| Abd paracentesis (49082) |
$311.40 |
$519 |
0.3× |
| Abd paracentesis w/imaging (49083) |
$426.60 |
$711 |
0.4× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Age Under 21 (23130) |
$926.40 |
$1,544 |
0.3× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$1,199.40 |
$1,999 |
0.6× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14001) |
$1,112.40 |
$1,854 |
0.5× |
| Adjt tis trnsfr/reargmt scalp/arm/leg 10 sq cm/< (14020) |
$1,006.80 |
$1,678 |
0.5× |
| Amniocentesis diagnostic (59000) |
$228.60 |
$381 |
0.2× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$1,014.60 |
$1,691 |
0.3× |
| Amputation Foot Transmetarsal|RIGHT SIDE (28805) |
$808.20 |
$1,347 |
0.2× |
| Amputation of toe (28820) |
$556.20 |
$927 |
0.2× |
| Amputation toe interphalangeal joint (28825) |
$659.40 |
$1,099 |
0.2× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) (27882) |
$825 |
$1,375 |
0.2× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Age Under 21 (27884) |
$1,057.20 |
$1,762 |
0.3× |
| Amputation, metatarsal, with toe, single Age Under 21 (28810) |
$732 |
$1,220 |
0.2× |
| Amputation, thigh, through femur, any level; (27590) |
$1,417.80 |
$2,363 |
0.4× |
| Amputation, thigh, through femur, any level; re-amputation (27596) |
$1,316.40 |
$2,194 |
0.4× |
| Amputation, thigh, through femur, any level; secondary closure or scar revision Age Under 21 (27594) |
$910.20 |
$1,517 |
0.3× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$184.80 |
$308 |
0.1× |
| Anoscopy and biopsy (46606) |
$415.20 |
$692 |
0.3× |
| Anoscopy diagnostic (46600) |
$103.80 |
$173 |
0.7× |
| Anoscopy remove for body (46608) |
$253.80 |
$423 |
0.3× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) Age Under 21 (46604) |
$1,337.40 |
$2,229 |
1.1× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)
likely a partial charge — not the full procedure |
$525 |
$875 |
0.1× |
Anterior vesicourethropexy, or urethropexy (eg, marshall-marchetti-krantz, burch); simple (51840)
likely a partial charge — not the full procedure |
$884.40 |
$1,474 |
0.2× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$246.60 |
$411 |
0.3× |
Appendectomy (44950)
likely a partial charge — not the full procedure |
$906 |
$1,510 |
0.1× |
| Application finger splint static (29130) |
$63 |
$105 |
0.4× |
| Application of long leg cast (thigh to toes); (29345) |
$166.20 |
$277 |
0.6× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$114.60 |
$191 |
0.7× |
| Application of short arm splint (forearm to hand); static (29125) |
$96 |
$160 |
0.7× |
| Application of short leg cast (below knee to toes); (29405) |
$126 |
$210 |
0.4× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$130.80 |
$218 |
0.4× |
| Application of short leg splint (calf to foot) (29515) |
$91.20 |
$152 |
0.5× |
| Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) |
$241.20 |
$402 |
0.8× |
Application uniplane external fixation system (20690)
likely a partial charge — not the full procedure |
$1,054.20 |
$1,757 |
0.1× |
| Application, cast; shoulder to hand (long arm) (29065) |
$135 |
$225 |
0.5× |
| Apply long arm splint (29105) |
$91.20 |
$152 |
0.5× |
| Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) Age Under 21 (36821) |
$652.80 |
$1,088 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$76.20 |
$127 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$504 |
$840 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$91.20 |
$152 |
0.3× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge — not the full procedure |
$2,491.20 |
$4,152 |
0.1× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29888)
likely a partial charge — not the full procedure |
$1,532.40 |
$2,554 |
0.2× |
Arthroscopy knee osteochondral allograft (29867)
likely a partial charge — not the full procedure |
$2,196 |
$3,660 |
0.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Age Under… (29894) |
$844.80 |
$1,408 |
0.2× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$501 |
$835 |
0.1× |
| Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or… (29879) |
$751.80 |
$1,253 |
0.2× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) |
$676.80 |
$1,128 |
0.2× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age Under 21 (29875) |
$633 |
$1,055 |
0.2× |
| Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Age Under 21 (29884) |
$847.80 |
$1,413 |
0.2× |
| Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) |
$787.80 |
$1,313 |
0.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Age Under 21 (29883) |
$1,275 |
$2,125 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Age Under 21 (29882) |
$805.80 |
$1,343 |
0.2× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement Age Under 21 (29901) |
$883.20 |
$1,472 |
0.3× |
Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21 (29806)
likely a partial charge — not the full procedure |
$1,738.20 |
$2,897 |
0.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$1,057.20 |
$1,762 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$948.60 |
$1,581 |
0.3× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$1,139.40 |
$1,899 |
0.3× |
Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21 (29807)
likely a partial charge — not the full procedure |
$1,699.80 |
$2,833 |
0.2× |
Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827)
likely a partial charge — not the full procedure |
$1,804.20 |
$3,007 |
0.2× |
Arthrotomy with meniscus repair, knee Age Under 21 (27403)
likely a partial charge — not the full procedure |
$981.60 |
$1,636 |
0.1× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies Age Under 21 (27331) |
$736.20 |
$1,227 |
0.2× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral Age Under 21 (27332) |
$974.40 |
$1,624 |
0.3× |
| Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each Age Under… (26075) |
$471.60 |
$786 |
0.1× |
Arthrp acetblr/prox fem prostc agrft/algrft (27130)
likely a partial charge — not the full procedure |
$2,322.60 |
$3,871 |
0.2× |
| Arthrt kne w/expl drg/rmvl fb (27310) |
$1,183.80 |
$1,973 |
0.3× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$576 |
$960 |
0.2× |
| Aspirate pleura w/o imaging (32554) |
$155.40 |
$259 |
0.2× |
| Aspiration and injection for treatment of bone cyst Age Under 21 (20615) |
$282 |
$470 |
0.4× |
| Aspiration bladder insert suprapubic catheter (51102) |
$441 |
$735 |
0.2× |
| Aspiration bladder needle (51100) |
$138.60 |
$231 |
0.5× |
Autochondrocyte implant knee (27412)
unusually low — confirm this is the full procedure |
$2,310.60 |
$3,851 |
0.3× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$139.20 |
$232 |
0.7× |
Axillary lymphadenectomy; complete Age Under 21 (38745)
likely a partial charge — not the full procedure |
$1,344 |
$2,240 |
0.2× |
| Biopsy liver needle percutaneous (47000) |
$172.20 |
$287 |
0.1× |
| Biopsy lymph node (38505) |
$217.80 |
$363 |
0.1× |
| Biopsy muscle percutaneous needle (20206) |
$2,133.60 |
$3,556 |
1.2× |
| Biopsy of anorectal wall, anal approach (eg, congenital megacolon) (45100) |
$526.80 |
$878 |
0.2× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) |
$165.60 |
$276 |
0.1× |
| Biopsy of cervix (57500) |
$213.60 |
$356 |
0.2× |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) Age Under 21 (44100) |
$196.80 |
$328 |
0.2× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$471.60 |
$786 |
0.4× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$200.40 |
$334 |
0.2× |
| Biopsy of salivary gland (42405) |
$375.60 |
$626 |
0.2× |
| Biopsy of uterus lining (58100) |
$179.40 |
$299 |
0.8× |
| Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) Age Under 21 (57105) |
$249 |
$415 |
0.1× |
| Biopsy of voice box using an endoscope with mirror (31510) |
$252 |
$420 |
0.1× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Age Under 21 (38520) |
$538.20 |
$897 |
0.1× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$405 |
$675 |
0.1× |
| Biopsy or removal of deep lymph nodes of underarm|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF… (38525) |
$541.80 |
$903 |
0.1× |
| Biopsy soft tissue neck/thorax (21550) |
$271.80 |
$453 |
0.2× |
| Biopsy vaginal mucosa simple (57100) |
$126.60 |
$211 |
0.1× |
| Biopsy vulva/perineum 1 lesion (56605) |
$138 |
$230 |
0.1× |
| Biopsy, soft tissue of back or flank; superficial Age Under 21 (21920) |
$283.80 |
$473 |
0.2× |
| Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular Age Under 21 (27041) |
$1,216.80 |
$2,028 |
0.7× |
| Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) Age Under 21 (27324) |
$688.80 |
$1,148 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$873 |
$1,455 |
0.2× |
| Bladder irrigation (51700) |
$177.60 |
$296 |
0.7× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$381 |
$635 |
0.1× |
| Bronch foreign body removal (31635) |
$475.80 |
$793 |
0.3× |
| Bx breast 1st lesion us imag (19083) |
$1,518 |
$2,530 |
0.9× |
| C/c 58300 insertion hormone iud for endometrial hyperplasia (58999) |
$1,375.20 |
$2,292 |
6.4× |
| Capslrhphy; metatrsphalngl joint w/wo tenrhphy or lgmnt rpr sngl joint (28899) |
$839.40 |
$1,399 |
3.2× |
| Capsular contracture release (eg, Sever type procedure) Age Under 21 (23020) |
$320.40 |
$534 |
0.1× |
Capsulorrhaphy, anterior, any type; with coracoid process transfer Age Under 21 (23462)
likely a partial charge — not the full procedure |
$1,325.40 |
$2,209 |
0.2× |
| Care of miscarriage (59820) |
$543.60 |
$906 |
0.2× |
| Cast short arm (29075) |
$124.80 |
$208 |
0.4× |
| Cautery of cervix; cryocautery, initial or repeat Age Under 21 (57511) |
$205.20 |
$342 |
0.6× |
| Cautery of cervix; electro or thermal Age Under 21 (57510) |
$205.20 |
$342 |
0.1× |
