| Acne surgery (10040) |
$222 |
$222 |
1.0× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$2,003 |
$2,003 |
0.9× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,404 |
$1,404 |
0.6× |
| Amputation, metatarsal, with toe, single Age Under 21 (28810) |
$1,273 |
$1,273 |
0.4× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$197 |
$197 |
0.3× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$415 |
$415 |
0.2× |
| Application Finger Splint Dynamic (29131) |
$295 |
$295 |
4.7× |
| Application finger splint static (29130) |
$181 |
$181 |
1.3× |
| Application of short arm splint (forearm to hand); static (29125) |
$232 |
$232 |
1.7× |
| Application of short leg splint (calf to foot) (29515) |
$150 |
$150 |
0.9× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$450 |
$450 |
0.2× |
| Apply long arm splint (29105) |
$317 |
$317 |
1.8× |
| Apply splint short arm dynamic (29126) |
$109 |
$109 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$308 |
$308 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$897.50 |
$897.50 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$567 |
$567 |
1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$584 |
$584 |
1.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$269 |
$269 |
0.8× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$567 |
$567 |
1.8× |
| Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each Age Under… (26075) |
$970 |
$970 |
0.3× |
| Aspirate pleura w/o imaging (32554) |
$1,110 |
$1,110 |
1.7× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$306 |
$306 |
0.9× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$232.50 |
$232.50 |
1.1× |
| Biopsy nail unit (11755) |
$183 |
$183 |
0.2× |
| Biopsy of uterus lining (58100) |
$384 |
$384 |
1.8× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$1,564 |
$1,564 |
4.7× |
| Cast short arm (29075) |
$534 |
$534 |
1.8× |
| Chemical cauterization of granulation tissue (17250) |
$250 |
$250 |
1.2× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$584 |
$584 |
1.8× |
| Chest tube placement (32551) |
$827 |
$827 |
0.5× |
| Circumcision, Newborn (54150) |
$193 |
$193 |
0.1× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$276 |
$276 |
0.1× |
| Closed rx radial shaft fx w/dislocation (25520) |
$796 |
$796 |
0.5× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$684 |
$684 |
2.6× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$467 |
$467 |
1.8× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$1,266 |
$1,266 |
0.7× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$425 |
$425 |
1.6× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$984 |
$984 |
3.8× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$527 |
$527 |
2.0× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$1,077 |
$1,077 |
4.1× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$269 |
$269 |
1.0× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$720 |
$720 |
2.8× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$1,145 |
$1,145 |
4.4× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$906 |
$906 |
3.5× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$820 |
$820 |
3.2× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Age Under 21 (26607) |
$644 |
$644 |
0.2× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$727 |
$727 |
0.4× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$1,157 |
$1,157 |
0.7× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$469 |
$469 |
1.8× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$344 |
$344 |
1.3× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$3,139 |
$3,139 |
1.9× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$575 |
$575 |
2.2× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$842 |
$842 |
3.2× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$928 |
$928 |
3.6× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$919 |
$919 |
3.5× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$604 |
$604 |
2.3× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$906 |
$906 |
3.5× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$1,001 |
$1,001 |
3.8× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$1,067 |
$1,067 |
4.1× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$617 |
$617 |
2.4× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$571 |
$571 |
2.2× |
| Closed treatment of ulnar styloid fracture (25650) |
$1,193 |
$1,193 |
4.6× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$515 |
$515 |
2.0× |
| Closed tx mandibular fracture w/manipulation (21451) |
$1,359 |
$1,359 |
0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$476 |
$476 |
1.8× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$896 |
$896 |
3.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$610 |
$610 |
2.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,549 |
$1,549 |
0.9× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$1,938 |
$1,938 |
1.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$648 |
$648 |
2.5× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$2,670 |
$2,670 |
1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$932 |
$932 |
