| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$416 |
— |
| Ablate inf turbinate submuc (30802) |
— |
$2,307 |
— |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
— |
$3,855 |
— |
| Adding Walker Previously Applied Cast (29440) |
— |
$120 |
— |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
— |
$2,775 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$4,920 |
— |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
— |
$2,682 |
— |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
— |
$2,682 |
— |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
— |
$8,141 |
— |
| Amp leg thru tibia&fibula sec closure/scar rev (27884) |
— |
$4,524 |
— |
| Amp thigh thru femur sec closure/scar revision (27594) |
— |
$4,524 |
— |
| Amputate metacarpal bone (26910) |
— |
$4,524 |
— |
| Amputation Finger/Thumb (26951) |
— |
$4,680 |
— |
| Amputation follow-up surgery (25907) |
— |
$4,215 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$8,351 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$4,680 |
— |
| Amputation of finger/thumb (26952) |
— |
$4,680 |
— |
| Amputation Of Foot At Ankle (27889) |
— |
$9,886 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$4,680 |
— |
| Amputation Toe Metatarsophalangeal Joint (28820) |
— |
$4,680 |
— |
| Amputation, foot; transmetatarsal (28805) |
— |
$4,680 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$21,833 |
— |
| Analyze infusn pump+reprogram (62368) |
— |
$653 |
— |
| Ankle arthroscopy (29899) |
— |
$8,294 |
— |
| Ankle arthroscopy/surgery (29892) |
— |
$8,141 |
— |
| Ankle arthroscopy/surgery (29894) |
— |
$4,680 |
— |
| Ankle Scope,Excis Osteochon Defct (29891) |
— |
$3,855 |
— |
| Ankle scope,part synovectomy (29895) |
— |
$2,007 |
— |
| Anoscopy diagnostic (46600) |
— |
$113 |
— |
| Anterior Tibial Tubercleplasty (27418) |
— |
$8,422 |
— |
| Appl skn cll ssp agrft f/s/n/h/f/g/m/dgt 1st 480 (15017) |
— |
$5,008 |
— |
| Application cast elbow finger short arm (29075) |
— |
$275 |
— |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
— |
$209 |
— |
| Application cast shoulder hand long arm (29065) |
— |
$296 |
— |
| Application finger splint static (29130) |
— |
$168 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$324 |
— |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
— |
$402 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$249 |
— |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
— |
$19,667 |
— |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
— |
$10,227 |
— |
| Application of cylinder cast (thigh to ankle) (29365) |
— |
$312 |
— |
| Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing,… (15015) |
— |
$5,008 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$301 |
— |
| Application short leg splint calf foot (29515) |
— |
$301 |
— |
| Apply long leg cast brace (29358) |
— |
$469 |
— |
| Apply short leg cast (29405) |
— |
$253 |
— |
| Apply short leg cast (29425) |
— |
$303 |
— |
| Arrest Epiphyseal Open Distal Fibula (27732) |
— |
$4,524 |
— |
| Arrest Epiphyseal Open Distal Tibia (27730) |
— |
$4,524 |
— |
| Arrest, epiphyseal, any method (eg, epiphydiodesis); cmbined distal femur prox (27479) |
— |
$9,886 |
— |
| Arrest, epiphyseal, any method, (epiphydiodesis); distal femur (27475) |
— |
$9,886 |
— |
| Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) (27485) |
— |
$9,886 |
— |
| Arthrd w/xtnsr hallucis longus tr 1st metar nck (28760) |
— |
$8,141 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$632.50 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,033 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$574 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$1,120.50 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$632.50 |
— |
| Arthrodesis ankle open (27870) |
— |
$16,754 |
— |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
— |
$12,913 |
— |
| Arthrodesis great toe interphalangeal joint (28755) |
— |
$10,227 |
— |
| Arthrodesis Pantalar (28705) |
— |
$29,971 |
— |
| Arthrodesis sacroiliac joint percutaneous (27279) |
— |
$21,702 |
— |
| Arthrodesis tibiofibular joint proximal or distal (27871) |
— |
$16,196 |
— |
| Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554) |
— |
$16,196 |
— |
| Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558) |
— |
$16,196 |
— |
| Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) Other… (26844) |
— |
$10,227 |
— |
| Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)… (26842) |
— |
$10,227 |
— |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
— |
$16,754 |
— |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
— |
$5,478 |
— |
| Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630) |
— |
$2,568 |
— |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
— |
$16,754 |
— |
| Arthrodesis, posterior or posterolateral technique, single level ; thoracic (with lateral transverse technique, when… (22610) |
— |
$16,462 |
— |
| Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600) |
— |
$2,359 |
— |
| Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior… (22586) |
— |
$12,838 |
— |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
— |
$16,462 |
— |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (28737) |
— |
$16,196 |
— |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) (25810) |
— |
$16,754 |
— |
| Arthrodesis; subtalar (28725) |
— |
$16,754 |
— |
| Arthroplasty ankle revision total ankle (27703) |
— |
$4,524 |
— |
| Arthroplasty Ankle W/Implant (27702) |
— |
$5,424 |
— |
| Arthroplasty elbow w/membrane (24360) |
— |
$8,620 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$17,993 |
— |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
— |
$16,754 |
— |
| Arthroplasty knee fc/tp (27442) |
— |
$16,754 |
— |
| Arthroplasty knee tibial plateau (27440) |
— |
$16,196 |
— |
| Arthroplasty radial head w/implant (24366) |
— |
$16,754 |
— |
| Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Other Surgical… (27443) |
— |
$16,196 |
— |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Other Surgical Services (27441) |
— |
$16,196 |
— |
| Arthroplasty, patella; with prosthesis (27438) |
— |
$16,754 |
— |
| Arthroplasty, patella; without prosthesis (27437) |
— |
$8,141 |
— |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
— |
$7,152 |
— |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
— |
$16,754 |
— |
| Arthroscopically aided treat. intercondylar spine and/or tuberosity fx knee w/o int/ext. fix 29850 (29850) |
— |
$2,318 |
— |
| Arthroscopy ankle; ext debridem (29898) |
— |
$4,680 |
— |
| Arthroscopy Hip Surgical W/Synovectomy (29863) |
— |
$3,855 |
— |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
— |
$4,680 |
— |
| Arthroscopy of joint (29999) |
— |
$7,706 |
— |
| Arthroscopy subtalar joint (29906) |
— |
$4,680 |
— |
| Arthroscopy Subtalar Joint Subtalar Arth (29907) |
— |
$10,462 |
— |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
— |
$4,680 |
— |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) |
— |
$4,680 |
— |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) High Cost/Complex Surgery (29860) |
— |
$8,422 |
— |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914) |
— |
$7,152 |
— |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
— |
$4,680 |
— |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
— |
$4,680 |
— |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
— |
$4,680 |
— |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
— |
$4,680 |
— |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
— |
$4,680 |
— |
| Arthroscopy, Knee, Surgical; Meniscal Transplantation (Includes Arthrotomy For Meniscal Insertion), Medial Or Lateral (29868) |
— |
$8,141 |
— |
| Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) |
— |
$16,196 |
— |
| Arthroscopy, Knee, Surgical; Osteochondral Autograft(S) (Eg, Mosaicplasty) (Includes Harvesting Of The Autograft) (29866) |
— |
$8,141 |
— |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
— |
$4,680 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$4,680 |
— |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
— |
$4,680 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$4,680 |
— |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement High Cost/Complex Surgery (29901) |
— |
$6,154 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$7,152 |
— |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
— |
$7,152 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$3,855 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$3,855 |
— |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
— |
$3,855 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$7,152 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, complete (29821) |
— |
$3,726 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$3,726 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$7,152 |
— |
| Arthroscopy, subtalar joint, surgical; with synovectomy High Cost/Complex Surgery (29905) |
— |
$9,886 |
— |
| Arthrotomy hip w/drainage (27030) |
— |
$10,498 |
— |
| Arthrotomy Knee W/Synovial Biopsy Only (27330) |
— |
$4,524 |
— |
| Arthrotomy W/Biopsy Hip Joint (27052) |
— |
$2,240 |
— |
| Arthrotomy W/Biopsy Sacroiliac Joint (27050) |
— |
$2,240 |
— |
| Arthrotomy with biopsy; carpometacarpal joint, each (26100) |
— |
$4,524 |
— |
| Arthrotomy with biopsy; intertarsal or tarsometatarsal joint Other Surgical Services (28050) |
— |
$4,680 |
— |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) |
— |
$4,524 |
— |
| Arthrotomy with biopsy; metatarsophalangeal joint Other Surgical Services (28052) |
— |
$4,524 |
— |
| Arthrotomy Wrist Joint With Biopsy (25100) |
— |
$5,737 |
— |
| Arthrotomy Wrist Joint With Synovectomy (25105) |
— |
$5,541 |
— |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
— |
$4,524 |
— |
| Arthrotomy, elbow; with synovectomy (24102) |
— |
$4,680 |
— |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
— |
$4,524 |
— |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
— |
$4,680 |
— |
| Arthrotomy, with synovectomy, ankle; (27625) |
— |
$4,680 |
— |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
— |
$4,680 |
— |
| Arthrp intercarpal/carp/mtcrpl jt suspension (25448) |
— |
$9,964 |
— |
| Arthrs hip debridement/shaving articular crtlg (29862) |
— |
$8,422 |
— |
| Arthrt rdcrpl/midcarpl jt w/expl drg/rmvl fb (25040) |
— |
$4,524 |
— |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
— |
$2,240 |
— |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
— |
$4,680 |
— |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
— |
$4,680 |
— |
| Arthrtomy w/bx interphalangeal joint (28054) |
— |
$4,524 |
— |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
— |
$249 |
— |
| Autochondrocyte implant knee (27412) |
— |
$8,422 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$441.50 |
— |
| Biopsy Bone Open Deep (20245) |
— |
$3,832 |
— |
| Biopsy bone open superficial (20240) |
— |
$3,964 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$6,268 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$2,456 |
— |
| Biopsy finger joint lining (26110) |
— |
$2,318 |