| Cerclage of uterine cervix, nonobstetrical (57700) |
$490.20 |
$817 |
0.1× |
| Change Cystostomy Tube Simple (51705) |
$79.80 |
$133 |
0.3× |
| Change of windpipe airway (31502) |
$60.60 |
$101 |
0.2× |
| Chemical cauterization of granulation tissue (17250) |
$83.40 |
$139 |
0.4× |
| Chest tube placement (32551) |
$348 |
$580 |
0.2× |
| Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) |
$549.60 |
$916 |
0.1× |
Chromotubation Oviduct W/Materials|BILATERAL PROCEDURE (58350)
likely a partial charge — not the full procedure |
$153 |
$255 |
0.0× |
| Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Age Under… (66711) |
$2,952 |
$4,920 |
1.2× |
| Ciliary body destruction; cyclophotocoagulation, transscleral Age Under 21 (66710) |
$2,993.40 |
$4,989 |
1.2× |
| Circumcision, Newborn (54150) |
$385.20 |
$642 |
0.2× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Age Under 21 (54160) |
$257.40 |
$429 |
0.3× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$241.80 |
$403 |
0.1× |
| Claviculectomy; partial Age Under 21 (23120) |
$685.80 |
$1,143 |
0.2× |
| Closed rx humer epicondylr fx,manip (24565) |
$608.40 |
$1,014 |
0.4× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$328.80 |
$548 |
1.3× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$875.40 |
$1,459 |
0.5× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$340.20 |
$567 |
1.3× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$833.40 |
$1,389 |
3.2× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$492.60 |
$821 |
1.9× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$752.40 |
$1,254 |
2.9× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$258.60 |
$431 |
1.0× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$856.20 |
$1,427 |
3.3× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$419.40 |
$699 |
1.6× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$237 |
$395 |
0.9× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$1,103.40 |
$1,839 |
0.7× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$718.80 |
$1,198 |
2.8× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$1,416.60 |
$2,361 |
0.8× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$178.80 |
$298 |
0.7× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$178.80 |
$298 |
0.7× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,310.40 |
$2,184 |
0.8× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$537.60 |
$896 |
2.1× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$1,107.60 |
$1,846 |
0.7× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$828 |
$1,380 |
3.2× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$723.60 |
$1,206 |
0.4× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$648 |
$1,080 |
2.5× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$844.80 |
$1,408 |
3.2× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$441.60 |
$736 |
1.7× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$633 |
$1,055 |
0.4× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$831.60 |
$1,386 |
0.5× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$304.80 |
$508 |
1.2× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$595.20 |
$992 |
2.3× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$228.60 |
$381 |
0.9× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$1,033.80 |
$1,723 |
0.6× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$342 |
$570 |
1.3× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$814.80 |
$1,358 |
0.5× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$390.60 |
$651 |
1.5× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$732.60 |
$1,221 |
2.8× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$296.40 |
$494 |
1.1× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$150 |
$250 |
0.6× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$381.60 |
$636 |
1.5× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$351.60 |
$586 |
1.4× |
| Closed treatment of talus fracture; without manipulation (28430) |
$318 |
$530 |
1.2× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$451.80 |
$753 |
1.7× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$397.80 |
$663 |
1.5× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$358.80 |
$598 |
1.4× |
| Closed treatment of ulnar styloid fracture (25650) |
$453 |
$755 |
1.7× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$721.80 |
$1,203 |
0.4× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$826.80 |
$1,378 |
3.2× |
| Closed tx mandibular fracture w/o manipulation (21450) |
$862.80 |
$1,438 |
1.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$321 |
$535 |
1.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$201.60 |
$336 |
0.8× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$673.20 |
$1,122 |
0.4× |
| Closed tx scapular fracture w/o manipulation (23570) |
$669.60 |
$1,116 |
2.6× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$409.80 |
$683 |
1.6× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$253.80 |
$423 |
1.0× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$429.60 |
$716 |
0.8× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$153.60 |
$256 |
0.0× |
| Clsd tx pelvic ring fx (27197) |
$214.20 |
$357 |
0.8× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$534.60 |
$891 |
2.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$478.20 |
$797 |
0.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$631.80 |
$1,053 |
0.4× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$548.40 |
$914 |
2.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$423 |
$705 |
1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$764.40 |
$1,274 |
0.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$616.20 |
$1,027 |
2.4× |
| Cltx fem fx prox end nck w/manj w/wo skel tracj (27232) |
$1,052.40 |
$1,754 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$451.20 |
$752 |
1.7× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$345 |
$575 |
1.3× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$376.20 |
$627 |
1.4× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$379.80 |
$633 |
1.5× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$620.40 |
$1,034 |
0.4× |
| Cltx interphalangeal joint dislocation req anes (28665) |
$232.20 |
$387 |
0.8× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$166.80 |
$278 |
0.6× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$228 |
$380 |
0.9× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$871.80 |
$1,453 |
0.5× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$532.80 |
$888 |
2.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$762 |
$1,270 |
0.4× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$827.40 |
$1,379 |
3.2× |
| Collect blood from catheter venous nos (36592) |
$46.20 |
$77 |
0.3× |
| Collect blood from implant venous access device (36591) |
$41.40 |
$69 |
0.3× |
| Colonoscopy flexible with decompression (45393) |
$333 |
$555 |
0.3× |
| Colonoscopy thru stoma spx (44388) |
$1,019.40 |
$1,699 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,355.40 |
$2,259 |
1.1× |
| Colonoscopy w/control bleed (45382) |
$1,221 |
$2,035 |
1.0× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$1,240.20 |
$2,067 |
1.0× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$413.40 |
$689 |
0.3× |
Colpocentesis (separate procedure) Age Under 21 (57020)
likely a partial charge — not the full procedure |
$138.60 |
$231 |
0.0× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
likely a partial charge — not the full procedure |
$872.40 |
$1,454 |
0.1× |
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283)
likely a partial charge — not the full procedure |
$1,204.20 |
$2,007 |
0.2× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) |
$538.80 |
$898 |
0.2× |
| Colposcopy cervix (57452) |
$177.60 |
$296 |
0.8× |
| Colposcopy entire vagina w/cervix if present (57420) |
$205.80 |
$343 |
0.6× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$256.20 |
$427 |
0.8× |
| Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Age Under 21 (57460) |
$3,166.20 |
$5,277 |
0.9× |
| Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix Age Under 21 (57421) |
$228 |
$380 |
0.2× |
| Colposcopy vulva w/biopsy (56821) |
$262.20 |
$437 |
0.8× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; Age Under 21 (57260)
likely a partial charge — not the full procedure |
$706.80 |
$1,178 |
0.1× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Age Under 21 (57265)
likely a partial charge — not the full procedure |
$945.60 |
$1,576 |
0.2× |
| Complex cystometrogram voiding pressure studies (51728) |
$552 |
$920 |
0.8× |
| Complex uroflowmetry (51741) |
$28.20 |
$47 |
0.1× |
| Complx cystometro w/void press & urethral profil (51729) |
$595.80 |
$993 |
0.8× |
| Conization of cervix (57520) |
$401.40 |
$669 |
0.1× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$444.60 |
$741 |
0.1× |
| Contrast injection perq radiologic eval gi tube (49465) |
$259.80 |
$433 |
1.0× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$463.80 |
$773 |
3.3× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$129.60 |
$216 |
0.9× |
| Control throat bleeding (42960) |
$210.60 |
$351 |
0.4× |
| Conz of cervix w/scope leep (57461) |
$3,166.20 |
$5,277 |
0.9× |
Coracoacromial ligament release, with or without acromioplasty Age Under 21 (23415)
likely a partial charge — not the full procedure |
$912.60 |
$1,521 |
0.1× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial… (28297) |
$9,388.80 |
$15,648 |
0.7× |
Creation of permanent opening of windpipe for breathing (31610)
likely a partial charge — not the full procedure |
$1,041 |
$1,735 |
0.2× |
| Cryotherapy (CO2 slush, liquid N2) for acne (17340) |