0.5× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$525 |
$525 |
2.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,012 |
$1,012 |
3.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,960 |
$1,960 |
1.2× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,258 |
$1,258 |
4.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$484 |
$484 |
1.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$822 |
$822 |
3.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,233 |
$1,233 |
4.7× |
| Cltx metar fx w/manj (28475) |
$853 |
$853 |
3.3× |
| Cltx metatarsophlngl jt dislc req anes (28635) |
$473 |
$473 |
0.3× |
| Colonoscopy w/control bleed (45382) |
$530 |
$530 |
0.4× |
| Colonoscopy w/fb removal (45379) |
$488 |
$488 |
0.4× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$467 |
$467 |
0.4× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$530 |
$530 |
0.4× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$414 |
$414 |
0.3× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$541 |
$541 |
3.9× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$432 |
$432 |
3.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$604 |
$604 |
4.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$911 |
$911 |
3.6× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$274 |
$274 |
4.4× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$62 |
$62 |
1.0× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$360 |
$360 |
0.8× |
| Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) Age Under 21 (69222) |
$306 |
$306 |
0.5× |
| Destruct lesion 15 or more (17111) |
$354 |
$354 |
1.7× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$221 |
$221 |
1.0× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$779 |
$779 |
1.8× |
| Destruction benign lesions up to 14 (17110) |
$313.50 |
$313.50 |
1.5× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm Age Under 21 (17107) |
$597 |
$597 |
0.8× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm Age Under 21 (17108) |
$888 |
$888 |
0.4× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17282) |
$642 |
$642 |
3.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17260) |
$130 |
$130 |
0.6× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17274) |
$743 |
$743 |
1.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17281) |
$526 |
$526 |
2.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17266) |
$320 |
$320 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17261) |
$387 |
$387 |
1.8× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17270) |
$207 |
$207 |
1.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17273) |
$615 |
$615 |
1.4× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17286) |
$1,178 |
$1,178 |
1.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17263) |
$263 |
$263 |
1.2× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17272) |
$256 |
$256 |
1.2× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) |
$194 |
$194 |
0.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17262) |
$241 |
$241 |
1.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17284) |
$385 |
$385 |
0.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17264) |
$283 |
$283 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17271) |
$464 |
$464 |
2.2× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17283) |
$744 |
$744 |
1.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17276) |
$389 |
$389 |
0.9× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$1,379 |
$1,379 |
1.9× |
| Dilation of cervical canal (57800) |
$162 |
$162 |
0.0× |
| Drainage external ear, abscess or hematoma; complicated Age Under 21 (69005) |
$300 |
$300 |
0.2× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$239.50 |
$239.50 |
0.3× |
| Drainage finger abscess simple (26010) |
$399 |
$399 |
1.9× |
| Drainage of tonsil abscess (42700) |
$467 |
$467 |
1.9× |
| Ed proc remve fb nasal- hospital (30300) |
$183 |
$183 |
1.3× |
| Ed prof arthrocentesis sm - hospital (20551) |
$338.50 |
$338.50 |
1.0× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$58 |
$58 |
0.4× |
| Ed prof burn small - hospital (16020) |
$309 |
$309 |
1.5× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$1,125 |
$1,125 |
0.7× |
| Ed prof drain dental abscess-hospital (41800) |
$345.50 |
$345.50 |
2.5× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$1,558 |
$1,558 |
0.5× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$1,071 |
$1,071 |
2.5× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$849 |
$849 |
2.0× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$446 |
$446 |
1.7× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$801 |
$801 |
1.7× |
| Episiotomy or vaginal repair (59300) |
$409 |
$409 |
0.1× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$1,338 |
$1,338 |
1.8× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$522 |
$522 |
0.5× |
| Evac subungual hematoma (11740) |
$111 |
$111 |
0.8× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$634 |
$634 |
0.8× |
| Exc frenum labial/buccal (40819) |
$444 |
$444 |
0.3× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$383 |
$383 |
