| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$416 |
— |
| Ablate inf turbinate submuc (30802) |
— |
$2,307 |
— |
| Acromiopl/Acromionect Partial (23130) |
— |
$3,855 |
— |
| Adding Walker Previously Applied Cast (29440) |
— |
$120 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$4,920 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$2,775 |
— |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
— |
$2,775 |
— |
| 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 F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$4,680 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$4,680 |
— |
| Amputate Metacarpal Bone (26910) |
— |
$4,524 |
— |
| Amputation follow-up surgery (27594) |
— |
$4,524 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$8,351 |
— |
| Amputation foot transmetarsal (28805) |
— |
$4,680 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$4,680 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$4,680 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$4,680 |
— |
| Amputation, forearm, through radius and ulna; secondary closure or scar revision Facility (25907) |
— |
$4,215 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$21,833 |
— |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
— |
$4,524 |
— |
| Ankle Arthroscopy/Surgery (29892) |
— |
$8,141 |
— |
| Ankle disarticulation (27889) |
— |
$9,886 |
— |
| Anoscopy diagnostic (46600) |
— |
$113 |
— |
| Anterior Tibial Tubercleplasty (27418) |
— |
$8,422 |
— |
| Appl skin cell ssp agrft t/a/l 1st 480 sq cm/< (15015) |
— |
$5,008 |
— |
| 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 finger splint static (29130) |
— |
$168 |
— |
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines |
— |
$301–$347 |
— |
| Application Long Leg Cast Brace (29358) |
— |
$469 |
— |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
— |
$402 |
— |
| Application Long Leg Splint (29505) |
— |
$249 |
— |
| Application multiplane external fixation system (20692) |
— |
$19,667 |
— |
| Application of cylinder cast (thigh to ankle) (29365) |
— |
$312 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$301 |
— |
| Application short leg splint calf foot (29515) |
— |
$301 |
— |
| Application uniplane external fixation system (20690) |
— |
$10,227 |
— |
| Apply hand/wrist cast (29085) |
— |
$209 |
— |
| Apply long arm cast (29065) |
— |
$296 |
— |
| Apply Short Leg Cast (29405) |
— |
$253 |
— |
| Apply short leg cast (29425) |
— |
$303 |
— |
| Arrest Epiphyseal Distal Femur (27475) |
— |
$9,886 |
— |
| Arrest Epiphyseal Open Distal Tibia (27730) |
— |
$4,524 |
— |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) |
— |
$4,524 |
— |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) |
— |
$9,886 |
— |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
— |
$12,913 |
— |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
— |
$16,196 |
— |
| Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) |
— |
$10,227 |
— |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
— |
$16,196 |
— |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
— |
$17,993 |
— |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) |
— |
$8,141 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
— |
$607–$658 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,033 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
— |
$356–$792 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
— |
$636–$1,605 |
— |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines |
— |
$607–$658 |
— |
| Arthrodesis ankle open (27870) |
— |
$16,754 |
— |
| Arthrodesis great toe interphalangeal joint (28755) |
— |
$10,227 |
— |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
— |
$5,478 |
— |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) |
— |
$4,680 |
— |
| Arthrodesis Pantalar (28705) |
— |
$29,971 |
— |
| Arthrodesis Posterior Interbody Lumbar (22630) |
— |
$2,568 |
— |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
— |
$16,754 |
— |
| Arthrodesis Posterior/Posterolateral Thoracic (22610) |
— |
$16,462 |
— |
| Arthrodesis sacroiliac joint percutaneous (27279) |
— |
$21,702 |
— |
| Arthrodesis subtalar (28725) |
— |
$16,754 |
— |
| Arthrodesis triple (28715) |
— |
$16,754 |
— |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) |
— |
$8,422 |
— |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
— |
$16,196 |
— |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
— |
$8,141 |
— |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
— |
$16,462 |
— |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
— |
$16,754 |
— |
| Arthrodesis, wrist; with sliding graft Facility (25805) |
— |
$10,443 |
— |
| Arthroplasty Ankle (27700) |
— |
$8,141 |
— |
| Arthroplasty ankle revision total ankle (27703) |
— |
$4,524 |
— |
| Arthroplasty Ankle W/Implant (27702) |
— |
$5,424 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$17,993 |
— |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
— |
$16,754 |
— |
| Arthroplasty interphalangeal joint each (26535) |
— |
$4,524 |
— |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
— |
$9,964 |
— |
| Arthroplasty Patella W/Prosthesis (27438) |
— |
$16,754 |
— |
| Arthroplasty radial head (24365) |
— |
$16,196 |
— |
| Arthroplasty Radial Head W/Implant (24366) |
— |
$16,754 |
— |
| Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Facility (25446) |
— |
$17,279 |
— |
| Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443) |
— |
$16,196 |
— |
| Arthroplasty, knee, tibial plateau; Facility (27440) |
— |
$16,196 |
— |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) |
— |
$16,196 |
— |
| Arthroplasty, patella; without prosthesis (27437) |
— |
$8,141 |
— |
| Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Facility (21240) |
— |
$6,601 |
— |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
— |
$1,909 |
— |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) |
— |
$16,196 |
— |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
— |
$4,680 |
— |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
— |
$4,680 |
— |
| Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) |
— |
$8,294 |
— |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
— |
$4,680 |
— |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
— |
$4,680 |
— |
| Arthroscopy Elbow Surgical Debridement Limited (29837) |
— |
$4,680 |
— |
| Arthroscopy Elbow Surgical Synovectomy Partial (29835) |
— |
$3,855 |
— |
| Arthroscopy hip w/femoroplasty (29914) |
— |
$7,152 |
— |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
— |
$4,680 |
— |
| Arthroscopy Knee Osteochondral Allograft (29867) |
— |
$16,196 |
— |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
— |
$4,680 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$4,680 |
— |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
— |
$4,680 |
— |
| Arthroscopy shoulder distal claviculectomy (29824) |
— |
$3,855 |
— |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
— |
$7,152 |
— |
| Arthroscopy Wrist Surgical Synovectomy Complete (29845) |
— |
$4,680 |
— |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
— |
$2,007 |
— |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
— |
$8,422 |
— |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
— |
$4,680 |
— |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) |
— |
$8,422 |
— |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
— |
$8,422 |
— |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
— |
$8,422 |
— |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
— |
$3,855 |
— |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) |
— |
$8,141 |
— |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
— |
$8,141 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$4,680 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
— |
$4,680 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$4,680 |
— |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement Facility (29901) |
— |
$6,154 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$7,152 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$3,855 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$3,855 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$7,152 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (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 subtalar arthrodesis Facility (29907) |
— |
$10,462 |
— |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
— |
$4,680 |
— |
| Arthroscopy, wrist, surgical; internal fixation for fracture or instability Facility (29847) |
— |
$8,141 |
— |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
— |
$4,680 |
— |
| Arthrotomy biopsy interphalangeal joint each (26110) |
— |
$2,318 |
— |
| Arthrotomy W/Biopsy Hip Joint (27052) |
— |
$2,240 |
— |
| Arthrotomy W/Biopsy Sacroiliac Joint (27050) |
— |
$2,240 |
— |
| Arthrotomy W/Meniscus Repair Knee (27403) |
— |
$10,227 |
— |
| Arthrotomy W/Synovectomy Ankle (27625) |
— |
$4,680 |
— |
| Arthrotomy with biopsy; carpometacarpal joint, each Facility (26100) |
— |
$4,524 |
— |
| Arthrotomy with biopsy; metacarpophalangeal joint, each (26105) |
— |
$4,524 |
— |
| Arthrotomy Wrist Joint With Biopsy (25100) |
— |
$5,737 |
— |
| Arthrotomy wrist joint with synovectomy (25105) |
— |
$5,541 |
— |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
— |
$4,524 |
— |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) |
— |
$10,498 |
— |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
— |
$4,524 |
— |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
— |
$4,524 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$16,754 |
— |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) |
— |
$9,964 |
— |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
— |
$16,754 |
— |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
— |
$8,422 |
— |
| Arthrp wrst w/wo interpos w/wo xtrnl/int fixj (25332) |
— |
$3,726 |
— |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
— |
$7,152 |
— |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
— |
$16,754 |
— |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
— |
$3,855 |
— |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
— |
$4,680 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$4,680 |
— |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) |
— |
$4,680 |
