,026.50
Treat lower leg fracture (27826) $17,766.50
Treat lower leg fracture (27828) $34,921.50
Treat Lower Leg Fracture (27827) $34,921.50
Treat Metatarsal Fracture (28475) $733.75
Treat midfoot fracture (28456) $17,766.50
Treat penis lesion graft (54111) $12,517.50
Treat radius fracture (24665) $17,766.50
Treat scapula fracture (23585) $17,766.50
Treat sesamoid bone fracture (28531) $17,766.50
Treat slipped epiphysis (27181) $17,766.50
Treat spine fracture (22325) $34,921.50
Treat thorax spine fracture (22327) $34,921.50
Treat thumb fracture (26650) $8,026.50
Treat thumb fracture (26665) $8,026.50
Treat Thumb Fx/Disloc,Manip (26645) $3,843.75
Treat toe fracture (28525) $8,026.50
Treat ulnar fracture (24685) $17,766.50
Treat wrist bone fracture (25635) $3,843.75
Treat wrist bone fracture (25622) $733.75
Treat Wrist Bone Fracture (25630) $733.75
Treat wrist fracture (25685) $17,766.50
Treatment closed elbow dislocation req anes (24605) $3,843.75
Treatment closed elbow dislocation w/o anes (24600) $733.75
Treatment of anal fissure (46940) $6,929
Treatment of ankle fracture (27822) $17,766.50
Treatment of ankle fracture (28436) $17,766.50
Treatment of ankle fracture (27792) $17,766.50
Treatment of bone cyst (20615) $1,730
Treatment of fibula fracture (27784) $17,766.50
Treatment of foot infection (28003) $8,026.50
Treatment of heel fracture (28406) $17,766.50
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) $17,766.50
Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $17,766.50
Treatment of missed abortion, completed surgically; second trimester (59821) $7,367.50
Treatment of penis lesion (54110) $8,560
Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) $34,921.50
Treatment of slipped femoral epiphysis; by traction, without reduction (27175) $17,766.50
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $733.75
Treatment of thigh fracture (27513) $17,766.50
Treatment of tibia fracture (27759) $34,921.50
Treatment of tibia fracture (27756) $17,766.50
Treatment of urethra lesion (53260) $8,724
Treatment of urethra lesion (53220) $8,560
Trim skin lesion (11055) $595
Trim skin lesions 2 to 4 (11056) $595
Trim skin lesions over 4 (11057) $595
Trlml balo angiop open/perq img s&i 1st art (37246) $11,238
Trlml balo angiop open/perq w/img s&i 1st vein (37248) $11,441
Trnsplj autologous hematopoietic cells per donor (38241) $3,753.75
Trurl rescj postop bladder neck contracture (52640) $8,560
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $6,929
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $34,921.50
Tx Incomplete Abortion Any Trimester Surgical (59812) $7,367.50
Tx Missed Abortion First Trimester Surgical (59820) $7,367.50
Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) $3,843.75
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $3,843.75
Tx Superficial Wound Dehiscence Simple Closure (12020) $1,410
Tx superficial wound dehiscence w/packing (12021) $1,087.50
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $3,843.75
Tympanostomy (69433) $1,252.50
Unlisted craniofacial & maxillofacial procedure (21299) $7,760
Unlisted hysteroscopy procedure, uterus (58579) $565
Unlisted laparoscopic procedure liver (47379) $14,350
Unlisted laparoscopic procedure, ureter (50949) $14,350
Unlisted laparoscopy procedure, appendix (44979) $14,350
Unlisted laparoscopy procedure, biliary tract (47579) $14,350
Unlisted laparoscopy procedure, bladder (51999) $14,350
Unlisted laparoscopy procedure, esophagus (43289) $14,350
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $14,350
Unlisted laparoscopy procedure, lymphatic system (38589) $14,350
Unlisted laparoscopy procedure, rectum (45499) $14,350