0.2× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$397 |
$397 |
0.5× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$642 |
$642 |
0.4× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$299.50 |
$299.50 |
0.4× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$433 |
$433 |
0.6× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$569 |
$569 |
0.2× |
| Excision hidradenitis axillary smpl/intrm rpr (11450) |
$1,031.50 |
$1,031.50 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$524 |
$524 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$682 |
$682 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$669.50 |
$669.50 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,064.50 |
$1,064.50 |
1.4× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$1,659 |
$1,659 |
0.5× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$534 |
$534 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$541.50 |
$541.50 |
0.7× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$748.50 |
$748.50 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$771 |
$771 |
0.4× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$947.50 |
$947.50 |
0.5× |
| Excision of bartholin's gland or cyst (56740) |
$959 |
$959 |
0.3× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) |
$1,077 |
$1,077 |
0.3× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair (40812) |
$1,632 |
$1,632 |
1.0× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$685 |
$685 |
0.2× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair Age Under 21 (11462) |
$515 |
$515 |
0.2× |
| Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair Age… (11471) |
$703 |
$703 |
0.2× |
| Excision or transposition of pterygium; without graft Age Under 21 (65420) |
$1,027 |
$1,027 |
0.4× |
| Excision pilonidal cyst/sinus extensive (11771) |
$1,318 |
$1,318 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$566.50 |
$566.50 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$1,070 |
$1,070 |
0.3× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$641 |
$641 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$495 |
$495 |
1.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$632.50 |
$632.50 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$647 |
$647 |
0.9× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$855 |
$855 |
0.5× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$493 |
$493 |
0.7× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$691.50 |
$691.50 |
0.9× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$907 |
$907 |
0.5× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$982.50 |
$982.50 |
0.6× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$1,179.50 |
$1,179.50 |
0.4× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$427.50 |
$427.50 |
0.6× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$992 |
$992 |
0.6× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$504 |
$504 |
0.7× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$437.50 |
$437.50 |
0.6× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$994 |
$994 |
0.6× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$365 |
$365 |
0.5× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$667 |
$667 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$1,224 |
$1,224 |
0.4× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$515 |
$515 |
0.2× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$2,843 |
$2,843 |
1.7× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$207 |
$207 |
0.5× |
| Gastric lavage (43753) |
$618 |
$618 |
2.7× |
| Guide cathet fluid drainage (10030) |
$1,076 |
$1,076 |
1.4× |
| I&d abscess simple/single (10060) |
$327 |
$327 |
1.5× |
| I&d hematoma/seroma/fluid (10140) |
$412 |
$412 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$624.50 |
$624.50 |
0.8× |
| Implant subq hormone pellet (11980) |
$129 |
$129 |
0.3× |
| Incise external hemorrhoid (46083) |
$247 |
$247 |
0.9× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$460.50 |
$460.50 |
1.1× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$373 |
$373 |
0.5× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$782 |
$782 |
0.4× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$592 |
$592 |
1.4× |
| Incision of lingual frenum (frenotomy) (41010) |
$288 |
$288 |
0.2× |
| Incisional biopsy skin single lesion (11106) |
$334 |
$334 |
0.4× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,770 |
$1,770 |
1.9× |
| Inj paravert f jnt l/s 1 lev (64493) |
$1,770 |
$1,770 |
1.9× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$1,321 |
$1,321 |
1.8× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$1,788 |
$1,788 |
1.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$2,497 |
$2,497 |
3.4× |
| Injection aa&/strd greater occipital nerve (64405) |
$575.50 |
$575.50 |
1.8× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,343 |
$1,343 |
1.8× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$1,364 |
$1,364 |
1.8× |
| Injection aa&/strd suprascapular nerve (64418) |
$1,391 |
$1,391 |
1.9× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$575.50 |
$575.50 |
1.8× |