— |
| Biopsy muscle deep (20205) |
— |
$3,832 |
— |
| Biopsy of mouth lesion (40808) |
— |
$1,073 |
— |
| Biopsy of nail unit (11755) |
— |
$1,043 |
— |
| Biopsy of palate, uvula (42100) |
— |
$2,230 |
— |
| Biopsy soft tissue leg/ankle area deep (27614) |
— |
$3,832 |
— |
| Biopsy soft tissue leg/ankle area superficial (27613) |
— |
$2,268 |
— |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
— |
$2,268 |
— |
| Biopsy Soft Tissue Shoulder Deep (23066) |
— |
$4,061 |
— |
| Biopsy soft tissue shoulder superficial (23065) |
— |
$2,410 |
— |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
— |
$3,832 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$2,268 |
— |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) (25066) |
— |
$5,541 |
— |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
— |
$2,268 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$5,007 |
— |
| Biopsy; nasopharynx, survey for unknown primary lesion (42806) |
— |
$4,877 |
— |
| Bladder Scan (51798) |
— |
$150 |
— |
| Blood patch (62273) |
— |
$1,956 |
— |
| Blood transfusion service (36430) |
— |
$943 |
— |
| Bone graft for nonunion, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) (27170) |
— |
$9,060 |
— |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Other Surgical Services (20962) |
— |
$10,467 |
— |
| Bone graft, any donor area; major or large (20902) |
— |
$10,227 |
— |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
— |
$10,227 |
— |
| Bone marrow aspiration only (38220) |
— |
$1,662 |
— |
| Bone Marrow Biopsy (38221) |
— |
$2,492 |
— |
| Bone Marrow Harvest Autolog (38232) |
— |
$5,197 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$4,680 |
— |
| Capsular Contracture Release (23020) |
— |
$5,018 |
— |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
— |
$4,680 |
— |
| Capsulorrhaphy anterior w/labral repair (23455) |
— |
$8,422 |
— |
| Capsulorrhaphy Anterior With Bone Block (23460) |
— |
$8,141 |
— |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) |
— |
$2,326 |
— |
| Capsulotomy Midtarsal (28264) |
— |
$1,916 |
— |
| Capsulotomy, midfoot; medial release only (separate procedure) Other Surgical Services (28260) |
— |
$4,729 |
— |
| Capsulotomy; interphalangeal joint, each joint (28272) |
— |
$2,240 |
— |
| Carpectomy All Bones Proximal Row (25215) |
— |
$4,680 |
— |
| Cartilage graft; costochondral (20910) |
— |
$1,208 |
— |
| Cerv artific diskectomy (22856) |
— |
$19,608 |
— |
| Chemical Cautery Tissue (17250) |
— |
$441 |
— |
| Chemodenerv 1 extrem 5/> mus (64644) |
— |
$1,088 |
— |
| Chemodenerv 1 extremity 1-4 (64642) |
— |
$1,081 |
— |
| Chest tube placement (32551) |
— |
$1,458 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$123 |
— |
| Claviculectomy; partial (23120) |
— |
$4,680 |
— |
| Claviculectomy; total (23125) |
— |
$4,851 |
— |
| Clean out mastoid cavity (69222) |
— |
$1,530 |
— |
| Close Rx Fingr Articular Fx,Manip (26742) |
— |
$2,147 |
— |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
— |
$589 |
— |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
— |
$1,373 |
— |
| Closed Rx Humeral Supracondylar Fx (24530) |
— |
$524 |
— |
| Closed Rx Med Malleolus Fx (27760) |
— |
$524 |
— |
| Closed Rx Med Malleolus Fx,Manip (27762) |
— |
$2,240 |
— |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
— |
$3,458.50 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$2,221 |
— |
| Closed Rx Radial Shaft Fx (25500) |
— |
$524 |
— |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
— |
$4,545 |
— |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
— |
$4,545 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$524 |
— |
| Closed Rx Tibia Shaft Fx (27750) |
— |
$524 |
— |
| Closed Rx Tibial Plateau Fx (27530) |
— |
$524 |
— |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
— |
$2,240 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$524 |
— |
| Closed treat wrist dislocation (25660) |
— |
$506 |
— |
| Closed Treatment Coccygeal Fracture (27200) |
— |
$524 |
— |
| Closed treatment nasal fracture w/stabilization (21320) |
— |
$4,478 |
— |
| Closed treatment of broken top of shin bone at knee (27538) |
— |
$524 |
— |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
— |
$524 |
— |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone (26607) |
— |
$4,903 |
— |
| Closed treatment of talus fracture; without manipulation (28430) |
— |
$524 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$727 |
— |
| Closed treatment pst malleolus fracture w/manj (27768) |
— |
$3,294 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$524 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$524 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$679 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$1,668 |
— |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
— |
$507 |
— |
| Closed tx calcaneal fracture w/o manipulation (28400) |
— |
$524 |
— |
| Closed tx carpal scaphoid fracture w/manj (25624) |
— |
$2,240 |
— |
| Closed tx femoral fracture prox head w/o manj (27267) |
— |
$4,524 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$524 |
— |
| Closed tx knee dislocation w/anesthesia (27552) |
— |
$2,880.50 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$891.50 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$487.50 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$1,976 |
— |
| Closed tx nasal fracture w/o stabilization (21315) |
— |
$167 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$524 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$424.50 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$2,275.50 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$524 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$1,633.50 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$494 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$2,326 |
— |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
— |
$524 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$212 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$2,536.50 |
— |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
— |
$524 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$506 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$521 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$460.50 |
— |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
— |
$524 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$3,040 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$522.50 |
— |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
— |
$524 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$2,240 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$506.50 |
— |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
— |
$4,545 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$506 |
— |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
— |
$3,509 |
— |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
— |
$524 |
— |
| Cltx dstl fem epiphysl sep w/manj w/wo skin/skel (27517) |
— |
$3,294 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$851.50 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$4,545 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$491.50 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$519.50 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$682.50 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,903.50 |
— |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
— |
$3,294 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$524 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$524 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$2,240 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$458 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$449.50 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$466.50 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$367 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$2,313 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$524 |
— |
| Cltx greater trochanteric fx w/o manj (27246) |
— |
$524 |
— |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
— |
$4,015 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$561 |
— |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
— |
$3,294 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$313 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$390.50 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$424.50 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$773.50 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$314.50 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$3,294 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$603.50 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$2,240 |
— |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$513.50 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$630.50 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$544 |
— |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
— |
$2,071.50 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$717 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$2,240 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$524 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$2,240 |
— |
| Cltx prox tibfib jt dislc req anes (27831) |
— |
$4,524 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$524 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$522.50 |
— |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
— |
$2,465 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$3,294 |
— |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
— |
$3,294 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$524 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$395 |
— |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
— |
$4,545 |
— |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
— |
$524 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$2,014 |
— |
| Complex Drainage, Wound (10180) |
— |
$3,964 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$317 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$268.50 |
— |
| Control Oropharyngeal Hemorrhage Simple (42960) |
— |
$735 |
— |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
— |
$8,141 |
— |
| Correction hammertoe (28285) |
— |
$4,680 |
— |
| Correction of bunion (28298) |
— |
$10,227 |
— |
| Correction of bunion (28292) |
— |
$4,524 |
— |
| Correction of bunion (28299) |
— |
$10,227 |
— |
| Correction of bunion (28297) |
— |
$10,227 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$4,680 |
— |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
— |
$4,524 |
— |
| Create eardrum opening (69436) |
— |
$2,307 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$569 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$679.50 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$3,016.50 |
— |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
— |
$4,524 |
— |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
— |
$4,680 |
— |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
— |
$4,680 |
— |
| Dcmprn fasct leg post compartment only (27601) |
