| Abd paracentesis w/imaging (49083) |
— |
$9,181.36 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$330,743.09 |
— |
| Acne Surgery (10040) |
— |
$36,380.46 |
— |
| Amp leg thru tibia&fibula sec closure/scar rev (27884) |
— |
$239,797.02 |
— |
| Amputate metacarpal bone (26910) |
— |
$137,230.55 |
— |
| Amputation Finger/Thumb (26951) |
— |
$35,328.71 |
— |
| Amputation follow-up surgery (25929) |
— |
$113,816.48 |
— |
| Amputation follow-up surgery (24925) |
— |
$78,102.91 |
— |
| Amputation follow-up surgery (25907) |
— |
$78,102.91 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$194,236.32 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$49,880.09 |
— |
| Amputation of finger/thumb (26952) |
— |
$43,302.35 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$147,199.29 |
— |
| Amputation Toe Metatarsophalangeal Joint (28820) |
— |
$58,890.97 |
— |
| Amputation Transmetacarpal (25927) |
— |
$83,499.99 |
— |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
— |
$194,236.32 |
— |
| Amputation, foot; transmetatarsal (28805) |
— |
$194,236.32 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$75,433.66 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$67,429.79 |
— |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Other… (27881) |
— |
$239,797.02 |
— |
| Anoscopy diagnostic (46600) |
— |
$198,101.79 |
— |
| Anoscopy dx w/hra &chem agnts enhancement (46601) |
— |
$198,101.79 |
— |
| Anrct xm surg req anes general spi/edrl dx (45990) |
— |
$58,806.57 |
— |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
— |
$86,841.90 |
— |
| Anterior Tibial Tubercleplasty (27418) |
— |
$158,426.49 |
— |
| Appendectomy (44950) |
— |
$147,783.94 |
— |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
— |
$84,531.97 |
— |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
— |
$116,850.18 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$190,630.19 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$190,630.19 |
— |
| Arrest Epiphyseal Open Distal Fibula (27732) |
— |
$144,377.35 |
— |
| Arrest Epiphyseal Open Distal Tibia (27730) |
— |
$158,426.49 |
— |
| Arrest, epiphyseal, any method (eg, epiphydiodesis); cmbined distal femur prox (27479) |
— |
$156,084.97 |
— |
| Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) (27485) |
— |
$156,084.97 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$7,225.82 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$4,971.85 |
— |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
— |
$81,643.20 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$158,962.77 |
— |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Other Surgical Services (27441) |
— |
$175,721.68 |
— |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
— |
$73,345.57 |
— |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
— |
$53,601.16 |
— |
| Arthroscopy of joint (29999) |
— |
$48,798.04 |
— |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
— |
$34,033.05 |
— |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
— |
$50,595.79 |
— |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
— |
$36,509.64 |
— |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
— |
$40,123.15 |
— |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
— |
$48,083.71 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$48,959.59 |
— |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
— |
$50,300.94 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$70,813.90 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$90,398.20 |
— |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
— |
$90,754.74 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$88,382.31 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$68,991.98 |
— |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
— |
$90,512.70 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$89,581.22 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$81,994.54 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$89,540.01 |
— |
| Arthrotomy Elbow W/Synovial Biopsy Only (24100) |
— |
$74,769.11 |
— |
| Arthrotomy Knee W/Synovial Biopsy Only (27330) |
— |
$42,853.84 |
— |
| Arthrotomy W/Synovectomy Hip Joint (27054) |
— |
$143,199 |
— |
| Arthrotomy Wrist Joint With Synovectomy (25105) |
— |
$45,783.18 |
— |
| Arthrotomy, elbow; with synovectomy (24102) |
— |
$74,769.11 |
— |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
— |
$175,721.68 |
— |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
— |
$62,324.63 |
— |
| Asc Only Unlisted Procedure - Endoscopic Orbitotomy Tumor Removal (67599) |
— |
$48,638.78 |
— |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
— |
$50,754.07 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$35,348.36 |
— |
| Biopsy Breast Open Incisional (19101) |
— |
$64,178.96 |
— |
| Biopsy finger joint lining (26110) |
— |
$224,771.93 |
— |
| Biopsy muscle deep (20205) |
— |
$54,347.20 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$5,030.37 |
— |
| Biopsy of bowel (44100) |
— |
$66,083.38 |
— |
| Biopsy of nail unit (11755) |
— |
$58,672.68 |
— |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
— |
$45,023.21 |
— |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
— |
$78,696.43 |
— |
| Biopsy soft tissue of back (21920) |
— |
$78,696.43 |
— |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
— |
$143,199 |
— |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
— |
$45,344.04 |
— |
| Biopsy/removal lymph nodes (38525) |
— |
$60,207.92 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$53,229.80 |
— |
| Bl push transfuse 2 yr/< (36440) |
— |
$74,928.75 |
— |
| Blood patch (62273) |
— |
$4,166.55 |
— |
| Blood transfusion service (36430) |
— |
$74,781.66 |
— |
| Bone graft with microvascular anastomosis; fibula Other Surgical Services (20955) |
— |
$144,377.35 |
— |
| Bone graft with microvascular anastomosis; metatarsal Other Surgical Services (20957) |
— |
$190,972.85 |
— |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Other Surgical Services (20962) |
— |
$125,406.27 |
— |
| Bone graft, any donor area; major or large (20902) |
— |
$142,746.47 |
— |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
— |
$142,746.47 |
— |
| Bone Marrow Biopsy (38221) |
— |
$10,263.83 |
— |
| Bone/skin graft great toe (20973) |
— |
$126,799.60 |
— |
| Bone/skin graft metatarsal (20972) |
— |
$190,972.85 |
— |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
— |
$186,485.30 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$40,148.62 |
— |
| Bronchoscopy,Diagnostic W Lavage (31624) |
— |
$40,148.62 |
— |
| Bx anorectal wall anal approach (45100) |
— |
$64,328.73 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$5,016.23 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$40,001.16 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$7,873.04 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$58,206.29 |
— |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
— |
$147,242.88 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$683.83 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$34,206.99 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$669.18 |
— |
| Chest tube placement (32551) |
— |
$94,916.24 |
— |
| Cholecystostomy,Percutaneous, Complete (47490) |
— |
$158,269.25 |
— |
| Circum 28 days or older (54161) |
— |
$15,756.86 |
— |
| Circumcision (54150) |
— |
$15,756.86 |
— |
| Circumcision Neonate (54160) |
— |
$15,756.86 |
— |
| Claviculectomy; partial (23120) |
— |
$54,518.46 |
— |
| Close Rx Fingr Articular Fx,Manip (26742) |
— |
$29,754.03 |
— |
| Closed Rx Med Malleolus Fx,Manip (27762) |
— |
$146,112.62 |
— |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
— |
$28,901 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$39,466.12 |
