| 1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct… (54328) |
$1,355.40 |
$1,506 |
0.4× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) |
$1,132.20 |
$1,258 |
0.3× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and… (54326) |
$1,362.60 |
$1,514 |
0.4× |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
$1,399.50 |
$1,555 |
0.4× |
| 1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin… (54336) |
$1,717.20 |
$1,908 |
0.5× |
| 1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and… (54332) |
$1,460.70 |
$1,623 |
0.4× |
| Abd paracentesis (49082) |
$1,063.35 |
$1,181.50 |
1.1× |
| Abd paracentesis w/imaging (49083) |
$1,147.95 |
$1,275.50 |
1.2× |
Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, Stamey, Raz, modified Pereyra) (51845)
likely a partial charge — not the full procedure |
$846.90 |
$941 |
0.2× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$9,595.80 |
$10,662 |
0.9× |
Ablation bone tumor rf perq w/img gdn when done (20982)
unusually low — confirm this is the full procedure |
$5,595.30 |
$6,217 |
0.3× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32998) |
$5,001.30 |
$5,557 |
0.8× |
| Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when… (32994) |
$7,936.20 |
$8,818 |
0.7× |
| Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma (19105) |
$3,779.10 |
$4,199 |
0.9× |
| Ablation, renal tumor(s), unilateral, percutaneous, cryotherapy (50593) |
$6,080.40 |
$6,756 |
0.5× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency… (30801) |
$339.30 |
$377 |
0.2× |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; intramural (30802) |
$427.50 |
$475 |
0.3× |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
$8,207.10 |
$9,119 |
1.1× |
| Abrasion 1 lesion (15786) |
$350.10 |
$389 |
1.7× |
Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type) (27120)
likely a partial charge — not the full procedure |
$1,899 |
$2,110 |
0.1× |
Acetabuloplasty; resection, femoral head (eg, girdlestone procedure) (27122)
likely a partial charge — not the full procedure |
$1,617.30 |
$1,797 |
0.2× |
| Acne surgery (10040) |
$176.40 |
$196 |
0.8× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release Age Under 21 (23130) |
$919.80 |
$1,022 |
0.3× |
| Adding walker to previously applied cast (29440) |
$63 |
$70 |
0.4× |
| Adenoidectomy, primary; age 12 or over Age Under 21 (42831) |
$342 |
$380 |
0.1× |
| Adenoidectomy, primary; younger than age 12 Age Under 21 (42830) |
$315 |
$350 |
0.1× |
| Adenoidectomy, secondary; age 12 or over Age Under 21 (42836) |
$361.80 |
$402 |
0.1× |
| Adenoidectomy, secondary; younger than age 12 Age Under 21 (42835) |
$292.50 |
$325 |
0.1× |
| Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm Age Under 21 (14301) |
$1,610.10 |
$1,789 |
0.4× |
| Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less Age Under 21 (14060) |
$1,135.80 |
$1,262 |
0.5× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14040) |
$1,125 |
$1,250 |
0.5× |
| Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet;… (14041) |
$1,363.50 |
$1,515 |
0.6× |
| Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14021) |
$1,284.30 |
$1,427 |
0.6× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less Age Under 21 (14000) |
$947.70 |
$1,053 |
0.4× |
| Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm Age Under 21 (14001) |
$1,279.80 |
$1,422 |
0.6× |
| Adjt tis reargmt eye/nose/ear/lip 10.1-30.0 sqcm (14061) |
$1,469.70 |
$1,633 |
0.7× |
| Adjt tis trnsfr/reargmt scalp/arm/leg 10 sq cm/< (14020) |
$1,045.80 |
$1,162 |
0.5× |
Adjustment or revision of external fixation system requiring anesthesia (eg, new pinºs» or wireºs» and/or new ringºs»… (20693)
likely a partial charge — not the full procedure |
$654.30 |
$727 |
0.1× |
| Allogeneic lymphocyte infusions Donor Cell Infusions (38242) |
$186.30 |
$207 |
0.1× |
| Alveolectomy, including curettage of osteitis or sequestrectomy Age Under 21 (41830) |
$712.80 |
$792 |
0.2× |
| Amniocentesis diagnostic (59000) |
$171.90 |
$191 |
0.2× |
| Amniocentesis therapeutic (59001) |
$253.80 |
$282 |
0.8× |
| Amnioinfusion (59070) |
$582.30 |
$647 |
1.8× |
| Amp f/th 1/2 jt/phalanx w/neurect w/dir clsr (26951) |
$1,069.20 |
$1,188 |
0.3× |
| Amputate metacarpal bone (26910) |
$1,159.20 |
$1,288 |
0.3× |
| Amputation Foot Transmetarsal|RIGHT SIDE (28805) |
$1,035.90 |
$1,151 |
0.3× |
Amputation of arm through upper arm bone with implant (24931)
likely a partial charge — not the full procedure |
$1,367.10 |
$1,519 |
0.1× |
Amputation of entire arm with removal shoulder blade and a portion of collar bone (23900)
likely a partial charge — not the full procedure |
$2,023.20 |
$2,248 |
0.1× |
| Amputation of finger/thumb (26952) |
$1,044 |
$1,160 |
0.3× |
| Amputation of fingers and part of hand at midhand bones (25927) |
$1,307.70 |
$1,453 |
0.4× |
| Amputation of penis; partial Age Under 21 (54120) |
$918.90 |
$1,021 |
0.2× |
| Amputation of toe (28820) |
$469.80 |
$522 |
0.1× |
| Amputation toe interphalangeal joint (28825) |
$441 |
$490 |
0.1× |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
$949.50 |
$1,055 |
0.3× |
Amputation, arm through humerus; open, circular (guillotine) (24920)
likely a partial charge — not the full procedure |
$1,080.90 |
$1,201 |
0.1× |
| Amputation, arm through humerus; secondary closure or scar revision Age Under 21 (24925) |
$844.20 |
$938 |
0.2× |
Amputation, arm through humerus; with primary closure (24900)
likely a partial charge — not the full procedure |
$1,089 |
$1,210 |
0.1× |
| Amputation, foot; midtarsal (eg, Chopart type procedure) (28800) |
$775.80 |
$862 |
0.2× |
Amputation, forearm, through radius and ulna; (25900)
likely a partial charge — not the full procedure |
$1,058.40 |
$1,176 |
0.1× |
Amputation, forearm, through radius and ulna; open, circular (guillotine) (25905)
likely a partial charge — not the full procedure |
$1,037.70 |
$1,153 |
0.1× |
Amputation, forearm, through radius and ulna; re-amputation (25909)
likely a partial charge — not the full procedure |
$1,014.30 |
$1,127 |
0.1× |
| Amputation, forearm, through radius and ulna; secondary closure or scar revision Age Under 21 (25907) |
$910.80 |
$1,012 |
0.3× |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) (27882) |
$858.60 |
$954 |
0.2× |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
$948.60 |
$1,054 |
0.3× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Age Under 21 (27884) |
$843.30 |
$937 |
0.2× |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast (27881) |
$1,242.90 |
$1,381 |
0.4× |
| Amputation, metatarsal, with toe, single Age Under 21 (28810) |
$657 |
$730 |
0.2× |
| Amputation, thigh, through femur, any level; (27590) |
$1,137.60 |
$1,264 |
0.3× |
| Amputation, thigh, through femur, any level; immediate fitting technique including first cast (27591) |
$1,415.70 |
$1,573 |
0.4× |
| Amputation, thigh, through femur, any level; open, circular (guillotine) (27592) |
$972 |
$1,080 |
0.3× |
| Amputation, thigh, through femur, any level; re-amputation (27596) |
$1,039.50 |
$1,155 |
0.3× |
| Amputation, thigh, through femur, any level; secondary closure or scar revision Age Under 21 (27594) |
$744.30 |
$827 |
0.2× |
| Analyze infusn pump+reprogram (62368) |
$65.70 |
$73 |
0.2× |
| Anchoring of extending tendon of fingers to wrist bone (25301) |
$952.20 |
$1,058 |
0.3× |
| Anchoring of flexing tendon of fingers to wrist bone (25300) |
$1,022.40 |
$1,136 |
0.3× |
| Anesthesia inj anesthetic agent dig nrv (64455) |
$73.80 |
$82 |
0.2× |
Ankle disarticulation Age Under 21 (27889)
likely a partial charge — not the full procedure |
$922.50 |
$1,025 |
0.1× |
| Anoplasty, plastic operation for stricture; adult Age Under 21 (46700) |
$969.30 |
$1,077 |
0.3× |
| Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic Age Under 21 (45990) |
$153 |
$170 |
0.1× |
| Anoscopy and biopsy (46606) |
$444.60 |
$494 |
0.4× |
| Anoscopy diagnostic (46600) |
$145.35 |
$161.50 |
1.0× |
| Anoscopy remove for body (46608) |
$464.40 |
$516 |
0.5× |
| Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps,… (46615) |
$279.90 |
$311 |
0.1× |
| Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler,… (46614) |
$261.90 |
$291 |
0.2× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) Age Under 21 (46604) |
$1,081.80 |
$1,202 |
0.9× |
| Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent… (46607) |
$320.40 |
$356 |
0.3× |
| Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare… (46612) |
$533.70 |
$593 |
0.2× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery Age Under 21 (46610) |
$438.30 |
$487 |
0.1× |
| Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique Age Under 21 (46611) |
$354.60 |
$394 |
0.4× |
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240)
likely a partial charge — not the full procedure |
$903.60 |
$1,004 |
0.2× |
Anterior tibial tubercleplasty (27418)
likely a partial charge — not the full procedure |
$1,225.80 |
$1,362 |
0.2× |
Anterior vesicourethropexy, or urethropexy (eg, marshall-marchetti-krantz, burch); simple (51840)
likely a partial charge — not the full procedure |
$1,021.50 |
$1,135 |
0.2× |
| App skn sub grft t/a/l area/<100scm /<1st 25 scm (15271) |
$234 |
$260 |
0.3× |
| App skn subgrft t/a/l area/100sq cm 1st 100sq cm (15273) |
$474.30 |
$527 |
0.2× |
Appendectomy (44950)
likely a partial charge — not the full procedure |
$936 |
$1,040 |
0.1× |
| Application cast finger (29086) |
$114.30 |
$127 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$79.20 |
$88 |
1.3× |
| Application finger splint static (29130) |
$64.80 |
$72 |
0.5× |
Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov,… (20692)
likely a partial charge — not the full procedure |
$1,642.50 |
$1,825 |
0.1× |
| Application of body cast, shoulder to hips; Age Under 21 (29035) |
$378.90 |
$421 |
1.3× |
| Application of body cast, shoulder to hips; including 1 thigh Age Under 21 (29044) |
$423 |
$470 |
2.5× |
| Application of body cast, shoulder to hips; including both thighs Age Under 21 (29046) |
$463.50 |
$515 |
1.6× |
| Application of body cast, shoulder to hips; including head, Minerva type Age Under 21 (29040) |
$431.10 |
$479 |
1.5× |
| Application of clubfoot cast with molding or manipulation, long or short leg Age Under 21 (29450) |
$214.20 |
$238 |
1.2× |
| Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure) (20660) |
$343.80 |
$382 |
0.2× |
Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure) Age Under 21 (21100)
likely a partial charge — not the full procedure |
$948.60 |
$1,054 |
0.2× |
| Application of halo type body cast (see 20661-20663 for insertion) Age Under 21 (29000) |
$519.30 |
$577 |
1.8× |
| Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric… (20664) |
$1,288.80 |
$1,432 |
0.8× |
| Application of halo, including removal; cranial (20661) |
$752.40 |
$836 |
0.4× |
| Application of halo, including removal; femoral Age Under 21 (20663) |
$710.10 |
$789 |
0.2× |
| Application of hip spica cast; 1 and one-half spica or both legs Age Under 21 (29325) |
$402.30 |
$447 |
1.4× |
| Application of hip spica cast; 1 leg Age Under 21 (29305) |
$364.50 |
$405 |
1.2× |
| Application of long leg brace-type cast from thigh to toe|RIGHT SIDE (29358) |
$236.70 |
$263 |
0.8× |
| Application of long leg cast (thigh to toes); (29345) |
$198.90 |
$221 |
0.7× |
| Application of long leg splint (thigh to ankle or toes) (29505) |
$126.45 |
$140.50 |
0.7× |
| Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20697) |
$2,941.20 |
$3,268 |
1.7× |
Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696)
likely a partial charge — not the full procedure |
$1,731.60 |
$1,924 |
0.1× |
| Application of pelvic halo device (stabilization device for pelvis) (20662) |
$770.40 |
$856 |
0.5× |
| Application of plaster Velpeau cast to upper forearm and shoulder (29058) |
$181.80 |
$202 |
0.6× |
| Application of Risser jacket, localizer, body; including head Age Under 21 (29015) |
$432 |
$480 |
1.5× |
| Application of Risser jacket, localizer, body; only Age Under 21 (29010) |
$402.30 |
$447 |
1.4× |
| Application of short arm splint (forearm to hand); static (29125) |
$96.75 |
$107.50 |
0.7× |
| Application of short leg cast (below knee to toes); (29405) |
$350.55 |
$389.50 |
1.2× |
| Application of short leg cast (below knee to toes); walking or ambulatory type (29425) |
$119.70 |
$133 |
0.4× |
| Application of short leg splint (calf to foot) (29515) |
$111.15 |
$123.50 |
0.6× |
| Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15277) |
$520.20 |
$578 |
0.2× |
| Application of vein wound compression bandages on lower leg ankle and foot|BILATERAL PROCEDURE |SERV DELIV PERSONALLY… (29581) |
$262.80 |
$292 |
1.5× |
| Application of vein wound compression bandages on upper arm forearm hand and fingers|SERV DELIV PERSONALLY BY PT OR… (29584) |
$126.90 |
$141 |
0.7× |
| Application of walking cast covering thigh to toe|SERV DELIV PERSONALLY BY PT OR UNDER AN OP PLAN OF CARE (29355) |
$229.50 |
$255 |
0.8× |
| Application rigid total contact leg cast (29445) |
$189 |
$210 |
0.6× |
Application uniplane external fixation system (20690)
likely a partial charge — not the full procedure |
$873.90 |
$971 |
0.1× |
| Application, cast; figure-of-eight Age Under 21 (29049) |
$146.70 |
$163 |
0.5× |
| Application, cast; shoulder spica Age Under 21 (29055) |
$328.50 |
$365 |
1.1× |
| Application, cast; shoulder to hand (long arm) (29065) |
$152.10 |
$169 |
0.5× |
| Apply hand/wrist cast (29085) |
$142.20 |
$158 |
0.8× |
| Apply long arm splint (29105) |
$108.90 |
$121 |
0.6× |
| Apply patella tendon bearing cast (29435) |
$165.60 |
$184 |
0.6× |
| Apply splint short arm dynamic (29126) |
$115.20 |
$128 |
0.8× |
Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Age Under 21 (66180)
likely a partial charge — not the full procedure |
$1,662.30 |
$1,847 |
0.3× |
Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft Age Under 21 (66179)
likely a partial charge — not the full procedure |
$1,577.70 |
$1,753 |
0.3× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Age Under 21 (27740) |
$1,045.80 |
$1,162 |
0.3× |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur Age… (27742) |
$1,145.70 |
$1,273 |
0.3× |
| Arrest, epiphyseal (epiphysiodesis), open; distal fibula Age Under 21 (27732) |
$675 |
$750 |
0.2× |
| Arrest, epiphyseal (epiphysiodesis), open; distal tibia and fibula Age Under 21 (27734) |
$973.80 |
$1,082 |
0.3× |
Arrest, epiphyseal, any method (eg, epiphysiodesis); combined distal femur, proximal tibia and fibula Age Under 21 (27479)
likely a partial charge — not the full procedure |
$1,350 |
$1,500 |
0.2× |
Arrest, epiphyseal, any method (eg, epiphysiodesis); distal femur Age Under 21 (27475)
likely a partial charge — not the full procedure |
$981.90 |
$1,091 |
0.1× |
Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal (27477)
likely a partial charge — not the full procedure |
$1,082.70 |
$1,203 |
0.1× |
Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) (27485)
likely a partial charge — not the full procedure |
$992.70 |
$1,103 |
0.1× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Age Under 21 (36640) |
$168.30 |
$187 |
0.1× |
Arteriovenous anastomosis, open; by forearm vein transposition Age Under 21 (36820)
likely a partial charge — not the full procedure |
$1,023.30 |
$1,137 |
0.2× |
Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Age Under 21 (36818)
likely a partial charge — not the full procedure |
$981.90 |
$1,091 |
0.2× |
| Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure) Age Under 21 (36821) |
$943.20 |
$1,048 |
0.3× |
Arthrd ant interbody min dsc crv below c2 (22554)
likely a partial charge — not the full procedure |
$1,824.30 |
$2,027 |
0.1× |
Arthrd ant interbody min dsc thoracic (22556)
likely a partial charge — not the full procedure |
$2,409.30 |
$2,677 |
0.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$86.85 |
$96.50 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$133.20 |
$148 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$105.30 |
$117 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$149.40 |
$166 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$83.25 |
$92.50 |
0.3× |
| Arthrocnt aspir&/inj small jt/bursaw/us rec rprt (20604) |
$123.30 |
$137 |
0.4× |
Arthrodesis, ankle, open Age Under 21 (27870)
likely a partial charge — not the full procedure |
$1,483.20 |
$1,648 |
0.1× |
Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558)
likely a partial charge — not the full procedure |
$2,213.10 |
$2,459 |
0.1× |
Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of… (22551)
likely a partial charge — not the full procedure |
$2,454.30 |
$2,727 |
0.2× |
Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid… (22548)
likely a partial charge — not the full procedure |
$2,822.40 |
$3,136 |
0.2× |
Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Spinal Fusion… (22808)
likely a partial charge — not the full procedure |
$2,645.10 |
$2,939 |
0.1× |
Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Spinal Fusion… (22810)
likely a partial charge — not the full procedure |
$2,923.20 |
$3,248 |
0.2× |
Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments Spinal Fusion… (22812)
likely a partial charge — not the full procedure |
$3,204 |
$3,560 |
0.2× |
Arthrodesis, carpometacarpal joint, digit, other than thumb, each; Age Under 21 (26843)
likely a partial charge — not the full procedure |
$1,194.30 |
$1,327 |
0.2× |
Arthrodesis, carpometacarpal joint, digit, other than thumb, each; with autograft (includes obtaining graft) Age Under… (26844)
likely a partial charge — not the full procedure |
$1,306.80 |
$1,452 |
0.2× |
Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)… (26842)
likely a partial charge — not the full procedure |
$1,266.30 |
$1,407 |
0.2× |
Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633)
likely a partial charge — not the full procedure |
$2,671.20 |
$2,968 |
0.1× |
Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830)
likely a partial charge — not the full procedure |
$1,557.90 |
$1,731 |
0.2× |
Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft) Age Under 21 (24802)
likely a partial charge — not the full procedure |
$1,474.20 |
$1,638 |
0.1× |
Arthrodesis, glenohumeral joint; Age Under 21 (23800)
likely a partial charge — not the full procedure |
$1,507.50 |
$1,675 |
0.2× |
Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft) Age Under 21 (23802)
likely a partial charge — not the full procedure |
$1,879.20 |
$2,088 |
0.1× |
Arthrodesis, great toe; interphalangeal joint Age Under 21 (28755)
likely a partial charge — not the full procedure |
$799.20 |
$888 |
0.1× |
Arthrodesis, great toe; metatarsophalangeal joint (28750)
likely a partial charge — not the full procedure |
$1,171.80 |
$1,302 |
0.2× |
Arthrodesis, hip joint (including obtaining graft); (27284)
likely a partial charge — not the full procedure |
$2,334.60 |
$2,594 |
0.2× |
Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy (27286)
likely a partial charge — not the full procedure |
$2,392.20 |
$2,658 |
0.2× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; Age Under 21 (26860) |
$940.50 |
$1,045 |
0.3× |
| Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft) Age… (26862) |
$1,167.30 |
$1,297 |
0.3× |
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533)
likely a partial charge — not the full procedure |
$2,404.80 |
$2,672 |
0.1× |
Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22532)
likely a partial charge — not the full procedure |
$2,604.60 |
$2,894 |
0.2× |
Arthrodesis, metacarpophalangeal joint, with or without internal fixation; Age Under 21 (26850)
likely a partial charge — not the full procedure |
$1,120.50 |
$1,245 |
0.1× |
Arthrodesis, metacarpophalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)… (26852)
likely a partial charge — not the full procedure |
$1,264.50 |
$1,405 |
0.2× |
Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; Age Under 21 (28730)
likely a partial charge — not the full procedure |
$1,077.30 |
$1,197 |
0.1× |
Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction) Age Under 21 (28735)
likely a partial charge — not the full procedure |
$1,148.40 |
$1,276 |
0.1× |
Arthrodesis, midtarsal or tarsometatarsal, single joint Age Under 21 (28740)
likely a partial charge — not the full procedure |
$1,234.80 |
$1,372 |
0.2× |
Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than… (22630)
likely a partial charge — not the full procedure |
$2,285.10 |
$2,539 |
0.1× |
Arthrodesis, posterior or posterolateral technique, single interspace; cervical below C2 segment Cervical Spinal Fusion (22600)
likely a partial charge — not the full procedure |
$1,884.60 |
$2,094 |
0.1× |
Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when… (22612)
likely a partial charge — not the full procedure |
$2,298.60 |
$2,554 |
0.1× |
Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique,… (22610)
likely a partial charge — not the full procedure |
$1,854.90 |
$2,061 |
0.1× |
Arthrodesis, posterior technique, atlas-axis (C1-C2) Cervical Spinal Fusion (22595)
likely a partial charge — not the full procedure |
$2,191.50 |
$2,435 |
0.2× |
Arthrodesis, posterior technique, craniocervical (occiput-C2) Cervical Spinal Fusion (22590)
likely a partial charge — not the full procedure |
$2,291.40 |
$2,546 |
0.2× |
Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Spinal Fusion… (22804)
likely a partial charge — not the full procedure |
$3,512.70 |
$3,903 |
0.2× |
Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Spinal Fusion… (22802)
likely a partial charge — not the full procedure |
$3,060.90 |
$3,401 |
0.2× |
Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Spinal Fusion… (22800)
likely a partial charge — not the full procedure |
$1,975.50 |
$2,195 |
0.1× |
Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior… (22586)
likely a partial charge — not the full procedure |
$2,918.70 |
$3,243 |
0.2× |
Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed (27280)
likely a partial charge — not the full procedure |
$1,973.70 |
$2,193 |
0.1× |
Arthrodesis, sacroiliac joint, percutaneous or minimally invasive, with image guidance, includes obtaining bone graft… (27279)
likely a partial charge — not the full procedure |
$1,224 |
$1,360 |
0.1× |
| Arthrodesis, symphysis pubis (including obtaining graft) (27282) |
$1,267.20 |
$1,408 |
0.4× |
Arthrodesis, tibiofibular joint, proximal or distal Age Under 21 (27871)
likely a partial charge — not the full procedure |
$1,017.90 |
$1,131 |
0.1× |
Arthrodesis, with extensor hallucis longus transfer to first metatarsal neck, great toe, interphalangeal joint (eg,… (28760)
likely a partial charge — not the full procedure |
$1,135.80 |
$1,262 |
0.1× |
Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737)
likely a partial charge — not the full procedure |
$1,008.90 |
$1,121 |
0.1× |
Arthrodesis, wrist; limited, without bone graft (eg, intercarpal or radiocarpal) Age Under 21 (25820)
likely a partial charge — not the full procedure |
$971.10 |
$1,079 |
0.1× |
Arthrodesis, wrist; with autograft (includes obtaining graft) Age Under 21 (25825)
likely a partial charge — not the full procedure |
$1,182.60 |
$1,314 |
0.2× |
Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Age Under 21 (25810)
likely a partial charge — not the full procedure |
$1,274.40 |
$1,416 |
0.1× |
Arthrodesis, wrist; with sliding graft Age Under 21 (25805)
likely a partial charge — not the full procedure |
$1,250.10 |
$1,389 |
0.2× |
Arthrodesis; subtalar (28725)
likely a partial charge — not the full procedure |
$1,143 |
$1,270 |
0.1× |
Arthroplasty glenohumeral joint total shoulder (23472)
likely a partial charge — not the full procedure |
$2,111.40 |
$2,346 |
0.1× |
Arthroplasty or replacement of the end of the forearm bone on the small finger side at the wrist level (25442)
likely a partial charge — not the full procedure |
$1,196.10 |
$1,329 |
0.1× |
Arthroplasty or replacement of the end of the forearm bone on the thumb side at the wrist level (25441)
likely a partial charge — not the full procedure |
$1,380.60 |
$1,534 |
0.1× |
Arthroplasty or replacement of wrist bone, one wrist bone (lunate bone) (25444)
likely a partial charge — not the full procedure |
$1,223.10 |
$1,359 |
0.1× |
Arthroplasty or replacement of wrist bone, one wrist bone (scaphoid or navicular bone) (25443)
likely a partial charge — not the full procedure |
$1,160.10 |
$1,289 |
0.2× |
Arthroplasty or replacement of wrist bone, one wrist bone (trapezium bone) (25445)
likely a partial charge — not the full procedure |
$1,062 |
$1,180 |
0.1× |
Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) Age Under 21 (25446)
likely a partial charge — not the full procedure |
$1,716.30 |
$1,907 |
0.1× |
Arthroplasty, ankle; Age Under 21 (27700)
likely a partial charge — not the full procedure |
$902.70 |
$1,003 |
0.1× |
Arthroplasty, ankle; with implant (total ankle) (27702)
likely a partial charge — not the full procedure |
$1,413 |
$1,570 |
0.0× |
Arthroplasty, elbow; with distal humeral prosthetic replacement Age Under 21 (24361)
likely a partial charge — not the full procedure |
$1,481.40 |
$1,646 |
0.1× |
Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow) Age Under 21 (24363)
likely a partial charge — not the full procedure |
$2,112.30 |
$2,347 |
0.1× |
Arthroplasty, elbow; with implant and fascia lata ligament reconstruction (24362)
likely a partial charge — not the full procedure |
$1,557 |
$1,730 |
0.1× |
Arthroplasty, elbow; with membrane (eg, fascial) Age Under 21 (24360)
likely a partial charge — not the full procedure |
$1,329.30 |
$1,477 |
0.2× |
Arthroplasty, femoral condyles or tibial plateau(s), knee; Age Under 21 (27442)
likely a partial charge — not the full procedure |
$1,279.80 |
$1,422 |
0.1× |
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Age Under 21 (27443)
likely a partial charge — not the full procedure |
$1,202.40 |
$1,336 |
0.1× |
Arthroplasty, glenohumeral joint; hemiarthroplasty (23470)
likely a partial charge — not the full procedure |
$1,755 |
$1,950 |
0.1× |
Arthroplasty, interphalangeal joint; with prosthetic implant, each joint Age Under 21 (26536)
likely a partial charge — not the full procedure |
$1,147.50 |
$1,275 |
0.1× |
Arthroplasty, knee, condyle and plateau; medial OR lateral compartment Age Under 21 (27446)
likely a partial charge — not the full procedure |
$1,684.80 |
$1,872 |
0.1× |
Arthroplasty, knee, tibial plateau; Age Under 21 (27440)
likely a partial charge — not the full procedure |
$1,175.40 |
$1,306 |
0.1× |
Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Age Under 21 (27441)
likely a partial charge — not the full procedure |
$1,213.20 |
$1,348 |
0.1× |
Arthroplasty, metacarpophalangeal joint; each joint Age Under 21 (26530)
likely a partial charge — not the full procedure |
$804.60 |
$894 |
0.1× |
Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint Age Under 21 (26531)
likely a partial charge — not the full procedure |
$936 |
$1,040 |
0.1× |
Arthroplasty, patella; with prosthesis Age Under 21 (27438)
likely a partial charge — not the full procedure |
$1,236.60 |
$1,374 |
0.1× |
Arthroplasty, patella; without prosthesis Age Under 21 (27437)
likely a partial charge — not the full procedure |
$976.50 |
$1,085 |
0.1× |
Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft) Age Under 21 (21240)
likely a partial charge — not the full procedure |
$1,541.70 |
$1,713 |
0.2× |
Arthroplasty, temporomandibular joint, with prosthetic joint replacement Age Under 21 (21243)
likely a partial charge — not the full procedure |
$2,392.20 |
$2,658 |
0.1× |
| Arthroplasty, wrist, with or without interposition, with or without external or internal fixation Age Under 21 (25332) |
$1,244.70 |
$1,383 |
0.4× |
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29888)
likely a partial charge — not the full procedure |
$1,432.80 |
$1,592 |
0.2× |
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction Age Under 21 (29889)
likely a partial charge — not the full procedure |
$1,794.60 |
$1,994 |
0.1× |
Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or tibial plafond… (29892)
likely a partial charge — not the full procedure |
$936 |
$1,040 |
0.1× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29850) |
$921.60 |
$1,024 |
0.5× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$1,363.50 |
$1,515 |
0.8× |
Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856)
likely a partial charge — not the full procedure |
$1,455.30 |
$1,617 |
0.1× |
Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when… (29855)
likely a partial charge — not the full procedure |
$1,150.20 |
$1,278 |
0.2× |
Arthroscopy knee osteochondral allograft (29867)
likely a partial charge — not the full procedure |
$1,872.90 |
$2,081 |
0.1× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive Age Under 21 (29898) |
$827.10 |
$919 |
0.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited Age Under 21 (29897) |
$725.40 |
$806 |
0.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial Age Under 21 (29895) |
$689.40 |
$766 |
0.2× |
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis Age Under 21 (29899)
likely a partial charge — not the full procedure |
$1,488.60 |
$1,654 |
0.2× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or foreign body Age Under… (29894) |
$743.40 |
$826 |
0.2× |
| Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect… (29891) |
$988.20 |
$1,098 |
0.3× |
| Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21 (29830) |
$675 |
$750 |
0.2× |
| Arthroscopy, elbow, surgical; debridement, limited Age Under 21 (29837) |
$783.90 |
$871 |
0.2× |
Arthroscopy, elbow, surgical; synovectomy, complete Age Under 21 (29836)
likely a partial charge — not the full procedure |
$866.70 |
$963 |
0.1× |
| Arthroscopy, elbow, surgical; synovectomy, partial Age Under 21 (29835) |
$754.20 |
$838 |
0.2× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Age Under 21 (29834) |
$729.90 |
$811 |
0.2× |
Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Age Under 21 (29860)
likely a partial charge — not the full procedure |
$948.60 |
$1,054 |
0.1× |
Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion) Age Under 21 (29915)
likely a partial charge — not the full procedure |
$1,505.70 |
$1,673 |
0.2× |
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862)
likely a partial charge — not the full procedure |
$1,200.60 |
$1,334 |
0.2× |
Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) Age Under 21 (29914)
likely a partial charge — not the full procedure |
$1,463.40 |
$1,626 |
0.2× |
Arthroscopy, hip, surgical; with labral repair Age Under 21 (29916)
likely a partial charge — not the full procedure |
$1,495.80 |
$1,662 |
0.2× |
Arthroscopy, hip, surgical; with removal of loose body or foreign body Age Under 21 (29861)
likely a partial charge — not the full procedure |
$1,057.50 |
$1,175 |
0.1× |
| Arthroscopy, hip, surgical; with synovectomy Age Under 21 (29863) |
$1,196.10 |
$1,329 |
0.3× |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
$831.60 |
$924 |
0.2× |
| Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or… (29879) |
$975.60 |
$1,084 |
0.3× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) Age Under 21 (29877) |
$918 |
$1,020 |
0.3× |
| Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion Age Under 21 (29886) |
$938.70 |
$1,043 |
0.3× |
Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation Age Under 21 (29887)
likely a partial charge — not the full procedure |
$1,110.60 |
$1,234 |
0.1× |
Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal… (29885)
likely a partial charge — not the full procedure |
$1,115.10 |
$1,239 |
0.1× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$762.30 |
$847 |
0.2× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation,… (29874) |
$792.90 |
$881 |
0.2× |
Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral (29868)
unusually low — confirm this is the full procedure |
$2,435.40 |
$2,706 |
0.3× |
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866)
likely a partial charge — not the full procedure |
$1,545.30 |
$1,717 |
0.2× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure) Age Under 21 (29875) |
$735.30 |
$817 |
0.2× |
| Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure) Age Under 21 (29884) |
$913.50 |
$1,015 |
0.3× |
| Arthroscopy, knee, surgical; with meniscectomy (medial and lateral, including any meniscal shaving) including… (29880) |
$831.60 |
$924 |
0.2× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Age Under 21 (29883) |
$1,236.60 |
$1,374 |
0.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral) Age Under 21 (29882) |
$1,015.20 |
$1,128 |
0.3× |
| Arthroscopy, metacarpophalangeal joint, diagnostic, includes synovial biopsy Age Under 21 (29900) |
$748.80 |
$832 |
0.2× |
| Arthroscopy, metacarpophalangeal joint, surgical; with debridement Age Under 21 (29901) |
$801.90 |
$891 |
0.2× |
| Arthroscopy, metacarpophalangeal joint, surgical; with reduction of displaced ulnar collateral ligament (eg, Stener… (29902) |
$848.70 |
$943 |
0.5× |
| Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21 (29805) |
$693.90 |
$771 |
0.2× |
Arthroscopy, shoulder, surgical; capsulorrhaphy Age Under 21 (29806)
likely a partial charge — not the full procedure |
$1,555.20 |
$1,728 |
0.2× |
| Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral… (29823) |
$875.70 |
$973 |
0.3× |
| Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular… (29822) |
$801.90 |
$891 |
0.2× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure) Age Under… (29824) |
$1,000.80 |
$1,112 |
0.3× |
Arthroscopy, shoulder, surgical; repair of SLAP lesion Age Under 21 (29807)
likely a partial charge — not the full procedure |
$1,518.30 |
$1,687 |
0.2× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Age Under 21 (29821) |
$879.30 |
$977 |
0.3× |
Arthroscopy, shoulder, surgical; synovectomy, partial Age Under 21 (29820)
likely a partial charge — not the full procedure |
$793.80 |
$882 |
0.1× |
| Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation Age Under 21 (29825) |
$868.50 |
$965 |
0.3× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body Age Under 21 (29819) |
$868.50 |
$965 |
0.3× |
Arthroscopy, shoulder, surgical; with rotator cuff repair Age Under 21 (29827)
likely a partial charge — not the full procedure |
$1,567.80 |
$1,742 |
0.2× |
| Arthroscopy, subtalar joint, surgical; with debridement Age Under 21 (29906) |
$961.20 |
$1,068 |
0.3× |
| Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body Age Under 21 (29904) |
$941.40 |
$1,046 |
0.3× |
Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis Age Under 21 (29907)
likely a partial charge — not the full procedure |
$1,289.70 |
$1,433 |
0.1× |
Arthroscopy, subtalar joint, surgical; with synovectomy Age Under 21 (29905)
likely a partial charge — not the full procedure |
$751.50 |
$835 |
0.1× |
| Arthroscopy, temporomandibular joint, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21 (29800) |
$784.80 |
$872 |
0.2× |
| Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure) Age Under 21 (29840) |
$670.50 |
$745 |
0.2× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Age Under 21 (29846) |
$773.10 |
$859 |
0.2× |
| Arthroscopy, wrist, surgical; for infection, lavage and drainage Age Under 21 (29843) |
$720.90 |
$801 |
0.2× |
| Arthroscopy, wrist, surgical; synovectomy, complete Age Under 21 (29845) |
$866.70 |
$963 |
0.3× |
| Arthroscopy, wrist, surgical; synovectomy, partial Age Under 21 (29844) |
$740.70 |
$823 |
0.2× |
| Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure) Age Under 21 (24006) |
$1,053 |
$1,170 |
0.3× |
| Arthrotomy with biopsy; carpometacarpal joint, each Age Under 21 (26100) |
$507.60 |
$564 |
0.1× |
| Arthrotomy with biopsy; interphalangeal joint Age Under 21 (28054) |
$550.80 |
$612 |
0.2× |
| Arthrotomy with biopsy; interphalangeal joint, each Age Under 21 (26110) |
$487.80 |
$542 |
0.3× |
| Arthrotomy with biopsy; intertarsal or tarsometatarsal joint Age Under 21 (28050) |
$621.90 |
$691 |
0.2× |
| Arthrotomy with biopsy; metacarpophalangeal joint, each Age Under 21 (26105) |
$512.10 |
$569 |
0.1× |
| Arthrotomy with biopsy; metatarsophalangeal joint Age Under 21 (28052) |
$584.10 |
$649 |
0.2× |
Arthrotomy with meniscus repair, knee Age Under 21 (27403)
likely a partial charge — not the full procedure |
$954.90 |
$1,061 |
0.1× |
| Arthrotomy with synovectomy, hip joint (27054) |
$1,016.10 |
$1,129 |
0.3× |
| Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage Age… (23101) |
$679.50 |
$755 |
0.2× |
| Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body Age… (23044) |
$838.80 |
$932 |
0.2× |
| Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age… (27620) |
$667.80 |
$742 |
0.2× |
| Arthrotomy, distal radioulnar joint including repair of triangular cartilage, complex Age Under 21 (25107) |
$916.20 |
$1,018 |
0.3× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body Age Under 21 (24000) |
$702.90 |
$781 |
0.2× |
| Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body Age… (24101) |
$749.70 |
$833 |
0.2× |
| Arthrotomy, elbow; with synovectomy Age Under 21 (24102) |
$917.10 |
$1,019 |
0.3× |
| Arthrotomy, elbow; with synovial biopsy only Age Under 21 (24100) |
$625.50 |
$695 |
0.2× |
| Arthrotomy, glenohumeral joint, including biopsy Age Under 21 (23100) |
$753.30 |
$837 |
0.2× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Age Under 21 (23040) |
$1,062.90 |
$1,181 |
0.3× |
Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body Age Under 21 (23107)
likely a partial charge — not the full procedure |
$977.40 |
$1,086 |
0.1× |
Arthrotomy, hip, including exploration or removal of loose or foreign body Age Under 21 (27033)
likely a partial charge — not the full procedure |
$1,425.60 |
$1,584 |
0.2× |
Arthrotomy, hip, with drainage (eg, infection) (27030)
likely a partial charge — not the full procedure |
$1,374.30 |
$1,527 |
0.2× |
| Arthrotomy, including exploration, drainage, or removal of loose or foreign body; intertarsal or tarsometatarsal joint… (28020) |
$827.10 |
$919 |
0.2× |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies Age Under 21 (27331) |
$708.30 |
$787 |
0.2× |
| Arthrotomy, knee; with synovial biopsy only Age Under 21 (27330) |
$629.10 |
$699 |
0.2× |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Age Under 21 (27612) |
$825.30 |
$917 |
0.2× |
| Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body Age Under 21 (25040) |
$828.90 |
$921 |
0.2× |
| Arthrotomy, temporomandibular joint Age Under 21 (21010) |
$1,095.30 |
$1,217 |
0.3× |
| Arthrotomy, with biopsy; hip joint Age Under 21 (27052) |
$856.80 |
$952 |
0.5× |
| Arthrotomy, with biopsy; sacroiliac joint Age Under 21 (27050) |
$604.80 |
$672 |
0.4× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Age Under 21 (27333) |
$873.90 |
$971 |
0.3× |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral Age Under 21 (27332) |
$955.80 |
$1,062 |
0.3× |
| Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each Age Under… (26075) |
$504.90 |
$561 |
0.1× |
| Arthrotomy, with synovectomy, ankle; Age Under 21 (27625) |
$846.90 |
$941 |
0.2× |
| Arthrotomy, with synovectomy, ankle; including tenosynovectomy Age Under 21 (27626) |
$888.30 |
$987 |
0.3× |
Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area Age Under 21 (27335)
likely a partial charge — not the full procedure |
$1,130.40 |
$1,256 |
0.1× |
| Arthrotomy, wrist joint; with biopsy Age Under 21 (25100) |
$523.80 |
$582 |
0.2× |
| Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign… (25101) |
$604.80 |
$672 |
0.2× |
Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy Age Under 21 (23105)
likely a partial charge — not the full procedure |
$947.70 |
$1,053 |
0.1× |
| Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy Age Under 21 (23106) |
$747.90 |
$831 |
0.2× |
Arthrp acetblr/prox fem prostc agrft/algrft (27130)
likely a partial charge — not the full procedure |
$1,873.80 |
$2,082 |
0.1× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$596.70 |
$663 |
0.4× |
| Arthrt kne w/expl drg/rmvl fb (27310) |
$1,080.90 |
$1,201 |
0.3× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$683.10 |
$759 |
0.4× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$729.90 |
$811 |
0.2× |
Arytenoidectomy or arytenoidopexy, external approach Age Under 21 (31400)
likely a partial charge — not the full procedure |
$1,520.10 |
$1,689 |
0.2× |
| Aspirate pleura w/o imaging (32554) |
$368.10 |
$409 |
0.6× |
| Aspiration and injection for treatment of bone cyst Age Under 21 (20615) |
$380.70 |
$423 |
0.5× |
| Aspiration and/or injection of ganglion cyst(s) any location (20612) |
$99 |
$110 |
0.3× |
| Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous Age Under 21 (50390) |
$136.80 |
$152 |
0.2× |
| Aspiration and/or injection thyroid cyst (60300) |
$163.80 |
$182 |
0.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$365.40 |
$406 |
0.2× |
| Aspiration bladder needle (51100) |
$111.60 |
$124 |
0.4× |
| Aspiration of fluid from cyst of spinal cord or fluid-filled cavity (62268) |
$371.70 |
$413 |
0.4× |
| Assessment of penile blood flow (54240) |
$156.60 |
$174 |
0.7× |
| Augmentation, mandibular body or angle; prosthetic material Age Under 21 (21125) |
$4,149 |
$4,610 |
0.7× |
| Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft) Age… (21127) |
$6,372.90 |
$7,081 |
1.0× |
Autochondrocyte implant knee (27412)
unusually low — confirm this is the full procedure |
$2,404.80 |
$2,672 |
0.3× |
Av fistula revision (36833)
likely a partial charge — not the full procedure |
$1,150.20 |
$1,278 |
0.2× |
| Avulsion of nail plate, partial or complete, simple; single (11730) |
$154.35 |
$171.50 |
0.7× |
Axillary lymphadenectomy; complete Age Under 21 (38745)
likely a partial charge — not the full procedure |
$1,285.20 |
$1,428 |
0.2× |
Axillary lymphadenectomy; superficial Age Under 21 (38740)
likely a partial charge — not the full procedure |
$1,024.20 |
$1,138 |
0.2× |
Biliary endo prq t-tube dx w/collect spec brush (47552)
likely a partial charge — not the full procedure |
$392.40 |
$436 |
0.1× |
Biliary endoscopy, percutaneous via T-tube or other tract; with biopsy, single or multiple Age Under 21 (47553)
likely a partial charge — not the full procedure |
$394.20 |
$438 |
0.1× |
Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent Age… (47556)
likely a partial charge — not the full procedure |
$530.10 |
$589 |
0.0× |
Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi Age Under 21 (47554)
likely a partial charge — not the full procedure |
$740.70 |
$823 |
0.1× |
Biliary ndsc prq t-tube w/dil duct w/o stent (47555)
likely a partial charge — not the full procedure |
$468 |
$520 |
0.1× |
| Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance… (55706) |
$547.20 |
$608 |
0.1× |
| Biopsy bone open superficial (20240) |
$206.10 |
$229 |
0.1× |
| Biopsy bone trocar/needle deep (20225) |
$606.60 |
$674 |
0.3× |
| Biopsy external auditory canal (69105) |
$225 |
$250 |
0.1× |
| Biopsy external ear (69100) |
$146.70 |
$163 |
0.6× |
| Biopsy floor of mouth (41108) |
$256.50 |
$285 |
0.1× |
| Biopsy intranasal (30100) |
$217.80 |
$242 |
0.1× |
| Biopsy lip (40490) |
$185.40 |
$206 |
0.7× |
| Biopsy liver needle percutaneous (47000) |
$471.60 |
$524 |
0.3× |
| Biopsy lymph node (38505) |
$271.80 |
$302 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$354.60 |
$394 |
0.2× |
| Biopsy nail unit (11755) |
$180.90 |
$201 |
0.2× |
| Biopsy nasopharynx visible lesion simple (42804) |
$331.20 |
$368 |
0.1× |
| Biopsy of anorectal wall, anal approach (eg, congenital megacolon) (45100) |
$445.50 |
$495 |
0.2× |
| Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) Age Under 21 (19100) |
$234.90 |
$261 |
0.1× |
| Biopsy of cervix (57500) |
$239.40 |
$266 |
0.2× |
| Biopsy of cornea Age Under 21 (65410) |
$212.40 |
$236 |
0.1× |
| Biopsy of epididymis, needle (54800) |
$180 |
$200 |
0.1× |
| Biopsy of extraocular muscle Age Under 21 (67346) |
$276.30 |
$307 |
0.1× |
| Biopsy of eyelid (67810) |
$284.40 |
$316 |
0.8× |
| Biopsy of eyelid lining (68100) |
$275.40 |
$306 |
0.1× |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) Age Under 21 (44100) |
$154.80 |
$172 |
0.2× |
| Biopsy of lacrimal gland Age Under 21 (68510) |
$679.50 |
$755 |
0.3× |
| Biopsy of lacrimal sac Age Under 21 (68525) |
$373.50 |
$415 |
0.1× |
| Biopsy of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44389) |
$643.50 |
$715 |
0.5× |
| Biopsy of lower large bowel using a flexible endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (45331) |
$455.40 |
$506 |
0.5× |
| Biopsy of nerve Age Under 21 (64795) |
$275.40 |
$306 |
0.1× |
| Biopsy of ovary(s) (58900) |
$648.90 |
$721 |
0.2× |
| Biopsy of penis: separate procedure deep structures (54105) |
$409.50 |
$455 |
0.1× |
| Biopsy of penis; (separate procedure) (54100) |
$306 |
$340 |
0.2× |
| Biopsy of salivary gland (42405) |
$456.30 |
$507 |
0.3× |
| Biopsy of salivary gland; needle (42400) |
$150.30 |
$167 |
0.2× |
| Biopsy of small bowel using an endoscope inserted through surgically created opening from lower small bowel to skin (44382) |
$475.20 |
$528 |
0.5× |
| Biopsy of spinal cord, percutaneous needle Age Under 21 (62269) |
$378 |
$420 |
0.2× |
| Biopsy of testis, incisional (separate procedure) Age Under 21 (54505) |
$305.10 |
$339 |
0.1× |
| Biopsy of testis, needle (separate procedure) Age Under 21 (54500) |
$107.10 |
$119 |
0.0× |
| Biopsy of tongue; anterior two-thirds Age Under 21 (41100) |
$286.20 |
$318 |
0.5× |
| Biopsy of urethra (53200) |
$230.40 |
$256 |
0.1× |
| Biopsy of uterus lining (58100) |
$153.90 |
$171 |
0.7× |
| Biopsy of vaginal mucosa; extensive, requiring suture (including cysts) Age Under 21 (57105) |
$270 |
$300 |
0.1× |
| Biopsy of voice box using an endoscope with mirror (31510) |
$325.80 |
$362 |
0.1× |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Age Under 21 (38520) |
$683.10 |
$759 |
0.2× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$504.90 |
$561 |
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) |
$646.20 |
$718 |
0.2× |
| Biopsy oropharynx (42800) |
$240.30 |
$267 |
0.1× |
| Biopsy pleura percutaneous needle (32400) |
$252 |
$280 |
0.1× |
| Biopsy roof of mouth (42100) |
$223.20 |
$248 |
0.1× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$392.40 |
$436 |
0.2× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$382.50 |
$425 |
0.2× |
| Biopsy soft tissue neck/thorax (21550) |
$407.70 |
$453 |
0.2× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$516.60 |
$574 |
0.3× |
| Biopsy soft tissue upper arm/elbow superficial (24065) |
$398.70 |
$443 |
0.2× |
| Biopsy thyroid percutaneous core needle (60100) |
$162.90 |
$181 |
0.2× |
| Biopsy tongue,poster 1/3 (41105) |
$286.20 |
$318 |
0.1× |
| Biopsy vaginal mucosa simple (57100) |
$155.70 |
$173 |
0.2× |
| Biopsy vestibule mouth (40808) |
$258.30 |
$287 |
0.5× |
| Biopsy vulva/perineum 1 lesion (56605) |
$145.80 |
$162 |
0.2× |
| Biopsy, abdominal or retroperitoneal mass, percutaneous needle Age Under 21 (49180) |
$265.50 |
$295 |
0.2× |
| Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft) Age Under 21 (20245) |
$502.20 |
$558 |
0.2× |
| Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs) Age Under 21 (20220) |
$367.20 |
$408 |
0.2× |
| Biopsy, muscle; superficial (20200) |
$336.60 |
$374 |
0.2× |
| Biopsy, prostate, any approach, nonimaging-guided Age Under 21 (55705) |
$385.20 |
$428 |
0.1× |
| Biopsy, soft tissue of back or flank; deep Age Under 21 (21925) |
$745.20 |
$828 |
0.4× |
| Biopsy, soft tissue of back or flank; superficial Age Under 21 (21920) |
$394.20 |
$438 |
0.2× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) Age Under 21 (25066) |
$546.30 |
$607 |
0.2× |
| Biopsy, soft tissue of leg or ankle area; deep (subfascial or intramuscular) Age Under 21 (27614) |
$876.60 |
$974 |
0.3× |
| Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular Age Under 21 (27041) |
$1,043.10 |
$1,159 |
0.6× |
| Biopsy, soft tissue of shoulder area; deep Age Under 21 (23066) |
$857.70 |
$953 |
0.3× |
| Biopsy, soft tissue of shoulder area; superficial Age Under 21 (23065) |
$342 |
$380 |
0.2× |
| Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular) Age Under 21 (27324) |
$603.90 |
$671 |
0.2× |
| Biopsy, soft tissue of thigh or knee area; superficial (27323) |
$414.90 |
$461 |
0.2× |
| Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) Age Under 21 (24066) |
$938.70 |
$1,043 |
0.3× |
Biopsy, vertebral body, open; lumbar or cervical Age Under 21 (20251)
likely a partial charge — not the full procedure |
$617.40 |
$686 |
0.1× |
| Biopsy, vertebral body, open; thoracic Age Under 21 (20250) |
$565.20 |
$628 |
0.2× |
| Biopsy/removal lymph nodes (38510) |
$832.50 |
$925 |
0.2× |
| Biopsy; nasopharynx, survey for unknown primary lesion Age Under 21 (42806) |
$367.20 |
$408 |
0.1× |
| Bladder irrigation (51700) |
$323.10 |
$359 |
1.2× |
| Bladder pressure measurement during filling (51726) |
$467.10 |
$519 |
1.8× |
| Blepharoplasty lower eyelid (15820) |
$861.30 |
$957 |
0.4× |
| Blepharoplasty Upper Eyelid|BILATERAL PROCEDURE (15822) |
$691.20 |
$768 |
0.3× |
| Blepharoplasty, lower eyelid; with extensive herniated fat pad Age Under 21 (15821) |
$924.30 |
$1,027 |
0.4× |
| Blepharotomy, drainage of abscess, eyelid Age Under 21 (67700) |
$440.10 |
$489 |
1.3× |
Bone graft at lower leg with microvascular connection (20955)
unusually low — confirm this is the full procedure |
$3,597.30 |
$3,997 |
0.5× |
| Bone graft of pelvic bone with microvascular connection (20956) |
$3,837.60 |
$4,264 |
0.5× |
| Bone graft with microvascular anastomosis; metatarsal (20957) |
$3,996.90 |
$4,441 |
0.5× |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal (20962) |
$3,882.60 |
$4,314 |
0.5× |
Bone graft, any donor area; major or large Age Under 21 (20902)
likely a partial charge — not the full procedure |
$402.30 |
$447 |
0.1× |
Bone graft, any donor area; minor or small (eg, dowel or button) Age Under 21 (20900)
likely a partial charge — not the full procedure |
$597.60 |
$664 |
0.1× |
Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) (27170)
likely a partial charge — not the full procedure |
$1,703.70 |
$1,893 |
0.2× |
| Bone marrow harvest allogen (38230) |
$294.30 |
$327 |
0.2× |
| Bone marrow harvesting for transplantation; autologous Age Under 21 (38232) |
$285.30 |
$317 |
0.1× |
| Brain canal shunt procedure (61070) |
$82.80 |
$92 |
0.1× |
Breast augmentation with implant Age Under 21 (19325)
likely a partial charge — not the full procedure |
$904.50 |
$1,005 |
0.1× |
| Breast Biopsy; Percutaneous, Needle Core (Not Using Imaging Guidance) Charge (19101) |
$501.30 |
$557 |
0.1× |
Breast Reduction|BILATERAL PROCEDURE (19318)
likely a partial charge — not the full procedure |
$1,600.20 |
$1,778 |
0.2× |
| Brnchsc ebus guided sampl 1/2 node station/strux (31652) |
$2,034.90 |
$2,261 |
0.5× |
| Brnchsc ebus guided sampl 3/> node station/strux (31653) |
$2,110.50 |
$2,345 |
0.5× |
Brnchsc occlusion&insert bronch valve init lobe (31647)
likely a partial charge — not the full procedure |
$298.80 |
$332 |
0.0× |
| Brnchsc removal bronchial valve initial (31648) |
$286.20 |
$318 |
0.1× |
| Bronch foreign body removal (31635) |
$443.70 |
$493 |
0.2× |
Bronch thermoplsty 1 lobe (31660)
likely a partial charge — not the full procedure |
$284.40 |
$316 |
0.0× |
| Bronchoscopy dilate/fx repr (31630) |
$286.20 |
$318 |
0.1× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$707.40 |
$786 |
0.2× |
| Bronchoscopy w biopsy (31625) |
$542.70 |
$603 |
0.3× |
Bronchoscopy w/markers (31626)
likely a partial charge — not the full procedure |
$1,258.20 |
$1,398 |
0.2× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$415.80 |
$462 |
0.2× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$206.10 |
$229 |
0.5× |
| Bronchoscopy w/tumor excise (31640) |
$360 |
$400 |
0.1× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when… (31622) |
$375.30 |
$417 |
0.2× |
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with balloon occlusion, with… (31634)
unusually low — confirm this is the full procedure |
$2,493.90 |
$2,771 |
0.3× |
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or… (31661)
likely a partial charge — not the full procedure |
$298.80 |
$332 |
0.0× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief… (31641) |
$369 |
$410 |
0.1× |
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of bronchial stent(s)… (31636)
likely a partial charge — not the full procedure |
$314.10 |
$349 |
0.0× |
| Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of catheter(s) for… (31643) |
$253.80 |
$282 |
0.1× |
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of tracheal stent(s)… (31631)
likely a partial charge — not the full procedure |
$326.70 |
$363 |
0.0× |
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with revision of tracheal or… (31638)
likely a partial charge — not the full procedure |
$357.30 |
$397 |
0.0× |
| Bronchoscopy/lung bx each (31628) |
$576 |
$640 |
0.1× |
| Bx breast 1st lesion mr imag (19085) |
$1,226.70 |
$1,363 |
0.7× |
| Bx breast 1st lesion strtctc (19081) |
$783.90 |
$871 |
0.4× |
| Bx breast 1st lesion us imag (19083) |
$794.70 |
$883 |
0.5× |
| Bx pancreas ndl perc (48102) |
$799.20 |
$888 |
0.5× |
| Bx/Exc Lymph Node Open Int Mammary Node (38530) |
$824.40 |
$916 |
0.2× |
| C/c 58300 insertion hormone iud for endometrial hyperplasia (58999) |
$257.40 |
$286 |
1.2× |
| Cah artificial insemination intra-cervical (58321) |