— |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) |
— |
$8,422 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$4,680 |
— |
| Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) |
— |
$3,726 |
— |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
— |
$4,680 |
— |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) |
— |
$4,680 |
— |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
— |
$2,318 |
— |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
— |
$4,680 |
— |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
— |
$4,524 |
— |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
— |
$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 W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) |
— |
$4,680 |
— |
| Arthrt w/synvct kne ant&post w/pop area (27335) |
— |
$9,886 |
— |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
— |
$4,680 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$381 |
— |
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines |
— |
$155–$343 |
— |
| Autologous Chondrocyte Implantation Knee (27412) |
— |
$8,422 |
— |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
— |
$440–$443 |
— |
| 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 nail unit (11755) |
— |
$1,043 |
— |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
— |
$4,686 |
— |
| Biopsy of foot joint lining (28052) |
— |
$4,524 |
— |
| Biopsy of foot joint lining (28050) |
— |
$4,680 |
— |
| Biopsy of palate, uvula (42100) |
— |
$2,230 |
— |
| Biopsy of toe joint lining (28054) |
— |
$4,524 |
— |
| Biopsy of upper nose/throat (42806) |
— |
$4,877 |
— |
| Biopsy soft tissue forearm&/wrist deep (25066) |
— |
$5,541 |
— |
| 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 Area Superficial (27040) |
— |
$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, vestibule of mouth (40808) |
— |
$1,073 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$5,007 |
— |
| Bladder Scan (51798) |
— |
$150 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$647 |
— |
Blood Transfusion Service (36430)
range across 3 matching MRF lines |
— |
$250–$943 |
— |
| Bone Graft Any Donor Area Major/Large (20902) |
— |
$10,227 |
— |
| Bone Graft Any Donor Area Minor/Small (20900) |
— |
$10,227 |
— |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
— |
$10,467 |
— |
| Bone Marrow Biopsy (38221) |
— |
$2,492 |
— |
| Bone Marrow Harvest Autolog (38232) |
— |
$5,197 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$1,662 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$4,680 |
— |
| Capsular contracture release (23020) |
— |
$5,018 |
— |
| Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) |
— |
$9,481 |
— |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
— |
$2,318 |
— |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
— |
$4,680 |
— |
| Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) |
— |
$8,917 |
— |
| Capsulorrhaphy Anterior W/Labral Repair (23455) |
— |
$8,422 |
— |
| Capsulorrhaphy Anterior With Bone Block (23460) |
— |
$8,141 |
— |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) |
— |
$8,141 |
— |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
— |
$2,240 |
— |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) |
— |
$2,326 |
— |
| Capsulotomy Midtarsal (28264) |
— |
$1,916 |
— |
| Capsulotomy Posterior Capsular Release Knee (27435) |
— |
$4,524 |
— |
| Capsulotomy wrist (25085) |
— |
$4,680 |
— |
| Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) |
— |
$4,729 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$2,939 |
— |
| Carpectomy All Bones Proximal Row (25215) |
— |
$4,680 |
— |
| Cartilage graft; costochondral (20910) |
— |
$1,208 |
— |
| Cerv artific diskectomy (22856) |
— |
$19,608 |
— |
| Change of Windpipe Airway (31502) |
— |
$187 |
— |
| 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 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$4,545 |
— |
| Claviculectomy partial (23120) |
— |
$4,680 |
— |
| Claviculectomy; total (23125) |
— |
$4,851 |
— |
| Clear outer ear canal (69200) |
— |
$161 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$4,680 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$524 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$524 |
— |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
— |
$3,294 |
— |
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines |
— |
$524–$930 |
— |
| 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)
range across 2 matching MRF lines |
— |
$1,096–$2,240 |
— |
| 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 Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$524 |
— |
| 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)
range across 2 matching MRF lines |
— |
$2,240–$3,521 |
— |
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines |
— |
$524–$1,259 |
— |
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines |
— |
$432–$543 |
— |
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines |
— |
$1,634–$2,318 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$167 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$4,478 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$524 |
— |
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines |
— |
$325–$524 |
— |
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines |
— |
$1,130–$3,421 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$524 |
— |
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines |
— |
$1,358–$1,909 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$524 |
— |
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines |
— |
$1,034–$3,408 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$524 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$494 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$2,326 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$524 |
— |
| 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)
range across 2 matching MRF lines |
— |
$1,258–$3,815 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$524 |
— |
Closed tx ulnar shaft fracture w/o manipulation (25530)
range across 2 matching MRF lines |
— |
$488–$524 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$521 |
— |
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines |
— |
$397–$524 |
— |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
— |
$524 |
— |
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines |
— |
$2,318–$3,762 |
— |
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines |
— |
$521–$524 |
— |
| 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 mtcarphlngl/iphal jt w/manj (26742)
range across 2 matching MRF lines |
— |
$886–$3,408 |
— |
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740)
range across 2 matching MRF lines |
— |
$470–$543 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$524 |
— |
| 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)
range across 2 matching MRF lines |
— |
$524–$1,179 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$4,545 |
— |
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755)
range across 2 matching MRF lines |
— |
$440–$543 |
— |
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines |
— |
$496–$543 |
— |
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines |
— |
$524–$841 |
— |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines |
— |
$1,489–$2,318 |
— |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
— |
$2,318 |
— |
| 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)
range across 2 matching MRF lines |
— |
$409–$507 |
— |
Cltx fx grt toe phlx/phlg w/o manj (28490)
range across 2 matching MRF lines |
— |
$392–$507 |
— |
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines |
— |
$390–$543 |
— |
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510)
range across 2 matching MRF lines |
— |
$210–$524 |
— |
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines |
— |
$2,240–$2,386 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$524 |
— |
Cltx greater humeral tuberosity fx w/o manj (23620)
range across 2 matching MRF lines |
— |
$524–$654 |
— |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
— |
$524 |
— |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
— |
$4,015 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$2,240 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$561 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$1,373 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$524 |
— |
| 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)
range across 2 matching MRF lines |
— |
$257–$524 |
— |
Cltx Iphal Jt Dislc W/Manj Req Anes (26775)
range across 2 matching MRF lines |
— |
$579–$3,110 |
— |
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines |
— |
$325–$524 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$2,240 |
— |
| Cltx Medial Ankle Fx (27760) |
— |
$524 |
— |
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines |
— |
$524–$1,023 |
— |
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines |
— |
$304–$325 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$3,294 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$2,240 |
— |
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines |
— |
$524–$737 |
— |
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720)
range across 2 matching MRF lines |
— |
$543–$545 |
— |
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines |
— |
$1,825–$2,318 |
— |
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines |
— |
$524–$910 |
— |
| 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 Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
— |
$506 |
— |
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 2 matching MRF lines |
— |
$521–$524 |
— |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
— |
$4,545 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$4,545 |
— |
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 2 matching MRF lines |
— |
$1,522–$3,408 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$3,294 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$524 |
— |
| 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 fx proximal w/o manipulation (27530) |
— |
$524 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$524 |
— |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