$57 |
$95 |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$265.80 |
$443 |
1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$706.20 |
$1,177 |
2.8× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial Age Under 21 (46940) |
$256.80 |
$428 |
0.1× |
| Curettage postpartum (59160) |
$334.80 |
$558 |
0.1× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge — not the full procedure |
$1,371.60 |
$2,286 |
0.1× |
| Cystourethroscopy (52000) |
$386.40 |
$644 |
0.5× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$469.80 |
$783 |
0.2× |
| Dbrdmt w/rmvl fm fx&/dislc skn subq t/m/f musc (11011) |
$414 |
$690 |
0.6× |
| Deb skin bone at fx site (11012) |
$747.60 |
$1,246 |
0.2× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$472.20 |
$787 |
1.1× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$39.60 |
$66 |
0.6× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$70.20 |
$117 |
1.1× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$151.80 |
$253 |
0.4× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$403.80 |
$673 |
0.2× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$483.60 |
$806 |
0.6× |
| Declot vascular device (36593) |
$91.80 |
$153 |
0.3× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle… (25020) |
$1,102.80 |
$1,838 |
0.7× |
| Decompression fasciotomy, leg; posterior compartment(s) only Age Under 21 (27601) |
$624.60 |
$1,041 |
0.2× |
| Deep muscle biopsy (20205) |
$357 |
$595 |
0.1× |
| Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands,… (15620) |
$744 |
$1,240 |
0.3× |
| Delivery of placenta (59414) |
$316.20 |
$527 |
0.1× |
| Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15135) |
$1,219.20 |
$2,032 |
0.3× |
| Destruct lesion 15 or more (17111) |
$129.60 |
$216 |
0.6× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$95.40 |
$159 |
0.5× |
| Destruction benign lesions up to 14 (17110) |
$130.20 |
$217 |
0.6× |
| Destruction internal hemorrhoid thermal energy (46930) |
$243.60 |
$406 |
0.2× |
| Destruction lesions vulva simple (56501) |
$244.20 |
$407 |
0.1× |
| Destruction of lesion of lid margin (up to 1 cm) Age Under 21 (67850) |
$231 |
$385 |
0.2× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$355.80 |
$593 |
0.1× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (46910) |
$439.80 |
$733 |
0.2× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Age Under 21 (67210) |
$874.80 |
$1,458 |
1.5× |
| Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57061) |
$190.80 |
$318 |
0.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17282) |
$246.60 |
$411 |
1.2× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17260) |
$105.60 |
$176 |
0.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17281) |
$174 |
$290 |
0.8× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17270) |
$144.60 |
$241 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) |
$127.20 |
$212 |
0.6× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17271) |
$195 |
$325 |
0.9× |
| Diagnostic bone marrow aspirations (38220) |
$102.60 |
$171 |
0.1× |
| Diagnostic bone marrow biopsies (38221) |
$390.60 |
$651 |
0.2× |
| Diagnostic exam of uterus using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58555) |
$334.20 |
$557 |
0.1× |
| Diagnostic sigmoidoscopy (45330) |
$154.20 |
$257 |
0.2× |
| Dilate esophagus (43453) |
$138.60 |
$231 |
0.1× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$343.20 |
$572 |
0.1× |
| Dilation of anal sphincter (separate procedure) under anesthesia other than local Age Under 21 (45905) |
$297.60 |
$496 |
0.2× |
| Dilation of cervical canal (57800) |
$81 |
$135 |
0.0× |
| Drain bladder by trocar/cath (51101) |
$270 |
$450 |
0.3× |
| Drain lower leg lesion (27603) |
$615.60 |
$1,026 |
0.2× |
| Drain neck/chest lesion (21501) |
$535.80 |
$893 |
0.2× |
| Drain shoulder lesion (23030) |
$320.40 |
$534 |
0.1× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$342 |
$570 |
0.5× |
| Drainage finger abscess simple (26010) |
$583.20 |
$972 |
2.8× |
| Drainage of abscess of palate, uvula (42000) |
$364.20 |
$607 |
1.5× |
| Drainage of abscess or cyst of Skene's glands (53060) |
$273.60 |
$456 |
0.1× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$154.80 |
$258 |
0.2× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$683.40 |
$1,139 |
0.4× |
| Drainage of scrotal wall abscess (55100) |
$289.20 |
$482 |
0.2× |
| Drainage of scrotum (54700) |
$717 |
$1,195 |
0.3× |
| Drainage of tonsil abscess (42700) |
$323.40 |
$539 |
1.3× |
| Drainage perirenal/renal abscess open (50020) |
$1,818.60 |
$3,031 |
0.8× |
| Dx laryngoscopy excl nb (31525) |
$450 |
$750 |
0.2× |
| Ed proc insert intraosseous IV (36680) |
$137.40 |
$229 |
0.3× |
| Ed proc remve fb nasal- hospital (30300) |
$285.60 |
$476 |
2.0× |
| Ed prof arthrocentesis sm - hospital (20551) |
$66.60 |
$111 |
0.2× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$30.60 |
$51 |
0.2× |
| Ed prof burn - large - hospital (16030) |
$331.80 |
$553 |
0.8× |
| Ed prof burn medium - hospital (16025) |
$261.60 |
$436 |
1.2× |
| Ed prof burn small - hospital (16020) |
$145.80 |
$243 |
0.7× |
| Ed prof catheterization/straight (51701) |
$136.80 |
$228 |
1.0× |
| Ed prof closed tx post hip arthroplasty (27265) |
$611.40 |
$1,019 |
2.3× |
| Ed prof drain dental abscess-hospital (41800) |
$342 |
$570 |
2.4× |
| Ed prof insert foley cath simple (51702) |
$175.20 |
$292 |
1.2× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$166.80 |
$278 |
0.1× |
Ed prof insertion of heart electr (33210)
likely a partial charge — not the full procedure |
$627.60 |
$1,046 |
0.1× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$506.40 |
$844 |
1.2× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$388.20 |
$647 |
0.9× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$395.40 |
$659 |
1.5× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$70.20 |
$117 |
0.1× |
| Egd percutaneous placement gastrostomy tube (43246) |
$297 |
$495 |
0.1× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$358.20 |
$597 |
0.2× |
| Egd transoral control bleeding any method (43255) |
$304.20 |
$507 |
0.2× |
| Egd tube/cath insertion (43241) |
$256.80 |
$428 |
0.1× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$123 |
$205 |
0.9× |
| Endocervical curettage (57505) |
$129 |
$215 |
0.1× |
Endometrial ablation, thermal, without hysteroscopic guidance Age Under 21 (58353)
likely a partial charge — not the full procedure |
$294.60 |
$491 |
0.1× |
| Endoscopy upper small intestine (44360) |
$257.40 |
$429 |
0.1× |
| Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15115) |
$1,319.40 |
$2,199 |
0.6× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$154.80 |
$258 |
0.2× |
| Esoph egd dilation <30 mm (43249) |
$286.80 |
$478 |
0.1× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) |
$375.60 |
$626 |
0.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$307.20 |
$512 |
0.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$265.80 |
$443 |
0.3× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$239.40 |
$399 |
0.3× |
| Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine… (43238) |
$352.80 |
$588 |
0.2× |
| Esophagoscopy flexible removal foreign body (43215) |
$234 |
$390 |
0.1× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$289.80 |
$483 |
0.3× |
| Esophagoscopy flexible transoral with biopsy (43202) |
$352.80 |
$588 |
0.2× |
| Evac subungual hematoma (11740) |
$103.20 |
$172 |
0.7× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$290.40 |
$484 |
0.4× |
| Exc face les sbq 2 cm/> (21012) |
$727.20 |
$1,212 |
0.4× |
| Exc forearm les sc 3 cm/> (25071) |
$753 |
$1,255 |
0.4× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$140.40 |
$234 |
0.1× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$205.20 |
$342 |
0.3× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$228.60 |
$381 |
0.1× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$666 |
$1,110 |
0.4× |
| Exc neck tum deep < 5 cm (21556) |
$600.60 |
$1,001 |
0.2× |
| Exc rect tum transanal part (45171) |
$1,150.20 |
$1,917 |
0.4× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$166.20 |
$277 |
0.2× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$298.20 |
$497 |
0.4× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$1,218 |
$2,030 |
0.7× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$929.40 |
$1,549 |
0.3× |
| Exc tumor soft tissue abdl wall subfascial 5cm/> (22901) |
$1,140.60 |
$1,901 |
0.4× |
| Exc Tumor Soft Tissue Abdl Wall Subfascial <5cm (22900) |
$453 |
$755 |
0.1× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$589.20 |
$982 |
0.3× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$670.20 |
$1,117 |
0.4× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$787.80 |
$1,313 |
0.5× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$706.20 |
$1,177 |
0.2× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$406.80 |
$678 |
0.2× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$715.20 |
$1,192 |
0.2× |
| Excision hidradenitis axillary smpl/intrm rpr (11450) |
$440.40 |
$734 |
0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$250.80 |
$418 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$250.80 |
$418 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$253.80 |
$423 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$321.60 |
$536 |
0.4× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$582 |
$970 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$190.80 |
$318 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$214.20 |
$357 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$243.60 |
$406 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$405 |