— |
| Closed Rx Radial Shaft Fx (25500) |
— |
$171,946.68 |
— |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
— |
$171,946.68 |
— |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
— |
$58,891.42 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$33,602.66 |
— |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
— |
$33,602.66 |
— |
| Closed treatment nasal fracture w/stabilization (21320) |
— |
$38,276.44 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$65,304.45 |
— |
| Closed treatment pst malleolus fracture w/manj (27768) |
— |
$146,112.62 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$190,630.19 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$100,813.39 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$171,946.68 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$171,946.68 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$171,946.68 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$29,737.67 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$190,630.19 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$58,891.42 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$58,891.42 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$110,388.33 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$29,754.03 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$93,120.68 |
— |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
— |
$93,120.68 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$146,112.62 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$171,946.68 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$56,504.44 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$33,602.66 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$29,754.03 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$8,963.63 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$93,120.68 |
— |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
— |
$26,639.92 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$33,602.66 |
— |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
— |
$70,173.61 |
— |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
— |
$58,891.42 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$102,567.71 |
— |
| Colonoscopy flex w/rem forcep (45384) |
— |
$19,778.80 |
— |
| Colonoscopy stoma w/biopsy (44389) |
— |
$16,199.40 |
— |
| Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or… (44406) |
— |
$198,101.79 |
— |
| Colonoscopy thru stoma (44388) |
— |
$198,101.79 |
— |
| Colonoscopy w/ablation (45388) |
— |
$17,902.08 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$198,101.79 |
— |
| Colonoscopy w/resection (45390) |
— |
$20,286.15 |
— |
| Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283) |
— |
$126,250.66 |
— |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
— |
$67,124.64 |
— |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
— |
$67,124.64 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
— |
$37,278.13 |
— |
| Colsc flx with directed submucosal njx any sbst (45381) |
— |
$22,189.35 |
— |
| Comp multiplane ext fixation (20696) |
— |
$116,850.18 |
— |
| Complex Drainage, Wound (10180) |
— |
$22,119.40 |
— |
| Conization of cervix (57520) |
— |
$47,785.89 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$3,097.21 |
— |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
— |
$54,683.58 |
— |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
— |
$130,494.76 |
— |
| Correction hammertoe (28285) |
— |
$63,701.01 |
— |
| Correction of bunion (28298) |
— |
$62,324.63 |
— |
| Correction of bunion (28292) |
— |
$180,277.31 |
— |
| Correction of bunion (28299) |
— |
$94,703.21 |
— |
| Correction of bunion (28297) |
— |
$115,554.47 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$190,972.85 |
— |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
— |
$68,271.37 |
— |
| Create eardrum opening (69436) |
— |
$30,218.70 |
— |
| Cross Intrinsic Transfer Each Tendon (26510) |
— |
$53,526.28 |
— |
| Curettage postpartum (59160) |
— |
$76,980.84 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$200,094.74 |
— |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
— |
$113,989.33 |
— |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
— |
$88,629.24 |
— |
| Dcmprn fasct leg ant&/lat&pst cmprt (27602) |
— |
$88,629.24 |
— |
| Dcmprn fasct leg post compartment only (27601) |
— |
$88,629.24 |
— |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
— |
$126,638.85 |
— |
| Debride skin musc at fx site (11011) |
— |
$160,694.59 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$43,383.61 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$84,030.82 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$51,705.16 |
— |
| Declot vascular device (36593) |
— |
$113,080.11 |
— |
| Decomp forearm,1 compart,w/o debride (25020) |
— |
$40,474.99 |
— |
| Decompress forearm 1 space (25023) |
— |
$113,989.33 |
— |
| Decompress forearm 2 spaces (25025) |
— |
$113,989.33 |
— |
| Decompress thigh/knee,>1+debride (27499) |
— |
$211,328 |
— |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
— |
$164,973.91 |
— |
| Decompression of thigh/knee (27497) |
— |
$211,328 |
— |
| Decompression of thigh/knee (27498) |
— |
$211,328 |
— |
| Decompression of thigh/knee (27496) |
— |
$211,328 |
— |
| Delivery placenta separate procedure (59414) |
— |
$37,356.60 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$46,572.07 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$15,682.97 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$15,467.21 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$51,780.79 |
— |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
— |
$16,724.74 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$37,496.34 |
— |
| Drainage of deep rectal abscess (45020) |
— |
$67,162.23 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$53,274.59 |
— |
| Drainage of pelvic abscess (45000) |
— |
$67,162.23 |
— |
| Dry Needling 3+ Muscles (20561) |
— |
$27.25 |
— |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
— |
$46,900.06 |
— |
| Dx bone marrow bx & aspir (38222) |
— |
$10,523.81 |
— |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
— |
$108,500.42 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$108,500.42 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$23,954.10 |
— |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
— |
$108,500.42 |
— |
| Egd Endo Mucosal Resection (43254) |
— |
$108,500.42 |
— |
| Egd endoscopic stent place (43266) |
— |
$108,500.42 |
— |
| Egd flexible foreign body removal (43247) |
— |
$108,500.42 |
— |
| Egd guide wire insertion (43248) |
— |
$16,267.69 |
— |
| Egd injection varices (43243) |
— |
$108,500.42 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$108,500.42 |
— |
| Egd place gastrostomy tube (43246) |
— |
$36,782.72 |
— |
| Egd rem tumr/polyp forcep (43250) |
— |
$108,500.42 |
— |
| Egd remove lesion snare (43251) |
— |
$19,441.16 |
— |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
— |
$108,500.42 |
— |
| Egd tube/cath insertion (43241) |
— |
$108,500.42 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$108,500.42 |
— |
| Egd us fine needle bx/aspir (43242) |
— |
$108,500.42 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$108,500.42 |
— |
| Egd Varices Ligation (43244) |
— |
$108,500.42 |
— |
| Egd w/transmural drain cyst (43240) |
— |
$108,500.42 |
— |
| Embedded ip cath exit-site (49436) |
— |
$107,561.46 |
— |
| Endoscopic us exam esoph (43237) |
— |
$108,500.42 |
— |
| Endoven ther chem adhes 1st (36482) |
— |
$19,893.83 |
— |
| Endovenous rf 1st vein (36475) |
— |
$20,389.80 |
— |
| Esophagogastroduodenoscopy submucosal injection (43236) |
— |
$108,500.42 |
— |
| Esophagoscopy flex biopsy (43202) |