$122.40 |
$136 |
0.4× |
| Cah artificial insemination intra-uterine (58322) |
$135.90 |
$151 |
0.6× |
Cah reinsertion spinal fixation device (22849)
likely a partial charge — not the full procedure |
$1,892.70 |
$2,103 |
0.1× |
| Canthoplasty (67950) |
$873.90 |
$971 |
0.3× |
| Capslrhphy; metatrsphalngl joint w/wo tenrhphy or lgmnt rpr sngl joint (28899) |
$83.70 |
$93 |
0.3× |
| Capsular contracture release (eg, Sever type procedure) Age Under 21 (23020) |
$1,019.70 |
$1,133 |
0.3× |
Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036)
likely a partial charge — not the full procedure |
$1,495.80 |
$1,662 |
0.2× |
| Capsulectomy or capsulotomy; metacarpophalangeal joint, each joint Age Under 21 (26520) |
$1,052.10 |
$1,169 |
0.3× |
| Capsulodesis, metacarpophalangeal joint; 2 digits Age Under 21 (26517) |
$1,315.80 |
$1,462 |
0.4× |
Capsulodesis, metacarpophalangeal joint; 3 or 4 digits Age Under 21 (26518)
likely a partial charge — not the full procedure |
$1,332 |
$1,480 |
0.2× |
| Capsulodesis, metacarpophalangeal joint; single digit Age Under 21 (26516) |
$1,134.90 |
$1,261 |
0.3× |
Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer or graft) (includes… (25320)
likely a partial charge — not the full procedure |
$1,454.40 |
$1,616 |
0.2× |
Capsulorrhaphy, anterior, any type; with coracoid process transfer Age Under 21 (23462)
likely a partial charge — not the full procedure |
$1,564.20 |
$1,738 |
0.2× |
Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation Age Under 21 (23450)
likely a partial charge — not the full procedure |
$1,389.60 |
$1,544 |
0.2× |
Capsulorrhaphy, glenohumeral joint, any type multidirectional instability Age Under 21 (23466)
likely a partial charge — not the full procedure |
$1,645.20 |
$1,828 |
0.2× |
Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Age Under 21 (23465)
likely a partial charge — not the full procedure |
$1,640.70 |
$1,823 |
0.2× |
Capsulotomy, midfoot; extensive, including posterior talotibial capsulotomy and tendon(s) lengthening (eg, resistant… (28262)
likely a partial charge — not the full procedure |
$2,068.20 |
$2,298 |
0.3× |
| Capsulotomy, midfoot; medial release only (separate procedure) Age Under 21 (28260) |
$1,056.60 |
$1,174 |
0.3× |
| Capsulotomy, midfoot; with tendon lengthening Age Under 21 (28261) |
$1,787.40 |
$1,986 |
1.1× |
| Capsulotomy, midtarsal (eg, Heyman type procedure) Age Under 21 (28264) |
$1,344.60 |
$1,494 |
0.8× |
| Capsulotomy, posterior capsular release, knee Age Under 21 (27435) |
$1,188 |
$1,320 |
0.3× |
| Capsulotomy; interphalangeal joint, each joint (separate procedure) Age Under 21 (28272) |
$575.10 |
$639 |
0.3× |
| Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure) Age Under 21 (28270) |
$729 |
$810 |
0.2× |
| Care of miscarriage (59820) |
$654.30 |
$727 |
0.2× |
| Carpectomy; all bones of proximal row Age Under 21 (25215) |
$918 |
$1,020 |
0.3× |
| Cartilage graft; costochondral Age Under 21 (20910) |
$703.80 |
$782 |
0.9× |
| Cartilage graft; nasal septum Age Under 21 (20912) |
$711.90 |
$791 |
0.2× |
| Cast short arm (29075) |
$139.05 |
$154.50 |
0.5× |
| Casting/strapping procedure (29799) |
$301.50 |
$335 |
1.8× |
| Catheterization with bronchial brush biopsy Age Under 21 (31717) |
$452.70 |
$503 |
1.1× |
| Cautery of cervix; cryocautery, initial or repeat Age Under 21 (57511) |
$306 |
$340 |
1.0× |
| Cautery of cervix; electro or thermal Age Under 21 (57510) |
$254.70 |
$283 |
0.1× |
| Cautery of cervix; laser ablation Age Under 21 (57513) |
$315.90 |
$351 |
0.1× |
| Centralization of wrist on ulna (eg, radial club hand) Age Under 21 (25335) |
$1,390.50 |
$1,545 |
0.4× |
| Cerclage of uterine cervix, nonobstetrical (57700) |
$536.40 |
$596 |
0.2× |
Cervical lymphadenectomy (complete) (38720)
likely a partial charge — not the full procedure |
$1,958.40 |
$2,176 |
0.3× |
| Cessation thrombolytic thrpy w/catheter removal (37214) |
$172.80 |
$192 |
0.1× |
| Change Cystostomy Tube Simple (51705) |
$146.70 |
$163 |
0.6× |
| Change g-tube to g-j perc (49446) |
$1,272.60 |
$1,414 |
0.6× |
| Change of cystostomy tube; complicated Age Under 21 (51710) |
$206.10 |
$229 |
0.3× |
| Change of windpipe airway (31502) |
$51.30 |
$57 |
0.2× |
| Chemical cauterization of granulation tissue (17250) |
$136.80 |
$152 |
0.6× |
| Chemical exfoliation for acne (eg, acne paste, acid) (17360) |
$181.80 |
$202 |
0.9× |
| Chemical peel face dermal (15789) |
$793.80 |
$882 |
1.0× |
| Chemical peel of deep layer of nonfacial skin (15793) |
$711.90 |
$791 |
1.7× |
| Chemical peel of outer layer of nonfacial skin (15792) |
$507.60 |
$564 |
0.7× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$266.40 |
$296 |
0.4× |
| Chemodenerv 1 extremity 1-4 (64642) |
$225.90 |
$251 |
0.3× |
| Chemodenerv eccrine glands both axillae (64650) |
$134.10 |
$149 |
0.4× |
| Chemodenerv saliv glands (64611) |
$191.70 |
$213 |
0.6× |
| Chemodenerv trunk musc 1-5 (64646) |
$234.90 |
$261 |
0.3× |
| Chemodenerv trunk musc 6/> (64647) |
$268.20 |
$298 |
0.4× |
| Chemodenervation Internal Anal Sphincter (46505) |
$477.90 |
$531 |
0.4× |
| Chemodenervation muscle larynx unilat w/EMG (64617) |
$243.90 |
$271 |
0.3× |
| Chemodenervation muscle neck unilat for dystonia (64616) |
$203.40 |
$226 |
0.6× |
| Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Age Under 21 (64653) |
$159.30 |
$177 |
0.5× |
| Chemodervate facial/trigem/cerv musc migraine (64615) |
$225.90 |
$251 |
0.7× |
| Chest tube placement (32551) |
$356.40 |
$396 |
0.2× |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
$112.50 |
$125 |
0.1× |
| Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when… (47490) |
$489.60 |
$544 |
0.1× |
| Chorionic villus sampling, any method Age Under 21 (59015) |
$225.90 |
$251 |
0.2× |
Chromotubation Oviduct W/Materials|BILATERAL PROCEDURE (58350)
likely a partial charge — not the full procedure |
$239.40 |
$266 |
0.0× |
| Ciliary body destruction; cryotherapy Age Under 21 (66720) |
$690.30 |
$767 |
0.3× |
| Ciliary body destruction; cyclodialysis Age Under 21 (66740) |
$648 |
$720 |
0.3× |
| Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Age Under… (66711) |
$741.60 |
$824 |
0.3× |
| Ciliary body destruction; cyclophotocoagulation, transscleral Age Under 21 (66710) |
$653.40 |
$726 |
0.3× |
| Ciliary body destruction; diathermy Age Under 21 (66700) |
$667.80 |
$742 |
0.3× |
| Circumcision, Newborn (54150) |
$234 |
$260 |
0.1× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less) Age Under 21 (54160) |
$329.40 |
$366 |
0.4× |
| Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age Age Under 21 (54161) |
$287.10 |
$319 |
0.1× |
| Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) Age Under 21 (61050) |
$117.90 |
$131 |
0.4× |
| Cisternal/lateral c1-c2 puncture w/injection (61055) |
$171 |
$190 |
0.5× |
| Claviculectomy; partial Age Under 21 (23120) |
$871.20 |
$968 |
0.3× |
| Claviculectomy; total Age Under 21 (23125) |
$1,049.40 |
$1,166 |
0.3× |
| Closed rx acetabular fx (27220) |
$621.90 |
$691 |
2.4× |
| Closed rx humer epicondylr fx,manip (24565) |
$1,008.45 |
$1,120.50 |
0.6× |
| Closed rx radial shaft fx w/dislocation (25520) |
$866.70 |
$963 |
0.5× |
| Closed rx shldr disloc,prox hum fx (23675) |
$1,018.80 |
$1,132 |
0.6× |
| Closed rx ulna shaft fx,manipulatn (25535) |
$930.60 |
$1,034 |
3.6× |
| Closed treatment of acromioclavicular dislocation; without manipulation (23540) |
$473.40 |
$526 |
1.8× |
| Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation Age Under 21 (27842) |
$738.90 |
$821 |
0.4× |
| Closed treatment of articular fx,metacarpophalangeal or interphalangeal joint; w/o manip, each (26740) |
$352.80 |
$392 |
1.4× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$468 |
$520 |
1.8× |
| Closed treatment of carpal bone fracture; without manipulation (25630) |
$582.30 |
$647 |
2.2× |
| Closed treatment of carpal scaphoid (navicular) fracture; without manipulation (25622) |
$585 |
$650 |
2.2× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia… (26675) |
$697.50 |
$775 |
0.4× |
| Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia… (26670) |
$527.40 |
$586 |
2.0× |
| Closed treatment of clavicular fracture; with manipulation (23505) |
$679.05 |
$754.50 |
0.4× |
| Closed treatment of clavicular fracture; without manipulation (23500) |
$450.45 |
$500.50 |
1.7× |
| Closed treatment of dislocated joint between collar and chest bone with manipulation (23525) |
$598.50 |
$665 |
2.3× |
| Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger) Age… (26432) |
$839.70 |
$933 |
0.5× |
| Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction… (27517) |
$1,019.70 |
$1,133 |
0.6× |
| Closed treatment of distal fibular fracture (lateral malleolus); with manipulation (27788) |
$788.85 |
$876.50 |
3.0× |
| Closed treatment of distal fibular fracture (lateral malleolus); without manipulation (27786) |
$591.30 |
$657 |
2.3× |
| Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each (26750) |
$376.65 |
$418.50 |
1.4× |
| Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation Age Under 21 (27510) |
$1,311.75 |
$1,457.50 |
0.8× |
| Closed treatment of femoral fracture, proximal end, neck; without manipulation Age Under 21 (27230) |
$940.50 |
$1,045 |
3.6× |
| Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction Age Under 21 (27502) |
$1,452.60 |
$1,614 |
0.9× |
| Closed treatment of fracture great toe, phalanx or phalanges; without manipulation (28490) |
$213.30 |
$237 |
0.8× |
| Closed treatment of fracture of orbit, except blowout; with manipulation Age Under 21 (21401) |
$772.20 |
$858 |
0.5× |
| Closed treatment of fracture of orbit, except blowout; without manipulation Age Under 21 (21400) |
$318.60 |
$354 |
0.6× |
| Closed treatment of fracture, phalanx or phalanges, other than great toe w/o manipulation each (28510) |
$237.60 |
$264 |
0.9× |
| Closed treatment of greater trochanteric fracture, without manipulation Age Under 21 (27246) |
$583.20 |
$648 |
2.2× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,448.55 |
$1,609.50 |
0.9× |
| Closed treatment of humeral shaft fracture; without manipulation (24500) |
$685.80 |
$762 |
2.6× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with… (27240) |
$1,409.40 |
$1,566 |
0.8× |
| Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation Age… (27238) |
$912.60 |
$1,014 |
0.5× |
| Closed treatment of knee dislocation; requiring anesthesia Age Under 21 (27552) |
$940.50 |
$1,045 |
0.6× |
| Closed treatment of knee dislocation; without anesthesia (27550) |
$958.05 |
$1,064.50 |
3.7× |
| Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction Age Under 21 (27762) |
$892.35 |
$991.50 |
0.5× |
| Closed treatment of medial malleolus fracture; without manipulation (27760) |
$628.65 |
$698.50 |
2.4× |
| Closed treatment of metacarpal fracture, single; with manipulation, each bone (26605) |
$618.75 |
$687.50 |
2.4× |
| Closed treatment of metacarpal fracture, single; without manipulation, each bone (26600) |
$584.10 |
$649 |
2.2× |
| Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone Age Under 21 (26607) |
$769.50 |
$855 |
0.2× |
| Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia Age Under 21 (26705) |
$645.30 |
$717 |
0.4× |
| Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of… (24620) |
$851.40 |
$946 |
0.5× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$617.85 |
$686.50 |
2.4× |
| Closed treatment of phalangeal shaft fracture, proximal/middle phalanx with manipulation each (26725) |
$632.25 |
$702.50 |
2.4× |
| Closed treatment of phalangeal shaft fx, proximal/middle phalanx w/o manipulation, each (26720) |
$386.10 |
$429 |
1.5× |
| Closed treatment of post hip arthroplasty dislocation; requiring general anesthesia (27266) |
$1,132.65 |
$1,258.50 |
0.7× |
| Closed treatment of proximal fibula or shaft fracture; with manipulation (27781) |
$820.80 |
$912 |
0.5× |
| Closed treatment of proximal fibula or shaft fracture; without manipulation (27780) |
$586.35 |
$651.50 |
2.3× |
| Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without… (23605) |
$873.90 |
$971 |
0.5× |
| Closed treatment of proximal humeral fracture; without manipulation (23600) |
$643.05 |
$714.50 |
2.5× |
| Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia Age Under 21 (27831) |
$612.90 |
$681 |
0.2× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$540.45 |
$600.50 |
2.1× |
| Closed treatment of radial head or neck fracture; without manipulation (24650) |
$504.45 |
$560.50 |
1.9× |
| Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation (24640) |
$174.15 |
$193.50 |
0.7× |
| Closed treatment of radial shaft fracture; without manipulation (25500) |
$534.15 |
$593.50 |
2.1× |
| Closed treatment of radiocarpal or intercarpal dislocation, 1 or more bones, with manipulation (25660) |
$673.20 |
$748 |
2.6× |
| Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation Age Under 21 (23665) |
$813.60 |
$904 |
0.5× |
| Closed treatment of shoulder dislocation, with manipulation; without anesthesia (23650) |
$612.90 |
$681 |
2.4× |
| Closed treatment of sternoclavicular dislocation; without manipulation Age Under 21 (23520) |
$365.40 |
$406 |
0.2× |
| Closed treatment of sternum fracture Age Under 21 (21820) |
$224.10 |
$249 |
0.9× |
| Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with… (27503) |
$1,177.20 |
$1,308 |
0.7× |
| Closed treatment of talotarsal joint dislocation; requiring anesthesia Age Under 21 (28575) |
$569.70 |
$633 |
0.2× |
| Closed treatment of talus fracture; with manipulation Age Under 21 (28435) |
$678.60 |
$754 |
0.4× |
| Closed treatment of talus fracture; without manipulation (28430) |
$439.65 |
$488.50 |
1.7× |
| Closed treatment of tibial fracture, proximal (plateau); without manipulation (27530) |
$591.30 |
$657 |
2.3× |
| Closed treatment of trans-scaphoperilunar type of fracture dislocation, with manipulation (25680) |
$792.90 |
$881 |
3.0× |
| Closed treatment of ulnar fracture, proximal end; without manipulation (24670) |
$552.60 |
$614 |
2.1× |
| Closed treatment of ulnar shaft fracture; without manipulation (25530) |
$501.30 |
$557 |
1.9× |
| Closed treatment of ulnar styloid fracture (25650) |
$500.40 |
$556 |
1.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$754.65 |
$838.50 |
2.9× |
| Closed tx bimalleolar ankle fracture w/manj (27810) |
$873.90 |
$971 |
0.5× |
| Closed tx bimalleolar ankle fracture w/o manip (27808) |
$631.80 |
$702 |
2.4× |
| Closed tx femoral fracture prox head w/manj (27268) |
$807.30 |
$897 |
0.5× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$656.10 |
$729 |
0.2× |
| Closed tx femoral shaft fx w/o manipulation (27500) |
$967.95 |
$1,075.50 |
3.7× |
| Closed tx mandibular fracture w/manipulation (21451) |
$1,184.40 |
$1,316 |
0.7× |
| Closed tx mandibular fracture w/o manipulation (21450) |
$916.20 |
$1,018 |
1.6× |
Closed tx mandibular fx w/interdental fixation (21453)
likely a partial charge — not the full procedure |
$1,688.40 |
$1,876 |
0.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$415.80 |
$462 |
1.6× |
| Closed tx nose/jaw fx (21345) |
$1,197 |
$1,330 |
0.7× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$730.80 |
$812 |
2.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$696.60 |
$774 |
2.7× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$942.30 |
$1,047 |
0.6× |
| CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ TechFee (25565) |
$957.15 |
$1,063.50 |
0.6× |
| Closed tx scapular fracture w/o manipulation (23570) |
$477 |
$530 |
1.8× |
| Closed tx septal&nose fx (21337) |
$636.30 |
$707 |
0.2× |
| Closed tx supra/transcondylar humeral fx, w/wo intercondylar extension; w/o manip (24530) |
$721.35 |
$801.50 |
2.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$354.60 |
$394 |
1.4× |
| Closed tx tarsometatarsal dislocation w/anes (28605) |
$516.60 |
$574 |
2.0× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$326.70 |
$363 |
1.3× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,512.90 |
$1,681 |
0.9× |
| Closed tx vert fx w/manj (22315) |
$1,304.10 |
$1,449 |
0.4× |
| Closed tx vert fx w/o manj (22310) |
$588.15 |
$653.50 |
2.3× |
Closure of abnormal drainage tract from bladder to vagina through bladder and vagina (57330)
likely a partial charge — not the full procedure |
$1,122.30 |
$1,247 |
0.1× |
Closure of abnormal drainage tract from bladder to vagina through vagina (57320)
likely a partial charge — not the full procedure |
$835.20 |
$928 |
0.2× |
| Closure of abnormal drainage tract from rectum to vagina through vagina or anus (57300) |
$912.60 |
$1,014 |
0.3× |
Closure of abnormal drainage tract from urethra to vagina (57310)
likely a partial charge — not the full procedure |
$728.10 |
$809 |
0.1× |
| Closure of abnormal drainage tract of saliva gland (42600) |
$829.80 |
$922 |
0.2× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$353.70 |
$393 |
1.4× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$477.90 |
$531 |
0.8× |
| Closure of lacrimal fistula (separate procedure) Age Under 21 (68770) |
$913.50 |
$1,015 |
0.4× |
Closure of median sternotomy separation with or without debridement (separate procedure) (21750)
likely a partial charge — not the full procedure |
$978.30 |
$1,087 |
0.1× |
| Closure of permanent windpipe opening or abnormal drainage tract with plastic repair (31825) |
$918.90 |
$1,021 |
0.3× |
| Closure of surgically created opening from bladder to skin (51880) |
$677.70 |
$753 |
0.2× |
| Closure of surgically created opening from stomach to skin (43870) |
$1,038.60 |
$1,154 |
0.3× |
| Closure of the lacrimal punctum; by plug, each Age Under 21 (68761) |
$221.40 |
$246 |
0.7× |
| Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery Age Under 21 (68760) |
$333.90 |
$371 |
1.0× |
Closure of urethrostomy or urethrocutaneous fistula, male (separate procedure) Age Under 21 (53520)
likely a partial charge — not the full procedure |
$811.80 |
$902 |
0.1× |
| Closure postauricular fistula, mastoid (separate procedure) Age Under 21 (69700) |
$999 |
$1,110 |
0.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$662.40 |
$736 |
2.5× |
| Clsd tx nsl fx mnpj wo stblj (21315) |
$261 |
$290 |
0.2× |
| Clsd tx nsl fx w/mnpj&stablj (21320) |
$333.90 |
$371 |
0.1× |
| Clsd tx pelvic ring fx (27197) |
$198.90 |
$221 |
0.8× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$468 |
$520 |
1.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$801.45 |
$890.50 |
0.5× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$565.20 |
$628 |
0.3× |
| Cltx carpo/metacarpal dislocation thumb w/manj (26641) |
$634.50 |
$705 |
2.4× |
| Cltx distal femoral epiphysl separation w/o manj (27516) |
$777.60 |
$864 |
3.0× |
| CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA TechFee (26755) |
$579.60 |
$644 |
2.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$659.25 |
$732.50 |
2.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,026.45 |
$1,140.50 |
0.6× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$994.50 |
$1,105 |
3.8× |
| Cltx fem fx prox end nck w/manj w/wo skel tracj (27232) |
$1,079.10 |
$1,199 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$297 |
$330 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$480.60 |
$534 |
1.8× |
| Cltx greater humeral tuberosity fx w/o mnpj (23620) |
$410.40 |
$456 |
1.6× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$580.50 |
$645 |
0.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$335.25 |
$372.50 |
1.3× |
| Cltx humeral condylar fx medial/lat w/o manj (24576) |
$653.40 |
$726 |
2.5× |
| Cltx humeral epicondylar fx medial/lat w/o manj (24560) |
$617.40 |
$686 |
2.4× |
| CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ TechFee (24505) |
$929.70 |
$1,033 |
0.5× |
| Cltx intercondylar spi&/tubrst fx kne w/wo man (27538) |
$733.50 |
$815 |
2.8× |
| Cltx interphalangeal joint dislocation req anes (28665) |
$224.10 |
$249 |
0.8× |
| Cltx interphalangeal joint dislocation w/o anes (28660) |
$202.50 |
$225 |
0.8× |
| CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES TechFee (26700) |
$638.55 |
$709.50 |
2.5× |
| Cltx metar fx w/manj (28475) |
$466.20 |
$518 |
1.8× |
| Cltx metatarsophlngl jt dislc req anes (28635) |
$260.10 |
$289 |
0.2× |
| Cltx post ankle fx (27767) |
$443.70 |
$493 |
1.7× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$590.40 |
$656 |
2.3× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$773.55 |
$859.50 |
0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$926.10 |
$1,029 |
0.5× |
| Cltx sprcndylr/trnscndylr fem fx w/o manj (27501) |
$754.20 |
$838 |
2.9× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$358.65 |
$398.50 |
1.4× |
| CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ TechFee (27752) |
$993.60 |
$1,104 |
0.6× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$659.70 |
$733 |
2.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$899.55 |
$999.50 |
0.5× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$502.20 |
$558 |
1.9× |
| Coccygectomy, primary Age Under 21 (27080) |
$753.30 |
$837 |
0.2× |
Cochlear device implantation, with or without mastoidectomy Age Under 21 (69930)
likely a partial charge — not the full procedure |
$1,809 |
$2,010 |
0.1× |
| Collect blood from catheter venous nos (36592) |
$146.25 |
$162.50 |
1.0× |
| Collect blood from implant venous access device (36591) |
$143.55 |
$159.50 |
1.0× |
| Colonoscopy flexible with decompression (45393) |
$365.40 |
$406 |
0.3× |
| Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including… (44408) |
$335.70 |
$373 |
0.3× |
| Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or… (44406) |
$332.10 |
$369 |
0.3× |
| Colonoscopy through stoma; with transendoscopic balloon dilation Age Under 21 (44405) |
$881.10 |
$979 |
0.7× |
| Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle… (44407) |
$399.60 |
$444 |
0.3× |
| Colonoscopy thru stoma spx (44388) |
$487.80 |
$542 |
0.5× |
| Colonoscopy w/ablation (45388) |
$4,008.60 |
$4,454 |
3.2× |
| Colonoscopy w/control bleed (45382) |
$1,051.20 |
$1,168 |
0.8× |
| Colonoscopy w/fb removal (45379) |
$671.40 |
$746 |
0.5× |
| Colonoscopy w/resection (45390) |
$481.50 |
$535 |
0.2× |
Colonoscopy w/stent plcmt (45389)
likely a partial charge — not the full procedure |
$420.30 |
$467 |
0.1× |
Colonoscopy w/stent plcmt (44402)
likely a partial charge — not the full procedure |
$378.90 |
$421 |
0.1× |
| Colonoscopy with ablation (44401) |
$3,884.40 |
$4,316 |
3.1× |
| Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45398) |
$1,318.50 |
$1,465 |
1.0× |
| Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age Under 21 (45384) |
$782.10 |
$869 |
0.6× |
| Colonoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45386) |
$966.60 |
$1,074 |
0.8× |
| Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle… (45392) |
$440.10 |
$489 |
0.3× |
Colpocentesis (separate procedure) Age Under 21 (57020)
likely a partial charge — not the full procedure |
$188.55 |
$209.50 |
0.0× |
Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282)
likely a partial charge — not the full procedure |
$1,021.50 |
$1,135 |
0.1× |
Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283)
likely a partial charge — not the full procedure |
$1,027.80 |
$1,142 |
0.1× |
| Colporrhaphy, suture of injury of vagina (nonobstetrical) Age Under 21 (57200) |
$496.80 |
$552 |
0.1× |
| Colposcopy cervix (57452) |
$189.90 |
$211 |
0.9× |
| Colposcopy entire vagina w/cervix if present (57420) |
$197.10 |
$219 |
0.6× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix Age Under 21 (57455) |
$243 |
$270 |
0.8× |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage Age… (57454) |
$252.90 |
$281 |
0.8× |
| Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix Age Under 21 (57460) |
$485.10 |
$539 |
0.1× |
| Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix Age Under 21 (57421) |
$280.80 |
$312 |
0.3× |
| Colposcopy vulva (56820) |
$187.20 |
$208 |
0.9× |
| Colposcopy vulva w/biopsy (56821) |
$251.10 |
$279 |
0.8× |
| Colposcopy w/endocervical curettage (57456) |
$227.70 |
$253 |
0.7× |
| Colpotomy; with drainage of pelvic abscess Age Under 21 (57010) |
$678.60 |
$754 |
0.2× |
| Colpotomy; with exploration Age Under 21 (57000) |
$300.60 |
$334 |
0.1× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$710.10 |
$789 |
0.6× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; Age Under 21 (57260)
likely a partial charge — not the full procedure |
$1,144.80 |
$1,272 |
0.2× |
Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair Age Under 21 (57265)
likely a partial charge — not the full procedure |
$1,279.80 |
$1,422 |
0.2× |
Complete reconstruction of lower or upper jaw bone with jaw bone implant (subperiosteal) (21246)
likely a partial charge — not the full procedure |
$1,254.60 |
$1,394 |
0.2× |
| Complete replacement picc rs&i (36584) |
$523.80 |
$582 |
0.3× |
| Complex cystometrogram voiding pressure studies (51728) |
$567 |
$630 |
0.8× |
| Complex uroflowmetry (51741) |
$21.60 |
$24 |
0.1× |
| Complx cystometro w/void press & urethral profil (51729) |
$598.50 |
$665 |
0.8× |
Condylectomy, temporomandibular joint (separate procedure) Age Under 21 (21050)
likely a partial charge — not the full procedure |
$1,284.30 |
$1,427 |
0.2× |
| Conization of cervix (57520) |
$531.90 |
$591 |
0.2× |
| Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop… (57522) |
$457.20 |
$508 |
0.1× |
| Conjunctival flap; bridge or partial (separate procedure) Age Under 21 (68360) |
$813.60 |
$904 |
0.2× |
| Conjunctival flap; total (such as Gunderson thin flap or purse string flap) Age Under 21 (68362) |
$952.20 |
$1,058 |
0.4× |
| Conjunctivoplasty, reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) Age Under 21 (68328) |
$1,026.90 |
$1,141 |
0.4× |
| Conjunctivoplasty, reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement Age Under 21 (68326) |
$936.90 |
$1,041 |
0.2× |
| Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) Age Under 21 (68325) |
$954.90 |
$1,061 |
0.2× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Age Under 21 (68750) |
$1,275.30 |
$1,417 |
0.3× |
| Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube Age Under 21 (68745) |
$1,204.20 |
$1,338 |
0.3× |
| Connection of leg veins at back of knee (34530) |
$1,331.10 |
$1,479 |
0.4× |
Construction of artificial vagina; with graft - 57292 (57292)
likely a partial charge — not the full procedure |
$1,217.70 |
$1,353 |
0.2× |
Construction of artificial vagina; without graft Age Under 21 (57291)
likely a partial charge — not the full procedure |
$812.70 |
$903 |
0.2× |
| Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; Age Under 21 (67880) |
$699.30 |
$777 |
0.3× |
| Construction of intermarginal adhesions, median tarsorrhaphy, or canthorrhaphy; with transposition of tarsal plate Age… (67882) |
$851.40 |
$946 |
0.3× |
| Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg, voice… (31611) |
$807.30 |
$897 |
0.2× |
| Contrast injection perq radiologic eval gi tube (49465) |
$211.50 |
$235 |
0.8× |
| Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image… (36598) |
$189 |
$210 |
0.8× |
| Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method (30903) |
$279.90 |
$311 |
2.0× |
| Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method (30901) |
$186.75 |
$207.50 |
1.3× |
| Control of bleeding of large bowel using an endoscope inserted through surgically created opening from large bowel to… (44391) |
$1,010.70 |
$1,123 |
0.8× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs,… (42970) |
$609.30 |
$677 |
2.4× |
| Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical… (42972) |
$747.90 |
$831 |
0.2× |
| Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention… (42962) |
$762.30 |
$847 |
0.2× |
| Control throat bleeding (42960) |
$310.50 |
$345 |
0.5× |
| Conv ext bil drg cath to int-ext bil drg cath (47535) |
$1,413.90 |
$1,571 |
0.4× |
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132)
likely a partial charge — not the full procedure |
$2,433.60 |
$2,704 |
0.2× |
Conversion of wrist amputation stump to grasping function (25915)
likely a partial charge — not the full procedure |
$1,706.40 |
$1,896 |
0.2× |
| Convert nephrostomy cath to nephrourtrl cath prq (50434) |
$1,444.50 |
$1,605 |
0.7× |
| Conz of cervix w/scope leep (57461) |
$539.10 |
$599 |
0.2× |
Coracoacromial ligament release, with or without acromioplasty Age Under 21 (23415)
likely a partial charge — not the full procedure |
$1,033.20 |
$1,148 |
0.1× |
| Core needle bx lung/mediastinum perq w/img (32408) |
$1,266.30 |
$1,407 |
0.7× |
| Corneal relaxing incision for correction of surgically induced astigmatism Age Under 21 (65772) |
$675 |
$750 |
0.6× |
| Corneal wedge resection for correction of surgically induced astigmatism Age Under 21 (65775) |
$844.20 |
$938 |
0.3× |
Coronoidectomy (separate procedure) Age Under 21 (21070)
likely a partial charge — not the full procedure |
$900.90 |
$1,001 |
0.1× |
| Correction claw finger, other methods Age Under 21 (26499) |
$1,323 |
$1,470 |
0.4× |
| Correction eyelid w/implant (67912) |
$1,386 |
$1,540 |
0.6× |
| Correction of bunion (28292) |
$1,099.80 |
$1,222 |
0.3× |
| Correction of everted punctum, cautery Age Under 21 (68705) |
$398.70 |
$443 |
1.2× |
| Correction of inverted nipples Age Under 21 (19355) |
$1,124.10 |
$1,249 |
0.3× |
| Correction of trichiasis; epilation by other than forceps (eg, by electrosurgery, cryotherapy, laser surgery) Age Under… (67825) |
$202.50 |
$225 |
0.6× |
| Correction of trichiasis; incision of lid margin Age Under 21 (67830) |
$413.10 |
$459 |
0.4× |
| Correction of trichiasis; incision of lid margin, with free mucous membrane graft Age Under 21 (67835) |
$643.50 |
$715 |
0.3× |
| Correction of widely-opened upper eyelid|RIGHT SIDE (67911) |
$813.60 |
$904 |
0.3× |
| Correction, cock-up fifth toe, with plastic skin closure (eg, Ruiz-Mora type procedure) Age Under 21 (28286) |
$660.60 |
$734 |
0.2× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with double osteotomy, any method Age… (28299)
likely a partial charge — not the full procedure |
$1,600.20 |
$1,778 |
0.2× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial… (28297)
likely a partial charge — not the full procedure |
$1,563.30 |
$1,737 |
0.1× |
| Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal metatarsal osteotomy,… (28295) |
$1,648.80 |
$1,832 |
0.5× |
Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with proximal phalanx osteotomy, any… (28298)
likely a partial charge — not the full procedure |
$1,321.20 |
$1,468 |
0.2× |
| Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy) (28285) |
$850.50 |
$945 |
0.2× |
| Corrj hlx vlgs bncty sesmdc dstl metar osteot (28296) |
$1,339.20 |
$1,488 |
0.4× |
| Costotransversectomy (separate procedure) Age Under 21 (21610) |
$1,738.80 |
$1,932 |
0.5× |
Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc),… (63064)
unusually low — confirm this is the full procedure |
$2,560.50 |
$2,845 |
0.3× |
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft… (36825)
likely a partial charge — not the full procedure |
$1,130.40 |
$1,256 |
0.2× |
Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830)
likely a partial charge — not the full procedure |
$949.50 |
$1,055 |
0.2× |
Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or… (61720)
likely a partial charge — not the full procedure |
$1,832.40 |
$2,036 |
0.2× |
| Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61791) |
$1,627.20 |
$1,808 |
0.8× |
| Creation of lesion by stereotactic method, percutaneous, by neurolytic agent (eg, alcohol, thermal, electrical,… (61790) |
$1,281.60 |
$1,424 |
0.6× |
| Creation of lesion of spinal cord by stereotactic method, percutaneous, any modality (including stimulation and/or… (63600) |
$1,575.90 |
$1,751 |
0.8× |
| Creation of nerve and blood vessel skin graft (15750) |
$1,364.40 |
$1,516 |
0.4× |
Creation of new drainage tracts of major saliva gland ducts on both sides of mouth (42507)
likely a partial charge — not the full procedure |
$738 |
$820 |
0.1× |
Creation of new drainage tracts of major saliva gland ducts on both sides of mouth with removal of salivary glands… (42509)
likely a partial charge — not the full procedure |
$1,213.20 |
$1,348 |
0.2× |
| Creation of new drainage tracts of major saliva gland ducts on both sides of mouth with tying of saliva gland ducts… (42510) |
$902.70 |
$1,003 |
0.3× |
Creation of permanent opening of windpipe for breathing (31610)
likely a partial charge — not the full procedure |
$1,435.50 |
$1,595 |
0.2× |
Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy (63741)
likely a partial charge — not the full procedure |
$986.40 |
$1,096 |
0.1× |
| Cross intrinsic transfer, each tendon Age Under 21 (26510) |
$984.60 |
$1,094 |
0.3× |
Cross-over vein graft to venous system (34520)
likely a partial charge — not the full procedure |
$1,395 |
$1,550 |
0.2× |
| Cryosurgery anal lesion(s) (46916) |
$399.60 |
$444 |
1.9× |
| Cryosurgical ablation prostate w/us & monitori (55873) |
$9,183.60 |
$10,204 |
0.9× |
| Cryotherapy (CO2 slush, liquid N2) for acne (17340) |
$82.80 |
$92 |
1.3× |
| Csf shunt reprogram (62252) |
$121.50 |
$135 |
0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$395.55 |
$439.50 |
2.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery subsq (30906) |
$440.55 |
$489.50 |
1.8× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initial Age Under 21 (46940) |
$405.90 |
$451 |
0.1× |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent (46942) |
$387.90 |
$431 |
0.4× |
| Curettage postpartum (59160) |
$428.85 |
$476.50 |
0.1× |
| Curette/treat cornea (65435) |
$121.50 |
$135 |
0.1× |
| Curette/treat cornea (65436) |
$567.90 |
$631 |
0.2× |
| Cylinder cast (29365) |
$181.80 |
$202 |
0.6× |
| Cysto w/ureter stricture tx (52341) |
$405.90 |
$451 |
0.1× |
Cysto/uretero w/lithotripsy (52356)
likely a partial charge — not the full procedure |
$594 |
$660 |
0.1× |
Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection Age Under 21 (51050)
likely a partial charge — not the full procedure |
$685.80 |
$762 |
0.1× |
| Cystometrogram w/up (51727) |
$563.40 |
$626 |
0.8× |
Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860)
likely a partial charge — not the full procedure |
$1,084.50 |
$1,205 |
0.1× |
| Cystoscopy and treatment (52310) |
$487.80 |
$542 |
0.2× |
| Cystoscopy removal of clots (52001) |
$662.40 |
$736 |
0.2× |
| Cystoscopy w/biopsy(s) (52204) |
$588.60 |
$654 |
0.3× |
| Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material Age Under 21 (51020) |
$685.80 |
$762 |
0.2× |
| Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus Age… (51065) |
$844.20 |
$938 |
0.2× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Age Under 21 (51045) |
$738.90 |
$821 |
0.3× |
| Cystotomy; for simple excision of vesical neck (separate procedure) Age Under 21 (51520) |
$866.70 |
$963 |
0.2× |
| Cystourethroscopy (52000) |
$373.50 |
$415 |
0.5× |
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325)
likely a partial charge — not the full procedure |
$457.20 |
$508 |
0.1× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Age… (52330) |
$932.40 |
$1,036 |
0.3× |
| Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus Age Under 21 (52320) |
$351.90 |
$391 |
0.1× |
Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material Age Under 21 (52327)
likely a partial charge — not the full procedure |
$375.30 |
$417 |
0.1× |
| Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy,… (52285) |
$533.70 |
$593 |
0.7× |
| Cystourethroscopy with direct vision internal urethrotomy Age Under 21 (52276) |
$378 |
$420 |
0.2× |
| Cystourethroscopy with incision, fulguration, or resection of congenital posterior urethral valves, or congenital… (52400) |
$688.50 |
$765 |
0.2× |
| Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration Age Under 21 (52250) |
$342.90 |
$381 |
0.1× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$261 |
$290 |
0.1× |
| Cystourethroscopy with transurethral resection or incision of ejaculatory ducts (52402) |
$379.80 |
$422 |
0.1× |
Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser,… (52346)
likely a partial charge — not the full procedure |
$638.10 |
$709 |
0.1× |
| Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery,… (52344) |
$528.30 |
$587 |
0.1× |
| Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser,… (52345) |
$563.40 |
$626 |
0.2× |
| Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with… (52281) |
$502.20 |
$558 |
0.2× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia Age… (52260) |
$302.40 |
$336 |
0.1× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia Age Under 21 (52265) |
$579.60 |
$644 |
0.3× |
| Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) |
$589.50 |
$655 |
0.8× |
Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder… (52240)
likely a partial charge — not the full procedure |
$560.70 |
$623 |
0.1× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder… (52235) |
$412.20 |
$458 |
0.1× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder… (52234) |
$351.90 |
$391 |
0.1× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa,… (52214) |
$1,180.80 |
$1,312 |
0.3× |
| Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm)… (52224) |
$1,231.20 |
$1,368 |
0.3× |
| Cystourethroscopy, with insertion of permanent urethral stent Age Under 21 (52282) |
$480.60 |
$534 |
0.1× |
| Cystourethroscopy, with internal urethrotomy; female Age Under 21 (52270) |
$651.60 |
$724 |
0.3× |
| Cystourethroscopy, with internal urethrotomy; male Age Under 21 (52275) |
$834.30 |
$927 |
0.4× |
| Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate… (52315) |
$711.90 |
$791 |
0.3× |
| Cystourethroscopy, with resection of external sphincter (sphincterotomy) Age Under 21 (52277) |
$461.70 |
$513 |
0.1× |
| Cystourethroscopy, with steroid injection into stricture Age Under 21 (52283) |
$539.10 |
$599 |
0.2× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52005) |
$468.90 |
$521 |
0.2× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$702.90 |
$781 |
0.2× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic Age Under 21 (52351) |
$432.90 |
$481 |
0.1× |
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic… (52354)
likely a partial charge — not the full procedure |
$595.80 |
$662 |
0.1× |
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) Age… (52353)
likely a partial charge — not the full procedure |
$560.70 |
$623 |
0.1× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral… (52352) |
$505.80 |
$562 |
0.1× |
Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor Age Under 21 (52355)
likely a partial charge — not the full procedure |
$666.90 |
$741 |
0.1× |
Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Age Under 21 (52305)
likely a partial charge — not the full procedure |
$397.80 |
$442 |
0.1× |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Age Under 21 (52301) |
$414 |
$460 |
0.1× |
| Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral Age Under 21 (52300) |
$400.50 |
$445 |
0.1× |
| Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) |
$491.40 |
$546 |
0.1× |
| Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and… (52342) |
$441.90 |
$491 |
0.1× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Age Under 21 (52290) |
$349.20 |
$388 |
0.2× |
| Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Age Under 21 (68720) |
$1,198.80 |
$1,332 |
0.3× |
| Dbrdmt w/rmvl fm fx&/dislc skn subq t/m/f musc (11011) |
$719.55 |
$799.50 |
1.0× |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
$697.50 |
$775 |
0.2× |
| Deb skin bone at fx site (11012) |
$969.75 |
$1,077.50 |
0.3× |
| Debride skin at fx site (11010) |
$666.90 |
$741 |
0.9× |
| Debridement of extensive eczematous or infected skin; up to 10% of body surface (11000) |
$75.60 |
$84 |
0.2× |
| Debridement of nail(s) by any method(s); 1 to 5 (11720) |
$42.75 |
$47.50 |
0.7× |
| Debridement of nail(s) by any method(s); 6 or more (11721) |
$62.55 |
$69.50 |
1.0× |
| DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< TechFee (11042) |
$173.25 |
$192.50 |
0.4× |
| Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm… (11044) |
$459 |
$510 |
0.3× |
| Debridement, mastoidectomy cavity, complex (eg, with anesthesia or more than routine cleaning) Age Under 21 (69222) |
$332.10 |
$369 |
0.6× |
| Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm… (11043) |
$361.80 |
$402 |
0.5× |
| Declot vascular device (36593) |
$373.50 |
$415 |
1.1× |
Decompression facial nerve, intratemporal; including medial to geniculate ganglion (69725)
unusually low — confirm this is the full procedure |
$2,772 |
$3,080 |
0.4× |
Decompression facial nerve, intratemporal; lateral to geniculate ganglion Age Under 21 (69720)
likely a partial charge — not the full procedure |
$1,782 |
$1,980 |
0.3× |
Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27027)
likely a partial charge — not the full procedure |
$1,298.70 |
$1,443 |
0.2× |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
$1,479.60 |
$1,644 |
0.9× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
$1,737.90 |
$1,931 |
1.0× |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable… (25024) |
$1,153.80 |
$1,282 |
0.3× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) |
$1,988.10 |
$2,209 |
0.6× |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle… (25020) |
$1,140.30 |
$1,267 |
0.7× |
Decompression fasciotomy, forearm, with brachial artery exploration Age Under 21 (24495)
likely a partial charge — not the full procedure |
$1,349.10 |
$1,499 |
0.2× |
| Decompression fasciotomy, leg; anterior and/or lateral compartments only Age Under 21 (27600) |
$593.10 |
$659 |
0.2× |
| Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of nonviable muscle and/or… (27892) |
$786.60 |
$874 |
0.2× |
| Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with debridement of nonviable… (27894) |
$1,197.90 |
$1,331 |
0.3× |
| Decompression fasciotomy, leg; posterior compartment(s) only Age Under 21 (27601) |
$660.60 |
$734 |
0.2× |
Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable muscle and/or nerve Age… (27893)
likely a partial charge — not the full procedure |
$909 |
$1,010 |
0.1× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Age Under 21 (27496) |
$814.50 |
$905 |
0.2× |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) |
$859.50 |
$955 |
0.2× |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Age Under 21 (27498) |
$972 |
$1,080 |
0.6× |
Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499)
likely a partial charge — not the full procedure |
$1,036.80 |
$1,152 |
0.1× |
| Decompression fingers and/or hand, injection injury (eg, grease gun) (26035) |
$1,270.80 |
$1,412 |
0.4× |
| Decompression of orbit only, transcranial approach (61330) |
$2,575.80 |
$2,862 |
0.7× |
| Decompression, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle-based technique to… (62287) |
$846 |
$940 |
0.4× |
| Decompression; plantar digital nerve Age Under 21 (64726) |
$396.90 |
$441 |
0.2× |
| Decompressive fasciotomy, hand (excludes 26035) Age Under 21 (26037) |
$829.80 |
$922 |
0.2× |
| Deep incis foot bone infectn (28005) |
$841.50 |
$935 |
0.2× |
| Deep muscle biopsy (20205) |
$463.50 |
$515 |
0.2× |
| Delay flap trunk (15600) |
$513.90 |
$571 |
0.1× |
| Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips Age Under 21 (15630) |
$693 |
$770 |
0.3× |
| Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands,… (15620) |
$673.20 |
$748 |
0.3× |
| Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs Age Under 21 (15610) |
$555.30 |
$617 |
0.3× |
| Delivery of placenta (59414) |
$128.70 |
$143 |
0.0× |
| Denervation of hip joint (27035) |
$1,707.30 |
$1,897 |
0.5× |
| Dermabrasion segmental face (15781) |
$810.90 |
$901 |
1.1× |
| Dermabrasion superficial any site (15783) |
$670.50 |
$745 |
1.6× |
| Dermabrasion total face (15780) |
$1,262.70 |
$1,403 |
0.4× |
| Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15135) |
$1,304.10 |
$1,449 |
0.3× |
| Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Age Under 21 (15130) |
$1,081.80 |
$1,202 |
0.5× |
| Destroy nerve face muscle (64612) |
$285.75 |
$317.50 |
0.9× |
| Destroy nerve of eye muscle (67345) |
$357.30 |
$397 |
1.1× |
| Destroy vulva lesion/s compl (56515) |
$421.20 |
$468 |
0.2× |
| Destruct by neuro agent; plantar digital nerve (64632) |
$134.10 |
$149 |
0.4× |
| Destruct lesion 15 or more (17111) |
$201.60 |
$224 |
1.0× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17000) |
$107.10 |
$119 |
0.5× |
| Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions… (17004) |
$254.70 |
$283 |
0.6× |
| Destruction benign lesions up to 14 (17110) |
$182.70 |
$203 |
0.9× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$311.40 |
$346 |
0.3× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Age Under 21 (64605) |
$971.10 |
$1,079 |
0.5× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic… (64610) |
$1,198.80 |
$1,332 |
0.6× |
| Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch Age… (64600) |
$706.50 |
$785 |
0.8× |
| Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus Age Under 21 (64680) |
$538.20 |
$598 |
0.6× |
| Destruction by neurolytic agent; pudendal nerve Age Under 21 (64630) |
$388.80 |
$432 |
0.4× |
| Destruction internal hemorrhoid thermal energy (46930) |
$333.90 |
$371 |
0.3× |
| Destruction lesion conjunctiva (68135) |
$230.40 |
$256 |
0.1× |
| Destruction lesions vulva simple (56501) |
$296.10 |
$329 |
0.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$604.80 |
$672 |
0.3× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm Age Under 21 (17107) |
$663.30 |
$737 |
0.9× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm Age Under 21 (17106) |
$510.30 |
$567 |
1.2× |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm Age Under 21 (17108) |
$933.30 |
$1,037 |
0.4× |
Destruction of cyst of kidney using an endoscope (50541)
likely a partial charge — not the full procedure |
$1,323 |
$1,470 |
0.1× |
| Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) Age Under 21 (66770) |
$779.40 |
$866 |
1.3× |
| Destruction of extensive or progressive retinopathy (eg, diabetic retinopathy), cryotherapy, diathermy Age Under 21 (67227) |
$433.80 |
$482 |
0.1× |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization Age Under 21 (65450) |
$484.20 |
$538 |
1.4× |
| Destruction of lesion of lid margin (up to 1 cm) Age Under 21 (67850) |
$327.60 |
$364 |
0.3× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (46924) |
$855 |
$950 |
0.3× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical… (46900) |
$363.60 |
$404 |
0.8× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (46917) |
$678.60 |
$754 |
0.2× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (46922) |
$486.90 |
$541 |
0.2× |
| Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (46910) |
$406.80 |
$452 |
0.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg,… (54065) |
$331.20 |
$368 |
0.2× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery (54056) |
$214.20 |
$238 |
1.0× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser… (54057) |
$212.40 |
$236 |
0.1× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical… (54060) |
$294.30 |
$327 |
0.1× |
| Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple;… (54055) |
$204.30 |
$227 |
0.1× |
| Destruction of lesion(s), penis, simple; chemicall (54050) |
$213.30 |
$237 |
0.5× |
| Destruction of lesion, palate or uvula (thermal, cryo or chemical) Age Under 21 (42160) |
$356.40 |
$396 |
0.1× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; photocoagulation Age Under 21 (67210) |
$757.80 |
$842 |
1.3× |
| Destruction of localized lesion of retina (eg, macular edema, tumors), 1 or more sessions; radiation by implantation of… (67218) |
$2,028.60 |
$2,254 |
0.5× |
| Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery)… (45190) |
$1,046.70 |
$1,163 |
0.4× |
| Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57065) |
$375.30 |
$417 |
0.1× |
| Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery) Age Under 21 (57061) |
$258.30 |
$287 |
0.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17282) |
$308.70 |
$343 |
1.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17260) |
$150.30 |
$167 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17274) |
$366.30 |
$407 |
0.9× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17281) |
$270.90 |
$301 |
1.3× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17266) |
$352.80 |
$392 |
0.8× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17261) |
$223.20 |
$248 |
1.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17270) |
$224.10 |
$249 |
1.1× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17273) |
$314.10 |
$349 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17286) |
$526.50 |
$585 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17263) |
$290.70 |
$323 |
1.4× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17272) |
$284.40 |
$316 |
1.3× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17280) |
$211.50 |
$235 |
1.0× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17262) |
$270 |
$300 |
1.3× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17284) |
$412.20 |
$458 |
0.5× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17264) |
$311.40 |
$346 |
0.7× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17271) |
$249.30 |
$277 |
1.2× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17283) |
$363.60 |
$404 |
0.8× |
| Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement),… (17276) |
$424.80 |
$472 |
1.0× |
| Diagnostic anoscopy (46601) |
$229.50 |
$255 |
0.5× |
| Diagnostic bone marrow aspirations (38220) |
$237.60 |
$264 |
0.1× |
| Diagnostic bone marrow biopsies (38221) |
$246.60 |
$274 |
0.1× |
| Diagnostic bone marrow biopsies & aspirations (38222) |
$267.30 |
$297 |
0.1× |
| Diagnostic exam of uterus using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58555) |
$564.30 |
$627 |
0.2× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$370.80 |
$412 |
0.5× |
| Diagnostic sigmoidoscopy (45330) |
$290.70 |
$323 |
0.3× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$117.90 |
$131 |
0.6× |
| Dilate esophagus (43453) |
$1,303.20 |
$1,448 |
0.6× |
| Dilation & Curettage Dx&/Ther Nonobstetric|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (58120) |
$501.30 |
$557 |
0.1× |
| Dilation and catheterization of salivary duct, with or without injection Age Under 21 (42660) |
$174.60 |
$194 |
0.3× |
| Dilation and curettage of cervical stump Age Under 21 (57558) |
$240.30 |
$267 |
0.1× |
| Dilation of anal sphincter (separate procedure) under anesthesia other than local Age Under 21 (45905) |
$250.20 |
$278 |
0.2× |
| Dilation of cervical canal (57800) |
$117.90 |
$131 |
0.0× |
| Dilation of esophagus, by unguided sound or bougie, single or multiple passes Age Under 21 (43450) |
$291.60 |
$324 |
0.3× |
| Dilation of female urethra including suppository and/or instillation; initial Age Under 21 (53660) |
$113.40 |
$126 |
0.8× |
| Dilation of female urethra including suppository and/or instillation; subsequent Age Under 21 (53661) |
$111.60 |
$124 |
0.8× |
| Dilation of female urethra, general or conduction (spinal) anesthesia Age Under 21 (53665) |
$55.80 |
$62 |
0.0× |
| Dilation of lacrimal punctum, with or without irrigation (68801) |
$144.90 |
$161 |
0.3× |
| Dilation of rectal stricture (separate procedure) under anesthesia other than local Age Under 21 (45910) |
$284.40 |
$316 |
0.2× |
| Dilation of urethral stricture by passage of filiform and follower, male; initial (53620) |
$261 |
$290 |
0.4× |
| Dilation of urethral stricture by passage of filiform and follower, male; subsequent Age Under 21 (53621) |
$250.20 |
$278 |
0.9× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; initial Age Under 21 (53600) |
$131.40 |
$146 |
0.5× |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent Age Under 21 (53601) |
$126 |
$140 |
0.9× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$91.80 |
$102 |
0.0× |
| Dilation of vagina under anesthesia (other than local) Age Under 21 (57400) |
$190.80 |
$212 |
0.1× |
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011)
likely a partial charge — not the full procedure |
$1,432.80 |
$1,592 |
0.2× |
Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35045)
likely a partial charge — not the full procedure |
$1,384.20 |
$1,538 |
0.2× |
| Disarticulation through wrist; secondary closure or scar revision Age Under 21 (25922) |
$968.40 |
$1,076 |
0.6× |
Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075)
likely a partial charge — not the full procedure |
$1,966.50 |
$2,185 |
0.3× |
| Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision… (66820) |
$711 |
$790 |
0.3× |
| Discission of vitreous strands (without removal), pars plana approach Age Under 21 (67030) |
$823.50 |
$915 |
0.3× |
| Displacement therapy (Proetz type) Age Under 21 (30210) |
$230.40 |
$256 |
0.1× |
Dissection, deep jugular node(s) Age Under 21 (38542)
likely a partial charge — not the full procedure |
$768.60 |
$854 |
0.1× |
Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) (36838)
likely a partial charge — not the full procedure |
$1,615.50 |
$1,795 |
0.3× |
Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach Age Under 21 (43130)
likely a partial charge — not the full procedure |
$1,162.80 |
$1,292 |
0.2× |
| Division of plantar fascia and muscle (eg, Steindler stripping) (separate procedure) Age Under 21 (28250) |
$866.70 |
$963 |
0.3× |
Division of scalenus anticus; without resection of cervical rib Age Under 21 (21700)
likely a partial charge — not the full procedure |