Unlisted laparoscopy procedure, renal (50549) $14,350
Unlisted laparoscopy procedure, spermatic cord (55559) $14,350
Unlisted laparoscopy procedure, stomach (43659) $14,350
Unlisted laparoscopy procedure, testis (54699) $14,350
Unlisted laparoscopy procedure, uterus (58578) $14,350
Unlisted laparoscopy px abd pertoneum & omentum (49329) $14,350
Unlisted procedure accessory sinuses (31299) $692.50
Unlisted procedure anus (46999) $2,166.25
Unlisted Procedure Biliary Tract (47999) $2,228.75
Unlisted Procedure Breast (19499) $8,955
Unlisted Procedure Casting/Strapping (29799) $364
Unlisted Procedure Dentoalveolar Structures (41899) $692.50
Unlisted Procedure Endocrine System (60699) $14,350
Unlisted Procedure External Ear (69399) $692.50
Unlisted procedure femur or knee (27599) $733.75
Unlisted procedure foot or toes (28899) $733.75
Unlisted procedure humerus/elbow (24999) $733.75
Unlisted procedure larynx (31599) $692.50
Unlisted procedure leg/ankle (27899) $733.75
Unlisted procedure liver (47399) $1,730
Unlisted procedure neck or thorax (21899) $692.50
Unlisted Procedure Nervous System (64999) $891.25
Unlisted procedure pelvis/hip joint (27299) $733.75
Unlisted Procedure Rectum (45999) $2,166.25
Unlisted procedure shoulder (23929) $733.75
Unlisted Procedure Small Intestine (44799) $2,228.75
Unlisted procedure spine (22899) $733.75
Unlisted Procedure Vascular Surgery (37799) $1,787.50
Unlisted procedure, abdomen, musculoskeletal system (22999) $733.75
Unlisted procedure, abdomen, peritoneum and omentum (49999) $2,228.75
Unlisted procedure, forearm or wrist (25999) $733.75
Unlisted procedure, hands or fingers (26989) $733.75
Unlisted procedure, male genital system (55899) $798.75
Unlisted procedure, salivary glands or ducts (42699) $692.50
Unlisted procedure, stomach (43999) $2,228.75
Unlisted procedure, vestibule of mouth (40899) $692.50
Unlisted px female genital system nonobstetrical (58999) $565
Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) $8,505
Ureter endoscopy & treatment (50980) $12,516.50
Ureteral endoscopy via ureterost w/rmvl fb/stone (50961) $12,517.50
Ureteral endoscopy via ureterost w/wo dil ureter (50953) $8,560
Ureteral endoscopy via ureterostomy (50951) $8,560
Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) (53500) $8,560
Urethrorrhaphy sutr urethral wound/inj perineal (53510) $12,517.50
Urology Surgery Procedure (53899) $798.75
Us bone stimulation (20979) $82.50
Uvulectomy excision uvula (42140) $7,760
Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) $12,505
Vag hyst complex (58290) $19,267.50
Vaginal hysterectomy (58260) $12,505
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $12,505
Vasc embolize/occlude artery (37242) $28,479
Vasc embolize/occlude organ (37243) $28,479
Vasc embolize/occlude venous (37241) $28,479
Vasectomy (55250) $5,023.75
Venipuncture (36415) $20
Ventilating tube removal requiring general anesthesia (69424) $7,760
Vermilionectomy (lip shave), with mucosal advancement (40500) $7,760
Vestibuloplasty Anterior (40840) $14,422.50
Vulvectomy simple partial (56620) $7,367.50
Wedging of cast (29740) $782.50
Wedging of clubfoot cast (29750) $782.50
Windowing of cast (29730) $455
Wound Prep F/N/Hf/G (15004) $1,467.50
Wound prep trk/arm/leg 1st 100 sq cm (15002) $32,577.50
Wrist arthroscop,excis triang cart (29846) $8,026.50
Wrist arthroscop,part synovect (29844) $8,026.50
Wrist arthroscopy (29843) $8,026.50
Wrist arthroscopy (29840) $8,026.50
Wrist arthroscopy/surgery (29847) $17,766.50
Wrist arthroscopy/surgery (29845) $8,026.50
Wrist replacement (25446) $45,217.50
Xfer single deep low leg tendon (27691) $17,766.50