— |
$43,054.89 |
— |
| Esophagoscopy flexible transnasal with biopsy (43198) |
— |
$109,509.01 |
— |
| Esophagoscopy w/us needle bx (43232) |
— |
$109,509.01 |
— |
| Esophagoscp rig trnso biopsy (43193) |
— |
$109,509.01 |
— |
| Evacuate mole of uterus (59870) |
— |
$35,925.82 |
— |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
— |
$49,429.47 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$39,932.14 |
— |
| Exc abd les sc 3 cm/> (22903) |
— |
$55,880.22 |
— |
| Exc arm/elbow les sc 3 cm/> (24071) |
— |
$51,161.53 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$40,844.60 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$147,910.47 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
— |
$53,903.32 |
— |
| Exc back les sc < 3 cm (21930) |
— |
$39,906.64 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$48,162.40 |
— |
| Exc face les sbq 2 cm/> (21012) |
— |
$46,092.83 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$107,570.96 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$107,570.96 |
— |
| Exc foot/toe tum sc < 1.5 cm (28043) |
— |
$33,942.50 |
— |
| Exc forearm les sc 3 cm/> (25071) |
— |
$29,149.62 |
— |
| Exc forearm les sc < 3 cm (25075) |
— |
$32,316.32 |
— |
| Exc hand les sc < 1.5 cm (26115) |
— |
$67,733.87 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$68,751.08 |
— |
| Exc neck tum deep < 5 cm (21556) |
— |
$66,730.43 |
— |
| Exc rect tum transanal part (45171) |
— |
$47,070.74 |
— |
| Exc sac pr ulc prepj musc/myoq flap/skn grf clsr (15936) |
— |
$121,798.52 |
— |
| Exc Sacr Press Ulc Bone & Suture (15933) |
— |
$141,372.58 |
— |
| Exc shoulder les sc 3 cm/> (23071) |
— |
$39,005.36 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
— |
$24,845.01 |
— |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
— |
$60,877.21 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$46,688.19 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$40,753.05 |
— |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
— |
$48,601.45 |
— |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
— |
$43,044.37 |
— |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
— |
$107,570.96 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$155,978.37 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$47,234.44 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$84,952.76 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$36,888.85 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$34,248.06 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$58,169.59 |
— |
| Exc tongue lesion w cl; post 1/3 (41113) |
— |
$46,516.88 |
— |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
— |
$24,724.45 |
— |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
— |
$43,720.89 |
— |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
— |
$31,428.05 |
— |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
— |
$107,570.96 |
— |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
— |
$25,651.49 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$49,151.90 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$27,714.23 |
— |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
— |
$136,774.62 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$32,284.37 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
— |
$48,603.03 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$30,632.11 |
— |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
— |
$171,580.18 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$55,236.91 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$109,850.47 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$132,627.11 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$126,799.60 |
— |
| Exc/curtg cst/b9 tum tarsal/metar w/iliac/agrft (28106) |
— |
$132,627.11 |
— |
| Exchange nephrostomy cath (50435) |
— |
$5,500.19 |
— |
| Excis jt lining,mc-p jt,each digit (26135) |
— |
$147,242.88 |
— |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
— |
$37,667.30 |
— |
| Excise tendon forearm/wrist (25109) |
— |
$373,239.32 |
— |
| Excision Breast Lesion (19125) |
— |
$56,713.04 |
— |
| Excision h/p/p/u simple/intermediate repair (11470) |
— |
$46,004.15 |
— |
| Excision hand/finger tendon (26415) |
— |
$133,610.70 |
— |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
— |
$28,058.28 |
— |
| Excision Lactiferous Duct Fistula (19112) |
— |
$70,608.72 |
— |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
— |
$108,904.03 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$108,904.03 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$112,070.97 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
— |
$112,070.97 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$112,070.97 |
— |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
— |
$57,932.11 |
— |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
— |
$61,909.21 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$62,591.22 |
— |
| Excision of bartholin's gland or cyst (56740) |
— |
$49,590.08 |
— |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
— |
$32,708.39 |
— |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
— |
$107,570.96 |
— |
| Excision of Epiphyseal Bar (20150) |
— |
$168,181.14 |
— |
| Excision of ganglion, wrist (dorsal or volar); recurrent (25112) |
— |
$133,610.70 |
— |
| Excision of lesion of tongue without closure (41110) |
— |
$46,516.88 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$44,082.98 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$50,563.43 |
— |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
— |
$39,652 |
— |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
— |
$35,092.40 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$52,526.01 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$54,276.40 |
— |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
— |
$43,619.80 |
— |
| Excision of tendon, finger, flexor or extensor, each tendon (26180) |
— |
$133,610.70 |
— |
| Excision of tongue lesion (41112) |
— |
$46,516.88 |
— |
| Excision of tongue lesion (41114) |
— |
$46,516.88 |
— |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) |
— |
$181,356.33 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$61,914.94 |
— |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
— |
$156,084.97 |
— |
| Excision pilonidal cyst/sinus complicated (11772) |
— |
$74,663.16 |
— |
| Excision Prepatellar Bursa (27340) |
— |
$35,904.33 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$49,358.21 |
— |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
— |
$40,866.92 |
— |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
— |
$44,673.26 |
— |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
— |
$373,239.32 |
— |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
— |
$121,798.52 |
— |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
— |
$67,778.81 |
— |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
— |
$44,692.80 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$45,999.32 |
— |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
— |
$44,922.93 |
— |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
— |
$113,989.33 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$94,922.52 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
— |
$136,774.62 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$43,948.73 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
— |
$171,595.92 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$38,625.26 |
— |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
— |
$44,206.29 |
— |
| Excision/curettage cyst/tumor carpal bones (25130) |
— |
$45,777.91 |
— |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
— |
$90,951.58 |
— |