— |
$524 |
— |
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 2 matching MRF lines |
— |
$1,788–$2,240 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$123 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$65 |
— |
| Complex drainage wound (10180) |
— |
$3,964 |
— |
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines |
— |
$275–$359 |
— |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines |
— |
$253–$284 |
— |
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines |
— |
$397–$1,073 |
— |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
— |
$8,141 |
— |
| Correction hammertoe (28285) |
— |
$4,680 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$4,680 |
— |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
— |
$4,524 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
— |
$10,227 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
— |
$10,227 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
— |
$4,524 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
— |
$10,227 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$569 |
— |
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines |
— |
$151–$1,208 |
— |
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines |
— |
$2,069–$3,964 |
— |
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines |
— |
$1,043–$1,066 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
— |
$1,008 |
— |
| 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 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$1,250 |
— |
| Debride nail 1-5 (11720) |
— |
$134 |
— |
| Debride nail 6 or more (11721) |
— |
$134 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$2,347 |
— |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
— |
$1,530 |
— |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
— |
$268–$804 |
— |
| Declot vascular device (36593) |
— |
$142 |
— |
| Decomp forearm,1 compart,w/o debride (25020) |
— |
$1,845 |
— |
| Decompress Fingers/Hand (26035) |
— |
$4,524 |
— |
| Decompress Spinal Cord Lmbr (63056) |
— |
$8,422 |
— |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
— |
$2,240 |
— |
| Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) |
— |
$9,886 |
— |
| Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Facility (27893) |
— |
$9,886 |
— |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
— |
$4,524 |
— |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) |
— |
$4,524 |
— |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) |
— |
$2,240 |
— |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499) |
— |
$9,886 |
— |
| Decompression of leg (27894) |
— |
$4,524 |
— |
| Decompression of leg (27892) |
— |
$4,524 |
— |
| Decompression of tibia nerve (28035) |
— |
$2,939 |
— |
| Decompressive fasciotomy hand (26037) |
— |
$3,855 |
— |
| Deep Muscle Biopsy (20205) |
— |
$3,832 |
— |
| Delay flap/sectioning 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 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$440 |
— |
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines |
— |
$2,022–$2,106 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$441 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$1,033 |
— |
| Drain Hand Tendon Sheath (26020) |
— |
$4,680 |
— |
| Drain shoulder bursa (23031) |
— |
$3,832 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$356 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$496 |
— |
| Drainage external ear abscess/hematoma cmplx (69005) |
— |
$2,268 |
— |
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines |
— |
$496–$1,008 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$2,347 |
— |
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines |
— |
$440–$496 |
— |
| Drainage of gum lesion (41800) |
— |
$280 |
— |
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines |
— |
$2,347–$2,537 |
— |
| Drainage of mouth lesion (41017) |
— |
$3,877 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$83 |
— |
| Dressing Change Under Anesthesia (15852) |
— |
$1,208 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$496 |
— |
| 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)
range across 2 matching MRF lines |
— |
$192–$468 |
— |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines |
— |
$627–$1,389 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$790 |
— |
| Elbow arthroscopy (29830) |
— |
$3,726 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$653 |
— |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
— |
$653 |
— |
| Electrical stimulation bone healing noninvasive (20974) |
— |
$524 |
— |
| Endoscopic plantar fasciotomy (29893) |
— |
$4,680 |
— |
Epidural Blood Patch (62273)
range across 3 matching MRF lines |
— |
$1,033–$2,057 |
— |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Facility (25455) |
— |
$5,541 |
— |
| Escharotomy; initial incision (16035) |
— |
$901 |
— |
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines |
— |
$183–$265 |
— |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
— |
$2,347 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$2,347 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$2,347 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$859 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$2,492 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$3,960 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$3,832 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$1,043 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$1,008 |
— |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) |
— |
$11,099 |
— |
| Exc Forearm Les Sc 3 Cm/> (25071) |
— |
$2,432 |
— |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
— |
$5,541 |
— |
| Exc ganglion wrist recurrent (25112) |
— |
$2,318 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$2,347 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$1,008 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$2,268 |
— |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$2,347 |
— |
| Exc hand tum deep < 1.5 cm (26116) |
— |
$2,347 |
— |
| Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) |
— |
$4,572 |
— |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
— |
$4,329 |
— |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
— |
$2,318 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$2,318 |
— |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
— |
$4,572 |
— |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
— |
$3,940 |
— |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
— |
$2,421 |
— |
| Exc neuroma hand/foot xcp digital nerve (64782) |
— |
$2,939 |
— |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
— |
$2,939 |
— |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
— |
$4,304 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$3,268 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$2,492 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$4,294 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$7,819 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$4,294 |
— |
| Exc tendon shth lesion leg/ankle (27630) |
— |
$4,680 |
— |
| 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 Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$804 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$3,268 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$2,268 |
— |
| 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 upper arm/elbw subfasc 5+cm (24073) |
— |
$4,442 |
— |
| 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 Forearm &/Wrist Subq <3Cm (25075) |
— |
$2,347 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$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 Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$3,960 |
— |
| Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) |
— |
$9,886 |
— |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
— |
$8,141 |
— |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) |
— |
$9,886 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$4,680 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$2,318 |
— |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
— |
$2,338 |
— |
| Excise intraspinal lesion (63267) |
— |
$10,227 |
— |
| Excise intraspinl lesion crv (63265) |
— |
$8,422 |
— |
| Excise Neurofibroma Extensive (64792) |
— |
$8,560 |
— |
| Excise tendon forearm/wrist (25109) |
— |
$4,680 |
— |
| Excise Wrist Tendon Sheath (25118) |
— |
$2,318 |
— |
| Excision Distal Ulna Partial/Complete (25240) |
— |
$4,680 |
— |
| Excision inferior turbinate partial/complete (30130) |
— |
$4,329 |
— |
| Excision lesion meniscus/capsule knee (27347) |
— |
$4,680 |
— |
| Excision lesion tendon sheath forearm&/wrist (25110) |
— |
$2,318 |
— |
| Excision Lesion Tongue W/O Closure (41110) |
— |
$4,759 |
— |
| 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 Nasal Polyp Extensive (30115) |
— |
$4,329 |
— |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
— |
$3,726 |
— |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) |
— |
$9,886 |
— |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft… (27067) |
— |
$9,886 |
— |
| Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) |
— |
$6,258 |
— |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
— |
$3,726 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$2,318 |
— |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
— |
$2,939 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$3,832 |
— |
| Excision of submandibular (submaxillary) gland (42440) |
— |
$6,601 |
— |
| Excision olecranon bursa (24105) |
— |
$4,680 |
— |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Facility (23146) |
— |
$9,909 |
— |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
— |
$4,680 |
— |
| Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) |
— |
$9,886 |
— |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) |
— |
$11,099 |
— |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
— |
$4,524 |
— |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
— |
$8,620 |
— |
| Excision prepatellar bursa (27340) |
— |
$4,680 |
— |
| Excision Radial Head (24130) |
— |
$4,680 |
— |
| Excision synovial cyst popliteal space (27345) |
— |
$4,524 |
— |
| Excision tendon finger flexor/extensor each (26180) |
— |
$4,067 |
— |