— |
$4,524 |
— |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
— |
$1,054.50 |
— |
| Debride nail 1-5 (11720) |
— |
$134 |
— |
| Debride nail 6 or more (11721) |
— |
$134 |
— |
| Debride skin musc at fx site (11011) |
— |
$1,008 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$536 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$1,250 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$2,347 |
— |
| Declot vascular device (36593) |
— |
$142 |
— |
| Decomp forearm,1 compart,w/o debride (25020) |
— |
$1,845 |
— |
| Decompress fingers/hand (26037) |
— |
$3,855 |
— |
| Decompress thigh/knee,>1+debride (27499) |
— |
$9,886 |
— |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
— |
$2,240 |
— |
| Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Other… (27893) |
— |
$9,886 |
— |
| Decompression fingers and/or hand, injection injury (eg, grease gun) (26035) |
— |
$4,524 |
— |
| Decompression of forearm (24495) |
— |
$9,886 |
— |
| Decompression of leg (27894) |
— |
$4,524 |
— |
| Decompression of leg (27892) |
— |
$4,524 |
— |
| Decompression of thigh/knee (27497) |
— |
$4,524 |
— |
| Decompression of thigh/knee (27498) |
— |
$2,240 |
— |
| Decompression of thigh/knee (27496) |
— |
$4,524 |
— |
| Decompression of tibia nerve (28035) |
— |
$2,939 |
— |
| Decompression; plantar digital nerve (64726) |
— |
$2,340 |
— |
| Decompression; unspecified nerve(s) (specify) (64722) |
— |
$2,939 |
— |
| Delay flap f/c/c/n/ax/g/h/f (15620) |
— |
$2,682 |
— |
| Denervation of hip joint (27035) |
— |
$4,524 |
— |
| Derma-fat-fascia graft (15770) |
— |
$4,920 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$2,939 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$2,939 |
— |
| Destruction Benign Lesions Up To 14 (17110) |
— |
$440 |
— |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
— |
$1,008 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$2,064 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$441 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$790 |
— |
| Divisn plantar fascia/muscle (28250) |
— |
$4,729 |
— |
| Drain Ext Ear Absc/Blood,Complic (69005) |
— |
$2,268 |
— |
| Drain hand tendon sheath (26020) |
— |
$4,680 |
— |
| Drain lower leg bursa (27604) |
— |
$3,726 |
— |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
— |
$496 |
— |
| Drain outer ear canal lesion (69020) |
— |
$496 |
— |
| Drain shoulder bursa (23031) |
— |
$3,832 |
— |
| Drain shoulder lesion (23030) |
— |
$3,964 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$356 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$752 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$2,347 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$468 |
— |
| Drainage of eyelid abscess (67700) |
— |
$647 |
— |
| Drainage of gum lesion (41800) |
— |
$280 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$2,442 |
— |
| Drainage of mouth lesion (41017) |
— |
$3,877 |
— |
| Draw blood off venous device (36591) |
— |
$83 |
— |
| Dressing change under anesthesia (15852) |
— |
$1,208 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$390 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$344 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$330 |
— |
| Dry Needling 3+ Muscles (20561) |
— |
$40 |
— |
| Elbow arthroscopy (29830) |
— |
$3,726 |
— |
| Elbow arthroscopy/surgery (29836) |
— |
$8,422 |
— |
| Elbow arthroscopy/surgery (29838) |
— |
$4,680 |
— |
| Elbow arthroscopy/surgery (29837) |
— |
$4,680 |
— |
| Elbow arthroscopy/surgery (29835) |
— |
$3,855 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$653 |
— |
| Electrical stimulation bone healing noninvasive (20974) |
— |
$524 |
— |
| Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy,… (62380) |
— |
$9,366 |
— |
| Endoscopic Plantar Fasciotomy (29893) |
— |
$4,680 |
— |
| Epiphyseal Arrest Dist Rad or Ulna (25450) |
— |
$3,726 |
— |
| Escharotomy initial incision (16035) |
— |
$901 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$224 |
— |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
— |
$2,347 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$2,347 |
— |
| Exc arm/elbow les sc 3 cm/> (24071) |
— |
$3,960 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$2,347 |
— |
| Exc B1 Cst/B9 Tum W/Agrft Req Sep Inc (27067) |
— |
$9,886 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$2,492 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
— |
$2,492 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$3,832 |
— |
| Exc cyst/tumor fing phalanx w autogrft (26215) |
— |
$3,726 |
— |
| Exc excessive skin &subq tissue forearm/hand (15837) |
— |
$7,039 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$1,043 |
— |
| Exc foot/toe tum sc < 1.5 cm (28043) |
— |
$2,347 |
— |
| Exc forearm les sc 3 cm/> (25071) |
— |
$2,432 |
— |
| Exc forearm les sc < 3 cm (25075) |
— |
$2,347 |
— |
| Exc hand les sc < 1.5 cm (26115) |
— |
$2,347 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$2,318 |
— |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
— |
$2,421 |
— |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
— |
$2,939 |
— |
| Exc shoulder les sc 3 cm/> (23071) |
— |
$2,268 |
— |
| Exc shoulder tum deep 5 cm/> (23073) |
— |
$4,304 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
— |
$1,008 |
— |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
— |
$804 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$3,268 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$3,268 |
— |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
— |
$2,268 |
— |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
— |
$4,294 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$4,294 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$7,819 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$3,832 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$3,832 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$1,519 |
— |
| Exc tongue lesion w cl; post 1/3 (41113) |
— |
$4,572 |
— |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
— |
$859 |
— |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
— |
$2,347 |
— |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
— |
$3,960 |
— |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
— |
$2,347 |
— |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
— |
$3,964 |
— |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
— |
$3,832 |
— |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
— |
$3,832 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$3,964 |
— |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
— |
$3,156 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$2,347 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$2,351 |
— |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
— |
$3,832 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$3,832 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$3,832 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$4,680 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$2,318 |
— |
| Exc/curtg cst/b9 tum tarsal/metar w/iliac/agrft (28106) |
— |
$8,620 |
— |
| Excis jt lining,mc-p jt,each digit (26135) |
— |
$4,680 |
— |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
— |
$2,318 |
— |
| Excise cutaneous neurofibroma (64788) |
— |
$3,940 |
— |
| Excise Inferior Turbinate (30130) |
— |
$4,329 |
— |
| Excise Neurofibroma Extensive (64792) |
— |
$8,560 |
— |
| Excise pharynx lesion (42808) |
— |
$4,329 |
— |
| Excise tendon forearm/wrist (25109) |
— |
$4,680 |
— |
| Excise/repair mouth lesion (40812) |
— |
$2,338 |
— |
| Excision bone cyst/bnign tumor superficial (27065) |
— |
$9,886 |
— |
| Excision constricting tissue (26596) |
— |
$6,258 |
— |
| Excision Distal Ulna Partial/Complete (25240) |
— |
$4,680 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$777 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$830 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$2,351 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$1,008 |
— |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
— |
$1,008 |
— |
| Excision of Epiphyseal Bar (20150) |
— |
$3,726 |
— |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
— |
$2,318 |
— |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair (40814) |
— |
$4,572 |
— |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
— |
$4,680 |
— |
| Excision of lesion of tongue without closure (41110) |
— |
$4,759 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$2,268 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$2,347 |
— |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
— |
$2,318 |
— |
| Excision of mouth lesion (41116) |
— |
$4,328 |
— |
| Excision of nail fold toe (11765) |
— |
$514.50 |
— |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
— |
$2,939 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$3,832 |
— |
| Excision of submandibular (submaxillary) gland (42440) |
— |
$6,601 |
— |
| Excision of tendon, finger, flexor or extensor, each tendon (26180) |
— |
$4,067 |
— |
| Excision olecranon bursa (24105) |
— |
$4,680 |
— |
| Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Other Surgical… (27357) |
— |
$9,886 |
— |
| Excision or curettage of bone cyst or benign tumor of metacarpal; (26200) |
— |
$2,318 |
— |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
— |
$4,680 |
— |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft (27638) |
— |
$9,886 |
— |
| Excision Prepatellar Bursa (27340) |
— |
$4,680 |
— |
| Excision Synovial Cyst Popliteal Space (27345) |
— |
$4,524 |
— |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
— |
$1,868 |
— |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
— |
$2,318 |
— |
| Excision, lesion of palate, uvula; with simple primary closure (42106) |
— |
$4,329 |
— |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
— |
$2,318 |
— |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
— |
$3,964 |
— |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
— |
$5,541 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$3,832 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
— |
$3,964 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$3,832 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$2,268 |
— |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
— |
$4,442 |
— |
| Excision/curettage cyst/tumor carpal bones (25130) |
— |
$4,680 |
— |
| Excision/curettage cyst/tumor femur w/allograft (27356) |
— |
$19,667 |
— |
| Excision/curettage cyst/tumor radius/ulna (25120) |
— |
$4,524 |
— |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
— |
$4,524 |
— |
| Excision/destruction intranasal lesion int appr (30117) |
— |
$4,478 |
— |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
— |
$2,318 |
— |
| Explor ankle jt+tenosynovectomy (27626) |
— |
$4,680 |
— |
| Exploration maxillary sinus (31020) |
— |
$3,565 |
— |
| Exploration of ankle joint (27612) |
— |
$4,524 |
— |
| Exploration Of Foot Joint (28020) |
— |
$4,680 |
— |
| Exploration of hip joint (27033) |
— |
$8,141 |
— |
| Exploration of knee joint (27310) |