| Exploration of knee joint (27310) |
— |
$139,775.40 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$92,844.03 |
— |
| Explore & Treat Metacarpo-Phal Jt (26075) |
— |
$100,216.08 |
— |
| Explore/treat ankle joint (27620) |
— |
$109,110.18 |
— |
| Explore/treat elbow joint (24101) |
— |
$74,769.11 |
— |
| Explore/treat hand joint (26070) |
— |
$100,216.08 |
— |
| External Cephalic Version (59412) |
— |
$15,415.78 |
— |
| Fascia lata graft; by stripper (20920) |
— |
$211,328 |
— |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
— |
$164,679.98 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$67,733.87 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$30,836.13 |
— |
| Fetal non-stress test (59025) |
— |
$30,836.13 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$13,180.78 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$4,233.24 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$10,250.21 |
— |
| Fixation of shoulder (23700) |
— |
$26,464.40 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$1,878.79 |
— |
| Fna bx w/fluor gdn 1st les (10007) |
— |
$2,893.11 |
— |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Other… (20969) |
— |
$126,661.83 |
— |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
— |
$62,081.74 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$84,952.76 |
— |
| Fusion of foot bones (28735) |
— |
$190,972.85 |
— |
| Gastrostomy opn w/o constj gstr tube spx (43830) |
— |
$55,776.32 |
— |
| Glossectomy; less than one-half tongue (41120) |
— |
$46,516.88 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$190,972.85 |
— |
| Hemiarthroplasty Hip Partial (27125) |
— |
$140,696.64 |
— |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
— |
$126,799.60 |
— |
| Hemorrhoidectomy (46255) |
— |
$64,729.20 |
— |
| Hemorrhoidectomy external complete (46250) |
— |
$57,744.61 |
— |
| Hysteroscopy ablation (58563) |
— |
$54,374.61 |
— |
| Hysteroscopy biopsy (58558) |
— |
$51,747.25 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$73,639.11 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$66,049.68 |
— |
| I&d abscess simple (10060) |
— |
$46,201.63 |
— |
| I&d epididymis tstis&/scrotal space (54700) |
— |
$51,116.24 |
— |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
— |
$150,407.45 |
— |
| I&d perianal abscess superficial (46050) |
— |
$50,637.88 |
— |
| I&D Rectal Abscess + Fistulectomy (46060) |
— |
$67,162.23 |
— |
| I&d submucosal abscess rectum (45005) |
— |
$67,162.23 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$6,028.41 |
— |
| Impltj/rplcmt ithcl/edrl drug nfs subq rsvr (62360) |
— |
$101,986.93 |
— |
| Incise finger tendon sheath (26055) |
— |
$34,835.28 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$42,985.19 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$37,099 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$56,419.74 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$154,419.86 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$154,419.86 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$39,171.36 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$37,173.84 |
— |
| Incision labial frenum frenotomy (40806) |
— |
$28,713.81 |
— |
| Incision of heel bone (28300) |
— |
$121,265.04 |
— |
| Incision of metatarsal (28308) |
— |
$61,039.88 |
— |
| Incision of metatarsal (28307) |
— |
$190,972.85 |
— |
| Incision of metatarsals (28309) |
— |
$190,972.85 |
— |
| Incision of rectal abscess (46040) |
— |
$44,257.27 |
— |
| Incision of wrist capsule (25085) |
— |
$28,112.81 |
— |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
— |
$96,821.16 |
— |
| Injection aa&/strd suprascapular nerve (64418) |
— |
$47,006.82 |
— |
| Injection for identification of sentinel node (38792) |
— |
$69,139.90 |
— |
| Injection Rx Extremity Pseudoaneurysm (36002) |
— |
$124,649.96 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$46,578.47 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$36,756.44 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$11,464.26 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$7,246.17 |
— |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
— |
$41,610.90 |
— |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
— |
$2,592.62 |
— |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
— |
$82,940.04 |
— |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
— |
$41,610.90 |
— |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
— |
$32,884.86 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$331,515.83 |
— |
| Insert 1 electrode pm-defib (33216) |
— |
$32,884.86 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$34,206.99 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$126,733.04 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$42,565.19 |
— |
| Insert pacing lead & connect (33224) |
— |
$69,863.83 |
— |
| Insert picc cath (36569) |
— |
$4,022.85 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$82,257.60 |
— |
| Insert picvad cath (36570) |
— |
$89,444.39 |
— |
| Insert pulse gen mult leads (33221) |
— |
$143,060.03 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$63,445.51 |
— |
| Insert tun ip cath perc (49418) |
— |
$44,288.05 |
— |
| Insert tunneled cv cath (36561) |
— |
$42,205.57 |
— |
| Insert Tunneled Cv Cath With Pump (36563) |
— |
$122,766.97 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$127,495.90 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$64,970.24 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$1,806.30 |
— |
| Insertion picc w/rs&i < 5 yr (36572) |
— |
$103,439.76 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$59,761.16 |
— |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
— |
$1,787.75 |
— |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
— |
$331,515.83 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$89,444.39 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$122,766.97 |
— |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
— |
$139,068.74 |
— |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
— |
$139,068.74 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$52,467.22 |
— |
| Insj/rplcmt defib w/lead(s) (33249) |
— |
$320,786.03 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$37,343.35 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$108,302.49 |
— |
| Insrt pulse gen w/dual leads (33230) |
— |
$331,515.83 |
— |
| Insrt pulse gen w/mult leads (33231) |
— |
$331,515.83 |
— |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
— |
$3,548.35 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$31,651.92 |
— |
| Knee arthroscopy/surgery (29876) |
— |
$49,312.64 |
— |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) |
— |
$200,094.74 |
— |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) |
— |
$200,094.74 |
— |
| Lap ing hernia repair init (49650) |
— |
$56,954.75 |
— |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
— |
$137,987.06 |
— |
| Laparoscopy appendectomy (44970) |
— |
$96,301.81 |
— |
| Laparoscopy biopsy (49321) |
— |
$70,236.46 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$108,500.42 |
— |
| Laparoscopy Remove Adnexa (58661) |
— |
$69,272.82 |
— |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
— |
$144,933.20 |
— |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
— |
$86,900.91 |
— |
| Laparoscopy Tubal Cautery (58670) |
— |
$71,408.44 |
— |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
— |
$68,369.29 |
— |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
— |
$138,131.51 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$76,077.52 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and… (43770) |
— |
$108,500.42 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device… (43773) |
— |