| Excision tendon palm flexor/extensor single each (26170) |
— |
$2,240 |
— |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
— |
$6,578 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$3,964 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$2,347 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$2,268 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$1,868 |
— |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand Facility (15837) |
— |
$7,039 |
— |
| Excision, interdigital (morton) neuroma, single, each (28080) |
— |
$2,318 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$3,832 |
— |
| 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/curettage cyst/tumor carpal bones (25130) |
— |
$4,680 |
— |
| Excision/curettage cyst/tumor phalanx finger (26210) |
— |
$2,240 |
— |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
— |
$4,524 |
— |
| Excision/destruction intranasal lesion int appr (30117) |
— |
$4,478 |
— |
| Excision/destruction lesion pharynx any method (42808) |
— |
$4,329 |
— |
| Excision; trochanteric bursa or calcification (27062) |
— |
$4,680 |
— |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
— |
$4,828 |
— |
| Exploration maxillary sinus (31020) |
— |
$3,565 |
— |
| 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)
range across 2 matching MRF lines |
— |
$1,043–$1,212 |
— |
| Exploratory elbow surgery (24000) |
— |
$4,524 |
— |
| Explore treat shoulder joint (23107) |
— |
$9,886 |
— |
| Explore/Treat Elbow Joint (24101) |
— |
$4,680 |
— |
| Explore/Treat Hand Joint (26070) |
— |
$2,318 |
— |
| Explore/Treat Knee Joint (27331) |
— |
$4,680 |
— |
| Explore/Treat Wrist Joint (25040) |
— |
$4,524 |
— |
| Fasciectomy Palm Only (26121) |
— |
$4,680 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$4,680 |
— |
| Fasciotomy Iliotibial Open (27305) |
— |
$4,524 |
— |
| Fasciotomy palmar open partial (26045) |
— |
$4,680 |
— |
| Fasciotomy palmar percutaneous (26040) |
— |
$2,318 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
— |
$4,892 |
— |
| Fasciotomy, foot and/or toe (28008) |
— |
$4,680 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$4,680 |
— |
| Fetal non-stress test (59025) |
— |
$359 |
— |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) |
— |
$2,682 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$866 |
— |
| Finger tendon transfer (26497) |
— |
$5,018 |
— |
| Flexor-plasty, elbow (eg, Steindler type advancement); Facility (24330) |
— |
$9,843 |
— |
| Fluid Pressure Muscle (20950) |
— |
$803 |
— |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
— |
$3,688 |
— |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
— |
$2,682 |
— |
| 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 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 tibiofibular joint (27871) |
— |
$16,196 |
— |
| Fusion/graft of hand joint (26844) |
— |
$10,227 |
— |
| Gastrocnemius recession (27687) |
— |
$4,680 |
— |
| Genioplasty; augmentation (autograft, allograft, prosthetic material) Facility (21120) |
— |
$8,497 |
— |
| Grafting of autologous soft tiss by direct exc (15769) |
— |
$4,052 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$6,914 |
— |
| Hand tendon reconstruction (26500) |
— |
$9,886 |
— |
| Hip arthro acetabuloplasty (29915) |
— |
$8,422 |
— |
| Hip arthro w/labral repair (29916) |
— |
$7,152 |
— |
| Hrv skin for skin cell ssp agrft 1st 25 sq cm/< (15011) |
— |
$5,008 |
— |
| I&d abscess peritonsillar (42700) |
— |
$261 |
— |
I&d abscess simple (10060)
range across 2 matching MRF lines |
— |
$480–$2,111 |
— |
| 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 shoulder deep abscess/hematoma (23030) |
— |
$3,964 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$3,964 |
— |
| Implant neuroelectrodes (63650) |
— |
$9,350 |
— |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
— |
$29,650 |
— |
| Implant Spine Infusion Pump (62362) |
— |
$29,650 |
— |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
— |
$14,435 |
— |
| Incise external hemorrhoid (46083) |
— |
$634 |
— |
| Incise finger tendon sheath (26055) |
— |
$2,318 |
— |
| Incise flexor carpi radialis (25001) |
— |
$4,851 |
— |
| Incise Wrist/Forearm Tendon (25290) |
— |
$4,680 |
— |
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines |
— |
$454–$804 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$3,964 |
— |
| Incision & drainage leg/ankle infected bursa (27604) |
— |
$3,726 |
— |
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines |
— |
$2,347–$2,806 |
— |
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines |
— |
$804–$826 |
— |
| 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 Facility (22015) |
— |
$7,140 |
— |
| Incision bone cortex foot (28005) |
— |
$4,524 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$2,318 |
— |
| Incision of eardrum (69421) |
— |
$4,329 |
— |
| Incision of fibula (27707) |
— |
$4,524 |
— |
| Incision of Foot Tendon (28234) |
— |
$1,845 |
— |
| Incision of hip tendon (27001) |
— |
$4,524 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$2,230 |
— |
| Incision of rectal abscess (46040) |
— |
$1,519 |
— |
| Incision of thigh tendons (27392) |
— |
$4,524 |
— |
| Incision of tibia & fibula (27709) |
— |
$19,667 |
— |
| Incision&drainage bursa foot (28001) |
— |
$2,347 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$2,347 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$1,293 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$186 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$1,389 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$1,342 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$1,389 |
— |
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines |
— |
$658–$770 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$1,342 |
— |
| 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 intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines |
— |
$1,078–$1,121 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$1,033 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$694 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$1,435 |
— |
| Injection Anes Superior Hypogastric Plexus (64517) |
— |
$3,532 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$1,033 |
— |
| Injection enzyme palmar fascial cord (20527) |
— |
$331 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$658 |
— |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
— |
$168–$354 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$331 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$658 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$858 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$694 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
— |
$851–$1,069 |
— |
| 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 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 or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) |
— |
$22,896 |
— |
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines |
— |
$2,789–$3,084 |
— |
| Insertion Vascular Pedicle Carpal Bone (25430) |
— |
$3,726 |
— |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 4 matching MRF lines |
— |
$766–$2,789 |
— |
| 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 |
— |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
— |
$13,430 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$863 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$524 |
— |
| Irrigation maxillary sinus (31000) |
— |
$513 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$670 |
— |
| Island pedicle flap graft (15740) |
— |
$2,682 |
— |
| Knee arthroscopy/drainage (29871) |
— |
$4,680 |
— |
| Knee Arthroscopy/Surgery (29885) |
— |
$8,422 |
— |
| Knee Arthroscopy/Surgery (29874) |
— |
$4,680 |
— |
| Knee Arthroscopy/Surgery (29850) |
— |
$2,318 |
— |
| Labyrinthotomy Transcanal (69801) |
— |
$2,230 |
— |
| Lam facetec & foramot lumbar (63047) |
— |
$7,152 |
— |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral Facility (63268) |
— |
$15,469 |
— |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) |
— |
$8,141 |
— |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) |
— |
$8,620 |
— |
| 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 Single Lumbar (63042) |
— |
$7,152 |
— |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
— |
$4,853 |
— |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
— |
$4,853 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$452 |
— |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
— |
$4,853 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$529 |
— |
| Laryngoscopy W/Biopsy (31535) |
— |
$4,853 |
— |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
— |
$4,853 |
— |
| Larynscop w/tumr exc + scope (31541) |
— |
$4,853 |
— |
| Late closure of wound (13160) |
— |
$2,775 |
— |
| Lateral retinacular release open (27425) |
— |
$4,680 |
— |
| Lengthening of hamstring tendon; multiple tendons, 1 leg Facility (27394) |
— |
$9,886 |
— |
| Lengthening of hamstring tendon; multiple tendons, bilateral Facility (27395) |
— |
$3,726 |
— |
| Lengthening of hamstring tendon; single tendon Facility (27393) |
— |
$9,886 |
— |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) |
— |
$3,927 |
— |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) |
— |
$4,680 |
— |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
— |
$10,019 |
— |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) |
— |
$16,196 |
— |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
— |
$7,152 |
— |
| Ligamentous reconstruction knee intra-articular (27428) |
— |
$16,196 |
— |
| Low Back Disk Surgery (63030) |
— |
$7,152 |
— |
| Lumbar spine fusion combined (22633) |
— |
$16,754 |
— |
| 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 Elbow Under Anesthesia (24300) |
— |
$2,318 |
— |
| Manipulation hip joint general anesthesia (27275) |
— |
$2,240 |
— |
| Manipulation knee joint under general anesthesia (27570) |
— |
$2,318 |
— |
| Manipulation wrist under anesthesia (25259) |
— |
$2,240 |
— |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
— |
$3,408 |
— |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
— |
$2,318 |
— |
| Metatarsectomy (28140) |
— |
$4,729 |
— |
| Middle ear surgery proc unlisted (69799) |
— |
$3,873 |