$512.10 |
$569 |
0.1× |
| Division of sternocleidomastoid for torticollis, open operation; with cast application Age Under 21 (21725) |
$801.90 |
$891 |
1.1× |
| Division of sternocleidomastoid for torticollis, open operation; without cast application Age Under 21 (21720) |
$775.80 |
$862 |
0.2× |
| Division of stricture of rectum Age Under 21 (45150) |
$624.60 |
$694 |
0.5× |
| Drain bladder by trocar/cath (51101) |
$240.30 |
$267 |
0.3× |
| Drain lower leg bursa (27604) |
$675.90 |
$751 |
0.2× |
| Drain lower leg lesion (27603) |
$801.90 |
$891 |
0.3× |
| Drain neck/chest lesion (21501) |
$737.10 |
$819 |
0.2× |
| Drain penis lesion (54015) |
$441.90 |
$491 |
0.3× |
| Drain shoulder lesion (23030) |
$674.10 |
$749 |
0.2× |
| Drainage abscess or hematoma, nasal, internal approach (30000) |
$415.80 |
$462 |
1.7× |
| Drainage external auditory canal, abscess (69020) |
$361.80 |
$402 |
0.5× |
| Drainage external ear, abscess or hematoma; complicated Age Under 21 (69005) |
$332.10 |
$369 |
0.2× |
| Drainage external ear, abscess or hematoma; simple (69000) |
$292.05 |
$324.50 |
0.4× |
| Drainage finger abscess simple (26010) |
$439.65 |
$488.50 |
2.1× |
| Drainage of abscess of palate, uvula (42000) |
$245.70 |
$273 |
1.0× |
| Drainage of abscess or cyst of Skene's glands (53060) |
$279 |
$310 |
0.1× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated (40801) |
$438.30 |
$487 |
0.8× |
| Drainage of abscess, cyst, hematoma, vestibule of mouth; simple (40800) |
$313.20 |
$348 |
0.4× |
| Drainage of abscess; parotid, complicated Age Under 21 (42305) |
$628.20 |
$698 |
0.2× |
| Drainage of abscess; parotid, simple Age Under 21 (42300) |
$327.60 |
$364 |
0.2× |
| Drainage of abscess; submaxillary or sublingual, intraoral Age Under 21 (42310) |
$260.10 |
$289 |
0.5× |
| Drainage of abscess; submaxillary, external Age Under 21 (42320) |
$397.80 |
$442 |
0.7× |
| Drainage of deep periurethral abscess Age Under 21 (53040) |
$570.60 |
$634 |
0.2× |
| Drainage of eye (65810) |
$677.70 |
$753 |
0.3× |
| Drainage of eye (65800) |
$175.50 |
$195 |
0.1× |
| Drainage of finger abscess; complicated (eg, felon) (26011) |
$599.85 |
$666.50 |
0.3× |
| Drainage of hydrocele (55000) |
$180.90 |
$201 |
0.2× |
| Drainage of lymph node abscess or lymphadenitis; extensive Age Under 21 (38305) |
$729 |
$810 |
0.2× |
| Drainage of lymph node abscess or lymphadenitis; simple Age Under 21 (38300) |
$522 |
$580 |
0.2× |
| Drainage of mouth lesion (41018) |
$789.30 |
$877 |
0.5× |
| Drainage of nose lesion (30020) |
$420.30 |
$467 |
0.7× |
| Drainage of ovarian abscess; vaginal approach, open Age Under 21 (58820) |
$505.80 |
$562 |
0.1× |
| Drainage of ovarian cyst(s) (58800) |
$547.20 |
$608 |
0.2× |
| Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach Age Under 21 (58805) |
$636.30 |
$707 |
0.2× |
| Drainage of palmar bursa single bursa (26025) |
$626.40 |
$696 |
0.2× |
| Drainage of palmar bursa; multiple bursa Age Under 21 (26030) |
$729 |
$810 |
0.2× |
| Drainage of perineal urinary extravasation; complicated (53085) |
$944.10 |
$1,049 |
0.4× |
| Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Age Under 21 (53080) |
$613.80 |
$682 |
0.8× |
| Drainage of perivesical or prevesical space abscess Age Under 21 (51080) |
$595.80 |
$662 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$370.80 |
$412 |
0.2× |
| Drainage of scrotum (54700) |
$310.50 |
$345 |
0.1× |
| Drainage of tendon sheath, digit and/or palm, each Age Under 21 (26020) |
$828 |
$920 |
0.2× |
| Drainage of tonsil abscess (42700) |
$309.15 |
$343.50 |
1.2× |
| Drainage perirenal/renal abscess open (50020) |
$1,469.70 |
$1,633 |
0.7× |
| Dressing change (for other than burns) under anesthesia (other than local) (15852) |
$70.20 |
$78 |
0.1× |
| Dry needling (20999) |
$486 |
$540 |
1.9× |
| Dstr nrolytc agnt parverteb fct sngl crvcl/thora (64633) |
$676.80 |
$752 |
0.3× |
| Dstr nrolytc agnt parverteb fct sngl lmbr/sacral (64635) |
$683.10 |
$759 |
0.3× |
| Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens… (43757) |
$596.70 |
$663 |
0.6× |
| Duodenal intubation and aspiration, diagnostic, includes image guidance; single specimen (eg, bile study for crystals… (43756) |
$447.30 |
$497 |
0.5× |
| Dx bronchoscope/brush (31623) |
$423.90 |
$471 |
0.2× |
| Dx bronchoscope/lavage (31624) |
$390.60 |
$434 |
0.2× |
| Dx laryngoscopy excl nb (31525) |
$376.20 |
$418 |
0.2× |
| Dynamic cavernosometry, including intracavernosal injection of vasoactive drugs (eg, papaverine, phentolamine) (54231) |
$209.70 |
$233 |
0.8× |
| Eardrum revision (69450) |
$832.50 |
$925 |
0.2× |
| Ed proc insert intraosseous IV (36680) |
$110.70 |
$123 |
0.2× |
| Ed proc insj temp ndwellg bladder catheter complicated (51703) |
$297.90 |
$331 |
2.2× |
| Ed proc remve fb nasal- hospital (30300) |
$314.10 |
$349 |
2.2× |
| Ed prof arthrocentesis sm - hospital (20551) |
$90.90 |
$101 |
0.3× |
| Ed prof artl pnxr w/drawal bld dx (36600) |
$43.20 |
$48 |
0.3× |
| Ed prof burn - large - hospital (16030) |
$301.05 |
$334.50 |
0.7× |
| Ed prof burn medium - hospital (16025) |
$247.05 |
$274.50 |
1.2× |
| Ed prof burn small - hospital (16020) |
$129.60 |
$144 |
0.6× |
| Ed prof catheterization/straight (51701) |
$156.60 |
$174 |
1.1× |
| Ed prof closed tx post hip arthroplasty (27265) |
$808.20 |
$898 |
3.1× |
| Ed prof closed tx pst malleolus fx w/manipulation (27768) |
$669.60 |
$744 |
0.4× |
| Ed prof closed tx radial head/neck fx w/manipulation (24655) |
$831.15 |
$923.50 |
0.5× |
| Ed prof drain dental abscess-hospital (41800) |
$410.85 |
$456.50 |
2.9× |
| Ed prof insert foley cath simple (51702) |
$98.10 |
$109 |
0.7× |
| Ed prof insert non tunnel cv cath >5 (36556) |
$262.35 |
$291.50 |
0.1× |
Ed prof insertion of heart electr (33210)
likely a partial charge — not the full procedure |
$232.20 |
$258 |
0.0× |
| Ed prof int lac 12.6-20cm bd - hospital (12035) |
$577.35 |
$641.50 |
1.3× |
| Ed prof int lac 7.6-12.5cm bd - hospital (12034) |
$509.85 |
$566.50 |
1.2× |
| Ed prof interphalangeal dislocation- hospital (26770) |
$536.85 |
$596.50 |
2.1× |
| Ed prof naso/oro-gastric tube plmt req phys&fluor gdn (43752) |
$58.50 |
$65 |
0.1× |
| Egd endo mucosal resection (43254) |
$392.40 |
$436 |
0.2× |
Egd endoscopic stent place (43266)
likely a partial charge — not the full procedure |
$315.90 |
$351 |
0.0× |
| Egd injection varices (43243) |
$342.90 |
$381 |
0.2× |
| Egd lesion ablation (43270) |
$1,163.70 |
$1,293 |
0.6× |
| Egd percutaneous placement gastrostomy tube (43246) |
$289.80 |
$322 |
0.1× |
| Egd removal tumor polyp/other lesion snare tech (43251) |
$798.30 |
$887 |
0.4× |
| Egd transoral control bleeding any method (43255) |
$997.20 |
$1,108 |
0.5× |
| Egd tube/cath insertion (43241) |
$207 |
$230 |
0.1× |
| Egd us exam duodenum/jejunum (43259) |
$327.60 |
$364 |
0.2× |
| Egd us fine needle bx/aspir (43242) |
$381.60 |
$424 |
0.2× |
| Egd us transmural injxn/mark (43253) |
$380.70 |
$423 |
0.2× |
Egd w/transmural drain cyst (43240)
likely a partial charge — not the full procedure |
$567 |
$630 |
0.1× |
| Elec anlys implt ithcl/edrl pmp w/repr phys/qhp (62370) |
$141.30 |
$157 |
0.4× |
| Electrical stimulation to aid bone healing; noninvasive (nonoperative) Other Outpatient (20974) |
$122.40 |
$136 |
— |
| Electroejaculation (55870) |
$257.40 |
$286 |
0.3× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62369) |
$141.30 |
$157 |
0.4× |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of… (62367) |
$47.70 |
$53 |
0.1× |
| Elevation of depressed skull fracture; simple, extradural (62000) |
$1,494.90 |
$1,661 |
0.4× |
| Elimination of fetuses of a multifetal pregnancy (59866) |
$339.30 |
$377 |
1.1× |
| Embedded ip cath exit-site (49436) |
$395.10 |
$439 |
0.2× |
Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm… (34101)
likely a partial charge — not the full procedure |
$847.80 |
$942 |
0.1× |
Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision (34201)
likely a partial charge — not the full procedure |
$1,446.30 |
$1,607 |
0.2× |
Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by leg incision (34203)
likely a partial charge — not the full procedure |
$1,342.80 |
$1,492 |
0.2× |
Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision (34111)
likely a partial charge — not the full procedure |
$853.20 |
$948 |
0.1× |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
$96.30 |
$107 |
0.7× |
| Endocervical curettage (57505) |
$239.40 |
$266 |
0.2× |
Endolymphatic sac operation; with shunt Age Under 21 (69806)
likely a partial charge — not the full procedure |
$1,377 |
$1,530 |
0.2× |
Endolymphatic sac operation; without shunt Age Under 21 (69805)
likely a partial charge — not the full procedure |
$1,530 |
$1,700 |
0.2× |
Endometrial ablation, thermal, without hysteroscopic guidance Age Under 21 (58353)
likely a partial charge — not the full procedure |
$1,484.10 |
$1,649 |
0.3× |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Age Under 21 (58356) |
$2,685.60 |
$2,984 |
0.5× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); diagnostic, including… (44385) |
$335.70 |
$373 |
0.3× |
| Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir ºS or J»); with biopsy, single or… (44386) |
$493.20 |
$548 |
0.5× |
| Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck Age Under 21 (51715) |
$567 |
$630 |
0.2× |
| Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or… (43260) |
$467.10 |
$519 |
0.1× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s),… (43278) |
$627.30 |
$697 |
0.2× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple Age Under 21 (43261) |
$490.50 |
$545 |
0.1× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi Age Under 21 (43263) |
$518.40 |
$576 |
0.3× |
| Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy Age Under 21 (43262) |
$518.40 |
$576 |
0.1× |
| Endoscopic us exam esoph (43237) |
$284.40 |
$316 |
0.1× |
| Endoscopy upper small intestine (44360) |
$208.80 |
$232 |
0.1× |
Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective… (61623)
likely a partial charge — not the full procedure |
$819.90 |
$911 |
0.1× |
Endoven ablti ther chem adhesive 1st vein (36482)
unusually low — confirm this is the full procedure |
$2,672.10 |
$2,969 |
0.5× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$1,952.10 |
$2,169 |
0.6× |
| Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring,… (36478) |
$1,553.40 |
$1,726 |
0.5× |
| Endovenous rf 1st vein (36475) |
$1,704.60 |
$1,894 |
0.5× |
| Enucleation of eye; with implant, muscles attached to implant Age Under 21 (65105) |
$1,435.50 |
$1,595 |
0.3× |
| Enucleation of eye; with implant, muscles not attached to implant Age Under 21 (65103) |
$1,322.10 |
$1,469 |
0.3× |
| Enucleation of eye; without implant Age Under 21 (65101) |
$1,284.30 |
$1,427 |
0.3× |
| Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits;… (15115) |
$1,188.90 |
$1,321 |
0.5× |
| Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Age Under 21 (15110) |
$1,229.40 |
$1,366 |
0.6× |
| Epididymectomy; bilateral Age Under 21 (54861) |
$827.10 |
$919 |
0.2× |
| Epididymectomy; unilateral Age Under 21 (54860) |
$611.10 |
$679 |
0.2× |
| Epididymovasostomy, anastomosis of epididymis to vas deferens; bilateral (54901) |
$1,531.80 |
$1,702 |
0.4× |
| Epididymovasostomy, anastomosis of epididymis to vas deferens; unilateral (54900) |
$1,161 |
$1,290 |
0.5× |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur (27185) |
$1,060.20 |
$1,178 |
0.3× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna Age Under 21 (25455) |
$1,081.80 |
$1,202 |
0.3× |
| Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna Age Under 21 (25450) |
$917.10 |
$1,019 |
0.3× |
| Episiotomy or vaginal repair (59300) |
$346.50 |
$385 |
0.1× |
| Er inj anesthetic agent, peripheral nerve or branch (64450) |
$106.65 |
$118.50 |
0.1× |
Ercp duct stent placement (43274)
likely a partial charge — not the full procedure |
$670.50 |
$745 |
0.1× |
| Ercp ea duct/ampulla dilate (43277) |
$549 |
$610 |
0.1× |
Ercp lithotripsy calculi (43265)
likely a partial charge — not the full procedure |
$628.20 |
$698 |
0.1× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$527.40 |
$586 |
0.1× |
| Ercp remove forgn body duct (43275) |
$545.40 |
$606 |
0.3× |
Ercp stent exchange w/dilate (43276)
likely a partial charge — not the full procedure |
$698.40 |
$776 |
0.1× |
| Escharotomy 1st incision (16035) |
$277.20 |
$308 |
0.6× |
| Esoph egd dilation <30 mm (43249) |
$1,760.40 |
$1,956 |
0.9× |
| Esoph scope w/submucous inj (43201) |
$405.90 |
$451 |
0.2× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$635.40 |
$706 |
0.7× |
| Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices Age Under 21 (43244) |
$354.60 |
$394 |
0.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal… (43257) |
$338.40 |
$376 |
0.1× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger)… (43233) |
$332.10 |
$369 |
0.2× |
| Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)… (43245) |
$947.70 |
$1,053 |
0.5× |
Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes… (43210)
likely a partial charge — not the full procedure |
$621.90 |
$691 |
0.1× |
| Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through… (43248) |
$648.90 |
$721 |
0.7× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body (43247) |
$597.60 |
$664 |
0.6× |
| Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy… (43250) |
$712.80 |
$792 |
0.4× |
| Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine… (43238) |
$336.60 |
$374 |
0.2× |
| Esophagoscop mucosal resect (43211) |
$340.20 |
$378 |
0.2× |
Esophagoscop stent placement (43212)
likely a partial charge — not the full procedure |
$272.70 |
$303 |
0.0× |
| Esophagoscopy flexible removal foreign body (43215) |
$620.10 |
$689 |
0.3× |
| Esophagoscopy flexible transnasal diagnostic (43197) |
$295.20 |
$328 |
0.3× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$412.20 |
$458 |
0.4× |
| Esophagoscopy flexible transoral with biopsy (43202) |
$567.90 |
$631 |
0.3× |
| Esophagoscopy lesion ablate (43229) |
$1,136.70 |
$1,263 |
0.3× |
| Esophagoscopy rigid transoral balloon dilation (43195) |
$268.20 |
$298 |
0.1× |
| Esophagoscopy, flexible, transnasal; with biopsy, single or multiple Age Under 21 (43198) |
$325.80 |
$362 |
0.3× |
| Esophagoscopy, flexible, transoral; with band ligation of esophageal varices Age Under 21 (43205) |
$204.30 |
$227 |
0.1× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method Age Under 21 (43227) |
$948.60 |
$1,054 |
0.5× |
| Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes… (43214) |
$279.90 |
$311 |
0.1× |
| Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes… (43213) |
$1,984.50 |
$2,205 |
1.0× |
| Esophagoscopy, flexible, transoral; with endoscopic ultrasound examination Age Under 21 (43231) |
$230.40 |
$256 |
0.1× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices Age Under 21 (43204) |
$196.20 |
$218 |
0.1× |
| Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire Age… (43226) |
$606.60 |
$674 |
0.3× |
| Esophagoscopy, flexible, transoral; with optical endomicroscopy Age Under 21 (43206) |
$470.70 |
$523 |
0.2× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps Age… (43216) |
$650.70 |
$723 |
0.3× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under… (43217) |
$661.50 |
$735 |
0.3× |
| Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter) Age Under 21 (43220) |
$1,462.50 |
$1,625 |
0.7× |
| Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle… (43232) |
$288.90 |
$321 |
0.1× |
Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, zenker's diverticulum),… (43180)
likely a partial charge — not the full procedure |
$801 |
$890 |
0.1× |
| Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed… (43191) |
$225.90 |
$251 |
0.1× |
| Esophagoscopy, rigid, transoral; with biopsy, single or multiple Age Under 21 (43193) |
$246.60 |
$274 |
0.1× |
| Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance Age Under 21 (43192) |
$246.60 |
$274 |
0.1× |
| Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire Age Under 21 (43196) |
$284.40 |
$316 |
0.1× |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
$279 |
$310 |
0.1× |
| Esophagotomy, cervical approach, with removal of foreign body (43020) |
$830.70 |
$923 |
0.5× |
Ethmoidectomy; intranasal, anterior Age Under 21 (31200)
likely a partial charge — not the full procedure |
$954.90 |
$1,061 |
0.2× |
| Evac subungual hematoma (11740) |
$81.45 |
$90.50 |
0.6× |
| Evisceration of ocular contents; with implant Age Under 21 (65093) |
$1,116.90 |
$1,241 |
0.3× |
| Evisceration of ocular contents; without implant Age Under 21 (65091) |
$1,125.90 |
$1,251 |
0.3× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$808.20 |
$898 |
0.5× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$614.70 |
$683 |
0.4× |
| Exam of jaw joint using an endoscope|BILATERAL PROCEDURE |DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (29804) |
$890.10 |
$989 |
0.3× |
| Exam of windpipe and lung airways through permanent windpipe opening using an endoscope (31615) |
$260.10 |
$289 |
0.5× |
| Exam with injections of chemical for destruction of bladder using an endoscope|DISC OP HOSP/AMB SURGR CENT (ASC) PROC… (52287) |
$599.40 |
$666 |
0.3× |
Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815)
likely a partial charge — not the full procedure |
$801.90 |
$891 |
0.1× |
| Exc f/e/e/n/l mal+mrg 1.1-2 (11642) |
$403.20 |
$448 |
0.5× |
| Exc face les sbq 2 cm/> (21012) |
$500.40 |
$556 |
0.3× |
| Exc face tum deep < 2 cm (21013) |
$806.40 |
$896 |
0.5× |
| Exc forearm les sc 3 cm/> (25071) |
$625.50 |
$695 |
0.4× |
| Exc frenum labial/buccal (40819) |
$408.60 |
$454 |
0.2× |
| Exc h-f-nk-sp b9+marg 0.5/< (11420) |
$205.20 |
$228 |
0.1× |
| Exc h-f-nk-sp b9+marg 0.6-1 (11421) |
$242.10 |
$269 |
0.3× |
| Exc h-f-nk-sp b9+marg 1.1-2 (11422) |
$286.20 |
$318 |
0.2× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$696.60 |
$774 |
0.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$628.20 |
$698 |
0.4× |
| Exc neck tum deep < 5 cm (21556) |
$782.10 |
$869 |
0.3× |
| Exc neuroma dgtal nrv 1/bth sm dgt (64776) |
$580.50 |
$645 |
0.3× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$1,068.30 |
$1,187 |
0.5× |
| Exc rect tum transanal part (45171) |
$918.90 |
$1,021 |
0.3× |
| Exc tr-ext b9+marg 0.5 < cm (11400) |
$194.40 |
$216 |
0.3× |
| Exc tr-ext b9+marg 1.1-2 cm (11402) |
$261 |
$290 |
0.3× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$777.60 |
$864 |
0.4× |
| Exc tum/vasc mal sft tiss hand/fngr subq <1.5cm (26115) |
$840.60 |
$934 |
0.5× |
| Exc tumor soft tiss back/flank subfascial <5cm (21932) |
$973.80 |
$1,082 |
0.3× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$801.90 |
$891 |
0.3× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$805.50 |
$895 |
0.3× |
| Exc tumor soft tissue abdl wall subfascial 5cm/> (22901) |
$979.20 |
$1,088 |
0.3× |
| Exc Tumor Soft Tissue Abdl Wall Subfascial <5cm (22900) |
$829.80 |
$922 |
0.3× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$716.40 |
$796 |
0.4× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$659.70 |
$733 |
0.2× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$713.70 |
$793 |
0.2× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$798.30 |
$887 |
0.5× |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
$679.50 |
$755 |
0.2× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$746.10 |
$829 |
0.4× |
| Exc Tumor Soft Tissue Pelvis & Hip Subfasc 5cm/> (27045) |
$1,076.40 |
$1,196 |
0.4× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$894.60 |
$994 |
0.3× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$749.70 |
$833 |
0.2× |
| Exc tumor soft tissue upper arm/elbow subq 3cm/> (24071) |
$597.60 |
$664 |
0.2× |
| Exchange biliary drg catheter prq w/img gid rs&i (47536) |
$1,016.10 |
$1,129 |
0.3× |
| Exchange intraocular lens (66986) |
$1,315.80 |
$1,462 |
0.5× |
| Exchange nephrostomy catheter prq w/img gid rs&i (50435) |
$963.90 |
$1,071 |
0.4× |
| Exchange transfusion, blood; newborn Age Under 21 (36450) |
$250.20 |
$278 |
0.5× |
| Exchange transfusion, blood; other than newborn Age Under 21 (36455) |
$179.10 |
$199 |
0.4× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$953.10 |
$1,059 |
0.5× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67966) |
$1,153.80 |
$1,282 |
0.5× |
| Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include… (67961) |
$877.50 |
$975 |
0.3× |
Excision aural glomus tumor; transcanal Age Under 21 (69550)
likely a partial charge — not the full procedure |
$1,615.50 |
$1,795 |
0.3× |
Excision aural glomus tumor; transmastoid Age Under 21 (69552)
unusually low — confirm this is the full procedure |
$2,387.70 |
$2,653 |
0.4× |
| Excision aural polyp (69540) |
$326.70 |
$363 |
0.2× |
Excision bone mandible (21025)
likely a partial charge — not the full procedure |
$1,175.40 |
$1,306 |
0.2× |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Age Under 21 (42810) |
$589.50 |
$655 |
0.2× |
Excision dermoid cyst, nose; complex, under bone or cartilage Age Under 21 (30125)
likely a partial charge — not the full procedure |
$992.70 |
$1,103 |
0.2× |
| Excision dermoid cyst, nose; simple, skin, subcutaneous Age Under 21 (30124) |
$459 |
$510 |
0.3× |
| Excision distal ulna partial or complete (eg, Darrach type or matched resection) Age Under 21 (25240) |
$639.90 |
$711 |
0.2× |
Excision exostosis(es), external auditory canal Age Under 21 (69140)
likely a partial charge — not the full procedure |
$1,380.60 |
$1,534 |
0.2× |
| Excision external ear partial simple repair (69110) |
$720 |
$800 |
0.2× |
Excision external ear; complete amputation Age Under 21 (69120)
likely a partial charge — not the full procedure |
$589.50 |
$655 |
0.1× |
Excision flexor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Age Under… (26390)
likely a partial charge — not the full procedure |
$1,331.10 |
$1,479 |
0.2× |
| Excision ganglion wrist dorsal/volar primary (25111) |
$486 |
$540 |
0.3× |
| Excision h/p/p/u simple/intermediate repair (11470) |
$693.90 |
$771 |
0.2× |
| Excision hidradenitis axillary smpl/intrm rpr (11450) |
$663.30 |
$737 |
0.2× |
| Excision inferior turbinate, partial or complete, any method Age Under 21 (30130) |
$640.80 |
$712 |
0.2× |
| Excision lesion mouth roof (42104) |
$330.30 |
$367 |
0.1× |
| Excision lesion sclera (66130) |
$1,051.20 |
$1,168 |
0.4× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$519.30 |
$577 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$345.60 |
$384 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 1.1-2.0 Cm (11602) |
$386.55 |
$429.50 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$437.40 |
$486 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$465.30 |
$517 |
0.6× |
| Excision malignant lesion f/e/e/n/l >4.0 cm (11646) |
$751.50 |
$835 |
0.2× |
| Excision malignant lesion s/n/h/f/g 0.5 cm/< (11620) |
$301.50 |
$335 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$367.20 |
$408 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 1.1-2.0 Cm (11622) |
$379.80 |
$422 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$470.70 |
$523 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$504 |
$560 |
0.3× |
| Excision multiple external papillae/tags anus (46230) |
$477 |
$530 |
0.2× |
| Excision of bartholin's gland or cyst (56740) |
$467.10 |
$519 |
0.1× |
| Excision of benign tumor or cyst of mandible, by enucleation and/or curettage Age Under 21 (21040) |
$705.60 |
$784 |
0.2× |
Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally… (21047)
likely a partial charge — not the full procedure |
$1,839.60 |
$2,044 |
0.3× |
Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive… (21046)
likely a partial charge — not the full procedure |
$1,485.90 |
$1,651 |
0.2× |
Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage Age Under 21 (21030)
likely a partial charge — not the full procedure |
$695.70 |
$773 |
0.1× |
Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally… (21049)
likely a partial charge — not the full procedure |
$1,790.10 |
$1,989 |
0.3× |
Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive… (21048)
likely a partial charge — not the full procedure |
$1,495.80 |
$1,662 |
0.2× |
Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s) Age Under 21 (21026)
likely a partial charge — not the full procedure |
$801.90 |
$891 |
0.1× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$1,201.50 |
$1,335 |
0.3× |
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065)
likely a partial charge — not the full procedure |
$781.20 |
$868 |
0.1× |
Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; with autograft… (27067)
likely a partial charge — not the full procedure |
$1,520.10 |
$1,689 |
0.2× |
| Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion Age Under 21 (19125) |
$852.30 |
$947 |
0.2× |
| Excision of bulbourethral gland (Cowper's gland) Age Under 21 (53250) |
$577.80 |
$642 |
0.2× |
Excision of cervical stump, vaginal approach; Age Under 21 (57550)
likely a partial charge — not the full procedure |
$641.70 |
$713 |
0.1× |
Excision of cervical stump, vaginal approach; with anterior and/or posterior repair (57555)
likely a partial charge — not the full procedure |
$915.30 |
$1,017 |
0.2× |
Excision of cervical stump, vaginal approach; with repair of enterocele Age Under 21 (57556)
likely a partial charge — not the full procedure |
$869.40 |
$966 |
0.2× |
| Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Age Under 21 (67808) |
$536.40 |
$596 |
0.2× |
| Excision of chest wall tumor including rib(s) (21601) |
$2,578.50 |
$2,865 |
0.8× |
Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy (21603)
unusually low — confirm this is the full procedure |
$3,781.80 |
$4,202 |
0.5× |
Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy (21602)
unusually low — confirm this is the full procedure |
$3,474.90 |
$3,861 |
0.5× |
| Excision of constricting ring of finger, with multiple Z-plasties Age Under 21 (26596) |
$1,233.90 |
$1,371 |
0.4× |
Excision of cyst or adenoma of thyroid, or transection of isthmus Age Under 21 (60200)
likely a partial charge — not the full procedure |
$981 |
$1,090 |
0.2× |
| Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Age Under 21 (38550) |
$771.30 |
$857 |
0.2× |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Age… (20150) |
$1,468.80 |
$1,632 |
0.4× |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod Age… (26415) |
$1,297.80 |
$1,442 |
0.4× |
| Excision of extraparenchymal lesion of testis Age Under 21 (54512) |
$780.30 |
$867 |
0.2× |
| Excision of fibrous tuberosities, dentoalveolar structures (41822) |
$539.10 |
$599 |
0.3× |
| Excision of ganglion, wrist (dorsal or volar); recurrent Age Under 21 (25112) |
$582.30 |
$647 |
0.3× |
| Excision of hydrocele of spermatic cord, unilateral (separate procedure) Age Under 21 (55500) |
$576 |
$640 |
0.2× |
| Excision of hyperplastic alveolar mucosa, each quadrant (specify) Age Under 21 (41828) |
$531.90 |
$591 |
0.3× |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Age Under 21 (68505) |
$1,566 |
$1,740 |
0.4× |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; total Age Under 21 (68500) |
$1,573.20 |
$1,748 |
0.4× |
| Excision of lacrimal gland tumor; frontal approach Age Under 21 (68540) |
$1,452.60 |
$1,614 |
0.6× |
| Excision of lacrimal gland tumor; involving osteotomy Age Under 21 (68550) |
$1,810.80 |
$2,012 |
0.4× |
| Excision of lacrimal sac (dacryocystectomy) Age Under 21 (68520) |
$1,092.60 |
$1,214 |
0.3× |
| Excision of lactiferous duct fistula Age Under 21 (19112) |
$703.80 |
$782 |
0.2× |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Age Under 21 (67840) |
$428.40 |
$476 |
0.4× |
| Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee Age Under 21 (27347) |
$780.30 |
$867 |
0.2× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle Age Under 21 (40816) |
$606.60 |
$674 |
0.2× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair Age Under 21 (40814) |
$565.20 |
$628 |
0.2× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair (40812) |
$435.60 |
$484 |
0.3× |
| Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair (40810) |
$332.10 |
$369 |
0.1× |
| Excision of lesion of spermatic cord (separate procedure) Age Under 21 (55520) |
$965.70 |
$1,073 |
0.3× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle Age Under 21 (27630) |
$818.10 |
$909 |
0.2× |
| Excision of lesion of tendon sheath or joint capsule, hand or finger (26160) |
$999 |
$1,110 |
0.6× |
| Excision of lesion of tongue with closure; posterior one-third Age Under 21 (41113) |
$553.50 |
$615 |
0.2× |
| Excision of lesion of tongue with closure; with local tongue flap Age Under 21 (41114) |
$904.50 |
$1,005 |
0.3× |
| Excision of lesion of tongue without closure Age Under 21 (41110) |
$351.90 |
$391 |
0.1× |
Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair Age Under 21 (41827)
likely a partial charge — not the full procedure |
$660.60 |
$734 |
0.1× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair Age Under 21 (41826) |
$465.30 |
$517 |
0.1× |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair (41825) |
$337.50 |
$375 |
0.1× |
| Excision of lesion, conjunctiva; over 1 cm Age Under 21 (68115) |
$506.70 |
$563 |
0.2× |
| Excision of lesion, conjunctiva; with adjacent sclera Age Under 21 (68130) |
$829.80 |
$922 |
0.3× |
Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander) Age Under 21 (40527)
likely a partial charge — not the full procedure |
$924.30 |
$1,027 |
0.1× |
| Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan) Age Under 21 (40525) |
$813.60 |
$904 |
0.2× |
| Excision of lip; transverse wedge excision with primary closure Age Under 21 (40510) |
$741.60 |
$824 |
0.2× |
| Excision of lip; V-excision with primary direct linear closure Age Under 21 (40520) |
$761.40 |
$846 |
0.2× |
| Excision of local lesion of epididymis Age Under 21 (54830) |
$544.50 |
$605 |
0.1× |
Excision of malignant tumor of mandible; Age Under 21 (21044)
likely a partial charge — not the full procedure |
$1,274.40 |
$1,416 |
0.2× |
Excision of malignant tumor of mandible; radical resection (21045)
likely a partial charge — not the full procedure |
$1,763.10 |
$1,959 |
0.3× |
Excision of malignant tumor of maxilla or zygoma Age Under 21 (21034)
unusually low — confirm this is the full procedure |
$1,927.80 |
$2,142 |
0.3× |
| Excision of mouth lesion (41116) |
$512.10 |
$569 |
0.1× |
| Excision of mucosa of vestibule of mouth as donor graft Age Under 21 (40818) |
$559.80 |
$622 |
1.0× |
| Excision of neurofibroma or neurolemmoma; cutaneous nerve Age Under 21 (64788) |
$597.60 |
$664 |
0.3× |
| Excision of neurofibroma or neurolemmoma; extensive (including malignant type) Age Under 21 (64792) |
$1,554.30 |
$1,727 |
0.4× |
| Excision of neurofibroma or neurolemmoma; major peripheral nerve Age Under 21 (64790) |
$1,224.90 |
$1,361 |
0.6× |
| Excision of neuroma; cutaneous nerve, surgically identifiable Age Under 21 (64774) |
$615.60 |
$684 |
0.3× |
| Excision of neuroma; hand or foot, except digital nerve Age Under 21 (64782) |
$671.40 |
$746 |
0.3× |
| Excision of neuroma; sciatic nerve Age Under 21 (64786) |
$1,467 |
$1,630 |
0.4× |
Excision of osseous tuberosities, dentoalveolar structures (41823)
likely a partial charge — not the full procedure |
$801.90 |
$891 |
0.1× |
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Age Under 21 (42415)
likely a partial charge — not the full procedure |
$1,550.70 |
$1,723 |
0.2× |
Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection Age Under 21 (42410)
likely a partial charge — not the full procedure |
$926.10 |
$1,029 |
0.1× |
Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve Age Under 21 (42425)
likely a partial charge — not the full procedure |
$1,230.30 |
$1,367 |
0.2× |
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Age Under 21 (42420)
likely a partial charge — not the full procedure |
$1,737 |
$1,930 |
0.3× |
| Excision of penile plaque (Peyronie disease); Age Under 21 (54110) |
$910.80 |
$1,012 |
0.2× |
Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Age Under 21 (54112)
likely a partial charge — not the full procedure |
$1,355.40 |
$1,506 |
0.1× |
Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Age Under 21 (54111)
likely a partial charge — not the full procedure |
$1,155.60 |
$1,284 |
0.2× |
| Excision of pilonidal cyst or sinus; simple Age Under 21 (11770) |
$552.60 |
$614 |
0.2× |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Age Under 21 (45160) |
$1,497.60 |
$1,664 |
0.5× |
| Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) Age Under 21 (45172) |
$1,216.80 |
$1,352 |
0.4× |
Excision of rib, partial Age Under 21 (21600)
likely a partial charge — not the full procedure |
$826.20 |
$918 |
0.1× |
| Excision of single external papilla or tag, anus (46220) |
$388.80 |
$432 |
0.3× |
| Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair Age Under 21 (11451) |
$802.80 |
$892 |
0.3× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$816.30 |
$907 |
0.3× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair Age Under 21 (11462) |
$645.30 |
$717 |
0.2× |
| Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair Age… (11471) |
$828.90 |
$921 |
0.3× |
| Excision of spermatocele, with or without epididymectomy Age Under 21 (54840) |
$470.70 |
$523 |
0.2× |
Excision of sublingual gland (42450)
likely a partial charge — not the full procedure |
$712.80 |
$792 |
0.1× |
| Excision of sublingual salivary cyst (ranula) Age Under 21 (42408) |
$832.50 |
$925 |
0.2× |
Excision of submandibular (submaxillary) gland Age Under 21 (42440)
likely a partial charge — not the full procedure |
$612.90 |
$681 |
0.1× |
| Excision of synovial cyst of popliteal space (eg, Baker's cyst) Age Under 21 (27345) |
$721.80 |
$802 |
0.2× |
| Excision of tendon, forearm and/or wrist, flexor or extensor, each Age Under 21 (25109) |
$795.60 |
$884 |
0.2× |
| Excision of tendon, palm, flexor or extensor, single, each tendon Age Under 21 (26170) |
$609.30 |
$677 |
0.4× |
| Excision of thrombosed hemorrhoid, external (46320) |
$305.55 |
$339.50 |
0.2× |
| Excision of tongue fold (41115) |
$403.20 |
$448 |
0.2× |
| Excision of tongue lesion (41112) |
$515.70 |
$573 |
0.1× |
| Excision of tonsil tags Age Under 21 (42860) |
$287.10 |
$319 |
0.1× |
Excision of tracheal tumor or carcinoma; cervical (31785)
likely a partial charge — not the full procedure |
$1,567.80 |
$1,742 |
0.3× |
Excision of urachal cyst or sinus, with or without umbilical hernia repair Age Under 21 (51500)
likely a partial charge — not the full procedure |
$926.10 |
$1,029 |
0.1× |
Excision of urethral diverticulum (separate procedure); female Age Under 21 (53230)
likely a partial charge — not the full procedure |
$887.40 |
$986 |
0.2× |
Excision of urethral diverticulum (separate procedure); male Age Under 21 (53235)
likely a partial charge — not the full procedure |
$921.60 |
$1,024 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$375.30 |
$417 |
0.1× |
| Excision of vaginal septum (57130) |
$351 |
$390 |
0.1× |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Age Under 21 (55530) |
$515.70 |
$573 |
0.1× |
Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Age Under 21 (55535)
likely a partial charge — not the full procedure |
$627.30 |
$697 |
0.1× |
| Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair Age Under 21 (55540) |
$814.50 |
$905 |
0.2× |
| Excision olecranon bursa (24105) |
$539.10 |
$599 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of carpal bones; Age Under 21 (25130) |
$673.20 |
$748 |
0.2× |
Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft Age Under 21 (25136)
likely a partial charge — not the full procedure |
$741.60 |
$824 |
0.1× |
Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) Age Under… (25135)
likely a partial charge — not the full procedure |
$833.40 |
$926 |
0.1× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; Age Under 21 (23140) |
$824.40 |
$916 |
0.2× |
Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft Age Under 21 (23146)
likely a partial charge — not the full procedure |
$924.30 |
$1,027 |
0.1× |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)… (23145) |
$1,028.70 |
$1,143 |
0.3× |
| Excision or curettage of bone cyst or benign tumor of femur; Age Under 21 (27355) |
$901.80 |
$1,002 |
0.3× |
Excision or curettage of bone cyst or benign tumor of femur; with allograft Age Under 21 (27356)
likely a partial charge — not the full procedure |
$1,091.70 |
$1,213 |
0.1× |
Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Age Under 21 (27357)
likely a partial charge — not the full procedure |
$1,209.60 |
$1,344 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; Age Under 21 (24120) |
$792 |
$880 |
0.2× |
Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft Age… (24126)
likely a partial charge — not the full procedure |
$963.90 |
$1,071 |
0.1× |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft… (24125) |
$924.30 |
$1,027 |
0.3× |
Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft) Age Under 21 (26205)
likely a partial charge — not the full procedure |
$899.10 |
$999 |
0.1× |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; Age Under 21 (23150) |
$980.10 |
$1,089 |
0.3× |
Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft Age Under 21 (23156)
likely a partial charge — not the full procedure |
$1,003.50 |
$1,115 |
0.1× |
Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft) Age… (23155)
likely a partial charge — not the full procedure |
$1,177.20 |
$1,308 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; Age Under 21 (26210) |
$667.80 |
$742 |
0.4× |
| Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft… (26215) |
$842.40 |
$936 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25125) |
$883.80 |
$982 |
0.5× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25120) |
$746.10 |
$829 |
0.2× |
| Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon… (25126) |
$890.10 |
$989 |
0.3× |
| Excision or curettage of bone cyst or benign tumor, humerus; Age Under 21 (24110) |
$875.70 |
$973 |
0.3× |
Excision or curettage of bone cyst or benign tumor, humerus; with allograft Age Under 21 (24116)
likely a partial charge — not the full procedure |
$1,265.40 |
$1,406 |
0.2× |
Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Age Under 21 (24115)
likely a partial charge — not the full procedure |
$1,088.10 |
$1,209 |
0.1× |
| Excision or curettage of bone cyst or benign tumor, phalanges of foot Age Under 21 (28108) |
$650.70 |
$723 |
0.4× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Age Under 21 (28100) |
$922.50 |
$1,025 |
0.3× |
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft Age Under 21 (28103)
likely a partial charge — not the full procedure |
$567.90 |
$631 |
0.1× |
Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes… (28102)
likely a partial charge — not the full procedure |
$904.50 |
$1,005 |
0.1× |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; Age Under 21 (28104) |
$783.90 |
$871 |
0.2× |
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with allograft Age… (28107)
likely a partial charge — not the full procedure |
$753.30 |
$837 |
0.1× |
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106)
likely a partial charge — not the full procedure |
$624.60 |
$694 |
0.1× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; Age Under 21 (27635) |
$856.80 |
$952 |
0.2× |
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Age Under 21 (27638)
likely a partial charge — not the full procedure |
$1,105.20 |
$1,228 |
0.1× |
Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) Age… (27637)
likely a partial charge — not the full procedure |
$1,083.60 |
$1,204 |
0.1× |
| Excision or destruction (eg, laser), intranasal lesion; external approach (lateral rhinotomy) Age Under 21 (30118) |
$1,196.10 |
$1,329 |
0.3× |
Excision or destruction lingual tonsil, any method (separate procedure) Age Under 21 (42870)
likely a partial charge — not the full procedure |
$894.60 |
$994 |
0.1× |
| Excision or fulguration of carcinoma of urethra Age Under 21 (53220) |
$657 |
$730 |
0.2× |
| Excision or fulguration; Skene's glands Age Under 21 (53270) |
$311.40 |
$346 |
0.1× |
| Excision or fulguration; urethral caruncle Age Under 21 (53265) |
$338.40 |
$376 |
0.2× |
| Excision or fulguration; urethral polyp(s), distal urethra Age Under 21 (53260) |
$305.10 |
$339 |
0.1× |
| Excision or fulguration; urethral prolapse Age Under 21 (53275) |
$382.50 |
$425 |
0.1× |
| Excision or surgical planing of skin of nose for rhinophyma Age Under 21 (30120) |
$764.10 |
$849 |
0.2× |
| Excision or transposition of pterygium; without graft Age Under 21 (65420) |
$812.70 |
$903 |
0.3× |
| Excision pilonidal cyst/sinus complicated (11772) |
$1,175.40 |
$1,306 |
0.4× |
| Excision pilonidal cyst/sinus extensive (11771) |
$954 |
$1,060 |
0.3× |
| Excision soft tissue lesion, external auditory canal Age Under 21 (69145) |
$634.50 |
$705 |
0.2× |
| Excision tendon finger flexor/extensor each (26180) |
$670.50 |
$745 |
0.4× |
Excision Thyroglossal Duct Cyst/Sinus (60280)
likely a partial charge — not the full procedure |
$673.20 |
$748 |
0.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$730.80 |
$812 |
0.4× |
| Excision tumor soft tissue back/flank subq <3cm (21930) |
$759.60 |
$844 |
0.4× |
| Excision tumor soft tissue foot/toe subq 1.5+cm (28039) |
$731.70 |
$813 |
0.2× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$575.10 |
$639 |
0.3× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$619.20 |
$688 |
0.4× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$769.50 |
$855 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11423) |
$325.80 |
$362 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11426) |
$496.80 |
$552 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet,… (11424) |
$351.90 |
$391 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11401) |
$250.20 |
$278 |
0.6× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11404) |
$338.40 |
$376 |
0.2× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11403) |
$315 |
$350 |
0.4× |
| Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised… (11406) |
$503.10 |
$559 |
0.3× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Age Under 21 (15922) |
$1,175.40 |
$1,306 |
0.3× |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Age Under 21 (15920) |
$945 |
$1,050 |
0.3× |
Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy Age Under… (15830)
likely a partial charge — not the full procedure |
$1,712.70 |
$1,903 |
0.2× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm (15836) |
$1,170.90 |
$1,301 |
0.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock (15835) |
$1,363.50 |
$1,515 |
0.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand (15837) |
$1,287.90 |
$1,431 |
0.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip (15834) |
$1,310.40 |
$1,456 |
0.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg (15833) |
$1,287.90 |
$1,431 |
0.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area - 15839 (15839) |
$1,323.90 |
$1,471 |
0.4× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad (15838) |
$955.80 |
$1,062 |
0.3× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh (15832) |
$1,344.60 |
$1,494 |
0.4× |
| Excision, interdigital (Morton) neuroma, single, each Age Under 21 (28080) |
$798.30 |
$887 |
0.5× |
| Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closure… (15946) |
$2,372.40 |
$2,636 |
1.1× |
| Excision, ischial pressure ulcer, with primary suture; Age Under 21 (15940) |
$1,029.60 |
$1,144 |
0.3× |
| Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy) Age Under 21 (15941) |
$1,373.40 |
$1,526 |
0.4× |
| Excision, ischial pressure ulcer, with skin flap closure; Age Under 21 (15944) |
$1,376.10 |
$1,529 |
0.4× |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Age Under 21 (15945) |
$1,501.20 |
$1,668 |
0.7× |
Excision, lesion of palate, uvula; with local flap closure Age Under 21 (42107)
likely a partial charge — not the full procedure |
$695.70 |
$773 |
0.1× |
| Excision, lesion of palate, uvula; with simple primary closure Age Under 21 (42106) |
$393.30 |
$437 |
0.1× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less Age… (11640) |
$308.70 |
$343 |
0.4× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm Age Under… (11641) |
$358.20 |
$398 |
0.5× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm Age Under… (11643) |
$471.60 |
$524 |
0.3× |
| Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm Age Under… (11644) |
$580.50 |
$645 |
0.3× |
| Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm Age… (11626) |
$607.50 |
$675 |
0.2× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less (11600) |
$295.20 |
$328 |
0.4× |
| Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm Age Under 21 (11606) |
$666.90 |
$741 |
0.4× |
| Excision, nasal polyp(s), extensive Age Under 21 (30115) |
$713.70 |
$793 |
0.2× |
| Excision, nasal polyp(s), simple Age Under 21 (30110) |
$381.60 |
$424 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11442) |
$291.60 |
$324 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11441) |
$279 |
$310 |
0.4× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11444) |
$425.70 |
$473 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11440) |
$218.70 |
$243 |
0.3× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11443) |
$342.90 |
$381 |
0.2× |
| Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose,… (11446) |
$576 |
$640 |
0.2× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Age Under 21 (15936) |
$1,326.60 |
$1,474 |
0.6× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy… (15937) |
$1,536.30 |
$1,707 |
0.7× |
| Excision, sacral pressure ulcer, with primary suture; Age Under 21 (15931) |
$1,027.80 |
$1,142 |
0.3× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Age Under 21 (15933) |
$1,283.40 |
$1,426 |
0.4× |
| Excision, sacral pressure ulcer, with skin flap closure; Age Under 21 (15934) |
$1,392.30 |
$1,547 |
0.4× |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Age Under 21 (15935) |
$1,699.20 |
$1,888 |
0.5× |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Age Under… (15956) |
$1,720.80 |
$1,912 |
0.8× |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
$1,753.20 |
$1,948 |
0.5× |
| Excision, trochanteric pressure ulcer, with primary suture; Age Under 21 (15950) |
$940.50 |
$1,045 |
0.5× |
| Excision, trochanteric pressure ulcer, with primary suture; with ostectomy Age Under 21 (15951) |
$1,328.40 |
$1,476 |
0.4× |
| Excision, trochanteric pressure ulcer, with skin flap closure; Age Under 21 (15952) |
$1,348.20 |
$1,498 |
0.6× |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Age Under 21 (15953) |
$1,485.90 |
$1,651 |
0.4× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater Age Under 21 (22903) |
$647.10 |
$719 |
0.2× |
| Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21933) |
$1,081.80 |
$1,202 |
0.4× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater Age Under 21 (21014) |
$767.70 |
$853 |
0.3× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Age Under 21 (21011) |
$566.10 |
$629 |
0.3× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater Age Under 21 (25073) |
$791.10 |
$879 |
0.3× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm Age Under 21 (25076) |
$766.80 |
$852 |
0.4× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater Age Under 21 (27632) |
$606.60 |
$674 |
0.2× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (27634) |
$990.90 |
$1,101 |
0.3× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater Age Under 21 (21552) |
$657 |
$730 |
0.2× |
| Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm (21555) |
$658.80 |
$732 |
0.4× |
| Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (21554) |
$1,071 |
$1,190 |
0.3× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$730.80 |
$812 |
0.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Age Under 21 (23075) |
$792.90 |
$881 |
0.5× |
| Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (23073) |
$1,022.40 |
$1,136 |
0.3× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (27339) |
$1,107 |
$1,230 |
0.4× |
| Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Age Under 21 (27328) |
$916.20 |
$1,018 |
0.3× |
| Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Age Under 21 (24075) |
$818.10 |
$909 |
0.5× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater Age Under 21 (24073) |
$1,017.90 |
$1,131 |
0.3× |
| Excision/curettage cyst/tumor metacarpal (26200) |
$668.70 |
$743 |
0.4× |
| Excision/destruction intranasal lesion int appr (30117) |
$1,523.70 |
$1,693 |
0.4× |
| Excision/Destruction Lesion Pharynx Any Method (42808) |
$349.20 |
$388 |
0.1× |
| Excison tumor soft tissue thigh/knee subq 3 cm/> (27337) |
$617.40 |
$686 |
0.2× |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; only Age Under 21 (65110) |
$1,967.40 |
$2,186 |
0.5× |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; with muscle or myocutaneous flap Age… (65114) |
$2,344.50 |
$2,605 |
0.6× |
| Exenteration of orbit (does not include skin graft), removal of orbital contents; with therapeutic removal of bone Age… (65112) |
$2,247.30 |
$2,497 |
0.5× |
| Exploration for undescended testis (inguinal or scrotal area) Age Under 21 (54550) |
$715.50 |
$795 |
0.2× |
| Exploration for undescended testis with abdominal exploration Age Under 21 (54560) |
$997.20 |
$1,108 |
0.5× |
| Exploration of arm or leg for bleeding, blood clot, or infection after surgery (35860) |
$1,194.30 |
$1,327 |
0.4× |
| Exploration of epididymis, with or without biopsy Age Under 21 (54865) |
$525.60 |
$584 |
0.1× |
Exploration of neck for bleeding, blood clot, or infection after surgery (35800)
likely a partial charge — not the full procedure |
$1,055.70 |
$1,173 |
0.2× |
Exploration of spinal fusion (22830)
likely a partial charge — not the full procedure |
$1,197.90 |
$1,331 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$832.50 |
$925 |
0.5× |
| Exploration with removal of deep foreign body, forearm or wrist (25248) |
$624.60 |
$694 |
0.4× |
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010)
likely a partial charge — not the full procedure |
$1,337.40 |
$1,486 |
0.2× |
| Explore wound abdomen (20102) |
$774.45 |
$860.50 |
0.4× |
| Explore wound chest (20101) |
$918.90 |
$1,021 |
0.4× |
| Explore wound neck (20100) |
$875.70 |
$973 |
1.5× |
| Explore/irrigate tear ducts (68840) |
$198 |
$220 |
0.6× |
| Explore/treat ankle joint (27610) |
$955.80 |
$1,062 |
0.3× |
| Explore/treat hand joint (26070) |
$480.60 |
$534 |
0.3× |
Exposure of prostate, any approach, for insertion of radioactive substance; Age Under 21 (55860)
likely a partial charge — not the full procedure |
$1,265.40 |
$1,406 |
0.2× |
| Expression of conjunctival follicles (eg, for trachoma) Age Under 21 (68040) |
$91.80 |
$102 |
0.3× |
Extensive partial removal of external female genitals (56630)
likely a partial charge — not the full procedure |
$1,417.50 |
$1,575 |
0.3× |
Extensive removal of chest bone (21630)
likely a partial charge — not the full procedure |
$1,925.10 |
$2,139 |
0.3× |
Extensive removal of growth of collar bone (23200)
likely a partial charge — not the full procedure |
$2,195.10 |
$2,439 |
0.3× |
Extensive removal of growth of forearm bone (radius or ulna) (25170)
likely a partial charge — not the full procedure |
$2,142.90 |
$2,381 |
0.3× |
| Extensive removal of growth of outer leg bone (27646) |
$2,237.40 |
$2,486 |
0.6× |
| Extensive removal of growth of shin bone (27645) |
$2,572.20 |
$2,858 |
0.7× |
Extensive removal of growth of shoulder blade (23210)
unusually low — confirm this is the full procedure |
$2,572.20 |
$2,858 |
0.3× |
| Extensive removal of growth of thigh or knee bone (27365) |
$2,983.50 |
$3,315 |
0.9× |
Extensive removal of growth of upper end of upper arm (23220)
unusually low — confirm this is the full procedure |
$2,820.60 |
$3,134 |
0.4× |
Extensive removal of growth of upper pelvic bone including hip socket, base of pelvic bone, or both pubic bones (27076)
unusually low — confirm this is the full procedure |
$3,654.90 |
$4,061 |
0.5× |
| External cannula declotting (36860) |
$352.80 |
$392 |
0.2× |
External cannula declotting (separate procedure); with balloon catheter Age Under 21 (36861)
likely a partial charge — not the full procedure |
$198 |
$220 |
0.0× |
| Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) |
$461.70 |
$513 |
0.3× |
| Extraction of lens (66940) |
$1,143.90 |
$1,271 |
0.5× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual Age Under 21 (41015) |
$603 |
$670 |
1.1× |
| Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular Age Under 21 (41017) |
$706.50 |
$785 |
0.2× |
Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental Age Under 21 (41016)
likely a partial charge — not the full procedure |
$716.40 |
$796 |
0.1× |
| Fascia lata graft; by incision and area exposure, complex or sheet Age Under 21 (20922) |
$894.60 |
$994 |
0.4× |
| Fascia lata graft; by stripper Age Under 21 (20920) |
$588.60 |
$654 |
0.3× |
| Fasciectomy plantar fascia partial spx (28060) |
$778.50 |
$865 |
0.2× |
| Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes… (26121) |
$889.20 |
$988 |
0.3× |
| Fasciectomy, plantar fascia; radical (separate procedure) Age Under 21 (28062) |
$848.70 |
$943 |
0.2× |
| Fasciotomy, iliotibial (tenotomy), open Age Under 21 (27305) |
$717.30 |
$797 |
0.2× |
| Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial Age Under 21 (26045) |
$703.80 |
$782 |
0.2× |
