| 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 |
— |