— |
$4,680 |
— |
| Exploration of spinal fusion (22830) |
— |
$20,575 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$1,127.50 |
— |
| Exploratory shoulder surgery (23044) |
— |
$3,726 |
— |
| Explore & Treat Metacarpo-Phal Jt (26075) |
— |
$4,680 |
— |
| Explore limb vessels (35860) |
— |
$4,828 |
— |
| Explore treat shoulder joint (23107) |
— |
$9,886 |
— |
| Explore/treat ankle joint (27620) |
— |
$4,680 |
— |
| Explore/treat ankle joint (27610) |
— |
$4,680 |
— |
| Explore/treat elbow joint (24101) |
— |
$4,680 |
— |
| Explore/treat hand joint (26070) |
— |
$2,318 |
— |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
— |
$2,318 |
— |
| Extensive ankle/heel surgery (27647) |
— |
$4,524 |
— |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
— |
$4,892 |
— |
| Fasciotomy foot and/or toe (28008) |
— |
$4,680 |
— |
| Fasciotomy Iliotibial Open (27305) |
— |
$4,524 |
— |
| Fasciotomy palmar open partial (26045) |
— |
$4,680 |
— |
| Fasciotomy palmar percutaneous (26040) |
— |
$2,318 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$4,680 |
— |
| Fetal non-stress test (59025) |
— |
$359 |
— |
| Filleted finger/toe flap (14350) |
— |
$2,682 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$866 |
— |
| Finger tendon transfer (26497) |
— |
$5,018 |
— |
| Fixation of knee joint (27570) |
— |
$2,318 |
— |
| Fixation of shoulder (23700) |
— |
$2,318 |
— |
| Fluid pressure muscle (20950) |
— |
$803 |
— |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
— |
$3,688 |
— |
| Frmj dir/tube pedcl w/wotr fh/ch/ch/m/n/ax/g/h/f (15574) |
— |
$2,682 |
— |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
— |
$2,775 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$2,682 |
— |
| Fuse hand bones with graft (25825) |
— |
$8,422 |
— |
| Fusion Finger Joint (26860) |
— |
$4,680 |
— |
| Fusion of finger tendons (26474) |
— |
$3,927 |
— |
| Fusion of foot bones (28715) |
— |
$16,754 |
— |
| Fusion of foot bones (28730) |
— |
$17,993 |
— |
| Fusion of foot bones (28735) |
— |
$16,196 |
— |
| Fusion of foot bones (28740) |
— |
$8,422 |
— |
| Fusion of hand bones (25820) |
— |
$8,422 |
— |
| Fusion of hand joint (26843) |
— |
$9,886 |
— |
| Fusion of knuckle (26850) |
— |
$10,227 |
— |
| Fusion of knuckle joint (26516) |
— |
$3,855 |
— |
| Fusion of knuckle with graft (26852) |
— |
$10,227 |
— |
| Fusion of thumb (26841) |
— |
$10,227 |
— |
| Fusion of toes (28280) |
— |
$4,729 |
— |
| Fusion of wrist joint (25800) |
— |
$8,422 |
— |
| Fusion radioulnar jnt/ulna (25830) |
— |
$8,141 |
— |
| Fusion/graft of finger joint (26862) |
— |
$4,680 |
— |
| Fusion/graft of wrist joint (25805) |
— |
$10,443 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$154 |
— |
| Gastrocnemius Recession (27687) |
— |
$4,680 |
— |
| Genioplasty Augmentation (21120) |
— |
$8,497 |
— |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
— |
$4,052 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$6,914 |
— |
| Hand tendon pulley reconstruction (26500) |
— |
$9,886 |
— |
| Hand tendon reconstruction (26502) |
— |
$4,680 |
— |
| Harvest of skin for skin cell suspension autograft; first 25 sq cm or less (15011) |
— |
$5,008 |
— |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
— |
$4,524 |
— |
| Hip arthro acetabuloplasty (29915) |
— |
$8,422 |
— |
| Hip arthro w/fb removal (29861) |
— |
$8,422 |
— |
| Hip arthro w/labral repair (29916) |
— |
$7,152 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$261 |
— |
| I&d abscess simple (10060) |
— |
$1,295.50 |
— |
| I&d below fascia foot 1 bursal space (28002) |
— |
$2,318 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$3,964 |
— |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
— |
$4,680 |
— |
| I&d forearm/wrist bursa (25031) |
— |
$2,240 |
— |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
— |
$4,680 |
— |
| I&d perianal abscess superficial (46050) |
— |
$823 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$195 |
— |
| I&D Upper Arm/Elbow Bursa (23931) |
— |
$2,347 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$3,964 |
— |
| Implant neuroelectrodes (63650) |
— |
$9,350 |
— |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
— |
$14,435 |
— |
| Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) |
— |
$29,650 |
— |
| Inc impltj periph nerve neurostimulator eltrd (64575) |
— |
$49,155 |
— |
| Incis 1 vertebral seg lumbar (22214) |
— |
$8,899 |
— |
| Incise finger tendon sheath (26055) |
— |
$2,318 |
— |
| Incise inner ear (69801) |
— |
$2,230 |
— |
| Incise wrist/forearm tendon (25290) |
— |
$4,680 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$534 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$3,964 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$2,576.50 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$815 |
— |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle (27607) |
— |
$4,524 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$381 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$337 |
— |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015) |
— |
$7,140 |
— |
| Incision bone cortex foot (28005) |
— |
$4,524 |
— |
| Incision bone cortex hand/finger (26034) |
— |
$2,240 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$2,318 |
— |
| Incision of achilles tendon (27605) |
— |
$2,318 |
— |
| Incision of eardrum (69421) |
— |
$4,329 |
— |
| Incision of heel bone (28300) |
— |
$5,504 |
— |
| Incision of lingual frenum (41010) |
— |
$2,230 |
— |
| Incision of metatarsal (28308) |
— |
$4,680 |
— |
| Incision of metatarsal (28307) |
— |
$10,467 |
— |
| Incision of metatarsals (28309) |
— |
$8,422 |
— |
| Incision of rectal abscess (46040) |
— |
$1,519 |
— |
| Incision of spinal column (single column osteotomy) in 1 vertebral segment of upper back (thoracic spine) to correct… (22212) |
— |
$8,899 |
— |
| Incision of thigh tendons (27392) |
— |
$4,524 |
— |
| Incision of thigh tendons (27307) |
— |
$4,524 |
— |
| Incision of tibia (27705) |
— |
$8,141 |
— |
| Incision of tibia & fibula (27709) |
— |
$19,667 |
— |
| Incision of wrist capsule (25085) |
— |
$4,680 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$634 |
— |
| Incision&drainage bursa foot (28001) |
— |
$2,347 |
— |
| INCISION, FLEXOR TENDON SHEATH, WRIST (EG, FLEXOR CARPI radials (25001) |
— |
$4,851 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$1,293 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$186 |
— |
| Inj dupuytren cord w/enzyme (20527) |
— |
$331 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$1,389 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$714 |
— |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
— |
$858 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$1,342 |
— |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
— |
$694 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$1,389 |
— |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
— |
$331 |
— |
| Inject Nerv Blck,Axillary Nerv (64417) |
— |
$1,342 |
— |
| Inject Nerv Blck,Celiac Plexus (64530) |
— |
$3,532 |
— |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
— |
$819 |
— |
| Inject Nerv Blck,Intercost,Multpl (64421) |
— |
$1,099.50 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$840 |
— |
| Inject Nerv Blck,Paravert Sympath (64520) |
— |
$1,121 |
— |
| Inject Nerv Blck,Pudendal (64430) |
— |
$4,864 |
— |
| Inject Tendon Origin/Insert (20551) |
— |
$658 |
— |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
— |
$3,532 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$818 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$1,033 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$694 |
— |
| Injection aa&/strd suprascapular nerve (64418) |
— |
$1,033 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$795 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$960 |
— |
| Injection Anes Superior Hypogastric Plexus (64517) |
— |
$3,532 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$261 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$331 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$658 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$342.56 |
— |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
— |
$1,435 |
— |
| Insert and remove bone pin (20650) |
— |
$4,524 |
— |
| Insert Drug Implant Device (11981) |
— |
$275 |
— |
| Insert nasal septal button (30220) |
— |
$2,230 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$3,116 |
— |
| Insert picc cath (36569) |
— |
$2,696 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$766 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$107 |
— |
| Insert Tissue Expander(S) (11960) |
— |
$4,920 |
— |
| Insert tunneled cv cath (36561) |
— |
$4,580 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$107 |
— |
| Insertion of vascular pedicle into carpal bone (eg, harii procedure) (25430) |
— |
$3,726 |
— |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) |
— |
$22,896 |
— |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
— |
$29,650 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$2,936.50 |
— |
| Insj stablj dev w/o dcmprn lumbar single level (22869) |
— |
$13,442 |
— |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
— |
$4,580 |
— |
| Insrt/redo spine n generator (63685) |
— |
$13,430 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$524 |
— |
| Irrigate corpora cavernosa for priapism (54220) |
— |
$670 |
— |
| Irrigation maxillary sinus (31000) |
— |
$513 |
— |
| Island pedicle flap graft (15740) |
— |
$2,682 |
— |
| Knee arthroscopy/surgery (29887) |
— |
$8,422 |
— |
| Knee arthroscopy/surgery (29883) |
— |
$4,680 |
— |
| Knee arthroscopy/surgery (29885) |
— |
$8,422 |
— |
| Knee arthroscopy/surgery (29876) |
— |
$4,680 |
— |
| Knee arthroscopy/surgery (29851) |
— |
$1,909 |
— |
| Knee arthroscopy/surgery (29886) |
— |
$4,680 |
— |
| 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) |
— |
$8,620 |
— |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical (63265) |
— |
$8,422 |
— |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
— |
$10,227 |
— |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral (63268) |
— |
$15,469 |
— |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic (63266) |
— |
$8,141 |
— |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) |
— |
$13,442 |
— |
| Laminectomy w/o ffd 1/2 vert seg thoracic (63003) |
— |
$8,836 |
— |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005) |
— |
$9,140 |
— |
| Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012) |
— |
$7,554 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
— |
$7,152 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
— |
$8,422 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
— |
$8,422 |
— |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
— |
$8,141 |
— |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
— |
$7,152 |
— |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
— |
$7,152 |
— |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
— |
$4,853 |
— |
| Laryngoscope w/vc inj (31570) |
— |
$4,853 |
— |
| Laryngoscopy Flexible Diagnostic (31575) |