| Fasct prtl plmr 1 dgt prox iphal jt +-tiss (26123) |
$1,237.50 |
$1,375 |
0.4× |
| Fetal contraction stress test (59020) |
$103.50 |
$115 |
0.5× |
| Fetal fluid drainage (eg, vesicocentesis, thoracocentesis, paracentesis), including ultrasound guidance Age Under 21 (59074) |
$557.10 |
$619 |
1.7× |
| Fetal umbilical cord occlusion, including ultrasound guidance (59072) |
$740.70 |
$823 |
2.3× |
| Filleted finger or toe flap, including preparation of recipient site Age Under 21 (14350) |
$997.20 |
$1,108 |
0.5× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$696.60 |
$774 |
0.9× |
| Fine needle aspiration bx w/fluor gdn 1st lesion (10007) |
$461.70 |
$513 |
0.6× |
| Fine needle aspiration bx w/o img gdn 1st lesion (10021) |
$153 |
$170 |
0.4× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$207.90 |
$231 |
0.3× |
| Fine needle aspiration of orbital contents Age Under 21 (67415) |
$148.50 |
$165 |
0.1× |
| Fistulization of sclera for glaucoma; sclerectomy with punch or scissors, with iridectomy Age Under 21 (66160) |
$1,442.70 |
$1,603 |
0.6× |
| Fistulization of sclera for glaucoma; thermocauterization with iridectomy Age Under 21 (66155) |
$1,285.20 |
$1,428 |
0.3× |
| Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery Age Under 21 (66170) |
$1,597.50 |
$1,775 |
0.7× |
| Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma… (66172) |
$1,744.20 |
$1,938 |
0.7× |
| Fistulization of sclera for glaucoma; trephination with iridectomy Age Under 21 (66150) |
$1,285.20 |
$1,428 |
0.3× |
| Fix collat lig,mc-p jt,i-p jt (26540) |
$1,070.10 |
$1,189 |
0.3× |
| Fixation of contralateral testis (separate procedure) Age Under 21 (54620) |
$432.90 |
$481 |
0.1× |
| Flap island pedicle (15740) |
$1,493.10 |
$1,659 |
0.7× |
Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; Age Under 21 (25315)
likely a partial charge — not the full procedure |
$1,135.80 |
$1,262 |
0.1× |
Flexor origin slide (eg, for cerebral palsy, Volkmann contracture), forearm and/or wrist; with tendon(s) transfer Age… (25316)
likely a partial charge — not the full procedure |
$1,349.10 |
$1,499 |
0.2× |
Flexor-plasty, elbow (eg, Steindler type advancement); Age Under 21 (24330)
likely a partial charge — not the full procedure |
$1,060.20 |
$1,178 |
0.1× |
Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement Age Under 21 (24331)
likely a partial charge — not the full procedure |
$1,157.40 |
$1,286 |
0.2× |
| Fluid pressure muscle (20950) |
$410.40 |
$456 |
0.5× |
| Follicle puncture for oocyte retrieval, any method (58970) |
$358.20 |
$398 |
0.4× |
| Follow-up surgery of eye (66250) |
$1,128.60 |
$1,254 |
0.5× |
| Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap) Age Under 21 (15731) |
$1,662.30 |
$1,847 |
0.4× |
| Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral Age Under 21 (15576) |
$1,168.20 |
$1,298 |
0.5× |
| Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae,… (15574) |
$1,307.70 |
$1,453 |
0.6× |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Age Under 21 (15572) |
$1,299.60 |
$1,444 |
0.3× |
| Formation of direct or tubed pedicle, with or without transfer; trunk Age Under 21 (15570) |
$1,355.40 |
$1,506 |
0.6× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$175.50 |
$195 |
0.1× |
| Free osteocutaneous flap with microvascular anastomosis; great toe with web space Age Under 21 (20973) |
$4,356 |
$4,840 |
0.6× |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe (20969) |
$3,958.20 |
$4,398 |
0.5× |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Age Under 21 (41520) |
$558 |
$620 |
0.2× |
| Frenulotomy of penis (54164) |
$283.50 |
$315 |
0.1× |
| Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae,… (15240) |
$1,379.70 |
$1,533 |
0.6× |
| Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less… (15260) |
$1,478.70 |
$1,643 |
0.7× |
| Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less Age… (15220) |
$1,144.80 |
$1,272 |
0.5× |
| Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less Age Under 21 (15200) |
$1,247.40 |
$1,386 |
0.6× |
Fusion in opposition, thumb, with autogenous graft (includes obtaining graft) Age Under 21 (26820)
likely a partial charge — not the full procedure |
$1,262.70 |
$1,403 |
0.2× |
Fusion of 3 bones of ankle|RIGHT SIDE (28715)
likely a partial charge — not the full procedure |
$1,382.40 |
$1,536 |
0.1× |
Fusion of all bones of ankle and hindfoot (28705)
likely a partial charge — not the full procedure |
$1,786.50 |
$1,985 |
0.1× |
Fusion of elbow joint without bone graft from the patient (24800)
likely a partial charge — not the full procedure |
$1,229.40 |
$1,366 |
0.2× |
Fusion of thumb (26841)
likely a partial charge — not the full procedure |
$1,179 |
$1,310 |
0.2× |
Fusion of wrist joint (25800)
likely a partial charge — not the full procedure |
$1,080.90 |
$1,201 |
0.1× |
| Gamete, zygote, or embryo intrafallopian transfer, any method (58976) |
$381.60 |
$424 |
1.2× |
| Ganglion impar nerve block (64999) |
$436.50 |
$485 |
1.3× |
| Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation,… (43755) |
$319.50 |
$355 |
2.4× |
| Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis) (43754) |
$464.40 |
$516 |
2.0× |
| Gastric lavage (43753) |
$40.95 |
$45.50 |
0.2× |
| Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Age Under 21 (43888) |
$687.60 |
$764 |
0.2× |
| Gastric restrictive procedure, open; removal of subcutaneous port component only Age Under 21 (43887) |
$490.50 |
$545 |
0.2× |
| Gastric restrictive procedure, open; revision of subcutaneous port component only Age Under 21 (43886) |
$547.20 |
$608 |
0.1× |
| Gastrocnemius recession (27687) |
$670.50 |
$745 |
0.2× |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
$1,975.50 |
$2,195 |
0.5× |
| Gastrostomy, open; without construction of gastric tube (eg, stamm procedure) (separate procedure) (43830) |
$1,030.50 |
$1,145 |
0.5× |
| Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin) (43510) |
$1,386.90 |
$1,541 |
1.4× |
Genioplasty; augmentation (autograft, allograft, prosthetic material) (21120)
likely a partial charge — not the full procedure |
$1,007.10 |
$1,119 |
0.2× |
Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical… (21122)
likely a partial charge — not the full procedure |
$1,115.10 |
$1,239 |
0.2× |
| Genioplasty; sliding osteotomy, single piece Age Under 21 (21121) |
$947.70 |
$1,053 |
0.3× |
| Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts) Age Under 21 (21123) |
$1,267.20 |
$1,408 |
0.4× |
| Gingivoplasty, each quadrant (specify) Age Under 21 (41872) |
$714.60 |
$794 |
0.2× |
Glossectomy; less than one-half tongue Age Under 21 (41120)
likely a partial charge — not the full procedure |
$1,602 |
$1,780 |
0.3× |
| Graft derma-fat-fascia (15770) |
$988.20 |
$1,098 |
0.3× |
| Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) Age Under 21 (15840) |
$1,491.30 |
$1,657 |
0.4× |
| Graft for facial nerve paralysis; free muscle graft (including obtaining graft) Age Under 21 (15841) |
$2,602.80 |
$2,892 |
0.7× |
| Graft for facial nerve paralysis; regional muscle transfer Age Under 21 (15845) |
$1,557 |
$1,730 |
0.4× |
| Graft, bone; mandible (includes obtaining graft) Age Under 21 (21215) |
$6,500.70 |
$7,223 |
1.0× |
Graft, bone; nasal, maxillary or malar areas (includes obtaining graft) Age Under 21 (21210)
unusually low — confirm this is the full procedure |
$2,735.10 |
$3,039 |
0.4× |
| Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area Age Under 21 (15760) |
$1,254.60 |
$1,394 |
0.6× |
Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft) Age Under 21 (21235)
likely a partial charge — not the full procedure |
$1,098 |
$1,220 |
0.2× |
Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft) Age Under 21 (21230)
likely a partial charge — not the full procedure |
$1,103.40 |
$1,226 |
0.2× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$874.80 |
$972 |
0.2× |
| Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia,… (15773) |
$894.60 |
$994 |
0.4× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) Age Under 21 (15769) |
$702.90 |
$781 |
0.2× |
| Grf facial nrv palyss fr muscle flap microsurg (15842) |
$3,937.50 |
$4,375 |
1.8× |
| Guide cathet fluid drainage (10030) |
$1,051.20 |
$1,168 |
1.4× |
| Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint;… (28289) |
$1,089.90 |
$1,211 |
0.3× |
Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291)
likely a partial charge — not the full procedure |
$1,057.50 |
$1,175 |
0.1× |
| Harvest auto stem cells (38206) |
$124.20 |
$138 |
0.1× |
| Harvest cultured skin graft (15040) |
$402.30 |
$447 |
0.2× |
Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor Autologous to Allogeneic Unrelated - 1st… (38240)
likely a partial charge — not the full procedure |
$357.30 |
$397 |
0.0× |
| Hematopoietic progenitor cell (HPC); autologous transplantation Autologous Outpatient / Allogeneic Related Non ICU (38241) |
$261.90 |
$291 |
0.2× |
| Hematopoietic progenitor cell (HPC); HPC boost Age Under 21 (38243) |
$180.90 |
$201 |
0.1× |
Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) (27125)
likely a partial charge — not the full procedure |
$1,656 |
$1,840 |
0.1× |
| Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus) Age Under 21 (24470) |
$995.40 |
$1,106 |
0.3× |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
$617.40 |
$686 |
0.2× |
| Hemorrhoidectomy internal rubber band ligations (46221) |
$454.50 |
$505 |
0.5× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$830.70 |
$923 |
0.3× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$764.10 |
$849 |
0.3× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$870.30 |
$967 |
0.3× |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
$619.20 |
$688 |
0.2× |
| Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed… (46258) |
$712.80 |
$792 |
0.2× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$574.20 |
$638 |
0.2× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging… (46945) |
$511.20 |
$568 |
0.2× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$666.90 |
$741 |
0.2× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$573.30 |
$637 |
0.2× |
| Hrhc Ntrnl & Xtrnl 2/> Column/Group W/Fissu|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46261) |
$782.10 |
$869 |
0.3× |
| Hymenotomy, simple incision Age Under 21 (56442) |
$68.40 |
$76 |
0.0× |
Hyoid myotomy and suspension Age Under 21 (21685)
likely a partial charge — not the full procedure |
$1,449.90 |
$1,611 |
0.2× |
| Hysteroscopy biopsy (58558) |
$2,138.40 |
$2,376 |
0.6× |
| Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent… (58565) |
$2,656.80 |
$2,952 |
0.5× |
Hysteroscopy, surgical; with division or resection of intrauterine septum (any method) Age Under 21 (58560)
likely a partial charge — not the full procedure |
$453.60 |
$504 |
0.1× |
| Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)… (58563) |
$3,422.70 |
$3,803 |
0.6× |
Hysteroscopy, surgical; with lysis of intrauterine adhesions (any method) Age Under 21 (58559)
likely a partial charge — not the full procedure |
$412.20 |
$458 |
0.1× |
| Hysteroscopy, surgical; with removal of impacted foreign body Age Under 21 (58562) |
$666.90 |
$741 |
0.2× |
Hysteroscopy, surgical; with removal of leiomyomata Age Under 21 (58561)
likely a partial charge — not the full procedure |
$518.40 |
$576 |
0.1× |
Hysterotomy, abdominal (eg, for hydatidiform mole, abortion) (59100)
likely a partial charge — not the full procedure |
$1,239.30 |
$1,377 |
0.2× |
| I&d absc rtrphrngl/parapharyngeal intraoral (42720) |
$790.20 |
$878 |
0.2× |
| I&d abscess simple/single (10060) |
$225.90 |
$251 |
1.1× |
| I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION TechFee (27301) |
$1,013.40 |
$1,126 |
0.3× |
| I&d hematoma/seroma/fluid (10140) |
$274.95 |
$305.50 |
0.2× |
| I&d pilonidal cyst simple (10080) |
$322.20 |
$358 |
0.4× |
| I&d thyroglossal duct cyst infected (60000) |
$278.10 |
$309 |
0.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$551.70 |
$613 |
0.2× |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
$270 |
$300 |
0.1× |
| Ileoscopy stoma w/balloon dilation (44381) |
$1,574.10 |
$1,749 |
0.8× |
| Ileoscopy thru stoma dx w/collj spec when prfmd (44380) |
$307.80 |
$342 |
0.3× |
| Image fluid collxn drainag cath transrec/vaginal (49407) |
$1,181.70 |
$1,313 |
0.7× |
| Image-guide fluid collxn drainage cath visc perq (49405) |
$1,409.40 |
$1,566 |
0.8× |
| Img-guide fluid collxn drainag cath periton perq (49406) |
$1,408.50 |
$1,565 |
0.8× |
| Implant subq hormone pellet (11980) |
$137.70 |
$153 |
0.3× |
Implantation of donor cartilage cells into knee joint|RIGHT SIDE (27415)
likely a partial charge — not the full procedure |
$2,007.90 |
$2,231 |
0.1× |
| Implantation of intrastromal corneal ring segments Age Under 21 (65785) |
$3,394.80 |
$3,772 |
0.8× |
Implantation of intravitreal drug delivery system (eg, ganciclovir implant), includes concomitant removal of vitreous… (67027)
likely a partial charge — not the full procedure |
$1,233.90 |
$1,371 |
0.1× |
Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Age Under 21 (62361)
likely a partial charge — not the full procedure |
$632.70 |
$703 |
0.0× |
Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including… (62362)
likely a partial charge — not the full procedure |
$560.70 |
$623 |
0.0× |
Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir Age Under 21 (62360)
likely a partial charge — not the full procedure |
$474.30 |
$527 |
0.0× |
Implantation, osseointegrated implant, skull; with percutaneous attachment to external speech processor Age Under 21 (69714)
likely a partial charge — not the full procedure |
$1,469.70 |
$1,633 |
0.1× |
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351)
likely a partial charge — not the full procedure |
$1,323.90 |
$1,471 |
0.2× |
Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62350)
likely a partial charge — not the full procedure |
$581.40 |
$646 |
0.1× |
| Impression and custom preparation of speech aid prosthesis (21084) |
$2,266.20 |
$2,518 |
0.6× |
| Impression and custom preparation; auricular prosthesis Age Under 21 (21086) |
$2,311.20 |
$2,568 |
0.7× |
| Impression and custom preparation; definitive obturator prosthesis Age Under 21 (21080) |
$2,466 |
$2,740 |
0.7× |
| Impression and custom preparation; interim obturator prosthesis Age Under 21 (21079) |
$2,129.40 |
$2,366 |
0.6× |
Impression and custom preparation; mandibular resection prosthesis Age Under 21 (21081)
unusually low — confirm this is the full procedure |
$2,263.50 |
$2,515 |
0.4× |
Impression and custom preparation; nasal prosthesis Age Under 21 (21087)
unusually low — confirm this is the full procedure |
$2,311.20 |
$2,568 |
0.4× |
| Impression and custom preparation; oral surgical splint Age Under 21 (21085) |
$997.20 |
$1,108 |
4.0× |
Impression and custom preparation; orbital prosthesis (21077)
unusually low — confirm this is the full procedure |
$3,101.40 |
$3,446 |
0.5× |
| Impression and custom preparation; palatal augmentation prosthesis Age Under 21 (21082) |
$2,079 |
$2,310 |
0.6× |
| Impression and custom preparation; palatal lift prosthesis (21083) |
$1,986.30 |
$2,207 |
0.6× |
| Impression and custom preparation; surgical obturator prosthesis Age Under 21 (21076) |
$1,263.60 |
$1,404 |
0.8× |
| Impression of cheek bone for prosthesis at roof of mouth (42280) |
$270.90 |
$301 |
0.5× |
| Incise & drain bladder (51040) |
$426.60 |
$474 |
0.2× |
| Incise external hemorrhoid (46083) |
$297.45 |
$330.50 |
1.1× |
| Incise finger tendon sheath (26055) |
$917.10 |
$1,019 |
0.5× |
| Incise inner eye adhesions (65865) |
$702 |
$780 |
0.3× |
| Incise/drain eyelid lining (68020) |
$180 |
$200 |
0.2× |
| Incise/drain tear gland (68400) |
$455.40 |
$506 |
0.4× |
| INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE TechFee (10061) |
$387 |
$430 |
0.9× |
| Incision (eg, osteomyelitis or bone abscess), leg or ankle Age Under 21 (27607) |
$879.30 |
$977 |
0.3× |
Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach Age Under 21 (42725)
likely a partial charge — not the full procedure |
$1,173.60 |
$1,304 |
0.2× |
| Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space Age Under 21 (28002) |
$376.20 |
$418 |
0.2× |
| Incision and drainage of Bartholin's gland abscess (56420) |
$276.30 |
$307 |
1.3× |
| Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess Age Under 21 (45020) |
$843.30 |
$937 |
0.3× |
| Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia Age Under 21 (46045) |
$653.40 |
$726 |
0.2× |
| Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or… (46060) |
$722.70 |
$803 |
0.2× |
| Incision and drainage of pilonidal cyst; complicated (10081) |
$467.55 |
$519.50 |
0.6× |
| Incision and drainage of submucosal abscess, rectum (45005) |
$495 |
$550 |
0.4× |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Age Under 21 (57023) |
$471.60 |
$524 |
0.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$271.35 |
$301.50 |
0.8× |
| Incision and drainage, complex, postoperative wound infection Age Under 21 (10180) |
$418.50 |
$465 |
0.1× |
| Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy Age Under 21 (21502) |
$745.20 |
$828 |
0.2× |
| Incision and drainage, forearm and/or wrist; bursa Age Under 21 (25031) |
$550.80 |
$612 |
0.3× |
| Incision and drainage, forearm and/or wrist; deep abscess or hematoma Age Under 21 (25028) |
$1,071 |
$1,190 |
0.3× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic (22010)
likely a partial charge — not the full procedure |
$1,413 |
$1,570 |
0.2× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral (22015)
likely a partial charge — not the full procedure |
$1,389.60 |
$1,544 |
0.2× |
| Incision and drainage, pelvis or hip joint area; deep abscess or hematoma Age Under 21 (26990) |
$1,019.70 |
$1,133 |
0.3× |
| Incision and drainage, pelvis or hip joint area; infected bursa Age Under 21 (26991) |
$1,064.70 |
$1,183 |
0.6× |
| Incision and drainage, perianal abscess, superficial (46050) |
$311.85 |
$346.50 |
0.3× |
| Incision and drainage, shoulder area; infected bursa Age Under 21 (23031) |
$650.70 |
$723 |
0.2× |
| Incision and drainage, upper arm or elbow area; bursa Age Under 21 (23931) |
$467.10 |
$519 |
0.3× |
| Incision and removal of foreign body, subcutaneous tissues; complicated (10121) |
$427.05 |
$474.50 |
0.2× |
| Incision and removal of foreign body, subcutaneous tissues; simple (10120) |
$246.60 |
$274 |
0.6× |
Incision and repair of bony defect of cheek bone including bony segment reduction (21209)
likely a partial charge — not the full procedure |
$1,235.70 |
$1,373 |
0.2× |
| Incision bone cortex hand/finger (26034) |
$822.60 |
$914 |
0.5× |
| Incision deep opening bone cortex thorax (21510) |
$667.80 |
$742 |
0.2× |
| Incision extensor tendon sheath wrist (25000) |
$517.50 |
$575 |
0.3× |
| Incision into wrist joint with removal of joint lining tissue (25105) |
$724.50 |
$805 |
0.2× |
| Incision of bladder with removal of stone in ureter (51060) |
$846.90 |
$941 |
0.4× |
| Incision of connective tissue of foot and/or toe (28008) |
$641.70 |
$713 |
0.2× |
| Incision of connective tissue of hip or thigh (27025) |
$1,357.20 |
$1,508 |
0.4× |
| Incision of eardrum with insertion of eardrum tube under local or topical anesthesia|BILATERAL PROCEDURE (69433) |
$306.90 |
$341 |
0.5× |
| Incision of eyelid (67710) |
$376.20 |
$418 |
0.4× |
| Incision of eyelid fold (67715) |
$407.70 |
$453 |
0.2× |
| Incision of foot tendon(s) (28230) |
$648 |
$720 |
0.4× |
| Incision of knee joint with removal of cartilage of front or back of knee (27334) |
$1,014.30 |
$1,127 |
0.3× |
| Incision of labial frenum (frenotomy) Age Under 21 (40806) |
$153.90 |
$171 |
0.3× |
| Incision of lingual frenum (frenotomy) (41010) |
$337.50 |
$375 |
0.2× |
Incision of muscle at upper esophagus (43030)
likely a partial charge — not the full procedure |
$770.40 |
$856 |
0.1× |
| Incision of rectal abscess (46040) |
$927.90 |
$1,031 |
0.7× |
| Incision of tendon located from elbow to shoulder, open procedure (24310) |
$708.30 |
$787 |
0.2× |
Incision of tibia & fibula (27709)
likely a partial charge — not the full procedure |
$1,673.10 |
$1,859 |
0.1× |
| Incision of vein for insertion of needle or tube (1 year or older) (36425) |
$75.15 |
$83.50 |
0.2× |
| Incision of vein for insertion of needle or tube (younger than 1 year) (36420) |
$67.50 |
$75 |
0.5× |
| Incision of windpipe (31600) |
$441 |
$490 |
0.1× |
| Incision of windpipe (31603) |
$462.60 |
$514 |
0.3× |
Incision of windpipe for insertion of breathing tube (2 years or younger) (31601)
likely a partial charge — not the full procedure |
$651.60 |
$724 |
0.1× |
Incision or partial removal of both forearm bones (25365)
likely a partial charge — not the full procedure |
$1,350.90 |
$1,501 |
0.1× |
Incision or partial removal of forearm bone on small finger side (25360)
likely a partial charge — not the full procedure |
$970.20 |
$1,078 |
0.1× |
| Incision or partial removal of forearm bone on thumb side near elbow or in middle (25355) |
$1,129.50 |
$1,255 |
0.3× |
Incision or partial removal of forearm bone on thumb side near hand (25350)
likely a partial charge — not the full procedure |
$998.10 |
$1,109 |
0.1× |
Incision or partial removal of lower jaw bone and movement of tongue muscle (21199)
likely a partial charge — not the full procedure |
$1,494.90 |
$1,661 |
0.2× |
| Incision or partial removal of lower leg bone (27707) |
$601.20 |
$668 |
0.2× |
Incision or partial removal of middle portion of thigh bone (27448)
likely a partial charge — not the full procedure |
$1,191.60 |
$1,324 |
0.2× |
Incision or partial removal of middle portion of thigh bone with stabilizing device (27450)
likely a partial charge — not the full procedure |
$1,485.90 |
$1,651 |
0.2× |
Incision or partial removal of neck of thigh bone (27161)
likely a partial charge — not the full procedure |
$1,787.40 |
$1,986 |
0.2× |
| Incision or puncture of fluid-producing gland for sperm movement (55600) |
$615.60 |
$684 |
0.3× |
| Incision or removal of abdomen, gallbladder, and liver nerve (64746) |
$630 |
$700 |
0.3× |
| Incision or removal of forehead, scalp and upper eyelid nerve (64732) |
$665.10 |
$739 |
0.3× |
| Incision or removal of lower eyelid, upper lip, and mouth nerve (64734) |
$750.60 |
$834 |
0.4× |
Incision through sinus at cheek bone to reach nerve and blood vessel (31040)
likely a partial charge — not the full procedure |
$1,215 |
$1,350 |
0.2× |
| Incision to repair or release capsule of wrist joint (25085) |
$667.80 |
$742 |
0.2× |
| Incision&drainage bursa foot (28001) |
$261 |
$290 |
0.1× |
| Incision, anal septum (infant) Age Under 21 (46070) |
$409.50 |
$455 |
0.1× |
| Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area Age Under 21 (23035) |
$1,009.80 |
$1,122 |
0.6× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) (26992) |
$1,491.30 |
$1,657 |
0.4× |
Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess) Age Under 21 (25035)
likely a partial charge — not the full procedure |
$869.40 |
$966 |
0.1× |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Age Under 21 (23935) |
$758.70 |
$843 |
0.2× |
| Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) (27303) |
$943.20 |
$1,048 |
0.3× |
| Incision, drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) Age Under 21 (68420) |
$507.60 |
$564 |
0.2× |
| Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis) Age Under 21 (25001) |
$519.30 |
$577 |
0.2× |
| Incision, removal, or repair of abnormal drainage tract from bladder into bowel (51535) |
$1,130.40 |
$1,256 |
0.3× |
| Incisional biopsy skin single lesion (11106) |
$240.30 |
$267 |
0.3× |
| Induced abortion by d&c (59840) |
$371.70 |
$413 |
0.1× |
| Induced abortion dilation & evacuation (59841) |
$629.10 |
$699 |
0.2× |
| Infusion of drug to dissolve blood clot in brain (37195) |
$1,531.80 |
$1,702 |
4.4× |
Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure) Age Under 21 (38760)
likely a partial charge — not the full procedure |
$1,217.70 |
$1,353 |
0.2× |
| Initial treatment, first degree burn, when no more than local treatment is required (16000) |
$109.80 |
$122 |
0.5× |
| Inj epidural blood or clot patch (62273) |
$252.90 |
$281 |
0.3× |
| Inj paravert f jnt c/t 1 lev (64490) |
$288.90 |
$321 |
0.3× |
| Inj paravert f jnt l/s 1 lev (64493) |
$266.40 |
$296 |
0.3× |
| Inj substitute pars plana/limbl w/wo aspir spx (67025) |
$1,099.80 |
$1,222 |
0.5× |
| Inj tx nerve (64640) |
$378.90 |
$421 |
0.4× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$167.40 |
$186 |
0.2× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$190.35 |
$211.50 |
0.2× |
| Injection aa&/strd brachial plexus w/img gdn (64415) |
$194.40 |
$216 |
0.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$344.70 |
$383 |
0.5× |
| Injection aa&/strd greater occipital nerve (64405) |
$116.55 |
$129.50 |
0.4× |
| Injection aa&/strd ilioinguinal ih nerves (64425) |
$169.20 |
$188 |
0.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$49.50 |
$55 |
0.1× |
| Injection aa&/strd intercostal nrv single lvl (64420) |
$147.60 |
$164 |
0.2× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$354.60 |
$394 |
0.5× |
| Injection aa&/strd pudendal nerve (64430) |
$149.40 |
$166 |
0.2× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$234 |
$260 |
0.3× |
| Injection aa&/strd suprascapular nerve (64418) |
$132.30 |
$147 |
0.2× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$144.90 |
$161 |
0.4× |
| Injection aa&/strd vagus nerve (64408) |
$124.20 |
$138 |
0.4× |
| Injection anes lmbr/thrc paravertbrl sympathetic (64520) |
$356.40 |
$396 |
0.4× |
| Injection anes superior hypogastric plexus (64517) |
$291.60 |
$324 |
0.3× |
| Injection beneath lining of large bowel using an endoscope inserted through surgically created opening from large bowel… (44404) |
$660.60 |
$734 |
0.5× |
| Injection enzyme palmar fascial cord (20527) |
$129.60 |
$144 |
0.4× |
| Injection eye drug (67028) |
$166.50 |
$185 |
0.5× |
| Injection for identification of sentinel node (38792) |
$125.10 |
$139 |
0.3× |
| Injection of drug or substance into membrane covering eyeball|BILATERAL PROCEDURE (67515) |
$76.50 |
$85 |
0.2× |
| Injection of sinus tract; therapeutic (separate procedure) Age Under 21 (20500) |
$182.70 |
$203 |
0.1× |
| Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar (62292) |
$845.10 |
$939 |
0.4× |
| Injection procedure for Peyronie disease; Age Under 21 (54200) |
$172.80 |
$192 |
0.7× |
Injection procedure for Peyronie disease; with surgical exposure of plaque Age Under 21 (54205)
likely a partial charge — not the full procedure |
$774.90 |
$861 |
0.1× |
| Injection procedure, arterial, for occlusion of arteriovenous malformation, spinal (62294) |
$1,374.30 |
$1,527 |
1.5× |
| Injection px prq tx extremity pseudoaneurysm (36002) |
$223.20 |
$248 |
0.3× |
| Injection sclerosant multiple incmptnt veins (36471) |
$303.30 |
$337 |
0.7× |
| Injection sclerosant single incmptnt vein (36470) |
$175.50 |
$195 |
0.4× |
| Injection sclerosing solution hemorrhoids (46500) |
$490.50 |
$545 |
0.5× |
| Injection therapeutic carpal tunnel (20526) |
$122.40 |
$136 |
0.4× |
| Injection treatment of nerve (64681) |
$722.70 |
$803 |
0.8× |
| Injection treatment of nose (30200) |
$169.20 |
$188 |
0.3× |
| Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (including catheter… (64416) |
$108.90 |
$121 |
0.1× |
| Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (including catheter… (64448) |
$99.90 |
$111 |
0.1× |
| Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion by catheter… (64449) |
$89.10 |
$99 |
0.1× |
| Injection(s), anesthetic agent(s) and/or steroid; paracervical (uterine) nerve Age Under 21 (64435) |
$122.40 |
$136 |
0.2× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$105.30 |
$117 |
0.1× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$390.60 |
$434 |
0.4× |
| Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) (20552) |
$85.50 |
$95 |
0.3× |
| Injection(s); single or multiple trigger point(s), 3 or more muscle(s) (20553) |
$92.70 |
$103 |
0.3× |
| Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) (20550) |
$90.90 |
$101 |
0.3× |
| Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Age Under 21 (64530) |
$359.10 |
$399 |
0.4× |
| Injection, anesthetic agent; sphenopalatine ganglion Age Under 21 (64505) |
$213.30 |
$237 |
0.7× |
| Injection, anterior chamber of eye (separate procedure); air or liquid Age Under 21 (66020) |
$297 |
$330 |
0.1× |
| Injection, anterior chamber of eye (separate procedure); medication Age Under 21 (66030) |
$269.10 |
$299 |
0.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$86.40 |
$96 |
0.4× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62281) |
$360 |
$400 |
0.4× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62280) |
$501.30 |
$557 |
0.5× |
| Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other… (62282) |
$495 |
$550 |
0.5× |
| Ins cath ren art 1st bilat (36252) |
$2,195.10 |
$2,439 |
0.7× |
| Ins cath ren art 1st unilat (36251) |
$2,045.70 |
$2,273 |
0.6× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,159 |
$3,510 |
0.9× |
| Ins cath ren art 2nd+ unilat (36253) |
$3,205.80 |
$3,562 |
0.5× |
| Ins intrvas vc filtr w/wo vas acs vsl selxn rs&i (37191) |
$3,279.60 |
$3,644 |
0.6× |
| Ins vag brachytx device (57156) |
$341.10 |
$379 |
1.1× |
Ins/rplcmnt perm subq impltbl dfb w/subq eltrd (33270)
likely a partial charge — not the full procedure |
$816.30 |
$907 |
0.0× |
| Insert and remove bone pin (20650) |
$334.80 |
$372 |
0.1× |
| Insert cecostomy/other colonic tube percutaneous (49442) |
$1,263.60 |
$1,404 |
1.0× |
| Insert cervical dilator (59200) |
$161.10 |
$179 |
0.5× |
| Insert drug implant device (11981) |
$158.40 |
$176 |
1.1× |
| Insert gastrostomy tube percutaneous (49440) |
$1,322.10 |
$1,469 |
0.7× |
Insert heart pm atrial (33206)
likely a partial charge — not the full procedure |
$661.50 |
$735 |
0.1× |
| Insert nasal septal button (30220) |
$474.30 |
$527 |
0.3× |
| Insert non-tunnel cv cath < 5 y/o (36555) |
$243.45 |
$270.50 |
0.1× |
| Insert pessary/other device (57160) |
$112.50 |
$125 |
0.5× |
Insert pulse gen mult leads (33221)
likely a partial charge — not the full procedure |
$525.60 |
$584 |
0.0× |
Insert tun ip cath w/port (49419)
likely a partial charge — not the full procedure |
$620.10 |
$689 |
0.1× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
unusually low — confirm this is the full procedure |
$1,857.60 |
$2,064 |
0.3× |
Insert uteri tandem/ovoids (57155)
likely a partial charge — not the full procedure |
$585.90 |
$651 |
0.1× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,262.70 |
$1,403 |
0.3× |
| Insertion of a temporary prostatic urethral stent, including urethral measurement Age Under 21 (53855) |
$1,047.60 |
$1,164 |
0.5× |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach Age Under 21 (66183) |
$1,503.90 |
$1,671 |
0.3× |
Insertion of breast implant on same day of mastectomy (ie, immediate) Age Under 21 (19340)
likely a partial charge — not the full procedure |
$1,113.30 |
$1,237 |
0.1× |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type) Age… (36810) |
$306 |
$340 |
0.1× |
Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815)
likely a partial charge — not the full procedure |
$190.80 |
$212 |
0.0× |
Insertion of cannula for hemodialysis, other purpose (separate procedure); vein to vein Age Under 21 (36800)
likely a partial charge — not the full procedure |
$176.40 |
$196 |
0.0× |
Insertion of cornea prosthesis (65770)
likely a partial charge — not the full procedure |
$2,052 |
$2,280 |
0.1× |
| Insertion of eye fluid drainage tube|RIGHT SIDE (65850) |
$1,233.90 |
$1,371 |
0.5× |
Insertion of Heyman capsules for clinical brachytherapy Age Under 21 (58346)
likely a partial charge — not the full procedure |
$731.70 |
$813 |
0.1× |
Insertion of implantable defibrillator pulse generator only; with existing single lead Age Under 21 (33240)
likely a partial charge — not the full procedure |
$531.90 |
$591 |
0.0× |
Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver) Age Under 21 (36260)
likely a partial charge — not the full procedure |
$960.30 |
$1,067 |
0.2× |
Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff Age Under 21 (53445)
likely a partial charge — not the full procedure |
$1,098.90 |
$1,221 |
0.1× |
Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867)
likely a partial charge — not the full procedure |
$1,557.90 |
$1,731 |
0.1× |
Insertion of interlaminar/interspinous process stabilization/distraction device, without open decompression or fusion,… (22869)
likely a partial charge — not the full procedure |
$639.90 |
$711 |
0.0× |
| Insertion of intraocular lens prosthesis (secondary implant), not associated with concurrent cataract removal Age Under… (66985) |
$1,122.30 |
$1,247 |
0.5× |
Insertion of material to stop growth of nasal sinus lining with bone flap through eyebrow (31084)
likely a partial charge — not the full procedure |
$1,824.30 |
$2,027 |
0.3× |
Insertion of material to stop growth of nasal sinus lining with bone flap through forehead (31085)
unusually low — confirm this is the full procedure |
$1,878.30 |
$2,087 |
0.3× |
Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir (54405)
likely a partial charge — not the full procedure |
$1,170.90 |
$1,301 |
0.1× |
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular Age Under 21 (33207)
likely a partial charge — not the full procedure |
$693 |
$770 |
0.1× |
| Insertion of ocular implant secondary; after enucleation, muscles attached to implant Age Under 21 (65140) |
$1,396.80 |
$1,552 |
0.3× |
| Insertion of ocular implant secondary; after enucleation, muscles not attached to implant Age Under 21 (65135) |
$1,302.30 |
$1,447 |
0.3× |
| Insertion of ocular implant secondary; after evisceration, in scleral shell Age Under 21 (65130) |
$1,287.90 |
$1,431 |
0.3× |
Insertion of pacemaker pulse generator only; with existing dual leads Age Under 21 (33213)
likely a partial charge — not the full procedure |
$489.60 |
$544 |
0.0× |
Insertion of pacemaker pulse generator only; with existing single lead Age Under 21 (33212)
likely a partial charge — not the full procedure |
$468.90 |
$521 |
0.1× |
Insertion of penile prosthesis; inflatable (self-contained) (54401)
likely a partial charge — not the full procedure |
$967.50 |
$1,075 |
0.0× |
Insertion of penile prosthesis; non-inflatable (semi-rigid) (54400)
likely a partial charge — not the full procedure |
$774 |
$860 |
0.1× |
| Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age… (36570) |
$2,347.20 |
$2,608 |
0.7× |
| Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging… (36568) |
$131.40 |
$146 |
0.1× |
Insertion of pin-retained palatal prosthesis Age Under 21 (42281)
likely a partial charge — not the full procedure |
$342.90 |
$381 |
0.1× |
| Insertion of probe to widen saliva gland duct (42650) |
$113.40 |
$126 |
0.1× |
Insertion of prosthetic material to enlarge cheek bone (21270)
likely a partial charge — not the full procedure |
$1,506.60 |
$1,674 |
0.2× |
| Insertion of stent in ureter using an endoscope|LEFT SIDE|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (52332) |
$623.70 |
$693 |
0.2× |
| Insertion of stomach feeding tube, newborn (43831) |
$902.70 |
$1,003 |
0.9× |
Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter Age… (61215)
likely a partial charge — not the full procedure |
$751.50 |
$835 |
0.1× |
Insertion of tandem cuff (dual cuff) Age Under 21 (53444)
likely a partial charge — not the full procedure |
$1,149.30 |
$1,277 |
0.1× |
Insertion of testicular prosthesis (separate procedure) Age Under 21 (54660)
likely a partial charge — not the full procedure |
$523.80 |
$582 |
0.1× |
| Insertion of Thomas shunt (separate procedure) Age Under 21 (36835) |
$701.10 |
$779 |
0.2× |
| Insertion of tissue expander(s) for other than breast, including subsequent expansion (11960) |
$1,503.90 |
$1,671 |
0.4× |
Insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein… (37182)
likely a partial charge — not the full procedure |
$1,164.60 |
$1,294 |
0.1× |
| Insertion of tube into airway for aspiration of secretions (31720) |
$253.80 |
$282 |
1.1× |
| Insertion of tunneled centrally inserted central venous access device, requiring 2 catheters via 2 separate venous… (36566) |
$6,906.60 |
$7,674 |
1.2× |
| Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older Age… (36561) |
$1,565.10 |
$1,739 |
0.5× |
| Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or… (36558) |
$3,778.65 |
$4,198.50 |
1.1× |
| Insertion of vascular pedicle into carpal bone (eg, Hori procedure) Age Under 21 (25430) |
$1,081.80 |
$1,202 |
0.3× |
| Insertion of wedge in clubfoot cast (29750) |
$156.60 |
$174 |
0.5× |
Insertion or replacement of breast implant on separate day from mastectomy Age Under 21 (19342)
likely a partial charge — not the full procedure |
$1,117.80 |
$1,242 |
0.1× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61886)
likely a partial charge — not the full procedure |
$1,278.90 |
$1,421 |
0.0× |
Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with… (61885)
likely a partial charge — not the full procedure |
$769.50 |
$855 |
0.0× |
Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring… (64590)
likely a partial charge — not the full procedure |
$400.50 |
$445 |
0.0× |
Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) Age Under 21 (33211)
likely a partial charge — not the full procedure |
$243 |
$270 |
0.0× |
| Insertion picc w/o img gdn 5 yr/> (36569) |
$215.10 |
$239 |
0.1× |
| Insertion picc w/rs&i 5 yr/> (36573) |
$609.30 |
$677 |
0.4× |
| Insertion picc w/rs&i < 5 yr (36572) |
$589.50 |
$655 |
0.9× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$7,108.20 |
$7,898 |
0.8× |
| Insertion tunnel intraperitoneal cath dial open (49421) |
$326.70 |
$363 |
0.1× |
Insj 1 transvns eltrd perm pacemaker/impltbl dfb (33216)
likely a partial charge — not the full procedure |
$542.70 |
$603 |
0.1× |
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217)
likely a partial charge — not the full procedure |
$536.40 |
$596 |
0.1× |
Insj eltrd car ven sys attch prev pm/dfb pls gen (33224)
likely a partial charge — not the full procedure |
$738 |
$820 |
0.1× |
| Insj intraperitoneal catheter w/img guid (49418) |
$1,569.60 |
$1,744 |
0.4× |
Insj of subq implantable defibrillator electrode (33271)
likely a partial charge — not the full procedure |
$653.40 |
$726 |
0.1× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,043 |
$2,270 |
0.6× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$1,294.20 |
$1,438 |
0.4× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$1,971.90 |
$2,191 |
0.6× |
Insj Tunneled Ctr Vad W/Subq Pump (36563)
unusually low — confirm this is the full procedure |
$1,778.40 |
$1,976 |
0.3× |
Insj/rplcmt perm dfb w/trnsvns lds 1/dual chmbr (33249)
likely a partial charge — not the full procedure |
$1,326.60 |
$1,474 |
0.0× |
Insj/rplcmt spinal npg/rcvr pocket crtj&connj (63685)
likely a partial charge — not the full procedure |
$529.20 |
$588 |
0.0× |
Insrt heart pm atrial & vent (33208)
likely a partial charge — not the full procedure |
$751.50 |
$835 |
0.1× |
Insrt pulse gen w/dual leads (33230)
likely a partial charge — not the full procedure |
$558 |
$620 |
0.0× |
Insrt pulse gen w/mult leads (33231)
likely a partial charge — not the full procedure |
$580.50 |
$645 |
0.0× |
| Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or… (50391) |
$184.50 |
$205 |
0.7× |
| Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated… (32562) |
$125.10 |
$139 |
0.2× |
| Instlj via ch tube/cath agent fbrnlysis 1st day (32561) |
$141.30 |
$157 |
0.2× |
| Interdental fixation (21110) |
$1,334.70 |
$1,483 |
0.8× |
| Interdental wiring (21497) |
$1,094.40 |
$1,216 |
0.7× |
Interpelviabdominal amputation (hindquarter amputation) (27290)
likely a partial charge — not the full procedure |
$2,371.50 |
$2,635 |
0.1× |
| Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) Age Under 21 (66983) |
$2,135.70 |
$2,373 |
0.9× |
| Intraoral i&d tongue/floor lingual (41000) |
$229.50 |
$255 |
0.4× |
| Intraoral i&d tongue/floor masticator space (41009) |
$639.90 |
$711 |
1.1× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$352.80 |
$392 |
1.4× |
| Intraoral i&d tongue/floor submental space (41007) |
$496.80 |
$552 |
0.3× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$590.40 |
$656 |
0.2× |
| Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep,… (41006) |
$549 |
$610 |
0.3× |
| Intro cath dialysis circuit dx angrph fluor s&i (36901) |
$1,115.10 |
$1,239 |
0.7× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$6,960.60 |
$7,734 |
0.6× |
Intro cath dialysis circuit w/trluml balo angiop (36902)
unusually low — confirm this is the full procedure |
$1,921.50 |
$2,135 |
0.3× |
| Intubation endotracheal (31500) |
$324.90 |
$361 |
1.3× |
| Iridectomy, with corneoscleral or corneal section; for removal of lesion Age Under 21 (66600) |
$1,347.30 |
$1,497 |
0.3× |
| Iridectomy, with corneoscleral or corneal section; optical (separate procedure) Age Under 21 (66635) |
$835.20 |
$928 |
0.3× |
| Iridectomy, with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) Age Under 21 (66625) |
$626.40 |
$696 |
0.3× |
| Iridectomy, with corneoscleral or corneal section; sector for glaucoma (separate procedure) Age Under 21 (66630) |
$827.10 |
$919 |
0.3× |
| Iridoplasty by photocoagulation (1 or more sessions) (eg, for improvement of vision, for widening of anterior chamber… (66762) |
$704.70 |
$783 |
1.2× |
| Iridotomy by stab incision (separate procedure); except transfixion Age Under 21 (66500) |
$590.40 |
$656 |
0.2× |
| Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe Age Under 21 (66505) |
$641.70 |
$713 |
0.3× |
| Irrigation of corpora cavernosa for priapism (54220) |
$328.50 |
$365 |
1.2× |
| Irrigation of vagina and/or application of medicament for treatment of bacterial, parasitic, or fungoid disease (57150) |
$90.90 |
$101 |
1.5× |
| IV injection test vascular flow flap/graft (15860) |
$153.90 |
$171 |
0.3× |
Joint repair (arthroplasty) forearm bone on the thumb side (radius) at the elbow with and implant (24366)
likely a partial charge — not the full procedure |
$1,008 |
$1,120 |
0.1× |
Joint repair (arthroplasty) forearm bone on the thumb side (radius) at the elbow without an implant (24365)
likely a partial charge — not the full procedure |
$949.50 |
$1,055 |
0.1× |
Keratoplasty (corneal transplant); anterior lamellar Age Under 21 (65710)
likely a partial charge — not the full procedure |
$1,675.80 |
$1,862 |
0.3× |
| Keratoplasty (corneal transplant); endothelial Age Under 21 (65756) |
$1,710.90 |
$1,901 |
0.4× |
| Knee arthroscopy/surgery (29876) |
$963.90 |
$1,071 |
0.3× |
Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22819)
likely a partial charge — not the full procedure |
$3,597.30 |
$3,997 |
0.2× |
Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior… (22818)
likely a partial charge — not the full procedure |
$3,124.80 |
$3,472 |
0.2× |
Labyrinthectomy; transcanal Age Under 21 (69905)
likely a partial charge — not the full procedure |
$1,382.40 |
$1,536 |
0.2× |
Labyrinthectomy; with mastoidectomy Age Under 21 (69910)
likely a partial charge — not the full procedure |
$1,477.80 |
$1,642 |
0.2× |
| Labyrinthotomy, with perfusion of vestibuloactive drug(s), transcanal Age Under 21 (69801) |
$346.50 |
$385 |
0.2× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical (63265)
unusually low — confirm this is the full procedure |
$2,404.80 |
$2,672 |
0.3× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267)
likely a partial charge — not the full procedure |
$1,986.30 |
$2,207 |
0.3× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral (63268)
likely a partial charge — not the full procedure |
$2,052 |
$2,280 |
0.3× |
Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic (63266)
unusually low — confirm this is the full procedure |
$2,478.60 |
$2,754 |
0.3× |
Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Age Under 21 (63655)
likely a partial charge — not the full procedure |
$1,217.70 |
$1,353 |
0.1× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011)
likely a partial charge — not the full procedure |
$1,595.70 |
$1,773 |
0.2× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001)
likely a partial charge — not the full procedure |
$1,780.20 |
$1,978 |
0.2× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63003)
likely a partial charge — not the full procedure |
$1,781.10 |
$1,979 |
0.2× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63017)
likely a partial charge — not the full procedure |
$1,825.20 |
$2,028 |
0.2× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63016)
likely a partial charge — not the full procedure |
$2,197.80 |
$2,442 |
0.3× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015)
likely a partial charge — not the full procedure |
$2,133.90 |
$2,371 |
0.3× |
Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63005)
likely a partial charge — not the full procedure |
$1,733.40 |
$1,926 |
0.2× |
Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve… (63012)
likely a partial charge — not the full procedure |
$1,730.70 |
$1,923 |
0.2× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
likely a partial charge — not the full procedure |
$1,862.10 |
$2,069 |
0.2× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046)
likely a partial charge — not the full procedure |
$1,779.30 |
$1,977 |
0.2× |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047)
likely a partial charge — not the full procedure |
$1,604.70 |
$1,783 |
0.2× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63042)
likely a partial charge — not the full procedure |
$1,879.20 |
$2,088 |
0.2× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020)
likely a partial charge — not the full procedure |
$1,681.20 |
$1,868 |
0.2× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030)
likely a partial charge — not the full procedure |
$1,419.30 |
$1,577 |
0.2× |
Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63040)
likely a partial charge — not the full procedure |
$2,000.70 |
$2,223 |
0.3× |
Lap jejunostomy (44186)
likely a partial charge — not the full procedure |
$952.20 |
$1,058 |
0.1× |
Laparoscopic hepatotomy for open drainage of abscess or cyst one or more stages (47379)
likely a partial charge — not the full procedure |
$1,244.70 |
$1,383 |
0.2× |
Laparoscopic partial gastrectomy with gastrocutaneous fistula takedown (43659)
likely a partial charge — not the full procedure |
$983.70 |
$1,093 |
0.2× |
Laparoscopic Surgical Splenectomy (38120)
likely a partial charge — not the full procedure |
$1,538.10 |
$1,709 |
0.1× |
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy Age Under 21 (59151)
likely a partial charge — not the full procedure |
$1,123.20 |
$1,248 |
0.2× |
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy Age Under 21 (59150)
likely a partial charge — not the full procedure |
$1,149.30 |
$1,277 |
0.2× |
Laparoscopy Enterolysis Separate Procedure (44180)
likely a partial charge — not the full procedure |
$1,337.40 |
$1,486 |
0.2× |
Laparoscopy surg colpopexy (57425)
likely a partial charge — not the full procedure |
$1,426.50 |
$1,585 |
0.1× |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
likely a partial charge — not the full procedure |
$840.60 |
$934 |
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 |
$480.60 |
$534 |
0.1× |
Laparoscopy, abdomen, peritoneum, and omentum; with treatment of hemorrhage (including post-operative) (49329)
likely a partial charge — not the full procedure |
$1,588.50 |
$1,765 |
0.2× |
Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical (47371)
likely a partial charge — not the full procedure |
$1,832.40 |
$2,036 |
0.2× |
Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency (47370)
likely a partial charge — not the full procedure |
$1,818.90 |
$2,021 |
0.2× |
Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674)
likely a partial charge — not the full procedure |
$1,193.40 |
$1,326 |
0.1× |
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284)
likely a partial charge — not the full procedure |
$953.10 |
$1,059 |
0.1× |
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770)
likely a partial charge — not the full procedure |
$1,646.10 |
$1,829 |
0.1× |
Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device… (43773)
likely a partial charge — not the full procedure |
$1,864.80 |
$2,072 |
0.3× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$1,399.50 |
$1,555 |
0.3× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only (43772) |
$1,456.20 |
$1,618 |
0.4× |
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 |
$1,319.40 |
$1,466 |
0.2× |
Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546)
likely a partial charge — not the full procedure |
$1,629 |
$1,810 |
0.1× |
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282)
likely a partial charge — not the full procedure |
$2,502 |
$2,780 |
0.2× |
Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; Age Under 21 (58541)
likely a partial charge — not the full procedure |
$1,073.70 |
$1,193 |
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 |
$1,221.30 |
$1,357 |
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 |
$1,329.30 |
$1,477 |
0.1× |
Laparoscopy, surgical, with ligation of spermatic veins for varicocele Age Under 21 (55550)
likely a partial charge — not the full procedure |
$626.40 |
$696 |
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 |
$1,182.60 |
$1,314 |
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 |
$1,332.90 |
$1,481 |
0.1× |
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572)
likely a partial charge — not the full procedure |
$1,518.30 |
$1,687 |
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 |
$1,782 |
$1,980 |
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 |
$1,292.40 |
$1,436 |
0.2× |
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 |
$1,434.60 |
$1,594 |
0.1× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; Age Under 21 (58553)
likely a partial charge — not the full procedure |
$1,637.10 |
$1,819 |
0.1× |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or… (58554)
likely a partial charge — not the full procedure |
$1,906.20 |
$2,118 |
0.2× |
Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring,… (50542)
likely a partial charge — not the full procedure |
$1,684.80 |
$1,872 |
0.2× |
Laparoscopy, surgical; cholecystectomy with cholangiography Age Under 21 (47563)
likely a partial charge — not the full procedure |
$1,108.80 |
$1,232 |
0.2× |
Laparoscopy, surgical; cholecystectomy with exploration of common duct Age Under 21 (47564)
likely a partial charge — not the full procedure |
$1,629 |
$1,810 |
0.1× |
Laparoscopy, surgical; orchiectomy Age Under 21 (54690)
likely a partial charge — not the full procedure |
$951.30 |
$1,057 |
0.1× |
Laparoscopy, surgical; orchiopexy for intra-abdominal testis Age Under 21 (54692)
likely a partial charge — not the full procedure |
$1,093.50 |
$1,215 |
0.2× |
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (51992)
likely a partial charge — not the full procedure |
$1,214.10 |
$1,349 |
0.2× |
Laparoscopy, surgical; transection of vagus nerves, selective or highly selective (43652)
likely a partial charge — not the full procedure |
$1,118.70 |
$1,243 |
0.2× |
Laparoscopy, surgical; transection of vagus nerves, truncal (43651)
likely a partial charge — not the full procedure |
$961.20 |
$1,068 |
0.2× |
Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement Age Under 21 (50947)
likely a partial charge — not the full procedure |
$1,995.30 |
$2,217 |
0.2× |
Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Age Under 21 (50948)
likely a partial charge — not the full procedure |
$1,835.10 |
$2,039 |
0.2× |
Laparoscopy, surgical; urethral suspension for stress incontinence (51990)
likely a partial charge — not the full procedure |
$1,080 |
$1,200 |
0.2× |
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Age Under 21 (38571)
likely a partial charge — not the full procedure |
$959.40 |
$1,066 |
0.1× |
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572)
likely a partial charge — not the full procedure |
$1,320.30 |
$1,467 |
0.1× |
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal… (38573)
likely a partial charge — not the full procedure |
$1,704.60 |
$1,894 |
0.2× |
Laparoscopy, surgical; with biopsy (single or multiple) Age Under 21 (49321)
likely a partial charge — not the full procedure |
$504 |
$560 |
0.1× |
Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity (49323)
likely a partial charge — not the full procedure |
$926.10 |
$1,029 |
0.1× |
Laparoscopy, surgical; with fulguration of oviducts (with or without transection) Age Under 21 (58670)
likely a partial charge — not the full procedure |
$549 |
$610 |
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 |
$1,042.20 |
$1,158 |
0.2× |
Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheter Age Under 21 (49324)
likely a partial charge — not the full procedure |
$564.30 |
$627 |
0.1× |
Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure) Age Under 21 (58660)
likely a partial charge — not the full procedure |
$997.20 |
$1,108 |
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 |
$548.10 |
$609 |
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 |
$938.25 |
$1,042.50 |
0.1× |
Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple Age Under 21 (38570)
likely a partial charge — not the full procedure |
$751.50 |