$675 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$486.60 |
$811 |
0.3× |
| Excision multiple external papillae/tags anus (46230) |
$382.80 |
$638 |
0.1× |
| Excision of bartholin's gland or cyst (56740) |
$508.80 |
$848 |
0.1× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) |
$622.80 |
$1,038 |
0.2× |
| Excision of ganglion, wrist (dorsal or volar); recurrent Age Under 21 (25112) |
$520.20 |
$867 |
0.3× |
| Excision of lesion of spermatic cord (separate procedure) Age Under 21 (55520) |
$707.40 |
$1,179 |
0.2× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle Age Under 21 (27630) |
$903 |
$1,505 |
0.3× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$416.40 |
$694 |
0.2× |
| Excision of lesion of tongue without closure Age Under 21 (41110) |
$213.60 |
$356 |
0.1× |
| Excision of lip; V-excision with primary direct linear closure Age Under 21 (40520) |
$781.20 |
$1,302 |
0.2× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$277.80 |
$463 |
0.1× |
| Excision of single external papilla or tag, anus (46220) |
$281.40 |
$469 |
0.2× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Age Under 21 (11451) |
$841.20 |
$1,402 |
0.3× |
| Excision of thrombosed hemorrhoid, external (46320) |
$328.20 |
$547 |
0.3× |
| Excision of vaginal cyst or tumor (57135) |
$305.40 |
$509 |
0.1× |
| Excision olecranon bursa (24105) |
$532.80 |
$888 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of femur; Age Under 21 (27355) |
$1,020.60 |
$1,701 |
0.3× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; Age Under 21 (28104) |
$892.80 |
$1,488 |
0.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$914.40 |
$1,524 |
0.3× |
| Excision pilonidal cyst/sinus extensive (11771) |
$277.80 |
$463 |
0.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,234.80 |
$2,058 |
0.7× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$565.80 |
$943 |
0.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$710.40 |
$1,184 |
0.4× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$525.60 |
$876 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$256.80 |
$428 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$541.20 |
$902 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$244.20 |
$407 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$190.20 |
$317 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$246 |
$410 |
0.1× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$256.80 |
$428 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$306 |
$510 |
0.2× |
Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Age Under… (15830)
likely a partial charge — not the full procedure |
$1,860 |
$3,100 |
0.3× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg (15833) |
$1,327.80 |
$2,213 |
0.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area - 15839 (15839) |
$770.40 |
$1,284 |
0.3× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad (15838) |
$804.60 |
$1,341 |
0.3× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$201 |
$335 |
0.3× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$222.60 |
$371 |
0.3× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$387.60 |
$646 |
0.2× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$427.80 |
$713 |
0.2× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$441.60 |
$736 |
0.1× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$198 |
$330 |
0.3× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$639 |
$1,065 |
0.4× |
| Excision, nasal polyp(s), simple Age Under 21 (30110) |
$258.60 |
$431 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$249 |
$415 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$194.40 |
$324 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$464.40 |
$774 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$187.20 |
$312 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$266.40 |
$444 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$571.20 |
$952 |
0.2× |
| Excision, sacral pressure ulcer, with primary suture; Age Under 21 (15931) |
$1,146.60 |
$1,911 |
0.4× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$749.40 |
$1,249 |
0.2× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$1,234.80 |
$2,058 |
0.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Age Under 21 (21011) |
$603 |
$1,005 |
0.3× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (27634) |
$1,141.80 |
$1,903 |
0.4× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$762 |
$1,270 |
0.2× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$516 |
$860 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$816.60 |
$1,361 |
0.3× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Age Under 21 (23075) |
$204 |
$340 |
0.1× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Age Under 21 (27328) |
$696.60 |
$1,161 |
0.2× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$859.20 |
$1,432 |
0.5× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$572.40 |
$954 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$745.80 |
$1,243 |
0.4× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$618 |
$1,030 |
0.4× |
| Explore wound abdomen (20102) |
$786 |
$1,310 |
0.4× |
| Explore wound chest (20101) |
$321.60 |
$536 |
0.1× |
| Explore wound neck (20100) |
$1,064.40 |
$1,774 |
1.9× |
| Explore/treat hand joint (26070) |
$488.40 |
$814 |
0.3× |
| Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial Age Under 21 (26045) |
$563.40 |
$939 |
0.2× |
| Fetal contraction stress test (59020) |
$118.80 |
$198 |
0.6× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$175.20 |
$292 |
0.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$1,203.60 |
$2,006 |
1.6× |
| Fluid pressure muscle (20950) |
$165.60 |
$276 |
0.2× |
| Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae,… (15240) |
$820.80 |
$1,368 |
0.4× |
| Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less… (15260) |
$987 |
$1,645 |
0.5× |
| Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Age… (15220) |
$972 |
$1,620 |
0.4× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$2,340.60 |
$3,901 |
0.6× |
| Gastrostomy, open; without construction of gastric tube (eg, stamm procedure) (separate procedure) (43830) |
$1,222.20 |
$2,037 |
0.6× |
| Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area Age Under 21 (15760) |
$924 |
$1,540 |
0.4× |
Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) (27125)
likely a partial charge — not the full procedure |
$1,896.60 |
$3,161 |
0.1× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$716.40 |
$1,194 |
0.2× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$280.20 |
$467 |
0.3× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$1,001.40 |
$1,669 |
0.3× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$769.20 |
$1,282 |
0.3× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$507.60 |
$846 |
0.2× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging… (46945) |
$250.20 |
$417 |
0.1× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$669.60 |
$1,116 |
0.2× |
| Hysteroscopy biopsy (58558) |
$434.40 |
$724 |
0.1× |
Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565)
likely a partial charge — not the full procedure |
$1,454.40 |
$2,424 |
0.3× |
| Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563) |
$3,124.20 |
$5,207 |
0.6× |
| Hysteroscopy, surgical; with removal of impacted foreign body Age Under 21 (58562) |
$618.60 |
$1,031 |
0.2× |
Hysteroscopy, surgical; with removal of leiomyomata Age Under 21 (58561)
likely a partial charge — not the full procedure |
$685.20 |
$1,142 |
0.1× |
| I&d abscess simple/single (10060) |
$164.40 |
$274 |
0.8× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$990 |
$1,650 |
0.3× |
| I&d hematoma/seroma/fluid (10140) |
$172.80 |
$288 |
0.1× |
| I&d pilonidal cyst simple (10080) |
$291.60 |
$486 |
0.4× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$348.60 |
$581 |
0.1× |
| Image fluid collxn drainag cath transrec/vaginal (49407) |
$1,154.40 |
$1,924 |
0.7× |
Implantation of donor cartilage cells into knee joint|RIGHT SIDE (27415)
likely a partial charge — not the full procedure |
$2,003.40 |
$3,339 |
0.1× |
| Incise & drain bladder (51040) |
$529.80 |
$883 |
0.2× |
| Incise external hemorrhoid (46083) |
$326.40 |
$544 |
1.2× |
| Incise finger tendon sheath (26055) |
$961.80 |
$1,603 |
0.6× |
| Incise inner eye adhesions (65865) |
$3,108 |
$5,180 |
1.3× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$260.40 |
$434 |
0.6× |
| Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space Age Under 21 (28002) |
$807.60 |
$1,346 |
0.5× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$256.20 |
$427 |
1.2× |
| Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Age Under 21 (46045) |
$749.40 |
$1,249 |
0.3× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$822.60 |
$1,371 |
0.3× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$516 |
$860 |
0.7× |
| Incision and drainage of submucosal abscess, rectum (45005) |
$356.40 |
$594 |
0.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$142.80 |
$238 |
0.4× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$374.40 |
$624 |
0.1× |
| Incision and drainage, forearm and/or wrist; deep abscess or hematoma Age Under 21 (25028) |
$900 |
$1,500 |
0.3× |
| Incision and drainage, perianal abscess, superficial (46050) |
$316.20 |
$527 |
0.3× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$316.80 |
$528 |
0.2× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$208.80 |
$348 |
0.5× |
| Incision of rectal abscess (46040) |
$465.60 |
$776 |
0.4× |
| Incision of vein for insertion of needle or tube (1 year or older) (36425) |
$116.10 |
$193.50 |
