| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$4,309.11 |
$6,529.26 |
2.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$6,855.60 |
$6,824.62 |
2.0× |
| Amputation toe interphalangeal joint (28825) |
$7,855.32 |
$5,675.65 |
2.3× |
| Amputation, leg, through tibia and fibula; (27880) |
$4,584.73 |
$6,549.62 |
0.6× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$4,584.73 |
$6,549.62 |
1.3× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$18,829.31 |
$29,750 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$760.37 |
$3,600.95 |
2.3× |
| Arthrodesis great toe interphalangeal joint (28755) |
$10,235.13 |
$6,529.26 |
1.3× |
| Arthrodesis Posterior Interbody Lumbar (22630) |
$26,662.14 |
$11,777.07 |
0.9× |
Arthrodesis Posterior/Posterolateral Thoracic (22610)
unusually low: confirm this is the full procedure |
$8,243.95 |
$11,777.07 |
0.4× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge, not the full procedure |
$8,243.95 |
$11,777.07 |
0.3× |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
$10,235.13 |
$6,824.62 |
1.3× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$3,916.46 |
$6,529.26 |
2.3× |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) |
$18,829.31 |
$6,549.62 |
1.4× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
$7,877.97 |
$6,529.26 |
2.3× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
$7,952.82 |
$6,529.26 |
2.3× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$10,235.13 |
$6,804.27 |
1.3× |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
$10,235.13 |
$6,549.62 |
1.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$7,952.82 |
$6,549.62 |
2.3× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$7,131.87 |
$5,971.01 |
2.1× |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
$10,235.13 |
$6,824.62 |
1.3× |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) |
$7,952.82 |
$6,549.62 |
2.3× |
| Biopsy bone open superficial (20240) |
$4,461.38 |
$6,529.26 |
1.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$3,916.46 |
$6,529.26 |
2.2× |
| Capsulotomy wrist (25085) |
$5,278.59 |
$6,824.62 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,220.85 |
$5,696.01 |
1.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$3,870 |
$6,824.62 |
2.3× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$3,870 |
$6,824.62 |
2.3× |
| Coccygectomy, primary (27080) |
$6,855.60 |
$6,824.62 |
2.0× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$8,450.70 |
$12,072.43 |
0.6× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$7,574.30 |
$6,529.26 |
2.2× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$10,235.13 |
$6,549.62 |
1.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$4,461.38 |
$5,675.65 |
1.5× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
$7,131.87 |
$5,971.01 |
2.1× |
| Deep Muscle Biopsy (20205) |
$4,461.38 |
$6,529.26 |
1.5× |
| Drainage of hematoma/fluid (10140) |
$3,916.46 |
$5,675.65 |
2.2× |
| Exc arm/elbow les sc < 3 cm (24075) |
$3,916.46 |
$5,675.65 |
2.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,916.46 |
$5,675.65 |
2.2× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$4,461.38 |
$5,675.65 |
1.5× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$3,916.46 |
$5,971.01 |
2.2× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$4,461.38 |
$5,971.01 |
1.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$3,916.46 |
$5,675.65 |
2.2× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$4,437.63 |
$5,696.01 |
2.1× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$4,437.63 |
$5,696.01 |
2.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,916.46 |
$5,675.65 |
2.2× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$4,461.38 |
$5,971.01 |
1.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$1,213.56 |
$5,675.65 |
2.8× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$4,461.38 |
$5,696.01 |
1.5× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$4,461.38 |
$5,696.01 |
1.5× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$4,461.38 |
$5,950.66 |
1.5× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$3,916.46 |
$5,971.01 |