$835 |
0.1× |
Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of… (49325)
likely a partial charge — not the full procedure |
$603 |
$670 |
0.1× |
Laparoscopy, surgical; with salpingostomy (salpingoneostomy) Age Under 21 (58673)
likely a partial charge — not the full procedure |
$1,161.90 |
$1,291 |
0.1× |
Laps Rpr Paraesphgl Hrna Incl Fundplsty W/O Mesh (43281)
likely a partial charge — not the full procedure |
$2,226.60 |
$2,474 |
0.2× |
Laps Surg Esopg/Gstr Fundoplasty (43280)
likely a partial charge — not the full procedure |
$1,566 |
$1,740 |
0.1× |
Laps surg gastrostomy w/o constj gstr tube spx (43653)
likely a partial charge — not the full procedure |
$850.50 |
$945 |
0.1× |
Laps Surg Rpr Recurrent Inguinal Hernia (49651)
likely a partial charge — not the full procedure |
$1,314.90 |
$1,461 |
0.2× |
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322)
likely a partial charge — not the full procedure |
$548.10 |
$609 |
0.1× |
| Largsc w/ther injection (31573) |
$435.60 |
$484 |
0.2× |
Laryngeal reinnervation by neuromuscular pedicle Age Under 21 (31590)
likely a partial charge — not the full procedure |
$1,403.10 |
$1,559 |
0.2× |
Laryngoplasty, cricoid split, without graft placement (31587)
likely a partial charge — not the full procedure |
$1,803.60 |
$2,004 |
0.3× |
Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, age 12 years or older Age Under 21 (31554)
unusually low — confirm this is the full procedure |
$2,516.40 |
$2,796 |
0.4× |
Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age Age… (31553)
unusually low — confirm this is the full procedure |
$2,514.60 |
$2,794 |
0.4× |
Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, age 12 years or older Age Under… (31552)
unusually low — confirm this is the full procedure |
$2,215.80 |
$2,462 |
0.4× |
Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age Age… (31551)
unusually low — confirm this is the full procedure |
$2,291.40 |
$2,546 |
0.4× |
Laryngoplasty; for laryngeal web, with indwelling keel or stent insertion Age Under 21 (31580)
unusually low — confirm this is the full procedure |
$1,935 |
$2,150 |
0.3× |
Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed (31584)
unusually low — confirm this is the full procedure |
$3,115.35 |
$3,461.50 |
0.5× |
| Laryngoscope w/vc inj (31570) |
$513.90 |
$571 |
0.1× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, newborn Age Under 21 (31520) |
$225.90 |
$251 |
0.5× |
| Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope Age Under 21 (31526) |
$227.70 |
$253 |
0.1× |
| Laryngoscopy direct, with or without tracheoscopy; for aspiration Age Under 21 (31515) |
$325.80 |
$362 |
0.8× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial Age Under 21 (31528) |
$208.80 |
$232 |
0.1× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Age Under 21 (31529) |
$234 |
$260 |
0.1× |
| Laryngoscopy direct, with or without tracheoscopy; with insertion of obturator Age Under 21 (31527) |
$281.70 |
$313 |
0.1× |
| Laryngoscopy flex diagnostic (31575) |
$196.20 |
$218 |
0.9× |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
$817.20 |
$908 |
0.2× |
| Laryngoscopy flexible w/biopsy(ies) (31576) |
$409.50 |
$455 |
0.2× |
| Laryngoscopy flexible w/injection agmntj uni (31574) |
$1,503.90 |
$1,671 |
0.8× |
| Laryngoscopy flx rmvl foreign body(s) (31577) |
$419.40 |
$466 |
1.0× |
| Laryngoscopy indirect diagnostic (31505) |
$139.50 |
$155 |
0.7× |
| Laryngoscopy w stroboscopy (31579) |
$299.70 |
$333 |
0.7× |
| Laryngoscopy w/biopsy (31535) |
$273.60 |
$304 |
0.1× |
| Laryngoscopy w/foreign body removal (31530) |
$288 |
$320 |
0.2× |
Laryngoscopy, direct, operative, with arytenoidectomy; Age Under 21 (31560)
likely a partial charge — not the full procedure |
$451.80 |
$502 |
0.1× |
Laryngoscopy, direct, operative, with arytenoidectomy; with operating microscope or telescope Age Under 21 (31561)
likely a partial charge — not the full procedure |
$494.10 |
$549 |
0.1× |
| Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope Age Under 21 (31536) |
$305.10 |
$339 |
0.1× |
| Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; Age Under 21 (31540) |
$350.10 |
$389 |
0.1× |
| Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating… (31541) |
$380.70 |
$423 |
0.1× |
| Laryngoscopy, direct, operative, with foreign body removal; with operating microscope or telescope Age Under 21 (31531) |
$306 |
$340 |
0.1× |
Laryngoscopy, direct, operative, with operating microscope or telescope, with submucosal removal of non-neoplastic… (31546)
likely a partial charge — not the full procedure |
$792.90 |
$881 |
0.1× |
| Laryngoscopy, direct, with injection into vocal cord(s), therapeutic; with operating microscope or telescope Age Under… (31571) |
$360.90 |
$401 |
0.1× |
| Laryngoscopy, flexible; with removal of lesion(s), non-laser Age Under 21 (31578) |
$465.30 |
$517 |
0.1× |
| Laryngoscopy, indirect; with vocal cord injection Age Under 21 (31513) |
$189.90 |
$211 |
0.5× |
| Laryngoscopy,direct, injctn arytenoid/larynx, agmenttn,w/ or w/o mcrscp (31599) |
$6,602.40 |
$7,336 |
26.4× |
| Laryngotomy (thyrotomy, laryngofissure), with removal of tumor or laryngocele, cordectomy Age Under 21 (31300) |
$1,871.10 |
$2,079 |
0.5× |
Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649)
likely a partial charge — not the full procedure |
$1,197 |
$1,330 |
0.2× |
| Laser treatment of retina (67040) |
$1,505.70 |
$1,673 |
0.3× |
Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy,… (52648)
unusually low — confirm this is the full procedure |
$2,499.30 |
$2,777 |
0.4× |
| Lateral canthopexy (21282) |
$589.50 |
$655 |
0.2× |
| Lateral retinacular release open (27425) |
$675.90 |
$751 |
0.2× |
| Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium) (31000) |
$281.70 |
$313 |
1.1× |
| Lavage by cannulation; sphenoid sinus Age Under 21 (31002) |
$295.20 |
$328 |
0.2× |
Lengthening of hamstring tendon; multiple tendons, 1 leg Age Under 21 (27394)
likely a partial charge — not the full procedure |
$968.40 |
$1,076 |
0.1× |
| Lengthening of hamstring tendon; multiple tendons, bilateral Age Under 21 (27395) |
$1,298.70 |
$1,443 |
0.4× |
Lengthening of hamstring tendon; single tendon Age Under 21 (27393)
likely a partial charge — not the full procedure |
$745.20 |
$828 |
0.1× |
Lengthening of one of the forearm bones with patient-derived bone graft (25391)
likely a partial charge — not the full procedure |
$1,464.30 |
$1,627 |
0.1× |
Lengthening of palate, and pharyngeal flap Age Under 21 (42226)
likely a partial charge — not the full procedure |
$1,359 |
$1,510 |
0.2× |
Lengthening of remaining amputated arm bone (24935)
likely a partial charge — not the full procedure |
$1,809.90 |
$2,011 |
0.2× |
Lengthening of roof of mouth using mucous membrane tissue graft (42227)
likely a partial charge — not the full procedure |
$1,265.40 |
$1,406 |
0.2× |
Lengthening of roof of mouth with tissue graft from tissue separating nose airways (42235)
likely a partial charge — not the full procedure |
$1,116 |
$1,240 |
0.2× |
| Lengthening of tendon, extensor, hand or finger, each tendon Age Under 21 (26476) |
$990 |
$1,100 |
0.3× |
| Lengthening of tendon, flexor, hand or finger, each tendon Age Under 21 (26478) |
$1,016.10 |
$1,129 |
0.3× |
| Lengthening or shortening of flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25280) |
$840.60 |
$934 |
0.2× |
| Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Age Under 21 (27686) |
$784.80 |
$872 |
0.2× |
| Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure) Age Under 21 (27685) |
$985.50 |
$1,095 |
0.3× |
Ligamentous reconstruction (augmentation), knee; extra-articular (27427)
likely a partial charge — not the full procedure |
$1,049.40 |
$1,166 |
0.1× |
Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Age Under 21 (27429)
likely a partial charge — not the full procedure |
$1,847.70 |
$2,053 |
0.1× |
Ligamentous reconstruction knee intra-articular (27428)
likely a partial charge — not the full procedure |
$1,641.60 |
$1,824 |
0.1× |
| Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin… (37735) |
$825.30 |
$917 |
0.2× |
| Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions Age Under 21 (37700) |
$353.70 |
$393 |
0.1× |
| Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) Age Under 21 (37780) |
$337.50 |
$375 |
0.1× |
| Ligation arteries; internal maxillary artery, transantral Age Under 21 (30920) |
$1,314.90 |
$1,461 |
0.4× |
| Ligation of a-v fistula (37607) |
$537.30 |
$597 |
0.2× |
Ligation of abdomen artery (37617)
unusually low — confirm this is the full procedure |
$1,888.20 |
$2,098 |
0.3× |
| Ligation of femoral vein Age Under 21 (37650) |
$652.50 |
$725 |
0.2× |
Ligation of inferior vena cava (37619)
unusually low — confirm this is the full procedure |
$2,494.80 |
$2,772 |
0.4× |
| Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg Age Under 21 (37761) |
$768.60 |
$854 |
0.2× |
| Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg Age… (37760) |
$814.50 |
$905 |
0.2× |
| Ligation or biopsy, temporal artery (37609) |
$473.40 |
$526 |
0.3× |
| Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral Age Under 21 (58600) |
$547.20 |
$608 |
0.2× |
| Ligation salivary duct, intraoral Age Under 21 (42665) |
$577.80 |
$642 |
0.2× |
| Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below Age… (37722) |
$669.60 |
$744 |
0.2× |
| Ligation, division, and stripping, short saphenous vein Age Under 21 (37718) |
$558.90 |
$621 |
0.2× |
| Ligation, division, and/or excision of varicose vein cluster(s), 1 leg Age Under 21 (37785) |
$531 |
$590 |
0.2× |
| Ligation, major artery (eg, post-traumatic, rupture); neck (37615) |
$782.10 |
$869 |
0.2× |
| Ligation; internal or common carotid artery (37605) |
$1,042.20 |
$1,158 |
0.3× |
| Ligation; internal or common carotid artery, with gradual occlusion, as with Selverstone or Crutchfield clamp (37606) |
$1,058.40 |
$1,176 |
0.3× |
Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic (38562)
likely a partial charge — not the full procedure |
$1,033.20 |
$1,148 |
0.1× |
Limited pharyngectomy Age Under 21 (42890)
unusually low — confirm this is the full procedure |
$2,108.70 |
$2,343 |
0.3× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or… (52318) |
$675.90 |
$751 |
0.2× |
| Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small… (52317) |
$1,376.10 |
$1,529 |
0.4× |
| Lithotripsy, extracorporeal shock wave Age Under 21 (50590) |
$1,103.40 |
$1,226 |
0.3× |
| Long gi tube placement (44500) |
$28.80 |
$32 |
0.0× |
| Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) (20979) |
$82.80 |
$92 |
2.7× |
| Lumbar puncture (62270) |
$168.30 |
$187 |
0.2× |
| Lymphangiotomy or other operations on lymphatic channels Age Under 21 (38308) |
$678.60 |
$754 |
0.2× |
| Lysis intranasal synechia (30560) |
$506.70 |
$563 |
0.9× |
| Lysis of labial adhesions (56441) |
$279 |
$310 |
0.1× |
| Lysis or excision of penile post-circumcision adhesions Age Under 21 (54162) |
$383.40 |
$426 |
0.2× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$177.30 |
$197 |
0.7× |
| Manipulate wrist w/anesthes (25259) |
$648.90 |
$721 |
0.4× |
| Manipulation finger joint under anes each joint (26340) |
$532.80 |
$592 |
0.3× |
| Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Age Under… (27860) |
$244.80 |
$272 |
0.1× |
| Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) Age… (27570) |
$226.80 |
$252 |
0.1× |
| Manipulation of spine requiring anesthesia, any region Age Under 21 (22505) |
$189 |
$210 |
0.1× |
| Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or… (21073) |
$567 |
$630 |
0.3× |
| Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Age… (23700) |
$289.80 |
$322 |
0.2× |
| Manipulation, elbow, under anesthesia Age Under 21 (24300) |
$656.10 |
$729 |
0.4× |
| Manipulation, hip joint, requiring general anesthesia Age Under 21 (27275) |
$271.80 |
$302 |
0.2× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$168.30 |
$187 |
0.2× |
| Manometric studies through ureterostomy or indwelling ureteral catheter Age Under 21 (50686) |
$214.20 |
$238 |
1.6× |
| Marsupialization bartholin's gland cyst (56440) |
$265.50 |
$295 |
0.1× |
| Marsupialization of sublingual salivary cyst (ranula) Age Under 21 (42409) |
$606.60 |
$674 |
0.2× |
| Marsupialization of urethral diverticulum, male or female Age Under 21 (53240) |
$619.20 |
$688 |
0.2× |
| Mastectomy gynecomastia (19300) |
$882.90 |
$981 |
0.2× |
| Mastectomy partial (19301) |
$966.60 |
$1,074 |
0.2× |
Mastectomy Partial W/Axillary Lymphadenectomy (19302)
likely a partial charge — not the full procedure |
$1,327.50 |
$1,475 |
0.2× |
Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding… (19307)
likely a partial charge — not the full procedure |
$1,728.90 |
$1,921 |
0.2× |
Mastoid obliteration (separate procedure) Age Under 21 (69670)
likely a partial charge — not the full procedure |
$1,422.90 |
$1,581 |
0.2× |
Mastoidectomy; complete Age Under 21 (69502)
likely a partial charge — not the full procedure |
$1,411.20 |
$1,568 |
0.2× |
Mastoidectomy; radical Age Under 21 (69511)
unusually low — confirm this is the full procedure |
$1,907.10 |
$2,119 |
0.3× |
Mastopexy (19316)
likely a partial charge — not the full procedure |
$1,161 |
$1,290 |
0.2× |
| Mastotomy expl drg absc dp (19020) |
$714.60 |
$794 |
0.4× |
| Mdfc flap w/prsrv vasc pedcl (15730) |
$2,159.10 |
$2,399 |
0.6× |
| Meas post-voiding residual urine&/bladder cap (51798) |
$90.90 |
$101 |
1.5× |
| Meatotomy cutting meatus spx except infant (53020) |
$139.50 |
$155 |
0.1× |
| Meatotomy, cutting of meatus (separate procedure); infant (53025) |
$98.10 |
$109 |
0.0× |
| Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen… (36596) |
$174.60 |
$194 |
0.1× |
| Mechanical removal of pericatheter obstructive material (eg, fibrin sheath) from central venous device via separate… (36595) |
$940.50 |
$1,045 |
0.3× |
| Medial canthopexy (21280) |
$864.90 |
$961 |
0.2× |
Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed (39401)
likely a partial charge — not the full procedure |
$439.20 |
$488 |
0.1× |
Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) (39402)
likely a partial charge — not the full procedure |
$574.20 |
$638 |
0.1× |
Meniscectomy, partial or complete, temporomandibular joint (separate procedure) Age Under 21 (21060)
likely a partial charge — not the full procedure |
$1,164.60 |
$1,294 |
0.2× |
| Metatarsectomy Age Under 21 (28140) |
$856.80 |
$952 |
0.2× |
| Microscopic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (43252) |
$524.70 |
$583 |
0.3× |
| Middle ear exploration through postauricular or ear canal incision Age Under 21 (69440) |
$1,044.90 |
$1,161 |
0.3× |
| Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage)… (65125) |
$689.40 |
$766 |
0.3× |
| Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping,… (17311) |
$1,009.80 |
$1,122 |
1.3× |
| Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping,… (17313) |
$949.50 |
$1,055 |
1.2× |
Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Age Under 21 (24410)
likely a partial charge — not the full procedure |
$1,553.40 |
$1,726 |
0.1× |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius AND ulna Age Under 21 (25375) |
$1,404 |
$1,560 |
0.4× |
| Multiple osteotomies, with realignment on intramedullary rod (Sofield type procedure); radius OR ulna Age Under 21 (25370) |
$1,490.40 |
$1,656 |
0.4× |
| Musc myoq/fscq flp h&n pedcl (15733) |
$1,508.40 |
$1,676 |
0.4× |
Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331) Age Under 21 (24301)
likely a partial charge — not the full procedure |
$1,107 |
$1,230 |
0.1× |
Muscle transfer, any type, shoulder or upper arm; multiple Age Under 21 (23397)
likely a partial charge — not the full procedure |
$1,665.90 |
$1,851 |
0.2× |
Muscle transfer, any type, shoulder or upper arm; single Age Under 21 (23395)
likely a partial charge — not the full procedure |
$1,874.70 |
$2,083 |
0.2× |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Age Under 21 (15738) |
$1,862.10 |
$2,069 |
0.5× |
| Muscle, myocutaneous, or fasciocutaneous flap; trunk Age Under 21 (15734) |
$2,189.70 |
$2,433 |
0.6× |
| Muscle, myocutaneous, or fasciocutaneous flap; upper extremity Age Under 21 (15736) |
$1,782 |
$1,980 |
0.8× |
| Myelography via lumbar inject rs&i lumbosacral (62304) |
$395.10 |
$439 |
0.5× |
| Myelography via lumbar injection rs&i 2+ regions (62305) |
$431.10 |
$479 |
0.5× |
| Myelography via lumbar injection rs&i cervical (62302) |
$399.60 |
$444 |
0.5× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$406.80 |
$452 |
0.5× |
| Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less… (58145) |
$841.50 |
$935 |
0.2× |
| Myringoplasty (69620) |
$1,135.80 |
$1,262 |
0.3× |
| Myringotomy including aspiration and/or eustachian tube inflation Age Under 21 (69420) |
$290.70 |
$323 |
1.2× |
| Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia Age Under 21 (69421) |
$225.90 |
$251 |
0.1× |
| Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure) Age Under 21 (31231) |
$289.80 |
$322 |
1.4× |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
$419.40 |
$466 |
1.0× |
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
likely a partial charge — not the full procedure |
$292.50 |
$325 |
0.0× |
| Nasal/sinus endoscopy, diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium)… (31235) |
$474.30 |
$527 |
0.3× |
Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior) Age Under 21 (31255)
likely a partial charge — not the full procedure |
$469.80 |
$522 |
0.1× |
Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy Age Under 21 (31257)
likely a partial charge — not the full procedure |
$646.20 |
$718 |
0.1× |
| Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal and sphenoid sinus ostia Age Under 21 (31298) |
$5,049.90 |
$5,611 |
0.7× |
Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium Age Under 21 (31296)
unusually low — confirm this is the full procedure |
$2,716.20 |
$3,018 |
0.4× |
Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine… (31295)
unusually low — confirm this is the full procedure |
$2,680.20 |
$2,978 |
0.4× |
Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); sphenoid sinus ostium Age Under 21 (31297)
unusually low — confirm this is the full procedure |
$2,658.60 |
$2,954 |
0.4× |
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 |
$548.10 |
$609 |
0.1× |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy; Age Under 21 (31256) |
$261 |
$290 |
0.1× |
Nasal/sinus endoscopy, surgical, with maxillary antrostomy; with removal of tissue from maxillary sinus Age Under 21 (31267)
likely a partial charge — not the full procedure |
$384.30 |
$427 |
0.1× |
Nasal/sinus endoscopy, surgical, with optic nerve decompression (31294)
likely a partial charge — not the full procedure |
$1,804.50 |
$2,005 |
0.2× |
Nasal/sinus endoscopy, surgical, with orbital decompression; medial and inferior wall (31293)
likely a partial charge — not the full procedure |
$1,582.20 |
$1,758 |
0.2× |
Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall (31292)
likely a partial charge — not the full procedure |
$1,464.30 |
$1,627 |
0.2× |
Nasal/sinus endoscopy, surgical, with sphenoidotomy; with removal of tissue from the sphenoid sinus Age Under 21 (31288)
likely a partial charge — not the full procedure |
$340.20 |
$378 |
0.0× |
| Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or debridement (separate procedure) Age Under 21 (31237) |
$385.20 |
$428 |
0.2× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Age Under 21 (31240) |
$230.40 |
$256 |
0.1× |
| Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage Age Under 21 (31238) |
$375.30 |
$417 |
0.2× |
| Nasal/sinus endoscopy, surgical; with dacryocystorhinostomy Age Under 21 (31239) |
$895.50 |
$995 |
0.2× |
| Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery (31241) |
$644.40 |
$716 |
0.3× |
Nasal/Sinus Ndsc Tot W/Frnt Sins Expl Tiss Rmvl (31253)
likely a partial charge — not the full procedure |
$725.40 |
$806 |
0.1× |
Nasal/Sinus Ndsc Tot W/Sphendt W/Sphen Tiss Rmvl (31259)
likely a partial charge — not the full procedure |
$684 |
$760 |
0.1× |
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
likely a partial charge — not the full procedure |
$666.90 |
$741 |
0.1× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$758.70 |
$843 |
0.4× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$57.60 |
$64 |
1.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$85.05 |
$94.50 |
2.8× |
| Needle measurement and recording of electrical activity of muscles at bladder and bowel openings (51785) |
$687.60 |
$764 |
2.6× |
Nerve graft (includes obtaining graft), head or neck; more than 4 cm length Age Under 21 (64886)
likely a partial charge — not the full procedure |
$1,878.30 |
$2,087 |
0.2× |
Nerve graft (includes obtaining graft), head or neck; up to 4 cm in length Age Under 21 (64885)
likely a partial charge — not the full procedure |
$1,613.70 |
$1,793 |
0.2× |
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; more than 4 cm length Age Under 21 (64898)
likely a partial charge — not the full procedure |
$1,997.10 |
$2,219 |
0.2× |
Nerve graft (includes obtaining graft), multiple strands (cable), arm or leg; up to 4 cm length Age Under 21 (64897)
likely a partial charge — not the full procedure |
$1,845.90 |
$2,051 |
0.2× |
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; more than 4 cm length Age Under 21 (64896)
likely a partial charge — not the full procedure |
$2,079.90 |
$2,311 |
0.2× |
Nerve graft (includes obtaining graft), multiple strands (cable), hand or foot; up to 4 cm length Age Under 21 (64895)
likely a partial charge — not the full procedure |
$1,930.50 |
$2,145 |
0.2× |
| Nerve graft (includes obtaining graft), single strand, arm or leg; more than 4 cm length Age Under 21 (64893) |
$1,635.30 |
$1,817 |
0.5× |
Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length Age Under 21 (64892)
likely a partial charge — not the full procedure |
$1,534.50 |
$1,705 |
0.2× |
Nerve graft (includes obtaining graft), single strand, hand or foot; more than 4 cm length Age Under 21 (64891)
likely a partial charge — not the full procedure |
$1,675.80 |
$1,862 |
0.2× |
Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length Age Under 21 (64890)
likely a partial charge — not the full procedure |
$1,576.80 |
$1,752 |
0.2× |
Nerve pedicle transfer; first stage Age Under 21 (64905)
likely a partial charge — not the full procedure |
$1,472.40 |
$1,636 |
0.2× |
Nerve pedicle transfer; second stage Age Under 21 (64907)
likely a partial charge — not the full procedure |
$1,893.60 |
$2,104 |
0.2× |
Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve (64911)
likely a partial charge — not the full procedure |
$1,503.90 |
$1,671 |
0.2× |
Nerve repair; with nerve allograft, each nerve, first strand (cable) Age Under 21 (64912)
likely a partial charge — not the full procedure |
$1,307.70 |
$1,453 |
0.1× |
Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve Age Under 21 (64910)
likely a partial charge — not the full procedure |
$1,135.80 |
$1,262 |
0.1× |
| Neurectomy, hamstring muscle Age Under 21 (27325) |
$838.80 |
$932 |
0.4× |
| Neurectomy, intrinsic musculature of foot Age Under 21 (28055) |
$560.70 |
$623 |
0.3× |
| Neurectomy, popliteal (gastrocnemius) Age Under 21 (27326) |
$777.60 |
$864 |
0.4× |
| Neuroeltrd stim post tibial (64566) |
$183.60 |
$204 |
0.6× |
| Neuroplasty &/transpos median nrv carpal tunne (64721) |
$661.50 |
$735 |
0.3× |
| Neuroplasty and/or transposition; cranial nerve (specify) Age Under 21 (64716) |
$757.80 |
$842 |
0.4× |
| Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus Age Under 21 (64713) |
$1,156.50 |
$1,285 |
0.6× |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Age Under 21 (64714) |
$1,110.60 |
$1,234 |
0.5× |
| Neuroplasty, major peripheral nerve, arm or leg, open; other than specified Age Under 21 (64708) |
$744.30 |
$827 |
0.4× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve Age Under 21 (64712) |
$876.60 |
$974 |
0.4× |
| Neuroplasty; digital, 1 or both, same digit Age Under 21 (64702) |
$756 |
$840 |
0.4× |
| Neuroplasty; nerve of hand or foot Age Under 21 (64704) |
$479.70 |
$533 |
0.2× |
| Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct Age Under 21 (19110) |
$738.90 |
$821 |
0.2× |
| Nipple/areola reconstruction (19350) |
$1,235.70 |
$1,373 |
0.3× |
| Njx aa&/strd tfrm epi c/t 1 (64479) |
$406.80 |
$452 |
0.4× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$224.10 |
$249 |
0.2× |
| Njx cholangio prq w/img gid rs&i existing access (47531) |
$680.40 |
$756 |
0.2× |
| Njx cholangio prq w/img gid rs&i new access (47532) |
$1,333.80 |
$1,482 |
0.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$404.10 |
$449 |
0.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$813.60 |
$904 |
1.1× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$764.55 |
$849.50 |
0.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$398.70 |
$443 |
0.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$407.70 |
$453 |
0.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$587.70 |
$653 |
0.6× |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
$2,320.20 |
$2,578 |
1.1× |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
$2,101.50 |
$2,335 |
1.0× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$514.80 |
$572 |
0.7× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$997.20 |
$1,108 |
1.4× |
| Nocturnal penile tumescence and/or rigidity test (54250) |
$178.20 |
$198 |
0.7× |
| Non stress test (59025) |
$71.10 |
$79 |
0.3× |
| Nonslctv cath thor aorta angio intr/xtrcranl art (36221) |
$1,572.30 |
$1,747 |
0.5× |
| Obstructive material removal from gi tube (49460) |
$1,076.40 |
$1,196 |
1.1× |
| Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach Age Under 21 (58615) |
$376.20 |
$418 |
0.1× |
| Ocular photodynamic ther (67221) |
$401.40 |
$446 |
0.7× |
| Ocular reconst transplant (65780) |
$980.10 |
$1,089 |
0.2× |
| Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) (65782) |
$1,668.60 |
$1,854 |
0.4× |
Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) (65781)
unusually low — confirm this is the full procedure |
$1,930.50 |
$2,145 |
0.3× |
Omentectomy, epiploectomy, resection of omentum (separate procedure) (49255)
likely a partial charge — not the full procedure |
$1,155.60 |
$1,284 |
0.2× |
| Open Biopsy/Excision Inguinofemoral Nodes (38531) |
$693 |
$770 |
0.2× |
Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Age Under 21 (64568)
likely a partial charge — not the full procedure |
$892.80 |
$992 |
0.0× |
Open implantation of neurostimulator electrode array; neuromuscular Age Under 21 (64580)
likely a partial charge — not the full procedure |
$464.40 |
$516 |
0.0× |
Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) Age Under 21 (64575)
likely a partial charge — not the full procedure |
$471.60 |
$524 |
0.0× |
Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Age Under 21 (64581)
likely a partial charge — not the full procedure |
$953.10 |
$1,059 |
0.1× |
Open osteochondral autograft, talus (includes obtaining graftºs») Age Under 21 (28446)
likely a partial charge — not the full procedure |
$1,793.70 |
$1,993 |
0.2× |
Open rdl shaft fx closed rad/uln jt dislocate (25525)
likely a partial charge — not the full procedure |
$1,164.60 |
$1,294 |
0.2× |
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22318)
likely a partial charge — not the full procedure |
$2,369.70 |
$2,633 |
0.2× |
Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior… (22319)
likely a partial charge — not the full procedure |
$2,633.40 |
$2,926 |
0.2× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22326)
likely a partial charge — not the full procedure |
$2,182.50 |
$2,425 |
0.2× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327)
likely a partial charge — not the full procedure |
$2,219.40 |
$2,466 |
0.2× |
Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325)
likely a partial charge — not the full procedure |
$2,133 |
$2,370 |
0.2× |
Open treatment bimalleolar ankle fracture (27814)
likely a partial charge — not the full procedure |
$1,128.60 |
$1,254 |
0.1× |
Open treatment calcaneal fracture (28415)
likely a partial charge — not the full procedure |
$1,662.30 |
$1,847 |
0.2× |
Open Treatment Distal Fracture (25608)
likely a partial charge — not the full procedure |
$1,222.20 |
$1,358 |
0.2× |
Open treatment fracture distal tibia only (27827)
likely a partial charge — not the full procedure |
$1,660.50 |
$1,845 |
0.1× |
| Open treatment interphalangeal joint dislocation (28675) |
$864 |
$960 |
0.3× |
Open treatment medial malleolus fracture (27766)
likely a partial charge — not the full procedure |
$896.40 |
$996 |
0.1× |
| Open treatment metacarpophalangeal dislocation 1 (26715) |
$853.20 |
$948 |
0.2× |
Open treatment metatarsal fracture each (28485)
likely a partial charge — not the full procedure |
$834.30 |
$927 |
0.1× |
Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both… (27228)
unusually low — confirm this is the full procedure |
$2,729.70 |
$3,033 |
0.4× |
Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227)
unusually low — confirm this is the full procedure |
$2,404.80 |
$2,672 |
0.3× |
Open treatment of acromioclavicular dislocation, acute or chronic; Age Under 21 (23550)
likely a partial charge — not the full procedure |
$847.80 |
$942 |
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 |
$968.40 |
$1,076 |
0.1× |
Open Treatment Of Acute Or Chronic Elbow Dislocation (24615)
likely a partial charge — not the full procedure |
$1,053.90 |
$1,171 |
0.1× |
Open treatment of acute shoulder dislocation Age Under 21 (23660)
likely a partial charge — not the full procedure |
$866.70 |
$963 |
0.1× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or… (27848)
likely a partial charge — not the full procedure |
$1,163.70 |
$1,293 |
0.2× |
Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal… (27846)
likely a partial charge — not the full procedure |
$1,066.50 |
$1,185 |
0.1× |
| Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal… (26746) |
$1,099.80 |
$1,222 |
0.3× |
Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other… (28420)
likely a partial charge — not the full procedure |
$1,916.10 |
$2,129 |
0.1× |
| Open treatment of carpal bone fracture (other than carpal scaphoid ºnavicular»), each bone Age Under 21 (25645) |
$848.70 |
$943 |
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 |
$1,064.70 |
$1,183 |
0.1× |
| Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction Age Under 21 (26686) |
$925.20 |
$1,028 |
0.3× |
| Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint… (26685) |
$857.70 |
$953 |
0.2× |
Open treatment of clavicular fracture, includes internal fixation, when performed Age Under 21 (23515)
likely a partial charge — not the full procedure |
$1,062.90 |
$1,181 |
0.1× |
| Open treatment of coccygeal fracture Age Under 21 (27202) |
$777.60 |
$864 |
0.2× |
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21365)
likely a partial charge — not the full procedure |
$1,589.40 |
$1,766 |
0.3× |
Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including… (21366)
likely a partial charge — not the full procedure |
$1,872 |
$2,080 |
0.3× |
Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or… (21344)
unusually low — confirm this is the full procedure |
$2,059.20 |
$2,288 |
0.3× |
Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470)
likely a partial charge — not the full procedure |
$1,708.20 |
$1,898 |
0.3× |
Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve… (21433)
unusually low — confirm this is the full procedure |
$2,536.20 |
$2,818 |
0.4× |
Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal… (21436)
unusually low — confirm this is the full procedure |
$2,977.20 |
$3,308 |
0.5× |
Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation… (21435)
unusually low — confirm this is the full procedure |
$2,062.80 |
$2,292 |
0.3× |
Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation (21432)
likely a partial charge — not the full procedure |
$1,070.10 |
$1,189 |
0.2× |
Open treatment of depressed frontal sinus fracture (21343)
likely a partial charge — not the full procedure |
$1,618.20 |
$1,798 |
0.3× |
Open treatment of depressed malar fracture, including zygomatic arch and malar tripod Age Under 21 (21360)
likely a partial charge — not the full procedure |
$773.10 |
$859 |
0.1× |
Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Age Under 21 (21356)
likely a partial charge — not the full procedure |
$819.90 |
$911 |
0.1× |
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed (27519)
likely a partial charge — not the full procedure |
$1,305 |
$1,450 |
0.2× |
Open treatment of distal radioulnar dislocation, acute or chronic Age Under 21 (25676)
likely a partial charge — not the full procedure |
$935.10 |
$1,039 |
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 |
$1,055.70 |
$1,173 |
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 |
$1,414.80 |
$1,572 |
0.1× |
Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed (27269)
likely a partial charge — not the full procedure |
$1,809.90 |
$2,011 |
0.2× |
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507)
likely a partial charge — not the full procedure |
$1,416.60 |
$1,574 |
0.2× |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
likely a partial charge — not the full procedure |
$1,955.70 |
$2,173 |
0.3× |
Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513)
likely a partial charge — not the full procedure |
$1,803.60 |
$2,004 |
0.1× |
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511)
likely a partial charge — not the full procedure |
$1,456.20 |
$1,618 |
0.1× |
Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) (21408)
likely a partial charge — not the full procedure |
$1,327.50 |
$1,475 |
0.2× |
Open treatment of fracture of orbit, except blowout; with implant Age Under 21 (21407)
likely a partial charge — not the full procedure |
$947.70 |
$1,053 |
0.2× |
Open treatment of fracture of orbit, except blowout; without implant Age Under 21 (21406)
likely a partial charge — not the full procedure |
$863.10 |
$959 |
0.1× |
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826)
likely a partial charge — not the full procedure |
$1,271.70 |
$1,413 |
0.2× |
Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27828)
likely a partial charge — not the full procedure |
$1,963.80 |
$2,182 |
0.1× |
| Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed Age Under 21 (28505) |
$985.50 |
$1,095 |
0.3× |
Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed Age Under 21 (23630)
likely a partial charge — not the full procedure |
$1,149.30 |
$1,277 |
0.2× |
Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248)
likely a partial charge — not the full procedure |
$1,098 |
$1,220 |
0.1× |
Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254)
likely a partial charge — not the full procedure |
$1,860.30 |
$2,067 |
0.2× |
| Open treatment of hip dislocation, traumatic, without internal fixation (27253) |
$1,381.50 |
$1,535 |
0.4× |
Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed Age Under 21 (24579)
likely a partial charge — not the full procedure |
$1,229.40 |
$1,366 |
0.1× |
Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed Age Under… (24575)
likely a partial charge — not the full procedure |
$1,082.70 |
$1,203 |
0.1× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without… (24545)
likely a partial charge — not the full procedure |
$1,364.40 |
$1,516 |
0.1× |
Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546)
likely a partial charge — not the full procedure |
$1,521 |
$1,690 |
0.1× |
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540)
likely a partial charge — not the full procedure |
$1,198.80 |
$1,332 |
0.2× |
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair (27557)
likely a partial charge — not the full procedure |
$1,528.20 |
$1,698 |
0.2× |
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558)
likely a partial charge — not the full procedure |
$1,736.10 |
$1,929 |
0.2× |
Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or… (27556)
likely a partial charge — not the full procedure |
$1,285.20 |
$1,428 |
0.2× |
Open treatment of lunate dislocation Age Under 21 (25695)
likely a partial charge — not the full procedure |
$939.60 |
$1,044 |
0.1× |
Open treatment of mandibular condylar fracture Age Under 21 (21465)
likely a partial charge — not the full procedure |
$1,168.20 |
$1,298 |
0.2× |
Open treatment of mandibular fracture; without interdental fixation Age Under 21 (21461)
unusually low — confirm this is the full procedure |
$2,843.10 |
$3,159 |
0.5× |
Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) Age Under 21 (21445)
likely a partial charge — not the full procedure |
$1,231.20 |
$1,368 |
0.2× |
| Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed Age Under 21 (28645) |
$969.30 |
$1,077 |
0.3× |
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 |
$999 |
$1,110 |
0.1× |
Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation Age Under 21 (21330)
likely a partial charge — not the full procedure |
$803.70 |
$893 |
0.1× |
| Open treatment of nasal fracture; uncomplicated Age Under 21 (21325) |
$673.20 |
$748 |
0.2× |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Age Under 21 (21335) |
$1,067.40 |
$1,186 |
0.3× |
| Open treatment of nasal septal fracture, with or without stabilization Age Under 21 (21336) |
$968.40 |
$1,076 |
0.3× |
Open treatment of nasoethmoid fracture; without external fixation Age Under 21 (21338)
likely a partial charge — not the full procedure |
$1,014.30 |
$1,127 |
0.2× |
Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches (21347)
likely a partial charge — not the full procedure |
$1,553.40 |
$1,726 |
0.2× |
Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft) (21348)
likely a partial charge — not the full procedure |
$1,605.60 |
$1,784 |
0.3× |
Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation (21346)
likely a partial charge — not the full procedure |
$1,546.20 |
$1,718 |
0.2× |
Open treatment of orbital floor blowout fracture; combined approach (21387)
likely a partial charge — not the full procedure |
$1,131.30 |
$1,257 |
0.2× |
Open treatment of orbital floor blowout fracture; periorbital approach (21386)
likely a partial charge — not the full procedure |
$1,017 |
$1,130 |
0.2× |
Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft) (21395)
likely a partial charge — not the full procedure |
$1,481.40 |
$1,646 |
0.2× |
Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Age Under 21 (21390)
likely a partial charge — not the full procedure |
$1,183.50 |
$1,315 |
0.2× |
Open treatment of orbital floor blowout fracture; transantral approach (caldwell-luc type operation) (21385)
likely a partial charge — not the full procedure |
$1,084.50 |
$1,205 |
0.2× |
Open treatment of palatal or maxillary fracture (lefort i type); (21422)
likely a partial charge — not the full procedure |
$925.20 |
$1,028 |
0.1× |
Open treatment of palatal or maxillary fracture (lefort i type); complicated (comminuted or involving cranial nerve… (21423)
likely a partial charge — not the full procedure |
$1,179 |
$1,310 |
0.2× |
Open treatment of patellar dislocation, with or without partial or total patellectomy Age Under 21 (27566)
likely a partial charge — not the full procedure |
$1,312.20 |
$1,458 |
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 |
$1,111.50 |
$1,235 |
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 |
$1,597.50 |
$1,775 |
0.1× |
Open treatment of posterior or anterior acetabular wall fracture, with internal fixation (27226)
likely a partial charge — not the full procedure |
$1,545.30 |
$1,717 |
0.2× |
Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed Age Under 21 (27784)
likely a partial charge — not the full procedure |
$1,045.80 |
$1,162 |
0.1× |
Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed,… (23616)
likely a partial charge — not the full procedure |
$1,806.30 |
$2,007 |
0.1× |
Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832)
likely a partial charge — not the full procedure |
$1,117.80 |
$1,242 |
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 |
$1,332.90 |
$1,481 |
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 |
$999 |
$1,110 |
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 |
$1,081.80 |
$1,202 |
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 |
$1,409.40 |
$1,566 |
0.2× |
Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones Age Under 21 (25670)
likely a partial charge — not the full procedure |
$901.80 |
$1,002 |
0.1× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21813) |
$1,413 |
$1,570 |
0.8× |
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811)
likely a partial charge — not the full procedure |
$853.20 |
$948 |
0.1× |
Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21812)
likely a partial charge — not the full procedure |
$1,033.20 |
$1,148 |
0.1× |
Open treatment of scapular fracture (body, glenoid or acromion) includes internal fixation, when performed Age Under 21 (23585)
likely a partial charge — not the full procedure |
$1,437.30 |
$1,597 |
0.2× |
Open treatment of sesamoid fracture, with or without internal fixation Age Under 21 (28531)
likely a partial charge — not the full procedure |
$497.70 |
$553 |
0.1× |
Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when… (23670)
likely a partial charge — not the full procedure |
$1,278.90 |
$1,421 |
0.2× |
Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes internal fixation, when… (23680)
likely a partial charge — not the full procedure |
$1,363.50 |
$1,515 |
0.1× |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning (27178) |
$1,357.20 |
$1,508 |
0.4× |
Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) (27179)
likely a partial charge — not the full procedure |
$1,439.10 |
$1,599 |
0.2× |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) (27177) |
$1,636.20 |
$1,818 |
0.5× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258) |
$1,629.90 |
$1,811 |
0.5× |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27259) |
$2,250.90 |
$2,501 |
0.7× |
Open treatment of sternoclavicular dislocation, acute or chronic; Age Under 21 (23530)
likely a partial charge — not the full procedure |
$855 |
$950 |
0.1× |
Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Age… (23532)
likely a partial charge — not the full procedure |
$927.90 |
$1,031 |
0.1× |
Open treatment of sternum fracture with or without skeletal fixation (21825)
likely a partial charge — not the full procedure |
$806.40 |
$896 |
0.1× |
Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Age Under 21 (28585)
likely a partial charge — not the full procedure |
$1,315.80 |
$1,462 |
0.2× |
Open treatment of tarsal bone dislocation, includes internal fixation, when performed Age Under 21 (28555)
likely a partial charge — not the full procedure |
$1,280.70 |
$1,423 |
0.2× |
| Open treatment of temporomandibular dislocation Age Under 21 (21490) |
$1,150.20 |
$1,278 |
0.3× |
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536)
likely a partial charge — not the full procedure |
$1,737 |
$1,930 |
0.2× |
Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (27535)
likely a partial charge — not the full procedure |
$1,314.90 |
$1,461 |
0.2× |
Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage… (27758)
likely a partial charge — not the full procedure |
$1,319.40 |
$1,466 |
0.1× |
Open treatment of trans-scaphoperilunar type of fracture dislocation Age Under 21 (25685)
likely a partial charge — not the full procedure |
$1,085.40 |
$1,206 |
0.1× |
Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823)
likely a partial charge — not the full procedure |
$1,459.80 |
$1,622 |
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 |
$969.30 |
$1,077 |
0.1× |
Open treatment of ulnar shaft fracture (25545)
likely a partial charge — not the full procedure |
$927 |
$1,030 |
0.1× |
Open treatment posterior malleolus fracture (27769)
likely a partial charge — not the full procedure |
$1,074.60 |
$1,194 |
0.1× |
Open treatment radial shaft fracture (25515)
likely a partial charge — not the full procedure |
$991.80 |
$1,102 |
0.1× |
Open treatment talus fracture (28445)
likely a partial charge — not the full procedure |
$1,501.20 |
$1,668 |
0.2× |
Open treatment tarsometatarsal joint dislocation (28615)
likely a partial charge — not the full procedure |
$1,225.80 |
$1,362 |
0.2× |
Open tx distal fibular fracture lat malleolus (27792)
likely a partial charge — not the full procedure |
$954.90 |
$1,061 |
0.1× |
| Open tx distal phalangeal fracture each (26765) |
$748.80 |
$832 |
0.2× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$853.20 |
$948 |
0.2× |
| Open tx interphalangeal joint dislocation 1 (26785) |
$813.60 |
$904 |
0.2× |
| Open tx metacarpal fracture single ea bone (26615) |
$855.90 |
$951 |
0.2× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$883.80 |
$982 |
0.3× |
Open tx prox humeral fx (23615)
likely a partial charge — not the full procedure |
$1,300.50 |
$1,445 |
0.1× |
Open tx tarsal fracture xcp talus &calcaneus ea (28465)
likely a partial charge — not the full procedure |
$943.20 |
$1,048 |
0.1× |
Open/perq placement intravascular stent initial (37236)
unusually low — confirm this is the full procedure |
$4,408.20 |
$4,898 |
0.4× |
Open/perq placement intravascular stent same 1st (37238)
unusually low — confirm this is the full procedure |
$5,526 |
$6,140 |
0.5× |
| Opponensplasty; hypothenar muscle transfer Age Under 21 (26494) |
$1,279.80 |
$1,422 |
0.4× |
| Opponensplasty; tendon transfer with graft (includes obtaining graft), each tendon Age Under 21 (26492) |
$1,406.70 |
$1,563 |
0.4× |
| Optic nerve decompression (eg, incision or fenestration of optic nerve sheath) Age Under 21 (67570) |
$2,048.40 |
$2,276 |
0.5× |
| Or placement of amniotic membrane on the ocular surface; single layer, sutured (65779) |
$1,827.90 |
$2,031 |
0.4× |
| Or tentomy, abductors and/or extensor(s) of hip,open (separate procedure) (27006) |
$1,059.30 |
$1,177 |
0.3× |
| Orbital implant (implant outside muscle cone); insertion Age Under 21 (67550) |
$1,626.30 |
$1,807 |
0.4× |
| Orbital implant (implant outside muscle cone); removal or revision Age Under 21 (67560) |
$1,660.50 |
$1,845 |
0.4× |
Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach (21268)
unusually low — confirm this is the full procedure |
$2,966.40 |
$3,296 |
0.5× |
Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach Age Under 21 (21267)
unusually low — confirm this is the full procedure |
$2,370.60 |
$2,634 |
0.4× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Age… (67450) |
$2,086.20 |
$2,318 |
0.5× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with drainage Age Under 21 (67440) |
$2,015.10 |
$2,239 |
0.5× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of bone for decompression Age Under… (67445) |
$2,273.40 |
$2,526 |
0.5× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of foreign body Age Under 21 (67430) |
$2,075.40 |
$2,306 |
0.5× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); with removal of lesion Age Under 21 (67420) |
$2,588.40 |
$2,876 |
0.6× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy Age Under… (67400) |
$1,554.30 |
$1,727 |
0.4× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only Age Under 21 (67405) |
$1,358.10 |
$1,509 |
0.5× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Age Under… (67414) |
$2,181.60 |
$2,424 |
0.5× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body Age Under 21 (67413) |
$1,449.90 |
$1,611 |
0.6× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion Age Under 21 (67412) |
$1,496.70 |
$1,663 |
0.6× |
| Orchiectomy, partial Age Under 21 (54522) |
$854.10 |
$949 |
0.2× |
| Orchiectomy, radical, for tumor; inguinal approach Age Under 21 (54530) |
$740.70 |
$823 |
0.2× |
| Orchiectomy, radical, for tumor; with abdominal exploration (54535) |
$1,079.10 |
$1,199 |
0.3× |
| Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach Age… (54520) |
$479.70 |
$533 |
0.1× |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) (54650) |
$1,033.20 |
$1,148 |
0.3× |
| Ostectomy of scapula, partial (eg, superior medial angle) Age Under 21 (23190) |
$853.20 |
$948 |
0.2× |
| Ostectomy of sternum, partial (21620) |
$741.60 |
$824 |
0.2× |
| Ostectomy, calcaneus; Age Under 21 (28118) |
$901.80 |
$1,002 |
0.3× |
| Ostectomy, complete excision; all metatarsal heads, with partial proximal phalangectomy, excluding first metatarsal… (28114) |
$1,585.80 |
$1,762 |
0.5× |
| Ostectomy, complete excision; fifth metatarsal head Age Under 21 (28113) |
$873 |
$970 |
0.3× |
| Ostectomy, complete excision; first metatarsal head Age Under 21 (28111) |
$719.10 |
$799 |
0.2× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Age Under 21 (28112) |
$724.50 |
$805 |
0.2× |
| Ostectomy, excision of tarsal coalition Age Under 21 (28116) |
$1,149.30 |
$1,277 |
0.3× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) Age Under 21 (28110) |
$728.10 |
$809 |
0.2× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head Age Under 21 (28288) |
$904.50 |
$1,005 |
0.3× |
Osteochondral knee autograft (27416)
likely a partial charge — not the full procedure |
$1,439.10 |
$1,599 |
0.2× |
Osteoplasty Femur Shortening Excluding 64876|RIGHT SIDE (27465)
likely a partial charge — not the full procedure |
$1,824.30 |
$2,027 |
0.2× |
| Osteoplasty, carpal bone, shortening Age Under 21 (25394) |
$1,156.50 |
$1,285 |
0.3× |
Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant) Age Under 21 (21208)
unusually low — confirm this is the full procedure |
$2,550.60 |
$2,834 |
0.4× |
Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876) Age Under 21 (24420)
likely a partial charge — not the full procedure |
$1,582.20 |
$1,758 |
0.2× |
Osteoplasty, lengthening, metacarpal or phalanx Age Under 21 (26568)
likely a partial charge — not the full procedure |
$1,419.30 |
$1,577 |
0.2× |
Osteoplasty, radius AND ulna; lengthening with autograft Age Under 21 (25393)
likely a partial charge — not the full procedure |
$1,656 |
$1,840 |
0.2× |
Osteoplasty, radius AND ulna; shortening (excluding 64876) Age Under 21 (25392)
likely a partial charge — not the full procedure |
$1,489.50 |
$1,655 |
0.2× |
Osteoplasty, radius OR ulna; shortening Age Under 21 (25390)
likely a partial charge — not the full procedure |
$1,134.90 |
$1,261 |
0.1× |
Osteoplasty, tibia and fibula, lengthening or shortening (27715)
likely a partial charge — not the full procedure |
$1,574.10 |
$1,749 |
0.1× |
Osteotomy and transfer of greater trochanter of femur (separate procedure) (27140)
likely a partial charge — not the full procedure |
$1,314 |
$1,460 |
0.2× |
Osteotomy Mandible Segmental|BILATERAL PROCEDURE (21198)
likely a partial charge — not the full procedure |
$1,526.40 |
$1,696 |
0.2× |
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical (22220)
unusually low — confirm this is the full procedure |
$2,351.70 |
$2,613 |
0.3× |
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar (22224)
unusually low — confirm this is the full procedure |
$2,314.80 |
$2,572 |
0.3× |
Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic (22222)
unusually low — confirm this is the full procedure |
$2,536.20 |
$2,818 |
0.3× |
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical (22210)
unusually low — confirm this is the full procedure |
$2,591.10 |
$2,879 |
0.3× |
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar (22214)
likely a partial charge — not the full procedure |
$2,196.90 |
$2,441 |
0.3× |
Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic (22212)
likely a partial charge — not the full procedure |
$2,196 |
$2,440 |
0.3× |
Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22206)
unusually low — confirm this is the full procedure |
$3,528.90 |
$3,921 |
0.5× |
Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body… (22207)
unusually low — confirm this is the full procedure |
$3,460.50 |
$3,845 |
0.5× |
Osteotomy talus (28302)
likely a partial charge — not the full procedure |
$1,056.60 |
$1,174 |
0.1× |
Osteotomy tibia (27705)
likely a partial charge — not the full procedure |
$1,116.90 |
$1,241 |
0.1× |
Osteotomy, clavicle, with or without internal fixation; Age Under 21 (23480)
likely a partial charge — not the full procedure |
$1,207.80 |
$1,342 |
0.2× |
Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining… (23485)
likely a partial charge — not the full procedure |
$1,395 |
$1,550 |
0.1× |
Osteotomy, humerus, with or without internal fixation Age Under 21 (24400)
likely a partial charge — not the full procedure |
$1,216.80 |
$1,352 |
0.2× |
Osteotomy, iliac, acetabular or innominate bone; (27146)
likely a partial charge — not the full procedure |
$1,872 |
$2,080 |
0.2× |
Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy (27151)
unusually low — confirm this is the full procedure |
$2,305.80 |
$2,562 |
0.3× |
Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip (27156)
unusually low — confirm this is the full procedure |
$2,481.30 |
$2,757 |
0.3× |
Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip (27147)
likely a partial charge — not the full procedure |
$2,133.90 |
$2,371 |
0.3× |
Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast (27165)
likely a partial charge — not the full procedure |
$2,016 |
$2,240 |
0.3× |
Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard) Age Under 21 (21206)
likely a partial charge — not the full procedure |
$1,429.20 |
$1,588 |
0.2× |
Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) (27454)
likely a partial charge — not the full procedure |
$1,890 |
$2,100 |
0.2× |
Osteotomy, pelvis, bilateral (eg, congenital malformation) (27158)
likely a partial charge — not the full procedure |
$2,043.90 |
$2,271 |
0.3× |
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27455)
likely a partial charge — not the full procedure |
$1,417.50 |
$1,575 |
0.2× |
Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus ºbowleg» or genu… (27457)
likely a partial charge — not the full procedure |
$1,410.30 |
$1,567 |
0.2× |
| Osteotomy, shortening, angular or rotational correction; other phalanges, any toe Age Under 21 (28312) |
$777.60 |
$864 |
0.2× |
Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure) Age Under 21 (28310)
likely a partial charge — not the full procedure |
$814.50 |
$905 |
0.1× |
Osteotomy, tarsal bones, other than calcaneus or talus; (28304)
likely a partial charge — not the full procedure |
$1,231.20 |
$1,368 |
0.2× |
Osteotomy, tarsal bones, other than calcaneus or talus; with autograft (includes obtaining graft) (eg, Fowler type) Age… (28305)
likely a partial charge — not the full procedure |
$995.40 |
$1,106 |
0.1× |
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal Age Under 21 (28306)
likely a partial charge — not the full procedure |
$905.40 |
$1,006 |
0.1× |
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307)
likely a partial charge — not the full procedure |
$1,182.60 |
$1,314 |
0.2× |
Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; multiple (eg, Swanson type cavus… (28309)
likely a partial charge — not the full procedure |
$1,305 |
$1,450 |
0.2× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each… (28308) |
$854.10 |
$949 |
0.2× |
Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), with or without internal fixation Age Under 21 (28300)
likely a partial charge — not the full procedure |
$954.90 |
$1,061 |
0.1× |
| Osteotomy; metacarpal, each Age Under 21 (26565) |
$1,095.30 |
$1,217 |
0.3× |
Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) (27712)
likely a partial charge — not the full procedure |
$1,614.60 |
$1,794 |
0.1× |
| Osteotomy; phalanx of finger, each Age Under 21 (26567) |
$1,098.90 |
$1,221 |
0.3× |
| Otoplasty, protruding ear, with or without size reduction Age Under 21 (69300) |
$979.20 |
$1,088 |
0.3× |
Ovarian cystectomy, unilateral or bilateral (58925)
likely a partial charge — not the full procedure |
$1,129.50 |
$1,255 |
0.2× |
Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) Age Under 21 (42145)
likely a partial charge — not the full procedure |
$1,018.80 |
$1,132 |
0.2× |
| Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Age Under 21 (42205) |
$1,420.20 |
$1,578 |
0.4× |
Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining… (42210)
likely a partial charge — not the full procedure |
$1,585.80 |
$1,762 |
0.3× |
Palatoplasty for cleft palate; attachment pharyngeal flap Age Under 21 (42225)
likely a partial charge — not the full procedure |
$1,479.60 |
$1,644 |
0.2× |
Palatoplasty for cleft palate; major revision Age Under 21 (42215)
likely a partial charge — not the full procedure |
$1,039.50 |
$1,155 |
0.2× |
Palatoplasty for cleft palate; secondary lengthening procedure Age Under 21 (42220)
likely a partial charge — not the full procedure |
$857.70 |
$953 |
0.1× |
| Paracentesis of anterior chamber of eye (separate procedure); with removal of blood, with or without irrigation and/or… (65815) |
$963 |
$1,070 |
0.4× |
Parathyroidectomy or exploration of parathyroid(s); Age Under 21 (60500)
likely a partial charge — not the full procedure |
$1,415.70 |
$1,573 |
0.2× |
Parathyroidectomy or exploration of parathyroid(s); re-exploration (60502)
unusually low — confirm this is the full procedure |
$1,894.50 |
$2,105 |
0.3× |
Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach (57423)
likely a partial charge — not the full procedure |
$1,362.60 |
$1,514 |
0.1× |
Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach (57284)
likely a partial charge — not the full procedure |
$1,224 |
$1,360 |
0.2× |
Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach (57285)
likely a partial charge — not the full procedure |
$1,020.60 |
$1,134 |
0.1× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions (11056) |
$132.30 |
$147 |
0.6× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions Age Under 21 (11057) |
$144.90 |
$161 |
0.7× |
| Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion (11055) |
$116.10 |
$129 |
0.5× |
| Partial exchange transfusion, blood, plasma or crystalloid necessitating the skill of a physician or other qualified… (36456) |
$143.10 |
$159 |
0.3× |
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle Age Under 21 (23180)
likely a partial charge — not the full procedure |
$983.70 |
$1,093 |
0.1× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus Age Under 21 (24140) |
$1,040.40 |
$1,156 |
0.3× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process Age Under… (24147) |
$934.20 |
$1,038 |
0.3× |
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Age Under… (23184)
likely a partial charge — not the full procedure |
$1,092.60 |
$1,214 |
0.1× |
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck Age… (24145)
likely a partial charge — not the full procedure |
$882 |
$980 |
0.1× |
Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula Age Under 21 (23182)
likely a partial charge — not the full procedure |
$996.30 |
$1,107 |
0.1× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx… (26235) |
$731.70 |
$813 |
0.4× |
| Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg,… (27360) |
$1,346.40 |
$1,496 |
0.4× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); radius Age Under 21 (25151) |
$866.70 |
$963 |
0.3× |
| Partial excision (craterization, saucerization, or diaphysectomy) of bone (eg, for osteomyelitis); ulna Age Under 21 (25150) |
$842.40 |
$936 |
0.2× |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Age Under 21 (27641) |
$960.30 |
$1,067 |
0.3× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
$1,006.20 |
$1,118 |
0.3× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$881.10 |
$979 |
0.3× |
| Partial excision bone metacarpal (26230) |
$742.50 |
$825 |
0.2× |
| Partial excision bone tibia (27640) |
$1,224 |
$1,360 |
0.4× |
| Partial excision distal phalanx finger (26236) |
$657.90 |
$731 |
0.4× |
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22102)
likely a partial charge — not the full procedure |
$1,143.90 |
$1,271 |
0.1× |
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22100)
likely a partial charge — not the full procedure |
$1,266.30 |
$1,407 |
0.2× |
Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion,… (22101)
likely a partial charge — not the full procedure |
$1,259.10 |
$1,399 |
0.2× |
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22112)
likely a partial charge — not the full procedure |
$1,644.30 |
$1,827 |
0.2× |
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22114)
likely a partial charge — not the full procedure |
$1,644.30 |
$1,827 |
0.2× |
Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s),… (22110)
likely a partial charge — not the full procedure |
$1,535.40 |
$1,706 |
0.2× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27070) |
$1,320.30 |
$1,467 |
0.4× |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) |
$1,447.20 |
$1,608 |
0.4× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$303.30 |
$337 |
0.1× |
Partial removal of kidney using an endoscope|RIGHT SIDE (50543)
likely a partial charge — not the full procedure |
$2,149.20 |
$2,388 |
0.2× |
Partial removal of uterus with retention of cervix using an endoscope, more than 250.0 g (58543)
likely a partial charge — not the full procedure |
$1,238.40 |
$1,376 |
0.1× |
Partial removal of windpipe and cartilage (31592)
unusually low — confirm this is the full procedure |
$2,568.60 |
$2,854 |
0.4× |
Partial thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Age Under 21 (60212)
likely a partial charge — not the full procedure |
$1,499.40 |
$1,666 |
0.2× |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
likely a partial charge — not the full procedure |
$1,035.90 |
$1,151 |
0.2× |
| Partical excision bone phalanx toe (28124) |
$711.90 |
$791 |
0.2× |
Patellectomy or hemipatellectomy Age Under 21 (27350)
likely a partial charge — not the full procedure |
$969.30 |
$1,077 |
0.1× |
| Peel or microdermanrasi on superficial by nurse (15788) |
$596.70 |
$663 |
1.4× |
| Pelvic examination under anesthesia (other than local) Age Under 21 (57410) |
$153.90 |
$171 |
0.0× |
| Penetrating transplantation of tissue from 1 cornea to other cornea (except in aphakia or pseudophakia)|RIGHT SIDE (65730) |
$1,835.10 |
$2,039 |
0.4× |
Penetrating transplantation of tissue from 1 cornea to other cornea (in aphakia) (65750)
unusually low — confirm this is the full procedure |
$1,848.60 |
$2,054 |
0.3× |
| Penetrating transplantation of tissue from 1 cornea to other cornea (in pseudophakia) (65755) |
$1,840.50 |
$2,045 |
0.4× |
| Penile injection (54235) |
$115.20 |
$128 |
0.4× |
| Perc rf ablate renal tumor (50592) |
$4,568.40 |
$5,076 |
0.7× |
| Percut ablate liver rf (47382) |
$5,876.10 |
$6,529 |
0.9× |
| Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic… (62267) |
$407.70 |
$453 |
0.5× |
Percutaneous implantation of neurostimulator electrode array; cranial nerve Age Under 21 (64553)
unusually low — confirm this is the full procedure |
$3,955.50 |
$4,395 |
0.3× |
Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image… (64561)
likely a partial charge — not the full procedure |
$1,149.30 |
$1,277 |
0.2× |
| Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means… (62264) |
$673.20 |
$748 |
0.7× |
| Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means… (62263) |
$967.50 |
$1,075 |
1.0× |
Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent… (50080)
likely a partial charge — not the full procedure |
$1,255.50 |
$1,395 |
0.1× |
Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent… (50081)
likely a partial charge — not the full procedure |
$1,844.10 |
$2,049 |
0.2× |
Percutaneous skeletal fixation of calcaneal fracture, with manipulation Age Under 21 (28406)
likely a partial charge — not the full procedure |
$843.30 |
$937 |
0.1× |
| Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint Age… (26676) |
$763.20 |
$848 |
0.2× |
| Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation Age… (26650) |
$721.80 |
$802 |
0.2× |
| Percutaneous skeletal fixation of distal radioulnar dislocation Age Under 21 (25671) |
$790.20 |
$878 |
0.2× |
Percutaneous skeletal fixation of femoral fracture, distal end, medial or lateral condyle, or supracondylar or… (27509)
likely a partial charge — not the full procedure |
$1,011.60 |
$1,124 |
0.1× |
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235)
likely a partial charge — not the full procedure |
$1,332.90 |
$1,481 |
0.2× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Age Under 21 (28496) |
$684.90 |
$761 |
0.2× |
Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Age Under 21 (24582)
likely a partial charge — not the full procedure |
$1,210.50 |
$1,345 |
0.2× |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Age Under 21 (24566) |
$1,069.20 |
$1,188 |
0.6× |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation Age Under 21 (28666) |
$264.60 |
$294 |
0.1× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$720.90 |
$801 |
0.2× |
| Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation Age Under 21 (26706) |
$668.70 |
$743 |
0.2× |
| Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each Age Under 21 (28476) |
$587.70 |
$653 |
0.2× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Age Under 21 (28636) |
$471.60 |
$524 |
0.1× |
Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar… (24538)
likely a partial charge — not the full procedure |
$1,177.20 |
$1,308 |
0.2× |
Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation Age Under 21 (28576)
likely a partial charge — not the full procedure |
$570.60 |
$634 |
0.1× |
Percutaneous skeletal fixation of talus fracture, with manipulation Age Under 21 (28436)
likely a partial charge — not the full procedure |
$747.90 |
$831 |
0.1× |
| Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Age Under 21 (28546) |
$895.50 |
$995 |
0.5× |
Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each (28456)
likely a partial charge — not the full procedure |
$564.30 |
$627 |
0.1× |
| Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation Age Under 21 (28606) |
$562.50 |
$625 |
0.2× |
Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws) Age… (27756)
likely a partial charge — not the full procedure |
$860.40 |
$956 |
0.1× |
| Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with… (26727) |
$710.10 |
$789 |
0.2× |
| Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic… (37188) |
$2,343.60 |
$2,604 |
0.7× |
| Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation Age… (21355) |
$671.40 |
$746 |
0.2× |
Percutaneous treatment of mandibular fracture, with external fixation Age Under 21 (21452)
likely a partial charge — not the full procedure |
$1,174.50 |
$1,305 |
0.2× |
| Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of… (21340) |
$1,107 |
$1,230 |
0.3× |
Pereyra procedure, including anterior colporrhaphy Age Under 21 (57289)
likely a partial charge — not the full procedure |
$1,173.60 |
$1,304 |
0.2× |
| Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents Age Under 21 (19371) |
$1,044.90 |
$1,161 |
0.3× |
| Pericardiocentesis w/img guidance when performed (33016) |
$335.70 |
$373 |
0.2× |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach (21261) |
$3,572.10 |
$3,969 |
0.6× |
Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach (21260)
unusually low — confirm this is the full procedure |
$2,027.70 |
$2,253 |
0.3× |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement (21263) |
$3,307.50 |
$3,675 |
0.5× |
| Perirectal injection of sclerosing solution for prolapse (45520) |
$252.90 |
$281 |
0.3× |
| Peritoneal lavage, including imaging guidance, when performed (49084) |
$987.75 |
$1,097.50 |
1.0× |
| Perq breast loc device placemt 1st lesio mr guid (19287) |
$1,021.50 |
$1,135 |
1.4× |
| Perq dev breast 1st strtctc (19283) |
$398.70 |
$443 |
0.5× |
| Perq dev breast 1st us imag (19285) |
$589.50 |
$655 |
0.8× |
| Perq device breast 1st imag (19281) |
$365.40 |
$406 |
0.2× |
| Perq dilation xst trc endourologic px w/img (50436) |
$216.90 |
$241 |
0.1× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$357.30 |
$397 |
0.1× |
| Perq drainage pleura insert cath w/imaging (32557) |
$1,053 |
$1,170 |
0.6× |
| Perq drainage pleura insert cath w/o imaging (32556) |
$1,184.40 |
$1,316 |
0.6× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$223.20 |
$248 |
0.8× |
Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906)
unusually low — confirm this is the full procedure |
$8,794.80 |
$9,772 |
0.5× |
Perq thrmbc/nfs dial circuit trluml balo angiop (36905)
likely a partial charge — not the full procedure |
$3,638.70 |
$4,043 |
0.3× |
Perq thrmbc/nfs dialysis circuit img dx angrph (36904)
unusually low — confirm this is the full procedure |
$2,867.40 |
$3,186 |
0.5× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$9,276.30 |
$10,307 |
1.2× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$9,234 |
$10,260 |
1.2× |
| Perq vertebroplasty uni/bi injection lumbosacral (22511) |
$2,879.10 |
$3,199 |
0.8× |
| Perq vertebroplasty uni/bi injx cervicothoracic (22510) |
$2,881.80 |
$3,202 |
0.8× |
Petrous apicectomy including radical mastoidectomy Age Under 21 (69530)
unusually low — confirm this is the full procedure |
$2,525.40 |
$2,806 |
0.4× |
Pf-as amputation leg through tibia & fibula (27880)
likely a partial charge — not the full procedure |
$1,301.40 |
$1,446 |
0.2× |
| Phalangectomy, toe, each toe Age Under 21 (28150) |
$624.60 |
$694 |
0.2× |
Pharyngoplasty (plastic or reconstructive operation on pharynx) Age Under 21 (42950)
likely a partial charge — not the full procedure |
$1,205.10 |
$1,339 |
0.2× |
| Pharyngostomy (fistulization of pharynx, external for feeding) Age Under 21 (42955) |
$1,144.80 |
$1,272 |
0.7× |
| Phleb veins - extrem 20+ (37766) |
$747 |
$830 |
0.2× |
| Photopheresis extracorporeal (36522) |
$2,165.40 |
$2,406 |
0.5× |
| Pin finger fracture each (26756) |
$639 |
$710 |
0.2× |
| Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to… (15050) |
$894.60 |
$994 |
1.1× |
| Place duod/jej tube perc (49441) |
$1,493.10 |
$1,659 |
0.7× |
Placement needle head/neck radioelement applicat (41019)
likely a partial charge — not the full procedure |
$708.30 |
$787 |
0.1× |
Placement needle pelvic organ radioelement appl (55920)
likely a partial charge — not the full procedure |
$666.90 |
$741 |
0.1× |
| Placement of amniotic membrane on eye surface for wound healing|RIGHT SIDE (65778) |
$2,115 |
$2,350 |
2.0× |
| Placement of bone and skin flap from foot bone with connection of small blood vessels (20972) |
$4,123.80 |
$4,582 |
0.5× |
| Placement of bone and skin flap from hip bone with connection of small blood vessels (20970) |
$4,136.40 |
$4,596 |
0.5× |
Placement of internal stabilizing device using an endoscope to treat broken or unstable wrist (29847)
likely a partial charge — not the full procedure |
$804.60 |
$894 |
0.1× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (32553) |
$797.40 |
$886 |
0.5× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous,… (49411) |
$744.30 |
$827 |
0.5× |
| Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), prostate (via… (55876) |
$225.90 |
$251 |
0.2× |
| Placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application… (20555) |
$486.90 |
$541 |
0.1× |
Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for… (19298)
likely a partial charge — not the full procedure |
$1,355.40 |
$1,506 |
0.1× |
| Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial… (19296) |
$6,064.20 |
$6,738 |
0.7× |
| Placement of seton (46020) |
$389.70 |
$433 |
0.1× |
| Placement of shunt into fetal chest using ultrasound guidance (59076) |
$740.70 |
$823 |
2.3× |
| Placement of stabilizing device for broken base of forearm bone on small finger side at wrist (25651) |
$729.90 |
$811 |
0.2× |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) (44300) |
$1,225.80 |
$1,362 |
0.6× |
| Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra Age… (54300) |
$939.60 |
$1,044 |
0.3× |
| Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without… (54304) |
$1,084.50 |
$1,205 |
0.3× |
| Plastic operation on penis for epispadias distal to external sphincter; Age Under 21 (54380) |
$1,159.20 |
$1,288 |
0.5× |
| Plastic operation on penis for epispadias distal to external sphincter; with incontinence Age Under 21 (54385) |
$1,349.10 |
$1,499 |
0.6× |
| Plastic operation on penis to correct angulation Age Under 21 (54360) |
$1,045.80 |
$1,162 |
0.3× |
Plastic operation on urethral sphincter, vaginal approach (eg, Kelly urethral plication) Age Under 21 (57220)
likely a partial charge — not the full procedure |
$517.50 |
$575 |
0.1× |
| Plastic repair of canaliculi (68700) |
$877.50 |
$975 |
0.3× |
Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stages Age Under 21 (40702)
likely a partial charge — not the full procedure |
$1,463.40 |
$1,626 |
0.2× |
Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Age Under 21 (40701)
likely a partial charge — not the full procedure |
$1,742.40 |
$1,936 |
0.3× |
Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral Age Under 21 (40700)
likely a partial charge — not the full procedure |
$1,477.80 |
$1,642 |
0.2× |
| Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure Age Under 21 (40720) |
$1,503 |
$1,670 |
0.4× |
Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning… (40761)
likely a partial charge — not the full procedure |
$1,578.60 |
$1,754 |
0.3× |
| Plastic repair of introitus Age Under 21 (56800) |
$373.50 |
$415 |
0.1× |
Plastic repair of salivary duct, sialodochoplasty; primary or simple Age Under 21 (42500)
likely a partial charge — not the full procedure |
$680.40 |
$756 |
0.1× |
Plastic repair of salivary duct, sialodochoplasty; secondary or complicated Age Under 21 (42505)
likely a partial charge — not the full procedure |
$864 |
$960 |
0.1× |
| Plastic repair of urethrocele Age Under 21 (57230) |
$621.90 |
$691 |
0.2× |
Plastic repair of vagina for intersex state (57335)
unusually low — confirm this is the full procedure |
$1,731.60 |
$1,924 |
0.3× |
Plmt access thru biliary tree into small bwl new (47541)
likely a partial charge — not the full procedure |
$1,830.60 |
$2,034 |
0.3× |
| Plmt bile duct stent prq existing access (47538) |
$6,136.20 |
$6,818 |
1.0× |
| Plmt bile duct stent prq new access w/o sep cath (47539) |
$6,788.70 |
$7,543 |
1.1× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$6,876 |
$7,640 |
1.1× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$1,440 |
$1,600 |
0.7× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$1,793.70 |
$1,993 |
0.5× |
| Plmt sft tiss loclzj dev perq 1st lesion (10035) |
$585 |
$650 |
0.8× |
| Plmt urtrl stent prq new access w/sep nfros cath (50695) |
$2,121.30 |
$2,357 |
0.6× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$1,582.20 |
$1,758 |
0.4× |
| Plmt urtrl stnt prq new acess w/o sep nfros cath (50694) |
$1,767.60 |
$1,964 |
0.5× |
| Pollicization of a digit Age Under 21 (26550) |
$2,467.80 |
$2,742 |
0.7× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy Age Under 21 (57250)
likely a partial charge — not the full procedure |
$908.10 |
$1,009 |
0.2× |
| Pr amputate lower leg at knee (27598) |
$1,018.80 |
$1,132 |
0.3× |
Pr arthrodesis knee any technique (27580)
likely a partial charge — not the full procedure |
$2,168.10 |
$2,409 |
0.2× |
| Pr brnchsc removal bronchial valve ea addl (31649) |
$97.20 |
$108 |
0.1× |
| Pr closed treatment sesamoid fracture (28530) |
$171 |
$190 |
0.7× |
Pr decompression internal auditory canal (69960)
unusually low — confirm this is the full procedure |
$2,781 |
$3,090 |
0.4× |
| Pr dermabrasion regional other than face (15782) |
$727.20 |
$808 |
0.2× |
| Pr harvesting conjuncival allography living donor (68371) |
$603.90 |
$671 |
0.2× |
| Pr inj. intralesional gt 7 lesions (11901) |
$105.30 |
$117 |
0.5× |
| Pr ligation internal jugular vein (37565) |
$1,055.70 |
$1,173 |
0.3× |
| Pr ligation; external carotid artery (37600) |
$1,070.10 |
$1,189 |
0.3× |
Pr osteoplasty femur lengthening (27466)
likely a partial charge — not the full procedure |
$1,735.20 |
$1,928 |
0.2× |
| Pr penile venous occlusive procedure (37790) |
$704.70 |
$783 |
0.2× |
Pr replantation foot complete amputation (20838)
likely a partial charge — not the full procedure |
$4,054.50 |
$4,505 |
0.2× |
| Pr resection partial/complete phalangeal base each (28126) |
$584.10 |
$649 |
0.2× |
| Pr rmvl lens material phacofragmentation aspir (66850) |
$1,147.50 |
$1,275 |
0.5× |
| Pr transfusion intrauterine fetal (36460) |
$496.80 |
$552 |
1.1× |
| Pr vasovasostomy vasovasorrhaphy (55400) |
$727.20 |
$808 |
0.2× |
Pr venous valve transposition any vein donor (34510)
likely a partial charge — not the full procedure |
$1,440 |
$1,600 |
0.2× |
| Preparation of moulage for custom breast implant Age Under 21 (19396) |
$420.30 |
$467 |
0.1× |
| Preputial stretching (54450) |
$115.20 |
$128 |
0.4× |
Prim prq trluml mchnl thrmbc n-cor n-icra 1st (37184)
likely a partial charge — not the full procedure |
$2,724.30 |
$3,027 |
0.1× |
| Prineoplasty rpr pr nonobal spx (56810) |
$401.40 |
$446 |
0.1× |
| Probe nasolacrimal duct (68815) |
$574.20 |
$638 |
0.2× |
| Probing of nasolacrimal duct, with or without irrigation; Age Under 21 (68810) |
$241.20 |
$268 |
0.7× |
| Probing of nasolacrimal duct, with or without irrigation; requiring general anesthesia Age Under 21 (68811) |
$196.20 |
$218 |
0.1× |
| Probing of nasolacrimal duct, with or without irrigation; with transluminal balloon catheter dilation Age Under 21 (68816) |
$1,355.40 |
$1,506 |
0.5× |
| Proctopexy (eg, for prolapse); perineal approach Age Under 21 (45541) |
$1,383.30 |
$1,537 |
0.5× |
| Proctoplasty; for prolapse of mucous membrane Age Under 21 (45505) |
$892.80 |
$992 |
0.3× |
| Proctoplasty; for stenosis Age Under 21 (45500) |
$844.20 |
$938 |
0.3× |
| Proctosigmoidoscopy dx (45300) |
$198.90 |
$221 |
0.2× |
| Proctosigmoidoscopy fb (45307) |
$333 |
$370 |
0.1× |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
$347.40 |
$386 |
0.1× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple Age Under 21 (45305) |
$281.70 |
$313 |
0.2× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$340.20 |
$378 |
0.3× |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Age Under 21 (45321) |
$150.30 |
$167 |
0.1× |
| Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie) Age Under 21 (45303) |
$1,536.30 |
$1,707 |
1.2× |
| Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar… (45315) |
$353.70 |
$393 |
0.3× |
| Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar… (45308) |
$318.60 |
$354 |
0.1× |
| Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique Age Under 21 (45309) |
$329.40 |
$366 |
0.3× |
Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Age Under 21 (45327)
likely a partial charge — not the full procedure |
$168.30 |
$187 |
0.0× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and… (27187)
likely a partial charge — not the full procedure |
$1,464.30 |
$1,627 |
0.2× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, tibia Age Under 21 (27745)
likely a partial charge — not the full procedure |
$1,116 |
$1,240 |
0.1× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle Age Under 21 (23490)
likely a partial charge — not the full procedure |
$1,266.30 |
$1,407 |
0.2× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus Age… (23491)
likely a partial charge — not the full procedure |
$1,492.20 |
$1,658 |
0.1× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius Age Under 21 (25490)
likely a partial charge — not the full procedure |
$1,062 |
$1,180 |
0.1× |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; radius AND ulna Age… (25492) |
$1,335.60 |
$1,484 |
0.4× |
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; ulna Age Under 21 (25491)
likely a partial charge — not the full procedure |
$1,090.80 |
$1,212 |
0.1× |
Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft Age… (24498)
likely a partial charge — not the full procedure |
$1,274.40 |
$1,416 |
0.1× |
Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur (27495)
likely a partial charge — not the full procedure |
$1,656 |
$1,840 |
0.2× |
| Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; cryotherapy, diathermy… (67141) |
$702 |
$780 |
2.1× |
| Prophylaxis of retinal detachment (eg, retinal break, lattice degeneration) without drainage; photocoagulation Age… (67145) |
$703.80 |
$782 |
1.2× |
| Prostatotomy, external drainage of prostatic abscess, any approach; complicated Age Under 21 (55725) |
$866.70 |
$963 |
0.2× |
| Prostatotomy, external drainage of prostatic abscess, any approach; simple Age Under 21 (55720) |
$657.90 |
$731 |
0.2× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$3,465.90 |
$3,851 |
0.5× |
| Prq impltj nstim electrode array epidural (63650) |
$3,645.90 |
$4,051 |
0.5× |
| Prq plmt biliary drg cath w/img gid rs&i externl (47533) |
$1,856.70 |
$2,063 |
0.5× |
| Prq plmt biliary drg cath w/img gid rs&i int-ext (47534) |
$2,016.90 |
$2,241 |
0.5× |
| Prq skel fixj iphal jt dislc 1 w/mnpj (26776) |
$675.90 |
$751 |
0.2× |
| Prq transcatheter rtrvl intrvas fb with imaging (37197) |
$2,484 |
$2,760 |
0.7× |
Prq transluminal mechanical thrombectomy vein (37187)
likely a partial charge — not the full procedure |
$2,737.80 |
$3,042 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$193.50 |
$215 |
0.5× |
| Punch graft for hair transplant; 1 to 15 punch grafts (15775) |
$565.20 |
$628 |
1.3× |
| Punch graft for hair transplant; more than 15 punch grafts (15776) |
$763.20 |
$848 |
1.8× |
| Puncture aspiration of abscess, hematoma, bulla, or cyst (10160) |
$218.25 |
$242.50 |
0.5× |
| Puncture aspiration of cyst of breast (19000) |
$156.60 |
$174 |
0.2× |
| Push transfusion, blood, 2 years or younger (36440) |
$73.80 |
$82 |
0.2× |
| Pvb thoracic cont infusion (64463) |
$361.80 |
$402 |
0.5× |
| Pvb thoracic single injection site w/img gid (64461) |
$205.20 |
$228 |
0.3× |
Quadricepsplasty (eg, Bennett or Thompson type) Age Under 21 (27430)
likely a partial charge — not the full procedure |
$1,096.20 |
$1,218 |
0.1× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,116 |
$1,240 |
0.7× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$895.50 |
$995 |
0.3× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$1,088.10 |
$1,209 |
0.4× |
| Rad Resection Tumor Soft Tissue Abdl Wall 5 Cm/> (22905) |
$1,928.70 |
$2,143 |
0.6× |
| Rad resection tumor soft tissue back/flank <5cm (21935) |
$1,496.70 |
$1,663 |
0.5× |
| Radial styloidectomy (separate procedure) Age Under 21 (25230) |
$645.30 |
$717 |
0.2× |
| Radiant-excision infected graft extremity (35903) |
$810.90 |
$901 |
0.2× |
Radiant-repair blood vessel direct neck (35201)
likely a partial charge — not the full procedure |
$1,341.90 |
$1,491 |
0.2× |
Radical excision external auditory canal lesion; without neck dissection Age Under 21 (69150)
likely a partial charge — not the full procedure |
$1,510.20 |
$1,678 |
0.2× |
Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)… (24149)
likely a partial charge — not the full procedure |
$1,732.50 |
$1,925 |
0.2× |
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) (42844)
unusually low — confirm this is the full procedure |
$2,048.40 |
$2,276 |
0.3× |
Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure (42842)
likely a partial charge — not the full procedure |
$1,512.90 |
$1,681 |
0.2× |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Age Under 21 (22904) |
$1,537.20 |
$1,708 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Age Under 21 (21936) |
$2,053.80 |
$2,282 |
0.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater Age Under 21 (21016) |
$1,474.20 |
$1,638 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Age Under 21 (21015) |
$1,028.70 |
$1,143 |
0.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Age Under 21 (28047) |
$1,504.80 |
$1,672 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Age Under 21 (28046) |
$1,040.40 |
$1,156 |
0.3× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater Age Under 21 (25078) |
$1,696.50 |
$1,885 |
0.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Age Under 21 (25077) |
$1,306.80 |
$1,452 |
0.4× |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater Age Under 21 (26118) |
$1,550.70 |
$1,723 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Age Under 21 (27616) |
$1,848.60 |
$2,054 |
0.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; less than 5 cm Age Under 21 (27615) |
$1,494.90 |
$1,661 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater Age Under 21 (21558) |
$1,953.90 |
$2,171 |
0.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Age Under 21 (21557) |
$1,395 |
$1,550 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater Age Under 21 (27059) |
$2,631.60 |
$2,924 |
0.9× |
| Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; less than 5 cm Age Under 21 (27049) |
$1,956.60 |
$2,174 |
0.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater Age Under 21 (23078) |
$2,081.70 |
$2,313 |
0.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; less than 5 cm Age Under 21 (23077) |
$1,645.20 |
$1,828 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; 5 cm or greater Age Under 21 (27364) |
$2,273.40 |
$2,526 |
0.7× |
| Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm Age Under 21 (27329) |
$1,520.10 |
$1,689 |
0.5× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Age Under 21 (24079) |
$1,927.80 |
$2,142 |
0.6× |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Age Under 21 (24077) |
$1,509.30 |
$1,677 |
0.5× |
| Radical resection of tumor, distal phalanx of finger Age Under 21 (26262) |
$931.50 |
$1,035 |
0.5× |
| Radical resection of tumor, metacarpal Age Under 21 (26250) |
$1,561.50 |
$1,735 |
0.5× |
| Radical resection of tumor, proximal or middle phalanx of finger Age Under 21 (26260) |
$1,172.70 |
$1,303 |
0.3× |
Radical resection of tumor, radial head or neck Age Under 21 (24152)
likely a partial charge — not the full procedure |
$1,961.10 |
$2,179 |
0.3× |
Radical resection of tumor, shaft or distal humerus (24150)
likely a partial charge — not the full procedure |
$2,252.70 |
$2,503 |
0.3× |
| Radical resection of tumor; innominate bone, total (27077) |
$4,074.30 |
$4,527 |
0.5× |
Radical resection of tumor; ischial tuberosity and greater trochanter of femur (27078)
unusually low — confirm this is the full procedure |
$2,985.30 |
$3,317 |
0.4× |
| Radical resection of tumor; metatarsal Age Under 21 (28173) |
$1,056.60 |
$1,174 |
0.3× |
| Radical resection of tumor; phalanx of toe Age Under 21 (28175) |
$684.90 |
$761 |
0.4× |
| Radical resection of tumor; talus or calcaneus Age Under 21 (27647) |
$1,450.80 |
$1,612 |
0.4× |
| Radical resection of tumor; tarsal (except talus or calcaneus) Age Under 21 (28171) |
$1,618.20 |
$1,798 |
0.5× |
Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis (27075)
unusually low — confirm this is the full procedure |
$3,027.60 |
$3,364 |
0.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$731.70 |
$813 |
0.4× |
| Re-amputation following removal of hand at wrist joint (25924) |
$1,066.50 |
$1,185 |
0.3× |
Re-amputation of remaining arm at upper arm bone (24930)
likely a partial charge — not the full procedure |
$1,140.30 |
$1,267 |
0.1× |
| Re-amputation of remaining hand at midhand bones (25931) |
$1,215 |
$1,350 |
0.4× |
| Realignment of extensor tendon, hand, each tendon (26437) |
$1,021.50 |
$1,135 |
0.3× |
Reattachment of shoulder joint capsule and cartilage without bone transfer with repair of shoulder rim (23455)
likely a partial charge — not the full procedure |
$1,456.20 |
$1,618 |
0.2× |
| Reconstr mcp jnt col ligam w graft (26541) |
$1,265.40 |
$1,406 |
0.4× |
Reconstruction (advancement), posterior tibial tendon with excision of accessory tarsal navicular bone (eg, Kidner type… (28238)
likely a partial charge — not the full procedure |
$999 |
$1,110 |
0.1× |
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 |
$1,089 |
$1,210 |
0.2× |
Reconstruction external auditory canal for congenital atresia, single stage Age Under 21 (69320)
unusually low — confirm this is the full procedure |
$2,365.20 |
$2,628 |
0.4× |
Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft tissue… (25337)
likely a partial charge — not the full procedure |
$1,307.70 |
$1,453 |
0.2× |
Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft) Age Under 21 (24344)
likely a partial charge — not the full procedure |
$1,610.10 |
$1,789 |
0.2× |
Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft) Age Under 21 (24346)
likely a partial charge — not the full procedure |
$1,624.50 |
$1,805 |
0.1× |
Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes… (21146)
unusually low — confirm this is the full procedure |
$2,388.60 |
$2,654 |
0.4× |
Reconstruction midface, lefort i; 2 pieces, segment movement in any direction, without bone graft (21142)
unusually low — confirm this is the full procedure |
$2,021.40 |
$2,246 |
0.3× |
Reconstruction midface, lefort i; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes… (21147)
unusually low — confirm this is the full procedure |
$2,513.70 |
$2,793 |
0.4× |
Reconstruction midface, lefort i; 3 or more pieces, segment movement in any direction, without bone graft (21143)
unusually low — confirm this is the full procedure |
$2,082.60 |
$2,314 |
0.3× |
Reconstruction midface, lefort i; single piece, segment movement in any direction (eg, for long face syndrome), without… (21141)
unusually low — confirm this is the full procedure |
$1,970.10 |
$2,189 |
0.3× |
Reconstruction midface, lefort i; single piece, segment movement in any direction, requiring bone grafts (includes… (21145)
unusually low — confirm this is the full procedure |
$2,288.70 |
$2,543 |
0.4× |
Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) (21150)
unusually low — confirm this is the full procedure |
$2,414.70 |
$2,683 |
0.4× |
Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts) (21151)
unusually low — confirm this is the full procedure |
$2,654.10 |
$2,949 |
0.4× |
| Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone… (21159) |
$3,788.10 |
$4,209 |
0.6× |
| Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone… (21160) |
$4,105.80 |
$4,562 |
0.7× |
| Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts);… (21155) |
$3,164.40 |
$3,516 |
0.5× |
Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts);… (21154)
unusually low — confirm this is the full procedure |
$2,855.70 |
$3,173 |
0.5× |
Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts) (21188)
unusually low — confirm this is the full procedure |
$2,343.60 |
$2,604 |
0.4× |
Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty) Age Under 21 (23420)
likely a partial charge — not the full procedure |
$1,432.80 |
$1,592 |
0.2× |
Reconstruction of congenital foot defect (28360)
likely a partial charge — not the full procedure |
$1,617.30 |
$1,797 |
0.2× |
Reconstruction of dislocating patella; (eg, Hauser type procedure) Age Under 21 (27420)
likely a partial charge — not the full procedure |
$1,095.30 |
$1,217 |
0.1× |
Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422)
likely a partial charge — not the full procedure |
$1,096.20 |
$1,218 |
0.1× |
Reconstruction of dislocating patella; with patellectomy Age Under 21 (27424)
likely a partial charge — not the full procedure |
$1,105.20 |
$1,228 |
0.1× |
Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310)
likely a partial charge — not the full procedure |
$1,704.60 |
$1,894 |
0.3× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage Age… (67975) |
$990.90 |
$1,101 |
0.4× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67973) |
$1,342.80 |
$1,492 |
0.5× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) |
$1,340.10 |
$1,489 |
0.3× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds… (67971) |
$1,046.70 |
$1,163 |
0.4× |
Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete (21249)
unusually low — confirm this is the full procedure |
$1,985.40 |
$2,206 |
0.3× |
Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial (21248)
likely a partial charge — not the full procedure |
$1,462.50 |
$1,625 |
0.2× |
Reconstruction of mandible or maxilla, subperiosteal implant; partial Age Under 21 (21245)
likely a partial charge — not the full procedure |
$1,778.40 |
$1,976 |
0.3× |
Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate) Age Under 21 (21244)
likely a partial charge — not the full procedure |
$1,491.30 |
$1,657 |
0.2× |
Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial… (21247)
unusually low — confirm this is the full procedure |
$2,329.20 |
$2,588 |
0.4× |
Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation (21196)
unusually low — confirm this is the full procedure |
$2,126.70 |
$2,363 |
0.3× |
Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation (21195)
unusually low — confirm this is the full procedure |
$1,991.70 |
$2,213 |
0.3× |
Reconstruction of mandibular rami, horizontal, vertical, c, or l osteotomy; with bone graft (includes obtaining graft) (21194)
unusually low — confirm this is the full procedure |
$2,103.30 |
$2,337 |
0.3× |
Reconstruction of mandibular rami, horizontal, vertical, c, or l osteotomy; without bone graft (21193)
likely a partial charge — not the full procedure |
$1,816.20 |
$2,018 |
0.3× |
| Reconstruction of nail bed with graft Age Under 21 (11762) |
$438.30 |
$487 |
0.2× |
Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg,… (21256)
likely a partial charge — not the full procedure |
$1,816.20 |
$2,018 |
0.3× |
| Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of… (21183) |
$3,360.60 |
$3,734 |
0.5× |
Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of… (21182)
unusually low — confirm this is the full procedure |
$3,089.70 |
$3,433 |
0.5× |
| Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of… (21184) |
$3,612.60 |
$4,014 |
0.6× |
| Reconstruction of polydactylous digit, soft tissue and bone Age Under 21 (26587) |
$1,537.20 |
$1,708 |
0.4× |
Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure) Age Under 21 (26500)
likely a partial charge — not the full procedure |
$1,023.30 |
$1,137 |
0.1× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$1,153.80 |
$1,282 |
0.3× |
Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) (21255)
unusually low — confirm this is the full procedure |
$1,987.20 |
$2,208 |
0.3× |
| Reconstruction or creation of the external female sexual organ for intersex state (56805) |
$1,713.60 |
$1,904 |
0.5× |
Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts… (21172)
unusually low — confirm this is the full procedure |
$3,060.90 |
$3,401 |
0.5× |
| Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly… (28313) |
$790.20 |
$878 |
0.2× |
| Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg,… (21175) |
$3,237.30 |
$3,597 |
0.5× |
| Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint Age Under 21 (26545) |
$1,116 |
$1,240 |
0.3× |
| Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement)… (26542) |
$1,103.40 |
$1,226 |
0.3× |
Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts) (21180)
unusually low — confirm this is the full procedure |
$2,486.70 |
$2,763 |
0.4× |
Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material) (21179)
unusually low — confirm this is the full procedure |
$2,228.40 |
$2,476 |
0.4× |
| Reconstruction, toe(s); polydactyly Age Under 21 (28344) |
$626.40 |
$696 |
0.2× |
| Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web Age Under 21 (28345) |
$764.10 |
$849 |
0.5× |
| Reconstruction, toe, macrodactyly; requiring bone resection Age Under 21 (28341) |
$975.60 |
$1,084 |
0.3× |
| Reconstruction, toe, macrodactyly; soft tissue resection (28340) |
$842.40 |
$936 |
0.2× |
Reconstructive repair of pectus excavatum or carinatum; open (21740)
likely a partial charge — not the full procedure |
$1,476.90 |
$1,641 |
0.2× |
Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft) Age… (21138)
likely a partial charge — not the full procedure |
$1,341.90 |
$1,491 |
0.2× |
Reduction forehead; contouring and setback of anterior frontal sinus wall Age Under 21 (21139)
likely a partial charge — not the full procedure |
$1,608.30 |
$1,787 |
0.3× |
| Reduction forehead; contouring only Age Under 21 (21137) |
$1,104.30 |
$1,227 |
0.3× |
| Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach Age… (21295) |
$290.70 |
$323 |
0.2× |
| Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach Age… (21296) |
$608.40 |
$676 |
0.2× |
| Reduction of procidentia (separate procedure) under anesthesia Age Under 21 (45900) |
$313.20 |
$348 |
0.3× |
| Reduction of torsion of testis, surgical, with or without fixation of contralateral testis Age Under 21 (54600) |
$658.80 |
$732 |
0.2× |
| Reduction overcorrection ptosis (67909) |
$821.70 |
$913 |
0.3× |
| Reinsertion of ocular implant; with or without conjunctival graft Age Under 21 (65150) |
$1,064.70 |
$1,183 |
0.3× |
| Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant… (65155) |
$1,450.80 |
$1,612 |
0.3× |
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 |
$1,143 |
$1,270 |
0.1× |
| Release i-p jt contracture (26525) |
$1,054.80 |
$1,172 |
0.6× |
| Release of encircling material (posterior segment) Age Under 21 (67115) |
$728.10 |
$809 |
0.2× |
| Release of extensive scar tissue without detaching extraocular muscle (separate procedure) Age Under 21 (67343) |
$980.10 |
$1,089 |
0.4× |
| Release of eye fluid (67015) |
$891.90 |
$991 |
0.4× |
| Release of ligaments at outer side of knee joint using an endoscope (29873) |
$800.10 |
$889 |
0.2× |
Release of tendon connecting biceps muscle and shoulder using an endoscope (29828)
likely a partial charge — not the full procedure |
$1,347.30 |
$1,497 |
0.2× |
| Release of thenar muscle(s) (eg, thumb contracture) Age Under 21 (26508) |
$1,035.90 |
$1,151 |
0.3× |
| Release or recession, hamstring, proximal Age Under 21 (27097) |
$1,010.70 |
$1,123 |
0.3× |
| Release palm contracture (26040) |
$473.40 |
$526 |
0.3× |
| Release, intrinsic muscles of hand, each muscle Age Under 21 (26593) |
$989.10 |
$1,099 |
0.3× |
| Release, tarsal tunnel (posterior tibial nerve decompression) Age Under 21 (28035) |
$784.80 |
$872 |
0.4× |
| Relieve inner eye pressure (65820) |
$1,227.60 |
$1,364 |
0.3× |
| Relieve pressure on nerve(s) (64722) |
$531 |
$590 |
0.3× |
| Relocate skin pocket implantable defibrillator (33223) |
$596.70 |
$663 |
0.3× |
| Relocation of skin pocket for pacemaker (33222) |
$501.30 |
$557 |
0.2× |
Relocation of upper arm surface vein with connection to arm artery for hemodialysis|RIGHT SIDE (36819)
likely a partial charge — not the full procedure |
$1,039.50 |
$1,155 |
0.2× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including… (50382) |
$1,598.40 |
$1,776 |
0.7× |
| Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach, without… (50385) |
$1,608.30 |
$1,787 |
0.7× |
Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative… (54410)
likely a partial charge — not the full procedure |
$1,251.90 |
$1,391 |
0.1× |
Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411)
likely a partial charge — not the full procedure |
$1,489.50 |
$1,655 |
0.1× |
Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447)
likely a partial charge — not the full procedure |
$1,170 |
$1,300 |
0.1× |
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416)
likely a partial charge — not the full procedure |
$1,042.20 |
$1,158 |
0.0× |
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417)
likely a partial charge — not the full procedure |
$1,301.40 |
$1,446 |
0.1× |
| Removal biliary drg catheter req fluor gid rs&i (47537) |
$788.40 |
$876 |
0.8× |
| Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia) Age Under 21 (21029) |
$1,143 |
$1,270 |
0.3× |
| Removal foreign body foot complicated (28193) |
$779.40 |
$866 |
0.4× |
| REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS TechFee (28190) |
$340.65 |
$378.50 |
0.5× |
| Removal foreign body from deep penile tissue (eg, plastic implant) Age Under 21 (54115) |
$670.50 |
$745 |
0.2× |
| Removal foreign body from external auditory canal; with general anesthesia Age Under 21 (69205) |
$141.30 |
$157 |
0.1× |
| Removal foreign body mouth (40804) |
$286.20 |
$318 |
0.3× |
| Removal foreign body shoulder subcutaneous (23330) |
$461.70 |
$513 |
0.3× |
| Removal foreign body upper arm/elbow deep (24201) |
$830.70 |
$923 |
0.3× |
| Removal foreign body, intranasal; by lateral rhinotomy Age Under 21 (30320) |
$745.20 |
$828 |
0.5× |
| Removal foreign body, intranasal; requiring general anesthesia Age Under 21 (30310) |
$316.80 |
$352 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$31.50 |
$35 |
0.5× |
| Removal impacted cerumen requiring instrumentation, unilateral (69210) |
$75.15 |
$83.50 |
1.2× |
| Removal implant deep (20680) |
$905.40 |
$1,006 |
0.3× |
| Removal implant from finger/hand (26320) |
$523.80 |
$582 |
0.3× |
| Removal implant superficial (20670) |
$553.50 |
$615 |
0.3× |
| Removal implantable contraceptive capsules (11976) |
$215.10 |
$239 |
0.3× |
| Removal implantable defib pulse generator only (33241) |
$315 |
$350 |
0.1× |
| Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis Age… (54406) |
$1,060.20 |
$1,178 |
0.3× |
| Removal of anal fissure (46200) |
$728.10 |
$809 |
0.2× |
| Removal of anal seton, other marker Age Under 21 (46030) |
$399.60 |
$444 |
0.3× |
| Removal of ankle implant (27704) |
$843.30 |
$937 |
0.2× |
Removal of appendix using an endoscope (44970)
likely a partial charge — not the full procedure |
$930.60 |
$1,034 |
0.1× |
Removal of arm and shoulder blade at shoulder joint (23920)
likely a partial charge — not the full procedure |
$1,645.20 |
$1,828 |
0.1× |
| Removal of blood clot, anterior segment of eye Age Under 21 (65930) |
$939.60 |
$1,044 |
0.4× |
| Removal of blood from fetal umbilical cord (59012) |
$286.20 |
$318 |
0.9× |
| Removal of blood from scalp of fetus (59030) |
$159.30 |
$177 |
0.5× |
| Removal of bony growth of jaw bone inside mouth|BILATERAL PROCEDURE (21031) |
$583.20 |
$648 |
0.2× |
| Removal of bony growth of upper jaw bone inside mouth (21032) |
$562.50 |
$625 |
0.2× |
| Removal of calcium deposits at rotator cuff tendons, open procedure (23000) |
$875.70 |
$973 |
0.3× |
Removal of cartilage attaching tongue (31420)
likely a partial charge — not the full procedure |
$1,237.50 |
$1,375 |
0.2× |
| Removal of cerclage suture under anesthesia (other than local) Age Under 21 (59871) |
$189.90 |
$211 |
0.1× |
| Removal of chest bone tissue (21627) |
$798.30 |
$887 |
0.2× |
| Removal of chronic growth of eyelid|RIGHT SIDE (67800) |
$190.80 |
$212 |
0.6× |
Removal of congenital defect of lymph nodes at underarm or neck with deep neurovascular dissection (38555)
likely a partial charge — not the full procedure |
$1,502.10 |
$1,669 |
0.2× |
| Removal of congenital remnant of fluid-producing glands for sperm movement (55680) |
$506.70 |
$563 |
0.1× |
| Removal of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Age Under 21 (64570) |
$1,068.30 |
$1,187 |
0.3× |
Removal of dead upper arm bone for bone infection in the main portion and lower portion or the bone (24134)
likely a partial charge — not the full procedure |
$1,103.40 |
$1,226 |
0.1× |
| Removal of diseased or injured scrotum (55150) |
$721.80 |
$802 |
0.2× |
| Removal of embedded foreign body from dentoalveolar structures; bone Age Under 21 (41806) |
$635.40 |
$706 |
0.4× |
| Removal of entire lumbosubarachnoid shunt system without replacement Age Under 21 (63746) |
$891.90 |
$991 |
0.4× |
| Removal of epithelial downgrowth, anterior chamber of eye Age Under 21 (65900) |
$1,457.10 |
$1,619 |
0.6× |
| Removal of extensive damaged tissue from elbow joint using an endoscope (29838) |
$878.40 |
$976 |
0.3× |
| Removal of external bone stabilizing device under anesthesia|RIGHT SIDE (20694) |
$643.50 |
$715 |
0.4× |
| Removal of eye lesion (65400) |
$1,024.20 |
$1,138 |
1.0× |
| Removal of eyelashes using forceps|BILATERAL PROCEDURE (67820) |
$28.80 |
$32 |
0.2× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$539.10 |
$599 |
0.4× |
Removal of first and/or extra rib at neck (21615)
likely a partial charge — not the full procedure |
$887.40 |
$986 |
0.1× |
Removal of first and/or extra rib at neck with removal of sympathetic nerves (21616)
likely a partial charge — not the full procedure |
$1,024.20 |
$1,138 |
0.1× |
| Removal of fluid collection in both testicles and sperm reservoirs (55041) |
$746.10 |
$829 |
0.2× |
| Removal of fluid collection in testicle and sperm reservoir|RIGHT SIDE (55040) |
$495 |
$550 |
0.1× |
Removal of fluid-filled sac (bursa) of pelvis (27060)
likely a partial charge — not the full procedure |
$691.20 |
$768 |
0.1× |
| Removal of fluid-filled sac (bursa) or calcium deposit of pelvis (27062) |
$676.80 |
$752 |
0.2× |
| Removal of fluid-filled sac from joint at front of knee (27340) |
$559.80 |
$622 |
0.2× |
| Removal of forearm bone at elbow joint (24130) |
$758.70 |
$843 |
0.2× |
| Removal of foreign bodies from large bowel using an endoscope inserted through surgically created opening from large… (44390) |
$624.60 |
$694 |
0.6× |
| Removal of foreign body in muscle or tendon sheath; simple (20520) |
$340.20 |
$378 |
0.2× |
| Removal of foreign body in scrotum (55120) |
$518.40 |
$576 |
0.2× |
| Removal of foreign body in voice box using an endoscope with mirror (31511) |
$319.50 |
$355 |
1.5× |
| Removal of foreign body of upper arm or elbow area, accessed beneath the skin (24200) |
$333.90 |
$371 |
0.2× |
| Removal of foreign body or dacryolith, lacrimal passages Age Under 21 (68530) |
$657 |
$730 |
2.0× |
| Removal of foreign body, deep, thigh region or knee area Age Under 21 (27372) |
$900 |
$1,000 |
0.3× |
| Removal of foreign body, external eye; conjunctival superficial (65205) |
$55.35 |
$61.50 |
0.4× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$93.15 |
$103.50 |
0.2× |
| Removal of foreign body, foot; deep (28192) |
$689.40 |
$766 |
0.4× |
| Removal of foreign body, intraocular; from anterior chamber of eye or lens Age Under 21 (65235) |
$1,072.80 |
$1,192 |
0.4× |
| Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Age… (65260) |
$1,441.80 |
$1,602 |
0.6× |
| Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction Age Under 21 (65265) |
$1,622.70 |
$1,803 |
0.7× |
| Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular) Age Under 21 (27087) |
$902.70 |
$1,003 |
0.3× |
| Removal of foreign body, shoulder; deep (subfascial or intramuscular) Age Under 21 (23333) |
$701.10 |
$779 |
0.2× |
| Removal of growth from skull bone surrounding ear (69970) |
$3,146.40 |
$3,496 |
0.5× |
| Removal of growth of eyelid lining 1.0 cm or less|RIGHT SIDE (68110) |
$358.20 |
$398 |
0.1× |
| Removal of growth of voice box using an endoscope with mirror (31512) |
$326.70 |
$363 |
0.1× |