0.2× |
| Incision of vein for insertion of needle or tube (younger than 1 year) (36420) |
$174 |
$290 |
1.2× |
| Incision of windpipe (31603) |
$1,041 |
$1,735 |
0.6× |
| Incisional biopsy skin single lesion (11106) |
$254.40 |
$424 |
0.3× |
| Infectious disease (Bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22… (0202U) |
$386.40 |
$644 |
0.9× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$77.40 |
$129 |
0.4× |
| Inj epidural blood or clot patch (62273) |
$357.30 |
$595.50 |
0.5× |
| Inj tx nerve (64640) |
$424.20 |
$707 |
0.5× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$81 |
$135 |
0.1× |
| Injctn, abdmnl abscss/fstla, w sft tsse sub (amnfx) w/wo img gdnc/cntrst (49999) |
$1,158 |
$1,930 |
1.2× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$92.40 |
$154 |
0.1× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$96.60 |
$161 |
0.1× |
| Injection aa&/strd greater occipital nerve (64405) |
$167.40 |
$279 |
0.5× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$207 |
$345 |
0.3× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$465 |
$775 |
0.5× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$303.60 |
$506 |
0.4× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$231.60 |
$386 |
0.3× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$389.40 |
$649 |
0.4× |
| Injection therapeutic carpal tunnel (20526) |
$115.20 |
$192 |
0.4× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$314.40 |
$524 |
1.0× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$81.60 |
$136 |
0.3× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$90 |
$150 |
0.3× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$362.40 |
$604 |
0.4× |
| Insert cervical dilator (59200) |
$164.40 |
$274 |
0.5× |
| Insert drug implant device (11981) |
$141 |
$235 |
1.0× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$52.80 |
$88 |
0.0× |
| Insert pessary/other device (57160) |
$197.40 |
$329 |
0.9× |
Insert tun ip cath w/port (49419)
likely a partial charge — not the full procedure |
$778.20 |
$1,297 |
0.1× |
| Insertion indwelling tunneled pleural catheter (32550) |
$398.40 |
$664 |
0.1× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$618.60 |
$1,031 |
0.4× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$115.80 |
$193 |
0.5× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$2,019 |
$3,365 |
0.6× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$1,288.80 |
$2,148 |
0.4× |
Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring… (64590)
likely a partial charge — not the full procedure |
$360 |
$600 |
0.0× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$622.80 |
$1,038 |
0.4× |
| Insj intraperitoneal catheter w/img guid (49418) |
$402.60 |
$671 |
0.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,867.20 |
$3,112 |
0.6× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$617.40 |
$1,029 |
0.2× |
Insj Tunneled Ctr Vad W/Subq Pump (36563)
likely a partial charge — not the full procedure |
$672 |
$1,120 |
0.1× |
Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685)
likely a partial charge — not the full procedure |
$707.40 |
$1,179 |
0.0× |
| Intubation endotracheal (31500) |
$382.20 |
$637 |
1.5× |
| Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease (57150) |
$82.80 |
$138 |
1.3× |
| Knee arthroscopy/surgery (29876) |
$1,281.60 |
$2,136 |
0.4× |
Lap jejunostomy (44186)
likely a partial charge — not the full procedure |
$939.60 |
$1,566 |
0.1× |
Laparoscopic hepatotomy for open drainage of abscess or cyst one or more stages (47379)
likely a partial charge — not the full procedure |
$903.60 |
$1,506 |
0.1× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Age Under 21 (59151)
likely a partial charge — not the full procedure |
$1,344 |
$2,240 |
0.2× |
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Age Under 21 (59150)
likely a partial charge — not the full procedure |
$1,227.60 |
$2,046 |
0.2× |
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge — not the full procedure |
$1,572.60 |
$2,621 |
0.2× |
Laparoscopy surg colpopexy (57425)
likely a partial charge — not the full procedure |
$1,724.40 |
$2,874 |
0.2× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge — not the full procedure |
$743.40 |
$1,239 |
0.1× |
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or… (49320)
likely a partial charge — not the full procedure |
$484.20 |
$807 |
0.1× |
Laparoscopy, abdomen, peritoneum, and omentum; with treatment of hemorrhage (including post-operative) (49329)
likely a partial charge — not the full procedure |
$1,193.40 |
$1,989 |
0.2× |
Laparoscopy, srgcl; repair femorl hernia, any age; incarcerated/strngltd (49659)
likely a partial charge — not the full procedure |
$1,240.20 |
$2,067 |
0.2× |
Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674)
likely a partial charge — not the full procedure |
$1,221 |
$2,035 |
0.1× |
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal… (58545)
likely a partial charge — not the full procedure |
$1,406.40 |
$2,344 |
0.2× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282)
likely a partial charge — not the full procedure |
$3,094.20 |
$5,157 |
0.3× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Age Under 21 (58541)
likely a partial charge — not the full procedure |
$1,114.80 |
$1,858 |
0.1× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58542)
likely a partial charge — not the full procedure |
$1,273.20 |
$2,122 |
0.1× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58544)
likely a partial charge — not the full procedure |
$1,488 |
$2,480 |
0.1× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; Age Under 21 (58570)
likely a partial charge — not the full procedure |
$988.20 |
$1,647 |
0.1× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58571)
likely a partial charge — not the full procedure |
$1,497.60 |
$2,496 |
0.1× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572)
likely a partial charge — not the full procedure |
$1,586.40 |
$2,644 |
0.1× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)… (58573)
likely a partial charge — not the full procedure |
$1,890.60 |
$3,151 |
0.2× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58550)
likely a partial charge — not the full procedure |
$1,602.60 |
$2,671 |
0.3× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) Age… (58552)
likely a partial charge — not the full procedure |
$2,024.40 |
$3,374 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563)
likely a partial charge — not the full procedure |
$915 |
$1,525 |
0.1× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct Age Under 21 (47564)
likely a partial charge — not the full procedure |
$1,500.60 |
$2,501 |
0.1× |
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (51992)
likely a partial charge — not the full procedure |
$1,477.80 |
$2,463 |
0.2× |
Laparoscopy, surgical; urethral suspension for stress incontinence (51990)
likely a partial charge — not the full procedure |
$960 |
$1,600 |
0.2× |
Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21 (49321)
likely a partial charge — not the full procedure |
$641.40 |
$1,069 |
0.1× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Age Under 21 (58670)
likely a partial charge — not the full procedure |
$466.20 |
$777 |
0.1× |
Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by… (58662)
likely a partial charge — not the full procedure |
$926.40 |
$1,544 |
0.1× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Age Under 21 (58660)
likely a partial charge — not the full procedure |
$1,183.80 |
$1,973 |
0.2× |
Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring) Age Under 21 (58671)
likely a partial charge — not the full procedure |
$421.20 |
$702 |
0.1× |
Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) Age… (58661)
likely a partial charge — not the full procedure |
$1,140 |
$1,900 |
0.2× |
Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Age Under 21 (58673)
likely a partial charge — not the full procedure |
$1,337.40 |
$2,229 |
0.1× |
Laps Surg Rpr Recurrent Inguinal Hernia (49651)
likely a partial charge — not the full procedure |
$641.40 |
$1,069 |
0.1× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge — not the full procedure |
$459.60 |
$766 |
0.1× |
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Age Under 21 (27429)
likely a partial charge — not the full procedure |
$1,772.40 |
$2,954 |
0.1× |
Ligamentous reconstruction knee intra-articular (27428)
likely a partial charge — not the full procedure |
$1,280.40 |
$2,134 |
0.1× |
| Ligation of a-v fistula (37607) |
$643.80 |
$1,073 |
0.2× |
Ligation of abdomen artery (37617)
unusually low — confirm this is the full procedure |
$2,188.80 |
$3,648 |
0.4× |
| Ligation or biopsy, temporal artery (37609) |
$478.20 |
$797 |
0.3× |
| Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Age Under 21 (58600) |
$522.60 |
$871 |
0.2× |
Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic (38562)
likely a partial charge — not the full procedure |
$757.20 |
$1,262 |
0.1× |
| Long gi tube placement (44500) |
$45 |
$75 |
0.0× |
| Lumbar puncture (62270) |
$189 |
$315 |
0.3× |
| Lysis of labial adhesions (56441) |
$189 |
$315 |
0.1× |
| Manipulation finger joint under anes each joint (26340) |
$363.60 |
$606 |
0.2× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$223.80 |
$373 |
0.1× |
| Manipulation of spine requiring anesthesia, any region Age Under 21 (22505) |
$229.20 |
$382 |
0.1× |
| Marsupialization bartholin's gland cyst (56440) |
$243.60 |
$406 |
0.1× |
| Mastectomy gynecomastia (19300) |
$654.60 |
$1,091 |
0.2× |
| Mastectomy partial (19301) |
$1,135.20 |
$1,892 |
0.3× |
Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding… (19307)
likely a partial charge — not the full procedure |
$1,740 |
$2,900 |
0.2× |
| Mastotomy expl drg absc dp (19020) |
$705.60 |
$1,176 |
0.4× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$49.20 |
$82 |
0.8× |
| Muscle, myocutaneous, or fasciocutaneous flap; trunk Age Under 21 (15734) |
$2,193 |
$3,655 |
0.6× |
| Muscle, myocutaneous, or fasciocutaneous flap; upper extremity Age Under 21 (15736) |
$1,752 |
$2,920 |
0.8× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$1,140 |
$1,900 |
1.4× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$1,140 |
$1,900 |
1.4× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,140 |
$1,900 |
1.4× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$1,140 |
$1,900 |
1.4× |
| Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less… (58145) |
$961.20 |
$1,602 |
0.3× |
Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276)
likely a partial charge — not the full procedure |
$571.20 |
$952 |
0.1× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age Under 21 (31237) |
$396.60 |
$661 |
0.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$45 |
$75 |
1.5× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$45 |
$75 |
1.5× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$492.60 |
$821 |
0.2× |
| Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Age Under 21 (64708) |
$886.20 |
$1,477 |
0.4× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$580.80 |
$968 |
0.6× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$280.80 |
$468 |
0.3× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$584.40 |
$974 |
0.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$292.20 |
$487 |
0.4× |
| Non stress test (59025) |
$219.60 |
$366 |
1.0× |
| Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach Age Under 21 (58615) |
$560.40 |
$934 |
0.2× |
Omentectomy, epiploectomy, resection of omentum (separate procedure) (49255)
likely a partial charge — not the full procedure |
$1,558.80 |
$2,598 |
0.2× |
| Open Biopsy/Excision Inguinofemoral Nodes (38531) |
$750 |
$1,250 |
0.2× |
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Age Under 21 (64581)
likely a partial charge — not the full procedure |
$1,179 |
$1,965 |
0.2× |
Open treatment bimalleolar ankle fracture (27814)
likely a partial charge — not the full procedure |
$1,123.80 |
$1,873 |
0.1× |
Open Treatment Distal Fracture (25608)
likely a partial charge — not the full procedure |
$1,260.60 |
$2,101 |
0.2× |
Open treatment medial malleolus fracture (27766)
likely a partial charge — not the full procedure |
$987 |
$1,645 |
0.1× |
Open treatment metatarsal fracture each (28485)
likely a partial charge — not the full procedure |
$770.40 |
$1,284 |
0.1× |
Open treatment of acromioclavicular dislocation, acute or chronic; Age Under 21 (23550)
likely a partial charge — not the full procedure |
$687.60 |
$1,146 |
0.1× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Age… (23552)
likely a partial charge — not the full procedure |
$1,009.80 |
$1,683 |
0.1× |
Open Treatment Of Acute Or Chronic Elbow Dislocation (24615)
likely a partial charge — not the full procedure |
$1,266.60 |
$2,111 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (23515)
likely a partial charge — not the full procedure |
$1,110.60 |
$1,851 |
0.1× |
Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed Age… (27829)
likely a partial charge — not the full procedure |
$1,094.40 |
$1,824 |
0.1× |
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514)
likely a partial charge — not the full procedure |
$1,945.80 |
$3,243 |
0.1× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge — not the full procedure |
$1,300.80 |
$2,168 |
0.1× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Age Under 21 (23630)
likely a partial charge — not the full procedure |
$1,068 |
$1,780 |
0.1× |
Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248)
likely a partial charge — not the full procedure |
$1,184.40 |
$1,974 |
0.2× |
Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue… (27524)
likely a partial charge — not the full procedure |
$925.80 |
$1,543 |
0.1× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna Age… (25575)
likely a partial charge — not the full procedure |
$1,261.20 |
$2,102 |
0.2× |
Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Age Under… (25574)
likely a partial charge — not the full procedure |
$895.20 |
$1,492 |
0.1× |
Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (27535)
likely a partial charge — not the full procedure |
$1,215 |
$2,025 |
0.2× |
Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid processºes»), includes internal fixation,… (24685)
likely a partial charge — not the full procedure |
$949.80 |
$1,583 |
0.1× |
Open treatment of ulnar shaft fracture (25545)
likely a partial charge — not the full procedure |
$837 |
$1,395 |
0.1× |
Open treatment radial shaft fracture (25515)
likely a partial charge — not the full procedure |
$1,119.60 |
$1,866 |
0.1× |
Open tx distal fibular fracture lat malleolus (27792)
likely a partial charge — not the full procedure |
$701.40 |
$1,169 |
0.1× |
| Open tx metacarpal fracture single ea bone (26615) |
$789 |
$1,315 |
0.2× |
Open tx prox humeral fx (23615)
likely a partial charge — not the full procedure |
$1,203.60 |
$2,006 |
0.1× |
Open tx tarsal fracture xcp talus &calcaneus ea (28465)
likely a partial charge — not the full procedure |
$1,764.60 |
$2,941 |
0.2× |
| Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Age… (54520) |
$405 |
$675 |
0.1× |
| Other procedure on uterus accessed through vagina using an endoscope (58579) |
$232.20 |
$387 |
1.1× |
Ovarian cystectomy, unilateral or bilateral (58925)
likely a partial charge — not the full procedure |
$927 |
$1,545 |
0.2× |
Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach (57284)
likely a partial charge — not the full procedure |
$1,429.20 |
$2,382 |
0.3× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$65.40 |
$109 |
0.3× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$44.40 |
$74 |
0.2× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$41.40 |
$69 |
0.2× |
| Partial excision distal phalanx finger (26236) |
$783 |
$1,305 |
0.5× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge — not the full procedure |
$1,109.40 |
$1,849 |
0.2× |
| Partical excision bone phalanx toe (28124) |
$854.40 |
$1,424 |
0.2× |
| Pelvic examination under anesthesia (other than local) Age Under 21 (57410) |
$177 |
$295 |
0.1× |
Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image… (64561)
likely a partial charge — not the full procedure |
$580.20 |
$967 |
0.1× |
| Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation Age… (26650) |
$619.80 |
$1,033 |
0.2× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$762 |
$1,270 |
0.2× |
| Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) |
$667.80 |
$1,113 |
0.2× |
| Pericardiocentesis w/img guidance when performed (33016) |
$581.40 |
$969 |
0.4× |
| Peritoneal lavage, including imaging guidance, when performed (49084) |
$195 |
$325 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$958.80 |
$1,598 |
1.3× |
| Perq drainage pleura insert cath w/imaging (32557) |
$889.20 |
$1,482 |
0.5× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$221.40 |
$369 |
0.1× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$375.60 |
$626 |
1.4× |
Pf-as amputation leg through tibia & fibula (27880)
likely a partial charge — not the full procedure |
$1,008.60 |
$1,681 |
0.1× |
| Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to… (15050) |
$1,083 |
$1,805 |
1.4× |
| Placement of seton (46020) |
$482.40 |
$804 |
0.2× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy Age Under 21 (57250)
likely a partial charge — not the full procedure |
$489 |
$815 |
0.1× |
| Preputial stretching (54450) |
$97.20 |
$162 |
0.4× |
| Prineoplasty rpr pr nonobal spx (56810) |
$453.60 |
$756 |
0.1× |
| Proctopexy (eg, for prolapse); perineal approach Age Under 21 (45541) |
$1,371 |
$2,285 |
0.5× |
| Proctosigmoidoscopy dx (45300) |
$154.80 |
$258 |
0.2× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple Age Under 21 (45305) |
$105.60 |
$176 |
0.1× |
Prq impltj nstim electrode array epidural (63650)
likely a partial charge — not the full procedure |
$607.80 |
$1,013 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$209.40 |
$349 |
0.5× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$196.80 |
$328 |
0.5× |
| Puncture aspiration of cyst of breast (19000) |
$637.80 |
$1,063 |
0.9× |
| Pvb thoracic single injection site w/img gid (64461) |
$113.40 |
$189 |
0.2× |
| Rad Resection Tumor Soft Tissue Abdl Wall 5 Cm/> (22905) |
$1,795.80 |
$2,993 |
0.6× |
| Radiant-excision infected graft extremity (35903) |
$875.40 |
$1,459 |
0.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Age Under 21 (21557) |
$1,219.80 |
$2,033 |
0.4× |
Reconstruction by contouring of benign tumor of cranial bones (eg, fibrous dysplasia), extracranial Age Under 21 (21181)
likely a partial charge — not the full procedure |
$1,279.20 |
$2,132 |
0.2× |
| Reconstruction of polydactylous digit, soft tissue and bone Age Under 21 (26587) |
$1,695.60 |
$2,826 |
0.5× |
| Reduction of procidentia (separate procedure) under anesthesia Age Under 21 (45900) |
$391.20 |
$652 |
0.4× |
| Reduction of torsion of testis, surgical, with or without fixation of contralateral testis Age Under 21 (54600) |
$745.20 |
$1,242 |
0.2× |
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Age Under 21 (24342)
likely a partial charge — not the full procedure |
$1,056.60 |
$1,761 |
0.1× |