$108,500.42 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
— |
$108,500.42 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
— |
$143,102.36 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572) |
— |
$154,335.06 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$98,799.67 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$121,023.49 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$59,715.60 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$84,915.78 |
— |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
— |
$108,500.42 |
— |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
— |
$154,335.06 |
— |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
— |
$98,093.84 |
— |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
— |
$90,590.73 |
— |
| Laps W/Revision Intraperitoneal Catheter (49325) |
— |
$107,561.46 |
— |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
— |
$48,716.70 |
— |
| Laryngoscopy flexible w/injection agmntj uni (31574) |
— |
$48,716.70 |
— |
| Laryngoscopy w/bx op scope (31536) |
— |
$49,737.42 |
— |
| Late closure of wound (13160) |
— |
$51,635.85 |
— |
| Lateral retinacular release open (27425) |
— |
$66,361.63 |
— |
| Ligate leg veins radical (37760) |
— |
$109,850.47 |
— |
| Ligation of hemorrhoid(s) (46221) |
— |
$45,780.98 |
— |
| Ligatn perforators,subfasc,open, incl u/s, 1 leg (37761) |
— |
$109,850.47 |
— |
| Liver Biopsy (47000) |
— |
$13,757.98 |
— |
| Lsh uterus 250 g or less (58541) |
— |
$154,335.06 |
— |
| Lsh uterus above 250 g (58543) |
— |
$154,335.06 |
— |
| Lsh w/t/o uterus above 250 g (58544) |
— |
$154,335.06 |
— |
| Marsup Bartholin Gland Cyst (56440) |
— |
$60,144.86 |
— |
| Mast mod rad (19307) |
— |
$84,018.28 |
— |
| Mastectomy gynecomastia (19300) |
— |
$70,608.72 |
— |
| Mastectomy partial (19301) |
— |
$53,723.08 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$70,608.72 |
— |
| Mastectomy simple complete (19303) |
— |
$77,548.14 |
— |
| Metatarsectomy (28140) |
— |
$190,972.85 |
— |
| Muscle-skin graft arm (15736) |
— |
$49,429.47 |
— |
| Muscle-skin graft trunk (15734) |
— |
$71,720.57 |
— |
| Musculoskeletal surgery (20999) |
— |
$134,785.95 |
— |
| Myelography Lumbar Injection (62305) |
— |
$28,959.15 |
— |
| Myelography Lumbar Injection (62304) |
— |
$15,885.61 |
— |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
— |
$17,718.38 |
— |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
— |
$154,271.10 |
— |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
— |
$46,324.77 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$78,463.57 |
— |
| Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705) |
— |
$50,247.12 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$27.25 |
— |
| Neuroplasty digital 1/both same digit (64702) |
— |
$40,584.04 |
— |
| Neuroplasty; nerve of hand or foot (64704) |
— |
$49,429.47 |
— |
| Nipple exploration (19110) |
— |
$70,608.72 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$2,122.51 |
— |
| Njx noncmpnd sclerosant multiple incmptnt veins (36466) |
— |
$7,025.30 |
— |
| Njx noncmpnd sclerosant single incmptnt vein (36465) |
— |
$9,605.84 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$43,316.36 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$67,188.22 |
— |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
— |
$74,104.78 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$84,167.74 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$51,158.30 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$55,571.81 |
— |
| Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other… (28420) |
— |
$121,265.04 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$76,885.03 |
— |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
— |
$86,004.83 |
— |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) |
— |
$166,278.54 |
— |
| Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248) |
— |
$139,014.84 |
— |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
— |
$139,014.84 |
— |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
— |
$78,354.43 |
— |
| Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
— |
$101,177.20 |
— |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
— |
$73,534.34 |
— |
| Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) |
— |
$102,647.67 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Other Surgical Services (27178) |
— |
$138,352.73 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) (27177) |
— |
$138,230.65 |
— |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
— |
$59,902.56 |
— |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
— |
$101,177.20 |
— |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
— |
$99,437.70 |
— |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
— |
$52,589.72 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$72,478.19 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$100,575.73 |
— |
| Open treatment talus fracture (28445) |
— |
$49,564.27 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$41,286.19 |
— |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
— |
$66,393.84 |
— |
| Open Tx Femoral Fracture Proximal End He (27269) |
— |
$138,352.73 |
— |
| Open tx fracture great toe/phalanx/phalanges (28505) |
— |
$55,056.19 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$60,450.24 |
— |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
— |
$101,388.19 |
— |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
— |
$55,578.46 |
— |
| Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) |
— |
$100,575.73 |
— |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
— |
$107,369.97 |
— |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
— |
$121,265.04 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$63,192.67 |
— |
| Open/Perq Placement Intravascular Stent Initial (37236) |
— |
$63,192.67 |
— |
| Opponensplasty Tdn Tr W/Grf Ea Tdn (26492) |
— |
$133,610.70 |
— |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
— |
$166,278.54 |
— |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
— |
$180,277.31 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$190,972.85 |
— |
| Ostectomy, complete excision; first metatarsal head (28111) |
— |
$190,972.85 |
— |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
— |
$43,656.67 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$57,330.02 |
— |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
— |
$190,972.85 |
— |
| Osteoplasty, femur; shortening (excluding 64876) (27465) |
— |
$134,855.79 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$190,972.85 |
— |
| Osteotomy Metacarpal Each (26565) |
— |
$40,407.10 |
— |
| Osteotomy midtarsal,autograft (28305) |
— |
$121,265.04 |
— |
| Osteotomy Phalanx Finger Each (26567) |
— |
$41,793.92 |
— |
| Osteotomy Radius Distal Third (25350) |
— |
$48,468.24 |
— |
| Osteotomy, femoral neck (separate procedure) Other Surgical Services (27161) |
— |
$138,352.73 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation (27450) |
— |
$166,278.54 |
— |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
— |
$121,265.04 |
— |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, sofield type procedure) (27712) |
— |
$117,351.01 |
— |
| Part Remv Femur/Prox Tib/Fib (27360) |
— |
$156,084.97 |
— |
| Partial Excision Bone Fibula (27641) |
— |
$144,377.35 |
— |
| Partial Excision Bone Humerus (24140) |
— |
$129,281.57 |
— |
| Partial excision bone metacarpal (26230) |
— |
$41,514.42 |
— |
| Partial Excision Bone Radius (25151) |
— |
$48,468.24 |
— |
| Partial excision bone talus/calcaneus (28120) |
— |
$90,951.58 |
— |
| Partial Excision Bone Tibia (27640) |
— |
$158,426.49 |
— |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
— |
$76,179.78 |
— |
| Partial Removal Foot Fascia (28060) |