| Injection therapeutic carpal tunnel (20526) |
$567 |
$567 |
1.8× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$471.50 |
$471.50 |
1.5× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$511 |
$511 |
1.6× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$424 |
$424 |
1.3× |
| Insert drug implant device (11981) |
$198 |
$198 |
1.4× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$6,319 |
$6,319 |
1.9× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$1,234 |
$1,234 |
0.4× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$2,688 |
$2,688 |
1.6× |
| Intraoral i&d tongue/floor lingual (41000) |
$233 |
$233 |
0.4× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$321 |
$321 |
1.3× |
| Intubation endotracheal (31500) |
$423 |
$423 |
1.7× |
Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648)
likely a partial charge — not the full procedure |
$732 |
$732 |
0.1× |
| Lumbar puncture (62270) |
$1,238 |
$1,238 |
1.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$77 |
$77 |
2.5× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$99.50 |
$99.50 |
3.3× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$1,770 |
$1,770 |
1.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,343 |
$1,343 |
1.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,323 |
$1,323 |
1.8× |
Open rdl shaft fx closed rad/uln jt dislocate (25525)
likely a partial charge — not the full procedure |
$1,105 |
$1,105 |
0.1× |
Open Treatment Distal Fracture (25608)
likely a partial charge — not the full procedure |
$1,158 |
$1,158 |
0.2× |
Open Treatment Of Acute Or Chronic Elbow Dislocation (24615)
likely a partial charge — not the full procedure |
$999 |
$999 |
0.1× |
| Open treatment of carpal bone fracture (other than carpal scaphoid ºnavicular»), each bone Age Under 21 (25645) |
$801 |
$801 |
0.2× |
Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed Age Under 21 (25628)
likely a partial charge — not the full procedure |
$1,011 |
$1,011 |
0.1× |
Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24635)
likely a partial charge — not the full procedure |
$949 |
$949 |
0.1× |
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna… (24587)
likely a partial charge — not the full procedure |
$1,540 |
$1,540 |
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 |
$1,268 |
$1,268 |
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 |
$950 |
$950 |
0.1× |
Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed;… (24666)
likely a partial charge — not the full procedure |
$1,032 |
$1,032 |
0.1× |
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526)
likely a partial charge — not the full procedure |
$1,350 |
$1,350 |
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 |
$921 |
$921 |
0.1× |
Open treatment of ulnar shaft fracture (25545)
likely a partial charge — not the full procedure |
$878 |
$878 |
0.1× |
Open treatment radial shaft fracture (25515)
likely a partial charge — not the full procedure |
$943 |
$943 |
0.1× |
| Open tx distal phalangeal fracture each (26765) |
$968 |
$968 |
0.3× |
| Open tx metacarpal fracture single ea bone (26615) |
$805 |
$805 |
0.2× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$144 |
$144 |
0.7× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$187 |
$187 |
0.9× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$102 |
$102 |
0.5× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$666 |
$666 |
0.2× |
| Perq drainage pleura insert cath w/imaging (32557) |
$711 |
$711 |
0.4× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,612.50 |
$1,612.50 |
0.8× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$580 |
$580 |
2.2× |
| Punch biopsy skin single lesion (11104) |
$310 |
$310 |
0.7× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$786 |
$786 |
1.8× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$319 |
$319 |
0.4× |
| Removal foreign body from external auditory canal; with general anesthesia Age Under 21 (69205) |
$142 |
$142 |
0.1× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$243 |
$243 |
3.9× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$1,061 |
$1,061 |
0.3× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$431 |
$431 |
3.1× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$840 |
$840 |
1.8× |
| Removal of iud (58301) |
$383 |
$383 |
1.2× |
| Removal of nail bed (11750) |
$541 |
$541 |
1.3× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$203 |
$203 |
1.0× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$309 |
$309 |
0.7× |
| Removal, non-biodegradable drug delivery implant (11982) |
$222 |
$222 |
0.5× |
| Remove eyelid foreign body (67938) |
$248 |
$248 |
0.7× |
| Remove foreign body from eye (65210) |
$95 |
$95 |
0.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,070 |
$1,070 |
2.5× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$1,587 |
$1,587 |
3.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,188 |
$1,188 |
2.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,074 |
$1,074 |
1.4× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$741 |
$741 |
1.7× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$812 |
$812 |