| Release of ligaments at outer side of knee joint using an endoscope (29873) |
$826.80 |
$1,378 |
0.2× |
Release of tendon connecting biceps muscle and shoulder using an endoscope (29828)
likely a partial charge — not the full procedure |
$1,553.40 |
$2,589 |
0.2× |
| Relieve pressure on nerve(s) (64722) |
$637.20 |
$1,062 |
0.3× |
Relocation of upper arm surface vein with connection to arm artery for hemodialysis|RIGHT SIDE (36819)
likely a partial charge — not the full procedure |
$1,336.80 |
$2,228 |
0.2× |
| Removal foreign body foot complicated (28193) |
$816 |
$1,360 |
0.5× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$328.80 |
$548 |
0.4× |
| Removal foreign body mouth (40804) |
$240.60 |
$401 |
0.3× |
| Removal foreign body, intranasal; by lateral rhinotomy Age Under 21 (30320) |
$775.20 |
$1,292 |
0.5× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$91.20 |
$152 |
1.5× |
| Removal implant deep (20680) |
$428.40 |
$714 |
0.1× |
| Removal implant superficial (20670) |
$658.80 |
$1,098 |
0.4× |
| Removal implantable contraceptive capsules (11976) |
$320.40 |
$534 |
0.4× |
| Removal of anal fissure (46200) |
$449.40 |
$749 |
0.2× |
Removal of appendix using an endoscope (44970)
likely a partial charge — not the full procedure |
$1,032.60 |
$1,721 |
0.2× |
| Removal of cerclage suture under anesthesia (other than local) Age Under 21 (59871) |
$241.20 |
$402 |
0.1× |
| Removal of external bone stabilizing device under anesthesia|RIGHT SIDE (20694) |
$555.60 |
$926 |
0.3× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$397.80 |
$663 |
0.3× |
| Removal of fluid collection in both testicles and sperm reservoirs (55041) |
$878.40 |
$1,464 |
0.2× |
| Removal of fluid collection in testicle and sperm reservoir|RIGHT SIDE (55040) |
$669 |
$1,115 |
0.2× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$232.80 |
$388 |
0.1× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$303 |
$505 |
0.2× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$744 |
$1,240 |
0.2× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$74.40 |
$124 |
0.5× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$115.20 |
$192 |
0.2× |
| Removal of foreign body, foot; deep (28192) |
$1,101 |
$1,835 |
0.6× |
| Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) Age Under 21 (27087) |
$1,051.80 |
$1,753 |
0.3× |
| Removal of foreign body, shoulder; deep (subfascial or intramuscular) Age Under 21 (23333) |
$730.80 |
$1,218 |
0.2× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$1,060.20 |
$1,767 |
0.8× |
| Removal of iud (58301) |
$162 |
$270 |
0.5× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$816.60 |
$1,361 |
0.3× |
| Removal of nail bed (11750) |
$547.80 |
$913 |
1.3× |
| Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) Age Under 21 (19330) |
$1,008.60 |
$1,681 |
0.2× |
| Removal of shunt from jugular vein to abdominal cavity (49429) |
$343.20 |
$572 |
0.1× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$120 |
$200 |
0.6× |
| Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) Age Under 21 (15851) |
$82.20 |
$137 |
0.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$667.80 |
$1,113 |
0.2× |
Removal of uterus with repair of herniated bowel through vagina, 250.0 g or less (58270)
likely a partial charge — not the full procedure |
$1,371 |
$2,285 |
0.3× |
Removal of uterus with repair of herniated bowel through vagina. 250.0 g or more (58294)
unusually low — confirm this is the full procedure |
$1,885.80 |
$3,143 |
0.4× |
| Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal Age Under 21 (67005) |
$3,129 |
$5,215 |
1.3× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) Age Under 21 (57287) |
$756.60 |
$1,261 |
0.2× |
| Removal tunneled cv cath (36590) |
$336.60 |
$561 |
0.2× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$292.20 |
$487 |
0.6× |
| Removal, non-biodegradable drug delivery implant (11982) |
$166.80 |
$278 |
0.4× |
| Removal/revision of cast (29700) |
$47.40 |
$79 |
0.2× |
| Remove foreign body from eye (65210) |
$178.80 |
$298 |
0.4× |
| Remove pharynx foreign body (42809) |
$115.20 |
$192 |
0.2× |
Repair achilles tendon (27650)
likely a partial charge — not the full procedure |
$997.80 |
$1,663 |
0.1× |
| Repair blood vessel upper ext (35206) |
$1,003.20 |
$1,672 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$445.20 |
$742 |
1.0× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,759.80 |
$2,933 |
4.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,409.40 |
$2,349 |
3.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,059 |
$1,765 |
1.4× |
| Repair initial femoral hernia, any age; incarcerated or strangulated Age Under 21 (49553) |
$761.40 |
$1,269 |
0.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$744 |
$1,240 |
0.2× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$333.60 |
$556 |
0.8× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$428.40 |
$714 |
1.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$514.20 |
$857 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$566.40 |
$944 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$494.40 |
$824 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$283.20 |
$472 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$354.60 |
$591 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$441.60 |
$736 |
0.6× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$272.40 |
$454 |
0.6× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$395.40 |
$659 |
0.9× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$1,127.40 |
$1,879 |
1.4× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$460.80 |
$768 |
1.1× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$1,620 |
$2,700 |
3.8× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$1,831.20 |
$3,052 |
4.3× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$1,307.40 |
$2,179 |
0.6× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge — not the full procedure |
$1,075.80 |
$1,793 |
0.2× |
Repair of enterocele, vaginal approach (separate procedure) Age Under 21 (57268)
likely a partial charge — not the full procedure |
$807.60 |
$1,346 |
0.2× |
| Repair of iris, ciliary body (as for iridodialysis) Age Under 21 (66680) |
$923.40 |
$1,539 |
0.4× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$228.60 |
$381 |
0.5× |
| Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure Age Under 21 (65270) |
$471 |
$785 |
0.2× |
Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue Age Under 21 (65280)
likely a partial charge — not the full procedure |
$987 |
$1,645 |
0.2× |
| Repair of laceration; cornea, nonperforating, with or without removal foreign body Age Under 21 (65275) |
$984.60 |
$1,641 |
0.2× |
| Repair of nail bed (11760) |
$780 |
$1,300 |
1.0× |
| Repair of rectocele (separate procedure) Age Under 21 (45560) |
$681 |
$1,135 |
0.2× |
| Repair of tunica vaginalis hydrocele (Bottle type) Age Under 21 (55060) |
$682.20 |
$1,137 |
0.2× |
| Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or… (36575) |
$327 |
$545 |
0.5× |
| Repair recurrent femoral hernia; incarcerated or strangulated Age Under 21 (49557) |
$1,240.20 |
$2,067 |
0.3× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated Age Under 21 (49521)
likely a partial charge — not the full procedure |
$1,140 |
$1,900 |
0.2× |
| Repair tongue lacer,post 1/3 (41251) |
$354.60 |
$591 |
1.4× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$1,409.40 |
$2,349 |
1.8× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$686.40 |
$1,144 |
0.9× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$414.60 |
$691 |
1.0× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$460.80 |
$768 |
0.6× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$1,409.40 |
$2,349 |
0.6× |
Repair, primary, torn ligament and/or capsule, knee; collateral Age Under 21 (27405)
likely a partial charge — not the full procedure |
$1,043.40 |
$1,739 |
0.1× |
Repair, primary, torn ligament and/or capsule, knee; cruciate Age Under 21 (27407)
likely a partial charge — not the full procedure |
$1,286.40 |
$2,144 |
0.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$327 |
$545 |
0.3× |
| Replace picvad cath (36585) |
$1,972.80 |
$3,288 |
0.6× |
| Replace tunneled cv cath (36582) |
$1,330.20 |
$2,217 |
0.4× |
| Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral… (36578) |
$965.40 |
$1,609 |
0.3× |
| Reposition venous catheter (36597) |
$244.80 |
$408 |
0.1× |
| Reset dislocated jaw (21480) |
$1,007.40 |
$1,679 |
3.9× |
| Revise ulnar nerve at elbow (64718) |
$878.40 |
$1,464 |
0.4× |
| Revise ulnar nerve at wrist (64719) |
$484.80 |
$808 |
0.2× |
| Revision (including removal) of prosthetic vaginal graft; vaginal approach Age Under 21 (57295) |
$804.60 |
$1,341 |
0.2× |
| Revision of cervix (59320) |
$408.60 |
$681 |
0.1× |
Revision of total knee arthroplasty, with or without allograft; 1 component (27486)
likely a partial charge — not the full procedure |
$2,305.20 |
$3,842 |
0.2× |
| Revision or removal of peripheral neurostimulator electrode array Age Under 21 (64585) |
$334.20 |
$557 |
0.1× |
| Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable… (64595) |
$434.40 |
$724 |
0.1× |
Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate… (36832)
likely a partial charge — not the full procedure |
$978.60 |
$1,631 |
0.2× |
| Revj/rmvl impl spi npg/rcvr dtch connj eltrd ra (63688) |
$660 |
$1,100 |
0.2× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$189 |
$315 |
1.3× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$303 |
$505 |
2.2× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$740.70 |
$1,234.50 |
0.2× |
| Rmvl of access device (36589) |
$637.80 |