— |
$529 |
— |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
— |
$452 |
— |
| Laryngoscopy w/biopsy (31535) |
— |
$4,853 |
— |
| Laryngoscopy w/bx op scope (31536) |
— |
$4,853 |
— |
| Laryngoscopy w/exc of tumor (31540) |
— |
$4,853 |
— |
| Larynscop w/tumr exc + scope (31541) |
— |
$4,853 |
— |
| Late closure of wound (13160) |
— |
$2,775 |
— |
| Lateral retinacular release open (27425) |
— |
$4,680 |
— |
| Lefort i-3/> piece w/ graft (21147) |
— |
$10,142 |
— |
| Lefort i-3/> piece w/o graft (21143) |
— |
$10,142 |
— |
| Lengthening Hamstring Tendon Single (27393) |
— |
$9,886 |
— |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Other Surgical Services (27394) |
— |
$9,886 |
— |
| Lengthening of hand tendon (26478) |
— |
$4,680 |
— |
| Lengthening of thigh tendons (27395) |
— |
$3,726 |
— |
| Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Other Surgical… (27686) |
— |
$4,524 |
— |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
— |
$7,152 |
— |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) |
— |
$16,196 |
— |
| Ligate leg veins radical (37760) |
— |
$10,019 |
— |
| Lysis Intranasal Synechia (30560) |
— |
$1,156 |
— |
| Maniplatn palar fascial crd post inj single cord (26341) |
— |
$524 |
— |
| Manipulation Ankle Under General Anesthesia (27860) |
— |
$4,524 |
— |
| Manipulation finger joint under anes each joint (26340) |
— |
$3,408 |
— |
| Manipulation, elbow, under anesthesia (24300) |
— |
$2,318 |
— |
| Manipulation, hip joint, requiring general anesthesia (27275) |
— |
$2,240 |
— |
| Manipulation, wrist, under anesthesia (25259) |
— |
$2,240 |
— |
| Metatarsectomy (28140) |
— |
$4,729 |
— |
| Middle ear surgery proc unlisted (69799) |
— |
$3,873 |
— |
| Muscle transfer shoulder/arm (23395) |
— |
$8,422 |
— |
| Muscle transfers (23397) |
— |
$8,141 |
— |
| Muscle-skin graft arm (15736) |
— |
$2,775 |
— |
| Muscle/tendon transfer upper arm/elbow single (24301) |
— |
$10,227 |
— |
| Musculoskeletal surgery (20999) |
— |
$5,276 |
— |
| Myringoplasty (69620) |
— |
$4,478 |
— |
| Nasal surgery procedure (30999) |
— |
$4,839 |
— |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
— |
$9,301 |
— |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
— |
$6,205 |
— |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
— |
$9,301 |
— |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
— |
$5,020 |
— |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) |
— |
$9,301 |
— |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
— |
$2,446 |
— |
| Nasal/sinus endoscopy, surgical; with dilation of maxillary sinus ostium (eg, balloon dilation), transnasal or via… (31295) |
— |
$8,991 |
— |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
— |
$9,301 |
— |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
— |
$9,301 |
— |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
— |
$3,109 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
— |
$2,446 |
— |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
— |
$9,301 |
— |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
— |
$9,301 |
— |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
— |
$9,301 |
— |
| Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705) |
— |
$6,601 |
— |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
— |
$2,318 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$40 |
— |
| Nerve graft arm or leg (64893) |
— |
$8,457 |
— |
| Nerve graft arm or leg (64892) |
— |
$8,457 |
— |
| Nerve graft arm/leg >4 cm (64898) |
— |
$7,497 |
— |
| Nerve graft hand or foot (64896) |
— |
$7,497 |
— |
| Nerve graft hand/foot </4 cm (64890) |
— |
$7,497 |
— |
| Nerve Pedicle Xfer,First Stage (64905) |
— |
$7,755 |
— |
| Nerve repair w/allograft (64910) |
— |
$7,755 |
— |
| Nerve repair; with nerve allograft, each nerve, first strand (cable) (64912) |
— |
$7,755 |
— |
| Neurectomy hamstring muscle (27325) |
— |
$2,841 |
— |
| Neurectomy Intrinsic Musculature Of Foot (28055) |
— |
$2,841 |
— |
| Neurectomy Popliteal (27326) |
— |
$2,841 |
— |
| Neuroplasty Brachial Plexus,Open (64713) |
— |
$2,939 |
— |
| Neuroplasty digital 1/both same digit (64702) |
— |
$2,939 |
— |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve (64712) |
— |
$2,939 |
— |
| Neuroplasty; nerve of hand or foot (64704) |
— |
$2,939 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$1,121 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$1,389 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$1,069 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
— |
$848 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
— |
$1,069 |
— |
| Open Osteochondral Autograft Talus (28446) |
— |
$8,141 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$8,422 |
— |
| Open rx carpal bone fx,each bone (25645) |
— |
$3,855 |
— |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
— |
$8,422 |
— |
| Open rx mandible fx+extern fix (21454) |
— |
$8,016 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$8,422 |
— |
| Open Treatment Humeral Condylar Fracture (24579) |
— |
$16,754 |
— |
| Open Treatment Lunate Dislocation (25695) |
— |
$8,141 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$8,422 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$8,422 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
— |
$8,422 |
— |
| Open treatment of acute shoulder dislocation (23660) |
— |
$8,141 |
— |
| Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other… (28420) |
— |
$16,944 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$8,422 |
— |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed (27519) |
— |
$8,620 |
— |
| Open treatment of distal radioulnar dislocation, acute or chronic (25676) |
— |
$10,227 |
— |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
— |
$3,203 |
— |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
— |
$5,100 |
— |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
— |
$16,754 |
— |
| Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
— |
$3,855 |
— |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
— |
$8,422 |
— |
| Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) |
— |
$8,141 |
— |
| Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones (25670) |
— |
$10,227 |
— |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
— |
$8,670 |
— |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
— |
$8,422 |
— |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
— |
$16,754 |
— |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
— |
$8,422 |
— |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
— |
$8,422 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$8,422 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$8,422 |
— |
| Open treatment talus fracture (28445) |
— |
$8,422 |
— |
| Open Treatment Tarsal Bone Dislocation (28555) |
— |
$8,141 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$4,680 |
— |
| Open tx carpal scaphoid navicular fracture (25628) |
— |
$8,422 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$3,667 |
— |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
— |
$7,152 |
— |
| Open tx fracture great toe/phalanx/phalanges (28505) |
— |
$4,680 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$16,754 |
— |
| Open tx interphalangeal joint dislocation (26785) |
— |
$5,465.50 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$3,855 |
— |
| Open tx metatarsophalangeal joint dislocation (28645) |
— |
$4,524 |
— |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
— |
$8,422 |
— |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
— |
$8,422 |
— |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
— |
$4,680 |
— |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
— |
$16,754 |
— |
| Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) |
— |
$8,141 |
— |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
— |
$16,754 |
— |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
— |
$8,422 |
— |
| Optx hum fx w/ntrcndylr xtn (24546) |
— |
$21,702 |
— |
| Optx hum fx wo ntrcndylr xtn (24545) |
— |
$16,196 |
— |
| Optx post ankle fx (27769) |
— |
$8,141 |
— |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
— |
$4,680 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$4,729 |
— |
| Ostectomy, complete excision; first metatarsal head (28111) |
— |
$4,729 |
— |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
— |
$4,524 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$4,680 |
— |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
— |
$4,680 |
— |
| Osteochondral allograft, knee, open (27415) |
— |
$16,754 |
— |
| Osteochondral knee autograft (27416) |
— |
$8,422 |
— |
| Osteoplasty humerus (24420) |
— |
$8,836 |
— |
| Osteoplasty, carpal bone, shortening (25394) |
— |
$3,726 |
— |
| Osteoplasty, facial bones; reduction (21209) |
— |
$6,601 |
— |
| Osteoplasty, radius OR ulna; shortening (25390) |
— |
$8,422 |
— |
| Osteoplasty, tibia and fibula, lengthening or shortening Other Surgical Services (27715) |
— |
$9,140 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$10,227 |
— |
| Osteotomy Clavicle W Bone Graft (23485) |
— |
$16,754 |
— |
| Osteotomy Fibula (27707) |
— |
$4,524 |
— |
| Osteotomy Metacarpal Each (26565) |
— |
$3,855 |
— |
| Osteotomy midtarsal,autograft (28305) |
— |
$8,141 |
— |
| Osteotomy of spine, including diskectomy, anterior aproach, single vertebral segment; cervical (22220) |
— |
$2,823 |
— |
| Osteotomy Phalanx Finger Each (26567) |
— |
$4,524 |
— |
| Osteotomy Radius Distal Third (25350) |
— |
$8,141 |
— |
| Osteotomy talus (28302) |
— |
$10,467 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation (27450) |
— |
$16,754 |
— |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
— |
$8,422 |
— |
| Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) (42145) |
— |
$8,016 |
— |
| Part Remv Femur/Prox Tib/Fib (27360) |
— |
$4,680 |
— |
| Partial excision bone clavicle (23180) |
— |
$9,886 |
— |
| Partial Excision Bone Fibula (27641) |
— |
$4,680 |
— |
| Partial Excision Bone Humerus (24140) |
— |
$4,680 |
— |
| Partial excision bone metacarpal (26230) |
— |
$4,680 |
— |
| Partial Excision Bone Olecranon Process (24147) |
— |
$4,680 |
— |
| Partial excision bone proximal humerus (23184) |
— |
$11,099 |
— |
| Partial Excision Bone Radius (25151) |
— |
$4,524 |
— |
| Partial excision bone talus/calcaneus (28120) |
— |
$4,680 |
— |
| Partial Excision Bone Tibia (27640) |
— |
$4,524 |
— |
| Partial Excision Bone Ulna (25150) |
— |
$4,524 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$2,318 |
— |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
— |
$4,680 |
— |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
— |
$2,318 |
— |
| Partial Removal Foot Fascia (28060) |
— |
$4,680 |
— |
| Partial removal of scapula (23190) |
— |
$4,851 |
— |
| Partial removal of ulna (25119) |
— |
$4,524 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$4,680 |
— |
| Perc sk fix metatarsal fx w manip (28476) |
— |
$4,680 |
— |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
— |
$9,886 |
— |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
— |