1.9× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$1,011 |
$1,011 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$1,285 |
$1,285 |
3.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$560 |
$560 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$734 |
$734 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$796 |
$796 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$898 |
$898 |
1.2× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$656 |
$656 |
1.5× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$733 |
$733 |
1.7× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$580 |
$580 |
0.7× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$893 |
$893 |
2.1× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$688 |
$688 |
1.6× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$804 |
$804 |
1.9× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$667 |
$667 |
0.3× |
| Repair of nail bed (11760) |
$710 |
$710 |
0.9× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$1,303 |
$1,303 |
1.7× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$1,178 |
$1,178 |
1.5× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$893 |
$893 |
2.1× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$462 |
$462 |
0.6× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$776 |
$776 |
0.4× |
| Reset dislocated jaw (21480) |
$450 |
$450 |
1.7× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$354 |
$354 |
0.2× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$159 |
$159 |
1.1× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$670 |
$670 |
0.9× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$1,136 |
$1,136 |
0.3× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$214 |
$214 |
0.5× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$261 |
$261 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$264 |
$264 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$256 |
$256 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$214 |
$214 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$261 |
$261 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$280 |
$280 |
1.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$208 |
$208 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$339 |
$339 |
1.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$357 |
$357 |
0.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$215 |
$215 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$300 |
$300 |
1.4× |
| Simple removal of skin debris and drainage of mastoid cavity|BILATERAL PROCEDURE (69220) |
$191 |
$191 |
0.9× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$561 |
$561 |
2.7× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$624 |
$624 |
2.9× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$739 |
$739 |
3.5× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$749 |
$749 |
3.5× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$245 |
$245 |
1.2× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$540 |
$540 |
2.6× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$320 |
$320 |
1.5× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$216 |
$216 |
0.5× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$885 |
$885 |
2.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$675 |
$675 |
3.2× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$582 |
$582 |
2.7× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$830 |
$830 |
1.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$276 |
$276 |
0.6× |
| Strapping elbow or wrist (29260) |
$41 |
$41 |
0.7× |
| Strapping of chest (29200) |
$42 |
$42 |
0.2× |
| Strapping of shoulder (29240) |
$41 |
$41 |
0.3× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$207 |
$207 |
0.3× |
| Tangential biopsy skin single lesion (11102) |
$284 |
$284 |
0.7× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$1,090 |
$1,090 |
1.6× |
| Transfusion, blood or blood components (36430) |
$176 |
$176 |
0.4× |
Treat elbow fracture (24586)
likely a partial charge — not the full procedure |
$1,527 |
$1,527 |
0.1× |
| Treat finger dislocation (26775) |
$623 |
$623 |
2.1× |
| Treat fx distal radial (25606) |
$933 |
$933 |
0.3× |
Treat fx rad extra-articul (25607)
likely a partial charge — not the full procedure |
$1,032 |
$1,032 |
0.1× |
| Treat thumb fracture (26645) |
$599 |
$599 |
0.4× |
| Treat ulnar fracture (24675) |
$637 |
$637 |
0.4× |
| Treat wrist bone fracture (25635) |
$624 |
$624 |
0.4× |
| Treat wrist bone fracture (25624) |
$670 |
$670 |
0.4× |
| Treat wrist dislocation (25675) |
$852 |
$852 |
3.3× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$1,482 |
$1,482 |
0.9× |
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 |
$1,469 |
$1,469 |
0.2× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$1,487 |
$1,487 |
5.7× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$478 |
$478 |
1.8× |
| Trimming of nondystrophic nails, any number (11719) |
$81 |
$81 |
1.3× |
| Tx superficial wound dehiscence simple closure (12020) |
$739 |
$739 |
0.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$467 |
$467 |
1.1× |
| Venipuncture (36415) |
$25 |
$25 |
2.7× |