$1,063 |
1.0× |
| Rplc gtube revj gstrst trc (43763) |
$129 |
$215 |
0.5× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge — not the full procedure |
$1,073.40 |
$1,789 |
0.2× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge — not the full procedure |
$824.40 |
$1,374 |
0.1× |
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592)
likely a partial charge — not the full procedure |
$760.80 |
$1,268 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$492 |
$820 |
0.1× |
Rpr aa hernia recr 3-10 cm reducible (49615)
likely a partial charge — not the full procedure |
$919.80 |
$1,533 |
0.1× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$588.60 |
$981 |
0.2× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$327 |
$545 |
0.2× |
| Rpr Ingun Hernia Sliding Any Age (49525) |
$670.80 |
$1,118 |
0.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$1,234.20 |
$2,057 |
1.6× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$773.40 |
$1,289 |
0.2× |
| Scrotal exploration Age Under 21 (55110) |
$666 |
$1,110 |
0.2× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$1,420.20 |
$2,367 |
0.4× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Age Under 21 (23170) |
$916.20 |
$1,527 |
0.3× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$142.20 |
$237 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$66 |
$110 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$146.40 |
$244 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$57.60 |
$96 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$254.40 |
$424 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$141.60 |
$236 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$230.40 |
$384 |
1.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$127.80 |
$213 |
0.3× |
| Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement… (45337) |
$209.40 |
$349 |
0.2× |
| Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Age Under 21 (45335) |
$163.80 |
$273 |
0.2× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$361.80 |
$603 |
0.3× |
Simple complete removal of breast|BILATERAL PROCEDURE (19303)
likely a partial charge — not the full procedure |
$719.40 |
$1,199 |
0.1× |
| Simple partial removal of external female genitals (56620) |
$919.20 |
$1,532 |
0.3× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$198.60 |
$331 |
0.9× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$208.20 |
$347 |
1.0× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$388.20 |
$647 |
1.8× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$460.80 |
$768 |
2.2× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$1,161.60 |
$1,936 |
5.5× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$228.60 |
$381 |
1.1× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$1,059 |
$1,765 |
5.0× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$987.60 |
$1,646 |
2.3× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$494.40 |
$824 |
1.2× |
| Simple revision of superficial scar tissue from surgically created opening of large bowel to skin (44340) |
$1,095.60 |
$1,826 |
0.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$318 |
$530 |
1.5× |
| Skin tissue procedure unlisted (17999) |
$228.60 |
$381 |
1.1× |
Sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (57288)
likely a partial charge — not the full procedure |
$1,374 |
$2,290 |
0.3× |
| Slitting of prepuce, dorsal or lateral (separate procedure); newborn Age Under 21 (54000) |
$262.20 |
$437 |
0.1× |
| Small bowel endoscopy (44366) |
$363.60 |
$606 |
0.2× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$453 |
$755 |
0.2× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$228 |
$380 |
1.1× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$354.60 |
$591 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$942 |
$1,570 |
2.2× |
| Sphincterotomy, anal, division of sphincter (separate procedure) Age Under 21 (46080) |
$253.80 |
$423 |
0.1× |
| Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple… (15120) |
$1,026.60 |
$1,711 |
0.3× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$1,068.60 |
$1,781 |
0.5× |
| Stomach surgery procedure unlisted (43999) |
$408.30 |
$680.50 |
0.4× |
| Strapping ankle (29540) |
$109.80 |
$183 |
0.6× |
| Strapping of shoulder (29240) |
$75 |
$125 |
0.5× |
| Strapping of toes (29550) |
$101.40 |
$169 |
1.6× |
| Strapping unna boot (29580) |
$90.60 |
$151 |
0.5× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$259.80 |
$433 |
0.3× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$378.60 |
$631 |
0.5× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age Under 21 (46270) |
$696.60 |
$1,161 |
0.2× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or… (46280) |
$834 |
$1,390 |
0.3× |
Suture closure of vagina and vaginal opening (57120)
likely a partial charge — not the full procedure |
$883.20 |
$1,472 |
0.2× |
| Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single… (44602) |
$2,247 |
$3,745 |
0.6× |
| Tangential biopsy skin single lesion (11102) |
$166.80 |
$278 |
0.4× |
Tenodesis long tendon biceps (23430)
likely a partial charge — not the full procedure |
$1,272.60 |
$2,121 |
0.2× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,390.20 |
$2,317 |
0.8× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25295) |
$1,359.60 |
$2,266 |
0.4× |
| Therapeutic spinal puncture drainage csf (62272) |
$130.20 |
$217 |
0.2× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,119.60 |
$1,866 |
1.7× |
| Throat surgery procedure (42999) |
$301.80 |
$503 |
1.2× |
| Tonsillectomy, primary or secondary; age 12 or over Age Under 21 (42826) |
$332.40 |
$554 |
0.1× |
Tonsillectomy, primary or secondary; younger than age 12 Age Under 21 (42825)
likely a partial charge — not the full procedure |
$322.80 |
$538 |
0.1× |
Total knee arthroplasty (27447)
likely a partial charge — not the full procedure |
$2,321.40 |
$3,869 |
0.2× |
Trachelectomy (cervicectomy), amputation of cervix (separate procedure) Age Under 21 (57530)
likely a partial charge — not the full procedure |
$597 |
$995 |
0.1× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$951.60 |
$1,586 |
3.8× |
| Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with… (58345) |
$469.20 |
$782 |
0.1× |
| Transfusion, blood or blood components (36430) |
$151.20 |
$252 |
0.3× |
| Treat big toe fracture (28495) |
$476.40 |
$794 |
1.8× |
| Treat finger dislocation (26775) |
$544.20 |
$907 |
1.8× |
Treat fx rad extra-articul (25607)
likely a partial charge — not the full procedure |
$1,460.40 |
$2,434 |
0.2× |
| Treat lower leg fracture (27825) |
$947.40 |
$1,579 |
0.6× |
| Treat pleurodesis w/agent (32560) |
$427.20 |
$712 |
0.6× |
Treat radius fracture (24665)
likely a partial charge — not the full procedure |
$935.40 |
$1,559 |
0.1× |
| Treat tail bone fracture (27200) |
$190.20 |
$317 |
0.7× |
| Treat wrist bone fracture (25635) |
$645 |
$1,075 |
0.4× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$592.20 |
$987 |
0.3× |
Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing… (25609)
likely a partial charge — not the full procedure |
$1,845.60 |
$3,076 |
0.2× |
Treatment of ankle fracture (27822)
likely a partial charge — not the full procedure |
$1,233.60 |
$2,056 |
0.2× |
Treatment of broken base of forearm bone on small finger side at wrist (25652)
likely a partial charge — not the full procedure |
$1,077.60 |
$1,796 |
0.1× |
Treatment of broken middle part of upper arm bone with placement of stabilizing device (plate/screws) (24515)
likely a partial charge — not the full procedure |
$1,333.80 |
$2,223 |
0.1× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$343.20 |
$572 |
1.3× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant,… (27245)
likely a partial charge — not the full procedure |
$2,169 |
$3,615 |
0.3× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
likely a partial charge — not the full procedure |
$1,366.20 |
$2,277 |
0.2× |
| Treatment of miscarriage (59812) |
$438.60 |
$731 |
0.1× |
| Treatment of missed abortion, completed surgically; second trimester Age Under 21 (59821) |
$564.60 |
$941 |
0.2× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$349.20 |
$582 |
1.3× |
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement (27236)
likely a partial charge — not the full procedure |
$1,407 |
$2,345 |
0.2× |
| Trimming of nondystrophic nails, any number (11719) |
$19.20 |
$32 |
0.3× |
| Tx superficial wound dehiscence simple closure (12020) |
$313.80 |
$523 |
0.4× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Age Under 21 (49250) |
$627.60 |
$1,046 |
0.2× |
| Unlisted procedure leg/ankle (27899) |
$993 |
$1,655 |
3.8× |
| Unlisted procedure, dentoalveolar structures (41899) |
$303.60 |
$506 |
1.2× |
| Urology surgery procedure unlisted (53899) |
$55.80 |
$93 |
0.2× |
| Uterine evacuation & curettage hydatidiform mole (59870) |
$772.80 |
$1,288 |
0.2× |
| Vaginal delivery (59409) |
$1,118.40 |
$1,864 |
0.3× |
Vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58260)
likely a partial charge — not the full procedure |
$1,226.40 |
$2,044 |
0.2× |
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s) Age Under 21 (58262)
likely a partial charge — not the full procedure |
$1,377 |
$2,295 |
0.3× |
Vaginal hysterectomy, for uterus greater than 250 g; (58290)
likely a partial charge — not the full procedure |
$1,849.20 |
$3,082 |
0.2× |
| Vasectomy (55250) |
$707.40 |
$1,179 |
0.3× |
| Vbac delivery only (59612) |
$2,057.40 |
$3,429 |
0.6× |
| Venipuncture (36415) |
$15 |
$25 |
1.6× |
| Version cephalic external (59412) |
$183.60 |
$306 |
0.1× |
| Wedge excision skin nail fold (11765) |
$127.20 |
$212 |
0.3× |