$3,855 |
— |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
— |
$4,680 |
— |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation (28606) |
— |
$4,524 |
— |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
— |
$4,851 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
— |
$9,366 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$9,366 |
— |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
— |
$4,680 |
— |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
— |
$7,554 |
— |
| Phalangectomy toe each toe (28150) |
— |
$4,729 |
— |
| Pin finger fracture each (26756) |
— |
$4,680 |
— |
| Pin hand dislocation (26676) |
— |
$4,680 |
— |
| Pin knuckle dislocation (26706) |
— |
$4,729 |
— |
| Pin radioulnar dislocation (25671) |
— |
$4,680 |
— |
| Positional change of finger (26555) |
— |
$8,141 |
— |
| PR Capsulotomy Posterior Capsular Release Knee|ASSISTANT AT SURGERY SERVICE (27435) |
— |
$4,524 |
— |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
— |
$4,680 |
— |
| Preparation of skin cell suspension autograft, requiring enzymatic processing, manual mechanical disaggregation of skin… (15013) |
— |
$781 |
— |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femoral neck and… (27187) |
— |
$9,481 |
— |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femur (27495) |
— |
$9,180 |
— |
| Prosthesis removal humeral and glenoid component (23335) |
— |
$7,650 |
— |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
— |
$14,435 |
— |
| Prq skel fixj fx grt toe phlx/phlg w/manj (28496) |
— |
$3,726 |
— |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
— |
$4,524 |
— |
| Prq Skel Fixj Metatarsophlngl Jt Dislc W/Manj (28636) |
— |
$4,524 |
— |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
— |
$10,227 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$10,227 |
— |
| Puncture Aspiration (10160) |
— |
$642 |
— |
| Quadricepsplasty (eg, Bennett or Thompson type) (27430) |
— |
$8,141 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
— |
$2,318 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
— |
$4,524 |
— |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
— |
$6,258 |
— |
| Rad resect tumor soft tissue thigh/knee <5cm (27329) |
— |
$3,832 |
— |
| Rad resection tumor soft tissue foot/toe <3cm (28046) |
— |
$3,832 |
— |
| Radial styloidectomy (25230) |
— |
$4,680 |
— |
| Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure) .… (24149) |
— |
$10,227 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater (25078) |
— |
$3,832 |
— |
| Radical resection of tumor, proximal humerus (23220) |
— |
$9,909 |
— |
| Radical resection of tumor, radius or ulna (25170) |
— |
$10,729 |
— |
| Radical resection of tumor; tarsal (except talus or calcaneus) Other Surgical Services (28171) |
— |
$4,729 |
— |
| Radical Resection Tumor Metatarsal (28173) |
— |
$4,729 |
— |
| Radical resection tumor phalanx or toe (28175) |
— |
$2,326 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$2,939 |
— |
| Rcnst condyle mandibular prt (21248) |
— |
$6,998 |
— |
| Rcnstj Dislc Patella W/Patellectomy (27424) |
— |
$8,141 |
— |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
— |
$8,422 |
— |
| Realignment extensor tendon hand each tendon (26437) |
— |
$4,680 |
— |
| Realignment of knee (27457) |
— |
$8,141 |
— |
| Realignment of knee (27455) |
— |
$8,620 |
— |
| Reconstr disloc patella w mscl adv (27422) |
— |
$8,422 |
— |
| Reconstr lwr jaw segment (21198) |
— |
$8,016 |
— |
| Reconstruc toe deform,soft tissue (28313) |
— |
$4,524 |
— |
| Reconstruct extra finger (26587) |
— |
$4,524 |
— |
| Reconstruct finger joint (26545) |
— |
$4,524 |
— |
| Reconstruct head of radius (24365) |
— |
$16,196 |
— |
| Reconstruct Shoulder Joint (23470) |
— |
$16,754 |
— |
| Reconstruct ulna/radioulnar (25337) |
— |
$8,422 |
— |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
— |
$4,680 |
— |
| Reconstruction lateral collateral ligament,elbow with tendon graft [includes harvesting of graft (24344) |
— |
$8,141 |
— |
| Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346) |
— |
$16,754 |
— |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) |
— |
$10,142 |
— |
| Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft (21142) |
— |
$5,610 |
— |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) |
— |
$8,141 |
— |
| Reconstruction of jaw joint (21240) |
— |
$6,601 |
— |
| Reconstruction of mandibular ramus, sagittal split; in internal rigid fixation (21196) |
— |
$12,940 |
— |
| Reconstruction of nail bed with graft (11762) |
— |
$2,775 |
— |
| Reconstruction Toe Polydactyly (28344) |
— |
$4,729 |
— |
| Reconstruction, knee (27429) |
— |
$16,196 |
— |
| Reforearm tend/musc,exten,second (25272) |
— |
$3,726 |
— |
| Reinforce humerus (24498) |
— |
$16,196 |
— |
| Reinforce tibia (27745) |
— |
$8,141 |
— |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
— |
$7,152 |
— |
| Reinsertion Spinal Fixation Device (22849) |
— |
$7,140 |
— |
| Release elbow joint (24006) |
— |
$4,680 |
— |
| Release forearm/hand exten tendon (26449) |
— |
$4,524 |
— |
| Release hip flexion contracture (27036) |
— |
$9,481 |
— |
| Release i-p jt contracture (26525) |
— |
$2,318 |
— |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
— |
$4,680 |
— |
| Release of lower leg tendons (27681) |
— |
$4,524 |
— |
| Release palm contracture (26121) |
— |
$4,680 |
— |
| Release thumb contracture (26508) |
— |
$4,524 |
— |
| Release wrist/forearm tendon (25295) |
— |
$4,524 |
— |
| Release/Recession Hamstring Proximal (27097) |
— |
$4,524 |
— |
| Removal fb intranasal (30300) |
— |
$261 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$3,964 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$2,268 |
— |
| Removal foreign body foot deep (28192) |
— |
$1,669.50 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$614.50 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$2,347 |
— |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
— |
$4,524 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$3,265 |
— |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
— |
$3,565 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$155 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$118 |
— |
| Removal Implant Deep (20680) |
— |
$3,964 |
— |
| Removal Implant From Finger/Hand (26320) |
— |
$2,268 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$2,347 |
— |
| Removal of adenoids (42835) |
— |
$4,478 |
— |
| Removal of adenoids (42831) |
— |
$4,478 |
— |
| Removal of adenoids (42830) |
— |
$4,478 |
— |
| Removal of adenoids (42836) |
— |
$4,329 |
— |
| Removal of ankle implant (27704) |
— |
$3,726 |
— |
| Removal of anterior instrumentation (eg, dwyer device) (22855) |
— |
$3,944 |
— |
| Removal of arm foreign body (24200) |
— |
$2,440 |
— |
| Removal of bone lesion (23140) |
— |
$4,524 |
— |
| Removal of bone lesion (23146) |
— |
$9,909 |
— |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator (64570) |
— |
$13,006 |
— |
| Removal of external bone stabilizing device under anesthesia (20694) |
— |
$2,318 |
— |
| Removal of finger lesion (26210) |
— |
$2,240 |
— |
| Removal of foot joint lining (28070) |
— |
$9,886 |
— |
| Removal of Head of Radius (24130) |
— |
$4,680 |
— |
| Removal of heel bone (28118) |
— |
$4,680 |
— |
| Removal of heel spur (28119) |
— |
$4,680 |
— |
| Removal of hip bone lesion (27066) |
— |
$3,726 |
— |
| Removal of humerus lesion (23150) |
— |
$4,851 |
— |
| Removal of humerus lesion (23156) |
— |
$9,886 |
— |
| Removal of humerus lesion (23155) |
— |
$11,099 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$260 |
— |
| Removal of ischial bursa (27060) |
— |
$9,886 |
— |
| Removal of knee cartilage (27333) |
— |
$4,524 |
— |
| Removal of knee cartilage (27332) |
— |
$4,524 |
— |
| Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488) |
— |
$16,196 |
— |
| Removal of kneecap (27350) |
— |
$8,422 |
— |
| Removal of nail bed (11750) |
— |
$790.50 |
— |
| Removal of nose polyp(s) (30115) |
— |
$4,329 |
— |
| Removal of palm tendon each (26170) |
— |
$2,240 |
— |
| Removal of posterior instrumentation (eg, harrington rod) (22850) |
— |
$8,141 |
— |
| Removal of posterior segmental instrumentation (22852) |
— |
$5,885 |
— |
| Removal of sesamoid bone (28315) |
— |
$4,680 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$446 |
— |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
— |
$3,091 |
— |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
— |
$4,045 |
— |
| Removal of tonsils (42825) |
— |
$6,601 |
— |
| Removal of tonsils (42826) |
— |
$4,329 |
— |
| Removal of wrist bone (25210) |
— |
$4,680 |
— |
| Removal shoulder foreign body deep subfascial/im (23333) |
— |
$4,061 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$4,588 |
— |
| Remove & graft wrist lesion (25136) |
— |
$10,227 |
— |
| Remove & graft wrist lesion (25135) |
— |
$9,886 |
— |
| Remove cerv artif disc (22864) |
— |
$16,944 |
— |
| Remove collar bone lesion (23170) |
— |
$4,524 |
— |
| Remove digit nerve lesion (64776) |
— |
$2,939 |
— |
| Remove drug implant device (11982) |
— |
$884 |
— |
| Remove elbow lesion (24120) |
— |
$4,680 |
— |
| Remove Eyelid Foreign Body (67938) |
— |
$547 |
— |
| Remove femur lesion (27355) |
— |
$4,680 |
— |
| Remove femur lesion/bursa (27062) |
— |
$4,680 |
— |
| Remove finger bone (26185) |
— |
$2,240 |
— |
| Remove forearm bone lesion (25145) |
— |
$3,726 |
— |
| Remove foreign body from eye (65210) |
— |
$286 |
— |
| Remove humerus lesion (24110) |
— |
$4,680 |
— |
| Remove knee cyst (27347) |
— |
$4,680 |
— |
| Remove knee joint lining (27335) |
— |
$9,886 |
— |
| Remove Peritoneal Foreign Body (49402) |
— |
$5,319 |
— |
| Remove radius head implant (24164) |
— |
$4,524 |
— |
| Remove skin nerve lesion (64774) |
— |
$2,841 |
— |
| Remove spinal canal catheter (62355) |
— |
$2,841 |
— |
| Remove spine infusion device (62365) |
— |
$7,497 |
— |
| Remove thyroid duct lesion (60280) |
— |
$6,578 |
— |
| Remove tumor hip/pelvis (27049) |
— |
$3,832 |
— |
| Remove wrist joint cartilage (25107) |
— |
$4,680 |
— |
| Remove wrist joint implant (25449) |
— |
$8,836 |
— |
| Remove wrist tendon lesion (25111) |
— |
$2,318 |
— |
| Remove/graft bone lesion (26205) |
— |
$9,886 |
— |
| Remove/graft foot lesion (28102) |
— |
$8,141 |
— |
| Remove/graft foot lesion (28107) |
— |
$8,141 |
— |
| Remove/graft foot lesion (28103) |
— |
$8,141 |
— |
| Remove/graft forearm lesion (25125) |
— |
$2,240 |
— |
| Remove/graft leg bone lesion (27637) |
— |
$10,227 |
— |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
— |
$2,268 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$161 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$126 |
— |
| Repair achilles tendon (27650) |
— |
$8,422 |
— |
| Repair and reconstruction, finger, volar plate, interphalangeal joint (26548) |
— |
$4,680 |
— |
| Repair arm tendon/muscle (24341) |
— |
$8,422 |
— |
| Repair arm/leg nerve (64857) |
— |
$7,755 |
— |
| Repair Blood Vessel Direct Hand Finger (35207) |
— |
$4,738 |
— |
| Repair Blood Vessel Direct Upper Extremity (35206) |
— |
$4,580 |
— |