— |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Facility (25370) |
— |
$3,726 |
— |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
— |
$2,775 |
— |
| Muscle transfer, any type, shoulder or upper arm; multiple Facility (23397) |
— |
$8,141 |
— |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
— |
$8,422 |
— |
| Muscle/tendon transfer upper arm/elbow single (24301) |
— |
$10,227 |
— |
| Myringoplasty (69620) |
— |
$4,478 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$3,532 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$819 |
— |
N block inj intercost sng (64420)
range across 2 matching MRF lines |
— |
$832–$848 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$331 |
— |
| N Block Inj Pudendal (64430) |
— |
$4,864 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$1,121 |
— |
| Nasal surgery procedure (30999) |
— |
$4,839 |
— |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
— |
$5,020 |
— |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
— |
$9,301 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
— |
$2,446 |
— |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
— |
$2,446 |
— |
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 2 matching MRF lines |
— |
$2,364–$3,854 |
— |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
— |
$9,301 |
— |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
— |
$8,991 |
— |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
— |
$9,301 |
— |
| 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 |
— |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
— |
$9,301 |
— |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
— |
$9,301 |
— |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
— |
$9,301 |
— |
| Ndsc dcmprn spinal cord 1 w/lamot ntrspc lumbar (62380) |
— |
$9,366 |
— |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
— |
$2,318 |
— |
| Neck spine disk surgery (63020) |
— |
$8,141 |
— |
| Neck spine fusion (22600) |
— |
$2,359 |
— |
Needle insertion w/o injection 1 or 2 muscles (20560)
range across 3 matching MRF lines |
— |
$25–$40 |
— |
| Needle insertion w/o injection 3 or more muscles (20561) |
— |
$40 |
— |
| Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Facility (64898) |
— |
$7,497 |
— |
| Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Facility (64896) |
— |
$7,497 |
— |
| Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Facility (64893) |
— |
$8,457 |
— |
| Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Facility (64890) |
— |
$7,497 |
— |
| Nerve graft arm/leg <4 cm (64892) |
— |
$8,457 |
— |
| Nerve Pedicle Transfer First Stage (64905) |
— |
$7,755 |
— |
| Nerve repair w/conduit each nerve (64910) |
— |
$7,755 |
— |
| Nerve Repair W/Nerve Allograft First Strand (64912) |
— |
$7,755 |
— |
| Neurectomy Popliteal (27326) |
— |
$2,841 |
— |
| Neurectomy, hamstring muscle Facility (27325) |
— |
$2,841 |
— |
| Neurectomy, Intrinsic Musculature Of Foot (28055) |
— |
$2,841 |
— |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
— |
$3,490 |
— |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
— |
$2,939 |
— |
| Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) |
— |
$2,939 |
— |
| Neurp major prph nrv opn arm/leg sciatic nrv (64712) |
— |
$2,939 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$1,121 |
— |
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines |
— |
$155–$1,435 |
— |
| 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 |
— |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
— |
$6,205 |
— |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
— |
$9,301 |
— |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
— |
$327.13–$358 |
— |
| Open Implantation Nea Peripheral Nerve (64575) |
— |
$49,155 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$8,422 |
— |
| Open Repair of Rotator Cuff Acute (23410) |
— |
$8,422 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$8,422 |
— |
| Open treatment calcaneal fracture (28415) |
— |
$8,422 |
— |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
— |
$16,754 |
— |
| Open treatment fracture distal tibia only (27827) |
— |
$16,754 |
— |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
— |
$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 metacarpophalangeal dislocation (26715) |
— |
$4,680 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$8,422 |
— |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
— |
$8,422 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$10,288 |
— |
| 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 Facility (27519) |
— |
$8,620 |
— |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
— |
$8,141 |
— |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
— |
$21,702 |
— |
| Open treatment of mandibular condylar fracture Facility (21465) |
— |
$6,601 |
— |
| Open treatment of mandibular fracture with external fixation Facility (21454) |
— |
$8,016 |
— |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
— |
$8,141 |
— |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
— |
$8,422 |
— |
| Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) |
— |
$9,886 |
— |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
— |
$8,141 |
— |
| Open Treatment of Ulnar Shaft Fracture (25545) |
— |
$8,422 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$8,422 |
— |
| Open treatment posterior malleolus fracture (27769) |
— |
$8,141 |
— |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
— |
$8,422 |
— |
| Open Treatment Proximal Humeral Fracture (23615) |
— |
$16,754 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$8,422 |
— |
| Open Treatment Tarsal Bone Dislocation (28555) |
— |
$8,141 |
— |
| Open tx acute shoulder dislocation (23660) |
— |
$8,141 |
— |
| Open Tx Acute/Chronic Elbow Dislocation (24615) |
— |
$8,422 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$4,680 |
— |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
— |
$3,855 |
— |
| Open tx carpal scaphoid navicular fracture (25628) |
— |
$8,422 |
— |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
— |
$3,855 |
— |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
— |
$7,152 |
— |
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines |
— |
$2,654–$4,680 |
— |
| Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) |
— |
$10,227 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$8,422 |
— |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
— |
$3,203 |
— |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
— |
$4,524 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$16,754 |
— |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
— |
$16,196 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$3,855 |
— |
Open tx interphalangeal joint dislocation (26785)
range across 2 matching MRF lines |
— |
$4,680–$6,251 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$3,855 |
— |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
— |
$4,680 |
— |
| Open Tx Radial Head/Neck Fracture (24665) |
— |
$8,422 |
— |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
— |
$16,754 |
— |
| Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) |
— |
$10,227 |
— |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
— |
$8,422 |
— |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
— |
$8,422 |
— |
| Open Tx Trans-Scaphoperilunar Fracture Dislc (25685) |
— |
$10,227 |
— |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
— |
$8,422 |
— |
| Open tx ulnar fx proximal end (24685) |
— |
$8,422 |
— |
| Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) |
— |
$5,118 |
— |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
— |
$3,855 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
— |
$8,422 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
— |
$7,152 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$5,100 |
— |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
— |
$16,754 |
— |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
— |
$8,670 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$16,754 |
— |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
— |
$4,680 |
— |
| Ostc prtl exostc/condylc metar head (28288) |
— |
$4,680 |
— |
| Ostectomy calcaneus (28118) |
— |
$4,680 |
— |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
— |
$4,524 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$4,729 |
— |
| Ostectomy, complete excision; first metatarsal head (28111) |
— |
$4,729 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$4,680 |
— |
| Osteochondral allograft knee open (27415) |
— |
$16,754 |
— |
| Osteochondral knee autograft (27416) |
— |
$8,422 |
— |
| Osteochondral talus autogrft (28446) |
— |
$8,141 |
— |
| Osteoplasty Humerus (24420) |
— |
$8,836 |
— |
| Osteoplasty Radius/Ulna Shortening (25390) |
— |
$8,422 |
— |
| Osteoplasty, carpal bone, shortening Facility (25394) |
— |
$3,726 |
— |
| Osteoplasty, facial bones; reduction (21209) |
— |
$6,601 |
— |
| Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715) |
— |
$9,140 |
— |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) |
— |
$8,141 |
— |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
— |
$8,422 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$10,227 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$4,680 |
— |
| Osteotomy calcaneus w/wo internal fixation (28300) |
— |
$5,504 |
— |
| Osteotomy Clavicle W Bone Graft (23485) |
— |
$16,754 |
— |
| Osteotomy Metacarpal Each (26565) |
— |
$3,855 |
— |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical Facility (22220) |
— |
$2,823 |
— |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) |
— |
$8,899 |
— |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic Facility (22212) |
— |
$8,899 |
— |
| Osteotomy Phalanx Finger Each (26567) |
— |
$4,524 |
— |
| Osteotomy radius distal third (25350) |
— |
$8,141 |
— |
| Osteotomy Radius Middle/Proximal Third (25355) |
— |
$3,726 |
— |
| Osteotomy talus (28302) |
— |
$10,467 |
— |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
— |
$8,422 |
— |
| Osteotomy Tibia (27705) |
— |
$8,141 |
— |
| Osteotomy Ulna (25360) |
— |
$9,140 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
— |
$16,754 |
— |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
— |
$10,467 |
— |
| Palatopharyngoplasty (42145) |
— |
$8,016 |
— |
| Part exc bone femur prox tibia (27360) |