2.2× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$4,461.38 |
$5,696.01 |
1.5× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$4,461.38 |
$5,971.01 |
1.5× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$4,461.38 |
$5,971.01 |
1.5× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$4,461.38 |
$5,971.01 |
1.5× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$3,916.46 |
$6,529.26 |
2.3× |
| Excision Distal Ulna Partial/Complete (25240) |
$5,329.08 |
$6,824.62 |
1.5× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$7,574.30 |
$6,529.26 |
2.2× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$3,916.46 |
$5,675.65 |
2.2× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$4,461.38 |
$5,696.01 |
1.5× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$3,916.46 |
$5,696.01 |
2.2× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$3,916.46 |
$5,971.01 |
2.2× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$4,461.38 |
$5,696.01 |
1.5× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$4,461.38 |
$5,971.01 |
1.5× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$3,870 |
$6,824.62 |
2.3× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$5,278.59 |
$5,971.01 |
1.5× |
| Fasciotomy Iliotibial Open (27305) |
$7,131.87 |
$5,971.01 |
2.1× |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$7,203.80 |
$5,950.66 |
2.1× |
| Fuse hand bones with graft (25825) |
$10,235.13 |
$6,824.62 |
1.3× |
| Fusion of hand bones (25820) |
$10,235.13 |
$6,824.62 |
1.3× |
| I&d abscess simple (10060) |
$432.62 |
$5,675.65 |
2.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$4,461.38 |
$5,696.01 |
1.5× |
| Implant neuroelectrodes (63650) |
$24,168.87 |
$5,511.69 |
3.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,213.56 |
$5,675.65 |
2.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,916.46 |
$5,675.65 |
2.2× |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
$3,972.96 |
$5,675.65 |
0.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$2,101.98 |
$3,600.95 |
2.8× |
| Injection therapeutic carpal tunnel (20526) |
$760.37 |
$3,580.59 |
2.3× |
| Knee arthroscopy/drainage (29871) |
$7,877.97 |
$6,549.62 |
2.3× |
| Knee Arthroscopy/Surgery (29850) |
$3,916.46 |
$6,529.26 |
2.3× |
| Lateral retinacular release open (27425) |
$7,131.87 |
$5,971.01 |
2.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$2,101.98 |
$3,600.95 |
2.8× |
Neck spine fusion (22600)
unusually low: confirm this is the full procedure |
$8,243.95 |
$11,777.07 |
0.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$122.85 |
$2,089 |
4.0× |
| Nerve repair w/conduit each nerve (64910) |
$24,168.87 |
$5,696.01 |
2.6× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$45,345.21 |
$6,549.62 |
5.9× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$18,829.31 |
$6,824.62 |
1.4× |
| Open Treatment Tarsal Bone Dislocation (28555) |
$10,235.13 |
$6,804.27 |
1.3× |
| Open tx carpal scaphoid navicular fracture (25628) |
$10,235.13 |
$6,549.62 |
1.3× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$6,855.60 |
$6,824.62 |
2.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$6,855.60 |
$6,824.62 |
2.0× |
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514)
unusually low: confirm this is the full procedure |
$4,777.23 |
$6,824.62 |
0.4× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$18,829.31 |
$6,824.62 |
1.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$6,855.60 |
$6,824.62 |
2.0× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$4,777.23 |
$6,824.62 |
0.6× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$4,777.23 |
$6,824.62 |
0.6× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$7,574.30 |
$6,529.26 |
2.2× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$7,574.30 |
$6,529.26 |
2.2× |
| Osteoplasty Radius/Ulna Shortening (25390) |
$10,235.13 |
$6,824.62 |
1.3× |
Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715)
unusually low: confirm this is the full procedure |
$4,584.73 |
$6,549.62 |
0.3× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$10,235.13 |
$6,549.62 |
1.3× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$10,235.13 |
$6,549.62 |