| Repair collat ankle ligmnt,secondary (27698) |
— |
$10,227 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$701 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,166 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$688 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$974.50 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$865.50 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$958 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$1,667.50 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$606 |
— |
| Repair elbow deb/attch open (24359) |
— |
$4,680 |
— |
| Repair elbow perc (24357) |
— |
$4,524 |
— |
| Repair exten tendon,dist,open,grft (26434) |
— |
$3,726 |
— |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
— |
$4,524 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$2,318 |
— |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
— |
$4,524 |
— |
| Repair finger tendon (26432) |
— |
$2,318 |
— |
| Repair finger tendon (26433) |
— |
$3,855 |
— |
| Repair finger/hand tendon (26350) |
— |
$4,680 |
— |
| Repair finger/hand tendon (26373) |
— |
$4,524 |
— |
| Repair finger/hand tendon (26370) |
— |
$4,524 |
— |
| Repair flex tendon,zone 2,secon,hand,ea (26357) |
— |
$4,524 |
— |
| Repair forearm tendon sheath (25275) |
— |
$4,680 |
— |
| Repair forearm tendon/muscle (25270) |
— |
$4,680 |
— |
| Repair forearm tendon/muscle (25274) |
— |
$4,680 |
— |
| Repair forearm tendon/muscle (25260) |
— |
$4,680 |
— |
| Repair forearm tendon/muscle (25265) |
— |
$4,851 |
— |
| Repair hallux rigidus (28289) |
— |
$4,680 |
— |
| Repair hand joint with graft (26542) |
— |
$4,680 |
— |
| Repair hand tendon (26410) |
— |
$2,318 |
— |
| Repair humerus with graft (24435) |
— |
$16,196 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$863 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$598 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$598 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$598 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$834 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,140.50 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$687.50 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$687.50 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$903 |
— |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
— |
$2,682 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$808 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$771 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$598 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,319 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$598 |
— |
| Repair intrinsic muscles of hand (26591) |
— |
$4,680 |
— |
| Repair kneecap tendon (27380) |
— |
$10,227 |
— |
| Repair lower leg epiphyses (27734) |
— |
$4,524 |
— |
| Repair lower leg tendons (27676) |
— |
$10,227 |
— |
| Repair medial collateral ligament, elbow w/local tissue (24345) |
— |
$10,227 |
— |
| Repair nasal vestibular stenosis (30465) |
— |
$6,601 |
— |
| Repair nonunion hand (26546) |
— |
$10,227 |
— |
| Repair nonunion radius/ulna w autogrft (25405) |
— |
$8,422 |
— |
| Repair of ankle ligament (27695) |
— |
$8,422 |
— |
| Repair of biceps tendon (24340) |
— |
$8,141 |
— |
| Repair of defect with autograft; radius OR ulna (25425) |
— |
$10,444 |
— |
| Repair of eardrum structures (69631) |
— |
$6,601 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$8,422 |
— |
| Repair of foot bones (28320) |
— |
$16,754 |
— |
| Repair Of Foot Tendon (28208) |
— |
$4,680 |
— |
| Repair of hammertoe (28286) |
— |
$4,729 |
— |
| Repair of humerus (24430) |
— |
$16,754 |
— |
| Repair of knee cartilage (27403) |
— |
$10,227 |
— |
| Repair of knee ligament (27407) |
— |
$8,141 |
— |
| Repair of knee ligaments (27409) |
— |
$8,141 |
— |
| Repair of leg tendon each (27664) |
— |
$10,227 |
— |
| Repair of leg tendon each (27665) |
— |
$10,227 |
— |
| Repair of leg tendon each (27658) |
— |
$4,680 |
— |
| Repair of nail bed (11760) |
— |
$924 |
— |
| Repair of nasal septum (30520) |
— |
$4,478 |
— |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) (30468) |
— |
$6,998 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
— |
$8,422 |
— |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
— |
$8,422 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft (27722) |
— |
$8,141 |
— |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
— |
$8,422 |
— |
| Repair of shoulder (23420) |
— |
$8,422 |
— |
| Repair of thigh musc (27385) |
— |
$10,227 |
— |
| Repair of tibia (27720) |
— |
$8,141 |
— |
| Repair of web finger (26562) |
— |
$6,258 |
— |
| Repair of web finger (26560) |
— |
$6,258 |
— |
| Repair of web finger (26561) |
— |
$6,258 |
— |
| Repair rotator cuff acute (23410) |
— |
$8,422 |
— |
| Repair secondary achilles tendon w/wo graft (27654) |
— |
$8,422 |
— |
| Repair shldr capsu,ant,coracoid xfer (23462) |
— |
$8,422 |
— |
| Repair shoulder capsule (23466) |
— |
$8,141 |
— |
| Repair shoulder capsule (23465) |
— |
$8,141 |
— |
| Repair shoulder capsule (23450) |
— |
$8,917 |
— |
| Repair Tongue Laceration (41250) |
— |
$284 |
— |
| Repair tympanic membrane (69610) |
— |
$2,307 |
— |
| Repair webbed toe(s) (28345) |
— |
$2,734 |
— |
| Repair wrist joints (25447) |
— |
$9,964 |
— |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
— |
$4,680 |
— |
| Repair, fascial defect of leg (27656) |
— |
$4,524 |
— |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
— |
$8,422 |
— |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
— |
$4,680 |
— |
| Repair/graft achilles tendon (27652) |
— |
$8,141 |
— |
| Repair/graft finger tendon (26428) |
— |
$4,729 |
— |
| Repair/graft flex foot tendon (28202) |
— |
$10,467 |
— |
| Repair/graft hand tendon (26358) |
— |
$8,141 |
— |
| Repair/graft hand tendon (26392) |
— |
$10,227 |
— |
| Repair/graft hand tendon (26352) |
— |
$9,886 |
— |
| Repair/graft hand tendon (26372) |
— |
$10,227 |
— |
| Repair/graft radius & ulna (25420) |
— |
$8,836 |
— |
| Repair/graft wrist bone (25440) |
— |
$8,422 |
— |
| Repair/revise wrist joint (25320) |
— |
$8,422 |
— |
| Repair/transpose nerve (64856) |
— |
$7,497 |
— |
| Replace elbow joint (24363) |
— |
$21,702 |
— |
| Repr elbow lat ligmnt w/tiss (24343) |
— |
$4,680 |
— |
| Resect Inferior Turbinate (30140) |
— |
$4,478 |
— |
| Resect leg/ankle tum < 5 cm (27615) |
— |
$3,832 |
— |
| Resection or transplantation of long tendon of biceps (23440) |
— |
$10,837 |
— |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
— |
$4,524 |
— |
| Resection, partial or complete, phalangeal base, each toe (28126) |
— |
$4,729 |
— |
| Revis reconst shoulder joint (23473) |
— |
$16,754 |
— |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
— |
$8,344 |
— |
| Revise arm/leg nerve (64708) |
— |
$2,939 |
— |
| Revise finger joint (26535) |
— |
$4,524 |
— |
| Revise finger joint each (26140) |
— |
$2,318 |
— |
| Revise hand/finger tendon (26390) |
— |
$11,099 |
— |
| Revise head/neck of femur (27179) |
— |
$8,141 |
— |
| Revise knuckle joint (26530) |
— |
$8,141 |
— |
| Revise knuckle with implant (26531) |
— |
$8,422 |
— |
| Revise median n/carpal tunnel surg (64721) |
— |
$2,939 |
— |
| Revise palsy hand tendon(s) (25315) |
— |
$10,519 |
— |
| Revise radius & ulna (25365) |
— |
$10,443 |
— |
| Revise radius or ulna (25370) |
— |
$3,726 |
— |
| Revise thumb tendon (26490) |
— |
$5,118 |
— |
| Revise thumb tendon (26496) |
— |
$4,524 |
— |
| Revise ulnar nerve at elbow (64718) |
— |
$3,490 |
— |
| Revise ulnar nerve at wrist (64719) |
— |
$2,939 |
— |
| Revise wrist joint (25332) |
— |
$3,726 |
— |
| Revise wrist/forearm tendon (25280) |
— |
$4,680 |
— |
| Revise/implant finger joint (26536) |
— |
$8,422 |
— |
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) |
— |
$21,833 |
— |
| Revision of ankle joint (27700) |
— |
$8,141 |
— |
| Revision of arm muscles (24330) |
— |
$9,843 |
— |
| Revision of big toe (28310) |
— |
$9,886 |
— |
| Revision of foot (28116) |
— |
$4,680 |
— |
| Revision of foot and ankle (28262) |
— |
$10,467 |
— |
| Revision of lower leg tendon (27685) |
— |
$4,680 |
— |
| Revision of radius (25355) |
— |
$3,726 |
— |
| Revision of toe (28312) |
— |
$4,680 |
— |
| Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137) |
— |
$16,196 |
— |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
— |
$10,966 |
— |
| Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138) |
— |
$17,527 |
— |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
— |
$10,809 |
— |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
— |
$16,754 |
— |
| Revision of ulna (25360) |
— |
$9,140 |
— |
| Revision of wrist joint (25455) |
— |
$5,541 |
— |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
— |
$5,584 |
— |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
— |
$9,350 |
— |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
— |
$14,435 |
— |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
— |
$3,941 |
— |
| Rhinoplasty, Primary; Including Major Septal Repair (30420) |
— |
$6,601 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$192 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$233 |
— |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
— |
$3,964 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$3,832 |
— |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
— |
$4,680 |
— |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
— |
$10,227 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$777 |
— |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
— |
$505 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$544 |
— |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
— |
$10,227 |
— |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
— |
$9,886 |
— |
| Rpr tendon xtnsr foot sec w/free graft ea tendon (28210) |
— |
$8,917 |
— |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
— |
$4,680 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
— |
$4,680 |
— |
| Secondary repair of tendon or muscle of palm side of forearm or wrist (25263) |
— |
$10,519 |
— |
| Septal/Other Intranasal Dermatoplasty (30620) |
— |
$6,601 |
— |
| Sequestrectomy olecranon process (24138) |
— |
$10,994 |
— |
| Shldr arthroscop,lyse adhesns (29825) |
— |
$3,855 |
— |
| Shoulder arthroscopy (29805) |
— |
$4,524 |
— |
| Shoulder prosthesis removal (23334) |
— |
$3,964 |
— |
| Simple biopsy of growth of throat behind nose (42804) |
— |
$4,686 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$930 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$210 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$252 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$252 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$252 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$204 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$425 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$338.50 |
— |
| Sinus endo w/balloon dil (31296) |
— |
$9,301 |
— |
| Sinus endo w/balloon dil (31297) |
— |
$9,301 |
— |
| Skin pinch graft (15050) |
— |
$1,208 |
— |
| Skin splt grft trnk/arm/leg (15100) |
— |