— |
$4,680 |
— |
| Part remv talus or calcaneus (28120) |
— |
$4,680 |
— |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) |
— |
$11,099 |
— |
| Partial excision bone clavicle (23180) |
— |
$9,886 |
— |
| 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 Radius (25151) |
— |
$4,524 |
— |
| Partial Excision Bone Ulna (25150) |
— |
$4,524 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$2,318 |
— |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
— |
$2,318 |
— |
| Partial removal of fibula (27641) |
— |
$4,680 |
— |
| Partial removal of scapula (23190) |
— |
$4,851 |
— |
| Partial removal of tibia (27640) |
— |
$4,524 |
— |
| Partial removal of toe (28160) |
— |
$4,524 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$4,680 |
— |
| Patellectomy or hemipatellectomy (27350) |
— |
$8,422 |
— |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
— |
$3,726 |
— |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
— |
$4,524 |
— |
| Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) |
— |
$9,886 |
— |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
— |
$4,851 |
— |
| Perq Cervicothoracic Inject (22510) |
— |
$7,554 |
— |
| Perq Lumbosacral Injection (22511) |
— |
$4,680 |
— |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
— |
$4,680 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$9,366 |
— |
| Perq Vertebral Augmentation (22513) |
— |
$9,366 |
— |
| Phalangectomy toe each toe (28150) |
— |
$4,729 |
— |
| Pin Finger Dislocation (26776) |
— |
$3,855 |
— |
| Pin hand dislocation (26676) |
— |
$4,680 |
— |
| Pin knuckle dislocation (26706) |
— |
$4,729 |
— |
| Preparation skin cell ssp agrft 1st 25 sq cm/< (15013) |
— |
$781 |
— |
| Prescrl Fuse W/ Instr L5/S1 (22586) |
— |
$12,838 |
— |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
— |
$9,180 |
— |
| Prosthesis Removal Humeral/Glenoid Component (23334) |
— |
$3,964 |
— |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
— |
$14,435 |
— |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
— |
$4,680 |
— |
| Prq skel fixj femoral fx prox end neck (27235) |
— |
$9,886 |
— |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
— |
$4,524 |
— |
| Prq skel fixj metar fx w/manj (28476) |
— |
$4,680 |
— |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
— |
$10,227 |
— |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) |
— |
$4,524 |
— |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
— |
$4,680 |
— |
| Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) |
— |
$9,886 |
— |
| Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) |
— |
$4,680 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$10,227 |
— |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
— |
$4,680 |
— |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines |
— |
$507–$777 |
— |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (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 elbow caps/sr bone w rels (24149) |
— |
$10,227 |
— |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
— |
$6,258 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
— |
$3,832 |
— |
| Radical resection of tumor, proximal humerus Facility (23220) |
— |
$9,909 |
— |
| Radical resection of tumor, radius or ulna (25170) |
— |
$10,729 |
— |
| Radical resection of tumor; phalanx of toe Facility (28175) |
— |
$2,326 |
— |
| Radical resection of tumor; talus or calcaneus Facility (27647) |
— |
$4,524 |
— |
| Radical resection of tumor; tarsal (except talus or calcaneus) Facility (28171) |
— |
$4,729 |
— |
| Radical Resection Tumor Metatarsal (28173) |
— |
$4,729 |
— |
| Radical styloidectomy separate procedure (25230) |
— |
$4,680 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$2,939 |
— |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
— |
$4,524 |
— |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) |
— |
$4,680 |
— |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
— |
$4,680 |
— |
| Rcnstj Dislocating Patella (27420) |
— |
$8,141 |
— |
| Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) |
— |
$6,998 |
— |
| Rcnstj Midface Lefort I 2 Pieces W/O Bone Graft (21142) |
— |
$5,610 |
— |
| 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 |
— |
| Reconst lwr jaw w/fixation (21196) |
— |
$12,940 |
— |
| Reconstr lwr jaw segment (21198) |
— |
$8,016 |
— |
| Reconstruct elbow joint (24360) |
— |
$8,620 |
— |
| Reconstruct elbow lat ligmnt (24344) |
— |
$8,141 |
— |
| Reconstruct elbow med ligmnt (24346) |
— |
$16,754 |
— |
| Reconstruct extra finger (26587) |
— |
$4,524 |
— |
| Reconstruct finger joint (26545) |
— |
$4,524 |
— |
| Reconstruct Finger Joint (26548) |
— |
$4,680 |
— |
| Reconstruct midface lefort (21143) |
— |
$10,142 |
— |
| Reconstruct ulna/radioulnar (25337) |
— |
$8,422 |
— |
| Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147) |
— |
$10,142 |
— |
| Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without… (21141) |
— |
$10,142 |
— |
| Reconstruction Nail Bed W/Graft (11762) |
— |
$2,775 |
— |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
— |
$8,422 |
— |
| Reconstruction of dislocating patella; with patellectomy Facility (27424) |
— |
$8,141 |
— |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
— |
$4,680 |
— |
| Reconstruction Toe Polydactyly (28344) |
— |
$4,729 |
— |
| Reinforce hip bones (27187) |
— |
$9,481 |
— |
| Reinforce humerus (24498) |
— |
$16,196 |
— |
| Reinforce tibia (27745) |
— |
$8,141 |
— |
| Reinsert spinal fixation (22849) |
— |
$7,140 |
— |
| Release foot/toe nerve (64726) |
— |
$2,340 |
— |
| Release Intrinsic Muscles Hand Each Muscle (26593) |
— |
$4,680 |
— |
| Release or recession, hamstring, proximal Facility (27097) |
— |
$4,524 |
— |
| Release Thenar Muscle (26508) |
— |
$4,524 |
— |
| Relieve Pressure on Nerve(S) (64722) |
— |
$2,939 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$547 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$3,964 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$2,268 |
— |
Removal foreign body foot deep (28192)
range across 2 matching MRF lines |
— |
$992–$2,347 |
— |
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines |
— |
$370–$859 |
— |
| 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)
range across 2 matching MRF lines |
— |
$139–$171 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
— |
$75–$161 |
— |
| Removal Implant Deep (20680) |
— |
$3,964 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$2,347 |
— |
| Removal of a lesion from the floor of the mouth (41116) |
— |
$4,328 |
— |
| 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 (22855) |
— |
$3,944 |
— |
| Removal of bone lesion (23140) |
— |
$4,524 |
— |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64570) |
— |
$13,006 |
— |
| Removal of foot joint lining (28072) |
— |
$4,524 |
— |
| Removal of heel spur (28119) |
— |
$4,680 |
— |
| Removal of humerus lesion (23150) |
— |
$4,851 |
— |
| Removal of humerus lesion (23156) |
— |
$9,886 |
— |
| Removal of implant from finger or hand (26320) |
— |
$2,268 |
— |
| Removal of ischial bursa (27060) |
— |
$9,886 |
— |
| Removal of knee prosthesis (27488) |
— |
$16,196 |
— |
Removal of nail bed (11750)
range across 2 matching MRF lines |
— |
$777–$804 |
— |
| Removal of posterior segmental instrumentation Facility (22852) |
— |
$5,885 |
— |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
— |
$7,650 |
— |
| Removal of sesamoid bone (28315) |
— |
$4,680 |
— |
| Removal of tendon for graft (20924) |
— |
$10,227 |
— |
| Removal of tonsils (42825) |
— |
$6,601 |
— |
| Removal of tonsils (42826) |
— |
$4,329 |
— |
| Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical Facility (22864) |
— |
$16,944 |
— |
| Removal of wrist bone (25210) |
— |
$4,680 |
— |
| Removal shoulder foreign body deep subfascial/im (23333) |
— |
$4,061 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$446 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$4,588 |
— |
| Removal, under anesthesia, of external fixation system (20694) |
— |
$2,318 |
— |
| Remove & graft wrist lesion (25136) |
— |
$10,227 |
— |
| Remove & graft wrist lesion (25135) |
— |
$9,886 |
— |
| Remove Ankle Joint Lining (27626) |
— |
$4,680 |
— |
| Remove drug implant device (11982) |
— |
$884 |
— |
| Remove Elbow Joint Lining (24102) |
— |
$4,680 |
— |
| Remove elbow lesion (24120) |
— |
$4,680 |
— |
| Remove femur lesion/graft (27356) |
— |
$19,667 |
— |
| Remove finger bone (26185) |
— |
$2,240 |
— |
| Remove Forearm Foreign Body (25248) |
— |
$2,318 |
— |
| Remove foreign body from eye (65205) |
— |
$126 |
— |
| Remove Hand Bone Lesion (26200) |
— |
$2,318 |
— |
| Remove humerus lesion (24110) |
— |
$4,680 |
— |
| Remove Intrauterine Device (58301) |
— |
$260 |
— |
| Remove knee joint lining (27334) |
— |
$4,680 |
— |
| Remove lamina/facets lumbar (63012) |
— |
$7,554 |
— |
| Remove Lower Leg Bone Lesion (27635) |
— |
$4,680 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$261 |
— |
| Remove Peritoneal Foreign Body (49402) |
— |
$5,319 |
— |
| Remove radius head implant (24164) |
— |
$4,524 |
— |
| Remove Skin Nerve Lesion (64774) |
— |
$2,841 |
— |
| Remove spine eltrd plate (63662) |
— |
$4,045 |
— |
| Remove spine fixation device (22850) |
— |
$8,141 |
— |
| Remove spine lamina 1/2 lmbr (63005) |
— |
$9,140 |
— |
| Remove spine lamina 1/2 thrc (63003) |
— |
$8,836 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$2,318 |
— |
| Remove wrist joint cartilage (25107) |
— |
$4,680 |
— |
| Remove/graft finger lesion (26215) |
— |
$3,726 |
— |
| Remove/graft foot lesion (28102) |
— |
$8,141 |
— |
| Remove/graft foot lesion (28107) |
— |
$8,141 |
— |
| Remove/graft forearm lesion (25125) |
— |
$2,240 |
— |
| Remove/graft leg bone lesion (27637) |
— |
$10,227 |
— |
| Repair Achilles Tendon (27650) |
— |
$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)
range across 2 matching MRF lines |
— |
$599–$777 |
— |
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines |
— |
$741–$1,208 |
— |
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 2 matching MRF lines |
— |
$523–$1,208 |
— |
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines |
— |
$708–$1,208 |
— |
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines |
— |
$431–$2,904 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$606 |
— |