1.3× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$4,777.23 |
$6,824.62 |
0.6× |
| Partical Excision Bone Phalanx Toe (28124) |
$7,574.30 |
$5,950.66 |
2.2× |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
$4,777.23 |
$6,824.62 |
0.6× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$6,855.60 |
$6,824.62 |
2.0× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$3,252.20 |
$5,971.01 |
1.9× |
| Rad resect elbow caps/sr bone w rels (24149) |
$10,235.13 |
$6,824.62 |
1.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) |
$4,461.38 |
$5,971.01 |
1.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
$4,461.38 |
$5,696.01 |
1.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$4,461.38 |
$5,675.65 |
1.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) |
$4,461.38 |
$5,675.65 |
1.5× |
| Radical resection of tumor, proximal humerus Facility (23220) |
$4,584.73 |
$6,549.62 |
0.6× |
| Realignment extensor tendon hand each tendon (26437) |
$5,412.65 |
$5,971.01 |
1.6× |
| Reinsert spinal fixation (22849) |
$8,243.95 |
$11,777.07 |
0.6× |
| Removal foreign body foot deep (28192) |
$3,916.46 |
$5,950.66 |
2.2× |
| Removal of humerus lesion (23150) |
$5,161.56 |
$6,549.62 |
1.5× |
| Removal of humerus lesion (23156) |
$27,803.01 |
$6,549.62 |
3.6× |
| Remove & graft wrist lesion (25135) |
$10,235.13 |
$6,824.62 |
1.3× |
| Remove elbow lesion (24120) |
$5,253.75 |
$6,824.62 |
1.5× |
| Remove femur lesion/graft (27356) |
$18,829.31 |
$6,824.62 |
1.4× |
| Remove Shoulder Foreign Body (23330) |
$3,916.46 |
$6,549.62 |
2.2× |
| Remove Skin Nerve Lesion (64774) |
$4,437.63 |
$5,696.01 |
2.1× |
| Remove/graft foot lesion (28107) |
$10,235.13 |
$6,529.26 |
1.3× |
| Repair Finger/Hand Tendon (26350) |
$5,412.65 |
$5,971.01 |
1.6× |
| Repair Forearm Tendon Sheath (25275) |
$5,329.08 |
$5,971.01 |
1.5× |
| Repair humerus with graft (24435) |
$18,829.31 |
$6,824.62 |
1.4× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$10,235.13 |
$6,549.62 |
1.3× |
| Repair Rotator Cuff Chronic (23412) |
$32,488.79 |
$6,549.62 |
4.2× |
| Repair shoulder capsule (23462) |
$39,740.97 |
$6,549.62 |
5.2× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$7,574.30 |
$5,950.66 |
2.2× |
| Repair/graft achilles tendon (27652) |
$10,235.13 |
$5,696.01 |
1.3× |
| Repair/Revise Wrist Joint (25320) |
$10,235.13 |
$6,824.62 |
1.3× |
| Replace elbow joint (24363) |
$26,662.14 |
$12,072.43 |
1.4× |
| Resect Shoulder Tumor 5 Cm/> (23078) |
$4,461.38 |
$5,675.65 |
1.5× |
| Revise/Implant Finger Joint (26536) |
$10,235.13 |
$5,971.01 |
1.3× |
| Revision of foot fascia (28250) |
$7,574.30 |
$5,696.01 |
2.2× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
$8,450.70 |
$12,072.43 |
0.6× |
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487)
unusually low: confirm this is the full procedure |
$8,450.70 |
$12,072.43 |
0.5× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$8,450.70 |
$12,072.43 |
0.6× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$7,952.82 |
$6,529.26 |
2.2× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$4,461.38 |
$5,675.65 |
1.5× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$3,916.46 |
$5,971.01 |
2.2× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
$10,235.13 |
$5,696.01 |
1.3× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$5,329.08 |
$5,971.01 |
1.5× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$4,437.63 |
$5,675.65 |
2.1× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$10,235.13 |
$5,971.01 |
1.3× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$3,870 |
$5,971.01 |
2.3× |
| Tenotomy, hip flexor(s), open (27005) |
$4,179.71 |
$5,971.01 |
1.2× |
| Tibial Arthroscopy/Surgery (29855) |
$10,235.13 |
$6,529.26 |
1.3× |
| Total Knee Arthroplasty (27447) |
$18,829.31 |
$11,551.39 |
1.4× |
| Treat scapula fracture (23585) |
$45,345.21 |
$6,549.62 |
5.9× |
| Treatment of tibia fracture (27756) |
$10,235.13 |
$6,549.62 |
1.3× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
$4,777.23 |
$6,824.62 |
0.6× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$3,916.46 |
$5,950.66 |
2.3× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$18,829.31 |
$6,549.62 |
1.4× |