$2,682 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$2,775 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$5,008 |
— |
| Skin Sub Grft T/Arm/Lg Child (15273) |
— |
$5,407 |
— |
| Skin Tissue Procedure (17999) |
— |
$441 |
— |
| Skin tissue rearrangement (14040) |
— |
$2,775 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$2,868 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$220 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$514.50 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$820 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,063 |
— |
| Spinal Puncture Therapeutic (62272) |
— |
$1,033 |
— |
| Stop growth prox/dist tibia/fibula (27740) |
— |
$4,524 |
— |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
— |
$6,829 |
— |
| Surgery to stop leg growth (27477) |
— |
$9,886 |
— |
| Sutr Quadriceps/Hamstring Musc Rpt 2 Rcn (27386) |
— |
$9,886 |
— |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
— |
$7,755 |
— |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
— |
$2,421 |
— |
| Suture of 1 nerve ulnar motor (64836) |
— |
$7,497 |
— |
| Suture of 1 nerve; median motor thenar (64835) |
— |
$7,497 |
— |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381) |
— |
$9,886 |
— |
| Sympathectomy; ulnar artery (64822) |
— |
$4,524 |
— |
| Synovectomy carpometacarpal joint (26130) |
— |
$3,927 |
— |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
— |
$4,729 |
— |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
— |
$4,680 |
— |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
— |
$2,318 |
— |
| Synovectomy; metatarsophalangeal joint, each (28072) |
— |
$4,524 |
— |
| Talectomy (astragalectomy) (28130) |
— |
$10,467 |
— |
| Tendon excision palm/finger (26145) |
— |
$2,318 |
— |
| Tendon graft, from a distance (20924) |
— |
$10,227 |
— |
| Tendon lengthening (26476) |
— |
$3,927 |
— |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
— |
$4,680 |
— |
| Tendon shortening (26477) |
— |
$3,726 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$8,422 |
— |
| Tenodesis proximal interphalangeal joint each (26471) |
— |
$4,524 |
— |
| Tenodesis Wrist Extensors Fingers (25301) |
— |
$4,680 |
— |
| Tenodesis Wrist Flexors Fingers (25300) |
— |
$4,680 |
— |
| Tenolysis ext tendon,hand/finger,ea (26445) |
— |
$4,680 |
— |
| Tenolysis Extensor Foot Multiple Tendon (28226) |
— |
$4,892 |
— |
| Tenolysis extensor foot single tendon (28225) |
— |
$4,680 |
— |
| Tenolysis flexor foot multiple tendons (28222) |
— |
$4,680 |
— |
| Tenolysis flexor foot single tendon (28220) |
— |
$2,318 |
— |
| Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) |
— |
$4,680 |
— |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
— |
$2,318 |
— |
| Tenolysis Triceps (24332) |
— |
$4,524 |
— |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
— |
$4,680 |
— |
| Tenotomy abductors&/extensor hip open spx (27006) |
— |
$4,680 |
— |
| Tenotomy Adductor Hip Open (27001) |
— |
$4,524 |
— |
| Tenotomy adductor hip percutaneous spx (27000) |
— |
$2,240 |
— |
| Tenotomy elbow lateral/medial debride open (24358) |
— |
$4,680 |
— |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
— |
$4,524 |
— |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
— |
$1,845 |
— |
| Tenotomy percutaneous single each digit (26060) |
— |
$2,240 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$2,318 |
— |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
— |
$4,524 |
— |
| Tenotomy shoulder area single tendon (23405) |
— |
$9,886 |
— |
| Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Other Surgical Services (27003) |
— |
$9,886 |
— |
| Tenotomy, extensor, hand or finger, open, each tendon (26460) |
— |
$2,318 |
— |
| Tenotomy, flexor, finger, open, each tendon (26455) |
— |
$1,845 |
— |
| Tenotomy, open, hamstring, knee to hip; single tendon Other Surgical Services (27390) |
— |
$4,524 |
— |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
— |
$2,318 |
— |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
— |
$2,240 |
— |
| Tenotomy,Uni Hamstr,Knee-Thigh,Multi (27391) |
— |
$4,524 |
— |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
— |
$790 |
— |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
— |
$3,112 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$381 |
— |
| Throat Surgery Procedure (42999) |
— |
$7,344 |
— |
| Tibial arthroscopy/surgery (29855) |
— |
$8,141 |
— |
| Tibial arthroscopy/surgery (29856) |
— |
$16,196 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$4,329 |
— |
| Total hip arthroplasty (27130) |
— |
$16,754 |
— |
| Total knee arthroplasty (27447) |
— |
$16,754 |
— |
| Tr Paraspi Musc Hip Fasc/Tdn Xtn Grf (27105) |
— |
$3,726 |
— |
| Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690) |
— |
$8,422 |
— |
| Trach Tube Change (31502) |
— |
$187 |
— |
| Transection or avulsion of other spinal nerve, extradural (64772) |
— |
$2,939 |
— |
| Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Other Surgical… (27100) |
— |
$8,141 |
— |
| Transfer Iliopsoas Femoral Neck (27111) |
— |
$3,726 |
— |
| Transfer of iliopsoas muscle (27110) |
— |
$8,141 |
— |
| Transfer or transplant tendon-palmar; w/o free tendon graft 26485 (26485) |
— |
$4,680 |
— |
| Transfer tendon to pelvis (27098) |
— |
$4,524 |
— |
| Transfer Tendon/Muscle Hamstrings Femur (27400) |
— |
$8,141 |
— |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
— |
$8,141 |
— |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
— |
$8,422 |
— |
| Transplant forearm tendon (25312) |
— |
$3,855 |
— |
| Transplant forearm tendon (25310) |
— |
$4,680 |
— |
| Transplant hand tendon (26480) |
— |
$3,375 |
— |
| Transplant/graft hand tendon (26483) |
— |
$4,680 |
— |
| Transplant/graft palm tendon (26489) |
— |
$3,726 |
— |
| Transplant/transfer thigh xtnsr to flxr 1 tendon (27396) |
— |
$9,886 |
— |
| Transplants of thigh tendons (27397) |
— |
$8,141 |
— |
| Treat ankle dislocation (27848) |
— |
$8,141 |
— |
| Treat ankle dislocation (27846) |
— |
$8,141 |
— |
| Treat clavicle dislocation (23552) |
— |
$10,288 |
— |
| Treat dislocation/fracture (23670) |
— |
$8,141 |
— |
| Treat dislocation/fracture (23680) |
— |
$17,394 |
— |
| Treat elbow dislocation (24615) |
— |
$8,422 |
— |
| Treat elbow fracture (24586) |
— |
$16,754 |
— |
| Treat elbow fracture (24635) |
— |
$8,836 |
— |
| Treat finger dislocation (26775) |
— |
$1,844.50 |
— |
| Treat Finger Fracture Each (26727) |
— |
$4,680 |
— |
| Treat forearm bone lesion (25035) |
— |
$9,886 |
— |
| Treat fracture of radius (25526) |
— |
$8,422 |
— |
| Treat Fracture Radius & Ulna (25560) |
— |
$524 |
— |
| Treat fracture radius/ulna (25575) |
— |
$8,422 |
— |
| Treat fx distal radial (25606) |
— |
$4,680 |
— |
| Treat fx rad extra-articul (25607) |
— |
$8,422 |
— |
| Treat hand dislocation (26685) |
— |
$3,855 |
— |
| Treat hand dislocation (26686) |
— |
$3,855 |
— |
| Treat heel fracture (28415) |
— |
$8,422 |
— |
| Treat humerus fracture (23630) |
— |
$8,422 |
— |
| Treat humerus fracture (24500) |
— |
$731.50 |
— |
| Treat humerus fracture (23616) |
— |
$10,919 |
— |
| Treat humerus fracture (23600) |
— |
$524 |
— |
| Treat knee fracture (27532) |
— |
$4,524 |
— |
| Treat kneecap dislocation (27566) |
— |
$8,422 |
— |
| Treat knuckle dislocation (26715) |
— |
$4,680 |
— |
| Treat lower jaw fracture (21465) |
— |
$6,601 |
— |
| Treat lower leg fracture (27826) |
— |
$8,141 |
— |
| Treat lower leg fracture (27828) |
— |
$16,754 |
— |
| Treat Lower Leg Fracture (27827) |
— |
$16,754 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$543 |
— |
| Treat midfoot fracture (28456) |
— |
$10,227 |
— |
| Treat radius fracture (24665) |
— |
$8,422 |
— |
| Treat scapula fracture (23585) |
— |
$8,422 |
— |
| Treat sesamoid bone fracture (28531) |
— |
$9,886 |
— |
| Treat thumb fracture (26650) |
— |
$4,680 |
— |
| Treat thumb fracture (26665) |
— |
$3,855 |
— |
| Treat Thumb Fx/Disloc,Manip (26645) |
— |
$1,002 |
— |
| Treat toe fracture (28525) |
— |
$4,524 |
— |
| Treat ulnar fracture (24685) |
— |
$8,422 |
— |
| Treat wrist bone fracture (25622) |
— |
$524 |
— |
| Treat Wrist Bone Fracture (25630) |
— |
$524 |
— |
| Treat wrist fracture (25685) |
— |
$10,227 |
— |
| Treatment closed elbow dislocation req anes (24605) |
— |
$2,830.50 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$522.50 |
— |
| Treatment mouth roof lesion (42160) |
— |
$4,848 |
— |
| Treatment of ankle fracture (27822) |
— |
$8,422 |
— |
| Treatment of ankle fracture (28436) |
— |
$9,886 |
— |
| Treatment of ankle fracture (27792) |
— |
$7,152 |
— |
| Treatment of fibula fracture (27784) |
— |
$8,422 |
— |
| Treatment of foot infection (28003) |
— |
$4,524 |
— |
| Treatment of heel fracture (28406) |
— |
$9,886 |
— |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
— |
$10,828 |
— |
| Treatment of nose fracture (21330) |
— |
$8,016 |
— |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
— |
$550 |
— |
| Treatment of tibia fracture (27759) |
— |
$16,754 |
— |
| Treatment of tibia fracture (27756) |
— |
$9,886 |
— |
| Trim skin lesion (11055) |
— |
$370.50 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$425 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$16,754 |
— |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
— |
$2,240 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$2,240 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$913.50 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$777 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
— |
$3,294 |
— |
| Unlisted procedure accessory sinuses (31299) |
— |
$529 |
— |
| Unlisted Procedure Dentoalveolar Structures (41899) |
— |
$495 |
— |
| Unlisted Procedure External Ear (69399) |
— |
$495 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$8,111 |
— |
| Unlisted procedure foot or toes (28899) |
— |
$543 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$5,276 |
— |
| Unlisted procedure leg/ankle (27899) |
— |
$5,276 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$1,280 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$8,825 |
— |
| Unlisted procedure shoulder (23929) |
— |
$543 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$1,042 |
— |
| Unlisted procedure, forearm or wrist (25999) |
— |
$5,276 |
— |
| Unlisted procedure, hands or fingers (26989) |
— |
$543 |
— |
| Uvulectomy excision uvula (42140) |
— |
$4,478 |
— |
| Venipuncture (36415) |
— |
$65 |
— |
| Ventilating tube removal requiring general anesthesia (69424) |
— |
$3,565 |
— |
| Wedging of cast (29740) |
— |
$226 |
— |
| Windowing of cast (29730) |
— |
$152 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,250 |
— |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
— |
$2,775 |
— |
| Wrist arthroscop,excis triang cart (29846) |
— |
$4,680 |
— |
| Wrist arthroscop,part synovect (29844) |
— |
$4,680 |
— |
| Wrist arthroscopy (29840) |
— |
$4,524 |
— |
| Wrist arthroscopy/surgery (29847) |
— |
$8,141 |
— |
| Wrist arthroscopy/surgery (29845) |
— |
$4,680 |
— |
| Wrist replacement (25446) |
— |
$17,279 |
— |
| Xfer single deep low leg tendon (27691) |
— |
$8,422 |
— |