— |
$50,575.74 |
— |
| Partial removal of ulna (25119) |
— |
$373,239.32 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$75,224.04 |
— |
| Percut Mech Thrombectomy, Venous (37187) |
— |
$2,090.79 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$112,253.70 |
— |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
— |
$127,786.73 |
— |
| Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation (26776) |
— |
$58,512.03 |
— |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
— |
$41,122.91 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$8,929.41 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$52,865.01 |
— |
| Perq device breast 1st imag (19281) |
— |
$56,442.25 |
— |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
— |
$73,940.33 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$73,940.33 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$1,605.79 |
— |
| Phalangectomy toe each toe (28150) |
— |
$126,799.60 |
— |
| Pin finger fracture each (26756) |
— |
$65,103.12 |
— |
| Pin hand dislocation (26676) |
— |
$48,900.14 |
— |
| Place Cath Subclavian Art (36225) |
— |
$61,900.18 |
— |
| Place Cath Vertebral Art (36226) |
— |
$8,160.61 |
— |
| Place gastrostomy tube (43831) |
— |
$106,264.28 |
— |
| Placement of seton (46020) |
— |
$43,869.16 |
— |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (44300) |
— |
$66,641.86 |
— |
| Plmt nephrostomy cath prq new access rs&i (50432) |
— |
$6,095.44 |
— |
| PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) |
— |
$239,797.02 |
— |
| PR Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$108,500.42 |
— |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
— |
$183,172.05 |
— |
| Prim art mech thrombectomy (37184) |
— |
$57,378.69 |
— |
| Proctosigmoidoscopy w/bx (45305) |
— |
$198,101.79 |
— |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
— |
$159,496.92 |
— |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femoral neck and… (27187) |
— |
$136,277.51 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$4,030.92 |
— |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
— |
$32,276.35 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$127,813.42 |
— |
| Puncture Aspiration (10160) |
— |
$37,930.32 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$28,596.62 |
— |
| Quadricepsplasty (eg, Bennett or Thompson type) (27430) |
— |
$71,734.15 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
— |
$373,239.32 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
— |
$48,270.45 |
— |
| Rad resec tonsil/pillars,clos local (42844) |
— |
$46,516.88 |
— |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
— |
$67,733.87 |
— |
| Rad Resection Tumor Soft Tis Thigh/Knee 5 Cm/> (27364) |
— |
$136,774.62 |
— |
| Rad resection tumor soft tissue back/flank <5cm (21935) |
— |
$154,924.98 |
— |
| Rad resection tumor soft tissue foot/toe <3cm (28046) |
— |
$122,034.80 |
— |
| Rad Resection Tumor Soft Tissue Leg/Ankle 5 Cm/> (27616) |
— |
$109,850.47 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater (21936) |
— |
$154,924.98 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater (21016) |
— |
$107,570.96 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater (28047) |
— |
$122,034.80 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater (25078) |
— |
$113,989.33 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater (26118) |
— |
$67,733.87 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of pelvis and hip area; 5 cm or greater (27059) |
— |
$191,399 |
— |
| Radical resection of tumor, proximal humerus (23220) |
— |
$129,281.57 |
— |
| Radical resection of tumor; tarsal (except talus or calcaneus) Other Surgical Services (28171) |
— |
$90,951.58 |
— |
| Radical Resection Tumor Metatarsal (28173) |
— |
$190,972.85 |
— |
| Radical resection tumor phalanx or toe (28175) |
— |
$126,799.60 |
— |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
— |
$90,951.58 |
— |
| Realignment of hand (25335) |
— |
$228,897.02 |
— |
| Realignment of knee (27455) |
— |
$99,437.70 |
— |
| Rebuild eardrum structures (69632) |
— |
$107,570.96 |
— |
| Reconstr disloc patella w mscl adv (27422) |
— |
$58,281.10 |
— |
| Reconstruct finger joint (26545) |
— |
$133,610.70 |
— |
| Reconstruct head of radius (24365) |
— |
$68,156.01 |
— |
| Reduction of Large Breast (19318) |
— |
$70,608.72 |
— |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
— |
$72,649 |
— |
| Release elbow joint (24006) |
— |
$74,769.11 |
— |
| Release i-p jt contracture (26525) |
— |
$39,879.30 |
— |
| Release palm contracture (26121) |
— |
$67,733.87 |
— |
| Release wrist/forearm tendon (25295) |
— |
$54,488.58 |
— |
| Relocation of skin pocket for pacemaker (33222) |
— |
$8,264.23 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$41,183.68 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$25,256.04 |
— |
| Removal Implant Deep (20680) |
— |
$45,780.85 |
— |
| Removal Implant From Finger/Hand (26320) |
— |
$45,177 |
— |
| Removal Implantable Defib Pulse Generator Only (33241) |
— |
$4,315.68 |
— |
| Removal of adenoids (42835) |
— |
$33,279.73 |
— |
| Removal of adenoids (42830) |
— |
$49,900.58 |
— |
| Removal of external bone stabilizing device under anesthesia (20694) |
— |
$56,538.46 |
— |
| Removal of fascia for graft (20922) |
— |
$211,328 |
— |
| Removal of head of humerus (23195) |
— |
$129,281.57 |
— |
| Removal of heel bone (28118) |
— |
$90,951.58 |
— |
| Removal of heel spur (28119) |
— |
$50,575.74 |
— |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
— |
$40,901.49 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$66,462.12 |
— |
| Removal of knee cartilage (27333) |
— |
$175,721.68 |
— |
| Removal of knee cartilage (27332) |
— |
$175,721.68 |
— |
| Removal of kneecap (27350) |
— |
$47,904.08 |
— |
| Removal of nail bed (11750) |
— |
$39,909.21 |
— |
| Removal of palm tendon each (26170) |
— |
$133,610.70 |
— |
| Removal Of Peritoneal-Venous Shunt (49429) |
— |
$107,561.46 |
— |
| Removal of pressure sore (15999) |
— |
$129,598.12 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$28,740.74 |
— |
| Removal of sperm cord lesion (55520) |
— |
$68,836.72 |
— |
| Removal of tonsils (42825) |
— |
$40,137.70 |
— |
| Removal of tonsils (42826) |
— |
$45,334.08 |
— |
| Removal ppm generator only (33233) |
— |
$1,314.79 |
— |
| Removal subq cardiac rhythm monitor (33286) |
— |
$5,559.80 |
— |
| Remove anal fist subq (46270) |
— |
$80,546.27 |
— |
| Remove cerclage suture (59871) |
— |
$5,497.97 |
— |
| Remove drug implant device (11982) |
— |
$56,399.13 |
— |
| Remove in/ex hem groups 2+ (46260) |
— |
$52,216.46 |
— |
| Remove knee cyst (27347) |
— |
$175,721.68 |
— |
| Remove knee joint lining (27335) |
— |
$127,606.99 |
— |
| Remove Pilonidal Cyst Exten (11771) |
— |
$59,594.85 |
— |
| Remove sacrum pressure sore (15937) |
— |
$141,372.58 |
— |
| Remove sacrum pressure sore (15935) |
— |
$200,094.74 |
— |
| Remove spine infusion device (62365) |
— |
$32,692.86 |
— |
| Remove tumor hip/pelvis (27049) |
— |
$191,399 |
— |
| Remove wrist tendon lesion (25111) |
— |
$42,293.27 |
— |
| Remove&replace pm gen singl (33227) |
— |
$61,751.26 |
— |
| Remove/graft foot lesion (28102) |
— |
$90,951.58 |
— |
| Remove/graft foot lesion (28107) |
— |
$132,627.11 |
— |
| Remove/graft foot lesion (28103) |
— |
$90,951.58 |
— |
| Remove/graft leg bone lesion (27637) |
— |
$156,084.97 |
— |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
— |
$25,516.43 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$133,414.93 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$164,385.77 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$132,358.09 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$70,789.93 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$94,082.23 |