| Repair defect w/autograft radius/ulna (25425) |
— |
$10,444 |
— |
| Repair Elbow Perc (24357) |
— |
$4,524 |
— |
| 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 (26433) |
— |
$3,855 |
— |
| Repair Finger/Hand Tendon (26350) |
— |
$4,680 |
— |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
— |
$4,680 |
— |
| Repair Foot Dislocation (28615) |
— |
$8,422 |
— |
| Repair Forearm Tendon Sheath (25275) |
— |
$4,680 |
— |
| Repair forearm tendon/muscle (25265) |
— |
$4,851 |
— |
| Repair Hallux Rigidus (28289) |
— |
$4,680 |
— |
| Repair Hand Joint (26540) |
— |
$4,680 |
— |
| Repair Hand Tendon (26410) |
— |
$2,318 |
— |
| Repair humerus with graft (24435) |
— |
$16,196 |
— |
| 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)
range across 2 matching MRF lines |
— |
$1,073–$1,208 |
— |
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines |
— |
$598–$777 |
— |
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines |
— |
$598–$777 |
— |
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines |
— |
$598–$1,208 |
— |
| 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)
range across 2 matching MRF lines |
— |
$598–$944 |
— |
| 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 hand each muscle (26591) |
— |
$4,680 |
— |
| Repair Leg Fascia Defect (27656) |
— |
$4,524 |
— |
| Repair lower leg epiphyses (27734) |
— |
$4,524 |
— |
| Repair lower leg tendons (27676) |
— |
$10,227 |
— |
| Repair Nasal Vestibular Stenosis (30465) |
— |
$6,601 |
— |
| Repair Non/Malunion Humerus W/O Graft (24430) |
— |
$16,754 |
— |
| Repair Nonunion Hand (26546) |
— |
$10,227 |
— |
| Repair Nonunion/Malunion Tarsal Bones (28320) |
— |
$16,754 |
— |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
— |
$8,141 |
— |
| Repair of biceps tendon (24340) |
— |
$8,141 |
— |
| Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Facility (26434) |
— |
$3,726 |
— |
| Repair of fibula epiphysis (27732) |
— |
$4,524 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$8,422 |
— |
| Repair of hammertoe (28286) |
— |
$4,729 |
— |
| Repair of knee ligaments (27409) |
— |
$8,141 |
— |
| Repair of metatarsals (28322) |
— |
$10,227 |
— |
Repair of nail bed (11760)
range across 2 matching MRF lines |
— |
$598–$1,250 |
— |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
— |
$8,836 |
— |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
— |
$8,422 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
— |
$8,422 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
— |
$8,141 |
— |
| Repair of Ruptured Tendon (24342) |
— |
$7,152 |
— |
| Repair of shoulder (23420) |
— |
$8,422 |
— |
| Repair of web finger (26562) |
— |
$6,258 |
— |
| Repair of web finger (26560) |
— |
$6,258 |
— |
| Repair of web finger (26561) |
— |
$6,258 |
— |
| Repair Rotator Cuff Chronic (23412) |
— |
$8,422 |
— |
| Repair secondary achilles tendon w/wo graft (27654) |
— |
$8,422 |
— |
| Repair shoulder capsule (23462) |
— |
$8,422 |
— |
| Repair shoulder capsule (23466) |
— |
$8,141 |
— |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
— |
$4,680 |
— |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
— |
$8,422 |
— |
| Repair Toe Dislocation (28645) |
— |
$4,524 |
— |
| Repair tongue laceration (41252) |
— |
$505 |
— |
| Repair tongue laceration (41250) |
— |
$284 |
— |
| Repair webbed toe(s) (28345) |
— |
$2,734 |
— |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
— |
$10,227 |
— |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
— |
$8,422 |
— |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
— |
$8,422 |
— |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
— |
$3,726 |
— |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) |
— |
$4,680 |
— |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) |
— |
$10,519 |
— |
| Repair/graft achilles tendon (27652) |
— |
$8,141 |
— |
| Repair/graft femur head/neck (27170) |
— |
$9,060 |
— |
| Repair/graft finger tendon (26428) |
— |
$4,729 |
— |
| 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 |
— |
| Repr Elbw Med Ligmnt W/Tiss (24345) |
— |
$10,227 |
— |
| Repr torn cruciate knee ligam (27407) |
— |
$8,141 |
— |
| Resect forarm/wrist tum 3cm> (25078) |
— |
$3,832 |
— |
| Resect hip/pelv tum < 5 cm (27049) |
— |
$3,832 |
— |
| Resect leg/ankle tum < 5 cm (27615) |
— |
$3,832 |
— |
| Resect thigh/knee tum < 5 cm (27329) |
— |
$3,832 |
— |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
— |
$4,524 |
— |
| Resection, partial or complete, phalangeal base, each toe (28126) |
— |
$4,729 |
— |
| Resection/transplantation long tendon biceps (23440) |
— |
$10,837 |
— |
| Rev/rmv prph sac/gstr npg/r (64595) |
— |
$14,435 |
— |
| Revis reconst shoulder joint (23473) |
— |
$16,754 |
— |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
— |
$8,344 |
— |
| Revise finger joint each (26140) |
— |
$2,318 |
— |
| Revise Hand/Foot Nerve (64704) |
— |
$2,939 |
— |
| Revise knuckle joint (26530) |
— |
$8,141 |
— |
| Revise lower leg tendon (27690) |
— |
$8,422 |
— |
| Revise Lower Leg Tendons (27686) |
— |
$4,524 |
— |
| Revise palsy hand tendon(s) (25315) |
— |
$10,519 |
— |
| Revise radius & ulna (25365) |
— |
$10,443 |
— |
| Revise thumb tendon (26496) |
— |
$4,524 |
— |
| Revise ulnar nerve at wrist (64719) |
— |
$2,939 |
— |
| Revise Wrist/Forearm Tendon (25280) |
— |
$4,680 |
— |
| Revise/Implant Finger Joint (26536) |
— |
$8,422 |
— |
| Revise/Repair Finger/Toe Nerve (64702) |
— |
$2,939 |
— |
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) |
— |
$21,833 |
— |
| Revision of big toe (28310) |
— |
$9,886 |
— |
| Revision of foot (28116) |
— |
$4,680 |
— |
| Revision of foot and ankle (28262) |
— |
$10,467 |
— |
| Revision of foot bones (28737) |
— |
$16,196 |
— |
| Revision of foot fascia (28250) |
— |
$4,729 |
— |
| Revision of knee joint (27442) |
— |
$16,754 |
— |
| Revision of lower leg tendon (27685) |
— |
$4,680 |
— |
| Revision of toe (28312) |
— |
$4,680 |
— |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
— |
$16,196 |
— |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
— |
$17,527 |
— |
| Revision of wrist joint (25450) |
— |
$3,726 |
— |
| Revj Arthrp W/Removal Implant Wrist Joint (25449) |
— |
$8,836 |
— |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
— |
$9,350 |
— |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
— |
$10,966 |
— |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
— |
$10,809 |
— |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
— |
$16,754 |
— |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
— |
$5,584 |
— |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
— |
$3,941 |
— |
| Rhinoplasty primary w/major septal repair (30420) |
— |
$6,601 |
— |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
— |
$2,268 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$192 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$233 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$286 |
— |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
— |
$3,964 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$3,832 |
— |
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 2 matching MRF lines |
— |
$2,351–$2,529 |
— |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
— |
$2,841 |
— |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
— |
$3,091 |
— |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
— |
$7,497 |
— |
| Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) |
— |
$10,227 |
— |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
— |
$4,680 |
— |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
— |
$10,227 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$252 |
— |
| 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 Lip Full Thickness Vermilion Only (40650) |
— |
$544 |
— |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
— |
$8,422 |
— |
| Rpr Nsl Vlv Collapse W/Implt (30468) |
— |
$6,998 |
— |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
— |
$9,886 |
— |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
— |
$4,680 |
— |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
— |
$4,680 |
— |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
— |
$4,680 |
— |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) |
— |
$10,467 |
— |
| 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 N/Z/2 W/Fr Graft Ea Tendon (26352) |
— |
$9,886 |
— |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
— |
$8,141 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
— |
$4,680 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
— |
$4,524 |
— |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
— |
$4,524 |
— |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) |
— |
$10,227 |
— |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) |
— |
$4,524 |
— |
| Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) |
— |
$6,601 |
— |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
— |
$4,478 |
— |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Facility (23170) |
— |
$4,524 |
— |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Facility (25145) |
— |
$3,726 |
— |
| Sequestrectomy Olecranon Process (24138) |
— |
$10,994 |
— |
| Shoulder arthroscopy diagnostic (29805) |
— |
$4,524 |
— |
| Shoulder Arthroscopy/Surgery (29825) |
— |
$3,855 |
— |
| 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)
range across 2 matching MRF lines |
— |
$168–$252 |
— |
| 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 scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines |
— |
$156–$252 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$425 |
— |
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines |
— |
$252–$425 |
— |
| Skin Full Grft Face/Genit/Hf (15240) |
— |
$2,775 |
— |
| Skin Pinch Graft (15050) |
— |
$1,208 |
— |
| 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 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$2,868 |
— |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines |
— |
$188–$252 |
— |
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005)
range across 2 matching MRF lines |
— |
$252–$777 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$820 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,063 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$2,682 |
— |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