| Removal of growths or polyps of large bowel by electrical cautery using an endoscope inserted through surgically… (44392) |
$594 |
$660 |
0.5× |
| Removal of growths or polyps of large bowel by mechanical snare using an endoscope inserted through surgically created… (44394) |
$678.60 |
$754 |
0.5× |
| Removal of heel spur (28119) |
$828 |
$920 |
0.2× |
Removal of hip bone and leg at hip joint (27295)
likely a partial charge — not the full procedure |
$1,841.40 |
$2,046 |
0.1× |
Removal of hip prosthesis; (separate procedure) (27090)
likely a partial charge — not the full procedure |
$1,223.10 |
$1,359 |
0.2× |
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091)
likely a partial charge — not the full procedure |
$2,322 |
$2,580 |
0.2× |
| Removal of implanted intra-arterial infusion pump Age Under 21 (36262) |
$463.50 |
$515 |
0.1× |
| Removal of implanted material, anterior segment of eye Age Under 21 (65920) |
$1,160.10 |
$1,289 |
0.5× |
| Removal of implanted material, posterior segment; intraocular Age Under 21 (67121) |
$1,314.90 |
$1,461 |
0.5× |
Removal of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Age Under 21 (53446)
likely a partial charge — not the full procedure |
$934.20 |
$1,038 |
0.2× |
| Removal of intact breast implant Age Under 21 (19328) |
$814.50 |
$905 |
0.2× |
| Removal of iris and eyelid border to improve eye fluid flow with partial removal of ciliary muscle (66605) |
$1,602 |
$1,780 |
0.7× |
| Removal of iud (58301) |
$164.70 |
$183 |
0.5× |
| Removal of lens material; aspiration technique, 1 or more stages Age Under 21 (66840) |
$1,010.70 |
$1,123 |
0.4× |
| Removal of lens material; intracapsular Age Under 21 (66920) |
$1,089.90 |
$1,211 |
0.4× |
| Removal of lens material; intracapsular, for dislocated lens Age Under 21 (66930) |
$1,249.20 |
$1,388 |
0.3× |
| Removal of lens material; pars plana approach, with or without vitrectomy Age Under 21 (66852) |
$1,222.20 |
$1,358 |
0.3× |
| Removal of lining of large bowel using an endoscope inserted through surgically created opening from large bowel to skin (44403) |
$440.10 |
$489 |
0.3× |
| Removal of lower arm radial artery sympathetic nerve (64821) |
$1,018.80 |
$1,132 |
0.3× |
| Removal of lower arm ulnar artery sympathetic nerve (64822) |
$1,030.50 |
$1,145 |
0.3× |
Removal of lymph nodes from chin to thyroid cartilage (38700)
likely a partial charge — not the full procedure |
$1,184.40 |
$1,316 |
0.2× |
Removal of magnetic band from base of esophagus using an endoscope (43285)
likely a partial charge — not the full procedure |
$981 |
$1,090 |
0.2× |
Removal of middle ear bone and removal of growth of middle ear (69505)
likely a partial charge — not the full procedure |
$1,864.80 |
$2,072 |
0.3× |
| Removal of multiple hemorrhoid groups|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (46260) |
$755.10 |
$839 |
0.3× |
| Removal of muscle in anus and rectum area (45108) |
$551.70 |
$613 |
0.2× |
| Removal of nail bed (11750) |
$246.15 |
$273.50 |
0.6× |
| Removal of nasal sinus from outside nasal passage (31205) |
$1,416.60 |
$1,574 |
0.4× |
| Removal of nasal sinus from within nasal passage (31201) |
$1,210.50 |
$1,345 |
0.7× |
Removal of neck muscle and extra rib at neck with release of nerves (21705)
likely a partial charge — not the full procedure |
$763.20 |
$848 |
0.1× |
| Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis, without replacement of… (54415) |
$774 |
$860 |
0.2× |
| Removal of ocular implant Age Under 21 (65175) |
$1,179 |
$1,310 |
0.3× |
| Removal of peritoneal foreign body from peritoneal cavity Age Under 21 (49402) |
$1,242 |
$1,380 |
0.3× |
Removal of pm generator (33233)
likely a partial charge — not the full procedure |
$342.90 |
$381 |
0.0× |
Removal of posterior nonsegmental instrumentation (eg, harrington rod) (22850)
likely a partial charge — not the full procedure |
$1,075.50 |
$1,195 |
0.1× |
Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335)
likely a partial charge — not the full procedure |
$1,852.20 |
$2,058 |
0.2× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components Age Under 21 (24160) |
$1,831.50 |
$2,035 |
0.5× |
Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component Age Under 21 (23334)
likely a partial charge — not the full procedure |
$1,556.10 |
$1,729 |
0.2× |
| Removal of prosthesis, includes debridement and synovectomy when performed; radial head Age Under 21 (24164) |
$1,069.20 |
$1,188 |
0.3× |
Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee (27488)
likely a partial charge — not the full procedure |
$1,755.90 |
$1,951 |
0.1× |
Removal of recurrent cyst of thyroid or drainage of thyroid gland duct (60281)
likely a partial charge — not the full procedure |
$879.30 |
$977 |
0.1× |
| Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel) Age Under 21 (19330) |
$949.50 |
$1,055 |
0.2× |
| Removal of salivary stone (42330) |
$351.90 |
$391 |
0.1× |
| Removal of scar tissue of multiple tendons at top of foot (28226) |
$933.30 |
$1,037 |
0.3× |
| Removal of scar tissue of tendon on bottom side of foot (28220) |
$674.10 |
$749 |
0.4× |
| Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) |
$1,034.10 |
$1,149 |
0.4× |
Removal of segmental stabilizing device from back of spine (22852)
likely a partial charge — not the full procedure |
$1,033.20 |
$1,148 |
0.1× |
| Removal of shunt from jugular vein to abdominal cavity (49429) |
$667.80 |
$742 |
0.2× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$145.80 |
$162 |
0.7× |
| Removal of small bone underlying long bone of foot at big toe joint (28315) |
$719.10 |
$799 |
0.2× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$1,233.90 |
$1,371 |
0.3× |
Removal of stabilizing device from front of spine (22855)
likely a partial charge — not the full procedure |
$1,607.40 |
$1,786 |
0.2× |
| Removal of stabilizing device from head originally applied by other provider (20665) |
$173.70 |
$193 |
0.4× |
Removal of stone from ureter using an endoscope (50945)
likely a partial charge — not the full procedure |
$1,400.40 |
$1,556 |
0.2× |
| Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion Age Under 21 (62365) |
$433.80 |
$482 |
0.1× |
| Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation) Age Under 21 (15851) |
$162.90 |
$181 |
0.1× |
| Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod (26416) |
$1,399.50 |
$1,555 |
0.4× |
Removal of synthetic rod and insertion of flexor tendon graft, hand or finger (includes obtaining graft), each rod Age… (26392)
likely a partial charge — not the full procedure |
$1,521.90 |
$1,691 |
0.2× |
| Removal of tendons, ligaments, and muscles of wrist (25920) |
$1,089.90 |
$1,211 |
0.3× |
| Removal of Thiersch wire or suture, anal canal Age Under 21 (46754) |
$526.50 |
$585 |
0.2× |
Removal of thyroid lobe on side of neck and partial removal of thyroid lobe on opposite side of neck including tissue… (60225)
likely a partial charge — not the full procedure |
$1,373.40 |
$1,526 |
0.2× |
| Removal of tissue expander without insertion of implant Age Under 21 (11971) |
$809.10 |
$899 |
0.3× |
Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical (22864)
unusually low — confirm this is the full procedure |
$2,964.60 |
$3,294 |
0.4× |
Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar (22865)
unusually low — confirm this is the full procedure |
$3,241.80 |
$3,602 |
0.4× |
| Removal of transvenous pacemaker electrode(s); dual lead system Age Under 21 (33235) |
$926.10 |
$1,029 |
0.2× |
| Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular Age Under 21 (33234) |
$704.70 |
$783 |
0.2× |
| Removal of tunneled intraperitoneal catheter (49422) |
$318.60 |
$354 |
0.1× |
| Removal of upper and middle spine sympathetic nerves (64804) |
$1,723.50 |
$1,915 |
0.8× |
| Removal of upper spine sympathetic nerves (64802) |
$1,230.30 |
$1,367 |
0.6× |
Removal of uterus with repair of herniated bowel through vagina, 250.0 g or less (58270)
likely a partial charge — not the full procedure |
$1,316.70 |
$1,463 |
0.2× |
Removal of uterus with repair of herniated bowel through vagina. 250.0 g or more (58294)
unusually low — confirm this is the full procedure |
$1,783.80 |
$1,982 |
0.3× |
| Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal Age Under 21 (67005) |
$692.10 |
$769 |
0.3× |
| Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal with mechanical… (67010) |
$792.90 |
$881 |
0.3× |
| Removal of wrist bone (25210) |
$733.50 |
$815 |
0.2× |
| Removal of wrist prosthesis; (separate procedure) Age Under 21 (25250) |
$794.70 |
$883 |
0.5× |
| Removal of wrist prosthesis; complicated, including total wrist Age Under 21 (25251) |
$1,062 |
$1,180 |
0.3× |
| Removal or bivalving; full arm or full leg cast Age Under 21 (29705) |
$93.60 |
$104 |
0.3× |
| Removal or bivalving; shoulder or hip spica, Minerva, or Risser jacket, etc. Age Under 21 (29710) |
$179.10 |
$199 |
0.6× |
| Removal or relocation of corneal conjunctiva with graft|BILATERAL PROCEDURE (65426) |
$1,007.10 |
$1,119 |
0.4× |
| Removal or repair of electromagnetic bone conduction hearing device in temporal bone Age Under 21 (69711) |
$1,259.10 |
$1,399 |
0.4× |
Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Age Under 21 (53442)
likely a partial charge — not the full procedure |
$1,140.30 |
$1,267 |
0.2× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) Age Under 21 (57287) |
$1,101.60 |
$1,224 |
0.3× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$198.90 |
$221 |
0.3× |
| Removal tunneled cv cath (36590) |
$348.30 |
$387 |
0.2× |
| Removal with reinsertion, non-biodegradable drug delivery implant (11983) |
$222.30 |
$247 |
0.5× |
| Removal, non-biodegradable drug delivery implant (11982) |
$177.30 |
$197 |
0.4× |
| Removal/revision of cast (29700) |
$91.80 |
$102 |
0.3× |
| Remove eye implant material (67120) |
$997.20 |
$1,108 |
0.4× |
| Remove eyelid foreign body (67938) |
$422.10 |
$469 |
1.3× |
| Remove eyelid lesions (67805) |
$301.50 |
$335 |
0.9× |
| Remove eyelid lesions (67801) |
$241.20 |
$268 |
0.2× |
| Remove foreign body from eye (65210) |
$71.10 |
$79 |
0.2× |
| Remove hip foreign body (27086) |
$477 |
$530 |
0.2× |
| Remove lung catheter (32552) |
$270.90 |
$301 |
0.4× |
| Remove pharynx foreign body (42809) |
$304.20 |
$338 |
0.6× |
| Remove spinal canal catheter (62355) |
$400.50 |
$445 |
0.2× |
| Remove stent via transureth (50386) |
$1,186.20 |
$1,318 |
0.5× |
| Remove ureter stent percut (50384) |
$1,365.30 |
$1,517 |
0.6× |
| Remove vaginal foreign body (57415) |
$261 |
$290 |
0.1× |
| Remove vc lesion w/scope (31545) |
$522.90 |
$581 |
0.1× |
Remvl perm pm pls gen w/repl plse gen 2 lead sys (33228)
likely a partial charge — not the full procedure |
$516.60 |
$574 |
0.0× |
Remvl perm pm pls gen w/repl plse gen mult lead (33229)
likely a partial charge — not the full procedure |
$546.30 |
$607 |
0.0× |
Remvl perm pm plse gen w/repl plse gen sngl lead (33227)
likely a partial charge — not the full procedure |
$494.10 |
$549 |
0.1× |
| Renal biopsy; percutaneous, by trocar or needle Age Under 21 (50200) |
$818.10 |
$909 |
0.5× |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50561)
likely a partial charge — not the full procedure |
$693.90 |
$771 |
0.1× |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555)
likely a partial charge — not the full procedure |
$603 |
$670 |
0.1× |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50557)
likely a partial charge — not the full procedure |
$612.90 |
$681 |
0.1× |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50562)
likely a partial charge — not the full procedure |
$828.90 |
$921 |
0.1× |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50551)
likely a partial charge — not the full procedure |
$528.30 |
$587 |
0.1× |
Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50553)
likely a partial charge — not the full procedure |
$566.10 |
$629 |
0.1× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
$758.70 |
$843 |
1.0× |
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50576)
likely a partial charge — not the full procedure |
$804.60 |
$894 |
0.1× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50574) |
$806.40 |
$896 |
0.2× |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50570) |
$701.10 |
$779 |
0.2× |
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580)
likely a partial charge — not the full procedure |
$866.70 |
$963 |
0.2× |
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50575)
likely a partial charge — not the full procedure |
$1,018.80 |
$1,132 |
0.2× |
Repair achilles tendon (27650)
likely a partial charge — not the full procedure |
$1,272.60 |
$1,414 |
0.2× |
| Repair anal fistula (46288) |
$827.10 |
$919 |
0.3× |
| Repair blood vessel lesion (35226) |
$1,182.60 |
$1,314 |
1.6× |
| Repair blood vessel upper ext (35206) |
$1,119.60 |
$1,244 |
0.3× |
| Repair blood vessel with graft other than vein; neck (35261) |
$1,382.40 |
$1,536 |
0.4× |
Repair blood vessel with graft other than vein; upper extremity (35266)
likely a partial charge — not the full procedure |
$1,227.60 |
$1,364 |
0.2× |
Repair blood vessel with vein graft; lower extremity (35256)
likely a partial charge — not the full procedure |
$1,442.70 |
$1,603 |
0.2× |
Repair blood vessel with vein graft; upper extremity (35236)
likely a partial charge — not the full procedure |
$1,426.50 |
$1,585 |
0.2× |
| Repair blood vessel, direct; hand, finger Age Under 21 (35207) |
$1,107 |
$1,230 |
0.3× |
| Repair brow defect (67900) |
$968.40 |
$1,076 |
0.4× |
Repair choanal atresia; intranasal Age Under 21 (30540)
likely a partial charge — not the full procedure |
$1,123.20 |
$1,248 |
0.2× |
Repair choanal atresia; transpalatine Age Under 21 (30545)
likely a partial charge — not the full procedure |
$1,521 |
$1,690 |
0.2× |
| Repair cleft hand Age Under 21 (26580) |
$2,297.70 |
$2,553 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$577.80 |
$642 |
1.3× |
| REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM TechFee (13132) |
$712.35 |
$791.50 |
1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$625.50 |
$695 |
1.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$594.90 |
$661 |
0.8× |
| Repair ectropion suture (67914) |
$740.70 |
$823 |
0.3× |
| Repair elbow deb/attch open (24359) |
$980.10 |
$1,089 |
0.3× |
| Repair entropion excision tarsal wedge (67923) |
$920.70 |
$1,023 |
0.4× |
| Repair entropion suture (67921) |
$727.20 |
$808 |
0.3× |
| Repair extensor tendon hand w/o graft each (26410) |
$1,203.30 |
$1,337 |
0.7× |
| Repair eyelid defect (67908) |
$810.90 |
$901 |
0.3× |
| Repair eyelid defect (67924) |
$979.20 |
$1,088 |
0.4× |
| Repair eyelid defect (67904) |
$1,103.40 |
$1,226 |
0.4× |
| Repair eyelid defect (67903) |
$900 |
$1,000 |
0.4× |
| Repair eyelid wound (67930) |
$556.20 |
$618 |
0.2× |
Repair fibula nonunion/malunion w int fixation (27726)
likely a partial charge — not the full procedure |
$1,406.70 |
$1,563 |
0.2× |
| Repair finger tendon (26418) |
$1,251 |
$1,390 |
0.7× |
| Repair finger tendon (26433) |
$881.10 |
$979 |
0.3× |
| Repair finger/hand tendon (26350) |
$1,488.60 |
$1,654 |
0.4× |
Repair fistula; oromaxillary (combine with 31030 if antrotomy is included) Age Under 21 (30580)
likely a partial charge — not the full procedure |
$922.50 |
$1,025 |
0.1× |
| Repair forearm tendon/muscle (25260) |
$943.20 |
$1,048 |
0.3× |
| Repair incomplete circumcision (54163) |
$318.60 |
$354 |
0.1× |
| Repair initial femoral hernia, any age; incarcerated or strangulated Age Under 21 (49553) |
$927 |
$1,030 |
0.2× |
| Repair initial femoral hernia, any age; reducible Age Under 21 (49550) |
$845.10 |
$939 |
0.2× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated Age Under 21 (49507) |
$909.90 |
$1,011 |
0.2× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$890.10 |
$989 |
0.2× |
Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible Age… (49500)
likely a partial charge — not the full procedure |
$612.90 |
$681 |
0.1× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.5 CM/< (12051) |
$416.70 |
$463 |
1.0× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 2.6-5.0 CM (12052) |
$474.75 |
$527.50 |
1.1× |
| REPAIR INTERMEDIATE F/E/E/N/L and /MUC 7.6-12.5 CM (12054) |
$550.80 |
$612 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$734.40 |
$816 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$632.25 |
$702.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$383.85 |
$426.50 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$479.25 |
$532.50 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$540.90 |
$601 |
0.7× |
| REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< TechFee (12031) |
$391.50 |
$435 |
0.9× |
| REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee (12032) |
$469.35 |
$521.50 |
1.1× |
| REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM TechFee (12036) |
$655.65 |
$728.50 |
0.8× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes 5.1cm To 7.5cm (12053) |
$530.55 |
$589.50 |
1.2× |
| Repair Intermediate Wound Face,e/e/n/ L/ Mucous Membranes20.1cm To 30.0cm (12056) |
$891.90 |
$991 |
2.1× |
| Repair Intermediate Wound Face,ears,eyelids,nose, Lips And Or Mucous Membranes Over 30.0cm (12057) |
$955.80 |
$1,062 |
2.2× |
| Repair Intermediate Wounds Of Scalp, Underarms, Truck And/or Extremities Over 30.0cm (12037) |
$746.55 |
$829.50 |
0.3× |
| Repair intrinsic muscles hand each muscle (26591) |
$752.40 |
$836 |
0.2× |
| Repair lac palate<2 cm (42180) |
$387.90 |
$431 |
0.7× |
| Repair lead pace-defib dual (33220) |
$548.10 |
$609 |
0.1× |
| Repair lead pace-defib one (33218) |
$567 |
$630 |
0.1× |
| Repair lip full thickness vermillion only - lac - lip rn (40650) |
$740.70 |
$823 |
1.3× |
| Repair lip, full thickness; up to half vertical height Age Under 21 (40652) |
$781.20 |
$868 |
1.4× |
Repair lower leg tendons (27676)
likely a partial charge — not the full procedure |
$896.40 |
$996 |
0.1× |
Repair lumbar hernia Age Under 21 (49540)
likely a partial charge — not the full procedure |
$990.90 |
$1,101 |
0.2× |
| Repair macrodactylia, each digit Age Under 21 (26590) |
$2,137.50 |
$2,375 |
1.3× |
Repair medial collateral ligament, elbow, with local tissue Age Under 21 (24345)
likely a partial charge — not the full procedure |
$1,053 |
$1,170 |
0.1× |
| Repair nasal septal perforations Age Under 21 (30630) |
$1,017.90 |
$1,131 |
0.3× |
Repair nasal vestibular stenosis (30465)
likely a partial charge — not the full procedure |
$1,551.60 |
$1,724 |
0.2× |
| Repair of abnormal anal drainage tract with tissue glue (46706) |
$264.60 |
$294 |
0.1× |
Repair of abnormal connection from nasal sinus to skin (42260)
likely a partial charge — not the full procedure |
$1,288.80 |
$1,432 |
0.2× |
Repair of abnormal drainage tract between mouth and nasal cavity (30600)
likely a partial charge — not the full procedure |
$775.80 |
$862 |
0.1× |
| Repair of abnormal drainage tract of esophagus through neck (43420) |
$1,489.50 |
$1,655 |
0.4× |
Repair of ankle joint with revision of prosthesis (27703)
likely a partial charge — not the full procedure |
$1,623.60 |
$1,804 |
0.1× |
| Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ºSIS») Age Under 21 (46707) |
$750.60 |
$834 |
0.3× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595)
likely a partial charge — not the full procedure |
$1,036.80 |
$1,152 |
0.2× |
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49614)
likely a partial charge — not the full procedure |
$792.90 |
$881 |
0.1× |
Repair of biceps tendon at elbow (24340)
likely a partial charge — not the full procedure |
$917.10 |
$1,019 |
0.1× |
| Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) Age… (67902) |
$1,059.30 |
$1,177 |
0.3× |
| Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg, banked fascia) Age Under 21 (67901) |
$1,195.20 |
$1,328 |
0.5× |
| Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) Age Under 21 (67906) |
$735.30 |
$817 |
0.2× |
| Repair of blocked uterine tube opening (58770) |
$1,267.20 |
$1,408 |
0.4× |
| Repair of blood vessel of neck with vein graft (35231) |
$1,798.20 |
$1,998 |
0.5× |
Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction… (67113)
unusually low — confirm this is the full procedure |
$1,930.50 |
$2,145 |
0.3× |
Repair of component(s) of a multi-component, inflatable penile prosthesis (54408)
likely a partial charge — not the full procedure |
$1,146.60 |
$1,274 |
0.2× |
| Repair of congenital abnormal artery-vein connection in arms or legs (35184) |
$1,359.90 |
$1,511 |
0.4× |
| Repair of congenital abnormal artery-vein connection of head and neck (35180) |
$1,108.80 |
$1,232 |
0.7× |
| Repair of congenital nonhealed broken shin bone (27727) |
$1,524.60 |
$1,694 |
0.4× |
Repair of defect of soft and/or hard tissue of roof of mouth for cleft palate (42200)
likely a partial charge — not the full procedure |
$1,367.10 |
$1,519 |
0.2× |
| Repair of defect with autograft; radius AND ulna Age Under 21 (25426) |
$1,646.10 |
$1,829 |
0.5× |
Repair of defect with autograft; radius OR ulna Age Under 21 (25425)
likely a partial charge — not the full procedure |
$1,418.40 |
$1,576 |
0.2× |
| Repair of digit nerve (64831) |
$1,023.30 |
$1,137 |
0.5× |
| Repair of dislocating lower leg tendons without a cut through the lower leg bone on the outside of the leg (fibula) (27675) |
$725.40 |
$806 |
0.2× |
| Repair of ectropion; excision tarsal wedge Age Under 21 (67916) |
$921.60 |
$1,024 |
0.4× |
| Repair of ectropion; extensive (eg, tarsal strip operations) Age Under 21 (67917) |
$938.70 |
$1,043 |
0.4× |
Repair of enterocele, vaginal approach (separate procedure) Age Under 21 (57268)
likely a partial charge — not the full procedure |
$751.50 |
$835 |
0.1× |
| Repair of entropion; thermocauterization Age Under 21 (67922) |
$468 |
$520 |
0.2× |
| Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft (includes obtaining… (26428) |
$1,217.70 |
$1,353 |
0.4× |
| Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes obtaining graft) Age Under… (26434) |
$1,066.50 |
$1,185 |
0.3× |
| Repair of eye wound (65286) |
$1,047.60 |
$1,164 |
0.4× |
| Repair of fibrous tissue of arch of foot using an endoscope (29893) |
$1,001.70 |
$1,113 |
0.3× |
Repair of growth plate in head of thigh bone with placement of stabilizing device (27181)
likely a partial charge — not the full procedure |
$1,640.70 |
$1,823 |
0.2× |
Repair of hinged joint of upper and lower jaw bones with donor graft (21242)
likely a partial charge — not the full procedure |
$1,494 |
$1,660 |
0.2× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); by closure, incision, or excision, simple… (54340) |
$828.90 |
$921 |
0.2× |
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348)
likely a partial charge — not the full procedure |
$1,460.70 |
$1,623 |
0.3× |
Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344)
likely a partial charge — not the full procedure |
$1,366.20 |
$1,518 |
0.1× |
Repair of inflatable urethral/bladder neck sphincter, including pump, reservoir, and cuff Age Under 21 (53449)
likely a partial charge — not the full procedure |
$891 |
$990 |
0.1× |
| Repair of iris, ciliary body (as for iridodialysis) Age Under 21 (66680) |
$765 |
$850 |
0.3× |
Repair of kidney using an endoscope|RIGHT SIDE (50544)
likely a partial charge — not the full procedure |
$1,789.20 |
$1,988 |
0.2× |
| Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue (41250) |
$400.05 |
$444.50 |
0.8× |
| Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex (41252) |
$498.15 |
$553.50 |
2.0× |
| Repair of laceration; conjunctiva, by mobilization and rearrangement, without hospitalization Age Under 21 (65272) |
$795.60 |
$884 |
0.3× |
| Repair of laceration; conjunctiva, with or without nonperforating laceration sclera, direct closure Age Under 21 (65270) |
$434.70 |
$483 |
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 |
$978.30 |
$1,087 |
0.2× |
Repair of laceration; cornea and/or sclera, perforating, with reposition or resection of uveal tissue Age Under 21 (65285)
likely a partial charge — not the full procedure |
$1,611 |
$1,790 |
0.3× |
| Repair of laceration; cornea, nonperforating, with or without removal foreign body Age Under 21 (65275) |
$875.70 |
$973 |
0.2× |
| Repair of leg tendon each (27658) |
$546.30 |
$607 |
0.2× |
| Repair of muscle of anus for incontinence and/or prolapse using wire, graft, or suture (46753) |
$917.10 |
$1,019 |
0.3× |
| Repair of nail bed (11760) |
$273.60 |
$304 |
0.4× |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) Age Under 21 (30468) |
$4,113.90 |
$4,571 |
0.7× |
Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary… (25431)
likely a partial charge — not the full procedure |
$1,161.90 |
$1,291 |
0.2× |
Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft) Age Under 21 (24435)
likely a partial charge — not the full procedure |
$1,587.60 |
$1,764 |
0.1× |
Repair of nonunion or malunion, humerus; without graft (eg, compression technique) Age Under 21 (24430)
likely a partial charge — not the full procedure |
$1,548 |
$1,720 |
0.1× |
Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Age Under 21 (25420)
likely a partial charge — not the full procedure |
$1,709.10 |
$1,899 |
0.2× |
Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique) Age Under 21 (25415)
likely a partial charge — not the full procedure |
$1,424.70 |
$1,583 |
0.2× |
Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Age Under 21 (25405)
likely a partial charge — not the full procedure |
$1,524.60 |
$1,694 |
0.2× |
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Age Under 21 (25400)
likely a partial charge — not the full procedure |
$1,182.60 |
$1,314 |
0.2× |
Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725)
likely a partial charge — not the full procedure |
$1,780.20 |
$1,978 |
0.2× |
Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft) (27724)
likely a partial charge — not the full procedure |
$1,830.60 |
$2,034 |
0.2× |
Repair of nonunion or malunion, tibia; with sliding graft (27722)
likely a partial charge — not the full procedure |
$1,317.60 |
$1,464 |
0.2× |
Repair of nonunion or malunion, tibia; without graft, (eg, compression technique) Age Under 21 (27720)
likely a partial charge — not the full procedure |
$1,287 |
$1,430 |
0.2× |
Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft… (25440)
likely a partial charge — not the full procedure |
$1,133.10 |
$1,259 |
0.1× |
| Repair of opening of middle to inner ear (69666) |
$1,215.90 |
$1,351 |
0.3× |
Repair of protrusion of inner tissue through eyeball with graft (66225)
likely a partial charge — not the full procedure |
$1,365.30 |
$1,517 |
0.2× |
| Repair of rectocele (separate procedure) Age Under 21 (45560) |
$1,012.50 |
$1,125 |
0.3× |
| Repair of retinal detachment, including drainage of subretinal fluid when performed; cryotherapy Age Under 21 (67101) |
$494.10 |
$549 |
0.2× |
| Repair of retinal detachment, including drainage of subretinal fluid when performed; photocoagulation Age Under 21 (67105) |
$435.60 |
$484 |
0.8× |
| Repair of retinal detachment; by injection of air or other gas (eg, pneumatic retinopexy) Age Under 21 (67110) |
$1,314 |
$1,460 |
0.5× |
| Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling… (67107) |
$1,632.60 |
$1,814 |
0.4× |
| Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal… (67108) |
$1,727.10 |
$1,919 |
0.4× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute Age Under 21 (23410)
likely a partial charge — not the full procedure |
$1,207.80 |
$1,342 |
0.2× |
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Age Under 21 (23412)
likely a partial charge — not the full procedure |
$1,254.60 |
$1,394 |
0.2× |
Repair of shoulder joint capsule and shoulder blade with bone block (23460)
likely a partial charge — not the full procedure |
$1,600.20 |
$1,778 |
0.2× |
Repair of side of voice box by moving vocal cord to middle (31591)
likely a partial charge — not the full procedure |
$1,646.10 |
$1,829 |
0.3× |
| Repair of small omphalocele, with primary closure Age Under 21 (49600) |
$1,077.30 |
$1,197 |
0.3× |
| Repair of spica, body cast or jacket Age Under 21 (29720) |
$125.10 |
$139 |
0.7× |
| Repair of symblepharon; conjunctivoplasty, without graft Age Under 21 (68330) |
$934.20 |
$1,038 |
0.4× |
| Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens Age Under 21 (68340) |
$913.50 |
$1,015 |
0.4× |
| Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) Age Under 21 (68335) |
$939.60 |
$1,044 |
0.2× |
| Repair of syndactyly (web finger) each web space; complex (eg, involving bone, nails) Age Under 21 (26562) |
$2,060.10 |
$2,289 |
0.6× |
| Repair of syndactyly (web finger) each web space; with skin flaps Age Under 21 (26560) |
$976.50 |
$1,085 |
0.6× |
| Repair of syndactyly (web finger) each web space; with skin flaps and grafts Age Under 21 (26561) |
$1,485 |
$1,650 |
0.4× |
| Repair of traumatic corporeal tear(s) Age Under 21 (54437) |
$985.50 |
$1,095 |
0.3× |
| Repair of tunica vaginalis hydrocele (Bottle type) Age Under 21 (55060) |
$555.30 |
$617 |
0.1× |
| Repair of tunneled or non-tunneled central venous access catheter, without subcutaneous port or pump, central or… (36575) |
$234 |
$260 |
0.4× |
| Repair of turning-outward defect of upper or lower eyelid using heat (67915) |
$483.30 |
$537 |
0.2× |
Repair of upper leg vein valve (34501)
likely a partial charge — not the full procedure |
$1,263.60 |
$1,404 |
0.2× |
Repair of uterine tube tissue near ovary using an endoscope (58672)
likely a partial charge — not the full procedure |
$1,071.90 |
$1,191 |
0.2× |
Repair of windpipe cartilage through neck (31750)
unusually low — confirm this is the full procedure |
$2,043.90 |
$2,271 |
0.3× |
| Repair of wound, extraocular muscle, tendon and/or Tenon's capsule Age Under 21 (65290) |
$715.50 |
$795 |
0.2× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon Age Under 21 (26370) |
$1,202.40 |
$1,336 |
0.3× |
Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free graft (includes… (26372)
likely a partial charge — not the full procedure |
$1,395.90 |
$1,551 |
0.2× |
| Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without free graft, each tendon… (26373) |
$1,346.40 |
$1,496 |
0.4× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free… (26356) |
$1,183.50 |
$1,315 |
0.3× |
Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free… (26358)
likely a partial charge — not the full procedure |
$1,458.90 |
$1,621 |
0.2× |
| Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without… (26357) |
$1,323.90 |
$1,471 |
0.4× |
Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); secondary with… (26352)
likely a partial charge — not the full procedure |
$1,272.60 |
$1,414 |
0.2× |
Repair palate (42182)
likely a partial charge — not the full procedure |
$498.60 |
$554 |
0.1× |
| Repair recurrent femoral hernia; incarcerated or strangulated Age Under 21 (49557) |
$1,058.40 |
$1,176 |
0.3× |
| Repair recurrent femoral hernia; reducible Age Under 21 (49555) |
$887.40 |
$986 |
0.2× |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated Age Under 21 (49521)
likely a partial charge — not the full procedure |
$1,046.70 |
$1,163 |
0.2× |
| Repair round window fistula Age Under 21 (69667) |
$1,216.80 |
$1,352 |
0.3× |
Repair to increase depth of entire arch of mouth (40844)
unusually low — confirm this is the full procedure |
$2,244.60 |
$2,494 |
0.4× |
Repair to increase depth of front portion of mouth (40840)
likely a partial charge — not the full procedure |
$1,302.30 |
$1,447 |
0.2× |
| Repair tongue lacer,post 1/3 (41251) |
$475.20 |
$528 |
1.9× |
| Repair vagina/perineum (57210) |
$586.80 |
$652 |
0.2× |
| Repair wrist joints (25447) |
$1,227.60 |
$1,364 |
0.4× |
Repair, acquired or traumatic arteriovenous fistula; extremities (35190)
likely a partial charge — not the full procedure |
$1,093.50 |
$1,215 |
0.2× |
Repair, acquired or traumatic arteriovenous fistula; head and neck Age Under 21 (35188)
unusually low — confirm this is the full procedure |
$1,841.40 |
$2,046 |
0.3× |
| Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm (13151) |
$646.65 |
$718.50 |
0.8× |
| Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm (13152) |
$768.60 |
$854 |
1.0× |
| Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm (13120) |
$544.05 |
$604.50 |
1.3× |
| Repair, complex, trunk; 1.1 cm to 2.5 cm (13100) |
$495.45 |
$550.50 |
0.6× |
| Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon Age Under… (26420) |
$1,139.40 |
$1,266 |
0.3× |
| Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon Age Under… (26412) |
$1,098.90 |
$1,221 |
0.3× |
Repair, extensor tendon, leg; primary, without graft, each tendon Age Under 21 (27664)
likely a partial charge — not the full procedure |
$541.80 |
$602 |
0.1× |
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Age Under 21 (27665)
likely a partial charge — not the full procedure |
$625.50 |
$695 |
0.1× |
| Repair, fascial defect of leg Age Under 21 (27656) |
$830.70 |
$923 |
0.2× |
Repair, flexor tendon, leg; secondary, with or without graft, each tendon Age Under 21 (27659)
likely a partial charge — not the full procedure |
$693 |
$770 |
0.1× |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49495) |
$599.40 |
$666 |
0.2× |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
$903.60 |
$1,004 |
0.2× |
Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491)
likely a partial charge — not the full procedure |
$1,169.10 |
$1,299 |
0.2× |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49492) |
$1,402.20 |
$1,558 |
0.4× |
| Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm (12047) |
$828.45 |
$920.50 |
0.4× |
Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472)
likely a partial charge — not the full procedure |
$1,848.60 |
$2,054 |
0.2× |
Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) (27470)
likely a partial charge — not the full procedure |
$1,728 |
$1,920 |
0.2× |
Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft) Age Under 21 (28322)
likely a partial charge — not the full procedure |
$1,170 |
$1,300 |
0.2× |
Repair, nonunion or malunion; tarsal bones Age Under 21 (28320)
likely a partial charge — not the full procedure |
$896.40 |
$996 |
0.1× |
Repair, primary, disrupted ligament, ankle; both collateral ligaments Age Under 21 (27696)
likely a partial charge — not the full procedure |
$808.20 |
$898 |
0.1× |
Repair, primary, disrupted ligament, ankle; collateral Age Under 21 (27695)
likely a partial charge — not the full procedure |
$710.10 |
$789 |
0.1× |
Repair, primary, torn ligament and/or capsule, knee; collateral Age Under 21 (27405)
likely a partial charge — not the full procedure |
$1,000.80 |
$1,112 |
0.1× |
Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments Age Under 21 (27409)
likely a partial charge — not the full procedure |
$1,422 |
$1,580 |
0.2× |
Repair, primary, torn ligament and/or capsule, knee; cruciate Age Under 21 (27407)
likely a partial charge — not the full procedure |
$1,176.30 |
$1,307 |
0.2× |
Repair, secondary, Achilles tendon, with or without graft Age Under 21 (27654)
likely a partial charge — not the full procedure |
$1,051.20 |
$1,168 |
0.1× |
Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure) Age Under 21 (27698)
likely a partial charge — not the full procedure |
$937.80 |
$1,042 |
0.1× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Age Under 21 (25272) |
$831.60 |
$924 |
0.2× |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) |
$984.60 |
$1,094 |
0.3× |
Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Age Under 21 (25263)
likely a partial charge — not the full procedure |
$941.40 |
$1,046 |
0.1× |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25265) |
$1,110.60 |
$1,234 |
0.3× |
Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff) Age… (24341)
likely a partial charge — not the full procedure |
$1,103.40 |
$1,226 |
0.1× |
| Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft) (eg, for extensor… (25275) |
$994.50 |
$1,105 |
0.3× |
| Repair, tendon, extensor, foot; primary or secondary, each tendon Age Under 21 (28208) |
$724.50 |
$805 |
0.2× |
Repair, tendon, extensor, foot; secondary with free graft, each tendon (includes obtaining graft) Age Under 21 (28210)
likely a partial charge — not the full procedure |
$873.90 |
$971 |
0.1× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon Age Under 21 (28200) |
$744.30 |
$827 |
0.2× |
Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft) Age Under 21 (28202)
likely a partial charge — not the full procedure |
$887.40 |
$986 |
0.1× |
Repair/graft achilles tendon (27652)
likely a partial charge — not the full procedure |
$970.20 |
$1,078 |
0.1× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,026.90 |
$1,141 |
1.1× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$957.60 |
$1,064 |
1.0× |
| Replace picvad cath (36585) |
$1,860.30 |
$2,067 |
0.6× |
| Replace tunneled cv cath (36582) |
$1,402.20 |
$1,558 |
0.4× |
Replacement (including removal of existing device), osseointegrated implant, skull; with percutaneous attachment to… (69717)
likely a partial charge — not the full procedure |
$1,539 |
$1,710 |
0.2× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$1,241.10 |
$1,379 |
1.3× |
Replacement of tissue expander with permanent implant|BILATERAL PROCEDURE (11970)
likely a partial charge — not the full procedure |
$826.20 |
$918 |
0.1× |
| Replacement or irrigation, subarachnoid/subdural catheter Age Under 21 (62194) |
$720.90 |
$801 |
0.3× |
| Replacement or irrigation, ventricular catheter Age Under 21 (62225) |
$780.30 |
$867 |
0.2× |
Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter in shunt system Age Under 21 (62230)
likely a partial charge — not the full procedure |
$1,219.50 |
$1,355 |
0.1× |
| Replacement, catheter only, of central venous access device, with subcutaneous port or pump, central or peripheral… (36578) |
$681.30 |
$757 |
0.2× |
Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous pump, through… (36583)
unusually low — confirm this is the full procedure |
$1,841.40 |
$2,046 |
0.3× |
| Replacement, irrigation or revision of lumbosubarachnoid shunt Age Under 21 (63744) |
$1,003.50 |
$1,115 |
0.3× |
Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation (20802)
likely a partial charge — not the full procedure |
$3,988.80 |
$4,432 |
0.2× |
| Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation Age Under… (20822) |
$2,584.80 |
$2,872 |
1.5× |
| Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon),… (20816) |
$2,987.10 |
$3,319 |
1.8× |
Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation (20805)
likely a partial charge — not the full procedure |
$4,735.80 |
$5,262 |
0.3× |
Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation (20808)
unusually low — confirm this is the full procedure |
$5,711.40 |
$6,346 |
0.3× |
| Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation (20824) |
$2,992.50 |
$3,325 |
1.8× |
| Replantation, thumb (includes distal tip to MP joint), complete amputation (20827) |
$2,652.30 |
$2,947 |
1.6× |
| Repos previously implanted subq implantable dfb (33273) |
$576.90 |
$641 |
0.1× |
| Reposition l ventric lead (33226) |
$707.40 |
$786 |
0.2× |
| Reposition venous catheter (36597) |
$168.30 |
$187 |
0.1× |
| Repositioning and suture of misplaced testicle|BILATERAL PROCEDURE (54640) |
$626.40 |
$696 |
0.2× |
| Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Age Under 21 (43761) |
$182.70 |
$203 |
0.7× |
| Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Age Under 21 (66825) |
$1,242 |
$1,380 |
0.5× |
| Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and… (37192) |
$2,010.60 |
$2,234 |
0.6× |
| Repr elbow lat ligmnt w/tiss (24343) |
$1,058.40 |
$1,176 |
0.3× |
| Resection of elbow joint (arthrectomy) Age Under 21 (24155) |
$1,254.60 |
$1,394 |
0.4× |
Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior… (42892)
unusually low — confirm this is the full procedure |
$2,777.40 |
$3,086 |
0.4× |
| Resection of lip, more than one-fourth, without reconstruction Age Under 21 (40530) |
$844.20 |
$938 |
0.2× |
Resection of palate or extensive resection of lesion Age Under 21 (42120)
likely a partial charge — not the full procedure |
$1,507.50 |
$1,675 |
0.2× |
Resection or transplantation of long tendon of biceps Age Under 21 (23440)
likely a partial charge — not the full procedure |
$1,115.10 |
$1,239 |
0.1× |
| Resection, condyle(s), distal end of phalanx, each toe Age Under 21 (28153) |
$612 |
$680 |
0.2× |
Resection, humeral head Age Under 21 (23195)
likely a partial charge — not the full procedure |
$1,095.30 |
$1,217 |
0.1× |
| Reset dislocated jaw (21480) |
$144.45 |
$160.50 |
0.6× |
Reshaping of bony cartilage dividing nasal passages|BILATERAL PROCEDURE (30420)
unusually low — confirm this is the full procedure |
$2,199.60 |
$2,444 |
0.4× |
| Reshaping of tooth socket|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (41874) |
$588.60 |
$654 |
0.2× |
| Retrobulbar injection; alcohol Age Under 21 (67505) |
$127.80 |
$142 |
0.4× |
| Retrobulbar injection; medication (separate procedure, does not include supply of medication) Age Under 21 (67500) |
$112.50 |
$125 |
0.3× |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
likely a partial charge — not the full procedure |
$2,535.30 |
$2,817 |
0.2× |
| Revise abdomen-venous shunt (49426) |
$982.80 |
$1,092 |
0.3× |
| Revise finger joint (26535) |
$650.70 |
$723 |
0.2× |
| Revise thumb tendon (26490) |
$1,275.30 |
$1,417 |
0.4× |
| Revise ulnar nerve at elbow (64718) |
$891 |
$990 |
0.4× |
| Revise ulnar nerve at wrist (64719) |
$605.70 |
$673 |
0.3× |
| Revise/graft eyelid lining (68320) |
$1,116 |
$1,240 |
0.4× |
Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Age Under 21 (57426)
likely a partial charge — not the full procedure |
$1,285.20 |
$1,428 |
0.2× |
| Revision (including removal) of prosthetic vaginal graft; vaginal approach Age Under 21 (57295) |
$742.50 |
$825 |
0.2× |
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861)
likely a partial charge — not the full procedure |
$3,315.60 |
$3,684 |
0.2× |
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22862)
likely a partial charge — not the full procedure |
$3,320.10 |
$3,689 |
0.2× |
Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via… (63664)
likely a partial charge — not the full procedure |
$1,283.40 |
$1,426 |
0.1× |
Revision mastoidectomy; resulting in complete mastoidectomy Age Under 21 (69601)
likely a partial charge — not the full procedure |
$1,525.50 |
$1,695 |
0.2× |
Revision mastoidectomy; resulting in modified radical mastoidectomy Age Under 21 (69602)
likely a partial charge — not the full procedure |
$1,636.20 |
$1,818 |
0.3× |
Revision mastoidectomy; resulting in radical mastoidectomy Age Under 21 (69603)
unusually low — confirm this is the full procedure |
$1,946.70 |
$2,163 |
0.3× |
Revision mastoidectomy; resulting in tympanoplasty Age Under 21 (69604)
likely a partial charge — not the full procedure |
$1,670.40 |
$1,856 |
0.3× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Age Under 21 (66185) |
$1,243.80 |
$1,382 |
0.5× |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft Age Under 21 (66184) |
$1,159.20 |
$1,288 |
0.5× |
Revision of arthroplasty, including removal of implant, wrist joint Age Under 21 (25449)
likely a partial charge — not the full procedure |
$1,518.30 |
$1,687 |
0.2× |
| Revision of cervix (59320) |
$216.90 |
$241 |
0.1× |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) (44345) |
$1,527.30 |
$1,697 |
0.4× |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) |
$1,718.10 |
$1,909 |
0.5× |
| Revision of cornea (65600) |
$654.30 |
$727 |
0.3× |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) (44314) |
$1,462.50 |
$1,625 |
0.4× |
| Revision of implanted intra-arterial infusion pump Age Under 21 (36261) |
$606.60 |
$674 |
0.2× |
| Revision of iris (66761) |
$445.50 |
$495 |
0.8× |
| Revision of penis (54420) |
$1,019.70 |
$1,133 |
0.3× |
| Revision of penis (54435) |
$603.90 |
$671 |
0.2× |
Revision of permanent opening of windpipe for breathing with flap rotation (31614)
likely a partial charge — not the full procedure |
$1,068.30 |
$1,187 |
0.2× |
| Revision of permanent windpipe opening scar (31830) |
$752.40 |
$836 |
0.2× |
Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352)
unusually low — confirm this is the full procedure |
$2,040.30 |
$2,267 |
0.4× |
Revision of reconstructed breast (19380)
likely a partial charge — not the full procedure |
$1,185.30 |
$1,317 |
0.2× |
| Revision of scar or wound closure following removal of arm and shoulder blade at shoulder joint (23921) |
$700.20 |
$778 |
0.3× |
Revision of stapedectomy or stapedotomy Age Under 21 (69662)
likely a partial charge — not the full procedure |
$1,730.70 |
$1,923 |
0.3× |
Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component Age Under 21 (24371)
likely a partial charge — not the full procedure |
$2,575.80 |
$2,862 |
0.1× |
Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component Age Under 21 (24370)
likely a partial charge — not the full procedure |
$2,244.60 |
$2,494 |
0.2× |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft (27137)
likely a partial charge — not the full procedure |
$2,133.90 |
$2,371 |
0.2× |
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134)
likely a partial charge — not the full procedure |
$2,768.40 |
$3,076 |
0.2× |
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
likely a partial charge — not the full procedure |
$2,217.60 |
$2,464 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; 1 component (27486)
likely a partial charge — not the full procedure |
$2,048.40 |
$2,276 |
0.2× |
Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component (27487)
likely a partial charge — not the full procedure |
$2,552.40 |
$2,836 |
0.1× |
Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component (23473)
likely a partial charge — not the full procedure |
$2,350.80 |
$2,612 |
0.2× |
| Revision of upper eyelid (15823) |
$925.20 |
$1,028 |
0.4× |
| Revision of urinary-cutaneous anastomosis (any type urostomy); Age Under 21 (50727) |
$747 |
$830 |
0.2× |
Revision or removal of cranial neurostimulator pulse generator or receiver Age Under 21 (61888)
likely a partial charge — not the full procedure |
$579.60 |
$644 |
0.0× |
| Revision or removal of intracranial neurostimulator electrodes Age Under 21 (61880) |
$855.90 |
$951 |
0.2× |
| Revision or removal of peripheral neurostimulator electrode array Age Under 21 (64585) |
$371.70 |
$413 |
0.1× |
| Revision or removal of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with detachable… (64595) |
$353.70 |
$393 |
0.1× |
Revision or replacement of cranial nerve (eg, vagus nerve) neurostimulator electrode array, including connection to… (64569)
likely a partial charge — not the full procedure |
$1,114.20 |
$1,238 |
0.1× |
| Revision peri-implant capsule breast (19370) |
$986.40 |
$1,096 |
0.2× |
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft (35884)
likely a partial charge — not the full procedure |
$1,742.40 |
$1,936 |
0.3× |
Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883)
likely a partial charge — not the full procedure |
$1,696.50 |
$1,885 |
0.3× |
Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition (35881)
likely a partial charge — not the full procedure |
$1,444.50 |
$1,605 |
0.2× |
Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty (35879)
likely a partial charge — not the full procedure |
$1,304.10 |
$1,449 |
0.2× |
Revision, open, arteriovenous fistula; without thrombectomy, autogenous or nonautogenous dialysis graft (separate… (36832)
likely a partial charge — not the full procedure |
$1,076.40 |
$1,196 |
0.2× |
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
likely a partial charge — not the full procedure |
$1,372.50 |
$1,525 |
0.2× |
| Revj transvns intrhptc portosystemic shnt (tips) (37183) |
$9,477 |
$10,530 |
1.6× |
| Revj/rmvl impl spi npg/rcvr dtch connj eltrd ra (63688) |
$545.40 |
$606 |
0.1× |
Rhinectomy; partial Age Under 21 (30150)
likely a partial charge — not the full procedure |
$1,212.30 |
$1,347 |
0.2× |
Rhinectomy; total Age Under 21 (30160)
likely a partial charge — not the full procedure |
$1,230.30 |
$1,367 |
0.2× |
Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip,… (30462)
unusually low — confirm this is the full procedure |
$2,387.70 |
$2,653 |
0.4× |
Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip… (30460)
likely a partial charge — not the full procedure |
$1,240.20 |
$1,378 |
0.2× |
Rhinoplasty secondary intermediate revision (30435)
unusually low — confirm this is the full procedure |
$2,042.10 |
$2,269 |
0.3× |
Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of… (30410)
unusually low — confirm this is the full procedure |
$2,151 |
$2,390 |
0.3× |
Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip Age Under 21 (30400)
unusually low — confirm this is the full procedure |
$1,880.10 |
$2,089 |
0.3× |
Rhinoplasty, secondary; major revision (nasal tip work and osteotomies) Age Under 21 (30450)
unusually low — confirm this is the full procedure |
$2,642.40 |
$2,936 |
0.4× |
Rhinoplasty, secondary; minor revision (small amount of nasal tip work) Age Under 21 (30430)
likely a partial charge — not the full procedure |
$1,652.40 |
$1,836 |
0.3× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$894.60 |
$994 |
0.4× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$483.75 |
$537.50 |
0.3× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$450.45 |
$500.50 |
0.8× |
| RMVL FB XTRNL AUDITORY CANAL W/O ANES TechFee (69200) |
$116.10 |
$129 |
0.8× |
| RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP TechFee (65222) |
$109.35 |
$121.50 |
0.8× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$710.10 |
$789 |
0.2× |
Rmvl impltbl dfb pls gen w/rplcmt pls gen mlt ld (33264)
likely a partial charge — not the full procedure |
$588.60 |
$654 |
0.0× |
Rmvl impltbl dfb plse gen w/repl plse gen 1 lead (33262)
likely a partial charge — not the full procedure |
$544.50 |
$605 |
0.0× |
Rmvl impltbl dfb plse gen w/rplcmt plse gen 2 ld (33263)
likely a partial charge — not the full procedure |
$564.30 |
$627 |
0.0× |
| Rmvl nfros tube req fluoro guidance (50389) |
$670.50 |
$745 |
0.9× |
| Rmvl of access device (36589) |
$247.50 |
$275 |
0.4× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$504 |
$560 |
0.1× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$1,044.90 |
$1,161 |
0.5× |
| Rmvl1/dual chmbr impltbl dfb eltrd transvns xtrj (33244) |
$1,257.30 |
$1,397 |
0.3× |
| Rplc gtube revj gstrst trc (43763) |
$543.60 |
$604 |
2.1× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$297.90 |
$331 |
0.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,247.40 |
$1,386 |
0.4× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594)
likely a partial charge — not the full procedure |
$1,033.20 |
$1,148 |
0.2× |
Rpr aa hernia 1st 3-10 cm reducible (49593)
likely a partial charge — not the full procedure |
$794.70 |
$883 |
0.1× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$475.20 |
$528 |
0.1× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$3,992.73 |
$4,436.36 |
0.6× |
Rpr blvsl w/grf other/than vein lower extremity (35286)
likely a partial charge — not the full procedure |
$1,324.80 |
$1,472 |
0.2× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$536.40 |
$596 |
0.3× |
| Rpr Ingun Hernia Sliding Any Age (49525) |
$840.60 |
$934 |
0.2× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$752.85 |
$836.50 |
1.0× |
| Rpr lip fth>1half ver ht/cpx (40654) |
$879.30 |
$977 |
0.5× |
Rpr non-union mtcrpl/phalanx (26546)
likely a partial charge — not the full procedure |
$1,566 |
$1,740 |
0.2× |
| Rpr Recrt Inguinal Hernia Any Age Reducible (49520) |
$979.20 |
$1,088 |
0.3× |
| Rpr tdn/musc xtnsr f/arm&/wrist prim 1 ea tdn (25270) |
$735.30 |
$817 |
0.2× |
| Rpr xtnsr tdn ctr slip 2 tiss w/lat band ea fngr (26426) |
$748.80 |
$832 |
0.2× |
| Rpr&rcnstj finger volar plate interphalangeal jt (26548) |
$1,214.10 |
$1,349 |
0.4× |
| Rpsg prev implted pm/dfb r atr/r ventr electrode (33215) |
$450 |
$500 |
0.1× |
| Rtrvl intrvas vc filtr w/wo acs vsl selxn rs&i (37193) |
$2,371.50 |
$2,635 |
0.7× |
Scapulopexy (eg, Sprengels deformity or for paralysis) Age Under 21 (23400)
likely a partial charge — not the full procedure |
$1,429.20 |
$1,588 |
0.2× |
| Scleral reinforcement (separate procedure); with graft Age Under 21 (67255) |
$1,008 |
$1,120 |
0.2× |
| Scleral reinforcement (separate procedure); without graft Age Under 21 (67250) |
$1,359.90 |
$1,511 |
0.5× |
| Sclerotherapy fluid collection prq w/img gid (49185) |
$2,045.70 |
$2,273 |
1.2× |
| Scraping of cornea, diagnostic, for smear and/or culture (65430) |
$169.20 |
$188 |
0.4× |
| Scraping or stapling of shin bone growth plate of lower leg bone at ankle (27730) |
$872.10 |
$969 |
0.3× |
| Scrotal exploration Age Under 21 (55110) |
$567 |
$630 |
0.2× |
Scrotoplasty; complicated Age Under 21 (55180)
likely a partial charge — not the full procedure |
$1,006.20 |
$1,118 |
0.2× |
| Scrotoplasty; simple Age Under 21 (55175) |
$532.80 |
$592 |
0.1× |
| Secondary Closure Of Surgical Wound Or Dehiscence, Extensive Or Complicated (13160) |
$1,166.40 |
$1,296 |
0.3× |
Secondary revision of orbitocraniofacial reconstruction Age Under 21 (21275)
likely a partial charge — not the full procedure |
$1,242.90 |
$1,381 |
0.2× |
Septal or other intranasal dermatoplasty (does not include obtaining graft) Age Under 21 (30620)
likely a partial charge — not the full procedure |
$1,035.90 |
$1,151 |
0.2× |
| Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft Age Under 21 (30520) |
$1,024.20 |
$1,138 |
0.3× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle Age Under 21 (23170) |
$837.90 |
$931 |
0.2× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist Age Under 21 (25145) |
$775.80 |
$862 |
0.2× |
Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck Age Under 21 (23174)
likely a partial charge — not the full procedure |
$1,130.40 |
$1,256 |
0.1× |
Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process Age Under 21 (24138)
likely a partial charge — not the full procedure |
$1,021.50 |
$1,135 |
0.1× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck Age Under 21 (24136) |
$936.90 |
$1,041 |
0.3× |
| Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula Age Under 21 (23172) |
$846 |
$940 |
0.2× |
| Sesamoidectomy, thumb or finger (separate procedure) Age Under 21 (26185) |
$828.90 |
$921 |
0.5× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65875) |
$929.70 |
$1,033 |
0.4× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65870) |
$872.10 |
$969 |
0.4× |
| Severing adhesions of anterior segment of eye, incisional technique (with or without injection of air or liquid)… (65880) |
$977.40 |
$1,086 |
0.2× |
| Severing adhesions of anterior segment, laser technique (separate procedure) Age Under 21 (65860) |
$454.50 |
$505 |
0.8× |
| Severing of vitreous strands, vitreous face adhesions, sheets, membranes or opacities, laser surgery (1 or more stages)… (67031) |
$576 |
$640 |
1.0× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less (11300) |
$156.60 |
$174 |
0.4× |
| Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm (11301) |
$187.20 |
$208 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$179.10 |
$199 |
0.8× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$275.40 |
$306 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$163.80 |
$182 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$188.10 |
$209 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$215.10 |
$239 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$226.80 |
$252 |
0.5× |
| Shortening of tendon, extensor, hand or finger, each tendon Age Under 21 (26477) |
$960.30 |
$1,067 |
0.3× |
| Shortening of tendon, flexor, hand or finger, each tendon Age Under 21 (26479) |
$1,036.80 |
$1,152 |
0.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$209.70 |
$233 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$237.60 |
$264 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$233.10 |
$259 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$211.50 |
$235 |
1.0× |
| Sialolithotomy; parotid, extraoral or complicated intraoral Age Under 21 (42340) |
$810.90 |
$901 |
0.2× |
| Sialolithotomy; submandibular (submaxillary), complicated, intraoral Age Under 21 (42335) |
$660.60 |
$734 |
0.2× |
| Sigmoidoscopy & polypectomy (45333) |
$522 |
$580 |
0.5× |
| Sigmoidoscopy flx control bleeding (45334) |
$791.10 |
$879 |
0.6× |
| Sigmoidoscopy flx ndsc us xm (45341) |
$180.90 |
$201 |
0.2× |
| Sigmoidoscopy w/ablation (45346) |
$3,768.30 |
$4,187 |
3.0× |
| Sigmoidoscopy w/fb removal (45332) |
$434.70 |
$483 |
0.3× |
| Sigmoidoscopy w/resection (45349) |
$288 |
$320 |
0.1× |
| Sigmoidoscopy w/us guide bx (45342) |
$246.60 |
$274 |
0.2× |
| Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids) (45350) |
$1,085.40 |
$1,206 |
0.9× |
| Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement… (45337) |
$166.50 |
$185 |
0.2× |
| Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance Age Under 21 (45335) |
$463.50 |
$515 |
0.5× |
Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (45347)
likely a partial charge — not the full procedure |
$224.10 |
$249 |
0.0× |
| Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique Age Under 21 (45338) |
$482.40 |
$536 |
0.4× |
| Sigmoidoscopy, flexible; with transendoscopic balloon dilation Age Under 21 (45340) |
$738 |
$820 |
0.6× |
Simple complete removal of breast|BILATERAL PROCEDURE (19303)
likely a partial charge — not the full procedure |
$1,398.60 |
$1,554 |
0.2× |
| Simple cystometrogram (CMG) (eg, spinal manometer) Age Under 21 (51725) |
$351.90 |
$391 |
1.3× |
| Simple partial removal of external female genitals (56620) |
$874.80 |
$972 |
0.3× |
| Simple removal of skin debris and drainage of mastoid cavity|BILATERAL PROCEDURE (69220) |
$116.10 |
$129 |
0.5× |
| SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee (12011) |
$148.05 |
$164.50 |
0.7× |
| SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee (12013) |
$154.80 |
$172 |
0.7× |
| SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM TechFee (12014) |
$193.50 |
$215 |
0.9× |
| SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM TechFee (12015) |
$236.25 |
$262.50 |
1.1× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$322.65 |
$358.50 |
1.5× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee (12001) |
$122.85 |
$136.50 |
0.6× |
| SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM TechFee (12007) |
$345.60 |
$384 |
1.6× |
| Simple Repair Superficial Wound F/e/,eyelids,n/l/ And Or Mucous Membranes 20.1cm To 30.0cm (12017) |
$284.85 |
$316.50 |
0.7× |
| Simple Repair Superficial Wound F/e/eyelids,n/l/ And Or Mucous Membranes 12.6cm To 20.0cm (12016) |
$310.95 |
$345.50 |
0.7× |
| Simple revision of superficial scar tissue from surgically created opening of large bowel to skin (44340) |
$918.90 |
$1,021 |
0.2× |
| Simple revision of superficial scar tissue from surgically created opening of small bowel to skin (44312) |
$874.80 |
$972 |
0.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$182.25 |
$202.50 |
0.9× |
| Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter) (51736) |
$20.70 |
$23 |
0.1× |
Sinusotomy frontal; external, simple (trephine operation) Age Under 21 (31070)
likely a partial charge — not the full procedure |
$728.10 |
$809 |
0.1× |
Sinusotomy frontal; nonobliterative, with osteoplastic flap, brow incision Age Under 21 (31086)
likely a partial charge — not the full procedure |
$1,775.70 |
$1,973 |
0.3× |
Sinusotomy frontal; nonobliterative, with osteoplastic flap, coronal incision Age Under 21 (31087)
likely a partial charge — not the full procedure |
$1,682.10 |
$1,869 |
0.3× |
Sinusotomy frontal; obliterative without osteoplastic flap, brow incision (includes ablation) Age Under 21 (31080)
likely a partial charge — not the full procedure |
$1,648.80 |
$1,832 |
0.3× |
Sinusotomy frontal; obliterative, without osteoplastic flap, coronal incision (includes ablation) Age Under 21 (31081)
likely a partial charge — not the full procedure |
$1,763.10 |
$1,959 |
0.3× |
Sinusotomy frontal; transorbital, unilateral (for mucocele or osteoma, Lynch type) Age Under 21 (31075)
likely a partial charge — not the full procedure |
$1,255.50 |
$1,395 |
0.2× |
| Sinusotomy maxillary antrotomy intranasal (31020) |
$703.80 |
$782 |
0.2× |
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps Age Under 21 (31032)
likely a partial charge — not the full procedure |
$896.40 |
$996 |
0.1× |
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps Age Under 21 (31030)
likely a partial charge — not the full procedure |
$967.50 |
$1,075 |
0.2× |
Sinusotomy, sphenoid, with or without biopsy; Age Under 21 (31050)
likely a partial charge — not the full procedure |
$786.60 |
$874 |
0.1× |
Sinusotomy, sphenoid, with or without biopsy; with mucosal stripping or removal of polyp(s) Age Under 21 (31051)
likely a partial charge — not the full procedure |
$1,057.50 |
$1,175 |
0.2× |
Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal, maxillary, ethmoid, sphenoid) Age Under 21 (31090)
likely a partial charge — not the full procedure |
$1,695.60 |
$1,884 |
0.3× |
Slctv cath carotid/innom art angio intrcranl art (36223)
unusually low — confirm this is the full procedure |
$2,512.80 |
$2,792 |
0.4× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$1,893.60 |
$2,104 |
0.6× |
| Slctv cath intrnl carotid art angio intrcrnl art (36224) |
$3,156.30 |
$3,507 |
0.5× |
| Slctv cath subclavian art angio vertebral artery (36225) |
$2,383.20 |
$2,648 |
0.7× |
| Slctv cath vertebral art angio vertebral artery (36226) |
$3,042 |
$3,380 |
0.5× |
Sling operation for correction of male urinary incontinence (eg, fascia or synthetic) Age Under 21 (53440)
likely a partial charge — not the full procedure |
$1,090.80 |
$1,212 |
0.1× |
Sling operation for stress incontinence (eg, fascia or synthetic) Age Under 21 (57288)
likely a partial charge — not the full procedure |
$1,093.50 |
$1,215 |
0.2× |
| Slitting of prepuce (54001) |
$297 |
$330 |
0.1× |
| Slitting of prepuce, dorsal or lateral (separate procedure); newborn Age Under 21 (54000) |
$245.70 |
$273 |
0.1× |
| Small bowel endoscopy (44384) |
$223.20 |
$248 |
0.1× |
| Small bowel endoscopy (44366) |
$346.50 |
$385 |
0.2× |
| Small bowel endoscopy (44376) |
$412.20 |
$458 |
0.2× |
| Small bowel endoscopy/biopsy (44377) |
$432.90 |
$481 |
0.2× |
| Small bowel endoscopy/biopsy (44361) |
$230.40 |
$256 |
0.1× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$557.10 |
$619 |
0.3× |
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379)
likely a partial charge — not the full procedure |
$593.10 |
$659 |
0.1× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of… (44369) |
$356.40 |
$396 |
0.2× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of… (44373) |
$278.10 |
$309 |
0.1× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$346.50 |
$385 |
0.2× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign… (44363) |
$278.10 |
$309 |
0.1× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44364) |
$297 |
$330 |
0.1× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44365) |
$264.60 |
$294 |
0.1× |
Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic… (44370)
likely a partial charge — not the full procedure |
$387 |
$430 |
0.1× |
| SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee (12002) |
$152.55 |
$169.50 |
0.7× |
| SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee (12005) |
$241.20 |
$268 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$288.45 |
$320.50 |
0.7× |
| Snip incision lacrimal punctum (68440) |
$154.80 |
$172 |
0.5× |
| Sperm washing for artificial insemination (58323) |
$22.50 |
$25 |
0.1× |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Age Under 21 (46750) |
$1,102.50 |
$1,225 |
0.4× |
| Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair) Age Under 21 (46761) |
$1,340.10 |
$1,489 |
0.5× |
| Sphincteroplasty, anal, for incontinence, adult; muscle transplant Age Under 21 (46760) |
$1,616.40 |
$1,796 |
0.6× |
| Sphincterotomy, anal, division of sphincter (separate procedure) Age Under 21 (46080) |
$441 |
$490 |
0.2× |
| Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple… (15120) |
$1,256.40 |
$1,396 |
0.3× |
| Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children… (15100) |
$1,296 |
$1,440 |
0.6× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$644.40 |
$716 |
0.2× |
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; Age… (69660)
likely a partial charge — not the full procedure |
$1,386.90 |
$1,541 |
0.2× |
Stapedectomy or stapedotomy with reestablishment of ossicular continuity, with or without use of foreign material; with… (69661)
likely a partial charge — not the full procedure |
$1,800.90 |
$2,001 |
0.3× |
| Stapes mobilization Age Under 21 (69650) |
$1,209.60 |
$1,344 |
0.3× |
| Stereotactic localization, including burr hole(s), with insertion of catheter(s) or probe(s) for placement of radiation… (61770) |
$2,328.30 |
$2,587 |
0.6× |
| Stereotactic stimulation of spinal cord, percutaneous, separate procedure not followed by other surgery Age Under 21 (63610) |
$822.60 |
$914 |
0.4× |
| Stimulus evoked response (51792) |
$422.10 |
$469 |
6.8× |
| Strabismus surgery, any procedure, superior oblique muscle Age Under 21 (67318) |
$1,000.80 |
$1,112 |
0.4× |
| Strabismus surgery, recession or resection procedure; 1 horizontal muscle Age Under 21 (67311) |
$706.50 |
$785 |
0.3× |
| Strabismus surgery, recession or resection procedure; 1 vertical muscle (excluding superior oblique) Age Under 21 (67314) |
$810.90 |
$901 |
0.3× |
| Strabismus surgery, recession or resection procedure; 2 horizontal muscles Age Under 21 (67312) |
$966.60 |
$1,074 |
0.2× |
| Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) Age Under… (67316) |
$1,033.20 |
$1,148 |
0.4× |
| Strapping ankle (29540) |
$40.95 |
$45.50 |
0.2× |
| Strapping elbow or wrist (29260) |
$44.10 |
$49 |
0.7× |
| Strapping hand/finger (29280) |
$45.45 |
$50.50 |
0.7× |
| Strapping hip (29520) |
$53.10 |
$59 |
0.4× |
| Strapping of chest (29200) |
$50.40 |
$56 |
0.3× |
| Strapping of knee (29530) |
$43.65 |
$48.50 |
0.3× |
| Strapping of shoulder (29240) |
$43.65 |
$48.50 |
0.3× |
| Strapping of toes (29550) |
$27.45 |
$30.50 |
0.4× |
| Strapping unna boot (29580) |
$212.85 |
$236.50 |
1.2× |
| Sub grft f/s/n/h/f/g/m/d <100sq cm 1st 25 sq cm (15275) |
$240.30 |
$267 |
0.3× |
| Subconjunctival injection (68200) |
$62.10 |
$69 |
0.1× |
| Subcutaneous injection of filling material (eg, collagen); 1 cc or less Age Under 21 (11950) |
$119.70 |
$133 |
0.6× |
| Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc Age Under 21 (11951) |
$159.30 |
$177 |
0.2× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Age Under 21 (11952) |
$213.30 |
$237 |
0.3× |
| Subcutaneous injection of filling material (eg, collagen); over 10.0 cc Age Under 21 (11954) |
$234.90 |
$261 |
0.3× |
| Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; initial Age Under 21 (61000) |
$162 |
$180 |
0.2× |
| Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Age Under 21 (61001) |
$153.90 |
$171 |
0.2× |
| Submucosal ablation of the tongue base, radiofrequency, 1 or more sites, per session (41530) |
$1,457.10 |
$1,619 |
0.4× |
| Submucous resection inferior turbinate, partial or complete, any method Age Under 21 (30140) |
$449.10 |
$499 |
0.1× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$4,536 |
$5,040 |
0.7× |
| Surg nasopharyngoscopy dilat eustachian tube uni (69705) |
$4,399.20 |
$4,888 |
0.7× |
| Surgical closure tracheostomy or fistula; without plastic repair (31820) |
$673.20 |
$748 |
0.2× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15002) |
$522.90 |
$581 |
0.7× |
| Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including… (15004) |
$594 |
$660 |
1.4× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Age Under 21 (46275) |
$859.50 |
$955 |
0.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage Age Under 21 (46285) |
$855.90 |
$951 |
0.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous Age Under 21 (46270) |
$854.10 |
$949 |
0.3× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or… (46280) |
$714.60 |
$794 |
0.2× |
| Suture 1 nerve ulnar motor (64836) |
$1,197.90 |
$1,331 |
0.3× |
Suture closure of vagina and vaginal opening (57120)
likely a partial charge — not the full procedure |
$785.70 |
$873 |
0.1× |
Suture facial nerve, intratemporal, with or without graft or decompression; including medial to geniculate ganglion Age… (69745)
likely a partial charge — not the full procedure |
$1,845.90 |
$2,051 |
0.3× |
Suture facial nerve, intratemporal, with or without graft or decompression; lateral to geniculate ganglion Age Under 21 (69740)
likely a partial charge — not the full procedure |
$1,729.80 |
$1,922 |
0.3× |
| Suture of 1 nerve; hand or foot, common sensory nerve Age Under 21 (64834) |
$1,087.20 |
$1,208 |
0.3× |
| Suture of 1 nerve; median motor thenar Age Under 21 (64835) |
$1,197.90 |
$1,331 |
0.3× |
Suture of facial nerve; extracranial Age Under 21 (64864)
likely a partial charge — not the full procedure |
$1,253.70 |
$1,393 |
0.1× |
| Suture of facial nerve; infratemporal, with or without grafting Age Under 21 (64865) |
$1,605.60 |
$1,784 |
0.4× |
Suture of infrapatellar tendon; primary Age Under 21 (27380)
likely a partial charge — not the full procedure |
$932.40 |
$1,036 |
0.1× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Age Under 21 (27381)
likely a partial charge — not the full procedure |
$1,221.30 |
$1,357 |
0.2× |
| Suture of iris, ciliary body (separate procedure) with retrieval of suture through small incision (eg, McCannel suture)… (66682) |
$1,066.50 |
$1,185 |
0.4× |
Suture of major peripheral nerve, arm or leg, except sciatic; including transposition Age Under 21 (64856)
likely a partial charge — not the full procedure |
$1,477.80 |
$1,642 |
0.2× |
| Suture of major peripheral nerve, arm or leg, except sciatic; without transposition Age Under 21 (64857) |
$1,541.70 |
$1,713 |
0.4× |
Suture of posterior tibial nerve Age Under 21 (64840)
likely a partial charge — not the full procedure |
$1,410.30 |
$1,567 |
0.2× |
Suture of quadriceps or hamstring muscle rupture; primary Age Under 21 (27385)
likely a partial charge — not the full procedure |
$909.90 |
$1,011 |
0.1× |
Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Age Under… (27386)
likely a partial charge — not the full procedure |
$1,275.30 |
$1,417 |
0.2× |
| Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full… (67935) |
$893.70 |
$993 |
0.4× |
| Suture of sciatic nerve Age Under 21 (64858) |
$1,715.40 |
$1,906 |
0.8× |
| Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single… (44602) |
$2,034.90 |
$2,261 |
0.5× |
| Suture of tendon to joint of finger near top of finger (26474) |
$1,000.80 |
$1,112 |
0.6× |
| Suture of tongue to lip for micrognathia (Douglas type procedure) Age Under 21 (41510) |
$692.10 |
$769 |
0.2× |
| Suture of; brachial plexus Age Under 21 (64861) |
$2,192.40 |
$2,436 |
1.1× |
| Suture of; lumbar plexus Age Under 21 (64862) |
$2,000.70 |
$2,223 |
0.6× |
| Suture or repair of testicular injury Age Under 21 (54670) |
$596.70 |
$663 |
0.2× |
| Suture pharynx for wound or injury Age Under 21 (42900) |
$486.90 |
$541 |
0.3× |
| Sympathectomy; digital arteries, each digit Age Under 21 (64820) |
$1,090.80 |
$1,212 |
0.5× |
| Sympathectomy; superficial palmar arch Age Under 21 (64823) |
$1,165.50 |
$1,295 |
0.3× |
| Syndactylization, toes (eg, webbing or Kelikian type procedure) Age Under 21 (28280) |
$765 |
$850 |
0.2× |
| Synovectomy, carpometacarpal joint Age Under 21 (26130) |
$700.20 |
$778 |
0.2× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; Age Under 21 (25118) |
$572.40 |
$636 |
0.3× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Age Under 21 (25119) |
$747.90 |
$831 |
0.2× |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Age… (26135) |
$824.40 |
$916 |
0.2× |
| Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint Age Under 21 (26140) |
$756 |
$840 |
0.4× |
| Synovectomy, tendon sheath, foot; extensor Age Under 21 (28088) |
$684.90 |
$761 |
0.2× |
| Synovectomy, tendon sheath, foot; flexor Age Under 21 (28086) |
$806.40 |
$896 |
0.2× |
Synovectomy; intertarsal or tarsometatarsal joint, each Age Under 21 (28070)
likely a partial charge — not the full procedure |
$771.30 |
$857 |
0.1× |
| Synovectomy; metatarsophalangeal joint, each Age Under 21 (28072) |
$736.20 |
$818 |
0.2× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$766.80 |
$852 |
0.5× |
Talectomy (astragalectomy) Age Under 21 (28130)
likely a partial charge — not the full procedure |
$900.90 |
$1,001 |
0.1× |
| Tangential biopsy skin single lesion (11102) |
$162.90 |
$181 |
0.4× |
| Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11920) |
$294.30 |
$327 |
0.4× |
| Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including… (11921) |
$333.90 |
$371 |
0.4× |
Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289)
likely a partial charge — not the full procedure |
$477 |
$530 |
0.0× |
Tcat insj/rpl perm leadless pacemaker rv w/img (33274)
likely a partial charge — not the full procedure |
$698.40 |
$776 |
0.0× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$723.60 |
$804 |
0.2× |
| Temporary closure of eyelids by suture (eg, Frost suture) Age Under 21 (67875) |
$278.10 |
$309 |
0.3× |
Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris) Age Under 21 (20924)
likely a partial charge — not the full procedure |
$745.20 |
$828 |
0.1× |
| Tendon lengthening, upper arm or elbow, each tendon Age Under 21 (24305) |
$859.50 |
$955 |
0.2× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Age Under 21 (25310) |
$919.80 |
$1,022 |
0.3× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
$1,057.50 |
$1,175 |
0.3× |
Tenodesis long tendon biceps (23430)
likely a partial charge — not the full procedure |
$1,099.80 |
$1,222 |
0.1× |
| Tenodesis proximal interphalangeal joint each (26471) |
$1,011.60 |
$1,124 |
0.3× |
| Tenolysis ext tendon,hand/finger,ea (26445) |
$939.60 |
$1,044 |
0.3× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,003.50 |
$1,115 |
0.6× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$618.30 |
$687 |
0.2× |
| Tenolysis, complex, extensor tendon, finger, including forearm, each tendon Age Under 21 (26449) |
$1,034.10 |
$1,149 |
0.3× |
| Tenolysis, extensor, foot; single tendon Age Under 21 (28225) |
$622.80 |
$692 |
0.2× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25295) |
$783 |
$870 |
0.2× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Age Under 21 (27681) |
$751.50 |
$835 |
0.2× |
| Tenolysis, flexor tendon; palm AND finger, each tendon Age Under 21 (26442) |
$1,502.10 |
$1,669 |
0.4× |
| Tenolysis, flexor, foot; multiple tendons Age Under 21 (28222) |
$777.60 |
$864 |
0.2× |
| Tenolysis, triceps Age Under 21 (24332) |
$913.50 |
$1,015 |
0.3× |
Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)… (24320)
likely a partial charge — not the full procedure |
$1,150.20 |
$1,278 |
0.2× |
| Tenotomy adductor hip percutaneous spx (27000) |
$598.50 |
$665 |
0.4× |
| Tenotomy elbow lateral/medial percutaneous (24357) |
$626.40 |
$696 |
0.2× |
| Tenotomy percutaneous single each digit (26060) |
$385.20 |
$428 |
0.2× |
| Tenotomy percutaneous toe multiple tendon (28011) |
$465.30 |
$517 |
0.3× |
| Tenotomy percutaneous toe single tendon (28010) |
$369 |
$410 |
0.2× |
| Tenotomy prq achilles tendon spx local anes (27605) |
$503.10 |
$559 |
0.3× |
| Tenotomy, adductor of hip, open Age Under 21 (27001) |
$800.10 |
$889 |
0.2× |
Tenotomy, adductor, subcutaneous, open, with obturator neurectomy Age Under 21 (27003)
likely a partial charge — not the full procedure |
$888.30 |
$987 |
0.1× |
| Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or… (24358) |
$786.60 |
$874 |
0.2× |
| Tenotomy, extensor, hand or finger, open, each tendon Age Under 21 (26460) |
$693.90 |
$771 |
0.4× |
| Tenotomy, flexor, finger, open, each tendon Age Under 21 (26455) |
$705.60 |
$784 |
0.4× |
| Tenotomy, flexor, palm, open, each tendon Age Under 21 (26450) |
$712.80 |
$792 |
0.2× |
| Tenotomy, hip flexor(s), open (separate procedure) (27005) |
$1,066.50 |
$1,185 |
0.3× |
| Tenotomy, lengthening, or release, abductor hallucis muscle Age Under 21 (28240) |
$666.90 |
$741 |
0.2× |
| Tenotomy, open, extensor, foot or toe, each tendon Age Under 21 (28234) |
$613.80 |
$682 |
0.4× |
| Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon Age Under 21 (25290) |
$649.80 |
$722 |
0.2× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg Age Under 21 (27391) |
$835.20 |
$928 |
0.2× |
| Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral Age Under 21 (27392) |
$1,053.90 |
$1,171 |
0.3× |
| Tenotomy, open, hamstring, knee to hip; single tendon Age Under 21 (27390) |
$668.70 |
$743 |
0.2× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) Age Under 21 (28232) |
$596.70 |
$663 |
0.4× |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Age Under 21 (27606) |
$401.40 |
$446 |
0.1× |
| Tenotomy, percutaneous, adductor or hamstring; multiple tendons Age Under 21 (27307) |
$621.90 |
$691 |
0.2× |
| Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure) Age Under 21 (27306) |
$504.90 |
$561 |
0.1× |
Tenotomy, shoulder area; multiple tendons through same incision Age Under 21 (23406)
likely a partial charge — not the full procedure |
$1,098.90 |
$1,221 |
0.1× |
Tenotomy, shoulder area; single tendon Age Under 21 (23405)
likely a partial charge — not the full procedure |
$916.20 |
$1,018 |
0.1× |
| Therapeutic apheresis platelet (36513) |
$154.80 |
$172 |
0.3× |
| Therapeutic apheresis; for plasma pheresis Age Under 21 (36514) |
$885.60 |
$984 |
0.5× |
| Therapeutic apheresis; for red blood cells Age Under 21 (36512) |
$155.70 |
$173 |
0.1× |
| Therapeutic apheresis; for white blood cells Age Under 21 (36511) |
$159.30 |
$177 |
0.1× |
| Therapeutic apheresis; with extracorporeal immunoadsorption, selective adsorption or selective filtration and plasma… (36516) |
$7,392.60 |
$8,214 |
1.6× |
| Therapeutic pneumothorax (32960) |
$188.10 |
$209 |
0.3× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$468 |
$520 |
0.6× |
| Therapeutic spinal puncture drainage csf (62272) |
$233.55 |
$259.50 |
0.3× |
| Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance (32555) |
$966.15 |
$1,073.50 |
1.5× |
Thoracoscopy With Biopsyies of Pleura|LEFT SIDE (32609)
likely a partial charge — not the full procedure |
$366.30 |
$407 |
0.1× |
Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy (32601)
likely a partial charge — not the full procedure |
$438.30 |
$487 |
0.1× |
Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy (32606)
likely a partial charge — not the full procedure |
$656.10 |
$729 |
0.1× |
Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy (32604)
likely a partial charge — not the full procedure |
$679.50 |
$755 |
0.1× |
Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral (32607)
likely a partial charge — not the full procedure |
$438.30 |
$487 |
0.0× |
Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral (32608)
likely a partial charge — not the full procedure |
$538.20 |
$598 |
0.0× |
Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); Age Under 21 (35875)
likely a partial charge — not the full procedure |
$844.20 |
$938 |
0.1× |
Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or… (35876)
likely a partial charge — not the full procedure |
$1,336.50 |
$1,485 |
0.2× |
| Thrombectomy, direct or with catheter; axillary and subclavian vein, by arm incision Age Under 21 (34490) |
$931.50 |
$1,035 |
0.3× |
| Thrombectomy, direct or with catheter; subclavian vein, by neck incision (34471) |
$1,521 |
$1,690 |
2.3× |
| Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision (34421) |
$981.90 |
$1,091 |
0.3× |
Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate… (36831)
likely a partial charge — not the full procedure |
$875.70 |
$973 |
0.1× |
Thromboendarterectomy, including patch graft, if performed; axillary-brachial (35321)
likely a partial charge — not the full procedure |
$1,265.40 |
$1,406 |
0.2× |
Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372)
likely a partial charge — not the full procedure |
$1,377 |
$1,530 |
0.2× |
| Thrombolysis art/venous infsn w/image subsq tx (37213) |
$329.40 |
$366 |
0.1× |
Thrombolysis arterial infusion icra rs&i init tx (37211)
likely a partial charge — not the full procedure |
$547.20 |
$608 |
0.1× |
| Thrombolysis venous infusion w/imaging init tx (37212) |
$477.90 |
$531 |
0.1× |
Thymectomy, partial or total; transcervical approach (separate procedure) (60520)
likely a partial charge — not the full procedure |
$1,527.30 |
$1,697 |
0.2× |
Thyroidectomy Rmvl Remaining Tiss Flwg Prtl Rmvl|DISC OP HOSP/AMB SURGR CENT (ASC) PROC AFTER ADMIN OF ANESTHES (60260)
likely a partial charge — not the full procedure |
$1,587.60 |
$1,764 |
0.3× |
Thyroidectomy, including substernal thyroid; cervical approach (60271)
likely a partial charge — not the full procedure |
$1,539 |
$1,710 |
0.2× |
Thyroidectomy, total or complete (60240)
likely a partial charge — not the full procedure |
$1,339.20 |
$1,488 |
0.2× |
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252)
unusually low — confirm this is the full procedure |
$1,925.10 |
$2,139 |
0.3× |
| Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) |
$1,178.10 |
$1,309 |
0.3× |
| Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Age Under 21 (15150) |
$1,048.50 |
$1,165 |
0.5× |
Tissue expander placement in breast reconstruction, including subsequent expansion(s) Age Under 21 (19357)
likely a partial charge — not the full procedure |
$1,708.20 |
$1,898 |
0.1× |
Tongue base suspension, permanent suture technique (41512)
likely a partial charge — not the full procedure |
$1,008.90 |
$1,121 |
0.2× |
| Tonsillectomy and adenoidectomy; age 12 or over Age Under 21 (42821) |
$449.10 |
$499 |
0.1× |
| Tonsillectomy, primary or secondary; age 12 or over Age Under 21 (42826) |
$378 |
$420 |
0.1× |
Tonsillectomy, primary or secondary; younger than age 12 Age Under 21 (42825)
likely a partial charge — not the full procedure |
$397.80 |
$442 |
0.1× |
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857)
likely a partial charge — not the full procedure |
$2,573.10 |
$2,859 |
0.1× |
Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856)
likely a partial charge — not the full procedure |
$2,354.40 |
$2,616 |
0.1× |
Total facial nerve decompression and/or repair (may include graft) (69955)
unusually low — confirm this is the full procedure |
$2,912.40 |
$3,236 |
0.5× |
Total knee arthroplasty (27447)
likely a partial charge — not the full procedure |
$1,872 |
$2,080 |
0.1× |
Total thyroid lobectomy, unilateral; with or without isthmusectomy Age Under 21 (60220)
likely a partial charge — not the full procedure |
$1,035.90 |
$1,151 |
0.2× |
| Tr retinal les preterm inf (67229) |
$1,683 |
$1,870 |
2.9× |
| Trabeculoplasty by laser surgery Age Under 21 (65855) |
$363.60 |
$404 |
0.6× |
| Tracheal puncture, percutaneous with transtracheal aspiration and/or injection Age Under 21 (31612) |
$142.20 |
$158 |
0.0× |
Trachelectomy (cervicectomy), amputation of cervix (separate procedure) Age Under 21 (57530)
likely a partial charge — not the full procedure |
$556.20 |
$618 |
0.1× |
| Trachelorrhaphy plstc rpr uterine cervix vag (57720) |
$499.50 |
$555 |
0.1× |
Tracheoplasty; tracheopharyngeal fistulization, each stage Age Under 21 (31755)
unusually low — confirm this is the full procedure |
$2,620.80 |
$2,912 |
0.4× |
| Tracheostoma revision; simple, without flap rotation Age Under 21 (31613) |
$642.60 |
$714 |
0.2× |
| Tracheostomy, emergency procedure; cricothyroid membrane Age Under 21 (31605) |
$477 |
$530 |
1.9× |
Transcatheter biopsy (37200)
likely a partial charge — not the full procedure |
$306.90 |
$341 |
0.1× |
Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61626)
likely a partial charge — not the full procedure |
$1,274.40 |
$1,416 |
0.1× |
Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a… (61624)
likely a partial charge — not the full procedure |
$1,638.90 |
$1,821 |
0.1× |
| Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method), with… (58345) |
$427.50 |
$475 |
0.1× |
| Transect othr spinal n,xtradural (aka hb transect other spinal n, xtradural) (64772) |
$827.10 |
$919 |
0.4× |
| Transection or avulsion of obturator nerve, extrapelvic, with or without adductor tenotomy Age Under 21 (64763) |
$758.70 |
$843 |
0.4× |
| Transection or avulsion of obturator nerve, intrapelvic, with or without adductor tenotomy (64766) |
$934.20 |
$1,038 |
0.5× |
| Transection or avulsion of other cranial nerve, extradural Age Under 21 (64771) |
$853.20 |
$948 |
0.4× |
| Transection or avulsion of; facial nerve, differential or complete Age Under 21 (64742) |
$723.60 |
$804 |
0.4× |
| Transection or avulsion of; greater occipital nerve Age Under 21 (64744) |
$738.90 |
$821 |
0.4× |
| Transection or avulsion of; inferior alveolar nerve by osteotomy Age Under 21 (64738) |
$666.90 |
$741 |
0.3× |
| Transection or avulsion of; lingual nerve Age Under 21 (64740) |
$684 |
$760 |
0.3× |
| Transection or avulsion of; mental nerve Age Under 21 (64736) |
$486 |
$540 |
0.2× |
Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) Age Under 21 (27100)
likely a partial charge — not the full procedure |
$1,224.90 |
$1,361 |
0.2× |
| Transfer iliopsoas; to femoral neck Age Under 21 (27111) |
$1,330.20 |
$1,478 |
0.4× |
Transfer iliopsoas; to greater trochanter of femur Age Under 21 (27110)
likely a partial charge — not the full procedure |
$1,427.40 |
$1,586 |
0.2× |
| Transfer of tendon to restore intrinsic function; all 4 fingers Age Under 21 (26498) |
$1,773 |
$1,970 |
0.5× |
| Transfer of tendon to restore intrinsic function; ring and small finger Age Under 21 (26497) |
$1,372.50 |
$1,525 |
0.4× |
| Transfer of tendon to thumb, palm, or wrist (26496) |
$1,373.40 |
$1,526 |
0.4× |
Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg, anterior tibial or posterior… (27691)
likely a partial charge — not the full procedure |
$1,098 |
$1,220 |
0.1× |
Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg, anterior tibial… (27690)
likely a partial charge — not the full procedure |
$946.80 |
$1,052 |
0.1× |
| Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining… (26483) |
$1,327.50 |
$1,475 |
0.4× |
| Transfer or transplant of tendon, palmar; with free tendon graft (includes obtaining graft), each tendon Age Under 21 (26489) |
$1,468.80 |
$1,632 |
0.4× |
| Transfer or transplant of tendon, palmar; without free tendon graft, each tendon Age Under 21 (26485) |
$1,274.40 |
$1,416 |
0.4× |
| Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) Age Under 21 (27105) |
$1,283.40 |
$1,426 |
0.4× |
| Transfer, adductor to ischium Age Under 21 (27098) |
$1,028.70 |
$1,143 |
0.3× |
Transfer, finger to another position without microvascular anastomosis Age Under 21 (26555)
likely a partial charge — not the full procedure |
$2,082.60 |
$2,314 |
0.3× |
| Transfer, free toe joint, with microvascular anastomosis (26556) |
$5,006.70 |
$5,563 |
0.7× |
| Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location Age Under 21 (15650) |
$783.90 |
$871 |
0.4× |
Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Age Under 21 (27400)
likely a partial charge — not the full procedure |
$1,028.70 |
$1,143 |
0.1× |
| Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft (26551) |
$4,847.40 |
$5,386 |
0.6× |
| Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double (26554) |
$5,595.30 |
$6,217 |
0.7× |
| Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single (26553) |
$4,815 |
$5,350 |
0.6× |
| Transfusion, blood or blood components (36430) |
$375.30 |
$417 |
0.8× |
Transluminal dilation of aqueous outflow canal (eg, canaloplasty); with retention of device or stent (66175)
likely a partial charge — not the full procedure |
$1,167.30 |
$1,297 |
0.2× |
| Transluminal dilation of aqueous outflow canal (eg, canaloplasty); without retention of device or stent (66174) |
$1,116 |
$1,240 |
0.3× |
Transmastoid antrotomy (simple mastoidectomy) Age Under 21 (69501)
likely a partial charge — not the full procedure |
$1,066.50 |
$1,185 |
0.2× |
| Transmetacarpal amputation; secondary closure or scar revision Age Under 21 (25929) |
$889.20 |
$988 |
0.4× |
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055)
unusually low — confirm this is the full procedure |
$2,339.10 |
$2,599 |
0.3× |
Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63056)
likely a partial charge — not the full procedure |
$2,155.50 |
$2,395 |
0.3× |
Transperi needle place pros (55875)
likely a partial charge — not the full procedure |
$1,128.60 |
$1,254 |
0.2× |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
$4,601.70 |
$5,113 |
0.8× |
| Transplant hand tendon (26480) |
$1,203.30 |
$1,337 |
0.3× |
Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); multiple tendons Age… (27397)
likely a partial charge — not the full procedure |
$1,346.40 |
$1,496 |
0.2× |
Transplant or transfer (with muscle redirection or rerouting), thigh (eg, extensor to flexor); single tendon Age Under… (27396)
likely a partial charge — not the full procedure |
$916.20 |
$1,018 |
0.1× |
| Transplantation of testis(es) to thigh (because of scrotal destruction) Age Under 21 (54680) |
$1,142.10 |
$1,269 |
0.3× |
Transrectal abltj mal prst8 tissue hifu w/us (55880)
likely a partial charge — not the full procedure |
$1,417.50 |
$1,575 |
0.1× |
| Transrectal drainage of pelvic abscess Age Under 21 (45000) |
$630.90 |
$701 |
0.5× |
| Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy Age Under… (31730) |
$1,738.80 |
$1,932 |
0.9× |
| Transurethral destruction of prostate tissue; by microwave thermotherapy Age Under 21 (53850) |
$2,241.90 |
$2,491 |
0.6× |
| Transurethral destruction of prostate tissue; by radiofrequency thermotherapy Age Under 21 (53852) |
$2,183.40 |
$2,426 |
0.6× |
| Transurethral drainage of prostatic abscess Age Under 21 (52700) |
$643.50 |
$715 |
0.2× |
Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy,… (52601)
likely a partial charge — not the full procedure |
$1,053.90 |
$1,171 |
0.2× |
| Transurethral incision of prostate Age Under 21 (52450) |
$690.30 |
$767 |
0.2× |
| Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary… (53860) |
$3,835.80 |
$4,262 |
1.7× |
| Transurethral resection of bladder neck (separate procedure) Age Under 21 (52500) |
$715.50 |
$795 |
0.2× |
| Transurethral resection; of postoperative bladder neck contracture Age Under 21 (52640) |
$469.80 |
$522 |
0.1× |
Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative… (52630)
likely a partial charge — not the full procedure |
$590.40 |
$656 |
0.1× |
| Treat big toe fracture (28495) |
$315.90 |
$351 |
1.2× |
Treat craniofacial fracture (21431)
likely a partial charge — not the full procedure |
$1,050.30 |
$1,167 |
0.2× |
| Treat dental ridge fracture (21440) |
$1,064.70 |
$1,183 |
0.3× |
Treat elbow fracture (24586)
likely a partial charge — not the full procedure |
$1,594.80 |
$1,772 |
0.1× |
| Treat finger dislocation (26775) |
$733.05 |
$814.50 |
2.5× |
| Treat foot dislocation (28545) |
$467.10 |
$519 |
0.1× |
| Treat fx distal radial (25606) |
$990.90 |
$1,101 |
0.3× |
Treat fx rad extra-articul (25607)
likely a partial charge — not the full procedure |
$1,093.50 |
$1,215 |
0.1× |
| Treat hip socket fracture (27222) |
$1,446.30 |
$1,607 |
5.6× |
| Treat humerus fracture (24577) |
$837 |
$930 |
0.5× |
| Treat knee fracture (27532) |
$1,157.85 |
$1,286.50 |
0.3× |
| Treat lower leg fracture (27825) |
$810 |
$900 |
0.5× |
| Treat mouth roof fracture (21421) |
$978.30 |
$1,087 |
0.3× |
| Treat pleurodesis w/agent (32560) |
$404.10 |
$449 |
0.6× |
Treat radius fracture (24665)
likely a partial charge — not the full procedure |
$976.50 |
$1,085 |
0.1× |
| Treat tail bone fracture (27200) |
$372.60 |
$414 |
1.4× |
| Treat thumb fracture (26665) |
$928.80 |
$1,032 |
0.3× |
| Treat thumb fracture (26645) |
$654.30 |
$727 |
0.4× |
| Treat toe dislocation (28630) |
$228.60 |
$254 |
0.9× |
| Treat ulnar fracture (24675) |
$859.05 |
$954.50 |
0.5× |
| Treat vaginal bleeding (57180) |
$306.90 |
$341 |
1.4× |
| Treat wrist bone fracture (25635) |
$868.95 |
$965.50 |
0.5× |
| Treat wrist bone fracture (25624) |
$915.75 |
$1,017.50 |
0.5× |
| Treat wrist dislocation (25690) |
$964.80 |
$1,072 |
0.6× |
| Treat wrist dislocation (25675) |
$676.80 |
$752 |
2.6× |
| TREATMENT CLOSED ELBOW DISLOCATION REQ ANES TechFee (24605) |
$937.35 |
$1,041.50 |
0.6× |
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 |
$1,548.90 |
$1,721 |
0.2× |
Treatment of ankle fracture (27822)
likely a partial charge — not the full procedure |
$1,302.30 |
$1,447 |
0.2× |
| Treatment of bladder lesion (51720) |
$131.40 |
$146 |
0.2× |
Treatment of broken base of forearm bone on small finger side at wrist (25652)
likely a partial charge — not the full procedure |
$924.30 |
$1,027 |
0.1× |
Treatment of broken lower jaw bone with placement of external stabilizing device (21454)
likely a partial charge — not the full procedure |
$717.30 |
$797 |
0.1× |
Treatment of broken lower jaw bone with placement of stabilizing device to teeth|BILATERAL PROCEDURE (21462)
unusually low — confirm this is the full procedure |
$3,107.70 |
$3,453 |
0.5× |
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 |
$1,298.70 |
$1,443 |
0.1× |
Treatment of broken nose and eye bones with placement of outside stabilizing device (21339)
likely a partial charge — not the full procedure |
$1,142.10 |
$1,269 |
0.2× |
| Treatment of choroid lesion (67220) |
$780.30 |
$867 |
1.3× |
| Treatment of closed elbow dislocation; without anesthesia (24600) |
$697.95 |
$775.50 |
2.7× |
| Treatment of extensive or progressive retinopathy (eg, diabetic retinopathy), photocoagulation Age Under 21 (67228) |
$497.70 |
$553 |
0.9× |
| Treatment of foot infection (28003) |
$569.70 |
$633 |
0.2× |
| Treatment of heel fracture (28405) |
$659.70 |
$733 |
2.5× |
Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking… (24516)
likely a partial charge — not the full procedure |
$1,264.50 |
$1,405 |
0.1× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant,… (27245)
likely a partial charge — not the full procedure |
$1,793.70 |
$1,993 |
0.2× |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244)
likely a partial charge — not the full procedure |
$1,794.60 |
$1,994 |
0.2× |
| Treatment of miscarriage (59812) |
$630.45 |
$700.50 |
0.2× |
| Treatment of missed abortion, completed surgically; second trimester Age Under 21 (59821) |
$643.50 |
$715 |
0.2× |
| Treatment of mouth lesion (40820) |
$405.90 |
$451 |
0.1× |
| Treatment of retinal lesion (67208) |
$882.90 |
$981 |
2.6× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$1,357.20 |
$1,508 |
0.4× |
| Treatment of slipped femoral epiphysis; by traction, without reduction (27175) |
$981 |
$1,090 |
0.3× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27256) |
$508.05 |
$564.50 |
2.0× |
| Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or… (27257) |
$527.40 |
$586 |
0.3× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$392.40 |
$436 |
1.5× |
Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without… (27759)
likely a partial charge — not the full procedure |
$1,462.50 |
$1,625 |
0.1× |
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 |
$1,745.10 |
$1,939 |
0.2× |
| Trimming of nondystrophic nails, any number (11719) |
$22.05 |
$24.50 |
0.4× |
Trlml balo angiop open/perq img s&i 1st art (37246)
unusually low — confirm this is the full procedure |
$2,916.90 |
$3,241 |
0.5× |
Trlml balo angiop open/perq w/img s&i 1st vein (37248)
unusually low — confirm this is the full procedure |
$2,171.70 |
$2,413 |
0.4× |
| Trurl dstrj prst8 tiss rf wv (53854) |
$2,653.20 |
$2,948 |
0.7× |
| Tx superficial wound dehiscence simple closure (12020) |
$454.50 |
$505 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$266.40 |
$296 |
0.6× |
| Tx tarsal bone fx xcp talus&calcn w/manj (28455) |
$535.50 |
$595 |
0.3× |
| Tying of ethmoidal artery ethmoidal for control of nose bleed (30915) |
$907.20 |
$1,008 |
0.3× |
| Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch Age Under… (69610) |
$575.10 |
$639 |
0.4× |
| Tympanic neurectomy Age Under 21 (69676) |
$1,259.10 |
$1,399 |
0.4× |
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635)
unusually low — confirm this is the full procedure |
$1,920.60 |
$2,134 |
0.3× |
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637)
unusually low — confirm this is the full procedure |
$2,173.50 |
$2,415 |
0.3× |
Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636)
unusually low — confirm this is the full procedure |
$2,135.70 |
$2,373 |
0.3× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69645)
unusually low — confirm this is the full procedure |
$2,242.80 |
$2,492 |
0.4× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646)
unusually low — confirm this is the full procedure |
$2,370.60 |
$2,634 |
0.4× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644)
unusually low — confirm this is the full procedure |
$2,278.80 |
$2,532 |
0.4× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643)
likely a partial charge — not the full procedure |
$1,839.60 |
$2,044 |
0.3× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642)
unusually low — confirm this is the full procedure |
$2,010.60 |
$2,234 |
0.3× |
Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641)
likely a partial charge — not the full procedure |
$1,568.70 |
$1,743 |
0.3× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632)
likely a partial charge — not the full procedure |
$1,636.20 |
$1,818 |
0.3× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633)
likely a partial charge — not the full procedure |
$1,584.90 |
$1,761 |
0.3× |
Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631)
likely a partial charge — not the full procedure |
$1,344.60 |
$1,494 |
0.2× |
| Tympanostomy (requiring insertion of ventilating tube), general anesthesia Age Under 21 (69436) |
$237.60 |
$264 |
0.1× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Age Under 21 (49250) |
$869.40 |
$966 |
0.2× |
| Unlisted autologous blood injection into eye bleb (most like cpt 66020) (66999) |
$4,549.50 |
$5,055 |
1.9× |
Unlisted laparoscopy procedure, intestine (except rectum) (44238)
likely a partial charge — not the full procedure |
$1,818 |
$2,020 |
0.3× |
| Unlisted procedure, dentoalveolar structures (41899) |
$459 |
$510 |
1.8× |
Upgrade of pacemaker system (33214)
likely a partial charge — not the full procedure |
$695.70 |
$773 |
0.1× |
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50955)
likely a partial charge — not the full procedure |
$623.70 |
$693 |
0.1× |
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50957)
likely a partial charge — not the full procedure |
$629.10 |
$699 |
0.1× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50953) |
$585.90 |
$651 |
0.2× |
Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961)
likely a partial charge — not the full procedure |
$569.70 |
$633 |
0.1× |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50951) |
$554.40 |
$616 |
0.1× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50970) |
$530.10 |
$589 |
0.1× |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
$513 |
$570 |
0.1× |
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50974)
likely a partial charge — not the full procedure |
$675.90 |
$751 |
0.1× |
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50976)
likely a partial charge — not the full procedure |
$666 |
$740 |
0.1× |
Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50980)
likely a partial charge — not the full procedure |
$510.30 |
$567 |
0.1× |
| Urethrectomy, total, including cystostomy; female Age Under 21 (53210) |
$1,125 |
$1,250 |
0.3× |
Urethrectomy, total, including cystostomy; male Age Under 21 (53215)
likely a partial charge — not the full procedure |
$1,341 |
$1,490 |
0.2× |
| Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) (53500) |
$1,087.20 |
$1,208 |
0.3× |
| Urethromeatoplasty, with mucosal advancement Age Under 21 (53450) |
$596.70 |
$663 |
0.2× |
| Urethromeatoplasty, with partial excision of distal urethral segment (Richardson type procedure) Age Under 21 (53460) |
$666.90 |
$741 |
0.2× |
Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site… (54316)
likely a partial charge — not the full procedure |
$1,439.10 |
$1,599 |
0.1× |
| Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm Age Under 21 (54312) |
$1,185.30 |
$1,317 |
0.3× |
Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm Age Under 21 (54308)
likely a partial charge — not the full procedure |
$1,039.50 |
$1,155 |
0.2× |
| Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg, third stage Cecil repair) Age Under… (54318) |
$1,032.30 |
$1,147 |
0.3× |
Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg, Tenago, Leadbetter… (53431)
likely a partial charge — not the full procedure |
$1,663.20 |
$1,848 |
0.3× |
Urethroplasty, 1-stage reconstruction of male anterior urethra Age Under 21 (53410)
likely a partial charge — not the full procedure |
$1,417.50 |
$1,575 |
0.3× |
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; first stage Age Under 21 (53420)
likely a partial charge — not the full procedure |
$1,216.80 |
$1,352 |
0.2× |
Urethroplasty, 2-stage reconstruction or repair of prostatic or membranous urethra; second stage Age Under 21 (53425)
likely a partial charge — not the full procedure |
$1,353.60 |
$1,504 |
0.2× |
Urethroplasty, reconstruction of female urethra Age Under 21 (53430)
likely a partial charge — not the full procedure |
$1,408.50 |
$1,565 |
0.2× |
Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Age Under 21 (53400)
likely a partial charge — not the full procedure |
$1,159.20 |
$1,288 |
0.2× |
Urethroplasty; second stage (formation of urethra), including urinary diversion Age Under 21 (53405)
likely a partial charge — not the full procedure |
$1,263.60 |
$1,404 |
0.2× |
Urethrorrhaphy sutr urethral wound/inj penile (53505)
likely a partial charge — not the full procedure |
$707.40 |
$786 |
0.1× |
| Urethrorrhaphy, suture of urethral wound or injury, female Age Under 21 (53502) |
$707.40 |
$786 |
0.2× |
Urethrorrhaphy, suture of urethral wound or injury; perineal Age Under 21 (53510)
likely a partial charge — not the full procedure |
$918.90 |
$1,021 |
0.2× |
Urethrorrhaphy, suture of urethral wound or injury; prostatomembranous Age Under 21 (53515)
likely a partial charge — not the full procedure |
$1,152 |
$1,280 |
0.2× |
| Urethrotomy or urethrostomy, external (separate procedure); pendulous urethra Age Under 21 (53000) |
$216.90 |
$241 |
0.1× |
Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external Age Under 21 (53010)
likely a partial charge — not the full procedure |
$433.80 |
$482 |
0.1× |
| Uterine evacuation & curettage hydatidiform mole (59870) |
$792.90 |
$881 |
0.2× |
| Uvulectomy, excision of uvula (42140) |
$480.60 |
$534 |
0.1× |
| Vaginal delivery (59409) |
$1,498.05 |
$1,664.50 |
0.4× |
Vaginal hysterectomy, for uterus 250 g or less; Age Under 21 (58260)
likely a partial charge — not the full procedure |
$1,233.90 |
$1,371 |
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 |
$1,360.80 |
$1,512 |
0.3× |
Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263)
likely a partial charge — not the full procedure |
$1,458 |
$1,620 |
0.3× |
Vaginal hysterectomy, for uterus greater than 250 g; (58290)
likely a partial charge — not the full procedure |
$1,687.50 |
$1,875 |
0.2× |
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) (58291)
unusually low — confirm this is the full procedure |
$1,822.50 |
$2,025 |
0.3× |
Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele (58292)
likely a partial charge — not the full procedure |
$1,919.70 |
$2,133 |
0.2× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$801 |
$890 |
0.2× |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) (57107) |
$2,136.60 |
$2,374 |
0.6× |
| Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral… (57109) |
$2,534.40 |
$2,816 |
0.7× |
| Vasc embolize/occlude bleed (37244) |
$10,620.90 |
$11,801 |
0.9× |
| Vascular embolization or occlusion arterial rs&i (37242) |
$11,545.20 |
$12,828 |
0.6× |
| Vascular embolization or occlusion venous rs&i (37241) |
$7,541.10 |
$8,379 |
0.6× |
| Vascular embolize/occlude organ tumor infarct (37243) |
$13,936.50 |
$15,485 |
1.1× |
| Vasectomy (55250) |
$1,313.10 |
$1,459 |
0.6× |
| Vasotomy, cannulization with or without incision of vas, unilateral or bilateral (separate procedure) (55200) |
$577.80 |
$642 |
0.2× |
| Vbac delivery only (59612) |
$1,289.70 |
$1,433 |
0.4× |
| Venipuncture (36415) |
$21.60 |
$24 |
2.3× |
| Ventilating tube removal requiring general anesthesia (69424) |
$198 |
$220 |
0.1× |
| Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir; with… (61026) |
$154.80 |
$172 |
0.2× |
| Ventricular puncture through previous burr hole, fontanelle, suture, or implanted ventricular catheter/reservoir;… (61020) |
$152.10 |
$169 |
0.2× |
| Vermilionectomy (lip shave), with mucosal advancement Age Under 21 (40500) |
$795.60 |
$884 |
0.2× |
| Version cephalic external (59412) |
$146.70 |
$163 |
0.0× |
| Vestibular nerve section, translabyrinthine approach Age Under 21 (69915) |
$2,225.70 |
$2,473 |
0.6× |
Vestibuloplasty; complex (including ridge extension, muscle repositioning) Age Under 21 (40845)
unusually low — confirm this is the full procedure |
$2,215.80 |
$2,462 |
0.4× |
Vestibuloplasty; posterior, bilateral Age Under 21 (40843)
likely a partial charge — not the full procedure |
$1,795.50 |
$1,995 |
0.3× |
Vestibuloplasty; posterior, unilateral Age Under 21 (40842)
likely a partial charge — not the full procedure |
$1,398.60 |
$1,554 |
0.2× |
| Vitrectomy mechanical pars plana (67036) |
$1,305 |
$1,450 |
0.3× |
| Vitrectomy pars plana remove int memb retina (67042) |
$1,659.60 |
$1,844 |
0.4× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Age Under 21 (67039) |
$1,395 |
$1,550 |
0.3× |
| Vitrectomy, mechanical, pars plana approach; with removal of preretinal cellular membrane (eg, macular pucker) Age… (67041) |
$1,659.60 |
$1,844 |
0.4× |
| Vitrectomy, mechanical, pars plana approach; with removal of subretinal membrane (eg, choroidal neovascularization),… (67043) |
$1,750.50 |
$1,945 |
0.4× |
| Vulvectomy simple; complete Age Under 21 (56625) |
$990 |
$1,100 |
0.3× |
| Wedge excision skin nail fold (11765) |
$236.25 |
$262.50 |
0.6× |
Wedge resection or bisection of ovary, unilateral or bilateral (58920)
likely a partial charge — not the full procedure |
$1,053 |
$1,170 |
0.1× |
| Wedging of cast (29740) |
$145.80 |
$162 |
0.5× |
| Windowing of cast (29730) |
$94.50 |
$105 |
0.6× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prosth Cplx WO Ecp (66982) |
$1,085.40 |
$1,206 |
0.4× |