— |
| Renal biopsy (50200) |
— |
$119,849.40 |
— |
| Repair achilles tendon (27650) |
— |
$81,103.74 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$199,138.82 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$199,138.82 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$31,428.05 |
— |
| Repair elbow deb/attch open (24359) |
— |
$42,453.72 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$52,036.30 |
— |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
— |
$133,610.70 |
— |
| Repair finger tendon (26433) |
— |
$51,371.71 |
— |
| Repair forearm tendon sheath (25275) |
— |
$38,847.28 |
— |
| Repair hallux rigidus (28289) |
— |
$43,075.11 |
— |
| Repair hand tendon (26410) |
— |
$61,818.99 |
— |
| Repair humerus with graft (24435) |
— |
$158,426.49 |
— |
| Repair incomplete circumcision (54163) |
— |
$15,756.86 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$104,569.21 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$117,242.18 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$63,258.28 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$80,480.60 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$48,758.55 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$199,138.82 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$199,138.82 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$199,138.82 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$199,138.82 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$199,138.82 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$199,138.82 |
— |
| Repair lower leg epiphyses (27734) |
— |
$156,084.97 |
— |
| Repair nasal vestibular stenosis (30465) |
— |
$73,285.02 |
— |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
— |
$109,179.26 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$97,946.70 |
— |
| Repair of leg epiphyses (27742) |
— |
$156,084.97 |
— |
| Repair of nail bed (11760) |
— |
$60,079.66 |
— |
| Repair of nasal septum (30520) |
— |
$75,310.19 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
— |
$65,545.74 |
— |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
— |
$127,199.60 |
— |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
— |
$101,177.20 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft (27722) |
— |
$101,177.20 |
— |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
— |
$70,579.07 |
— |
| Repair of thigh musc (27385) |
— |
$139,754.44 |
— |
| Repair of tibia (27720) |
— |
$101,177.20 |
— |
| Repair radius & ulna (25415) |
— |
$100,575.73 |
— |
| Repair rectum & vagina (57250) |
— |
$78,328.24 |
— |
| Repair rotator cuff acute (23410) |
— |
$105,470.65 |
— |
| Repair webbed toe(s) (28345) |
— |
$164,679.98 |
— |
| Repair, fascial defect of leg (27656) |
— |
$199,138.82 |
— |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
— |
$105,318.14 |
— |
| Repair/graft hand tendon (26358) |
— |
$141,452.80 |
— |
| Repair/graft hand tendon (26392) |
— |
$133,610.70 |
— |
| Repair/graft hand tendon (26352) |
— |
$141,452.80 |
— |
| Repair/graft hand tendon (26372) |
— |
$141,452.80 |
— |
| Repair/graft radius & ulna (25420) |
— |
$100,575.73 |
— |
| Replace duod/jej tube perc (49451) |
— |
$23,605.27 |
— |
| Replace g/c tube perc (49450) |
— |
$70,205.58 |
— |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
— |
$84,093.57 |
— |
| Reposition pacing-defib lead (33215) |
— |
$10,581.29 |
— |
| Rerepair fem hernia blocked (49557) |
— |
$117,242.18 |
— |
| Rerepair ing hernia blocked (49521) |
— |
$104,569.21 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$42,115.87 |
— |
| Resect enlarged toe (28341) |
— |
$141,968.30 |
— |
| Resect face/scalp tum < 2 cm (21015) |
— |
$107,570.96 |
— |
| Resect forearm/wrist tum<3cm (25077) |
— |
$113,989.33 |
— |
| Resect Inferior Turbinate (30140) |
— |
$74,803.90 |
— |
| Resect leg/ankle tum < 5 cm (27615) |
— |
$109,850.47 |
— |
| Resection of elbow joint (arthrectomy) (24155) |
— |
$74,769.11 |
— |
| Resection or transplantation of long tendon of biceps (23440) |
— |
$373,239.32 |
— |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
— |
$137,181.11 |
— |
| Resection, partial or complete, phalangeal base, each toe (28126) |
— |
$80,996.27 |
— |
| Revis reconst shoulder joint (23473) |
— |
$175,390.69 |
— |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
— |
$175,390.69 |
— |
| Revise finger joint each (26140) |
— |
$41,793.92 |
— |
| Revise hand/finger tendon (26390) |
— |
$133,610.70 |
— |
| Revise head/neck of femur (27179) |
— |
$138,352.73 |
— |
| Revise median n/carpal tunnel surg (64721) |
— |
$33,190.93 |
— |
| Revise middle ear & mastoid (69643) |
— |
$107,570.96 |
— |
| Revise ocular implant (65125) |
— |
$48,638.78 |
— |
| Revise ulnar nerve at elbow (64718) |
— |
$40,467.03 |
— |
| Revision of arm tendon (24310) |
— |
$59,656.47 |
— |
| Revision of big toe (28310) |
— |
$126,799.60 |
— |
| Revision of humerus (24400) |
— |
$199,888.99 |
— |
| Revision of reconstructed breast (19380) |
— |
$70,608.72 |
— |
| Revision of toe (28312) |
— |
$126,799.60 |
— |
| Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137) |
— |
$170,389.93 |
— |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
— |
$128,994.02 |
— |
| Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138) |
— |
$162,657.71 |
— |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
— |
$126,059.16 |
— |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
— |
$66,361.63 |
— |
| Rmvl Synth Rod & Insj Xtnsr Tdn Grf H/F Ea Rod (26416) |
— |
$133,610.70 |
— |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
— |
$13,499.68 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$28,804.77 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$65,562.11 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$101,986.93 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$46,915.33 |
— |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
— |
$104,569.21 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$60,066.41 |
— |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
— |
$63,464.32 |
— |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
— |
$66,061.47 |
— |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
— |
$59,379.29 |
— |
| Rpr hern preemie reduc (49491) |
— |
$104,569.21 |
— |
| Rpr ing hern premie blocked (49492) |
— |
$104,569.21 |
— |
| Rpr ing hernia baby blocked (49496) |
— |
$104,569.21 |
— |
| Rpr Ing Hernia Baby, Reduc (49495) |
— |
$104,569.21 |
— |
| Rpr ing hernia init blocked (49501) |
— |
$104,569.21 |
— |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
— |
$12,912.03 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$20,102.28 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$19,186.42 |
— |
| Shldr arthroscop,lyse adhesns (29825) |
— |
$84,968.39 |
— |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
— |
$198,101.79 |
— |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
— |
$20,102.28 |
— |
| Sigmoidoscopy w/us guide bx (45342) |
— |
$198,101.79 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$66,615.47 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$66,615.47 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$66,615.47 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$66,615.47 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$66,615.47 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$37,176.56 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$67,883.53 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$67,883.53 |
— |
| Skin pinch graft (15050) |
— |
$62,068.06 |
— |
| Skin splt grft trnk/arm/leg (15100) |
— |
$55,998.38 |
— |
| Skin Tissue Procedure (17999) |
— |
$49,105.07 |
— |
| Skin tissue rearrangement (14040) |