— |
$4,478 |
— |
| Subtalar arthro w/deb (29906) |
— |
$4,680 |
— |
| Subtalar arthro w/exc (29905) |
— |
$9,886 |
— |
| Surg Implnt Neuroelect,Epidural (63655) |
— |
$13,442 |
— |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
— |
$6,829 |
— |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) |
— |
$6,601 |
— |
| Surgery to stop leg growth (27479) |
— |
$9,886 |
— |
| Surgery to stop leg growth (27477) |
— |
$9,886 |
— |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
— |
$7,755 |
— |
| Suture 1 Nerve Median Motor Thenar (64835) |
— |
$7,497 |
— |
| Suture 1 Nerve Ulnar Motor (64836) |
— |
$7,497 |
— |
| Suture digital nerve hand/foot 1 nerve (64831) |
— |
$2,421 |
— |
| Suture infrapatellar tendon primary (27380) |
— |
$10,227 |
— |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
— |
$9,886 |
— |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
— |
$10,227 |
— |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
— |
$9,886 |
— |
| Sympathectomy; ulnar artery (64822) |
— |
$4,524 |
— |
| Syndactylization toes (28280) |
— |
$4,729 |
— |
| 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; with resection of distal ulna Facility (25119) |
— |
$4,524 |
— |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
— |
$4,680 |
— |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) |
— |
$9,886 |
— |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
— |
$2,318 |
— |
| Talectomy (astragalectomy) Facility (28130) |
— |
$10,467 |
— |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
— |
$4,680 |
— |
| Tendon shortening (26477) |
— |
$3,726 |
— |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
— |
$4,680 |
— |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
— |
$3,855 |
— |
| Tenodesis distal joint each (26474) |
— |
$3,927 |
— |
| 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 cplx xtnsr tendon finger w/forearm ea (26449) |
— |
$4,524 |
— |
| 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 flxr/xtnsr tendon leg&/ankle 1 each (27680) |
— |
$4,680 |
— |
| Tenolysis Triceps (24332) |
— |
$4,524 |
— |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
— |
$4,680 |
— |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
— |
$4,892 |
— |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
— |
$4,524 |
— |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
— |
$4,524 |
— |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
— |
$2,240 |
— |
| Tenotomy extensor hand/finger open each tendon (26460) |
— |
$2,318 |
— |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
— |
$1,845 |
— |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
— |
$4,524 |
— |
| Tenotomy Hip Abd/Ext Open (27006) |
— |
$4,680 |
— |
| Tenotomy Percutaneous Single Each Digit (26060) |
— |
$2,240 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$2,318 |
— |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
— |
$4,680 |
— |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
— |
$2,318 |
— |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
— |
$4,524 |
— |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
— |
$4,524 |
— |
| Tenotomy shoulder area single tendon (23405) |
— |
$9,886 |
— |
| Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Facility (27003) |
— |
$9,886 |
— |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Facility (27391) |
— |
$4,524 |
— |
| Tenotomy, open, hamstring, knee to hip; single tendon Facility (27390) |
— |
$4,524 |
— |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
— |
$2,240 |
— |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
— |
$790 |
— |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
— |
$3,112 |
— |
| Thumb fusion with graft (26842) |
— |
$10,227 |
— |
| Tibial Arthroscopy/Surgery (29855) |
— |
$8,141 |
— |
| Tnot elbow lateral/medial debride open (24358) |
— |
$4,680 |
— |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
— |
$4,680 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$4,329 |
— |
| Tooth extraction (41899) |
— |
$495 |
— |
| Total Knee Arthroplasty (27447) |
— |
$16,754 |
— |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
— |
$2,939 |
— |
| Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Facility (27100) |
— |
$8,141 |
— |
| Transfer iliopsoas; to femoral neck Facility (27111) |
— |
$3,726 |
— |
| Transfer of iliopsoas muscle (27110) |
— |
$8,141 |
— |
| Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) Facility (27105) |
— |
$3,726 |
— |
| Transfer, adductor to ischium Facility (27098) |
— |
$4,524 |
— |
| Transfer, finger to another position without microvascular anastomosis Facility (26555) |
— |
$8,141 |
— |
| Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Facility (27400) |
— |
$8,141 |
— |
| Transfer/transplant tendon palmar w/o graft each (26485) |
— |
$4,680 |
— |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
— |
$8,141 |
— |
| Transplant hand tendon (26480) |
— |
$3,375 |
— |
| Transplant of thigh tendon (27396) |
— |
$9,886 |
— |
| Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons Facility (27397) |
— |
$8,141 |
— |
| Transplant/graft hand tendon (26483) |
— |
$4,680 |
— |
| Transplant/graft palm tendon (26489) |
— |
$3,726 |
— |
| Treat ankle dislocation (27848) |
— |
$8,141 |
— |
| Treat Ankle Dislocation (27846) |
— |
$8,141 |
— |
| Treat ankle fracture (28445) |
— |
$8,422 |
— |
| Treat Big Toe Fracture (28505) |
— |
$4,680 |
— |
| Treat dislocation/fracture (23670) |
— |
$8,141 |
— |
| Treat dislocation/fracture (23680) |
— |
$17,394 |
— |
| Treat elbow fracture (24586) |
— |
$16,754 |
— |
| Treat Elbow Fracture (24635) |
— |
$8,836 |
— |
| Treat Finger Fracture Each (26727) |
— |
$4,680 |
— |
| Treat forearm bone lesion (25035) |
— |
$9,886 |
— |
| Treat fracture radius/ulna (25575) |
— |
$8,422 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$8,422 |
— |
| Treat Hand Bone Lesion (26034) |
— |
$2,240 |
— |
Treat humerus fracture (24500)
range across 2 matching MRF lines |
— |
$524–$939 |
— |
Treat Humerus Fracture (24505)
range across 2 matching MRF lines |
— |
$3,408–$3,509 |
— |
| Treat humerus fracture (23616) |
— |
$10,919 |
— |
| Treat humerus fracture (23600) |
— |
$524 |
— |
| Treat knee fracture (27532) |
— |
$4,524 |
— |
| Treat Knee Fracture(S) (27538) |
— |
$524 |
— |
| Treat kneecap dislocation (27566) |
— |
$8,422 |
— |
| Treat Kneecap Fracture (27524) |
— |
$8,422 |
— |
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines |
— |
$524–$683 |
— |
| Treat lower leg bone lesion (27607) |
— |
$4,524 |
— |
| Treat lower leg dislocation (27832) |
— |
$8,141 |
— |
| Treat metacarpal fracture (26607) |
— |
$4,903 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$543 |
— |
| Treat midfoot fracture (28456) |
— |
$10,227 |
— |
| Treat scapula fracture (23585) |
— |
$8,422 |
— |
| Treat Tail Bone Fracture (27200) |
— |
$524 |
— |
| Treat Thumb Dislocation (26641) |
— |
$4,545 |
— |
| Treat Thumb Fracture (26645) |
— |
$1,002 |
— |
| Treat thumb fracture (26665) |
— |
$3,855 |
— |
Treat toe dislocation (28630)
range across 2 matching MRF lines |
— |
$506–$521 |
— |
| Treat/graft heel fracture (28420) |
— |
$16,944 |
— |
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines |
— |
$2,240–$3,421 |
— |
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines |
— |
$521–$524 |
— |
| Treatment mouth roof lesion (42160) |
— |
$4,848 |
— |
| Treatment of ankle fracture (27823) |
— |
$8,422 |
— |
| Treatment of foot infection (28003) |
— |
$4,524 |
— |
| Treatment of nose fracture (21330) |
— |
$8,016 |
— |
| Treatment of tibia fracture (27756) |
— |
$9,886 |
— |
Trim skin lesion (11055)
range across 2 matching MRF lines |
— |
$301–$440 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$425 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$154 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$16,754 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
— |
$10,828 |
— |
| Tx open tendon flexor toe 1 tendon spx (28232) |
— |
$2,318 |
— |
| 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)
range across 2 matching MRF lines |
— |
$577–$1,250 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$777 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
— |
$3,294 |
— |
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450)
range across 2 matching MRF lines |
— |
$524–$576 |
— |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
— |
$16,754 |
— |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
— |
$2,307 |
— |
| Tympanoplasty (69631) |
— |
$6,601 |
— |
| Tympanostomy general anesthesia (69436) |
— |
$2,307 |
— |
Unlisted Procedure Accessory Sinuses (31299)
range across 2 matching MRF lines |
— |
$520–$538 |
— |
Unlisted procedure arthroscopy (29999)
range across 15 matching MRF lines |
— |
$4,524–$9,945 |
— |
| Unlisted Procedure External Ear (69399) |
— |
$495 |
— |
Unlisted procedure femur or knee (27599)
range across 3 matching MRF lines |
— |
$519–$16,196 |
— |
| Unlisted procedure foot or toes (28899) |
— |
$543 |
— |
| Unlisted procedure forearm or wrist (25999) |
— |
$5,276 |
— |
| Unlisted Procedure Hands/Fingers (26989) |
— |
$543 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$5,276 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$5,276 |
— |
| Unlisted Procedure Muscskeletal System General (20999) |
— |
$5,276 |
— |
Unlisted procedure nervous system (64999)
range across 7 matching MRF lines |
— |
$670–$5,276 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$8,825 |
— |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
— |
$7,344 |
— |
| Unlisted procedure shoulder (23929) |
— |
$543 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$1,042 |
— |
| Uvulectomy excision of uvula (42140) |
— |
$4,478 |
— |
| Ventilating tube removal requiring general anesthesia (69424) |
— |
$3,565 |
— |
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines |
— |
$252–$777 |
— |
| Wedging of cast (29740) |
— |
$226 |
— |
| Windowing of cast (29730) |
— |
$152 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,250 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$2,775 |
— |
| Wrist arthroscopy (29840) |
— |
$4,524 |
— |
| Wrist arthroscopy with partial removal of joint lining (29844) |
— |
$4,680 |
— |
| Xfer Single Deep Low Leg Tendon (27691) |
— |
$8,422 |
— |