— |
$46,507.07 |
— |
| Skn splt a-grft fac/nck/hf/g (15120) |
— |
$62,068.06 |
— |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
— |
$8,160.61 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$9,160.03 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$75,490.66 |
— |
| Small bowel endoscopy (44376) |
— |
$198,101.79 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$84,509.33 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$67,883.53 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$67,883.53 |
— |
| Sphincterotomy (46080) |
— |
$36,780.73 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$69,550.81 |
— |
| Stop growth prox/dist tibia/fibula (27740) |
— |
$156,084.97 |
— |
| Surgery to stop leg growth (27477) |
— |
$156,084.97 |
— |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
— |
$53,704.03 |
— |
| Synovectomy carpometacarpal joint (26130) |
— |
$147,242.88 |
— |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
— |
$157,137 |
— |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
— |
$157,137 |
— |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
— |
$38,847.28 |
— |
| Talectomy (astragalectomy) (28130) |
— |
$90,951.58 |
— |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
— |
$1,465 |
— |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
— |
$75,492.20 |
— |
| Tendon excision palm/finger (26145) |
— |
$41,810.78 |
— |
| Tendon graft, from a distance (20924) |
— |
$199,399.43 |
— |
| Tenolysis ext tendon,hand/finger,ea (26445) |
— |
$39,879.30 |
— |
| Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) |
— |
$38,117.49 |
— |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
— |
$97,802.74 |
— |
| Tenotomy abductors&/extensor hip open spx (27006) |
— |
$143,199 |
— |
| Tenotomy elbow lateral/medial debride open (24358) |
— |
$52,160.85 |
— |
| Tenotomy hip flexor open separate procedure (27005) |
— |
$143,199 |
— |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
— |
$50,302.13 |
— |
| Ther Apheresis,Platelets (36513) |
— |
$210,545.86 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$13,884.68 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$78,576.70 |
— |
| Throat Surgery Procedure (42999) |
— |
$85,898.52 |
— |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
— |
$112,253.70 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$2,106.56 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$112,253.70 |
— |
| Thyroid biopsy (60100) |
— |
$5,171.11 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$46,658.31 |
— |
| Total hip arthroplasty (27130) |
— |
$114,473.26 |
— |
| Total knee arthroplasty (27447) |
— |
$100,340.81 |
— |
| Transmetacarpal amputation; re-amputation (25931) |
— |
$83,499.99 |
— |
| Treat clavicle dislocation (23532) |
— |
$129,598.12 |
— |
| Treat clavicle dislocation (23552) |
— |
$129,598.12 |
— |
| Treat ectopic pregnancy (59151) |
— |
$81,871.86 |
— |
| Treat elbow fracture (24635) |
— |
$100,575.73 |
— |
| Treat elbow fracture (24587) |
— |
$100,575.73 |
— |
| Treat Finger Fracture Each (26727) |
— |
$43,735.91 |
— |
| Treat fracture of radius (25526) |
— |
$100,575.73 |
— |
| Treat Fracture Radius & Ulna (25560) |
— |
$171,946.68 |
— |
| Treat fracture radius/ulna (25575) |
— |
$60,886.47 |
— |
| Treat fx distal radial (25606) |
— |
$40,695.63 |
— |
| Treat fx rad extra-articul (25607) |
— |
$70,856.68 |
— |
| Treat heel fracture (28415) |
— |
$121,265.04 |
— |
| Treat lower leg fracture (27826) |
— |
$97,946.70 |
— |
| Treat lower leg fracture (27828) |
— |
$119,863.30 |
— |
| Treat Lower Leg Fracture (27827) |
— |
$101,177.20 |
— |
| Treat radius fracture (24665) |
— |
$100,575.73 |
— |
| Treat slipped epiphysis (27181) |
— |
$138,352.73 |
— |
| Treat Thumb Fx/Disloc,Manip (26645) |
— |
$93,120.68 |
— |
| Treat ulnar fracture (24685) |
— |
$64,126.55 |
— |
| Treatment of ankle fracture (27822) |
— |
$76,266.33 |
— |
| Treatment of ankle fracture (27792) |
— |
$62,184.62 |
— |
| Treatment of fibula fracture (27784) |
— |
$81,711.61 |
— |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
— |
$139,014.84 |
— |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$139,014.84 |
— |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
— |
$35,925.82 |
— |
| Treatment of tibia fracture (27756) |
— |
$170,165.30 |
— |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
— |
$16,300.60 |
— |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
— |
$14,855.86 |
— |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
— |
$48,284.66 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$44,334.18 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$42,655.21 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$33,602.66 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$33,951.98 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$124,649.96 |
— |
| Unlisted fetal invasive procedure, including ultrasound guidance (59897) |
— |
$26,407.40 |
— |
| Unlisted hysteroscopy procedure, uterus (58579) |
— |
$73,639.11 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$82,093.67 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$129,735.28 |
— |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
— |
$58,187.23 |
— |
| Unlisted laparoscopy procedure, stomach (43659) |
— |
$108,500.42 |
— |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
— |
$90,847.84 |
— |
| Unlisted procedure anus (46999) |
— |
$52,256.44 |
— |
| Unlisted Procedure Biliary Tract (47999) |
— |
$199,651.54 |
— |
| Unlisted Procedure Dentoalveolar Structures (41899) |
— |
$39,777.82 |
— |
| Unlisted Procedure External Ear (69399) |
— |
$107,570.96 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$55,796.52 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$129,281.57 |
— |
| Unlisted procedure leg/ankle (27899) |
— |
$219,859.39 |
— |
| Unlisted procedure liver (47399) |
— |
$26,407.40 |
— |
| Unlisted procedure maternity care & delivery (59899) |
— |
$126,060.39 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$163,883.85 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$84,509.33 |
— |
| Unlisted Procedure Small Intestine (44799) |
— |
$189,906.51 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$160,281.31 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$244,451.35 |
— |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
— |
$67,810.94 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$273,477.12 |
— |
| Unlisted procedure, hands or fingers (26989) |
— |
$29,499.66 |
— |
| Unlisted procedure, male genital system (55899) |
— |
$37,460.92 |
— |
| Unlisted procedure, stomach (43999) |
— |
$73,931.57 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$61,647.99 |
— |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
— |
$132,317.80 |
— |
| Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) |
— |
$108,500.42 |
— |
| Uppr gi opticl endomicrscopy (43252) |
— |
$108,500.42 |
— |
| Urology Surgery Procedure (53899) |
— |
$138,496.17 |
— |
| Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) |
— |
$90,718.28 |
— |
| Vaginal delivery only (59409) |
— |
$26,427.10 |
— |
| Vaginal hysterectomy (58260) |
— |
$76,259.03 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$101,810.28 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$2,839.83 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$2,459.14 |
— |
| Vbac delivery only (59612) |
— |
$26,407.40 |
— |
| Vulvectomy simple partial (56620) |
— |
$61,932.74 |
— |
| Vulvectomy simple; complete (56625) |
— |
$59,699.37 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$62,074.90 |
— |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
— |
$52,948.26 |
— |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
— |
$112,253.70 |
— |